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HomeMy WebLinkAbout14095 (22) J,� CITY OF DIAMOND BAR' �� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � 21660 E.Copley Drive 5uite 190 ' (909)860-3195 Fax(909)861-3117 PRESS '���'� BUQ.DING PERMIT APPLICATION � � FIRMLY � JOBSITE APPLICATION .`�, � PERMIT P/C o ADDRESS �5 ���[�_��� o� DATE' NUMBER � / N ISSUE TYPE OCC � OWNE�A� SL��{ TRACT DATE CONST. GROUP p ADDRESS �.-�� C-�.-+`C�.-, P��_�}�< ZONING SEBACKS � C �• �' ZIP�j�.�.� TEL. REAR Rw O APPUCANT TEL. SIDE/SIDE STREET RW ❑ � CONTAACTOR SIDE •• O p� AODRE S ,S,I�e+s ����' S � � , _ • � CfTY�, �o ZIP��1�.t� TEL�Io� S�'11 y� PROPOSEDUSE �a�^�T/t5�'+wkt. .�s�'�.�1 �Z„ �� .24��L��ss -A c .=tic �++ ARCHlENG/ • � DESIGNER NO.DWEL t NO. NO. CIDTD�RESS ZIP TEL. UNITS 1 STORIES � BEDROOMS N y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER OECLARATION SFR/ADD/REM • O p 1 HEREBY ALflRM UNOER PENALTY OF FERAIRV THA7 1 MI Ex[uPT FROA7 T11E CONTMCTORS LF GarapelCarport � CENSEUWFORTMEFOILOwiNGHEA50N(SEG)0]t.68U5iNE5SANDPFiDFE55qN5LODC:ANYGffYOR (n C� �p{JNTYN7M}/REOURE3APFAMRTOCONSTRUCT,ILLIER�DROVE.OEYOUSI�ORREVAIHANYSTRUG W LL� 7URE,iRqii TO Ii9 R9U�NCE./150 HEWIRES TNE A7PLIC/NT FOR SUCH VEHMIT TO FlLE�SICNED W Patlo/peck � 8TA7EMEIIT TUT HE OR SHE IS 110ENSEO PURSUMlT TO THE PHOYIStpiS OF 7ME C9NTMCTOR9 LI• � ttNSEUW(QUPTER�(COMMENp7:aWITHSECTqN7oo0)OFqV15�W110FTHE8U51NE55AND0{i0- � PooUSPa FE69qNSWD�ORTMATHEOH5ME15E%EMPii11EREfROMANJiHEBAS15FORTHEALLEOEDE%EMP• (5 TION.MIVVIOLATIONOFSECTION7W1.68YANVAVPUCANifOqAVERYITSUBIECTSTNEA7PLICMITTO Z 0-ROD( � � ApNLPENALTYOFlqTMORE71W1FNENUHDRED�OUMS�fSoo)} � 04ASOMMEROFiHEPROPEHTY.ORMYEM7lOYEESWITHWWE5A5THEIR50LF�DMPENSAiiON, (;pRfRfefG21 ' YMl DO iHE WOHK,AND THE'+`TA�ICIUFE IS NOT INTENDED OR O�iEREO FOR S�LE(SEC 7Mt BU51- J NE55 AND iiqFE5510N5 CODE:THE WNTNACTORS LIGENSE UW DOES NOT AFPLY TO AN OWNER OF y PROPErtTV1NOBUlD60R1YPROVESiHEREON.AI�WNODOE55uCHNOAKNIMSE�FORHEFSELFOR = Q THqOUOMNISORHERONTIEMPLOVEES,PiiOVIDEDTHATSUGI�IPROVEME�'TS�RENOTNTFNDEDOR m � OfFEAEOfORSKEIF,/qrVEVER7NEBURDWGORWVR�VEMINiIS50LDW7T1P10NEYEAROFW1APlE• TION,THE OWNEHbUttDEH W0.1 HAYE TM[BUROEN OF VROYINO TNAT ME OR SHE D�D NOT BUILD OR MPROVE FOR THE PURPOSE OF SALE} � W 04JlSOMR1ENOFTHEFlOVEfTTY,AME7(0.USNELYCOMMCfINOMTTHLICENSE�WNTMCTORS j � TO CONSTIiUCT 7NE PRDJECT(SEC.7DN.BUS�NE55 uJD PROFESS�ONS CODE:iHE CONTMCTORS LI• 01tIdS10n ADJ.AREA �NSEUWDOESNOTMPLYtOANONT7EflOFAPROPEHTYMTq811M1D50RWPl10VESTMERCON.AND � t� woearcw�crsca�sua�van�crswmumrrt�ucroncs>�cexsmwriswwrrornearrrruo pUANTITY DESCRIPTION FEE � 7ow ucEr+se uw.} / r �' '� O IAIA EXEYPTUIDEH SEG B.l V.C.FOR THIS REASON U � F DA7E OwNER V , � UCENSED CONTRACTORS DECLAR4TION � � w IHEREBVAFFWdU/DERPEN/LLTYOFVE0.NR/7NAfIANUCENSEDUNDEHDROVI510NSOiCHAOiER � � �(COMIENCINO YrtTM SEGTpN 7Doo)OF DN�SpN 7 0F TME 9U5IHESS AND PNOFE55iONS CODE,AND Z �l� W UCCNSE 5 N FULL FOHCE AND EFFECT. � � 110ENSE C S �^ �LIC.NO. �S�S � G J � DATE _\ CDNTMCTOR W `, � WORKERS'COMPENSATIONDECIARA CY �,{-'3D � ¢ � IMEAEBYAFFlRMUNDERVENALTYOFPEMIRI'ONEOFi11EFOLLOYANGDECUMT�GM13. U N ¢ CJ �IIMYEANDY/�LLIMPltNNACERTIFIGTEOFCON5EM705ElFdNSURCFORYNDRKERS' S �-, CqAPEHSAiION,RSPPOV10EDBV5ECT10N77oDOFTHE11MXiCODEFOHTHEOERFOWdANCE U � Of 1ME WORIC FORYmlp1 TMS PEPM�7�S�SSUED. � O � _I WNE AND WILL NARRAIY WORKEPS'LW PENS/�TqN W SUMNLE,AS REOUIRED 0Y SECTqN �/ Q 9700 0f 7NE U80R C00E FOR TXE GERFOPMNICE O:THE V�ORN FOR WH�CH TXIS DENAIT 15 " � ISSUEO.MYWORKERS'00�1PENSATIONWSUMNCE HIERANOPOIICYNUMOERMC: CONSTRUCT�ON � ! e � CARPoER ���t� � PLAN REVIEW Z va�wwr�BER 2,$�^+— � a�_�_.�� ELECTRIC � d p (IVISSEC710Nl4�E!(�TBECd.iIETmOF1VEPEtMAT6R%i0HE1ll�Diim00LLAFS6�0%ORL651 PLUMBING . Z ICERTiFYTWITINhIEpERFORYANCEOFiHEWORKFORWNICHTN15FEPM�TI5155UED.1 MECHANICAL ('} ' �LL NO�EUPLDYANY PERSON N�M'MANNER SO�S TO BECOME SU67EC7T0 THE y (/� N9RKER5'CAMPENSATiONUW50FCti�FOPMtiANDAOREEhUTIFISMWIDBECOME INSPECTIONFEE S SUBJERTOIHEWORKERS'L04oENSA7qNDPOVISION50FSECT10Nf700OFiHEUBOR SS.�,�j' � E,IS ' FOfiiT^MMCOMPLYMnTIT1q5EPROViSi� •5, 1SSUANC£ 0 ��, p pA . _� APPLICAM: SMIP r- f� F� � WAANiN6:FAJlURETOSEWREWORKER3'COMV TIONCOVEMGEISUNLAWFUI.ANOSHNIBE ENERGYPIC �V•P '/ y �����, � SU6IECTANEUPIAYENTOCAIMINALPENAL71E5FN�G`/RfwESUPTOONEMINDRE0THW5AND ENERGYPERMI7 DOl1ARS�iloo.o001.M1IIDDITION i0 T11E COST OF COAIPENSATiON,DAAIACES AS OROVIOED FOA IN /� t J 8ECi1DN170lOFTMELABORGOOE,IHTEREST,/NDAT70RNEYSFEES. RETENTIONFEEI. l'I.fa!�I�1lJ1VLI Y�f K a CONSTRUCTIONLENDINGAGENCY pRE•ALTFEE: B LU1t�uar:JS�l�i.l'Y � INEREBVAFFIRAlUNOERVENIINOF7EFUURYTMATTMEREISACONSTRUCTIDNLENDIN6AOENCY FOR TME PERFORUANCE OF iHE WORK FON WMIGI THIS FERMIT IS ISSUEO(SEG 70W.QK G�. � � lENOER'SNMAE � LENOERSADDRFSS W 1 CfR7IFV T/uT 1 HAVE RE/�TitS APPLIGTIDN AN�S7�TE T1uT7HE/BOVE INFORMA7pN IS CORHECT. TOTAL FEES ' � � � IAGPEE70C01APLYYAiHALLCRYANDCGMTYORDIwwCESIWDSTAiEUWSREIATNGTOBURDINO CDNSiRUCT10N,AND NEREBY AUiIiDRQE HEPRESENTAiNES OF 1MIS COVHTI!TO EMER UPON iHE � Z ABOVE•uEN710NE00RDVERTVFORWSPECTIONPURPOSES. COMME'NTS � -��'-L_S+r.�,P� S�•¢� m PERMiITEE N�wE(Pae /' . [/) � �1` 1�� ' �I A� A I � (n SiGNAT FPEN ITTCE W7E � � \ . � RECPI:NO. PAID BY VALIDATION. — WHITE—Depertrnant Copy.YELLOW—Finance Copy.PINK—Asaessa Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy � , - • . .�.... .. ,. , ... , � . ... .r, , _. � ...,.. .. _ .. .. • • . . . • . , _ ,.. �p ..w�. ,.''.I. e •,Y::y.• ;5' . , .;v�..,•e�•..� , . 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BFT. BON4 EAM ,_ : . __ , ; : •. . . .. � I :FRAI'�91NG,NENilLIA7iON �"- 'c' �- '' ` -� FINAL BOND BEAPA � ' � �- PRE-GRADING � iROUFCOVF_R ,:., � �,•, � - - -- - ---- . . <• , . . " 'ROJGH H�ATING -- -� - � - � _ BENCHING _ _... 1 , � . !ROUG}-1 ELEC'TRIC_ ! . _ �� ROUGH GRAD�NG _ . ------ -� : <, �ROUGH P�UMBING �- -- - � - ' � � - FINISH GRADING � �- iSH;b"JFF:'TUBTEST �- -------- � --- ----- - POOLELECTRIC " • ; : G r f ---- ... � . -- -- �--- - POOL'FENCING ( .'. -. �.::" j � . I�XT.-L,i H.SIDING - - - �l^lALL-iNSt1LATION-..; - --- - - - -- : �-� - POOLFINAL - 'c�iLt�lG ir•:SULArtoN:---- -- -- - .�-- - -- �OFF SITE IMPS. , � ! � . �DftY1P✓�,LL-PJAILIidG ;-- � -- - -.. ..- - - DEDICATIQNS 1 - - 'SE�;�ER - . . _ � - FINAL'ENG. - � :, !S;.•PTIC TANK LANDSCAPE/IRRIG. � � ' Ii��EF PiTIL.L. . �. -.•_c:.' ,ON SITE IMPS. � l _ . •' r�.;S f�l=;�i'EST_ • FINAL ZONING - -F;i•��.i,.CQNST._..�.._.._...._. 36� _ FIRE DEPT. FINAL . . _.--.•.-- ;E�Ji:I:_HEAT1�dG ._.__... HEALTH DEPT. 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