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HomeMy WebLinkAbout14038 (660) �x i�'� � CITY OF DIAMOND BAR a , � � -J� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES h.� • ,; 21660 E.Copley Drive Suite 190 � T� (909)860-3195Fax(909)861-3117 PRESS ''^"� BUII.DING PERMIT APPLICATION FIRMLY o� JOBSITE i Q 1% �� �� DATE CATION GJ s � NUMBER/ "�� �1'C ADDRESS J v I �U � $ ISSUE TYPE OCC APN LOT TR C � DATE CONST. GROUP � OWNER 0 p ADDRESS ZONING SETBACKS �w CI7Y t �.q.� ZIP TEL. FRONT RW ❑ APPUCANT /UGY"4i-^ TEL. � - REAR p � : SIDE/SIDE STREEf RW O CONTRACTOR SIDE p q� CDDflESS Z�� TEL � PROPOSED USE O �+ ARCFVENG/. • � � DESIGNER NO.DWEL NO. NO. N ADDFESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEF DECLARATION SFR/ADD/REM O Q I MEREBV AFFlpJ{1NpER PENALN OF CERAIRY TMAT IAM EXEMPT FTiOM THE CONTRACTORS L4 Garape/Carport W CENSEUWFOi1TF1EFOLLOWNOREASON(SEG70.i1.6BU5R/E55AHOGROFE5510"lSCOOE:ANYCITYOR (n �� COUMTYNR1101REOUWE9APERMRTOCONSTRUCT,Al1ER�PROVE.DEMOUSH.ORREPNRANISTRUG UJ Pa1iQ�BCk V� TUHE,iR10A 701T9 ISSUANGE,I150 REOUINES THE APPLIGANi fOR SUCM PEfu11i TO FILE A SIGNED W � S7ATEMEM TNT HE 011 SNE a UCENSED PUHSUANT 70 TME PftOVISIONS OF NE CONTMCi0n314 LL � CLNSE UW(CHAVTER Y(COMMENCWO WI7H SEGTION 7a00)OF DMSION]OF TNE BUS:N[SS AND GqQ POOVSpB iESSqNSCO0�OR7/1ATHE0R5HEI3E%EMPTTHEREFROMFND7NEBI�SISFOFliMEAILEGEDEXEIAP• (' 7qH.AHYV10lATI0NOF5ECi10NTmi.6BYANVAPPLICANTFORAVERUI75U0.1ELi5TH[MiLKaWTTO Z Re-Fioof � ACIVII i£NALT/OF NOT YORE TMAN FNE NUNORED DOlURS(f50o).): ' � OL��MNEROFiHEPROPERTV,01l1AVEUPLOYEESNn7HWAGESASTHEIR50tECOMVENSATqN, (`,pmmgfG1,71 - " WHl DO THE N9iY(/uA iHE S7RUCTUitE S HOi IMENDEO OR OFCEREO FOA SAIE(SEG 7oN,BU54 O N NESS ANU OROFE9510N9 COOE:THE CAMMCTORS LICENSE UW DO[5 NOT APP��TO AN ONTIER OF ? PROPERTY NT108UILDS OR 6lvqpyES TMEREON,M1D NR10 DOES Sl1CN WORK MIMSELF OR NERSELF OR � THROUGHHSORNEROWNEMPLOYCES,Pf1OY1DE0iHlUS'JUIWPROVEMENTSM[NOTRITEHDEDDR m � OFFEREDPORSAIEF,HON'EVERTHEBU4CWOORMPi10VEMEMISSOIDYATNMQ4EYFAROFCdAPIF. z TION.TNE OWNEN�BUILDER N'ILL HAVE THE BURDEN OF PROVNG TMAT NE OR 511E DiD NOT BUID OR � WPFiOVEFOR7H[PIIRGO5EOF5ALE� W ❑4ASO�MIEROFTHEPROPERiY.AME%ttUSNEIYCOHiRACTN�YATM�ICCHSEDCONfMCTORS � TO Cd15T!IUCT THE OHO.IECT(SEC.)oN,BUSINE55 AND PROFFSSIONS CODE'TME COIfTRALTOfl4ll- VBIUBIi0f1 ADJ.AREA CFNSE UW DOES NOT MPLY i0 AN OVNER Of APflOPEflTV Y.T10 BUILDS OR W PROYE9 TNEREOfI AND � 1M�OCOHTMCfSfORSUCNGROJECfSWITHACONTMCTOR�S�LICENSEDiURSUIWiTOT/1[CON7MG OUANTITY D[SCRIPTION FEE � TORSLIGENSEUW.�. OIAAIEXEAIPTUHDERSEC. B.LP.C.FORiNISR[ASON J � U LL" OATE OYmER F- Z U � LICENSED CONTRACTORS DECLARATION W � IHERCB'/AFFWAUHDERPENALTYO�VERNHVTWITIFMLICENSE�UNDERPPOVIS10N50FCHAPTER � / r�) X �(COMYEHCNOVATMSELTION700o)OFOMS�ON70FTHEBUSINESSANDPROFESSrJNSCODf.IWD Z — O W 110EN5EIS W Ml�qC�tiv f�ECT. � L J � � LICENSE CU S' � �I�.NO.�,�,� J �"j w7E — _corrraacron a w � WORKERS'COMPENSATION DECLAMTION Q � IHEREBVAFFWIIUI.+�ERVENALTYOFOEMIRYONGOFTNELOLLOMANCDECUFATIONS: Z 0 _IIUVEANDMALLMAINTtiNACEFT�FiCATEOFCONSENTTOSELFaNSUREFORMORKERS' _ � c11:ATqH,ASPROVIDCDBYSEC710N]7ooOFTNElA00RCO0E,FORTHEPEH�OHAIANCE U iHE VKMK FOA WHICH TNIS VERMITIi ISSUEO w � � 1 HAVE AND VnLL MMMA:N WOfiKERS'COMFENSATIDN INSUiW7CE,AS RE W IRED BY SECTION 0 77000FTNCt/IBORO00E.FORiME�ERWRMNVCFOFTH[WOHKFORWMICHTHISPERMITIS � 4`SUED.WIYJPKENS'POYPENSA710NINSUkA4f.ECANH�ER4IDVOLICYNUA70ERARC: CONSTRUCTION � GAP�ER� � PLANREVIEW � POLICYMIMBER_,����j��'l���l? I ELECTRIC �� � (IlESCCIfONNCFDNDTBEOJhi1.ETmOF71EGEW.fT6FO(10fEHAOf�£JDOl1Ai45R��I�LE35} PLUMBING yA � � Z I CERTIFYhUi N THE PERFORAWJ:E OFTHE WOAK FOR WHICHTIIS PERIAIT G ISSUED.1 MECHANICAL —�—s C7 SHALLNOT EAIPLOVM:Y VERStlN N ANY MANNCR 50/�S TO BCCOAIE SutLECT TO7HE (n WONICE0.5'C01.IVEN5ITION UN50F CALIFORNI�MIO AGREE iNl1T IF I SFqULD BCCOi.�G INSPECTION FEE r I� ` Sl6IECf i0 TME WORKERS'CdAPEM5AT10N DHOVISqNSOF SEC'qN 97o00F TNE UBOR '" eooc.isrw.�ronn+vnn�cauoirw�n�r sePnohsoHs. ISSUANCE n + 0 o�rE:�I�APRIGANT:��,�j SMIP CI�I'�' t• !r.'•,^•• ,_,.."_., � �� ENERGYP/C RUILD �J w� ��� WARNIN�:FALURE TO SFIXIRE VAJRKER5 COMPENSATION COVEqACE IS UNUWFUI,AND S/ULLBE (—y SUBJECTANEIAPIOYERTOCRM:NALPENALTIESANDCMLFMESUPTOONEHUNDRCOTIOUSAN� ENEHGYPERMIT OOILARS(f f 00,000),IN/�DDITION TO THE WST OF COM?ENSATION,DAMAGCS Il5 PROViDED FOR IN ¢ SEGTION11000FT1fELA80iiCODE,WTEflEST,ANDATfORNEY5fEE5. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IHEREBVAFFIIiAIUNDERPENALTVOFPEMIRVTUTTHERE6ACONSTRULTIONLENDINOACENCY FOR THE PERiOiWhNCE OF THE WOFL(FOR WH1d1 TMiS PERMIT IS ISSUED(SEF�oYT,CIV.G). � � LENDER'S NAA1E � LENDERSI�OHE55 � TOTAL FEES �J ' v � ICERTIiVTHATIFNVEREAOTHISMPLMr1TpNANDSTATEi/UTTIEABOVENFORMATqN15CORRECT. W IAGREETOCOMPLYN7THI�1LGrtYANDCDUNTYORDiwWCESANDSTATEUtiw3RElATWOTOBUILDINC a. � CONSTRUCTICN,ANDMEREBYAUTI/DRREFE flESENTATNE50FTMI5COUHTYTOENTERUPON7HE Z ABOVE�MEMqNCD YROVERTY FOftINSPECT JN R1fiPO5E5. C M �NTS C � m PER41 EEN tR(f) ¢ f 7- � (A SIGNATUREOF :RMIi EE nTE � FIECPT.N0. _PAID BY VALIDATION WHITE-0epartment Copy,YELLOW—Fnence Copy,PINK—Assessor Copy,GOLDENFlOD—Fde Copy,GREEN—ApphcnnCs Copy . . .. � . a ;� . .. , , � ' r. '�,.. � .. . . . . , . ., . , � , . .. , � ',-. . . .. , � . . .,,�'�f�3 .H'�i9+t�fD;.B�R _ . � , � . � ' .. .'� � INSPECTION RECOFiD " ' � . . � . - . �^ � .. , . , . �i�������C��.� '�"�-�*��.�iF-'����'�ol li'.�-�' ..�� �el� �. ►!�-�����a.�'��. ,�:, � �. __ �,� r _ ��_ ��. �.��_ �.� ���� �r o ;SET BACK .. � :\ �. . ; ' - '��, \� , FLOOR JOI��t,.;' �, (1r.1 r% 1 \_, \\ �� :Z�. � ,FTGS/FORP�ASlSTEEL` � '- ' ' � ��' FHA REQMTS . �.T - . � - - • :ELECTRICGROUNd . _ . - ---. UNDER FLOOR DUCT. � ' , '� - � _ iGROUND PLUMBING • UNDER FLOOR CU"�ID'JIT-,'.��, _-.=;=- • " —� ����;.V: • . _ `.� . . . - -- •— �' r-- • � r-- -�- � . _. • . 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