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HomeMy WebLinkAbout14525 (8) �� CITY OF DIAMOND BAR %� � ,� �.`; DEPARTMENT OF COMMiTIVITY&DEVELOPMENT SERVICES / 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)B61-3117 _. PRE$$ ' � `M�'� BUILDING PERMTi'APPLICATION FIRMLY � JOBSffE � � b APPUCATION ,�,�—�aPERMR C,Z IC o ADDRESS OATE NUMBER � # � APN LOT T iSSUE TYPE OCC DATE CONST. GROUP g OWNER S o ADDRESS O ZaNING SEfBACKS � CITY �. t- ZIP TEL REAR RW p APPLICANT TEL SIDE/SIDESTREET RW ❑ � CONTRACT 61 SIDE ❑ � ADDRESS �� PAOP05ED USE CITY ZIP TEL o ARCFVENG!� - � DESIGNER N0.DWEL N0. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. Nn DESCRIPTION Sa.FT. 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J V DATE �`� CONTRACTOFi d W � WOfiKERS'COMPENSATION D[CLAFiATION -� U � �HEfiEBYllFF6WUNDLRGElULTYOFVERNRYONEOFTFIEFOILONaNODECLAM710N5: N ¢ � _IHAVEANOWILLMAMTNNACERTIFlCATEOFCONSENTTOSE�FaNSUREFORNVfYCERS' _ � C�DAIPfNSAYION.ASGROVIDEDBVSECTONSfooOFTHEU80FC00E,FURTHEPERFORNANCE W /lFll1E YVORK FOR NT11CH iH19 VERMR IS ISSUFD. � � V 1 HAVE ANO wfLL UAJMA:N WORKERS'COAIPcNSATION�NSURANGE,AS AEOUIRED BY SECTION Q �70o OF iME LABOR COOE,iOR TH[OER WMIMICE OF TNE WORK iOR WHICH THIS PEiUAR IS � 55UED.MT WOflKERS'COAAPENSATION� SUqANCE CMRiER AND GOLICY NUMBERARC-: CONS7RUCTION uwru�a .PLAN REVIEW �� > � � � PoIIGYNUMOER�� ' ELECTRIC /� � (IF6SECIIONNEmNDTBECCf.i�E7IDOFMPEfMf6FOftONEM.FDfiED00lURi(St0o1CHLE55} PLUMBING // ! _ z 1 CERTIiY TNAT N 1}1E PERFOfUAANCE OF THE WORK FOR WMIC11 TMIS PERAIIT IS ISSUEO,I MECHANICAL (7 SliALLNOTEMPLOYANViER50NIN/NYMANNERSOA5T08FCOMESUBJECTTOTME � WORKERS ENSATqNU1Y50GCALIFORNV�AN�AGREETNAYIfISHOulDBECOME INSPECTIONFEE S ECiTOT WORKERS'COMPENSAT RONSIONSOFSECTIONJ7000FiMEU90R ♦ t oRndwin�ca+a�rm � Ao�nsor ISSUANCE O 0 o�re: �� �APa.icAwr. SMIP � WMNINU:FAIURE TO SECURE NORKERS'COMPENSATpN COVEMGE 13 UNUWFUL.AuO SHALLBE ENERGY P/C SUBJECTANEMPLO�'ERTOCRIMPULPENALTIES/NDCMLFINESUPTOCNEMUNDREDT�OUSAND ENERGYPERMIT - � DOI.LARS(St o0,000),Ml ADORION 70 THE COSTOF COMPEN9ATION,OAMAOES AS PROVDED FOR M .-rJ SEGT10N17oeOFiHELA00RCODE.MENEST,/wDATfOR4EYSfEES RETENTIONFEE: l�a t\L ry � CONSTRUCTION LENDING AGENCY PHE�ALT FEE: o �v ru�.�:rr�:-,.: � IHEREBYAiFIRMUNOERVENALTYOFPEfWRYT1ATTHEREISACONSTRUCT10NlENDINCiAGENCV dZ FOfl7MEPERFORMANCEOFTNEYYORKFOflWMICHTMISPEfW�TI5155UED(SEC.70vT,GN.C.� � W � LENDER'SNAME � IENDERSMDRE55 .. W ICERY�FYT7ATIFI�VENE/�DiMISMPL�CAiqNMASTA7EhMT7NEABOVEN�OPIAATqNISWiiRECT. TOTAL FEES � `,� p� IACfiEETOCOIAPLYN7THALLCIT'/M1000UNTY DINANCESANOSiA7EUN'SREUTIN�TOBU0.DIN0 � CONS1RUCfION,ANDHEREBVAUTM�NREREPRE MA7NESOiTHISCOUHT`�TOENTERUPONiNE ABpyE.MENipNEDVFbPEHTYF NSPEC7qNP�RPOSES. M � O � _ m ¢ PER4 EE E(G ll! , / � / �� � BICNATUREOFVERMI 7EE 0 E � RECPT.NO.- PAID BY VALIDATION WHI7E—Oepartmen[Copy,YELLOW—Finance Copy.PINK—AssessorCopy,GOLDENROD—File Copy,GREEN—App�icant's Copy , . . . . . .. ,� .. „ . �... . ^ . . ' `1; 'Sr, .•� . �. .� �, � ' . � ' ... . - ��.. . , nY � e . . o.� , . .. . .y..�l........ . �t'; , . •--�_� CITY OF DIAMOND,BAR , .. \� �.-.-: �. `'- =�`INSPECTION REC(3RD �-� . � .. . ,;. �..., . , � ,.. �. . . .. _ , .,. ;'!�I t►!R�:,�;��i c�j����� . . I�ni.�3 • i U� ' 0 1�!1�����[��k�+ .���'.���.� I� ��r�;i�a�"� ' I �SET BACK .. . . � , � , � i-• j i , FLOO JO�ST� � - _ vr . _ y +..� � `i ,r� 1 (` I ` , . .._. ... ; ,. FTGSIFORMS/STEEL - : _ . - FHA REQIv4TS.-.;". '. _..�" _ `-. _ ., . ` . ' ._._. _ _-- -- -i : , 'ELECTRIC GROUND____ ._ _ . � _ _. UNOER FLOOR DUCT-< < < :; • .� � . ..;r, • ' GROUND PLUME3ING UNDER�FLOOR,CUi�(DUfT:• �-�, ; ,-' ��•�:.';', ' =• � l ;.'.. .'—� i '-, • . _• . . SLAB GRADE - - - � - � � FIREPLACE FO(1NDATIOtJr • " �. ,=; , i • � � ;, :,. , . 'TEMP POWER -- -� � - --- . : , _.— i, ; ;- . . , FIREPLACE BOND BEAM .. • _ . - � . � . , :WATER SERVICE - - - — -- -- -MID HT. BONDBE'AM'_�•' `� .` �� _. `:�r. � � .-�i �-, :ROOF SHEATHING `8 F`f.BQND BEiaM ,:. ' ... ,�t• . ' = .-'= -' • ; .,, 'FRAMINGNENTILIATION - - - � FINAL BOND BEAM+ ' �� ` - ' ' • � ' IROOF COVF_R � PRE-GRADING - - ��-� . ', . . ' _ .. ; ,. ROUGH NEATING - -- - - BENCHING � . !ROUGN ELECTRIC _ '.'_'' � . .:.�. ROUGH GRADING - - ' _ - -- -- . -� � ROUGH PI.UMBING -- _ . _. :. _. . _._ . FINISH GRADING � :-, ;SHOWER�'TU8 TEST - � ' -POOL EL'ECTRIC � 'EXT:-LATHISIDING- - POOL'FENCING , . ., � : � 1WALL INSULATION ._ _. _ __ POOL'FINAL � . JCEILING IM1:SULATI�N - - - , OFF SITE IMPS. � iDRYWALL NAILING " - DEDICATIONS iSEN1ER . _ � FINAL ENG. , � : iSEPTIC TANK LANDSCAPE/IRRIG. !SEEP PIT/LL. •� ON SITE IMPS: � . �GAS<,IR 7'EST FiNAL ZONING ' �— . . . ,Ffh'F,��ONST. _ . ; . FIRE DEPT.F(NAL . , � pFliy i�HEATING - - _- . HEALTH DEPT.FINAL - - - - - • }'=l�:.�E_ELECTAlC EV. FEES PAID - -_ - '���''� 2 ENERGY � --� - _ `..._LpLU�ti1B1NG�T � , ___ -y . , . __ � . J . � • � . . _.. . �:i.� _ � "'� . ' . , t._ __ " _ " - - -. . �y�. r . . � - ' r. -� . .. �C��:�� �': ..�"�G�(t. -` . 1 .:t. �'..te:'�.s1."'G-a..._•i.-:..�...�.�..... �_ i --- - - - - - — _r--= i. . _ �.y - - � - 1 , - ` COMMENTS - - - . - - - • . , ; . - _ - .�, � ..,,. . � :. . ;_ `�� . --- �` , � ... . . , 1 ���4� � _ ' . , . . ' , 1 • ' ' _ . _ _ ' , ' , . . i ` ., , , � � / �_�'`�- _._ . ' � . � ' , _�� � i . - . � i . - _ . . , ��".. . . • y ' ' . . -� .� � r , . .. , _ o ti r". 'SEPTIC TANK SIZE • ' , . � _. iSEEP P(T/U SIZE - � � �l�,� � . 1 - j � — - . i , ; ; � . � �� . . .� .. _ ._ � ; , ; _ .. �'��i�� � ';�,�, - .'' . . ._ _. � r, �` - • • �� ��, . `� z _� �J �.J`. : . � � , ^�'', �-' � � ��•-� ` - '` ....? ,��� � '` � _Y` �� . . JI t -! I:\ ' �� � ; �, • ' ! . , __......_..d._ �