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HomeMy WebLinkAbout16457 (39) f� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suiu 190 � �� (909)BGO-3195Fax(909)861-3117 PRESS ��^° BLTQ..DINC PEItMIT APPLICATION FIRMLY o DDRESS_��3 ���I�`t�-k/-� � �JL�-D• bATECATION ��3�� NUMBE � N'C � ISSUE TYPE OCC -- APN LOT TRACT DATE CONST. GROUP p OWNER l�� �F'�� � ADDRESS �a� �ir/�'f-o�1,a b+ft� 15L- ZONING SE7BACKS � �m' FZ/1f �b� ZIP�3TEL. REAR RW pp APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTAAC70R�/� L/ F/2� SIDE p ADDRESS �S 2� i-/ . L-c►'+�4' G � CfTY '�• �- He�'r�ZIP,'�' /73�iTEL6_�r�,�d PROPOSED USE � • ` ' J, (�Q(S� I � P�+ ARCHIENG/ �,-� DESIGNER NO.DWEL NO. NO. N CnDRESS Z�P TEL UNRS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF AW.AREANALUATION p� OVbTJER•BUILDER DECLARATION SFRIADD/AEM p 1 NEREBY AFFlIW W�ER PENALTY OF GERIURY iHAT 1 AM EZEA1Pf FROu THE CONfMCTORS LF Garaga'Carport L1J CENSEUWFOIITNEFOLLOWNOR&150N(SEC.701f.68USME5SANDVROFE5510N5CODE:MlYCITYOR (/� � COIMTYWICO1RE0uWE3AVFAu1TiOCON5TRl1CT,l�L7ERMPHOVE,DEA10LI5N.OHHE7�IRANVSTAUC- W pOtidDeGk NRE.iNqR TO ITS ISSUANCE.IL50 REWIPES h1E APF�ICANT FOR SUCH PERMT 70 i1LE A SIGNED �I� STATf4ENT THAT H[OR SNE IS IJCENSEO VU0.5UNfT TO THE VROVISiONS OF TME CONTRACiOitS ll• W � CENSE UW(CNAPTER Y(CO�VENCNO N'ITN SECTqN 7000)Of DMSqN�OF iHE BUSINE55 AND PRO• LL' PooVSpa iES5iON5CO0E1��7HEOR5ME15E%EUPT7HEREFRpAANDTHEB�SISFORTHEAl1E4EDExEMP• (� TION.ulYV10lAT10NOFSEGT�ON7o77.EBYANYAFCLIGNTFOHAGEi1�1R5UeJECTSTMEAFDUCNt�TO z Pe•Raof F, AdNLCENALTYOFNOTMORETVNFNEMUNDREDDOl1AR5(fsoC)J: � �LASVMiEROFT/1EPA07ENTY.ORMYEMPIOYEE5WITMWAG[SASiHEIR50lECOMP[NSA7qN. � COmmBrCial - YALL 00 ME YYORK AND THE STRUCTUA[IS NOT INTFrDED OF OiFERED FOR SALE(SfG 70u.0U51- J N NE53 ANO iROFE5510N5 COOE:iHE CONTfUCTORS LICENSE UW UCCS NOT APFL'/TO AN OWNEfl OF /�/� VR07ERTYMMOBU0.DSORMPpOVESTMEREON.ANDYFIODOESSUCMNORKHIMSCLFORH[RSELFOR � � J � D���,J �" Q.' TNROUCJ11950RMENOKTIEMPLOYEES,iRWIDEOTNJ1TSlXS1MPROVEMEMSARENOTIN7FNDEDOR m � OFFEHEDFOHSALEIF.FqWEVERTMEBULDIM70pIMVflOVEMEMI550lDWfiHNq:EYFARCF�0AIRE• � Z TION.TNE dWNEP�BUIIDER WLL NAYE THE BURDCN OF PiYJVIHO TNAT ME OR SH[DIO NDT BUILD Oq W PiqYE FOfi T}IE PURP05E OF 9ALE} L OL�DN7�EROFTH[VROGEi7fV.AUE%QUSNELVCDNTRACTW�WTILICENSEDCONTqACTORS CL ��NSTRVCT iME iRQ1ECT(SE470��,BViINE55 MID VFpFES$IONS CODC:TME LONTRACTONS LI• V2!t12ilOf1 ,nn�� ADJ.AREA LLl �NSELAWDOESNOTAVPLYiOANOMMEROFAPROPEATY1N109U1D50�t1YPROVE5T1ERE0N.AN� � 1MHOCOHTMCTSFORSULNVNWECTSVATHACON7MCTOP�SI��ENSEDiURSUANTTOtMECONTMG OUAWTITY OC-SCFl�PTION F�E � TORSLICENSELAM��. _ O�NAFXE�PTUNDfRSEC. B.tP.C.FORTHISREASON d � U lL. � OATE OVINER U �d LICENSED CO�JTRACTORS OECLARATION w J lL IHERCBYAFFIfWUNOERPEN�ITYOF�ERM1IFYTHATIAMIiCENSEDUNDEROiIOVISqN50FCNAFTER � � 0(001.O.AENGNO YATN SECTION 70m�OF OMSION]OF 7M[BUSINE54 AN�PROFESSIONS COD[.AN� Z �� WLIGENSEISNFUl1iORCEANDEFFECL m � LICENSE CUSS^� IIC.NO.�� ' j ~ DATE1 F� CONTRACTOR,�^�•- a �i � WORKERS'COMPENSATION DECLARATION 4 N �(Z � V N IHEREBYAFFl(IMUNDCNVENALiYOFVERIUfiYONEOFTN[fOLLO'MNODEMRA`qHS. z � � �1lUVEIWDW�LLMANTAINAG[ATKIGTEOFCONSENTTOSiLFJNSUHEFORWORNEqS' a 2 CVH^ENSATION,ASirIOVIDE�BVSECTIOfIROOOFiHELAPO�LOCE,FO�TMLPER�OiiMANCE W Q OF T1E W'K3K FCRNR/1p1 TMIS OERMIT IS ISSUED. � 1 HAVE/V.9 W�ll1M�MAP1 WORKERS'COIAVENSATION WSUMNCE,Il5 REOUIRED BY SECTiON �/'� /� Q ]700 OF iHE LABOR COOC,FO�THE PERFORMANCE OF iHE WORK FOR 1N!:CH THIS PEN.�iT 5 � ^ y]( ) LSSUED.WN'ORKEi15'COIIVFNSATIONINSUMNCECWR:EH/NDPQICVNUMBERML: O CONSTRUCTION _ Li "'�v jCARR�EN_�����''7�rrZ��w����jjj ���, /V���� PLANREVIEW � POLIGYMIMBER�_(�,/��'='�I ELECTRIC � - / � ' Q (IVaS5tC110NrtmNOTeE006itE7EDanEPE�MtSiOfiauE/a1,Di1fD0aWtsK�Qola1�E5S1 PLUME3ING Z ICERTIFYTW�TWTHEVERFORMMICEOFTMEWORKFCRWMIp1i1115PE��MITi5155VED,1 MECHANICAL ('} SiW1NOTFMPLOVANVPER50NNANY►WIn[qSOASTOBECWESIAJECTTOTHE y WORKE0.5'LVMPENSATION U�'/S OF GLLIiOiWiA AN�AGRCE T1AT IF ISMOI,� - E INSPECTION FEE S SUOJECiiOTHEWORKEiYS'C0IAPEN>A7qNCROVI� .,OFS[CTION7� .WlOR , caoe.isNutca�m�win�caaairwinr � isar�s. ISSUANCE. �7� O ,�� p DATE: S C � �PPL�CAM: _ SMIP � ENERGY P/C WARWNO:fARURETOSEWREMARNERS'COA�PENSATqNCOVEMGEISUNUWF BE � SUBJERANEMPLOYER70CRnA4ULPENALTIE5M9dVILFiNESUVTOCNEMl1hORE0TH045PN� ENERGYPERMI - �__ � DOlURS(f laO.OW),N ADDITION TO THE COST OF COMPENSATIDN,DI�M�CES AS PROVIOED FOR N ¢ SECTIOH]70eOFTNELADONCODE,N7EREST,ANOATTORNEYSFEES A[TENTIONFE ��� } � d CONSTRUCTION LEN�ING AGENCY PRE•ALT FEE: O � INEPEBY/�FfIRMUNDERFENALT/OFFE0.IURYTIUTTMERElSACONSTRUCTIONIENDINGAGENCY iOR iHE PERiORMANCE OF THE WOfYK FOR WHIW T1115 VEFUR IS ISSVED(SFC.foa�,pV.C). � � LENOER'SNIJJE -- �-�— �_ _ � LENOER'SMOR[55 � ICERTIFYTUTINAVEREAD7NISM7lIGTqNANDSTATETIUTM[ABOVEINfOn4A7qNISfARRCCT. TOTAL FEES I � I AGREE70 COIAPLV N7TH/�LLGRY AND COIMT/OROINANGESAN�ST�TE Uw5 RELATING TO BUMING � CONSTRUCTqN,11h0 HUEBY AV7HOqIZE REPRfSENTAi1VE5 O�TMIS COUNTV TO ENTER UPON T1E z ABOVE�MEI(IqNEDPROVEFtYFORINSPECTIONGURP05E5. COMMENTS o � � �� ���-�— � � ve = ��awrn� C � � �a� N NATURFOFPERMIiikE OATE � RECPT.NO. PAID BY �VAIIDATION WHITE—Dopanment Copy.YELLOW—Finence Copy.PINK—Asseesor Copy.GOLDENROD—File Copy,GREEN—Appl�canCa Copy ,'- CITY OF DIA�Ot�D BAR � ��� \` ;•.�ItdSPECTiO��I RECORD � _` . � . , � ����'� , . .. . . . _..____�_._ . .�..__�__�...�__�....__ ..___. :-.._ _. ....._... : I��'t.a3f.�'1�.���G� `J �.��'�=: �.li!1���=;t'��� ��o'�►�����_:�; [�1'�� - ��y;,�c'= (►�F-���:e���c� , �. ..��.,..w_V____�,..._r_.._._.._..:..T_._______.. __._._.�..�...n.�._-�-_------�- -_ .,...,... _ .._... ..._..�. ,...-. _.... �S�B�Ci(�I . � �.� , I _1�� �. ... .� , .. 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POOL FINAL 'CElL1iJt�If•:SULATIOfd OFF SITE IMPS. � 'DRY1rJAL.L NAILIIJG , - DEDICAT{ONS � iSEb:'�R . 'FINAL EtJ^v. --- ;SEPTIC TANK LANDSCAPE/IRRIG. I ( !SE�F PIT.rL.L. - • ' ,; O�1 SITE IMPS. . �GAS F+IR TEST � FINAL ZONING � , - �FIP;r,L rONSL �-�%(. FIRE DEPT. FIPJl1L ��1,:��.L HEI�TJNG . HEALTH DEPT. FINAL !! i'J�.l�LECTRIC - � DEV. FEES PAID '�:_�.• �`•L PLUDABtP:G - � ENERGY _ -� --- ! �_ _��=."� �,1' -�.,�,�y '`,-r'--_ � �' '�'. 1 �. -. _.. . . - `�.:� .,�; _,..,_':� '�_,,``... � -- ' �co�nnnErvTs _ _ . .:.: �:,����, . - , , :- � . �, . _ - - -,',� i• L.,��=�, c..,'�;�;`,_ .:—'�'� ... ��—� - — �> `�J ,� � �'~ ��, . \. — — - � . �. \ �\' •�---F«-2^- � .�..��. —�_r� ',* --- . • ' . .-' \.., '" � � 1 ` -_ " ' "' '" ' ... �_� • ` •` . ;SEPTi�TANK SIZE �'� • � �SEEP PIT/U SIZE ,, . _ -_ `ti�___. ..�._ -. ' - � . . � � � .,���� , — . _ — . . . . '_'_... ., ._ • �` ` h . ., '__ I� � . �( � � � - � "�_ - . .���` '_�'�_ ._ '" ' �_`...��.'"'"_...�_._rI ',1 t� 1 � .)�� _ '_