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HomeMy WebLinkAbout17376 CITY OF DIAMOND BAR EXPI R ED -�� � DEPARTMENT OF COAM�IUNTIY&DEVELOPMENT SERVICES z�su E.copi�r nr��� J UN 181002 (909)860-3195 Fax(909)861-3117 PRESS `��� BUILD[NG PERMIT APPLICATION FIRMLY ¢ ADDRIESS I O 3� S�V t-�-- ��L APPLICATION ,.�� PERMIT P/C p DATE��_NUMBER f 737� M � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �4 f"`�k� p ADDRESS 4 ZONING SETBACKS z CITY ZIP TEL. � 1 FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDEISIDESTREET RW ❑ � CONTRACTOR ' � ��� ��Zo /�p'! SIDE p ADDRESS � •L bn 1 �. ��" � CITY.�'1�Fw.. L.r»1e. ZIP�TEL. �/!fl� P P05ED/USE� E �L �� s 1►. Iw.�- /�' o O ���' {GK ' a t J w ARCHIENG/ � DESIGNER NIP'r' ���� � ��g? � ADDRESS NO.DWEL. N0. NO. � CITY ZIP TEL UNITS STORIES Z BEDROOMS�_ � DESCRIPTION SO.F7: FACTOR PSF � ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFRIADO/REM � O I HEREBY AFFIRM UNDER VENALTY OF PERNRV 7HAT I AM E%EIAPT FROA1 THE CONTRACTOFlS L4 Get8g8/C81pOR W CENSEUWFORTH6FOLLOWINfiREASON(SEC.7m1.6BUSINESSANDPROFESSIONSCODE:ANVCIT/Oq (n U pp�ryryWMIG1qEpU�qESAGERMRTOCONSTRUCT,ALTER,MP1iOVE,DEMOLISH.ORFEPNRANI'SlHUG W P01i0/DOCk � TURE PRqR TO ITS lSSUANCE.ALSO REOUIHES THE A7PLICANT FOR SUpf VERMIT TO FILEA SIONED W 6TATEYEM THiIT HE OH SHE IS UCENSED PURSUItR TO TNE PROVISIONS OF TF1E CONTMCTORS ll- � CENSE lAW(CMAPTER Y(COMMENC�N�WITH SECTqN 7000)OF DIVISION 70F THE BUSINESSANO PR0. �- PooVSpa iESSIONSO00E�0iiTHATNEORSHEISEXE4PTTHENEFppAANDTHEBAS15FORT11E.LLlE6EDE%E4P. (� � TION.ANYYIOLATqNOFSECTION70�1.60VANYMPLICMITFORAFERMIT6UBJECT3THEMPLICANTTO Z Re�Roo1 � ACMLPENAL7YOFNOTMOPE7HANFIVEMUNDHEDOOILARS(f5ao1): � p OL��NEROFTHEVROPERTY,OFMYEMPLOYEESWITHWAGESASTHEIpSOLECOUPENSATION, � �mmercial � ' - . Z 1MiLL DO THE WORK,/ND TNE STRUCTURE IS NOT INTENOED OR OFFERED FOR SALE(SEC.7a�,BU56 J N NESSAND VHOFESSIONS CODE:THE COMMCTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF � . PNOPERTY M710 BUKDS OR IAIPROVESTHEREON.AND NM1q DOES SUCH WORK NIAISELF OR NERSfLFOR ('L T7RpU0HHI50RNEROWNEMGLOYEES,PROVIDEDTH�TSUCHIMiROVEMENTSARENOTINfENOEDOH m � OLFEREOiOR3ALE.F,IqWEVE0.TME8UIt�INaOHIMPROVEMENTISSOIOWITMNONEYEAROfCOMq.E• z TpN,THE OWNER�BUILpEH WILLlMVE TME BUF7DEN OF PROVIN6 iHAT HE OR SHE�p NOT BUI�D OR � MPROVE FOR TME PURP0.5E OF SALE} . O L�ONMER OF 7HE CqOPERTI;AA1 EXQUSIVELV CONiMCTN6 WITH LICENSEU CON7iUCTORS Q TO CONSTNUCT TIE PRQIECT(SEC.7DN,BVSINESS AND PROFESSIONS CODE THE CONTMCTORS LI- V811181i0l1 ADJ.AREA W CENSEUWDOESNO7MPLYTOANOWNEROFAPROPERTYNTq8UttD50RIMPROVESTMEREON,AND � N110pOHTRACTSFORSUCHVR0.1ECT5NnTNACONTMC70R(SJLICENSE�GURSUANTTOTHECONTiUG QUANTITY DESCRIPTION FEE � TORSUCENSEUW.). � OIAMEXEMPTUNDERSEC. B.lO.C,FORTHISNEA50N U � DATE OWNEN � � W F�[ LICENSED CONTRACTORS DECLARATION W Q IHEFEBYAFFIRMUNOERVENALTYOFOEiWRYTHATIAMLICENSEDUNDEHVRON510NSOFCHAPTEH �. p_, y(CqAMENCpJOWR115ECTION7000)OFOMSIDN]OFTHEBUSINESSANUPpOfE55lONSCOOE,NlD Z >< 1.1Y LICENSE IS M FUL1 FORGE IWO EFFECT. m o ���aSE� SS c-3� ���.No. Y���� � v o+�� 11��f(�� corarrucroa �41• �fd_� a w � WORKERS'COMPENSATION DECIARATION a � 1 HEREBVAFFlRAI UN�ER PENKTY OF PERAIRY ONE OFTNE FOLLOWING DECIAMilONS: Z � �IHAVEMlDY/�LLAI�MTNNACERTIFICATEOFCONSEMTOSEIF-INSUREFORNpRKERS' _ COMVENSl�TION,115PRW�OEOBYSECfIONsrooOFTNELA8011LODE.FORTMEVERFORM�NGE W OF THE WORK iOF WNICH TM�S 7ERA11T 13155UED. � � � �I HAVE AND WILLLUINfAIN WORKERS'COMPENSATION INSUMNCE.AS PEWiRED BV SECTqN ,�� �Q Q ]7oo0iTMEUBORCO�E.FORTHEiERFORMANCEOFTNEWORKFOHWHIp1TNI3PERMITIS 0 ISSUED.GV V/ORKERS COMiENS TION INSURANCE C�PiER A!A POLICV NUABER ARE: CONSTRUCTION � CARRIER N� -+��� cas• � PLAN REVIEVV � POLICY NUTAOER W 4 Z�(�j� �1 ZG� ELECTRIC � �ssEc�prrrkmrpTeEmx+�imoFnEpcw..�rs�oniE�opottu+sg�a�oqtessy PLUMBING z ICERTICYTHATINTHEVEfiFORMANCEOFTIEW�ORKFORWHICHTHIS0ERYITISISSUED,1 MECHANICAL (,' SMALLNOTEMVLOYANYVER90NWANYMANNER50ASTOBECOME5U0JECTTOTME _— ; N WORKER5fAM7EN5ATqNUW50FCALIFORNIAAN011GREE71UiIF1511W1D8EWME INSPEC710NFEE 'sz�'� �-� `' r " S SUBJECT TO THE WORKERS'MMPENSATqN PpOVISbNS OF SEMbN]70a OF iHE U80R i � ' coo isH�}Foanrvnn�cor.�P�rwimnaserarn.nsarrs / ISSUANCE pOATE:_t1�.�u1�' APPLICANT: �'�"' ' �`7-•-7—mr SMIP 'a � ENERGY P/C WARNIN6:FA0.AIRE TO SECURE W�DfiKER3'NMPENSATqN COVERAOE IS UNUWFUL,ANO SMALL BE � ("y SU6)ECTANEMPIOVENTOCRIMINALPENALTIESANDGYILFINESUVTOONEHUNOREOTHOUSu�U ENERGYPERMIT DqURS p t oo,000),N ADDITION TO TNE COST OF CqAPENSATION,DAAIAGES AS PRONDED FOR IN � SECTION 07oe OF TME VBOR COOE,WTEREST,ANOA7TORNEYS FEES. RETEMION FEE: ��� pw., CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O Q IMEREBYAiFIflMUNDERPENALTVOFPERIUR'/THATTMEREISALONSTRUCTIONIENDW�AOENCY p- FORTHE PERFORAMNCE OF THE WOHK FOR WHIp1 TMIS PEfW�T IS ISSUEO(SEC.7oY7,G�V.C.). . � � LENDERSNAME � LENDER'9�DORE33 3� � ILENTIFYTHNTIMAVEREADTMISAPPL1CATqNAN05T11TETHATTMEA80VEINFOflMATqNISCORRECT. TOTAL FEES /y7 W 1 AOREE TO LOY7LV WITH ALL LITY INO COUNTY ORDINANCES ANO STATE UIWS REUTINO TO BU4�INO � CONSTilUCT10N,ANOHEHEBVAUTMORREREPRESEN7ATIVE50FTHISCOUMYTOENiEpUVONTHE Z ABOVE•MENTIONEOPRO7ERT/FORINSPECTIONPURPOSES. COMMENTS � � •W EK$crL' m PERMiT7EE NAME(ORIM) ' � � 0 � SIONATUREOf EE O E � RECPT.NO. PAID BY VALIDATION WHI7E—Department Copy.YELLOW—Finence Copy.PINK—Assessor Copy.GOLDENROD—FileCopy,GREEN—Applicant's Capy ...i' �.- � . � r .....� .� .�.;.w_....��.....�...� �....�._.y.';.� L " � S" .�'t'�. � � �� . �� • � .'ai < �.�..• • N' ��R� . -�r—.... .. — . . . . . . .. . '�'�� . .. . "Y.. ., • . �;(. 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GAS AIR TEST � I , FINAL Z�NING { FINAL CONST. � � ' � �lRE DEPT. FINAL `� FINAL HEATING I f HEALTH DEPT. FIPJAL - . FiNAL ELECTRIC � ' � DEV. FEES PAID FINAL PLUMBING ' I I ENERGY I i 11 ' ' c� =.��`� �'�o Q�e�: -- - COMMENTS . � � SEPTICTANK SIZE SEEP P1TlU SIZE ------.--------� � ���. . . � � �'����' '�' - - � . , � ......�...........r....�''�..__ .�� ' � . , - � ` . , . �. .�.. ., , .