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HomeMy WebLinkAbout16253 (15) � J� CITY OF DIAMOND BAR EX P I R E D DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � v . 21660 E.Copley Drivc Suite 190 (909)860-3195 Faa(909)861-3117 �U N 17 ZO�2 PRESS ��'^�'� BUQ.DIIVG PERMTT APPLICATION FIRMLY o DDRI SS�� ( -�ir� �� APPUCATION 3 _g. �� NUMB R-�,`� k� DATE � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER �L�' � ADDRESS�.�� � Tr ZONING SETBACKS � CfTY t � ZIP / !.� TE •p2� R�RT RW a APPLICANT , tK C-t- TEL SIDFJSIDE STREET RW ❑ n� CONTRACTO�R l � SIDE ❑ � CDDRESS ZIP, �b�L �L PROPOSED USE^ r - � ARC G/ � DESIGNER NO.DWEL NO. NO. N ADDRESS UNITS STORIES �_BEDROOMS � CITY 21P TEL. y v� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNEfl-BUILDER DECUIRATION SFR/ADD/REM O I HEREBY AFitRM UNDER VENALTY OF OERIURY TMAT 1 MI E%EMP7 FR04 THE CONTMGTORS LL Garege/Carport W CENSEUWPoNTHEFOILOWNOREASON(SEG)0.71.6BUSMESSNiDVROFES510NSCO0EANYpTYOfl (n (,7 COIRlTYNR9QIpEOUYiESAGERMRTOCON57RUCilLLTEFt,MPROVE,DEMOLISH,ONREPAIRANYSiRUG W �Z IURE,FRqR TO R9 ISSUMlCE,AL50 REOUIRES TNE MPLICANT iOR SUCM PERAtlTTO FILE A SIONED W PS110IDBCk ETATENENT TUT NE Ofi SHE IS UCENSED iURSUANT f0 THE PROVISIONS OF THE CONTRACTOR9 L4 � CENSE UW(CUPTFR Y(COMMENCIN�WRH SECTION 7070)DL OMSION]OF THE BUSINESS AN�DR6 � PooUSpa fE33qN4CO0�ORh1ATHEOR511EISE%EMPTTIEREFi10MANDTMEB.4515iORTHEALLEOEDEXEMR� . (� T�ON.ANYNOLATqNOFSECiiON7081,lBVANVMPIICMTFORAPERIAITSUBJECTSiHEAPPLICANTTO Z Re•Roof �„� ACMLVENALTYOFNOTMORE7fUWFNEIIUNOR[DDOUAqS(f500).): � ❑�ASOVmEROFTHEiHOPERiY,ORM'IEM7LOYEESWITFIWAGESAST11EiR50lECOMPENSATqN, C0111t110fClal . - WILL DO TNE WOFiK,AND TME STFWCTURE t5 NOT IMEN�ED OR OFFEREO FOR SALE ISEG 7oN,&156 � � NE53 MA VROFESSIONS COOE:THE COHTRACTORS LICENSE UW OOES NOT APPIY 70 AN ONMER OF � . iROPElifYYR108UR�4 OR MPROVES THEREON.ANO MMODOES SUd1 K+DRIC HIMSEIF OR HEHSELF Ofi (L TiGiOU(LIWSORHERONMEMPLOYEES.PROVIDEDTFIATSUCHMPROVEAIENTSAHENOTINTEN�EDOR m � OFfEPEDiOH9ALEIF.NDWEVER7I�EBUtDIN6DRIAIPROVEMENiI350L�WITHNONEYEAAOFCOMPLE- � TION,TYIE ONVNER�BUILDER YYILL IMVE THE BURDEN OF iROVw�THAT HE OR SHE D�NOT BUIID pR IMPROVEfORTMEPURPO5EOF3ALE4 O 4�4 ON�NER OF iHE iROPERTV./W E%CLUSNELY COMMCTIHO WT1 LICENS[D CONTMCiORS TO CDHS1fiUCT THE PRQlECT(SE0.]ON,BUSIHESS HA PROFESSIONS CODE:TME COHTMCTORS l4 Valuation ,���J ' AQI.AFiEA � CENSEUWDOESNOTMPLYTOANOWNEROFAGNOPERTYWFpBUILD50RMPilOVES7NEREON,AND NTqCOHiMC'TSFORSUCHVRO.IECiSWIT1ACONlMCTOfi�SJUCENSEDPURSUM7TTOiNECONTWIG pUANTITY DESCfi�PTION �E � TORSLICENSEUW.J. ❑I AM EI(EYPT LNDER SEC. B.t P.C.FON iH15 REASON Q U � � OATF OWNER V � UCENSED CONTRACTORS DECLARATION � � w IHENEBYAFFWMUNDEHPENALTYOFPERIURYTHA7IMIUCENSEDUNDEFVROVIStONSOFpiM7ER � � �ICOAl11ENCPWW�THSECTqN700o)OFDMSION70FTHEBUSINESSANOPROFESSqNSCOOE,�ND z W LICENSE IS W NLl FORGEAVD EFG��� / � UCENSECUS !_V-�Vi�V LIC.NO. �`��+ j � w� cor+rw.cra� _ a � VlOF1KERS'COMPENSATION DECLARATION Q � �HEREBYAFFIiIMUNDERVENALTYOFVERJURYONEOFTHEFOUAWIN6DECLAWATONS: Z � IMAVEANDMAIIMAIMNNACERfIFlCATEOFLONSEMTOSELF•INSUREFOHVrOIiKEPS' _ CON ASGROVI�EDBYSECTqN]700OFTHEIAWfiCODE.FONTNEVERFOIUAANCE W E WORK FOR WHIp1 THiS VEHIAIT 19 ISSUEO. � � �I MAVE AND YALL MAIMAM WOfiKEFS'COMPENSATION W SUMNC[,AS RE W IRE�BY SECTION //���' O71o00F711E LABOH GODE,FOR THE PERfORMMlGE OF TME WORK FOR WMIp1THt5 iEHM1T 15 � ISSUE�.MYYp ERi' PENS�TqNWSU CECAAAiERM1DPoLICYMIMBERML CONSTRUCTION 1�� � CARRIEN �f tv� PLAN REVIEW � PoLICYNUMBER�'� "� ELECTRIC � �sFcnoNnemnoreecaa�rIDocnEr[ianswaoN[�+�+�on[noauasR+�Jon�Ess7 PLUMBIN� � ICERiIFYTMATWTHEPERFORMANCEOFTMEN'ONCFORWHICHiHISPERA/ITISI55UED,1 MECHANICAL SWLLLNOTEMPLOVANYiEHSONINMlV ER'SQxS''Tb�EC61d�SUBJECtTOTHE N WORKE0.5'COAIPENSATIONLAN50FCALIf NIAANDIIGPEETMATIIfISHOUlDBECOME INSPECT�ONFEE _ S SUBJECTTO7HEW0(iKERSCddPENSA PROVIS ECTICW91000F R _ cao�,i roanra�nr couc�r vn v�s�oi+s. ISSUANCE .O O p DA7E'� � APttICnMT: SMIP � � WARNiNO:FA�l1RETO5ECUREKORKERSCOMPENSATIONCOVERAGEISUNUWFULANDSFULLBE AGY.PlC_ � SIAJECTANEMPLOVERTOCRIMWALCEN�LTtESANOCMLFWESU�TOONEHUNOREDTMOUSAND ENERGYPERMIT pOLURS(t100,0a0),IN h[IOITON TO THE COST Of COIAVENSATION,DNAAQES AS PI30VIDED FOR M � SECTqN]�0lOF7HEL�80RCODE,NTEREST,/J1DA7TORNEY5FEE3. RETENTIONFEE: nW. CONSTRUCTION IENDING AGENCY PqE-ALT FEE: O � 1 HEREBV�FFIRAI UNOfR PENALTY OF VE0.NRY TNATTHERE IS ACONSTRUCTION IENOPIO AGENCY Z FOR THE OERFOHAIANCE OF iME WORK FOR WNICH TMIS�EiW IT IS ISSUEO(SEC.lD07,CN.C.). W � LElIDER'SNAAIE � � LENDERSAODRE53 � a �o . � ICERTIfYTHnTIHAVEFE�TIISADVLIGTIONANDSTATEiHATT/EABOVEMfORMAT10NI3CORRECL TOTAL FEES W IAOREET0004PLYN7TIIILLCITYAND[DUHT`/ORDINANCES►NOSTATEUwSRELATNGTOBUILDING • � CONSTRUCTION,ANDHEREBYAUf/10fiREREPRESENTATIVE50GTH15COUNTVTOENIERUPONiHE � � � � . � ABOVE�MENTIDNEOPROPERTVFORWSPEttIONGUPP0.SE5. COh�MENTS � - � ._1 � m VERMRTEE NA1AE(OqINn � � Q N � SIGNATUREOFPERAIITTEE �ATE � � RECPL N0. PAID BY VAUDATION WHITE—Department Gapy,YELLOW—Finance Co{ry,PINK—AesessorCapy,GOLDENROD—File Copy.GREEN—Appicanl's Copy _ .. , , .. _ . , , . ,. • . . . . . . .... . . . , . , . . . .. . . . ., ,. . �: . , ., . , .. - , . ,. --,. � � CITY OF DIAMOND BAR . - -.. :. , ,.. . , . , .. . , ; , iP�lSP�CTION REC�RD�� _ . ', �. . c '.� ', '� , �, 'l�.�f[►��-���� �1'�a���� °a�'�!��°= '.��a�.�'x���`�.o, ' .��� .:.�����,�G����...._..,,��,�-��. ,.,. '�l►��-`1:�-,�'�"�F�P� - - . ....,�. e.. . _. . �_ . _� ._�. ;SET BACK . . . - . � i .. �l' . , FLOOR JOIST �FTGS/FORMS/STEEL+ - _ � - . _;-- • '--- . FHA REaMTS . • , . .. ,�. ' . :� . _ . ` - I ELECTRIC'GROUND___ ' ' _ _ UNDER FLOOR DUCT ' , - . _ , _. .._ i GRDUND PLUMB!NG UNDER FLOQFi CUhIDUIT ;,� � � '`� ' '� "� � � . SLAB GRnDE ------- ' ____ . . - - - ' ' ' FIREPL'A�E��al?�1DA�"lON �. .;.- �. -, ., � ', .,�,,, t i ,-,,_ - _ _ . , , � ,_ FIREFLACE BOND BEAM� •-,�+ �; ,, . -,,• : � --- ITEb1P POWER IWATER SFRVICE -- - _ _ _ ' MID HT.BOND�BEAM- . ,._�i.._ .y,:, .�r : :, .. ;',, . . , . ,. ; . �ROO�;SHEATHICJG�� ; - ',`,. •., 1 � 8 FT.00ND.BFAM , . �• ` '_. , ' �,. .. ,_ ';FRAD111NGNENTfLIATION' '' ` �' � '" ' '�''� FINAL'80ND BEAM � � � !ROOF�C�VER ' , � . _; _ PRE-GRADING ' _ ----� ;ROUGti HEATINC_:: �_ . _ _ , _ - - _. __ BENCHING _ __ . . _ __. �ROUGN ELECT�IC _' �: . � ` ROUGH GRADING _ . RDUGN PLU�IBING- '-- -- - - -- � � FINISH GRADING � ' SHOWER!(UB TEST - - - - POOL�ELECTRIC EXfi:L,4TH/SIDINC- _ __. _-- - _ POOL FENCING ` � V,t�1tL 1NSULATION - __ -.--_ -- - -. _ POOL FINAL CEiLiP�[G 1NSUL"RT10N ---- -- -- _ ., ; _ OFF SITE IMPS. . ` �R'�1"JALCNA1Ci�lG -' DEDICATIONS i ; 'SEWER - --- - ___ _ . _ _ _ . . FINAL ENG. _ , ._. -. ,SEPTIC TANK ' LANDSCAPEIIRRIG. � 'SEEP FiT/LL.._ . " ' - .''; c" ON SITE 11�1PS_ - . 'GAS,ni�;TEST FINAL ZONIPdG ' = - -- -- _ F"1i•!AL COidST, I _ FIRE DEPT. FINAL . Fl^!E;'_!-IEATIUG _. _ _._. HEALTH DEPT. FWAL -- -_ _.__ , ;=(Nt,�ELECTR{C _ ---- - - ! DEV. FEES PAfD , . �_— . t `:�l�'.�-FLU".1BiNG -- _ E�dERGY . , . � , . ; --- , „ ;�_ ---- __.. _ _.. _ , , , , , ' -- .,,,. , — — _ _ _ ._ _ , ,r ._, , ' ';€ fct.,i d.i �C � � ::s.�'� :cr� s I"��'-�s � � ,-.. .. , - -- — - - — - � .j A ���� �� � l. . — - ' c �,C�GtviiJiENTS _ � , -- �---- _ _ . __ _ . __ _ _ � ; . � . I` �' ' � . i _ _ _ . _ _ J�� ,�; '•- . , i __ �' . i . il�� _ '. /�`:. � _..�_� ; �. � _ - � � � , . , , — - - + , .. . .._ _. _ � �. . _. 'J . '1,�' i . .. .. '-•-'-- - � `\ � i. �s�P�ic�tir:�c �zt , � , � - . .,, .. , . ;SEEP PIT/i1 SI7�,:.�. -- - .--�_� �=� _ _ _ — �. ,�� �^.� .�� , : .T _ . �' ,. _ � -. _. _ _ ; ,y�,+� .j��, _. . . 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