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HomeMy WebLinkAbout18269 (19) � - CITY OF DIAMOND BAR COMMUNTTY DEVELOPMENT DEPARTMENT �,..e 21660 E.Copley Drive Suitc 190, ' PRESS (909)8643I95 Fax(909)861-3117 '�"� BUILDING PERMIT APPLICATION FIRM LY o ADDRESS I I �� G�IS p L jV1 �"�i L— ,O - DATE CATIO��Z NUMBER ��C.� 1 N/C � �ssue -�J TVPE occ APN ' L T T DATE- l — .3 — D Z CONST. GROUP p OWNER � ADDR SS ZONING SETBACKS � CITY � ZIP TEL �' REAR RW ❑ APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACT R SIDE ❑ ADORE S PROPOSE�USE v '�N�� � CITY ZIP��. TEL � '— � o ARCFVENG/ � DESICaNER NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION � Q OWNER-BCILDER DECLARATION SFR/ADDlHEM O p �HEREBY PfFlWd UHDEH PElULTY OF FE0.AIRV TW�T 1 AM E%EMPT FHOr1 TME COMMCTONS lL GerepelCarpon . . W CENSEUWFORTHEFdlOWN�GHEA50N(3EG.7M111•6BUSINE53M10FROFESSIONSCOOE:AHYCrtYOR (n � WUNTtN7/1Q1RE0U1RE5APEPMITTO00N5TRUGT,ILTER�PFqVE.DEMOUSM,diREPNRM(YSiM1C �W PatiolDeck TURE.PRqR TO RS ISSUANCE.AL50 NEWII�S THE AVPLIGNT FOR SUGT1 PERMIT TO F0.E A S1�NE0 � STATEMENT THAi HE OR SHE IS UCENSED PURSUANT TO TNE VROYISIONS OF 1HE CONTRACTORS lF . � CENSE UW(�PiEP O(CDIWENLHO N1TH SECTpN 7000)OF DIVISION�OF THE BUSMIESS AND iR0 � P��SW FESSqNS OO�E)OR TMA7HE OR SHE IS EItEYPT iHEFEFH0IJ AND THE BA513 FOiI THE ALLEOED EXEW TION.ANVViOlA710NOFbECTION7o]t.6BYANYAPiUCANTF011AiEiW1TSUBJECTSTHEAV7LICMITTO Z Re-Roo1 F A CIYIL PENALTY OF HOT IAORE T1AN FNE HUNDRED DOLLMS(f5u01.r � QI,ASOWNEROfTHE7ROGERTY.ORMYEMGLOYEE5W1iHWAfiESASTHE1RSOlECOMPENSATqN, � COR11119(C�l1 � � MAIL DO iHE WOfK ANO TME STRUCTURE IS NOT INTENDEO OR OFFEREO FOR SALE(SEC.7oa1.BUSF J NE55 AND PROFESSIONS CO�E:THE CONTMCTORS IJCENSE UW DOES NOT APPLY TO AN OMMER OF N VHOPERTYYYHOBU�SORWPiqVESTHERE0N,N10N?qDOESSUCMWONNHNASELFORHERSEIFOR m � [L THROUGHHIS011FIEROWNEYPLOYEES.VROVIDEDTHATSUp111AVROVEMENfSARENOTWTENDEDOR. � OFfEREDiOR4ALEF.IqNIEVE0.1HEB1Al➢VXSORMPf10VEYEM650LDW1TINJONEYEAROFCdAPIF- � Z T10N.iHE OWNER-BUILDER 1MLL HAVE iHE BUi�EN OF ONOVIN�THAi HE OR SHE OD I/OT BUIID Oq� . = WPROVEiORTHEPURPO5EOF3ALE� � O I,AS OWNER OF TNE PNOPEHTY.M1 E7fGlU5NELY CONTMGiNG WITM 110ENSED COMMCTOR9 ¢ TO CONS7RUCT TNE iRQIECf(SFG.7o1s,BUSINESS AND►ROFESSIdiS CODE i17E CONTRACTORS LF V�N9Ii0f1 ADJ.AflEA W CEHSEUM�DOESNO7MPL`ITOANOMmEROFAPROPEHTVYA108UlDSORWPRDVESiHEREON,ANO � YIIiOCOHTMCTSFORSUp1VRQlECTSYATNACONiMCTOfyS)LICENSEOPURSUANT70THECONTRAG OUANTIN DESCRIPTION FEE � TORSUCENSEUWJ. . . �J � O 1 MI IXEMPT UNDER SEC. B.l P.C.FOR THIS REASON a 3 �' � wre owrrea � U - QUCENSED CONTRACTORS DECUFiATION W - - • , [C INEHEBVAFFIIWUNDEROENALTYOFVEiUURVTHATIAAIL�CENSEDUOENOROVI510NSOFCIUPTER � p„ 9(OOAw1ENCYKIWIMSECTION)0oo)OfDM510N]OFTHEBUS�NESS/WDVROFESSqNSCOOE.ANO z �X W UGENSE IS IN NLL FORCE ANO EFGECT. I� [7� c m � UCENSE CUSS ' C� LIC.NO. CJ O�b �J � V DATE CONTMCTOR a W � WORKERS'COMPENSATION DECLARATION U � ' N IHEREBYAFFlRMUN�EHPENALTYOFVEiWRYONEOFTHEFOLL0IMNODECtAMTqNS: G ("r'�S� N � v — — � _IWNEANDWILLYAINTNNAtERTIFICATEOfCONSEMTOSELFJNSUPEFORWORKERS' � COMPEH5+1T10H,ASPfbVIDE0BY5ECT10N77000fTHELFBORCODE.FORTHEPERFORMANCE w OF iME WOPoC FOH WNICM MIS VERMR�S ISSUED. � � 1 HI1VE ANU Wlll YAMAIN WORNE0.S'Q']IA7ENSA710N INSURANCE,AS RFOIMED BY SECTIDN Q �700 0F iHE IABOR COOE,FOR THE PERFORMMlCE OF THE YlORK FOR WHICN THIS VEWAR IS � �ssueo.u�rwonKeit���s��Nawc-q�r� �L�{NS�wE�. PLANREVIEIHON � N F�' CARfllER.1. � YOLICY Nl1M6ER O ELECTRIC Q � (1fCSSEeT�oNrFIDwi8Eool�qEI�OF7�EPEaARisfOaotrElLfOi1�ED00.WlSR�ao�dtlE56l PLUMBING Z ICEHTIFYTHATNTHEPERFORM/NCEOFTHEWC%1KFOflNM1CMTMSPFRA1RI5155UED,1 MECHANICAL f L�.j� C7 SHALLNOTEMPLOYANYiER50NWANYMAINERSOA9TOBECOMESU&IEGTTOTHE uJ WOR1cER5'LDAIPENSATIONUWSOFCALIFORHIAANDAGREETHATIFISMOULDBECOME INSPECTIONFEE S SUBIECTTOTHE WORKE0.5'COMPENSATION OROVISIONS Of SECTION�700 0F TNE IABOR cooE.iswutFoanr+nn�caav�rwin�nasEvaowsia+s. ISSUANCE •� � SMIP p OATE: APRICANL � ENERGY P!C WARNINfl:FAILURE TO SECURE WOR1fER5 COMOENSATION CDVERA6E LS UNUNFU.AND SHALLBE � 6UBJECTANEMPWYERTOCRMWLPENALTIESANDCMLFNESUPMONEHl1/DREDTHOU5AN0 ENEfiGYPERMIT DOILARS(f 100,aoo),N ADORION TO THE COST Oi COAIPENSATION,O�MACES IlS PROVIDED FOR W J bECTi0Ni70�OFMELABDHCOOE.NTEi1E5T,M10ATTORNEY'9FEE4. RETENTIONFEE: � •�� � CONSTRUCTION LENDING AGENCY pRE•ALT FEE: � IHEPEBYAFFWYUNOER►ENKTYOFFE0.RIRMMATTMEREISACONSiRUCT10HLENDINaACENCY Z fOR TNE PERiORMANCE OF ME WOMC FOR W111CH hu9 VERMIT IS ISSVED(SE0.f0a7.GN.GJ. W � � LENDERS NANE � IEHDER5A�ORE55� � W r�rnuri REAO MPLICATDNANOSTATETMATTHEADOVEWFOWAATIONISCORRECL TOTAL FEES $,�O a i�o E To cou n� ua cou+rr ono�wwces u+o sr�Te uws r�un+o To eua�irxi RUCTION, HE AUT110Po2EREPRESEHiATNE50FiMI5COUNTYTOEMERUPONi1�E S� �11E FOR WSPECTION WRPOSES. COMMENTS � � S� � S 4 TT NAUE(P�I A �n er .� , ri7 „�� � aKiIY�NNEOFPERMITfEE �TE � RECPT.NO. PNO BY VAUDATION . WMITE—D�Mnment Copy,YELLOW—Fnanca Gapy.PINK—Aassaar Copy.OOLDENROD—Flk Copy.f9REEN—Applkern'e Copy . . ..._. � �.l.l� .. . .� �.l'.� .... - � 1 . r.��''! l� r. • • • �. .. ..i� , . . .y,:: �. ' _l'' ` ,'�/4.. .. ,�`. • Ci�� o� D�/r'���0�1��,.,�'+t'i '�i . 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FIREPLACE 80rJD BEAM :� �_ ; ; ;-.� �^ , ;:. - � ,. �:'ATER SERVIGE�=`-`-- '• , ., - ,,. . P�11D HT.B�NQ BE �M � , -- --• '. _ _ _ _ ' . ! ' __ _ .. . . _ � . , . , . , ' . �.;. R�OF SHEATHiNG - - -__ _.. _._- � - 8 FT.BOND BEAM � • ,. � . , � � ; � . , , , FRAMINGNENtILIATION _ `_' ' ' �FINAL BOND BEAh4- --��- -- " ---- , . --.•, I � ; . _ --- ROOF=COVER ---- -- -- -- ----- --- �- -- - RRE-GRADING_ _- -' ' - - ` � -- -- - ..__ - ����� i ; , . . �_ -- _ __ _- ----- ------ -� -_ �ftOJGFt HEA71�.G -,_ '. '=::___ __ � - ' '- BENCHING - ,,..- , ( ' R�UG4-F EtECTRIC__ _.__ ._---- --_ _ . _ ._._ . =- - -ROUGH GRADING , � �: ROUG1i f LtJt�'E31"dG ,--- -- --___ -- - , . -- _ F�NISH.�RADINu � , . ' ; , . ; . : SHOti'JEf3/TUB TEST '.-- - _ --- - _ __ _- - .. - . POOC ELECTRIC . � � , � . "EXT.Ll�TH/SIDIT��G--- .._. . _ --;__-_ -. __ ___ , P+�OL FENCIP�G ' .. _'_ , . � � . �"�'ALL INSULf1TION . .___ __ _ _. FOOL FINAL ,�, ,; , i ,_ CEILING INSULATION � OFF SITE IMPS., ' ` ' ; � � DRYWALL NAILING DEOICA710"JS " ' � -� � , : SEWER -- - ----� - ----- -- '- - _ ' __ _ . _._ FINAL ENG. , . . . ; : � ' ,,� LANDSCAPE/I(�RIG.', , ', . , � SEP7JCTANI. _-_- -___. . " „ _ _. - - SEEP_P1TlLL: '- --- ___ _. _ __ . ._ _- ' - -.: i--- ,.. : ONSITEIMPS. . . ,�;: . , ,- ; -� GIIS A1R TEST- -.--- -'---- - - F1f dAL ZONING '; , ,. , " FIPSAL CONST . .___ _ _ � __ . -FIRE DEPT.FIPdAL � _ _ _ _ _ _ F�f�lAl.HEAi"IrdG-- - - ! �yf�--- _ _ _HEALTH DEPT. FIPJAL ;_ _ � _ ---- --. _ �, ., /�a / _ � - �. � -, � ` � FfP4At ELECTRiC-- - - �f- . __ .-- _ _ OEV. 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