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HomeMy WebLinkAbout11929 (5) �� CITY OF DIAMOND BAR � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 216b�E.Copley Dcivc Suite 190 � PRESS '� (909)860-3195 Faz(909)861-3117 ''�� BUII,DING PERMIT APPLICATION FIRMLY � JOBSITE t� 1 p APPLICATION PERMtT Z P/C �� o ADDRESS����� �`'n�5 lb��� DATE ,�7�aQ NUMBER 7► � ISSUE TYPE QCC APN LOT TRACT DATE CONST. GROUP a OWNER � ADDRESS Aqb1d �'RA 1 � ZONING SETBACKS � C1TY � 21P TEL. O� �5� FRONT RW ❑ APPLICANT TEL. REAR O SIDE/SIOE STREET RW O CONTRACTOR SIDE � Q ADDRESS PROPOSED USE �h � ��� � � CtTY ZIP TEL �� a ARCHIENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORfES BEDAOOMS � Cfiy ZIP TEL. N DESCRIPTION SO.Ff. 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J � pA7E � CpNTMCTOR a W � WORKERS'COMPENSATION DECLApATION 4 � U � 1MCREbV11Fi1RMUNDERP£N/�1TYDFiERR1RVONEOFTNEFOLLO'NINGOFCtA0.ATiDNS. f/) Z a � �IMAVEANDVALIWNTIUHACEHf�F1GTCOFCqI5E1fTTO5ElF�INSUREFONWORKERS' _ COI,IPfNSATION,ASDROVIDEDBYSECT�ON]�OOOFTMEUBONCODE.FORMEVERFOfUUNCE �U OF TME NONK FOfi WHIGM 7Ni5 PERMIT IS ISSUED. � 0 �I IUVE/�ND WILL 4ARfTlJN WOfiNERS'C011PENSATqN MSURAN[E,AS FEUARED BY SfGTION � �`� /1 Q l7000F TME 1A80A CODE,FOFIINE PERFORMAHCE OF iHE WORK FOR MnUCH TM�S VE�IT 15 (J ISSUED.MY WORNERS"COMCET�SATpN W SUR�wCE CAFlRiEA AN�PO��CY NVMDER ME: GONSTRUCTION � PLAN REVIEW — uxwea � roucvHuueeA ELECTRIC �� � � (MSSCCfICwNCEDND7Bt�.itiE'fEDOFTEPEPo.iT6FORONCH.1�[YIEDDOl1Ai�RtroldiL£5•`>} PLUM�ING � 1 CEfiTIF771uT R1 THE PERFORIAANCE OF THE VlJNK FOR WHICH iM15 PEHMIT IS ISSUED.1 MECMANICAL (,Z'J SHALLNOTEMPLOYANYVERSON�N�M'MNINEHSOASTOBECOMESU0.IECTTOTHE � WORKERSCOMPENSATIONUM(SOFC+�L�FORNIAAND�GREEiNATIFISNOULDBECOME INSPECTIONFEE S SU6IECTTOTNEKORKFRS'CLMAPENS�TICNPRON510NSOFSEMqNTOOOFiHfUIBOR �SSUANCE � COOE.I SMALL iORTNWITH Cd.�PIV WIM TMOSE VRON510N5. �'�� O SMIP �] O+�TE: APRICANT: � � WAFWING:FAIURE TO SECURE WORKERS'C.(Y.�PENSATION COVENAGE IS UMAWRIL.AND SHILL BE ENERGY P1G � SWJECiANEMPLOVERTOCRIMNALPFNIITIES/�NDCMIFwESUPTOONEHUHOR[Dh�0U5AND ENERGVPERMIT � pp{y/.(�5(=�pp,ppp),�y ApbITON TO ME COST Of COMPENSATICN.�MA�aES!5 PNOV10E0 FOR M J SECTION170eOfTNEUBORCODE,NTEREST.AN�IITTORNEY'SFEES. F{E7ENTIONFEE: �-- Q W CONS7RUCTION LENDING AGENCY PRE•ALT FEE: a O CL IHERC9YAfililAIUNDERPENN.TYOFPERAIRYTIAT�lIERElSACON5TRt1CT10NLENDINciAGENCY 0- FOR7HGPEPFON��NCEOFIH[VVORKFORWM�CMT1i�5VERMiTI5155UE0(SEG.7��,GV.G). � � LFNDER'SNMAE � C LENDER'SADDRESS ' � IC£RTriYTiAT1/UVEREA07Hi5APPt7GT10M)J+OSTATERMTTFIEI�BOYENF0f1MATqNISCCflPECL TOTAL FEES 1 W IAGREETOGOMPL�WI1NKlCfTYIWDCOUHiYORD�NANCESFNOSTATElANSREUTWOTOBU4DIHG � J /� � CONSTRUCT�ON,MIDHEPEBYA41f110R�ZERECR[SENTA7IVESOfTH15CIX1N7YTOEHTERUPONiHE A Il'1 �ifAAi .w ._. ✓1•�yt=� , � MOVE•4EHTIONEDGROVERTYFORMSPERION7Ui�POSES. ' I��V ����w� COMME � �ZA� -A��t- �,� � � oEaMirrE r+�"[rywr+T1 ��Q � u�i �(,(A11f\dAI1 �I, "` � � san�u �vE�TEE o�TE J PAIDB� VAUDATION RECPT.NO. � IYMITE—Oep9rtme�1 CODY.YELLOW—Fk�ante Copy.PINK—Aasesaa Copy.GOLDENROD�de Copy.GREEN—AApIK,anCs Copy � .. . � .f • • , . . , � , '. y . . . . . .,, ., - . .. , • . . , '. _.. . , , . . .� r . . •, � . , - , . �� '� CITY OF DIAMOND BAR .. • . . , ,. , . .. . . � ; � " � � INSPECTION REC�F�D �. , � , . ' E _o e � s - • � � o ' SE7 BACK ' FLOOR JOIST - .'r , '�' j ^',•',� � FTGS/FORMS/STEEL � � FHA REQh1TS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING ' UNDER FLOOR CU�IDUIT ,'�• r ' ' ' � ;i.� ��' • SLAB GRADE� FIRERLA�E��U�JDATION � - =-��' ` ` ' TEMP POWER - FIREPLACE BONb'BEAM �' "�' '""-' WATER SERVICE. MID HT.BQND BEAM • � `` �RObF SHEATHING �` � ' "��' � ' � ' �' ' 8 FT.BOND BEAM • FRAPti11NG/VENTILIA,1`ION ��+ ����� � � � � FINAL BOND BEAh1 ROOF COVER 'PRE-GRADING ROUGH HEATING � BENCHING ' ROUGH ELECTRIC , ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERRUB TEST POOL ELECTRIC EXT.LA7H/SIDING � P�OL FENCING ' WALL INSULATION POOL FINAL CEILING INSULP,'1'10N • • � • ' " ' '" " — '-" OFF 51TE IMPS. ' - DRYWALL NAILING .. "�;'E � " �- DEDICATIONS '. . SEWER " '.� ; � ''� '� �'•' ���� ' •INAL ENG. SEPTICTANK _ ;� _LANDSCAPE/IRRIG. SEEP PIT/L.L. ` • .oN SITE IMPS. . GAS AIR TEST , FINAL ZONING � � FINAL-CONST:' � �� o FIRE DEPL FINAL FINALHEATING � . '. ; "-; HEALTH DEPT.FINA�:,:"� r• . �!': ;• ;�- FINAL ELECTRIC . -�'� ' ' (.� '� DEV. FEES PAID FINAL PLUM0ING ENERGY '.�)=Ir r#,�,�,�,�1�;3 - ,�s___--------- COMMENTS ' - � SEPT,IG`TANK SIZE �_�, r ... 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