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HomeMy WebLinkAbout15975 (9) +�, ="-�-- CITY OF DIAMOND BAR -f� -- DEPARTMENTOFCOMMUNITY&DEVELOPMENTSERVICES EXPIRED 21660 E.Coplcy Drive Suitc]90 (909)860-3195 Fa�c(909)861-3117 PRESS . �����~ BUII.,DING PERMTT APPLICATION �UN 1 7 ��'j FIR o� JOBSITE �/ !_ '�j�r.��� APPLICATION � t1 � NU B R Y/C ADDRESS �w ( K DATE I c� ISSUE TYPE OCC APN L T TRACT DATE� CONST. GROLJP g OWNER 'G "" ADDRESS ZONING SEfHACKS � CITY ZIP 7 . FFiONT RW ❑ APPUCANT TEL. REAR d � 51DE/SIDE STREET RW O CONTRACTOR D � SIDE ❑ � ADDRESS PROPOSED USE D f CfTY ��/`t� ZIPgj� TEL � ARCH/ENG! "'���� c DESIGNER NO.DNJEL. � NO. NO. = CnDRESS Z�P TEL UNRS '�' STORIES BEDROOMS N DESCRIPTION SO.FT: FACTOR PSF ADJ.AREANALUATION N � OWNER-BUILDER DECU4RATION , SFR/ADD/REM O 1 HEREHYAFFIRM lJNOER PENALTV OF VERRIM TH4T IN.�EXEb�PT FROM h1E CONiMCTOR5l4 Garage/Carpart B COiSEUIWFORTMEfOLLOWMOREA50N(SEG7W1.68USINESSMIDiROFE5510N5CODEANYCITYOR (fj C� COUMYVRIIOIIIEOURES�PE31MR70CDNSTiIUCf,ALTERDADROVE.DEl10115M.OPREP�IRlINYSTHUG W PBSIDIDBCK 6 7URE.PfUOR TO R9 ISSUAHGE,A150 REWIRES 11�E APPIICANT FOR SUpf PEPAIIT TO FllE A SIfiNED W � 37A7EMQfT TNA7 ME OR SME IS UCENSED VURSUANT TO TNE PROVISIONS OF iME CONTMCiOf15 U� � CEH4EUWIQUFTER�(COMMENpNOWITISECTqN1oo0)OFDMSIDN10F1HEBUSiNESSANDPRO- � P��PB FE531DNS OOOE)ON TIAT HE OR SHE IS E%EMPTTHEREFHOM ANO lHE BA515 FOF THE KLE�ED E%EUP• TqN.AHYYqLAiqHOFSECTION70�1.68YMfYMVIK:ANTFOHAVERMITSUBJECT3i11fAPPLICANTTO Z (�@-ROOI � AC1VR PENAL7Y OF NOT MOi1E iTVN FlVE MUNDRED OOLUFS(SSoo1.N ' � 04�30VMEROFTHEPROPFt3TY,ORMYEYPtAVEE5Nn7MWAGESAS711EIRSOLECOM0EN5AilON, ❑ L'pmTefNal � YALL DO THE WORK,AND TME STRUCTURE IS NOT INTENDED OR OFFEREO FOR SALE(SEG 70��,BU51- J NE55 MID VROFESSIONS CODE:THE CONTRACiORS LILENSE LAW DOES NOT APPLV TO AN OWNER OF � ►ROPERTY1N108URD90RMPpOVESTHEREON.ANDWHODCES6UCHWORNHIAISELFORHEHSELFOR m � 7HNdJ6H105ORMERONMEMPLOYEES.ViqhOEDTHATSUGI�MPROYEMEMSMENOTINTENDEDOR � OfTEt�DRJRSALEIF,FIOWEVER7ME9ULWNQORMIPROVE/AfNTISSOLDWITMNOHEYEAROFCOMPLE• TION,TME OWNEfl-BUItDER YALL HAVE TME BURDEN OF YROVWO THAT F7E OR SHE D�D NOT BUM1D OH W PROVE GOR TME VUR705E OF S/LE4 W OlA30YMEROFTHEGROVERTY,AME%ClU5NE1YCONTMCENONTTT/LICEN5EDC01rtMCTORE �� � � TO COriSTRtK77HE PROJECT(SEG 70H.BU9INESS AND PROFESSIONS LODE TXE CON�MGTORS W Valll3tlOf1 ADJ.AREA CFNSE UW DOE9 NOTMOLYTO AN ON'NCR OF A PROPERTV WNO BUlDS OR IUPipVE51NEREON,ANO .Z� WIIOCONTMCi5FOR5Up1DqO,1ECT5VnT/ACOHfRACfOR(5)LICENSEDFURSUMfTTOTMEWrlTMG pUMttiTY DESCRIPTION FEE � lORSUCENSEUWJ. O I MI IXFAIPT UlAfP 9EG B.i F.C.�OR THIS REASON � U � u" DATE OWNFfl V � J ��q UCENSED COKTMCTORS DECLAFIATION W [L IMEREBYAFFlPoAUNDERPENALTYOFPERIURYTHATIAMIICENSEDUNDERPfiOVI5KKJ50Fd1ACTER �. s f(G1'M.WENLVI6WITHSECTqNT000)OFDMSION70FTMEBUSINESSIWOFROFESSIONSCODE,AND Z X W LICENSE IS N FULL FOqCE EFFECT. m tiJ /� � � � LICENSE 55 V LIC.NO. � J ' V p�h� A CONTRACTOR a W � WORKERS'COMPENSATION OECLA ¢ . � . � U N IHEREBYAFFlRMUNDERPENALTYOFPE0.IURYONEOFTNEfOLLOVAIMDECU�UT10N5: Z Q G IlIAVEANDWILLUAINLUNACERTIFlCATEOFCONSEMTOSELFaNSUFEfORNqRKERS' 2 Q PFNSATqN.ASGROViDEDBYSECTION�7000FTHEU00NCO0E.FORTHEPERFORMANLE W F TNE WOHK FOR WMlpl THIS VERI/1T19155UED. � � IHAVEMNWILLMAIHLUNM/OP1(ERS'CO�dFENSAT NSURIWCE,ASAEOUIHEDBVSEC'TION � r I1 Q a7ppOFT1EUIBORCOOE,FORTHEVERFORMANCE THEWOR!(FORWMICHIHISOERIARIS �V�� OlJ ISSUED.IIY .5' vENSAT RANG�I,RHiERANDPOUCYNUMeENME: CONSTRUCTION J � GAHNc'R �� �v� PUW REVIEW � POLICYMIHBER� �(/ . EIECTRIC � (iH",,SEQ1pNt{�NOTBEODAfLEfFDOFTEPEPMtBfORONEV4DDilEDDCLlM4R��1���} PLUMBING Z I CEHTiFYhUT W 1NE PERFORMANCE OF 7N[WOiL(FOH WHICH THIS PERMIT 6155UED,I MECHANICAL (} SHALLNOTEM�LOYM7'IPERSONNANYMANNERSOASNBECOMESV&IEGTTOTHE � WOfMEFS'COIJPENSATqMUW50FGLL�fORNI,ANDAGREET TIFISHOIhDBECOME INSPEC710NFEE -�Q1�LQ�,� ECTTOTMEVNRKERS'COMV[NSATIONP NSIONSOF C110N�70oOFT11EU80H �SSUANCE � I S�LL�oaT�n�courir wm+ L VROVIS � DATE: p AVPLICANT. �SMIP � � WARNIN�: A411 TOSECUREWORKEFS'OdAPENSATIONCOVERAGEISUMAWFIA.ANDSNALLBE ENERGY PfC -g�����r�- � SIAJECTANEMPLOYERTOLR�MWALPENIiLTIESANDGMLFME3UPTOONEHUNDRE0i1qUSAND ENERGYPERMIT pC�LARS(t too,000),IN IDDI'�ION TO THE COST OF COMDENSATION.UTAIAGES AS FHOV�DEO FOR M � SEC(IOND70eOFT1EU80RLODE.7ITEREST,/WDAiTOiWEY'SFEES RETENTIONFEE: a, CONSTRUCTION LENDING AGENCY PRE-AI.T FEE: � IMERE9YAFiIRMUNOERPENALTYOFVERlURYiMAiTNEREISACONSTRI,'CT�ONIEND�N(3AGENCY az iORTHECCRWRMANCEOFTMEriORKFORWHICN7MISPEPMITISI55UED(SEC.ioY7,CIV.C.7. � W � LENDER'SWWE � LENDER'S/�ORE55 ^ • � ICERi1FYTHATINAVERFAOTH15AV7UCATIONANDSTATETNATiHEABOVEWFORMAT10NISLORRECT. TOTAL FEES D� J V W IAGREETOCOMPLVWITNM.L ANOWIMTYORDINNiCESANDSTATEUWSFEUTWOTOBUil01N0 � CONSTNIICTION.ANO NEREBV ZE EPRESENTATIVES OF TWS COVNTY TO EMER UPON THE � � ABOVE�MENTqNE00i1D7EPTVi RINSPE TIONWRPOSES. COMMENTS � 0 6 G�l. � m CE TEE NAME(7 4 � N � 6tGNA -OF PE ITTEE 0 E � RECPT.NO. PA1D BY VALIDATION WHITE—DepertmentCopy,YELLOW—Fnance Copy,PINK—Assessa Copy, O ENROD--File Copy.GREEN—Applkant's Copy CITY OF DIAMO�aD,BAR . � ,.: ; , 1�._,. _ ;_ , . . . : : _ _ : �;:_If�lSf�EC�"10f�i RECORD , ' � . � . _ ; . _ ,. , _ _, . t- � � �1���-����'��`)�i►�� ,�.��� Ji'.�-�.i���«'�:�i m�/1���i�i:�s'��t�►�l�w �a�ry:�r`, ..,,..,�"���.��cJ`��o�.� . ., � w . _...y_ .�.,. . .... _ . , _.. ......�....� :_,._.._._ .__� -s --._ .__� . !SET E3ACtC, ' ; , , _. � ,�, _.,,� FLOOR J015T �� ; �� , ,-:i � '-- . ;FTGS/FORh1S/STEEL'__ : _ ..:- - - - , . ,_. : FHA REQMTS :�---- - '_ _' '_ _ -- .! IELECTRIC GFi0U�1� _ _ . - ' ---.---- ;. �! � _-- UNpER FLOOR DUCT _ _ ., _ ; _ .. . --.: -- 'GROUND PLUMBfNG - UNDEf�FLOOR CUf�iDU(T `" ' " ' ' ' " � . . . _._.__ �S�AB GRADE- - -_ '•' ____ . _� . . _ ' " ;` I FIREPLA �FOtiNDATION `-' � , � , iTEMP PbWER_ _ _.,,_ � - :.- _ , - I FlREPLACE BOPdD BEAti1 _ � '4�lATER SERVICE -- _ _ _;- ' MID HT. SOND BEAPf ' . .•. ,.-. , . ., .. :. . , ; �ROOF SHEATNING 1• (�j(-t Z-b( 8 FT. BOND BEAR4, : '- . . FRAFJIfNGNENTlLIATION ,� _.`- . •. �. � FINAL BOND BEAM . � ��� ;ROOFCOVF_R ; , . , , � PRE-GRA�ING __ . : : I , . _ , : 'ROUGH HEATING' _. " BENCHING , . ' 'ROUGH ELECTRIC _ _� _ ' . ' � _ � _ ROUGH GRA��NG - _ - --- 'ROUGH PLUMBING- - - -- - '� ' FINISH GRADING , -SHOWERlTUB TEST- - ---- _- -_ _ - POOL`ELECTRIC i E�'T.-lATH/SIDING -_.__ _ . __ ._ _ __ POOL FENCING � ;UJHLL-i�lSUfJATI�N --- _ _.. . .-- �.._ __ POOL FINAL ; ;CE1LiNG ii�SUCATtON " - " ' ' i OFF SITE IMPS. : iDRYVVAtt NAILING DEDICATIONS 'SEUJER" - __ . _ _ FINAL ENG. , ; ... :SEPTlC TANK LANDSCAPrJIRRIG. ;SEEP P!T/L.L. .._ -- <J';' ON SIT�IMPS. � GAS Ai�TEST ' FINAL ZOhJING -. ___ ._._ _ ___. �Fli�r.L_CQP�ST, _ -._ -- -_ . __ ( FIRE DEPT. FiNF,L � . .F1;�F,'_H�ATING . - __ _ _ HEALTH DEPT. FIfJAL _ _._ ; - ��',��'•_ELECTRIC --. __ _ _ _ __ . .,.DE'J, FE�S =f,;D. ___._ - -- , , , .,".'_-PLUAA�ItdG _ - � ENERGY _ _ - - _ _ _ _ ._ _ . —, i — � - _---__ ._ _ _ _._ ;^- .; � � .. .__ _ . _ . < < �:;r r� t ct _ � !�� � — . . . .:f� .T.� ?..i 'I�'].. _ �'COi%i�,��NTS _�=�s'bf �u .�_f�� . ' - - , , � , � �- -- — -- —_ _ � - - � i 1 - •, , �.� ! , , , ; , � . . . _--- --� - - � . .. . � �. i i . . . • . 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