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HomeMy WebLinkAbout12607 --- -- - - - -- �� ' CITY OF DIAMOND BAR� � ' EXP�RED DEPARTMENT OF COMMUr1ITY&DEVELOPMENT SERVICES z�c�oE.cop��Ynriv�s����o � . � OCT 17 ?000 PRESS � (909)860-3195 Fax(909)861-3117 . `���� BUII.DING PERMIT APPLICATION : � � � . FIRMLY � JOBSITE . � APPLICATION f � PERMfT Z/O P/C� o ADDRESS O N/ � �'v' DATE � NUMBER v fl � . . ISSUE f/^ T1fPE ' OCC APN OT TRACT DATE �f CONST. GROUP g OWNER � � " w ADDRESS d L " ' ZONING FRONTCKS . � RW ❑, , � CITY ZIP EL " APPUCANT / �-21��(� TEL�,�����,Z ,. REAFi O �----r-- SIOEJSIDE STREET RW O � CONTRACTOA �. SIOE O ADDRESS� - � ' PROPOSED USE � CfiY �!�U��j�� ZIP ` ' TEL �" _.. - o ARCH/ENG/T�_ . � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECUIRATION ' ' SFFVAOD/REM - - O I HEREBV AFFlRM UNDER pENALTY OF DER1UfiY iHAT 1 MI E%EYPT FROA1 THE COHffUCTORS l4 Gefege�C.81POfI � 1 8 CEHSEUWFORiHEFOLIOWIN�REA50NISEG7o71.6BU5WE55ANDVROFE55lONSCODEMIYCT'OR (n � - - , � COU/1TYWFYp1RE0UIRESAFERMrtTOCONSTRUCf,ALTEftMPROYE,DEMOL1511,ORREPNRNIVSTAUG . 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B.lO.C.FORTNI5NEA50N � .• . . .- .. � ._ . .... . .. • __ � , ¢ ' . . . . _ _ . . . _ LLZ' DA7E OWNER � f" O W __ . � UCENSED CONTRACTORS DECLARATION - _ ' � ' � W . IHEREBVAFFlRAIVNDERPEWILT/OFFERIURVT/iAT1AAILICENSEOUNDERPROV1510NSOFCIIAPTER� � V. ��(1, Y(OOMAIENCWOM7iH5EGTqN7000)OFOMSIONJOFTHEBUS�NESSANDiROFESSIONSCOOE,AND Z IAY U�NSE IS N FUIL FORCE/�NO EFFECL m r` � , � UCENSE CLA55 . ♦� . . LIC.NO.' � � J . . V DATE I I� Y;���- COMTMCTOR f a. W � WOFiKERS'COMPENSATION DECLARATION a � U � IHEREBY/FFpiAIUNDERPENALTYOFVEiWqYONEOFTHEf-0LLOWINODECLAfUTI0N5: - ��� — -�- - - -��- � ��- �- � � Z Q � _IHAYEANDWILLMAINTAINACEffTIFlCA7EOFCONSENTTOSELFaNSUREFORWOFlI(ERS' 2 . ,f1 � � � OCAIPENSATION.ASGROVIDEDBYSECTION77000FTHELABORCODE.FORTNEPERFORMANCE U Q OFTNENVFKFORWH1C/1T1114VEiWRISI55UFA. � � �I HIIVEANO WILLMAINTAP7YK%YCERS'COMPENSATION MSUMNCE,�5 NEWIRED BV SECTION� � QQ ]7000FiHELABOR000E.FORiHEPERFORMANCEOFTHEYYORKFORWNICH7NISPERMRIS �]��/� � ISSUED.MYWOi11fER4tOA1PENSAT10NW5URIWCEGRWERANDGOLICYNl1M0£RANE: ONSTRUCTION / � �qqiEq ' PLAN REVIEW Z �.��eER � ELECTRIC ¢ � (I16SECR)NNE�NDTBEf17ARETF1pOF7VEpER1,TtBFnqpnEHd�DREDpOLLIFGRtao)OqL65S), PLUMBING Z I CERTIFV iHAT N TF1E PERFORMN�CE OFTNE WORK FOq WMICN TNiS PERMIT 61SSUED.1 MECHANICAL' - - - � (J SWILLHOTEAIPLOYANYPERSONWANYMANNERSOASTOBECOMESUBJECTTOTHE , N WOfIKERS COMPENSA7pN UYYS OF CAUiORN11AND AGREE TUi IF I SHOULD BECOME INSPECTION FEE � `_ SUBJECTTOTHEWORKERS'COMPENSATqNPf10VISI0NSOFSECT10Nf7000FTHELABOR � ' � �- -���� � � �' S cooE.�sw�ucortnrvnn�ca.�a�rwm�nasePnavisaas. UANCE O I f�= W OATE: APPLICANT: w�n � WARNINa:FAtLURETOSECUREW�RKERS'LOMPENSATIONCOVERAGEISUNLAWFULANDSFIALLBE ENERGYP/C �R - � SU&IECTFNEM7LOYERTOCRIMINILDENALTESANDCMLFNESUPTOONEFIUNOREOTNOUSAND "ENERGYPERMIT - � � DOlURS(S1oo,000),IN ADDITION TO TNE COST OF COMPENSATqN.DAMAGES AS GROVIDED FOR IN J SECT%N137DeOFTT7ELABORCOOE,IHiEREST.hNDATTORNEY9FEE5. RETENTIONFEE: � OCONSTRUCTION LENDIN6 AGENCY PRE-ALT FEE: �� � INEREBVAfFlRYUNOERiENALtYOFPE0.AlIiYTHATTHEREISACONSTRUCT/ONIENDIN6A6ENCY - � n- FORTHEPERFOWAANCEOFTHEWOPoCFORWMICMTMiSPfRMITISI55UED(SEG90W,CN.G). CI�OF _ _ ' � �ENDEN'S NAME BLTILDIN C �euoeas�oaEss W ICEHTIFYTHATINAYEREMTMISAPVLICATIOf1ANO5TATEiHATTtEhBOVE1NFOiWAT10N15COiiRECL TOTAL FEES � IAGHESTOCOIAPLYWfTHALLCITYIWOWIMTYOfWWANCE5MIDSTATEUWSREUTIN(1TOBUIlDINO ' O - CONSiRUCTqN.ANDHEREBYAUf110RIZEREVRESENTATIVE50FTHI5COUNTYTDENTERUFONTME . . .. , � ABOVE�MEHTIOHEDVROPERTVFORWSPECiIDNPUFPOSES. COMMENTS � � � � � ' � . � m PEW.IRTE (PiYHn / CA t �/ . . . . . . _ . . y SKiHATUREOFPENAiTTEE DATE n —x _ RECPT.NO. PAID BY V VALIDATION � ` -�� ~� WNITE—Depertrnent Copy,YELLOW--Flnence Copy.PINK—Assessor Copy.GOLDENROP—File Gopy,GREEN—AppicanCs Copy �• �• - � � �� . ,. .. � . . . . . .. • . . . . . . , .. . _ , . ., � � ..�� . .. . ,, . ` � .. ' .. -, ' , �'�:. -) . �. . . .. . + -.��. L��;;t�;?��` CITY OF DIAMOND BAR ,-,� .. :.�; _, ,._.;°��, �;��;�_.INSPECTION�RECORD; ._ .. ... ._.:�. � ���� � � , ' (lG��; � L i;1�� , _ ,.. .. . � .�. - . ��f- • •� 7 „�. � ,. ' . . 0 C � • ' • � � ` • - SETBACK „ , ��'�t�,:, :�1 � i- \,'� `��'i ' 'FLOOR.JQIST,. ,,,; .� �,.. ,.� , �,, �� � -� : �. - . , , . . ---- --- - -- -- �- FTGS/FaRMSJSTEEL � • `:�. ��:`�,'i t'�s,t .FHA REQMTS ' -- - - � ELECTRIC GAOUND --- - : -- �' � -i � UNDER FLOOR DUCT -- . " i.�� �. �; , �?, . _ - • � _. GROUND PLUMBING � '� UNDER FL'ppR COf�IDUIT�•.`, , .�.{'�'•• ' �' i - - .- ; . :_ . . . _, SLAB GRADE- - -- -- . -- - - - - - --- � : i FIREPLACE'FOUNDA`TION . . --- - - - � , � _ _ . �. . . . .-'•• . �. . .-t ,�1 -- �t--- ' ' � = : TEMP POWER-- - - ': - - -- - _- ""; „ _ ' ; FIREPLACE Bt7N`D BEAM -- - -- --- _ . - --- -WATER SERVICE -- - --- - -- - MID HT. BOND BEAM. -�'. : '` -� • '�� -�� �= . - � `ROO�'SHEATF�NG= `— �I l=5-4B.` ���� "���` S FT:BO1VD'BEAM - -- -� '��, � ' .-'�` "c y •� . FRAMING/VENTILIATION _ ' �; • `t i� � FINAL BOND BEAM ' - � ' Fi00F COVER '_: ' :PRE-GRADING � � - � - , , � -ROUGH HEATING ,- - - - - -- - -- - - -- BENCHING ---.. _ ... ' - -- �. , 'ROUGH ELECTRIC -- -- - — - ROUGH GRADING ,, ; - , : 'ROUGH PCUMBING ;� " - � —- -" '�-" --� -- :- :�".' FINISH GRADING . ' '- SHOWERlTUB TEST - ---- - - � -:t- POOL ELECTRIC ' , ' ' : .. . ,., � , ; EXT.CATH/SIDING ; - - - -__ ..---.._._ . . ._. P�OL FENCING . . . . .. . , . ' , WALL`INSUL•ATION ' �•,- ••.',_ POOLFINAL ' " - � CEILING INSULATION • OFF SITE IMPS. ' � DRYWALL NAILING ' DEDICATIONS ' ' . � � SEWER.- ------- --�� FINAL ENG. ,, . � - •, - - -- - - - SEP71C-TANK_._.__!_..__ _ _ _ __. __ ._ ' _. . LAN�SCAPEJIRRIG. = • � ' SEEP PiT/L.L._ .__ -: --.. . .: - - ��= �=_ � '' '�` - ON SITE IMPS. : . - � , GAS AIR TEST - - - - -- � - - = FINAL ZONING � � � � FINALCONST. ---- -- - -- - - -- - -- FIRE�DEPT. FINAL' . � . , FINAL HEATING -- �- - �- - - � - --- : HEALTH DEPT. FINAL � • _.. . . . FiNAL'ELECTRIC - - - - - - � - -" DEV.IFEES PAID � - � � " � --�- - " �� FINAL PLUMBING � ENERGY ; �, � � � i � ' � � c �;. ! 1i l�.. \ _ . , I ': _-�_�. , ' , _ , - t• � - . -' ' - � . . ..____ � • _ _ _ _ _ _ - � COMMENTS - - -- - , . �- ,,,. - - - - - ------ - -- ' + � ; , i , , , � . . ; ,. - -- - - -,--- -- -- -- - .. -- -.. . _ ._ . . . - , � ,. . �• �` -------------� , , .. 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