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HomeMy WebLinkAbout13360 (7) .. . � CITY OF DIAMOND BAR -- -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ; �, , 21660 E.Copley Drive Suite 190 ' • (909)860-3195 Fax(909)861-3117 PRESS '.'�'... BU�.DING PERMIT APPLICATION �: FIRMLY o� JOBSITE Q�,� APPUCATION Q_ /y_�S/ NU B R_�._� � �� ADDRESS ��'d � �`�' � • DATE �> � � ISSUE � /} TYPE OCC APfV LOT TRACT DATE ��`"( CONST. GROUP �j OWNER S .D.f�. , ADDRESS ��Zo l.N'� ZONING SETBACKS ��' CITY D . ZIF�II�/it; TEL R�R RW � APPLICANT J. Mti. Nf9L�_ TELB� SIDE/SIDESTREET RW ❑ � CONTAACTOR SIDE ❑ ADDRESS PROPOSED USE W � CfTY ZIP TEL � w ARCWENGi ; � DESIGNER 'J•��N O C�4�1} � �MG. NO.DWEL C NO.^ NO. � ADDRESS UNITS v STORIES 2' BEDROOMS � CITY ZIP TE • N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OOYVNER-BUILDER DECLARATION _. 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VOATE cONTMCTOR d »..�� LL, CTTy nr�n��^,'�•.'C::�ll i3 � WORKERS'COMPENSATIONDECLAFlATION U ��J�T,��rp�i;� �_..���f�;•j�� 1 , , � IHEREBYAFGIIWUNOEROEW�LTVOFiE0.RIMONEOFTHEFOLLAWRKiDEN�MTIONS: � � � � � � �� � ZQ � _�INAVEIfUN'ILLAWMANAtERTIFlCATEOFCONSENTTOSELF.INSUIiEFOpWOF1KER5' 2 �MPENSATpN,ASGPOVDEDBYSECTqN]7ooOFTHELA80RCODE,FORTHEPERF'ONAANCE W Of TME YIORK FOR WM�di TW S VERIAIT I8155UEU. � . � �I HAVE'fA YALL MAINTAN WONCERB'GOMFENSATION INSUiLWCE,AS REOUIqEO BV SECTId� .^ �� Q 77000FTHELABORCODE.iORTMEPERWRWNCEOF7HEWORKiOHWHICHTHISPEPlAR15 . . . . .� L /� ISSUED.MYNORKERS'CONPENSATIONWSURMlCEURNERMIOGOUCYNUMDERME: CONSTRUCTION � cewwen PLAN REVIEW � � pOLICY WYBER ELECTRIC . � � (M55ECiqfJl�EEplp'(gEpt�il£�pFT/EpEPMfBFOµoNE�u�i'£pppURS(S+ro10alFSS} PLUMBING Z ICEfTTIFYiN�?NTMEYERFqiMANCEOFTNEWOitKfORWN�dITHISPERMITISISSUEO,I MECHANICAL � (� 51/ALL NOT EIAPLOY ANV PERSON W ANY YANNER SOAS TO BECOME Su&IECT TO1ME � YIOPoCERSCOMPENSATIONlAW50FCM.IFOFNU,AN�AGREETMATIF151/IXJlOBECOME INSPECTIONFEE S SU6IECTTOTHEWORKERS'CO/APQlS�TIDNVROV�510NSOF5ECT10NJ7ooOFTHEV80R . . OODE,1 SF7ALL F01iT�Wfi//COMPLY WI7H iHOSE PROVISKKI4. ISSUANCE � � SMIP �• `)"�L p DATE: � APPLICANT: � � WAfNtN4FA1LVAETOSECUHEVAXIICERS'COAIPENSATIONLOVERAOEISUNUwM.MAbFULLBE ENERGYPlC SUBJECTANEMPIOYERTOCPoYINALDENALTIESM10CMlFNESUPTOONEHUNDREOTlIOUSAND � ENEROYPERMIT � - DOLLMS(f 700,0001.N AODI710N TO THE C0.5T OF CO�APENSATION.DAMI�6E5 AS PRWIOED FOR W ¢ SECTION]70lOFTNEUBORCOOE,FlTERESLANDJITTORNEY'SfEES. RETENTIONFEE: �� • a CONSTRUCTION LENDINO AGENCY PR 7/FEE:n � IHEREBVAFFlPoAUN�EflPENALTVOFPER1V�h'TIUTTNEREISACONSTPUCTIONLEN0INO��ENCV ( 11 ��' r z FOfl 7ME GER W RMANCE OF T1�E WOfiK FOR WMlpl THIS VERMIT IS ISSUED(SEC.i0i1,CIV.C.). W a� IENDERS NAME � � � � � IEI�AER'SADDRESS W ICERTIFYTMATIMAVEREADT/ISAPPLICATIDNAN�SUTETNATTIEABOVEINFOf7MAiqNISCOqRECT. TOTAL FEES p., IAOflEETOCOE�7LYWRMALLCRY/WDWURYORDWNJCESANOST�TEUW+AEUTlMTOBU0.DIN0 CONSTRUCTWlLMI�HEHEBYAUI1qRIZEHEPRESEMATNE50FTMISCOUNTYTOEHTENUPONTHE _ . . . � S� �ewE+aeMaamrnS,wEAT'/wnwsrECTior+MlarosEs. � COMMENTS � / m FEiUAIT7EEWWEIP . a 3 � _ y SqNA7URE YE DA1E ' � RECPT.N0. PND BY p VALtDAT10N - VhiITE—Oepartrnent Copy.YELLOW—Finance Copy.PINK—Assesear Copy,GOIDENROD—File Copy,GFEEN—Applicant's Copy '/ CITY OF DIAMOND.BAR , , , ..,.... .. ,. ., , _, ' �� '' � ' -INSPECTION RECORD , - , . �. . _� ,� �. . . a • � � • . . � � , . s . SETBACK . � ,�.�., , � �� ,1:_ `�� _\� . . FLOORJOIST �i-.� '��I rrl.' t�.;:';�ti` . ,._ _ , .. FfGS/FORMS/STEEL ` �� r'1 ;-�_ .:- �1 'FHA REQMTS - --_ _ _ _ . � _..- --, , EI:ECTRIC GROUND - - ' . ` -' • � UNDER FLOOR DUCT.� .- . 1 ._� . �,; �� ..^, •, , GROUND PLUMBING ' UNDER FLOOR COMDIlIT'• :'-�•! !� .� :,_s:;�t� � SLAB GRADE - __ _ . . __ - -- - - - � FIREPLACE F,QUNDATION �'-.`,�., ... , , .--' " ,. TEMP POWER ---- � ' - '- ` ' � FIREPLArCE OND'B�AM : � . .:- . . ,. WATER SERVIC - _ __.:_ - _ - -- . - _ : � MID HT.BOND BEAM ---- , , , _�, ; ROOF SHEATHIN� '.::�.: �' �' :•,', �,,.'. :-,-� ...�� - 8 FT.BOND BEAM - _ __ . - � ' FRAMINGNEN`fILIATION� �'� FINAL BOND B,EAM.,� . :;. � . �..;�;�.; • ; : ' ROOF COVER �`. . �-' " PRE-GRADI�id I . �:•�. ..i� �M'�i�;f�'ti .•;,::- ROUGH HEATING - -- - _ _ __. - _ BENC (�1Cti` '� -�s� �:` .� _`::F� . :{,_.�_:1':'r�' , ROUGH ELECTRIC - ` ' ROUGH GRADING � , �- ROUGN PLUMBfNG -; ��- � FINISH GRADING , , ; , SHOWER/TUBTEST; � - - POOLELECTRIC �. EXT.LATH/SIDING � � POOL FENCING - ' WALL INSULATION ' � POOL FINAL � . ' ' CEIUNG INSULATION � OFF SITE IMPS. DRYWALL NAILING ' DEDICATIONS • SEWER- - --._ __ _ __...__ _ _ _ FINAL ENG. SEPTICTANK-----_ ..__ __ _ -- - — .-,- ' ` ,.. . _ . LANDSCAPE/IRRIG. �• SEEP PITlL.L.- =- -- - . , ` ,'--' ON SITE IMPS. � -GAS AIR TEST' - - - - FINAI,ZONING FINALCONST. - ��:� - � � — FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT. FINAL , FfNAL ELECTRIC - � - DEV.FEES PAID - FINAL PLUMBING ENERGY � ��. IA w sy ; _: _.__ � COMMENTS _ .._ _ __ _ __ ' � " ; ; — , ,. : - - U� , � >..-_ . , . _ _ � , , �.�_. � � -�. _. � . _ , _ _ _ .._ r- _ . � , � . - - .�_ • - � ._ SEPTIC TANK SIZE SEEP PIT/U SIZE_ � . � . , , ' � - _ ; f , , .. . . . , - , , ' '`, �\ . i .\ „ _.` ' . _ _.. _. .- . ' `\_\ _. , _ , �/•. •. .\`t, , _. ���.�, ti.. , ., � �z� _ ``. ` ,� � . �\ , - - .��\-� �.--