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HomeMy WebLinkAbout13933 - _"'.. -�, -,.'_" "�� �-^_".L �� _ CITY OF DIAMOND BAR � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � . 21660 E.Copley Drive S uite 190 � (909)860-3195 Fax(909)861-3117 PRESS �`'„"� BUQ.DING PERMiT APPLICATION • FIRMLY d ADORESS � OATE CATION�1l��� NUMB R'J��J �!C $ ISSUE ._ _ • . ' .-. TYPE . OCC APN LaT TRACT DATE CONST. GROUP � OWNER o ADDR S • ZONING SETBACKS W CITY ZIP TEL. R�R RW O APPLICANT TE� ! SIDE/SIDE STREEf RW O CONTRAC R SIDE ❑ g CD��D�RES Z� •—TE PROPOSED USE �C✓ Lt�IQ� � ��� � ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. �n DESCRIPTION Sa.FT. 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W OI.ASOWNEROFMEPROPERTY,AME%CLUSNEIYCOMRACTNOWffHLICENSE�CONTRACTORS ¢ TO CONSTXU(.T TNE VipJECT(SEG 701t.BUSINE55 AfHI VROFESSIDNS CODE THE CONTMCTOfiS L4 V3�U8IIOf1 ADJ.AREA ll1 CENSEU'NDOESNOTMPLYTDuiOWNEROFAFROVERiYvrtiOBUILD50RMPfqYES7HER[ON,AND � wwoarta�crsconwcHvnaEcrswinuca+rrucron�s>��Nsenruawurrron�Ecartw�c p�ANTITY DESCRIPTION FEE � TOfiB UGENSE UW.). O 1 AM EXEMM UNUER SEC. B.i V.G FOH THIS REASON Q U LL � OATE OWNEfl U , , � LICENSED CONTRACTORS DECLARATION W �' - � � �MEREBYAFFtliYUNDERPENALIYOFDE0.NR/TNATIAYLICENSEDUNDERVRON510N50FCHAVTER � /�COYYENGNO VRTN SECTION Toao)OF DMSION]OF TME BUSINESSI1hD VRJFESSqNS COOE,I1ND Z �1 � � I f` V� W LICENSE IS N iLLL FOqCE IV�D ECT. m � LICEN SS � UC.NO. j ., � DA7E � CONTMCTOR_ 1 6. WOFKERS'COMPENSATION DECLAFiATION Q yIHEREBYAFFIqYIMpERiEW1L1YOFPERRIRYONEOFTHEFOLLCVnNGDECIAFATqNS: Z ,� � � __IMAVEANOWILLWVNTNNACERTIFlGTEOFCONSENTTOSEIF-INSUREFORWORKEflS' S . '� C�PENSA7WN,ASPROVIDEDBY9ECTION�70oOFTNEUeORCOOE,iORTMEGERFORMANCE W Q ` , OFTHE WON(FOR W11IpI TMiS VERAUT I5155UE0. � � � _x �IIUYEANOVAILMANTAWMIONI(ER5COMPENSATIONINSURANC[,145pE0URED8YSECTION j. {) � 4O �t �7ooCFTMELABORCOOE,FOi1THEVfRFORAIMlCFOFTHEWORKFORWHICHT1117PERMITIS �JJj Ol:n,A /� � ^ 65UE0.1(YNORK iLSCOYV NSATION UHMlCEG1RP.IEflANOPOLICYNUMBEFARE: CON.�iTRUCTION ���. il 9� � GRPoER [] ,1�5+ PLANREVIEW �fVCi �_fVi O �" � r ��t � raicrruwaEn g I ELECTRIC V.C�,., O (nrssccroNr�No'rBEm.aElcnoFMv[�u.+rsri'%�a�E�a.waCnoawiS(StoqoncESS� PLUMBING 7�r Y �U. G�J Z ICERTIFYTHATNTNEGERFORMMICEOFitVEYNRKfOitWHICH7HISiERANTI5155UED,1 MECHANICAL SIULL.I NOT E4DLOV INY VERSON N ANY AIANNER 50 A$TO BCC0IAE SU0.)ECT TO T1E � WORItERSCOMPENSATqNUw50FCALIFORNiAANDAGREE7M�71F15/10UlDBECOM'c INSPECTIONFEE S SUBIECT TO THE W07NER5'C061PENSATqN PROVISqNS Of SECT10f1�7000F THE UBOR Dil 000E i + rn caaPtr wi E P sar+s. ISSUANCE ��� � � �� ���.zl..s�I p DATE: APPLICANT: � SMIP � � ENERGY P/C WARNINO:FA0.URE TO SE WAE WOR1(ERS'COMPENSATION COYEMGE IS UNUWFUL,ANO SHAty BE �y SUBIECTANFMFIOVERTOfAY.IiNALVENALTIESANDCMLfINESl1Pi00NEM1NDREDTM]USAN� ENERGYPERMIT DOILAftS(t100.000).N ADORION TO THE C057 OF COMGENSATqN,O/UMOES A4 iROV'AED FOR IN Q SECTION]1o�Os1HEUBOqCODE.N7ERE5T,AN�ATfORNEYSFEES RETEMIONFEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: qIHEqEBYAFFlMAUNDERCENKTYOFGE0.rt1MTHATIHERE�SACON57RUCT10NLENOwOAGENGY fOR iNf 7ERFORIAANCE OF TNE WORN iOP WMICH 7X15 CERM�T IS ISSUED�SEC.]097,CN.C.). . � � LENDER'SNAAIE � IENDER'SMDRE55 � ICERTFYiNATIHAKREADT115APPL1CA7qNAN�STATEiNATT1EABOVENFORM11TqNISWMEM. TOTALFEES �5� f.[ d IAOREEIOOJM7lYWfTHALLC�fYlN1DLOU1(h'ORDINANCESINOST�TEUWSREUTMqTOBULDINO � CONSTRl1CT10N,/WDNEAEBYAUflqiIQEFEGFESENTATNE50FTN15COUNTYTOEMERUDONINE � ABOVE�MEMqNEDGqOPE TY onwSrEcipnvuavOSEs COMMENiS � . J � m P TTEE WUAE(V " �� Q N � I 7 R OFiEPMIREE D� j� � RECPi.N0. 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FIREPLk10E BOP.D BEAM • • •' �'•�- � - � � • • ; � iWATER SERVICE------.._ ... __.... - - -- - Mlb HT. BOND BEAFf. � : •'.. � . ' ,J � �. : ; - i - -- - - -- IROOF SHEATNING ! 'I ', •.:. _ : rJ .-; ;'% _. . . - 8 F7.BOND BEAM ., :. . : ; . �.�_. :... � t :.:. . � ;. FRAh11NGNENTiLIATION -�--- - � - FINAL�BON��BEAM� � � ' � � � ,... �.. PRE-GRADING - iROUF COV�R .•.,�. , .: - --- -.._ ....... ... _. . - - -- - - - - �ROJGH HEATING �� - � - "'" � � - --� BENCNING � � , ,,., ;ROJGH ELECTAIC... :... �`' :�� ..... �---_._'_�'. . _ ` �: �; ROUGH GRADING - - ....--- - ---.-.. ., .. I�OU:,H PLUti1BING---' .- -----.. ... .... .: .... . . . ------- FINISH GRADING ' ` � •_, !SHOb"JER�?UB TEST-;� - ----- - - � - - - = - POOL�ELECTRIC � _ I ` ;. ;��T.-!_.�,THISIDING ....:- - ----.. .--- : - --- - . . . . ' POOL�FENCING : . , . �.. ,.. � , . iti"lALL INSULATION--'--- ---- - -- - - P,OOL FINAL .. � ;CCILIiJG�IT':SULATION; _ .. .. .. .._._. _. . ......-- - - OFF SITE IMPS. . •' i -. - - - DEDICATIONS ;DFiY4'JAL"CNAfLiNG - f Sc�,eytE�--- - .. ...--- - --- ----- ... ' --. _ FINl1L ENG. :. . . . � :.. ��SEPTIC 7ANK LANDSCAPEIIRRIG. � ;���P piT/L.L. .. ON SITE Ih1PS. • �----,�•,.S F,ir=ti 7tST i • FINAL ZONIPJG --, ,- -- -- ;F!,:r i_.CONST...! .... ....... ......---- . . _.__... FIRE DEPT.FINAL . _� ! � ---- FI:�:;•.�H�ATING ..---.---.--. HEALTH DEPT. FiNAL --- . - - _....___. _ _.. ._ - ---.. .. .. - � ,:-���._:_ELECTRIC -- .._._. _ ..-- - - - - - DEV. FEES PAID _.......----- ' ' ,�• ., ....--- —- ; - :_•;' PLUP,IBIPJC--. _ -,,�, , - _ I ENERGY ' _(., - - -- I -. . : . , -- . . -- - . . .. . ----.. _....-�-- - -. _ - _ . , �. .__ _ . - -.. . - --...._. .__. _ _ ^�..*-,-�-•�s-+� �^� � - . .: ... ...__.. .. •-..�.�.� . t: � 8j►i"xr.,:t"1s; Cj[ G '�"Re •".�_ _ i � ' J - ..a s_Si.. 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