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HomeMy WebLinkAbout13553 (27) '.:� - 1,� CITY OF DIAMOND BAR -�— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �c , 216b0 E.Copley Drive Siriu 190 • ' (909)86Q3195 Faa(909)861-3117 PRE$$ �`*�'�� BUQ.DING PERMIT APPLICATION � FIRMLY o DDRESS�/(�k% YLl 1���W(�D� �� DA�CATION �. ro���NUMB R���x --I� $ ISSUE . . •� TYPE '� ' ' OCC APN LOT 7FACj DATE ' CONST. GROUP g OWNER � \' p ADDRESS ' O a ZONING SETBACKS - . - •• �w CITY ' ZIP TEL - FRONT RW O APPLI NT TEL. REAR p � SIDElSIDE STREET RW O CON7RACTOR SIDE ❑ ADDRESS � CffY IP TEL PROPOSED USE ���� �1'l. � ARCH/ENG! //, � � DESIGNER w�I �� �� NO.DWEL. � JO. , T- ADDR�SS y UNITS STORIES N CITY ZIP TEL f BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREl1NALUATION Q OWNEFl-BUILDER DECLARATION SFRIADD/REM = • -' O ' p I HEHEBY AFF7W UNDER pENI1LTY pf pEfWRY THAT I M/E7fEMPT FF10M TNE CONTMCi00.5 LL G8f8gfl�C8fpDR 11J CE1t5EUWFORTHEFOLLONntpREASON(gEC.7o]1.6BUSPIESSANOiROFES5lON5CO0E:ANYCITYOR (n COUNTYMTIILMNEOUIqESAVEHMRiOCON5TNt1CLALTE0.WwPFtOVEOEMOLISH.OHREVNHANYSTRIIG w pati0/DBtk . TURE,iRqR TO(f4 ISSUANCE,ALSO REWIRES T1E Ao7LICMlT FOR SUGM VERMiT TO FILE A SiONED ETATFIIEM lW�i ME OR SHE IS LICENSED YUR6UANi TO TF1E PRDYISIONS OF 7ME CONTMCTOFl4 LL CEN9E UW(CHAVTER 0(OOMMENqNG MATM 6EG?lON 7000)OF DINSiON]OF TNE BVSINE55/ND PRO �^ Pool/Spa , FE69pNSCWE�ORTIUTNEOR5ME15E%EMPTMEREFROM/1ID111EB�SISFORiHEAl1E0EDE%EYP• C7 T10N.MNVIOLATiONOFSECT10N7Wt.6BVANVMPLIC/J1TFOqAPEFWITSU&IECTSTHEMPLICANT70 Z qe•Root � • � . � '- �,,,� ACMLPEWLLTYOFNOTIAORETMANFIVEHUNOREODOLUfi4p5oo)�: � Ot�80MTlEROFiHEPROPERT;ORMYEMVIDYEESWITHWA0E51�4THEIqSpIEWMPENSAT�ON, � CpminBfC131 �"� •� � � � -. - MLL DO TNE WORK�.+A TNE 67RUCil1RE l5 NOT IMENDED OR OFfERED FOR SALE(SEG)a�,BUSb J , � NE&S A1O PROFESSqNS COOE T1E COHiRACT00.4 LICENSE lAW DOES NOT APPLY TO AN OWNER Oi = PROPEHfY YY410 BUll74 Of1 w1DpOVFS 7HEREON.AHD Mh10DOE5 SUCH MONK HIMSELF OR HEFSFLF Oq Ttl10UOMMISOqHEROWNENPLOYEES,P1iOV10mTNATSUpIUPiqYEMEMSMENOTMENDE00R m OFFEAED PDR SALE IF.FIDWEVF0.TMElUIDIHn OR YPROVEMBlT19 SOID WrtHN ONE YEI1R OF CdAVLE- 'TION.THE OVn�Ei18UttDER N1LL NAVE TNE BUPOEN OF PROV WO hIAT ME Oii 6HE OD NOT BURD OFt MPNWE Fql Tff NIRPOSE OF 9ALEJ. . O 4 AS OwNER OF iHE PROPERTY,AM EXCLUSNELY CON7MCTINO YA7H LICENSED CONTMCTORS 70 CONSTRUCf 7/1E iRO.IECf�SE4 7ou.BUSINESS MID ViUFE5910N5 CODE:THE CONTAACTORS L4 Valuation � AQI.AREA � CEN9E UW OOEB HOTAPPLY TO�N ONMER OF A PROVERTY WHD BUILDS OR MVfpVE4 MEPEOH.AND � YAIOCONTRFCTSFpq$Uq1VppJECT$Yy�7HACOHfqACTO{i(S�LICENSEDPURSWXiTpTHECOHTMp pUAPITITY DESCRIPTION toas uctrse uw.�. FEE � OIAME%EMPTUNDER9EG 8. P.C.FORTHISRE�SOM Q f U � WTE ONMER � W � - UCENSED CONTRACTOR�DECUTAATION —� W 111EREHYAfFlPMUNDERPEW�LTYOFPEiWiiVTNATIAMLIGENSE�UNOERPROVI5lON50FC/1MTER � s ��COWENClNUWITHSECTqNT000)CFOMSqN�OFTHEBU51NE54ANOFROFE5510NSC0DE,M1D z. � u� MY UGENSE IS N ML FORGE AND EiFEGL m C��� �� � UCENSE CLASS LIC.NO. � _ `.� � DA7£ CONTRACTOR C � WORKERS'COMPENSATION DECLARATION � NIHENEBYAFFIRM UNpER iEW1LTV OF PEFUIRY ONE OFTME iOLIA`MNO DECUMTIONS: Z Ll _INAVEMOYV:LLWUNT�lIACEHTIFIGTEDFLONSENTTOBELF.INSUREFOpVAHNERS' 4 � � COMVEHSATION.ASPROYIDEDBYSECTIONTooOFTNELABOfiCODE,FOqiHEPERFORMANCE W Q OFTHE WORK FOR WMIUITHIS VEPo./iT I4155VED. � �I HAVE AND YY.LL 4MHTAIN WORKER5 OOMPENSA110N INSURANCE,AS REOVIHED Bv SECTION O 77o00FiHEVBOqCbpE,FORTHEPERFOpM,WCEOFiHEWORKFORNMIpiTHI3PE1iMIT15 (^^� � ISSUm.MYN9RKER$'Gq1PEN5ATIONINSUHANCEGRRIERANDPOLICTNUMBEflME: CONSTRUCTION � � c�uEa PLAN REVIEW � POLICY1XlMBER ELECTRIC � '' ' � (M55ECIfOPIrEIDtA7BE¢1.F1£fIDOF71EaEA.R6Pd7OEHl�Cii�00lU1tSR�a'IORlE55l PLUMBING . ��• �� Z �CERTiFYT1u71NTF�EPERFOFAIANCEOFTXEWORKFORNM1nWiHI5PEq1ARISI55VED,1 MECHANICAL 5/411 NOT E�PLOY MIV PERSON W ANY MINNER SO AS TO BECpAE SUBJECT TO TN[ nr N WORKERS'COAIPENSATqMUWSOFGlIf-0RNI.�AND�OREETNATIFISFIOUIDBECOUE INSPECTIONFEE.ti�� SUBJECT TO TME WOWCER5 COM7EN511710N VROVISqNS 0F SEGiiON]7pp pF TME LAWR � -~j coo�,iswucartwvnn+coMr�rvnnrnasEvnrnisar+s. ISSUANCE �'- � � � �. U O p OATE: � APPIICANT: SMIP �\�`ty J .1 � W�RMMO:FA0.UR[TOSEWREWORKERS'COMPENSA710NCOVERAGEISUNUY:Fl1L.ANOSIULLLBE ENERGYP/C \� '� � �•;11��t��f � •�y, SUBJECTANEMPLOYEHTOCRMINALPENILLTIESMIDCMLFWESUPTO0NEMINDREDhqUSAND ENERGYPERM •��`�1`'-r`�'�`,� JOOILM.i(f100.000).NADOITIONTOTMECOSTOFCOA/PENSATION,DMUOESASCRDVIOEDFORW � � SECTION]loe OF T1E UBOR CODE,INTEREST,AND ATTORNEYS FEES. � �i,`7�'�,.,��?" aC RETENTION FEE; OCONSTRUCTION LENDINGAGENCY PRE•ALTFEE`� ����^�`� � IHERE9VAiFIR4UNDERiEN.LLTYOFVE0.IURYTNATTHERE6ACON5TRUCTION�QIDNOAGENCY 4t11�t� Z FOR 7HE PERFORMANCE OF THE WORN FOR WH1C11 THIS 7ERMIT IS ISSUED(SEG]oi7,CIV.C.} W � IENDERSNAME � C LENDER'SAOORE55 � ICERTIFY7HATIHAVERFJ�DTHISACPLICATIONIWDSTATETW�TTIEABOVENFOIW�TqN1$�pqRECT. TOTAL FEES • - d 1 AGREE i0 PLY N7TM ALL UiT ANU COUNTY OPDIN�NCES AND STATE UWS PEUTWO TO BULDIN4 � CONSTRUCT MlUHEREB�AUlHOR12EREFRESENTAiNE50F7HISCOUNTYTpENTEHUPONTHE � E qNEOPROVE FORINSPECfIONPUfiPO5E4. COMMENTS 0 "'� I /` � m EPAII I /� a S �V r � � SIONATUREOFPERMITTEE pAfE � RECPT.NO. PAID BY � VALIDATION WMITE—Depanment Copy,YELLOW—Fn�no�Copy,PINK—Aessseor Copy,G,Ou�,ENROp—File Copy.GREEN—Applieant's Copy ��1 �}N I n r l) , . . . . , . . . . , . . . . � CITY OF DIAMOND BAR . .. . V '� � . .'::: IfsSPECTtOt� RECORD .. � :. � " � . . _ , _. , . . , r:."^'q'' S:i:.:c�i'1^j�� e ��� I ►!r�.1�.�.}c'� c��'� ���-":�. �� � �-iK.. , _"�.' ; � - . . -, �F—_•_��. �-.�. '� � _s. l�_ t� �� � t�. .�^..�'��i.? '�• � ��� ���.,�1 '��..�F� ��F� r��'Gl��" � .• - �.� �s.vw�+�w w � �.�. . �� Y-e.u�ra...�+w� .�i.�-r.._ .._�`S�. � �-�. a v•� . .-•....-�. - -n+�++r.��..�. .w�vr--w�. w�w�� r...�wrar • �v.w. .v w w+ww 'SET f3.ACK � , ,. - -I�i ',:� �� � _ , : . �FLO�R JQIST , ' '� � • . ,... . • , ....... --------_-,---- , 1 � . -I I ' . ,._.... .. . .._ ,FTGS,•`FOFi".'S'STEEL - }J•!. � - ' . . , � .. i .3 `t�'�•I.9` ' _' " ' .. 'FF�A REQ:VITS � . . - - - -' - - - - ;��L�CTRIC GROUfd�J---- ;L>��.Y-'M( �.i��- .- f UNDER FLOOR DUCT �- �`' . - UROUND PLUtv1EING I�-��`I t �.��- UNDER FLOOR Cdf��DU1T � ' ��'—�- • ' 'S!_A5G�4DE---..__.. _ ' � _...-- I �-- ' ' ` FIREPLACEFOU��DATI0�1 � _ � . - '1--. ' � ' . �.. ._ � , : 7EP:1P F01,"JER --- - - � = . . . FIREPLl10E BOND BEAP.1 - '. _ , • i : V���•,i rR SERVICE - - - � � P�1iD HT. BOND BEAP�•7 _ � ••- :Ft00�=SHEATHING . —1 � -.;- I '8 F(. BOND BEAh"- -- ---- -. _ -- _ _ , — .FRn"�"Ifd;�'1,'ENTILIATION (,-tr-�.�_ '_. .. '.._- . FINAL�BONDBEA^�1 - --�( -; - - , ,�07�COVi_R----�� � ' � PRE-GRADING;- . . .. _ � _ ... _��. _ --- � -- � - -•- - . . . ... .. , . .._. .- -- . . , , �R:):JG��H=ATING - - -- ,. . ,.- ., , . `__ I . ...: ...- - -- - - E3ENCfiIP1G _.� . , . .: i?�UGH ELECTRIC . . . �:`15...%' � � " .,-�- ROUGH GRADING -� �- � ' � - i��UGF�PLU'�7BIPJG- '- '� � � ..._-�•• � FINISH GRADING C �4 -�__=��:--.1 ��� � ��5HQ4">>EF.rfU6TEST -- - - - - - - �- 4 POOL�ELECTRIC � • 'F�i. IATH�SIDING - � - �OL•FENCING ::`l;tl:i"�5t1LATIOPd - ��.�' ��� ,;.- POOL FINAL � •• 'C�iL1�IG If�SU�AT10*J �••ye� �.---�-' � r � OFF SITE I"fFS. � � � ' :DRIti'Jl�LLiJAILIPJG - - - -- -- D�DICATIO�dS , . , . i�El','ER . - . FINAL ENG. � � ��S�PTIC TAtJK ! • LAP�DSCAFE/IRR G.� � f j �=�=cP PiT/L.L. _ . O^�SITE IMf'S. j . � GAS l-.1R TEST . ' ' �f-'ItJAL ZOI�i�JG ' ' � � =� �rr 1 � - — _� • , �.�r�;.CO�dST.. . _ � _ �;_ FIRE G�EPT. 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