HomeMy WebLinkAbout11089 - 1727 SILVER RAIN DR (2) - — CITY OF DIAMOND BAR _
COMMUNITY DEVELOPMENT DEPARTMENT ,- i^
..,.� 21660 E.Copley Drive Suite 190
(909)660-3195 Fax(909)86I-3117 PRESS
'""°� BUILDING PERMIT APPLICATION FIRMLY
o� J065tTE �J {� �,,l APPLICATION ` Q q�J PERMIT �f f P/C
ADDRESS I � " cJ( �J� M h �T DATE e a�� _`' t"i`NUMBER /�_ i1
� ISSUE TYPE OCC
APN L�T T R A C T OATE ' CONST. GROUP
p OWNER 4S
p ADDRESS Z 1 V(/� O�.iv� ZONING SETBACKS
� CI7Y ZIP TEL. FRONT qyy ❑
APPLICANT _ ✓�EL. REAR �
z SIDElSIDE STREET RW �1
� CONTRACTOR,� /U�Q V 4C/erTS SIDE �
� CITY � ZIPr TEL. a PROPOSEDUSE � `r
o ARCWENG/ W
W DESIGNER NO.DWEL. NO. NO.
d ADDRESS
� CITY ZIP TEL. UNITS 5TORIES . BEDROOMS
�
u� DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARE/WALUATION
p� OWNER-BI:ILDER DECLARATION SFR/ADD/FiEM
O
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTOHS LI� G8f8gB/C8(�011
W CENSEIAWFORTHEi'OLLOWINOREASON(SEC.7037.58USINESSANDPROFESSION9CODE'MIYqT'IOR (n
U CWNTYWHICXREWIRESAPERM�TTOCANSTqUCT,ALTER,IMPROYE,DEMOUSFi,ORHEPPJHANYSTRUC� w
W TURE,PRIOR 70 ITS ISSUANCE,AL50 REOUIRES iHE APPIICANT FOR SUC}I PERMIT TO FILE Il SIGNED W PetlO/DBtk
� STATEMEM THAi NE OR SHE IS t10ENSE�PURSUANT TO THE PHOVISIONS OF THE CONTMCTpRg LI- LL
r� CENSE LAW(CHAPTEP B(COMMENCING WITN SECTqN 7000)OF DIVISION 3 OF 7NE BUSINESS ANO VRO� POOUSpB
� FESSIONSCADE�OHTHATHEORSHEISEXEMGTTHEREFROMAN�iHEBA515FORTHEALLEGEDEXEMV� ('
TION.ANVVqLATpNOFSECTION7o31.SBVANYAVPLICANTFOH�PERMiTSUB1ECTSTHEAPPLICANTTp Z Re-Root �Er
� A qVIL PENALTY OF NOT MORE THAN FIVE HUNDFED DOLLAHS(i5o0�):
❑I.ASOWNEROFTHEPROPERTY,OflMYEMGLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, COTrtIB�Ci81
� WILL DO THE WOPo(,MlU THE STRUCTURE 5 N07 INTENOEO OF OFFEqED FOR SALE(SEC.7oaa,BU51- �
� NE55 AND PROFESSIONS CO�E:THE COqTRACTORS LICENSE LAW�OES NOT 11PPLY TO AN OWNER OF j
PROPEflTY WFiO BUIIAS Ofi IMPFpVES THEflEON.AND WHO pOES SUCH WORK HIMSELF OR HERSELF Oq
� THROUGH MIS ON HER OWN EMPLOYEES.PROVIDED THAT SULH IMVROVEMENTS 11RE NO7INTENDEUOR CO
� OFFEREDFORSALE.IF.HOWEVERTHEBUIL�INGORIMPROVEMENTIS&OIDWITMINONEVF.AROFCOb1PLE-
Z TION,THE OWNER�Bl11L0ER WILL HAYE THE BUR�EN OF PROVING TNAT ME OR SHE DID NOT BUi�,p OR
= IMPROVEFORTHEPURGOSEOFSALE).
W ❑LASOWNEROFTMEPROPERTV,AME%CLUSNELYCONTMCTINGNlITHLILENSEDCOMMCTORS
� TO CANSTRUCT THE PROJECT(SEC.�04e,BUSINESS AND FROFESSIONS CODE:THE CONTRACTOpS U• V01USU011 ADJ.AREA
W CENSELAWOOE9NOTAPPLYTOANOWNEROiAPHOPERTYWHOBUILDSORIMPROVESTHEREON,AND
� WFqCONTRACT3FORSUCMPR0.IECTSWITHACONTRACTOR�5�LICENSEDPURSUANTlOTF1ECONTRAG QUIWTITY DESCRIPTION FEE
Y TOfiSLICENSEIAW.).
� C 1 AM E%EAIPT UNDER SEC. B.6 P.C.FOH THIS REASON a
� U
LL' DATE OWNER F—
Z U
Q W
LICENSED CONTRACTORS DECLARATION -+
� w
IHEREBYAFFIRMUNDEHPENALTYOFPERIURVTHATIAMLICENSEDUNOERPROVISIONSOFCHAPTEA �
d B(COMMENdNG N7TH SECTION 7000J OF DIV1510N 30F iHE BUS�NESSAND PqOFESSIONS COOE,AND Z
X MY LACENSE IS IN FULL FORCE AND EFFECT.
� LICENSE CLASS �L G LIC.No.� ^^,,l�1�v �
V �ATE � � CONTRACTOR I.A�Y�+V sV G p�.
W
� WORKERS'COMPENSATION DECLARATION ¢
� 1 HEREBY AFFIRM UNDER PENALTV OF PERIURY ONE OFTHE FOLLAWINO DECLAflATIONS: V
� Z
� _IHAVEAN�WILLMAIN7ANACERTIfICATEOFCONSENTTOSELFdNSIJREiORYVOqNERS' d
COIAPENSATION,AS PROVIDEO BY SECTION 7700 OF�HE LAHOR CODE,FOR THE PERFORMANCE C�
Q OFTHE WORK fOR WHICH THIS PERMR IS ISSUEO. �
w �IHAVEANOMALLMAINTAINWORKERS'CAMPENSATIONINSURANCE,115REOUIREDBVSECTION
O J7000F THE LABOR COOE,FOR THE PERFORMANCE OF THE WORK FOH4lM1iICH iH15 PERMIT IS Q�.�y1
ISSUE�.MY WO/�c ERS'COMPENSATION INSUFANCEC`AR�RIERAND FOLICY NUMBERARE. CONSTRUCTION ! 0.�
jCAHRIER U' O l_.��.'/S _TG {ir„s PLAN REVIEW
Z POLICYNUMBER � y ELECTRIC
¢ iw c'„+.
� (IHISSECfIONNE�NO7BE00AA7lETEDOFTFIEPERAKTISFORpJEHApfdED00LLlRSR1a01q3LES54 PLUMBING
W ��
Z I CERTIFY THAT IN THE PERFORMANCE aF TME WOHK FOR WMICH THIS PERMIT IS ISSUED,1 MECHANICAL
(7 S4ALL N07EMPLAYANY PEflSON W ANY MANNER SOAS TO BECAME 5U9JECT TO THE
(n WORKERS'COMPENSAiqNLAW50FCALIFORNIF,ANDAGREETHATIFI5HIXILDBECOME INSPECTIONFEE
S SUBJECTTO THE WORKERS'CAMPENSATION GROVISIONS OF SECTION�7000 THE LABOR
CODE.ISHALLFORTHWI7HCOMVLVWITHhIoSEP ovisioa . ISSUANCE t. . � 11 �'�^��;��, /�'�dO
O /A�/" .
p DATE: �� �� APPLICANT. _J SMIP �� � �
W "r
� WARNINO:FAILURETOSECUHEWORKERS'COMPENSATIDNCOVERAGEISUN rl.I,ANDSHRLLBE ENERGYP/C
� SUBJECTIWEMPLOVERTOCHIMINALGENALTIESANDCMLFINESL1PTaONENUPAREDTHouSAND ENERGYPERMIT
DOLLARS(5700.000�.M ADOITION TO THE C�ST OF COMPENSATqN,DAMAGES AS PRWIDEO FOR IN
� SECTION970BOFTHElA90RCODE,INTEREST,ANDATfOqNEY`SFEES. RETENTIONFEE:
pCONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� I HEREBY AFFIRM UNDER VENALTV OF CERJURV THAT TNERE IS A CONSTRUCTION�ENDING AGENCY
FOR THE PERFORMANCE OF TNE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.9oD7,CIV.C.�.
Z
W
� LENDER'S NAME
f-- LENDER'SADDRE55
Q ICERTIFYTHATIHAVEREADTNISMPLICATIONANOSTATETMATTHEABOVEINFORMATqNISCORRECT. TOTAL FEES lD7 • �O
W I AGqEE TO COMPLY WITH ALL CITY AND COUNTV ORDINANGES AND STATE LAWS RELATING TO BUILDING
� CONSTRUCTION,ANOMEHEBYAUiIpRIZEREPRESENTATIYESOFTHISCWNTYTOENTERUPONTHE
Z PBOVE�MENTpNEDPROPERT'FORINSPECTION PUFPOSES.
� �- COMMEN7S
� a��C {(�. ti51 `ti'
_
m PERMI NAME�VRI � -
¢ l� 9�
� .
� SIGNATUR F�ERMITTEE, DA7E
� � •� RECPT.N0. PqID BY VALIDATION_�
�. WHITE-0epartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIAENROD—File Copy.GREEN—Applicanfs Copy
. .. � ... ... . . . �. .ri9t'11. . �.�n e I . .Y � r,y. . _�r � . .F�nW..y,.... �'..k.�...y� .. ��t,x�n a a�.i...• .....���br e .... . ... ... ., u... . �I-.. ,x . ... ... , i
.. fn ., f
CITY OF DI/�,MOND BAR
thtSPECTIOh[ RECCIRD
. � � , . � . E � , � .
SET BACK FLOOR JOIST �
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDEA FLOOR DUCT
GROUND PtUMBtNG UNDER FLOOR CO�IQUIT -
SLABGRADE i FIpEPLACE'FOUNDATION
TEMP POWER FIREPLACE BOND'BEAM �
WAT'�R SERVICE - � MID H7.'BO{VD BEAM � � �
AOQF.SNEATHI�VG• > - - 8 FT. BOND BEAM
FRAMINGNENTILIATION FINAL BOND BEAM ��_
ROOF COVER ' L 1�� . � PRE-GRAtiING ~J
ROUGH HEATINC BENCHING
ROUGN ELECTRIC RQUGH GRADING
ROUGFi PLUMBING FINISH GRADING
SHOWER/7UBTE5T POOL ELECTRIC
EXT. LATH/51DING POOL FENCING
WALL INSULATION POOL FINAL � ~
CEILING INSULATION OFF SITE IMpS.
DRYWALL NAILING i DEDICATION$ �
SEWER FINAL ENG.
SEPTIC TANK " � LANDSCAPE/IRRIG.
SEEP PIT/L.L. I ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. ,Z p FIRE DEPT. FINAL
FINAL HFATtNG � HEALTH DEPT. FINAL
FINAL ELECTRIC DEV. FEES PA1D
FINAL PLUMBING ENERGY
, � . ; . ,
� -
+�r ' � e �
COMMENTS
�
.. � -. � .
• . , . , . . ,� - .
SEPTIC TANK SIZE
SEEP PIT/U SIZE -
_�� � ' 1 • • . • . 1 '
� 1 . �• '
.. � � �