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HomeMy WebLinkAbout11792 ���u� 3 �� CITY OF DIAMOND BAR ^ DEPARTMENT OF COMML3NITX&DEVELOPMENT SBRVICES • 21660 E.Copiey Drive Suiu 190 (909)860-3193 Fax(909)861-3117 . . . ,QRE$$ �^�'�� svII.nnvG rE�[rr�r�.icATTON � � FIRMLY d DDRESS I � �u �u� / ��v� � CJ >- , APPLICATION �. . P�RMtT P/C �J c DATE_ NUMBER �� �t O 0 -3 � �.. ISSUE y �-TYPE QQC . APN LOT TRACT DATE C�NST. GROUP � �1NNER l ADDR SS S 5 Id.h � ZONING SETBACKS CITY ZI Z-b TEL. FRONT RW ❑ APPLICANT TEL REAR ❑ 51DE1SIDE STREEr RW ❑ CONTRACTOR SIDE p ADDRESS g CITY ZIP 7�L. PFiOPOSED USE SF �C.-gJ � ARCHlENG/ DESIGNER NO.DWEL NO. NO. ADDRESS UNITS � STORIES �-T_BEDROOMS � CITY ZIP TEL v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION gFq/qpp�pEM Ej O � 1 FER�Y AFFqN IIIDER PENALTY OF CE0.1UqY iHAi I/M E%EMPT Fi10M THE CONTRACTORS LI- Q8lAgBIC81�OK y� . ' , CFMSEUWPoRTMEWILOWINOREA90N(SEC.700/.6BU&INESSMDPROFfS510NSCO0E:ANYGTYOR (n 7 ODUMYMMIOIREOUIRESAPEHMRIOCONBTRUCT�KTERMPROVE.0ER1DLI5H2ORNEPAIRMIY9TRl1C• W PeIlO/DYCk iURE.PRIOII TO RS ISSUANCE,KSO REOUIRE9 THE APVUCANT FOR SUCH►ERMIT TO FlLE A 61ONED w 6TAlE4EM TF{AT NE Ofl SME 1fi 110E1�RE0 RIRSW WT TO TME PFIOYIBIONS OF THE OONT W1CfpRS U• � CENSE MW�GUIP�TER�(COMMENGIN(!W1T118ECTION 7aoo)OF UMSION 7 OF 111E 9USINE39 AN�PFW- V' POOV$�19 FESSqNSCODqOp7W1TliEOR8HEI5EXEMPTTHEREFflWAAN�TMEBASISFORTFIEALLEOEDE%E6/P- (' TION.ANYVIOLATIONOF6ECTIDN70]139YANYAGPLICANTWNAVERMITfiUB1ECT57HEMVLICANTTO Z RB-RODI � IICIVILPENALTYOFIDTMORETMMIFNEMUNDiiEDDOLLARS�{EOOJ.). . . . .. OI.ASONMEROFTMEPROPERTV,ORMVEMMAVEESMA7HWAOE9A4TIIEIRSOLECOMPENSATION, CpmmefClfll WG100 7ME WDRK,M1D THE 8TilUC7UHE IB NDT INiEt�ED 011 OFFEpEO FOq 6LLE(6EC.7D14,8US6 .O N NE65 AND PROFE6310NS COOE:iHE Caf1FiACTOR5I,ICENSE LAW GOES NOT AiPLY M AN OWNER OF = . P710PERiY WIIO W0.D$OR INPHOVEb iF1EREON.AND N1F10 DOES SUCM WORK MMSELF OR MERSELF OR ' TMil0U0HMSORIIEROVYNRiPL01'EES,PROYWED7NAT6WiIMPpOVEMENT8l1RENOTMREfJ�E00R m OFFEqFD FORBN.E IF,/IOYYEYER THE6UILDIN60R W PR01IE►IENf IS BOLD WITHIN ONE VEAROiOpMPLE- � ��TION,THE OWNER�UIIDER WILL INVE 7HE BURDEN OF PROYPN3 THAT F1E OR BHE DID W�T BUIL�OA MPROVE FOR THE RINPOSE OF SALE} 0 4�aNNER OF iME Pi10PER7Y,AAA E%CLUSIVELY COMRACTINO WITN LIC@15ED C�DNTqACTOqS TOOW6TRUCT 1ME PFO.IECT(SEC.70a�,BU81NE85 AND P110FESSIdVS ODOE:THE CONTfUCTOR3 IJ- V81U9�IIX1 ADJ.AREA CEN6E LAW DOES NOTMPLYTON!OMMEH OFAPHOPEqiYYVF1D BUILDSOR 6APpOyE9 TiEREON,AN� WFi000H�NACT8FOR8UCH►NOJECfSWIT11A00NTRACTON(0)L1CB�ISEDRIRSUANTTOTIEOONTRAG QUMITITY DESCRIPTION FEE � 10R5 LICENSE IAW.j. 1 O I A1A FXEMP�UNDEH SEQ B.i V.C.FOR TWS NEA60N a U � DATE OMMER � . � LICENSED CONTRACTORS DECIARATION � � I NEREBT AFFIfOA UNDER PENALTY OF PENURY TFUT t RMI IICENSED UNDER PROVI910N3 OF CHAPTER � . �(C0IAIAENCIlp WRH SECTION 700Dj OF 01VISION 9 0F THE BUSIHESS ANO PROFE55iON5 000E.AND Z 41Y UCENSE IS N FiR1 FORCE AND EFFECT. o b � bt�s- � � LICENSE CIASS �,,^ LIC.NO. � � M7E V� CONTRACTOR � WORKERS'COMPENSATION DECLARATION � yIMFAFBYIIFFIRMUNDERPEN�LTYOFPERIURVONEOFTiEFOLLAWINGDECLAMTqN4: � � _IlU1YEANOWILLUAMTAINACEFRIFlCATEOFWNSFNT708ELFdNSUREFORWORKERS' OOMPENSATION.AS PROVIUED BY BECTION a7ua OF TFIE LABOp CAOE.f-0R TNE PERFORMIWCE W Q OFIME VYDRN FOR WHICFI TIIS PENAIIT IS ISSUED. � ��MAVE AND W�LL MAIM1TAIN MIOPI�RS'COMPENSATION INSURlWCE,FS HEOUIREU BV BECrION � 97000FTHE LABOR CODE.FOR TME PERFONMANCE OF 7HE WORK FOH YYHICH THIS PERMIT IS f�C�J I f (�O ISSU�.W KFA�COMPEN�$[(]TION INSURANCE CARRIER AM OOLIC'/NIIMBER ARE� CONSTRUCTION � l � ,+r CAARIER .�I OV T PLAN REVIEW ( � POLICYNIIMBEH �� �� ELECTRIC p' fnass�c�urv���+oTe�m�rma�n��wwrsw�+a+E�ootiu�sR+�)oRt�54 PLUMBING z 1 CEFTIFV THAT MJ TME VERFORMANCE OF TE WORK FOA WHICN THIS PEPMIT IS ISSUED,I MECHANICAL Sl41L NO7 EMPLOY ANV PERSON IN ANY YNINER SO AS TO BECOME BUBJEC7 T07HE (ry WORKERS'COMPENS�TION UWS OF CAUFORNIA,MIDAOAEE THAT IF I SHOl1LO BECOME INSPEC170N FEE S BUBJECT TO h1E WONI(ERS'OOMGENSATION PROVISIONS OF SEC7pN 3700 OF 7HE IABOR � cooe,�sNw.FORrmmrn cowv�r wm�nase cRrnnsroNs. ISSUANCE �O� O �� p OATE: APFLIcaNi: 5MIP -- �� �Jp t p(J � WARNINO:FIIILURE TO SECUPE NORKERS'COI.IPEN9ATIOf/COVEqME 18 UNLAWFUI,AND BMALL 9E ENERGY P/C 2 � SUBJECTMIEMPLOVERTOCHIMWALPEN�L7IESANDCMLFlNESUPi00NE11UNDREDTFWUSANO ENERGYPERMIT ✓ r DOU.AfiS(t1m,oW�,pJAD01T10Ni07F1ECO5TOFCOMPENS�TION,DAMA6E5A5PROVIDEOFORIN i�LJ BECTpN 770!OF THE LABOR OOOE,M1IEREST.AND A7TORNEY'S FEE8. RETENTION FEE: ��'' �� W � CONSTRUCTION LENDINQ AGENCY PflE•ALT FEE: _ 11EPE6Y11FFIWA UNDER PEWLLTYOF PERIURY THAT THERE 16 ACONSTRUCTION LENOINO AOENCY FOR TME PERW RMANCE OF THE WONN FOR YYHICH 1XIS PEHMiT IS ISSUEO ISEG 3oY7,qV.G�. Z7 ,..�...��.,�» u� � LElOER'S WME - � LElqEq'SADDRES9 � 1 CEq77FV iNAT 1 XA/E pEM iM13 APPLICA7qN MD STAIE THAi iHE ABOVE INFORMATION IS ODRRECT. TOTAL FEES ��'Z-Z S��3 S / � G,� d I Al3REE TO COM%.Y 1YfiVi ALl CRY IWD CIX1MY ORDINANCES AND STATE lAW5 RELATNCi TO BULDINO OONSTRUCTIOIL ANONEREBY AUTFIORIZE REPRESENTJITIVES OF TH6 CDUNfY TO EMER UPON 7HE ' ABOVEdAENT10NEO VROPERTV PoH WSPECIqN vURPO6E5. COMMENTS � �.pz_!�1-IU� pH-L V��1� � PEiU11T7E� , M br�-- �� � (n &ONATUREOFPERMfT1EE pATE � � � RECPT.NO. PAID BY VAUDATIO WHITE—Department Copy,YELLOW—Finance Copy,PINYv-1lasessor Copy,OOLDENR06--Flle Copy,OREEN—�lpplicant'e Copy ' CITY OF DIl�IVlOND �AR . . . IN�PECTiON4 RECOfiD . � �-/o� � ,8 : .' � � , • � - • e � � • � . SET.BACK• `, ',rf-9'9�I �it1±� /�� FLOOR JOIST"•,..':,: : :, ?,; ;_�` �; .., . , FTGS/FORMSlSTEEL , -. .., FHA REQMTS- : , . ELECTRtC GROUND ' UNDER FLOQF,fi"l]UCT ' .•-� ... :. +� .►.�.:�r�•;: ...� ; - GROUNp PLUMBiNG 7i S f�- UNDER FLOdR<CUI�1DUfT'- ' �!i '�_�• ' _ SLAB GRADE � 7 2� d FIREPL'AC��OUNDATION ` • � - '- � 4 ''.� ' ' TEMP POWER FIREPLACE BC�ND BEAM � WATER SERVICE . O MID NT.B(]ND BEAM ' ROOF SHEATFiING � � �' S' 8 FT.BOND BEAM FRAMINGNENTIUATION L 6 FINAL BOND BEAM � ROOF C01/ER E PRE-GRADING �_ ROUGH HEATII�lG . � BENCHING - ROUGH ELEC�RIC —,��-�- ,; RbUGH GRADING ROUGH PLUMBING -.✓ _i;� FIfVISH GRADING SHOWER/TUB TEST s � PO'OC�LECTRlC EXT. LATH/SIDING -- POOL FENCING � WALL WSUTATION POOL FINAL _ CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING ; � DEDICATIONS � SEWER , ,�/ !` � ; � FINAL ENG. _ i SEPTlC TANK i. .,... , , i LANDSCAPEIIRRIG. ; . SEEP PIT/L.L. � ' ; QN S1TE fMPS. � ���� GAS AfR TEST ''L � ! FIt3At ZONING ' FINA�CONST. - � i ' FfRE:DEP7 FINAL � FINA�HEATING ; HEALTH DEPT. FINAL i FINAL ELECTAIC ' DE,V. �EES PAID � FINAL PLUMBING " I � EfVERGY , � s �I . _�_._ � � �"� �' �; .....p� , i, !� .... .._... .. __. — — ._. . . _ � COMMENTS ��," � :� .; � . �' � � � l• . . ' `' '` . _'_- . . . � . _'_ . f!._��_!_�!._ __..- � � �.i• � �.l Y J l. � ! S�PTjC..TANK SIZE • • SEEP PIT/lJ $IZE �,,..., �� � � �.�;�. '. .. 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