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HomeMy WebLinkAbout13345 (17) CITY OF DIAMOND BAR �� �� � ,, DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,w 21660E.CoplcyDsiveSuite190 (909)86(1-3195 Fax(909)861-3117 PRESS �'��'� BUII.DINC PERMIT APPLTCATION FIRMLY 4 DDRESS � �� G APPLICATION _ _C� PERMIT I �Z p/C o DATE � NUMBER �� $ ISSUE TYPE OCC APN T TRAC7 DATE CONST. GROUP � OWNER p ADDRESS Q '� d� ZONING SETBACKS W CITY N"Q. ZIP � / TEL 0 FRONT RW ❑ � APPLICANT M 1 K G' fh.I�t�'�1^ TEL. Z c+ 4�' R�p � � SIDFJSIDE STREE7 RW ❑ CONTRACTOR �P,t SIDE ❑�Y, ADDRESS g CfTY .�Ri91+�/n�"ZIP `��-'��jTEL s'Zo2S�� U PROPOSED USE oARCH/ENG/ -� � DESIGNER (/i� �Q�D NO.DWEL. NO. - O. . AODRESS f UNITS STORIES BEDROOMS � CfTY 21P EL O [k7 � u� DESCRIPTION S�.FT. FAC70R PSF ADJ.AREANALUATION Q OWNER�BUILDEH DECLARATION SFR/ADD/REM O p 1 HENEBY AFFlRM UNDER iENILLT'OF iEFWRV THAT 1 MI IXEMPT FRdA 7HE CONTRAC70R5 LI• Ga�gge/C01p0A � tENSEUWFORTNEFOl10WN�AG50N�SEC7071.68U51NES5ANDGHOFESSION5C00E:ANYCITYOR (n OOUHTYWMICMREOUWESAPEHYRTOCONSTHUCf.K7Eft�PFlOVE.DCMOLISM.ORRE7tiAAN'/SiRUC• W PatiolDedc iUiiE.PRIOR TO ITS 455UANCE,A{,50 REWIilES TM[MPL�CM7T FOR SUCF1 PERMIT i0 FRE A 6iGNED W STATEMENT TW17 ME OR SHE R LILENSEO VURSUANT TO TNE PROVISIONS OF THE LONTRACTORS LI• � CEH6E UW(CNAPTER 0(COMMENCWO YA7H SECT�ON 7000)OF DNISION�OF TME BUSME55 ANO FRO- � PooVSpa iE5510NSCOOE)ORiF1ATHEOfl5HEI5E%EAIPTiHEPEFROMAN�7NEB/�SISFORTHEALLEGEDEXEI.IP- (� TION.AN'lVIOlAT10NOF5EGTION7W1.68YANVAPPLIG�NfFOFiAVENMITSIAJECiSTMEMPUGW�TO Z Re-Rool � ACMlVE1U17VOFNOTMOqETHINiNENUHDREODOLLA0.5�f5no).X � 0�I�40WNEROFiM[PROPERTY,ORMYEMPLOYEESY/ITMWAOESAShIEIRSOLECOMPENSA7qN, CpmmBrCi81 � WILL DO TME M/OR1(ANO THE STRIICTUiiE IS NOT INiENDED OR OFFERED FOR SAI.E ISEC.)at,BUSL � N NE55 MO iROFE5510N3 CODE:THE CONTMCfORS�ICENSE Uw OOES NO7 APPLY 70 AN ONTiER OF � VNOCEFfV NMq BULDS Oq R1PROyE41NEqEON./WD YAq OOE4 SUCN WORK Mt1.�ELF OR HENSEIF OR (L TNRIXI(YINISORM[ROVMEMVLpYEES,VROVIDEDTWlTSUCMIAIPROYEMEHTSARENOTPlTENDEDOR m � OFF6iEDFOq3ALE6.FiDWEVERMEBULDItAOR14PROVEb1EMIS50LDYrtiHINONEYFAROFCOMPLE- Z �TION.TME OM/NER-0UM1OER MALL NAYE T17E BUHOEN OF PROVINO iMAT ME OR SME DIO NO7 BUILD OFi � MPROVE FOR ME PUAPOSE OF B/LE) ' W ❑LA301NIEflOFTNEPROVERiY,AME7lQUSIVELYCONTMGI1NOWfTHIICENSEDCONTMLTOfi3 � N CONSTRUCT THE PRQIECT(SEC.70N,BUSMES$NiD PROFESSIOHS COOE:h1E CONiMCi0R5 LI� �IU3HOf1 A0.1.AREA CENSE LAW DOES N07 AP7LY TO►N OYMER OFA PROPERTY NT1D 8UM1D5 OR W PROVES iNEREON,AN� WVqCOMMCT4FOi15UCHPRQIECT5YATIACONTMCTOR�S�LICENSEDGURSUNRTOTHECONTMC pUANTITY OESCRIPTION FEE � TORS t10EN5E UW). ❑IIW E7(EIAPT UNOER SEG B.1 V.0 FORTHIS PFASON V" DATE OWNER � LICENSED CONTRACTORS DECLARATION � IHEREBY�FFIRNUNDEflPENALTYOFPEiUURYTIUTIAMLICEN5E0UK1EA0RON510N50FCHAPTER Z _ � � ` ` s /�COAMAENCWOWITNSECTION700a)OFDM510N70FTHEBUS:N[551NDDi10FES51DN5CO�E.AND � X MYUGENSEbNFULLFORCEANDEFFECL m O /� . �u ^.y- �� � LICENSE CLASS � ~�� LIC.NO. ��• j ' .._ � wh l'n —3�' '-%�' corarancron ��.-� J � WORKERS'CpMPENSATION DECLAitAT10N �^��� � � �b��J � IMEREBY�FFlRAIUNDERPENALTYOFiERNRYONEOFT1EfOLLOM/'NGDECUM710N5: � (�IIUVEAND�MLIMAClTAIN�CERfIFICATEOFQON5ENT705ElFANSUREFORWORKE0.5' � _ . - ' ' � l COMPENSATION.ASGFlOV'DEDBYSELTON7�aoOFMEUDOfICOOE,FORi11EPERFORAIANCE OFTI/EWORKFORWN1q1TH15PERMITSI55VED. . . � � , , , 0 � .. .. _I NAVE/NU WILLIMIMAM WIXb(ER+L0IAPENSATION INSUiWKE.AS RLWIRED BY SECTION Q 97aoOFiHEUBORCODE,iORTM[PERFOpA/ANCEOFiH[WORKFOHWHICHTHISPERMITIS � ' � ' ISSUED.YYM'O COAI7ENSATIONWS CECMaiEa .coucvMlunfa�n� COYSTRUCTION ycu�a�En � e � � PLAN REVIEW: .. • � .. . . . ' � POLICY NUMBEH � � ELECTRIC � � . (IH6SECilOHHE�rqTBGCdRETEDOF7FfPEPMf6FOfi0NElA!!%IEDDOLtARSa�ocl� } P �viDIN l , z I CEiITIFY iHIIT W 7HE PEftFOHM�NCE OF T11E WD�K FORYYMIpI TXIS DEflAIiT IS ISSUED,1 MECHANICAL � '(„)' S1IALLNOTEMPLOYIINYPERSONNMlV1MfMER50A5TO8ECdA[SUBJELTTO7HE � WORKERSCOIJPENSA710NUV/SOFGLIFORNI�/NAIICREET/IATffISMOULDBEWME INSPECTIONFEE SUBJECT TD iHE WOnKERS'COGPENSATqN PROVISIONS OF SECTIDN�700 OF iHE UBOR s UJOE, SMALLFOR7NIMTMLOUPLYWITM1M0.56�7RON510N5. � ISSUAN�E � p' DATE: �� � �PPL�cANF. ���1 SMIP ��� ENERGY P!C .� WAfiNINO:FNLURETOSEWPEWOAKERS'COMPENS�TIONCAVERAGEISUNUWfU.AtVOSNALLBE � SUBJECTANEMPWVERTOCR:AIWILPEN/LLTIfSANOCNILFINESUPTOONEHUNDREDTNWS�VID ENERGYPERMIT DOlLA1i5(S 1 W,DOO�.IN ADDITION TO TME COST OF�(.YAPENSA710N.OAMIIGES AS PROVIDED FOR IN ¢ SECTpN�70lOF1HELADORCODE,NTEREST,ANDATTOiWEYSFEEi RETENTION FEE: OCONSTRUCTION LENDING AGENCY pRE-AlT FEE: � IHEREBYIFCINAUHDERPENAITVOFVE0.IURVTNAT7HER[SACONSTRUCT�ONLENOWOAGENCY FOR 711E FERiOflMM�CE OF TME WORN iOR WMICH iH15 CERMIT IS ISSUED(SEC.90D�,CIV.C.�. . � � LENDER'SNA/AE � LENDER'SADORE55 � � ICEfiTIFYTFUTINAVEREAOiHISAVPUCATIONIWD9T�TEt}UTTHEl1BOYENFOMIATqNISCORRECL TOTAL FEES 1 � I AGREE i0 COMPLV WRH ALL CRV AND COUNTY ORDINANCES�ND STATE U`M�REUT1q TO BIJl➢IN6 � CONSTRUCTION,ANOHEREBYAUTHORRERCPRESENTATIVESOFT/USCOUNryTOENTERUPONME ABOVE�VENTpN[D DqOPERTY FOR INSPECTIDN h1PVOSES. Q COMMENTS � l�1'l 1 (� e I�}'1 �1��.,r m GE EE NNA �PiLHT) � ��� 'V?�� �-Z�-S g .� . y SIGNATl1RE DF P NAT/EE ATE � RECPT.NO. PAIO BY VALIDATION , WHITE—Depanment Copy,YELLOW—Fnaroa Copy,PINK—Aseesnw Copy,GOIDENROD--File Copy,GREEN--Applicanfs Copy CITY OF DIAPJIOND B�;R IId�PECTIOn RECOF�G F. �_ �.'..�-_.,_.,._._...�_......_ ..�...�� �. .._.��-,._.... ,.......+�...�.,.- ..«..,�...�......,r._....,���...,.�.-�... __ -.,..... �j���:j;aae:�r[�'.I►tiG ��'�1�1"�� 1►.`��:��.�'`rr)i,� �' I►�.�-'1:'��r:�lc�����. •� s�c,y_�;f= j!`�.a����''qc1�2j'� ��c�T.F:F�Ct: ..._.:.....:,:.._..__�i,..i......,.._.,.�...,._..._..,..._. .�� -i�FLOORJOiST ._......^.._,...__..., i ._._.........�.,_....�,..,.. ,.. j F-tGS!FOR�."S'STEE� �� � � +� FHf�REQ".1T5 .. . . ryR�.' '" �—.. ELECTF.IC G�;OUND ; � UfdDER FLOOR DUCT - � - G��OUidD PLU�ABING � UVDER FLOOR CdP,IDUIT. ' -' `" � . -" .�i_A�=Gnh�E--- _ - � FIREPLACE FOUNDATIOtJ • � -- — Tt_;:";P F�'4"�'FR I I FIREPLf,CE BOND BEA"JI I ' � TER SERVICE I� : � • MID HT. BOND BEAM' � ! fi^;�FS'EATHING � I . I 8 F7.BONJ BEAPA - T � ���?��:1�hlG,��ErdT1LIATfON j FINAL BOND aEA�A =?�:7i=CUVf�R � PRE-GRADING • •- F?C_J�'I H�ATING � ' BENCHING . - j_i'.^U3>i ELECTRIC � ROUGH GRADIi�G __ _ j F;:'•JGf; F'LU��'BING � ; FIPJISH GRADING , � ;�:�Ob"v'�RrTU3 7EST �— � i POOL ELECTRIC j � r._}.1�. LA,TH�SIDIh!u j POOL FENCIf`1G � � • :'ri',!L t"dSJL/1i IOh' —� POOL FINAL 1 C=IL1i]�i Ii4�ULATIOfJ � OFFSITE IP�1FS. l ' ' ' �--�----- ! DRl'�'Ji�.I.L i�rJLiNG � � DEDICATIOidS � �----- ; S�l'��R � FINAL�P�G. �---- — - � S��TIC 7�;FJK � LAF�DSC!',PE/IRRlG. � ��c�=' PITiL.L. � � � I OiJ SITF 1��1PS. ; _ �--;--� ---- � - i � � GF,S AIFi i�t�i � � � J FIfJAL ZO'JING � r!':F! CO�;:T. �- J FIRE DEPT. FINP,L !---;:.,— �._.__. � �-'E�;T1P:� �! j � FI�AL7H D�P7. FINAL � �._ �;..._.. - — ' , ;�::,J ELECTRIC + - -- ' I• DEV. ��FS Pr?I� � ���.,,�FLUFe'�C�IR�G � � EN�RGY � ----- --=----�5<<�� ��----- - ----- ;_ _____ � � � -- �_ .1 - -� ___ .�.rnw_..�.�:..�, _ � I . I. ...,�..�....;��.. _ ,:ir: - - �-,, ,. , _...,, .. ..,: ,_..------- — — •-- .:.. ,t�-._�:....._ .., _ : — t. ... _.:..�-_, .. _... • ; .;r'�;,;;i;�ri�;T� __�_ i__`�/�/_.5 F--�l�i_v %uzec��o�!—�/.'� --- -- - —�- — - '�-`�(�5--t�--�'�„�_...�'-%�-�,�'�) -.� _ __ ; , . ��l `l�f��-t C�,���—��'l�c�—, ,v��_�- . . . _. � � : ;� � �--- — -- ; � . �_.__--- ..-- . -- — — � „ , . . i--------=— --- — ._.__._ ���FTf•;TAN'r; SIZE � ' � �_ � ���FF P1T1J SIZF _ — . ---� -- --- ; .. ... ... „ ,_.lv.P...,_....,......_�.-.., . � —' --' — i . . - - - -- - i � , . , . __ . � � �:�� .�. , ._ _ _-, _ ---� � � , � � i... ,v . ~�.,. � . .... . J • . , . _ —r-1 . . -- . ___. ' —