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HomeMy WebLinkAboutNo Permit Number (34) CITY OF DIAMOND BAR � �� �� -- DEPARTMENT OF COMMUNITY&DEVBLOPMENT SERVICES 21660 E.Copley Drivc Suitc 190 � (909)860-3195 Fax(909)861-3117 PR E$$ ���^'� BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE ,Q' 1 q ADDRESS a Q �v ��e �«r� DATE CATION NUMB R �L�! #� � APN LOT� TRACT .S�LU 1. o�� �SSUE � TYPE OCC DATE �I CONST. GROUP � OWNE���cn Q �(.(G�£7 C o ADDRESS � •S r �ar 20NING SETBACKS � CITY � ZIP 9L[2.L TEL S� - ,� REAR RW ❑ APPLICANT TEL. SIDE/SIDE STREEf FW ❑ � CONTAACTOR al� te . SIDE ❑ � ADDRESS ? PROPOSED USE � CITY rn- �. ZIP�t� TE -O U � ARCWENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. 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B.iP.GFORTM15RCA50N U LL' OATE OWNER � . � W UCENSED CONTF�ACTORS O[CLARATION —r � W IFIEPEBYAFFIRUUNDERVENAIttOFVE0.1UpYilUTIMItICENSEDUN�EIIPPOVI510NSOFd1APTEf1 V. � �(COMYENCNOWIiHSECilON7000)OFOINS�ON70fTHE8VSINE55�NDPROFE5510NSCODE,AND Z �� MY UGENSE IS Pl FULL FOflCE M1D EFFECf. m ��/ 0 LICENSE CUSS �IC.NO. �� J � DATE — CONTRACTOR� y�.G1/. a W � � WORKERS'COMPENSATION DECLAi'IATION a � INEHEBYAFFlPoAUNOERVENAL7YOFVERIURYONEOF7MEPoLLOMnNGDECtAFlAT10N5: V fA Q � _IIJP/EANDNiLL►uINTNNACEIi�IFICATEOFCONSENTTOSELFdNSUREFOHXVRNERS' S �IAPENSATION,ASPi1DViDEDBVSEC710Nf7DOOFiHE4BOliCODE,FORTMEDERFORMANCE �U Q � OFTMEWORKiORWMK?I7HISFEWAIT6155UED. � Q _I HAVE AND WILL NAIMAIN WORK[RS'C04PENSA7qN MSUfUNCE,AS AEWIRED BY SELTqN ]�ooOFiHEIABORCOOE.FORiHEPERFORMANC[OFiHEwORKFORN?UCH7HISPENA�TIS � ISSUEO.IAYWdV(ER'OJMCEISATIOF7WSUFWlCECARRJIEflANDPOUCYNUM[tERl1RE: CONSTRUCTION � w+wER ' 1� ))�_�� �, PLANREVIEW Z PoIICYNWeER }c� ELECTRIC --- d 0 (MSSECDY�t+EeWT6EW�.stETEDOFi�EpEiY.�TBf�iOrdE�DDOWVLSR�ao�Oa�ESSI PLUMBING s��..��.�.i z ICERTIFYTNATNTHEPEi1�OFiMiv10EOFMEM/ONCFORWHitl17HISPERNiTISt55UCD,� MECHANICAL C7 SHALLNOTEMPIOYANYPER50NNANYM�NM1ER50A5TOBECOMESUBJECTTOTME � NqHKEH5CW�ENSATIONUW50FCALIFOfINIA,ANDACFEEiMATIFISiqULOBECOUE WSPECTIONFEE • � � ��r S SU&IELT TO THE WORKEN5 LOMPENSATION PROYISKK150F SECTION 770o OF THE tABOR '��� - � N coos,i swu.�connrxm+cor.�vtrvnn�nas�vao�nsbr+s. ISSUANCE � ouE:�-l/-y� APPLICAHf. �rG�?!1'Y1 � . e�ICJ1 SMIP �C�IT�'�'�r���':�•� �W WARNiN6:FA0.URETOSECUREWONKER5COA1vEN5AT10NCAVEMCEISUtiUwFUl.liNOSNALLBE ENERGYP/C i.T��T ?��'i'' . SUBIECfANEMPLOYERTOGRIMWALPENALTIESMACMLFwESUPTOONEHUN�REDTNOUSAND ENERGYPERMIT OOLUR:(flo4000),N�DOIiION TO TF7E CQST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN J SECiqN710eOFiHEUBORCOOE,NTEREST,ANDATTORNEY5FEE5. RETENTIONFEE: Q � CON5TRUCTION LENDINGAGENCY PRE•ALT FEE: O � INEREBY/�FFIRMUHOERVENALYYOFPE0.NRYTUTTHEREISACONSTPUCTIONIEND�NOACFNCY FOR TME VEH�ORMhNCE OF 7HE WONC FOFl WNICM TM�S iEHMIT IS ISSUED�SEG 7oY7,CIV.GF . � � LENOER'S NNAE C LEN�EASADDNE55 w ICEFTICYTU7IHAVEREADTNISIWDLICATION�fASTAiETNTTHEABOVENFORA1A710NI5WHHECT. TOTAL FEES . p� IAUfiEETOCOMPLYWIiHALLCT'hNDWUNT'ORDWNdCESANOSTATEUwSREUT�N�TOBtntDING � OONSiRUCTION.Al:ONEREBYIIUTHORIZEREPRESENT�TI`lESOFTMISODIMTVTOENTERUPONTNE Z ABOVE-YEMqNEDVFOVERttiORINSVECTIONYUfiPO5E5. COMMENTS � /�i LI�<<rp� ff �G��� � m PERAIITTEE NM�F{ 4 -�„r � _l,_� y � N S�ONANREOF ERMIIIE DATE T � RECPT.N0. PAID BY V/WDATI WHITE—DepartmentCapy,YELLOW—FnanCe Copy,PINK—Assessor Copy.GOLDENFlOD—File Copy,GREEN—Applicanfs Copy , � . . .., .. . - ., . . ' � � ... �� • ' . . .:... , . • Lr'', , • . . � • .e . � . • . .. � . . � � •� . . . . . , , , . . , . � CITY OF DIAMOND,BAR , ,, .. �.�_�,:,•. =•-.•��� :INSPECTION.RECORD .;. +;- .. : •��.: � ... . �r . . - �,. . �.�����;��G�G��,►i..� �.�:�1�f=� '�} i� �S�F.� �� ��i..� � �* c � ;-, ,. . . . . � {I�e�_o - — — — _ —- --��� �r.. ► �: =� �c )►� —_������ r►E-y• i �J� :SET BACK i ' . �r• . � FLOOR JOIST , , � ' ` " •-- � _ __ , , . , ,. , . .-- • :FTGSIFORP�"SlSTEEL _ . � .. .� - �:; �; .- : _: FHA REQMTS;•:-. . _ _ _ _ .._.__..; •_.; ----- -- . _ ... ;_�! -`_� UNDER FL'(�OR DUCT ' ' `. ' _ _. . ` , i � . ;ELEC7RICGROUND. ._ _ _. • • _. _ _; .: .. , :='- iGROUND PWtJIBING UNDER FLOOR CUi�D'JIT.. � ' � � ' ' � -- _... , ,_._. ISLAB GRADE -•-- - '; --- -- . '' ' ' FIREPL�ICE FOUNDATION ., ,. ; `._ ,TEMP POWER � - -� � •� FIREPLACE BOND BEAM - - --- ' � I ' :WATER SERVICE - - --- _ .� . . MID HL BOND BEAP�1 . •� � ' +' ,'. � : . .:. _� j ; : ROOF SHEA7HING 8 FT. BOND BEAFd '- • � - - � ;', ;FRAPAING.NENTILIATI�N - FINAL BOND BEAM � ' � � , ; r; ;ROUF COVER .•: PRE-GRA�ING - - � . - - -�--. _ �ROUGH HEATINu � ` "` - BENCHING - , �, ; :. ! ; �ROUGH ELECTRIC._ : .. , ; _ _.' : ROUGH GRADING _ .. _ _ _ _ ---__ - -; ;; ROUGH PLUtJIBING -- - - • - -� FINISH GRADING SHO'+'Vc�-TUBTEST - - - POOL'ELECTRIC' � iEKT.L-AiH/SIDING - . - . PaOL FEPdCING , :1"lA.L!iNSUtATION- , j— - -- -' - - POOL FINAL ! ; , ��:.�IL:IN:�Ih:SULATION . .�...-. ----- . .__. .._... QFF SITE IMPS. ' . i =, ;DRYL�'..1LL PJAILING � - � ;n-,- ' DEDICATIONS ��[:�":cR _. ... . �IZ,,; r �+ ' FINAL.ENG. , - StPTi�TAPdK LANDSCAPE/IRRIG. ! � ' i � �,S�cP P1T/L.L.._. � ON 51TE INMPS. - • -. �,"�!,i>�TcST � FINAL ZONING . . �� --- ------- ' i'�r ^�NST.-- - . .. .- . --. .._ .. _.. _.• FIRE D�PT:FINAL � , E:l."�.:.HEATING ._.. . _._ .__ _ HEALTH DEPT. FINAL - - . - � ;� , ._ _... -- - � t .: �:.:; ELECTRIC - --- ...._. ... _. DEV. FEES PAID - - . ... .-- --- �.:_.__..._ " :':"._PLUMBtFJG -- .. . . _._. .. ..... .. •. - ENERGY , .. � -- - - - - - - :� ' . '. i _ • -- --... . _... .._. . .-- - . , _ , I • �L;:l���:.fi.�r .��. - , . r � . .�t�__��_ . •--. , . : ;_ .-.--- _...____ ___..._ � . _. . ._ - - ; . ,. .-. , ..�.: - - �'. . .. ��C�`fMENTS � - _ _ ; � - --- _ i . .. • V i i • - . . • , .. _ .._, � _ \ 1 .` . _. . � . . , ... • . . --- i ' . + � � - - - - - ... . , . . . , , . . . . . � ._� .�. ,_ ._, . . . . � � - � � i. . i . .. ._ . . . . . �� �� �� , :. . �, �. . . i . . . ... , . , i � i I SEPTIC TANK SIZE . - ' � -- 'SEEP PIT/U SIZE , _ . .. -- . _. �!�`.� . _� . � i . . i � . . - '. - � ; -. . . ' � , .���� �j �,. _.' ., .. , ; ; . .. . -- , .. .. _ �i .. . _ _ � � , . r� . 1 �1 . , � . ', .. i '� . . , . \ � _... � . .. . .;��.. .. . — . . � . . . . � �`,`, . ; � �� �j ' � ' �� � �i,` �\�\� -- ...�. I _,