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HomeMy WebLinkAbout17412 �` CITY OF DIAMOND BAR DEPARTMENT OF CONIIvIUNITY&DEVELOPMENT SERVICES ,���; 21825 E.Coplry Drive (909)860.3195 Fax(909)861-3117 PRESS "?��'� BL11LD1NGPERMITAPPLICATION FIRMLY ¢ DDRESS (26 I s ��AM-�so �� �7L�1 D APPUCATION f I Z/_ b PERMIT I"1�I 2 p/C� o DATE � �� NUMBER � # � APN LOT TRACT ISSUE �J TYPE p�C -` OATE �� !iV 01 CONST. GROUP � WNER � "JvDi�S ��C_' L7(A�-l�'� �� --� O � aaDDRESS � u-C ZONING SETBACKS g, ITY SP.I�-� ZIP TEL. FRONT RW ❑ APPLICA�tiTIZ�CI� �� '�� SIDEJSIDESTFEET RW ❑ � CONTRACTOR SIDE p � ADDRESS PROPOSED USE S G � CITY ZIP TEL. o ARCH/ENG/ � DESIGNER NO.DWEL NO. NO. = CDDRESS Z�P TEL. UNITS STORIES BEDROOMS � v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATI�N Q OWNER-9UILDER DECLARATION SFR/ADD/REM O 1 HEREBY AFFIRM UNDER PENALTV OF VERAIRY THAT i AM E%EIdPT FROM h1E CONfMCT00.5 l4 Garape/CarpoA W CENSEUWFOqTHEFOLLOWIN4REA50N(SEG70.71.58USWESSMIDPROFESSIONSCOOEANYCIiYOR (n U COUNTYYMIp1REOUIRESAPERMR7000N5TRUCf.ALTER0.IVROVE.UEIAOLISM.ORREV�IRM1YSiR�IC. W patio/peck � 7URE.PRq0.TO RS ISSUANCE.At50 REW�RES TIE APPLM.AM FOH SUCM PERAIIT TO FRE A SHSNED W STATEMEM 7W�7 HE OR SME IS UCENSEO PURSUANT i0 THE PROVISIONS OF 7HE COMfMCTORS LF � CENSE UW(CNAPTER 9(COMMEHLYNO WITN SECTION 70D0)OF DMSION�OF THE BUSINESS AND PRO- � PooVSpa FESSpNS GODE)OR THAT ME OR SME IS E%EMPT THEREFHOM AND iME BA515 FOR TME ALLE6ED E%EA/P• � TION.ANVVIOIATIONOFSECTION7oa1.68vANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICMliiO z (jg-Rpp� � ACMLiENALTYOFNOiMORETHANFIVEMINDREDOOLURS�35o0).1: � ❑l/ISONRJEROFTNEDROPER7Y,ORAAYEMPLOVEES'M711WAGESASTHEIRSOIE[OMPENSATION, O COTT6�CI31 - Z WILL00 THE WORK,AND THE STHUCTURE IS NOT INTENDED OR OFFERED FOR SILE(SEC.7a�,BUSi• J N NESSANOifqFE5510N3CODE:7HECONTHACTORSLICENSEUWDOESNOTAVPIYTOANOWNEHOF � PRDPERTY YNfO BV0.A5 OR IMP{pVES TNEREON,AND W110 DOES SUCH WORK H�1ASElF Ofl NERSELF OR CL THROUGMNISORXEROYMEMPLOYEES,iROVIOEDTNATSUCMMPROVEMENTSAHENOTMEN�EDOR m � OFFEREDFORS�LEIF.FqWEVER7NEBULDINOORMPqOVEMENTISSOtDWRWNdJEYEAROFCOMPIE� Z TION,TME OWNER�BUIIDEfl WILL HI1VE TF1E BURDEN OF VROVINa 1HA7 HE Ofl SNE DIO NOT BUILD OR � MCROVE FOR iHE PURP0.5E OF 3ALE} W 01ASOVmEROFiHEPROPERTY,AME%CLUSIVELYGONTMCTP10WR1iUCENSEDCONTMCTORS ¢ TO CONSTRUCf THE PH0.IECT(SEC.7a�,Bt15INE5S ANO VROFESSIONS CODE:THE GONTRACTOqS Lt• VelUe110(1 ADJ.AREA W CENSEUWDOESNOTAVPLYTOANON'NEROFAPROPERT'M'�1OBUttDSORIMPROVESTHEREON,AND � NTIOCf7MMCf5F0{ISUCHVRQIECfSNATHACONTMCTOR(S�UCENSED7URSWINTTOTMECONTqAG Q�JANTITY DESCRIPTION FEE Y TORSLICENSELAW.). � O I AM EICEMPT UNDER SEC. t P.C.FOR THIS REASON Q � � . I_I _ � � '1 I _ — � � a _ � Z •' �'—'T—T— \R W �d LICENSED CONTRACTORS DECLAFiATION W Cr IHEREBYAFFIRMUNOERPENALTYOFPEfiNtiYTMATIAMLICENSEDUNOERPNOVI510N50FCMAVTER V. d •(COMMENCWOWrtHSECiqN70001�DNISIONfOFTHEBU5INESSANOPROFE5SqN5C00E,IWD Z X MYLICENSE S IN FUl FORCEAND EFFECT. m LLI � UCENSE CUSS L�C.NO. � � J V DATE �CONfMCTOR n. W � WORKERS'COMPENSATIONDECLARATION ' 4 = U � I MEREBV AFi1RM UN�ER VENd1TY OF VERNRY ONE OF iHE FOLLOWINOOECUMiqN3: Z � � _IILNEANDWILLAIAMTAINACERTIFIGTEOFCONSfMTOSELF-INSUREFORYqRKERS' _ CpAPENS�TqN.115Pti0Yl0E09YSECTIONJ7000FTMElA80RC00E.fORiHEPERFORMANCE W OF iHE WORK FOR WHICH 1NIS PEPMIT IS ISSUEO. � 0 �I HAVE ANO WILL LUMTNN WORKEf15'COMPENSA7qN INSURANCE.AS REOUIRED 8�SECTION /� Q 97o00FTHELABORCODE,FORTHEPERFORMANCEOFTHEWOPoCGORNM111d/1N15PERMRIS / � r� J ISSUED.MYM'ORKERSCOMPENSAiIONINSURANCECARRiERANOPOI�CYNUMBENME: CONSTRUCTION �� V+ j CAFRIER PLAN REVIEW � poucrHuueEa ELECTRIC o (nissEcnor+r�r+oreEca.neimoFnEv�xrtrswna+e�nr�ooa�usR+m)oA�ssl PLUMBING Z ICERTIiYTHATWTHEPERFORMANCEOFiHEWOi1KFORWHICNTM9GEfWITI3153UED,1 MECHANICAL (�} SHAILNOfEMVLOYANVOERSONINANYMANNERSOA5TO8ECdAESUBJECTTOTHE � N'ORKEHSCOMPENSAT�ONUWSOFCAL�FOPNI�AN�AGREETHATIFISHOULDBECOME INSPECTIONFEE S SU&IECTTOTMEWORKERS'COMPENSI1TqNPROVISpNSOFSECTION77o00FiMEUBOR ODDE.1 SN/L.FORi/fiVIT/COMPLY VnTM TIOSE VRONSIONS. �SSUANCE 0 p DATE: APPLICANi: SMIP J WARMNO:FAILURE i0 SECUHE WORKERS'COMPENSATpN fAVERAGE IS VNUWFUI.AND SHALI BE ENERGY P/C � SUBJECTANEMPLOVERTOCIUAIIN�LLVENALTIESANDdVILFMESUPTOONEHUNOREDTNOU5AN0 ENERGYPERMIT DOLLA(i9(f�OU.WD),IN PDDITION i0 TNE COST Of COMPENS�TpN.DAMAOES AS PfiOV10ED FOR IN � SECTIDN17oeOFiHEUBORCOOE,INTEREST,ANUATTOqNEV'SFEES. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY ppE•ALT FEE: O � IHEREBVAFFlRM UNOERGENALTYOFPE0.AlRVTNATTMEFEISACONSTRUCTIONIENDWOACENCY iOR711E PERFORANWCE OF TNE WORK FOR W111p7 TNIS iERMI715155UED(SEC.Doi7,CIV.CJ. Z W , � LENOER'S N�E � LENOER'S/�DRE55 W ICERTIFYTIIATIHAVERE/DTFdSAPVUCATqNANDStATE�TTMEA&1VENFORMATIONISCORHECT. TOTAL FEES ��' �__ � IAGREETOCOM7LYWITMALLCrtVANDCOUNNORDINANCESANDSTATEIAWSREUTNOTOBU0.DIN0 i � CONSTRUCTION.ANOHEREOVAUTMORIZEHEPHESEMATIVESOFTHISCOUN7YTOENTERUPONiHE Z ABOVE•MEHTIONEDPHOPEHIVFORINSPECT�ONWRPOSES. COMMENTS � �Ul.,l�-`�-�AEIr ����l� m 0 AAIE(PRI 1 I 1 �� �� Q � C/7 N SIGNATUflEOFYERM1ITEE DATE � RECPT.MO. PAID BY VALIDATION WHITE-0epartment Copy.YELLOW—Finance Copy.P�NK—Assessu Copy.GOLDENROD--File Copy,GREEN—ApplicanPa Copy �q-. � ., ... ..� . . .' . .:v^ CS",.� . 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GASAIRTEST � { FINALZONING FiNAL CONST. � � I � �IRE DEPT. FINAL FINAL HEATING i � HEALTH DEPT. FINAL • , . F1NAL ELECTRIC � ' ; DEV. FEES PAID FINAL PLUMBING ! � ENERGY � 'I � ' ,� '��iC7�r=1��� ; . y 'a �� --�Z�"'z'�� �. "r'. COMMENTS �Y'G _ G���.� � � - � - - -- . ; SEPTIC TANK SIZE SEEP PIT/U SIZE .., �� ._ h'���� i� �._, � , :` . _ . w .__ j, ji W.......... - ��� � ,� ' , ' . , �� - .