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HomeMy WebLinkAbout13363 (7) ��_ CITY OF DIAMOND BAR F DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3193 Faz(909)861-3117 PRESS '���^� BUYLDING PERMTT APPLICATION FIRMLY o� JOBSITE A � /�� � � � APPLICATION� �Ll_ �S'i NUMB R� �� ��!�� A�DRESS '�`�D ��U� G�t_.�-i�� DATE r c� ISSUE TYPE OCC APN LO RACT DA7E CONST. GROUP � OWNER • � wADDRESS yM Cl ZONING RO�CKS AW ❑ ' � CRY� ZIP TEL� REAR ❑ APPUCANT ry. MA.� TEQj SIDEfSlDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE W o CITY ZIP TEL � ARCHJENG! G DESIGNER � NO.DWEL NO. NO. = CrDnDrAESS ZIP� �L. UNITS � STORIES �Z' BEDROOMS � DESCRIPTION SQ.FT. 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V 0 UCENSE CLA55 . . . LIC.N0. � � �,.� i. r Tlt;1!�.,(I:'�!�I�t1 U DA7E - CONTMCTOR � d ' � •-.' , . _ l �„ •rr �,�t.tr• A'" �, -� . � WORKERS COMPENSATION DECUIRATION � `� � � � � U � 1 MEREBYAFFlRY UNDER PEIULTY OF PER1UiSY ONE OF THE FOLLAw,N6 DECLA�uTioNs:� - Z Q C �_IHAVEANDNILLMAINTAINACERTIFlGUEOFCONSEMTOSEIF-INSUqEFORWORKERS' S CDMPQISATIDN,ASif10YWED0Y5EC7fON�7oDOFTHELABOi1CO0E,FORTHEPEHFORA4WCE C) Q OFiMEWOHKFORwHICMtN15VER1AiTI51S5UED. � � ��I HAVElWO WILL MA.MNN WORKENS'CaA17ENSATION MSUiuNGE,AS flE0U1NED 8Y SECTKX� . Q 07DOOFiHELABORC00E.FORTMEPER�ORAUNCEOF7MEWOPXFORWNICH7WSVERMRIS � ISSUm.MYNCAXERS'WIAPENSATION�NSUitANCEGRWERANDPOLICYNUMeEFME: CONSTAUC710N � GwRIEa PLAN REVIEIM1f � � POLICYNl1M8ER ELECTRIC . . pp (�y�N�NpTgE00�LEfE�ppF1}EpEp.(rSrOpp�EHlrqiEpCOl1uL"(Sim�orilFS� PLUM8ING ' � I CERTIFYTFU�Y N TNE VERFpqMANCE OF iME WORK fOR WNICH THIS FERMIT IS ISSUEO,I MECHANICAL . (,�} SMAILNOTEMPLOYANYYERSONNANYMANNER50A5TOBECOMESUBJECTTOTHE � N WOPKERS'COMPENSATI7NUMlSOFCALIFOPNIA,AN011GREETHATIFISHOUIDBECOME iNSPECT�ONFEE � � SUB.�EC7T07NEV.VfUCENSCOIAVEN5AT10NPRON510N50FSECT10N77000FiHEW70R �SSUANCE COOE,�SHALL iORTIM7TN CdAVLY WITH TIx75E PROYISIONS. /'}/� , O .SMIP . ... I•�C� ' p CATE: �APPIiCANT. .. � WARNINU:FAlURETOSECUREWORKERSWA�PENSATIONCOVEiUGEISUNUWFV4AND5HALL8E ENEFGYPlC SUBIECTANEMPLOYERTOCAWRULGENALTIESANOGNILFlNESUPTOONEMUNDFEDT/qUSMA ENERGYPERMIT � DOLNRS(5700.000).W ADO�T70N TO TME C0.ST Of WMPENSATION,DAIAAGES AS OqOVIDED FOH IN � SECTION noe OF iHE LABOR COOE,WTERESL AND ATTORNEV'S FEES. RE7ENTION FEE�_;!�' ��• - — I �� O CONSTRUCTIONLENDINGAGENCV PH T`FEE: ��/J, , - � INEREBYAFFIFUIUNDEAPENALTYOFVERIURYTMATTHEHEISACONSTRUCiqNLENDINOA�ENCY ��! � a . FOR?ME PEPFON.6WCE OF iHE WORK FOR WH�CH TMIS CER41T IS ISSUEO(SEC.90VT,pV.C.). � �� IENDERS WwE .. . . .. . . .. � LE�+DER'SAOORE55 . '�. WICERTIFYT/Ui1fUVEHFA07H�SMPl1CATqNINDSTATEi}L1T7HE/�HOVEWFORIAATIONISCORRECT. TOTAL FEES � � IACREETOCOMPLVWfiIfILLICT'ANDCOUNTYORDINNJCES/WOSTATELAwSNELATNaTOWIDINp COHSTPUCTION,ANDHEREBVAVTHOFiIZERECRESEMATNE50FT1U5CIX1NTYTOEMENl1PON7NE . . - . . � �eovEa�ErYfqNED�ERTYFOFlINSPEtt puavosE� COMMENTS � J - . ' . . .. . . . .. , m PERAU7TEE NAA1E(ON � � Q y � EKiNATUREOFPE DAT , , � RECPT.NO. PAID BY � O VALIDATION WHITE—Depertment Gopy.YELLOW--Flneru�Copy,PINK—Assesea Copy.GOLDENROD—File Cop}r,GREEN—Applicanl'a Coq V _ _ ....� • . . .. ....�wr..,:.�,�.-,..........,.n....=..�.....-�...,.r, �� , � � ..��,..... ,.....� i,< ..v,. ..,- ..�.r �!...��..... , _:...,.�.� b�.ac.: . .-,..� ,y;, . . . , . . . . . . , � 4 . � . . , �.t.ww..��`. . , ., CITY OF DlAMOND BAR , ,; , , . INSPECTION RECOF3D . .-. . . . _ . . �: :. . ' o t � • - • � � s - SETBACK ' - ��'• '. _�� ' FLOOR,J_Ol Tl 'it '� '., ,_ .._..,�..;r=�;�i '�'�;"•-�� : FTGS/FORMS/STEEL � � ,-_ � FHA REQMTS ELECTRIC GROUND . - . ` , .- `� UNDER FLOOR DUGT . ;: ,.,. ., ..� ,•..'� i . i - GROUNb PIUMBING UNDER FLOOR COAIDUIT•::"' ��r'���:r't:� +�.�':.', _ _ . . ' :. . 5LA6 GRALIE'- • . FIREP CE FOU DATION,='- -+.'',' • �'+ ��� ± _ TEMP POWER- - , - •- - � FIREPLA�C � OND B� M = . .- •�- - .� ... WATER SERVIC� - : - _ -.. � �_ . - MID HT,BOND BEAM - _ � ROOF'SN�A��-II(�C�a.'• `_'=' ;�,.� . ,•:r ''_�.':,.. � ; 8�F,T.BOND BEAM . - " FRAMINGNENTILIATI�N � �� � � � � Y FIt�ALBONDBEAM.-• - i �-.1 ROOF COVER � .L`� �� - ' PRE-GR#�DING -���;1� ��:. ,i:�i.;y�� % - . . i�. , �.1.,�r1'�t1;r±. , ; ROUGH HEATING � — _ _ , - BENCHING•'� ''' :�+s ti:'. � ROUGH ELECTRIC - - - - - ' • ROUGH GRADING ` ROUGH PLUMBING " "-"" - "- - = FINISH GRADING . i 'SHOWER/TUBTEST -' . - _ _ POOLELECTRIC EXT.LATH/SIDING -- - - POOL FENCING � WALL INSULATION � POOL FINAL CEILING INSULATION • �FF SITE IMPS: � � DRYWALL NAILING � DEDICATIONS - SEWER. _ . ._ _. _ _ . FINALENG. . ,. SEPTIC TANK :_ _. _ __ ,.•-•. __ iANDSCAPE/IRRIG. SEEP PIT/L.L, : __: _ _ _: -' .� ��1 ' ON SITE IMPS. ' , ' . , GAS AIR TEST'-- - - - - - - - - FINAL ZONING � FINAt CONST.' - - - .�, � - FIRE DEPT.FINAL ` � FINAL HEATING � - - HEAI,TH DEPT.FINAL _ . �FINAL ELECTRIC - -_ . . _ - - -_ DEV.;FEES PAID -- _._ FINAL PLUMBING ENERGY � ` d� a � , ,_,,c . __ - -- --- � _ - _ _ COMMENTS -__ - i. - �� � , - . _._. . ----- . ,__ _ _ _ . _ , _. . � , _ ��- :,��. t� . . _ , __ _ _ . _ _ .� --.1 _ i ' `� �. ` -� .\ � . SEP7'�C TANK SIZE � .__. . _. : ; SEEP PIT/U SIZE � � � � � �zf � . I � . � � , ; � _ . _ , _ , 9 � _ '� , , _ � . �.� ,, � ..�` , � - - � , � - . • . � � _ _ _ ' .� �� <'�- ;; � ` _,_�; _ ��' - . � . ,, ' .��