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HomeMy WebLinkAbout10471 (5) •i�. ` I� � �� . _. ' ' - C1TY OFDIAMOND BAR COMMUNI7'Y DEVELOPMENT DEPARTMENT _,.c Z��o�.cop��rn���s�;«»o PRESS (909)86a3195 Faz(909)861-31 t7 '""' BUILDING PERMITAPPLICATION FIRMLY a ADDRESS /=� �� �C4',�AdVrJ��= �� DATECATION p 1 NUMB R I,v �P� � APN LOT TRACT ISSUE TYPE OCC � DATE CONST. GROUP p OWNE�Y�G 11 S "' ADDRESS �'- ZONING SETBACKS � Cm, , R� Z�P���KY TEL. ��L?� FRONT RW O APPLICANT 7EL, REAR ❑ � SIDE/SIDE STREET RW O � � CONTRACTOR 4��C �J�nh�M�l SIDE � ❑ Q ADDRESS /! /�- NGTT- - � CITY t�• �tn�1+' Z1P`�'J,_L TEL. `l�'/��1� PROPOSED USE o ARCH/ENG/ z� DESIGNER NO.OWEL NO. NO. a ADDRESS UNITS STOAIES BEdA00MS � CIN ZIP TEL r�i� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLAFATION SFR/ADOrREM O p 1 HEFFBY/,FFIRM UNDEq P[1lAlryOF vENURY 7HAT I.W E7(EMPT FRdA THE C�NTMCTORS L4 Gar�g9!(;9t�Ort W CENSFUW�ORTHEFOLLO`NiNaFlEA30N�5EC.70.11.6BU59JE55AHDVROFE55lONSCWEMlYpTYOH (n U COIMiYWHICHqEd11RE5�VERM1iTOCONSIRUCT,/LTF0.�7HOVE,DE�.�OL�SVIONREVAtRANYSTMIG �,1J P81M/�BCIC � �E PR10R TO ITS ISSUMlCE,N.50 REOUIRE4 TNE J1PM�CAN7 FOq SUCH FERMIT TO FILE A S�GNEO � STATENEN7 THAT HE OR SHE IS LICENSE�PURSUMT TO TFIE PRONSIONS OF TME CONTMClOi14 lF � CENSE lAW(CNAPiER o(COA14fNCM0 N7TH SECTION 70001 OF DMSiON f Of THE BUSINE55 M�PRO- LL PooVSpa FESSpNS COO�Oq iHAT ME OR SFiE 14 E%EMPTTHEREFHOtA AN0 THE BASIS FOR TNE�1LLEGED E%EFIP• VTqN.�MtVqIATiONOFSECT10N7o7f.6BYANYMPIM.ANTFOHAPEfwIT5U8JECT9THEAPPIKANTTO Z Ro-Roof � ACMLOENAL7YOFNOiMORE71iFNFNEMNDRE�DOLUR4(i50o)): � O1�50'NNEROFTHEFhOPERTV,OpMYEA1PLOYEESINTHWAGE5A5THE1R501E001AVENSA710N, ❑ C�mglCi81 ' VALL DO THE NtlRK ANO iHE STRUCNqE 15 NOT INTENDED OR OFFERED fOR SILE ISE4 70r�,&151- J NE39�fA CROFES510N4 ODOE:THE COHiRACTORS IICENSE UW DOE9 NOT APPLY TO AN OWNEN OF � PROpEF1TYNHOBUIDSORIMPROYESTMEREON.�NDYMOD0E95Ua/Y10RKHIMSELfOi1HER5ELFOq � 2 THqOUfi�1M30RNERUMiEMROYEE3.OfqViDEDTMATSUdfMGROYFMENTSIViENOTMEN�EDOq m W OFFEREOFOA4KEIF./qY/EVEitTHEBUitD�NGORIMPHOVEMEMI550lDWIT/11NONEYEAHOFCOMPLE• 0 TpN.iNE OWNER�&HIDER WII.L MAVE iME BURDEN Oi VROY9A31NAT HE OR SHE DID NOT BURD Oq Z wCHOVEFORMEVURPOSEOFS/ilE1 � W OLASONTIEHOFiHEiROPEfliY,AMEJ(CLUSNELYCbMMCTMOWRHLICENSEDCONTMCTOR3 [[ TO CONSTRUCT TNE OROJECT(SEG 7oU,BUSINE55 AND iROfE5410N5 ODDE TME CONTMCTORS Ll- V81U71(Ofl ADJ.AREA W CENSEUWDOESNOTMPLYTOfNdNNEHOFAPROVERTYMRqBVILDSOR�.IFROVESTHEREON.AND � m�000'rtrt,�crsroAsua�vrro.�crswin��mrrta,�croWst���+seoruasuurrrorNecarrtruo pUANTITY DESCRtPTION FEE Y ronsuceNs¢uw�. [L p1AYE%E�PTIAlDEFSEC. B.�CGFOH711ISREFSON � � LL" OATE OWNEfl Z �¢ UCENSED CONTRACTORS DECLARATION W [L IHEREBYAF�IRMlA1DERPENALT'OF7ERA1RViNAiIMIIICENSEDUNDEHCRON4qN50FCM�OTER � � D w l � {- /S (y 9(COMMENC�NONRTMSECTqN70DoiOFDMS�ONlOFTMEBVSINESSMIOPROFE5510NSCO0E,AND Z � W tICENSE 19 NFUII FORCEMID EfFECT. m o ucvasecuss �36 i�c.wo. O � � �' o�tE G�.�+,�(9 7 coNrrucroa a U W � WORKERS'COMPENSATION DECLARATION � N IHEREBYlJiIRMUNDEFGENAL7YOFPERA/R/ONEOFTNEFOILOWRKIOECU�UTON3: � N � _IHAVEANDYMLMAMT.�M�CERT1i1CATEOFCON5E77TTOSEIF�iNSUREFdiNORKERS' GUAOENSATqN,AS OHOVDEO BV SECTION�7o00F THE UBOq CODE,fOR 1HE FERPDRMANCE OL TNE YARK fOR wNN}/TM19 VEPM171315SUE0. W �I HAVE Alq WILL MAINTAM V�qpuERS CdAPENSATqN INSUMNCE,AS RC-0UIRCD BV SECTION QJiOo OF iME UIBOR ODDE FOR iNE CERfOR1AANCE OF THE WORit FOR WN�Q/THIS PERMfT IS � ISSUEO.YIWORKERSCDl1VEN5ATIDNtt�/SU CECARR�ERM1DPOlICYNUMBERME CONSTRUCT�ON CARRIEN�Qf��l1 �4�p�T�' e. PIANREYIEIN � oouCv MndeER/t L.J� 'j�����SL� ELECTRI � (1le55ECI17NNE�rn78Em.aFtma�nEPEfxRstn.awEH)aiEDoouut5(f�aqaalFss! MBIN6 Z ICERTIfYTU1NTNE►ERFORMANCEOFTiEVNFtKFORWHId1T/nSPEMAITI5155UED,1 NICAL C!7 SrU1L NOT EMPIOYAHf iERSON W I1�Y MMa�ER 50 AS TO BEO(MIE SUBJECT TO THE y� �,y Q� � t�oPo(EHSCdIVEN4AT10NUW30FCKIFORHIA,MIOAGREETHATIF15�0U1O8ECOME iNSPEC710NFEE � r d7r ��}'1d � � SUBJECTTOTMEN'ORKERS'COAIPENSATqNFRON5lON90F5ECTI0N]JDOOFTHEI/BOA � � � WOE,I FORTNWITMCOMPLYWITMTqSEP/nJy��sar�s. ISSVANCE I" � � d/ay��7 � ;/uJT� SMfP p DATE: APPIICAHf.� � ENERGYP/C 111�1 7 'f IdQ7 WAroJttJO�FAIURETOSELUAEKdiKERSCd.�PENSATIDNCOVFRApE19UM1�wM.�ND3MALIBE ---m-��r--I-�,� �y A9JECfANEMPLOYERTOCRI4INALPENLLTIE5MI�CNIIFINESUPTOONEHUNDHEDTFqU3NA ENERaYPERMIT ��' � poL1,�R9(t700•000)•N 1�01710N Tolt�E COSiOF COMGENSATqN,DAMAOES AS GROV�DED FOR IN J SECTqN770�OFTMEI.�RCODE,NTERESi,ANOAiTOPo+EY'SFEES. RETENTIONFEE: n� CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFlRA1lRAER0ENI1T1'O�PE0.KIRVTH�iT11FRE19ACON5TPUCiIONLENDMh7A0ENCY � Z FOR THE PEHiO�ANCE Oi TME NOPo(fOF N�N1CM TN�S PERMR�S ISSUED(SEG JOY7,W V.C.�. _ W � LENDER'SN�WE IENDEA'S IDONE55 ICERT�FYTUTINAVEPEADTNI4AVOLIGTION/W�5TI1TETuliT1EABOYEWfOfWA7K'M7ISCORRECT. TOTAL FEES ��� �� � 111GFEETOCOidRYWIfNALLGTYAN000UNT'/OHUVIMICE5AND5TATEUNSRELATIN6iOBU1L0iN0 ' � CONSTRUCTION,ANDMENEB'lAVf1qRIZEREDpESEMATNE50FTNi3CIXMiYTOEMfEFUPONME ABOVE-MEHTICNED VROFERTY fOq INSPECTION WRPOSEA �pMMEMS 9 7: ka c k N ��`.' E��-*� e����I�r 7 � a N 91aNANR�OFPEPM�T�EE DATE / � RECPT.NO. PAID BY VAtlDATION � WH�TE—Department Copy;YELLOW—Fhnnce Copy;PINK—A:seeeor Copy,OOLDENfiOD—File Copy,GREEN—ApplkanYe Copy -T,j w -+. ., , '-' .�v..�� � ... '.� • ._ ._ . . . .. •3`.t: • --._f, � C1TY OF DIr4MOND. RAR. ; , , , � ' - �. . . � --- - .. _ . 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' ' SHOWEFIfUB TEST' -- - -POOL ELECTRIC • - -EXT.LATH/SIDING - -- POOL FENCING - ` ' . � � WALL INSULATION i POOL FINAL - I ' CEILING INSULATION � QFF S17E IMPS. QRYWALL NAILWG DEDICATIONS SEWER , _ ' ' FINAL ENG. _. _ _SEPTIC_TAhdIC - ..-_- -.-- - -- LANDSCAPEl1RRIG. ., � SEEP_PIT/L:L: ' _ - --- -- _ . ON SITE IMPS. , ... GAS AIR TEST ---- - -- - . ..— - FINAL ZONING . , � . : -FINAL-CONST. --- - - _ - --- RNE DEPT. FINAL �FINAL-HEATlNG - - -- ------ -- HEALTN DEPT. FIPJAL , _ - -- _ FINAL�L�CTRIC� - - - � ; , -- ,:�;.� DEV.FEES PAID ; �. . � �WAL PLUMBING - - - - - ENERGY - ° � ' - - - - - . -. ; i•\� �e�l ��:_ � •. . . �- ..�,- ,-,..--.>�._;<--. �----•- - - � t�. .,�..:7�`.f:f�1�" � '� ' 1 _ � � \ , _, , _� ' - _ _ - - ' � , � _ —, _. COMMENTS � i � . . , . , , - - --- - ---- -- - - - ' --- . , . . . � � . _ , ..: - . _ - • L �_, , � � - - ; _ . . _ _ t ;. ::_ . . , . -,,., ,. , � , �`�� , , �i��,t�:\� - � Lvl , } k�4�i ; . . .. . , I _ _ _ i._ . i ' _ ' ' . .. 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