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HomeMy WebLinkAbout13164 (14) �� CITY OF DIAMOND BAR ( �- ) DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Coplcy Drive Suite 190 � (909)860-3195Faz(909)861-3t17 PRESS ���^' BUII.DING PERMIT APPLICATION FIRMLY o ADDRIESS �� � 1 v v+�-�� C� APPLICATI PERMIT ��� P/C DATE � NUMBER� N 'I� � ISSUE 3-2� (��y TYPE 1 OCC APN LOT Z-- TRACT S Z.O DATE t � `-1 CONST. GROUP p OWNER o ADDRESS 20NING SETBACKS � CfTY� 1 ZIP 71n2 -j,TEL� REART RW ❑ APPLICAFIT TEL SIDE/SIDE STREET RW ❑ � CONTAACTOR '�—P SIDE ❑ ADDRESS PROPOSED USE 7V'eW s r- -:p L 1 � CfTY ZIP TEL. o ARCH/ENG/ �'�S�eNI Ig N � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL ��.�� y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATI�N � OWNER•BUIIDER DECLARATION SFRlADD,'REM 3 O p �HEREHY AFFGW UNOER PENALTV OF PERIURY THAT I AA1 E%EMPT FPOM THE CONTMCTORS U- Gef➢9B/COIpDR O Z � C£NSEIAWFORIMEFOILOWINOR^ MI(SEC.7at1.SBV51NE5SMYJPROFESSIONSCODE:ANYdTYOR (/� . 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W Y LICENSED CONTRACTORS DECLARATION w � . 1 HEREBYAFFlPL UNDER PENALTV OF PERNRY TUT IAA1 L�CENSED UNDER PROVISIONS OF CHAPTFR Ur � •(COI.�AENGNOWRMSECT10N7000�OFDM310N]OF7HEBUSINESSANDOROFESSIONSCODE,FND Z MY LICFNSE R N FULL FORCE AND EFfECL m � UCENSE CU �_LIC.NO. �" � J 1�— � pATE � C CONTMCTOR� � G .. . � . . . ' . -- t6 WORKERS'COMPENSA710N DECLAFiAT10N ¢ � U � INEREBYAFTiRAIUNDERPEWLL7YOFGERIUMONEOFTMEFOILDWWCD[CUIMTIONS: � Z Q � �IMAVEANDVALlAWN7lUYACERfIFICATEOFCONSENTTOSELf-INSUREiORWORKEflS' _ � COMPENSATpN,/�4iROVIDEDBYSECTION770aOFTMEUBORCODEFORiMEPERFORMMlGE W OFTME MIOiiK FOR Vh11pI7M15 PERMIT IS ISSUEO. � � 0 Q �M�VE AND VALL WMNN WORKERS'CGIPEHSATION INSURANCE,AS P[OUIpED BY S[GTqN ^ n 77000F7NELABORWOE,FOIiTMEVERFORMANGEOFTNEWOfiKFORWMIp1TMI5FENMIi15 �i�� � 65UED.MYN'OqKERSCOMPEy,SATION4Y5URANCECMR:ER/W�POLICYNUAIOERAAE: CONSTFiUCTION .r ' A 1 L�_I ILl - � � GWRIER L/«TM a PLAN REVIEW � Z voucrMn�aen �� ELECTRIC _�,��a__l '� ¢ ����p p (15GSECTqNNCFDw7eE0L7.RE7ID0i71EFEiMTSFonaNEHI+�DDOIUftSR��I��} PLUMBING \ W 1 Z t[ERTIFYTMATINTHEOERFORMANCEOF7NEWORKFORWHICHTHISPENIAITLSISSl1ED.l MECHANICAL 1S �lD- V' S1IALLNOTEMPLOVANYPERSONINANVNMINERSO�STOBECCWESV&1ECTTO7HE ��.�' � WORKERSCOMPENSATIONUN�SOFCAUFORNIA,ANDACREE7MATIFISHOlADBECOIAE INSPECTIONFEE S ••� SUBJE TOTHEWOWCER5COMPEN3ATIONPRON510N90F5ECTqN17oaOFTHEUBOR — swvlco tHwrrHcor.�r�rrnrn 1105EPROVI qN /� ISSUANCE � � ��/' /J// SMIP n � -p DATE: 1.y�PPLICAf1T._ . FLl_ � �., ` .tJ � WARNMQ:FAIUIRETOSE(.1JREV/ORKEflS'COMPENSATIONCOVERAGEISUNUWFIILAND rULLL E ENERGYP/C � �, �y SU6IECTANEMPLOYERTOGI1MWAlVENILLTIESMDCMLFlNESUPTOONEMUNORE071f0U5AND ENERGYPERMIT �1 � D�LIARS If 100.000).N ADORION TO THE COST OF COMDENSATpN,DAMAGES AS PROVIDED FOR IN ` � SECf10N]7oeOFhIELA80RCO0E,INiERESLANDATfORNEY5fEE5. RETEMIONFEE: �l��T-.�'+�\ L �� OCONSTRUCTION LENDINGAGENCY PRE-ALT FEE: �V F�'_ � IHERE9Y�FFlRUUNOEHOEN�LTYOFGE0.IURYTHATTHEREISACONSTRUCTIONLENOWGAGENCY FORT1EiERFORUANCEOFTME A �ORwHIC11THI5DERA1ITI5155VED(SEC.709t,GV.C.� � LEKIERSWWE �� � LENDER'SAOORE55 r�� '` WICERTIFVTUiIlU1VEPEADT/1SAPPLICATIONANOSTATEhUTT/EABOVFNFORYATtlN15[ORRECT. TOTAL FEES �^�1�I •� 'Z��✓3tb�j � IA(3REETOCOIAPLVYATHALLCRYAN�WUHNORDiNANtESMlDSTATEUWSPCLATINOTOBULDINO CONSTRUCTION.AND HEREBY AUTFiORIZE REVflESENTATIVES OF THIS CWMTY TO EHTEN UPON 7ME � /1BWE�ME EDVROPERttFOfi1N5PJ��T qNiURPO5E5. n/{//�) COMMENTS ' � V� •N�NJ t ����" / � �1 � � iERMITfE (VW � ^ � �„f � �� `Yr � SiONAiUftEOFPERMIT7EE DATE � RECPi.NO. FAID 8Y VAUDATION WHITE—DepaRment Copy,YELLOW--Finance Cop�,PINK—Assassa Copy.GOLDENRO�Ie Copy,GREEN—Applicanl's Copy . ' ' - ' � � 'r ' � . . � . . . .. ' � . . . . . . . . . � . . . , ._� CITY OF DIAMOND BAR �- ' � `� It�!SPECTIOt� RECORD ;(��:.(��s; �g � .i.�:;�El'=�: !fj� �.� �.;, �'"� . .; '�1�;J�o-i� ��,1 -� � . �c , � � ��e,.. ,:�.�:_..._..1:.�.�� � r��, .I� e. , r` j � ..,.»_ . Y.�'i�= ��1�+���..:�.�,,,�� SFT,BACK � . ;j. i � . , ( , ;, t; FLOOR JOIST -- �t _ %t.;-i...�.��''t�'~ •'.• y FTGSJFOR"�",S;STEEL - ' -1,f,•� k5 ' . ,` - FHA REQMTS . . , , . . , . 'ELECTRIC GROUPJD • � ' _ . ' ' UNDER FLOOR�D ,CT �. ��... �,. - � �GROU��D PLUMBING UNDER FL,O R.���IRUfI':--',}�j':' ` ' ` - •` ! ' .�, � i�,-•. 'SLABGRADE _- - .. ��•3�� r.�`� - FIREPLAC6�FOLI�:DATION.` ��!• �:�- . . , ��;�:�u; 'r�.• ��: : : TEhiP FOWER � � � FIREPLACE BOND BEAN!' �-;�ti�' :�� } - ' . VIATER SERVICE MID HT. BOND BEAti1 J �- -�:'.1 ,"`: •' ROOF SHEATHING � _' �j(o'Z.���'+, =��:,'�,�, 8 Ff. EOND BEA�,A - � ' ` �FRI1P.11NG,NENTILIATION I �_(o �. FINAL'BOND BEAPA I ___,�_ � ROUF COVFR '� • PRE-GRADING I v � �� " ' • ROUGH HEF.TING BENC 1^!Gi`'S.',��' `' :+ ;'��i�'.?; �'.� . ROUGH ELECT�iIC ROUGH GRADING � - � 'ROUGH PLUt�"BING - - !�� •`''•� FINISH GRADING ; �F{OVVER:'TUB TEST =' ��� POOL ELECTRIC EXT.IATH!SIDING �''?�o - - POOL FENCING � ti"lD,LL INSULATION - POOL FINAL CEILIhJG IP•lSULATION ` ��' OFF SITE Ih1PS. "�� �DAY4VALL P•lAILiNG �.�� _�".; !, �{; DEDICATIONS SEVVER FINAL ENG. S'cpTIC TANY LANDSCAPE/IRRIG. j SFEP PITIL.L. 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