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HomeMy WebLinkAbout10687 (5) i CTfY OFDIAMOND BAR � . EXPIRED COMMUNITY DEVELOPMENT DEPARTMENT 21660 S Copley Drive Suite 190 . 0�'T 2� ��nn (909)86Q3195 Fax(909j 861-31l7 ' • �'� PRESS ~"'"', BUILDING PERMIT APPLICATION FIR M LY ��.�, JOBSITE APPLICATION G PERMIT p/C Q ADDRESS Pant2�a PdY'k �$ FdIItP.Cd I1L1Ve pATE 1 _NUMBER r � $ ISSUE TyPE p�C � APN LOT TRACT DATE CONST. GROUP p OWNER Cl�y of Dialilond B�r' � ADDRESS ZONING SEiHACKS ,' � cmr Diamond Bar ziP TEL. O9--SCO-319 FR��'�T Rw o - APPLtCANT 7EL, REAR � � SIDE/SIDESTREET pyy � CONTRACTOR_�Ok011t P1lIItIb1IIQ� IflC. SIDE 0 � AD�RESS—P.�. Rnx �R7 � CITY Ti�11 7 O r PROPOSED USE � ZIP�Q? TEL. 567—R64_79 q ARCWENG/ bDESIGNER R�TM D2S3UI1 GroLlp NO.DWEL. NO. NO. ADDRESS 772R�i T�G R�mhl�,g#2,rjO UNITS STOpIES BEDROOMS � CfiY Mi ssi pn Vi c��o ZiP Q9FU7 TEL.714—ri$9_7�i1 � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BI;ILDER OECLAFlAT10N SFWA�D1FiEM Q 1 MEREBY AFFIRM UNpER PFWLL7Y OF CERIURY TNAi�MI E%EYFi FROM THE CONTMC70q5 U� GBf9QBIC81pOf( W CENSEUWiOR7HEFOLLOWNOREASON�5EG70a1.6Bt15WESSANOPROFESSUNSCODE:ANYqTY00. (n - LCOUNiYWMCHREWIqESAVERMIT7000NSTRUC�AITERMPROVE.DEM0U5KORREWURMlYSiAUC• W Patio/Dxk TURE ORqli TO ITS ISSIllINCE.AL50 qEWIitES THE APVIICAMf fOR SUCN VER4R i0 f1LE A SIGNEO W � 8TA7EMENT T1UT NE OR 3ME S UCENSED iURSUANT 70 TME iRONS10NS Of THE CONTMC70RS LF � CENSE Uw(CNAPTER Y�COM4EHCM6 VA711 SECTION 70o0�OF DIVISiON]OG TNE BUSINESS AND PRO. LL' POOUSDi fE55qN300DElORTMATNEOq5ME15E7(EMP7TIEAEFqpMAFpTHEBAStSFORTMEALLEOEDE%ENP• (ry TqN.hNYV10�AT10NOFSEGT10N7W�.68YANVAPPLICMlfiORA7ERMiT6UBJECTSTNEMMICANTTO Z Re-Rool � ACMLVENKTYOFNpT1qRET74WF1YEM/1OREDDULUIitSliSoo).k ' � O�iLSOWNEROFiHEViWVERTY,OfiMYEMPLOYEESWiTMW�GESt5ME1R50LECq.�PEN5A7qN, 0 �mmercial � VALL DO THE WOIiK AND THE STRUCtVRE IS NOT WTENDED di OFFERCD FpR SALE(SEG 70M,BUSI. 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Z T�d1.7NE OWNER�BULUER WILL HAVE TME BUNDEN OF PROWNp THA7 ME OR SHE DD NOT BURD Oq = NIVROYE FOfi ME V(JRPOSE OF SALE1 W O�ASOWNEqOFTHEPFpPERTY.MIEXCLUSNELYCONTMCTNOWfTMLIGEN5E000NTMCTOitg � (r TO CONS7i11.ICT THE VND.IECT(SEG 7w�.BUSINE55 AND 7ROFESSIONS COpE:7ME CONfMCTOqS LI• V91116[IOf1 A��� � CENSEUWOOESNOTAPp�YTOANOWNEROfAPHODENTVYAqBUI�OSOqsA0t10YE97MERfON.ANp " M7�DCONT�UCfSFORSUp1PI1WECT6VATHACONTMCTOR�S�UCEHSED7UR5UANTTOTIECONfRAG QVANTITy DESCRIPTION FEE � 70RSUCENSEUW.). 3 O IMI EXEAIPT UNDER SEC. &t V.G FORTHIS REASON 3 Wa l�el� CZOSe�.S LL D�TE Z OYVNEH � LICENSED CONTRACTORS DECV�FiATION � W ' 1 NEREBYAFF WM UNDER PENALTY OF PERRIRY TNAT IAA1 IICENSED UNDER PROVISIONS OF p1�PTEH .,1� � �f��MENGNO N7TH SECTlON 7000�OF OMSqN]OF TME BUSINE53AhD/A0FFS5qNS CCOE,AND Z 1 IIY� S111J1 � �V W LIGENSE IS INFIILL FOFlCEANO EFFECt m C� rlQ�r �lII�S � IICENSE C S — LC.N0. �O3 JO � 1 V DATE COMRACTOf�O}CO 7 P� 7R1�7 il � � � �l �n foun�ain W 1 hot water heater � WORKEHS'COMpENSATION DECLAAATION In�• � N INEREBYAFFIRMLNDERVENALTYOFGEMXiVONEOFiMEfOLLOWI1qDECURAT10N5:�j� �' J � �_IHAVEANDVALLMAWlA1NACCf7TIFICATEOFCONSEMTOSELFaNSUREFORWdINERS' COMFFNSATpN,AS iROypEO BY SECTIOH]7o00F iNE tABON OODE,FOR THE GERFOqMANCE Q y OFTNEWOWCFOqWHIdIT1115VERAAITISISSUED. � !� INAVEANDVnLLMA1NTANWOqKERS'COYPENSATWNINSURANCE.ASPEOUIIIEDBVSECTION � 77ao OF TNE U180(i CODE.FOR 7NE VERFORMANCE OF THE YlOfY(iOR WMCN T111S PERMR IS � 65UE�.YYNOAKEHS'OOA7PENSATqNINSURWCEGVtNtERAN7Y0.�CYhVMBERMf CONSTR�ICTION . j _ CA(iRiER_� PLlW REVIEW � POIICY NUTABER ELECTRIC � RHSSECIbNr€�MoieEm.pt£rE�Ofn+EPEwaiswaaEHleonm �mloatES� MBING � Z ICEHTIFYTNATNTHEPfFFORUANCEOFTNEWORKfOqNM111CHTHISVEiW1715lSSUED.1 MECHANICRL U_" SFULLNOTEMPLOYANYVERSONWANYMNJNERSOASTpBECOMESUBJfCTTOTME (/) V�ORKER5COM7ENSATqNlAW40FGLLIFORNIAANDAOREEIHATIFISF10UlDB[COUE INSPECTIONFEE S SUBJECTTOTXEVIORKEIiS'COMVENSATqNPROY15qN50F5EGT10N77o00FTHEUBQR cooE.i c amm�n�coua�rwin�ryo¢ev,�onsia+s• ISSUANCE � O ��,/.��/"/_[�� p �ATE: AFPLIGAl1i:�J�f'N'�" SMIP . . � ENERGY P� WARNIfq:FNLURE TO SEQIRE YNf1KER5'COMPENSATION COVERAOE IS UMAWFUL,AND SHALLBE � SUBJEMµEMvIOYERTOGRiutNALpENAltIES/JmCMLFWESUiTOONEHUNDRE0TNW4AND ENERGYPERMIT � DOIWiS(t f 00.000).NAUDfT70N T07NE C057 OF CpAPENSAfYXf,DMtAGES AS%tOVIDED FOq W EEGTiON770lOFiMEIABORO00E,INTEREST,AND�TfOANEY'SFEE4. RETENTIONFEE: � � � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: 4 1 NEREBYAF�IMi UNDEA OENALTY OF PERJURY TwR iNERE 15 A CONS7itJCT10N LENDIN�1{GENCY ` ' 2 �OR iME VENFORYANCE OF THE WORK iOH vrtUq/T1a5 PEiWiT IS tSSUED(SEG 7ov7,CIV.G�. U] � LENDER'S WME � LEHDEq'SAOORE55 � + W �CEqTIfYTHATIHAVERE/�DTWSAPPLIGITqNM1057ATE7W�7iMEABOVENfOFMAiqNi400itqECT, TOTA�FEES � �j a, IAGREETOCOMPLYWfiMALLCRYANpCOUNTYpqpIHµGESANDSTATEU�W'HE�ATPqTOBULDIN6 � CONSTRUCTip{MIDHEREBYMITNOIUZEREvqESENTATNESOFTHI50qJ1lTYTOEMERUPON7HE � ABOVE�uENTqNEO vROOEqTY iOq INSVECT�ON VuqPO5E5. ✓�/�� p • COMMENTS • ` ' / � I3ooK v— F'Lv ir�� N�- Qre e roR�r+*i � �y, cn `T ' y � ERWrtEE OAT � � HECP1:NO. PAID BY VALDATON' WH�TE—DeDarlme�t Copy.YELLOW—Fnanca Copy.PINK—,Assetta Copy,GOLDENROD—Fib Gopy,GREEN—Appllant's Copy ..... -..A.r.,•1„�„" . . �.�.i•.w y.�:...'_..��.�,:i�w..�,n.+n��r�...�•...q..`�Lai'�:•.d�:3':'..�.•,+«.!�rnnv r.��.�.�:�,.+.:s..vn�.�. 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SHOV'JER/TUB TEST - - � � • - �- - - � POOL ELECTRIC • • - ..• •, � ' EXT.�LATH/SIDING- -; - - -- ------ �-- - - ;--- ��-�- POOL FENCING •: ''; , . ' . '. I �.: WALL INSULATION ; � ; .•,. } POOI:FINAL - . • " � �� , " � -� � � CEILING INSULATION � OFF SITE 1��1P5. ' ;. .""' '. ^ DRYWALL NAILING ' DEDICATIONS �� . ' .. � , ; , . � •, SEWER __.___ ' __ FINAL ENG, ' - - -- - -- �--- - -- - - - --- ' � .SEPTICTANK � -- - - - • � - - �� � _ .LANDSCAPEIIRRIG. ' , ' � i ;;; _.. _.. . , -. ,:., SEEP.PtT/LL-�.--.-. --!-- ---- ---- --�--- - -- - �-� --- � ON SITE IP�1PS. _:: I -� , - . . . ' _ :... FINAL ZONING � � � - • AS AIR TEST!—--'--- ---._. .._. . .. -- - - , ,..,,: -. � �_. -FINAL CONST.l-------- --'--- --- -- - ' ;------ -',- .. FfRE UEPT."FIPJAL -- -- - - -- "� ; _:, . 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