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HomeMy WebLinkAbout14030 (17) CITY OF DIAMOND BAR ` ( --�-- DEPARTMENT OF COMMUNITY&DEVELUPMENT SERVICES � 21660 S.Copley Ihive Suite 190 (909)860-3195 F�(909)861-3117 PRESS - ���r��nr�ca�oN FIRMLY � �J0851TE y� r APPLICATION PERMIT P/C � ADDRESS .�.��� I +7I��'�• L��� �k-�' DATE I�� r� NUMBER � � M c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER _-�' i�``I `� � tA 13 C>( ��— ADDRESS '� �� *�-�-- ZONING SETBACKS W CITY `� ZIP TEL. 'i C�''- FRONT RW ❑ � APPLlCANT �,,T= 4 K f� TEL _ REAR ❑ � �— SIDEl51QE STREET RW ❑ CONTRAC70R 7 i�t-'i t'�.1.ti} �7��(j'Ft{,3�-'{ SIDE Cl � ADORESS M 1 s�`�6 � �l� )� � / Qp � ' �"—� -r PROPOSED USE�IO I.�L i�P S�'�/�IL t' �N���'L-L d�� ��L���� o CITY Z1(?�_ ZIP TEL. +� c� L�.. i t�st"� b� r��'C.�'�-��J�a"�. '� � ARCWEMG/ �,�� z� DESIGNER NO.DWEL. N . NO. � ADDRESS UNITS STORIES 6EDROOMS � CITY Z{P TEL N DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANA�UATION � Q OWNER-BU�LDEH DECV+RATION ���p�� O p 1 F�Y AFF6YA UNDER iENALTY OF PE1WM THA7 1 AM EXEr.�PT FROM TIF C(MffMCTC�HS LI� G8f8gB/Cafp011 Y,l CEN$EtAWWRiHEFOLLpNfINaREASON(SEG7o31.6BV5AJE5SA4DPROFESSIdJ5CO0EANVCIT'OR (n C� COUNTYYyF/1QiPEQVIRESAFEflYfTTOCONSTRUCf,ALTERIM7ROVE,[1E1A7LISN,OFPfrP.URMIVSTAUG w patio/Deck � TIIpF,PFI[1q 70 RS ISffiIANCE,ALSO REOUIFiE9 THE APRtIGANT FOq SUG1 PERYIT TO iILE A SiGNEO STATEMENT T1AT NE Oq SHE IS LJCEN9ED RURSUMIT TO THE PROVISIOA65 OF THE CONTMCTOiLS U• � CEµqE LAW(p1APTER 9(CqAMENCINO WITH SECTION 70p0)OF DIVISION 1 QF TFIE BUSRIESS ANO Pq0. � POaVSQfl FESSIONS�E)OR TH+�T HE OR SHE IS E%EA17T THENEFflOAI AND iHE BASIS iOR THE ALLE6ED E%6YP• PpN,µV V[R.A71[]N OF SECTION 7m1.5 BY ANY APPLICAM FOH A PE9YR 5UB1ECT5 THE APPLICANT T0 z Re-ROO} . �U ` �c�ru v�ir oF noT�nirma me nutmneo oauns�ssao�.�: b ❑I,ASONM6qOFTHEPROPEATY,ORMYEMPLOYEESWITHWAGESASTHEIR50LECdAPEMSATION, 0 ComfllBfCiHI a WILL 00 THE WOPC.MA 7ME BTRUCTURE IS NOT INTENDED OR OFFERE�f-0R SALE(SEC.7041,BU51� J MES$MID PROFESS�ONS COOE:THE OONTRI�CT00.S L1C5NSE U1W DOES NOT APGLY TO MI OWWEq OF S �NS � PROPERTYMp10&10.050RqWRDNC37MEREON,ANOMkfD00ESSUCHWORKHIMbELfOfiHEFiSELFOR m � EMpptlAi11U8pqF1EROYd1FJIPLOVEES.Pfi0Y1DEDhIATSUCMIYPROVENENTSAAENOTINTETaDEDOR � OFFEpFDFOASALEIF.NOWEVERTMEBU1l�MC,ORIYPFiOVEl/ENTI550LDW�TMINONEYEAROFCOyPLE iqN,THE OVMFR�BURDER WILL HA1fE THE&1P�EN OF kRpVING 7NAT HE OR SHE OID NDT HIIILO OF WPfiovE F�i T!�PIJRPOSE OF SLLE). � ❑I,ABQWNFApFTNEPFi�PEHlY,NiEXCLUSIVfiLYCONTMCTINOWPiHIiCENSEDCONfRACTOR4 m mr+�Tnucr n�rAoaecr(sec.�ou,auswEss nnw wrocEssioe�s coo=_:rNe coMrW�croas u• Valuatlon ADJ.AREA � CGNSELAWDOESNOTAPPLYTOANONMEROFAPROPERTVwHOBUIl�50RIMPpOVE3TMEREaN,MlO WlIpOONTRACT5PoR5UCMPRo.lECTSWITlAGONTR�CiOq(5)LICENSEDWflSUANTiOhIECOOiTRAG QUANTITY DESCRIPTION FEE � rrns uceae uw.>. ❑I MI E%FYPT tXIDER SEC. B.6 P.G FOF THIS REASON a( 3 � � Q�� OMMER F . Z � � LICENSEO COMTRACTORS DECLARATION -� � W I HEHEBYAFFIqN UJDER PENA�TV OF PERJURY 7HAT I IA1 LICENSEO UNDER PROVISIONS OF CHAPTER U. � y(ppYY6NCM161M�TyfSECTIpl7ppo)OF�IVISION30F7HEBUSINESSAN�PROFESSIONSCODE.AND Z MY UCENSE 6 M FULL FOBCE AND EFFECT. m � LACENSE CU55 `-•��� LIC.NO. � � ?�',� j V pq7p � CONTRACTOR _L.1-L— �' W � � WORKERS'COMPENSAT70N DECL.kRATION � � U � IHEFEBY�FFlMAUNOERPENAI.TVOFPERJUFYONEOGTHEfOLLOWINGbECURAT10N5: Z Q ¢ �INFVEPfmNRLMMNT�mACERTIfICATEOFGON�EMTOSELF-INSVPEFOqWORNER9' _ COYPENSATION.ASFfbVIPEDBY5ECT10N97000FTHElA80RCO0E,FORTNEPEA:-0RMANCE W OFTHE WORK FOR WHIGI THIS PERM�T IS ISSUEO. .� d W _IHpVEAN�WILLMARlTAMriQRIfERS'COYPENSATIONINSUMNCE,ASREQUIREDBYSECTICN � � ]7ooOFTF7El��RCODE.�RTHEPERWiW�NCEOF7HEWORKWRWHICHTHISPERMITIS IS4UED.MY N'ORKEFiS'COMPENySATION INSURANCE CARRIEP AN�POLICV MJA�BER ARE CONSTRUCTION I � � CARFIER �-1-�'�c: �t��/�k,� PLANREVIEW � � POLICVMA�9ER .�LI-P1�=,�� ELECTRIC �S � � (n�ss[Cna�lr�wrsecvrw�.�oFnfaeaMrtsroaar+erxx�oavas(rmlant�ssl PLUMBING Z I CERTIFY TH�T IN7HE PERFORMMlCE OP THE WORK FDR WMICNTHIS PEflM1T iS ISSIIED,1 MECHANICAL ■�-�q (7 SHALLNOT EMPLOYANY PENSON IN ANY MANNER SOAS 70 BECOME SUBJECTTO THE _. {'h':_� � WOWfERS'CO�.�OENS�TIONUN'60FCALIFOPN10.N1DAGREE7H�TIFISHOULDBECOME INSPECTIONFEE -- SU81ECTlOTHE WOFiKERS'COM7ENSATION VROVISIONS OF SECTI�!31�oOF THE 1A80fi �SSUANCE sCODE,�SH/Q.L F RTIWI7H COMPLY WIh17FIDSE PROVIS10N5. ���'!� SMIP R9 C!�? �i r� r,«.,�� `�S r ) p DATE: ` / � `���nPai.�carm —_�r� ii 1 /`� ; �, , ,_ _, w t._�—�_ —�r___— J W�PNIN(Y.FAtLURETOSECUf#EVIORKERS'COMPEHSATIOtiCOVEflAGEiSUNUWFVLAND6HRLLBE ENERGYP(C 7 h �y S�gJECfM1EMpLOVERTOCRININALPENALTIESANDCMLFINESUPTOONEHUWDREDTKXISAND ENERC�VPERMIT �2�9,�j� �� j'� ppL6ARS(=100,000),NlADOITIONTOTilEGOSTOFCOMPENSATION,�AM�GESASFROVIOEDFOFIN Tr T A'r` ",'.7'.,�:" _ � SECTION37080F7NELABORCODE.INTERFST,MIOATiORNEY'SFEES. RETENTIONFEE: PL}=T Bi;�`�%i=".-'.'.:' _.�_ � CONSTRUC710N IENDING AGENCY PRE-ALT FEE: � IHEREPYAFFIPMUNOENPENALTlOfPEFUUHYTMAYTHEREI9ACONSTRUCTIONLENDIN0A0ENCV FOR TME PERFORMANCE OF7HE WORK FOR WHICH TH�S PEPMIT IS ISSUED�SEC.30B7,CIV.CJ. Z W � LENDERS N�ME H IENDEH'SMDRE55 (./�� � ICERTIFV7HATIHAVEREADTNISAPPLICATIONANOSTATE7NATTNEABOVEINFORAIATIONISCARI7ECi TOTALFEES /� � � ��ti/ � � 1 AGFEE TQ COMPLY WITH Ill CfTY PNO CIXINTT aRDi�NCE5AN0 ST�TE lAWS REUTINQ TO BU4LDING ��� ���� � CONSTRUC710N.AND HEREBYAUTHORIZE REPRESENTATIYES OF1NI5 COUNTY 70 ENTER UPON THE � AFIDVE�MENfKKlEO PROVEfiTY FOR INSPECTION PURPOSES. COMMENTS � �1 �/'{i i � �'' f-�''J aPEW.IRTEENA (RNiNp. �,�„� �, ?_ � � ,�����,�: ����t� (n SdGM�'NREOF��E�1FE��~ DATE � RECPT.NO. ,PAID 8Y � VALIpATIfJN MRiI7E--Dq�rtmAnt Copy,VELLOW--Finance Copy,PIMK—Assessor Copy,GOLDENROD--Fila Copy,GREEN—Applicent's Copy ��Tlf OF �l�OM�7NC) �1��! � ifV3��CTIC?N �fi�CC��� �, _ �, . . . �, r s r ; SE3 B�CK i FLt�OR JOIST i FTGS/FORPviSISTEEL � ' FNA R�QMTS i ��ECI'RIC GROUtVD UNDER FLOOR DUCT j ` � GRC3UND PLUMBING i � UNDER FE.00R CC}i�4DUiT SLAB G�ADE � filREPLACE FOUNt7ATlON TE�1P PC3VYER '� FlR�PLAC�BONI�BEAM i _ � iPef�TEFi SERVICE � '• MiD i-iT. BQfVD BEAM � Rt7C}F SHEATHiNG �i, S FT. BaND BEAM � FRkMINC.aiVE�l�1°'iLIATI(�N ' FINAL BOND BEAM ; RtJ{7F GOV�R � PRE-GRAdING Rt�UGN hiE�TIiV�'a BENCHING ' R{?UGN ELEGTRfC ROUGN GRAD(NG � � j ROUGH PLU�liBiNG FINISH GRADING ' SHUI�JEF�t�U8 T�ST PC1C7L EL�CTRiC � LX�.LATH(51DiNG � PC3�L FENCiNG • 1'VAi.L 1N5ULATlt}N -� .� PQOL FlNAl. CEiL3�IG 9hiSl9L�TIGN ! ClFF SI7E IM!'S. _ Dr`tY1rVALL NAiLlNC� DEDlCAT10NS S�WER _._. ._._' � F!lVAz ENG. __� SEPTIC T�IUK P �y� LANDSCAPEIIRR1Cz. � __.�.. SE�F'P!�/1..L. ��_ UhI:!7"E itv�PS. _.__ GAS A9A T�S`C _i ; fiiNAL ZONING m '^'� FIN.��CC7tSS'i: -_.� � FIRE DEi'T.FINRL � �lN�l.�i��;TlrJG j HEALTN DE�'T. FIiJAL � � ------ �i��1L ELEGTFi1C j bEV.FEES PRID ��-� F4�AL°LU�IiE�l�ta � �hJE6�GY � _ _ - .. �_-� _---------- C�tv��v��l'�T� ` � _._____ --- ._��.___ � SEF�TlG T'}�N�C SIZ� ���P PIT'tU SIZ�