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HomeMy WebLinkAbout14486 _� CITY OF I}IAMOND BAR � DEPARTMENT aF COMIUIUNITY&DEYELOPMEN'f SERVICES �, . 216b0 E.Copley Drivo Suiu 1+90 , {9Q4)860-3145 Far,{9Q9)861-3117 PRESS ^'�'� BUQ.DING PERMTT A1'PLI+CATION FIRMLY � JOBSItE ��� � /"'��� r �� '" APPUCATION� � PERMlT 1 p/C a AdDRESS ���� DATE NUMBER� ,_ ii � APN _ LOT_ TR�A�rT ATE CONST. �,Rp� � C►WNER �,�,�.��_{,��' � ApDRESS_,� st�_n�N� 20NING SETBACKS GITY ZIP TEL. FFiON7 Ryy p APPLiGAM TE�, REAR � �,�-•- StdE/StDE STREET RW ❑ CONTRACT ---_�����'F�f� SIDE � ADDRESS � �' CtTY Zt w C TEL��� PROPOS.EDUSE.. .Q Ci --. /tt M�i p � ARCWE ' p �,s — � pESIQNER �,� o„ A4DRES5 NO.DWEI. NO. � C�7'Y ZIP TEL. UN{T8 STORIES BEDROOMS '!� DESCRIPTIiDN SQ.FL FACTOR PSF ApJ.AREANALUATION a QWNECi-Bt�IOEFt LIECLARRTION SFRlADCS/REM p t NEt�BY APfNMA UNDEH RENAITY OF PERdlRY Tt1AT t AM ExQdM FfiOM T!{E CONSRACTYNiS U� +���.�� Wi CENSE(AWWHTHEiOi4C?WiN6flEA5tHi{SEC.70Ji.iBU4ME9$ANDPROFESSWNi.CO�E:ANYGNQR (j� 4 `�1 CFOUHfYMMICNREqUIR'cSAPERMR7000N5TfA1CT,/LLTEH.TIPRpVF.DEMo41SH,ORREPAIRANVSTRVG � P8U0/D6Ck � YtRiE-i'#IIOR 70 ITS l59l1ANGE,MSQ flEIXIiRES THE APPI,M#NT FDH 51JCN f'EflMfT TO f1�E A SiGNFD � S7A7EMENf THAi HE Oit BHE IS i,ICEN3EV PURSUpNT Tp TNE PROVISIONS nF iNE CONTqpC70NS U• � CDrSE I.AW(CHAFTEp i(C..CMAMENCIN�WITH SECTION 7dNp�pF DIVISN7N 7 pF THE 9USINE55 Aelq Ppfj� LL' POOUSpB FE6510NS CODEy dHTFLtTME oH SHE I3IXEA4P7TNEREFR9uA MA]TMF BASI5 FO{i Tt�AL�E6E0 EXEMA- (rf TION.ANYVK7I.ATIONOFBECTION7031.6BYAN7APPIJCANTFORAP£RMITSl141JECT5THEAPV�IC,ANTTO Z q�.q� � A GML PENALTy OF NOT A4qqE Tf�lAN FNE HUNDREp DOLLARS(I&'�O)j: DI,7lSOWtiEROFSHBPROPEqT'l;ORMYEMPt,qYEESriiTHWA6ESA5TNRRSO�ECOfAPENSATiCN, Cqtnm9fCi8� WILL OGf T1fE WORK,µD 7NE 57HUCTURE IS NOT IMENDED OR oFFEPEO FOR SALE(SEC.7otl4,9U51- J� � HE&+ANQ PRDFE&ulOM6 CODE;THE C�flRAC70R3 LICENSE UW DOES MQT APPI.Y TQ AN pWHER Of � PFqPEPTY WH4 BUt.F)SOFiIYPRQVE57HERE4N,+iMi WHOOOES SUCN wORK N�MSEtF OH NERSEi.f OR � 1'}WOIN?MMISORHEPONTIE4PLOYEES.PIIQVIUEpTHATBUCHIMPROVEMEN75ANENOTIMENOEDOFi m 6FFERED i�'ISALE.If,FbX+EYER Tt1E9U�D�tGOR MAVt�VEAt£Nf t5 SOI.G WRtRNONE YEAR4F{;4MPtE TFON.THE OYMIER-BWILDEq WILL FIpV67HE BIIRDEM OF PHOVINf THAT HE dH SHE DIO MOT BU�ID qfl � MFROVE WRTHE RURP06E OF GALEI. � �I,ASQYMNER�TtIEPRpPEfi7Y,ANEXCLUSIVELYC4NTRACTM6WtTNtFCENSEDCqN7RACTpqS 70 CONSTRt,1GT THE PRQIEC7(SEc.70+1�,BUSINE89 M14 pROFESSIONs Cd6E:TME CCM1TpACTqRS LI- V61UBtI0t1 AqJ.AREA CENSE U1W[WES NDTMpI.YTOAN ONTIEft fJFA PR4PER'IYNRXJ BUtLDS OR IMPR4VE9 Tf{EAE{Xi,ANQ wwoc�atrrA+SCTs�oAaucMrpa�crsmiNxcoN�wacrOr+rs}ticE�:scoPUAsvurrrorNFcnNrnnc. pUANTiTY DESCRIP710N � tKws ur.Eniee�uw.6 FEE O�AM EXEMPT UND6Kt SEC. &8 PC.FOFi TMIS REA,SG7F� Q U �" tlATE,.,__. 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L.ICENSED CONTRACTORS DECLARATION W � I HERE6Y1{iFlRii�R3pER pENA�7Y OF PERJUFtY THdT i AM tiCEMSEp UNDER PROVISiDNS OF CHAP7ER � q„ P�COMMENqWO WITN SECTqN'iDoo�OF DNISION 9 OF THE BUSINf:55AND PROFESSIONS CODF,AN� Z iX YY(10EN$$IS MI FlR,L FBHt,^E AND FFHGL m a UCENSE �� UC.NO.�7 �` r`�_� � L�,ry �� CdNTRACTOR.-- --.._�....,,.__ d tL � WORKERS'COMPENSATION DECL � ION � � IMEREHYAFflRMUN�ERPENAL7VOFPERIUMONEOFTNEWL(,OWI GDFCLARATIONS: � [!S Z � ItiiVEM'DtM�lL1NAItFTAMIACERTiFICAT£dF6�iSENiTOSEi.Fit#S.IREFORWOR7CER5 = SATbN,AGPROVIDEdBY6ECTION570oOFTHFLAeORCODE.FOfiTHEPEHFCIRMANCE U � �YfdRK f4R Wlildi THMS PEAMIT 18165UED. � ��"� __,.1 HAVEANU WILL MARlTAM WORKERS'COMPENSATION INSURANCE,AS REQUIRED 6Y Sf:CTpN � 3so60F TFiE tAeOp CodE,FOp T}�pfNFORMANCE�F tNE WOF{K FOttYheiCki THIS PEflMR IS ISSUEp.MY WORKE c/p BNSATqN INSU NCE CAR�iIEF MIO PC>LICY Nl1MBERpRL� CCJNSTRUCTION y CMRIER jfi �t�� � i pl.AN REVIEW _ � !'OLICY NUMBER„„ ���.�'--�_.T I E(.ECTRIG _��� __ �j fIHSSECf�GNPE�NDT6E0(Ihf�lEiHi0F7HEPEi1MTISFCRONFlRf��1EDIX'7.IAR5(y7oo�qiLFSS} PLUMBING W � ICEi7TIFYTIUTM7HEP�RFORMANCfiOF7NEWpRKFqRWHICHTNISPERMITI515511E0,1 MECHANICAL SHALl,M07EMPLOYANYPERSONWANYMpNNERbOASTO@6COMESV@JFGT70hIF ry —"` '.e�r`�,r�-� (/} YA7WCEA5'"UMiP�NSATpNtAM5OFCAtiFORNIA, D �RE�THATFFISNO41LO8ECL�MF. IFISPECTIONFEE � ' ���-'� _... SU&16CTTOTHEYVORKERS'U7MPENSATIQNPq 31 ipF9ECTlf)N91o00FTNE1AHl�R � Q E.� �FotirHwir}tc(7MVLrwan+rrros r •.iores. ISSUANCE .��. _ _ oe h � +'C[ IT�QF D o��: L � APPLICANT: SMIP y �y�j}'±/�j�� ' � WMNI :FAILURETOSECUREMNRKEpS'GtlMPENS � .OVFRAG�ISUNLAwF1,IL,ANf15NAI,LBF. ENERGYP/C ,p���171j`IV_ C]1�a..����� � 9U8dECT 119 EMPLQYEfl TO GRIMINN.PEMN.TIES AN c:tY F1NE'i UP TQ Ohf HVt9PRE0 ThKMlSAND �NERGY PEAMIT y. OOLLAHSR��•�i.MAA01flONTOTHfCOSTOF .�Ap,�eATK7N,DAMaGE5A5PROV10EDFOfliN -.. � SECTIOH J�o60F TFIE LA9pR DODE,INTERE3T,AND 7i RNEV'g FEES. RETENTION FEE: � CONSTRUCTION L.NDING AGENCY PRE-AlT FEE: i HENE6Y AFFIpM UNOER pENALTY OF PERJtIRY 7HATTNERE IS A CONSTRUCf10N CENO�Nti FGENC7 FURTHE PERFORMMICE pF 7N8 WOqK FOR WNICH THIS pERMIT IS ISSUED I�EC.70p7,CIV,C) � LENDER'S NAME _`_ F'�"" 4EN�Efl511DOHESS � ICER17fYTMMIitAVEREA6TH15AP%.IGiTKlNM1�SSAT�'THA7TtiF.A80YEiNKIHMt�T1ONISWRAECT, TOTAL FEES I t � p_ IAGRF.ETOCOMVLVYrtTNALLCITYANbCOUNTYOR0INANCESAMDSTATEtAWSRFLATINOTOBUIL�INa / �� � CONSTNUC7M7N,AND NEREBY IZE qEpAESENTATNF.S 6t�FHI5 LX]UNTY T4 EMER UPQF!TtfE neovE aNeon�roa�anFaai ;aEcr aua�os�s. CCIMMENTS � � +ff (tj,✓f��t`� � PEF�AtTTEE NA)4 � � � �Q �' (ry SKiNANREOF M QAT ' �j�G.�/�r � RECP7.NO. �pq10 BY ' VALIDATION_L�'.."�_.,.__ WNCTE--0ePBrtmsnt GaAy,YElLQW—Finpnoe Capy.piNK—Assessar Capy,tiOiDENRO�is Copy,QREEN—RppticnnYs Copy � CITY OF DIAMOND BAR • fletSP�CTiON RECORD ' � � � • � - � � � � . a . SET BACK � : � ' � FI.OQR JOI$T i.:� � �'. -.': 1 .'.� - ., . , FTGS/FQRMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT ' , ,�, ,,, -: ;. GROUND PZUMBING UNDER FLOOR CU�IDUIT SLAB GRADE FIREPLACE FOUNDATION � TEMF POWER ) FIREPLACE BOND EAM � WATEFI 5ERViCE , _ � HT.BOND BEAM . � '�+ ,' a - • RLOO SH�ATHiN� - .�� �� • 8 F1'. BOND BEA � • - '• .." ' ' � FRAMiNGNENTIUATiON ':•�. :��'. � :•`.�. '`' F1NAL BOND BEAM � ' � ROOF COVER PRE-GRADING ROUGH NEA7fNG BENCHING ROUGH E�ECTRIC RUUGH GRADING ROIiGH PLUMBING FINISH GRADING SHOWEAITUB TEST POOL ELECTRIC EXT, lATH151DING PQOL FENCING WALL INSULATfON i POOL FINAL CEILING ItUSULATION OFF SITE IMPS. DRYW�iIL NAILING i �EDICATIONS SEWER I FINAL ENG. SEPTIC TANK �,;.� i I LANDSCAPE/IRRIG. SEEP PIT/t�.L. � '" '� � ON SITE IMPS. GAS AIR TEST � - FINAL ZC?NlNG FINAL CONST. � •+a, � FiRE DEPT. FINAL � FINAL HEATING � ; HEALTH DEPT. FINAL j FWAL ELECTRIC � � ; DEV. FEES PAI� �' FINAL PLUMBiNG � j j � ENERGY '�' !�—_ � I �" '�' i� na � � COMMEIVTS ` r , . . , ' . � 1 � .. �, .� , SEPTIC TANK SIZE SEEP PIT/U SlZE . — ��' � r r � � .. . 7 - : .�, -