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HomeMy WebLinkAbout17051 (40) /� . � '� /1 (A/' . CITY OF DIAMOND BAR i�" Vy' 1 � � �� - DEPARTMENT OF COMMUNITY&DEVELOPMENT'SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)B61-3117 PRESS '�"� BUILDING PERMIT APPLICATION FIRMLY y, JOBSITE ��/ ���� �LC � APPLICATIONG U PERMR P/C o AODRESS �3 f✓ DATE � NUMBER�� N � APN OT TRACT ' ISSUE � NPE OCC � OWNER _ -�y✓Q'N�L'�A DATE CONST. GROUP p AODRESS � .Q N /� f�— ZONING SEfBACKS �W CITY - ZIP.�1��TEL ���� FRONT RW ❑ APPLICANT TEL REAR p � SIDE/SIDE STREET RW ❑ CONTRACTO ��� ' SIDE p qC ADQRES C �'►' i o CfTY 'v ZIP 'L TEL /S PROPOSEDUSE r � � � ARCFVENG/ i _ �z,� DESIGNER NO.DWEL NO. � C�RESS Z�P TEL UNITS STORIES BEDROOMS � rn DESCRIPTION SQ.F7. 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B.t P4 FOR THIS REASON a U �= DATE OWNER � V � UCENSED COPITRACTORS DECLAAATION ' w J � W IHEREBYI�FFIpAUNDERVEWITYOFVE0.1URY711AilAA1UCEN5EDUNCERPqOVISiON50FC1/,1PfER V, � �(COMMENCINOWITHSECiqN700o)OFDMSION]OFTHEBUSINESSANOPROFELSIONSCODE,AND Z �� MY�ICENSE IS M FULL LORCE AND EfFECT. � � LICENSE CUSS `^�� LIC.NO.� �� j V DATE ��c�, CONTRACTOfi � d W � WORKERS'COMPENSATION DECLARATION ���. ¢ � IHERL9Y/IFFIRMUNDERVENALTYOFiEfWRYONEOFTHEFOLLOWINGDECUMTIDNS: z � �IHAVEFNDWILLMAMTAINACENiIFICATEOFCONSENTTOSELFaNSUPEiOFW00.KER5' _ C011PENSATqN,ASGROVIDEDBY5ECT70Ni7000FTHEV8d7CODE,FORTHEPERFORMANCE 1U OF THE WORN FOR Wr71CN TMIS FERMR IS ISSUED. , � 0 i _I HAVE AND WIIL►UMTAIN WORKER.�i COMPENSATION INSUMNCE,AS REIXIIRED BY SECTION Qd �700 OF THE UIBOR CODF,FOR iHE PERFORMANCE OF hIE WORK FOq WHICH THIS PERI.IR IS � ��-� O �SSUED.MYIMORKERS'LOMPEkSATqNINSUR/�NCELARRIERANOVOLICYNUMBERM: CONSTRUCTION � c.wruEn ��' rZ� '� PLAN REVIEW � PaicrnuMeEa ELECTRIC �nssccncwn��wreE�.s�r�acncaEa.+rs�na�Mra�c�Dau��,�o�or��ss� PLUMBING 8 ICERTIFYTHATNTMEPERFORMANCEOfiHEYlOW(FOflWNIpiTH6VERIAITI5155UED,1 MECHANICAI SHALL NOT EM7LOY M1Y iER50N U1 ANY 4�NNER 50 AS TO BECOME SUOJECT TO THE vj WORKER5COM7ENSATIONUWSOFCALIFORNIA,ANDAGREETHATIFISHOIiDBECOME �NSPECTIONFEE S SU6IECT TO THE WORNEf35'COMDENSATION PRONSION OF SECTION]7M OF THE R - coo s roan�hTMcor.�q.rwm�r�as ' �c++s. A ISSUANCE • c p DATE: C� APPIICAM: / SMIP � , O U � ENERGY P/C WARNINa�fAILURETOSEWREWOi1KER5'COAIPENSA7IONCOVERAGEISUNL FUL,AND NALLBE �"y SUBJECT/�NEMPLOVERTOCR!1AINALPENALTIESANOCNILFINESUPTOONEHUNDREOTFIOUSAND ENERGYPERMIT DOIURS(i100.0a0).N 11UDITION TO TME COST OF LOAIPENStiTION,pAAUGES AS PROVIOED FOR IN � SECT�DN�70lOFTHELABORCOOE,WTERESIANDATiORNEV'SFEES. �i qE7ENTI0NFEE: a CONSTRUCTION LENDING AGENCY PRE-AL7 FEE: O � IHCREBYAFFIRMUNOEROENALNOFDERIURVTHAT7NEREISACONSTRUCi!OHLENOWOACENCV Z GOR TNE PERFORMANCE OF THE WORN FOR WNIGI THIS CERMIT IS ISSVED(SEG 90V1,CIV.CJ. W I � LENDER'S NAME ' � LENOER'SADDRESS � � 1 CERTIFY TIiAT I HME READ hIIS APiLICATIONAND STATETIUT THE ABOVE INfORMATqN 19 WfiRECT. TOTAL FEES � �� �� � MaNEET0001AVLyN1THIlLLCrtYANDCOtR/7YOR0iN�NCE5AND5TATEUw5RFU7wGTO8VdDINO � CONSTRUCTION,ANDMEREBYAUT/qRREREPRESENTATIYE50FiHISCOVNTY70ENTERUVONTHE hBOVE�lAENTION[D VROVER7Y FOR INSPECf10N 7URPOSES. 0 COMMENTS � ��'�" C � vG�',� � VERMtTTEEN '� N � N SIGNATVREOFPERMITTEE OAfE � � � '�. RECPT.NO. � PAID BY � VAUDATION WHITE—Department Copy,YELLOW—Financr Copy,PINK—Assessor Copy,GOLDENROD—Fite Copy,GHEEN—ApplicanYs Copy CITY OF DI�'af�fOiv�D.BAR If�'SPcC i IOf: FFE�COF�� (,��,�Ti-�c-it°f�j�'`€��o� ��'�.����!-'i�=��'.JA !►`t�4�-'� �t�'�.��' . �, e��W�':� + :�f��.���e� ��c�;a��� . . _..,.._._._�:. _" _,. ..�e+�+,�+� re ^...ae�..�,.+�re � x . ,. � SET BACK. I ' i. FLOOR J ST ! , -_ ! � ; _ , FTGS/FORP�"S,�STEEL ' ' j � FHA REQ!.'TS � __ ELECTRIC GROUND . ' UNDER FLOOR DUCT __ GROUND PLUMBING UNDER FL�OR CUi,!DUIT I _ __ SLAB GRADE FIREPLACE,�OUi�IDATION • ' 'i _ _ TEh4P PO�NER FIREPLACE BOPJD BEAh4 VJATER SERVICE � M{D HT. BOND BEAM ' '' �; ROOF SHEATHING � � 7 O�• 8 FT, BQND B�A",, " �� � _ ,FR.AMRJG,NENTILIATION� — — _ FINAL BON�J BEAM _ ROOF COVF_R � � ` "' PRE-GRADING ROtIGH HcATINu � /�o BENCHIN,:� ROUGH ELECTRIC I � ROUGH GRADING R�JGH PLUMBING � FINISH uRADIPJG SHOI�b'ER.�UB TEST POOL ELECTRIC _ c�T. LF,TH!S{DING POOL FENCING :'�'ALL ivSULATiON POOL FINAL ^___ GEILiCJG irvSULATIOfJ OFF SITE IMPS. � DR`ri,'JF�LL NAILING �EDICA7i:7i�S �GWE� ( FINF,L E��lC;, � SEPTICTANK , LANDSCAPE/IRRIG. � � SEEP P:T/L.L � '. � ON SITE If+�1P5. I ^I � GF,S P�IP.TEST � FINAL ZOMMG � i FIN."�L.CQNST. FIRE GEPT. FI�lAL ; i—, Fi^:":L NEF,TING � � HEF,LTH DEPT. F?NAL i � _ !_ !_�^.E-L ELECTRIC � DEV. FEES FAID ��^__i1 -- _` i `^':.?.r.!_ PLU'�1a1�lG E��dERGY � --- I �___._..,�._.._� �--- ------ ti I ti:� '` .._. _ _ _... .. �-- --- � 1 - . � ca��,�nn����s � � _ � . � ,_ _ _ ---- . -- -- . SEPTtC TANK SIZE SEEP PI i/U SIZ� -- --y----- �.- rr�4�^_.__�_m_> , _ -- ---- — ----—— �� ' : . : -- - �''I'� • . -- ----- - � . + � :. ' - - - { , _----- -- .:'�.._. .._. _._ .�.f..._....__..____..1 ' . _ � . � � -----{