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HomeMy WebLinkAbout17734 J� CITY OF DIAMOND BAR � � DEPARTMENT OF COIWvIUNTTY&DEVELOPMENT SERVICES 2182i E.Copley Drive (909)860-3195 Fax(909)861-3117 A $ `-� BUILDING PERMIT APPLICATION ' FIRMLY o ADDRESS �"1 ��� �iG{S EG!�� %�a APPLICATION PERMIT rt P/C OATE S d Z NUMBER �✓ M � APN LOT TRACT A EE CONST. GROUP p OWNE�S /lI LSON AODRESS �✓'�'�� ZONING SETBACKS gCITY ZIP TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDEISIDE STREET RW D CONTRACTOR�IJ/� Il�LIIUEZ SIDE ❑ aADDRESSJ3� 5. I/�E f� PROPOSEDUSE p � o CITY Q�Nl�C ZIP qis'6!v TEL714�b3�i 368L o ARCH/ENG/ � DESIGNER NO.DWEL. NO. N0. CDn,DrRESS ZIP TEL UNITS STORIES Z� BEDROOMS y DESCRIPTION SQ.FT. 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V DATE�"'�7 ' �?+ CONTflACTOR �- . _. W � WORKERS'COMPENSATION DECLARATION a = U � IHEREBYAFFIRMUNDERPENALTYOFPERJURVONEOFTNEiOLLOWINOOECUMTK+NS: N 4 � _IHAVEMAN9LLI,WNTAINALER71fIGATEOFCONSEMTOSELFdNSUREFORWOFKERS' y � COMPENSATqN,A$FROVIpEDBVSECTION�70oOFTHEU80RC0�E.FORTHEPERiORM�7�ME W OF THE WORK FOR W111CH THiS CEf WIi IS ISSUED. � G W ,�IHAVEANOWIILMNNTAMWOAKERS'COM7ENSAi�ONINSURANCE.A.4NE0U�REDB�SEMqN Q 77000FiHELABORC00E,FORTHEPERfORAlANCEOFTHEWORKFORYMICFITMISPEPMRIS �/ P� ISSUEO.WIWRKE�PENSATIONINS GECARRIERANOPOL�CYNUMBEHARE: CONSTRUCTION �a � GRFIER�' U�� PLAN REVIEW � 70LICY Nl weo 1�is/� �� ..� ~ ELECTRIC � (IHSSECf10NNEIDNOTBEOJ�.H.ETEDOF7IEVEW.ITI5PoR0�EHAORED00UJu661m)CALESSI PLUMBING Z ICERTIFYTHAiINTHEPERFORMANCEOFiHEWORKFORWHip-ITHISPEiWiTISISSUED,I MECHANICAL • -�--- - ---- --�-- ' (} 511ALLNOTEAIPLOYANYVEASONNMIYAAANNERSOAST09ECOMESUBJECfTO7HE ... ' y WORI(ERS'COMPENSATqNUW50FtALIFORNIhµ�AONEEITUTIF15110ULDBECOME INSPECTIONFEE I � !� . SUBJECT TO TNE WORKERS'COMPENSATION PRONSION40F SECTION J7000F THE UBOR � /J �� OCaDE,l SMALL FORTMYIM COMPLY WIT1 TMOSE iRON510N5. ISSUANCE j�,n ���± �"1� DATE:�-S-OZ APPLICANT: SMIP IrIH � �� � WApNINO:FA0.URETOSEWREWORNERS'CO�dPENSATpNCOVEM6EISUNUWFIA..ANDSHALLBE ENERGVP/C � ��—y SUBJECTANEMPLOVEHTOCRIMINALPENALTIESM1�dVILFMESUPTOONEHUNUNEDTHOU4AN0 ENERGYPERMIT ����X� � sE�cralloio o�j„' �o CONSTFUCTIONLEN01 GAGENC,yESASPROVIDE�FOi1N PRE-ALTFEE: �-.•. ..':-------'—�-���-�----�--� �.+ FiETENTION FEE: " � " ¢ IHEAEBVAGFIRIAUNOERDENAL7VOFPERJl1RYTHA77HERE15ACAN5THUCiIONLENDiNtIAGENCY � Poq TME FEHFORMMlCE OF THE WOi7N FO(1 WHICH TNIS VERMIT IS ISSUED(SEC.Oov1,CIV.C.). � Z W � IENDERS N�E � tENOER'SAODRE55 ¢ ICEHTIFYTMATIHAVEREADTMISAPPLICATIONANDSTATETHATTIE�BOVEWFORMATIONSCOPRECL TOTALFEES JD3• �D � IAGREETOCOMOLVWITHALLCRYANOCOUNTYOROWANCESANOSTATElANSREUTWCTOBUILDINO O� � CONSiRUCTKKI.M7DMEREBY�UTHOflIZEPEPqESENiAiNE50FT1Y5COUNTYiOENTEHUPONTNE ABOVE-MENTqNEO PROVENT'FOp INSPECT�ON VURPOSES. O `��� COMMENTS � !V m �1'� PE �TTEE NAME(F � t../ �'�1!Z E OF PERMIT7EE DATE � RECPT.N0. PAID BY � VALIOATION ^ WHITE—DepaM1ment Copy,YELLOW—Finanea Capy,PINK—Assessa Copy,GOIDENROD—File Copy,GREEN—Applicant's Copy .. .. ; . . , . �. a e. . .. . . . -1�'. �,.. . . . . .. . . . , r .— . ` ' . . .. � �• . � � . . � " -. ' — . . - CITi V O�' DiAM(at�D BAR tlJ�PEC�"iUt� RECORa ,.._. . . -----�-- . . . _. _ � �� � t �� 'I�,�-`����� -6. . � � d� ��� _ .:. �'b� . !1��.��►�` .�'' _s1►�-��� �(1} o .� _.._�, a�,� [.��-�����, � ..� ° ' ..� ._ �► °.� SET BAGK -- J � . FLOOR JOIST -�� • . FTGS/FqRMS/STEEL FHA"REQDATS ELECTRIC GROUND I UNDER FLbOR DUCT GROUND PLUMBING i I UNDER FLOOR CUI�IDUIT I � • SLAB GRADE I FIREPLACE FOUNDATION ! I TEMP POWER I FIREPLACE BOND BEAM WATER SEAVICE �_ . i MID HL F30ND BEAM � ' ROOF SHEATHING � /��(/Z' �� I 8 rT. BOND BEAM . FRAMINGNENTILIATION _ •� FINAL BOND BEAM ROOF COVER f�Gzt ' PRE-GRADING � ROUGH HEATING BENCHING ( ROUGH ELECTRIC � ROUGH GRADING FiOUGH PLUMBING I ' FINISH GRADING SHOWER/TUB TEST ; POOL ELECTRIC EXT.LA7H/SIDING j I POOL FENCING WALL IP�SULATION POOL FINAL I CEILING IN�ULATION OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS SEWER � FINAL ENG. SEPTIC TANK � LANDSCAPE/IRRIG. � SEEP PIT/L.L. ( ' • �N SITE IMPS. GAS AIR TEST j � FINAL.ZONING FINAL CONST. � � FIRE DEPT. FINA! FINAL HEATiNG � HEALTH DEPT. FINAL FINAL ELECTRIC I DEV.FEES PAID FINAL PLUMBING j � ENERGY � - � I ,. , � � ic �j�#�'},a �;c r, , .; . � ' ---_��_�___. ,.� •�.,.:._..._.>:,�;;__.___�....,�,..,� . I COMMENTS . .; . SEPTIC TANK SIZE SEEP PITIU SIZE _ l� I � 't�J� �~�'i _ _ ..y �. _ ;: - `� .tl. - � ; . _ . , � _