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HomeMy WebLinkAbout11611 - - - - - - --__ . --- - - ..... .. ..--- - ---• --•- - �- - . . . . - - - , �� CITY OF DIAMOND BAR � � - � • •�• • � DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 ' �� � . (909)860-3195 Fax(909)861-3117 PRESS ��'�'� BUII.DING PERMIT APPLICATION . . FIRMLY � � JOBSITE // � ��J APPLICATION > PERMIT P/C o ADDRESS_/ 5 _�� �JnI���C (li f� Y1✓� • DATE NUMBER� N � ISSUE TYPE . ' . OCC APN - - LOT �- TRACT - DATE CONST. GROUP � p OWNER �_N C Z�i-� p ADDRE S � � 20NING SETBACKS . • � • ' w CfTY ZIP 7/ �S�TEL�� : E'() / REART RW � � APPLICANT - TEL. � � SIDE/SIDE STREET RW • O - CONTRACT .e/G � SIDE p ADDRES .._ � CfTY 5. � 'ZI ' TE PROPOSED USE o ARCFVENG/ ` � C)J `3L�r �.§'f-/%� ��,, DESIGNER NO.DWEL � .' . NO. . NO. N CrDnDrRESS ZIP TEL. - UNITS '"�•'� = "�STORIES'..,�• '1 BEDROOMS � v� , DESCRIPTION SQ.FT.' FACTOR PSF ADJ.AREANALUATION . p� , ONMER-BUIIDER DECLARATION SFRlADNREM O p I HENEBY AFFYW UNDER PEWLLTY OF PEMIHY THA71 AA1 E%EYPT FROA1 iHE COHTMCTORS L4 .Gefe W CENSEUWFOHTHEidLLOM11NaREASON(SEG70�f.6BU5NE5SMA�ROFE5510NSO0DE/NYCIiYOR (n �'��rt - C� WUNTVYM1IICHREOUIRE3APERAIRTOCONSTRUCT,ALTEILMPiqVE,DEMOl15M.ORRE7AINANY67RUF - W Patia/Deck . - 6 IURE.VRqq TO RS ISSUANCE/LSO IIEOUIRES 7NE MPLICANT FOR 6Up1 iERMiT TO F0.E A SiONED W � STATEMENT 7HAT HE OFi 6HE IS LICENSE�PViYSU�11T TO THE PiWV1510NS OF iNE CONiMCTOR9 L4 , CENSEUw(p41P7ER9ICOA14ENCN0YATHSECTION7o0o)OfDMSION]OFTHEBUSINE55ANDPfq- ' u' PDOUSpe iE55qN5 OOOE)OR 7TNT ME OR SME IS IXEMPf iHEREFROM/ND iME BA515 FOR h1E�1LLFOE�E%EMP- TION.JIN'IVIOLATIONOFSECT10N7071.6B7ANYAPPLICANTFORAVERGITSIAJECiSTHEAPPIKJNTTO Z Re�Roof �„_ A CIVIL VENALTY OF NOT YOi�iHMI FIVE MINDRED DOLLARS If500).1: ' . � O1A30'MiEROFTHEGROVERTV.ORMYEMPL01'EESWITHWACESASTHEIRSCLECOMGENSATION. O Commerdal , ' YYILL DO iHE M10111f,/ND iHE STiN1CiURE LS NOT INTENOED OR OFFERED iOR SALE(SEG 7oL1,BU54 J � NESSIlOVROiE5F10NSCDDE:THECONTRACTORSLICENSEUlw00E3NOT�VPLYTOANOWHEROF ? � , V110PEHTYYV1qBUlD4OiiMPROVESTHEFEON.MIDYA1000E55UCHNOi7KHIUSFLFORHERSELFOq ' ' � TH110UOMMI90RHEROtMIEMPLOVEES,PHO�ADEDTLIATSUqIMPROVEMEMSMGNOTMENDEDOR m ��� OfFEi1EDFORSALE.IF,FpWEVERINEBULDINOORWPROVEMFNf1930lDNrtfI7NONEYEMOFCpAPIE- Z TION.THE OWNEiFBUIIDER WILL/NVE iNE BURDEN OF VROVW�THAT NL OR fiHE 00 NOT BURD Ofi WMVIqVE FOR TTff PURPOSE OF 8ALE7. OIILSdM1EROFTMEVROPEfRY,AAIEXCLUSNEtVCOHiMCTWUWiTHUCENSEDCONTMCTORS � TO CONSTRUCT ME VfiO.JECT(SEC.70u,BUSINESS MID PROFESSi0N5 CODE:THE CONTRACTORS L4 Valuatlon � " �� ADJ.AREA ' � � ' ' CENSE UW DOE9 NOTAPPLY TO AN 01NJER OF A PROPERTY NTq BURDS OH MPAO'JES TNEREON,AND ' � YY1qCONfRACTSFORSIH]IVRDIECTSWIMACONiMCTOR(5)IICENSEDPURSUANTTOTHECONTMG QUAMITY DESCRIPTIOV FEE - � TORSLICENSELAW.J. � � . . . . . _. . . . . O I/W IXE4VT UNDER SEG B.�V.G FOR THIS REASON � .3 � ,� . , _ ._� � - - , : LL � .. _ DATE OWNER � � LICENSED COP(TRACTORS DECLAAATION - W . W � I HEREBY 11FF6iM UNDER PENALTY OF PERJUqY TMAT IM1 LICENSED UNOER PROVISiONS OFpuPiER V, C !L Z� � � � �(COMYENCNO WRM SECiION 7000)OF DMSqN]OF THE BUSINESS AND PROFESSIONS COOE,AND Z .7 7 MY LICENSE 6 W FULL fORCEAND EiFECT. / (V m 0 UCENSEC�U+SS G_�r'V LIC.NO. ff�6/,n��: � . � �j DATE J y II��)a .. CONTRACTOR "�'��� ' a W � WORKERS'COMPENSATION OECLARA710N � � IHEREBYIlFF6WUNDERPEwLLTYOFiERA1RY0NEOFTHEFOLLOVY1NaDEQAi1ATIDNS. -�� Z �- � -- � ; � �INAVEANDWILL4AMTAINAGERTIFlGTEOFCONSEFfTTOSELFaNSUREFORWORKERS' $ CpNPENSATqN,ASPROVDEDBYSEGT10N7700DFT1EU00flCOOE,FOi1THEPERFORMANCE ,U Q OF T11E WORN FORNTIICM TMIS iERNR 14155UED. � �IHAVEMAMALLLWNTANYNDPo�IISWMPENSATIONINSUfiANCF,ASRE0l.9RE0BY5ECT10N � Q �7ooOFTHElABOROOOE,iORTNEVERFOPoAMICEOFINEWORKFORWHICIITHISFEA�R15 � ISSUm.GYWORKERS'C�OM-.PGEN�SATIONINSU ECARWEflIWDPOIICYNUMBERME: CONSTAUCTION > CARRIER�A/4' �V.!�/� PU1N REVIEW , Z PaicrNurae[A � ��/ 1� ELECTRIC Q � (IVa55[CtICNNEmwTBEOd.iIF�EDOFMPERMi6fORONEiUaR[DDaUiLS(Stro�ontEsSy PLUMBING � Z ICERT1FViHATNTHEFERfOiWANCEDFiHEWONfFORWMdiTHISVEiWiT1555UED,1 MECHANICAL C7 SHALLNOTEIAPLOYANYPE0.ANWANYMANNENSOASTOBECOMESU&1ELTTOTME N NOPoCERS'COMVENSA7pNUwSOFCM1WfWU�AND/1GREEiMAiIFI5M0(1LDBECOME INSPECTIONFEE S SUBJECTiOTMEMIOFU(ERSCQ�PENS�710NGRONSIONSOFSECTK1N77070FiHELA00R /� COOE,IS� pRTHWIMCOMPLYWIMTIqSEPROV151CN5. 1SSUANCE +��V/ O / p WtE:���� APPLICANT: ` SMIP � ENERGY P/C WAtW INO:iMUPE TO SE WflE WORKERS'COMVENSATION COVERAGE IS UMAW FU�IhD SHhIL BE �� SUBJECTANEMPLOYEflTOCWMINILLPENALTtESANUCMLFNESUPTOOHEHUNDREDT110USAND ENERGYPERMIT" D011AilS q100.000I,N 110DITION TO T1E COST OF COMPENSA71pN,DAMAGES AS PROYIDED FOR M ¢ 6ECTIDN]70lOFTHELABORCDDE,NTEREST,M1DATfORNEYSFEES. RETENTIONFEE: OCONSTRUCTION LEND�NG AGENCY PREALT FEE: (q1�'' � � ' - � IHEREBYAFFIRMUNDERVENALTYOFiERNRYTMAT7HERE15ACON5TRUCT10NlENDP10AGENCY I�� �jyU`� " ' Fql iHE PERFOPAIAHCE OF TME WORK FOR WHlpl THIS�ENu1T IS ISSUED(SEC.7077.pV.C.). rJR'�{]�-J, �j •,iy L.J � lEN0ER5 NAME . . C LENDER'SADDRESS � ' � ICERiIFYTHATIHAVEREADTHISAPVUCA7pNIWDSTAlETHATiHEABOVEINFOR1AATqNISCORHECT. TOTAL FEES � � ' ,�4 • Z�•I � ' W IAOREETOCOIADLYMrtTHALLCITYANDCOU�iYORDINANCESANDSTATEUNSREUTNOTOBUlDINO ' ' � �UHSTAUCTION,MlONENE9YAl1i110RQEREPRCSENTATNE50FTHISCOIINiYTOEMERI1PONiHE � � ABOVEJdEilTIONE�PIbVERTYFORWSPECTION7UNP0.SES. COMMENTS ' . J . _ .. . . . ' m -�-/2�n . 4 PEFWRTEENAYE(PNHn S¢ �n � --! .�� 1� -/u _ (n 51G TUREOFPE�T�EE D11TE � - . RECPT.NO. _PA 8Y VALIDATION 4VHITE—Department Gopy,YELLOW—Flnence Copy.PINK—Aseesea Copy.G ,GREEN—Appl' fa Copy • . .. . . . 1. r �Y "�7'. � . . •• I•�' � . 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WATER SERVICE.- �-_:..:� =--� =--_ - =_::-.-.-. --•--- - MID HT.BOND BEAM� ��., ' == _.' __�=-` --' •=. .•_ •,. - . .:,,.• • � ,:, . . _ .. , .._ _.. � . - - - - -- - - - - - -� --- ROOF SHEATHiNG ------ . __ - -- - - ,� • . S FT.BOND'BEAM__���:. � �:�:_ =-=,. • .. � � •,;.� � � FRAMINGNENTILIATION � FINAL BOND BEA�A� ' '� ���' ` ` � ••�'• i ' ROOF COVER , ." � (l-IG� " 'PRE-GRADING - -- ��" � - - ROUGH HEATING--:- - _ . _.._._..._... .- .-- -. - -. - BENCHING - -�--- - •' � `�•� . � ' i _ ROUGH ELECTRIC- , �- - --�- -� �-� �-- - � � � ROUGH GRADING - • � •= ROUGH PLUN161NG -',���- � �---�� -- :"� : FINISH GRADING . , , � - SHOWER/TUB TEST i - - i POOL ELECTRIC � ' ' ' ' EXT.LATH/SIDING � � � POOL FENCING . . WALL INSULATION , POOL EINAL � � • . � ;- CEILING INSULATION OFF SITE IMPS. . - � � DRYWALL NAILING ! � DEDICATIONS ' . ' ' ' - j � SEWER__ _.._.._. .___._.' _.. FINALENG. � ' ' SEPTIC.TANK __.._ _� ._. __ _. .. ___ _ ._ :. _ _ ___ . . LANDSCAPE/IRRIG. � .., . I , SEEP PIT/L.L. . --- -- - - - =--- - =• --- - ---• --- : - . ON SITE IMPS. ' I - GASAIRTEST- ---�- -- -- - --- -- -; �• � FINALZONING • •� ; ; ; FINAL-CONST. , -- - ��_�a.-clg � - - �--- FIRE DEPT. FINAL - - ' � � � .. FINAL HEATING � --- - -- - -� � -� ��� ��-- - HEALTH DEPT. FINAL , . „ -- - - - FINAL ELECTRIC -.... .._ .. .....__.... -------- -... . DEV. FEES PAIb. _ .. .. .. _.. . _ ... . ._. FINAL',PLUMBING •, 1 , '�:,�, '� . .� - i 1 � ENERGY • • � , • , � . . . . , „ � �;. '� •�s ' •� - - ' __ . - � -�-- ------ ---... ... - --- - _ . . ,. . ; :... .... �. . �_ . COMMENTS -- - - - - -- - - .... . . ; . . . . . , ; . . . ., . - - .- ------- -. .._._.. __ ... _ . ---... . --- -. .. : , i ; _. _ . _ . _.. -. . - -- - -- , � � � . . , � � - - - - _ .. . . ; . • . , . . . , • . . __ .. _. ---. _ _ . , , , i �;� '�,�: + -�--- �'-�-- .. - _. _ ; ! _ . , : . . � - - - -. . .- - - ---. _ - --� - . ... • � - `' {� I - -- ; \ `. ; - -- - - - - - ,-. , � f � , . •,,. 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