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HomeMy WebLinkAbout15623 (1098) ._ _ .....,_..�f._.�._�___._.._ —^ _.._.... ��s�� � �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRESS ���� BUQ..DING PERMiT APPLICATION FIRMLY o ADDRESS Z�� 7 �� ��L( I�S� 7J� DATE CATIO -a,�— NUMB R_�✓� M,C�V _�✓ � APN LOT��_ TRACT 4 7 .� DA EE O �CONST. GROUP p OWNER T�L4L Z.H�E-wl�S "' ADDRESS Z g 1 1 Wi4'Tl�� GON 1CS� A2. ZONING SETBACKS "' CITY �7f�rta n1 D /S�t ZIP T1�6 � TEL.4• 30p. A9� FRONT RW ❑ � APPLICANT ��A..-H� _�.��' TEL.S'o9•�/g.i��n REAR p � .+ SIDE/SIDE STREET RW O CONTRACTOR `RR-�7fN S4bf�� SIDE O � ADDRESS 4�4 ,�.�. lhf_L�1�+ � PROPOSED USE � �,�[_� O��JZ�-'�74�.���7� \w�7Y1..L CI7Y-��r+l D���� ZIP�/ 733 TEL�'.f/9•/��� ARCH/ENG/ DESIGNER g"��1 MRP �7ti'4r NO.DWEL N0. NO. ADDRESS IT�Q�jiA�4 t d UNITS STORIES BEDROOMS � CfTY �A'Qaa.l r.iwd� ZIP?26u'�XEL.���/. fi3G• �ZS � DESCFiIPT10N SQ.Ff. FACTOR PSF ADJ.AREANALUATION OOWNER-DUILDER DECLARATION SFFt/ADD,'RE6A p 1 NERE9V AFFlRM UIdfER DENALTY OF VEM1Rv THAT 1 A/A E%EYPT FROA1 THE CONTMCT00.5 L4 GarngdCarpart llJ CENSEUWFOftTFIEiOl10WHCREASON�5EC.70.71.68U5NE55ANDVRO�ESSqNSCODE:ANYCITVOR (n � CAIIlTYWF11tliRE0UWES�PEMARTOCON57AUCLALTERMPAOV[,DEMOLISKORREPAiRANYSTAUG W patiaDeck 7URE,GRIOH TO RS ISSVINCE,ALSO REOUIR[4 THE APYLICANT FOH SUCN PERIAIT TO i1LE A SICNED w � 6TATEMENT T1UT HE Ofi SME IS t10EN5CD WRSUMff TO 7HE PROVISIONS OF THE CO�l7MCTORS U� � CENSE lAW(C14PTER 0(COMMENCPXI YIIT/SECTIDN 7000)OF OrvISION 7 0F TME 9U5�NE55 ANO PRO� � POOVSp2 fESSIONS COO�ORTNAT HE OR SHE IS EJlEMPT iHEREFROAI�NO THE BASiS FOA THE ALLEGED EXEMP• TDN.AN'IVqLAT10NOFSECTiOH7m7.6BYANYAPPLICANTFOqAPERMITSUBJ[CTSTHEMPIICANTTO Z Rp-R001 F 11pNl VENALTY OF HOT AIOFE TMAN fIYE NU�.'DREO DOLUFS(t5o0).)� � Otti`�EROFTiEPROaERTY.OR1AVEMOLOVEE5WI7MWA0ESASTNE�q50LEWUPENSAT�ON, � COmmerCltl ' 1MLL DO TH[WOi�K.IV+D THL STRUC7URE IS NOT RtTENDED OR OFFERED FOR S�LE(SEC.7ws,BUSI� J � NE55 AND V110FESSIONS LODC:T1/E GdtTMCTOHS UCCNSE UW DOES NOT AVPLY TO AN OVINER OF ? Pf1DVEHIY YAq BU0.DS ON IMPNOVES TMEREON.�ND W110 DOES SUG1 WORN XIMSEIFOR MERSELF OR (� TIIROUGHNISORHERO'MJEMPLOYEES,VROVqEDTW�iSIK}/WPROVCUEMSMEWTNTENOEDOf1 m W� OFFRiEDFOqSILEIf.iqWEVERTNEBU4DNOORMDROVEMEMl550L�W11HMONEYEAROFCOMF'LE� Z 710N,1NE OwNER�euILD[R MALL XAVE iME BUR�EN OF PROVW6 TMAT N[OR&1E DID NOT BUILD OH � �.1PFqVEFO{IiNEVURPOSEOF51lLE7. O 4��WNER OF 1HE vROPEfiTY,AM E%CLUSNEIY CONTMCTN4 VnTM LICENSED CONTMCTORS Q TO CCH9TRUCT THE VROJECT(SEC.7oH,&151KESS/W0 PROiE55lON5 CODC:THE OONTMCTO/75 LI- \lall11t10l1 ADJ.AREA W LENSEUWDOESNOTAPPLYTO/WOWNEROFAGROPERT'lWNO&1M1DSORIUPi10VE5TMERCON.AND � WIIOCOHiMCTSFq15UP�VR0.1ECT5WIiMACONfMCIC1R�5�LICCNSEDPURSUAMT07NECONTMP QUANTITY DESCRIPTIO'J FEE � TORSUCEHSEUW.). , - O IAA1 E71EuvTUNOER SEC. 9.t P.G FOR iNiS REASON Q U LL � DATE OWN[R V • � � LICENSED CONTRACTORS DECLAFiATION � � W , IMERCBYAFFIRAIUNDERCENALTYOF7E0.1UMTNATIAMLICENSEJU�DERFAOVISIONSOFLHAPTER V. . s �(001A1AENCNOYn7115ECTiOM7o0o)OFDNfSqr�]O�TNEBUS:NESSAnDPROFE55qh5C00[.MD Z X W LICENSE IS N ML FOACE MlD EFFECL m . .. , u� /'.� p/ 0 UCENSECLASS C Z� LIC.NO.�'j��R� JS jJ . -- �j OATE_�y/�•AO CONT0.ACTOR���c(�� a W � WO,RKERS'COI�APENSATION DECLAAATION -� ,, = d � IMEREBYAfF1qA1UN�ERPENA�TYOfDERJURVONEOF7HEFOUOWWGDECUMT10N5. U ' N Z a O �IMIIVEANDY.7LL1AAiNTAMACERTIFICATEOFCONSENTTOSELFdNSUREFORMUNKERS' S � � CONPENSATqN.lS 7i1Cn0ED B�SECitON a7oD OF THE UOOH CODE,FOR TME CERFOR�A�WCE W OF 7ME YYOFU(F0t1 R'Hip1 M:S PERMIT IS ISSUED. � 0 � �IHAVEANDYALLYANTAINWORKE0.5'COMPE45ATIONINSUMNCE.ASREWIRC�JBYSFCTION �U(�(/i O. __ Q J7o00FTNEU80HCO0EFORTHEPERFOW.IMlCEOFTHEWORKFORWNICHTHISCERIIRIS I'� t55UED.W WORNER$'C(MIPENSATION INSUR.WCE CARiL'ER AND POLKY NUM�ER ARE: CONSTRUCTION . jGIRRIEA �✓��sr PUW REVIEW � � POlIC1'NUAIBER �� !'�b O O O t�/' O/ ELECTRIC o (n�ssEcroNu[EuyoieEm.s�E'tncrntvEautsrrnorv=µwrst�oal�tr�R+m�rn�Ess1 PLUMBING z ICEHTIFYTHATR1iHEYERFORMANCEOFTH[WOPKFCRNMICMTHISPEHMiT,M'iI55UED,l MECHANICAL U 511AL1NOTEMPLDYIV7YPERSONNANYI.uNNERSOASTOBECOr.�ESU&:ELT707ME � N MIL+RI(ERS'COMPENSA7IONlAV/SOFGLLIFO�MAANDAGH[ETHATFISFIDULOBECOAIE INSPECTIONFEE �^ S SU0.IECTTOTHEtM]MERS'COu0EN5AT10N7ROVISIONSOF5ELT10N970oOfTHEUBOR �'�;�, ' p- , coos,�swyt tonnnHn�cour�v vn aaoAvisa.+s � ISSUANCE � �J•/�•OI7 APPLICANi: �r,• �v'��( - SMIP � 0 o�Te: — w ENERGY P/C ^ WMNINO:FALURG TO SECURE NORNEi35'COMPENSATbN COVERAGE IS UhUWM.AND SHALL BE �y SUB.IECT�NEMPLOVER70CR1M?IAIVENILTIESMUCMLFPlESUPi00NEMUNDREDT110U5A4D ENERGYPERMIT V e) UU p0({.ARS(tf Ca,DaO�N MOfTiON TO TNE COST OF�p1APEN5�7qN,DAMACES AS VRON�ED FOR IN '7��� T ¢ SECT�ON]lOeOFiT1EU80RCODE.NTEREST,ANDATTORNEY5FEE5. ��ENTIONFEE: . �,I� 7 r�N I!!A P���j��n t t��R OCONSTRUCTION LENDING AGENCY pR.- T F��.^ T3I TT1 n�T��: A T.t r��T'�;'�^1� Q I HCR[BYAFFINA UNDER PENALTY OF PERNf7Y THAT iHERE IS A CONSTRUMIDN LENDINC AGENCV I L _ � n- FOR TML PCRfOflM,WCE OF THE WORK fOR WHICH TMS PERMIT IS ISSVED(SFG 7DV7,GV.G). z n,�' W � LENDER'S NAME � LENDEfiSADDRE55 w ICERTIFY7MATIIUVEREADTMISAiiIICATIONANOSTATETHATTHEABOVEPlFONdA7qNI500MECT. TOTAL FEES . � IAGREEiOCOMVU'N7TI�ALLGTYIV+DCOUHT70RDINANGESANOSTATEUNSRCUTWOTOBV0.DIN0 CDNSTRUCiION.M!0 HEREBY AUTNOfUZE RCVRLSENTATIVES OF THIS COVNTY TO EMER UPON THE �/�� ���\� S� ABOVE�MENTIONEDFiqVERTYFO(iINSCECTqNPURPO5E5. COMME ��� '1L.yy"�_T� � a 2�� �-• SG�� � DEiwi�.we�cw� .�rY� �--U'U � � i ¢ � 7 �/�• �v �� (n SIGIUTUHEOiPENd�TTEE �ATE � RECPT.NO. ,v �_PAID BY VALIDATION WHITE-0epertment Copy.YELLOW—Finance Copy,PINK—Aasessar Copy,GOLD[NRO�Fi�e Copy,GREEN—Appl�eant's Copy , . ., . ., . - . �...� -,_ - � . . . . . : CITY OF DIA�JiOI�D,BAR . . , ' � ., ': ... : .i1�SPECTIO��! �EC�RD �l►��.1�����'�'C��1►�MT ��_�!"= I1��-��l�cs'F'�� � I��I�:���f GlR)►��.� ��.�_'�F'= I�`E-'��:.,c~F��� �: ._..�.v._.____�.:.=:_.�..:._....._....._ ..._::.�...._.,_..Y ... . ....._.,__�......._., ... .._._..._...._..__ ._...:_.�.__._-----.� ..,�....__�.., ,SET BAGK ' ". �• ' • 11b � .• . ° FLOOF JOIST. . . . ;..� , ---. �l . 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LATH/SIDI�JG PCOL FENCIPJG � � ;b"lALL iNSUL.ATION - POOL FINAL � �CEiL1^JG (i•:SULf+TION OFF SITE IP."PS. � . ;DRYIIJA!.LiJAIL1NG- - DEDICATIONS 5E�'JER � FINF.L E��G. � , S=PTI:,TANK • � LANDSCAPE/IRRIG. j I 'SEE°.°iT/L.L. � OtJ SITE►F�1PS. j � _G.,S F�I�;TEST � �� _ � FIPJ�,L ZONIPJG ; � , •• ;Flr;�,�._rONST. � •ZL.�i FIRE DEPT. FIt�11L � « Fli�",L HEATING �� iY � HEALTH DEPT. FIN�L � r=;,�.;— � .•�ELECTRI,., - � DEV. FEES PAID _ �_•`•'!•�. PLU.981NG • ENERGY � ��� � `__��_�4� r�� ��o� � f � _- � --- ��'. . . ...._ . f �.... �� _ �' '_��_�:�t;�:,...�.__�. .�.�. :�t . . . - E1� — . . . _....__....__j.'�,I'�,_ - . ,'. ,. . � l . i � ,'1 ,--c— f ) `-COt�1�J�ENTS �c��v_`�r.(�a_�� ; , ' • _ . � '� _`;_, •t.: ,. _ '�.—,-,c�--�� .. _ .. . . „ - • •�� ::• . .�. •� `SEPTIC TANK SIZE T ;SEEP PIT/U SIZE —�- ' ____.,.T_1��_�_.._..___..__ _ ` i � i�Y�+ � _.. __...---- � . � , . ., ti;� . : . i.� ' . ., . � , � — �� . , • - .. _. . , , . :t , .