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HomeMy WebLinkAbout12006 �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 216b0 E.Copley Drive Suite 190 (409)660-3195 Fax(909)861-3117 PR ESS BUILDING PERMIT APPLICATION FIRMLY o ADDRESS 2 33�,�/D r8 Su�s�r���si DATE�ATION� �n 98 NUMBER1�o6 �� � APN LOT TRACT ISSUE �.� TYPE OCC �v� DATE � O J CONST. GROUP p OWNER "' ADDRESS_ �I�- ZONING SETIIACKS � CITY 21P 7EL. REART RW ❑ APPLICANT TEL. SIDFJSIDE STREEi RW ❑ � CONTRACT� ( I QG /Z�<<R SIDE p o ADDR S PROPOSED USE � q CITY 1C ZIP TEL �� o ARCWENG/ � DESIGNER NO.OWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N rn DESCRIPTION SQ.FT. FAC70R PSF ' ADJ.AREANALUATION Q OWNER-BUILDER D�CLARATION SFR/ADD/REM O p I MEREBV AFh{W UNpER FENALTY OF DE0.AlM TMAi I/.l1 EXEYOT�H011 THE CONTRACTORS L4 Gare9e�e�pOrt lJJ CENSEUWiORiFIEFdLlOWNORCA50N(SEG70�1.lBUSWESSMIDiROFE5510N5GODEFNYCRYOR (n C�) CqMT1(WNICIIPEOUNiE4l10ERMITTOC�ONSTRUCT,ILL7ERMPpONE,pEAIOUSN,ORREVA.RANY57AUG w V� IURE PRqR 70 RS 155UANCE.I�L50 REOUIRES 7HE APVLICMrt FOH SUCN PERr�u7 TO FILE A SiGNCO W Paliolpock STATEMENT TIAT HE OR SNE t5 UCENSED PURSUMlT TO iHE pRONS10N5 OF TME CONTMCi011S L4 � CENSE UW(GTIMTER Y(COMMENpNO WITN SECTION 7a00)OF DIY{SqN 7 OF TMC BUSINESSAND VR6 �- PooVSpa . iE55qNSCOO�ORi1NTMEOR5HEISE%EUPTTNEFlEFHOUANDTME8A5�5FORTF�EALLECCDEMEMP. 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W ❑4ASOWNEROFMEFROPERTI:AMEXQU3NELYCOMMCTNON7TMLICENSEDCWfTMLTORS � TO CON5IAUCT 7NE VHOJECT(SEG 70a�,BUSINE5511N[7 GROFFSSIONS WDE TME CONiRACR7RS�J- VBIUOtlOf1 AQI.AREA ' � CEtISEUWDOE3NOTMPIYTO/WONRiEROFAVROVER7YY.TqBU4D50RI4PF90VEgTMER[OrLAW N110CDHTMCTSiORSUCIIVROJECTSWIiMAMNTRACTOR�S�IICENSED%1RSUMRTOTNECONIM4 QUANTITY OESCRIPTION FEE � TMtS UC015E UW.L � ❑IMIEXEUPTUN0ER5EG BtP.CiOHTNi5REA50N Q � V • • tt.. � OATE OMMER U . , F LICENSED CONTMCTORS DECLARATION W � IHEREBY�FF6WUNDERCEW�LTYOFPEMIRYTHATIWUCENSEDUNDERVRON410NSOF(,W�vTER V. p. ��COMMLNCNO WfiM SECTION 7a00)OF OM510N]OF TME BUSINE55 AND PROFESSiONS CAOE./��D Z X W UCENSE IS N fUIL FORCE AND FFiECL m `0 LICENSE ClAS —�� 11C.NO. �C/�� � V oAh C� corrra,�cror� a � WORKERS'COMP[NSATION OECLARATION Q v. � I NEREBV AFFliW UNOER PENALTY OF FEfWii'I ONE Oi TME FOILONnNC DCCIARAT10N5, v � • � Q � n .c.c._ 3 O � _IMAVEANOW'LLW1NTAlNALENIIFIGTEOFCON5ENT705ELFdNSUREFORYNfIKERS' _ COYPENSA7qN,AS PROViDEO BY SECTION Aoo OF iHE LAOOR GODE,PoR 7HE PERFORMANCE W OFTME WORN FOR YA1KM TMiS VERIAR IS ISSUED. ` � _I HAVE/ND WILL MAIMAP7 YYOPoCER5 CAMPENSATpry INSURANCE,AS RCOUREO BY SECTiON Q ]7o00FTMElABORCOOE.fORiNEPERiOR1AANCEOFTNEWORNFORWH1G17HISPER1AITi5 � LSSUEO.WNORKE 6'COIAO NSATIONI :/RANCEWRfiIERANOVOLIGYNUMOEHARE' CONSTRUCTION � GARIER � PLAN REVIEYJ � i0.1CYNUAIOER �� ELECTRIC 0 (iF6SECIri�NEmNOTBCOd.FlE7IDOFhEPERMS6PoRWEW,OfKDD0U1�iLS(S:Oc10RLE55? PLUMBING W Z 1 CEflTIFy 7HAT MTHL PERFOiWANCE Of 7NE WORK FOR WM�RI TMS VERMR IS ISSUED,1 MECHANICAL I (} SIULLLNOTEMPIOYANVPEA50NNINVMMNERSOA5708ECdlCSVBJECTTOTHE � � WORKERS'CDMPENSATIONUM50FULIFONNiAANDl1GREETMATIFISMOUIDBCCOME INSPECTIONFEE SU0.IECT TO THE M10iiKERS'COMPENSATqN PROVISION50 SECTIDN]Mo Of THE 1A80R -rj �,i vortnn�n�caaa�rwirn ao s ISSUANCE ���� r,: O p DATE7 ��APPLICANT: SMIP , 1 � ENERGY PJC WMN O:FM FlCTO3EWHEKdiKERS'LOMPENSATIONCOVERAGEISUNUN�FUL.ANDSNALLBE � �y 6UBAERANEupLOVERMCRIMItULOENALTESANDCIVILFNESUPTOONEMUNOREDTNOUSAHD ENERGYPERMIT � DOLUFtS�f IOO,Oao1,N I.�DRION TO TME COST OF LOMPENSATION,OAMAGES�3 PRONIDED FOR IN J SECTION770eOFT1ElAElORCOOE,NTEREST.IWDA770RNEYSFEFS. RETENTIONFEE: Q d CONSTRUCTION LEN�ING AGENCY pRE-ALT FEE: � � IHEREfiVAFFIPIAUNOE0.PEN�LTVOFPERlUMTHATMEREISACONSTRUGTIONIENOWQAGENCY r nZ- FORTMEVERiORA1MICEOFTNEWORKiORWMI�MIM15PER41TISISSVED(SEC.�o9�,CIVC.�. W � LENDEq'SNAME � LENOERSADORESS w ICERTIFYTUTIMAYERLIiDTM�SMGUCATIONANUST�TETIIATTHEl1BOYEMFpW�TqNISCORRECT. TOIAL FEES ~��� • n� I '�, � � IACREETOCOMPLYYA7HILLCfT'/AN�COIMT/ORD�NMICESMAST�TFlAwSREUTNCIOBULDiNU �1 / CONSTRUCTION.AN�XEREBYMlT1qRIZE fiEPRE5EN7ATNE5 OF 7H15 CWId1YT0 EN1ER UPON THE /�'7 � ABOVE�I.IEMIONEDVROPERTYFORINSPECTIONPURPOSES. COMMENTS f �� v � _ _ ��_ 0/'1 QPEiWiT7 � ��, � '� 3 ,y E16 � FPEWAIT7 . . , fE � � F[CPT.NO. I ._PA1D BY � VAl1DAT10N WMITE-0epertmant Copy,YELLOW—Finenee Copy,PINK—A�sassor Copy,GOLDENROD—Fdo Copy,GREEN—Applicanlb Copy - - . � . . , . , - .. � � . . . . . � .., . . .. .. � . , r•� ..,.. • . . . . . . . ,. . . . . � � � -- - � CITY OF DIAMOND BAR . . ' ' '•' ' : .. . :• .'INSPECTION RECORD .� . � . � ' . . ' � � � • - � � � � i . SET BACK ��, ��, � � � `' � FL�OR JQIST) " - ..�\` . �-., ;\� - �_� • FTGSlFORP,AS/STEEL • �- • FHA'REQMTS - , ELECTRIC GROUND - • " UNDER FLOOR DUCT - -- -, • ,;_�,, GAOUND PLUMBING UNDER FLOOR CO�IDUIT ��J� �,�.- �•_ SLAB GRADE • FIREPLACE FOUNDATION , TEMP POWER - • � FIREPLACE BOND BEAM WATER SERVIGE - - - MID HT�CjND'BEAM'�,'�' ;=��� "• ' ` ROOF SHEATHING �� -� 8 Ff:�OND�EAM.'; � �.'` � �, -,'-'.`, ,�=.�. . FRAMINGNENTILIATION • � - � �� FIfVAL BOND BEAM � ROOF COVER � PRE-GRADING ROUGH HEATING - � - - BENCHING . . ROUGH ELECTRIC- � ROUGH GRADING • ROUGH PLUMBING- - � FINISH GRADING . SHOWER/TUB TEST - � - POOL ELECTRIC EXT.LATH/SIDING P�OL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS , SEVVER ... FINAL ENG. � SEPTIC TANK . . LANDSCAPE/IRRIG. � SEEP PIT/L.L. ON 51TE IMPS. GAS AIR TEST FINAL ZONING FiNAL-CONST. - - FIRE DEPT.FINAL , FINaL HEATIPJG - � � HEALTH DEPT. FINAL ; FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY � ,•,�� . s�7��'�e •� , ;.. .� � - � 1 " ' -- ` �� • •; COMMENTS - � -� . � i � ` � , •.� , _. .�. .., . . , � , , ' . . � , . �� , . . , `._� -. ,.� . , � , � J . . .. • `"'���,� "'� . , . ' f • . '\. `� �TIC TANK SIZE ?PIT/U SIZE �� � � I I . . . . / � . _ , / _:._.. _ _ _ — � . / � . . l ♦. . , . ` � ^7' �i �- •, ` ' � � /��'� �f����$ , • . \ L• ,l ;� ♦ /