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Home My WebLink About14195 l � , � � i3 � _fF� CITY OF DIAMOND BAR „/ ` DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICE� SJ/ 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ��'+�'� BUII.DING PERMIT APPLICATION ' FIRMLY � JOBSITE APPLICATION PERMIT I I P/C o ADDRESS 2005 Si lv r Hawk nriva � mi fis DATE 7�22I99 NUMBER # c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. UN GRouPR-3&U-1 � i ver aw p OWNE�r — ADDRESS 2OOS Silver Hawk Drive zoNiN� SEBACKS � CITY ' ZIP TEL. FRONT RX;sr, S P1 a,�W ❑ APPLICANT O ari TEL.�+�-7+�C_ REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTO _Timherl anc� SIDE ❑ � ADDRESS �g�5a� ree PROPOSED USE S3me � CITY RrPa ZIP q�R�7 .TEL71L�—S]9-3J1 �� ARCH/ENG/ J:M. Nolan DESIGNER NO.DWEL. NO. NO. ADDRESS a a asas 08 Sitlte UNITS 3 STORIES 2 seoRooMsSee P1 n NCITY'��l�l-��c�g ZIP o��n� TECR7f2_79/._/�OF7 � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O � I MER�V AFFlRAI UNDER PENALTY OF PER0.IRV TFUT I AM EXEMPT FROM THE CONTRACTORS ll- G8f896/CBfPOf} CENSEIAWFORTHEFOLI.OWPIOREAuON(SEC.7031.SBUSINESSANDPFOFESSIONSCODEANYCITVOR � (f� COUHTVVMICHREOUIRESAPERMfT7000NSTRUC7.ALTER,IMPROVE.DEMOLISH,ORREPAIPM1V57AUG W Pgl��k TURE,PRIOR TO RS ISSUANCE,AL50 REW IRES THE ACPLICANT FOR SUCM PERMIT TO FILE A SIONED W STA7EMENT TNAT ME OR SHE IS LICENSED PURSUANT TO THE PROVISlONS OF 7HE CONTRACTOR9 LI- � (ENSE UW(CHAPTER Y(COMMENCWO WITH SECTION 7oDo)OF DIVISqN 3 OF THE BUSIHESS AND PRO- u- PooUSpa FE3SIONS CODE)OR iHAT HE OR SHE IS IXEMPTTHEREFROM M!D THE BA515 FOR THE ALLEdm FXEMP- (� TION.ANV VIOLATION OF SECTION 70.71.6 BV M!V MPLICANT FOH A PERMIT SUBJECTS THE APPLICANT TO Z Re-Roof � ACML VENALTI OF HOT MOfiE T1UW FIVE NUNDRED DOLLARS(f6ao).): � ❑I,ASOMMEROFTHEPROPERTV,ORMVEMPLOYEESWIhIWAGESAShiEIRSOLECOMPENSATION, � Commerclal . -� � WILL DO THE WOfU(AND 7HE S7AUCNRE IS NOT IHTENDED OR OFFERED FOR SALE(SEC.7ou,BUSI� J NESS M1D PROFESSIONS COOE:THE CONTMCTORS LICENSE LAW DOES NOT MPLV TO AN OWHER OF N 'PROPEHfYMM1108UILDSORIAIPROVES71/EREON,MIDNMODOE95UCHWORI(HIMSELFOFiHERSElFOR � Re airs r lan avera e � 5750 er unl Q iHiqUGHHISORMEROWHEMPLOVEES,PROVIDEDTHATSUGilA1PROVEMENTSARENO7INTENDEDOR m w OFFERmFORSALEIF,HOWEVERTMEBUIIDINOORIMPROVEMINTISSOLOWfTMNONEVEAFiOFCOMPLE- X = 172 O � �`TION,THE OMMER�BUtLDER YALL HAVE THE BURDEN OF PROV WO THAT HE Ofl SHE DID NOT BUILD OR Z IMPROVE FOR THE PURP0.SE OF S�LE�. . _ ❑1.AS ON?IER OF THE PROPEHTY.AM El(CLUSIVELY CONTRACTINO WfTH LICENSED OONTRACTOq3 W Q TO COHSTAUCT THE PROJECT(SEC.7oN,BU91NE54 AND PHOFE5310NS CODE:THE CONTRACTORS lk VBIUBl10l1 ,(�p� � CENSE UW DOES NOTAPRY TOAN OWNER OFA PROPER7Y NMO BUNDS OR IMPROVE3 hIEREON,M1D . WFqCONTMCTSFOR8Uq1PROJECTSWITHACONTAACTOR(SjLICENSmPUR3UAHTTOTHECONTiL1G ounNnTv DESCRIPTION FEE . � TORS UCENSE UW,). ❑I AM D(EAIFT UNDER SEC. B.8 G.C,FOR THIS REASON Q 3 " � ¢ OATE OWNER U Z W . � IICENSED CONTRACTORS DECLARATION W + � I HEREBY AFFlRM UNDER PEIULTY OF PERIURV THAT I AM LICENSED UNDER 7ROVISIONS OF CHAPTER � � � Y(COMMENCWO WfTH SECTION 7000)OF DMSION�OF TiE BUSINESS AND PROFESSIONS CODE,AND Z � W LICENSE IS IN FULL FORCE M10 EFFECT. m � UCENSE CLASS LIC.NO. j � � . U DATE ' � CONTRACTOR �rY, �' - LI! � WORKERS'COMPENSATION DECLARATION �i}.`' a • � - � I HEREBV/�FFlRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DECIARATION . `� Z , — ; . :: : _�. _ � _I.HI�VEAND�WILLMAII/TAINACERTIFICATEOFCONSENTTOSE�F-INSqREFORWOFK�A3"' "' -'- _ ' --�� .. , , , � , � � ' ' - CdAPENSA1ttNJ;A3 Pi10yIDED BV SECTION 3�ao OF TME LABO�i�E,f-0R THE PERFORMANCE j r � � OF THE WORK FOR NM1i1CFl THIS PERMR IS ISSUED. . .'„ � , . ' � I . M� � . • � �I MAVEAND WILL AIAIMNN WORKERS'CpA1RFf1SATJQ.1�f.INSUFUNCE,AS RE9UIflED BV SECTION '' ' • QQ 37000FTHELABORCODE.FORTHE7EPFORMANCEOFY/1EWORK�FOHWIiIL41THISPEqMITIS_.. .. _:�.�..�..,,.... --..-..-. . � . ISSUED.MY WOHKEFS'COMPENSATION INSURANCE CAR MD POLICY NUMBER ARE: CONSTAUCTION � � � '�� ' / � CARRIER �" � �.PLANREVIEW � Z �OLICYNUMBER� . ' �Yc.�. _. ' •.- .: d+ .. ....>,..� :..�� r � SLEGTRIG+--..,.._. �• �'-. � __ . � _ � Q 1`:�:i�, � . (IWss[Cfqnr�NOiBEoorR�E7IDCFhEPEFMf�F,�fiaNEM1t�DREDWILAF;slti oRLEss} PIUMB�NG • t - ... , . �. . . . . .. . . " .; ,. ., % `., '.� � � • • " '�"�'� ` . �. . .�.�. .. Z ! 'rcEanFr�nrwrriE��+Foa�unic6oF.sHewa�ucFqgwy�a�nn�p��ir�s�ssuEqi� MECHANICAL �1 (,�J ! SFIALLNO7EMPLOVANYPERSONINANVMANNERSOASTOBEC01.1ESUB;IECTTOTHE �� NSPECTION�FEE 1 YI �1��U�� ^ ' y � WOPKERS'COMPENSATION LAWS OF CALIFORNIA.AND A�REE THAT;IF I SHOULD BECOME'• ��.�T� �� •y. •. . � . �.+� t - SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SECTION 3700 OF TME LABOR � COOE,I SHALL FORTNWfTN COMPLV WITH THOSE PROV1510N5, - ISSUANCE qtiT.T,�� • � UD � ' -�-o=2's'-�� ,, -C��1�r�,-rr�l•.•�i��=. - �,�� 1i:�'-��,��, - •- • . DATE: APPLICANT: � � ...9MIR•- py�� L�1\ w , � ENEfiGY P/C ?� rQ3�u�7]�.J S.h S.�_r./�' . .. , � � WARNIN(i:FARURE TO SECURE M/OFiKERS'CAMPENSATION COVEMGE IS UNUWFUL,AND SHAL'L BE - � �ECT Ml EMPLOVER TO CRIM WAL PENAL71E5 AND CML FINES UP TO ONE HUNDREO THOUSAND ENERGY PERMIT �� t ,DOLLARS(5100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED�FOR IN .,rJ�' 'SECT10N3�oEOFTHEU80PCO�E.INTEREST,'MIDATTORNEI"SFEES.� �- , � ' • - RETENTION�FEE: � � � '^' ' ' - - "II�� O �`d ` �CONSTRUCTION LENDING AGENCy , �PRE-ALT FEE; � � � � •;. , �;',.� ^ � � , � . , � . ... s • t , __.._._...�_._...,..._..:__-:-.--:, . - <.t d � , - . Q I HE`REBV AFFlRM UNDER PEHALTY OF PER1UFiV YHAY THEREIS'A CANSTRUCTION LENDWtrAGENCY � � ._„_ ' d FO(17HE PERFORMANCE OF THE WORK FOR WHIG1 THIS PERMIT IS ISSUED(SEC.3087,CIV.CJ. � � � � � - ��x.z.x,....�r�._ � LENDER'SNAME A• ' E. . rc.. . �' F ._ '...`� j � � ...., ..-_ � . I �{�� LEND�ItDDHE35��` .. � I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES w I AOREE TO COMPLV V.7TH/�LL CRV M1D COUNTV ORDINANCES AND ST�TE UWS REIATINO TO BUILD�NO � � CqNSTRUC710N,AND HEREBY AUTHORRE REPFiE5EN7A7IVES OF THIS COUNTY TO EMER UPON THE . ,..._,.... ._.. Z /�BOVE-MENTIONED PROPERTY FOR IN aEcna�vuarosEs. COMMENTS + • � � - �.1 'JL� . , _. .__.._ _.�..... . . �m EE NAME(PR1Nn'• .. .._._..= 1� � ., � -� 1 � ,�i �� ' , 1 � � SN3NANRE OF VERMf7TEE �� RECPT.NO. PAID BY VALIDA�� WHITE—Depertment Copy;YELLOW=F'manoe COdy,P NI�IC��Qf'�opy;tGOLDENROD--FIIe Copy,GREEN—Applicant's Copy . ...... . . �.,✓ �� I .yw.�;"., f �d..' ; � y � �. , � , C17'1( �F CDI�il�O�QS ��,� �P�9Sf��T��l ff�f�t��H� ��_ . . ,. � � ' O _D� � G � , ��' , � { ��.' D �-� � _ � e q �-� � � ,�� ' ..s � . . . < <. . . .v- , . . r.. . . SET BACK FLOOR JOIST FTGS/FORMS/STEEL • FHA REQMTS � ELECTRIC GROUND UNDER FLOOR DUCT � GROUND PLUMSING UNDER FLOOR CUt�lDUIT SLAB GRADE FIflEPLACE FOUNQATION TEMP POWER FIREPLACE BONQ BEAM • WATER SERVICE MID HT. BOND BEAM ROOF SHEATHWG 8 FT. BO,ND.BEAM FRAMINGNENTILIATION FINAL 80ND BEAM ROOF C.QVFR PRE=GRADING � � ROUGH HE,4TING BENCHING ROU�H E�ECTRIC ROUGH GRADdNG ROUGI-{ PLUIVIBING FINISH GRADING SHOWERlfUB TEST POOL EiECTRIC EXT. LATH/SIDING : - POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATIOI�! OFF SITE IMPS. � DRYWAL.I.NAILING . DEDICATIONS SEV�lER FINAL ENG. SEPTIC TANK . � ,. LANDSCAPE/IRRlG. SEEP PtT/LL. • �� •,'� � '��--�- ON SITE IMPS. Gr�S AIR TEST FINAL ZOf�ING FItv,4L CONST. FIRE DEPT. FINAL F1�1t,!_HEATWG HEALTH DEPT. FINAL f {1`Jr.'.�LECTRiC DEV. FEES PAID �- '• i '��1.P UMBING ENERGY - ;�� --- �� _ � . 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