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HomeMy WebLinkAbout11277 ---�� CITY OF DIAMOND BAR • � '�? " I i COb7MUNITY DEVELOPMENT DEPARTh4ENT ,� / � .,.� 21660E.CopleyDriveSuite190 � PRESS (909)860-3195 Fax(909)861-3117 '�^'� BUILDINGPERMITAPPLICATION , FIRMLY ' o� JOBSITE �2 4?iy-� �2�T-���� �� DATE CATION 7 �'J �' � NUMB R �� p!C 'D ADDRESS ���/.G L- � � APN LOT ��� TRACT�iC�f�'1 I ISSUE � . ,TYPE ' '. =OCC DATE CONST. GROUP p OWNER ��1L CC�t.� " ADDRESS ZONING SETBACKS z CITY RIrY�A7D IP TEL.'•� FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR . ' SIDE ❑ Q ADDRESS Z a � �✓ ' . � tn� ' � CITY ZIP TEL 7f� 4fa7�-23L. PAOPOSED USE Q���^ ' ��"`^�l LvA"�I w ARCH/ENG/ �r� C���� ��,'1�,?,�z. z DESIGNER �:�+G•�^T NO.DWEL NO. • ' NO. � a ADDRESS UNITS STORIES BEDROOMS = CIN ZIP TEL � � >� - � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � ONMER-BI:ILDERDECLARAT�ON � ; . SFFi/AD � �'V O - p. I HEREBV AFFIRM UNDER PENAL7Y OF VE0.RIRY TF1�T I A1A E%EAIP7 FR�A1 T11E CON7MCTORS L4 � Garage/CarpoR � � W CENSEUWFORTMEFOLLOWINGREASON(SEC.7o71.SBU5INESSANDDROFES510NSCODEANYCRYOR U �qJNTYWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER�MPROVE.DE�OLISH.ORRCPA:RANYSTRUG W patidDeck W TURE.PH10fl TO RS ISSUANCE,/LLSO REOUIHES THE APPIICANT FOR SUCH PERMIT TO FILE A SIGYCD W ` STATEMENT THA7 HE OR SHE IS UCENSEU PURSUANT TO THE�HOVISIONS OF THE CONiRACTORS LI- LL , � � CENSE UW(CHAPTER G�COMMENCINO MAiH SECTION 7000)OF DIVISiON 90F THE BUSINE55 AYD PRO- PooUSpa '�. . . FESSIONSCO�EJORiMATHEORSHE15EXEMPTTMEREFROA1MlJTHEBA515FDflTHE11LlE0EDEXEM7• � (r} � TION.ANYVqUT10NOFSEC710N7o]f.SBVANYAPPLIGN7FONA7ERMIT5t1EilECTSTHEAPVLIGNTTO Z (aB.Rpp� � ' A CIVIL PENALTY OF NOT MOHE THAN FNE HUKDRED DOLLARS�5500)): � OI.ASOWNEROFTH[PROPERN,ORMYEMP�OYEESWITHWAG[SASTHEIRSOLECOIAPENSATqN, � O �mmercial � Z WILL DO THE WORK,AND THE S7RUC7UFE IS NOT INTENDED OR OFFERED FOfi SALE ISEC.70��.BUSI• _! � NE55 AfiD PROFESSIONS CODE:THE CONTRACTORS UCENSE lAW DOES NOT�PPLY TfJ AN OWNEq OF � . , PHOPERTY WNO BUiD50R IAIPROVES hIEREON,AN�VAiO DOES SUCH WORK MIMSEIF Oq HENSELF OR � THROtJGHHISORHERON?JEMPLOYEES.VROVIDEOTHATSUCHIMPROVEMENTSARENOTWTENOEDOR m . ' W OFFERE�FORS.LLEIF,i10WEVER1NE9l11L01NGORUAPROVEIAEM1550LDNnTHINONEYFAROFC0IAPLE- � TION,TME OwNER-BUILDER VnLL HAVE THE BUROEN OF PROV:NC TFUT NE OR SHE DiD NOT BURO OR Z RAPROVE FOH TH[PURVOSE OF SALE). ' � ' � ' w O1�50WNEROFTHEGROPERTY,AMEXCLUSIVELYCONTNACTINOWRHUCENSEDCONTMCTOq3 Q TO CONSTRUCT TME PROUEGT(SEC.7a�a.BUSINE55 AND PFOFESSIONS LODE:TME[ONiR�C70R5 ll- VaIl181i0f1 AOJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAGROPEH7VWHOBURDSORIMPflOVE57MEREON.AND � WHOCONTMCiSFORSUCHPRQIECTSWITHACONTRACiOR(5)LICENSEDPURSUANTTOTHECONiR�G QUANTIN DESCRIPTION� � � FEE Y NRS LICENSE UN�.�. _ 0 O IAM E%EMP7 UNDER SEC, B.8 P.C.FOR THIS RE°MJ � U � ► � � . ' ' � � � . �.' . . - LL" DATE OwNER Z W . � UCENSED COPlTRACTORS DECLAFIATION . W r��, .' • � IHEREBYAFFIRMUNOERPENhLTYOFVERJURYTHATIAMLICENSEDUNDERPPqV15�ON50FCHAVTER � � , � v(C01.1MENCINGWRHSECTION70oo)OFDIVISi0N70FTME8U5�NE55ANOPROFE551ON5000E,AND Z X" 11V LICENSE IS IN FULL FORCE AND EFFECT. � LLJ /� � UCENSE CLA55 R�� LIC.NO. O � I V j � . V DATE ����� CONTRACTOR a _ - � � WORKERS'COMPENSATION DECLARAT�ON �i –� � 7j�-`� < .� I HEREBY AFFIRM UNOEH PENAL7V OF GERJURY ONE OF 7HE FOLIOW:NC OEQAMTION�` J Z , ... � � O �HAYEAND'MLLMAINTA:NACERiIFIGITEOFCONSENTTOSELF-INSUR[FORYIORNERS' $ � � C0IAPENSATION,AS VRONOED BY SECTION 7TOOOF iHE UBOR COOE,FOR 1NE PERFORMANCE W OF THE WORK FOR WHIdt 7HI5 PERMIT IS ISSUEO. � � W _IHAVEMID'MLLMAIMA:NWOW(ERS'CAMPENSATpNMSURlWLE,ASREOUIREDBYSECTION ���� �� Q 37o00FTHEUBORCOOE.FORTH[DERFORYANCEOFTHEWORXFOHWHICHiHISPERA/1T15� � � � ISSUED.MYWORKERS'COMPENSATIONINSURANGECMRIERMIDPOUCVMIMBERARE CONSTRUCTION J •f � CAFiRIER PLAN REVIEW Z pa�crN�^"oER " ELECTRIC G � � ¢ 0 (1}YSSECTIQVAE�NOTB[COMRFTmOFhE7EiAffBiORONEH�l�tX1ED00lU1LS(Si0%ORLESS�. PLUMBING Z I CERTIFVTHAT N TME PERFORMANCE OF iME WORK FOR WHip1 THiS PERMITIS ISSUED,I MECHANICAL C7 SIIALL NOi EMPLOY AN'/PERSON IN AYY MANN[N SO AS TO BECOME SUBJECT TO THE " N WORNER5COMPENSATIONUWSOfCALIFORNIA,ANDAGREETHATIFISMWLD e INSPECTIONFEE SUE3JECT T0 7HE WORKERS'COMPfNSAT10N VRONSIONS OF SECTION 37 F HE U � � cooE,i sH�w.coan+rnn�coe+a� SE PROVISION ISSUANCE /�� pDATE: ���8 APPLICANT: SMIP ` \ N�D J WARNING:FAILURETOSEWREWOfiKERS'CO�APENSATIONCOVERAGEISUNUN'FUI,ANDSN�LLBE ENERGYP/C C � SUOJEGTANEMMOYERTOCRIUINALPENAL7IESANOCNILFWLSUPTOONEMUNDRED71iDU5AND ENEFGYPERMIT DOlURS(51ao,000).W/�DDITION TO iME COST OF COMPENSATqN,DAMAGES AS PROYi0E0 FOR IN � SECTION770lOFiHEL100RCODE,MITEREST,MIDATTORNEY'SFEES. RETENTIONFEE: ���� a CONSTRUCTION LENDING AGENCY . PRE-ALT FEE: y � O � IHEREBYAiFIFA1UN0ERGENALTYOFPERIURVTHA7THERE1511GON57RUCfIONLENDINGl1GENCY FOR iHE PERFOfiMANCE OF THE WOHK FOR WHICH iMIS PERMITIS ISSUED(SEG OOW,CI¢CJ. Z W � LENDER'SN�ME � . C IENDEHSADORE55 � � � TOTAL FEES I r� � U � ICfRTIFY7NATIHAVERE.4DTN15A7DUCATIONANOSTATETMATTNEABOVEPIiORMATIONISCORRECT. W I AGREE TO COMPLV wITM ALL CIiV IW'J COUNTY OROINMlCES M10 STA7E Uw5 RELATtNG TO BUILDINC � CONSTRUCTION,AhDHERCBYAU7HORREREPRESENTATIVE50FTHI5COUNTVTOENTEflUPONTHE - � 1180VE�MEMqNEDVROPERNFORINSPECTqNPURPOSES. z ' COMMEMS o �� � � � m P AUE IVHiNT) . ¢ �, .�v � . � SiGNA FPEW.�ITTEE DATE � — � RECPT.NO. • PAID BY. VALIDATION WMITE—Department Copy,YELLOW—Finance Copy,PINK-Assessor Copy,GOLDENRO�File Copy,GREEN—Applicanfs Copy _ . . . � - . .. ,� ,,. ,�. ......_.��, � . ..'• rt ,�f, �!._i ..� . ,� L, . . , . .�. .. 'i • .- . � ;P.��. . . a..., . 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POOL•ELECTRIC � EXT.LATHlSIDING Z� POOL FENCING WALL INSULATION .. ... _. . - -- POOL FINAL CEILINu INSULATION � � - � OFF.SITE IMPS. DRYWALL NAILING _. . . - - DEDICATIONS ' SEWER _. ___.. . - - FINAL ENG. SEPTICTANK _ ---. . - - -- - - LANDSCAPE/1RRIG. ' ,,. • SEEP PIT/LL .._ - - - . ,. ON SITE IMPS. GASAIR7E5T-•! - - �' • � FINALZONING , ' FINAL'CONST. � / 8 � FIRE DEPT.FINAL � - � ~ FINAL HEATING ,- - - HEALTH DEPT.FINAL - . �, � FINAL ELECTRIC "" f DEV. FEES PAID ; FINAL PLUMBING ' ENERGY ' _ , .. 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