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HomeMy WebLinkAbout16660 (35) �` CTTY OF DIAMOND BAR � � DEPARTMENT OF COMMUNITY&DEVELOPMEM SERVICES �`� 21825 E.Copley Drive ���l�� (909)860.3195 Fax(909)861-31 l7 PRESS BNLDING PERMIT APPLICATION FIRM Y o� JOBSITE //��D 5• �/J R APPLICATION !� U f NUMB R� M/C ADDRESS !/ �J DATE $ ISSUE I1�/ TYPE OCC APN LOTj _LTRAC� pATE CONST. GROUP p OWNER � p ADDRESS ✓ � ZONING SETElACKS gCITY ZIP TEL.��� FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDE/SIDESTflEET FiW ❑ ¢ CONTRACTOR �� O SIDE ❑ � ADDRESS � � CITY ZIP%:+a/�C' TEL����'�'� P��POSED USE w ARCH/ENG/ �'��r z DESIGNER�� W NO.DWEL. NO. NO. a ADORESS UNITS STORIES E3EDROOMS � CITY ZIP TEL. � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEA-BUIL�ER OECIARATION SFR/ADD/REM O I NEREBY IIFFIRA/UNOER VENAL7Y OF VEfWRY TMAT I MI E%EMPT FROG THE CONTMGTOR$LI• Ga�a98ICa�Ort W CENSEUWFONiHEFOLLOVlINGREASON�SEG70.11.58USINESSANDVROFESSIONSC00[:ANYGTYOR (n C7 COUNTYWHIC/1REOUIiiESADERMITTOCONSTRUCT.AITERMvqOVE.DEMOLISH.ORREPAIRANVSTFUC• W patio/Detk � TURE,iRlOq TO ITS ISSUANCE,ALSO RCOl11RES THE A7VLICANT FOR SUCM VERIJIT TO iILE A SIGNE'J w STATEAIEN7 THAT HE OR SHE IS LICENSED DURSUANT TO TNE VROVISIpJS OF TNE CONTRAClORS LI- � CENSE U�N(CMAPTER Y(COMMENCMO WITH SECTKKJ 7D00)OF DNISION]OF THE BUSME55IWO PRO- � PO�USP3 FESSpNSCODE)ORTHATHEORSHEISEXEMP77HEREFROMMDTMEBASISFORTHEA:LECCDE%EMP� (� V TIDN.AYYVIOLATIONOFSEG710N70J1.SBYMlY�PPUC/�NTFORAPERMITSU&ICCTSTI[APPLICANTTp Z pe-Roof A GVIL PEN�LTt OF NOT MOFE THAN FNE HUNDHED DOLURS�7500))� � OlASO'JRJEROFMEPROPERTl.ORIAYEMPLOYEESWITHWAGESAShIEIpSOIEfAMPENSATqN, ❑ CpmmOrtial 1NLL DO iHE WORK.N1D THE STRUCTUR[IS NOT INTENDEO OR OFFEPED FOR SALE(5[C.7Du.BUSb J � HESSAND VROFESSiONS OOOE:TNE CONTR�CTORS UCCNSE UW DO[S NOT APPLY TO AN OWNER OF OROCERTVWV10BU0.DSOf11MCROVESTNCREON,MIONMODOES5:1p/WORNNiA15ELFOqMCRSELFOR � O,.' TMROUCi1HI50RHEROWNEYPLOYEES,PROVIDEDTNAiSUCHWPpOVEMENTSARENOTMENOE�OR m QOFFEREOFORSALEIF,FqN'EYERn7E8ULDINCORIMPROYCYENTI550LD'MTHINONCVEMOF�OMPLE� Z TION,7ME OWNER�BUILDER W1LL MAVE THE BURDEN OF PROVINO TMAT ME OR SHE D�0 NOT BUILD OR = OdPROVE FOR iME PUHPOSE OF SALE). w OI.ASOWNEROFTHEPROPERTY,AME%ClU51VELYfANTfUCTNOWITHLiCENSEOCONTRACTORS [[ TO CONSTRUCT TME PR0.IECT(5EC.70t1.BUSIN[55 AND PROFESSIONS CODE:THE CONTRACTORS LI� V2IU3110 _ � ADJ.AREA W CENSEUWOOESNOTAPPLYTOANON?JEpOFAPRO�ERTYNMOBUIlf750RIMPPOVESTHEREON.AN� -- � W/qCONTRACTSFONSUq/VROJECTSWITNACONTMCTOR(S)UCENSEDPURSUANTTOTHECONTMC QUANTITY DESCFIPTION FEE Y roasucEnsEuw�. ¢ O 1 AM EXEMPT UNDER SEC. 8.t V.C.fOHTH15 REASON Q � U u" DATE OWNER r 0 w / � LICENSED CONTRACTORS DECLARATION W � 1 XEREBYAFFIHM UNDER PENALTY OF PERIURY THAT IAM UCENSED UNDER PROVISIONS OF�HAPTER � d G�CUGMCNCNOWITMSEC�qN7000)OFONISION70Fh1EBV51NE55ANOPROFE55qN5CODE,MlD Z X YY LICENSE IS IN FULL FOFCE AND EFFECL ���/ LlJ CD � LICENSEC � LIC.NO. � � �y J U UATE O� CONTMCTOR �—�� d W � WORKERS'COMPENSATION DECLARATION a NINERCBVAFFlPAILNOEROENALT/OFOE0.IURVONEOFTH[FOLLOW:NUDECLARATIONS. Z ' Q � _INAVEAN�WILLMAIMAIN�CERTIFIUTEOFCIX�SENTTOSCLF•INSURLFORY✓ORKERS' _ COMPENS' .,ASPROVIDEDBVSECTION77000FTMELABORCODE,FORTMEPERFORMANCE W OF T ORK FOH wHICH TNIS FEiUAIT IS�SSUED. � � W . .1 MAVE AND wILL MAMTAIN M/ORNERS'COA�PENSATION INSU NCE.AS REWiRED BV SECTION O �7000FTHELABOR E,F RTHEPERFOR/AANCEOFTH WORNFORWHICHTHISVERMITIS ' ��� oU LSSUEO.MYWO ' IITIONINS�ANCECA _RANDPOLICYNUMOERARE'. CONSTRUCTION � o + � T�I M/) � CARRIER `` �, � V�� PLAN REVIEY! � OOIICYNUTADER� ELECTRIC � � (fYC55ECIlONNEmN07BE00r.f'LFfE'JOFhEPEfMiISWfiONEHI�fiC�001LUi51i�0010RLE55) PLUM6ING Z ICCFTIFYTHA!NTHEPERFOf1MANCEOFTHEWORKiORWHiCHTHISPERA11TI5LS5UED,1 MECHANICAL (J SHALL NOT EMPLOV ANV PERSON IN ANY MANNER SO TO BE E SUBJECT iOTH[ 1 .�' /�� � WORKERS'COMFENSATIONUWSOFCAL�FORNIA ' /.CREETH IFISI�OUL 1ECOME INSPECTIONFE SVBJ[C TOT WOHKERS'COh�PENSATqNGROV' SOF : .qN7)0o NE E, N pqTNWITHCOMPLYWITHTMOSE YISi ISSUANCE ��t � p OATE: � AP�LICANT: � SMIP �11J . -} W J W�FWINC.FNLURETOSECUREWORKERS'CAMPENSAfqNCAVERAGEISUNUWFUL.AND3MALLBE ENERGYP/C � SU0.IECTANEMPLOYERTOCRIIAINALPENALTIESMIDCIVILFIKESUPTOONENUNDREOTMOUSAMJ ENERGVPERM y��• WLUH51t toa.0001.IN ADDITION TO TXE COST OF COMFENSAiqN.DAMAGES AS PROVIDED FON M J SECTION]lOeOFTHEU60RCODE,INTEHEST,AND�ROANEY5FEE5. � -��.s. � RETENTION FEE: � cWi. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O CL IHEREBY/�FIRMUNDERPENALTYOFVE YiHATTHEREISACONSTRUC'fIONLENDINO�GENCY � FOR TME PERFOfU1ANCE OF iNE WORK FO l .HTMIS GERIAIT IS ISSUED ISEC.7077,CIY.C.1. Z W � LENDER'SNAME H LENDER'SADORE55 / � I CERTIFY THAT I HAVE READ TNIS APPLICATIDN ANO STATE MAT TNE ABOVE WFDRMATION IS CORHECi TOTAL FEES ��� � A/ � IACREE TO CO�.APIY WITM ALLCITV AND CWMY Oi7DINANCES�HD STATE U1w5 RELATING TO BU�DING . ✓ � CON57HUCTION,INDHER[BVAUTHOR12EREPRESENTATNESOFTHISCWNTYTOENTERU�ONiHE z ABOVE�MEMWNEDPROPERTYFOHINSVEC7qNvinpp5E5. COMMENTS � G � 1 m PERMITiEE N Pi / � Q � � � SiGNATU �OF DERIAITfEE D �E � RECPT.NO. _PAID BY VALIDATION WHITE-0epanment Copy.YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENHOD—File Copy.GREEN—ApplicanCs Copy . . .., - . .... ,..-�...._.,�,�., .,..s...-�..—.....�.,..:.—.r.•�...: ••.___•_.:—.,..i..t..;.. . .. �..�.�.. .. . . .. . . . . .. . . �..� . ..._... .. . , ..K.....,. ..-. � ...;,.... .,............ . ,�..., �.... � . ,. _. . . ^ . .�.. '�.r; .. . .. . ci�:� o;= �;r.�.r.�:����: �:;�r� a�:,�.;_,__., � , t-� (��.[ ? L=L i �r.� \. I—:`�i.L+:.Ji�iQ � ..'�__'._.-__"___"_"." " _' '___"'_'_""' ' _ '" '_�' "...__..—.»..._':""__^__`1_�_»�.___,�..._ I��k-y:a�rc`PIf)►�� -------- rJ ` f I�`!�'i.�=c: :rJ;. 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I I I ROUGH GRADR•!G � ROUGH PLU�fBI�JG � i I FI;•:ISH uRADIhJ;� � � ' - SHOI^✓ERrfUB TEST � I _I_i_�'��L ELECTRIC —r � EXT. LATH/SIDING � � POOL FEP;�IPJG � ; _ �^JALL INSUU�TIOi� �— � ' J � POOL FIPJAL i CEILIPdG INjULATION � j OrF 51TE li:??S. � � DRYVVALL PJAILING � j DEDICATIO�•!S SE�"JER I � FINAL EPJG. � SEPTICTANK � � �� I LAhdDSCF�PEiIRRIG. SEEP PIT/L.L. '' O�J SIT"E ir"PS. —� GAS AIR TEST �_� �� FINAL Zfl�JI�.G FINAL CONSL '�. 3.p i, �!RE D�PT. FI!'J��L � � -�--�--�- - F=1"JAL HEF,TING � ' ' ' � ( HEi,LTH DEPT. FI�vAL � F1NAL ELECTRIC --1 � DEV. FEES Pr`�ID J I FIN/1L PLUPJ�BING ' � • � ; Etd�R�Y � _ �_� � � _. _--_.___ I � .,� � . � � � (�: ..., . I' . [4�F� __ I . - i ' �_'-'__-- i__"'_. ..' � ..�...._._ � . . connr;nEr�Ts - t _. _ , .� , , . . ,�-- -- . , .� . . ,. . SEPTIC TAPdf:SIZE SEEP PIT/U SIZE — -- ._____- '�f •-•------- 4�f - � . . . e� ----, ,- - .