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HomeMy WebLinkAbout16093 (39) _ �� CITY OF DIAMOND BAR � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)866-3195 Fax(909)861-3117 PAE$$ ����'� � BUII.DING I'ERMIT APPLICATION . ' FIR LY � JOBSITE / ' � APPLICATION PERMtT -�'+Gr�,-L� P/C a ADDRESS10 30 N.G0�1E.v Sp,��C D.L E DATE � b NUMBER � r � ISSUE �( TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER�EG�' A usSELL "�' ADDRESS ���� ►�-v��rFN-� +� � ��- ' �- ZONING SETBACKS � CITY d a ZIP 9/ TEL.7/y�.8'-d 17�o FRONT RW ❑ APPLICAN TEL. REAR • ❑ � SIDE/SIDE STREET RW ❑ CONTAACTOR /�PLI��E -;-ivs //i_c.,�S =�vc. SIDE O � ADDRESS '3 f'Z-7 �t�x-�/ �£ C�7y Lt�KE�vod ZIp �1L TEL.' PFiOPOSEDUSE � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS a C(TY ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.ARE/WALUATION p� O'lYNER-BUILDER DECIAFtATION SFR/ADD/REM O p 1 NENEBY AFFIRM UNDEN PIX�ILTY OF PEfU1M 7HAT I AM E%EMPT FROM Tf1E CONTMCTOiiS LL Garaga/CaryoA - W CFNSEUwFOitTNEFOILOWVJOREASON(SfC.70.71.6BU5iNE53�NDVPOfES510N5CO0E:ANYCRVOR (n ZWIMTYMR9pi11EGlMEBAiEiWRTOCONSTRULT,ALTER�MPFqYE.DEMOUSH.ORREPMRFNYSiAUG W PatlolDeck TNiE_PRldi TD R4 R9UANCE.AL50 REQUWES TME APPUGV(T fOR SUCT1 PERMIT TO FILE A S�GNED � STATEMENT THAT ME OR 511E 6 LICEIAEO PURSUAHT TO THE VROVL:tONS OF THE CONTRACfOR9 l4 W � CENSE UW(pM7TER Y�CqAMENGNf)N7TN SEGTION 7oo0j OF DMSbN�OF THE BUSINE5311ND PFq- � PooVSpa FESSpNSCY70E�ORiHAiHEORSHELSEYEMOTTHEREFROMANDiMEB.ISISFORTF7EALLE�E0E7(EMP- . 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O��E7IEYPTVNOERSEC. B.lV.GFONTHISREASON Q �. � ��'":�' 3 � .. DATE OWNER V Z W X LICENSED CONTRACTORS DECLARATION W � IHEREBYAFFttINUNDERPFN4lTVOFVE0.IURYTHATIAAILICENSEDUNDENPP.OVISIONSOFCHAPTFR V. __ •�•^^ "� �"""' �' - •f� ' •� "�" ��• � �(OpAMENCM3 N7TN 5EC7qN 7ooa)DF DM5i0N 70F 7HE 8U5iNE53AND PROFE5S10NS CODE./VA Z , � W IICEKSE l5 N FUl FORCE ANO EFFECT. m . � LICENSE CIASS ��� LIC.NO. V���Z � � a� �r 3 i o,. �«���� t� � r a W � WORKERS'COMPENSATION DECIARATION Q � IHERE8Y�IFFIHYUNDERVENALttOfPERR1MONEOFiHEFOLLOWt�ODECUN�7iON5: U � Z Q G _I/NVEANDW'L�WUNTANACERfIFICATE�CON'EMTOSElHNSUREiORWORKEAS' 2 � COUPENSATiON./9DiqVbED8Y9ECT10N]7oaOFiHELABOqCOOEFORTHEPEHFORMANCE U d OF T1E 1MJHK Fqi WFnpl THIS PERMrt 19�SSVED. � � ` ��1 HAVE AND V/ILL MA.MAC1 W�%Y(ERS'COMPENSATION R15URFNC[,AS REOUIRED BY SECTION 4Q S70o0FTMELABORGaOE.iOPTHEVENfORMANCEOFiHEWOPoCfORNTnCHT1115PEFW1T15 ISSVED.IAYWt7N(ERS'OOMPENSA710NWSUiW�CECARi4IERANGPOI�CYMIMBERME: CONSTRUCTION � �Fq—�CTy�h.KS T�s PLAN REVIEW z voucrnuua¢n / ZR D ELECTRIC �� .Q � (fFSSEc��or+r�wTBEa7AttEfmaFTEP64�isioaa+EHlRti1[DOa1/IISR+aqatLW'? 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FIREPI.fICE:-FOUAJDATIOPJ � �.' • s•.i.:•`(1 -; i :� IYEMP F'OWER-----� ; - - - �� i - :-;:� - FIREPLACE BOND BEAMr - - - - � ' : : : �� � i.: �VJATER SERVICE - ` MID HT.BOND-$EAM - • �',•��? -�� -•,��,';. `-'` r� ._ I , - � -- - - - i ROOF SHEATHING � 8 FT.BOND BEAM - - v, `. :.•,``'�": •` `- '_�.' • `'' ! . • IFRAMINGNENTILIATION � -�- FINAL�BOND BEAM � �-� �ROOF COVER .�� , - � , PRE-GRADING -- - - - - � - ' - � ��, - --. _ .. _.. . . . . . . IROUGH HEA7ING' --- � � -- �� � - � BENCHING � - �. : : ' ,' iROUGH ELECTRIC .__... : '. �. _..�. . :: --�-� � � ROUGH GRADING - -- - - ... -- -- -- - �-- - --- ._ .. .... ,., '.ROUGH PLUMBING -;.. _ . - - -- - - - FINISH GRADING � SHOVVERIT'UBTEST �- - -- - : � - ' POOL'ELECTRIC ' � �`� !EXT.L.ATN/SIDING -- -�-� ---- • -- - - POOL'FENCING � �WALL-1NSULATION . - - ---- - -- -- - . --�- POOL'FINAL • , . iCEILItJG ifvSULATION �� -� -- - - - - � - � OFF SITE IMPS. 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