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HomeMy WebLinkAbout15-1801_u Q x z 'A CITY OIL ] AMOND BA 11. DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 8G1-3117 Building Inspection Hotline (909) 839-7027 BUILDING PERMIT APPLICATION, f___ . 1 00 z' C JOB SITE ADDRESS APN en 4kOT T CT OWNER 'j% ADDRESS 01 CITY ZIP TE APPLICANT TE CONTRACTOR ADORE CITY ARC.HtENG/DESI€aNER ADDRESS CITY ZIP TEL. --- g IIC3t OUXARAnN I hereby atrzm utrdr pormoty of perprry mat I = w*ff d trum the Starts Ltoorso Low Im the masows) udcfftsd below ty the chockin tktt) I ?%ave precool crest b to apotl able narrOl Clan 7= L Iltminoss and Pralso as tote Any tilt' ar on* W ragtdrn a permit #A , altar, Improve, de moliah, or repair, any strsre9sa, ZxWr to th iffiStitP , ate m�a�ae else llptW far tM preNt sib a alyned t that tw or atw Is Ace need pursalairl b the provisions, of the Cordraew%ffitaOa Ueanw Lin (CNI r Bi Ca mmerlising wo Swoon at ]Division 3 of the Butirio a mW Prolmlon' Cadvil or oat ho ar sN is exempt fray Iloenafm and the bails For Its staged exempOm Any violation of Sen m 70315 by any apptcw!tfor a pwmd subjects the applicant to a ova penahii of rot mare Oran 0fe hundred doilire (SRO) U I as atimer if the property or my employees wdh wages as their We cornpons coon will do U ell of or U pomxm of the wo(k, and the structure la not intandad or offered for sale jSoctim 7044 Bualrim and Profs. worse Dada The Contractors State License Law does not apply to an owner of property who atrough empbyaes' or persorw a'lorf builds or Improver the property provided that the impmvearetds area not intended or offered far We II however, the building or improvement Is sold within one year of aompla4on the Owner Budder will have the burdon of praving that it was not bunt or Improved for the purpose of We ) U I, as owner of the property am ovAlslvety contracting with Ikxnsod Carlow q to construct the pr41ec1(5ection 7044 Business arld Rossawns Cade The Conbec9ars' State License law des not alptir to an owner of property who ar h iprove3thereon end who conhacts for the projects wfdr a 4r ansed Cbrr6actor pursuant to the Cronhactors' Rate Llcerm Low) U I am exempt hnm howsure under the Cant Ws Sta Lilo" low for ft to Ww1d g re ($� ----------- By cry slgnarae Wow I acknoweclge flat, oxcepl tr nW parswial rasliWCa In who I mist hava resided for at WA ors year pdortoWrRpletlonofthaImpmmerrbsoared0this parchIcanto lo0tv all aoft"turethat Ituvehulaasan owner txllda It it has not berm corehp�ted In its wwaty top kwisod Carftcsor s I W44meend that a may of llm apptraW law; Swion 7W of the lkwi w.s and Professions, Coda Is "4is upon m:Km w." fha apple man is solvri d or at the 1610*02 Web site rmwwwwloginfacagxkdawmrot SIGN UMNSW C7OMRACTOR'S DECLANi471011 1"by ai0rm under walty of Flury Idurf I am licartsed provisim of Chootar 0 tcamm"Ci g yvliit 58:11cm 7WO) 4f Division 3 at the Buskss end ftfeswris Code W d my knout a In MI lotoo and OW LCENSECLASS LA; DATE CDNTRACM WORIBER'S COMP9CSAUDIN GICLAItA"Dill I HEREBY Ait:3W UNDER P AMT( OF PERAMY ONE Of PIE Pf.Rd,L1YtkIG CEO- AT'IC4 I hz. or,, will rsiakda;n a Csr[ifila[a of i'mnaraM to Sit Irlaixs Ior Wlgrbti� ofCurgnaa "I 0P dx by Set3700 ca Labor Cade for tie perrance of Bra work tar %bleh this pemtn istsart� maintain hwo and cull mainn WorkaY n� Compeflpn Insumllte, as required by LAW 3700 of the LAodo hX tee performance of Pe woni permit (g C&I"Msanmr tr�rance Carrel and Policy Number are CARRIER POLO NUMBER ad 70/................. M4S SEMN NEED NOT BE CAM IF THE PERW IS MR ONE HUNDRED OOUAAS(Sr 00) OR LESS) I carbfy that. in the pertimarice of the wok for whkh this portnit Is Issued I mall not employ arty person In arty mww so as to became out led his the nbrtwrg Compensation Laws of Ca6tonaa. And agree drat o l twrrMms RAW b the krmr% Cam76/91t no d Seaton 3700 of the e I shadf faded 1h ceomp) t th taom on9. DATAPPLII'1WTj5dorr WARsecure workerssecure workers Cacwara'a (s unlawful, and 9WI wbpa an employer to dla unlawful, and 9WI wbpa an employer to 1 penaltles end qYh fines up m one hunddaIIEB (SI DB,DDBL In addAon to She post M the cornpemAon damages as provided form section 3709 code, Inhar� end imumay's tees CIMMLCTION I.9014G AGENCY 1 hereby affirm under pen" of perjury Wat Ctem Ly a fgnstru'faon Utnding AgerlCy tar tter partW'rrlamx of do worst for earth Vra permd to issued (Sec "T Cry C I LENDER S NAME I94ER S ADOBES I certify flat l hive read t►a agpiimDoi = arrd am that Ile true lid mabor in xn vd i to offor wkis all City 3'A wftarrm and state Won Moon to h&N amstfvathxl ark twcbv affl aloe t4weawftwo ofmu* to enter upon the properly for intpactim purposes, ............... FrFtiEE t {PRINT} SGNXrUM 0; PENWrTE¢ DATE 'e t r ?10' /J PRESS FIRMLY APPLICATION DATE ISSUE DATE �r� TYPE CONST `PICm J zt PERMITRI1 OCC GROUP I ZONING SETBACKS FRONT RW---- CI 1 REAR C! SIOUSIDE STREET RW 13 SIDE _.................... PROPOSED USE # DWEL UNITS i A STORIES # BEDROOMS DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION 5FWfVDWREM j GaragatCrf '� Ui ut PauolDeck LL Poompa Z P*-R,W O u 7 Commercial co I ValLiation -------------- -- Ad) Area QUANTITY f DESCRIPTION FEE I us l z m CONSTRUCTIONp PLAN REVIEW p ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY PfC ENERGY PERMIT RETENTION FEE PRE-ALT FEE BSAF e i TOTAL FEES�i COMMENTS RECEIPT o �— ,r MO 8Y C/ YAtJDATtON 6-1 WHrTE—Depar"ontCopy, YELLOW —Finance Copy.Fnk;K —Aea xCopyGOL.DE:NROD—File Copy, GREEN — Applleani'sCopy SETBACK/ LMS aOTINGS FOkIVIS !R PLUMBING VD,ELECTRICAL LIFER GROUND SEWER LATERAL MAIN WATER LINE' SEWER CLEANOUT ROOF SHEATHING FLOOR SHEATHING SHEAR WALLS EXTERIOR SHM WALLS IN -IERI OR FRAM IINGNENTING ROUGH MECHANICAL ROUGH ELECTROL. W( C ROUGH PLUMBING INSULATION WALL WSULATON CEILING DRYWALL LATH (PRE) LATH EXTERIOR LATH INTEMOR GAS TEST SCRATCH COAT ELECTRIC METER RELEASE GAS METER RELEASE SPECIAL INSPECTION FfNAL BUILDING FINAL MECONIM HNAL ELFC11RICAL FINAL PLUMBING T C of OCCUPANCY cm. of ompucy COMMENTS CITY OF -'DIAMOND BAR INSPECTION RECORD 7 C TRA CT AND LEDGER SWITCH I WITCH GEAR COMMERCIAL HOOD T-BAR INTERCEPTER HOT MOP/SHOWERPAN SEPTIC/CESSPOOL HERS REPORT RECEIVED DEMOLITION ROOF DRAINS ROUGH CONDUIT POOLISPA ROUGH PLUMBING ROUGH ELECTRICAL ROUGH MECHANICAL GAS TEST PRE GUNITE POOL PRE OECK BONOING P-TRAP FENCE I QATFJ ALARM FINAL POOL WALLS WALL FOOTINGISTEEL WALL STEEL 1-f ) 2-( ) LIFT WALL BOND BEAM WALL ORAINISEAL WALL FINAL RD FRAM PMW APPMVAL ROUGH FIRE APPROVAL FINAL FIRE DEPARTMENT FINAL MANNING FINAII. ENGINURING/ PW FINAL COMMUNITY SERVICES FINAL HEALTH DEPT FINAL INDUSTRIAL WASTE