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HomeMy WebLinkAbout17246 (17) . i �� J� CITY OF DIAMOND BAR � DEPARTMENT OF COMMi1NITY&DEVELOPMENT SERVICES �,c 2i�oE.coP��yna�es�;c�i90 PRESS � (909)860-3195 Faz(909)861-3117 ��`'�'� BUILDING PERMTT APPLICATION FIRMLY } J08SITE 2(O�O �O' •� s APPUCATION � '� �I PERMIT �a� P y I" I o ADDHESS 1 OATE NUMBER 1 c� ISSUE TYPE OCC ' APN LOT� TRACT DATE CONST. GROUP p OWNEFI " ADORE$S Z ` � J . ZONIN� SETBACKS � CfTY �•��s ,ZIP ��10 TEL2- o G� FflONT RW p APPLICANT TEL REAR ❑ � SIDEJSIDE STFiEET HW � CONTRACTOR SIDE ❑ � ADDRESS CfTY ZIP TEL PROPOSED USE C � ARCHlENG/ p�� �- � DESIGNER ��� "' '"'`'T � C• NO.DWEL NO. NO. ADDRESS ' �� UNITS STORIES BEDROOMS � CITY ZI OD •TEL` �. y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.ARElWALUATION OWNER•BUIIDER DECLAMTION SFRJADD/REM O I � 1 HEREBV AFFlPM UTAER iENALTY OF PERR/ilY TUT 1 AL/E%EAIPT FROM THE CONiMC70RS lF Garage/Carport CENSEUWWR7HEFOLLOWSJ�REASONI5EC.70.t7.68U5MES5ANDPROFE55bN4CODE:ANYdTYOR (n CAUNTYNMICHREOUIRESAPEHMRTOCONSTRUCT,ALTERMAPROVE,DEMOIJSHORREPAIRANYSTAUG W patiolDeck TURE�WOR TO RS�%JMlCE.ALSO REOV�RES THE APPLICAN7 FOR SIX:H FERA1It TO flLE A SIONEO BTATEMENT hIAT ME OR SHE l4 UCENSED PURSUANT TO THE FROYISIONS OF iME CONfMCTORS U• � CENSE UW�QiAPTEfl Y�CUMMENCP/a WITM SECfION 7000)OF DMSION i OF TME BUSINESSAND PRO� � PooVSpa FE58iON5 OOOE)OR i11AT HE OR SHE IS OfEA7PT THEREiROAI M!0 TME BASIS FORiHE/LLIEGED El(EMP• TION.ANYVIOlJ1TI0NOFSECT10N70J1.6BYM1YA7PlICANTFORAVERAIITSUBJECTSMEA7VLIGWTTO Z R6-R001 � A CML VENAtTY OF NOT MORE THAN FNE Hl1NORE�OOLIAHS(SSoo)k � O�ASOMMEROFTN[PROPERTY.ORMVEMPLOVEFSWI7HWA�ESASTHE1pSOLE00A�7ENSATION, 0 (`,pmm0fC181 � M'ILL DO THE WOi1K,AND iH[STRUCTURE IS NOT INTENDED OR OFFERED FOF SKE(SEC.701a,BUSI� J � IffSS AND iFiOFES510N5 CODE:THE COMMCTORS LICFNSE UW DOES NOT APPLv TO AN OWNER OF � PiqFER7YVJ/q 8U0.DS OR MPROVES THEREON,AND VIF1000E3 SUdI WORK HIMSELF OR HERSELF OR (� TMROUGHHISORMEROMrt1EMPLOTEFS.iROVUEDTMATSUCHIMPROVEMENfSMENOTMENDEDOR m � OfFFREDFORSKEIF,l/OY/EVEil7HEBV0.DP1(lORMPFlOVEMENT650lDWITH¢iONE�EAAOFCOMRE� � 'TqN.ME OMMERbU1lDER MALL HAVE T1E BUf1DQ!OF VRONNO T41T ME OR SNE DID NOT BUIID OH MVROVEFORTHEVURPOSEOF8IlE1 W OLASOMt1E0.0FTHEVROPERf`I,IJAOtClUSNELYCONiRACTl/OMI7HLICENSE�[ONTRACfOR! [L TO CONSTRl1CT THE PR0.IECT(SEG 7ou,BUSINE54 ANU OROfESSIONS CODE iNE CONTMCT01i5 L4 VelU0tI0f1 ADJ.AREA lV CENBEUWDOESNOtMPLYTO/WOWNEROFAPROVER7VNI�OBULDS PROVESTHEREON.AN� � wr+ocorrtrucrswnsua�vnaEcrs�+nn+�ca+rr�cTonts�i�c su,wrron�ecwrtiuc pUANTITY OESCRIPTION FEE � TOHS UCEHSE UW).� �. OIAMEI(EMPTUI�DERSEG V.GPofiTHISREASON U LL � DATE ONMER W - r;• i � LICENSED CONTRACTORS DECLARATION w � �, � IMEREBY/FFIf9IUNDEAPENALT`/OFPEfUUqYTHATIAMLICENSEDUNDERVROYI510N50FG/AVTEH � S •(COMMENCNOWITHSECTIONIODO)OFOMSION]OFTMEBUSINESSAN�PROFESSIONSCOOE,AN� Z X W LICENSE IS M F11l1FORCEANO EFFECT. m tL � O � F UCENSE CLASS LIC.N0. J � wh corrrnacrora a WORKERS'COMPENSATION DECLAFiAT10N 4 � i U � IHEREBVAFilIG1UN0ERDENAITYOFOERNR`�ONEOFTHEGOLLOVnNGDECLARATIONS � Z Q � _IMhVEANDWILLMAMTNNACEHi1FIG7EOFCONSENTTOSEIF•�NSUREFOR'FUFKERS' _ COANENSATION,ASVHOV�OEOBVSECTION�7000FTHELABORCOOE,FORTHEDERFORM/flCE W OF7HE MroPX FOH WNiCHTHIS PEPoAIT S ISSUEO. � � i �I FUVE ANO N1LL UAMiNN WOfiKERS COIAPENSATION INSURANCE,AS NEW�REO BV SECTION 1, /j Q77ooOFiNEL.�BORGPOEFORTNEFERFORMINCEOFTHEWOHKFORWMIClITHISPERMRIS N N� � � tSSUED.WWONCE(li'CMIPENSATIONINSUf1ANCECARRIERIW�POLICYNUM9ERAFiE: CONSTRUCTION � � � CARRIEN PLAN REVIEW _ � � POLICYMIMBER ELECTRIC � �nassccroawC�rqiBE00i.s'LFIEDOF7IEFEW.�T5Pofi0tiE�DOl1uLSli�ro1���1 PLUMBING Z ICERIIFYTHATNTHEDERFOi1MANCEOFTHEWOP1fFORYMIpITHISPERA/RISISSUED,1 MECHANICAL (} SHALLNOTEIAPLOYANVVERSONNANYYANNERSOASTO6ECOMESU&1ECTTOTHE � WORKERS'COMPENSATqNUwSOFGiI�FORMAAND►GREET4�TIFISHOUlDOECOIAE INSPECTIONFEE S SUBJECfTOTMEWORKERSCO�.�PENSAT10NP0.0VI51oN50FSECTION770oOFTHEUBOR cooe,l S WLL FORTHWI7H COAIPLY N1T1 THOSE PPoOVISiONS. ISSUANCE 1 � SMIP p DATE: APPLICANL � ENERGY P!C WARNINCi:FA�LURE TO SECURE WORKERS'CdAVEN5AT10N COVERAGE IS UNUYKUI.AND SHALL BE � SUBlECTANEMPIOYEHTOCRIMWALPENALTIESANOCMLFMESUPTOONEHUNCREDTHOV5AN0 ENERGYPERMIT OOLUIRS(t100.000).N ADOfT10N TO TNE C0.4T OF COMCENSATION,DAMAQES/S PROVIDE�FOR M � SECT10N770lOFi11EUBORCOOE.NTEHEST,ANOAiTORNEYSfEES. RETENTIONFEE: �t� pW_, '�, CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBVAFFlRMUNOERPENAINOF�EiUURYTW�TTHEREISACONSTRUCT�W7lENDWO�CENCY �Z- FOfi ME VEHFORMANCE OF iNE WORN FOR WMICH THIS FERMIT IS ISSUED(SEC.�OY7.qV.C.). � W ' � LENDER'SNAME � LENOER'SII�ORESS w ICERTIFYTMATIMA`/EREIDTHISMGl�WT10N�ND5TATE7HAiTHEABOVENFORMATIONI50�MEC7. TOTAL FEES � � (AGiiEETOCOMPLYWI7H/�LLCrtYANDCOUNTYOROWANCESMIDSTATEUWSREUTNCTOW4Dw0 CONSTRUCTION,ANDHEREBYAUTHORIZEREPRESENTATNESOFT111SCOUN7Yi0ENTERUPON711E �� L n �� � � � ABOVE-MEN710NEOGROPERTYfORINSPECTqNPUi1PO5ES. COMMENTS � L � � i � Gl) _ . . 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'ELECTRIC GROUND _ _ _ __ - _ UNDER FLOOR DUCT-- � - - ` �GROUND PLUMBING -� UNDER FLOOR:CO�IDUIT; � -i��� -�,� � -" � � i �� . � _. _ _ ._ � , ISLABGRADE - ` �__ _ _ ' � FIREPLACEFOtJP1DAT10N ;� �:l' " . •. .. .... ......:.J •�- . 1TEMP POWER - -- -- - .,: I FIREPLACE B�OND BEAM -- -,, .1':� � ' : ' -- ;WATER SERVICE -- � MID HT. BOND BEAM 7• .�'�_ _ ';ROOF SHEATHING . �,�.+ •�' ".�' � . . '�•� ( .` P � -8 FT.BOND BEAM - -- -- -- ;. i - - - - FRAMINGNENTILIATION -- - -- - - FINAL'.BOND BEAM i --_ , - „ , JI17 . •J.�. � .r.1 �� , i `� . iROOF COVER ' - PRE-GRADING • ,� .. t - � IROUGH HEATING - - - - - ' BENCHfNGt"•".'.�. ;�. . , ,�`:, ' ;•-., �, •�;%-'��'' .�_I , • iAOUGH ELFCTRIC__ . . � _ '. ROUGH GRADING �" �ROUGH °LUMBING - - - "'� `' � FINISH GRADING �SHOWE�=:'rUB TEST -- - � -- POOL ELECTRIC � ' ;EXT.-LATH/SIDING - -- - - POOL FENCING jVUALL INSULATION - - - - � POOL,FItJAL ;CEILING tfVSULATiON - - "; - " OFF SITE IMPS. , , ;DRYWALL NAIUNG � -" "- - ' - DEDICATIONS ° jSEWER FINAL�ENG. • � , !SEPTIC TE��;K LANDSCAPElIRRIG. ;ScE°PIT/LL. ��• = ,�:r'� ON SITE IhAPS. � � :GAS_AIR_TEST � FINAL ZONiPdG ' _ j !F1Nf,L C�NST. . r� FIRE DEPT. FINAL ••- ' - _ - - - ' -- - ;F!^1.4L 1-��AT1NG .. __ ._ �, _ _ - �. _ _ _ NEALTH DEPi". FINAL • . !FiNF,L-CLEGTRIC - � DEV. FEES PAID - ---- -; - --- � � �it='',dl=.L-PZUPA31h�3- - ENERGY � �--- : � . . 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