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HomeMy WebLinkAbout15556 (23) .. - ----�---�---- - - -- -- -----. - -- ..__ . . . . _... _. . _.. . _._. .. . __. �� +�.. _ 1� CITY OF DIAMOND BAR � DEPARTMENT OF COMMLTr1ITY dt DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suiu 190 (909)860-3195 Fax(909)861-3117 PRE$S �`'�'�� BUILDING PERMIT APPLICATION � FIRMLY � JOBSfTE ��ZS ���Vl�€sJ �5�, DATECATION� ` ' NU B RJ5'55,C �� 4 ADDRESS 0 � ISSUE V TYPE OCC APN LOT TRACT� DATE CONST. GROUP p OWNER C`�OL=RT �L1JLV_;� " ADDR�SS ��"« ZONING SE7BACKS � c�rv Di�►toluD A2 ZI TEL ' � REART RW p APPLICANT TEL SIDE/SIDE STREET RW O � CONTRACTOR L" l.l�''!tS SIDE O g ADORESS 3 y _ CfTY�,.,^A1[�� ZIP (�1-- TEL � PROPOSED USE � ARCWENG/ • DESIGNER NO.DWEL. NO. NO. ADORESS UNITS STORIES BEDROOMS � CfTY ZIP TEL N DESCRIPTION SQ.FT. 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B.l G.C.FOR TH15 RFA50N U lL. h�- DATE OWNER U � W IICENSED CONTRACTORS DECLARATION W � IMENEBYAFFIiM1UNDERPEWLNOFPEPJUNYiNAiIAMI�CENSEDUNDEROpOVI5�ON50FpUPTER �yr �]In A1.Y� s ��CJ�YIIENCNUWI7NSECf10N100o)OFOMSqN7DFTH[BUSINESSIWDPROFESSiON5C00[.AND Z ti�'4���� X W LICENSE 6 N FULL FOHCE ANO EFFECL m � ���,sE��S �� ��.No. �P42 SZ- � _ � wr¢ �9--14'Gt1 eor�raaeTor� a w � WORKEflS'COMPENSATION DECLARATION Q N INEREBYAFFUWIINDERPElU1TVOFpEiWRYONEOFTHEFOLIDV/INGDECLARAT10N5: U � z Q � ��IHAVEANOWILLIIAMTAD�ACERTIFIG7EOFCONSENTT05[lF�NSUREFOfiMORKERS' S � COMPENSAiION.ASPROYDE08Y5EC770Ni7ooDFiHEU�BONC�DE,FORTHEPERFOHMANCE W pF THE WORK FOR WNId1 iX13 VFRMIT t3155UED. . � G �_I HAVE MY11MLL 4+UMAa�WOHKERS COMOENSATION INSUf W�CE.AS PEOUiRED BY SEGTION Q J70oOFTHEt11BO11CO0E,FONTHEOERFORMANCEOFTIEWORKFOAWHICMTH�SPERMRlS ISSUED.W ri[NU(EAS'f�tJ KSATION WSUHAN�CE G�1RNE�o�va[��crnuuecwuiE: CONSTRUCTION � CAAWER � ` �Z���-�l L:MJ�L��� PU1N REVIEW � � POLICVMI►IBER �C1J�C7�ro�� ELECTRIC � (�6ECIIONIE�wfeEaol.R£fIDOFnEVEw.(i6WnpolUtMDDaW�sR+oalOalFSs} PLUM�ING _ � 1 CER7IFYTMAT N TNE VERFOpMANCE OF THE 1MDWC FOH WFnCNTMlS DERMIi LS 65UE�,1 MECHANICAL + `�� SMALLNOTEMVLOYANYPERSONINAMYMANNERSOASTOBECOMESUBIECTTOTME �j "' N WORKERSCOM7ENSA710N1AW50iCALIFO �CREEM�TF151ql.lOBECOME INSPECTIONFEE S SUBJEGTiOTHEVqRKERS'(.VMPEN RONS� CTION77000FiMEUBOR caoe.is�wirorcnnvrrNcwv�r �Tnn+osevRrnns�s. ISSUANCE 0 SMIP W OATE: 'r�� APPLIGANT: � . � WARNINO:fARUqE TO SECURE W�PICERS G�PENSATqN CAYERAGE IS UNUWFUL,MD S/MLL BE ENERGY P/C � T` ��� �y SUBJECTANEMPLOYERTOCR1YaLU.PENILL.TIESANOCMLFNESUPTOONEMUNDREDTH0USMID ENERGYPERMt7 ��� /� 'fl i <'� DOLLARS(i100,000),N►DDITION TO THE LQST OF COMPENSATION,DAMACES AS PROVDED FOR IN ��'t-Y-�Y*�`�TT'�.�� ¢ SECf7DN 77oe OF ME UDOR COOE.NTEREST,ANO ATTORNEI'S FEES. � RETENTION FEE: � ' (` �v v d CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � � IHEREBVAFFlIUIIM�ERiENALT'OFPERR/RYTHATiMEAE15A00N5TRUCTIONLEHDwOAGENCY z iOR iHE VER WRh1ANCE OF iNE YY4HK FOR WHN71 THIS VERMIT IS ISSUED(SEC.7007.CIV.C.} . W � LENDER'9 NM1E � C IENDEfr9A00RE55 W1 CEHT�FY TMAT 1 HAVE REM 7H�5 ADPLIGTION AND STATE 7W17 THE A80YE NFOR1AATqN IS ODRNECL TOTAL FE ES � � �� U � 1 AGREE TO COMPLV WI7H ALL CfTY ANO COIMTY OHDwANCE4 AHD STATf Uw5 PELATNO TO&1401N0 , CONSTRUCTION,ANONEREBVAUiHORIZEREiRESEMATNE50FT1tl5COUNTYTOEMERUPONTHE � � S� ABOVE#IEHTIONED C T'FOH INSPECTION PUNPOS�5. COMMENTS �- � �� �LG1V�L / S m verwirr¢e rwee(vwrrt� Q �—{'f—�sc� � (J� SIQNATUREOFVENNAR7EE CATE � - RECPT.NO. PAID BY VALIDATION WHITE—aeDe����PY�YELLOW—Finance Copy,PINK—Aswesor Coq:GOLDENROD—FileCopy,GREEN—ApplicanYs Copy .. . .., _ „. �.,.. ;... ,-.., ,..:... :.,.,. . ,. . , , ., i• CITY OF DIAII►IOND BAR � ' : . - � •. ,.; � :,. . ��'. �. .•; :INSPECTIO�J>RECORD : ..' .:.. ,. . � - , .� ._ � . . � . _ �..7�J`.1���'S.�.r � � ���� •.5_�r � . '+�.3^�� k°_ . � '��� �..��������:����� +� 'SETBACK .. M�-_ - ', �: �� �_� ' I i FLOORJOIST , .; _I�_.....L_ :�' ... ...,.., k.,i. , , . .. . �:FTGS/FORMSlSTEEL-- - - -� • �; . � ' � 1' ; - FHA REQ4ATS .. - - -- . �ELECTRIC GROUND. ' : ' : i -;- . UNDER FLOOR DUCT : . " ' ' -- � ` • 'G�QUND PLUMBING I - •UNDEp FLOOR CC3�IDl]IT � � ''" - � ' ' � � ''� �SLAB GRADE- - - '. , — -- ' : ' FIREPLACE-FOUNDATION ".� .�,'i�' _..� . , . . � _,.':,_: � �, ! '.:� iTEPJIP POI,NER � • FIREPLACE BOND BEAM - • � WATER SERVICE - _ . • � . M�ID HT.BOND'BEAM ,'-.._� i_ .�s- ��.;.��; ::�� ., � ROOF SHEATHING � 8 FT. 60ND BEAh1� - '` ' '�"� ` ` ' ' - r i �FRAMINGNENTILIATION -- - - - - � - FINAL BOND BEAM � � � ;ROOF COVER . � PRE-GRADING ROUGH HEATING ` �� - � � ' BENCHING ROUGH ELECTRIC •[ ''._ .:... ' � ROUGH GRADING = � - - - ROUGN PLUMBING - /ZZ �j �- ' FINISH GRADING , ,-, -- SHOWERIT'UB TEST-' - - -- � POOL ELECTRIC � ' 'EXT.LATH/SIDING � - - - POOL FENCING . WALL.INSULATIO�! � --�- �� - � POOL FINAL .CEILING WSULATION � ' - � aFF SITE IMPS. ' ' DRYVJAL:L:PJAILING - � � � DEDICATIONS SEVVER - - � � FINAL ENG. � ' SEPTIC TANK LANDSCAPE/IRRIG. SEEP.PITILL.. . . ON SITE�PAPS. � , GA8 AjR TEST � FINAL ZONING • : FINAL CONST. .. .. �2 � FIRE DEPT.FINAL • � � FINAL.HEA7ING:. _ . _ _ . _. _ HEALTN DEPT. FINAL - DEV. FEES PAID - - ' "1 FINAL ELEGTRIC _...--- -- - - - _ -... _._ . FI*!AL PLU�.IBING • - - ENERGY. . � : — �, 1 - -. � . _. � I ' - _ --- - -----... -- . _ . .�, 'w ritf �l�.�t i�;�. ... ,._� � '� _) '�;�! :..� _ , .�.:�•:.. _ ,. . _ . ... _.. . . ...�� � . . ., _ !'r- . _.. • �COPJIMENTS -- -- � . , . __ - - , � - � ; . � . . • . .�_:�<-J-�:�.� , ��,�.;�,� i , � . , . � . � ' � � . . . . . . i i . __._. . . _ - � .. . �.___..- -- -� r., � — i �SEPTIC TANK SiZE - � �� ' ` ; � ;SEEP P�T/U SIZE , � __ . : : �� ti I���•� ' .��,�� • . i � , . �# . Y i , �.:.. ! . , . . _ . . �.,..;..:�.;:::.,..:.:f..:; . . ,:: , - - . '� :.f;. , "!: ... . � . ; ..+. 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