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HomeMy WebLinkAbout11052 • � - CITY OF DIAMOND BAR' • ' ' COMMUNITY DEVELOPMENT DEPARTMENT ' ;,.0 21660 E.Copley Drive Suite 190 � . PAESS (909)860-3195 Faa(909)861-311? ' ' ' ' 1 �""', BUILDINGPERMITAPPLICATION � " � FIRMLY N JOBSITE ��i ���'/�/�/ J1h. � �'1��/y'� APPLICATION I Z �' PERMIT P/C o ADDRESS tJ C�✓N�CIJV�/uNC�7 DATE NUMBER N c� ISSUE TYPE OCC ' APN LOT T CT DATE CONST. GROUP p OWNER � " ADDRESS . �t ZONING SEiBACKS ' � CIN_ � • ZIP TEL . Z FRONT RW p APPLICANT 4 �-L- TEL. �� REAR 0 � SIDFJSIDE STREET RW O � CONTRACT f 1 SIDE ❑ � AODRESS �•� � CITY C=�-�,• ZIP � EL — PROPOSED USE o ARCH/ENG/ , � DESIGNER NO.DWEL NO. Na. : � a ADDRESS UNRS STORIES BEDROOMS � � CIN 21P TEL. c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BL'ILDER DECLARAT�ON SFFilADD/REM O ,p 1 NEREBY AfFIMI tMOER PENALTY Of PERAIRY THAT 1 AM EXEMPT FROM THE OONTMCTOit.LF G8M(�9K,8(p011 � llJ CENSEUWFORTHEfOLLOWW6REASON(SEC.70.t1.6BU51NE5SANOPROFE5510N900�E:ANYCI7YOR . 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W OFFEREDiORSALEF,FION/EVERIHEBUlDIN60RI�IPROVEMENTI550LDWiTMNONEYEAROFCOMPLE- � � T�ON.TME OM�NER�BNLDER MALL MA�E TME BUROEN OF PqOVINO TMAT ME OR SHE DiD HOT BUILD Oq Z IMPROVE FOR ME WRPOSE OF EALEG ' � .,,w ❑�ASOYMEROFiHEPROPERiY,AAIEXCLUSNELYCOMMCiIfMWITMIICENSEDCONTMCTORS �[[[��� TO CONSTRUCT THE VRQIECT�SEG 70I1 BUSINESS MA VROFESSIONS CODE:7NF CONiHACTORS LI•� VelUel'IOf1 ADJ.AREA GENSEUWDOESNOTAPPLYTOINONMEROFAPROPERTYYApBUIIDSORIMPqOVE9TMEREON.ANO N'hAGONfNACTSFORSUCMVROJECTSWfTMACONTRACTOR�3�L�LENSEDVURSUIM70TNEGONTMG pUANTITY DESCRIPTION -FEE � TORSLICENSEUW.). . . . �J . . . .. 0 O IAA1 OfEYPT UNOER SEC. B.�P.G FOR TH18 REASON q ' � V _ LL' DA7E OWNEN � .. . .... . . . W �¢ LICENSED CONTRACTORS DECUIRATION W ' 2 I HEREBYAFFIi1M UNDER PENALTY OF VE0.NRY TMA71 W LCENSEO UN�fR PHOVISIONS OF CWIPTfR .� � d. �ICOMMENCIN(iWIMSECTION7aao1�DIViS10N]OFTMEBUSINESSANDVROFESSqN5CO0E,M0 Z -� � X W LICENSE 5�N FULL FORCE AND EFFECL � m _A�' , tlJ � !! � LtCENSE C1A55 LIC.NO. V DATE G CONTMCTOR � . W �� WORKERS'COMPENSATION DECLAHATION G � tA � � IXEREBYAFFIRYUlqERVENALiY0F0EiWRVONEOfTMEid10WINODECLAMTld1. Z . � _IHAVEANONALLI.WNTAMACEqTIFICATEOFCGNSENTTOSELF-INSUREFORW�IKERS' � 1¢' COMPENSATIDN.ASPfiOVIOEDBYSEC7qN770oOFTMELABORCOOE,FOflTHEPERFORMNlLE W OF TME WOFiK F011 YMICH TH9 PERMiT IS ISSUED. � C 1 HAVE AND VALL MMNTAM WORI(ERS'COLIPENSATION INSUNANCE AS REWIRE�BV SECTIDN Q J7000FTNEUBORCOOEfORTHEPERFOR/1ANCEOFTHEWOFlIfFORYMN]ITHISVERYfT13 � ISSVED.MVNqRKERSCdIPENSAT�ONINS ECARRIERMIO��R—ARE: CONSTRUCTION � caaaEA ��C7 PLAN REVIEW �Z aa�crr+uwBEA ELECTRIC � � (TIGSECIfONPE�rq7eE0aRtErEOOFnEVEFlIdrsFoaaEFAf�DoallRspimoaLE�j. PLUMBING . �� 1 � Z 1 CENTIFY THAT NTHE PEPiOfiMANCE DF THE N�K FOR WMd1 THIS CERIAIT IS ISSUED,I MECHANICAL . "' �� C7 S1W.LNOTEMPLOVANYiER5p11NANYMNJNERSOASTOBECOMESV&IECTTOTME I� . uJ MqPoCERSCOMVEN5A710NUwSOFGLtFOHNIA,AN011GREEiHATIFISIqULDBECOME INSPECTIONFEE � � . ' `- SU&IECTTO7HEVJORKERS'COMPENSATIONPRO�A510NSOFSECTION77000FTHEUBOR c S coo¢.i iuu n�ca.�rirvnn� awis�a+s.�� ISSUANCE � �/ � p DATE: AFPLICANE SMIP p � � ENERGY P/C � WARMNU:FAILUR[TO SECURE WdiKERSQOMOENSATION COVERAOE IS UIaAWFUI.AND SHALLBE � SUBJEGTANEMPLOYEHTOCWMINALFENQTIESANDCMLFMJCSUPTOONEMUNDREDTHOUSAN� ENERGYPERMIT DOl1�N5(f��.�).MI ADDITION TO iHE COST OF COMPENSA710N.DAMAGES I15 PRO1nDE0 FOR M � SECTION770lOF7HELABOROODE,INTERESLANDATfOqNEY5FEE4. � � � � FiE7ENTIONFEE: - � nW, CONSTRUC710N LENDINC3AGENCY pRE-ALT FEE: O � INEREBYPFFYiMUNDEPFENALT/OFPEiWRYTHATTNEREISACONSTHVCTIONLEN0INOAOENCY Z FOiI THE PEPFOHAIMlCE OF THE WOfIK FOR NT11C11TM15 FERMIT 15155UED�SEG ioc7,CIK G.). ., . W � LENDERS NAME � IENDER'S/DORE55 � WICERTIFVTIATIHAVEREADTHIS.�F7LICATIONANOSTATETUTTHEABOVEYJFOIiYAT10f11StORNECT. TOTAL FEES Z�j._ L p_ IAOREETOCOMPLYWITHALLGTYANDCOtX17Y0i1DWMlCESANDSTATEUWSAEUTWUTOBUtDINO CONSiRUCT10N.ANOHEREBVAUiH01U2EFEGRE ENT1lTNE50FTWSCOUNTYTOENTERUVONTME T � / S�, ABOVE-MEMIONECPROPERTYFOqI SOECT�ON R705ES. COMMENTS � � ( � 'T t M � � m iERMIT7EE . . .. .. . . . � N �—' G rt . Vj 8qNA7UREOFPE iTTEE � M1E � � � � RECPT.N0. PAID 8Y VALIOATI . . . WHITE—Department Copy,YELLOW—FinarKe Capy.PINK—Aaaeasor Copy,GOLDENROD—File Cnpy,GREEN—Appl�enl'a Copy . ��.,.y+ �,ir:..�.;'�+•.:n•�:�a?t,.Zv.S,r����" ':��',:;i"� ;"""�'v(�>Y;/o^Oy.•4�nC::tiT';,.t,:-n.x:' f��i�rk�:;W,'F�� v��,,,;,rr,•,f.3" �r•�:�, c'•r 'rrh:c.r. ti�,�v;�,.y.� k�. .<•n, p.yss,r; • � , , � • • ..., .}. y , '�`�i1.7 �.Yi fC ���-.{:%I �`..�t'.•;. .�:9�`'!'qtl'•;�i..�� .,t.. r':S'4�•� ,;r;•�:.. ;5+;�".t•*��r. ;� 1?�t.tn"'�'F,� , . f�' �ITY OF DIAN90t�1D_�AR!''' �'� - � ' " � - �r:. ���, , �•�. . :�;;; •�� • i�1��.� '_:....:,�; ��� � NSPEGTION RCCOR� , �;� 'ti . '� ' .. . � �n;i�.��. 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WATERSERVICE --._ ._- - - -- --- ---_._ ;,-:,;:_ , �MIDNT,S�ND�EEAM -. � , ' - -,-:,,,_ __ __ _. . . \ ,, � - ; ROOF SHEATHING- -- - _ . . _.._.-. -.---.. .-------- II FL BOND 6EAM ,. .. . , � „ FRAMINGNENTILIATION �_' ' � `FINAL.BOND BEAM " - �-- - - �- - -� - ' � ' , � , -- -.__.....::::.:__ --. PRE-GRADING- - , „ Fi00FCOVER ... ... _....---- . :-:._... _ .. ;• �•, . . ...,i � . }'},;1 � � ROUGH HEATING ..--_�. .�, .�,_., � ,.,.:. ._',...`:.::. _ 6�NCHING..._.... . . . . _ . _.._. . . - --.._ . . i . . , „ ., ., -ROUGH ELECTRIC- _... _. .__.. --- ,_......_.- ----r---'..:. (-�OUGH GRADING, : � I ROUGH PLU�✓BING ---- .. . ._ _.... --- - �-- j-----. .. FIrJISH GRAbING . ." , , �� � ,� . .. i , �SHOWEFiITUBTEST''� _.._.- --�--- ;��---- ..._.. _�__.. ...------ .: :POOC�LECTRIC � � , ,. . ., ,, �, ., .: � � . EXT.LATH/SIDING_. ..-�- -�--- �-._.. i_.... _ .. �-- --. .. _... P.00L FENCING' � � :� � , .;, :. . , �. , � WALL INSULATION ; ' , , POOL' FINAL�� ;: � �".•� � . . � ,. CEILING INSULATION OFF SITE IMPS. ' � ,,�, ; �. DRYWALL NAILING i i DEDICATIONS " . ., + c SEWER... .. ._ _. . � .� _ ..._.._. ._ .. . ..FINAL ENG.. , : . ; � SEPTIC TANK --.:.--- ---. ' - �---.. .:".'.. . LANDSCAPElIRRIG. f , , ' , , . i , . . � � , . � SEEP..PIT/L.L: � --- -. . . . . ... . _..... . :' __I.---.,. --... . ON S,TE IMPS. „ _ i `_ GA5 AIR TEST i - --- --- .. _ - _1 -- — FINAL ZONING �� n . _ . .. ,��-.:,, .��.,� , � �- FINAL�CONST:,_...._ __ . ....._...---- -._. ......__..__.!_..... ...- . FIRE pEPT. FINAL - ' - -- ---- .. _......_. . � , . � --- ----._ _.__.._. .-----.__.._...; . _ .__.- - ., �;,,.�. . i � FINAL EAT NG --�- - -- HEhLTH OEPT. FINAL ::.-. �-;.- FINAL ELECTRIC---- - . _. _ ._�_ ._,_ . _.. . - -pEV. FEES PAID , �,.. �., -< n. ,;, ,, , •,..,: i � FINAL PLUMBING _._. . - _ _ . .- � ENFFIGY--� _ . , ___r i i:; ! I � � �� � � - - - `_" . _:._ .. . , ' ; _ --- ,f.. • :,+C:".U,�C r. .. '_'"',I . . . _- � - I c. 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