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HomeMy WebLinkAbout10628 . . . � � � � - ' \ - CITY OF DIAMOND BAR EX P I R E D COMMUNITY DEVELOPMENT DEPARTMENT ;,, ' 21660 E.Coplcy Drivc Suitc 190 (� p } PRESS (909)86Q3195 Fax(909)861•3117 �"�Qn �O +-��2 BUILDING PERMIT APPLICATION FIRM LY �i JOB8ITE � � � APPUCATION /� PERMIT /� � ' !C o ADDRESS��07.�L�/�e����k O �. L/.� DATE NUMBER� � ISSUE TYPE OCC APN LOT TRACT DATE - �� CONST. GROUP g OWNER .E- � E AOD SS n��.'.� 3 �i%/Otc7 R�E'!��- ZONING SETBACKS � CITY � ZI �=TEL��-r�PG�-�'.(/ REAR RW ❑ APPLICANT TEL. SIDElSI�E STREET RW ❑ � CONTRACTO SIDE ❑ � ADORESS PROPOSED USE o CiTY ZIP TEL wo ARCH/ENG/ �z�, DESIGNER NO.DWEL NO. NO. �� ADDRESS UNITS STORIES BEDROOMS � Cr7y ZIP TEL N DESCRIPTION S�.FT. FACTOR PSF AW.AREANAlUAT10N � � OWNER-BCILDER DECLARATION SFR/A�D/REM O p 1 HEREBY AFFIRIA UNDER VENALT/OF PERIURY THAT I M1 E%EMPT FPAM TNE CONTMCTORS l4 Garopa�Cerport� � W CENSEUWFORiMEfdlOM7NOREASON(SfC.70.t1.6BU51NE55AN�PROFESSIONSCOOE:ANYGTYOF (n U GOVNTYNM111qIREOlAi�SADERMRTOCONSTRUCT.ALTERIMVROVE.DElAOL15H.ORf�WUHANYSTRUG w PafIQ�6tk . . . � . � TURE,PPoOR TO RS ISSUANCE.ALS�NEOUIRES THE APVUCANT FOq SUfli PERMIT TO FILE�SIDNED � 6TATE4IENT iFNYHE OR 6HE IS LICENSFD WRSUANT TO TME PPOVISIONS OF T1E tONTMCTOR3 L4 � CENSE UW(�PTEP�(COMMENpNO WITH SECTION 700D)OF DIVISIOH�OF THE BUSNIESS M!O VN0. � PODVS�i FESS�ONS CODE)OR THAT HE OFi SHE IS E%EMPT THEREFROM AND TME BA515 FOR THEALLEOED E%EMP- TIDN.IIN'fV�OUTIONOF5ECT10N7071A8YANYAPPLICANTFOR�VEiWITSUBJECT5h1EMOLICAMTO Z RaRoot � ACMLiENALTYOFNOTAqFETNANFNEMUNDREDDOLURS�f600�.�: � OIASOYMEROfTHEPF�PERTY,ORAlYEA17LOYEE5N7THWAGE5A5THEIR50LECOMPENSA7K)11, 0 COrtIrtlBftlel WILL DO TME WORK,Au0 THE STRUCNRE 45 NOT INTENDED OR OFFEFED fOR SALE(SEC.7W1,BU54 J MESSANp ViqFESSIONS COOE:THE CONTRACT00.S LICENSE UW�OES NOTAPPLY TO AN OWNER OF � FROPERTYWIpBU0.DSORMVROVESiHEREdJ.AND1N10DOE55Up1MldiNHiYSEIFORHERSELFOR � � � THROU6HWSORNEROVMEMPLOYEES.PRONDEDTHATSUCHIM7RGNEMENTSARENOTIMENDE�OA m � OFFEREDFORSALEIF,HOWEYERTIEBUIIpN�ORWPROVEMEMISSOIDWrtWNONEVEAHOFCOMPIE• � �- Z TIDN.ME OwNEN�BUIL�ER WILL MAVE ME BURDEN OF PROYINO iHA7 HE OR SHE DIO NOT BIAID OR = MIGROVEFORTMEPUHP0.5EOFSALE). O l AS ONMER OF TNE PROPERTY.P1A EXCLUSNEL�CONTRl�CTIND M17H LIGENSED CONTMCTORS ¢ TO CONSTRUCT TME VROJECT(SEG.70N,BUSINESS AN�PiqFE55lON3 CO�E:ME CON7RACTORS ll• V8N9110f1 ND.I.AREJ1 W CENSEUWDOESNOTA7PLVTOANOWNEROFAPROPERiYNT10BUILDSDRMiNOVE97NEREON,MlO 1 W`qCOMRACTSFORSUCHPf�lECT4WITHACONTMCTOiUS)LILENSEDPURSUANTTOMECOHTM6 UANTITY DESCRIPTION FEE �f- TO(i���SL(((ICENSEUW). �IXEMPi UNOER SEC. B.t V.G.FORTNIS PEASON � 3 � LL' OATE OKNEH � , W F UCENSED CONTRACTORS DECLARATION W � IHEREBYAFFIWAUNDERVENALMOFOERRIRYTHATIIMIICENSEDUNDERPROVISION80FCilA7TER Vr p� f�COMMENCWO WITN SECTION 70ooI OiDM510N f OF THE BUSINE53 ANO VROFESSIONS COOE,AN� Z X A/Y LICENSE IS W FUIL FORCE AND EFFECL m � � 11J � 0 UCENSE CUSS UC.NO. 7J V p�7� CONTMCTOR a W � WORKEHS'COMPENSATION DECLARATION � N U � I NENEBYAFFIHM UNDER VENALTY OF PERRIRY ONEOF iHE FOLLOM/77�DECUMTqN3: Z O _INAVEANDWILLGAiNTANACERTIFICATEOfCONSENTT06ELF•WSUREFORIMDRKERS � � WMPENSATqN,ASP(iOVIDFDBY8EC710N77ooOF7HEUBORCaOE,iORTMEPERFORYANCE W OF TNE WOHK fOR VMiCH THi9 PERMIT IS ISSUED. � . . � _I HAVE AND NiLL►WMAM W WiKERS'COL�PENSATION INSURANCE.AS HEOUIRE�BY SECTION dQ �10o0FTHEUBORLODE,FORIHEPERFOiWANCEOFTHEWORNiORNMIGIT/iISVEfUNT13 ISSUEO.MYV/ORKERS'C06�PENSATIONNSUiWlCECAARIERANDPOIICVM/YBER�RE: CONSTRUCTION jCAfiNEq P i . 2 voucwr�uMBER �ECTAIC ¢ 0 (nlSs[cf�oNPE�wTBEmAitE7mOFTIfPERA(fBiOfiOPEHK(iFD�oLLAfiSRtoqaqL65} PLUMBI Z ICERT7FYTNATWTHEPERFOlUAANCEOF711ENORKFORWHIpIT1nSVERurtI51S5UED.1 MECHANICAL (,'J SHNINO7EMPLOYANYiEHSONHANVMANNER50ASTOBECOME8UBJECTTOTIIE . . . � WOfKERS'COMPENSATqNU1'NSOiCALIFORNI AND GREETMATIFISl10lXC ME FEE S SU&IECTTOTHEWORKERS'COMVENSATIDNV 'A SOfSECTqN�7o00F LABOR SUANCE � �E,�OfRF1YATNCOMPLVYIITH Y1510N5. � SMIP 0 TE; APPLICANT: • ENERGY P/C WMNIN�:FAIURETOSECUfiEWORKERS'COM7ENSATIONCOVEMQEISUNLAWFUL.AND BE � SUBIECTANEMPLOYERTOCRWINALPENALTIESANOCMLFWESUP700NEHUNDREDi/qUSANU ENERGYPERMIT NIURg(Stao,0oa1,W�DO�710N TO THE COST Of COMPENSATIDN,DAIAA6E3 AS PRWIDED FOR N � SECTION77aOFT11EUBORCODE,NTEREST,ANOATTORNEYSFEE3. RETENTIONFEE: CONSTRUCTtON LENOIN6 AGENCY PRE-ALT FEE: � IHEREBVAFi1R1AU10ERPEN/LTYOFVERIURYTHATTHEREISACONSiRUCT10NLENOwOACENCY n2- FOF TME FEHFORMANCE Of THE WO�iK fOR M'111CM TM�S VERMIT IS tSSUED(SEC.i0i7,CN.C.�. W � lENOER'S NMIE � IENDEitSADORE55 Q ILERTIFYMATIHAVEREAD7HISMVLICATqNA/JDSTATETHATTIIEABOVENFDiwAT10NI5CORRECL TOTAL FEES � d I�aREETOCdIPLVWITHAl1diY/NDCOI.NttORDPUNCES/NDSTATEUWSPEUTW6TOBU0.DIN0 � CONSTRUCTiON,Mm NEREBVAt7T�tlH¢E REVRESENTATNES OF TNIS COUHTYTO EMER UPON THE . . .. S�, ABOVE�MENTIOHED FROPERTV iOR WSPECTION RIRPOSES. COMMENTS � J � m .� � .�/a ,� NRE NYRTEE � DATE - . ,,� � � . , RECPT.NO. PA10 BY VAUDATION . . WHITE-0eparlmant Copy.YELLOW—Finanw Gopy.PINK—Asssssor Copy,GOLDENRO�Fik Copy,GREEN—Applk�nt's Copy .. _.. „ •r,..: . � >, .i�� ,�.r.�. � a .y. t;' . .. ,..',; .X�..Y.,,,� �.. ' . . , , ......•n:�.....,...,. . ,....e . .,r . . .. . ... . , i ...,. ..... .. . �H'' �1`.. �J.... . , ..._ . , -��'... 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' MID HT. BOND BEAM _, �__ ` - --- . ROOF SHEATHfNG ---__ _---- _ __..---.. _ _ _ 8 F`T.E30ND BEAM `- - y; : �� FRAMINGNENTI'LIATION ` �� `FINAL BDND BEAM -- �� � - -" -- -- -'-- - ROOFCOVER---- ---- _ � -__ _-- '- _ _.-_ _.._ PFiE-GRADING _. - ' - _ .. _. ---- - --- --- .. ���. � : ROUGH HEATING- ; — � ,,. - _ '' ' ` , - E3ENCHING _ _ .._ __ -- ROUGH ELECTftIC--': - _--- -- --- -, -_ _ROUGH GRADING.. - _. _ . „ I �,, ROUGH PLUMBiNG -- - --� - - �-- --, FINISH GRADING ' " ' ` " SHOWERITUBTEST , - ---- ---- -_- _�------ POOL ELECTRIC , , _ , EXT.-LATH/SIDING -; - ___ _ -- - -- .__._,I _. F.DOI:FENCING , _ ; , , • WALL INSULATION � � � F'OOL FINAL - � ! ;- CEILING INSULATION OFF SITE IP�If'S: ' . ,"�• '� ' ' ' ' � � ;,. DRYWALL NAILING ' i DEDICATIONS ' ' SEWER__ _ .._i _ ' _-- -- FINAC ENG.. � � - - --- -- , . , SEPTIC_TANK .----_: _ . ' _ -:-- _ __ __ _' LANDSCAPE/�RRIG: . -- '- ' i ;. 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