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HomeMy WebLinkAbout14133 (17) I CITY OF DIAMOND BAR E� � � - �� � DEPARTMENT OF COMMUNTfY 8t DEVELOPM�SEFtVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Farz(909)861-3117. PRE$$ ����^� BUII.DING PERMIT APPLICATION FIRMLY ; o DDRIESS � � � DATE CATION ��I ���q NU B R I 'I ✓ A _� � APN LOT TRACT ISSUE TYPE OCC. �ATE CONST. GROUP g OWNER '�c4�-,�r 'M.���� ADDRESS 20NING SETBACKS � CITY ZIP� TEL S - FFONT RW ❑ flEAR 7 !1 n �nnn ❑ APPLICANT TEL. r � SIDE/SIDE STREET ��� ❑ CONTRACTOR � SIDE ❑ ADDRE S CITY ZIP91�8[, TEL `1 PROPOSEDUSE " = \a1� �ta � .r- � _ .-� , u, \ � P� nRcwEN � � ' ! ��.�_rv�.v.,..,� �� ;�� � vi �a,.�- � DESIGNER NO.DWEL 0. NO. ' ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AAEANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD�AEM O � p 1 HEREBY AFFIRM UNDEH PE�ULTY OF PERA/RY TMAT 1 AM EXEMOi FROM T1E CONTMCTORS U• Gd�egB/C81pOR � . ._ .Lll C£NSEUWFOHIHEFOl10MlINORFJ�50NI5EG7mI.5BU51NESSANOPROFESS10N5C00[:�NYdTVOp (f) . . ... . . .. . ...._ .-. _. . . _. ' ' C� WUNTYYMICHREOUIRESAPEAMRTOCONS7RUCT,/LLTEF�MPROVE,OEMOLI51{ORHEPAIRANYSTRUC•_. . 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S �(CpNENCLqMATMSECT10N7000)OFDMSION]OFTMEBUSlNESSMlDPROFESSIONSCOOE,AND ` � X W�ICENSE IS N ML FORCE AND EFFEGi. , • m lLl � UCENSE CUSS Ql. _ -_ — UC.N0. � � on� a r���aa ���o� v� . a _ � WORKEAS'COMPENSATION DECLAf1ATION �,�� ¢ = U � IHENFBYAFFlRMWI�ERVfNALiYOFiCMI(iYPVEOFhIEiOILOWWGDECUM71Dt5�' � Z Q O �IIUVEANONALLMMMAAIACEATIFlGTEOFCONSENT706ElHNSUREFORMIXiKER:' S � OOMPENSAiION,ASPROVIDEDBYSEGiqNIlo00FTHEVBORC00[,iORTNEiERFORMANCE U Q Of TME WORN FOii WF71d/TH�S PER�IT IS ISSUEO. W � � � _IMAVEANDN'ILLWINrAPIWORKERS'COMP[NSATpNMSUiUNCC,A5PE0U�R[DOVSECTION , � O �Tao OF THE IMOR COOE,�ON T41[PEFFORMANCE OF THE WORY.FOR VlHICH THIS PEPAIIT IS ISSUE0.MYNOPICERS'CDYPENSAT�dlINSURANCECARRIERANOPOIICYNUlAOERARE: CONSTRUCTION � � � ... ._ . .. _ , ` . .... . . _.. .. ... ..�__".._.._. _ . . ... ., � cuwea S,�p,�il»o••• "riF•�,•,�•1�TY`�k.2va.r�r PU1N REVIEW - - - � POIICYNUMeER 02KP.000�'�?-1—��.��D �e� craic C����' � (R6sFCTnNNEEDNo78ECas;L7EDOfhGPEw.RSFOROrL17L�DftEDDOtt.uts�It IMIEss} PLUMDING � ICERTIFI'iHAT N TME PERFORI,IANCE OF iNE WORK FOR WHId�TH15 PEP1uT IS i55UED,1 MECHANICAL �•} BM/LLNO7EMPLOYANYVFNSONNAI7YAUNNERSOASTOBECOMESUOJECTTOTNE � � NORKER5Cq/VENSA�IONLAW50fCI1IFORNII� AGRE TWISIiOULDBEWA�E INSPECTIONFEE „aQ.� S 6U61ECT TO THC M'ORKERS'DDAAPENSATION V iONS CT ']TOo OF G UF�OR / (f lJ cooe.isNi,ucorrr�+win�coMv�rwin+na aovis ISSUANCE y � SMIP p OATE:q I�5(�9 . APP�ICANT. ���� � ENERGY P/C WMNIN6:iAIIURC-TO SECURE N�KERS' PEN9 ION COVERAOE IS UNUNTUI.AND SWLLlBE �—y SUBJECiANEMVLOYERTOCQWINlLLPENALiIESANDCMLiWESUDTOONE/NNDRE0h10U5AN0 ENERGYPERMIT ���lAl/�1�ATTll'fAT7 W LL,ARS(itoo.0o01.W�DDITION TO TME COST OF OOMPENSATqN.DAAIAOES h5 G80VIDED FOR IN L"[271dif ITD2'IIC � 9ECTqN77DlOFiHEUBOf7COOE.INTERESLµDATTORNEYSFEES. RETENTIONFEE: ,�I�jj121�7lr�7�ii1_C� a,u.,L11�tT111`IlJ J d CONSTFUCTIONLENDINGAGENCY PR[ L� �O � INEqEBVAiFlRAIUNDCRiENAITYDFVE0.1UflYiWITTMERE4ACON5TRUCT10NLENDINQAOCNCY ' � FOR TNE PERwRMM�CE�F TMC M/0�7K FOR WHICH TMIS PERIAIT IS ISSUED(SEC.�OD�.pV.G). �j � � IENDERSNAME . . . `�. � LEPAERSADORE55 � OTAL FEES J � W 10ERTIFYTHATIHAVERFADTHISAPPLICATIDN/JIDSTATETUITF�EABOVEWFOp1AAipNISCORqECT. � IAGREETOC�CMPLYN7TMALLCRYMIDCIXIMYORDINANGESANDSTATEUWSREIATINOTOBURDINO ��r���1 � { CONSTRUCTION,AND NEREBY AURIORRE REPRESENTA71VE5 OF iW S Ca1NN i0 ENTER UPON THE }.� � � � Sz ABOVE�MENTIONED VHOPERiV FOA IN57ECTqN PURPO5E5. COMMEN�TS ���'�� ��-y/��� � E � m oErwi NANE(V � a `///5�99 � � IG UN� � MIT7EE OATE , � � RECPT.NO. PA1D BY VALIDATION WHITE—OapaAment Copy,YELLOW—Finante Copy.PINK—Assessor Copy,GOLDENFlOD—File Copy.GFiEEN—Applicanfs opy • „ ..�,..- r, . •• ,. . � . t� . . . .. . :c; ,� �. , .�. •r�. 't. `� . . F�r„�'.- �a�'+�.. ^:�.n...,�.;. .� .F .�,C.i�., � � � ��Y'C - DIAMOND;BAR , � ; . , . , , - .,'�� . '� �itsSPECTIOI�!'RECORD '",. .: :. �, _ . . .. . �� . . �_ , ._. ,. . _ _ �1!�.��'�.Xm�,A1� ���.:���1� �.1���i����� ' ����-���������r � �►I��� �'fl��,��ti��s�,; .�.,...�.....,.,.r.,.._.,M.�,..�._�- _ �.�,.��.�,,._...._.n�..�.:._.. ,•_,...... ."..-•-.�1.;..:>,�. �_ __.._ :._.__.w.a._�.a.,...:��.:.''' ;P....a,....< ._ _ � �SET�BACK•" �s � , - .�; ,' ' _ ,.-� j .+, ) � . �FLOORJOIST, ,; • �`� � � � ' ' , .. . , . . .. . . - - � . . . .: . 'FTGS/FORM�SISTEEL . . .- - - - FHA REDMT5 '.. __ - _.. . . __.._.__,; '_ —,. ;ELECTRIC GROUND ._ .._ . .":. ' '" -. . -. - . 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' ' - - � �!-�� DEDICATIONS ' ! , ;SEV�'ER � � - FINAL ENG. , r�. ;SEP71C TANK `�LANDSCAPE/IRRIG. . �SEEP PIT/L.L.. - � ' ON SITE IMPS. ; .. ------- , jGAS F�IR 7EST ` FINAL ZONING ; � .': 'Flivf,L.CONST._� • „ • �: � � ., ".' FIRE DEPT.FINAL : , . . � I c. F![�:AL HEATING _ HEALTH DEPT.FINAL --..; I "; ':�I�Jt,�EI�ECTRIC' DEV. FEES PAID - - -- -- , ; ------ ; ,i`:.'F.t_PLUMBING ... . _. . ENERGY , . . ' � _..- --- , - --..._ __ _- � �, _ -. . _....---- 'c�� � E, E�e.a�� ��� . . _ . • � �_ 1�__.�. .,� _ � i i,. � ,i� i E � � ''COt�iMENTS . . �, � � I , �:. ; . , , . . � . , . . . . . . . . � .. i , ' , r , ; i . • , i, � , , ':�' • . . , .. . . - � - • !__ � ,1 _ , , � i .< < -.. .. , j� . . . i .. i . . ;''aa r�.�� 1 r, � • ., ,_ . ,� . _`� \ , i , �t;f,�� Lt {S .riA , . .. . _... . i ;c . i, � SEPTJC TANK SIZE C�'•f�i��:l,�C;'�: �; . , ; „ �SEEP PIT/U SIZE"�, r� ;_;�, ... ; .. i�.;i� ,r;;';?:._*• , �.\ .� `; , i • � . 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