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HomeMy WebLinkAbout10578 . EXp���� - CTTY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPAR O�'r ..,�+ . n�o e.c.�i�y n���s„�c��9a �3 10�8REss (909)860-3195 Fax(909)861-31 l7 �^M'� BUILDING PERMTT APYLICATION FIRM LY N JOBSITE APPLiCAT PERMR /��� P/C o ADDRESS �� � '� DATE_�._.3 � NUMBER/ +r � ISSUE .., ? TYPE OCC APN LOT TRACT DATE � 9 CONST. GROl1P S OWNER ADDRESS��,� i.u�vi� VIQ ZONING SETBACKS �� CITY 1 ZIP_ TEL. REAR � ❑ APPUCANT LO,n ,r,LP�CL� TEL.-�� SIDElSIDE STREET RW ❑ CONTRACTOR [h SIDE ❑ � ADDR SS --/��AC 1� � CITY �n ZIP TEL. PROPOSED USE �C � ARCHIENQ/ DESIGNER NO.DWEL. NO. NO. AODRESS UN{TS I STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BL'IIDER DECLARATION SFqlApDJREM O � I NEPEBY AFFIRM UNDER PENALTY OF PERJURY 7HAT I dN E%EMPT FROM THE CONTRACTONS�I• Gfl/9oB/ClIpOR CENSEUWFORTMEFOLLOYYINGREASON(SEC.70.71.6BUSMESSANDPROFESSqNSGODE:IINYGTYOR (� COUPf7YWHIpIREOUINE3APEfUAITTOCONSTqUCT,AITER.MVROVE.DEMOLISN,ORREFNRANYf7RUC- w Patb/Deck TURE,�Rpfi TO R9 IS9UANCE,AL60 qECUIRES 7HE MPLICANT FOR SUCN PEHMIT M FlLE A 610NEU STATEMENT TIMT ME Oti EME IS LICENSED NABU/WT TO THE PROYISIONS OF T11E CONfN�CfORS U- � CENSE LAW�CHRPTER 91�uENCINO VYihl SECTIDN 700a)OF DIVISIDN 9 DF TliE BUSINE39 AND PRO- � PaoVSpa FESSIONS COOE)q1 THA7 HE OR BHE IS EkEMPT 1HENEFROM AND TNE BASiS FOR THEALLEOED F%EMP- 7qN.ANYVqLA710NOF6EGTION703i.68YM1YAPPUCANTFORAPEWdITEUBJECT9TFIEMPIIC�NTTO Z qa.p� �Q � �tlVIL PENILTY OF NOT MORE h1AN FlVE NUNDRED OOLlAAS(SG001J: � ❑1,118MN�EROFTHEPHOPEAIY,ORMYHMI.0YEE5WITHWMESASTNEIR80LECOMPENBATIDN, D COIfIRIBfCl91 YYILL 00 iNE WOIU(,MIO 7FIE STRUCTURE Ib NOT WTENDED OR OFFEH�FOq 6lLLE(SEC.70u,9USI- J � NESSAND PiiOFE5510NS CO�E:TI#CONTMCTORS LICHISE LAW UOES NOT APPLY TO JW OWNER OF :., PIWPERTV NR10 BUKDS OR MPROVES THEREON,M1D WFq DOES SUCH WORN MIMSEIF OR HERSE�F OR lT iHf10UGHNI50RNEROWNEGPLOYEES,VROVDE07F1�TSUpiN1PROYEUENTB�RENOTNTENDEDOR LCI `L, OFFFAEDfOA6ALEIF.FI�WEVERTHEBULdNGORIMPFiOVFMENTISSOlDN7iFINONEYEAROFCOMPLE- .YL iION,7HE OWNER-BUILDER N'ILL HAVE TME BURDEN OF VqOVINff THAT ME OR SHE DI�NOT BUMD OR = MlpfiOVE FOR7NE PURPOSE OF d�LLE). �y,� ❑I,AS OWNER OF THE PROPERTI:AM E%CLUSIYELY CONTqACTINO WITH LICENSEO CONTRACTOR3 � TO CONSTRUCT TIIE PRO.IECT(SEC.701�,BUSINE55 MID PROFESSIONS CODE:TME CONTqACTQq3 U- V91U9II0l1 AOJ.AREA � CENSELAWDOE9NOTAFPLYTOlWONMEHOFAPROPENTYNtHO8U1LD90RIMPHOVE9fliEHEON,MID YVFqCONTMCi9FORSUCNiRDJECTSWITM11001VTMCfORIS1lICENSEDPURSUANfTOTh1E00N1'fUC- OUANTITY DESCRIPTION FEE � TORSUCENSEUW.�. ❑I M1 EXEMPT UNOEH BEC. 8.i P.G FOR THIS NEASON � � U LL � DATE OWNER V Q LICENSED CONTRACTORS DECLAHAT�ON W � 1 HEREBV AFFlRM LINOER PENALTY OF PERri1RV TNAT IAM IICENSED UH�ER PROVISIDNS OF CHAPTER Vr d Y�COMMENCINOWITNSECTIOh17oa0)OFOIVIS�ON90F7HEBU8IHESSANDiROFE5810N3CODE.ANO Z YY LICENSE IS W NLL F0110E AND EFFECT. � � LICENSE C SS IIC.NO. V ' � � V DATE CONTHACTOR � W � WORKERS'COMPENSATION DECLARATION � � INEREBY/FFIRMl1NDERPENALTYOFPE0.1UF1YONEOFTNE�OLLAW�NaDECIARATIDNS: Z _ O �IiMVEAN�NILLMRRITAIMACERTIFICATEOFCIXJSENfTOSELF•INSUREFONWORKERS' � Z COMPENSAiION,AB7ROVIDEDBY6ECTION97o00FTHELF00RCODE,FOHT/EPEHFORMMlCE V Q ,�) OF 7HE WORK iOR WHICX TH13 VEflM1T IS ISSUED. � Qy�,t17�VEANOWILLIMR/rNNWOHKERSCOMPEN51RIp11N5UMNCE,ISREOUIREDBYSECTION � D'�1S 870o OF TNE UBOR CODE,�Oq THE PERfORA/M10E OF TNE WORK FOR WHICN TH43 GERMIT IS Q � � ISSUED.MY NERS' PENSA710NINSURIWCECARRIENANOPOLICYNUMBERME: TION > CAqRIER� 'C.#� �n'���p PLAN REVIEW � vo��cYnutiBER G � L� d"� ELECTAIC 0 fiNssEcnavr�m�araeoonmtFrEooFn+erewst�srona+erunuaEDoal�sR��loatFssF PLUM�ING Z I CERTIFV THAT W THE PERfORMANGE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL (y�} SFMLLNDTEMPIOYJWYPER50NMANYMMINERS0115TOBECOMESVBJECTT07ME � V/ORKERS'COYPFNSATION LAWS OF CALIFORNII.,AND M1REE TNAT IF I SIqULp BECOME INSP TION FEE SUBJECTM THE WORKEHS'CqMPENSATION PROYISKKJS OF SECTION 37000F THE UBOF Y O000E.�sNWiFom'NNniNCOMVLrwii�i e isio . SSUAN � _��� `p pATE:_�.3j.�S� APPL�CANT. � SMIP � � WNWINO:FAIWHEMSECUREYVORKERS'COMPENSA710N VERAOEISUNUWFIA.MID4NALLBE ENERGYP/C � BUBIECTANEMOLOVERTOCWYNALPBJhLTIESANDCINLFINESUPTOONEHUNOREDilIOVSANO ENERGYPERMIT pOLLAHS(1100,000�,W AODITION TO THE CA6T OF OWJPENS.4710N,DMA�tOES AS PROVIDEO FOR IN � lECTION77oeOFTMEUIBOROODE,M1iEREST,l1NDA7TORNEY'SFEE9. RETENTIONFEE: �� . [� CONSTRUCTION LENDING AGENCY PRE-ALT FEE: v � I HEREBY AFFIRM UNDER PENAL7Y OF PERIUHY TMhT 1TIEHE 5�OONSTRUCTION LENDNIO AOENCY Z FOR 7/1E PERWRAIAHGEOFTNE WORK FOR YfMp7 hi19 VERMITIS ISSUED(SEG.iDA,CIV.Ca. W � LENDER'S NAA1E C LEN6ER'SADORE33 � ICENTIFYTiUTIV1AVEREAD7HI5ACVlICATqNMIDBTATETIW.T7HE�BOVEINFOqYATpNISCOHRECT. TOTAL FEES g�/ � 1 AOREE TO COMPIY WITH IU.L CRY lW b COUNTY ORDINANCES ANO BTATE UWS REU7W G TO BURLINO � CONSTRUCTIpi,ANOMEREBYAUi1qRQEREPRESEHTATIYE50F7NI5COUN7YNENTERUPONTXE ' �� �( 11BOVE•YENTIONED PROPENN FOR INSVECTION PUHPOSES. 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SLAB GRADE _ !I I FIREPLACE FOUI�DATION . " � ; TEMP POWER FIREPLACE BOND BEAM ''' �. 1�� - - WATER SERVICE � I MID HT.fB�N4 9EAM � � '� � ' - � � � � : ROOF SHEATHING � � 8 FT. BOND BEAM � ' � FRAMINGNENTILIATION FINAL BOND BEAM _ , � ; � ROOF COVER PAE-GRADING �r ROUGH HEATING 6ENCHING ROUGH ELECTRIC �^ ' ROUGH GRADING ^ I �� ROUGH PLUMBING ' FINISH uRADING � SHOWER/TUB TEST � ' � PQOL ELECTRIC EXT. LATH/SIDING � POOL FENCING WALL INSULATION � I, POOL FINAL --+-,--------_....--.._�_ CEILING INSULATION ; ; OFF SITE IMPS. ' DRYWALL NAILING � _�__ _ � ' DEDICATIONS _� SEWEFi ; ' , '—_f�FINAL ENG. SEPTIC TANK - - --- �" ��- LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. � GAS AIR TEST � I FINAL ZONING FINAL CONST. i i ; I FIRE DEPT. FINAL � � FINAL HEATING � ! HEALTH DEPT. FINAL—� � --+-------- ----- ------ -- -- FINAL ELECTRIC —� � ' DEV. 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