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HomeMy WebLinkAbout15996 (17) � - -- ----. _ - � _ ^ �� CITY OF DIAMOND BAR DEPARTMENT OF COMMiJWITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRE$$ �^A� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE �`� �/ �� ��, / �� APPLICATION 11 � NUMBER (r M� 4 ADDRESS � ��" o DATE � ISSUE f� TYPE OCC APN LOT TRACT DATE v CONST. GROUP ' � OWNETM �0�� �` ADORESS 20NING SETBACKS � CITI( ZIP TEL FRONT RW ❑ APPLICANT 7EL. F�AR Q � _ SIDE/SIDE STREEf RW p CONTRACTQ ppit SIDE Q � ADDR `t ` CITY ��A ZIP 1 ` TEL PROPOSED USE � � ARCH/ENG/ DESIGNER NO.OWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUtLDEq DECLARATION SFWADD/REM O Q INEREBY AFFlRM WIDER7ENKTYOF VEFWRY7MAT IM/E%EM�T FNOM T1E CONTRACTORS LF GaragelCarport � W CENSEIAWFOR7MEFdlOWINC�REISON(SEG70.11.68U5�NE5SANOPRDFE5510NSCODE:ANYGiYON (n '_' "� .[CUNfYW/E41RE0URESAPERYRTOCONSTRUCf.ALTERIMPPAVE.DEMOL�5F1.Of1REVNRM1YS7itUC• W P01�6Ck - ---. '_ ' NRE PfYOR TO RS RSUANCE.ILL50 REOU�RES THE APPLIGANi FOR SUCH VERM�T TO FILE�SiGNED� - w � �, BTATEMEM TIAT HE OH SHE 14 UCENSED PURSUAN7 TO TME FROVISIONS OF THE CONTiUCTOHS LI• . CENSE UW(O WPTER Y(COMMENGINO YrtTM SECTION 70DG)OF DMS�ON f OF THE BUSME53 AND PRO- � PooVSPa FESS�ONS COD�ON THAT HE ON SNE IS EJfEA1PT THEREFIi01A AN�THE BASIS FOH TNE ALLEOED E%EYP• TpN.ANYVI0LAT70NOFSECTI0N7o�1.6BVANVAPP�ICAN7FOHAVERMiiSUBJEGTSTHEMPLICMRTO Z Ra-Rool � ACMLVENALTYOFNOTMORE7HlWFlVEHUNDREDOOlLAF4(i500I.): J � OlA30YMEROFh1EPROPERTY,ORMVEMDLOYEESWI7HWAGESASTHEIq50LECOlADENSATION, a (`,pmm0fCI8I YAIL 00 THE WORK AND TT1E STRUCTURE�S NOT INTENDED Oq OFiERED FOR SALE(SEC,7wa,BU51• J NESS ANO VNOFE5510NS COOE:THE CONTMCTORS t10EH3E UW DOES NOT MPLY TO AN OWNEH OF � FROPEHTYN7iOBUILDSORIIAVROVESiHEiIEON,NJDWFWCOE56UCMN'OHKHIMSEIFORHE(iSELFOR m [L 7HWJIANIYSORHEROVVNFMPLOYEES.iROVDEOTHATSUCNWPROVEMEMSMENOTtITENDEDOR �1 OfFEREO WRSILLE IF,IqN�EVER��LDP10Oq MVROVE4ENT�5 SOLD WITMW ONEYEAR OF COIAPLE- Z 'iqN,TME OWNEfl�U1LDER WILL HAVE T11E BUfW EN OF PAOVIND THAT NE OR SHE DIO N0T BIALD OR = YDROYEFORTHEPURPOSEOFSALE7. � O�1lSOVMEHOFTHEVROPErtiY,AME7tCUANELVCONTMCTM0YVI7HLIGENSEDCdfTtLICTOH3 TO CONSTpUCT THE PROJECT(SEG 7oM,BUSINESS AND PFIOFESSIONS CODE:7HE CONTMCTORS LI• V211letlOfl ADJ.AFlEA CINSE UW DOES NO7 AVPLY TO/U1 OVMEf7 OF A GPOOEASYNRIO Bl11lDS OR W PROVES THEREON.AND � YAqCOHTMCTSFORSUCF1PflOJECT5MA7HA001fTMCTOR(S)IICEN4EDPURSUANTTOTHEMMTMG p�q�7y DESCRIPTION FEE � � TOR5LICENSEUW.1. J O I AM EXEMPT UNDEH SEC. 8.L C.C.FOR THIS PCASON U 3 � LL" pATE ONMER � Z W F UCENSED CONTRACTORS DECIARAT�ON W � IHEREBYAFFIRAIUNDERPENAL1YOfPE0.A1NYT1Uf1AMLICENSEDUNDERPROVIS10N50FC11APTER Ur , ��COW�ENGHONI7HSECTqN70oo)OFOMSiOH]OFTHEBUSMESSMIDPROFESSqNSCODE..W� Z MY UCENSE 19 N F'Ll.l FORCE AND EfiECL m � ��E��t«�,SS G-39 ���.No. y t `I � V DATE 11�I^OI CONTMCTOR �r � � WORKERS'COMPENSATIONDECLARA ION J ("7, � O� Q . � INER�YAFFlRMUNOERGENAITVOFPE0.AIRNONEOFINEPoUAWW6DECLARATIONS. U � Z Q O �_IHAVEMAM1iLLMNNi�MACERTFlCATEOFCONSENTTOSEIF-INSUREFORWORNER5 S � OOMOElIS�110N.145PROVDEDBY5ECT70NI1ooOFTMEUBORLODEFORTHEPERFOFlMANCE W OF iME WOqK FOq WHId1 THi3 PERNIT IS ISSUED. � � I IUVE ANO WILL MANTAIN N�ORKERS'COMPENSATqN MSUMNCE.AS REOUIRE�BY SECTION � J7000FTIEU80RGODE.FORiHEPERWRMANCEOFTHEWORKFORWNIqiTHISPEWA�T15 ISSUED.MYV.CRKERS'OOMFENSATIONWSNUNCECM/UER1UlOPOL�CVMIIA[IENME: CON$TAUCTION j- —cuunEn— ! - - ------- —� -- -PLAN REVIEW--. - - — —------- --— —- � POLICYfM�BER� ti � � 1I ' ELECTRIC o �ss�cnor�r�wreEae.s�hpan�v�r.�rsroHON¢iaror�oo g+aq �ss� PLUMBiNG ,l.qN___�1 Lnm Z ICEFTIFYTTUTWiT1E►ERFORIAANCEOFTHEWORKFORMMIp1iM15PERMITi51S5UED.1 MECHANICAL L} SNALLNOtEMVIOYANVVEH50NNANYMANNER5011STOBECOM<SUBJECTTOTME � YK1R�(ERS'COMVENSA710NUWSOFGL�FORN1/�ANDAOREETNAi�FISMWIDBECOME INSPECTIONFEE 6UBJECT TO TME WORf(ERS'WAIPENSATION PROVISIONS OF SECTqN f7o0 OF THE UBOR IN COCE,ISW�t1F n�couP�rw��aov�sar�. � ISSUANCE �'�J'� pDATE: ' Z'O�APPLICANi: �� �1 �6 � SMIP �' e"`, W ENERGY P/C WARNINO:FMURETOSECUREWORKERS'CdJPENSAT COVEMGEISUNUwFUI.ANOSHALLBE � SUBJEGTIWEUPLOYERTOCA�MPULPENwTtESµDCMLFINE5UPro0NEMUNOREDTlf0U5µD ENERGYPERMIT OOLLARS(f too.oaOA�N AD01710N TD THE COST OF COM7ENSATqN.OM�AGES AS FROViDEO FOR W ¢ SEGTION�7wOFiHEUBORCO�E,MttERESLANDATTORNEYSFEES. RETENTIONFEE: pW., CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFIRMUNDEROENK1VOf0E(WHYTWITTHEREISACONSTRUCTIONLEND�N��GENC`� �- FORTNEVERWRMMICEOFTMEWO(iKFOflWN�dITHiSPERMITI5135UED�5EC.i0i'l,pV.Q). � � LENDER'S NAME � IEN�EiI'SADORE55 W �GERTIFYTMATINAYEREAD7H�SMPLICATqN�NDSTATETHATTHEAbOVENFORMATqNISCONRECT. TOTAL FEES • d IACREETOCdA0LYN11MMLCRYANDCOUNTYORDINANCESANDSTATEUwSREUTINUTOBULLDINC CONSTRUCTpN,M1D HERfOVAUT1qRRE REPRFSENTAYNES OF MIS COUNTYTO EHTEF UPON TME , SL ABOVE�MENTIONEDP iOf11N5PEGT�DNPURPO5E5. COMMENTS � 0 � J � QPEIWfTTEENAM �PRINi� �, . I-2-ol ti � EIGNATUREOFP EE OATE � RECPT.NO. PIUO BY AUDATION WHITE—Depertmant Copy.YELLOW--Flnnnce Co{ry.PINK—Asaessor Copy,GOLDENROD--File Copy,GREEN—Appticant'a Gopy 1 . . .. . . , , . -s . ...-� �. . . . ... . . . ��. , , , ;�� , . . � . . . . ,�, . . .. . CITY OF DIAMOh�D,BAR . .,,,. _ , ,:. ,:, '. � �>� :. .,.. :. .. �ifvSf��CTION RECOE�D '., . .�:;.. •� ;; -. _ _ ,:-t': ... � � .. _,. . �,�,- , . 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I FRAMINGNENTILIATION " -- - - '-"� FINAL�BOND BEAM -_ • {ROOFCOVER .� • - - �F' � '� PRE-GRADING --- - -- -- - � - - " ; :., - - - - - - - - (ROt1GH HEF�TING - - - - � _ ,. -- - - -- - - ` 'BENCHING • : .-r::� � ; - ;... . .� � ROUGH GRADING - -- - - - - -----�--' .,. ;AOUGH ELECTAIC_.._;.-__ _..-`"' .%. -- ' - '- " '+ROUGH PLUMBING-:-- -- - - - --- - -- - - FINISH GRADING i �.� tSNOVJERrfU83'EST '- - ---- - - ----;--- POOL�ELECTRIC ' „ � ; � . {EXT.LATHISIDING - � - -- � -- --�, �� ------�-- POOL�FENCING ' . , . jVUAtL I'�lSULAZION- -; -- - -- --- i --- ' ;--- -- POOL;FINAL ,� ; . i i CEILiNG itdSUtS,TiON; - - - --- -- ' ---- --' - OFFSITEIMPS. . . ,;, " � 1 ;DftYWAC.t NAILING -i - ---- - _ � - --- ,------ DEDICATIaNS , , ,, , : . ,. ,.; i �- �SEWcR- ------ ---i - - - - - � - - - .._ ._ . ..-- -- FINAL,ENG. .. . � _ , i �`. ;SEPTIC TANK ! � L:ANDSCAPE/IRRIG. i ' ISEE?PIT/L.L - -- -- `J, .�,,U � ON SITE IMPS. , < � ;. ;G�SAIR_TEST--'----- - , :'. ;FINAUZONIPdG . , . 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