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HomeMy WebLinkAbout17751 (449) - - _�. _. \ CITY OF DIAMOND BAR ' '` ! ----�� -- DEPARTMENT OF COMMLTIIITY&DEVELOPMENT SERYICES 2��o E.copioy nri�o s�c�i90 PRESS (909)860-3195 Fax(909)861-3117 , • • . , .•'�^'.. BUII.DING PERMIT APPLICATION • ` , ' , �:FIRMLY' o DDRESS I�7� S_ ��a�Iey �J�v\. �' DATECATION �^���","1 NUMB R � fJ � �/C . . . . v� g _ . issuE nrPe occ APN LOT TRAC7 DATE CONST. GROUP i i � OWNER i ZONING SEBACKS 4 � CITY �S / 21P TEL � ' FRONT RW ❑ f APPLICANT I TEL REAR p . SIDE/SIDE STREEf RW ❑ CONTRACT OG (.C�'Yl !h.0 i SIDE ❑ � ADDRESS _ _ PROPOSED USE CITY ZIP TEL o ARCH/ENG/ • � , , _ . ,�, DESIGNER NO.DWEL NO. NO. 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U � [C DATE OriNEH V • . . . � UCENSEDCONTRACTORSDECLARATION ; ', W � J - � IMEREBYAFFIRI/LNDERGENALTYDFGE0.NAYTHATIMALK;ENSEDUNOERVROVISIONSOFCHAPTER z . � aS\'1U S p„ �(COUMENCINON1MSECTION700o)OFOMSION�OFTHEBUSINESSANDCROFESSIONSCOOE,ANO u� W LIGENSE IS N FIAI FORCEAND EFFECT. m 0 UCENSECUSS G�� LIC.NO. . . /��'': �. � � �j DATE �-� S�O� CONTMC70R �' 6J. W � WORKERS'COMPENSATION DECLAitAT10N Q � 1 HEREBYAFF6W UNDER PENALTY OF PEMIRV ONE OF THE fOlLO'MNG OECLAMTIONS: Z � �_114WEANDWILL►1NNTAINACEpTIFIGTEOFCONSENTiOSFLFaNSUREFOHN9NKFR5' - � _ � �� � - � . COMPENSATION.113PROVIDEDBVSECT10NS7vaOFTHEUBOHGODE,FOR7MEpERFOtVAANCE U �t OFTIEW01LfFORYMIp1THISPEIW�T19tSSUED. W X i 1luVE ANO VnLL I.WNrAN WOFiKEH4'C01.1PENSATqH INSURANCE,AS REW IRED BY SECTION � 77000FTMElABORC00EFORi11EPERWiUAANCEOFTHEWORKWRWHIGI7HISPEPAIITIS � ISSUEp,1AY Po(ERS'OpAPENSATION INSURANCE GIRRIEqAND POLICY NUTABfRARE: CONSTRUCTION � CARRIEN �— �^0 r1 _ PLAN REVIEVJ � �a�cvNu�eEa ELECTRIC �� 8 (MsSccnoNroEwraieecastEiEnoFnecEw.rrsFoaar��uq�Eooa�6+roloqtFssl PLUMBING . . . . . . . . _ "J(J Z ICERTIFYiHATNTHEiFRFORMANCEOFTHEWOPKFORWMIpi7NISFEPI�ITI5I5SUE0,1 MECHANICAL (.J 5lULLlqTEYPLDYANYVER50NQ1ANYlAANNER50A5T09ECOMESUBJEGiTOTME vj 1WfMEHS'COMPENSATqNUWSOFCALIFORNIA.ANDAfiREET/NT1f15/qUIDBECOME � .�NSPECTIONFEE S SUBJECiTOTHEWORKERS'CpAPEN5AT10NPROVISIONSOFSECTIDN77ooOFiMELABOR �7 r /'�/� COOE.I SHALL iORhM7T/COII7LY wIM71105E P S�qy�S�..�� ISSUANCE L'7�'C./V �� ��'G'L.ii� ��SMIP . . .. .. . .. . . . � DATE:�'���MPLICAN7. . . .. . . . . WApNtHO:FAILURE TO SECURE WOHKERSCdAGEN5AiK1N COVEN�GE IS UN.AWFIIL,AND SHALIBE ENEFGY P/C �"'y "1�JECTANEMPLOYER70CRIutNALPENALTIES+INOCM�fINESUPTOONEMUNDHEDTIOUSAND ENERGYPERMIT D0.LMS p70o,000�,IN i1DDITION TOTHE COST OF COMDENSA7qN,DAIMCES�S iROVDEO FOR PI J SECTION7)De0�7HEU80(iC00E,WTEREST,ANDAtTORNEY'SFEES. � RETENTIONFEE:. � CONSTRUCTION LENDING AGENCY PRE-ALT FEE ' O � IMfpEeYACFlR/AUN0ER0ENALTVOFVEtWqYT/UTTHEREISACOIJSTRUCT10NlENDWOAOENCV � � � � � Z FOR THE OEHFONMANCE OF THE W ORK FOR NMldl iMIS PERMIT IS ISSUED(SEC.iOW,pV.G�. Ll] . . � LENOERSNAUE . . . . � .. '� . � LEN�ERS�DORESS 1 l �r�- ICERTIFYTHATINR/ERFJDTN�SAPPLIGTqNANOSUiEiMATTMEABOVEINiOquATqNISOOqqECT. TOTALFEES ' ', ����V, � IAOHEETOCOMVLYMATWN.LCrtYINOCOUNTYORDINAIICESAND5TA7EUN/4RELATNOTOBUILDINO . . . ,__. i ' �.�� 1,I�I , � CONSTRUCTqN,MD HEREBY AUT/1DRIZE REPRESENTATIVES Oi THIS COVNTY TO ENTEH UPON 1/1E /� ^/� //�/}p ,-/^^ //^1 )�� ///�/� �BOVE�4EMIONEDPROPERTVFORNSPECTqNPUR40SE5. 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ISLAB GRADE . __ ._.."-� --------,- ----- ----- �-''' I FIREPLAG`E FOl1NDATION�;'- �-,',- .� .<'-; ��� ,, -, i - ITEMP POWER__ �,_;; ---�-- ---- - - - ' � FIREPLACE BOND BEAM' - _ - ---- - � � , > � � � � � IWATERSERVICE _ ..._._.. .---- ---- - - --- _,',` !- -M{DHT.BONDBEAM_i�r.� �� ! ; :;.�I � .%1 �",,'� ..:",� ,;_.', : _ ..: -,-._, - -;.. ,, i ... . ; , � t i� �;._:-^-� :�� - ,, : IROOF SHEATHING_ 8 F7.BONp BEAM I IFRAMINGNENTIUATION -- - — -- � FINAL BOND BEAM � � �' � ��.. . tR00F COVER �• PRE-GRAbING . _.____ _..__ _.__. ----- - ------. �_,,� . :.. � ;'_ -- - - - -._ .. _-- -- --— @ROUGH.HEATING --: - _ ---:_< " ` -__. _ -------- BENCHING � ,:� _ ' , ROUGH'ELECTRIC_�. ' `�-:'=�-'_- .;__1 . ���. � 'ROUGHGRADING-__--- ____ ..__._-. ----- ---__._ .__. _ . _ ._; IROUGH PLUMBING--'- - - � '°'" " �FINISH GRADING i - �SHOWER/'fUB TEST-•-- __.___.�.._. __—._._. ..___ __� . POOL ELECTRIC�,.: : .. ,. ...,_ ,;�.,� . : :'.'� : ; ; ;EXT:L-ATH/SIDING ---- ---�----- - _ __ POOLFENCING° , '�:':; , , ' �.. ,: �,. . _. ___._ ..__ . :s: � ,,� �WALL INSULATfON- - -- ..- ------ ----- -- __. POOL FINAL . , ; : ,;� ,, � !CEILiNG1P�SULATION - -_---_ ...._. __ . _._ - OFFSITEIMPS.. .. .�.;' . , � a� ",-. � DRYWALL NAILING ..- - - - ----- -- DEDICATIONS -. " ' ' � . . ,., SEWER- ---- _ _ _ ______ _ - _ ..__ FINAL ENG: ; . , , „ .� ... . . . :� � ; , _.. SEpTIC7ANK LANDSCAPE/IRR1G. � ' ; ; , .` ' ;' - SEEP PIT/L.L..._ .. --- - :. �::, --_ .ON SITE IMPS. : ; .. , .,. , . ,., ,. �.. �., GAS_AIR TEST_.I_--- --- - - -___._ ` . '. - .n�. FINAL ZONING : ;.. „ � ,'- ,;': . FIiVAL CONST..: -----I--- -- ------ --_ _--- . � _ _ FIRE DEP7'.FINAL • . . � -=:�;: .,,, � ,. . _. � --...._ . _ �., F1NAL_HEATING_ --_—___-__..__. __ _. HEALTH DEPT. FINAL . ; - - i -� ---�-- —_ __ - _ ._.. -- - � ,_� .. . ... FINALELECTRIC------ -------- ------__ _- - DEV. 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