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HomeMy WebLinkAbout17540 (17) ,- y- C11Y OF DIAMOND BAR � -�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES / 21625 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS "���� BUILDING PERMIT APPLICATION • � FIRMLY � JOBSITE t� APPLICATION � � PERMIT ��1 ��� pIC Q�yO� o ADDRESS �2-35 5.Qc'k� 41:r�I. DATE � NUMBER( I.) � r � APN LOT TRACT ISSUE TYPE OCC � DATE CONST. GROUP p OWNER �(��tn,'�5 " ADDRESS ZONING SEBACKS z CITY ZIP TEL. FRONT RW O g APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW p � CONTRACT R - SIDE ❑ � CITY E/V�n�LaY ZIP 7 3 TEL 9d`�?,q4 15�,� PROPOSED USE o ARCHIENG/ � DESIGNER NO.DWEL NO. NO. N ADDRESS UNITS STOHIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.Ff. FACTOR PSF AOJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O � I HEREBY ALFlPAI VNOER FENALTY OF PERNRY THAT 1 AM EXEMPT FROM ME CONTPACTORS LL Garage/CarpoA W CENSEUWFOHTHEFOLLOWM6HEASON�SEC.7071.68USMESSANDPflOFE5510N5CO0E:AN'/qTYOR (n CJ COlXJ7YKMICHREQUIRESAPERAIRTOCONSTRUCT,A1.TEi1,nAPROVE,DEAIOLISH,OPREP�URANYSTRUC� W P2110/DBCk W TURE.PRpR TO ITS ISSUNICE.i1L50 REOUIFES THE MPLICANT FOfl SUp7 PERMIi TO FILE A SIGNED W STATEMENi iHAT HE OR SNE IS UCENSEO pUFSUANi TO TME PRONSIONS OF THE CONTMCTORS U- .�jr GENSELAW(diMTERY(COMMENCINaWITHSECTION)000)OFDIVIS�ON�OFTNEBV3INESSANDFRO� �- PooVSpa iE55iDN5CDDE)ORTYUTHEOHSHEISE%EUPTTMEREFRdAANDTHEBA515FORTHEAILECEOEXEMP• (} � TpN.ANYVqLATIONpFSECTiONT071.60YANVMPIIGNiFORAPEiiMiT5UB1ECTSTHEAPP�ICANTTO Z Re-Rool � A CML VENILTY OF NOT MOPE THNI FIYE HUNOFED DOlURS(f 500�): p OI.ASOWNEROFTF�EPROPERiY,OFlMVEMPLOYEESWITHWAOESASTHEIRSOLECOMPENSATqN, O �mmerclal � Z MALL 00 i11E WORK AND iME STRUCfURE�5 NOL INTENDED OR OFFERED FOR SALE(SEC.7w�,BU51• J � NE55 AND PROFESSIqJS ODDE:TNE CONTMCTORS LICENSE LAW DOES NOIAPVLV TO AN OWNER OF ? 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D IAM EXEMPTUNDER SEG B.L P.C.FOR TNIS REASON Q � U LL � OA7E OVlNER V Z W � UCENSED CONTRACTOAS DECLARATION w � IHEREBYAFFIRAIUNDERPENALTYOiPER1URYMATIAMI�CENSEOVNDERPROVISION50FCHAPiER � ' p� Y(COA/MENCINUWITHSECTION)OOo�OFDN15lON70FTHE8U51NESS/�NDPROFESSIONSCODE,MlO Z `L� MY LICENSE IS N FULL FORCE AND EFFECT. m 0 LICENSE CLASS `�(6 UC.NO. / q'l�3 � V DATE ����O Z CONiRACTOR '� 1Y�- [N� a W � WOFlKERS'COMPENSATION DECLAAATION a � I HEREBYAFFIRAI UNDER 7EwLLTY OF PERNRV ONE OFTME FOILOWINd DECLAMTIDNS: Z r .�f�rf ^f� � _IMAYEANOWILLMNNTAINACEfiT�FIGITEOFCONSEHTTOSELFaNSUflEfORWORKERS' _ .���/� ` C COMPENSATqN,ASPROV10EDBYSECTION770oOFTHELABOALODE,iORTHEPERFORMANCE W +/ V /pF THE WORK FDR WHIC17 TNIS VERMIT IS ISSUED. � � �IHAYEAN�WILLMAINTAMWORKERS'COIUPENSATIOryINSURANCE.ASREWIREDBYSECTION n h O 77000FiHELABORCOOE,FORTMEPERFORMANCEOFTMEWORKFORWHICMTHiSPERMIi15 f' i55UED.IAY WORKERS'COMPENSA7qN.�IN^SURANCE URRIERAND VOLICY NU1ABER ARE: CONSTRUCTION ��D��v ,��v J�� j CARRIEF_:��.Lr�i. �./+ld PLANREVIEW � � POIICYMI�BEH �_y67���{L1 ELECTRIC _ 7 0 (MSSECIIONNEmNOTBEfS7�.PlFfmCF11EPERMTBFOHONEhIll,OfiEDDCl1AR4lTIW1�NlE5S1 PLUMBING Z ICERiIFY THAT N THE PERFORMANCE OF THE WORK FOfl Ipl iH15 PERMR IS ISSUED,I MECHANICAL L}" SWLLL NOT EMPLOV ANY PERSON W ANV M0.NNEF SO ECOME SV&lEt TME � WORKERS'C01.1PENSATIDNUWSOFCALIFORN4� A EET tIF15 L BECAME INSPECTIONFEE S SUB.IECTTO TME WORKER$'COMPENSATqN VRO OF TION] 7ME IABOR � 000e,i sHul FOAn+mtn co►+r�rmrn s � ISSUANCE � S• � �/� SMIP .� p DATE: I-1�O Z APPLICANT: � ENERGY P/C WAHNINO:FAILURETOSECURE`N�RKENS' NSA1 ERAGEIS NUWFUI.,ANOSWLLLBE � SUBJECTANEMPLOYERTOCRIMWAIPENAL SANDCMI.FINESUP100NEMUNDRED7MWSAND ENEAGYPERMIT DOLURS�f100.0oa),NADOITIONTOTHECA TOFCOMPENSATKKJ,DMUGESASiROY�DEDFORIN J SECTION 970e OF 7HE UBOR COOE,NTEREST,AND ATfORNEVS FEES- RETENTION FEE: �I)D � CONSTRUCTION LENDING AGENCY PRE-ALT fEE: � 1 HEREBYA�FIAA1 UNOER VENAITV OF PFPJURV THAT TMEPE IS A CANSTRUCTION LFNDING ACENCV 0Z- FOR TME PERFOfiMANCE OFTHE WORK FOR WM�CN THiS PERMIT IS ISSUED(SEC.]097,CIV.G). 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BOPdD BEAhA � ROOF SHEATHING II Fi',60ND BEAtA FRAMING,NENTILIATION FINAL E30ND BEAM ROOF COVER � PRE-GRADING ROUGH HEATING BENCHIt�G ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUMBIN� ' FINISH GRADING SHOWER/TUF3 TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCIPJG WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL�AILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PITIL.L ' ' ON SITE 1�,9PS. GAS AIR TEST FINAL 7_ONI�dG FINAL CONST. FIRE DEPT. FINAL FINAL HEATING � � HEAL'fH DEPT. FINAL FINAL ELEC7RIC / 7'�- � �EV. FEES PAID FINAL PLUMBING /� � � ENERGY � �J,�obfl 1 b� --L .��'�r�r_t_'�: '�l`' __... __._ � . , -- - -- -- - - - � ---- _ ---• — ---- .---. __ _ CUNMENTS _1 SEPTIC TANK SIZE SEEP PIT/U SIZE � ,r� T� `��� � . `� , . , ; ,