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HomeMy WebLinkAbout17-0996OLVIOND BAR CITY €3F DIA OND BAR DEPARTMENT OFCOMMUNITY & DEVELOPMENT SERVICES z M c 21810 Copley Drove, Diamond Bar, CA 91765 PRESS (909) 839-7020 Fox (909) 861-3117 Building Inspection hotline (909) 939-7027 FIRMLY BUILDING PER M I T A PP LICATION www.city€ ffliamondbarcogn bullding@udlam©ridbarea.gov JOB S{TE ADDRESS AF N LOT TRACT ADDRESS : G al ZIP TEL APPLICANT A d' V TEL CONTRACTOR O ( )_ Ce tl tie.A ADDRESSt aI � tt CITY ZIP 110 TEL ` 1*1 ARCH/ENW DESIGNER ADDRESS Crry ZIP TEL DWIIER BUILDER BECLkMTM 1 affirm under prnahy d perpry tthm I am exerts Mon the Comeactan Stara ticense Law to the ream" I Wow by this chocian pkis) I here placed rind to rite applicable OffriN (Sacctim =-% Busbm wW Protesamm Cade Arry ally or courtly that faqurm a perrnit In construct, aft. ftraw, dannalish, or aWlw, my prior to its rSat4rrrxs, also inim s Are apptiraM far Um pmrnd m like a artyned afaismen that to at do n unwed prawratq to fro provisions of the conm elor's state IJt>raha Law tomb" 0) Coavfhembty MM Section pl prrQim 3 of pro 6USgbSg and pfpfe97ion s Codet or that he or she to exempt ham tkensure and the !oasis hX the alleged axanlppm Wry violation at $action 7031 S ty aay epplLeanl for a pehml l subjects the applicant to a dvf penalty d not more than five hundred dollars t3CW {_) t, as owner of the lomperltr. or ffvy employees with wages as their sole campensalhon, wAija u all at or U par does of the work, and Use structure is nit Intended or o5ored for sale pL'aon 7044. Wainesv and Professions Code The Contractors' Stage License Lax does nai apply W an owner of property who through eraployaw' or peramal eflei build& or improves the property previded that the improvements am not Intended or offered for sale II howewer, Ins building or wVravemerd Is said wigh n one year at f C Virtlm the Omer Builder w91 hate the burden of proving that Il was not boil or "proved far fie purpose at sells) { j I as owner at ins properly, am erchh>sr" oadrephng with hcamed CaArectore to canstrud the pm)W (-action MO Business and Professions Cade the Camraefors' State License taw don root apply to an owner of properly wama or tmpwitess therem and vNp 0*haols for the ggsga with a irate Contractor pursuant tothe CaVnC ra' Staga 1 Law ) E..11 am shhempt Iran ecerm" under the Genfractaea State Lfcmee row for the ioaawanp reeraWA ty My s mrbee below I ACkrhawWW LW, accept for my per orW residanra In which t musi hwve resided for at Bast ante Ism pf10[ to tofeplsdoth (9 the fmWavorwts covered by 1:1113 pelt " cimu tegaly &at a atfuctwa riat l have rani aB an WW d�Rto A$ been eatfuresm In its enttifsta' by teensed canlm.tm f u Kimb nd tNtat a copy 6 fire awalA „.,a law, PW w 7D44 of tfoe wain Sa W4 Rome" code t.Y svafm vw Mquest when mis all tcatron is suamll€pd ar ffi"fSM" Web giro MOO" Onto ca gocalaw hbnl iICEN Etif TAADMISDECLARATII I affirm per y of Perivy Sher t am licensed uMar provisors ef t3sagtsr A jraamrra ng with Soco m 7WO) of hl Assim 3 at the Ruslam aver toga W ray ficarm riLm�tugg t me and etted 110 NO , 1 E�{P DATEE CO CflNTRft£'tiXi .,,,,,,, k fY.t dSr G hn wornti:>I<-ttttxPalsATtMNCLA rim 114£t1F}SN FFFd1M LWKR KNALTY OF KNURr OR OF ThJE FOLLOWl1G %aARATIONS 1 mare trod " Maltde$h a Certificate of Consard to Sail rostra tar wcfkers CmVeavill , as plated by SectO 3700 of the Labor Coda. for the pedwrhance of the w wk for which this permit fg Issued h have and will melntaki WarWs Campo satm tnsurerce as rKOW by Salton 3700 at toe Leber Coda far the performance of the work for which Ltd& petnrlt is Issued b4 tMa iw 3 Compenea`.ah Iraureace Carrier and Paley Number ors CARRIER C",(,.,r POLICYNLU ER MRS SEnON NEED NOT RE CUMPtM F THE PERIKG FOR ONE HJNDREU DOLLARS Step OR (ESS) I cerbty ttal in to perforrow r of the work gar which this perrdt b 100 mat employ any person. In any rnarhher so as to becom rprbJW to the WorWif Gompensift Lauer of faftylia And agree that If I should beanie subject to the Worker's Co Wnsa w Pmvkt#w at Sedia i 370D of she tabar Coos I shall Icrithw M copy with 9mse plmwo s APPLIGWT WARMING Failure to sacuro Worker's GamperiMon coverage Is unlawful and shall subject an employer to criminal podathes and civil Ines up to an" hundred bound dollars (b100 OCO) In addition to the cost of the mmpettsatfm damages as proMed fix In seattan 3708 of the labor code interest, and aftomy s tees CANMUCTtGN LENDING AGENCY I of ern under phmathy tit perjury that them Is a Gwtrucilgn Leading Agerq for the performance at the wok for whhfi this permit is k suod t5ec 3007 Or C F LENDCR S NAME (ENDS SAAORESS i Pettily tthat t {pryer Card cot& apphcatrm and state Old the above IMommatan is correct. I wee to car" with ob city and and uCes and &'eta taw& felagxlg to buddhhg caystructlan and he" authorize representatives of this clarity to epon ttw above rtre property for I purposes t � hIAI4E jf�rtaR ,�r ` r-. SIGNATURE DVvtE APPLICATION RATE -1- L P/CM------------- ISSUE RATE PERMIT# Vr_ \-I " `R R k, TYPE CONST OCC GROUP $Cape of Weird L it DWEL UNITS N STORIES } Lr & jn rn � # BEDROOMS � DESCRIPTION $O FT FACTOR PSF ADJ ARE"ALUATION SFRtADDIREM 0afa900cwwrt w Polamack U. PooLr >ipa _ rte-Rard C+arnmararah ad valuntlaff Adl Area QUANTITY DESCRIPTION FEE uuL GS CONSTRUCTPON PLAN REkAEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE WILIANC:E L.1�r (A t 011 SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE PRE-ALT FEE BASF PLOT PLAN ZONING CLEARANCE c� TOTAL FEES COMMENTS P/C PAID BY RI GEtPi a :;40:'trn'�4 LAID BY��������������" 1�������� VALIDATION VAI RATION WHITE —fSefNvinwiCopy, YELLOW --->=ewza, Copy —AssessorCbpr CITY OF DIAMOND BAR INSPECTION RECORD W SETBAM LETTER y INSPECTOR INSPECTION TRACT AND LEDGER SWITCH GEAR COMMERCIAL HOOD --------------- DATE i INSPECTOR FOOTINGS FORMS SLAB UG PLUMBING T-BAR UG ELECTRICAL INTERCEPTER LIFER GROUND .......................... HOT M0PISHDWERPAN SEWER LATERAL SEPTIC/CESSPOOL !MAIN WATER LINE NFRS REPORT RECEIVED SEWER CLEANOLIT OEMOLITION ; ROOF ORAJXS ROOF SHEATHING FLOOR SHEATHING ' ROUGH CONDUIT ' SHEAR WALLS EXTERIOR POOLISPA [ SHEAR WALLS INTERIOR [ ROUGH PLUMBING FRANNISMNTING [ ROUGH ELECTRICAL ROUGH MECHANICAL ROUGH MECH"ICAL ROUGH ELECTRICAL W ) C () GAS PEST ROUGH PLUMBING PATE GUNIT> INSULATION WALL POOL PRE BECK BONDING . INSULATION CEILING RTRAP " DRYWALL FENCE I GATE/ ALARM FINAL POOL - LATH (PRE) LATH EXTEMOR WALLS LATH INTERIOR GAS TEST WALL FOOTINGISTEEL WALL STEEL 1 sr( ) 2ND( LIFT SCRATCH COAT WALL BLIND BEAM ELECTRIC METER RELEASE WALL DRAIN/ SEAL GAS METER RELEASE WALL FINAL SPECIAL INSPECTION RO FRAMING PLANNING APPROVAL FINAL BUILOING ROUGH FIRE APPROVAL FINAL MECHANICAL FINAL FIRE DEPARTMENT FINAL ELECTRICAL FINAL PLANNING FINAL PLUMBING FINAL EWINEE13 PW ITC Ot OMPANCY FINAL COMMUNITY SERVICES CEirt. of f} =PANCY FINAL HEALTH DEFT COMMENTS FINAL- INDUSTRIAL WASTE