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HomeMy WebLinkAbout15765 (39) �, _. . . .__ -----. . .....---�-�-�--.._...._... . _....----- �--- + . j, ..,...� G � CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21660 E Copley Drive Suite 190 (909)860-3195 Fnx(909)861-3I 17 ' � PRESS '"" BUILDING PERMITAPPL[CATION FIRMLY p� JOBSITE 2 f •� y�� L.✓ APPLICATION .' PERMIT P/C ADDRESS / � �� � DATE ! I �OO NUMBER � � #� � APN T TRACT �SSUE TyPE p�C .• p OWNER. � DATE CONST. _ GROUP p ADDRESS �-LL.f�t — ZONING SETBACKS ' "' CITY Gv� IP TEL. FRONT RW ❑ � APPLICANT Zt.11 w't EL ^ ' ' � SI�SIDE STREET RW ❑ � CONTRACTOR �..�- '�==� SIDE p � ADDRES � p�`� � � C�N 71P -r[ TEL. J PROPOSED USE V� o ARCH/ENG/ " b` "�" ' DESIGNER '�� �� �� � ADDRESS NO.OWEL. NO. NO. � CITY ZIP TEL UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O OWNER-BI:ILDER DECLARATION SFR/ADO/REM p I HEREBY�FFIRM UNDER PENALTY OF PEiWRY iHAi l AM E%EIAPT FR061 THE CONTMGTORS LF Garafle!Carport �' ' W CENSEUWFON7i1EFqlOwRIGHEA50N�5EG70.71.5BUSWE55ANDPROFES51JN5CODE:ANYCITYOR [� � U CpUNiyWHICMREOUIRESAVERMIT7000NSTRl1Cf,ILLiERMDR0YE.0EMOlISHORREOIURANVSTRl1C• Z fURE.PRqR TO RS ISSUANCE.AL50 REOUIRES THE ACGLIGM FOR SUC11 VEiVAiT TO i1LE A SiGNEO W PB��eck � ��� W 6TATEMENT 71UTHE OH SNE IS LICENSEO OURSUANT TO TNE►ROYISiONS OF T11G CONTMCTORS U--' W � GENSE UW(CHAPTER�(CdAMENCINO WITH SECTqN 700D)OF DIVISION]OF THE BUSINESS A11U PRO• u' POOVSPB � FESSIONSCODE)Of7i1u7HEOR5HEI5EXEMPTTHEREFRpAANDTHEBAS15FORTNEALIEGEDE%EMP• (� TION.�MIVqUTpNOFSECTqN7o7t.6BYANYAGVLICANTFORIIPERA11T5UeJEGT57HEAVPLICAHTTO Z Re-Roof ` A pVIL VENALTY OF NOT MORE T1UW FIVE MINOREU DOLLARS(5500).�: � w � 04�0'NNEROFTHEPROPERTV,ORMVEMPLOVEESWITNWAGESASTHEIRSOLECOIIPENSATK)N, 0 CORImBftiel , � M Z YM�LL DO iHE WOqIC M!0 THE STRULTURE IS NOT WTENDED OR OFiEREO FOR SAIE(SEG 70u,BU54 J � NESS I1N0 PHOFE5510N5 COOE:THE OONTRACTOHS UCENSE UW OOES NOTAOPLY TO AN OWNER OF j , OHOPERTYWIIOBUI�SOiIYJPROVE57HERfON,ANDNM1/000ESSUCNWORKHIMSELFORHERSELFOq . 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W '- � WORKERS'COMPENSATION DECLAFiAT10N �l —� `� � O/ U � � IHEitEBYAFFIRMUNDER7ENALTYOFPER7UHVONEOFiMEFOUAWWGDEQAMTqNS: t Z � _INAVEANDMnLLAUINTA�NACERTiFICATEOFCONSfMTOSELFdNSUREFORWORKERS' a COMPENSATqN,A3FqOVIDEDBYSECTON77000FTMElABORCODE,FORTNEGERfORMANCE W W �F THE WORK FOH WMICH iHiS PERMI713ISSUEO. `' MAVEANDMALLYAPI7AINWORKERS'COMVENSATqNINSUiLWCE,ASREWiHEDBYSECTpN � � ` � p 970o OF TFIE LABOR OODE,iOR TNE PERFOFUTANCE OFTF1[WORK FOR WMd17Hi5 PERMR 15 f I � ISSUEO.MY WOi1KER5 COMPENSATION W SUflAN CMRIER D POLIGY M1M9ERME O CONSTRUCTION _ t L� (� L�lJ ._' _'>. __CARRIER .��� _PLAN REVIEW.. � PQICY M11A9EH \a I�1�O t � ' ELECTAIC � (iVa55ECIfONNEm1ATBE00M;E7EDOFMPERAR6fOf10NEHl.![%iEDpOIWiSRl0010R1E55}, PWMBING W Z ICERTIFY THAT N THE iERF01iMM10E OF TXE V/OfL(FOR WHK:/ITHIS VERAIIT 6 LSSUED,1 MECHANICAL C7 SN�LLNOTEUPLOVIwY0ER50NNANY4ANNEFSO�STOBfCOA1[SUBJECTTO7HE [n WORI(ERSC047ENSATI0NUM5OF�A6IFOFWIA,ANDACRFETM+ITIFISHOULDBECOME INSPECTIONFEE SUBJECT TO THE YlOR1(ERS'COUDENSATIDN PROVISIONS OF SECTiON 7700 OF 711E UDOR O cooe,i sw�u ioanmirn couv�r wini san ISSUANCE � 0 o�rE:��-�APPLIGNT _�'�� SMIP 1 W � WARNING:FAILURETOSECUREMIOPI(ERS'COMPENSATIONCOVERAGEISUNUwFUL.MIDSNALLBE ENERGYP/C � SUB.IECTMlEMPLOVERTOCPoMPlALVENAlTIESANDCMLFINESUPTOONEMUN�REDTFqUSANO ENERGYPERMIT � DOIURS�f 100,000�,N IDOITiON TO THE COST OF ODIAPENSAiqN.DMIAGES AS GROViDEO FO(i IN SECTION770lOFTHELABORCODE,MEREST,MI�ATTORNEYSFEES. RETENTIONFEE: � - � � � CONSTRUCTION LEN�ING AGENCY pRE•ALT FEE: � INEPEBYAFfIRAIUNDERVEN�ITVOFVERRIRYTHATTIERELSACONSTRUCTiONLEND�NGACENCY z FOR TME PE RFOiiMANCE OF TME WORK FOR WHIC11 iM15 VERYIT IS ISSUED�SEC.7ooT,C1V.G�. W � � LENDERS NAME � LENDEN'SIIDDRE55 � ¢ ItERTiF'YTU7IMAVEqEApTHISAPPUCJ171ON�NDSTATETUTTHEABOVEWFOi11AATqNISCORRECT. TOTAL FEES � W IACREETOLOUPIYMAiNALLCrtYANOCOUI7YORDuuNCESANOST�TEUNSPEUTMGiOBU1L01NG � � ' � I � CONSTHUCTqN,ANpM[REBYAUTFqHREREPRE ENTATIYESOFTMISCOUNTYTOENiERUPONTME � /� - Z ABOVE�M qNE�PROPERTY FOR wSVECi RPOSES. —�_/] ` ry� f t(' _ . �� � ] � 0 ( �� . COMMEN T. �/ �����z� �� J � � m PERYITT E(PWNn t� V � • � . Q \ �. � [ �- N !lo uRE PE TTEE p�TE � RECPT.ND. PAID BY VALIDATION � WHIT ertment Copy,YELLOW—Fnance Capy,PINK—Aaseasor Copy.GOLDENROD—Fle Copy.GREEN—AppkanCs Copy . ..... �. . ., ..r.� � '•f•d'r.��r..�M�a{SJ.s .. ,�'.�.o.,�,. • fr��v� .r�.�F�. � .. . r .r. - . � .�'."�yy.y� .. 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WALL INSULATION t; i` � : POOL FINAL � " ' CEILING INSULATION DFF SITE 1MPS. ' . ' . : , ; DRYWALL NAILING � DEDICATIONS - . : • � _ , . . SEWER--- -- -- ---�-- --. . .---.._. .. ; . ._ . FINALENG. � • ---. . . ... ,, � -..:"" -','°�.�"!.`�': ':. LANOSCAPE/IRRIG. . . ' .: , , SEPTICTANK-•.:; _- __- , '. , ;.. .. � , SEEP.PITlLL._ --.------.- .--.._. .- --.----�-.- --'.- . �.�. -ON SITE IF�APS. . � �.. GAS AIR TEST-... . ---. ... _.. .. - .----.. . . . . FINAL ZONING � '. ' . , � .. � , FINAL-CONST. --- - - �� - - - FlRE DEPT. FINAL 1 Z.-l_t--�_�')3--� - - . , FINAL HEATiNG -- - _ - . -- - -- - _ —, HElILTH DEPT. FINF.L ,. . -- - . .._. . - -- - - ---.... , F1NAL-ELECTRIC - -- - � DEV.FEES PAID • -,, • � � : FINAL PCUh1BING --- -- . - . . � ENEFIGY . � . , � ', .,"' ^T __ L���� '�� ,. .. _.. ! . .. ��. , . 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