HomeMy WebLinkAbout11824 CITY OF DIAMOND BAR ,� -- — DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � . 21660 E.Copley Ihive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS BUiLDING PERMIT APPLICATION FIRMLY o AD RESS I S�?��] l�ei"� '�'�• DATE CATION / r S lr NUMgER I�� / �� b � APN_ LOT TRACT DATE b s t� ONST. GROOUP g OWNER " ADDRESS SO ZONING SETBACKS CITY ' j�'e.� ZI ! > TE /Z O' FRONT {�y ❑ APPLICANT TEL. REAR ❑ SIDE/SIQE STREET RW O CONTRACTQ SIDE ❑ ADDRESS 7 �^^ �j PROPOSED USE � C(TY �R . ZIP d TEL. � � ARCWENG/ C O� DESIGNER NO.DWEL. NQ NO. � C TDRESS ZIP TEL. UNfTS �� STQRIES BEDROOMS �n DESCRIP'f10N SQ.FT. 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B.8 P.C.FOR TNIS REASON d U LL � DATE OWNER V � LICENSED CONTRACTORS DECURATION � � w 1lIEREBYAFFQWUNDERPENALTYOFPEH.IURYT}IATIAMLICENSFOUNOEHPROVISIONSOFCiUPTER � � �(OOIAMENCWOWfiH9ECT10N70001�DIVISqN90FTHE6USINE53ANDPROFES510NSCODE.ANU z W UCEILSE I6 N FtAl fORCE AND EFFECi. m � LICENS/E�,L,_A�5.5 J LIC.NO.� � � DATE i" T � CONTRACTOR a WORKERS'COMPENSATION DECLARATION � y1 MEREBY AFFlRM UNDER PENALTV OF PEIUURY ONE OF 7HE FOLIAWINO DECLAMTIONS: Z � _IWWEANDWILLMANTNNACEIiTR1CATEOFCONSEN�TOBELFdNSUREFOFlWORKERS' _ COLiPENSlITpN.AS PROVIDW BY SECf10H 7T00 OF 7HE LABOR CODE.PoR THE PERFORMAIJCE W Q OF THE NfORK FOR NM1IMlI TNI8 VERMR 18 ISSUED. � �Fj �I HAVE AND YALL MAINTAIN WOflKER3'OOGPENSATION M9UWW CE,AB REOUIRED BY BECTION Qa7a00FTMEtABORCOOE,FORTMEPERFORMnNCEOFINEWORKFONWHIpi7HI5PENMITiS / ['� � ISSUED.YIY WO R' ShTION INSU E CARRI D POLICY NUMBER ME: CONSTflUCTION �fD�J D > POLICYEtQ1MBEH�y 2 y j� ELEf:TRIC EW � � fnasa[ctpn�NoreE�r�oF7tEaeawrswna+eruwnE000uai+s��mlaatEss4 PLUMBING Z ICERTIFYTHATNTNEpERFORMANCEOFTHEWOAKFORWHICHTHISPERMITl51SSUE0,l MECHANICAL � SHALL NOT EMPLOY ANV PERSdJ W ANY MANNER SO AS TO BECOME SUBJECTTO THE �/j WOflKEHS'COMPENSATIONLAWSOFCALIFOflNIA,µDAGREETFW71F18HOULABCOME INSPECTIONFEE `- &18JECTTOTHEWORKERS'COMVENSATIONPROVISIONSOFSECTqN7 O tABOq S /CQ"D E��6�HA�LL FD[f�`�_w r�r witri � PaowsroNs. ISSUANCE �a 0 p��`�___j� � 7�jCA \ SMIP . d � �T ENERGY P/C WARNING:FAIWRE TO SEWRE WORKERS'COMPENSATION COVEFiKiE IS UNLAri'FIL,ANO 6HALL BE �y 9UBJECTANEMPLOVERTOCRIMINALVEWILTIEBANDpYILFINESUVTOONEHUNDREDiHOU9AND ENERGYPERMIT � Dq1AR3(�IOD,00D),N ADDITIONTOIHE GOST OF COMPENSATqN,OMAAOES AS PROVIOED FOR IN � BECTqN370aOFTNELA80RCO0E,NTERE57AN0ATTORNEY'SFEES. RETENTIONFEE: CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � I NEREBV AFFIRN UN�ER PENKTY OF PEFLURY TMAT TMERE IS AOJNSTRUCTIOM LENDINO AOENCY FOq TME PEHFORMANCE OF TME WOHK W R WHlpi TMIS PERMIT IS ISSUED�SEG 90W,CIV.C.). Z W � LEHDER'3 NM1E � LE#1DER'SAODRE59 � ICERTIFYIHATIMAVEREADiNISAPVLIGATpNANDSTATETHATTqE�BOVEINFORMATIONISCOfltiECT. TOTAL FEES � d I AOREE TO CONPLY WITN ALL CITY M10 COVNTY OflDINANCES M!0 STATE UWS AEU71N0 TO BU&AMQ � CONSTFiUCTION,MIDHEREBYAIJfIqRIZENEPRESENTATIVESOFTHISCOUNTYTOFNTEHUPONTHE �n ^ � 1180VE•MEMIONEDPROPER7YFORINSPECTqNGURPO�$. / 71 9 J � C � � ���� COMMENTS �r V � / /f�ll�/ .� c.9— � OEiWI ENA4E(VqN�.. /� CA O � BIGNATURE OF PERMITTEE OA7E � RECPT.NO. PAID BY Y/WDATION VYHITE—Oepartm6nt Copy,YELLOW�Inance Copy,PtNK—Assessor Copy,dOIDENROD--File Copy,GREEN—Applicarn's Copy .. . .. � . ' , . � .� .. . . , � � ... . � ., . , .. . . ,.. . � . , ^ " ' . , .n1 . � , . . , r , • , , • • ' i CITY OF DI�4,�{OND BAR INSPECTiON RECC}f�a � • � . i . . � � , . � . SET BACK ` ' ` � • �LOOR JOIST , � FfGS/FORMS/STEEL � FHA REQMTS ELECTRIC GRQUND ' � UNDER FLOOR DUCT GROUND PLUMBING UPIDER FLOOR COI�DUIT SLAB GRAQE FIREPLACE FOUNDATI�N � - 7EMP POWER FIREPLAGE BOND BEAM WATER SERVICE � MID HT. BOND BEAM - - � ' •-� � ROOF SHEAThING- -. ' �o � - 8 FT. BOND�BEAM_ , • ERAMINGNENTILIATJQN. _ � FINAL BOND BEAM RO�F COVER 2 PRE-GRADING ROUGH HEATING BENCNING ROUGH ELECTRIC � ROUGH GRADING R�UGN PLUMBING FINISH GRADING SHOWERJTUB TEST PC10L ELECTRlC EXT. LATH/SIDING � POOL FENCING WALL INSUTATiC)N i POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTtC TANK � --- ' - LANDSCAPEJIRRIG. __ SEEP PIT/L.L. � ON Sil"E IMPS. GAS AiR TEST j FINAL ZONiNG FiNAL CUN5T. -- FIRE DEPT. FINAL ! FINAL HEATING � HEALTN DEPT: FINAL � ; FINAL EI.ECTRIC � ; DEV. FEES PAID j FINAL PLUMBING ; ; ENERGY ^ , � . i � � i _ ''_ _ COtv�UlENTS � - � _ � _..,- � , . . SEPTIC TANK SIZE SEEP PIT/U SIZE - ------� IIY 5� " _" • "' " . I . �'_ .. _ .� ' \' _ 'i �: ' . " ' ' ' __