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HomeMy WebLinkAbout18023 �� CITY OF DIAMOND BAR `� DEPARTMENT OF COMMUAIITY&DEVELOPMENT SERVICES E X P I R ED �� 21825 E.Copley Drivo (909)860-3195Fax(909)861-3117 JUN 181pp2 PRESS ���'��� BUILDINGPERMITAPPLICATION FIRMLY o� JOBSfTE ��55 � I APPUCATION 5 � ��ERMIT /C ADDRESS � DATE NUMBER p $ ISSUE /_ TYPE OCC APN � O ACT. DATE �� � CONST. GROUP p OWNER o ADDRESS ZONING SETBACKS z CITY L FRONT RW ❑ o APPLICANT SID SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDRESS 0 CITY 'u29QIr;d���V� TEL PROPOSEDUSE w ARCH/ENG/ o Lake�vood,CA.90712 DESIGNER LZi NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL UNITS STORIES BEDROOMS N cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� ONMER•BUILDEFi DECLARATION SFRIADDlREM O p 1 HEREBY AFflRM UNOER PENALTY OF PERRIRY TIw7 1 AM ExEMPT FROM THE COMRACTORS LI• � Garape/Cerpart W GENSEUwFORTHEFOLLOWINGRE0.50N(SEC.7071.6BUSINESSANOPFWFESSKKJSGO�E:ANYCITYOR U COUNTYWWCHREOUiRESAGERMRTOCONSTRUCT,AITERIMPROVE.DEMOLISH,ORREV.URANYSTRUC• W PyliO/DOCk � 7URE PRqR TO RS ISSUANCE.AL50 REWIRES THE AGPIIGWT FOH SUCH VEHAIIT TO FILE A SIGNED w STATEI.IENT THAT HE DN SME LS LICENSEO PURSUANT TO TNE GHOVISIONS OF THE CONTRACTO{i5 LI- � CENSEUW(d1APTERY(COMAIENCINOYnTHSECTION7000)OFDINSqN�OFTNEBUSINE55ANDPRO- � PooUSpa � FESSpNSCODEjORTU7HEORSNEISEXEAIPTTIIEREFR01AM70THEBA515FOqTMEALlE0E0E%EIAG- C7 TqN.ANYVIOlAT10NOFSECT10N7a]1.6BVANYA7PUCANTFORAPERMITSU&IECiSTHEAPPLIGWTTp Z Re•Roof A CML FENAL7Y OF NOT MORE THAN FfVE HUNDRED DOLLAHS�f 500).}. Z04�OriNEROFTHEPROPEHTY,ONMYEM7LOYEESWITHWAGESASTMEIN50LECOMVENSATION, O COmmBfClal � WILL DO TME WORK AND THE STRUCNRE IS NOT INTENDEO OF OFFERED FOR SALE(SEC.7W1,BU51• J y NES5IWD GROFESSIONS COOE:THE CONTRACTORS IICENSE LAW DOES NOT 11DVLY TO AN OWNER OF ? VROVERTY VA10 BUIlDS OR IMCROVES THEREON,AND WHO DOES SUdi WORK HIMSELF OR HERSELFOR CL THFiOUGHHI50RHEROV�NEMttOYEES.PROVIDEDTHATSl1CHVA7ROVEMEN75�RENOTp1TENDE�OR m Q O[iEFE�GOHSALE.IF,NOWEVERTMEBUILDINGORIEIPROVEUENTISSOLDWITH�NONEYFl.ROFCONVLF- Z TqN,THE OWNER�BUILDER WILL HAYE TNE BUROEN OF GROVINO THAT HE ON SHE DID NOT BWtD OR = MPROVEfORTMEPURPOSEOFSALE4 w 01ASONRlEROFTHEPROPEHi�:AMEXCLUSIVEIYCONTMCTMOWITHLICENSEDCONTMCTOR3 Q TO CONSTRUCi THE VR0.IECT(SEG 7aal,BUSINE55 ANO PROFESSIONS CODE:TNE CONTMCiORS U• V81U8S1011 ADJ.AREA W GENSEUWOOESNOTAPPLYTOANOVINEROFApROPERTYWFIOBUILDSORIM7ROVE5THEREON,/WD � YRqCOMMCTSFORSUCM7HOJECTSWITHACONTRACTOH(S�UCENSEDPURSUANT70THECONTMG OUANTITY DESCRIPTION �E Y TORS UCENSE UW.�. � O I AM EXEMPT UNDER SEC. 9.1 C.C.FOR THIS REASON Q � U Lt. � DATE ON/NER f' O W �Q LICENSED CONTRACTORS DECLARATION W CL IHEREBYAFFIRIAUNOERPEWLLTYOFVERNRYTIATIAMIICENSEDUNDENGROVISIONSOFCHAVTER � � Y�COMMENCIN�WITMSECTION700010FDMSION70FTHEBUSINESSANDPROFESSiONSCODE.ANO z �� I./Y LICENSE IS N FUL O E ANO EFFECT. ^�^ ^ m /a• L a � � UCENS S UC.NO. ' `�I � V OATE CONTRACTO � a W � / � WORKERS'COMPENSATION DEC TIONI�!/M'+�7.i ¢ tq � ry U � I HEREBYAFCIRIA UNOER OENALTV OF�E0.A1RY ONE OF7HE FOUAWiN(3 DECLARATIONS: Z � _IHAYEMlDWILLMAINTAMACERiIflCATEOFGONSENiTOSELFdNSUFEFORWORKERS' $ COMPENSA710N,AS PROVIDED BY SECTION 97000F iME UBOR CODE,FOR 7HE PERFORMANCE W Q OF THE WORK FOR WHipi iHIS FEf1MIT IS ISSUEO. � w I HAVE M!D N1LL MAIMAW WOiiKERS'COMPENSATION INSURANCE.AS REOUIRED BY SECTION Q J7oo OFTHE R CADE,FO E PERFOR ANCE OF TME WOPx FOR WHip1TH15 PERMIT IS ISSUW.MV 5' P 1 INSU CECARRIERANOPOLICYNVMBERARE: CONSTRUCTION j uqAieq PUW REVIEW � POIICYNUMBER� � , ELECTRIC 0 �rwssEcrior+r�mr+oreEm�.nFrmocnE�uxrsror�a:cruw�mocu,vuR+aqon�essF PLUMBING � Z ICERTIFYTHATINTHEPERFORAIM'CEOFTHEWOHKFORWNIp17HI5PERMI7I5155UE0.1 MECHANICAL C7 SMALL NOT EMPLOY ANY PERSON IN ANY MPNNER SOAS TO BECOME SUBJECTTO TME � WORNERS'LOMPENSATIONUWSOFGLLIFORNIAANDAGREETMATIFISMOULDBECOME INSPECTIONFEE S SU&IECTTOTNEWORNERS'COMVENSATIONVRONSIqJSOFSECT10N77000FTHEUBOR lF HWI7HGOMPLYWIj n/p�S�EP/p�O�VI(�5Jp/y/; n /� ISSUANCE �_� � +��LlULLI:! �CG� SMIP p DATE:S`y� APPLICANT: � ENERGY P/C W�RNIN6:FAILURE TO SECIlPE WORKERS'COMPENSATqN COYEMGE IS UNUN'FUI.AND SHALL BE � SUBIECTANEMPLOVERTOCRIMWALPENALTIESANOCMLFINESUPTOONEHUNDREDTIIOUSAND ENERGYPERMIT OOI.LARS(f100.DOD).IN ADDITON TO TME COST OF COIAPENSATqN,OAMAOES AS PROVIOEO FOR IN � SECTIDNf70eOFTNEU80RCODE,MTEREST,ANOATTORNEY5FEE5. RETENTIONFEE: d CONSTflUCTION LENDING AGENCY PRE•ALT FEE: O � INEREBVAiFIRAIUNDEROENALTVOF0E0.NRYTHATTMEREISACONSTRUCT10NlENDINGAGENCV , z FOR TNE OERFORMANCE OF THE K'ORK FOR WHIOI T11S�ER1AI7151SSUEO(SEG 7091,CIV G). W � IENDER'SNAAIE F-- LENDERSADORE55 W IGERTIFYTNATIHAVEREADTMISMPUC�TIONANDSTATETHATTMEABOVEtJFORMATIdJISCORRECL TOTAL FEES ,/7���� � IAGHEETOCOMPLYWRMALICITVAN�CWMVORDINANCESAN�STATELAWSRELATINOTOBUILDINC \y✓ � � CONSTRUCTION,ANDHEREBVAUT/IOpIZEREiRESENTA7NE50FTMISCWNTY70EN7ERUPONTHE Z -MENTIONEOPROVERTYFONINS CTqNGURPO5E5. Q /'� /�� COMMENTS J � � /� m `��E�"�� a.uaC� �8/O� 4 � (J� SIQNA UHt��VEH ITTEE OATEr-�-- � � RECPT.NO. PA�D BY VALIOATION WHITE—Department Copy,YELLOW—Finance Capy.PINK—Assessor Copy, OLDENROD—File Copy,GREEN—ApD����Cs Capy .1,�� i..,�.Ct.tv' � � � ,it �k�. 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LATH/SIDING I I PO�L FENCING WALL IfdSULATiON I 1 POOL FINAL CEILING INSULATION OFF SITE I^APS. DRYWALL NAILING DEDICATIOiJS SEWER FIP�AL ENG. SEPTIC TANK LEINDSCAPE/IRRIG. SEEP PIT/L.L. O�J SITE IMPS. GAS AIR TEST FItJAL ZONIfJG FINAL CONST. I , F!RE DEPT. FIPJA! FINAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC ; DEV. FEES PAID FINAL PLUMBING • � ENERGY . � , , c-�'�i�nr�c��: [�li�i",c: � ...;ti`�__...�., ___�_ _ ---______ COMMENTS � ' ' SEPTIC TANK SIZE SEEP PIT/U SIZE ,�`.!k ,���� - I , � � , , , . �