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HomeMy WebLinkAbout15755 (39) I G '� � _ . ' CITY OF DIAMOND BAR O . ' - �� --- DEPARTMENT OF COMMUNITY 8z DEVELOPMENT SERVICES � y 21660 E.Coplcy Lhive Suitc 190 � (909)860-3195Fax(909)861-3117 PRE$$ '�^'� BiTII.D[NG PERMIT APPLICATION FIRMLY Q JOBSITE �/7�/�Jl/��(}'///N/�/ l'� DATE CATION /, /��� NUMBER`_ � ` �'�/C 4 ADDRESS � � ISSUE IYPE OCC APN LOT TRAC�T DATE CONST. GROUP p OWNER �/1� ADORESS—���� ZONING SETBACKS � CITY �_ ZIP TEL -�d ( FRONT Ayy ❑ APPLICANT TEL. REAR ❑ � SIDEJSIOE STREET RW ❑ CONTAACTO LC, �✓> SIDE p ADDRESS g CITY Z�p ��,�,� L PROPOSED USE ' S � S _f—«.�f ARCFVENG/ M DESIGNER NO.DWEL. NO. N0. = CnDRESS Z�P TEL. UNRS STORIES BEDROOMS � rn DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION p� OYVNER-BUILDER DECLAAATION SFR/ADDlHEM O p 1 HEREBY AFFlPoJ WDER PENALTY OF OERAIRV TU7 I IW IXEMPT FRpA TIE CUNTMCTORS L4 GO�Q���h laJ CENSELAWFORTXEFOILOwNOREA40N(SEG70]1.68USwEs3iw0VROFE55UN5CODE:ANYCfiYOR (n C.,) CqJ1lTYyNOC}1pEOUIFiESAVERYRTOCONSTAUCLKTER�MPROVE.DCMOUSM.ORHEPAIRMlYSTRUG uf LL� TURE,VHIDR TO IT9 RSUNICE,AL50 REOUIRES TME APPLICAHT FOfl SUQ/VER/AIT TO FIIE A SIUNED W Pdti0lDBCk ETAiEMENT 7HAT ME 01t 6ME IS UCENSED PU0.5U/XT TO iHE PROYISIONS OF 7HE CONTMCTORS U- � CENSE UW(OUFTER Y(CdAMENCINO NTTH SERION)000)OF DMSION 70F THE BUSINE55 MlD PRO- �- PooVSpa �fE5410N4 OOOE)OR TNATHE Oi1 SME IS E%EYVT MENEFPdJ AN�TME BASIS FOH iHE ALLE4ED E%EMP- Ar�f 7 TION.ANYVIOIAiIONOFSECTI0N7o3t.6BVANYAPVLICAHTFORADERYITSU&lECTSTXEAPDLIGWTTO Re-Roo1L�7�(/ ,,,,� A CIV4.PENALTY OF NOT MORE TYNJ FNE MUNDRED OOLURS(i500�.): � OLA:�N�NEROFTHEPROPER7Y.ORMNEYPLOYEESWI7HWACESASTHEIHSOIEGOMVENSATqN, (`,pmmBfCl2I - WILL 00 THE WORK MD THE STRUGTURE IS NOT IMENDED OR OFiEREO FOR SALE(SEG 7W�,BU56 . 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O IAA1 DlEA1PT UNOER SEG B.t P.C.FOR 7HI5 REASON � U LL. � ZZZ DATE OWNER V � W LICENSED CONTRACTORS DECLARATION -� � w INEHEHYAFFIfAIUNDENVENALTYOFVER/JRYTMATIMIUCENSEDUNDERPROVI510N50FCHAPTER Vr � �(COYMENCIN�WITM SECTqN 7000)OF DMSqN�OF iHE BUSINE55 MW FHOFESS�ONS COOE,IiN� Z �� MY UCENSE 6 N fULL FORCE M1D EFF m UCENSE S ��� LIC.NO. 'Z � � a�� �,_, �J� corrraacroR t,v ' /„-+, _ w � WORKERS'COMPENSATION DECLARATION ��f3v Q � IHEREOVAiFWAUNDERVEtULTYOFGE0.NHVONEOFiMEFOILOWiNGDECUHATqNS. Z � �IMIIYEAHDWILLMANTNNACEitTIPICATEOFO0N5EMTOSELFaNSVREFORWORICERS' _ Q COYPENSATqN,ASPROVIpE0BY5ECTON7I000F7NEU80RO0DE,FORTHEFERFORAIMICE W OF THE M/DRK FOR MAIIGI THI9 VERYIT IS ISSUED. � 0 �I HAYE�HD N'ILL LWNTA7i WOPI(ERS'tOMPENSATqN MSUMIKE,AS REOUIRED BV SECTION �-J. JJ�� O 77o00FiNELABORCOOE,FORTHEPERFORMANCEOFTHEWORKFORWF11CH7H15FERMRIS �[ ISSUm.MYM10FU�(E]R�S'COMP /7p�I�NS,UMNGECARRIEPANDPOLICYNUMOERME: CONSTRUCTION U • � � CMRIEN_faS( �`� � ��,, ������ PLANREVIEW � POLICY MIMBEN �c7U� �!/ -F..;y ct,a-1 - ELECTR�C � V1 o �nrssEerv+n[�eatsew,s�¢tIDOFn�aew�rsror�or��aa�moat�as�s+ae�attFss� PLUMBING Z I CERTIFYTNAT N THE PERFORMANCE Of THE WORK FON WMCH iH15 PERAIiT 51SSUE0,1 MECHANICAL C7 511ALLNOTEMPLOYAN'IPEil50NINANYMANNERSOASTOBECOMESU0.IECTTOTME y INaNCER5COM�ENSA7CNl�W50FCALIFqWt1AND�GR[ETMATIFISNIXADBECOUE INSPECTIONFEE S SUBJECTTOTNEV/ORKERSCCMPENSATIONVROVISIONSOFSECT10N7TOOOFTHEUBOR COOE,I SHALL FORTMVITH COMPLr NnTH hqSE PHOyi5qN5.� ISSUANCE � 1p DATE:_���"� RICAM: =/���j`� SMIP f . � WAANIN�:FIJLURETOSEWREMIORNER5CdA0EN5AT10NCOVERAGEISUNLAwFA.ANDSMALIBE ENERGYPlC / �y 6UBJECfANEMPLOYFRTOCRiMMALPENALTIESMlDCMLFNESUPTOONEMUNOFEDi1qU5AND ENERGYPERMIT � ( DOILMS(f1ao.0oo1,W ADdT10N i0111E COST Of COUPENSA7iON,D�CES AS PROVIDED FORIN � 9ECTDN])DeOFiNELABOFiCOOE,INTENEST.AN0A7TORNEYuFEES. FjETEM�ONFEE: a CON5TRUCTION LENDING AGENCY PRE•ALT FEE: O � IHEREBYhFFIRMUNDERPENALTYOF0ERIUHYTFIATTNEREISACON5Ti1UCT10NlEN01NOACCNCY FOR iME PERFORMANCE OF 1HE WORK FOR WHICH iHIS PERMIT IS ISSUE�(SEC.�Oa7,pV.C.). . � � �ENDERS WVAE C LENDERSAOORE55 � ICERTILYiHATIWtVEREADiHISMPLICATqNANDETATET1UlTTXEABOVENFORA1ATqNISCORRECT. TOTAL FEES � � W 1 ACREE TO COM7LY N7T/ALL CT'AND COl1NTY ORDI W W CES ANO STATE Uw5 REIATINO TO BUIDINC � CONSTRl1CilON,ANDMENEBYAUTTIORREREGRESENTl171VE50FTH15COlRRYTOENTERUPONiNE S� ABOVE•MEMIONEDPROPERTYFOFlMSPECTIONPURPOSES. COMMENTS ' � �f/i'✓ L�t�✓� � � m VERMRTEENAME�P(U n� � N ' �> �-- ��'��✓� N SICNATUNEOFPERAIITTEE ATE � RECPT.NO. PAID BY VALIDATION WHITE-0epartment Copy,YELLOW—Finance Copy,PINK—Assessw Copy,GOLDENROD—File Copy,GREEN—Appl�canCe Copy : � .. . .�'i.1Y�r� • .:b.` �,.\�w�,w..t.�4-�� �. .. . .t.�'Y.�{�' . • •hl'A� .f" ��t� 'Y'w4��'y.'• s•�.�...y_: � •yr �S.yl'1' '•,L. 'Y"�" -�. ��l'Y�i.l'1(^Vih�,.f�a 17.��.ww�.�'l. � • ' ���.. � CITY OF DIAMOND.BAR � , � I�JSPECTIO�1 RECORD � ' � l ;���4�I�1►'.� �:� �1� � o �[��-�?!�.��::�-� .�.. ° '�1' �� �' ���'�.��._�_ . — - .�. , . .�.,::,.a.H,::. . - �SFT BACK � ,�� �•, , �� FLOOR JOIST ,...--. ' � •;� � � . FTGS/FORMS/STEEL � ' � �`` FHA REQMTS _ � • � � ' ` � � . - ELECTRIC GROUND .. _ - � UNDER FLOOR DUCT � - GROUND PLUMBING UNDER FLOOR CO�IDUIT � • - SLAB GRADE - - - -- - - FIREPLACE FOl7NDATION • 'TEP,AP POWER � ' FIREPLACE BOND BEAh� � WATER SERVICE - MID HT. BOND BEAM ' • ' � � �� ROOF SHEATHIPdG'•' � ' E{,��5•. . � `.', 8 FT.BOND BEAM . �` •• . -- -� . : :FRAh11NGNENTtLIATION " � � ` ` FINAL�BOND BEAM Fi00F COVER ' � ' • I PRE-GRADING � - ' ROUGH HEATING BENCHING � 'ROUGH ELECTRIC . . � I ROUGH GRADING � � � - :ROUGH PLUMBING � FINISH GRA�ING SHOWER/TUB TEST � POOL ELEGTRIC EXT.LATH/SIDING - - POOL FENCING , WALL INSULATI�N - - -,�. P,OOL FINAL ' CEILING IWSULATION OFF SITE IMPS..__ - DRYWALL NAILING DEDICATIONS SEV'�ER FINAL ENG. SEPTIC TANK LAhJDSCAPE/IRRIG. SEEP PIT/L.L. . ` '- �`' ON 51TE IhAPS. GAS AIR TEST ' FINAL'ZONIP�G � ' = FINAL COPJST._ � , d. FIRE DEPT.FINAL � 'F1hAL HEA�'ING'. _ HEALTH DEPT. FINAL ' b— FiN�.L-ELECTRiC - ( DEV. FEES PAID � - -- f=1"!/1�PLUR16iNG - EhERGY � ' , _ . _ � -�.. -- . .. _ .. ;c�,i=�;:£t G g� e'����•h � • ' -- . �__� ____.. _. � - ----------- -- --`� --- _ -.,- . -� • , � , . ' . `COMMENTS � - - ' '•' . •�� .'•, - i � I ' . i _ . �. . - - � . . . -_ ; -- �. . � - � .. - � _ _.. . r � - . �. , � .., ,�� . -.- .• ... . �� � • � - - � . . � ; �SEPTIC TANK SIZE ' �� ; � : - SEEP PITlU SIZE � � � � ��h� � : ;Rk ' �' . ? i .. ., n .4 � � .; � . . _ . . . . . . � . %�.`�..�.�.�•� � ' :�� , . �. � : _ ti�. . • ,. . -` .. . . , f . , `— � � \. , � . .` � � . i . /` ' `�:. ' "� -- ' ;� ' ...s.....�_.�.�� --�._.�._S � � �' � ' � -