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HomeMy WebLinkAbout10566 (5) . _ . . . . . . �� CITY OF D[AMOND BAR � COMh1UN1'!'Y DEVELOPMENT DEPARTMENT � :,. ' 21660 E.Copley Drive Suite 190 PRESS (909)96Q3195 Fax(909)661•3117 ' """. BUILDINGPERMITAPPLICATION FIRMLY o DDR SS Z�� L� fs'�'I��r �.��' APPUCATIO }1('''/6�) PERMIT '/�/ / P/C' OATE �y T_NUMBER,,�W b 171r c� ISSUE �' TYPE OCC APN L T TRAC DATE CONST. GROUP � OWNER "' ADDRESS �. ZONING SETBACKS ' ' Z CITY ZIP TEL �` O FRONT RW ❑ g APPUCANT TEL. REAR ❑ SI�E/SIDE STREET RW ❑ � CONTRACTOR SIDE • Q ADDRESS PROPOSED USE � CITY ZIP TEL . Q ARCHIENG/ � DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNITS STORIES BE�ROOMS � CITY ZIP TEL � � DESCRIPTION SO.Fi. FACTOR PSF ADJ.AREANALUATION y p� . OWNER�BL'ILDER DECLARATION - � SFR/ADDiAEM - � O p 1 HEREBV AfFIRM LNDER VEWLLT!OF FERAIRY THI1T I/W ExEYPT FHOu TNE CON7MCiOfiS L4 Garope/Carport � W CENSEUwFORiHEFOU.OWINGNEAAN15EG70.71.6BU5ME53AN0VROFESS10N9C00E:M1YCfiYOR (n U ta4JNTYWHICHREOUiRESAPfRMITTOtONSTRUCT,ALTERWPNGVE.DE110LI5H.ORREPupAHYSTAUC- W P8t10/D9Ck Z TURF_iF10H TO fT5 ISSUMICE,A150 PEOl11flE3 iNE APVLIGN7 FOfl SU01 PEMIR 7D FILE A SIGNEO w STATEMfNi TMA7 ME OR SHE IS LICEN9E0 VURSUANT TO THE VRONSqNS OF TME CONTMGTORS lti w � CEN6E lAw(pUPTER�(OpAMENCNNi WRH 4ECTi0N 7aao)OF OMS�ON 70F THE BUSINESSAHO Oi1P�� "� u' PaoVSpe � � " � fE55qNSCOOE)ORiNATMEORSHEISEJ(EYPTiHEREFROMANDMEBK15fORTNEALLE6EDE%EMP• (� � TION,AN'IVIOLAi1CNOFSECT10N77J1.OBYANYMPLICAN7FORACERwI75t18JECTSTHE�PPL�CANfTO Z RB•R001 � � F A CML VENALT/OF NOi IWRE THMI iNE HUNOREO�dl�RS(fSooJ.)� O OI�aWNENOFMEVROPEH7Y.ORMYEMVLOYEES�NI7TIWA0E5ASiHEIR50lEGO4PEN5AT10N, 0 COrt11110fCi81 Z MALL CO THE VlORK ANO THE STRUCTUFE IS NOT WTEH�EO OR OFFERED�OR SLLE(SEG 7W4 8U51- J � NE55 AND PROFESSIONS GODE:iNE COffiRACTORS LICENSE UW DOES NO7APVLY TO AH OwNEP OF � � . . . VHOVEifiY YY/ID BUIlDS OR MPROVES TMEREON.MJD W110 DOES SUpI W:IHK MIMSELF OR/1ENSELF OR � 7HROVGHHSORHERONMEMCLOYEES.PROVIDEDTHATSUCHMPROVEMEMSARENOTINTENDEDOH C� . � OiFEREDiOR4ALEIF,IqWEVERTME&1LDwaORINPaOVEMEMLS50LDwITMNON[YEMOFCouaLE• ' Z TION.iiiyyyEEE OwNER�U0.DER WILL HAVE iHE BVRDEN OF VROYWO irU7 NE OR SHE DID NDf BUILD OR � IMP�FOR TME PURPOSE OF SAlE1 ' ' - W 4�SOwNEHOFTHEVROPERTY,lu1ExQIJ51VELYLONTRAGTNOM7THL10EN5EDCOHTMCTOfiS � TO NSTRUGi TNE PNOJECT(sEC.7D1t.BUSINE9S AND PROF�$SIONS CODE THE WHTMCiOR5l4 VdIU8Ii0f1 AQI.AREA W CENSEUWOOESNOTA YTOANOtM1EROFACROP MOBV6DSOH�1PpOVE91HEREdLAN � wNom'mucrs�oa nA crswm�� crorYs)��c sEovurasuu+rTon+ecor�r pUANTITY OESCRIPTION FEE � TWi.�l10EN5EUw.} �� _ � �IAA1E%EY7T DEHS B.ti..F TwSR� ; � � f / � 2 3 DAiE ONNE � . . . Z W F 1�CENSED CONTRACTORS DECLA 1 W � . � IHEPEBVAFF WOERPENALTYOFPERIIIflYT11AYlAML�LENSED RPROVIS�ONSOFCMAPTER � _ . . � �1COW�ENCINOWITHSECT�OH70W)OfOM5�ON70�TMEBU51NE55AND7ROFE55iONSCOOE.ANU Z � � W UCENSE IS W M.l F00.CEPN0 EiiECL � � 0 IICENSE CLASS LIC.NO. � V DATE CONTMCTOR � W � WORKERS'COMPENSATION DECLAFlATION � � IHEREBVAFflRMUNDEApENALTYOFVEM1RIHYONEOFiMEFOILOVnNODEWMYlONS: V � . `� a � �I/UVEN-0MALLMAMTAINACERi1FIGTEOFCONSENTTOSEIfaNSUR[FORMO(1KER5' 2 � CO►�PENSATION.ASPROYIOEDBVSEC710N�7o00FTMEL�BORLODE,iORTHEPERFOMIM/GE W OF THE WORK fOR YVIIICH iH15 FERMIT�S ISSVED. � � w �IMAVEANDWtLl1JA1NTAPIWOPoCERS'Cd1VENSATIONMSURANCE,�SNEOUIfiFDBYSELiION O ]70o OF T11E LABOfi GOOE,FON iHE VERFORMANCE OF THE WpiK FOR YMICM T195 iENMR IS � ISSUFD.MYWORKERS'COI�IPENSAilONW5Ui1ANCECARRIERMOPOLICYNUMOERML CONSTRUCTION � URIUER PLAN REVIEW �y p POLICY NUAIBER ELECTR�C G I�,I S Q Q (n�sscaqnr�fIDrp�reE�.�RE�Eopanepew�rswaar�E�teorunoat��i+aqont�sl. P4UMBING � tCERTIfViNATWTMEOERLOMIMICEOFi11ENORKFORWMICH711ISVERuliI5155UE0.1 MECHANICAL C7 SHALLNOTEMPLOYANYVERSONNIWYMANNERSOASTOBELOMESU&IECTTOTHE � WOH1(ERSCOYPENSA7qNUWSOGCALIFORN�/�ANDACREETMATi15110U1DBE00AlE INSPECTIONFE£ - SUBJECTTOTNENqRKERS'CdAPEN5A7qNPRON51ON50F5EG710f171oDOFiN[LABOR �a� rj cme,i s�wi Foamm�n�ca�v�r mm nase vRohsar+s. ISSUANCE - � SMIP p DATE: APRICANL � W � ENERGY P/C i, WARNN�@ FAIUIRE TO SEq1RE WONKERS Ca.10EN5ATION CAVERAGE IS UNUVYFUL AND SFULL BE �y SU&lEC7IWEMPLOYERTOGRMiNAI►ENALTiESANDCMLfNESUVTOONGNlR1DREDTH0U5AND ENERGYPERAAI7 ������ ��! D�LLMS If�W.00C�,tl ADDIilONT01MC COSiOf COMVENSA710N,DAAUGES AS PROVIDEO FOR W � SECTI�N]70lOFiHEUBORCOOE,INTEREST,ANOATTOiWEYSFEE3. RETENTIONFEE: � �� � nW. LONSTRUCTION LENDING AGENCY PRE•ALT FEE: ' , � � CC IHEREBVAiFIRMUNOENVENALTYO�0E0.R1RVTNATTXENELSACONSTHUCTI�NLEND416AGENCY a- iOR THE YENF0IW�NCE OF TNE WORK FORMn11CH 7H�S VEPMiT 15155UED(SEC.70i7.Crv.G1. , � - �� � LENDER'4 NAUE 'i . C lENOER'SADORE55 " � � ��, . W ILERTFYiXATIMAVEREADTH19A➢PL1CATqNAN�STATETNA77NEABOVENFORA1ATiONI50DRR[CT. TOTALFEES jb, � . � �ACREETOCOM LGT'ANDCOUNiYORDWANCESINO TEUWSNEUTW�i06UlDINO � CQISi .ANONER6BYAUTIIOFIZEAEVRESEMA7NESOF COIMfYTOEN7ENUPONTME EDOROPEi1TYF wsvEciar�nuav�oscs. , COMMENTS � 1 � ►E TTEENNdElpA� - . . .. . �. � ,� � 5 N s rur OF VEfMiTiEE ° E RECPT.NO. z `0 PAID BY � VAL10AT10N � WNITE—Dapartment Copy,YELLOW--Fnence Copy.PINK—Asseeeor Copy.GOLDENROD--Fib Copy,GREEN—Appllunt's Copy w...��i�^'•.r+•, .� r:- a e. . " ' _ '_ --•- �... .�.,. �,i..+•..J!':`'°�'�..«Mi:.�+;;. .aq.':*S'�!'v".7.;y �:���:n...iit�ri,:+�:? .��,Y.�t��.`n:�. ..,,r,�.m,,... .;,y•;�-e.w..��i.*.r+�,r.,.-.o---...,....:,• ..r.Y-:•i•>-..--•.� . .. . . . . : , . . �. �. . . . . . . . . , � crrv oF �ianro.r�o�s�►R � � � , �� - � � ,.; . ;.. � i `/�: . , ' .. . RdSPECTIOI� RECORD . , . . • � • _ . ' .,-. , :�_r�•' : . '�. . �;:_. ! ., . . 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BOND BEAM `•= ' `+�''�' � ;: FRAMINGNENTILIATION _:�'. �' � FIPJI',L B�ND BEAPA - - ��- �"- - -'-�----------- � ' ' " .j;;.., � .. . , .. --�- - - - - -• --- .". - PRE-GRADING - i� , ��,•. :.�:, � � ROOFCOVER-- - -- --- �-...._ .. ..__..._ . .. - - ROUGH HEATING .... ..___ _ � ..•._. �._.�-�_:. ._.:.._.�; ..::� . BEP�CHING ---_ . - --- ..__.._. _ .._, , ROUGH ELECTRIC ; - ---- ;- - --. -----= ROUGH GRADING., . .,. ' � ' �. ROUGH PLUMSING . _ --- ---._.. .._._ . - - FINISH GRADING '' ' � ' , . . . , . ,,; � i -SHOWERITUB 7EST -- ___ .._. .......-.---- - .- -._ __ POOL ELECTRIC . , . ; : -� : � � � : EXT.L.ATH/SIDING-- . _ ... ._. _ _ ; .. ; --._-. . POOL FEPdCiNG : . . , ... WALL INSULATION , ; i • POOL'FINAL � -• . �. .: ,, . ; ; CEILING INSULATION OFF SITE 1D,4PS..'' . ' _ , _ : I � DRYWALL NAILING � ! DEDICATIONS . . . "' . SEWER � .. . FINAL ENG. . . ° _._ .. ..._ . . .. ----- �- - - -� . , „ � SEPTICTANK...:=-.---- .- ` ': _ _-. LANdS�APE/1RRIG, ,, . , � ,. � . 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