HomeMy WebLinkAbout1309 (14)CITY OF DIAMOND BAR. PRESS
DEPARTMENT OF BUILDING AND SAFETY FIRMLY
BUILDING PERMIT
JOBSITE-
IRU
APPLICATION PERMIT D E
DATE NE UMBER
BER CODE
ADDRESS
DATE CONST. GROUP
APN LOTS TRACTt/t/62y
CROSS STREET /
OWNER '
ADDRESS
ZONING SETBACKS ONfOWkEWM
FRONT RW ❑
REAR ❑
CITY a4xic,111 5�:l'8 ZIP `<' t TEL 8, X11.1
SIDE/SIDE STREET RW ❑
APPLICANT TEL /
SIDE El
CONTRACTOR
ADDRESS
CITY P TEL
SEWAGEPUBLIC PMT A
DISPOSAL �, t �� ❑
_ ti ; ..r : -' ElPRNATE kj ',SO. FT./ 100 GAL
STATE
LIC. NUMBER
_J
GRADING ❑ CU`. YDS. EXC. ) CU YDS FILL
N
UJ
TYPE SO FT FACTOR PS . ri i.ADJ. AREANALUATION
1 O i'• (:-7b 1' -
ARCH/ENG/-f
DESIGNER h IS`
ADDRESS , C121-6-42'
u-
`2
CITY S IM 6213tcdL ZIP '10-7 -' TEL
3 .. '
PROPOSED USE —
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GARAGE
NO. DWEL NO. NO.
UNITS ST9RIE S� BEDROOMS
LOT DIMENSIONS X7-5 3
NO. OF BLDGS HOW
_��
ON LOT USEDEl
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VALUATION' 'r ADJ. AREA
OUANTrrY DESCRIPTION ` ; °: FEE
LICENSED CONE RACIOflS DECLARATION: I hereby of km that 1 am keesd aider paviau of CMpar 9 lceawherhuM
with Section 70001 of Division 3 of the Buvms and Professions Coy, and ay ieanr is in hall fan said dlacl
❑
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OWNER. BUILDER DECLARATION 1 hereby affim the 1 am owmpt from ted Contrater's License Law ler ted tdbwny
reason ISec. 7031.5. Business and Professions Code Airy city a county which requires a permit to constrict.
ahn, organ. demolish, a repair any strsctae, pier to its esswnce, alto ragviis to associate fa such evil
to file a signed statement that la is icensed prswni to to provisions of IM Caesar't Lcaeso Law fDow
9(commencing with Sabots 70001 of Division 3 of dw Bwirwn and Prohseiots Code) a IMI M s swav "ohors
and the bans for she alleged anmption. AM violation of Section 7031.5 Ey any applicant for a porml sublocts
the aPOKant to a cid penally of rt mon thio Tia hu drrd doWs 185DD1.1.
El I, as owner of the popeity, a ail' employees with wages es Main sok tompensaw. wit do M week, ad
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m
-
2
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a
IM structure a rot intended a offered hs sak (Sec. ]DW Business and Hobsssrs Code This Cwtracp f Liana
Law does rot apply m an corer of properly who Wilds a improves do No. o4 who dos such work Ainat,
a t)rough his own employees, pimided that such knom anis an not i111Med a Offend IM sale B, haamor,
the Wilding ot nprmananl is sold within ane yaw d completion. this oWwr-biNar will hew this border of pv'ekf
the be did rot WAN a inpave Ise the purpose of cork.) -
❑I, as owner of the property, am ealushvdy conhatory wit) kcenead co twora m c"rat the p,*d 0K.W
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7D1a, Basun ab Professions Code The Cantata's UUMN law does Not apply to An earner of poapty wed
ma 's
builds w improves tMeon. and who contracts fa suh prolicts with a Cadrecbr(l) kOdW prswot b ted CaV
Ltenselaw)
NST TION L
❑ I am vamp ends, s . b .c 1 ( atilic.bl.
Date`Ali 41
-�
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PLAN REVIE
ELECTRIC
PLUMBING
MECHANICAL
NORKERS' COMPENSA DECLARATION I hereby Ars Mat how,b Micah d tenant to am �nsen. w
a cernhule of 1111110603, Compensation Insaante. a a «rtlsd Iia Sac. 3800. Lab Cl.
❑ ahl,ed copy, is hereby hernistad
❑ abfied copy is filed with ted Building Inspection D.parooenl a Depwomoo
Q
CERTIFICATE OF EXEMPTION FROM WORKIRS' COMPENSATION NSURAACE: This gonion ural not be compbsd
i ted permit s kr as hudred (81001 a loss. I cer* Owl in the pkrwance of e$ wait b which'petit a scud. I shat rot tmploy airy portion in any toavar r es o bKOW asbpn b is ywkwC Caapw aosso
��GqRAIING
A
�—><• 1
i laws of CaMora
A
t Dora of
PARK FEE
SCHOOL FEES
_ -
I NOTCE 70 APRCAM. Mwr . ofmaking this bkcaso ae aorptsn, yea skendd hiererr aAp"t b M YIMkor'N
F
Compensation provisions of is labor Cole. you Inert forthaaish �YxtAey MIM Niwo a this pont alnd
• to deemed revoked. _ ,r+. =; i r; k)
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION. `. -• - .. •.
'
r
❑I sentry, artily shot not oaavaten Bw (5) a coat Mt in alai into which a Parr is rapuird as drewd.
wd be nede in eannect an with work aAaried by Mia pined W Mal bithiq soman. atafbabe4 WINN&.
• a dereehitnn a thsmwtbq thorned, will b aeon Man t�ulylaj (3BI� �M }aW 11T. Bop 2. An 2. Sec
341, TM B. CA C). V V L 3
c CIA, owma-Widsi 1 will era aKky any. to k Perk which wadd ngwo a porhaM bee ter Ciweir of
• Industrial Baby, as sold New, abs sock post br a ping bi M such, Ma
Nad hos is Wm �i 1 1
Vi I 1 4i:yl
.kty P. '�. ,�r ., , ::..• ,..• ---'�.,
❑ Dnrskn of Musial SFarm b
COISiRUI N Ukftt: AGENCY. I hereby of- OM laws, is a aee.acau 6,-&qv0•wy M.M porfa"rp
of ter work IN which tic prat is saved (Set. 3097. Civ. C.I.
.
TOTAL FEES ✓— 1 3 �•se
lede's Nam.
COMMENTS
Lendu•a Addren
C cimi ATE OF CUartwi AND mminfOuTo OF imm: 1 Iatf1' I him yid Ms aawFoty ad no
e dot M idamewn ew^ s Conor. 1 alar b rwphy, wed Y Noce hirci WA city erdihanwes "boil r ballow7
a
R " W Sallaw y r ram b IlrpM
tnwsv"temn. rmJ_aAase a nparnbs d oi6 oapwtaanl 8.1d
k. Phi ,app�ed b Ila gr"i kr this prpose so reap-a7ca.&
Iat of Applicant M Apert tib
RECPT NO. PAID BY IIAU
V WHITE -Department Copy, YELLOW -Finance Capt', PINK--Aseeasor Copy, GOLDENROD -File Copy, GREEN- Applicant Copy
(3S106.11/89
CITY OFWAMONID: BAR
'INSPECTION RECORD
SETBACK
FLOORJOISTS
FTGSlFORMS./STEEL.
FHA REOMTS
ELECTRIC GROUND
GROUND PLUMBING
UNDER FLOOR DUCT,
UNDER FLOOR CONDUIT
FIREPLACE FOUNDATION
SLAB GRADE
TEMP POWER
WATER SERVICE
FIREPLACE BOND BEAM
M I D HT. BOND 13 EAM
6 FT BO NDBEAM
MI NO IVENTILAT IONFINAL
7---7--_
ROOF COVER.
BOND BEAM
PRE -GRADING
BENCHING
'ROUGH ELECTRIC
ROUGH GRADINGii
G
ROUGH PLUMBIN��
FINISH G ADING',
1 POOL- ELEC-f RIC
SHOWER/TUB TEST
EXT. LATH/SIDING
7ZI _q.,cto
POOL FIENCING,
POOL FINAL
WALL INSULATION
CEILING INSULATId
:1
OFFSIT�'IMPS.
DRYVlALL NAILING
DEDICATIONS
FINAL ENG.
SEWER
LANDSCAPE!iRRIG.
SEEPPIT/L.L.- - --- ---
GAS AIR TEST`- --- - -
17T611
SITE IMPS.
FINAL ZONING
FINAL CONST.
FIRE DEPT. FINAL'
FINAL HEATING -
4,;
HEALTH DEPT. FINAL
FINAL ELECTRIC-
DEV, FEES PAID
FINAL PLUIYIBING_.
JENERGY
COMMENTS
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SEPTIC TANK SIZE
SEEP PITlU SIZE