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HomeMy WebLinkAbout10698 (7) CITY OF DIAMOND BAR EXPIRED COMMUNITY DEVELOPMENT DEPARTMENT ��OV 2 9 2000 :,.� . 21660E.CopleyDriveSuitel90 PRESS (909)860-3195 Fax(909)861•3117 ^'�^"� BUILDING PERMIT APPLICATION FI R M LY o AD RI SS ���� 5�����i`� ��"' DATECATION G7�i�,.—y�J NUMB R D k,C l J J � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER ���CASTiGG o " ADDRESS S�i�7 ZONING SETBACKS � � APPLICANT /j'Ifl/J��'/�TEL. J�I REART RW . ❑ . � � SIDEJSIDE STREET RW ❑ � CONTRACTOR /.�/AL�fivT I�/ILL y _ 'G SIDE ❑ Q ADDRESS ��SO C` _ ����— � C�7y Gl/ii:.vliT ZIp TEL. 5'"i�%�T�`1 PROPOSEDUSE - • o ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. . n. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. � DESCHIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � p� OWNER-8L'IIDER DECLARATION SFR/ADD/REM O p 1 NEREBV AFFlRM UNOER iENALTY OF FEfWRY TW�T IAM E%EMPT FROM THE CONTMC70R5 U• Gg�e�e�� . W CENSEUWFORTHEfOLLO1NINf3REASON(SEG7W1.6BUSMESSANDVPOFESSIONSCOOE.ANYCRYOR (n U COUNTYWMCHRFOUIRESAGERYRTOCONSTRUCLALTERIMVHOVE,OEMOUSFI,ORREa11RANYSiRUC• W P81i0/DBCk �VTURE,iR1DR M RS ISSU�NCE.ALSO REdlWES TME APVLIUJfT iOR SUCH iERMIT TO FILE�SIGNED W � S7ATFMEM THA7HE OR 571E IS LICENSED VURSUANT TO THE VROVLSIONS OF T11E CONiRACi00.4 LL � CENSE UW(pUPTEH�(CddMENCINO WITH SECTIOH 7000)OF DMSqN 7 OF TME BUSIHESS MID PRO- V" P�� FESSIONS CODE)OA TWtT HE OR SHE IS E%EYPT TMEREFROAIIND iHE BA515 FOR THE AlLEOED EXEMP- TqN.AHYVIOIATIDNOFSECT10N70]1.68YANYI➢Pl1GWTFORAVE1W�iSU&IECTSTMEAPPIICAN7T0 Z 9•qpp� z OO � O � A CML 7ENALTY OF NOT MORE TW W ME NUNDRED DOLURS f�`+�1 Y � 04��MEROFTVIEP110VERTY,ONMYE4PLOYEESWI7MWACESASTHEiRSOIECOMPENSATqH, Q L`pmmBrCi81 �SOO•Ub YALL 00 THE WORK AND THE STRUCTURE IS NOT INTEIOED OR OFFERED fOq SALE(SEC.90ar.BU51• J NESS AND Mi0FE5510H5 COOE:THE COHTMCTORS IICENSE UW DOES NOT�VPLY TO AN OWNER OF N OROPERTYNMOBUlD30HIYVRDVESTFIEPEON.ANDMM1IODOESSUCHW'ORKNIMSELFORHE0.5ELFOR = [C THf10U�NNISORHEROWNEAIPLOVEES.OROVIDEDTHATSUCNWPROVE4ENT5ANENOiME�OE�OR C� 0 OFFEREDFORSALEIF,NON�EVERTMEBUIIOwCORMPqOVEMEHf1550lDWRHNONEYEMOFCOM0.E• Z TqN,iHE OwNERbUILDER VALL/i�YE 7HE BURDEN OF PROVNO TFUT HE OR BME DID NOT BUIID OR „ � MiROVEfOFTHEVURPOSEOFSALE} . w Ot�O'NNEROFTHEVROPENT`I,AME%ClU51YElYCONTMGTNUYAiHLICENSEDCONTMGTORS � TO CONSTRUCT THE VRQIECT(SEG 70N.BUSINE55 ANO PROFESSIONS CODE:711E COHTMCTOHS LI• V91U81fOf1 ADJ.AREA CENSE UN�OOES NOTAP%YTOAN OKNEfl OF AVROPER7V WHO BULDS OH MVHOYES 7HEREON,►f0 � NnqCONTRACTSFORSUCHVRWECTSWITHACONTRACTOR(S)IICENSEDiURSUANTTOTHECONTMG QUANTIN DESCRIPTION FEE � - � TORS LICENSE LAW.�. �J 0 O IMA EXEMPT UNDER SEC. B,a P.G FOR TMIS REASdJ Q � `—' Z S i Sf//.�.�G � ¢ DATE OWNFR V Z W ¢ LICENSED CONTRACTORS DECLAAATION W d✓L" �cJov.� SHi�✓�c , OC INEREBYAFFIRMUN�ERPENAITYOFVE0.AIRYTHATIMALICENSEDUNOEROROVI5iON50FdUCTER V, p, f(Cp.MAENCINOWIT113ECT10N7oaD)OFOMSi0N70FTHEBUSINESSANDPROFES510NSC00E,AND Z X NY UCENSE IS N iVLL FORCE AND EFFECT. m 0 LICENSE CU�SS "' _�� IIC.NO. ���/ Y S ? V DATE %�� S � CONTRACTOR �r / a W � WORKERS'COMPENSATION DECLARATION ��3� � � U N 1 HEfiEBYAFFIRM UNDER PEN+LLTY OF VEIWPY ONE OF 1NE FOUAVNNO DECUMTqNS: Z � _INAVEANDWIL►IMRAINACERTIFlGTEOFCONSEHTTOSELF•WSUREFOi1WOHKERS' � � COMPENSA710N,AS VROYIOED BY SECTION J7ao OF iHE LIBOit CCOE,FOR iHE PER�OfWANGE �U � OF hIE WORK FOR WMICH TMIS VERNIT�S ISSUED. � � _INAVEANDWdLYAartAINWOPXER5COMFEN5ATI0NIN5URIWC[.ASREOUIREDBYSECTION �/J ` � 4Q �70o OF T11E UBOR OOOE,FOR THE PERfORAUNCE OF THf W0(iK FOR WXICiI iH15 OERMR t5 �S � LSSUED.MY WOHKERS COMPENSATION�R.WCE CARRiER/NO POIICY �ER � CONSTRUCTION tJ j CARfUER ,` ��,✓'' PUUJ REVIEW � GOIICY NUMBER_ �- ��Y�7�"— ELECTRIC 0 (nassEcm+NE�r+oTB[07�ilETIDOFMPERMTlSW17d+EHl)�Oi1EDOCLLI�Sp+ODIORlFss1 PLUMBING Z ICERTIFYTNAT W THE VERFORMINCE OF 7ME WONCFOR WNICFI Tn5 PERMiTI5155UED.1 MECHANICAL (,'} SHALLNOTEYPIOVANYYER50NYlANYMANNERSOA4TOBECOMESUBJECTTOTME y VNDRKERS'COMPENSATpNUV/SOFCALIFORNIA,ANO�GREETHATIF15110ULDBECOME INSPECTIONFEE S SUBJECTTOTHEMq�IKERSCOMPENSATIONP1iOV1510NSOFSECT10N77000FTNEUBOF � COOE,1 SHALL FORTNJITH COUPLY WITHTHOSAE GHOV��1SIOyMS. l �SSUANCE � �9 s-5� _,f�'/��C��C... �l/l��I.�7N SMIP i�. '4 �QQ DATE: APPLICAHT: WApNINaFA1LURETOSECUREWORKERS'COMPENSA710NCOVERAOEISUt1AWFUl.AN�SIUILBE ENERGYP/C � � bUBJECTMIEMPLOVFRTOCR9ANAL7ENALTIESANOCMLFNE5UP700NEHUNDREDTIWSAND ENERCaYPERMIT OOlLAR3Ilt00.00U1.W ADDITION TO THE C06T Of COMPENSATqN,DALAGES AS GNOVWEO FOR W J/� J SECTION770sOFTHELABd1CO0E.IN7ERE5T,ANDATTORNEV5FEE5. ' RETENTIONFEE: �C� I� � 14Q7 a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �T O � IHEREBYAFFlRMUNDERPENALTYOFPERAIRVTHATTNEREISACp15TRUCTIONLENDIN�AGENCN FOR THE PERFOi1MANCE OF THE YVORK WN MMIC11 THiS PERMIT IS ISSUED(SFC.7Du1,pV.C.�. � � LENDER'S NM�E � � � IENDER'SAD�RESS � ICERTIFYTMATIHAVEREADTIISAPPUGTqN�NOSTATE7NATT1EJIBOVEPlFORYATqNISCORAECT. TOTAL FEES d I AGREE TO COA1PlY VrtT11 ALL CRY AND COUNTY ORO WANCES h1b STATE UwS RELATNQ TO BUILDiNO � � CONSTHUCfqN.IND NEREBY AllIYiORQE NEiNE5EMA7NE5 OF Tw4 COUNfY TO EN7EN UPON THE � � S�. A60VEd1ENTqNE�PNO�ENTYFONWSPECTIONiURPO5E5. COMMENTS � /;f�G..- /f�h���sOM � m PERMITTEEWWEIPN � !/��� �. " �S'�7 N BM.NAiUNEOFiER41REE DATE � RECPT. � PAIO BY V/WDATI . WHITE—Depanment Copy,YELLOW—Finance Copy,PINK—Asse66u Copy,GOLDENROD—Fib Copy,GREEN—/1ppllcanCs Copy _ .. ' ' . . "1:T .. � � 7' . �. �6e,'•k' '1'., .:�. � �.`.y�� -'��; . ' . ti,..� � .�4:=-.n^:i• .�•� ....�_.ti....• �. i . .. 4 � �.. ���� .r`I:YI��� . i.}i.��a.'t�•.�;. � CITY OF DIAE�;OiVD [3RR�' �'�- � ' "� � " � ' �- �: , , ��; ..�� . . , . :,.. _ . . � ._._.. . - : ':�;.. II�lSPECTI��J F�CCa�',D ,, �, � '��� .. =:. . �- . ,, �� �• :-... ;� . . ! . ,..�.. ., . ,. . . .. . �1��-y�.��'°�t{C��qi. �._' ��'v�l=� _U����_�',���'�' � � ����'��:'�°�.�°�.�a._---_ �'����`� !I►��-�:��cy�iiN��� —..� _ - - ._,r _.�:_._ .r _ - . _. _ �. .._�,�__ SET BACK-,-: - ----- � � - - -----...._. _...._. �:.••; - FLOQRJOIST------- - - ' . . ._. .- -- - - -- - -- ----- ----.. - - -- ------- - FfGS/FORMS/STEEL-- - --- � . ..� --- � - ---- -- - 'FHA REQ'viTS------ - - .., - � ---..__ ._ ,. --*'--. ELECTRIC GROUND . ' - . 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