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HomeMy WebLinkAbout10548 (5) - CITY OF DIAMOND BAR COMMUNITY DEVELOPb9ENT DEPARTMENT .,.0 21660 E.Coplcy Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 ^"' BUILDING PERMIT APPLICATION FIRMLY o'n JOBSITE �j I�� ��� Cl� APPLICATION ,sf 22-�� NUMB R "� P� ADDRESS �-• DATE / �f c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER L 1.�� I� O� f "" ADO S � � � � - ZONING SETBACKS � CITY� ti1 21 TEL.�^f' �IY7 FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDFJSIDE STAEET RW ❑ CONTRACT R C,�_ SIDE � ¢ ADpR S � A � PROPOSED USE — � /�1 � CITY � - ZIP TEL - o ARCH/ENG/ y/ �— � DESIGNER NO.DWEL. � NO. NO. ADDRESS UNITS STORIES BEDRQOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFR/ADD/REM O p 1 MERfBY�FFIRu UNOER VENALTY OF PEFWRY THAT 1 AA1 EXEMV7 FN01A TXE CONTRACTOAS L4 GarapaiCerpon W CENSEUWFORTHEFOLLOWWGREASON(SEG70.t1.SBUSWESSMUPROFESSiONSCODE.ANYCRYOR (n U CqJhRYWHILHREOU�NESAVERMRTOCONS�UCT,AITER.MGROVE,DE6101I5H2ORREi�IRM/YSniUC• W PBtbIDBCIf LL� TURE.VNOR TO RS ISSUANCE.�LSO PEOUINES TH[A➢vtIGANT FOR Sl1CM VEfWIT TO FIIE A SIGNEJ w � STA7EMENT TNA7 N[OR SHE IS UCENSED VURSUANT TO iHE PROVi5lON5 OF iNE CONTRAC70R5 LI- � LENSE UW(CFIAVTER Y ICAMMENCINa MATH SECTION 7000)�DM510N]OF THE BUSINE55 AND CRO� � POOVSpB FESS�ONS COOF)OH TMAT Mf ON SME IS EXEYPT TNER[FROu AND iME&1515 FOR 7NE ALIECED EYEMP• 7pN.ANYVqIATqNOFEECTION1071.6BYANYAPPLICANTFORAPERNITSUOJECTSTMEMPLILANTiO Z Re-Rool � ACIVIL VENAl7Y OF N0T 110FE TM1W FNE HUNDRED 0011/�A5(I5o0)�: � O�ASONMEHOF7HEPRODERTY,ORA1'IEMDLOYEESMATHwACE5�45iHEIqSOLEfD11PENSA7YIN. 0 COTrtIBlCI81 Z VIIIL 00 TNE WOWCµ0 iNE STRUCTURE IS NOT WTENDE�OR OFiEPEO FOR SALE(SEC.7a�.BU54 J NESS M1D PPOFESS�DNS[DDE:TME CON7RACTORS LICENSE UW DOES NOT APPL�TO AN OWNER OF N PROPERTYW1qBU�lDSORMPROVESTNEREON.MIOWHODOESSUCHWOpKM145FLFORMERSELFOq m [= TNpql('NWSORnERONNEMPLOYEES,iROVOEDTNAT3UCHWPROVEUEMSMENO7krtENDEDOR W pFFERED�ORSUE.iF.MOwEVE0.TNEBUIDiNCORIUPiaOVEMEMIS50tDWITMNONEYEAFOFCOMRE- � TIDN,THE OwNER BUILDER NnLI IUVE TME BUiiDEN OF FHOViFq THAT HC OR SME DO NOT BUIID OR Z �AVROVEFORTME7UNP0.5EOFSILLE). � = O4�OWNEHOfTHEOqOPERTV,AAIf%CLUSNELYLONTMCTNON'17NLICENSEOCONTiiACTORS W [C TO CONSTRUCT THE iNOJECT(5EG 1W�,BUSINE55 AND PROFESSIONS CODE:ME CONTMC700.4 LI- V8IU0fiOf1 1�Q�.�� W CENSELAWDOESNOTAVPLVTOANOWNEROFAGR07ERTYN'MOBUM1DSORUAPROVESTNEHEOM.AND � VhqCOMMCTSFORSVp/OROJECTSVATIACONTMCTOi1(5)UCENSEDVURSUANTiOTXECONTMG ounrmTv DESCRIPTION FEE � TORSLICENSEUW.). 0 O I AA1 EXEAIPT UNDER SEC. B 1 O.G.iOR TIIS REASON U � � LL' DATE OWNER V W �4 LICENSED CONTRACTORS DECLARATION W � • - , K I MLREBVAFFiRA1 UNDER iENALiY OF VERAIR�f/U71.LL1 LICENSED UNDER DRDVISIONS OF CHADTER Vr d 9(COMMENCINOWITHSECTKKI)000)OFDMSiON70F1HEBU51NES5M10PROFE55lON5CODE.NA Z X W UCENSE IS N FIXL FOqG4 ANO EFFEGT. m LL! /.� � 0 LICENS CUS�S �_���_,_L1C.NO. � V DATE ��171-- 1 / GONTRAGTOFI . �W -� 3�� � WORKERS'COMPENSATION DECLAAATION � n� CJ 8�� � � IMEHCBYAFFIRYUNDERPENALTYOFiER1UNYONEOFTHEFOLLOYANODECIAMTpNS. U � N / Q �lI A � G LIHAYENJDYAILMAiNiNNACERTIFICA7EOFCONSENTTOSELFaNSUREFORWORNERS' _ � � COUPENS�TiON.ASDPONOE�BVSECTON77000FTMElABORLOOE.FONTMEVERFOiW/NCE �U OF TME WORK iOR WHIp1 THiS PERMIT IS�SSUED. � 0 ��I NAYE AND M1LL MAINTAW WONNERS'COA�PENSAiiOH�NSURhNCE.AS RE Wrt1ED BY SECTION Q 770o OFTNE LABOF COOE,fOR iME VERFOR/AM10E OF THE WOPK fOR vlNiCH 71�i5 PEPoAiT IS � 155UE0.MYWiDR1(E 00 vEN5AT70N/y5U�U4CEC1�pq�EFANDPOL�CYNIA�OEFAfiE:�(� CONSTRUCTION � \f1 /) T � GRAiER� _. L-a.JMr � PIANREVIEW � POIICY NUMBER ���.1.1,��� �T�� ELECTRIC � (nussEcnorrr�mnoTecme�oovnEr[w.�rswnaxwaYnoaW�a+�1��1 PLUMBING G -}q L Z 1 CERTIFT iN�T IN ME PERFORMANCE OF THE WORN fOR WHKN TMiS PEM11115 ISSUED.1 MECHANICAL �-1 � � { - (,�J SNALINOTEYP�OYANYPERSONWINYMANNERSOASTOBECOh�ESU&IELTTOTNE � � WOPo(ERS'CD4PENSATIDNUWSOF FDACREE7HATIFISFIOUDBECOAI[ INSPECTIONFEE S SUBJECTTO7MEwOWCERS'COuvENS ovu 5 F� CTqN770oO�TNEIABOH � OOOE,1 SN1LLL FORTMMTN C061FLY NOS ROV N5.� �SSUANCE Q ._ SMIP �..�{-��—iee7 DATE7 2?_9"�ADPLICI.NT. W ENERGY P/C WAqNRq:FA1LURETO5Ed1REWORNERS' TION .ANDSMALLBE �y, 6UBIECTANEMPLOVERNCWMiNALiENALTIESANDC •� iNESUPTOONE RFDTIIOUSIWD ENERGYPERMIT OOtLARS(t1oo.000�.N ADOITqN 70 iHE CAST OF LOUPEN5AT1oN,DAMAGES AS PHWiDEO FOq W � 6ECTION]i0lOFTHEUBOROOOE,WTEPESTANDAiTORNCV5iEE5. RETENTIONFEE: pW.., CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHEpEBVAFFIRAIUNDERPEN�ITVOFPEWURYTMATTNEFEISALONSTRUCT10NlENDWUAGENCY z FOq TME iEAFOPA/NICE OF iME WONK FOR WwLN iHiS PENYIT IS ISSUED(SEC.90Y7.CN.G�. W � tENDER'4NAME � LErDER'SADDNESS wICERTIFYTHAi1HAVEREADT/45MPlICATIONANDSTATE�77ME1180YENFOiWATqNI5fA0.RECT. TOTAL FEES � 0. 1 AGREE TO COMVLY N1TM ALL CfTY hN0 COt/HTY ORDIW W CES AND STATE lAWS REUTHO TO BVILDiNC CONSTRUCTqN,AND HEREBY MlTMORIZE PEVRESENTITNES OF TNIS COUNTY TO EMER UPON TME � /�gpVE•MENTIDNEDPROPERTYFORINSPECTION7URPOSES. COMMEMS � -I�T 2� z/� _ � PE I E P ^� � �? r � / y SK7 Iri�EDFVEN4i E DATE S RECP7.NO? PAID BY ' VALIDA F— Dartment Gopy.YELLOW—Fnance Copy,PINK—AsHssor Copy.GOLDENROD—Fik Copy,GREEN—AppllanCs Copy -- ... ..,:..._ ...,.,,. , ... .�. .. . . • .. , , • . , . . . . . . . . •- . . , _ . . ��. . .. . ., . . .,.,.. .•>.- . . � . . . . . . .. . CITY OF DIAf�Of4D G�R . . . .. �. . � . . . 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W�,TER�SERVICE - '- — ' .: I � �:11D HT.F30ND'E3EAPJ- •- - • - - . • - . . . � ROOF SHEF�THING ' � • � � � �� a FT.E30ND BEA��1 � FRAMINGNENTILIATION ' FIPJAL E30ND F3EF.�.9 - - f ' AOOF COVER - - - - PRE-GRADING - - � �� ROUGFi HE�TItJG • - - E3EfJCHIiJG � � ROUGH ELECTRIC -- -�- � � � ROUGH GRADING , --,-- ---- - ROl1GH PLU��1BiNG -- � 1 FIPJISH GRADING � SHOVVER/TUE3 TEST - - - ' � PO�L ELECTRIC � � EXT.LATH!SIDINu - � -� � � I F'DOL FENCI�dG � 1�'VALL INSULF.TION � I� POOL FI�dAL • • ' CEILIPJG INSULATION � T OFF"SITE 11.1P5. ! �� � DRYb'VALL�dAILING DEDICATIONS SEVVER � FINAL ENG. ' SEPTIC.TANY. - � � LANDSC��PE/IRRIa. ;�� SEEP PlTlL.L:. - - ON SITE IMPS. GAS AIR TEST' � - - FICJAL ZONING i FIEJAL COyST. - - - ; � FIRE DEPT. FIPJAL FIfdAL-HEATiNG - - '1 2ffi ? _�/-��C� - �� H�F,L1 Fi DEPT. FI�JAL . - Ft�QAL ELECTRIC -- � � - l I DEV. 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