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HomeMy WebLinkAbout12529 . ��Lt�' CITY OF DIAMOND BAR � - - �� �� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suiu 190 ' (909)860-3195 Fax(909)861-3117 PRESS ��''*�� BUII.DING PERMIT APPLICATION . . FIRMLY � � JOBSITE � DATECA��,/�NUMBEF� � If/C o ADDFESS�-�1U 1'+"�" �f� � � $ ISSUE r nrPE occ APN LOT TRACT DATE CONST. GROUP p OWNER � GIr _ p ADDRESS �/�1�E.AS Ah GV�r ZONING SETBACKS w CITY ZIP TEL FRONT RW D � APPLICANT - TEL.�� REAR O SIDFJSIDE STREEf RW O � CONTRACTOR K• ' d� SIDE- ❑ o C'DTDrRESS o _ IP /Y TEL. o �, PROPOSED USE' �I � i^ � h� �t�" • c. � w ARCH/ENG/ � . . •�• ��.ij c � Q DESIGNER � � � NO.DWEL,'� � ��T NO. ..• NO. � ADDRESS UNITS ' � ' }" STORIES� ��� BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff. 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B.��G i0R iHIS REASON ¢ 3 � - � - • � DATE OWNER ~ � W FQ LICENSED CONTRACTORS DECLARATION W [L INEREBVAFFIRNUImERPENALTYOFVERNR/TM�iIJUALICENSE�UNO[RCFOVISIONSOFCVIAPTER V. � p� Y(Cq.vAENCaqYrtTX3EGTqNToaG10FOm5qN70FTHE8US�NESS/JIDP1iOFFS51DNS00DE,AND Z X WUC£NSEtSNM.IFORLEANDEFFECT. m lL � LICENSE CU '�' L1C.NO. ��� � � wrE_y�'c_� �i corrrw�cron (z(�-►kF'n f-o�(1J�� a w v � � OFiKERS'COMPENSATION DECLARA710N Q . N . V . .. . . . y IMEREBYAFiIqMUNDEHPEN.LL7YOFGE0.AIRYONEOFiHEFOLLOWIN�DELL�UTbNS: Z � �IINVEAMDWM1LWMNN/10ERTIFlCATEOFODNSENTTOSEIF-INSUREFORNORNERS' S � N1IPENSATION.Il57RWiDEDBYSECilON�7000Fh1EU80RC�DE.FORTNEVERFORMIwCE U � OFTMEWOFlKFORW111CF1iH19PERMRI5ISSUED. W O � �I HAVE AND VALL MNNTAP!WORKENS'Od.�PENSATqN INSUMNCE,AS REWIREO BV SECTqN � O 77aoOFTHEUBORCO0E,F0117HEPERWRMANCEOFTMEWORKFORWHiCF7TMI5PERMITIS ISSUED.MYWOPICER4'tOMPENSATqNINSURANCECARRIERANDPtt�CVNuuBENME: CONSTRUCTION � - j uaaea �T/�'�y �N� PLAN REVIEW � POIICYMMflER�r��Jo2P� ELECTRIC � (n+ssEcnonr��norsEoor.�.EtIDovnetta.�tsr�a+eiara�rooatut,�s,xlontessl PLUMBING Z ILERi1FYTW�TINiNEVENFORwWCEOf7HEY.0iYKFONwMiCMTH15PEFlMiTI5155UE�,1 MECMANICAL (> SHNINOTE�PLOVANVVEa�NINMIVYANN[RSOASTOBECONESUBJECTTOTNE �� � WOPXERSC�PENSATIONUWSOLCAUFORNIA,ANDAGREE7/UTIFISNOI.IDBFCANE INSPECTIONFEE . `- ' SUBJECTTOTNEM/ORKERSCO�.�PENSATIONPHOYISqNSOfSEGT10N77000FTHEl/��R � 5 CO�OE�,1�HALL�FOQATMNRHCOMGLYWIT/TMOSEOROVISIONS. ISSUANCE � DATE:J u 1�.[I]._1_0� --.-3-A��;'y149A SMIP �� PRICANT: W � I " / V`'' ENERGY P/C � � W,�{WIN4 FMUPETO SECURE Mqi1KER5'fAA1PEN5ATION COVEMGE IS UNUN�FUL.MPJ SNIILLBE SUBJECTIWEMPLOYERTOCiL'MINALPENALTESANDCNILFNESUPTOONEHUNDREDTNOUSANO ENERGYPERMIT WlUF15(f fOD.0001.W�DITqN i0 iME COST OF COMPENSATpN.DArA�CES�PROVIDED FOR IN (�(� (� 19 ¢ £ECTI�N�7000FTH[LABORCOOE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: ','.T / i pW.. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: - � � IHERfBYAFFINAUNDERPENKTY�F7EiWNYiM�TiMERE15ACON5Titt1CT10NLENUINOAGENCV IA7M��O�ND � � . � FOfITM[PERFOR/AANCEOFTMEWORNiORWNIp1TMI5PERMITI5155UED�SEC.loY7,pV.G). — ��J�DING Al`1V SA � � LL1 � � � LENDE�7'S NAUE � � � LENDER'SADDFESS 1 � ICERTIFYTHATIWNEREADiHISMPLIGITIONI�NDSTATETNATTNEABOVENFOPYATqNISCONRECT. TOTAL FEES � { � � � I AGREE 70 COYVLY VnTH/�Ll CrtY MiD COIMTY ORDiN+wCES AND STATE Uw5 HELA1wd TO BU1LDiNO � CpNSTRUCTION,ANO NEREAV�4fT110RIZE RE7RESENTATNES OF THIS COUNiY TO EMER UPON TME . � � PBOVEMEMIONED 7NOPERTY FOR INSPECfqN VUNPO5E5. COMMENTS I 9 ��-7 �� � � � m VEfWmEE--�NMAE(PiU�I � ( Jl,rv 9 V Q � N 5G1Uil1N OF PER E � � rE RECPT.NO. � PAI�� VAUDATION � WHITE-0epartment Copy,YELLOW�inance Copy,PINK—Aseessor Copy,GOLDENROD—File Copy,GREEN—Appicant'e Copy - ;' . . . . . .. ,.... . . � ., ,.. .. . .�,��.. . . . _ , , . ,. , .. . ,- , � .. • . .. . �. _ .. ., .. . . ., . CITY OF DIAMOND BAR -,, :�: � ; ; �.�� �: ,�;. �:-"�.'-�-1NSPECTION RECORD '.� ;�:: ': ::. '. ' " �, • �• s � � • - • � � . i . SET BACK ' ' t ' - `- .\�%�' " FLOOR JOIST - , '� _ < �' ; �. . . . . . FTGS/FORMS/STEEL • ' "FHA REQMTS - - -- - --- - - -- -� ELECTRIC GROUND -::- " � - - - � .. UNDER FLOOR DUCT- GROUND PLUMBING � • ' UNDER FLOOR COf�IDUIT •'. '- � ' � � -• " SLAB GRADE � ' - - �� FIREPLACE FOUNDATION ' ' , . _ . TEMP POWER --- �' ' ---- ' ' ' ' ' � i FIREPLAC��BOND BEAM -- � � ' ' " -1NATER SERVICE -_ -. --- - -= �MID HT.BOND BEAM . ' •. �•� ',':��-'..' `. . � ! ; ROOF SHEATHING . 10��t- ' 8 Ff.BOfVD BEAM � � � � � � � � ���� ' FRAMINGNENTILIATiON .._ ....�. � '. �• �_:' � —��'�_�(�� � FINAL BOND BEAM ' ' : ', ROOF COVER�- , -Q'l� ��i� �Ce PRE-GRADING - � . . . ; ; ROUGH HEATWG - - - -- - - – BENCHING - � �=• i ;. _ROUGH ELECTRIC--`� - - � - - " � -- ROUGH GRADING - ; �' �ROUGN PLUMBING-: � �� - - - - FINISH GRADING . SHOWER/TUB TEST - ' - - - , POOL ELECTRIC ! - EXT.LATH/SIDING POOL FENCING � ' WALL INSULATION �. .� ', . POOL FINAL , CEILING INSULATION OFF SITE IMPS. • . - DRYWALL NAILING : DEDICATIONS . - SEWER _................. :..... . . _... .... ._ . FINAL ENG. SEPTICTANK _- - _ . LANOSCAPE/IRRIG. , . SEEP PIT/L:L. •- =- -= - ON 51TE IMPS. • - GAS A{R TEST - - ---- - - - - - -- FINAL ZONING . : FINAL CONST. -- - /p -J'1-46 FIRE DEPT.FINAL � . : FINAL HEATiNG - � - - -- HEALTH DEPT.FINAL ' . FINAL ELECTRIC - � � DEV. FEES PAID ' FINAL PLUMBING ' ENERGY � • -�a. 6' w - - • ' COMMENTS ---- .. __ . _.. . _.._. , , _._. _ .. . � .• ��� �,�� ` � � � � . � '.. . � .. . . . , - , ,. . � � . . . _ . . . . . . . . 1' . + � _ .. � �- .... _ . .. .. . .. . . � ; , . . . . . . . . . . r., _ ._. . . ..... ' . , . . • . . � . '- . , . _. _.. . ��� _ - - -- - - - � . SEPTIC TANK SIZE _���r i (� �'. f�l�' � . . � ' SEEP PIT/U SIZE ' • � , � ::i:1V::it;.;�: ; .- ..,� � . ��i� 'a��l.,->���-r,.7i�ffi.{.:iU1' , _ : � � • . .. _ . . . . . . ' , , i _. .. � ; _._ ,r.�.. � . , .. ' �'' i � . � � � . � . . . . . � i j I ' • . .. . . . .. . . . . . , i . . ._ . . . . � .. .. . ... _ ..._. . . -. ' ' " ' ' _ " ' ' _. .. . . . . .. . 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