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HomeMy WebLinkAbout18429 - 1520 AUTUMN HILL RD CITY OF DIAMOND BAR ���� � ��' �+ ����`�- �`---- DEPARTlv1ENT OF COMMiINTPY&DEVELOPMENT SEitVICES �� 21825 E.Copiey Dri�e {909)860�3195 Fax(909)861-3117 PRESS "`%�r�'�` BUILDING PERMIT APPLICATION � FIRM�Y � JOBSI7E I�'�y APpLICATION �� 0�NUMBER IC DZ�IS Z— 0 ADpRESS I�� �v/r��//V �IC�. ��+ DATE � � ISSUE N 7 7YPE OCC APN LOT�/�TRnAC�T DATE �L•� CONST. ROUP � OWNEfi MX�• I7I(r[�a��l�r� O p ADDRESS ZON3NG SETBACKS Z CITY ZIP TEL. r FRON7 RW__, ❑ � APPLICANT LL TEL. REAR ❑� � 51DE/514E STREET RW p a� CONTRACTQR c � "�. SIpE ❑ � ADDRESS��E � � -F ' r � CiTY � ►� �^�`" ZIP��j TEL. � 4 PROPOSED USE T �D w ARCHIENC/ z bESIGiVER I�TIIMO NO.�WEL. f NO. N . /1.� � ADDRESS • UNITS � STORIES B DROOMS �� � CITY � ZIP�s TEl.. � DESCRIPTION SQ.FT. FACTOR SF A J.AREANALUATION � � OWNER-BUILDER DECLARATION SFRlADOlREM O � I HEREBY AFFIqM UNOER PSNqLTY OF PEPJURY THAT I AM EXEMPT FROM THE CONTRAGTORS LI- G8f999/C&�OI'S W C�NSELAWFQH7HEF�LLOWWGfiEpSON(SEC.7031,56USINESSANOPROFESSV�N9COOE:PNYCITYOR (n CS GWNTYNRIICHR�QUIRESAPERMIYTOCONSiRUCT,ALTERIMPRaYE.�EMOLISH,ORREPAIRANV57RUC- W patiolDeck � TURE,PRIOR TO 1T5 I55UFNCE,ALSO REOUIRES TH�APPLICANT FOH SUCH PERMIT 70 FILE R SIONEO � .� STAT�M�1{T THAT ME Oq SHE IS LICENSE�PUIiSVANT t0 THE PROVISIDNS OF THE fANTRACTOiiS Lh � CENSELAW{CHAPTEH i(COMMENCWa WITH SECTION 7Wa)OF�1415l�N 30F iHEBl151NE55 ANO PRO� � POOVSpfl FEb51DN5C,4�E�ORTHATHEOR5HEI5�xEMPTTHE{iEFRDMAN�THEBA515FOfiT LEl3E0E%EMP- U TION.I�HYVIDL4TIONOFSECTION7o31.59YANvqpPLICRNTFOHAPERMIT511BJ TF7EAPPLICANTTD Z RB-R001 � ACMLPENALTYOFNOTMORE�HMYFIYEHl1N�REO�OLL4N5(3500).�: ^ ❑I,A904lMEflOFTF7EPROPERTY,ORMY�MPLDYEE5Y41THWAC THEIRSOLECOMPFIJSATION, d C0i11rtIBYC18I � WILL�O THE WORK,ANO THE STRUCFURE IS N071N7EN�ED OR R�0 FOR SALE�SEC.7W4,BU96 � NE58 ANO PROFE55lONS ODDE:7HE CONTRACTOFS LlCENS OOES kDT APPLY TO AN pWNER OF � PROFEATYYhIDBU1L�40RlMPRDVESTHENE013,AJ1O OESSl1CHWORKHIMSELFOR7iER5ELFOR � ('L TFIfbUQHHISOPHER�WNEAAPLqYEES.PROVI�£0 TbUCHIMPROVEMENT5ARENOTINiEN�EDOR m W� OFFEpE0FOR511�E,IF,HOWEVERT��O�IL�ING PqpVEMENT155�LDW17HINONEYEAROFCOMPLE� 2 TION,TI�pWNER-BlJI1DER WILL HAVE TH �EN OF PROYING THAT HE OR SHE 6lo NOT BUILA OR � IMPROVEWRTHEFl1RPO5EOFSALE�. � ❑I,ASOWNEROFMEPqOPE ,PAIEXCLUSIVEIVCONTRACTINGWfMUCEN5E0C6NTR11CTOR5 [C TO CANSTRUCT T�1E PRQIECT .7D44,BVSINE55 ANO PROFESSIONS CODE THE CONTRACTORS LI- VdIUfl110t1 � � � ADJ.AREA W C�NSEUWWESNOTpPP OANOWNEROFAPROPEiiNWHOBIlILD50flIMPRovESTHEREON,ANa = wE!aoorirpwcnFoa aaaECYsmTNacoNrRncToa�sy��Ns�oPuasuoa+rroTMewNTan� Q�ANTI7Y DESCRIPTION FEE � 70R5 uCENSE LAW. � J .. � ❑1 AM MPT UNDER SEC, B.6 PC.FOR 7HI5 REASON U } � .., � � b OWNER V W � LICENSED CONTRACTORS�ECLARA710N �j � 1 HEREBY AFFIRM�N�ER PENALYY OF PERNJfiV THAT I RM LIC�H5Ep UN�ER PROV[SIONS OF CHAPTER � a, Y(GOMMENCIN(3WITr55ECTION7000�OFDIVI510N30FTHEBl1SINE55AN�PROFE5510N$GOOE�AN� Z }G MY�ICENSE IS IN FULL FORCEAN�EFFEC7�> m LLI t � � LICENSE CL455 LIG NO, ` � V bATE V� CONTRACTOR �V'G�UL �, d W � WORKERS'COMPENSATlON DECLARATION a � U � I HEHEBY AFflAM U OER PENAL1l'OF PERJURV ONE OFTHE F4LLOWING PECLARATIONS�. Z � � IHAV WILLMAINT,4INAC ATEDF�NSENfFOSE�F�INSU WORKERS' 2 Q EN TION,AS PRO D 6V SE oN�s000F TME L .FOA TH�pERFOPMANCE `U YM� RKFOR HTHISPERMITI � O w VEAN�wI��MAINTAINWORNERS'COMPENSATIaNINSURANCE.0.5RE�UIREDBYSECTIpry � 97��F THE LAOQR GOOE,FOR RIE PERf-0RMPNCE OF THE WQRx FQR WHUCH THIS PERAUT IS ISSUEU.MY WORKER5 ,�ENSATION INS-URANCE ANO POL�V NllMBERARE: CONSTFIJCTION • � cqpRiER_���/�—_��C".�i� � ^/�_ PLAN REVIEW Z POLICYNUMBER�(_p�'""�Z- ����L - ELECTRIC 4 � (iF+Bsea.-flavNEWNo76E00MPLE7EDOFn€PEaMrkSFoaavE D�OLIARS�S�oo)ORLESS) PLUMBING � '' MECHANICAL 2 I CER7IFY THAT IN THE PERFORM1FANCE OF TFtE wORN FOR H 7HIS PERMIT IS ISSUE�.1 [} SHAILNOTEMPLOYANVP�RSOMINANYMrWNEP AS ECOMES C7TOTHE WSPECTIONFEE � W�ORItER9'CdAPENSAT10N LAWS OF CALIPoRyMl. EE THA7 O BECOME � SUBJECTTOTHEWORMERS'COM7ENSpTIpplfRO SOFSE 37000FTHELA60R E OOD ISFI LFORTHWITHCOMPLYWIT�V'f OS VI O / '� p �ATE: � �z APPUCA� . SMIP u+ � /" ENERGY PIC � wAiWINQ:FAILtIREToSECUREWORKERS'Co TIONCovERA0EI5UNUWFIIL,ANOSNALLeE � Sl19JECTq11EMPLOYEFTOCq�MINALPENAL7 CIWLFINESl1PTOONEHUNDRE�THPUSAN� ENERGYPERMIT oauns(s�aa.000l.innoomare ro TNE co o COMPENSATION,�AMAGE5 AS PROVIOEo FOH IN J SEC710N37�BOFTHELABORCO�E.INTE Sr,pN�nttoaMErsFees. RETENTIONFEE: � � CONSTR CT10N LENOING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRMl1N0ERPENALTYaiPERJuqYTHATTHEREISAOOf�STAUCTIONLENpIryGAGENCY FORTHE PERFORMANCE OF THE WORK KORwNICH THIS PERMIT IS ISSUE�(SEC,7Q97,CIV C,�, � lil � LEN�6R'S NAl+IE F= LSNDER'SAClOAE55 � TOTAL FEES I b� •Q'� � � I CER7IFY THAT I HME REA�THIS APPL�CATION FN�STATE THAT THEABOVE INFORMA71oN 15 CpqREC7. � d IAQREETOC�MPLYWITFlALLC17YAN�C011NTVOR�INANCESAN�STATElAWSREIATINGT09U1L�ING CONSTRl1GTION,AND HEREBY qUTHORIZE REPRESENTATIVES OFTHIS COUNTV TO ENrER I1PON THE Z ABOVE-MENTIaNEo PqpPERTYFOR INSPEGTION PURPOSES. 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UNITS�STORIES , 70 , � L L SIGNE STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOR L CENSE�AW(CHAPTER G(COMMENCING WITH SECTION 743P)OF DIVISK)N 3 OF THE BUSINESS AN PRO FEbSKTNSCODE) ORTHATNEORSHEZSE�EMP7TAEREFROMANDTAESASISFORT LEGEDE$EMP 710N.ANYVKY.A7ICNOFSEC71CNT031.SBYANYAPPLICAN7FORAPERMITSUBJ THE APP�ICANTT ACM�PENALTY OF NOT MORE THNV FIVE HUNORED DO�IARS(BS031. �rI,ASOWNEROP7HEPROPERTYORMYEMP�OYEESWITHWAG MEIRSOL COMPENSATIO Wi�l M THE WORK AND THE STRUCTURE IS NOT INTENDED OR ERED FOR SA�E SEC.Y014,BU51 NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENS DOES N 7 APP�Y TO AN OWNER O PROPERSYWSSOBUSLOSORit�1PROVF,S THEHEON,AND OESSUCHWORRASMSELF ORftERSELFO THROUGH HISORHEROYMEMPLOYEEb,PPOVIDE TSUCH IMPROVEMENTS RENOTINTENDEDO OFFER EOFORSKEI5HOWEVER7HEBUILOING PBOVEMENTISSOIDW17HINONEYEAROFCOMP�E 710N THE OW-BUILDER WI�L HAVE TH DEN OF PROVING THAT HE OR SHE DID NOT BUIlO O IMPROVEFOR7HEPUAPOSEOFSALEZ. at,A30WNEROFTHEPROPE, ME CLUSIVELYCONTR4CTING WITH LICENSEDCONTRACTOR TOCONSTRUCT7MEPRNECT 70n,BUSINESSANOPROFESSIONSCODE:7MECON7RACTORSLI CENSEZAWMESN07APP oANDIM[�1F,R OFAPROPERTYWISpBUZLDS ORIMPROVES7AEREON,AR VMOCONTRACTS FOR PROJECTSWITH ACONTRACTOR SILICENSED PURSUAH7TOTHECONTRAC MRS LICENSE�AW IAA1 MP7UNOERSEQ B.SPC.POIITHISREASO I Awl LICENSED CONTRACTORS DECLARATIO 1 HEREBY AFFIRM UNDER PENA�TY OF PERJURY THAT IAM LICENSED UNDER PROVISIONb O CHAPTE •(COMMENCING WITH SECTIGN 70M�OF DIVISIQM 30F THE BUSINESS AND PROFESSIONS CODE AN MY�FENSE IS IN N4 FORCE AND EFFEC LICENSE cinuc.No DATE- ao-zcoNTRACTOR--au WORKERS'COMPENSATION DECLARATIO IHEREBY AFFIRM U OERPENA�TY OFPERJURY ONEOFTNEFOLLOWING DECtARA7KTN5 IRNAV WIL�MAIN7AINAC ATEOFCONSEItF705ELF.iNSU-WORKERS EN TION,ASPRO DBVSE dVnNOFTHE�Ae p0-FORTHEPERFORMANC PERFORMANC THEW RKFOR HTHIS PERMIT VE AND WILL MAINTAIN WORKERS'COMPENSATION INSUMNCE,AS REQUIRED BV SECTIO 37000F THE LABOR ONCE FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT I ISSUED.MYWORKERS ENSA7ICNIN6-URANCE 1f1RIMANOPOLIOI-YNUMBER4RE CIIRRIE i V-U-I'-.A1 POLICYNUMBER- Cx'Ip"'02 C-Y"(OC N IRISSSECSCNNEEOSK)TSEWt92ETEDCF7REFEfX11'SbFORCNE ODJ11AqSZSSNS0RLE5$! ICERTIPYTHAT INTHEPERFORMANCEOF7HEWGRKFOR HTHIS PERMIT ISISSUED SHA11 NOTEMPLOY ANYPERSON INANYMANNER AS ECOMES CT T07H WORKERS'CdAPENSATION�AWSOFCALiFORNM;EE THAT LO BECOM SUBJECT TOTHEWORKERS'COMPENSATIONPRO SOFSE 37000F7ftElA80 COD-ISH LFORTHWITH COMP�YW,ITH!'I"-10S V DATE:CI CZ PP�ICA tN> -h- WARNINO:FAIWRETOSECUREWORKERS'CO I$A7i1 ^NCOVERAOEIbUNIAWFU�ANOSHA�Le SUBJECT ANEMPLOYER 70CRIMINA�PENALT/NCCIVILFINESUPTOCNEHUNORED THOUSAN TIK;USAN DO�LARS IBICU JJI INADD1710N70THEC0 SCOMPENSATION DAMAGESASPROYIDEDFORI SECTION 370BOFTHELABOR CGOE.IN7E STAND ATMRNEYS FEES CONSTRUCTION�ENDING AGENC I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION�ENDIN AGENC FOR THE PERFORMANCE OF THE WORK FOR WMICH THIS PERMIT IS ISSDED SEC 3097,qV C,I LENDER'S NAM LENDERSADDRES I CERTIFY THAT 1 HAVE READ THIS APP�ICATION AND STATE THAT THE ABDVE INFORMA710N I C RREC I AGREE TO COMP�Y WITH ALL CITY AND GOUN7V ORDINANCES AND STATE LAWS REIA71NG T BUILDIN RE.-�/----�I-r-IIRIdM-�...�.................. . ERMITTEE NAME PRINT IGNATURE OF PERNITTEE DATE 1. PRESS FIRMLY APPLICATION PERMIT DATE 02 NUMBEI ISSUE Kj TYPE DATE CONST.ZONING SETBACKS �C-2 -S•L OCC FRONT SIDE/SIDE STREET I I ILLL-I-^-- III REAR SIDE Rp PROPOSED USE 0 RW p 0 NO.DWE�.i NO. UNITS�STORIES Patio/Deck PooVSpa Re-Roof CGmmsrciai Valuslicn- DI)ANTITY DESCRIPTION FEE CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICA� INSPECTION FEE 199dANCE SMIP ENERGY P/C ENERGY PERMIT RETENTION FEE: PRE-ALT FEE: ITOTA�FEES � I RECPT.NO. vrni i c-Mepsnmenl GoPY.Te�LUw-rinance l;opy, r<'ai'. a!t I�Ab':O��ikkBAtl rBAK tPF t ^� i GOP&(.ABG9E)": ir(r�,t IIF_ftAF'pOVIEtTi AT R°F FAtlk•J_"E.t(C F�th'E W -ROCF SN A(_Fi('r1 �°t(It fa(ra�'Etr1 €'9ANi'Jt.IJF-h.Tllla.lv" .�tiiJr,t.!itrJt>trt-1y 14 ROOF FCOVER_ — 111 FFt 31 HC7iJGH HEATING Trlr'NI d ! —ROUGH E�I:(; i f fl E ROUGH—'Ii7U6'V�r-hl;>tF a�'�)hG i(�,SF30'NYA'(JET: F F<tit E'Gr-friiY',. J 4�1 NrV4.—_[7,T—V/WA�t R.FC I AT t?r7 i r:i[.ihssz iJ'J sii(sT<)fd .. 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