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HomeMy WebLinkAbout14199 �xp�,� � �� CITY OF DIAMOND BAR BLP(d '�i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)86Q3195 Faz(909)861-3117 PRESS -�'A�' ` BUILDING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION PERMIT �C. �(� P/C ¢ ADDRESS �ni n Si lvar Aawk l�rive 3lliLtS DATE 7/22/99 NUMBER � . ti c�� ISSUE TYPE OCC _ APN LOT TRACT ��e�� DATE CONST. VN GROUP °C OWNER Silver Hawk 0 `l ADDRESS 2010 Silver Hawk Drive ZONING SETBACK�iSt See Plan I � CITY ' ZIP TEL. FRONT RW ❑ APPLICANT No an rE�8.18-22 - 961 REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR • lm er an SIDE ❑ p� ADDRESS a.tLtrll treet � CITY Brgg ZIP�,$�]' TEL.�1 G._S7Q—�7,,1 PROPOSED USE S2IT12 w ARCH/ENG/ o J.M. Nolan z DESIGNER NO.DWEL. NO. NO. y ADDRES� 3 a a _ _ 6 UNITS� STORIES � BEDROOMS S2e p an � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUIIDER DECLARATION SFR/ADD/REM O � I HEREBV AFFlMI UNDER PENALTY OF PE0.NRV 7HAT I MI EXEMPT FROM THE CONTMCTORS LI- GBfHJB/CefPOh W CENSEUWFORTMEFOLLOWINGREASON(SEC.7031.58USINESSMIDPHOFESSIONSCODE:ANVCI7YOR (n C..� COUNT`/WHICHREIXIIRESAPERMRTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W P8i10/DBCk W NRE,PHIOH TO ITS ISSUMICE,/�LSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w � STATEMEM THAT HE OR SHE IS IICENSEO PURSUANT TO THE PHOVISIONS OF THE CONTMCTORS LI- � CENSE UW(CHAPTEH Y(COMMENCIHO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOVSpB FESSpNS CODE)OR THAT HE OR SHE IS EXEMPT 7HEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- �l TpN.ANV VKK.ATION OF SECTION 7031.5 BV ANY APPLICANT FOR A PERMIT SU&IECTS THE APPIICANT TO Z Re-Roo1 I, � A CIVIL VENALTY OF NOT MORE THAN FIVE HUNDRED DOLWRS(5500).): �� ❑I,ASOVMEROFhIEPROPERTY,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSATION, � Commerciat MALL DO 7HE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.704/,BUSI� J � NE55 AND VROFESSIONS CODE:TNE CON7RACTORS LICENSE LAW DOES NO7 APPLV 70 AN OWNER OF � Re a ir s r lan avera e + $5 7 S 0/ er un Zt PROPEHfY WIIO BUILDS OR IMPROVES THEREON,AND NMO DOES SUCH VIORK HIMSELF OR HERSELF OR � 7HROUGH NIS OR HER ONM EMPLOYEES,PROVIDED 7HAT SUCH IMPROVEMEN75 APE NOT IN7ENDED OR m 7 Q ,OFFEREDFORSALEIF,HOWEVER711EBUILDINGORIMPROVEMENTISSOIDWITHINONEVEAROFCOMPLE� ,X3 - �172SO I Z 'TION,THE OWNER-BUIIDER WILL HAVE THE BURDEN OF PROVIN�THAT HE OR SHE DID NOT BUILD OH � IMPROVE FOR THE PURPOSE OF SALE). � �, w ❑I,AS OWNER OFTHE PROPEHfV,AM EXCLUSNELY COMRALTINO WITH LICENSED CONTMCTOHS [[ TO CONSTRUCT THE PRQIEC7(SEC.7oa1,BUSINESS AND PROFESSIONS CODE:THE CANTRACTORS LI- Va1118t1Of1 .AREA W CENSEUWDOESNO7APPlVTOANOWNEROFAPROPERTYWHOBUILD50RIMPROVESTHEREON.AND � MR7000NTRACTSFORSUCHPROJECTSWIiHACOKTMCTOR(S)LICENSEDPURSUANTTOTMECONTRAC QUANTITY DESCRIPTION FEE Y TORS UCENSE UW.). 0 O I AM EXEMPT UNDER SEC. B.L P.C.FOR 7HI5 REASON Q 3 � � � DATE OWNER � . Z W �Q LICENSED CONTRACTORS DECLARATION W LZ I HEREBYAFFIRM UNDER PENILTV OF PERIURY THAT I AM LICENSED UNDER PF70VISIONS OF CHAPTER � � Y(COMMENCINO WITH SECTION 70ao)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS COUE,AND Z �� MY LICENSE IS IN FULL FORCE AND EFFEC7. m � � � UCENSE CLASS LIC.NO. "� J V DATE CONTRACTOR ` a , _ W / � WORKERS'COMPENSATION DECLARATION ��� -� � �� Q � U � I HEREBY AFFIRM UNOER PENALTY OF VERIURY ONE OF THE FOLLOWING DECLARA710N5: Z � I IUVE AND WILL MAINTAIN A CERTIfICATE OF CONSENT TO SELF-INSURE FOR M/ORKERS' $ - � ' � ' � COMPENSATION,AS PROVIUED BY SECTION 370o OF THE UBOR CADE,FOR THE PERWRMANCE U OF THE WORK fOR WHICH 7HIS PERMIT IS ISSUED. � � O � � ' . w �(/� I MAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED BY SECTION Q /' 37oa Of TiE LAHOR CODE,FOR TN��PERf-0HMMICE OP THE WORK FOR WH16H THIS PERMIT IS�, - r , . . , � , .J � . � ISSUED.MY KER PENSATI NSURANCE�CARHI�RANDPOIICY,NUMBERARE: � .CONSTRUCTION� � �' j ' 'c�aaiEa Q PLAN REVIEW t.� ZP�OLICVNUMBER` .,,��, �: � ELECTRIC+";� , .'�"'.. �..'..�.. �", . - .. .i:�� _ :,�. � . . . ,. � `, a _ y ey 0 (iY95SECf10NtJE'�NOTBEC01.4LEfIDOFjFiEP.EPoXfISFi�RONEHUIiNiFA00lIJfiSlf�OUIORLESS}'.. . PLUMBING' .. , , c .,.i� .. . . . . . , .a_� . . , ,. .,,.. .. . �. y. . .:..�z;,.T.'_-.., Z I CERTIFV THAT IN THE PERFORMANCE OF 7HE WORK FOR WHICH THIS�PERMIT IS ISSUED,1 MECHANICAL (} SHALL NOYEMPLOY ANY PERSON IN M1Y MANNER SOAS TO BECOME SUBJECT TO THE •, ' � , q , • � WORKERS'COMPENSA710NUWSOfC�LIFORNIA,ANDAGREETHATIFISHOULDBECOMEi��� ��INSPECTIONFEE � -� ' �� SUBJEC7 TO THE M/ORKEFS'COMPENSATION PROVISIONS OF SECTION 3700 OF 7HE LABOR ��' �.5 UD � CODE, SHALLF RTHWITHCOMPLYWIhIdHOSEPROVI510N5. � ISSUANCE . _ , ��" � ( �'r,%��lar����� � , � , . . , . p DATE:1�f��� APPLICANT: �SMIP �' �r r.a n 1 ,�, �._ . w ' ENERGY P/C � � " J WAfiNING: AILURE SECURE YARKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALI BE - - - � � SU&lEC7 AN EMPI.OYER TO CRIMINAL PENALTIES AN�CIVIL fINES UP 70 ONE HUNORED THOUSAND ENERGY PERMIT �L��v���a �t��`�� DO�URS(5700.000),IN ADDITION TO THE COST OF COMPENSA710N,DAMAGES AS PPOVI�ED FOR IN J SECTION 97oe OF THE LABOR CODE,INTEtiEST,M!D ATfORNE1^S FEES. RETENTION FEE: Q d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: . � � O , � I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT 7HERE IS A CONSTRUC710N�EN�ING AGEHCY n- FOR THE PERFORMANCE OF 7HE WORN FOR WHICH THIS PERMI715 ISSUEO(SEC.3097,CIV.C.). � � � Z /o/ W � LENDER'S NAME F— LENDER'SADDRESS � I CERTIFV THAT I HAVE READ THIS APPLICATION AN�STATE THAT TME ABOVE MFORMATqN IS CORRECT. TOTAL FEES � � w I AGREE 70 CAMPLV V.7TH ALL CI7Y AND COUNTY ORDINANCES AND STA7E UWS REU7ING 70 BUILDING � CANSTRUCTION,MID HEREBY AUTHOPIZE REPRESENTATIVES OF THIS COUN7V 70 ENTER UPON THE � z ABOVE�MENTIONE�PROPER7Y FOR INSPECTION PURPOSES. COMMENTS � ? � �� PER EENAME(PRINT) � ��� •�1 � '7 1 1\ P_� - -� � SIG ATURE OF PERMITTEE D E � P Y (./ = RECPT.NO. PAID BY VALIDATION ~ WHITE—DepaAment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy ��� „ � �: . � CB�Y �� ��l�lf��f�� f�A� .� . . ..: � B�IS(�f�(C�'Q�(� f�l���f�� , D �°�c a �. o �� [l��° � o ' 0�° o .+' '.DG'J OG�C� SET BAGK _ � �. . .� . �� �FLO�R JOIST , e,. , ., � � � v_ � � ,z r FTGS/FORMSJSTEEL ' FHA RE�MTS � � - — -- .----- —�— -- -- — ---.------- ELECTRIC GROUND � UNDER FLUOR DUCI' GROUND PLUMBING UNDER FLOOR CUt�4DUIT - — ---- — _.._....._._...._ SLAB GRADE FIREPLACE F(]UNQATION I � _.^ ___.__—.._ TEMP POWER FIREPLACEBOND BEAM ' WATER SERVICE MID HT. BOND BEAM � ROOF SNEATHING ; 8 FT. BOND BEAM . � FRAMINGNENTILIATION FINAL BOND BEAM _�___ _ _._ ROQE COVER PRE-GRADING ' � ROUCiH HEATING - BENCHING � ' • ' ROUGH ELECTRIC ROUGH GRADING ROUGH PLUNIBING i FINISH GRADING SHCWER/TUB TEST POOL ELEC7RIC EXT. LATH/SIDING POOL FENCING V'JALL II�SULATiON I POOL�FINAL ! CEiLlIVG INSU�ATION �FFSITE IMPS. ' '�� .-- ------- D�YWAL,L NAlLING - - � DEDICATIONS SEV�JER • � FIAIAL ENG. --- S�PTIC l"ANK , ;;�•,, � . LANDSCAPE/IRRIG. _' SEE� P!T/L.L. ~•�� � ••;` ON SITE IMPS. �ar1.S P�i:�1"EST FINAL ZONING ' FE�i1«c�ONST. FIRE DEPT. FtNAL Fli�l�'+,�_HEATING � HE,4LTH DEPT. Fif�lR� :'�;���r�s_ELEGTRIC � DEV. 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