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HomeMy WebLinkAbout11330 (5) 1 - - CITY OF DIAMOND BAR COMMUNITY DEVELOPMGNT DEPARTMENT w� 21660 E.Copley Drive Suite 190 pRES+S (909)860-3195 Fax(909)861-3117 '^"I UILDING PERMITAPPLICAT[ON FIRMLY � J08SITE � APPLICATION �"� u PERMIT P/C o ADDRESS DATE v NUMBER ��✓ It $ ISSUE TYPE aCC APN wLO`T�y TRAG DATE CONST. GROUP p OWNE������� "" ADDRESS . �y 1 ZONING SETBACKS Z �m, Z�P FRONT RW O g APPL�CANT TEL. REAR ❑ � , SIDElSIDE STREET RW O CONTRACTO �� SIDE p ADDRES PROPOSED USE � � �' � CITY � ZIP TEL . w ARC NG/ 3���3 � DESIGNER NO.DWEL NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.Ff. FACTOR PSF • ADJ.AREANALUATION m � OWNER-BL'ILOER DECLARATION SFFVADOAiEM O W CENSEI.�WFORATNE�FdlOW�NUREA50N(SEG70.75 U4NE SMAYROFES�SIIXJ4�uJYE IXTYOR GaI9f)B/Ca1p011 � � � C� OpJNT'VMIp1RE0U�RESAPERMRTOCON3TAVCT.IITER,IMOF�VE,pEMOUSN,ORHE�AIRANYSTHUG W P8(Ip�DBCk . � TU11E,PRqq TO tt4155UANCE.I150 REW IRES THE�70L1CANT FOq SUC110EPMR TO FILE A SIGNED W � S7ATEMENT TXAT HE OR SHE IS LICENSED PURSUMIT TO TNE 7RONSION9 OF iHE CONTMLTOR3 LF � CENSE UW(WAVTER/(COMMENCMO M91N SECTION 7oDo)OFDMSqN!Of TME��NE54 nM1 GRd � P��Pe � FE55qN5tOD�ORTFUTXEOR5HEI5E%Eu7771�EREFiWMNiDTMEB�515PoRTHEALLFGEDE%EIIV• TqN.ANYVIOIATIONOf3ECT10H7o71.6BYANY110PLICANTFORAPE��75UeJECT4TNE11PPt1CAN7T0 Z Ro-Roo1 F �GVIL DENALlV OF NOT MOHETHMI iNE MM�RED DOLUAS(isool-k � ❑IASOYMEROFiMEPROPERTY,ORYYEMGLOYEESWITHWA0E3�4TNEIR30L.ECOMVENSA7pN, � �merdal z WILLDO iNE NOfiK.M!D THE STRl1CTURE IS NOt IMENDEO ON OFFENEO iOR SIlE(SFC.76u,BU54 J NE54 AND PFqFE53lON4 CODE:i11E CDNTMCTOPS UCENSE UW OOES NOTAPPIY TO!JI OWNER OF � PAOPERIYM'F�OBUlD30RIMPIWYESiMEAEON.AND4N1000E85Up1NORKHIMSELFOqHERSELFOR � � THqpUGHH150fiMERONRlEUPLOYFE9.DROVI0E�T11AT51X71lAVROVEMENTSMENOTMENOEDOR m . OOfFEREDFOR4AlE1F,/qV1EVERTMEBURDINGORNAPiWVEMEMI550LDVATHINONEYEAROFCdAPLE- Z TqN,THE OWMER-BVILDER WRL/UVE TNE BURDEN OF PRW'MM TFLLT HE OR 3ME O�D NOT BV�ID OA = CaGROVEFOHTHEPURPO5EOF3►LEl w �4A40NMEROFTNECFOPERTV,WEX0.USNELYCONTMCTRION�THLICENSmGONiRACTOR4 Q TO CDNSTRUCT TIE ORDJECT(SEC.7W1.BUSINE55 AND PROFf5510N9 CODE:TME CONTMLTOR3l1- VaIUBS� ADJ.AREA W LENSEUWDOEJNOTAPPLYTOANONMEiIOfAPf70PERTVWNOBV�tDSORMPROYE4TNEREON,/ND � wraoonrcrucrsronsua�vra�crsxnnuca+raacloats)i�sEor�nsuurrrornecarrruc pUAM1TY DESCRIPTION FEE rau ucENse uw I. � O��E%EMPi UHDER SE0. 8.t P.G FON THIS REASOH U � � a u' DATE ��p V . W � �Q UCENSED CONTRACTORS DECLARATION W _ [L INEREBYAFFIRMUHDEHGEN�ITYOFVERA/RYTF1Ai�1WlICENSEDUNDERPROVIS�DN40FC�UVTER � \ � �A � d �(COMMENCMJOWITHSECTqN70a0)OGDN�SIONJOFTMEBVSINE59/W�PROFESSpNSCOOENA z V � � W LICE*r5E H P/Ml FORCE IJVD EFiECT. m ' ..., � � rL .- G -..._..—.. _ � - — - ' -- , '• �..' •-- � �,��SE� - 2 �.�. �9 �_ J , V DATE ca�trrucra� a , W $31� � WORKERS'COMPENSATION pECLAFiAT10N � � IHEREBYAiFIRMUNDERCENALTYOFPERMIYONEOFTHEFOlLON4NODECLMl1TKW4: U C� Q � I NAVE uA Wrt1 MAMTlIR7�CEFmi1CATE OF CONSENf TO SFIF�MSUAE fOR NORKERS = � COMPENSAiqH,A3 PR0\'TED B�SECTCN 7'�0o OF TNE V80R CODE,FOIi THE PERFOpuM10E W OF THE YVORK FOR WH�CFI TH�3 PERMIT 19145UE0. � d W _IHAVEPI�AWILLMABlTAMWORr(ERSLOMPEN4ATqNttiSURANCE,ASREQnREDBY5ECT10N Q ]too OF 7ME UBORc�,FOR TME PERFONAANCE Of TXE NVAK F�N WNICH iMS PERfJIT IS asueo.w w� Scouv S�TIONINS M�II!'ECAN/RiFN�p�p vaicrnnnaeEAraE CONSTRUCTION jGRRfER `^ PLAN REVIEW � POLICYAR11J0ER� ELECTRIC � �ncssEcnonr�ra7eea�.stt�Enaane�ratr5wnar+eNu�noatusR+avrontFss, MBINC3 Z ICERTIiYTHAtN7HEPERFORMANCEOiiHEYARKFORWHIdITMISPERAlITI5I55VED,1 MECHANICAL (�} SHALL NOT EAIPLOY ANY PERSON C�hN'!MANNER 50 AS TO BECOUE SUBJECT TO TME __ . - � wORKERSCOMPENSATiONUw90FCALIFOR�A,N10AGaEETUTIFISMVtDBECOME tNSPECTIONFEE /�i SUBIEC�TOTNENOFKERS'CdAVENSATIIXiPROVI5IONSOFSECTqN77000iTNEVBOR �SSUANCE �J� S CODE.ISMhLLFORTMVITICOMPIYNnTHTF105EPROV1510N4. 0 SMIP ^ p�}�: 11PPLICANT: � ENERCaY P!C WMNiNO:iAILURE TO SECURE Y�OWCERS COMFENSATqN COVERAGE IS UNUwFU.�HD SHAl1-BE � SUBJECTANE�.�ROYERTOCRA/NILPEN/U.TIESMIDCMLFMlESUPTOONE/MAfiED7NU1SAN0 ENERGYPERMIT OCLURS(5100,000�.N AWITION TO TNE COSi OF COMPENSAiqN,O/�AIACES A4 iROViDED FOR IN J SECTqN77oeOF1MEUBOACODE,INTERE4T,lNDAT70RNEY'SfEES. RETEN110NFEE: � � -- � p� CONSTFUCTION LEND�NO AGENCY PRE•ALT FEE: � IHEREBYAFFlRMUNDERPENAITYOFPEaM11RVTUTTMERE15ACON5TiiUCTIONtEND9J0AGENLY � Fdi iHE iERPoRM�VlCE OF 7ME WOfiK fOR WMIQI TH�S PERM�T IS ISSUE�(SEC.7o97.CIV.C.� � � IENDER'9 NNAE F— IENDER'SNDDPESS � ICERTIFTTMATINAVEREhDTM�AiVL�UT�d7M7DSTATETHATTHEABOVENFORMATIONISCO�NECT. TOTAL FEES �C � IM,REETOCOMPIN�NTNALLC1iNAND�IM��ORDRIMICES�NOSTATEUNSNEUlTa7a709U4011q GONSTHUC710N.AND NEREBYAUTFIDRRE REPRESEN7ATIVES OF 7H13 CAVHTY TO EMER UPON THE �-�, �BOVEdAENfqNE�PROOERiYFORINSPECTqNPURV04E4. COMMENTS � S s aocro�cE owu� N y S F OA E � HECPT.NO. PAIp BY VALIOATION � HI —AepaRmenl Copy.YELLO n nea Copy,PINK—Assessa(:opy.GOLOENROO--FIIe Cop�.GREEN—AppllcenYe Copy 'C� � . . ".' . .. ,_ . . . �.. . . . . . ._ . •1i i �.i � . . ;�-. :,�.. :..-�. , . �. . . ..... �- _ `.-�'.._':� .' . . ", . ��- � - � CITY OF DIAfVIOND t3AR ','�;: ��,: �`. � _ ' ' - - , IfVSPEC7'IOf� RE�DRI? .;;;:,: . 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PRE-GRADING -_. , , . _ ____. _ ROUGH HEATING -'= ,'-- -J � -` '' '- BENCHING - _ _ __-----. ROUGH E�EGTRIC --- - � � � � - � ROUGH GRADING , �ROUGH PLUMBING - - ' FINISH GRADING .'` � SHOWER/TUB TEST, - - --- - -- - - POOL ELECTRIC : . . -EXT:CATH/SIDING - _ - - - - - -- , _.__. . _ POOL FENCING _,. ,. ,. . � , . WALL INSULATION POOL FINAL � " ' , , . .. � CEILING INSULATIDN OFF SITE IFJIPS. ' • " � ; DRYWALL NAILING � DEDICATIONS i : SEWER ' FINAI ENG. - SEPTICTANK- _- - - .'_` LANDSCAPE/IRRIG. ' ' ' SEEP_PIT/L.L .. ._ - ' "' ON SITE IMPS. " , GAS AIR TEST.:--=� '= �� -' • ,r I _•'_ . - -FINAL ZONING � � FINAL CONST. - , --- ; - : - -- - FIRE DEPT, FINAL . � FINkL HEATING � +, � �-- -�--� � - HEALTH DEPT:FINAL : � �- -- , . ' FINAL ELECTRIC" '• , ;, � •' ' � - -- DEV.FEES PAID. . , ; FINAL PLUh181NG� -. 1��_� . �.- _ ENERGY ,- � ,� .-I ; . 1 I _1 . �� ��� . . . ._� j � . , . , . . � , _ ... , _ , ! . - .. -- . . . --i•r-� r-.cr-:sr�_:__"'„_�__"'.... , ' v , � ` . 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