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HomeMy WebLinkAbout18815 - 245 GENTLE PRING LANE �` C1TY OF DIAMOND BAR � DEPARTMEIdT OF COMMUNTIY&�DEVELOPMENT 5ERVICES 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS X���� BUILDING PERMIT APPLICATION FIRMLY } JOBSITE APPLICATION /��PERMIT�Gf� p1Cn � o A�DRESS a311�� C"�-NTI,i, Sr'�Q.ZNG �./tNE DATE I O I'� �`�NUMBER �" x VZ � ZD � APN LOT TRACT ISSUE I TYPE OCC p OWNER _ �"�R . P.N�d DATE_ l� �J� CZ CONST. GFiOUP o ADDRESS ZO � ZONING SETBACKS z CITY C'1La=1�i�nc�4 ZIP�ll�l TE Z.6 �-34 FRONT _ �J' � RW ❑ p APPLICANT 'M2• P•N � P�-�c-'1- TEL. � REAR N p 7d.. SIDFISIDE STREET � RW ❑ � CONTRACTOR SIDE S� Q A�DFESS G��� � CITY ZIP TEL PFiOPOSED USE Tw'���� o AFCWENG/ OESIGNER t�ii NO.DWEL NO. �` NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES �' BEDROaMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAFiATION SFR/ADDlHEM O p 1 HERfBY AFFIRM UNDER VENAL7Y OF PERIURY TNAi I MI E%EA1PT FROM iHE CONTMCTORS LI• G2f8961CafpOR W CENSEUWFOR7HEFOlLONANOREASON�5EG70]1.68USINESSMIOPFOFESSIONSCODE:ANVCITYOR (n U COVNTYWHICMAEOUIPESAPERMITiOCANSTRUCLKTER��aFlOYF.DEA�Ol15H2ORREPAIRANVSTRUP W P21i0/DBGk W TURE,VRqq TO RS ISSUANCE.AL50 REWIRES THE�7FLIGWT FOR SUCH PERMIT TO iILE A SIGNED W � STATEMENT hIAT NE OR SHE IS LICENSEO OURSUAIR TO ME PROVISIONS OF TME CANTMCTORS LI• � � GENSE LAW(��PTER i(COMMENCM6 YATN SECTION 7oa0�OF DMSqN]OF THE BUSiNE55 ANO PR0. POOVSPB � FESSqN5CO0E�ORTMATNEOF5ME15E%EMPTTNEPEFPOMANDTHEBASISFORTXEQLEGEDE%EMP• C7 TqN.�M/V10LATIONDFSECTION70]1.6BYANVAPVLICANCFORAVERMITSU9JELTSiHEAvp�ICANTtp Z qe-ppp� • A CML VEN�ITV OF NOT AWRE TMAN FIVE HUNDHED OOLURS(f So011: � ❑L�dNNEROFTMEPROPEHiV,OR�IYEAIPLOYEESWITIWA0ESA57HEIR50lECOMCENSATAN, 0 CORIff10fCIflI Z YV4L 00 TME WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFEFfD FOH SAIE(SEC.7UN.BU51- J � NE55 ANO GROFESSIONS CODE:iNE CONTMCTORS UCENSE LAW DOES NO:APPLY TO AN OWNER OF j PROPERTY NM1q BU0.D5 Oil IMPROVES TH[AEON,AN�NMO OOES SUCM WOAN HiMSEIF OR HERSELF OR WTM(iOUCHH150RHEflOWHEMVLOYEES,FROYlOEDTHAT5UG11MPROVEMENiSARENOTWTENDEDOR m 0 OiFEREDFOR5ALEIF,MOWEVER7ME8ULD:NdORIMPROYEMEMRSqDWiTHiNONEYEAqOFCOMPLE- Z iION.THE OWNER�BVILDER MnLL HAVE T17E BUR�EN OF PROViN6'MA7 ME OR SME Di0 NOT BUID OR � pAPROVE FON iHE PURP0.5E OF SALE} , w OLASOWNEROFTHEPROFEHTY.AMEXCLUSNELYGONTRAC1iNGWITHLICENSEDCONTMCTORS � TO CONSTRUCT THE P110.1ECT(SEC.70u,BUSINE53 AND PROFESSIONS CODE:THE CONTRACTOHS LI- V01U3i1Ot1 � ADJ.AREA W CENSEUWDOESNOTAPPLYTOIWOWNEROFAPROPERTVN'MDdU1LDSOHIMPROVESMEFEON.ANO � WNOCOMRACTSFORSUCHVROJECTSVA7NACOHTMCTOq(5)L10EN;fDPUPSUANTiOMECONTMC QUANTITY OESCRIPTION FEE � TORSLICENSEUW). � O I AM E%EMPT UNOER SEG. B.i i.C,iOR THIS REASON Q � J U LL DATE �� �S Cy nNR1Fi1 K FS 1 q 1J �J♦ �T L R 1 U 0 � LICENSED CONTRACTORS DECLARATION W � I XEHFBV AFFIRM UNDER PfNAITV OF VERJURv TNAT I M1 UCENSED UNDER PROViSIONS OF CHAPTER � . � Y(CYMIMENCIN6WITNSECTION7000�OiDNI5qN30FTHEBU51NE55ANOGP.O�E5S10f�5G0'JE,AND Z ' �� MY UCENSE IS IN FULL FORCE ANO EFFECT. m � ` 0 LICENSE CUSS LIC.NO. � ( V DATE COMRACTOR d W . � WORKERS'COMPENSATION OECLARATION � � IHEREBV�iFIRMUNOERPENALTYOFVE0.1Ui1vONEOFTI/EFOLLONnNOOECLARATIONS: Z � _IMAVEANDNnLLMAiMA1NACERTIFICATEOFCONSEHTTOSElFaNSUHEFOR�WpKERS' _ GOMPENSATqN,ASPROVIOEOBYSECT10N�7o00FTMELABOi1CODE,FORTHEPERFOFUANCE w Q OF THE WORK iOR WHlpl THIS VERMiT I$ISSUED. � � _IHAVEANDMALLMA�NTAINWORKERS'COMPENSATIONtNSURANCE.ASREWIREDBVSECTqN O87000F THE IABOR CODE.FOR ME PERFORMANGE DF THE WORN FOR NM1CM THIS PERM1T15 � ISSUED.MVWORNERS'COMGENSATIONINSURANCECARRIERANDPOLICYNU/ABERARE: CONSTRUCT�ON � � CARRIER PLAN REVIEW � VOLICYNUMBER ELECTRIC 0 (iYEssEC11p+NEEDNOTBE00RRF�mOFTEFERMRSFOHONEHI�OP£�DOIUiRS6��lORtFsst PLUMBING Z ICERTIFVTHATINTHEPERFORMANCEOFTHEWORKfORWHId1iMISPERMIT15155UED,1 MECHANICAL C} SHALLNOTEMPLOYANYPERSONNNJVMANNERSOASTOBELOMESUBJECTTOTHE � V/ORKERS'COMPENSATqNlAw50FCAL1iORNiAJW0A6REETMATIF151KKriDBECOME INS?ECTIONFEE S SU&IECTTO TME WORNERS'COMPENSA7qN iROVI510N50F SECTION 77000F 7ME UBOR COOE,I SHALL iORTMMTH GOMPLY WITH TMOSE PROVISIONS. ISSUANCE � � SMIP p DATE: APPLICANT: � ENERGY P/C WAqNIN6:FAILURE TO SE WRE WORKERS'ODIAPENSATKKI COVERAGE IS UNUWFUL,AND SHAL�BE � SU&7ELTANEMP�OYERTOCHIMIWLLiENALTIESANDCMIFINE5UP700NENUNDREDTMOUSAND ENERGVPERMIT OOlURS(5100,000�,IN ADDITION TO TME COSTOF COMPENS�TqN,DAMACES AS PROVIDED FOF IN � SECTqN]7oe OF THE U80R COOE,NTEREST,AND ATTORNEYS FEES. RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' � IMEREBYAFFIRMUNDEtiPENµTYOfPERJURYiNATTHEREI3ACON5TRUCTqNLENOWGAGENCY FOR TME PERFONMNICE OF TME WORK fOR NMICH iN15 PERMIT IS ISSUED(SEG.�oi7,CIY.CJ. Z w cZ LENDEiiSNAME i � LENDER'SADDRESS � TOTAL FEES '^ ¢ I CERTIiY THAT I HAVE READ THIS APPLICATION AND ST�TE TIUT THE ABOVE INFORMATqN IS CORRECT. 1// � pw., IAGREETOCOM7LYWITMALLCITYANDLWNTYORDINANCESANDSTATEUWSpEUTIN6TOBU0.DING « CONSTRVCTION,�NO MEREBY AUTMORIZE REVRESENTATNES OF TMIS C WNTY i0 ENTEN UPON TNE Z ABOVE�MENTIONEDVROVERTYFORINSPECTIONPURPOSES. COMMENTS � Pi��S11LTT M N +4t-�i J L� VERMI ENAME PRIHT� � �!` ¢ ��t,�.���N-ct� o.� _ � L�' t��'� � N SIONATUREOiPERMITTEE DATE � RECPL NO. PPJD BY � VALIDATION WHITE—DeOartment Copy.YEU.OW—Finance Copy,PINK—Asaessor Copy,GOIDENR06—File Copy,GfiEEN—Hpplicant's Copy 1��-�� c�:�� or- ��nr,r�rsc� 6AR � er�sf��i s�ra ��ca�o ��C��-�.����t����.-�iw�����"�.�� �►��=�,��������►_ o �_��..��►� '�. � �SET BACK I . ; __. .��•T"'....i��•FLOOR JOIST ___ ...._� __.._.:i�,___. - i Fl"GSIFORMS/STEEL ' � , ; � FHA REQPv1TS � EIECTRIC GROUND ; ' � � ' . UNDE� FC.00R DUCT I GROUND PLUMBING ___�__ ____� i UhJDE_R FLOOR CUf,IDUIT . � � _ SLAB GRADE _,�_ __ ______I_�_FIRF_PLACE FOUNDATION I I TEPJIP POWER I ' ; FIREPLAL'E E30PJD BEAM _ WATER SERVICE � � MID FtT. �OND E3EA���1 ROOF SHEATHING � ___ �. FT8 BOfJD BEAti1 4 -- rt------ — FRAMINGNENTILIATION I _ _ � __ F��dAL EiOtdD 6EAM - �---- -- -- ROOF COVER I � � PRE-GRADIh�G ROUGH NEATING , BENCHIfJG ROUGH ELECTRIC I R�UGH GRADING ROUGH PLUMBING I I FINISH uRADiPdG � SHOWER.rfU6 TEST —� � i POOL ELECTRIC —-�--- EXT. LATH/51DIPJG � ! POOL FENCIPlG WALL INSULATION i POOL FINAL i I - �---- - CEILIPJG INSULATION ��OFF SITE IMPS. DRYWALL NAIUNG _ _ � DE�ICATIONS SEWER ___� _ � FINAL EPJG. SEPTIC TANK I LANDSCAPElIRRIG. SEEP PIULL. I ON 51TE IMPS. GAS AIR TEST i � FINAL ZOPJING FtNAL COt�ST. � _ �� FIRE-�E?T. FINAL FINAL HEATING i_l HEALTH UEPT.'FIPdAL • Fi�JAL ELECTFiIC � I DEV. FFES PAID`_ FINAL PLUh1BING e�/�-(�� �, i_� I ENERGY _ _ _,-�,�. --- ��,, cl�io'e�,_.._._ _ ���. , CUMMENTS ____ SEPTIC TANK SI7_E �SEEP PIT/U SIZE ' �.F��� -- --- — -- ,. �� ; -- — f . �- �i �I�V� � ,I�`:� � --- -- —i •!� j _ ' — r `; . . ����I , . _ -