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HomeMy WebLinkAbout1724 MORNING CANYON RD (2) , �� � CITY OF DIAMOND BAR � ----�'� ---� DEPARTME?�1T OF COIvA�IUNTfY&�DEVELOPMENT SERVICE I 21825 E.Copley Drive /�' ��. (909)860-3195 Fax(909)861-3117 /�/�G� � PRESS �`'%»�� BUILDING PERMIT APPLiCATION F � JOBSITE APPLICATION RMIT I o ADDRESS1 ,� DATE NU � # � ISSUE ,n PIPE OCC APN LOT� TR DATE �����CONST. GROUP p OWNER��j(� � ADD ESS ZONING SETBACKS a - Z CITY � IP L. FRONT Ryy ❑ o APPLICANT TEL. REAR ❑ Z SIDFJSIDE STREET RW ❑ Q CONTRACT R S� SIDE ❑ Q ADDR SS PROPOSED USE � � � CITY EL. � ARCH/ENG/ � z DESIGNER w NO.DWEL. O. NO. � ADDRESS UNITS ( STORIES � CITY ZIP TFL. � BEDROOMS cq ca DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/REM O � I HEREBY AFFIRM UNDER PENAITY OF PERIURV THAT I AM E%EMPT FROM THE CONTRACTOiiS LI� GeI290/CefPOft W CENSEUWFORTHEFOLLOWINGREASON(SEC.70.31.SBUSINESSANDPWOFESSIONSCODE:ANYCITYOR (n U COUNTVWHICHREOUIRESAPERMITTOCANSTRUCT,ALTER,IAIPROVE,DEMOLISH,ORfiEPAIRANVSTRUC� W patio/Deck w 7URE,PRIOR TO ITS ISSUANCE,�LSO REOUIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE A SIGNED w � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � � � CENSE LAW(CHAPTER V(CAMMENCING WITN SECTION 7000)OF DIVISION]OF THE BUSINE55 AND PRO� POOVSP3 O FESSIONSCADE)ORTHATHEORSHEISEXEMPT7HEREFROMAND7HEBASISFORTHEALLEGEDE%EMP� (� V TION.ANVVIOLATIONOFSECTION7091.SBYANYAPPLICANifORAPERMITSUBJEC�S7HEAPPLICANTTO Z Re-Roat _ A CIVIL 7ENALTV OF NOT MORE THAN FIVE HUNDRED DOLURS(5500)J: � ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOYEESWITHWAGESAS7HEIRSOLECOMPENSATiON, � Z Commercial WILL DO THE WORK,AND THE STRUCTUAE�5 NOT INTENOED OF OFFERED FOH SALE(SEC.70aa,BU51- J � NESS AND PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW DO'eS NO�APPLV TO AN OWNER OF � PROPERTV WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HEHSELF OR � THROUGH HIS OR HER OWN EMPLOVEES,7ROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m . QOFFEREOf-0RSALE.IF,HOWEVERTMEBUIL�MGORIMPROVEMENTISSOLDWITHINONEVEAHOFCOM7LE� Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING'HAl HE OR SHE DID NOT BUILD OR � IMPROVE FOR TME PURPOSE OF SALE). � w ❑I,ASOWNEROFTHEPROPERTY,AMEXCLUSIVEIVCONTRACTINGWITHLICENSEDCANTRACTORS [[ TO CANSTRUCT THE PROJECT(SEC.7oN,BUSINESS AND PROFESSIUNS CADE:THE CONTpAC70R5 LI� V81U3�1On ADJ.AREA � W CENSELAWDOESNOTAPPLYTOANONMEROFAPROPERTYWHOaUI1,D50RIMPROVESTHEHEON,AND � MM1iOCANTRACTSFORSUCHPRQIECTSWITHACON7RACTOR(S)LICENSEDPURSUAN7TOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). � O I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U � � DATE OWNER _ � ' Z w � LICENSED CONTRACTORS DECLARATION w � I HEREBV AFFIRM UNDER PENALTV OF PERIUHY THAT I AM LICENSED UNDER PFOVISIONS OF CHAPTER � d e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PP.OFESSiONS CODE,AND Z `X AIV UCENSE IS W FU L FORCE ND EFFEC7. , m � LICE E C S LIC.NO.� y j ~ DAT '� � CONTRACTOR_ 1 d U w � WORKERS'COMPENSATION DECLARATION � Q � I HEREBV AFFIRM UNDER PENALTV OF 7ERJURY ONE OF 7HE FOLLOWING DECLARATIONS: Z ' Z _I MAVE AND WILL MAWTAIN ACER7IFICA7E OF CONSENTTO SELF�INSURE FOR WORKERS' _ ¢ MPENSATION,AS PROVIDED BY SECTION 37o00F THE LABOR CODE,FOR THE PERFORMANCE W -OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � w I HAVE AND WILL MAIN7AIN WOHKERS'COM7ENSATION INSURANCE,AS RE�UIRED BY SECTION � Q 7700 OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WMICH THIS PERMI7IS ISSUED.M ORKERS'COMPENSATION INSU CE CAR[iIER AND POLI Y MBER ARE: CONSTRUCTION Q � �, � CARRIER PLAN REVIEW � POLICY NUMBER , � Z ELECTRIC Q � (iHISSECIqNNE�NOTBEOJMPIEffDOF7F�PERMfT4SFORONEVrtN�DREDDOLLFAS(5100)OfiLESS). PLUMBING Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOF7 WHICH THIS PERMIT IS ISSUED,I MECHANICAL C�} SHALL NOT EMPLOV ANY PERSON IN ANV MANNER 50 AS TO BECOME SUBJECT TO THE � � WORKERS'COMPENSATION LAWS OF CAIIFORNIA,AND AGREE THAT IF I SHOULD BECOME INS?ECTION FEE SUBJECTTO THE WORKERS'COMPENSATION P OVI51 �IS OF SECTION 3700 OF THE LABOR � ODE.1 SHALL FORTHWITH COMPLV WITH O PR /l IONS. ISSUANCE .�°iy'�� � SMIP �/ ( J p DATE: PIICANT: � • �-�� J WARNING FAILURE TO SECURE WORKERS'COM TION CAVERAGE IS UNUWFUL,AND SHALL BE ENERGY P/C LL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT DOLURS(f100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: / � CONSTRUCTION�ENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTY OF PEfUUi1Y THAT THERE IS ACONSTRUCTION LENDING AGENCY � FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). Z W � LENDER'S NAME F= LENDER'SADDRESS ,� �^ � I CERTIFY THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL F E ES � ` ` J ,� w I AGREE TO COMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE UWS REIATING TO BUILDING '% � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ZABO � N710NED PROPERTV FOR INSPECTION P POSES. COMMENTS 0 � J � m EHM A 1? Q / N � � N ATU F ITTEE A = RECPT.NO. PAID BY VALIDATION ~ WHITE—DepaAment Copy.YELI.OW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy ��T`� �� ���ht���� ��� � B�i�����8�� �EGC��D � #�ue�.�.r� J.'�" g,'� .�; ,�! � � � ° 0��o � . ., , , - � .' . , . ° (j a-,�.+h a ���.. ��� ! . • , t ' , . .,. �. �.;. ! .r.. . . -'E..r. .;s -� � 0 � .�� � ; � . .,�_ � T.. •. ..., � - . . „ , a , _. � SET BAGK - � � � ' I � FLOC?R JDIST. � � � - �--- -. __ _ _ --�— -- -- ---- - --- ----- FTGS/FORMS/STEEL �___ ; __ �`_,�_ , i FHA REC�MTS ` � .-___ _._ ------_ __- -- � ELECTRIC GR�UND � ' ! UNDER fLOOR DUCI' � ! _._.__ _ ._.--�---- ---- � --- -- _. __ __ _._ J --- ----- ___�. Gf�OUND PLUMBWG ; -- -- ---- ._-----j '_UND' R S�LE'70R CUt��DUIT i_ - -• --- -- _._. _-------- _ _�._ . . ... --- S L A B G R A Q E i i ; FIRFPLaCE FOUNDATION_ i ___ ' � I ' � _ -- ----- ---- TEMP POWER ' ; FIREPLALE BUND BEAM � ___ _ • -- - -- ----- WATER SERVICE ' MID HT. EiOND F3EAM � ' � 1 ..�. ._ __' "Y i_" _'_' __'_ . ....�. :_. .—"'__ _—�___ _ ' � s �r. �o�a �EaM � -- ROOF SHEATHING _ '� � ' ._ ---- ,CLl�.._.__ ....._._-�___ _._ _ __ -._ -- --._. FRAMING!VENTILIATION � _ ._. . � FINAI EiC�fidD C-3�,�M 1 ._..._._.___ � � -- - _ _ _ _.! --- _----. ----- -__ ROOF COVER � � PRE-GRADING ___ i __ ROUGH HEATING � BENGHING I ___---- ROUGH ELECTRIC ! ! RC)UGH GRADING — ----- � ---__..._. __ ....-----1 ----.._._._..__ .._...__...._._._ . _._..._._. � ROUGH PLUMBING !__ _�� i FINISH GF3ADING ---- -- __.. — . - _.. _� --- -_.--------- ---- SHOWER!TUB TEST � ; POOL ELEt�.TRIG --- ---- -- --- ...._.� -., _ .......____---- --- -_ -------- --- EXT. LATH/SIQING � ; POOL FENCING � - ----- =---............- ---.......---- ---.__.._ WALL INSULATION 'T i POOL FINAL _ _ _ CEILING IN�ULATION j ; OFF SITE IMPS. __ _ � - - _...- ---- - -- - - --- -- DRYWALL NAILING ; i DEDIC�TIONS _ ._. _..._ .----•— --- -_ -- '--- __._. _.._ —_ �_.__ _...----- --- - SEWER ' � FINAL�NG. � -- --- ------- --.............----.. _.....,_ _.__..._._ ___�..__-.__.______ ...�-- ---- SEPTICTANK ; ' • 1 LANDSG�tF'E;IRRIG. ' -_--� - - - ._._------ -_._ SEEP PIUL.L � � ON SITE IMPS. - — --._._---- --- GAS AIR TEST � FINAI_ZONING ___ _ _�._ -- - ----- � _ _---- �- FINAL CaNST. � , ; FIRE �EPT. FINA� ----- ----*- _...__ ____-. G --- -- - ------ FINO�L HEATING � � HEALl�W !�i r�-T FINAL � -- ----- -------------- �--- .------- --.,.. ----- --�_ ....--- FiNAL ELECTRIC ' ; I DEV. FEES PAID ; �-�----- _----- -----..-------- ------ FINAL PLUMBING _` i ; ENERGY - ------- -- � ------ ��_._ , -- . � o Q � .. ��� i < ,:� _ , � .,: � . , i CUIViIVf EiVl"S _- -_.___. SEPTIG TANK SIZE SEEP P�T/U SIZE --- ------- -...... _____. ------ .. . ;, �:._ -- ---_._.._�._.__— --- _____.�_. -----=- --.._------_. � � � , . �� � ., ��� � � � ' �