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HomeMy WebLinkAbout10772 (5) / C1TY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT si�o E.coPi�v na��so�«i�a PRESS (909)860-3195 Fax(909)861-3117 '^�'� BUILD PERMITAPPLIC TION ' FIRMLY JOBSITE APPUC N � PERMIT f U P/C ADDRESS �ATE � .�ZNUMBER� ISSUE TYPE OCC r- APN IAT TRACT DATE CONST. GROUP p OWPIER s � ADDRESS ZONING SETBACKS CITY PIP EL. FRONT RW O REAR ❑ g APPLICA T SI�ElSIOE STREET RW ❑ � CONTRACTOR 51L1E `' � ADDRESS ROPOSEO USE CITY 71P TEL. � ARCFVENG! n ,� . DESIGNER NO.OWEL. N . O. ADDRESS UNITS 6TORIES BEDROOMS � CfTY XIP TEL. N D�SCRIPTION SQ.FT. FACTOR PSF ADJ,kREANALUATION � Q OYVNER-BI:ILDER DECLARATION SFRIADD/REM O � 1 XEHEBY AFFIRM WOEIi PEWLL7V OF PEFWRV 7FIAT I AM E7(EMP7 FROM T16 C�NiMC10Ns LL G8fC09/C��Oft W CE�ISEUWF�NiNEiOLLOWINGREASON�SEQ70.71.6BU5PlESSMmPHOFE8510NSCO0E:ANYCPINOR (J) C�y COIMiVN?11CNREdIIRESAVFlWRTOCdN3TRUCLALTER.MPqOVEOEMOLWLORRERURAAY6iAUC- W PB110IDBCk 6 NRE.PpqR 10 RS ISgUANCE./LLSO REOIlIqE3 TXE PPPLICANf FOp 3�1d1 PEWAIT TO iKE�MONEU � lTATE4EM 7HAY ME OR Sf1E IS LICENSED PUNSU�NT TO 7HE PROVISIONS OF T1E OONTqACT00.5 L4 CENSE UW(CIUPTER�(CCMIAENCNO WITH SECTION 7W0)OF OIVIuqN e OF TIE 9USINE95 MID pN0- POOYSGe FESSIONS CODE)Oli THATHE OR SNE�6 EXE4PT 1'MENEFROM MIDTHE BA815 FOR 7ME ILL.LE6�pfEMP- TION.ANVVIOIwTtlNOFSECT10N7oa1.6BYAN1'WPIICANTFORAPERMITBUBJECTBhEMPIICANTTO q9.Flpp1 � A CMLiEN�iTY OF NOT MORE T1AN flYE HUNDflED DOlURS(t6007.j: O DAABOWNEROFTNEVROPEA7Y,ORMVEMPLOYEESWIThIWAGESASilIEIRSOLEODMPEHSATION, Q C���y� Z VYILL DO TNE WONK,/iN0 TNE STPUC1LpE IB NOT INTENOEO ON OFFERED FOR S�LE(8�.70��,BUSi- �J � N�MYPMhiDBUILDS�W ROYES�EAEON,ANDWHOS�OE66UCHMIORKMIMSErLFOfIMEFlSEIFOR � (,'L T1Ro1X�NNIEd1NEROWNEMPLOVEES.PROYIDEDhMTSUCHWPHOVEIIENTSARENOTMENDEDOR � � OFFEREDP�RBOLE.i,F10N�EVE0.111EBUlDINf30RMIPROVEMEN�IBbdDWITHINONEYFARpFCp1AP�.E• TION,iHE OWNERaUItDER W1LL NAVE 1NE BUAOEN O�vROWNO ThInT!1E Oq 6ME DIO NOT BINID OR MiPROVE FOR hlE PURPQSE OF SALE1. � ❑IASCWNENOFTHEPROPERTY./ME7fCAUSIVELYCONTRACfu1�MA7MLICENSE�CONTqACTOR9 TO COH9TNUCT iHE PROJECT(SEC.7oM.BUSINEBE AHO PROFESB WNB COOE:TiE CONfMCTORB U- VlIUYfldl � -� AAI.AAEA � CENSEtAW00EeNOtAPPLYTOANMINERpFAPROPER7YN'MOBU RIMPROVE87MEREON,AND MMOOON7MCT6P�N6U71vRWECTE THAODNTMCfOKB D 115UANTTOiHE MP QUANTITY DESCRIFI7ON FEE � 100.5I10ENSEIWl). � w �^ J ❑I AAA EXEMPT UNDER BEC. r � - P��. ,'. 6 � U � OA7E OYMER � . ? W `�,�' LICEN3ED CONTRACTOHS DECLAFAiION �yj IMEREBYAFFIRMIRAEpPENALTYOFPERR/RYTNATIAMLICEPbEO1kAFRVROVISIONSOfCXAPTFR � X W�ENSE IS IN FULL FORCE ANO EFFECTVI510N 7 OF THElUSINE75�NO PfiOFEb8bN9 OODE,M1D Z ll.l m 0 LICENS&CUSS LIC.NO. � H V oa� coutaacroa � w � WORKER9'COMPENSATION DECLARATION � � I NEREBY/�FFlRM UHDER P6NALTV OF VERNIRY ONE OF 711E FOLLOIMNa DECLAMTION"� U C� Q � _IN�VEANDNIILLAWNTMNACERTIFICA7EOFOONSEMTOBELF-W6UREFORriDRICEAB' Z f.[MIVEN6ATION,I�SPROVIDEOlv6EG710NnooOFTHELA90RO0DE.PDflfl1EPERFORM/NCE W OF TNENfORK FOR WNICiI TNIS VE11MR IS ISSUEO. � 0 _�1 NAVE ANp WILL►W NTMI N�ORYfERS•COMPENSATION INSUMNGE��8 NEOUIqEG BY BECT�OH 4O �7W OF TNE LABOR CODE.FOR TNE PERFOFlMMICE OF iME M/OpK FOR WNICM hN9 PENMIT IS IBSUE4MYWOiiNENS'OOMPENSIRIONI�lSJqlWCECANRIEIiANDPOLICVNUMBERARE: CONSTRUCTION ? GNVER PLAN REVIEYJ � pOucVNtnaeER ELECTRIC � pTp58ECICNNE�Mo7eE0ddFLEf�OFhE?EaMTIBi0a0NEMJWnEnOdiMsplODlait�bl PLUMBING 1 CERTIfY iHAT M THE PERFORMANCE OF iNE WORR FOR NMICN MIS PERMIT LS ISSUEO,I MECFIANICAL �+. �3' SN�LL.NOT EMPLOYANV PENSON N7 ANY IAMINER l011S TO BEC�1E SUBJEC7 TO T/IE � WORKE115'COMGENSATbNLAYlSOFCALIFOqN1A,M10AUREETHATIF16F1WLDBEODME INSPECTIONFEE BUB.IEGT TO T1E NfOPKER3'COIAVENS�TION PNOV1910N9�6ECTpH Yipp OF THE U49pR s cooe.isw�uwanMnn�cor+a�rmn+nasEvaovis�s. ISSUANCE � SMIP � DA1E: APPLICAM: WARNINO:FlULUi1E TO SECUHE WOFlKERS'COMPENSATION OOVEN�OE IS UNIAWFUI,A1W SNALLOE ENF.FiGY PiC LL 8l18JECTANEMPIOYEHTOCR1A11N11LPEI/ALTIE3ANDCMLFMIESUPTOONEHUNORE01110UdA1C� ENERf3YPERMiT )„ OUI.L11i451i100,000).NADORIONTOINECOSTOFCOYPENS�iION.DNdA�ESABPROWDEDFOHW � eEeraN e�oe aF n�E u�soA cooe,m�nEsr,,wo��wErs�Es. RE7ENTION FEE: CONSTRUCTION LENDING AGENCV pRB-ALT FEE: O � 1 HEREBY KFIRY UNDER PENIIL7Y OF PE0.1UpY TUT iFERE�6 ACONBTRUC11pJ LENWNa AOENCY FOH THE PFAfORMIWCE OF 7HE NfONK PDn WH�CN iH18 PEf W R 18186UE0(SEC.OM1,tlK C.�. � � �E1IDER'S WUAE LfND&RSMURE54 ICERTiYl1MTIWIVENFl�D7NI5�WPLGI7�ONANDSUTETNATT1iE/iBDYEWFORNATqNISCONNEGT. T�TAL FEES � IMiREETOCpAPLYWRFiALLCRYMWCOUNTYOADINMICFSMIOST�7EUW5R0.A71N�TOBULOING � OONSTIWCTWIIIWO HEREBY AUT110RIIE HEPFEBEHUTNES OF TFUS C01AJfY TO ENTER UPON 7NE S�. MOYHA NTqNED iAOPERTY POR WSPECTION P ES. �MMEMTS 9 � � ,yyr�/ /'�^� � r � Pf MAGE � � � �- Vj lIGNA E ITfFE - � � � RECPI:NO. AID BV VAIJDA WHI —Oapanment Copy,YELLOW--Finana Copy.PINK--1lesessar Copy,(iOLDENROp--Fllr Copy,GREEN—ApplicanPa Copy , . . . . . .. . .. . ... '� � . . . . ��i t -�.. �u. 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F�OL FEP�CING � - - - -- --- ---•------------ WALL INSULATION ' � POt�L FiNAt -�» -- --.. .-----.__..._.---� ._. _ __._____....-..�--- _._..-�--- -- ._------ --.__ _.____..�----_�.._.__ ._._ CEILING INSULATION � ' ; OF�SIT�IMPS. - -- _ �._ _..____ ---._._ .,..---_____. ..._._..._... - -. _ ... DRYWALL NAILING DFDICATIONS .._._ - -------- --- --- - - - SEWER � FlNAL ENG. � �._._ ------- -----�.._----__----.__._.._-.__� -- ___.------- SEPTIC TANK � ' ' � � � LANDSCAPE/IRRIG.. � , ... _.�_---{-- ----- �__ . - SEEP PIT/L.L. ' -___ --7- _ON SIZE�IP;h��. .�.., �-r---- .... ------ -- _+-'�..i t ' s�"-•—��–�--��. - ...- –'—'-' ,._._ GAS AIR TEST �� " FINAL ZC�(�fIN� ��� "• �` "•\ - -- ....--- --.._._ _._. __ _ ._ S - - --._� .....--- --- _---. _ _ ..... _ ---- FINAL CONST. � ; FIRE UEPT FINAt_ ; --- - -- - -------- - ------- - -- --:::--- . _--,-------�-- ._��. FINAL HEATING - � ��� ; r HEALTH !?EPT. FINA'L' „ ' ' -- ----- - -------- .. .. +.a .. _ . , - - - -�------- -�•---- FiNAL ELECTRIC � � � DF1f FF L-S PAIU ----__...� ---- --- _._�.-. .. . _ ._ __ _...._ _�_.._ _ _ ___----_.__�.�.__-•-- FINAL PLUM�ING , ' l � ENfR�aY ,. 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