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HomeMy WebLinkAbout10132 (5) - - - ; . . .. _.. _. _..... . . _ ... ..._. .,. � --- - -- _...---- ....� i - CITY OF DIAMOND BAR ' COMMUNITY AEVELOPMENT DEPARTMENT s��o�.coP��Y����s��c��40 - PRESS Y (909)86Q3195 Fax(909)861.31 l7 �'�^"� BUILDINGPERMITAPPLICATION FIRMLY � JOB5ITE �(,� �q �J APPLICATION (� 'Z y � PERMIT f� � o ADORESS 1 � DATE NUMBER �i N � ISSUE TYPE OCC APN LOT TRA T DATE CONST. GROUP p OWNER � �Z " ADDRESS O ZONING SETBACKS � CITY : ZIP'��3(QS TEL.ae7 �&� REAR RW O APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR � L. SIDE ❑ ADDRESS �"' PROPOSED USE '� o►� o CITY ZIP�_Z TEL.��$�S 2YZ41 w0 ARCH/ENG/ aDESIGNER NO.DWEL ' �•NO. ` NO. ADDRESS UNITS STORIES �- BEDROOMS � CfTY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OOWNER•BL7LDER OECLARATION � SFRUDD/REM � p 1 HEPEBY AFFIR4 UNDER PEWLLTY OF PERRIH�TMAT I JM IXEMPT FROA1 THE COMMCTOHS L4 Garepa/Cerport W CENSEUWFORTHEFOlLO�'/WOREASONf5EC.7Q11.6BU51NE5SAHDiROFE55WN5COOE:MlYCINOR (n C� COUNf'/WHCHRfOURES�PERMRTOCONSTPUCT,ALTER�PROVE.0EY0U5H.ORRERVRANYSTRUG W PetiolDeek 6 TURE.PR10R TO RS 65UANCE.ALSO REWIRES iHE 11VPLMJJlf fOR SUR1/EiWIT TO iLLE A SIGNE� � STA7EMEM iMATHE OR SHE B LICENSEO PURSUAHT TO THE PROVISIONS OF TIIE CONTMGTORS L4 � CENSE UW(GMMiEN 0�C.OIIYENCENi Y/IiH SECfION 7000)OF DIVI510N 70F TNE BUSINE83 ANU PRO� � POOVSpB __ FESSqNS CODEI ORTHA7 ME OR SHE IS EXEMPiTNEREF110M ANU THE BIl5i5 fOR iME AILEGEO EXEYP• TION.ANYVIOUI7�ONOFSECTION7o71.6BYA/lVMVUCANTiONACERMITSUBJECTSTHEMPLICA/fTTO qp.qpp� r ACMLVENALTYOFlqTMOflETMANFNEMIHDREDDOLURS�fwol.l: A 04ASONNERO�THEPROPEil7Y,ORMYE�PLDYEESNATHWACE5i4STHE�RSOIECOMPEN5ATI0H, CIXnrtl9fCle1 � ��. W1LL DO iHE WORKµ0 THE STRUCiURE 6 NOT WTENDE�OR OFfERED FOR SALE�SEG 7G!(BU51• J N NESS N/D VROFESSIONS OOOE:THE CONTMC70N5 UCENSE UW OOES HO7APPLY TO AN OwNER OF ? VROPERTY 1Nq BUlD9 OR W PROVES THENEQV,ANO MA10 OOES SIkH NURK Hi6lSELiOq HENSELF Oq � THROUGHIaSORMEHOMMEMPLOYEES.GROVOED7HA75UCMMPqOVENENT5Af1ENOTNTENDEDOR m � OFFEREDiORSALE.F,/MVEVERINEBULDINOOAIMPROVEUEi7TI550lDM7THk10NEYFAqOFCOUPLE� Z iION,iHE OWNER�BUR�ER MALL NAVE iME&1fOEN OF PROVINO iHAT ME OR SME DID NOT BUILD OR � MOROVEFORiNEiURP0.4EOFSALEI. O l�OWNFR OF THE PROPERTY,AA1 EIICIUSNELY CONiMCTU16 WRH L�CE115ED LONTRACTORS Q TO OONSTRUGT TME Vf10UECT ISEG 70a�,BUSINE55 M!0 P0.0FESSIONS CODE:TIE CONTRACTOAS U• V91Ueti0n AQI.AREA W CENSEUWOOESNOTACPLYMANOWNEROFAPROPEA7MWH�BURDSORWPROVE4TMENEON.MO � V1Y1000HTRACTSFONSUd/VRD.IECTSN7T11ACONTMCfOfl(5)LICENSEORIRSUANiTOTHECOHTMG QUANTITY DESCRIPTION -FEE � fORSl10ENSEUW.�. � ❑1 AM D(EMPT UHDER SEG B.1 i.C.FOR TMIS REASON U � � _\ LL DATE OWNEH � F" ' � . Z W . . , F4 LICENSED CONTRACTOFS OECLARATION w CC IMENEBYAFFIRMUNDERPENALTYOFVEFWRVTW�TIAMLICFNSEOUNDERPROVISIONSOFCIWTER V. � 0(COAMIENCINOVATNSECTION7oao)OFOMSION]OFTHEBUSIHESSANDVHOFESSqNSCODE,ANO Z �j� MYUCENSE 6 W FL7LL FORGEANO EFfEGL (�/ m � LICENSECU55 LIC.NO. �-�.+ {��j�l�(O' j,,.I V DATE CONTM�'^R��ii�►7�I'�S T��' a W �y __� —. WORKERS'COMPENSATION DECURATION I �J';, � y INEREBYAFFIfWUNDER7ENALTYOFOEFWMONEOFTHEFOLLOWWGDECUiU�5:� V U N ¢ � �IWVEMIOYALLWIMAINACEHTIFICATEOFCONSENTT06ELF.INSUHEFOi1YYORKEFiS = Op,�vEN5A710N.h5PROW0E08YSEC710N]7oaOFTNELABOAG00E,fOi1TNE►EH�OR4ANCE W OF THE WORK FOR WHltli TFUS PEiWIT IS ISSUED. � � �1 HAVE MID VALL 4AINTIITI WORKERS COYVENSAiION P15UflANLE,AS REOUIRED BY SEGTION Q �70o OF TME LABOR CODE.FOR TME PERFORMIWGE OF TME WONK FOH WMd17HI5 PENiMIT IS ISSUED.WYINJRKERS'CO4VEN TIONWSURANCEGRHIERANDPMICVNNAOERME: CONSTRUCTION l jGtnw¢n � PU4N REVIEW ' o paarruMeea -� ELECTRIC � (M165ECi�oNNEmw7B[�AT�LEiEDOFTEVEMrr5i0ad�ElA)�t1EDoalusRi >aa PLUMBING Z ICERi1FVT/uiNTNEPERFONAANCEOFTHEYVON(F011NTUCHTMSPEFWRI515SUED,1 MECNANICAL (} 511ALL NOT EMVLOY�NV PERSON H ANY MANNER SO AS i0 BECO�.�G SUBJECT TO T11E � WOPo(Efl5'CAMPENSATqNUW50FGLLIFOfWI�ANDAGREETMA71FI5NOULDBECOME INSPECTIONFEE S SUB.IE TOTFtE ERS'CAMPENSATIONPROVISqNSOFSECT10N77D00FTMEUBOR 000e.i Fo �n�couv�r e vao��AL�,, /J ISSUANCE W DATE: � �I APPIICANT.�.1- � �,ri��,� SMIP I � WMHINQ:FAiLUAETOSEWREIWRKER5COu0EN5AilONWVERAGEI5U18AWFUl.ANDSHALLBE ENERGYP/C �y SUBJECTANfMVIOYERTOCRMPULPENALTIE5MIDCM�FNESUPTOONEMMORFA7Fi0USMq �ERGYPERMIT DOl1AAS(f IOO,OooJ,W ADDITKN 70 THE COST OF COMPENSATqN,OAMAGES AS VROViDED FOR W ^h � 6ECT�ON770!OF TME LABOR C170E,NITEREST,WDATTOqNEYS FEES. RETENTION FEE: �Y IJ 7�7 W CONSTRUCTIONLENDINGAGENCY �� � ' I � PRE-ALT FEE: � INENEBYAFFIRYUNDERVENALTlOFVERR1ffYTHJQiHERE15�GON5iRUCT10NlENDWOAGENCY FOR TNE PERFOlW M10E OF iME MlOPoC iOR Yn11CH Mi5 PENMiT IS ISSUED(SEC.1o77,CN.C.�. � � LENDEHS WUAE - � IENDfR'SADORE55 W ICERT1fYT1UTIHAVEPEA07145ACPlIGT10N1WD3T�TETXAT7HEA60VENFORMATIONI500RHECY. TOTAL FEES � 'O � IAOREETOCOMPLYN77.1ALLGiYlWOCOUNTYOR�w,WCESANDSTA7EUWSREUTtN6708U101N0 CONSTRUCTqµANDMEREBYMlT�qHREREDNES ATIVf50FT/uSCdMiYTOENiERUPONTNE S��' �ove�E �EO vnoPERnFarr cran / -./ COMMENT$ � �tr— � �//1'�.ZJ' i Q WW6(P � TUf1E OF VE EE DA7E � RECPT.NO. PND BY VIWDATION � WMITE—Oeputment Copy.YELLOW—Finanw Copy,PINK—Asee�sor Copy,GOLDENR ih Copy,aREEN—Applk�nCa Copy i .. �- .�....n .. .�.rw n... ��" �w w!n' . . .�s i �..{ 1 .1' " I�'��� h''w<:t�..�..�..Y�1� i. . . 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FTGS/FORMS/STEEL-- -- .,.; � - - -- -...- ------ - - : .FHA REQDATS.- :_,; - -�_ _'_: --._.. . __�•`f-�-;._.". ,- I - ELECTRIC GROUND •. - •-. � UPdDER FLOOR DUCT:,,;,:;,� •� �.�;-�� '• 1 '� =' � - • � ;' GROUND PLUMBING ' ' ------ - - - �;-�•- ; UND��,1�0^Fi-�C��:i�UIT �=:C��i� - --.-. !�t�r;:�,):r_!"n:; ; . �, ... _. . . , , . SLAB GRADE-- -- - �. . .: :. : . � FIREPLACEFOUNDATION- - -:-----. ----:-- ----..--------.� ` � =TEPJIP.P01"lER_.---.--.- -=_------- - -- - --- -� -- FIREPLACF.8C3ND-6���M. ;,_.:u�-t ._;_�,-_,:; '= I ; WA�ER.SERVlCE''-',:--. = .-.-�i _ �'i-. 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' �. � � DRYWALL NAILING ; i DEDICA710ti1S • � ,' . - ; :' SEWER_- _ ' ' .. . FINAL ENG. . .. . , ' . - � -- - -- -------- -- - . ,. ,... _. _SEPTICTANK_:.--_...-___-._ :'.. ._` �.. .:._._ ' - .. .'. _LANDSCAPE/IRRIG. . ` ` . • �.- • . , . � ;'. .SEER.PITIL:L.-! - .-- -__ _-. _ ' ' ' - -ON SITE IMPS. • • � -� -- - - --� -•--- • i , GASAIRTESTi ...---- -- --- --- � -- --- ---- --._: ......... _ FINALZONING � . , •. �., ,,. .� I _ FINAL-CONST: �-------�- - -- FlRE UEPT.FINAL ; . - i _� — _Ij _ __. . ;.. �INAL HEATING------- - -- --. ..-- -- - � ----...__ . .HEAL7H DEPT.FIPJAL-, �--;:-� ;-- � --._..... .- ---------- - � �c � , 1 • ,.. . -FINAL ELECTRIC --- -- --- --- - -,- - -- D�V. FEES PAID , . . „ , � 4 ., ,� � :. FINAL'PLUMBING------ -- ---- --- - . . ..-----� - - � - - -- ENEFiGY� � . • _. ..."_"_ ,, i .. . _��+:�''•�Ji �•) . , . .. • _ . ' - I _� — ��e �� �t r�t..�.i....-� _ , � '1�=�h�;�1ti.=./j�� �, _�.. . , ' _. .. . '���+ .__._ . C . 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