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HomeMy WebLinkAbout14077 J� CITY OF DIAMOND BAR / DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suiu 190 � (909)860-3195Fax(909)861-3117 , PRE$$ �`'TM'� BUII,DING PERMTT APPLICATION FIRMLY � D RESS��� D X,�('�I.�ICT • APPLICATION ,�2 � �PERMfT I L O P/C p DATE NUMBER ' M $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER o ADDRESS �7^ T ZONING SETBACKS . CfTY�I�p�(L ]�l7L ZIP G TEL. � O FRONT R�h/ ❑ APPLICANT TEL. REAR ❑ SIDE/SIOE STREET RW ❑ CONTAACTOR � ( SIDE ❑ t� ADD E�S 1 f FL 1 - o CfTY�� �A(7� ZI TELqi19- f,f- b PR��� � � �++ ARCFUENG/ • M���p� � ADDRESS NO.DWEL. NO. NO. SG � C(TY ZIP TEL UNITS STORIES BEDROOMS � tn DESCFIPTION S4.FT. 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B.iV.C.FORTH15FEASON Q � � � '� .� U t�.. � DATE OYMER V � W LICENSE�CONTRACTORS O[CLARATION � � w (HEHEBYAFFIRIIUNOERiENALTYOFpEfWR`ITHATIAMLICENSEDUNDERiROVISIONSOFCHAPTER V. �(CO4MENCNOVrIh15ECTION7oa0)OFOMSION�O�THEBUSIN[SSAhDVROFE55iON5CODE,IwO Z W LICENSE IS N ML FORCEAND EFFECT. m n - � 0 110ENSE v� UC.NO.�,���� � . . �� D.4TEt����� CONTRACTOR�� d tTi � WORKERS'COMPENSATION DECUIRATICN Q � IHCREBYAFFIMIUNJENiENALTI'OFVEIWRYONEOFTFIEFOLLAWWGDEMMTIONS: Z . � � _IHAVEANOWILLMIUMMIACEH7IFlCATEOFCONSEN7TOSELf-WSUREFORNORKBRS' _ .. � . . . , , . � CpMVEH5AT10N,A5VRONOEDBV9ECT10N�70oOFTfELABORC00£FORTHEOERFORMANCE �U OF 7ME NIORK FOft YrtUp1 iFnS VE WAT i51S5UED. � 0 � _INAVFANDW4LYAnfTA1NWORKERS'CdAPENSATiONWSUiUNCE,A5RE0uIREDOYS�CTiON O J7000FTIEU�BWIQODF,iORTHEOERFORMMlCEOFTHEWORKFORVYHIG1iH15pERMITIS - � ISSUED.L1'/WOH/KERS'OOM7EN5'qNccclyyy������sss;;;444yyyWWWNCECAiiNIERANDVOLICYNUMBERME CONSTRUCTION \ � WiRIER / D�' l��J�,� _ PLAN REVIEW � POLICY NUTABER,� �"'`_�T��r —' A ELECTRIC � (nas[cnonH[�r+xeemr.�t¢rIDOFnfr[t+wrsrrnorF�uonc�oa.wuR+ac�a+t[s.^>1 PLUMBING �A tw-Z w �Tm1.F;J�' I CERTIFY TU1T NTME PERFORMANCE OF ME NK7RK FOR WHICHTNIS VERVIT IS ISSUED,1 MECHANICAL (� Si41lHOTEMPLOYANYVER50NN/NYMANNERSOhSTOBELOMESU0.IECTTOlME y WOfixERS'COMPENSA7ICN UM50F[ALIFOiwIA ANO�GREE iNAT IF I SHOUL�BECOME INSPECTION FEE SU61ECiTOTHEYVORKERS'�PENSATIONP0.0VISIONSOFSECTIONa7o00FTMElABOR �nnn � ' rj coo�,i uu co TH COGPLY WITNTHOSE G s ISSUANCE . �P Zn p -^ t.. —r.. � DATE:V APPLICANT: ' SMIP �r�... �( / w ENCHGYPlC ��If�-t�r,:Ji'InR��v � WARNINO:F� RLTOSECUREWORNER4COMPENSATqNCOVERA0EI5UNLAWFUL„ANDSHALLBE BU�F-rrf , � �A^� 6U0.1EGTANEMPLOYERTOCRIMPIALiENALTIESMlOCMLFNESUPTOONENUN�REDiMOUSAND it'11 ."�f7J,,, ,.,.-r;, LL pOlWI5p1W,000),NAOOITIONTOlHEC0.5TOFCOYPENSATION,ONAACESASPROVIDEDFORIN ENERGYPERMIT � ¢ 6ECTION�70lOFTNELA[iORCODENiEfiEST,lWOATTORNEYSFEES. RETENTIONFEE: a - . CONSTRUCTION LENDINGAGENCY pRE•ALT FEE: � � O � IHEREOYAFFlAMUNOERVENAL7YOFPEFWFiY7NATTHEHEISACONSTRUCT10NlENOwOAGENCY Z FOR TME PCRFORAIAHCE OF THE WORK FOR WNICM THIS VE WAIT IS ISSUEO(SEC.70Y7,CN.C.�. . W � LEFIDER'SNAME � � LENDERSADDRE55� 1� ' ' � ICERTIFYTHATIHAVEREADTIISMPLICATIONANDSTATETMATTIEABOVEWfORA/ATqNISCORRECT. TOTAL FEES ��7 j � W 1 AOREE TO COEIRY N7TH Ml CITY ANO fAUNTV ORDI!JANCES�NO STATE UYJS REIAiMIG TO BUIDINC � ��] / � CONSTRUCTqN,ANDNEREBYAUfHORIZEREFRESENTATNE50FTNISCOUMYTOENTERUPONTHE ' /� /� �l/l JH ABOVE-YEMqNED VROPER7YFOR W5PEtt10N PURPOSES. U /_1/ � / � COMMENTS /•�'— / � � m PERMfTTEEWWE(PR�Mn _� Q � /� � / y 91GNATUfi[OFPEFMiTfEE • ' � � RECPT.NO. PAID BY VALIDATION WHITE—Depenment Copy,YELLOW—Finence Copy,PINN—Assessa Copy,GOLDENROD—File Copy,GREEN—ApplicanYa Copy .. „ . ., ,s� . . .. .. , . . � . . .. . . •. .. . . ,.-. . .... . r . • .. . • i .M�'�,`r . '.� :l• ,r .�.. ._. . � \` - ' . CITY OF DIAMOT�lD.BAR .,.. . , �'�i� \ .. ., .. � ' . � :•�.1NSPECTIO�� F�ECORD �� �': ' � " ,� . , .. . .. . . -.--• �� #�1��:�#���;7�"to��� '���:d= i1►E-���:��.� li�-�,��c:�,.�1�,��� ���j'.��� _.:�':�����"d��i . iSET�BAC. ` . .i (,i � *, � ,, , . , � . •.�R JDIST � _ --1-•-�'I\ . .,.i - __�. .. , � . _ . .. � , .. , ., •. ,FTGS/f=0RP�1S/STEEL_ ... -- . :. I ..: ....-- -�...... .__. . FHA REQP�ATS- - ..... - _. .:. ..... , . . _T___ --� � •_. :. . �.•, . � -.- �ELECTRIC GROUND___. �. " - . . UNDER FLOOR DUCT � �' ;. -- �. �:�_ . , . - - _ . _ --- . .. .._ . ._..• 1�"1 f. J •J•': � : ' �_._ iGR�UND PLUti9BING � • • UNDER FLOOR CUi�D'JIT - r� �, , . . .... , -�--:=—_... 'SLABGRADE- ' ' � FIREPLA�E•FOUN�3AtlON `; �',, :1� � - �\.-. ;'�;! _. _._.. .. . . , _ -+ :/�• I ;; ;--- ;TEP�1P POWER - - -, .. _ : �. . , FIREPLACE BOUD BEAf�1 _ _ . . �. � .�: , ; :�, �WATER SERVICE. .. ----...-- . .. _.. . �` MID HT. BOND BEAP,�-:;^,i ��-._ ;•=� :-�If.,Fi �_I•.} : :.:�-;., - : - `RC�Qr:$H��`T.HIf.IG..�.:.��.•. .�" F � '� �. 8 FT.BOND�B A��1� ` �;. -+;�, r�,�� ,... ;�.� ;. .. :.�•• .;; . ;'/�l:L`�S•'• �_. � �--T-� '- ., !�� �', , . . _ .'��' ! �_ �FF�A�h_1j�G,NE��ri�JN .'_i{. ,',��`��•`'•r,;' = 1= � ,'Y;'�;i-��lY ��,�INAL'�ONDB AM + � � � r � ' PRE-GRADING ��'� AOOF COVF_R .:; . I . .. _ .. ._. . . � :. .``� ' . . _ _ . ;ROtJGH N�AiING .... _ _ _. - --._... . BENCHING �.. .. _ .; .... � . .. , - - ROUGFi ELECTRIC_-- ,� -.I.!- ' : _ - --'.. .. 'ROUGH GRADiNG -- -_ --- 1 ---�- - � FINISH GRADING � �: �ROUGFI PLUMBING .. ._ � �.._._. _ .. �SHG`YVER�TUB TEST - - ------ -- -- ;� � � PGOL�ELECTRIC ' : !•• ;EXT-LATFi/SiDING -- -� - - - - � POOL;FENCING . ;�"lALL-INStJLATION ;__ .._...----. - - •- - POOL�FINAL . � , . , ; �;:,EiLiNG iP�:SULATtON -�" - - �' ' " OFF SITE IMPS. . . � - ;DRYU'Jr�LL PJA1LiNG-�-�; - � i DEDICATIONS � ` 'SEIP,JER ----�---- FINAL ENG. . 'St?TIC TANK � LANDSCAPE/iRRIG. ' ' ' ' i __i,•_ • � �� 1* (iSrEP..piTiL.L. ... .. ' � �. ; 1 � ON SITE IMPS.. . . �;�:".SE,I:�s icST ' � FIP�AL�ZONING ' -• _ . .. �----__=--- � �_ !Fii•;?.i.�.ONST. _:__....._.. .fD-J.Z �'-�1��/ FIRE DEPT. FINAL - - - - ;r-1i�:��.�.t-IE�',TING .. ------•. -- - , .. .. _ .. HEALTH DEPT. FINAL _. ...._. � _ ._..-- - - '�-`-��,=-i ELECTRIL'--.... . -. DEV. FEES PAID - _. . . . . . . ._ _. __.. . .-- i.: -��--- . t _ .."t:PLUP.".BI�SG --. .. _... _ . . . . ... EhJERGY ' : _ .... ... ........ . . . _ _.. . ... . . _ . , : _.; , ;i :�:��"�'��_:s`ei:,.._ �, 1 -�_1 _ ...._.__ - � - _.. -- - -- -.._......._. _ . . y - � `;;:;. . - _. , � . �11��` '�; —_��.\1�',� , t._ � . . �� ��`j' ��, �: � - i . . . .. ._. . .. . .... .. :. .... . . , � ._ . .._.. _._ . . .._. . . : , ;;�G�ti�MENTS 1 � , ; , .._.' 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