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HomeMy WebLinkAbout15597 (22) � CITY OF DIAMOND BAR � s • -- DEPARTMENT OFCOMMUNITY&DEVELOPMENT SERVICES • 21660 E.Copley Drive Suiu 190 (909)8G0-3145 Fax(909)861-3117 pR E$$ ' ^�'��� BiJII.DING PEItMTi'APPLICATION FlRMLY o� JOBSITE AFPLICATION � �(„ /�J� PERMIT 'r P!C A�ORESS 1�'i tc� r��A P-�-� ���1'�tn�'���� DATE_ �� v V NUMBER���t � APN LOT TRACT ISSUE /�J'� TYPE OCC DATE tJ V' CONST. GROUP p OWNE�� � r`�c(�_�Y'4� �4� � ADDRFSS C u •t� v:TF�- ZONING SETBACKS cirv ��.�--�y�1 •r z�P nt�Tr�a.. kl�i-G�3 � FRONT Rw ❑ APPLiCANT TEL. REAA ❑ SIDE/SIDE STHEET RW p CON7AACTOR SIDE p p� ADDRESS PROPOSED USE �C�"� < `- '(��"\ � O � � CIIY ZIP TEL. ,�,,� � p a ARCH/ENG! � .� u ,_„� . DE5IGNER NO.DWEL . NO. NO. ADDRESS UNITS STORtE$ BEDROOMS CITY ZIP TEL. rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION ¢ OWNER-BUIIDER DECLARATION SFR/ADDIREM O t MEREBYAFFlRM UNDER VFNAL7Y OF PEtWRY hiAT I MI EXEMM FiIOM THE CONTRAlKd1S LM Garapa�Carport - C'ENN.,EU�WFOR7HEFOLLOWIN�pEASON(SEC.7W1.6BUSMESSMIDPROPESSIONSCODE:ANYGTYDR (n COUNTYWHIpiREGVWESAiFAMRMOWSTHUCT,ALTEI�MVNOVE,DEMOLiSH,ORREPNRNIYS7RUG - W patiolDeck � TURE PfiIOR 70 RB 165UANCE,AL90 REQUtRES THE MPIICANT WH SUCH PERMIT TO FILE A BIGNED lTATEUENT THA7 NE OIi SHE IS UCENSEU PURSUAM TO TNE PROVISIONS OF T!ff CONTRAGTORS LL CENSE tAW(CNAPTER Y(OpAMENCINO MATH SECTION 70D0}OF OIVISION 9 OF THE BUSINESS AND GRG u' POOUSp9 FESSqNS OOOE�OR T1417 NE OR 8HE IS EXEAIPT TNEREF0.0MAND THE BASIS FOR ME ALLE�m E7(EMP• (� TIdY.ANYVIdAT10NOFBECTION7o31.dBYANYAPPLICM7TFORAPERMITBUBJECTSTHEAPPLCMITTO z Re-Roo1 � ACM�PENAUYOFNDTRIORETWWFIVEHUNDREDOOLtARB�i600).�: OL��NEROFTHEPqOPERTY,ORMVEYPIOYEESYYITHWMiESASTHEIH50LEWMPEN9ATqN, C� COf11RIefC�l WRL OO THE M/ORf(Mm THE STRUCTURE i5 NOT INTENOED OR OFFERED FOR SALE(6EC.70N.6USt• J NE55 IND PROFESSIONS COOE:THE CONTR�C70RS LIGEN6E LAW DOES NDT APPLY TO MI OWNEq� � �ROPEN7YYVFIOBUIDSOflMPROVEbMEREON,MIOYhIOWES9UCFiWORKMIMSELFORHEA8ElF014 = � TIIROUGH XIS OR NEROWN EHPLAYEE3.PROVIDED THAT 6UGI IMVROVEMENTS ARE NOT IMfNOFD OII W OfFEREO WRBALE IF,IIONlEVEA,TME BU0.DINO OR IIAPpOYEIABlT L9 SOLD WfTMNONE YEAR DFCOYPI.E- 710N,TFIE OM/NERSUILDER WILL WIVE THE BURDEN OF PIiOVINfi iHAT HE OR 5HE O�NOT BWLD OH MPHDVE FOR 7NE PUNP06E OF BALE). - � O 4�aMNER OF THE PRDPEHIY.JIM IXCUISNQY CONTMCTING Wrtli UCEN3E�C6NfMC70RS TOCONSTNUCT THE AiQIECT(8EG 7W�,W91NES5 Alm iROFESSIONS CODE:7XE CONTRACTORS LI• VlIU8II011 ADJ.AREA CENSE LAW DOES NOTMPLY TO AN OWNER OF li PHOPERTY W110 BI1LD5 OR MPI�YE9 iT1EREON,NVD WHDOONTAACfSFORBUCHVRWECT6WITHAOONTRACTORISILICENSmPURBUANfTOhIECONTMG QUANTITY DESCRIPTION �E � TORStlCBJSELAVl.). . ❑1 MI EXEMPT UNDEq SEC. B.8 P.C.FONTMIS REASON 4 U � � � � Z W � IICENSED CO TRACTORS DECLARATION w+ OC I MEREBY AFFYpA UlAER PENALTY OF GE0.R/RV THAT I NA IICENSEU UNOER PROVISIONS OF CHAPTER � � f�COMMENCtlKiWITHSECT10N700a�OFOMSIONJOFTME8U91NESSANDPROFESSqNSCODE.AND �� W tICENSE IS W FUILFORCEJV/D EFFECT. � � UCENSE C1A55 UC.N0. 7�..I V DATE CONTRACTOR - a {iJ � WORKERS'COMPENSATION DECLARATION Q � y �HEREBY AFFIRM UNDER PENALTV OF PERIUi1Y ONE OF THE PDLLOWING DECLAMTIONS: Z � _INAVEANDWILLMAMNNACEHTIFiCATEOFCONSENTTOSEIFMSUREFORNORKEHS' Q CdAPENSATION,AS PROVIDED BY SECiION 370o OF TiE LABOR CODE,FOR ME PERFORMMICE C� Q oFn�wowcroRwn�c�+Tnisa�wnir�sissueo. � e yrJ __IM/NEANDMALLMAMT/UNWORKERS'COMDENSATIONINSURANCE,ASREWIREOBVSECTqN y3t�� • •� 1 . /� Q ]i000FiHEUBORCODE,iORTHEPERFORMANCEOFTHEWORKFOflWHICHTHI3FERMI713 ISl �� Ap�T7�(���� �K �QV � ISSUED.Ml'NIOfiKERS'COMPENSATION INSUIiANCE CARRIERANO POICI'NUMBERME: CONSTRUC I `i- u.�r.��� ��� J� � c�ww� PVw REV�EW � va.icr rnnaeeR ELECTRIC � ptissEcnor+r�noreemr.s�erEnoFnEr�wRr�staaor�Huo�nnoa.was(s+ao)oa�ss� PLUMBING Z �CER7IFY TlUT IMtME PERFORMMICE OFTHE WORK FOR WHK:H TFHS PERMIT IS ISSUED.I MECHANICAL � SHML NOi EMPIAYANY PERSON W ANY MMNER SOAS TO BECOME SI�ECT 70 THE � WORKERS'COMVENSATION LAWSDF CALIFORNIA,AN�A�PEE TIUT IF I BHOULO BECQME INSPECTION FEE SUBJECTM7HE WORKEqS'COAIPENSA7qN CiIOWSNJNSOF SECTION�70o OFTHE UBOR s 000E,isw�ucormnv�nicaav�vwin�nioseenowsans. ISSUANCE _ O p pA7E: AppIICANF 5MiP r � WARNINO:FAILURE TO SECURE WOpKERS'CpA0EN5ATION COVERAOE IS UNUWFUL,IND SFULL 8E ENERGY P/C �y BUBJECTANEMPLDYERTOCRM/W�LPENALTIESANDCMLFWESUP700NEHUImREDh1IXJ3AN� ENERGYPERMIT DOW1R9(i100.000�.W ADOIiION TOTHE G03TOF�qAPENSATION.OMIAGE3 AS PROVIDED FOR�1 � 9ECTION 370!OF 7ME LA90R CWE,MiEHEST,AN[l ATiDRNEY'S FEES. RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBY AFFIRM UNDEH PENKN OF PEIiAIRY THATTHERE 45 A CONSTRUCTION LEN�INO AOENCY FOR TNE PERfORMANCE OF THE WORK PoR WNIG7 TNIS PERMIT IS ISSUEO(SEC.�OG7,GK G.). � � LEWDER'S NAME - C IENDER'SADORESS � I CEN7IFY Tf1J1T I/MVE READ T11S MPLICATqN AND 9TATE TW�T ME ABOVE WFORMATpH IS pDRRECT. TOTAL FEES �� d IAOflEE TO COM7LY WI7X IILLCITY MA CWNTY OflpNM10E3 AND STATE UWS NELATMICi TO BUILD WG `r � � CONSTRUC'iION.ANDHEREBYAUT1iORREPEPNESENTATNE50FTHISCOUNTYTOENTEHUPONTHE - A80VE-MfN710NED VROPER7Y f�Wi tNSPECTION PUi1POSES. COMMENTS 9 c�� r t � �`�` ht ��.. _ m -ITTEEN+WE a ��(o'd> � � S NA7URE YE ITTEE DATE � RECPT.NO. PAID BY VAUDATION WHITE—Depenment Copy,YELLOW�Inance Capy,PINK—Asseasw Copy,GOLDENROD--File Copy,(iREEN—ApplicenYs Copy . . _ ,s._ _ , . . .� . . . .. � .,. .,: . ,.:.: : ��; . . . ,.:, ,<,:. . ., . . . .,:•. ..._ .,. . . , . GITY C}F Ql�alttlO(�!D ��R . . � - IF+lSPECTION F�EC�F3D . R = . , � _ , . ':���"����,�� ;� r ; - `� 'c - ���r ��',.� �,�, � , . .: �_ ` �r.��. . � . - SET BAGK , � ' z . i :.� % I' FLOO-i�'i JCIST , .: . . — �.r_.� ..c • _r—�� :FTGS.;FOF�MS/ST�Et � � , ;', I FHA REQMTS - --- , -..______ ELECTRtC GR�t.I�lD _ ' , ' UNDER FLOQR DUCT _ -_ . _------ -- _. .-------- -- - 'GRQUtvv P4�MSING � UfVDER FLQO,R.G(33�1�U1T 1 �___ _:_._ SLAB GRAC�� �_ FIREPLACE FOt�[V!?ATIrJN � � -----�._� ; . ___ :TEA,9P PUV1�EFi : FIREPLACE BO�vD BERM i � V iV`JATER SERVICc I Mf�H7. SOND BERfv' � i ; — ROQF�HEATHI�tG ' �Ia'j' ' i ± 8 f=T. BOND BEAM � �i �F�Ar�llf�!��'V°E�ETI{lATIQt�((�. '•� . T`-'--�'i_rltdAL BOND BEI�M " - __ ------- - - �---_ ,RC�UF CU',fi�R I Ip � � PFtE-�RAdiNG :ROltaFi H�f�'T1N� � BEhCHiNG ' 'R�i�GH ELECTRIC_ � RC�t1GH GRAD1PdG � i ___ � � ----------' �----------------- ;�i�U':a�i F�LUMBIPIG l � FiNISH URA�INta � �F!�:�v`�R:ri"US TEST POOL ELECTRIC j EXT:^F..�TI-�ISEDING POO�FENCING ; �---•-�- —-- ----- --- j �^1��L t�`JS�1k.RT10� � t_ FOC}L FINAL _ 1 F � � CEll�l�iG IP*StJLAT;�Pv ' • - OFF SiTE EMrS. � i � L�F�:'�,ryRs..L I�a�.�i..3 vCa ; ; � ; DED�CATiCJiUS � , C��4A.f�. � . - . . t .,�Y��� ; --��Fs�v���r��: ��______�_ ;:��';!G�`AtU�f ' ' �NDSC�,PF'IR�EG. ' f . � =��'' �� �L.L. .� '_�'� � C3�v SiTE(MPS. i � --'`--�� I -- ��,�=�` , ;" `S i j FiNAL Zt?Pdl�,� __.____.___ _v____ __. � �r'� ��3�ST. � �=lFE�EPT. FINAL ra,: .�s-i�ATIR:G I- '. j HE�.ITN t`7EP�. FIfVAL � i � � -_ ----------._______ -.; r_________..____------- � - ;�;�:;���ECTRi;; ; G DEV. 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