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HomeMy WebLinkAbout13720 (16) �` CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SEF.VICES �� 21660 H Copley Drive Suitc 190 ' (909)860-3195 Fax(909)861-3117 PRE$$ ��"�'� BUQ.DING PERMIT APPLICATION FIRMLY o ADD ESS�I oY.�C-�olo��snr,'JJ�jS DA�CATION l/,' 2Lj G�NUMBE�3 �x�c '� i 1 g issuE nPE occ APN_� LOT TRACT DATE CONST. GROUP S OWNER � p ADDRESS ��C�h ` r ZONING SETBACKS ��" CITY ' j � � � � ZI L.�l�sr!�L�7y�J FRONT RW O APPLICANT ' TEL`f ���'�l/ REAR ❑ � �� SID�/SIDE STAEET RW ❑ CONTAACTOR C O SIDE ❑ g ADDAE CfTY IP • TEL a PROPOSED USE o ARCHlENG/ ` ' � � � DESIGNER�Cl . NO.DWEL NO. NO. ADORESS �" UNITS STORIES BEDR�OMS � CITY sZl '' 'TEL. � DESCHIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAHA710N SFRl,4�WAEM O � 1 HEREBV AFi1R4 UNDER PEW�LTY OF VERAIRY iHAT I AY E%EIIPT Fi10M iHE CONTMCTOfi3 LI• G2f8QB/CB�OR - CEHSEUWFq1iHEFOLLCNYMNiREASON(SEC.7071.SBUSINESSMrDPROFESSIONSODOE:ANYqtYOR� � (n CQ1NiY4MECMRFOUHESAVEAMtTTOCONSTAUCT,ILiERMPROVE,DEMOLISH.Of1REF�IHANYSTRUC• W pBIidD6Gk NF�E iR�OR TO RS ISSUANCE,AL50 N[OUIFtES TFIE APPIILAM fOR SUCH VEPMI7 TO FlLE A S�GNED STATWENf ilUi NE OR SHE i5 110EN5ED PUR6U�NT TO THE PROVISKKIS OF THE COffTMCTORS lb .�,� CENSE LAW(RIAPTER v�COAIIIENCwO N17H SEC11�N 7ooa1 OF DIVISION]OF TME BUSM[SS MID PRO V' POOU$pe - � � � 7E FESS�DHSCOOE�ORTF1AiNEORSHEISEXEMPTiMEREFNOMIwDiHEBA515FORiHEALlE4E�EXEMP� V TqN.�NYVIOLATqNOFSECTION10�1.SBY�MVAPPLICAMiDRAPER/AIT5UB1ECT5THEAPPIIGNiTO Z Ra-Root � �,_, Aphl►ENALTYOFNOTMORETHANFNEHUNDREDDOLURS�t5oo1.0 � � OIAS�NNEFOfiHEFROPEATY.ORAlYEA/PIOYEESN'ITHWAGESASTIEIRSOIECOMDENSATqN, 0 �mmercial - � VYILL DO THE NY7FI1(.AND TME BTRUCTURf IS NOT IHTENDED OR OFFERED fOR SAIE(SEG 701I,BU54 J � NE53 M1D PFiOFESSION4 COOE THE CONTMCT00.:LICENSE LAW OOES N07 APPIY TO AN OWN[R OF ? � � PRDPEHi'I MRio BUI�s OH MPROVES 7MEREON.AND YM10 DOES SUCH WOIIK HIMSELF OR MERSELF OR CC TIROIlOHH50ftHEROVMEIAPLOYEES,Of10NDEDTNATS�d11MPROVEMENTSMENOiklTENDEDOR m L�1 pFFEAEDiOqSA�EF,IpWEVERTME&1t17WOOPYPHOVEMENTI55OlDVAiMMONEYEAROFCOMRE• �•� TION.TME GNRlER�8UILDEH WILL HAVE TME BURDEN OF VHOVW6 hU7 ME OR SHE 010 NOT BUIID OR t� dPROVEFOR7N[VURPOSEOFSALEJ. � ❑tAS01N1EftOFTMEPROPEHTI:AMEXCLU51VElYWN�N�GTN6WfTML�CENSEDCONTMCTOHS TO CONSTNVCf T11E PRQIECT(SEC,70aa.BUSINE59 AND PROFESSIONS CODE:THE CONTMCTONS U� V91Uet1011 ADJ.AREA �NSE UW OOES!AT APN.'/TO 1W OWNER OF A PflOPERiY MR10 BUM1DS OR MPHO+fES TH[REON.AND � WHOCON7fU1CTSLORSUGIPROJECTSNATHACOHTMCTOR(S)LICENSE9PUFLUANTMTHEWHTMG ou,wnrr DESCRIPTIO�J FEE � 10RSUCEHSEUW). ^� � OIAAI0CEAIPTUNDERSEC. B.iV.C.iORTNISRUSON U ...G. /' f ��3 � ( LL F � OATE ON'NEFl � W �' UCENSED CONTFtACTORS OECIARATION �y � �� '� � iMEREBYAFFIRMUNDERPENKT'OFFERNRY7}1ATIAMUCENSEOVNDENPROVIS�ONSOFCNAP(ER � / : . .///�1 �.f pw� �(COAMAENpNOYATMS[CTION7o0o10�OMSiON�OFTHEBUS�NESSANDPROFFSS�ONSCOCE,MID ���� ���'� W IJCENSE 6 N FI1LL FORCE AN�EFFECL �� m . � ,��. ._ . � � ` �. LICENSE CUSS L1C.NO. � DATE � � CONTMCTOR a . . . . • — = WORKERS'COMPENSATIONDECLARATION 1� � U � N � � II!EREBYAFiW/UNDERPENALTYOFPEMIRYCN[OFTHEfOLLOWINODECUMIIDNS: Z Q � _IIUVEANOWILLWUNTA4JACEq7IFICATEOFOONSENTi06ElFdNSUR[fORNNRKEi15' S � � COMV[NSA71oN,I15PqM�AED8Y5ECT10N77WOFT1/ELA0011CO0E,FORIHEGENFORMANCE W OF TME Wd�1C fOR NMId1 THIS P�0.MIT IS ISSUED. � � __I NAVE AND Y+'LL IMRRNN M'OfYCCRS'COMPENSATqN MSU�UNCE.AS REOUIREO BY SECTqN O D70DOFTHELABORCODE,FOItTN6GERFORIdMlCEOFTHGWORICFORMMICHTHISPERMITIS lSSUED.►IYW�cOEiKENS' PENSATIONIN•l1MNC[G�9RWERAN�POLICYNUMBER E: CONSTRUCTION � unniEq ✓G�I.Cf LLI'�y� .l�U '�I,S�]S • PLAN REVIEW 2 ra�crruus[a���,.Q.��_r�i��+�/ ELECTRIC . �� � �sEcnor+�cmr,oTeE�.s�iIDOFneanarswna+erivanmoou�nsR+�i ��1 PLUMOING •2���. 7'�Q � I CER71FYlT1AT N iHE PERFORMANCE OF TME N9RK FOq WNICM THIS iEHM�T IS ISSUED,1 MECHANICAL �,_.����1 GFIALLNOT EMPLOYMIV PE0.:ON IN�NY MANNER SOAS TO BECAME SU0.IECT TO TNE � , N MIORKCRS'COIAPENSA71ONUw50FCAlIc01W1�,AN�AGNEETIUTIFISHOULDOEG,O•M,,,E, INSPECTIONFEE 5 SU9JECiT07HEW0fiKEit3'COAIPENSATqNPRONSdISOFSECT 37oo0FTHE�^/ ODDE. SHALL Oi1T1lrNTH COMPLY N7 SE P VISq . '/ �SSUANCE t /. V p DATE:�P� F APPLtCANT: Ci�-� SMIP �� ^ t�� � WARNINQFA4U TOSECUREVqFiKERS'COGVENSATIONCOVERAGEISUN WFULANDSHALLBE [NERGYP/C �.UP' I��I � SUBJEGTIWEMPLOYERTOCRIMiNALPENALTIE3ANDCIVILFWESUPTO0NEMINDRE07FqUSAND ENERGYPERMIT ���---�� -� � �n OOLLANS(f 700,0001.W ADDITION TO TME COST OF CdAPENSA7ION,OMIAOE5115 GRONIDEO FOR IN ¢ SEGi1DN77oeOFiHEIABORCOOE.INTEREST,MlDI1TTOPNEY'SFEES. � �'"' "� � �� �' � , RETENTIONFEE: F�'F�•* ^ - - ti CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � � � � � I HCREBYAiflqAl UNOER PENAL7V OF pEiiIURY 7HATT/ERE IS A CONSiPUCTION IEND�NO ACENCV ' FOR iNE CENFOH4ANCE OL THE WOAK iORYMKJ1TM15 PERMIT IS ISSUE�(SEC.]OY7.qV.W. j� Z W � �FNOER'S NAA1G � C LENDEHS/�DORE55 ,. w ICERi�FY7HATIHA�EREADTMISAPPLICATIONNJDSTATETHATTHEABOVENFONAATqNISCORRECT. TOTAL FEES � � � � 1/1OREETOCOMPLYWfiHPLLCfiYANDCOU�TYORDINANCESANDSTAiEUMSREUTINOiOBU1LDINO CONSTRUCiION,MIDHCREBVAUTTIORRERE?RESENTATNESOFTHIS TOENTERUPONTHE ZABOVE�YEMIONE�iROPERTYFORWSVECT�ONWHPO5E5. OMMENTS ' " � �a f��e r`�' G �°► a. . � � PFW.�ITT AA/E RINT) , /� /� � � . ,� t7 �� � I r� , � ' , vj SIOlU �OFPERAUiiE .�E �-�--7 �, � RECPT.NO. v v PAID BY ' VALIDATION , YVHITE—Department Copy,YELLOW—Finance Capy.PINK—Assessa Copy.GOLDENROD—File Copy,GREEN—AppliranCe Copy : ' . . , ,. ,,� � . .. . .. . .. �. ,. . ,, . . ;r �, . ,•., , .,. .. , . CITY OF DIAMOPJD.BAR,; ,. .,;1,, x:��: ��-;::: �;���INSPECTION:RECORD . . , ., , ��;,, ' �; ,, . . , , -, .. . . G`� �.�,.. �...�....�-.,.+�.�.,�.:�.�+�.-.........�r...�. , . 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' ;r' S FT.BOND BFJ1M : - • � ; . :"---' ` :. _ ,' ': ;" ' , .- . .,t PRAMitiGNENTILIATION - _._ _. _ FINAL� DND BEAM� _ ` ,^ ` �-�-- J . . . . � i : IROOFCOVER •, PRE-GRADING - i ��� '��� ,"' IROl1GH HEATING . ._. _ ., , - ---. ... . BENCHING'.`'\, � . , . . . •� - - - - .�; ; < '. , . .. ,�.. IROUGF;ElEC7RIC- '•--- r . .� '-- -' . ; .:: i . ' ' ' ROUGH GRADING .. ... _ . _ . . _- _- -' . {ROU�-,!�i PGUMBWG -!— - — -- : . ' --�- FINISH GRADING � ' :: �.�_ �ISNO'Y'1��R;?U8 TEST - . - - P�OL'ELECTRIC i : ��XT:-E:.�tiTH;SIDING ._, . . . _ .�. . . .... _ POOL`FE ' ' - NCING , ' �i4^!ALl��INSUI�ITION - � -. _ . - . . _ . POOL'FINAL � , ;� � , � ,� _ . _ OFF SITE IMPS. • , . t� , u _.. � - �Dri'�^Nr�L�.L NAILING �1 7 �iS ','"�� - DEDICATIONS , �. ��Sc�'��En _ FINAL�ENG. � ` : � . j!c��.rr;i�,7ANK LANDSCAPE/1RRIG. i�6E�.P..�i?/LL . ON SITE fMPS. ' ,, r- -- � !I::,, f l ;��ST !. _. _.._ .. _ _.. � _. ' ' FINAL ZONING . , ,. ... ._._ _.. � � ' '-�'.>_:� '�'�.. FIRE DEPT. 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