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HomeMy WebLinkAbout10310 (5) _ __- . ____.._ ,_ .___ _.__.._. __ _ _ _ ,.�- ��S `�' " � C1TY OF DIAMOND BAR � COMMUNTTY DEVELOPMENT DEPARTMENT .;,.� 21660 E.Coplcy Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS """ BUILDING PERMITAPPLICATION FIRMLY a DDRESS r��� ���:'T LC.�A'�'! ✓✓�/�✓ >- APPLICATION PERMIT � p/p o DATE� NUMBER # � APN LOT TRACT � �S� �SSUE TYPE OCC DATE CONST. GROUP p OWNER °� i�^ ,t^ p ADDRESS v C's� �-"C3 ZONING SETBACKS FRONT o CITY ' '��Y ZIP TEL. " �� REAR RW ❑ �� APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR C.�°1��JL'C/'L, SIDE ❑ ADDRESS � CITY ZIP TEL. PROPOSED USE o ARCWENG/ � z DESIGNER w NO.DWEL. N0. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREAJVALUATION p� OWNER•BI;ILDER DECLARATION SFRlADD/REM O � I HEREBV AFFIRM UNDER PENALTV OF VERJURY THAT I AM EXEMPT FROM THE CONTRACTORS ll- G8f3Q6IC8lPOII W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031,SBUSME6SANDPROFESSIONSWDE:ANVCITYOR (n U COUNTYWHICHREOUIRESAPERMITTOCONSTRUCT,AITER,IMPROVE,�EMOUSH,ORREPAIRANYSTRUC- w 7URE,PRIOR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICAN7 FOR SUCH PERMIT TO fILE A SIGNED W Patio/Deck � STATEMENT TMAY HE OR SHE IS LICENSEO PURSUANT TO iHE PROVISIONS OF THE CONTRACTORS LI- � � CENSE LAW(CHAVTER e(COMMENCINQ WRH SECTION 7000)OF�IVISION 3 OF THE BUSINESS ANp PRO- POOVSF72 FESSIONSCODE�OR7HA7HEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLE6EDEXEMP- (� V TION.ANVVIOLATIONOFSECTION7031.5BVANYAPPUCANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z RB-ROof A CIVIL PENALTV OF NOT MORE THAN FIVE HUJ�RE�DOLIARS(S5ao).): 0 ❑I.ASOWNEROFTNEPHOPER7V,ORMYEM7LOYEESWITNWAGESASTNEIRSOLECOMPENSA710N, C� Comm0fCi81 Z WILL DO THE WORK,AND THE S7RUCTUFE IS NOT INTENDED OR OFFERED FOR Sl1LE(SECJo�4,BUSI- _1 � NESS AND PROFESSIONS CAOE:THE CONTRACTORS LICEN6E UW OOES NOT APPLY TO AN OWNEP OF j PROPERTV WHO BVILDS OR IMPROVES TFIEREON,ANO WI10 DOES SUCN WORK NIMSELF OR HERSELF OR wTHRWOHHISORHEROWNEMPLOYEES,PqOVI�E�THATSUCHIMPROVEMENTSARENOTIN7ENDEDOR m � OFFEREDWRSALE.IF,HOWEVEfi,THEBUILOINGORIMPROVEMENTIS50LDWITHINONEVEAROFCOMPLE- Z 710N,THE OWNER-BUILDER WILI HAVE iHE BUROEN OF PROVING THAT HE OR SME�ID NOT 9UILD OR � IMPROVEFORTHEPURPOSEOFSALE). W ❑I,ASOWNEROFTHEPROPERTY,AAIEXCLUSIVELYCONTRACTINGWITHLICENSEDCONTRACTORS � TO CONSTqUCT THE PR0.IECT(SEC.70�4,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- VelUetl011 ADJ.AREA W CENSELAWOOESNO7APPLYTOANOWNEfiOFAPROPERTYWHOBURDSORIMPROVES7HEREON,MA F WHOCANTRACTSFORSUCHPRQIECTSWITHAfAMRACTOR(S)UCENSEOPURSUMfi'TOTHECONTRpC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). 0 ❑I AM E7fEMPT UNDER SEC. B.6 P.C.FOR THIS PEASON Q � U �'�" DATE OWNER `� 1— O - U . ... . t . � UCENSED CONTRACTORS O CLARATION W � I HEREBV AFFIHM UNDER PENALTV OF PENJURV 7HA7 i AM LICENSED UNDER Pf70VIS10NS OF CHAP7ER �. � 9(COMMENCINGWIhISECTION7o0o)OFDIVISKKJ30FTHEBUSINESSANDPROFES&IONSCODE,ANO Z ��� Mv LICENSE IS IN FULL FORCEAND EFFECi m � UCENSE CLASS L1C.NO. � V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q � IHEREBYAFFIRMUNDERPENALTYOFPERIURYONEOFTHEfOLLOWINGOECLARATIONS: Z z _IHAVEANOWILtMAiNTAINACERTIFICATEOfCANSENTTOSELF-INSUFEFORWORKERS' _ . ¢ COMVENSATION.AS PqOVIDEO BV SECTION 370o OFTHE IABOR CODE,FORTHE PERFORMANCE �U Q OFTHE WORK FOR WHICHTHIS PERMIT IS ISSUE�. � � 0 w __IHAVEANOYI�ILMAINTAINWORKERS'COMPENSATIONINSURANCE,ASflEWIRED8Y5ECTI0N / 3700 OF THE UBOR CODE,FOR TNE PERFORMANCE OFTHE WOfiK F-0R WHICH THIS PERMITIS ��7 ✓— •✓� ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBERME CONSTRUCTION J � CARRIER PLAN REVIEW Z voiicvNUMseR ELECTAIC ¢ 0 (IHISSECTKMVNE�NOTBECOMRETEDOFTF�PERMfTlSFORIXJEFiLrDRED00ll/IqS(S10�ORLESS�. PLUMBING W Z 1 CERTIFY THAT IN THE PERFORMANCE OF THE WOFK FOR WHICH THIS PERMIT l5 1SSUE0,I MECHANICAL L7 SHALLNOTEMPLAVANVPERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE � WORKERS'COMPENSAiqNIAWSOFCALIFORNIA,ANDAGREETHATIFISHWLDBECOME INSPECTIONFEE � SUBJECT70TFlEWORKERS'CAMPENSATIONPFOVISIONSOFSECTION97000FTHEUBOR �. � CODE.I SHALL FORTNWITH CQMPLY WITH THOSE PROVISIOMS. ISSUANCE � 1p DATE: APPLICANT. SMIP •� ��� L � WMNINO:FAl1.URETOSEWHEWORKEFS'COMPENSATIONCOVERAGEISUNIAWFUL,ANOSHALLBE ENERGYP/C LL SU&IECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIYIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT JDOLUR9(i1o0,o001,IN ADDIT�ON TO TME COST OF COMPENSA710N,DAMA�ES AS PROVIDE�FO(i M � SECTION 3708 OF 7HE LABOR CODE,INiEREST,AND ATTOflNEV'S FEES. o� RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBY AFPIqM UNDER PENALNOF PEfiJUAY THAT TMERE IS A GONSTRUCTION LENDING AGENCY FOR THE PERFOflMANCE OF THE WORK f-0R WHICFI TNIS PERMIT IS ISSUED(SEC.3087,CIV.C.�. Z W � LENDER'S NAME 1— LENDEiYSADURE55 W I CEHT�FYTHAT I HAVE READ THIS APPLICATION ANO STATETHATTHE ABOVE INFORMATpN IS CORRECT. TOTAL FE ES � I AGREE TO COMPLY WITH ALL CIN AND COUNTY OFi01NANCES AND ST0.TE LAWS REUTMG TO BUILDING � CONSTRUCTION,ANDHEREBYAUTHORIZEREPRESENTATIVESOFTHISCDUNTYTOENTERUPONTHE ABOYE-MENTIONED PROPEHTY FOR INSPECTION PURPOSES. COMMENTS _ � � F �4 / m PE I77EENAME(PRINT� ...i .. ,,. 4 ��"�,� = � -13 �n �,.... :. � , {,.� , .,. � SI6NATUREOFPEFM DA7E � � RECPT.NO. PAID BY r V"I1'�.IDA`f'il��N' . " "' WHITE-0epaRment Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GflEEN—Appllcant's Copy �" ..,;�. ..:.,�qr �`�. !r;;, <s'Sr��:�nnr�svw:a:�?hw'�raX,: "��.:,,�+w�,,�r.��,:�s.. �, �„r;rr .�. , .�•� . ..>:r��xdr . , „ ""�:,a;:fiy^,�. � }�„{�.+y�;:r a,r^.-,,S .-,.r;t�,. . .:,»� , , ... . ...�,,:.,s,, �W�..-. :..,w, :.. - A � ,,c-� F .a . TA`'0�r ..,.. . . , .���� .,,�...., .�;�,.�.. �..,._: ��::.. . . CITY qF �}I,AI�fIOND BAR ,, .' `� - �� y r.�:� �.;., . INSPE�TIOIV FtECOR,�,D ' � ,, ;; : . . i � , i . . � � , . � .� SET BACK ^ _ , .., _.. _ _:__ , �._�� ,.. FLOOR JOIST.-� F . _ . . . . FTGSlFORMS�STEEL �°;iL' _ _ -, FHA REQMTS , J ' ` - �L' . .�r .r Y . �.' ':.. ._.�.��s�. ELECTRIC GROUND '' - � I UND�R FLOOR DUCT � .r°���� �� ` � a _�:��� . :a. . � e� ,:, -, GROUND PLUMBING UNDER �tOZ�t C�(�IbUIT �'�c'' �...; �'��'* ' -�� � ' --- SLAB GRADE " -- � �iRE�'LACE FOUNDATIbN _ _. ; .` TEMP POWER . . -- � FIREPLAGE BOND BEAM �"'`.�"� ' , .;: WATER SERVICE. , � � ' _ , Mip HT. BOND BEAM_ ,�.._. _ �__._ RdOF SHEATHIN� `' , "f' ,t� e����_��.�,` 8 F�`f. BOND BEAM '_� , _-� _� __ _ _ FRAMINGNENTILIATION � ;�"'' "� ' FIRIAI.BOND BEAM _--- _ ___ _ _ . ,. _, � } ;.ldt ° ROOF COVER __ . PRE-GRADING a;� . _ �: ROUGH HEATING �� , . �:: : � ,��_.:•�:� ' BENCHiNG __ _ __ _� __..__. a,. _,. — , _ ROUGH ELECTRIC- ROUGH GRADING , , `` „. , ,•. ROUGH PLUMBING _ � . _., _ . ___ _ = ,. �'IN{SH GR'AC?ING' � " ar., - ... ,�__ -.,.... , - .. SHOWEt�/TUB TEST __ _ ,,: ptO�L E[.ECTRIG. , , y ��; ; ,: .., �. ,. EXT.LATH/SlDING _ _ Pb�L FE.IVCtNC ; ,. , S r � �,y„er.� ti ik:�.u�>.� .. . .. . ..... _.... . . . ._. - .. . . : WALL INSULATION -_ - PLOOL FlNAL-=": ' . '":." ��,::� ,�,;��t.�� ,;. . . . , � .:� ,,... .�,. ,,:,,,,,:, CEILING INSULATION _ O�F SITE IMPS._ . ,' , ,. _' s �' c a - ..=.fn :�.�A�v - .. . ., . - , .. .'::) -.'i; . . DRYWALL NAILING DEDICA"TIONS : '" ' , :�r =_� _ _ _ _ _. _ _... , . SEWER. __. __ _ _— __ _ _ . FINAL.ENG.,. , ,;;. 1 ,: , '- ,.., . ...,- , ��',�: ., „ SEPTIC TANK . ';: : .: ... _::_,..,k LANDSCAPE%It�RIG, :, ��.. , _�z::� , ,., ,�;. _. _. _. .'�.`: ' ,; SEEP PfT/l:L. _. -- - ON SlTE IMPS. ` " . �., _. GAS AIR TEST - --� FINAL ZONING 'i' "`�^�' '� ' FIFdAL CONST. � -�,��' ;. _� ���_._:___—', �(RE DE�T:�'I(��f� 5.:y`; ���L� ,<,� i,.+^`�'r'��s =-t' ! FiNAtNEAT1NG __.___._ . ____. _ _ .....___ 't HEALTHDEPT. FIN i.. , � : . _ ... .._. ,. , _ . .. —=—=-- FINAL E�ECTRIC _ _ . . _ __. � DEV. FEES PAID ' ,;,, s�;,�,, ''. . .,.., .;. FINAL PLUMBING. . _ __ __ _---_ __ � ENERGY _ ;e,; , ,,�, . �_ .._ „ _. — -- � -- _._. _. _..._. _ t ---- _. _ � s� :��:,t. . _ _ ___.._ _ , i . � � F;- . , '. � _..._.. � __ _. , _._,...._,_...____,_ , .__..__.._�_.....,�__.. _. _.. .. ..... ..._.. __..._ _..,.__ ....,. . �..�� _ .._.. ._. COMMENTS , . r .,....,�. �.- �f�--._,,�,. ,�,e -,�,��_�����;��,F��a� � I _ — � ' 3x�.,:N' . . . ,.,,. ' , ��vti dY/hr. ..,.._., _.__..................... ....__........._..._._....__ . .... .. ....... . , "� � , _ . ,., .. . �_ . -.. - ___ _ .:,.. �.:, -. .. � -... .i t:.+bi...i,.:.... �,,:: , .. .... _. ...._._.._._.. .� . . . . ',6�dN�,�ny.�,. .. ..._. .. ..... ... .. .. .. . . .... ........_.._ .._.__."._ __.__........_ � . , !'. ' ' 4�h a.?:�S' V .':': � . �' l�, ;' M �fi",A l: . �;.., rv . 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