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HomeMy WebLinkAbout16089 (17) � , i _ .. . . --'-^' _. . , _ , '. . � ' �� CITY OF DIAMOND BAR ' DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � {909)860-3I95 Faa(909)861-3117 P R ESS '""� BU�.DING PERMIT APPLICATION _ FIRMLY � JOBSITE APPLICATION /��2 �� NUMB R ��+u 1 M� V Q ADDRESS � � f� DATE �'� � APN � LOT TRACT ISSUE 7YPE � O OWNEA ' OATE CONST. GROUP W ADDRESS � ZONING SETBACKS � CITY ZIP TEL. ' FAONT Ryy � APPUCANT TEL. R�R O � SIDE/SIDESTREET RW O CONTRACTO S1DE � � CfTY[T�e..(rhz�t' ZIP �'�TEL j f' —O SL PROPOSED USE I'v��- �'T �[ � W ARCH/ENG/ N � DESIGNER ���� ADDRESS NO.DWEL NO. NO. � C�TY ' ZIP TEL. UNITS STORIES BEDROOMS N �� DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION ¢ � OWNER-BUILDER DECLARATION O � • SFq/ADDIREM 1 MEREHY AFFlFM/UNpEfl PENKTY Of PE0.1UR1'TMAT 1 MI EXEM7T fAOM 71�E CONTpACTpqS�� � CENSEUWFOi1TNFFOILpWNOREASpH(SEC7o71bBUSWESSMIDVROiESSiONSCOOE:ANYqTYOq � Garege/Ca,port COlMT7WN�QIREOUNESAPERMR7U00N5TRUCLALTERMPROYE,pEMOL15M,ORREPAIRANYSTRUG W PeIiO/DgCk TURF.PRIDfi TO ITS ISSUFNCE,ALSO pEWIRES iHE MPLIGNT FOq SUp1 PEPIAIT TO i4E A SIGNED W .�. BTAtEMENT 7HAY NE OR SNE IS 110EN5ED WRSUAN7 i0 THE PROVISIONS OF THE CONTMC70fi9 U• � CEN8E UW(QWPTER i(CpMAAENCPJO WfTH SECTqN 7000)OF OMS�ON 7 OF THE BUSINESS/NO PRD. u- PooVSpa FESSqNSLtD�OATY1AiME0ft5HE15fXFMFTTNEREfROMANp7HE&1515FORiHEALLEDEDEXEMP� C7 TION.ANYVqLATpNOFSECTWN7W1.68YANYAPCLIC.1MFOqAVENYRSUA1ECfSTHEAPDLIGNTTO z RB•H001 � AGML PEWLLTY OF NOT 1,qRE T11AN iNE MINORED DOLURS�i5oo).1: O O4�qMNFNOFTHEPpOPERTV,OqYVElAOIOYEESNnTNWAGFSASTHEIRSOLECOAIPEN5AT10N, 0 (,^OfllmOftlel ^ . Z WLL00 TNE WORI(MA THE STRUCTURE IS NOt IMFfqED OR OFiERED iOR SALE(SEG)OH,BUS4 J � NESS AW CpOFE5SqN5 CODE:TME CONTMCTO{�S LILENSE UW DOES NOT MGLY TO iW pWNEq OF PROPERTYNYIDBULDSORMPqpyESiNEREON.ANDNMODOE55UpINVliKHIMSEIFORMERSELfOq � � iNRCM10FIW5ORMEROVMEMPLOYEES,PROVIDEDTHAi5UC11�.IPROYEMENTS�HENOTMENDEDOq LO DRfliED FaR 3hLE 6,HON'E1'ER TNE BULDINO DR IMPROYELIRlT I3 601,p N7T7aN ONE YEAq OFCq1%,E. TION.TNE OWNER�8Nlf1ER WILL HAVE TNE BUROEN OF PROVwO TN�i HE OR SNE OID NDT BUILD Oft IMPROVE FORTHE PURPOSE OF SALFG ❑1A90WNFROFixEPROPERiI;AFlEXC1USfYECYCONiMCiWO Wfi1fLILEN3EOCOHTMCTOq7 ft TO CONSTRUCTtNE PROJEGY(SEG 7ou,BUSINE35 M9 CROFESSIONS COOE:THE CANTRACTORS L4 VelU8t1011 qjU qqEq �l, CEHSEUWDOESNOTMPLVTOANONNEROFAPROVERTYM1q6UILpgpRNPRDVE5INERCON,/WD ` � � YVNOCOHfMCTSFOqStKHPA0.IECTSVnTMACdlTqACTOq(5)IICENSEDWqSUANi701NECONTMG QUANTIN DESCRIPTION �E � TORSUCENSEUW.1., ❑I MI IXEMPT UNOER SEG B.t P.Q FOq Tw5 pEASON Q I � ,,,_� 3 � -. � WTE ' OYMER V j .. , �I 4 i LICENSED CONTRACTORS DECLARATION W CL INEHEBYhFFIRM UNpER PENAIiY OF VEiLtt1MTUT IAM LICENSED 11NDER iROVi510NS pF CNAPTER � � �(WMMENCPqWRi15ECfqN70oo)OFDIV1510N]OF7NEBUSINESSANDPROFESSIONSCOOF,M�D Z �� W UCENSE IS CI FIA1 LORGE IWD FFFGCT. m � UCENSE CUSS � r ���_LIC.NO. � �� � V DATE��-� C�! CONTfUCTOR 6J. W � WORKERS'COMPENSATION DECLAFIATION Q INE BYAFFIHYUNpEHPENALTYOF►ERIURYONEOFTHEFOLLOWiN6DECLAMTIONS V � Z � IHAVEANOWILLIWNTARlACERiIFlCAiEOFCONSEMTObElF�NSUREFOHYIORKEFS' a � OOMPENSATION,AS PROVIOED BY SECTtON 970o OF iHE IABOR COOE,FOR iHE PERFORMANCE U Q OF7NENqqKFOqWMIp1iNI5GEWAITISI55UED. W � � �,�I HAVE ANO VALL MAINTAIN W'0(L(ERS'C04PENSATION MSV0.WCE,AS pF WIRED BY SECTiON � 970o OF 1HE UBOR OOOE,FOR THE VEqFOR4ANCE OF TM'c N'OPoC FOR YMICH MIS PERMR IS ISSUED,MYYrHKERS'Cd.IP(J115ATqNR7iUMNCECARRIEflANOPOIICYNUMBERAAE CONSTRUCTION � `7�..4.¢" �1• -1 > �'�Ep PLAN qEVIEW Z P«,c„K,ueEA ,L'Cty--�id�.�lnnno ,) eLEcrA�c Q p' (MssECIbf+NEFJNDi'eEaCAnETinoFnE{�M'isr4RouEFu�DpmOdlusR+aojOal� PLUMBING W Z ICERi7FIT11ATINTNLFERFORIAANCECFTHEWORKiOqWHICHTHISPEM11TI51S5UE0,1 A�IECHANICAL C�} SFIAl1NOiF�1PlDYAN'/VERS'7NNANYEIMINERSOASTOBECOMESUBJECTTOTME (/� WORK'cP5'COMPENSATqNUVf50FCALIFORNI�ANOl1OREETUTIFISNOUDBfCO1lE INSPECTIONFEE S GUBJECTTOTMEM�OiU(ERS'COUDENSATIONVROyISqNSOFSECTICN770o0FTMELABOR r. COOE.I SHM1 FqiT11WITM CpdPtY INRI TMOSE VROVI510N5. ISSUANCE W �—�!� �s� 1�m , c oa�: �O APPLIG4NT. nu sMiP � ENEFGY P/C � . �� WARNIN6:iAILURE TO SECURE YIOPJ(ERS'COMPENSA710N LOVEflAGE IS UNUWFUL,AhD SFW.I BE � SU&1ECTM!FMMOYER TO CRIMWA�VENALT7F5�ND CMl FIHES UD TOONE ML7ARED 71Kri15AND ENERGY PEFiM1T OOLI/3i5(1100,OOC�N�DDITION TO THE COST OF�pMVENSATqN,ON.UCESl15 PROVIDE�FOfi IN .-}J SECTION1toeOFT1EUDORCDDE,l1TEHf5T,ANDA7TORNEY5FEE5. I' � 1(,V \yi .•+ RETENTION FEE: p CONSTRUCTIONLENDINGAGENCY PRE�ALTFEE: BIIILUIN ��u��'T=— � IHEREBYAFFlRMUNOERPENALTYOFPERNRVTHATTNEilE4SACONSTRUCT10NtFNDW6AGFNCY FOATME 7ERWAMANCE OF TME WORK GOR WMICH TiIS YERMIT IS ISSUEO(SEG JOY"!,GV.G). Z W � LENDER'S1uME I � LFNOER'SAODRESS' � iGERTIFY7N�TINMENEADTHISAGFLICATqNANDSTATE7HATi11EABOVEN�ORUATqNISCORRER 70TAL FEES �� � �AOREEIOCOIIPLYWIh1ALLCT'ANOCOIMTYDRDINANCE5AND5TATEUWSREUTW6TOBURDINO }.� � 'R CONSTRUCTION,ANOMEREBYAIRiqRt2EREPRFSFNTA7NESOF7N15CDtMTYTOFN7EqUPONTME � �f � ABOVE�AIEHiqNEOGROPERTYFOflINSPECT10NPURPO5E5. COMMENTS _ �� (_��''"`.- m VENM17TEFNAM 4 l f, I � �L�(� (n PENAIITT OATE / RECPT.NO. pND BY VALIDATION � WNITE—Department Copy,YELLOW—Finance Copy,PINK—,qssessa Copy,GOLDENROD--Fila Copy,GREEN�ApplicanCs Copy �r � --- -- - _ _, i . _ . _. . _ , . , . , . . � ... . , , ,, . .. . . .. . .... .. . „ . . � ' — �� CITY OF DIAIIROT�iD BAR ,, �–� : ; , , ��:�� � . , � IfvSPECTiO�I�PEC�fIL . . : - ... _ . . '�.�'l��-�.��.�Gy���1�,� / '�r�.�?,� `:.1���-��.���°�.e.�`� • **'�11►�k-�.�=�7p.1�y►�k�- ..�at�AVK.=c i�►`��:-��.�',`F'��-- 'i'�� . ....�.. ..... ... .,_,M ..,....._.� _ . �..,w ...d .�.,._.. ,�,�..�y d..,_. _ . . .�, SET�BACK � _ . �I ' ' � I (�, � ��yFLOOR JOIST; ' / i FTGS/FORPJ�S(STE�L � � •. � ` � FNA REQ1�dTS ` ` ,ELECTRIC GROUND_ . . �� ' - UNDER FLOOR DUCT - � ,+ - - _ ' !GROUND PLUMBING � � UNDER FLOOR COf�iDU1T - � - � ISLAB GRAflE -- -- - - - � FIREPLACE FOUNDATION �. • � � __— ITEfv1P P01�JER � � � � � FIREPLACE BOND BEAM ' ' ' � � �WATER SERVICE- - MID HT. BOND BEAM " ' fROOF SHEATNING . ,� ' I - • � R FT. BQND BEAM . . , 'FRAMINGNcNT(LIATION - � � FINAL!BOND BEAM � iROOF COVER -- PRE-GRADING - � . � ; IROUGH HEATiNG � ' BENCHING • (ROUGH ELECTRIC • _- ROUGH GRADING - - - iRrJUGH PLllPJIBING--•- - - - - FINISH GRADING 'SHOtib'cFiITUB TEST POOUELECTRIC ' 'EXT.LATH/S{DING - - POOLFENCING �"JALL;�ISUtATION - -- - f?OOL FINAL 1 , ;CEILING ti�iSULATION - -" OFF SITE IMPS. " � DRYI"JALL N�,ILING DEDICATIONS 15EWcR FINAL'ENG. SCPTfC TANK LANDSCAPE/IRRIG, ' � � ;SE�P PIilL.L. � . �. ON SITE IMPS. � GAS r':I�i�'EST I . � FINAL�ZOPJUdG ! 'FINF;I.CO�JST.-', -- J,��•• <�.: .-.. .�--• FIRE DE?T. FINAL . ; trlP•lP.L HcAT1NG _. . _ _. � HEALTH DEPT. �fNAL - ;�i�•',l ELEGTRIi: II 1�'!1 i,l -- .. I DEV. FEES PAID - -- �.:'.�.. 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