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HomeMy WebLinkAbout16283 (23) � • f� _ CITY OF DIAMOND BAR ' � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES � � � 21660 E.Capley Drive Suite 190 � (909)860-3195 Faa(909)861-3117 • PRESS ��'�� BUILDING PEItMIT APPLICATION � `• FIRMLY � JOBSRE �fM �/� a '�`' APPLICATION PERMR P/C o ADDRESS TW!/':! r/ D/A� A DATE 3 I Z O/O� NUMBER 1 fi 2 8 3 � $ ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP g OWNER ADDRESS G ZONING SEfBACKS Z CITY ZIP TEL REAR RW ❑ � APPLICANT TEL SIDE/SIDE STREET RW ❑ � CON7RACTOR SIDE ❑ g ADDRESS , PROPOSED USE CfTY _ �a�����'��_�T �I � ARcw�N� � Lakev�ocd,CA.90712 DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CIN ZIP TEL. y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � ONMER-BUILDER DECIARATION SFR/ADDlREM O Q 1 HEREBY AfflHM UlDER PENALiY OF PERAIHY TIIAT I AA1 E%EA1PT FROM THE COHTMCTORS U- Gef0p0/CBfpOR � GJ CENSEUwFOi17HEFd10'MNOREASdJ(SEC.7W�.6BU5lIESSANDVROGESSIONSCOOE:ANYCI7YOR (n � OOUI7TYNMICHRFOUWESAPEIiMITTO00NSTRUCL/�1TER�PROVEDEMOlISH,ORREPURANYSTRUC. . W -PBIiOIDBCk � TUi1E,PWOII TO R9 t88UNiG�ILSO i1EWIRES THE APPLICANT fOR SUCH PERMIT TO FILE A SIGNED W � QiATEMEM THAT HE Olt bME IS IJGENSED VURSUMlT TO iHE iROV1510H5 OF THE CONTMC70R5 LI- � CENSE Uw(pUYTEP Y(CpA1AENCINO YAhI SECfqN 7000)OF DIVISqN�OF T11E BUSINE55 AND PRO• � u' PocVSPa � � FESSi0N5CODE)OflTHATNEORSHEISEXEYPTiHEREFROMM7�7NE6A515FOHT17E11LLE�EDE%EMP• (r} TION.MNVIOLATqNOFSECTpN70]1.6BYANYA7PUCANTF011AVERMITSUBJECTSTHEAVPLICJWTTO Z Re-Raol � � - � ACMLVENALTYOFNOTMORETXANFNEHUNDREDDOLURSIf6001�k � � OlASUNrEROFiHEPROCERTY.ORWEYttOYEESNn711WA0E5ASTNEIRSOLECdIDENSATION, � CpTfIIBfCIdI ' Wttl DO TME WORK AND THE STRUCTURE IS NOT IMENDEO OR OFFERED FOR SA�E ISEG 7at,BU51- J � HE53 NO PROFESSIONS COOE TiE CONTMCiOR3 L1GEN9E UW DOES NOT APPLY TO AN OwNER OF j . PROPERT7 WNO BURDS OR YPipVES 7HEREON.M1D WHO DOES SUC11 WOHK MIMSELF OR HERSELFOR Q 7HROUONNSORHEHOYYNEIJPLOYEES,PROYIDED7INTSWIWPROVEMENTSMENOTNTENOEDOR m � OFFEREDFORSPLEF.HOWEVERTHEBULdNOORYPqOVEMENTRSOIDWITHNJONEYEAROFCOMPLE- Z T10N.THE OWHEHBIAIDER M/ILL HAVE THE BURDEN OF PROVN6 THAT HE OR SME DiD NOi BUItD OR � WPROVEFORMEOURPOSEOF&ALEy � � � �y pLIl50NMEROFTIEPROPEKfY.AMEXGLUSNELYCOHTRACTNGWRHUCENSFDCOHTRACTORS [t TO CONSTi1l1CT TfE PfiO.IECT(SEG 7as1,BUSME55 ANO PNOFESSiONS CODE:TNE COMMC70R3 LI- Velu3SiOf1 ADJ.AHEA �l� CENSEUWDOESNOTAPPLYTOANOWNEROFAPflOPEfl7YWNOBULDSOflMPROVESTMEREON.AND � W1qCONiMGiSFOf15UCNVRDJECT9WfiNAGONTRACTOR(5)LICENSEDiURSUANfTOTT1ECONTMG pUANTITY DESCRIPTION . FEE � 70HS UCENSE UW.I. . . . .,J . . ' . 0 I A►1 IXE11PT UNDER SEG B.f V.G FOR TMIS REASON Q ��� U LL �DATE OV�NEq V ._ �6 UCENSED CONTRACTORS DECLARATION -i . OC w . ' ' - _ IMEREBVIIFF6WUNDERVENAITYOFiE0.A1RYTWRIM1lICENSEDUNDCRFROVIS10N50FCNAPTER � ; �...; . . .. � �(COYYENCNO N7T11 SECTION 7oo0)OF DM510N 70FTHf BUSMESS A4D PROFESSIONS COOE,MA Z X W UGENSE 6 N ML FORCE AND EiFECT. m `0� LICENSE CLASS�!�� LIC.NO. ��/`"D� �,..1 t, OATE CONTRACTOR a l7J = WORKERS'COMPENSATION DECLARATION a N 1 NEREBYAFFliW UNDEH PENAL7Y OF FERRJfiY ONEOF THE FOLLOWIN6 DECUMTqNS: V N a � �IIUVEANDWILLAUNTNNACE1tfIFlCA7EOFCONSEHfiOSELF-INSUi1EFOHWOPKEPS' 2 - - COYPENSATqN.ASPROVIDED8Y5ECTION77ooOFTHEUBORCOOE.FOflTF1EPERFONMANCE U � OFiHEWOHKiORWHICHTHISDERMRtSI55UED. � 1 HAVEANDN7LL WVHTAN MlORKERS'COMPENSA710N WSUMNCE,AS REWIRED BV SECTqN � � Q i1000FTHEU100A000EFORh1[PERFORMANCEOFTHEWORKiORWNICHiH15PEM�ITIS ISSUED.WWOR�y���,,�COMPENSATIONINSURANCEGARRIERANDPOLICYNUMBENME: CONSTRUCTION j uawea t%�l QY ,S S PLAN REVIEW � POLICYMI4BER � � ELECTRIC � �nssEcnorrr�IDrpTeEaa��ppFnEVErwrrswr�a�ra�aampou��s,00�ora�¢ss} PLUMBING ` •� 2 ICFqTIFYTUTNTHEPEPFORMANCEOfiHEN'ORKFORWHICFI7NISPEfW1TI5155VED.l MECHANICAL (�'�3 S/ULLNOTEAIPLOYANYVERSONNINYMANNERSOASTOBECd�ESIIaIECTT0T11E � WORKERS'CONPENSATIONUN50FGu.IFORNI�ANDAGREETFIATIFISHOuIDeEWu[ INSPECTIONFEE S SUBJEC7TOTHEWOfiKERS'f:OMPENS�TqNO(lOVISIONuOFSECTqN77000FiHEUBOR ISSUANCE rL ORMVA7H COMRY YnM TqSE iR�V�510N5. � ��� ��n� ._Z►�s� sM�P p DATE: AP0.ICANT: ,� , W ENERGY P!C � WA/U1INQ FNLUHE TD SECURE WORKER5 COMPENSATION COVEAAOE IS UNUWFUL.�lA SMALL BE � SU&IECTANEMPLOYEFTOCNMPIALPENALTIESANDCMLFNESUPTOONEMUNONEDTN0U5AND ENERGYPERMIT � D�L1NiSIft00.00q.NADDITIONTOTHECOSTOFCOMPEN5A710N,DMUGESl15VPOY10[DFORIN ' J SEGiION]70eOFTHEUBOROODE.lI7EN[ST,MID�TTORNEY'$FEES. pETENTIONFEE: Q d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O Q INEREBYIFFIMIUNDEFPENALTYOFPERNRYfHATTHEREISACONSTRUCTIONLENDWOAOENCY aZ- FOR iME VERFORMANCE OF TH[WORK FOR WMlpl THIS PERMIT IS ISSUED ISEC.]OY7.pV.C.1. W � LENDER'S NAME � � IEHDER'SADDRE55 � ICEIIT�LYTMATIFUVEREADTHISAOPLICATIONANDSTATETHATTNEABOVENFORMATIDNISCORRECT. TOTAL FEES / � � �� � 1 ACREE TO CO�APLY N7TH ALL CITY MA COUNN ORO WANCES AND 6TATE LAWS REUT71Ja TO BUlDIN6 � CONSiRl1CTION,ANO NEREBY AUTHOW 2E REPPESEMATNES OF TW S COUNT'TO EMER UPON 1HE S�. ADOVE�ENT1oN[0 PROPEHTYFOA WSiECT�ON PURPOSES COMMENTS 0 �, � JEu m PEWAtTiE (PR . Q � � VJ b�CNATUREOFPEFW�TfEE DATE � � RECPT.N0. r PA1D BY � VAUDATION WHITE--Depertment Capy.YELLOW—Fnance Copy,PINK—Aasessor Copy,GOLDENROD--Fite Capy,GREEN—Applicant's Copy CITY OF DIANfOh1D,6AR , � .. - .it: .:? .',�..> " ,�:;,��: .. :�; :� ::INSPECTIOf�,REC�RD , :.._ �� . � . , , ' � t. � •. , .. . ... .. .. , - _ • - t �°' �b � .`.. �,� � ` ���-� � �' K �A � ' Ky '.�1.� .i'��`���O�i� . d...�.. ..�.::.�_.,;. _. _. 'SEr BACK - . .. - . � ., . , �r� FLO�R JO ST� t. , i' i I �•. i�: �i '�a ;-;,1� , � i !FTGS.�FORPfS/STEEL .... ---' `-;. :- .:. _ ._ �.... --- - . FHA REQDATS�--- . 1'._...�-- ,� - --.....- - - - - -.; �; :ELECTRICGROUND_.__. ..---:i .. ".. -_ _. -- __- - -_ UNDERFLOORDUCT-- �. '• -- . � . _, _1 ... ..' : • - I _' !GR�UND PLUMBING • ��•. -, UNDER FLOOR CUMDUIT� `� �-'�- '- � " ' � ' - --- ... .--_ �. - _.. ,. . ._ ., , . . , �._____ +SLAB GRADE-- -- � - �- - --- " = `` FIRER� CE FOUiJDA710N � •. ti;:: ! : ' -.._. ... .-- -- - FIREPLACE BOND BEAM' 'TEh1PPOWER- -. ._. .,. . _" _" ;--.:, ; -- -- --- - �....,,,;,, . . . i WATER SERVICE ---- -- - .-�-- -.__ ... _ ..._._.... .. .:.• , __ . .�V{�D HT.BOND BEAM . _ _. _r:��:c.��: :�;:, j ; iROOF SHEATHING ��.';, � !'• � �.�1 :�� 8 FT.BOND•BEAM��.-;: - •:•�; ':+.lJ:�;�%::,�,^'��...;��.• ------- , . ,..,, i - . _. _. ... ...,:. . , , . . . .- .. .,:.....>:�:,,��. ..... ------ --- IFRAMINGNENTILIATION -- - -- - - - FINAL�BOND BEAM ;:. _ .,., � • ,• �:-,-:• ! ;�, rROOF COVFR .c-�.^ � • PRE-GRADING - - . _.._. . _. �..----•'•-- .__..--�---� F'.. . . . . ._.,.. . ._...._.. . .. _ . ._. ._. ...---�- --- ;ROtJGH HEATiNG' --- -- �-: �� � ` - �.-�-�-:': - - BENCHING � '� ..� , . � ,, , �ROUGH ELECTRIC _ :_ __ ".,;._::.�: � :� :...: , _:; . . 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