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HomeMy WebLinkAbout13139 ! . .. ... . - �� CITY OF DIAMOND BAR '" -� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � zi�oE.c�i�y n�►��s�c�i90 PRESS '� � (909)8603195 Faa(909)861-3 L 17 '���^� BUII.DING PERMIT APPLICATION FIRMLY N JOBSffE � APPLICATION PERMIT P/C o ADDRESS 21�� E.GO�LPi�y'R, ZS� DATE NUMBER/ 313 A $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GRQUP � OWNER "" ADDRESS ZONING SETBACKS Z CITY ZIP TEL. R�RT RW ❑O g APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR LI IO PE 1� SIDE O � ADDRESS Pa ��.�C 1[�t[�r pROPOSED USE CtTYt"�ME��1��A Zi��Te�e9 fo'1'1 Q I e � ARCH/ENG/ DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OYVNER•BUILDER DECLARATION SFR/ADDIREM O p 1 HfREBV AFF6W WDER PENALTY OF VERAIRY TMAT 1 AA1 E%EIAv7 iRdA TNF CDNTRACTORS LI• G8fag0/C3fp0A W CENSEUWFOHh1EfOLLdMNOREA.ON(SEC.7o�1.6B'JSINESSuIJPROFE5510NSCO0E:ANVqTYOR (n � COUMYNR7CNREOURESAVQWRTOCON6TRUC[N.TER�PROVE,DE40USH,ORREPNflINVSTRUG W patlo/Deck NRE.PRUN TO RS 159t1ANCE.I150 REOUIRES THE APPLICANT FOR SUCM PERMIT TO FILE A SIGNED � STATEMEHT THAT HE OR 6NE 6 LICENSED PURSUl1!(T TO THE CROV4510N5 OF TNE CONTMCTOR9 L4 � CNISE UW(QUiTER Y(COMMENCINO VrtTH SECiION 7000)OF DMSION 7 OFTHE BUSME55 AND PRO- � POOVSpe FE6S10N5 COOE)OR 111AT ME OR SHE IS E](EMPT TMEREFROM AND iHE BA515 FOR THE/�LlEOED El(EMV• TION.ANYVIOIATIDNOFbECT10N70�1.6BYAHYAPPLICAHTFORAiERYITSUBIECTSTHEAPPIiGNiTO z Re�Roo1 � A CML PENAL7Y OF NOT MORE 7NAN FNE 1M1INDRED DOILARS(f5a0).1: � OLA+��EROFTHEPROPERTY,ORMYEMPLOYEESWITHWACESASTHEIRSOLECOMPENSATION, � �mmerclal � IM�LL DO THE YIORK,MA iHE STAUGT/RE IS NOT INTE�AED OFt OFfERED fOR SALE(SEC.7Da1,BU51� J � HESS NID PNOfE55iON3 O70E:TME CONTRACTOFS LICENSE UW OOES NOT�PVLY TO/VI OWNER Of � i110PE1ITY M1110 BULDS OR IIAPROVES TMEREON,ANO NMO OOES SUpI YIOFiN HIMSELF OR MERSELF OR ([ iNi10UONMISORHENOYVI1EYPlOYEES.VROVIDEDTMl1T5UG1MPROVEMEMSARENOTMENOEDOR m L�1 OFFERED FOR SALE IF,/IOWEVER7l/E BUIDP.IQ OR IMPROVEYENT IS SOID WIMN ONE YEAR OFCOYGLE• Z TqN,THE OVMER-BUIIDER WILLHAVE iME BURDEN OF VROViNO THAT HE OR SME DID NOT BUILD OR � MPROVE FOH ME PURPOSE OF SKEI O 4��N�IER OF THE iR07ERTY,IW IXCLUSIVELY CONTiUCTINO YA7//LICENSCD CDNTMCTORS TO CONSTRUCf THE Pf10JCCT(SEC.7011.BUSINE55 MID Yf10FES510NS CODE:T11E GONTMCTORS U• ValUBIIOfl ADJ.AREA CEIISE UW DOEB NOT MPLY TOIW OM'NEN Oi A VHOPEHTY IMiO BU6D5 OR 0.1PHOVES iHEREON.AND � W1qCOMMCTSFORSUd1VFiOJECTSYATHACONTMCTORISIUCENSEDPUHSUM(TTOh1ECONTMG QUMlTIN OESCRIPTION FEE � TORS LICENSE UW�. O 1 AM EXEMPT UhUEH SEG B.L P.0 fOR TMIS REASON U Q LL' DATE ONMER �' � W LICENSED CONTRACTORS DECLAAATION � � w INEREBYAFFIPMUNDERPENALTYOFVE0.IURYTHATIiWLKENSEDUNDERPROVISIONSOFCHAPTER Z A '�� � •�CIIMMENCHO YYIiH SECTION 7000)OF DMSION]OF THE BUSINC54 FN�VROFESSiONS COOC,AND X W LICENSE IS W FlAL FONCE Ah9 EFFEGT. � ��/ LL /A ►V � LICENSEClA55 G� '+� LIC.NO. �d� � �j o�re " corrrw�c�ri� 1.11 a w W �j0 � � WORKERS'COMPENSATION DECLARATIO�� a � U � IHEREBVAFFlRMUNDERPENALTVOFPER1UpYdJEOFTHEFOLLOWINGDECLA TION Z Q 0 _INAVEANDWILLMAMA1NAGEiiTIFICATEOFGONSEMTOSELF•INSUR[FOR FKERS S � COYPENSATqN.ASPROV10EDBYSECT1ON17ooOFTHEU00RC�DE,FOi1TNEVERFORMANLE W OFTIE VNDRK FOR WHICH TXIS VEiW IT IS ISSUED. � � .�I MAYE 11H0 YYILL MAIHTAN WOR!(ERS'COr.�PEN5AT10N INSURANCE,A$PEW:RED BY SECT Q �1000Fi{1EL/BORCOOE.FOfiTMEPERPDRM�NCEOFiH[WOANfORWHI(,71TMISPER � � ISSUED.WWORKEFSGOYCENSATIDNINSU_R`ANCEUi1RIERANOVOLICY IADEjk�E�J�' CONSTRUCTION � CAfiWER � ^n � PLAN REVIEv! � POLICYMIMBER — a ELE� p (M16SEC1fOHrEIDNOTB[Od.HETID0i71EiEFM+TBPofiCh'E1A1�Di�iDOaLIfSR•�) t[SS? PLUMBING W MECHANICAL Z IC[RTIF`/T1UTPITIEVEHF011A1ANCEOFiNEWORKFORK'Hip1THi5PEWdITISI55U[D,1 ('� SWLLLNOTEMPLOYN/YiER50NN/V1'lMIN1ERSO�STOBECO��[SUBJECTTOlHE N WORKE0.5'CpAPEN5AT10NUW50FCALIFORNI/�IINOAOREETHATIFISHOUIDBECOME IN CTIONFEE S SUBJEC770THEri0RKER5'CO�.�FENSATqNVROY1510N50FSECT10N770oOFTHEIABOR aoE.i s u�cortnnnni eaur�rvnn�n�os¢rAo�s or+ ISSUANCE � p A 5 • p DATE: '`�`L AiPLICANT: - . . � WARNIN6:FIJLUHETOSECUREXORKER5COMPENSATONCOVEHOEISU WFUL.71M75H�LLBE ENERGYP/C .N,i���,;p � � SUBJECTMIEMGIOVER70CWYR1AL7ENALTIESANDC OON UN�REDTHOUSAND ENERGYPERMIT DOlLM5lttoo,oao),NADDI710NTOTHECOSTOFC011 SASPROVIDEDFORIN w ¢ SECTION7700OFiMELADOA00DE,M7EFlE5T,INDATfOiWEY'SFEES. RETENTIONFEE: �� ��C�t I' oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: R�jll' � IHER[BYAFFIRAIUNDERPENALTYOFPEMIRYTHATTNEREISACONSTRUCTIONLENDIN�ACENCY n- FORTHE VEIiFORMMKE OFTME WOPX FOR WH�p1TMIS 7ERA/R I5155UED(SEG'foa7,CIV.G�. � LENOERSNAGIE //� � IENDERSADORE55 w ICEflTIFYTUTIFUVEREAO7H�5�7R.�CATIONANOSTATEl11ATTMEABOVENFOHAIATIDHISWFRECT. TOTAL FEES � IAGHEETOCO/.�PL�M7TMALLCfTYIN�GOUNTYORDINANCE5AND3TATEUINSHMTWOTOBUL01N0 CONSTRUCTqN,/lA HEREBY AUTII�RIZE REPRESEMATIVES OF iHiS GWNTY TO EHTER UPON TME � ABOVEdAENTqNE0�1i0PER7YFORINSiECT10NPUHPOSES. COMMENTS � O Q m ��►�� _ E�'F T� PERMfTTEE � Q � SIGNAiU EE DAT� � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy.YELLOW–finance Gopy.PINK—Asseesor Capy,GOLDENROO—File Copy,GREEN—ApplicanPs Copy ... . , .._. _ , . . .. .. . . ..... .. ... ... __ . .. .,_ .� ..�:. „. . , . .. ••,�• , - . , • � : .. , , . ,- .. . CITY OF DI�►MO��D BAR �� ' � . 1��SPECTiO« RECORD ' : . . , ; ,r..� .__.._._._._�_.._,, - �,.��.K,1��i l.E l�i�=��':�B I c��.�..�.._...:t..._._.�. C= mm�l►�y. � �,_1�� �'. ..:.�E��=��a c_�:�•I��}►���� �I:��'.� �►��-�:� �"R��._� .._.. ...w.r r���� `�_.._, _..,..�_ ����`�. �.. ........ SET BACK . � � • , �� � FLO��,.J,CIST;;' �� , � , - i-„�—t�d_;}._Y"�-.}�---:"—.-��i`-s-i� FTGS.�FORr:^S,�STEEL , � ,, FHA REQ�•:1TS � ' � � ELECTFifC GROUNQ ' _ ' . ' UNDER FLOOR DUCT , • GRdUND PLU�^31NG I UNDER FLOOR CUi�IDUIT �SLAB GRADE I FIREPLACE FOUPJDATIOPJ TEh1P PG�NER FIREPLACE BOND BEAh�1 � . WATFR SERVICE h11D HT.BOha L?[Nf:",�'�d � •_w� ,��'�}•�1,,(1 1�Y;,; � ,ROOF SHEATHING � 8 F7. ECa� � PA. ' ��••t � �� _� i . � `FRA^.11NGNENTILIATION FINAL BOND B�AM}�{ �'� � �-�— ^��a���j-����• ROOF COVER PRE-GRADING ROUGH H�ATIN3 - 6ENCHING ' ROUGH ELECTRIC FiDUGH GRADiNG - f��UGH PLUP.1BING �yly i � r � 'FINISH GRADING � SFiOWER.rT'UB TEST - � POOL ELECTRIC ' EXT. Ll1TH!SIDING POOL FENCING � b.'ALL ItiSUlATiO^1 POOL FIfJAL � 'CcILI�JG INSULATIOP4 OFF SITE IMPS. � • DRY4Vr;L.L f•:AILIfVC, DEDICATIONS � • S�\�J�� FINAL EPJG. SEPTIC TAtdt: IANDSCAPE/IRRIG. ( � SEEP P1T1L.L. � ON SITE Ih1PS. GAS F+IR TEST � � FINAL ZONI�:G FI"JAL COfdST. FIRE DEPT. FIN�L �_ , Fii•:AL h��ATii,IG � . � fiEALTH DEPT. FI1J.nL � i - — • — (-iCJAL ELECTRIC I � � DEV. FEES ?A!� _�_ . _ . I ?=i'J,���-f'LU"�!BIPJu I���, � EhJERGY --. - ------- .i � ''�:l � I �--, � 1-�-:---��'l--�`1 ��-,.,..�--�-,�-.,.,-R� - - ---,�;. � . . _ . I. .. � r ..1► `t' p�*.�,j li't'._.._ _�--, #� �- t��� • � . -��r*.:�.,i...� _�: `� , � � �.��;����:,� ,::� � r::.;: .— J..�..�-.. _� .. . --r---- --------- � -- -- - - -. --- -- - -- ---�--- -...__. __.�:.. . __ - ,�. ���V,,;�iEPJTS �+ ;�• � . . ��_� � � : ' 1 r-� . .�' � , ( � 1 , .i� '.j.:`.j �.i; I�:j.. ! _ _ �?�-- .-1-;—l-3�-i-�- . - .. • � . �" � � ' � -- , ; . .. , _. • --..'_ .�'_ r•' _ _' .`_— i'��:�!—` . 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