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HomeMy WebLinkAbout16967 . ------ - ---�.�� . . - CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT -..0 21660 E.Copley Drive Suitc 190 c��s6a3�9s Fe:���a6�•3�t� PRESS """, BUILDING PERMITAPPLICATIQN FIRMLY � JOBSITE a ZZZ L- � �L� APPUCATION r�j v PERMIT � P!C o ADDRESS DATE NUMBER 1t � APN—�-� LOT TRACT ISSUE '�` f� 7yPE p�C p OWNER �! � « � DATE -V V CONST GFiOUP p ADOR S _Z — - 20NING SETBACKS LL' CITY � l'�' ZIP J/ n� TEL. � - � FRONT qyy p � APPLICANT . � ' /��" �' TE � 2 SIDFJSIDE STREET flW ❑ � CONTRACTOR�Jf . �LC (J�lti v( SIDE p ADDR S � Gu..e • � � CITY � ZIP � � TE �__y� PROPOSED USE o ARCFUENG/ Me(O z� DESIGNER NO.DWEL. NO. NO. . = C'DTMDRESS Z�P TEL UNlTS STORIES BEDROOMS � rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BL7LDER DECLAHATION SFR/ADD/REM O � 1 MEREBY AFFIRM UNDER PENALTY OF PERIURY TNAT I A11 EXEIAPT fR04 THE COHTPACTORS�F GerapelCarport W CENSEUwiORiNEFOLLOWwOREA50N(SEC.7o71.68U5NE55IVJDPROFESSi0N5CO0E:ANYCI7YOR (n U COtMTYWt4pIpEWIRESAGENMI7tOCOnS7RUCT,ALlERMPROVE.DEMOLISM,OqpECUR�NYS7RUC- W PBtiO/D6Gk � 7URE.VflqH TO ITS ISSUANCE,AL50 REWIRCS TNE APPLICMfT FOR SUCM PEIWIT TO FILE A SiGNCD w � 9TATEMEM TMA7 HE OH SNE IS UCENSED YURSUANT TO THE PROVISIONS OF THE CONTMCTORS L4 � � CENSE UW ICNA7TER�(OOMMENGPq WIM SECTION 7ao010F DIVISqN]OF THE BUSiNESS AND PRO- POOUSpB fE5510N5CO0E)ORTHATHEORSMEISE%EMPTTHEREFROMAND111EBASISiOR7MEALlECEDEXEUP• (ry TION.ANYVIOLATIONOFSECTION7o]t.lBVANV/,DVLICANTFORAOENA1175UBJECi57MEMPUCANTTO Z R0-R001 F,_, A CIVILPEH.LL7Y OF NOT A10RE 7wW FIVE HUNDRED DOUARS(f5oo).): O L A'+�1N�ER OF TNE PROPERTY,OR A1Y EMVLOVEES 1NTH WbES AS THEIR SOLE COMPENSATION, Z 0 Commerciat YALL OO TH[wdiK,ANO TME SiRUCTURE IS NOT INTENOEO OR OfFERED FOR 6ALE(SEG.7a�,BUSI� J � HE55 AND P110FESSIONS LOOE:T11E CONTRACTORS LICENSE UW DOES NOT APPLY TO AN OWNEH DF � PROVER7V N!q BUIlDS ON iYPf10VE5 THEREON.AND NTq DOES SUCH N'ORN NIYSELF OR MERSELF Oil 2 THNOIXINHISORHENOWNEMPLOVEES.PRONDEDTMATSUCHIMPROVEAIENTS�RENOTMENOEDOR m QOFFEREOFORSALEIF,YIOWEVERTMEBUIDRlGORMAPROYE1AEMlS50L�WITNNONEYEAFOFC040L6 . Z TION.iME dwNEH�BURDER NALL NAVE TME BURDEN OF PqOVN6 TMAT HE OF SNE DD NO7 BInLD ql = LL1PpDVEFOi1TNEPUHPOSEOFSALE} W OI�OWNEROFTHEPROPEHTY,AME%CLUSNELYCONTMCTN�WfTNLICFNSEDCONTMCiORS (= TO CONSTRUCi THE IROJECT(SEG.70�a.BUS:NESS IW0 7ROfE5510N5 CODE:iME CONiRACTORS L4 V2NBIqf1 AQI.AREA W CENSEUWDOESNOTAPVLI'TOANO`M�EROFAPROPERTYWMOBUILDSORIMVf10VE9h1ERECN,AND � MnqCOHTMCTSiORSUCHPP0.1ER5WITHACONiMC70fi(5)UCENSEDFURSUAHTTOTHECONTMG OUANTITY DESCRIPTION �E � TORS UCENSE UW). � OIAAIEXEMDTUNDERSEC. B.tV.C.FORTMISREASdJ � � U � OATE OWNER U � LICENSED CONTRACTORS DECLARATION W J � INER[BVAFCWUUNDERVENALT'OFCEiWRVTUTIAIALICENSEDUNDERVHOVi5qN50FCHAPTER � /„� , p. �(CqaMENCNO WI7H SECTqN 70001 OF OMSiON]OF THE BUS�NESS AND PROFESSIONS CODE,AND Z W � W LICENSE 6 W FULL FORCE M1D EFiECL m ._ .. , , _ � , � LICENSE CLASS LIC.NO. � ' V DATE CONTRACTOF � W � WORKERS'COMPENSATION DECLAAA710N ¢ � IHEREBYAFFIti1JUNDERVENAITYOF0EMIRYONEOFTHEiOILOYnNGDECLAMTpNS: Z � _IMAVEANOYNLLMAM7AMACERTIFICATEOFCONSENTTOSELHNSUREFOqWOf11(ERS' _ COMPENSATqN,ASPROVIDE08V5ECTONnooOFT11EWiORCODE,FORTMEPERFORAIANCE W Q OF TME WORK fOR WMICM TMIS VEW.��T IS ISSUED. � --`��,�-�� Q �1 HAVE AND WILL I.UiMAP1 NqRKERS'CdAPEN5AT10N INSURANCF,AS REWIRED BV SECTqN �. � ]70o OF 1ME LABOR CODE,FOR 1HE►ERfORMANCE OF THE WORK FOR WHICH TIIS CE W.�IT IS �+ ,i'`�\ I ^ � ISSUED.WYpfIK RS'-CDGVE SA7IDNHSU iIYCECAH�ERANOGOLICYNUTAOERME CONSTRUCTION �`-� GnFiER - �� PL/W REVIEW _������r � POLICYNUMBER ELECTRIC nv•� � p f���+�m���������+�K+�mar�R+�l�lFssl PLUMBING Z I CERTIFY THAT N THE VERFOPAIFNCE OF iHE WORK iOR MM1GI THIS VERA1t715155UED,l MECHANICAL Z'`�T� -�'`- '� C7 511ALLNOTEUDLOYANYVE0.50NN1WVYANNERSO�STOBEC061ESUeJECTiOTF1E (q NOR1(ERS'COAlPENSATIONUWSOFCALIfORNII�AN�A�REETNATIFISMOUlDBCCOME INSPECTIONFEE ' - ""� S SU&JE TO THE ERS'GOYFENSA�F�5 OF SECTqN]70oOF THEyA80R ' �.� . h I i TMNI7MC04vLY WiT OSE G SIONS. �� ; ISSUANCE ���'� • � �! 0 /f �t ' . p DATE: � ✓/ AOVLICAM: 7 1�1t/ VJ/l.l�f��J SMIP W ENERGY P/C �11 I� � � ( � WMNiN6:FALURETOSECUREvIORKERS'COMPENSATqNCOVERAGE15UNUWFULANOSwLLLBE -�rl � SUBJECTlWE4PlOYERTOCRIMiNN.iENALTIE5MIDCMLFINESUPTOONEMINDREDTNOVSAND ENERGYPERMI ' DOlURS(3100.DOD�N/DOITION TO TME COSTOF CpAPENSAiION,DM111GE5115 iFOVIDED FOR W ¢ SECTION770lOF711EUBORWOE.NTEREST.ANDATTORNEY'SFEES. RETENTIONFEE: � �� pCONSTRUCTION LENDING AGENCY PRE•ALT FEE: L3�-'�---`� ` � 1 MERCBV IIfFlRAI UNOER FENALTV OF FE0.tt1RV i1MT TMEpE IS A CONSTRUCTION LENOINO AGENCY z FOR ME PERFORMANCE OF TME YIOAN FOR WMCH THiS GEIWIi IS ISSUEO(SEC.�077,pV.C.4 il] � IFNDEF'SNAYE � . C LENDER'SADDRE55 W ICERTIiYiIUTINAVENEADTtlSAPVLIGTIONANDSTATETIUTTNEABOVEtlFpqM�11pNISCORRECi. TOTAL FEES . , U � IACREETOCOAIOLYWITHALLtI7VANOCOUN7YORDINANCE5M105TATEUlWSRELATWOTOBUdDIFW � CONSTPUCTIp{AND NEREBYAUT1qR12E REPRESEMATNES OF iH15 COIMTY TO ENTER UPON T1E � Z ENTqNEpVROFERTYfORINSPECTIONYVRPOSES. 0 / COMMENTS = U �.� � G�✓�J m P W/�7TE N.wE Nn � Q _ ] [n (% � B NEOFVE ItT �r RECPT.NO. 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' _.. .. --- �~ FIREPL.EICE FOU�v�ATION - �. -- _ � TEtl,P POL^JER -: ' -. ; f'IREPLACE E30ND�Ek�•,1 --- � . , . VJATER SERVICE - � � h11D HT. BO�;D E3EAP�1 � • ROOF SHEATHiNG " -- f3 FT.bOi�D �EAf„' � ' • FRAD,AIPJGNENTILIATION ' � •FIfJAL E30ND 8El.D:1 - � .� : � ROOF COVER . _. .. . .. - . PRE-GRADING FiOUGFI H�A71NG -.' .. :. . E3ENCHI��G - _ ROUGH ELEC i RIC : - - - - - � ROUGH GRADIt��G ROUG}i PLU��1E3f�JG . - - _- . �_ Fi"JISI-I GR?',DCJG �, . . � I , SHOV'JER�TUE3 TEST � " - - . � POOL ELECTRIC � � � E>T L1lTN!SIDING - � I I P�OL FEPJCIP:G - � , ' NJALLINSULATION � � POOL FIr,AL � CEILING I�dSULATION � OFF SIT�I�:'PS. � � ,� DRYVVALL NAILING � � DEDIC<,T�O?JS SE�'VER I�.FI��F,L EfJG. -.--� ---------- - . � � LF,NDSClIF'E;If�RIG. �J SEF�TIC TANK ' - — • _.. . _ �- -- -- SEEP.PIT/LL.. '....._.. _ � � OPJ SfTE R.1PS. � , G/1SAlR.TEST� . . _ _ r-.'- . ... ... . .. � � Fi"JAC 7_ON!PJG � I FlNAL CONST: , - -- -- - ....- -- - -- ... � � FIR�UEPT. 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