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HomeMy WebLinkAbout16628 EXPIRED �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �UN 19 Z002 21660 E.Coplcy Drivc Suitc 190 � (909)860-3195 Faa(909)861-3117 PR E$$ ���*��� BUQ.DINGPERMTTAPPLICATION FIRMLY y�. JOBSITE /3l 5 G��rr�er��o DD DATE CATION ,.l l��1 NUMB R I �e 4� 1�� o ADDRESS � ISSUE TYPE OCC APN LOT� TRACT DATE CONST. GROUP � OWNE�IL7/il/ NnKflISI'F� " ADDRESS .S'f3"ME ZONING SETBACKS � CITY ZIP TEL R�R RW ❑ APPUCANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTO SIDE ❑ ADDRESS � , .H7 V�. � CITY LIGW D 21P 9 7 I� TEL��`o?�X��J� PROPOSED USE Pu ARCH/ENG! • DESIGNER NO.DWEL NO. NO. ADDRESS � CITY ZIP TEL UNITS STORIES BEDROOMS ti v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q ONMER-BU�LDER DECLARATION SFR/ADD/REM O 8 1 MEREBY AFFlRM UNOER PENKTY OF PERIURY THAT I MI E%EMFT FROM THE CONTMCTORS l4 �Gaf�gelCelpOrt � CQlSEUWFORTHEFd10WNOREA50NI5EC.7o71.68U5WE5SANDPROFESSqNSCODEANYCRVOR (n WU!lPfYMIQ1REWWESAPEPMRTONNSTRUCT,ALTER,MPRpVF,pEMOUSH,ORREPA1flANYSTFIUG lU patio/Dack 7lJRf,VRqq Tp ITS t45UANCf,AL50 RE W IRES TFIE MGLICANT FOR SUL11 VENAIT TO FILE A SIGNED � .� STA7EMEM TiNT ME Ofi SME IS UCENSED WRSUMI7 TO h1E PROVISIONS OF THE CONTMCTORS LF � � CEHSE LAW(OUDTER Y(C0I/YENCNO N77H SECTION 7000)OF ONLSION 70F THE 9USINESS IN0 DRO• POOUSpO FE6510NSOOOE70RTMATNEORSHEISEXEMPTINEREiROMANDTHE8A515FORTHEAIIEG[DEXEMP- � T10N.ANYVIOUITIONOFSECilON70.71.6BYANYA7VLMJNTFORAPEfeAITSUBJECTSTHEAPPLIGN�TO Z Ra-Rool �„� ACML CENALTV OF NOT MORE iHAN FNE HUNDPED DOLLARS(Ss00).): 0 04�.+`01MIEROFTHEiROFERTY,ORAIYEMPLOYEESYnTHWACE5A5THEIH50LECOM7ENSATqN, 0 CpmmefClel - � M7LLD0 THE WOW(.AND iHE 3TRUCTURE IS NOT MfTEN0E0 OR OFFERED iOR SALE(SE4 7W�,BUSI• �,1 � HESS ANO GflOFE5510HS CODE:T1E COHiMCTORS LICENSE UW DOES NOT AOPLV TO M!ONMEH OF ? . PROPENTY MAiO BUILDS OR MPROVES THEREON,IWD NR10 DOES SUGI VAFK HIMSELFOR NEHSEIF OR Q TMROUOMMSOfiHERONHEMPLOYEE3,PROVIDEDTNATSUpiWPROVEAIENTSARENOTNTENDEDOH � � OFFEHEDFORSKEIF,MGVIEYERTMEBULDINOORNIPROVEMENTISSOtDWITMNONEYEAFOFGpAPtE• Z TION.TNE OVMER�BUIDER WILL NAVE ME BURDEN OF VROVNO TUT NE OR SHE DiD NOT BUq➢OR � W iROVE FOR iHE FURP0.5E OF SALEj. �y,� �LASOMMEROFTMEVROVERh'.AME7ICLUSIVELYCONTRACTNOYrtTNIICENSFDCONTMCTOR4 Q" TO CONSTi1UCT TME FR0.IECT(SEC.70M,BUSMESS N+D PfqFESSIONS CODE TME CONTMCiOFiS U- V8IU8SIIX1 ADJ.AREA 1.•LJ CENSELAWDOESNOTAPPLYTOANOriNEROFAPROPEflTYWIqBUttD50RMPFpYESTNE1iEqf,11ND Z WF�OCONTPACTSFOi15UCHDRO.:ECT5WIT11ACONTRACTOWS)IICENSEDFURSUANT70TNECOHfRAC OUAN7�TY DESCRIPTION FEE � TORSLICENSEUWJ. O IMI EXEYPTUNOEi1SEC. B.i P.C.FORTHIS p[ASON � 3 " LL' DATE OWNER � � W tJCENSED CONTRAGTORS DECLAAATION W � IMEREBYIIFFYWLN�ERPENALTYOFPEfWRYTMATIMILICENSEDIXdDEHiROVI5qN50FCMAGTER � / // � •(COAIAIENC4qW1TM5EMqN)OOO�OFDMSION]OFiMEBU51HES4ANDPHOfESS10NSC00E,AN0 z � f W LICENSf 6 W fULL FOFCEAND EiFECT. m � UCENSECUSS C3� ��.No. 5g�a$� � � V DATE � �I'D I CONTRACTOR �I� I� OJ�. LLJ � WORKERS'COMPENSATION DECLAF7ATION � � INEREBYAFFlRA1UtfJEROENALTYOFPE0.NR1'ONEOFTHEFOLLOWINODECLARATIONS: U "—� a � _INAVEANDWILLMAWiNNACERitFICATEOFCONSEHTTOSELF•INSUFEFORMNRKERS' Z COMPfNSlITqN.A4P1iOV10EOBV5ECTION7)ooO�THEIAflOiiCODE,FCRTMEYEA�ORIAANCE `U OF iHE WORK FON VAiICM THtS YERMIT IS ISSUE0. � � (�IHAVEANDYALLMMQ�AMWORKERS'COMPENS�TqNINSUMNCE,A5RE0UiREOBYSECTqN Q 97000FTNEL/�OfiCOOE.FORT/EPERFORMANCEOFTHEWORKFORYR/ICF7TN�5PEAMrtIS 155IIE0.►IYWOiU�CE,q�yS',C.dA7EN5AT10NIN5URANCEGFRIERANOPOIICYNUM9ERARE CONSTRUCTION � CARNEfl�L-�/ PLANREVIEW ? � P0.ICYNUMBER,�,��� iCJC%�ISSD - ELECTRIC �� 'I /� /� Q (nassEeria+r¢�raoreecartFrIDCFr�rt�+r.ns�ar+asra�noatusB+�oa�essl. PLUMBING '7I.7 I l z ICERTIFYTNATIN7HEiERFOPwwCEOFhIEWORKFORWHICHTHISPEWAI71SI55UE0.1 MECHANICAL (� 511ulNOTE1APLOYANv0ER50NNANYMANNER50ASTOBECOMESUBJECTTOTHE � WORKERSCOMPENSATIONU'MSOFW�IFORNIAANDAOREEiH�TiISf10lADBFCOME INSPECTIONFEE S SUBJECf TO THE VIOHKERS'OO�A�ENSATION 7ROVISqN50F SECT�ON�7o00F TME U$OR — cooE,�s�uu.voRnm:rHcoMa�rwm+ osEvao�nsar+a �,I/. I ISSLIANCE � ��_ � /�C.��. SMIP Q DATE: APPLICANT; � WAANINU:FARU(iETO5EQIPEWORKERS'COMPENSATIONCOVEMGEISUNUWFUL.MlDSNALLBE ENERGVP/C � SUtiIEGTANEMPl01ERTOCRIMIW�LPENA�71E5ANDCMlFWESUPTOONENUNDREDT1iDU5PHD ENERGYPERMIT DOIURS(ftoo,0007,NADQrtIOH TO TNE CASTOF COMVENSATqN.DAIAAGE5/3 PFOViDEO FOq IN J SECTiON770lOFTHEUBONCODE,WTEREST,ANDATTORNEYSFEES. RETENTIONFEE: � d CONSTFUCTION LENDING AGENCY pRE•AlT FEE: O � IMEHEBYAFFIfiMUNDERFENALTYOFPENJURVTNATTHERE15AtON5TRUCTqNLEN0INGAGENCY - FOR TME PERFORYANCE OF 7HE WORN FOR WMICH TNIS GERA/lT IS ISSUED(SEC.]097,dV.C.). . � � �ENDEftSWWE � LENDERSADORE55 /. � ICERIIFYTMATIHAVEREADiHiSAPPLICATONMIDSTATET4lTTHEABOVENFORMATqNISCOqREC[ TOTAL FEES �{,[l.J D d IACREETOCOIAPLYWITNk�t1TYMIDCOVNTYOFDPIANLESANOSTATEUWSREUTINOTOBU0.DIN0 COHSTRUCTION,AND MEREBYAl1TNORIZE qEPFESENTATNES OF THIS COUNTY TO ENTER UPON THE . � /,BOVE•NFNTIONED VROFEHiY fOR INSPEMION PUi7POSES. COMMENTS � �/11A�'�)Q1�Ct cV:�� m PERu NALE IM ' � �r",�� �.GL (o-�•D� � SIGNATUREOFFENMITTEE OATE rr RECPT.N0. _PAID BY VAUDATION� F WHITE-0epartmentCopy,YELLOW—FinancaCopy,PINK—AssessorCopy,GOLDEN D—FileCopy,GREEN—Applicant'aCopy �• � CITY OF DIAMOND,B/�R , . _, , �- : _._. ,. __� . ir�"SP�CTiOP�;F�IECOF�D : . � ., � , - .� �� _ ���1�'�~�;���t����l '��r`��'� �.lR�-�►��U�`�XR�� �wrrf►�k-"��1��'t��lo��°�*+ •�t .'�,.1a►'-� �I►�E-�����E'J�� i SET BACK �.., �,;r.�i�}�...,..,.._..i i i)_.'�f•�._. `. �...., FLOOR J015T ,��..ti�..,ru, ��y .. t . i....n.... , .f. � ._._-- . ; ,, , , , �. �_� •-, �. : -•. . � FTGS/FOR��l51S7E�L --` ' � ', ' ` FHA REQhATS - ' � ' ' _. _ _ _ __. ..... -- --i ' ' ;ELECTRIC"GFiOU�dD_ _ 'UNDER FLOOR DUCT — ` � ��"'; ; -•— , . . ._ . . . ., , :,—;== iGROUND PLUMBING I � UNDER FLOOR CO�IDUIT ' - ' � ' � � , , � .., , , . �_________ ISlAB GRADE ----- '; � - - --- -- '' ' FIREPLACE FOUPIDATION , � � _-�— �TEPJIP POWER -- -- -; ;� .-i: FIREPLACE BOND BEAM _ � _ - .;,^. � �WATER SEAVICE _.._ ._ _ MID HT. BOND BEAM .r ,'�` � ;RO�F SHEATHING 8 FL B4Np B�AM , ' • w . . . . , . i FR/1MlNGNcNTILfATION -- ' FINAL'BOND BEAM � � - - ,• ' �' . � !ROOF COVER - PRE-GRADING � ' ! ' 'ROUGH HEATING ' ` BENCHING , � . !ROUt3H ELECTRIC �_ � �" '' ROUGH GRADING _ _ _.. ._ . . _ ____-- �ROUGH F'LUN181NG ! FINISH GRADING i SHO�^JER.rTU6 TEST - - - POOL ELECTRIC ; � 'EXT:l.ATHlSfDING - - POOL FENCING ;WALt IhJSULATION - - - -- - - POOL FINAL 'CEILIP]G iNSULFrTION - � OFF SITE IMPS. " ' i := '�R`f�"JALCNF,fUNG -- - -- - . __ DEDICATIO�JS ! . �SEV'JcR __ , - -- FINAL ENG. ' . : ,- iSEPTIC TANK LANDSCAPc/IRRIG. :SEEP PlT/L.L. ON SITE IMPS. � � iGASAiRTEST FINALZONING ` ! �FIidA.L CONST. '-- ---. ___ . . _ '- - f FIRE DEr�T. FINf�L _ � .,, � , :F1;IA�H'_=AT1NC _ _ HEALTH DEPT. FINAL � - ' --- I i�_�1E-i-ELECTR;C - . . __ _ DEV. 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