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HomeMy WebLinkAbout10352 EXPIRED - CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT �U L 1 9 ZOOZ 21660 E.Copley Drive Suite l90 PRESS (909)860-3195 Fax(909)861•3117 ,"""� BUILDING PERMIT APPLICATION FI R M LY o� J08SfiE �L�70 �;1 L L I (y4 .QR I y0 � APPUCATION Cj C PERMIT Z� ADDRESS �'t � DATE � NUMBER �✓ M �j ISSUE TYPE OCC ' APN LOT TRACT DATE CONST. GROUP p OWNER / U N. L i (, p ADDRESS U �P C- o��,�$ ZONING SETBACKS ' � CITY _Gn (�n.��4 ZIP 9/7Zc7fEL v�1 I37" FRONT RW p APPLICANT TEL REAR ❑ � SIDE/SIDE STREET RW O ' CONTRACTOR � � G� �v<-Q t�l �v Y��►-S I/✓(r SIDE ❑ � ADDRESS , y E'L �✓o O O V C=. — [� � CITY�r�f G �/�% ZIP-9/)H 1 TE �' / -� PROPOSED USE - a ARCH/ENG! ' DESIGNER � NO.DWEL NO. NQ a ADDRESS UNITS STORIES BEDROOMS = CIN 21P TEI. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BCtLDER OECLARATION SFR/ADDAaEM O 1 HEREBV AFFIHM UNDER GENALTY OF PERRINY THAT 1 MI El(EMPT FROY THE CONTMCTORS LL GefBgdK.•aryOrt W CENSEUWiORTNEFd10W1NGREASdJ(SEC.70.71.68USINESSANDGROFESSIONSCOOE:ANYG7V00. (n � � U pOUNTYWHICNpEOUIqESAPfRMRTOCONSTRUCT,ALTER�PROVE.DEA10115H2ORREIMIRANYSTRUC• W PatidDedc . . . � � TUHE.PitlOR TO RS ISSUANCE.AL50 REOVIRES iNE A7PLIW7T FOR SUdi OEWAITTO F0.E A StGNEO W � STATEMEM THA7 XE OR SME IS L1C:ENSED PURSUM7T TO THE iROVISIONS OF iME CONTRACTONS L4 � CENSEUw�CHMTERY�COMMENCWaWITH5EC71ON7oDo)OFDIVISIONaOFTMEBU5MIESSAtqVHO� � POOVSpi � � FESSqNS ODOE�OR THAT ME OR SME IS EXEMPT TMEREFf10M ANO TNE BASIS FOR TME ALLE�ED EXEMP• TqN.AHYVqU1ilONOFSECTION70]1.6BYANVMPLICANTFORAGEiWITSUBJEttSTHEMPLICANTTO Z qtrq�� � A CML VENALTY Of NOT MORE TMAN iNE HUNORED DOUARS�t5001.Y O ❑1A50WNEROFTHEVROPERTY,OR1AYElAPLOYEESMATHWA0ESA5THEIRSOLECOM7EN5A7K)N, COrt1RIBfCl81 � �. 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LL" OATE OWNER Z � LICENSED CONTFlACTORS OECLARATION � IHEHE9YAFfIRAlUNOERVENAITYOFPEiiNRY7HATIAMLICEH5E0lMDERVROVI510N50FCHAPTER Vr . d t(COIdMENCNIOWITHSECTI0N70001�ONI510N]OFTHEBUSINESSANDPROFESSpN5CO0E,AlO Z X W LICENSE IS W ML iORCE IWO EFFECT. UJ � /N�C OU .- � LICENSE CUSS �'' UC.NO. O G � V a�h `� Z`i corirw�croa c. �' �w � WORKERS'COMPENSATIONDECLARATION `� � �l � IHEREBVAFFIRAIUNDERPElULT'OFPERRlRVONEOFTNEFOLLOWINaDECLAMTqNS . � _I HAVE AND YYILL MAINTAPI A CERTIFlCATE OF CONSENT TO SELF•W SURE FOR M'ORKERS C04�ENSATION.AS PROVDEO BY SECTION]'700 OF THE LABOFl COOE.FOR THE VERFORY�NCE OFTHE WORK iORN�111dITWS OEiWtT14155UE0. � _t NAVE ANO WRL LW1rtAM WORKERS'COMPENSATqN INSURANCE,AS HEOUIREO BY SEGTpN � 77000iTHEL/BOROOOE.FOR7HECERFORI.IANCEOFTMEN'ORKiORNMIpITHISVERYRI4 55UEO.WWORKERSCOYDENSAtIONINSU(LWCECARRIERAN�POLICYNUYBERANE: CONSTRUCTION � CARRIER C`� �' � PLAN REVIEW � POLICYNUMBfR G EIECTRIC � � (M6SECIlONrffIDra78Em.aFtEDOFhfvEw.fisf'Oaa�EHl.f�fiEooatliiS im�at LUMBI Z ICERTIFYTHATNTHEPERFOIiMANCEOFTHENCiiNFORWHICHTHI5PER1AtTtSISSUED,1 MECHANICAL (,7 SHALLNOTEMPLOYANYVERSONINANYMANNERSOASTOBECOMESUBJECTTO E (/j WOPo(ERS'COMPENSATqNLAW50FCMJFOiiNIAANDAOREETHATIFI5/qUID e iNSPECTIONFEE - SUBJECTTOTHEWOHKERS'COMPENSA710NDROVISIONSOFSECTION�7000F E R �p COOE,I 1ULLF THCOMPlY14i fVROVISp(i;. ISSUANCE � � �u� � . p DATE: Zv APPLICANT �/ f SMIP ��� W ENERGY P/C WARNItq:FARU TOSEG7IREMANCERSCOM�ENSATIDNCOVERAGEISUNUWFUL.ANDSWLLIBE �'y SV&IECTANEMPLOYERTOCHBAi1ALiENALTIESANDCMLFWESUPTOpJEHUNDREDT/10U5AND ENERGYPEAMIT MR,I � '� f1 r DOLWiS(ft00.0001.W�DITIONTOTHECOSTOFCOMPENSATqN,0AAIAGESASPPOVIDEDFORIN �-�J.�—��`►�lr -J� SECTION]70lOFMELABOHCODE,INTEREST,ANDA7TORNEYSFEES. � RETEPITIONFEE: � � � CONSTRUC710N LENDING AGENCY PRE•ALT FEE ¢ IHEiiEeVAFiWJUNOERPEN/1iVOFPE0.AIRYTHATTHEREISACONSTRUCTIONtENDP10ACENCY � � � u• FOR TNE VERFOiWANCE OF THE WORK�OR WNIU1 T11B VERiA1T I5155UED�SEG 70Y7,CN.GG � ��... � lE1�ER'S NAME � � IENDER'SADDRE55 � � ICERTIFYTHAT111AVEREADiNISMiLICATION/NDSTATETUTTMEA80VENiORIJATIONISODRREC2 TOTAL FEES �2 I, 1 � IAGREETOCOMPLVWIh/ALLCRYANDCOUMVORDWANCESINOSTATEUw5FEU71NUTO8UL01N0 GOHSTRUCTION.M!D HEREBY AUTqRRE REPRESEMATIVES OF iH15 COUNTY TO ENTER UPON THE . - 5��. ABOVE�MEIRION W iHOGERTY FOR INSCERION iURPO5E5. COMMENTS 9 L J� � • Q`� L � m PER4 c�» � f Z� � y Sq1U7UREOFVfIWITTEE DATE � RECPT.NO PAtD BY VALIDATIO � . - . WHITE—Dapartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flk Copy,GREEN�AppIlnnYf Copy , .,... ...-.� - ,..,,-..- :-,-;.,•: -_ . ... .-'.*'� ... � . �•z` . � , . . . . . .. - ..... . ,, ... � . .- , .. . . "a., .,. : ci�-v oF �i�r,�or�o ��.� ._ � ,�� ,,�� . . � , . � , � _ .: , INSPECTIOfv� R�CC�C�D, , ' �,;��. . .. ,: ..-. t�:� . � ... , ; �:�;';-? . �lr��i����,'�'��1�� IJ��= ��I��.-��Q�'.����� � ����E`�.�-�"(��������V} p)i1.i�: �I�F-`�Fi�G`"J:11�;, :.. _x..�_....___ _ _ ._.___..____�.. .�__..._ -- ..____..��........_ ��.. � ��_���._._. , �. W...� _ _ .� J._ SET BACK , _ _ . ::: :. . . . .. . . --- FLOOR JOIST - - _ - - - -- --- ----� ... FTGS/FORMS/STEEL-- - -., � _____ ___ -- - - --- - ,FNA REQP�ITS -. __ ,. ,� _ , -- --- � ELECTRIC GROUND - UNDER FLOOR DUCT � �• ! „ . GROtiND PLUP�IBING ' __ _ -- --- _ _--- - '„: ': I UND�A FLOOR CUNDUIT _ �_ _ . `r: . _ _ _____ ���"� ! : SLAB GRADE_ . - "., --.- --- �� - � � . FIREPLACE F�UNDATION__: _ _ _ _._ _ -- - � , , TEMF POWER=_.-__--_- -: -_ _ _ _:_-_ _.. __ FIREPLACE'BON�BEAM -- - -- , ' ; ��; � .:; - - V'lATER SERVICE- ---- - - --- - - -- ---- _ . : ,; MID HT. BOND�EAM . - - , : -,_,�., � -- ,- - :- : .� ROOF SHEATHfNG- -__. _ ._ __.. _ -------- -- 8 FT. �OND BEAM ` - � � FRAMINGNENTILIATION "•' � ' FINAL BOND BEAM --- - " - � -- -" " " � .. RJOF COVER-— , - -- -- _ _ . -- - -- PRE-GRADING - __ �`� . _ _ ___ ' __ :�i i. � , _.. --- - - _ _ _ ___ _ - --_------ , ROUGH HEATING---I -_ ._ -___ _.- ' -_._ , _._: . ,.. BENCHING -. , . . . ROUGH ELECTRIC _ __ _- -__ - --.- - - .- -ROUGN GRADING ,, � � RJl1GH PLt1M81NG-, --- ----- .. ---- .._ ----- --- F,INISH GRADING :: .: , '. . i . -SHOWERIrUB?EST '-- -- - ;----.___. _---______ PODL ELECTRIC : " . _ , i ' EXT.�CATHISIDIIIG - - --- --- -- -- ----- --- - �- _POOL FEPJCING- . - ; . . ; WALL INSU(ATION POOC FINAL - � ; CEILING INSULATION OFF SITE IP:1PS: - ' ' DRYWALLNAILING ' DEDICA710NS ' � , , � �. SEWER____ _ _---- '--- -_. . - �� - ---- -- -- __ .FiNAI.ENG.. . . ' ; - SEP_TIC TANK_. __ _ -:- _-_ _- __ __..:.. _ ..`. _LANDSCAPE/IRRIG. ; , .SEEP_PlT/L.L--�. --- - — -- - -- __- -• - -- - ON SITE IMPS. : GASAIRTEST.'--._- - -- ------. . --- - -_____ ._._!_ __ __ FINAI:ZONING �� � ; : FINAL CONST. {_---_- --- --- - - ----- �- , - - -- - FIRE DEPT. FINAL - fINAt-HEATiNG - ---_ ____ _----. - -- ; H�ALTH DEPT. FiNAL-;:_ `_- -- .. _-_.. ----- ___,,- FINAL ELECTRIC _ _- . . __----- _ ._.___ --�----. - -DEV. FEES PAlD . � . . � . � � , . � FINAC PLUMBING ----- --- -- _,_ �_ __ , EtdERGY -- ,: ,. ,, , , , _ _ � � , - - -- _ _ _ _ - - _ � -- �-r.--�..-.�. � . I . I 'a.i +�"�'� ��:;c_ ...- - - --. _ _ _ .�_t:� � �� � � �-- �� ,—� ,. _ � � --- :- -- - - ��- - --- �-_ _- � . � _ ., � COMMENTS _ _ : ' , . , , , , ,, , ,. — — — - — — — -- —_ � . , , . � . . -- :_— -- -- _ _--- — -- --L— _ . , , �� i , : �_ __.._. _----- -----_ _- ----- � --- - ------ - I , ', - .._. __ _ : � , , , i �� � . .� , . - .F � .. � . i � _. .. . . . . . ._� ., . . . _ . . . . .. . _... _'"._' "'_._.._._.. _ _ _ .... _"_ .__ -_ -__"._. , . � . � , 1 , .. ..� .. , � . . � _ - ,_ .. � ._.. .. _ _ .. . . ._... .._ . ._ . . _ _ . . _...._._—'_.' ".._..__ ._....._.'_""......_._.__ ....— __"_ '.__._.__. . . , � ' ' ' �...... ..�.„'I I _. i' " L.t.l � _ "___ ...__"_""__. .._ " '""".. __" . .._ _. _._._ ....._.__ - �. � , , .. . , .. �. .. .... . ... .. � . . . . :I � __.... ..-.. _ . _'__. . . . . ._—... _ . . 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