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HomeMy WebLinkAbout14425 '-' � CITY OF DIAMOND BAR � - J� — DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES i 21660 E.Copley Drive Suite 190 'ry (909)860-3195 Fax(909)861-3117 PRESS ���� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE �—� "]a � APPLICATION a � PERMIT P/C o ADDRES-S���� 37��'T���O�f7 Il�i . DATE V' � NUMBER�� x $ � ISSUE TYPE OCC APN LOT Z_ TRACT DATE CONST. GROUP p OWNER � p ADDRESS � I I I ���(-�l�O D I)f'• ZONING SETBACKS � CITY D/Fl/��.:F/� B'�2 ZIP � TEL.�5�• 73 S�' FRONT RW ❑ APPUCANT TEL. REAR ❑ � SIDFJSIDE STREET RW ❑ CONTRACTOA � �-f�i+P-f i(I�• SIDE ❑ � ADDRESS 3:1 7 ✓ /' V U � • CITY L- A . ZIP` U �i TELBl3 ,�i' '�f/�/ PROPOSEDUSE C' �Vr � � % fT'- lSr/ic�l p t _ �� � . � ARCH/ENG! _ — DESIGNER NO.DWEL. NO. / NO. = CIDnDrRESS Z�P TEL UNITS STORIES ` BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION tn OOWNER-BUILDER DECLARATION SFR/AOD�'REM p 1 HEREBYAFFCid LNDER CENALTY OF VEfWHY TNAT I AA1 EXEMVT FFi01A iHE CONTMC70R5 LF Garage/Carpart W CEHSEUWWRTHEFOLLOWI�GREASON(SEC7m1.SBU5NE55ANDPR0=ES510NSCO0E.�M'GTYOR (n (� COUNiYMF11q1pE0URE5AGEAMRTOCd:S7Rl1CT.ALTE0.�7ROVE0EAMJIJSH.ORRE7NRANYSTAUG W P8h0lD9Gk Z IURE.PRqH TO RS ISSUANCE.1LL50 REWiHES iHE AFPLICN7T FOR SUCM VERUR TO FILE A SIGNED W � $TATEMEM iWR HE OH SNE IS LICENSEU iURSU�WT TO THE PROVISIIXIS OF THE CONTMCTORS U� � CENSE UW�LfUPTER Y(COMMENCIN(7 WITH SECTIIX�7000)OF OIVISION]DF TNE BUSINE55 AN�PPP � �PooVSpa FESSqNS COO�ORTHAT ME OR SHE IS EXEMPT TMEREFROM AND 711E BA;6 FOR TNE ALtEGED ExEMP- TION.ANYY�OLATIONOFSECTION70]1.lBYANYMPLICANTFORAGERMITSUBIECTSTMEAPPLICANTTO Z Re-Roof � ACMLVENALT/OFNOTIAOqETUNFIVEHUN�REDDOUAf15(f5001Y � OL��EWOFiHEVROV£RTY.ORuvEYPIAYEESW1iHWAGE5A5T11EIRSOLECOAI�ENSATqN, � CpmmefCidl ' W7LLOO THE WOFlK,AND TME SiRUCTURE IS NOT IMENDED OR OFFERED FOR SALE(SEC.7ou,Bt151. NE54 AND VROFE5510N4 CODE.TF1E CONTMCTORS LKEHSE UW DOES NOTAOPLY TO FN OWNER OF `,� N %qVEHfYYAqBULLDSGiMPROVESTHEREOH.ANDWHDDOE551KY1WORKNIMSELFORMERSELFOR � � TMROVOHHISDIiHEROWNEMPLOYEES,GROViDEDT7AT8UpfIMPROYEIIEMSAqENO71NTEN0EDOR m � OFFERmiOR5ALEIF,HOWEIIERTMEBULpNGORIMPROYEMENTI550lDW�TMNOf�EYEAROFCOMPLE• Z TION.?HE ON^1EREUILDER WILL HAVE THE BURDEH OF PROVNO 7}1A7 FE Of15ME 09 hVT BURD Ofl = MVRDVEFOqiYEPUPPOSEOFSALf1 W OLASOM�NEROFTNEGROPERTY,IIMEXCIUS:VELYCOMMCTINOWfTHLICENSEDCONTMCiORS � � TO ODr�STAUCT TNE PRO.IECT(SEG Jw4.8'JSiNESS AND PRO�SS�ONS CODE.TME CDN7fUC700.5 L4 Vatualion y d ADJ.AREA CENuE UW DOES HOTMPLY iO/W ONTIER OFA PROPERTV M1�0 BURDS OH IMVROVES hIEREON.AND � wN000rrta,crsronsua+vHo�ecTsvnnuca+rvuctows���ccnsEovunswwrrotHeoorrr�ua pUANTI DESCRIPTION FEE � lORSLICEN5EU1w). OIAMEIlEA1PtUN0ER5EC. B 6VG.FORTNISREASON U � LL DA7E OrNER -- . - - - - Z �� � U O W UCEt:SED CONTRACTORS DECLARATION �j ` � � IHEREBYAFflR/AUNDERP'cN,LLTYOFPEiUURYTMAT1AlIUCENSEDUNJFHPFYJViS SOFGWIPT s �(L'M41ENCu�VnT11SECTqN7mo)OFDMSqN]OFTNEBUSINESSANbVf10FES5 SOOOE. W 110EN5E 2 W FULL� ACE M'0 EFFECT. � C � 110ENSE CUSS � �� LIC.NO. �� � Y�/ � o�� l a-//L-/ri % CONTMCTOR C� 1"l�y�%��- /�t'N3 nJ. � 1NOFlKERS'COMPENSATION DECLARATION _ , . U '_ ` t � � � IMEREBYAiFlRMIRY�ERVENALTYOFiERA:MONEOFIMEFOLLAWINGDECUMTqHS y Z . Q � _INAVEAWIMILW�MAMAtEHT1FlGTEOF�NSENTTDSEIF•IIISUREFOqVIONKERS' -� pp1Ao�H5JRqN,ASPRONDEDBYSECT10NJ70oOFiHEUBORLCOE,FOHhIEVERFORMANCE� W OF THE WORK FOR YAIICH THiS GERMIT 15 155UE0 / .� � _11/ANE AND NnLL YAMAIN WORKERS'CdavEN5AT10N INSUMNCE,AS REIX1iREQ-0'!SECT 4� �7DOOFTHEtABOROODE.FONTMEPERPoaMANCEOfiHEWON(FOHWHIfjlYHISFER TIS �SSVEO.MYriORKFR3'COMPENSATIONINSUqANCEGMiVEHM1DP0� 'UM9EFAR NS UCTION j cwwEn� c /C �� I P REVIEW � POUCYNUMBER � � � � �L ELECTRIC 0 ���,,�wTe�axs�rmactr�pcp.�rswn E�wa�ppow�ns„ rn� PLUMBING Z �CEqTIFYTHATWTHEPERFCWANiCEOFTMEWORMFOR r�nnsveru.�rc�sissu , MECFIANICAL (�' SMALLNOTE4PLOYANYPERSONINATIYIMNNERSOA57 BECOMESU!7JECTT � I^^^ N WJPKEHS'CONPENSl1TqNUYl50FCAlIFORNIti/�NDAG ETHATIFIS [ I�SPECTIONFEE S SUBJECTTO THE WORKEPS'COUVENSA7qN CROVISiONS D " �Jo OF iHE IABOR ��} ��� , coo�,i s�uu ronnnMrH couc�v MnrH nasc oao�s�or+s. ISSUANCE /"1 � SMIP �lY"i7�7�eITII$Rn � SSL p DATE: APRICANT. � ENERGYPlC B WAANiNG fAiIURE TO SECURE WORKERS'COiAVENSA710N COVERAGE IE UNIAWFUL.AND SHALL BE � SUBJECfANEMPLOYEATOCRiMWALPENAlTIESANOCMLFNESU7700NEMUNDREDTHIXISANU ENERGYPERMIT DOl1AFt5(f 1000001.N ADORION TO THE COST OF COMPENSA7ICN,DMV CESllS PROVIDED FOR w � SECTION 710!OFTHE LABOH LOOE.NTERESi AND ATfORNEY'S FEE3. RETENTION FEE: d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMEREBYA�FIRMUNDERPENALiYOFPERNFiYTNATTMERFISACONSTiNCTIONLENDINOAGENCY Z FOR TME PERPoRMANCE OFiHE WORK FOR WMiCM THIS 7ERMIT IS ISSUCD ISEC.�09T.GV C.) W � IENOEfrS NNdE � LEN�ER'SADDRE55 W ICfRTIFYTMl1TINAVEREIDTHiSAPPLICATIONANOSTATETUTTNEABCVENFORMATqNISCORFiECT TOTAL FEES /a�� � d IAGflEETOGOM7LYWITHALLCITYMIDCOUNTYORDINANCE5AND5T�T'cU�NSREUiwG108U3DING � CDrt,7iWCT10�L AND XEREBY AUTFqRQE REPRESENTATIVES OF THIS COUNTY TO ENfEH UPON iHE Z /90VE�MENTqNED OPOVEHTY FOR WSPECf10N 7URPOSES. COMMENTS _ ��,J rJ�S W N c'c L�rC m PEfUArtTEE WJ+E IPw� /� / f / (� ` a �� i�:-t/"=� l o�-!��C// � � /� �� / � /L��7..-rtv� � SIGNATUflE OF PERMIITEE OATE � REGPT.NO. PAID BY AUDATION WHITE-0epartmen�Copy.YELLOW—Finance Copy,PINK—Assessor Gopy,GOLDENROD—Fde Copy,GREEN—Appl�canfs Copy r. y • ... . ..,, ,r. . . _,. - �.. ... • , ... .,..,, .... .. . . ... . , ... .. ....., . ,.. ..... .. .. ._. . . . . ... . . CITY OF DIA(t�Of�dD B�iR _ — . :: _ . '- . �INSPEC i IOtrE F�ECORD ;�►��7G-.c`�["'J��i � iR.1"���� ��►��-�;��c,''�'��i{ .. . ��`�7:��c1'1![t1�E �• .�����r_ �(�`E-`1�1��`�Co7:I ' ._ _ _�.___ -_...._._ __.........�,..�.._._�...�.sr___ . _......>- -:.,.�.._ _..,.w,�s,.._ _ ...,.. ��..., -,_ ,..., .__ iSET BACE: .. . . - � � � FLOOR JOIST. - - � � ', - . FTGS/FORP�"S/STEEL � � � � � FHA REQ"�1TS � _ . __ ' j __ _ � ELECTRIC GROU�4Q__ _ • - - ._ _ ' UNDER FLOOR DUCT j �' GROUi�D PLUir1EING � UNDER FLOOR CC'�'�1UIT - - �. - � � - � � � �SLAB GRAdE- -- • - - FIREPLACE FOU��J�JATION ��• • � ' , ,.� � . . _ � TEP�1P POV1,'ER y/ - FIREPLACE BOND BEAti", � � ' �A�ATEP.SERVIC� --0�(/' L�0 � � - G�11D HT. BOND BEAt.1 • • _ _ _ � �R�C.���;�nih���...• —f�-�'Y-�-(�UI,L�� 8 FT. BOND BEA�." � - � FRAD.",li;G�'ENTfI.IATlON � ' � � ' FIPJAL BOND BEAh1 R�OF COVFR `_ � PRE-GRADING - 'ROL'GH H�ATING - j 6ENCHING � `.80U��:ELE�TRIC _ , ' ' ' I ROUGH GRADING - ---- - - - ;R0:1�::; PLUh181NG ' - �- FINISH GRADING ��!-?v�•���rrUBTEST - - POOL ELECTRIC �X�f.L4�!-�rSIDING--- - - -- POOL FEPJCING I I • �`;:FLLlPdSULATiON -- - - - � POOLFINAL � !•��IL�PJG li•:�LJLAT10P.1 C � " OFF SITE IMPS. - t�R`�'J��LL"PJtiILiNG DEDICATIONS - I������Ch - - 1� . , FINAL'ENG. � �� ��_ ��:�EP:"��TANK LANDSCAPE/IRRIG. � ' ��5�=P�iT:L.L � � _ � � ON SITE Ih.1P5. ! 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