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HomeMy WebLinkAbout16504 (65) J,� CITY OF DIAMOND BAR ' DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � � (909)860-3195 Fax(909)861-3117 � �� PRESS �`'�'�� BUII.DING PERMTT APPLICATION _ ,� FIRMLY � JOBSITE APPLICATION `_' 4„�1 PERMIT P/C a ADDRESS '- p DATE V O 1 NUMBEFi N g ISSUE TYPE _ OCC APN LOT TRACT_ ��Y.Io7 DATE CONST. � GROUP � OWNER _ o ADDRESS ZONING �-SETBACKS - •�` ' ' W CfTY ZIP TEL�� �L� ..FRONT._ `` `, ",RW p � APPLICANT TEL � ! REAR •' p � SIDE/51DE STAEET RW O CONTRACTOR SIDE ❑ ADDRESS � CITY ZIP TEL PROPOSED USE � ARCH/ENG/ y� ^ DESIGNER ����-rn�S �T7 5 S Q�. NO.DWEL. NO. NO. ADDRESS 1 S�C� "!'us�F;rt�J o. UNITS STORIES BEDROOMS � CfTY$nnfn AnK ZIP� TEL'7Jt�4, 457�7 v> OESCRIPTION SO.FT. 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O I AY EXEIAPT UNDfR SEG B.1 V.C.FOR THIS REASON 4 ��S(� U¢ �=" DATE ONRlER F– v � UCENSED CONTMCTORS DECLARATION � � � 1 � w I HEREBYAFFYW UNDER PEIULTY OF FERIUHY THAT IAM UCENSED UNDER VROVISIONS OF q1AVTER �, / � �(COMMENCNOWI7MSECTION70oo)OFOMSION70FTMEBUSINESSANDPROFESS�ONSCODE,AND 2 ��� W UCENSE iS W M.L fORCE AND EFFECT. m �,` � LICENSE Cl^ASS A LIC.N0. � U� �j DATECX J/� 9'7i/1'n I CONTMCTOR d ` W �— / � WOFlKEFS'COMPENSATION OECUIRATION Q � �HEREB AFFY1u UtAEH PENALTY OF FERAIRY ONE OF iHE FOILOWNG DCCLAMTIOHS: Z A ' 1 GIs� 1 � IMAVEANDWILLWWTAMACERTIFICATEOFCONSENTTOSELNNSUREFORWORKERS = ' `�U COYPENSATqN.AS CROVIOEO BY SECTION 37000F iME UBOR LODE.FOR T/E VERFORMANCE W Q iT1EWOqKFORYNIICNTHisVERu1Ti4155UED. � `�,-�l ' U.J I HAYE Mq WILL MAIMAW WORICERS'COMPENSATqN INSUiW�CE,AS REWIRED BY SECTION � 71W OF THE LABOR CDOE,FORTHE GERFOFiMANCE 0F iHE WOHK FOR WH /71115 VERIAR 15 � ISSUm.W RS'L9MPEM6A7qN I MNCE CARRI LIC aEAu�E: CONSTRUCT�ON � � 1 � CARRIER �G p • PUN aewew �U �f,���wueE ��,T� ELECTRIC � �"" � (n�sSEcrcH� rqiBEa�sIF�FDOFnEPERMrGPoRa+E�u17RE�Da.wtsR�wlotilEssF PLUMBING * � I CERTIFYTHAT N THE VERFORMANCE OF iHE VKMU(FOH WHItli T/tl5>ERYR lS I55UED,l MECHANICAL e1 J SNALINOT EMPLOY AM/VERSON W ANY IJANNER SOAS TO BECOIAE Su&IECTTO THE w (q WORKER5COMPENSATqNUWSOFCALIFORNIA,ANDAGREETHATIFISNOULDBEGOIA[ INSPEC7IONFEE SUBJECT TO THL WORKER','COMPENSATIDN PiiOV1510N5 OF SECTION�70o OF THE IABOR S is FORTTMATIIGOMPLVWITHTNOSEPROVISIONS— ISSUANCE IC�O �6 � �I��� �SMIP �) `p DATE: � APPLICANT: � ENERGY P!C � WARNiN!]:FIuIURE TO SECURE M'ONCEPS'COAlPENSATION COVERAUE IS UNUwFUL/ND 6HALL BE � 6UOJECTANEMPLOYERTOCRIMWIIPENALTIESANOpVILFINESUVTOONEHUN�REOTpUSAND ENERGVPERMIT U DOl1AF3�f 1oD,000).W ADD�TION TO THE COST OF COMPENSATION,DAMAOES AS GROVIOED FOq IN � 6ECTION]70eOFTHEU80FiCO0E,NTERE5T,MIDATTORNEY'SFEES. RETENTIONfEE: �' d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �� O � IHEREBVAFFlPoAUNOERPENALTYOFPERIURYT TiHEREISACONSTRUCTIONLENDW6AOENCY FqiiH[PERFOqMMlCEOF EWORKFOR iMISPERA1RI5155U (SEQ9oY],dV.C.). � `/`�' — b 1 � LENDER'S WwE /V/.li �,�� � � IFN�ERSADORE55 � ICERTI{YTHATIWNEREADTHISAPPLICATqNANDSTATETXATTHE/�BOVEWFORMATqNISCOHFFCL TOTALFEES •�lIJ3�6� I AaREE TO COMPLV WITH KL CrtY ANO COU1rtY ORDIWNCES ANO STA7E UN5 REUTNO TO BU0.DIN0 � CONSTRUCTqN,ANDNEREBYAUT/10RIZEREPRESENTATIVE50FiHI5WNlTVTOEHTERUPONiHE � �BOVE�YENTIONEOVAOPERTYFORWSPE wr+aoses. COMMENTS � ' '"�' m PE EE NAA1E(vqIHT) � �/�/ 4� � � y 61G f P i DATE T RECPT.NO. c..� PAID BY � VAUDATION F WHITE—Oepenment Co YELLOW—Finanee Cop�,PINK—Aseessor py. Copy,GOLDENROD—File Copy,GREEN—Applicanl's Copy ... . . . . . , . . , . ... ._ . . . . . , _ ,,, .. , . . , . . , , , � \� '- CITY OF DIAMOND.BAR . „ .. -�, ._ .. . .. . ;:1�vSPECTION RECC]lRD � . �_ �� 1����?��'!�l�w�:�--!�`.o '�.�� [�!-�.' ���°�'� i���-�;������.�� ����� 'f��� ' �.C''.���� . _.. .�...�.�.__..�..�.�. - - .�._� �..� .�_....�. .....,__... - � - __ `SET^ CK,,.. ,. ; ; � ,; .. .. _ -, ,� �FLOOR J015T �.,_ , ..... _ _. � a _ , - " � � 'FTG !FORt,�S/STEEL - : ,` . ; � •- FHA REQMTS � '. . , _ - ' ELECTRIC GROUND _ S - (�{ " _ UNDER FLOOR DUC�f" � ; � � _ ' ---- �GROUND PLUMBItJG ('r�-Ot. UNDER FLOOR CUf�IDUIT ' "' `� � � ' 'SLAB GRADE - - - '" ` FIREPIACE F.OUNDATION � � . � � ��' �TEh4P POWER _-- - -,..� --- - . , FIREPLACE BOND BEAM _ : �,. , -- �JVATEFi SERVICE - - - -- - -- MID HT. BOND BEAM - . .. , ' � _ , .. !ROOF SHEATHIPJG - -'� ' -- ; - 8 FT.BOND BEAM � � _. �FRA�AI�JGNENTILIATION - ---- - -- FINAL BOND BEAM . :ROOF COVF_R . 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