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HomeMy WebLinkAbout17746 (1333) .�� CTfY OF DIAMOND BAR ^ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS ���� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION `.���_O� PERMIT /� p/C o ADDRESS_�SSQ S. v�a��r V v I sT� DATE �J NUMBER 1 w O_ � -7 g � issuE TYPE �c APN LOT TRACT DATE CONST. GROUP p OWNER C'PI A S W _� 1 p ADDRESS�ZLJ M�IIU S 1 . ��i �w ZONING SEfBACKS gCfTY��LJIw>'E ZIP�Z(n�4 TEL. �{oL2-3�/s FRONT qVy p APPLICANT TEL. REAR p dz SIDFJSIDE STREET RW ❑ CONTRACTOR SW A1 hJ �I�aN � �N �' SIDE ❑ o ADDRESS I -' � PROPOSED USE ��J 5�� (�� 4 ' NUN-I l.Ll11M �? DGp o CITY f")►�tT14�.1 CI ZIP TEL �'Z-� � f"y -n s'DS �� 1 TZ�J�, o ARCH/ENG/ z DESIGNER a ADDRESS N0.DWEL. NO. NO. � CITY ZIP TEL UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER OECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UN�ER PENALiV OF PE0.AlRY THAT 1 AM E%EMPT FHOM THE COMMCTORS U• Gaf290/C81pOR W CEHSEUWFORTHEFOLLOVANOREASON(SEG.7W7.58USMESSANDPftOFE55qN5CODE:ANYCRYOR (n V COUN7YMMIp1RE0UIRESAPERMITTOCONSTRUCT,ILLTER,IMPROVE,DEMOUSH,OHHEVAIRANYSTRUG W W 7URE,PRIOR TO fT5 ISSUANCE.ILL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO fllE A SIGNED W Patio/Deck � SUTEMEM THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LL � � CENSE LAW(CHAPTER Y ICOAIMENCM�WITH SECTION 7000)OF ONISION]OF THE Bu51NES5 ANO DqO. POOVSpe � FESSIONSCADE)ORTHATHEORSHEISE%EMVTTHEREFROMMOTNEBASiSFOR711EALLECEDE%FMP- (� TION.ANVVqLA710NOFSECT10N70.t1.6BYMf/APPUC/NTFORAVfR1AIT5U&lECTSTHEAPP�ICANTTO Z Re•Roof ACINLVENALTY pF NOT MORE THAN FNE HUNOFED DOlUR5lSsao).): 0 04��WNEROFTHEPROPERTV,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMGENSATION, 0 COffIRIBfCIaI Z W�LL DO THE WORK,ANO THE STRUCTURE IS NOT INTENOED OR OFFERED FOR SALE(SEC.7W�.&151- J � � NESS AND VROFESSIONS COOE:TME CONTMCTORS LICENSE UW DOES NOTAPPLY TO AN OWNEH OF � VR07ER7Y WMO BUILDS OR IMVROVES TNEREON,AND WMO OOES SUCH M/ORK MIMSELF ON HERSELF OR CC THROUGMHISORMEROIYNEMPLOYEES,VROVIDEDTHATSUCNIMPROVEMEMSARENOTINTENDEDOR m � OFF[REDfOHSILLEIF,FpWEVE0.7ME8ULDINOORIMPROVEMINTIS50LDWRMNONEYEMOFCOMPLE- Z TION,THE OWNER$VILDEq NALL HAVE THE BUPDEN OF PROVIN�iHAT HE OH SNE DID NOT BURD OR = MPROVE FOR THE%lRPOSE OF SALE7. W ❑I,ASOWNEROFTHE7R07ERTY,AME%d.USNEIYfANTMCTWOWITHIICENSEDCONTRACTORS � TO GONSTRUCT 7HE VROJECT(SEC.7W�,BUSINESS AND PROFESSIONS CODE:TME CONTMCTORS L4 V2IU81IOf1 ADJ.AREA W CENSEUWDOESNOTMPLVTOANOWNEHOFAGROPERTYWFpBUILOSORIMPROVE57HEREON,AND � YN/OCONTMCTSFORSUq1VRQlECTSWITHACONTMCTOR(5)LICEN9EDPURSUAMTOTHELONTMG QUANTITY DESCRIPTION FEE Y TORS UCENSE UW.). 0 O IAM E%EMPT UNOER SEC. B.l V.C.FORTHIS REASON Q � U � OA7E OWNER U 0 w �Q LICENSED CONTRACTORS DECLARATION W CL IHEHEBYAFflRMUNOERPENAl7YOFVERNRYiHATIAMUCENSEDUNOERPROVISiON50FCHAPTER � p., f(COMMENpNOWITM5EC710N70oo)OFOIVISION70FTHEBUSINESSANDPROFESSIONSCOOE,MID Z X MV LICENSE IS N FULL FOHCE AND EFFECT. � m o ���E�sE�uss (�U3 O oU �,�.Na. CGy S � v a�re��-�2 corrrnncro"�1 a w � WORKERS'COMPENSATION DECUIRATION, 4 � IHEREBVAFFIPI.IUNDERPENALTVOFiE0.NRYONEOFTHEFOLLAWtN6DECURATIONS: Z � �IHAVEINDN'ILLMMNT�MACFRTIFICATEOF�ONSEMTOSELFaNSUREfORWOfiKERS' _ �Q CdA0EN5AT10N,ASOROVIDEDBYSECTIOf!]70oOFTHEL180RCO0E,FORTHEPERFORMANCE w Q OF EWORNFORWHiA/iHISVERMITI5155UED. � QW 1MAVEANOWILLI.WNTAINWORNERS'fAA1PEN5ATIONINSURANCE,ASREOUIREDBVSECTION `� �7000FTNElA80RCODE,FORTHEPER�ORMANCEOFTHEWORNFORWHICH7HISPERMITIS . �� � � ISSUEO.MVWORKERS'COMPENSATqNI�"CECARRIERANDPOLICYNUMBERARE: CONSTRUCTION _ � CARRIER v1 f—' I�L� PLANREVIEW .S. . 0 raicvr+uMeen_ � � _�� ELECTHIC � � (IVtSSECfIONNE�NOTBECd.6'LETEDOFTEOEP/ATSiOfiWEH_ft(7ED�OlLARS�i700�OqLE55} PLUMBING Z I CERTIFV TF1AT IN 7ME FERFORMANCE OF THE WORK iOR WMip1 THIS GERMIT IS ISSUED,I MECHANICAL U' SHALLNOTEMPLDYANYPERSONINANVMANNERSOASTOBECOMESUBJECTTOTHE (,/� WORKERS'COMPENSATION UM�S OF CALIFORN10.µ0 AGREE THAT IF I SNIXILD BECAME WSPECTION FEE S SUBJECTTO THE WORKERS'COMPENSATqN VROVISIONS OF SECTION�7000F iHE UBOR COOE ISHALLFORTMWITHCdAPLYWI7HTHO5EPR0 5. ISSUANCE v� O �\ 1) p �ATE:�� APPLICAM: � ) J��� SMIP � (� J WARNINO:FAILURETOSEWREWORKERS'COMPENSATIONCAVERAGEISUNIAWFU.,,l1NDSMALLBE ENERGYP/C �y, SUBJECTIWEMPLOYENTOCRIMINALPENALTIESINDCMLFWESUPTOONENUNOREDTHOUSAN� ENERGYPERMIT DOlLARS p100.0001,Ml ADDIiION TO THE COST OF GOMPENSATION,DAMA6E5 AS PRONDED FOR IN � SECTION77o80FTHELA00RCWE,WTEREST,ANDATTONNEY5FEE5. RETENTIONFEE: � nW.. CONSTRUC710N LENDING AGENCY PRE•ALT FEE: O � IHEREBYAFiIRMUNDERPENALiVOFPERJURYTHATiHEREISACONSTRUCTIONIFNDINGAGENCY � Z FOR TME PERFOPMANCE OF THE WORK fOR WHILN TNIS GERMIi IS ISSUED(SEC.7oY7,CIV.C.). W � LEN�ER'SNAME � LENOERSADDRE53 �..�-/� /�� � ICEflTIFYiHATIHAVEREADTHISAPPUCAT�ONM1D57ATETHATiHEABOVEINFORM�7qNISCORRECT. TOTAL FEES y� S �� O� V_� � MGREETOCOM7LYWI7HALLCITYANDCOUNT70RDINMICESANDSTATEUWSRELATIN6TOBUIlOING J• V, CONSTfiUCTqN,ANOHEREBYAUT/10RREREPRESEN7A7NE50FTHISCWNTYTOENTERUPONTHE Z ABOVE�MENTIONEOPROVERTYFOR 5vEclqrivur+roSEs. COMMENTS O � (�..�.J � � 9 �A 1 m P�E��PRIy{i� Q� � �� � Y�, F�Q Uj SIGNATUREOFPERMITTEE D�TE � RECPL NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—file Copy,GREEN—Applicant's Copy .._,. ,:. . ._ . ���.�,. ��,-,. ..,..-:-.. �,,�,:..��_. .. :�::, ' "�'. . .. � ,»x�, �r-, .._ * y _.... , ..... . ... . ' '--- - . �, � � .. . .�. .. .. . ,�, . . .. , .,. .. ,,, ,-.-.. .. _ .... ,�:, ..,.,... .. .,._.... . �✓, ��Tel` O E= i31�;�f G i'�i[3 F3J'-�(i 1�vSr�C s iOf� �f-'�,cCG�� �..._ r._ _...T�_ ____.. __.�_ __ __,�.,._... _� 1►��-'�RI.�,�,:rCc�'�V ¢��V�C_ 'I�'�'�.�=;c,�C�J.� I��E='t:� i�:�t?Ccl�'E �x��t_=, i►�F-`i:l:�,e,�;�m)�� � .__.._._..___.____�__�_____�._... _ .._. _..__._. . _ _ .. ._....._._._� -=---__ .---_.__._._._._ _....�__._..___.___.__.--_....,._._.._.__ SET BACK I ; �_ � I FLOOR JOIST, � _�_ ; FTGS/FORP�15!STEEL �—FHA REaMTS I_ ELECTRIC GROUND _ j__ _ _�_UfJDER FL�(�R DUCT } GROUrdD PLUMBING � Ut�DER FLOOR CUf�IDUIT I � SLAB GRADE I i FIREPLACE FOUP•JDATION ' TEMP PaWER I FIREPLACE BOND BEAM WATER SERVICE I� hAID HT. �OND BEAM ROOF SHEATHING i B �• BOND BEAh1 FRAMING/VENTILIATION FINAL BOND BEAP.4 ROOF COVER PRE-GRADING � ROUGH HEATING BENCHING I ROUGH ELECTRIC ROUGH GRADING � ROUGH PLUf�IBING FINISH GR�IDIPJG SHOVJERlTUB TEST 1 POOL ELECTRIC EXT.LATH/SIDING I POOL FENCING WALL INSULATION i POaL FINAL CEILING INSULATION OFF SITE IMPS. DRYVVALL NA!LR�G � DEDICATIONS SEWER FIhJAL EfJG. SEPTIC TANK . LANDSCAPEJIRRIG. SEEP PIT/LL. ON SITE IMPS. GAS AIR TEST � FINAL ZONING FINAL CONST. 3�g.pZ,l � FIRE DEPT. FIN.A! FINAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING I ENERGY � . . � ' ��=:1:+'`'.'K'�'�C_�f's.._..__--._ __ � CUMMENTS SEPTIC TANK SIZE SEEP PITIU SIZE ��� � `��� _ .. ,�, , � , � , ..