HomeMy WebLinkAbout1724 MORNING CANYON RD %
' �,P�2��
��_ CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES C�/ G��
21660 E.Copley Drive Suite 190 /
=��' PRESS
(909)860-3195 Fax(909)861-3117
���A�. BUILDING PERMIT APPLICATION FIRMLY
o DDRESS �727 ��RN(N!� C�4 NY�� KU�-T7 DATEICATION "I�` U�NUMB R� � #/�O �� `
$ ISSUE ' �.r� TYPE • OCC
APN LOT TRACT DATE I ���O� CONST. GROUP
p OWNER � O N��"I (�� Zp
o ADDRESS 17 dR.N t N(� �N Yo 17 ZONING SETBACKS
� CITY • �N� ZIP �/7�s TEL.g�1 SG�I"I 3 FRONT RW ❑
APPLICANT . 1�l L- REAR ❑
� SIDE/SIDE STREET RW ❑
c� CONTRACTOR SIDE ❑ I
o ADDRESS PROPOSED USE Y'`�'�v
CITY ZIP TEL. ��� F_�
o ARCWENG/
iz DESIGNER NO.DWEL. NO. NO.
n. ADDHESS UNITS STORIES BEDROOMS
� CITY ZIP TEL.
�
cn OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
Q OWNER-BUILDER DECLARATION SFR/ADD/REM
O
I MEREBY AFFlRM UNDER PENALiY OF PERIURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- GBffl(JB/C8�011
W CEHSEUWFORTHEFOILOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANVCITYOR (n
U COUHfVMMIp1RE0UIRESAPERMRTOCONSTRUCT,AL7ER,IMPROVE,DEMOUSH,ORREPAIRANY57RUG W PeflO/DBCk
Z NRE,PRIOR TO ITS ISSUANCE,ALSO REWIfiES hIE APPLICAM FOR SUCH PERMIT TO FILE A SIGNED
w STATEMENT THAT HE OR SHE IS 4CENSED PURSUANT TO 7HE PROVISIONS OF 7HE CANTRACTORS LI- w
� CENSE LAW(CHAPTER Y(COMMENCINQ VII7H SEC710N 7000)OF DIVISION 3 OF THE BUSINE55 AND PR6 � POOUSpB
FESSIONS OODE)OR THAT HE OR SHE IS EXEMPT 7HEREFROM AND 7HE BA515 FOR THE ALLEGED EXEMP•
V TION.AHY VIOLATION OF SECTION 7037.5 BYANV APPLICANT FOR A PERMIT SU&IECTS THE APPLICANT T0 Z Re-Roof
� A CML PENALiV OF NOT MORE THAN FIVE HUNDRED DOLLARS(f500).):
� ❑I,/�SOWNEROFTHEPROVERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOIECOMPENSAT10N, � COfnmBfClel -
MALL DO THE WORIL AND THE STRUCTUHE IS NOT INTENDED OR OFFERED FOR SALE(SEC.701t,BUSI- J
� NESS AND PROFESSIONS CODE:7HE CON7MC70RS LICENSE lAW OOES NOT APPLV TO AN OWNER OF � ,
PqOPEfRY WMO BUILDS OR IMPROVES THEREON,M1D NMO DOES SUCFi WORK HIMSELF OR HERSELF OR
Q hfiqUGH HIS OR HER OWN EM7LOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m �
COFFERmFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWI7NINONEYE�ROFCOMPLE-
Z �-TION,THE ONMERAUILDER WILL HAVE THE BURDEN OF PROVINO hIAT HE OR SHE DID NOT BUILD OR
� IMPROVE FOR THE PURPOSE OF S�LEJ. �,
W ❑I,AS OWNEROF THE PROPERTY,AM El(CLUSIVELY COMRACTING W1TH LICENSED COMRACTORS
[[ TO CONSTRUCT THE PRQIECT(SEC.7041,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� VelUe110l1 �- C.F� ADJ.A
� CENSEUWDOESNOTAPPLYTOANOMMEROFAPROPERTYWHOBUILDSORIMPROVE57HEREON,AND
WHOCONTMCTSFORSUp1PRQ1ECTSWI7HACONTfUCTOR(S)LICENSEDPURSUANT70THECONTMG QUANTITY DESCRIPTION FEE
� TORS LICENSE UW.).
Q ❑I AA1 IXEAIFT UNDER SEC. B.d P.C.FO THIS REASON U
� Q
DATE �a� OWNER �
W
� LICENSED CONTRACTORS DECLARATION W
� I HEREBY AFfIfUI UNOER PENALTY OF PERIURV 7HAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � -
� Y(COMAIENCINO WITM SECTION 700D)OF OIVISION 3 OF THE BUSINESS AND PROFESSIONS CADE,AND Z
�� AIY UCENSE IS IN FULL FORCE AND EFFECT. m
� UCENSE CLASS LIC.NO. � � j �
V DATE CONTRACTOR a
W
� WORKERS'COMPENSATION DECLARATION -�
Q
� I HEREBY AFFIRM UNDER PENALTV OF PERIURY ONE OF THE FOILOWINO DECURATIONS: U
� Z
� _I HAVE AND WILL MAINTAIN A CEHTIFICATE OF CANSENT TO SELF-INSURE FOR NKIRKERS' 2
COMPENSATION,AS PROVIDED BY SECTON J7000F THE LABOR CODE,FOP THE PERFORMANCE U
Q OF THE WORK FOR WHICH THIS PERMI7IS ISSUED. �
�
w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION 1
Q 9700 OF THE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS � a
ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION
jc�aaiEa PLAN REVIEW � i
� POLICY NUMBER ELECTRIC
0 (IYU6SECf10NN�NOT8E00AilEfIDOFi}�PEPoATISFi�RONEFUrOREDDOLLMSR��)�LESS? PLUMBING
Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL
LJ SHALL NOT EMPLOY ANY PERSON IN ANV MANNER SOAS TO BECAME SU&IECT TO THE
� WORKERS'COMPENSATION UWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE
S SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 9700 OF THE LABOR
CODE.I SHALL FORTHNATH COMPI.V WITI THOSE PROVISIONS. ISSUANCE
� SMIP
p DATE: � APPLICANC � ,
w ENERGY P/C � � ,
J WARNINO:FAILURE TO SECURE WORKERS'CAMPENSATION CAVERAGE IS UNUWFUL,AND SHALL BE �
� SU&IECTMI EMPLOYER TO CRIMINAL PENALT�ES AND CIVIL FINES UP TO ONE NUNDRED THOUSAND '�I,�'♦
ENERGY PERMIT /h
} DOLLARS(5100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAG�9 AS PROVIDED FOR IN -� W,s� -
� SECTION 3708 OF THE LABOR CODE,IN7ERE5T,AND ATTORNEV'S FEES. F{ETENTION FEE:
d CONSTRUCTION LENDING AGENCY PRE-AlT FEE:
� I HEREBYAFFIqM UNDEH PENALTY OF PERJUHV THAT THERE IS ACONSTRUCTION LENDING AGENCY ' -
FOF THE PERFORMANCE OF 7HE WORK FOR WHICN 7HI5 PEfiM1T IS ISSUED(SEC.7oW,CIV.Q�. �p
Z
W
� LENDER'SNAME
H LENDEIYSAD�RESS
1
� I CEflTIFY THAT I HAVE READ THIS APPLICATION M!D STATE 7HATTIE ABOVE INFORMA7qN IS CORRECT. TOTAL FE ES
w 1 AGREE TO COMPLV N7TH ALL CfTY AND COUHTV OR�INMICES AND STATE UWS RELATINO 70 BURDING / (�
� CONSTRUCTION,MIDHEREBVAUTHORIZEREPRESENTATIVESOF7HISCOUNTVTOENTERUPON7HE /^_ y� A .,� w�f11 �I- � f /1 ,�`_ `���� �
ABOVE-MENTIOHED VROPERTV FOR INSPEC710N PURP0.SES. ` 1 1 1 / ll V V `�1 �d/�yv-���
Z COMMENTS �,i�r� E-- �
O /�, �'- % , .
? c�c9�l:r^t� .p , i - i� =;;-��-
� m PE I N (P � •
� �_ � -'�e� `�(� � _ . c�.�_ f��--�C7
y IONATURE OF PERA1fTTEE DATE '
� RECPT.NO. PAID BY VALIDATION
� WHITE—Depertment Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy
. . _ ..,. . � .�. .... . .,.y,���:. . . .
� . - ... . � . . . . � ... , . .... . . . l�.�.ti.. , , .. . ... . . 1;„ .� . ' •y•
• C�T'1( OF DI/�NIOND BAFi ,
- 9�SPEC1'AON I�EC��iD
�.:t di�r�i'r��`�'`y' Y.+. ,��.'�...`, 5 � � � 0 `�`� e . o � � � o � �
U �u uU{�� ��
°. . . _ � . . . � , . � , �
SET BACK ' ' � � FLOOR JOIST ; � •
FTGS/FORMS/STEEL -�� FHA REQMTS
ELECTRIC GROUND � UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CU�IDUIT � • �
SLAB GRADE � FIREPLACE FOUNDATION
TEMP POWER � FIREPLACE BOND BEAM
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING - S FT. BOND BEAM
FRAMINGNENTILIATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING � .
SHOWER/TUB TEST POdL ELECTRIC �
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION � OFF SITE IMPS.
DRYWALL NAI�WG DEDICATIONS
SEWER FINAL:ENG.
SEPTIC TANK . . . LANDSCAPE/IRRIG.
SEEP PIT/L.L. � ' ON SITE IMPS.
GAS AIR TEST FINAL ZC3NING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT.;FINAL _ _ ,_ �,�, . ,
FINAL ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY
. z
..� .��F� ri'��'�$ ��n;c+�
COMiViENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE .. �
�6 re � .�.Y _ . ,
�
—a:i����../,� '�,�-. 2y� .
'�'
,LV� ��
k
L
J' _ • `
;7.�' i �
!
f- ,. � ��.� . . .
� � .
. /
�