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HomeMy WebLinkAbout14206 , '�X�.`r� � CITY OF DIAMOND BAR �X�l 1 l � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES w 21660 E.Copley Drive Suite 190 , (909)86Q3195 Faz(909)861-3117 � PRESS ���^^'� BUII.DING PERMTl'APPLICATION •i � FIRMLY � JOBSITE 22Og DltUllIl Lane 3units APPLICATION ��22�99 PERMIT � /C o ADDRESS DATE � NUMBER # � APN LOT TRACT Z DA EE ONST. OCC U-1 °C OWNER Silver Hawk �' ��� V11 GROUP � ADDRES� ZONING SEBACKS �ist See Plan � � C�Ty 18iilOri a"r ZIP TEL. FRONT RW ❑ iAPPLICANT .T.M. Nolan TEL. 8.18-224-49 1 SIDE/SIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS 2 • a urn treet . F ame � CITY $�e�, ZIP�,?$�;� TEL.]�.l�_57�7� PROPOSED USE w ARCH/ENG/ � J:M. Nolan DESIGNER NO.DWEL. NO. NO. ADDRESG,��fi 2 ('.alahacaa� 'Rnari Siii�ta IOLN UNITS_ o STORIES � BEDROOMSsee pl n � CITY �'31a asas ZIP �TEL�S1-$=� +�- y 1 -� �- . � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� � OWNER-BUILDEH DECLARATION SFR/ADD/REM � � O Q I HEREBV AFFlRM lA1DER VENALTY OF PERRIRV THAT I AM E%EMP7 FROM THE CONTRAC70R5 LI- GHf89B/CBfPOrt . � lll CENSEIAWFORTHEFOLLOWPIOREASON(SEC.7031.6BUSINESSANDPROFESSIONSCODE:ANVCITYOR (n � COUMYWHICH/iE0U1HESAPERMRTOCONSTRUCT.ALTER�PROVE,DEMOl15H2OflREPAIRANYSTRUC- W P81i0/DOCk � 7URE,PRpR TO RS 45SUANCE.ALSO REDUIRES THE MPLICANT FOR SUCH PERMIT TO FlLE A SIONED. W STATEMENT THAT HE OR SME IS UCENSEU PURSUANT 70 THE PROVISIONS OF TME CON7RACTOR3 LI- � CENSE LAW(CHACTER Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- u- PooVSpa • FESSqN3 CODE)ORTIUT HE OR SHE IS E%EMP7TMEREFROM AND THE BA515 FOR THEALLEOED�E%EMP- � TION.ANVVIOlAT10NOF5ECTION1031.68vANVA7PLICANTFORAPERMITSU&IECTSTHEMPLICMITTO Z RB-ROO} � A CIVIL PEIULiV OF NOT AqqE T11AN FNE NUNDRED DOLLARS(f60D).): � ❑4��N'NEROFTHEPROPEHTV.ORMVEMFLOYEESWITHWAOESfSTHEIRSOLECOMPENSATION, 0 COrtIffl0fCI81 . - WILL DO THE WORK AND THE STRUCTURE IS NO71N7ENDE0 OR OFFERED FOR SALE(SEC.7W�,BUSI- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF � . PROPEHTYWHOBU0.DSORIAIPROVESTMERC-0N.MIDNMODOESSUCHWORKHIMSELFORHERSELFOR Re�airs lan vera e ",' 5750 erunit � Q iHROUGH HIS Ofi HER OWN EMPLOYEES,PROVIDED THAT SUCFI IAIPROVEMENTS ARE NOT INTENDED OR m � � ,OFFEREDFORSAIEIF,IiOWEVER111EBUILDIN(70HIMPROVEMENTISSOLDWRHINONEYEAAOFCOMP�E- X3= 1725Q Z '710N,THE OWHER�BUILDER NALL HAVE hIE BURDEN OF PROVINO THA7 HE OR SHE DID�NO7 BUILD OR � W PROVE FOR THE PURPOSE OF 6ALE). w ❑I,ILSOWNEROFTHEPROVEHTY.AMIXCLUSNELYCONTMCTINOWfTHUCENSEDCOHTRACTORS � TO CONSTAUCT THE PRQIECT(SEC.7oN,BUSINESS AND.PHOFESSIONS CODE:THE CONTRACTORS LI- V81UBt /�DJ.AREA � CENSE U1W DOES NOTM7LY TO AH ONTlER OFA PROPERTY WHO BUILDS Ofl IMPROVES THEREON,AND N1pCOMMCT6FOqSUCHPRQIECTSWITIACONTMCTOq(9)LICENSmPURSUANTTOTHECONTiUG ouo,rmrr DESCRIPTION FEE � � TOp9 UCENSE UWJ. O I AA1 IXEMP7 UNDER SEC. B.d P.C.FOR THIS REA:AN Q 3 � � ¢ DATE OYMER U W � LICENSED CONTRACTOAS DECLARATION W � 1 HEREBV AFFlRM UNDER PEIULTV OF PERIURY THAT I AM UCENSED UNDER PROVISIONS OF CHMTER � (� G(COAtA1ENCVXi WI7H SECTION 7000)OF OMSION 3 OF 7HE BUSINE55 AND PROFESSIONS CADE,AND Z - i" MY LICENSE IS W FULL FORCE AND EFFECT. m � LICENSE CUSS LIC.NO. '�� �j � - U DATE CONTRACTOR � a LL V � WORKERS'COMPENSATION DECIARATION . � �, a N I HEREBY AFFlRM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DEIXJ�RA710N5: �' � � `� ~r� . Q - t ' ' 'M " � I FUYE MID VALL MAINTNH A CERTIFlCATE OF CONSENT TO SELF-INSURE FOR WORKERS' � _ � � � " ' � ' � . � " � � COMPENSATION.AS PROVIDED BV SECTION 3'!00 OF THE L/�BOF WOE.FOR THE PERFORMANCE U OF i/1E WORK FOR WHICH TT11S PERMIT IS I55UFD.t� .�t• '' � .'•,, f �Y' .2W` ' ' � � 1 �r:e', : ,+ ��' p ' . c `� " ' , ' � .q...+� .� �.� . � � �/ �I HAVE AND WILL MAINTAW WORI(ERS'COMPENSATION INSURANCE.AS REOUIRED 8Y SECTION Q 37000F THE LIBOR QODE,FOR THE 7ERFORMANCE OF hIE WORK FOR WHICH T1IS PERMIT IS ' �� 4 , ( ,��..a , _ ISSUED.MY P SATION IN UFiANCE RRIE D POLICY NUMBER AAE: ' .CONSTRUCTION ' jc�qqiEq � PIAN REVIEW � _ � vOLICYNUMHER . � EIECTRIC ' f�H - � •' .. '�;r� . �. � (fFOSSEL'TqNM�N0T0E0c�LEfIDOFhEPF1A1ff5R�ROMEHl1�DRED0011t�ASlStoo) �LESS} ''PL'LIMBIN(i'•' • � r'`�" .° , ' W -.. � Z I CERTIFY THAT IN THE PERFORMANCE OF THE WOR1C FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL (;} SNAL.L NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME�SUBJECT ZO THE � ',i ' ' (e ` ' �f� Uj �MORKERS'COMPENSATIONLAWSOFCALIf-0RNII„ANDAOREETMATIF.ISHOULOBECOME ��'�� �r 'INSPECTION�FEE'"r`_�� ����r.� �+ ' �� ��.`�� � S SUBJECT TO THE VIORKERS'COMPENSATION PROVISpNS OF SECTION�9700AF THE UBOR ,r1 ' CODE ISHALLFORTHWI7H�COMPLVNh7H7HOSEPROVISIONS. � ,.�, ,ISSUANCE p_ .. .f/1 ,.�r\ UO �`� '�'''��/�,��,n .��� � "' O DATE: �� ' APPLICANT: �I �i� �l X.��Q l�� � .'•SMIP �� � B�TiT Ti1�T� hwTn r�ew�i�rs-.�i ...•'.� .• � ., � , . . � aa.uu�� ��u r i.r ru'►�! l J WARNINO:PA0.URE70 SECURE WORKEHS'COMPENSATqiJ�COVERAGE IS�UNLAWFUL,AND SHALLBE "`(.. � ENERGY,P/C,;.� u " t , ._t;_' . � SUBJECTANEMPLOVERTOCRIMWAL7ENALTIESANDCIVILFWESUPTOONEHUNDREOTHOUSAND ` ENERGYPERMIT � OOILAAS(f100.000),W ADDITION TO THE COST OF COMPENSATION,DAMA6E5 AS PROVIDED FOR IN J� 9ECTION37080FTiE�L'/�ORCODE.INTEREST;ANDATTOFiNE1^SFEES." �` F' ,.� / .� - • ' r ; Q � 1' - RETENTION�FEE: _ " �,� � �� . O�� "� _ft,,{ CONSTRUCTION�LENDING AGENCY � f, � ,PRE-ALT FEE:, , �, " � � . ;: ::,.� , �..�. � .. � : .� -.r-. 'i �� " , .... , *v�, . . � ,I HEREBV AFFlRM UNDER PEN/�LTY OF PE0.IURV THAT THERE IS ACONSTRUCTION LENDUW�OENCV', , 7FOR THE PERFORMANCE.OF TME WORK FOR WH{ICH THIS PERMIT IS ISSUED(SEC.70W,qV.C.�. � , t�7 �- �.Cp f�..�., ,;1 ��� "'^ar�" .y..,.r .d°R+� - - ' i' � �w` .C. � LENDERS NAME . i � � � LENDERSADDRE55 � r,� _ - ���' r j .r ���.•4 . . ,._t � 1 ,,r • � _ . .n•� .' •�e: ..., . . � ICERTIFVTHAT�I�NAVEREIDTHISAPPLICATIONANDSTATE�THATTHEABOVEINFORMATIONISCORRECT. TO-IAL FEES < � 1 AOREE TO!'AMPLY WITHi/�.lL'CfTV�AND COIJN7y ORDINMICES ApID STATE�LAWS REUTINO TO BU0.AIN0,'. .,.. -" �� '''! " �]� e..rr•.y�r, ' CONSTRUCTION,AND HEREBV AU7ViORRE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE • � ABOVE�MENTIONEDPHOPEF FORINSPECTqN PURPOSES. ` � �. Z • ,COMMENTS - :•.:a�..• - � ... � � ...__.� . , '�'� .__. , . .�m., � � .!. • ':r.r�'. . t."} .,,.�a. �_ . •� :,... � fTTEE�NAMEIPRINT) � l i 6� . • �'•" _ ��!. ' .`��;�^,�.� .r ��,r� `' � �'�a 11�'27 7'l1_.''�.:.,, 4"��'.7 .-, ! 1 n l � sro REOFPERM � ° E RECPT.NO. �� �� � �/ ..PAID.BY; � ,r �?�� , a.a ..� . . .. . ' . ^ � .. . . . � VALIDATION ti�� �f � WHITE—Depertment Copy,YELLOW—Finer�ce CopY.P�NK—Asseasa Copy,GOLDENROD=File Copy,GREEN=ApplicanYs Copy � � "'Y,�,�—J'?j ' � 0 �G�Y �...V� �IiL''Ultlf�ltl� �P9U'�E � . 6(�SP�EC'�'9�� Q����LDIF�f� . . {y�j7 . � � e�t`��� . . �} ' �.6 d �� .�...,� ° . � a� � ������a ��Q , �I (�yy'����� ��p j'� . �, re.. "d ;�. . o ' .. ""Y..�.D`�Y�'Y`--i"`-' ,'� � � ',� b-""�""--'., :�:..��WV�u �/�1�/UU ��,���: � ' _-.. � -. . � � `SB_ . SET BACK � � ' '. , , . FLQOR JOI$T . FTGS/FORMS/STEEL' : FHA REC�MTS i ELECTRIC GROUND ` UNQER FLOOR DUCT : GROUND PLUMBING UNDER FLOOR CUM14DUIT SLAB GRADE FlREPLACE FOUNQATION � � TEP/IP POWER FIREPLACE BOND BEAM : - - WA7ER SERVICE MID HL BQND BEAM - � ROOF SHEATNING ' 8 FT. BOND BEAM ' ' ' ' ' FRAMI�JG/VENTILIATION FtNAL�BOND BEAM� ROOF COVER ' PRE-GRADING � ' ' ' _ ROUGH HEATlNG ' - . BENCHING : -: ' ~ : . � , . : ROUGN EL�CTRIC ROUGH GRADING ROUGt-i PLtJfVIBiNG "- FINiSH GRADWG SHON/Ei�/1"UB TEST PUOL ELECTRIC EXT. LATH/51DING POOL FENCING ' WR�L INSULATION P�OL FiNAL GEILI�JG IhlSULATION OFF SITE IMPS. DR.YV11ALl.lVAILING . T , . . r- . ._ ...�•. . DEDICATIONS SEWER FINAL ENG. . SEPTIC TANK LANDSCAPE/tRRIG. � SEEP P1T/Ll.. ~•'` :�i`�' -"'"`�,,_;-::s,a ON SITE lMPS. - . -- Gf�S Al.�t TEST � FINAL ZONING 1=1���L�ONST. • FIRE DEPT. FINAL FII��ti'_HEATING HEALTH DEPT. 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