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HomeMy WebLinkAbout16137 (23) r �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ; 2��o E.c�i�y nri��s�w i90 PRESS 4 (909)86U-3195 Fax(909)861-3117 ���'� BUILDING PERMIT APPLICATION FIRMLY oN JOBSRE l /]} /�t �/�C _. / • APPLICATION� PERMR I PIC AD�RESS (G' �( C1/�l �� I/ TLfti DATE � NUMBER ` U I 3 � g ISSUE ! TYPE OCC APN LO7 TRACT OATE V CONST. GROUP � OWNER l� - " ADORESS S � ? � ZONING SETBACKS CITY �,�11 A/� ZIPC 7EL���7�7�/5/ REAR RW ❑ APPLICANT 7EL SIDFJSIDE STAEET RW ❑ CONTRACTOR SIDE ❑ g ADDRESS � � CIN ZIP TEL. PROPOSED USE 2-- � ARCH/ENG! ,�_�y - s DESIGNER �r/ NO.DWEL NO. NO. ADDRESS � UNITS STORIES BEDROOMS � CfiY ZIP�pSTEL rn DESCRIPTION SQ.Fi: FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLARATION SFR/ADDlREM O p 1 NEAEBY AFFlWA NDEq GENILTY OF VE0.AIHY THAT 1 AA/E%EA1PT FT10M THE CONTRACTORS LL GarepelCarport iiJ CENSEUWFORiMEFOLLOWMORFA50N�5EG7oJt.68USWE55ANDPiWFE5510N5CODE:ANYCT'OH (n ZCOIINTYYMK]iREdJIqESAVER/,NTTOWNSTRUCLALTER�P��.OEMOLISH.ORREVAIPANYSTRUG �1J P8tI0IDBCk LL� TURE,►WOR TO R9 ISSUANCE,AL90 REOUIRES hiE A7PLICANi FOR SUCH PEflM1T TO�ILE A SI�NED W B7ATE4EM THAt HE OR SHE IS UCENSEO M10.SUAM TO THE OpOVI510N5 OF THE CONTHACTORS U- � CENSE UW(RUPTER�(COYMENGNO YATH SECTION 7000)OF DIVISqN 7 OF TME BUSINESS FN0 7R0- LL' POOVSP3 LE5.9qN5[ODE)OHTlUTMEORSYIEISEItEYPTiMEREFi�MMlDTME9ASISFOFlTNEALLEaEDE%FAIP- (' TDN.ANYVqL�T10NOF5ECT10NT0.71.68YANYAGPLIGWTFORAifHMITSUFIJECTSTHEMPIICANTTO Z Re-Roo1 F IICMLVENALiYOFNOTMORETHANFNEHUNOREDDOLLlRS(f5o0).} � OlASOMMEROFiHEPROPERTY,ORMVE4PLOYEESWIiHWA0ESA5iMEIR$OIECOMPEN5AT10N, O `(,ammBfLIBI - WILL DO iNE WOP1C A!�TFIE STRUCTURE IS NOT INTENDEO OR OFFERED FOR SALE(SEF 70N.BU56 J � HESS M[7 PROFESSION9 COOE THE CONtMCTORSIICENBE UW DOGS NOT APPLY TO/W OWNER OF VROPEHTYMRIOBUILDSORMPROVESTMEREON,IWOMTpDOESSUCHWORKHIMSEIFORMERSEIFOR = ��� • � iHROlN3HHISORXERONTIEMPLOVEES,PROVIOEDTNATSVCNMPROVElAEMSMENOTIMENDEDON m .- OFfEAEDPDRSALE.IF,NOWEYERT/EBU0..DINOORWPROVEMBITIS50LDVRTHNONEYEMOFCOMRF• ���1,�.. ��'1 TION,THE OVMERbU0.DER YML IUVE TNE BUiIaEN OF PROV W�THAT HE OR SNE�IO NOT BUttD d1 N1PqpVE FOR iT1E pURP0.^,E OF 8ALE1. � ❑�A40VMEROFIHEFROPEHTY,ANE7(CIUSNELYCOHTMCTINON1iHLICENSEOCOMiiACTDR3 TO CONSTRUCT THE PFIOUECT ISEC.70N.BUSINE59 AND PROFESSIONS CO�C TiE CONTMC70R5 U- Y81U2fi0f1 ADJ.AREI1 GENSE UW OOES NOTMPLY TO IW OYRIER OF 11 PROiEHTY YN1O BU0.D5 OR MPrypyES 7HEREON.NIU YMOCOMMCTSFORSUq1PROJECTSWITHACOHTMCTOR�S�UCFNSWVURSUANTTOTHECONTMP pUANTITY DESCRIPTION FEE � TORS IJCENSE UW.1. OIAMIXEIMTUNDERSEG B.►V.GFORTHISREASON Q U LL. ¢ CATE ONMER V � LICENSED COMRACTORS DECLARATION � � w IHEHEBYI1FFtlWVNOERPENILLTYOFPE0.IUMTHATIMILICEN5E0UNDERVROV1510N50FCHAPTER � � � �(OOMNENClIOW(THSECTqN)000)OFDMSION�OFT/EBUSINESSAN�PPOFESSqN5CO0E.AND Z W UCENSE S N iUl FORCE AND EFFECT. � 110ENSE CUSS � LIC.NO. �I� �7 ! � ~ DATE_/-�/� — O� CONTRACTOR d W r—►�— � WQRKERS'CQMPENSATION DECLARATION Q � U NIHCRE YKiINMUNOERiENALTYOFiERR1RYONECFTHEFOIIOWINGOECLAMTIONS: Z � INAYEAHDN1lLMNMANACERTIFlCATEOFCONSENTTOSELFJNSUqEFORWJqKERS' _ OdaPFNSATqN,ASPHOVIDEDBYSECTI0NJ�000FTMElA80HCO0EFOATHEPERFOH/AANCE �U OFiNE WORK FOR WHICHTMS PERA11TI5ISSVEO. � O 1 MAVE/NiD WiIL W WTAPI WOFNERS'CONFENSATIDN INS�qANCE,hS RE�lAREO BV SECTION /1 � iloo OFTIE IABOR CODE,FORTHE PERfO(iMANCE OF TNE WOR1(FOR WHICH TMIS PE�1715 ! �'' �� ISSUED.AIY WOR q3 COMVEry5AT10N WSUaANCE C RIER AND VDUC'/NUMBERME: CONSTRUCTION �1 A v.7� � uaaEq����� C��S, PUIN REVIEW �� P � PaicY wuMeEn ELECTRIC ` � (M55EcnoN�FIDwT8E0d.REtEDOFnEPEw,frsiafta:EHrnilE�DottAFtsRtm)oaLFcc' PLUMBING �� �JO Z ICERTIFYTHIRINTMEPEPFORUANCEOfTHEWORKFORVMICNTHISPERu1TISISSUED,1 MECHANICAL (�' SM�LLNOTEMPLOYANYiERSONNANYMiWNEP50A9TO8ECOMESUBJECtTOTME y WOiLtERS'COMPENSATIONUwsOFCAIIFO�Uli1ANOAOHEETHAi1FI5HIXri08ECOME INSPEGTIONFEE S SUBJEC7TOiNEYYOfiKERS'COAIpEN5AT10NPROVI510N50F5ECT �TOOOFTHE OR coo�.isHutcoan/wm+ea�airwm+n/a�sEaao�sau`7�� � ISSUANC� � l��/ %�:f��/y-���- SMIP p DA7E:l� � / ' AGPLICMlT.1�� " _ . � WAANINO:FMURETOSEWREWOHKEFS'COAIPENSATIONCOVERA6EISUNUWFUL,/�NDSHALLBE ENERGYPlC �y SU&IECTANEMPLOYERTOCPoIAINN.PEtU1TESANDpVILFINESUPTOONEFWNORWTF70U5I�ND ENERGYPERMIT DOLURS(2100,000),W PDD11pN 70 THE CAST OF CqAPfNSATIDN,DAMAGES AS iROYIDED FOR IN � J SECTIDN]7oeOFTHEUBOROOOE.INiEREST.M7DATfORNEY9fEES. RETENTIONFEE: � CONSTpUCTION LENDING AGENCY pRE•ALT FEE: O � IHEREBVAFFlRA1UtAENPENALTYOFFERNRYTHATTXEREISACONSTRUCTIONLENDINGl1GENCY FOR THE OfRiORMANCE OF T11E WOHN FOR WNICN TIiS OER/AIT IS ISSUfO(SEC.]Ov7,CN.C.} � � LEItDER'S NAME �S LENOER'SADOqE55 W ICERTIFVTHAT�MAVEREMTpSMVLIGTIONANOSTATEiHATT1EABOYEIN�ORMATqN13tORRECT. TOTALFEES � ��D � IAQREETOCOMPLVWIINALLCIT'//�1iOCOUNTYOPflWANCESANOSTATEUWSREIATIN6T09U6DIN6 CONSTRUCTION,MiD MEREBV AUTNORIZE REPflESENTATIVES OF(HIS COVNTV TO ENTER UPON TH[ � ABOVE#IEMqNED VIqVERTY fOR INSPE VURPOSES. COMMENTS _ llli'�-� � vEnr�m_� �� � y SqNA EDFPEfWiTT _ DA E � RECPT.NO. PAID BY VAUDATION WHRE-Depertment Copy,YEILOW-Finence Copy,PINK-Atsessor Copy.GOLDENROD-File Copy,GREEN-ApplicanPs Copy „ . �. . . .. _ . , . • . . . . , . . . . . . . , _ . .. , , . . .. _ .. � .. . � �� GTY OF DIAMOND BAR , , _ r, � .�_,1 i .. _., � � - ” � , � :�IP�'SPECTtON RECORD � � ' -. .I��.��.�+.��°�����!� ' ♦��.�`��.�,.�,� �. ' c� .o,_, .��.F-�.��¢� �C��M� _ �r1��'�� I j��� ;�'c�,x o;�,;,`� _.. � - -- —----� e � . ti ,,.,.. ..� ...� . .. jSET BACK ... ( , � , %- FLOOR J015T • � _ . , !FTGS/FORMS�STEEL . ' . , � �, FHA REQMTS , � . - • - • " - ---.. :ELECTRIC GROUND. ___ _ _ UNDER FLOOR DUCT - ' f --- � ., GROUND PLUt�ABING UNDER�FLOOR CUNpUIT ` '� ' � , �` ' '- !SLABGRADE- --- -- - - FIREPLAGEFDUNDATION �. • ' � .. � � ' ;TEMP POWER �� , FIREPLACE BOND BEAh1' - � � '�~ iWATER SERVICE - ' MID HT.BOND BEAM � ' - � ; ' r . � `ROOF SHEATHlNG� � • � � :-_ . 8 FT. BOND BEAM -� � �� � FRAMR�JG,NENTILIATION FINAL�BOND BEAM � - _� !ROOFCOVER � :� PRE-GRA�ING -- • ' � ' ' � I _ :ROtJGH HEATING -- � - - BENQNtPJ r,;,-• �� �-� .� ' ' �- ' . . IROUGH ELECTRIC � - ROUGH GRADING - � -- �— �ROUaN PLUD�IBING -�-- FINISH GRADING ;SHOVJERRUB TEST ' - - - - POOL ELECTRIC iEX7:LATH/SIDING ---• - - - - - POOLFENCING ;: , i�'�ALL INSULATION - - - - - POOL FINAL . , �CEIttNG INSULATION - - OFF SITE IMPS. � , ' =- DRl'V'JALL NAILING DEDICATIONS ;SEV`JER -- - - �, d� FINAL ENG. � ,SEPTIC TAfvK LANDSCAPE/IRRIG. SEEP PIT/LL. ON SITE IMPS. �GAS AIR TES7 FWAL ZONING ' �FINAL CrJNSi. FIRE DEPT.FINt'.L - :F1�/�L HEF,TING _ _ . . _ HEALTH DEPT. FINAL � ' � !FiPdF,L ELECTRIC-- - - # DEV. FEES GAID - -- , �rF;'.•�P.�-PLUMBiNG -- ENERGY �•--- - - � - - - ___... _ ; .. �.: � - - _.:_�... �_,.� \ _ � �._..._. \ _- --- -- •� '�E�,��.,�"�``�f�:'.�' ,.,_. ! '� � `�cor��r,nEr�Ts - - � - - ���� ' �; . . , . � ` ; f � - - --- - - • ; �. . 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