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HomeMy WebLinkAbout13218 (22) J�_ CITY OF DIAMOND BAR DEPARTMENT OF COMMUI�TITY&DEVELOPMENT SERVICES : � 21660 E.Copley Drive Suitc 190 (909)86D�3195 Fox(909)861-3117 PRESS ^�'�� BLTILDIIVG PERMIT APPLICATION FIRMLY o D RIESS I�Z 2-�. .�Df7�'��Vj_t.�/ ��� APPUCATION PERMR t 3�� P/C DATE NUMBER 11 � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER , ADDRESS ZONING SETBACKS �' CITY _. ZIP I TEL. REAR Rw ❑ � APPLICANT TEL. SIDE/SIDE SIAEET RW O CONTRACTO SIDE ❑ � ADDRE.SnS � , PqOPOSED USE CITY r�G-. ZIP r? TEL. � ARCFUENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y OESCRIPTION SQ.F1' FACTOR PSF AOJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADDIREM I IiEREBY AFFlRM UNDER PEN�LTY OF VE0.AIRY THAT I AA1 E%EMPT FpOM 7HE CONtRACTORS L4 GBfegfl�C81pOR B CENSELAWiOR7NEFOLLOWIN6i1Eti40N(BEC.7W7.68U9WESSANUPROFESSIONSCODE:ANYGT'ON � (n COLkRYMIlIICMREOUIRESAVEii/JRTO00NSTRl1Cf,AlTERWPROVE.OEMOLISH.ORREPAIRANYBTPoUG ; jyJ Pa�1Q/DBCk 7URE,PWOit TO fl'8 KBUANCE.AL50 REWIREB 7HE APPLMMIT fOR SUCH PERMR TO FlLE A BION[D ; W BTATEMENT 711AT NE OR SHE IS UCENSE�PURSUNfT TO TME VROVISIONS OF TNE CONTMC70q$LN CENSE LAW(CMM7ER i�COMMENdNO WrtH 9ECTION 7000)OF UIVISION�OF TME BUSINESs AND pRD. ' � PooUSpa FESSIOHS OODE)OR h1A?HE OR 8NE 19 EXEMPT hIEREFHOM AND THE BA315 FOR TNE 11LLF.OEO EXEMP• TION.ANYV�OIATIWOFSECfION7071.59YANYMPLICANTFOR�PERMI7SUBJECTSTFIEAPRICMlTTO � Z RB-R001 � AtJVIL9ENALTYOFNOTIbHETMANfNEHUNDRED00LLARS�t600).)' . .. 04�30NMEROFTHEPROPERTY,OHMVEIAPLOYEESWITHWAOE9ASTHEIq80LECOMPEN$ATqN, � L� Commercial WILL 00 THE WORK,M1D TME STRUCILRE IS NOT IMENDE�OFI OFFERE�FOR SALE(BEC.7Ml.BU54 � NEBS hYC PROPESSIdJ8 OOOE:TNE CONTMC70RS LICENSE LAw COES NOT APPLY TO AN OWNER OF ; � PROPERiT WF10 lU�DS Oq MPROVES 1MEREON,AND MI}70 DOE6 SUGH WORK NIMSELF OR HERSELFON TMROUONNISORFIEROVME4CLOYEES,PqOVIDEDTIREUGIIMPROVE6IENTSARENOTMTENOEDOq m OFFFF1m FOR9KE�F.NOVYEVERTME BUIIDINOOq MAPiqVEMINT IS SOID WrtHIN ONE YEAHOFCOMPLE• TIqV.TFIE OWNERSUIDER N7LL FUVE TME BUR�EN Of PfiOYNa TXAT Xf OR BFIE OI�ND7 BUIID Oq IMPiqVE POR THE PUPP06E OF lAIEJ. . O L�5 W'J�1EN OF iHE PROPERTY,MA IXCLU8IVELY ODNTMGTINO Y/ITH LICENBE�CONTRACTOR9 70 CdJSTNLICT 7ME PROJECT(8EC.70M,BUSINE55 AND PROfESSIDNS CODE:THE CONfMCTOR9 LI. � VelUltlOf7 ADJ.AREA � CENSELAYIDOESNOTAPPLYTOIWOWNEROFAPROPERTrMM1108UILCSORIAAPROVES7HEREON,MJO W11000NiRACT3WH0UCHVR0.1EGf8N7TiACONfMGTOH��)LICENSEDPURSUM/TTOTMECONTRAG� QUANTITY DESCPoPTION FEE � TORS LK�I/SE UW.�. J _ ❑I Mf EXEAIPI'UPOER BEG B.t P.C.FOP 1ri15 REASON � Q � U 4" DATE ONMER �� r � W LICENSE�CONTRACTORS DECLARATION W IMEflEBYAFFIRMUN�ERPENFLTYOFPERP/RYTNIUIMILICENSEpUNDERPf00VI510N50FGNAPTER� '� O�COMMEHCWOWITH9ECTION7000)OFONI9pN�OFTIIEBU5INESSANDPROFE55lON5CADE,MD . Z � W 11GEN5E IS N FULL FORC6AND EFFECT. m t_. o �agE�,Sg c-3� ���.��g3� _ .., � wrE �•!-'�r-s s o«�rrucTaa _ - �' - WORKERS'COMPENSATION DECLARATION � –� H ���., . �r ' �• ' U - . , .. � INER�VAFFIRMUNOERPENRLTYOFOERIURYONEOFTHEFOLIAWINGDECLAR/,7pNS: Z � ��,IfNVEANDWILLMANTAINACERfIFICATEOFCdlSENT.MSEIF-INSl1pEFORYADANERS" � � �� ' . � . . COMPENSATqN.115 PROV�DED B7 b'cC7�ON 7/0o OF THE IABOR COOE,fOA THE PERFOqMAMCE �U � ' OF iME WOIiK FOR VMICF/THIS PERMIT IS IS6UED. ,� G Q �I MAVE AND WILL LMIMAIN WORKERS'COMPENSA710N MSURANCE.AS REWIRED BY SEC710N a7ou OF iT1E 1A80N COOE.FOR TNE PEIiFOtiMANGE OF TFIE'MORK PDfl WMCN h115 PERMrt IS � ISSVED.MY N'ORKERS' Pp15ATpN INSURANCE CARRIER AND POIICY NUMBEAMRE�:y� CANSTRUCTION � GIRRIER s�1► PLAN REVIEW � ppUCYM1MBER EIECTRIC 0 �ge[cr�r�nnrgem,Ft�oFnfveanrsrix�ar��noou�spim� �ss� PWMBING �.�. tL G1!� Z ICERTIFYTHATMITIIEVERFORMANCEOFTHEWORKFORWHICHTNISPERMITISISSUED,1 MECHANICAL (y3' SFIALLNOTEMVLOYANYPERSONINNIYMANNER50115TOBEGONESUBJECTTO7HE � y W011KERS'COM�ENSATqN LAWS OF CALIFORMA hND AOREETl1/�T�1 SHOULDBECpME INSPECTION FEE =!1 �l�� S SUD.IECT TO THE YfON1(ERS'COMPENSATqN►ROVISIONS OF 6ECTqN 9100�F THE IABOP �� � F I�v� cooE i sHul wan�wrn�oorav�r wmi nasE Pnows�s. ISSUANCE � �•I.JCJ � � DATE: �Y-�riS APR�AM: � - SMIP ����- n.l�I,u' "T�"`���l WARNINa:FAILUHE TO SECURE WORKERS'COMPENSA71oN COVEMC�E IS UNLAVFUL.AND 6HI1LL 9E ENERGY P/C � �jVY (�y 8U&IECTANEMPLAYERTOCRMINALPENJLLTIESANDCMIFINESUPTOONEHUNDREDTF10U5AND ENERGYPERMIT��� DOlLAflS(i10D,000�.IN ADDITION TO THE COST OF COMPENSATIOhI,DAMA6E5 A9 VROYIDED PoR IN � SECTIDN 910!OF iHE LABOR L�ODE,IN7ERE5T,MID 11TfORNEY'S FEES. RETENTION FEE:B O CONSTRUCTION LENDING AC�ENCY PRE-AlT FEE: � IHEqEBVAFRRMUNDERVB�IALTYOFPERNNVhIATTHEREI3ACONSTRUCTIONLENDM�AOENCY WR7HE PEHFONMANCE OF THE WOHN FOq WMIdI THIS PERMIT IS ISSUE�(SEC.90p,CIV.CJ. � � LENOER•5 NAME _�_Q��1' J � lENOEH'SADURE55 � ICERTIFYiHATINAVEREADTHISAPPLICATIDNAN04iATETlN7TIE�BOVEINFORMA7pNISCORRECL TOTAL FEES � � I ACfREE TO LOMPLY WITI KL C�fY ANO COUNTY ORDINANCES AND STATE lAWS REl�T1010 TO 9UII.OINO � WNS7Rl1Cr10N,M0HEREBYAUTHDRIIEHEVRE3ENTATIVESOFTHISCOUMYtOENTERUPONh1E ABOVE-MEMIONED PROPERTI'PoR INSPECTION PUFiPO5E5. COMMENT'S 9 �_f��- m PERMITTEE W1ME WMNTj . . � / �f-g'4 S y SKiNi11711REOFVERMITTEE DI�7E , � RECPT.NO. PAID BY VALIDA WHITE--Depertment Copy,YELLONF�inence Copy,PINK—Asaessor Copy,(iOLDENROD--File Copy,OREEN--ApplicenTa Copy CITY OF D1/�1l1tONQ BAR � It�SPEC'i'iON f�ECORD . � � , . i . . � � , . ! . SET BACK ' � FLOOR JOIST ' FTGSIFORMS/STEEL FHA REQMTS � ELECTRIG GR�UND UNDER FLaOR DUCT , , GFiOUND PLUMBING � UNDER FLQOR CO�I�UIT . SLAB GRADE FIREPLACE FOi1�1DATlON'• � - � TEMP POWER FIREPLACE BOND BEAM. � WATER SERVICE MID HT. BOND BEAM' � • - - ROOF SHEATHING' - - ' 8 FL BOND B�AM � �� • FRAMINGNENTILIATION� FINAL BOND BEAM I ROOF COVER PRE-GRADING ' ROUGH HEATiNG BENCHING • ROUGH EL�CTRIC ROUGH GRADING • ROUGN�F'LUMBING FINISH GRADtNG.,r SHOWER/TUB TEST ' POOL ELECTFiIC EXT.LATH/SIDING j POOL FENCING WALL INSULATION PO�L FINAI. CEILING 1NSULATION OFF S17E IMPS. DRYWALL NAILING DE�ICATIONS SEWER FINAL ENG. SEP7iGTANK �-�.. LANDSCAPE/IRRIG. �SEEP P1T/L,.L. ^ I ON S1TE IMPS. � ,_ { � � GAS AIR TEST i FINAL ZONING � FlNAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL ����J FINAL ELECTRiC ; � � DEV.�EES PAlD j FINI�L P�UMBING - ,, . ( ' � _ T'1 ENERGY � �_ . , ' ` o � _.— �.-��- ; . _. :` . ' E �OMMENTS ua dcCEss .�►� �.�( sa `RF9c�ti� ,�,,_ �2�'�► a � -Z2" C.OQSt �'�c�V 1.9oTRC� t.LF? �L"��"T �a 1✓2cd� vl?J�t.s�c� , i+P QRA1� vlu� -tc dE�"�,�o� ` -Z - a+c Caa.tita. � ��uus- �t' ��-�— � _ � � ' � SEPTIG TANK SIZE SEEP PIT/U SIZE '-' �`-- -'--` , ' „ __ ` , t ..,� .