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HomeMy WebLinkAbout13962 (1090) �� CITY OF DIAMOND BAR � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 2I660 E.Coplcy Drivc Suiu 190 � (909)860-3195 Fax(909)861-3117 PRE$$ ��M� BUII..DING PERMIT APPLICATION FIRMLY o ADDRESS I�7G� �. VE*u-�Y��yT/� DATE CA��I�� NUMB R I� ���IC�'�j– —1'"l � APN LOT�Z TRACT �`j�079 �SSUE ` TYPE OCC DATE CONSL GROUP � OWNER " ADDRESS ZONING SETBACKS � CITY ZIP TEL. R�R Rw ❑ APPLICANT TEL. SIDE/SIDE STREET RW O � CONTRACTOR NG. SIDE O ADDRESS � w• �' - `��• � CITY �'��4�' .� GR ZIP 2bl TEL 14� .Ei p PROPOSEDUSE- O��E1��F�{� �I(��- G7PI�INKt-E� -' � ARCH/ENG/ � Nt L An�D C-DIZ.E — bp(i_� DESIGNER �p�5 �� � � ADDRESS NO.DWEL NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER�6UIlDER DECLARATION SFR/ADD/REM O e1 HEREBY 11iNW UNDEH FEWITY OF PEiLVRV THAT 1 MI E%EUPT iROM TME CONIMCTORS U- G9�Hgl7/CBrpOR - � CENSELAWFOHiHEFOl10M'INONEA.,ON(SEC.70.71.6BUSINESSFN�VROFESSIONSCOOE:M1YqTYOR (n COUHiYMIFYGTIREGUWESAPEFilARTOCONSTIIUCT,KTERM/FHOVE.DEMOLJSH,OHREPAiRANVSTRUG W p8t10/DBCk NiiE.iRIDR iD fT$RSUN�C[.ALSO REWIFES TME ACPUCM(T FOfl SUpI PERMIT TO FIIE A SIGNED 6TAiEYEM THAT HE OR SME IS UCENSED WRSU�WT TO TNE DROVISIONS OF TME GONTMCTORS Lb � CENSE UW(GUIPTER Y(COMMENCINO VATH SECi10N 700D)OF DIYISKKI 7 0F MC BUSiNE55 hND PR0- LL' POOUSpO FESSqN5CO0E)ORT/uTHEOR5NEI5E%E�PTMERFFi104ANOTMEBA515iORTNEALIE�EDE%EIAP• (� TION.ANYVIOLATIONOFSECTION7Wt.68YAMVMR�CANTiORAPENYiT5U61ECi5TNEAPVLICANTTO Z �@�ROOI � A tIVIL OENALTV OF NOT YOiiE TUN iNE Ml1NDRED DOlLARS(f5o0),I: � OL��M�EROPiHEPP00ERTY,ORMYEMi'�OVEE5WI7NWACES/�STHEiRSOIECOUPEH5AT10N, � COrtITCfLIeI ' WHL DD 7HE YJOF1(,MlJ 7HE STRUCNRE IS NOT INTENDED 01i OFFERED FOH SA�E(SEC.7Wl BU51� J NESS AND PROFESSIONS COOE:TME CONTMCTOitS UCENSE UM�DOfS NOT APVLV TO AN OWNER OF � VRDVEHfY1MHOBUlD50RMPfiDVES1NERCON.ANOYMODOESSUpiWORKWMSCLFOqNERS[LFOR � Q THqOUOMH190RMEROVrtJE4PLOYEES,VROVIDEDTlUTSUCl/M�ppVEMEMSARENOTNTFNDEDOR m � OFFEHEDFORS�LEIF,IqYVE`/ER7MEDV0.DNOqlIMPiqVEMENT�950LDYATMINON[YFMOfCqAPLE� z TION,TIE OWMER�BUILDER WILL NAYE TNC BUROEN OF pROVINO TW1T ME OR SIIE DID NOT 6UILD OR = MPiqVE FOR1H[PURPOSE OF SALEF � ❑IIISOMNEROF7H[PiqPERTY.AA1ER0.lFNEL7CONTMGTN<iNTHLICENSCDCOH'MCTORS TOCONSiiR1CTTTIEPRO.1fCT(SEC.70u.BUSWES5MIDPROFE5510NSCOUE:IMECONTMCT00.5L1- {/81uBIi0f1 25,0�0 ADJ.AREA � CFNSEUWOOE9NOTMPlV70M10NMEROFAPflOPERT'Y7��OBUlD50HWPiqVESTMERCON,AND 1M,OCONTMCTSFORSUGIDRQICCTSWITIACdfTRACfOR(S�LICENSEDPURSUiWT70TNECOHTRAG pUANTITY D[SCRIPTION FEE � roas uccr+se uw.�.. O IMI IXEMPTLNDER SCC.� 8.{F.C.FOR TNIS RCASON a 3 " � � Z OATE ON'NER . F LICENSED CONTflACTORS DECLAHATION W J � IHEREBY11FflRIJIRDERPENALTYOFVER1URYiNAT1AMLICENSEDUMJERGROV1510N50FC/NPiER � . � i(OOMdENCwUMnMSEMqN7000)OFDMSiON]OFTr�EBUS:NESSAN00POFE5510N5COCE.AND Z ��� MY UCENSE 15 N FULL PoHCE ANO FFECT. ��� m O s � UCEllSE LIC.N0. V pATE CONTMCTOH � , � WORKERS'COMPENSATION DEC ATI N�� C � � IHEREBVAFfIiWl1N0ERPEWLLTYOFCEfiR1RYONEOFTHEfOLIOWINGDECLAMT N � 0 _IHAVEINDYnLLYAiNT�INACEt7fIfIGTEOFCONSEMTOSCIF•INSUREf RWOPKERS' '�d- GOIIPENSATION,ASP(iONOEDBY5ELT10NY7000FTHEUBONC00Ef0 TMEPERFOF7MANC�. — iHE WORN FOR WN1CH THIS PEM7iT IS ISSUED. � 1 MAVEAND YYILL W�HfA1N W00.KE0.5'CO�AD�SATqN INSURANCE.AS RECUiRED BV SECTIDN ��/'\ �.., Q ]T00 OF 1NE UBOR COOE,iOfl lHL PERPDMIAVCE OF7HE WORN WR WMICHTHiS PERMR IS V V ISSUm.MY Vi0i1KER5'C01.1PEHSATqN INSURANCE CARFIER AND POLICY NUMDER ME: ST{�1UCTION � CMNER ����C�n uS���'NTA�- I�S� G�. P REVIEW n - ' f'1 A/: �> ������ � raicrnwBER LO O .� RIC � �L�( IT� o �ssecrn�rkIDrrneEm.nErmoFnc s 6. PL .BING Z 1 CERTIFV iluT N 7M[VERFORAIANCE OF ME NK7RK FOR WNICH THIS GERAIIT IS 65UE0.1 M[ hIANICAL � ('J SWLLINOTEMPLOYANYPER50NHANYMANNER50ASTOBECOA1E5U0.JECT70THE �A t� (/j WOR1cER5'COAIPENSATIONUWSOiCALIFO{LNI,IANDAGREETHAT1i15h101ADBECOM[ •SPECTIONFEE . - — S SU&IECTTOTHEWORKENS'COAIPENSATqNPi10NS�OMSOF5ECT10N77o00FTHEU[30R L +".Jij.f. CO�E.ISNALLFORTYM1VITHCq.�PL'IMA7H SE RON IONS. ISSUMICE � • �-�- ��.;�-�-► � DATE: � I APPLICANi: SMIP � ENERGYP/C - �IC,.- � " •�nn � WARNIlq:F��LURE TO SECURE WOqKERS'COIAGENSATION COVEMGE IS UNUN'FUI.M1D SNALL 6E �y, SUB�ERANEUPLOYER70CRIMWALFENJLLTESN:OCMLFINESUPTOONEHUNDREDl/qU5RY0 ENERGYPERMI7 DOLLARS�f 100,OW),N ADDRiON TD THE COST OF CpMPENSATION,OAMACES AS PROVIDEO fOR PI t�` ¢ SECTiON710eOFT1CLMORCODE,NTEAEST,/�NDATTORNEY5FFF5. RETENTIONFEE: 1 Y I'Ul!'iI'r'�;'�U Ufi�� W U L iN:Jl�CJi);i,'. r.;'�. a CONSTRUCTIONLENDINGAGENCY p _-ALT�E� r/ F•�• qIMEREBYIFFIRMUNDERCCNALTYOFPEiLNRVTHATTHEREISACON57RUCTIONIENDMOACENCY \ � � FOR TNE OERFaRAIANCE OF ME WORK FOR WHIRI TMS FEHMIT IS ISSUED�SEC.7ovT,qV.G�. � p� � A � LENDERSNNAE �S IENDER'SADOR[55 /'`� w IC£RTIFYTWRIMAVEREAO7Ni4APPLICATIONANDSTATETIUTTM[A90VE WFOi1MAT10NLSCORRECT. TOTAL FEES�2.�j2.. �7 J���a � IA�REETOCpAPI'IWITHAL.LCtTY/WDCqJNT'Ofi01NANCE5AKJ5TATEUwSREUTWOiOBUILDINO � CONSTRUCiqN,ANO NERE9Y AUTHORIZE HEVRESENTATNCS OF TNIS COUNTY TO EHTER UPON TME � ABOVE�wEHf1ONEDPROi'ENTVFORWSPECTIONPUqPO5E5. COMMC-NTS � �A�T �(SF-�E� . � _ 4 VEiWIREE NAYE(PRIHT) �`� � , , Vl 1'y'- \ (/� y1GIUTVREOFPERMITTEE DATE � RECPT.NO. PND BY VAIJDATION WHITE-0epeRment Copy,YELLOW—Fnance Copy.PINK—Aseessor Copy,GOLDENROD—Filo Copy.GREEN—Appl�canPs Copy � — - �� ,. .. - , - . .. . . . - . . . .. . . . .. , ... . , . . . �; , CITY OF DIAMOND BAR '- � � i«SPECTIOPd REC�ORD . � -1ii�i:��c`rcc).��f �����r= �►�.�'i�.3���.�,��..` I�'f-'1:.i�;�:���t���ft■ ar�ea.i�'_W�'.= ! �I►`�-�C�;f''r���� � , .. _ v....:_._.._.�..::.�.._-_.._...�.,�_.......,_.._.._._�_-._�:..,�.......____..�.._. .__ __ �___�.. ... _._..-- - -._.,.. M ._ _.... .._.. __..._ _.... . , ...... SET E3AGY� � i .FL00=�JOIST. ~� FTGS��I"ORPAS'STEEL ��l ' � ' � FFfA REQ?�iTS � � � ELFCTRIC GROUfJQ � UNDER FLOOF�bUCi -' ' ; GR�UND PLU��IBING � � __ _ _ UNDER FLOOR CUf•IDUIT J I ____ Ci qg GR,4DE I FIFi�PLACE FOUNQATIOPJ � I TEP.QP PO4VrR I 1 FIREPLACE BO��D BEl1P.9 � 4VATER SERVICE 1 I ��11D HT. BOiJD BEA��S � 'i . :� . • ROOF St-IEATHING i , • 8 FT. BO'�D BEAPr! ` . , , ; FRAP.IING.NENTILIATIOPJ I " � FINAL BOND E3EAh1 � F�OOF COVER � PRE-GRADING R^tJGH H�ATIPdG 6ENCNING ROUGH ELEC7F,IC , ROUGH GF�ADiNG R7UGH PLUt��EING - � I FIhJISH GR!',DING � .SHOIVEF�'TUE3 TEST � � POOL ELECTRIC � EXT.LATFl,!SIDlNG POOL FEP:CING � � :'JALL IhSUL�1TiON � I POOL FIN�L � � CEILIPd�IiJSUI.ATiON OFF SITE IP.1PS. �--�----- � D�Y1'JFiLL fJAILING � D�DICATIO�JS � SE�"JER � FiNAL ENG. ; SEPTIC TANK LANDSCAPE/IRRIG. �— � � SEE!'PIT/L.L. � ON SITE IP�1f'S. ; �_ .-GAS�;IR TEST I I I FI���`�L ZO�JIrJG � � —f-rf i=1'�'�',L CJ'�ST. FIRE DEP7. FItJAL ���2,'�f��'�_�p�i'�'� � r:�:!`.L H�f;TI;�G HEALTH DEPT, f"IPdr1L i ( �J ?-i,�:.AL ELECTRIC DEV. 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