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HomeMy WebLinkAbout21744 - 21119 Silver CloudDIAMOND HAD a CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES--T---- 1------- 21FIRMLY 39 c)PRESS ri 909) 86044'95-Fax (909) 861-3117 BUILDING PERMIT AI'PLICA1 APPLICATIOW/Voq DATE PMITP/...••^•••"" NUM, iiiC , I # ISSUE DATE TYPEOCC A.)/// h - yCONSTGROUP FRONTSETBACKS ZONINGREAR SIDERW0 n SIDE/SIDESTREETRW0 0 PROPOSED NO. UNITS USE DWEL.-14/ geo / gesA / ro ; Zet NO.NO. STORIESBEDROOMS u) ui 14-DESCRIPTIONSQ. FT.FACTOR PSFADJ. AREANALUATION 0 z SFR/ADD/REM Garage/Carport al-1-1P tio/Deck Pool/Spa Re-Roof 5 JCommercial 5 o3 Valuationc-2, ovoADJ.AREA QUANTITYDESCRIPTIONFEE J a° I-- 0 ILI J 11.1 o z cT3 m/ D s EL 5hatit 7701ZI- I 2° x o 2LLI CONSTRUCTION PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SM1P ENERGY P/C ENERGY PERMIT RETENTION FEE: PRE-ALT FEE:52,-00 Lit 0 6.0„ 0,1 5,3 Q-0-0 TOTALFEES COMMENTS I RECPT. NO.0PAID BYdri_17,VAUDAT1ON VVHITE—Department Copy, YELLOW—Finance Copy, PINKpy„'cant s iiJOBSITE nADDRESS2 1//61SIL-14:2'1.-C144)1> B r D n y z t r D D Al M m JJ n D 13 II r D m LI Z JJ E E D D z r 1 Z La r 1.1 r he D J_ Z D APNLOTTRACT 2 5 AJ B n 0 V) Ca Ci LAI I-- CI ci Z Ci LU Z 9 CO I = M 0 c) 11.1 I J CC I.JJ cl- 0 CS Z 1.11 I-- M LU Z 0 t 1 CO 4C co OWNERit/i /KC 4n,y)e4rrot-yA/&-z:1- ADDRESSawlS/Lvvrt cc_otA) CITY0 iA/Ind Air, 131A.ZIP q/74c-- TEL "r6 V IST if -21 07 APPLICANTgIca 1"w) 144-4.-41-0-4444./TEL CONTRACTORi c*kri I- a• ... ADDRESS'Mir CITYI4 ' --144"it=ZIP9 > 7 S. -0 TE L. . 9091 3 2., ARCH/ENG/93 Vy DESIGNER ADDRESS CITYZIPTEL. OWNER-BUILDER DECLARATION IHEREBY AFFIRM UNDER PENALTY OF PERJURY THAT INA EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FORTHE FOUDWING REASON (SEC. 7031.5BUSINESSAND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRESA PERMIT TO CONSTRUCT. ALTER, IMPROVE, DEMOUSH2OR REPAIRANY STRUC- TURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE ASIGNED STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3OF THE BUSINESS AN) PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROIA AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5BY ANY APPLICANT FOR APERMIT SUBJECTS THE APPLICANT TO ACIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (S500).): 0t. AS OWNER OFTHE PROPERTY,OR MY EMPLOYEES WITHWAGES AS THEIR SOLE COMPENSATION, WU DO THE WOW, AND THE STRUCTLIRE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI- NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IE HOWEVER, THE BUILDING OR RIPROVEMENT IS SOLD WITHIN ONE YEAR OFCOMPLE- TION, THE OWNER-BUILDER IMU. HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOFI THE P(JRPOSE OF SALE). 0I, AS OWNER OF THE PROPERTY AM EXCLUSIVELY CONTRACTING WITH UCENSED CONTFIACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LI- CENSE LAW DOES NOT APPLY TO AN OWNER OF APROPERTY WHO BUILDS OR NAPROVES THEFIEON, AND WHO CONTRACTS FOR SUCH PROJECTS WITHA CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAC- TORS UCENSE LAW ) 0IAM EXEMPT UNDER SECB. & P.C. FOR THIS REASON DATEOWNER LICENSED CONTRACTORS DECLARATION IHEREBY AFFIRM UNDER PENALTY OF PEFtJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DMSION 3OF TIE BUSINESS AND PROFESSIONS CODE, AND DAY UCENSE IS INFULL FORCE AND EFFECT. LICENSE CLASS73LIC. NO.g 2,341SY DATE/0/510 yCONTRACTOR 40-1A.4-14F744V WORKERS' COMPENSATION DECLARATION IHEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: IHAVE AND WILL MAINTAIN ACERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. IHAVE AND WIll MAINTAIN WORKERS' COMPENSATION INSURANCE AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORIAANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE CARRIER POLICY NUMBER IHS SECTION NF_EDNOTBE CONFUTED °FIFE PERMIT'SFOR CNE FUFDRED DOLLARS ($100)OR LESS). ICERTIFY THAT INTHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE 1NORKERS' COMPENSATION LAWS OF CALIFORNIA. AND AGREEI SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION P • • SIONS OF S., 3700 OF THE LABOR CODEJ SH.LFORTHIMTH COMPLY WITH•Aly • -.•• i 6/0-11 DATE:APPLicANT.Ar•.wiLrAr WARNING: FAILURE TO SECURE WORKERS' COWEN•RAGE IS UNLAINFUL, AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESI FINES UP TO ONE HUNDRED THOUSAND DOLLAFIS ($100000)., IN ADDMON TO THE COST OF • .. PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LAI3OR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY IHEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT ISISSUED (SEC. 3097, CIV. C.). LENDER'SNAME LENDEFrS ADDRESS ICERTIFY THAT IHAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. IAGREE TO COMPLY WM4 ALL CITY AND COUNTY OFIDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSE& eCIANAA3 Nkri. GAA-41) PERMITTEE N .," AL.ib/S-10y SIGNATU - OF PERMITT 91DATE ON CITY OF DIAMOND BAR INSPECTION RECORD 7. •I I 1••• V,141.14,4%,""•zity,•2 r•r SET BACK. ': FLOOR JOIST. FTGSIFORMS/STEEL. .*FHA REQMTS LECTRIC GROUND _-_ _I GROUN-D. PLUMBING*_UNDER FLOOR DUCT UNDER FLOOR. CONDUIT SLAB GRADE_- TEMP- P-OWER __ __ WA-T-ER SERVICEi FIREPLACEFOUNDATION FIREPLACE BOND BEAM MID HT BOND BEAM ROOF SHEATHING.8F-, BOND BEAM FRAMING/VENTILATION::- FINAL BOND BEAM ROOF COVERPRE-GRADING ROUGH HEATING.- . BENCHING ROUGH ELECTRIC.- • ROUGH GRADING ROUGH PLUMBING1. FINISH GRADING SHOWER/TUB TEST.' POOL ELECTRIC EXT. LATH/SIDING.. POOL FENCING WALL INSULATIONPOOL 'FINAL- CEILING INSULATION,'OFF SITE IMPS. DEDICATIONS DRYWALL NAILING.FINAL ENG SEWER:- : LANDSCAPEIIRR la SEPTIC TANK.:., SEEP Pri/L.L.: :ON SITE IMPS. GAS AIR TEST., FINAL ZONING FINAL CONST'An'.----W Arr : IFIRE DEPT FINAL RNAL HEATING- :HEALTH DEPT. F:NAL IAL ELECTRIC.... 4,/-DEV, FEES PAID COMMENTS 4..#.4..........--; /.." --:ENERGY t..._. i: SEPTIC TANK SIZE SEEP PIT/U SIZE