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HomeMy WebLinkAbout11298 � .. ...... .... ._ _ ... _.._. .--- -- . _.. ---- ------ ---- .: .,-- --- CTI'Y OF DIAMOND BAR � � COMMUNITY DEVELOPMENT DEPARTMENT � 21660 E.Copley Drive Suite 190 ' � PRESS (909)86Q3195 Fax(909)861-31 l7 '�^' BUILDING PERMIT APPLICATION FI R M LY � ADDRESS aG L�V 7''1 V�lL Ih vt(J /I 1✓/' APPLICATION rL(�r �jj PERMIT � `�q P/C DATE � � NUMBER f'"1 p c� ISSUE TYPE OCC APN lOT TRAC � s DATE CONST. GROUP � OWNER O p ADDRESS ZONING SEfBACKS oCITY ZIP TEL. -_ FRONT RW ❑ APPLICANT N� TEL. � REAR ❑ � SIDEJSIDE STREET RW ❑ � CONTRACTOR �G� 7 SIDE ❑ o ADDRESS ' . PROPOSED USE '" CITY ZIP TEL o ARCH/ENG/ w DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. 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MV LICENSE IS IN FULI FORCE AN�EFFECi. �� LICENSE^CLAS�� UC.NO. �����/J j V DATE �C �coNTrucron�C � � a w - � � WORKERS'COMPENSATION OECLARATION Q � IX[REBYAFFIfiMl1NDERPENALTYOFiE0.JUMONEOFTHEFOLLOW�NOOECUMTIONS: U N a O �IHAVEANDWILL�.I�INTAINACERTIFlCATEOFCONSENTTOSELF•INSUREFORNURKERS' _ � COMPENSA7pN.A5PRO�DEDBVSECTpN77ooOFTHEUeORCODE,FORTMEPERFORMANCE W OFTHEK'ORKiORWHICHTHI57ERMITISI55UED. . � � �� � w .ILIHAVEANDWILLMNNTAMWORKERS'COMPENSATIONINSUflANCE,ASREWIREDBYSECTqN Q J7000fTNELABORCODE,FORTHEPERFORMANCEOFiHEWOPoCFORYnnd/iHISVEAMITIS ISSUEO.M'�WONKE S' MPENSATqN INS RANCE CARRiER ANO FOIICV NUMBER ARE: CONSTAUCTION J . j CARRIEA ��• � ��,� PLAN REVIEW Z vaucrNUMOE��� _ S��� ELEeN CS&IC� ¢ � � (M55[CfId�NCmNOTBL00MitEfIDOFhE cPlV.fT6PoHONEHRdiEDDOl1Ai1S(StO�)pilFSS} GMB Z I CERTIFY THAT W TXE 7ENFORMANCE OFhIE WORK fOR WHICH M15 PERMIT I5ISSUED.1 MECHANICAL Cy SMALL NOT EMPLOV ANY PERSON IN ANY MANNEfl 50 AS TO BECOME SUBJECT TO THE _ . , uJ WORKERS'CpAPEN5AT10NUWSDFCALIFOHNU,ANOACREETHATIFIS DBECOME INSPECTIONFEE S SUBJEGTTOTHEWORKEK�'CGA7ENSATIONPROVISIONSOFSECiqN37 OFTHEUEOR � CODE,I SNNl FORTNwITH COA1%.v WITH E PROVIS ISSUANCE � C� � �� �� SMIP p DATE:�C:�Q, APPLICANT: � ; W � WARNINO:FAILURETOSEWREWONKE0.SCOMPENSATIONLOYERAGEISUMAWFULANDSHALLBE ENERGYPlC � /� � SU&IECTANEMPLOYER70CRIMItLLLVENAL7IE5M'DCMLFiNESUvi00NEHUNDf1EDT1qUSnNO ENERGYPERMIT ��Q 7 L 7yQR DOLLARS(f 100,000).W ADDIiION 70 iNE LOSTOF LOMPENSATION,DAMACES AS VROV�OED FDR IN -�L—y—�--r�dar � SECTqN�taBOFTMELABORCODE,INTEREST,ANOATTORVEYSFEEA � RETENTIONFEE: 'pw_. CONSTRUCTION LENDING AGENCY pqE-ALT FEE: � O � I HEREBVAFFIRM UNOER FENALT'OF PERJURV THAT THERE IS�CONSTRUCTION IENDINC ACENCY ' � n- FORTNEPERFORMANLEDFiMEWOW(FORYMICHTMISVEflMITI5155UEDI5EG7077,CIV.4�. � . � LENDEa'S NAUE F— LENDER'SADORE55 � ¢ IGEN7IFYTHATIHAVEPEADTIISMtt1GAT10NAND5TATETHATTHEABDVEINFORIAATIDNISCARRECL TOTAL F�ES � ` W IAGREETOCORAVLYWITH�LLCT'ANDCOUNTYONDiNANCE5ANO51ATEUVlSREUTWOTOBURDINC � CANSTRUCTION,ANDMEAEBYAUfHOR11EREPPESENTAT11lE50FTMIStOUNTYTDEMERUPONTH[ � Z IIBOVE�ME1lT 'ED7ROPEHiYF RINSPE anruavoses. . COMMENTS � o e � � , . � ¢ DENAITTEF E(PRIHT) n /�����/�_ . . . '/ X � •'C V � y SICNAN FPEWAITTEE DAfE � RECPT.NO. PAID BY VALIDATION � � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLO[NR06—Fiie Copy,GREEN—AppGcanPs Copy . � . . . • . �� . ,...,,, ... , ,.. . ,... . �� . ,. .. . , .._. .. , _ . .... . ' CITY.OF DIAMOND BAR,: :. • _,'. .....: , INSPECTION RECORD �� � ,:'. ' � � . �._ . , . , c �.. !: . � . . ��� • m o .� _��:a���. P��.�,r� �:, � � . - � SET BACK�.�- :�. FLOOR JOIST � � � ' - - --. . - --_. _._. • ,�;�. . . . . ,. �._ ' .. FTGS/FORMS/STEEL--- : _ - FHA AEQMTS' . ; . .;__ __. .� � . . ELECTRIC GRQUND � - UNDER FLOOR DUC'T`� _ - � - -=- � ',_ '; ..- .� i GROUND PLUMSING ' - " ' ' UNDER�FLOC)R CO�IDUIT .` ' ;�•.�:�; �' �. ; � SLAB GRADE • - - ''' � • FIRE�L"AC�FOUNDATION . ' "� • ' � TEMP POWER - - — _ �- =' . : - FIREPLACE BOND BEAM ` " ' ' � WATER SERVICE ---- � �: - � •• � -- " MID HT. BOND BEAM �� - ' ROOF SFIEATHING � - � � � 8 FT.BOND BEAM FRAMINGNENTILIATION .. �_ -�•' � FINAL BOND BEAM --� -- � - ' _ . � ,.; ROOF COVEFI - - - - -� PRE-GRADING . �: � ' ROUGH HEATfNG -- - ' " ' BENCHtNG � �" ROUGH ELECTRIC -------- ' - -- � - ROUGH GRADING . ; ` AOUGH PLUMBING--: - / 8 , - FINISH GRADING . • SNQWERlTUB TEST - � � - � - ""--"" POOL ELECTRIC EXT.LA7H/SIDING - -� � , � � � - POOL FENCING • WALL INSULATION PaOL'FINAL . • CEILING INSULATION OFF SITE IMPS. • DRYWALL NAILING DEDICATIONS ' , . SEWER -- � ?II.i ._ F�NAL'ENG. .. . SEPTIC TANK .. � LANDSCAPEItRRIG. . SEEP PJT/L.L: _. _ '_._._ ._._ ' ' ON SITE 1�1PS. . GAS AIR TEST - -- --- -- / /Z- - �- -. - -.. FINAL ZONING � . � _. _. : . F1NAL CONST. -— -- - - � - FIRE DEP7.FINAL - . � FINAL HEATING - - - - - •�-- - - - - HEALTH DEPT. FINAL. : . - ' .. , ; . FINAL ELECTRIC - -� - •. - �� DEV. FEES PAID . ; ,. . ; FINAL PLUMBING i S �' " ' -- ENERGY • i •-. - �� , .. .t - , � ;r� ��.;�n �,�e . —� -- _ - -- �— . - - - -- -— - _.... ._ . .. _.__.._ _ � . . COMMENTS ' � � - -. , ;-r.�, � GT � • . . � . . � � � ' . j . . " : ' • . • � 1 . �- - � . _ .. .. I . - \� . �. / .. . . . -' — . . .... . _ . ' i � . . _ . . . � . . � .. � j � - -- - . _.. � � � � , . . � -�--. . . . _. ... \ .x',�� .r.3 � . . . .. . � ` . � . � :. . Fr - - ... .... . ._ . . . . ' ..-- �� � ; ... . .. � ' .- . 1 r • � �. . .,. . 1 � • �.._.. �- I .'. -- �a�, �; �S' �'7 � ; � , . : •. � ,. SEPTICTANKSIZE . - � �,. : � - --. _.._. ' . _... . .-_ -; ; , SEEP PIT/U SIZE � _ � -- _. . , '. . . ' ; .: _ , � � _ . - -... _. ,. . , � , . , . _ .._. . . . _. . . - �� - - --- - <<7�7 ' , ' ' - �. ' � ' �: � � ` . '� � :�' ' _ � ,��,.1 1, _ � , ,\ � ,. . .