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HomeMy WebLinkAbout12309 CTI'Y OF DIAMOND BAR �r �/ ' COMMUNITY DEVELOPMENT DEPARTIvIENT � .;,.,� 21660 E.Copley Drive Sutte 190 _ , ;, , PRESS (909)860-3195 Fax{909)$6l-31`17 �'°"' BUILDING PERMIT APPLICATION FIRMLV . -_ - ; ;.� , _ � __ . .::. o DDR�ESS� .24005 HIG�T I)T��CVE., .. � ... DATE CATION��-Z�_ C NU BER ��� �/C c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER PTFRC'F CYINSTRTi(:Ti(1N w ADDRESS �����y� ZONING SETBACKS Z CITY mo+mT r r+Tmcs n,ZIP TEL. FRONT RW ❑ g APPLICANT ' �- TEL.�6����g 5 DE/SIDE STREET RW ❑ � CONTRACTOR �NK 1KAR1X1N1F. Ii S(]NS, lTY'- SIDE ❑ � ADDRESS -� PROPOSED USE � CITY 917��. TEI.6=���F �4r �— o ARCWE�� z DESIGNER NO.DWEL, NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARENVALUATION cn � OWNER-BULDER DECLARATION SFRJAD�lHEM O p I NEREB�AFFipM UNDER PENALN OF PERJURV TNAT I AM E%EMPT FH�M THE C6NTRACTORS L4 � Garage/Carport W CENSEUWFORTHEFOLLOWINGAEASOY(SEC.7a31.68UsiNE55ANDPft�FE5510NSCODE:ANYCITYOR U COUNTYWHICHREQUIRESAPEFMITTOCONS7RUCT,AITER,IMPPOVE,OEMOL�SH,OPREPAIRANYSTRUC- W pg[i0/DBCk wTURE.PRIOR 70 RS ISSUANCE,ALSO HEQUIRES iHE APPUCANf FOR SUCH PEFMIT TO FILE A SIGNE� � STATEMENT THAY HE OR SHE IS LICENSEO PUqSUANT TO THE PROVISIONS OF�THE CON7HACTOpS LI• � CENSE LAW(CHAPTER B(COMMENCWG WITN SECTION 7000)OF 61VISbN 9 0F THE 9USINESSAN6pHO- � Po0USp8 � FESSIONSCADE)OHTHATHEORSHEISEI(EMPTTHF.REFROMANOTHEBASISFOATHEALLEGFDE%EMP� (� V TION.ANVVIOIATIONOfSECTION7031.58YANYAP7LICANTFORAPERMIT&U&IECTSTHEAPPLICMITTO Z Re-Roof � A CIVIL CENAIN OF NOT MORE THAN FIVE HUNDRED DOLtAR5I350o}J:� �- - � O QI,ASOWNEROFTHEPROPERTV,ORMVEMPIOVEESW�TNWAQE5A5THEIR50lECAMPENSATION, � Commercial Z WILL DO THE WORF(,Ahb THE S7RUCTURE IS NOT INTENOED OR OFFEFIED FOR SALE(SEC.70A4,BU51- J NESS AND PROFE5510N5 CODE:THE CONTFACTORS LICENSE LAW OOES NOTAPPLY TO AN OWNER OF � vpGPERTY WMO eUIIDS Oft IMPFOVES THEREON,AN�WHO D0E5 SUCH WORKH!MSELFOR HER56LP OR = � THfiOUGHHI50RHEFONT1EMPlOVEES,PROV10EQTHATSUCHIMPROVEMEN7SApENO71NTENDEDOR m QOFFERE�FORSPIE.IF.HOWEVER.THEBWLDINGORIIAPROVElAENTISSOLDWRHINONEYEAROF$OA1PLE- � TION.THE OWNER-Bl11LDER WILL HAVE THE BUROEN OF 7ROVING THAT HE OR�6HF.DID NOT BUILD OR = IMPROVE FOR TNE CURPOSE OF SALE). ❑I,AS OWNER OF�HL PROPERTV,AM EXCLUSIVELY CONTRACTNG WiTM LICENSEO CANTHAC7OqS � TO(:ONSTRUCT THE PROJECT(SEC.70u.BUSINE55 PND PROFESSIONS CaDE:THE CONTRACT�iS ll� V81U81iq1 ADJ.AREA W CENSEIAWDOE3IYJT,4PPlYTOANONTJEROFAPfiOPERTYWH09UI1DSORIMPROVESI'HERE�N.AND � WhqcoY7AACT5FORSUCHPROJECT5WITHACONTRACT�Ft(S)tICE4SEDPllF50AN7TOTHECONTRAG QUANTITY DESCAIPTION - FEE TORS LICENSE LAW.�. /� � G I AM eXE�APT liNOER SEC. 8.6 P.G FOR THIS REASON Q G� � 4� O U � � !r�' .'�' zDATI: _ OWNER W ���� � UCENSED CONTRACTORS DECLARATION �y �C'�J^ � i HEPEBY AFFIR/A UN�EH PENALTV OF 7ERlUPY THAT I AM LICENSEO UNDEq PROVISIONS OF bHAPTER� �� � 9(COMMENCING WITi SECTION 7000)Of DIVISION 30F THE BUSINESS AND PROFES31ONS CODE,AND `X AIY LICENSE IS IN FULI FORCEAND EFFEC7. �� /!e � o C/36 C/16 �,�.No. 397884 � � r�� � UCENSE CLASS J � � _`J. �� � - v oare l 2/31��1$ coNrr��r _ � ' ¢� WORKERS'COMPENSATION DECLARATION� '27.�.i-� ¢ � � �°'„� �' � J � � I HEREBY AFFIRM UNDER PENALTV OF PERJURY ONE OFhIE FOLLOWING DECLARATIONS: Z J � � C1J a Z __IFiAVEANOW1LlMA1NTAINACERT1FlCATEOFCANSEw'TTOSFLF-INSUR£FORWORKERS' S ;� . `� "f�� Q COMPENSATioN,A6 PROVIDEO BV SEC71oN 3�0o OFTHE LABOR CODE,FOR THE PERiORMANCE W OF THE WORK FOR WF11CH THIS PERMI7IS I5SUE0. � 0 W __I HAVE AND WILL MAINTAIN WORKERS'COMPENSAriON INSURANCE,AS REOUIRED 8Y SECTION Q 37�0 OF THE LABOR COOE.FOR:HE PERFORMANCE Qf THE VfORK fOR WH��CH THI5 PERMR 15 ISSUE�.MVWORKERS'COMPENSATIONINSURANCECARRIERANDPOLICVNUMBEPAflE: CONSTRUCTION J j GAflFIER FRFM�3'f' �Y�VIPFNCIITTf1Tf _ PLAN REVIEW � POLICYNUMBER�R-749�7—n� � ^� ELECTFIC ¢ �J ��, r 0 (MISSCC710NNE�NOTBE�OM'LEfED�FTN[PERAMTISFORONEMINDHEDDOUAR3(51aDTjORt,255j. P MBI Z I CERnFY THAT IN THE PEFFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEq I MECHANICAL (!7 SHALI NOT ENPLOV ANY PERSON IN ANV MANNER SO AS TO BECOME SUBJE(:TTO THE � WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANOAGREETHATIGISHOULDBECOME iNSPECTIONFEE SU&IECT TO THE WOqNERS'COMPENSATION PFOVISIONS OF SECTION 37ao OF 7HE UBOR � = CO�E,I SHALL FORTHWITH COMPLV WITM TNOSE PROVIS10N5. ISSUANCE � SM�P p DATE: APPLICANP. _— w ENERGY P/C � WARNWG FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS I/NLAWFUL,ANO SHpLL BE � SUBJECTANEMPLOVERTOCRIMINALPENAIT�ESANDCIVILFINESUPTOONEMUNDREDTMOU5AN0 ENERGYPEAMIT DOLLARS(S1a0.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 37oeOF iHE LA80R CODE,IN7EREST,AN�ATfoRNEYS FEES. � RETENTION FEE: __ � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � I HEREBV AFFWM UNOER PENALTY OF GERJUAY THr1T h1ERE IS A CONSTRUCTION LENOING AGENCY � FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERM�71S IS3UED(SEC.3097,CIV.C.). .. , . . Z � . W I � LENDEH'6NAME �' �- . ..,....� . . .,.._:,. ,...<. . .. F— LENDER'SADORESS � .• � �CERTIFY TMA71 HAVE RERD THISAPPLICATION ANO STATE THAT THE ABOVE MFORMATION IS CARpECT. TOTAL FE ES . � , W ; d IAGREETOCOMPLYWITHALLCITYANDCOUNTYOROINANCESANOSTAYEV.VfSRElA71NGTO�BUILDiNG . _ CANSTRUCSION,AND HEREBY AU'HORIZE REPHESE�TATIVES OFTFIIS CAUN7Y 70 ENTER UOON THE Z ABOVE•ME TIONED PROPER7Y F INSPECTqN OUPPOSES. COMMENTS � �� �l� �`�� , . � Q � m PERMITTEE �t:*� 5� � � —/ -- i. � S�ONA7 E OF P RMI E DATE � ' = RECPt NO. PAID BY VA[�DATION'_ �. ~ WHITE—DepatlmeM Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—FOa Copy,GREEN—ApplicanYs Copy�� � � � - � � �.�-av,«:..�w�,..��n.m .. . - ----__—_ . _... . . .. . . . . . .. r„ ..t:;: ) .�,i,.:.,<:4r.�...u.�.:.,:�. .�,:;?y si �..nt,.`.11i a+i,.v'. r4,.a,'$i{j^w.� '+`�.�,.'m4 J+{,w-��� 'pt. ti . r ,. . � . .,.<. . ,e . . , . . . �'N`!^°��,1 .�:;:.by. .'+'�+p�� ts�f'(.,'7i;�'4.�:a«��- xi^.:,"SY�,=,ax, � n��Ne rrv . .. ;�- , n��`..'�.5'� . . .�i'%}�4 ,.."�".ss �"kto-;�,3?R�... u. :b'; . . .,..:,�-.., 6s9� '6J�,_6J1d17Y{.�1 9V..-���.: . ..;; �. . �. ;,a� ' I1�����B 9�� �������r ...,, ,� . .:';x ;�,v�^ ��'`.`a' � , ,.� .�....... ,. .. .�..., ,.r,.+a:,.,,. �: • � , � .�,.. . �.�.r .; ,.:. n, , o _.. .:..,_..�,�� , . � � 0 � � :_:. - :,...:.�._.,�.._...:�._, ,�� SET BACK . _ __._ FLOO�i JOiST_. - -- -- �=T�S/F�RIVfS/STEE� _ FHA REQf1�TS ,�-._ , -. :,:; •:' _. _...__,_._ ..:.� _._ . _ �LECTFdIC GRCJUIVD UN'DEPo FLOOR DUCT _____ , , . i"z�iCJl1�ID PLUfVI�9Nt�a _ `_;-', � UTJD�I; FL QR CUMDlJlT " _�: .., St..�4�GF1�DE ;;7 _ ___ _ ; . :�� ,,:. FiFi�#?LACE F�UPIDATION : . �„ 1 •:., �EMP}�OV1iER :._ _ __. _..__ :._ _ FER�PLACE BOI��8E�19V! „ ,., ., � -,; vua,�rE�s��vi�� _ _. _-- ;-_. , n�ro Mr Boiv���;an�. __ ; -- -�---. €�c�c��s��,ai�f�� _ s Fr. eorvei���;�, . , , � �, ,_. , . �F3AFdIING/`J�N71LtATi{�N ... ._ :: �IIVAL�3tJND SEAtvI , . :. � 9�Ot�FCUVER _ .�. .... , _-. ".__ PRE-Gr�ADING _.. _ _ __ _ r . , .. ;-.- - ——�� ..._.�.._. FiO�.,IGH HF�lTI�1G ' ' F.� _ :'' '_ BENCHf�6G _. . _... ._._...._�____..�..._____.____.._... + � � �`�' RQ�lC�E�.EGTF�IC _ , E�C>UGN GI�AC7ING __ _- .�/�: �.�_____ __-__, � _ ., , RC)L1GFi �LUMBfNt3 ' �19VISN GRADING ' .; " ` � _____r� lr��%���-____ �; . : �B-��'3UVE�UB T�S7 PC�Ok�EI�ECT�,IG, �- ., < 7 �XT.Lpi�'4-USi�lnlG _ _ ___ , , -. �.� _ � Ppt7L FEiVCCRI a . .. � . L�i�4Li�...B��9S�JU�T1ClN _._ __ . _. . _ -- �9 i PC�(JL Fi�lAL _. _ —____��______�._�� --_ --_ __=._ C�lLf9�lr'a li�lSIJLAT1tJt�!__ � � OFF Si��fMPS, `>' _ . . ,- ' ,.. 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