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HomeMy WebLinkAbout10244 (9) _.._._.`._.�.. .._ _---_ �_._...�.____.-----__.._..._...._.__ __ ..._...---........ _.. _ � ; --��----��.r�.::_._ _.:.... . ,� - � - �� CTTY OF DIAMOND BAR COMMUNITY DBVEI;OPMENT DEPARTMENT ! 21660 H Copley Drive Suite 190 PRES+S• � (909)8G0-3195 Fax(909)8fi1-3117 �'"�' BUILDING PERMIT APPLICATION FIRMLY � . o ADDRI SS ��� ���—'v^� �<" ���'aq DATECATION ���/1 e3 NUMBER ��/ � #� 7 c� ISSUE �"'�9 �� TYPE OCC APN LOT TRACT DATE ^CONST. GROUP p OWNER � "- ADDR SS � �-� t ZONING SETBACKS Z CITY �..�.� r ZIP TEL. FRONT RW ❑ g APPLICANT J � TEL.�'SSsKrKS�..�, l�l REAR C � SIDE/SIDESTREET RW C � CONTRACTQR �`.� . SIDE ❑ � ADDRESS i ✓`-� '✓°'�- • 7�— a�-�`� ' � � � pROPOSED USE K - `' ,�°• �- W � CITY �S :---�r=a ZIP !�1� TEL.'7SsaC`'�''�->�.�i -� � � ARCHIENGI ,�...,m e-''y,....�i.e. (Ja«�f�b� DESIGNER NO.DWEL. NO.��-- NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BL:ILDER OECLARATION � SFRlADD/REM O 0 1 HEflEBY AFFIRM UNDER PENALiV OF PFR.URV THlIT I AM EXEMPT FROM THE CONTRACTORS LI• G3fege/C9fpOft W CENSEUWFORTHEFOLLOWWGREASON(SEC.7037.SBUSINESSAN�PROFESSIONSCODE:ANYCITYOR (n ' U CIXIN7YNMiCHRE�UIRESAPERMITTOCONSTRUGT.PLTER,MPROVE.DENOLISH,ORHEMIRANYSTRUC• W pe7101DBCk WTURE.PRIOA TO ITS ISSUANCE,ALSO RE-0UIRES THE APPLICANT FOH SUCH PEHMI7 TO FILE�A 61GNE0 � STA7EMENT THAY NE OH SHE iS LICEN6ED PURSUANT TO THE PROVISIONS OF TNE CONTHACTORS Lb � CENSELAW(CH�PTERe�COMMENCINGWITHSECTqN700D)OF�IVISION30FTHEBUSINESSAND�PqO• � POOVSpB FESSIONS�E)oN iMA7 HE OR Sl1E IS EXEMPT 7HEREFROM AND 7HE BA515 FOR TNE ALLEGEO E%EMP� �y VTION.ANYYIOLATpNOF5ECT10N7071,3BYANYAPPLICANTFORAPEHMITSUBJECTSTHEfiPPLICANTTO Z �'Re•Roo( V�i�."g ���q�� � ACIVIIPENALIVOFNOTMOFETHANFNEHUN�REUDOLLARS(5500�.): Q ❑I,ASOWNEROFTHEPAOPER7V,ORMVEMPLOVEESWi7HWA0ESR51HE1RSOLECOMPENSA710A1, � COR1RIBfCial z WILL DO TNE WORK,ANp THE SI'Po.ICTURE IS NOT INTENDED OR OFFERED FOR SALE(SEG 701s,BU51- J NE55 AND PROFESSIONS CO�E:TNE fANTRACTORS LICENSE LAW�OES NO7 qPPLY TO AN OWNER OF N PROPER7VWHOBUILD30RIMPROVESTMEREON,ANDWHODOESSUCHWOHKHIMSELFORHEHSELFOR = � TFii0U6HHI50RHEHONfNEMPLOVEES.PROVIDEDTHATSUCMIfIPROVEMENTSAhENOTINiENDED�OR m pOFF6iWFORSALE.IF,HOWEVEFZ7HEBUIL�INGORIMPROYEMENTISSOL➢WITHINIXYEYEAHOKCOMPLE Z 710N,THE OwNER�BUILUER WILL HAVE THE BURDEN OF PROVING THAT 71E OR SHE OID Nb7 BUILD OR � IMPROVEFORTHE7UflPOSEOF3ALE). W OI,ASOWNEROFTHEPNOPEIiTV,AMEXCLUSIVELYCONiRACTINGWITHLICENSEDCONTRACTORS �(� --^ ADJ.AREA � TO CONSTRUC7 TME PqNECT(SEG 70�4.BUSINE55 ANU PROFESSIONS CODE:7HE CONTMCTORS LI- V811J8IIOfi W CENSEUWWESN�TAPPLYTOANOWNEFiOFAPROPEflTYWHOBUIL�50RIMPROYE3THEREON,AND � NM1IOCONTMGTSFOR3UCiiPROJEC73WITHACONTRACTOR(S)LICENSEDPURSUANTTOTNECONTRqG OLIANTITY DESCRIPTICN �FEE Y TORSUCENSELAW.�. � ❑i AM E%EMPT UNDER SEC. B.6 P.C.FOR TNIS REASON U � — � a � OATE OWNER F Z W � LICENSED CONTRACTORS DECLARATION W � IHEHEBYAFFIRMUNDERPENALTYOFPERIURYTMATIAMLICENSEOUNOERPROVISIONSOFCHA�'fER � p� 9(CONMENCIN6WITMSECTION7000�OFDIVISION30FTNEBl151NES5MIDPROFESSqNSCADE,AND z ,X MY UCENSE IS IN FULL FOR E AND EFFEC7. "�j�CJ� � � LICENSE CL455 �� LIG.NO. � �"'f � V OATE � CONTRACTOR ��'^°� .�C_�n�r' � d — W � WORKERS'COMPENSATION DECLARATION � Q = U � INEFEBYAFFIpMUNDERFENALTYOFVERIURYONEOFIHEFOLLAWINGDECLARpTqNS: f� Q 0 _IHAVEAN�WILIMAiN7AINACEN7iFICATEOFCON5EN7705ELF•INSUREWRYVOHKERS' _ COMVENSA7ION.AS PROVIDEO BY SEC710N 37o00F7iVE LABOH CODE,FORTHE PERFORMANCE U ¢ � OF THE WOflK FOR WHICH THIS PERMIT IS ISSUED. � W 1 FiAVEAND N1LL MAINTAW WORKERS'COMPENSATION INSUflANCE,AS RC-0UIREO BV SECTIdtl �q, Q 37ooOF7HElABORCODE,FOR7HEVERFOHMANCEOFTHENbFKFONWF��CHTHISPERMRIS � "�? ��-� ISSUED.MV�o RKE5RS' MPENSATIONINSURANCECARRIERAN�POLICVNUMBERARE: ONSTRUCTIO � "-� � Q r� � CARRIER�:��i �� PIAN REVIEW A��""� � ZPOLICYNl1M9EH �� J Cr �v ELECTRIC Q Q ��ss�Ne�noreem�rmocn+eaewxrsroRa�r�na�mu�as�s+mlae�ss� PLUMBING Z 1 CENTIFY TXAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL a� � ('j SHAII NOT EMPLOY ANY PEHSON T1 ANY MANNEP SOAS i0 BECOME SUBJECTTO THE � WORKERS'COMVENSATION UWS OF CALIFORNIA,ANDACNEE TNAi IF I SHWLD BECOME SPEC710N FEE j Sll&IECTTOiHEWORKERS'COMPENSATIONPROVISIONSOFSECTION37000FTHELABOR ,✓�.�' CADE,I SHALL FOqTHWITH COMPLV W17H E P$OVISIONS. ISSUAN d ///���,,,��- ��,���� D p OATE:� APRICANL � SM� � � w ENEHGY P1C J WARNING�FARIIHE i0 SECUHE WOHNERS'CO SATpN COVEPAOE IS UNIAWFU4 hND SHpLL BE — LL SU&IECTANEMPLOYERTOCFUNINALPENALTIESANDCINLFINESUPTOONEHUNDREDTHOUSANO ENERGYPERMIT DOLLARS(f7oo.o00),N ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN — � SECTION 37o80F iNE tAeOR CODE,PITEREST,ANDATiOPNEY'S FEES RETENTION FEE_ ¢ a CONSTRUCTION IENDING AGENCY pRE-ALT FEE: � IHERFBVAFFIRAIUNDERPENALTYOFPERIURYTHATTHEREISACONSTRUCTtONLENDINOAGENCY FOii THE PERFORMANCE OF THE WORK PoR NfHICH THIS PERMIT IS ISSUED(SEC.3D97,CIY.C.�. 2 W � LEN�ER'SNAME H LENDER'SADDRESS /) / / WICERTIFVTHATIf1AYEREA0THI5APPLICATIONANDSTA7ETHATTHEABOVEINFOHMAiIONISCOi7RECT. TOTAL FEES lf • �� � I AGREE TO COMPLV N7Tii ALl G7Y ANO COUNTV ORDINANCESANO 57ATE UW5 REUTING T0 BUILDING CpNSTRUCTION.AN�HEREBYAU7HORIZE HEPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE z ABOVE-M/ENT�IONED PROPERTY FOR INSPEGT�ON PURPOSES. COMMENTS � ,P ^'�'a 5 Q..�•"�^�^'�L- ��w� m PE � RI �� ! !- �� Q y � s�a oF I1TEE ',TE RECPT.NO. �3 lo PAIC BY({�[ �,�Y r VALIDATION � WHITE—DepaAment Copy,YELLOW--Finance Copy.PINK—Assessor Copy,GOLDENROD--File Copy.GREEN—Appllcant's Capy .: :� . , . . ,._, ., ,, .... . . , �i�"'�' t7.� �11�9l���f�3.,��� . , , ,.. .. ; , , :: � � . �. .. ....... ._... . . ������`�'ICC�� F����R� �:�: ,, , .. ,,, . .. . . —�-�-- . � T :� _. ,� . .� _ _-. _ .` --_---�---- __ . � � � : • - � � - _ s � __�....i � ._ � @ _ � � g . .,:.�:.,�.,:. . ___ . _ . _ �ET F3ACK,, ...;; - _.�;-��.��.' FLOOR JOIST .. -- _. _ __ _ — --- — — — �'i'GS/FORPyf5/STEEL . :_._,� _-_ �-- _ __, � F�HA R�Q�.1Tj . , _ _ ^ � � ;>�,•7 ..:�. . �i UNDER FLOOR DUCT �- _ _ . . — ELECTRiC vROI,ND , _: . , _. --- -- —. ._.—.._ __��__. �ROU1�D Pt_UM1riBING , � .._ - >. ; UNDER FIOOR CC�t��DUi�' , ., ,,, . --. . ---- �� _ __-7— ..��_.�;.. _ Si,.A�G�ADE. -- __._._� :::; . ; . >. : i FIREPLAC�F�UND�TION .. _ ._ iE1�FF POWE'R .. . . _.. _...:._.. FlREPLACE 80ND BEAM,.. ,: ,,, _ _ '_ - - - -__. _ ... , @NATER SER`JIG� � ' � , : ," ; _M'D HT.��C3�ID�E�EA�vI � - -/� ----- `_ . �tZ5�7!=SiiEAi F61NG. _���f!_�� '� S rT BCNC BEAfV� �--- --� --�--•.-— --- ------ — - ` R�JOF CO�ER�'iLIATiO�I� _ .. _�/ '_ PRE Gi�O�D�EAM��- .. .__.. ''--� .._. } �: _ l :, _— -- '�OUrH'HcAT4NG �... tt ,,,.: .. l3EnIC:$,!NG , .._ ---=--� — - ---- — — -- �iOUL,H EL�CTRiC '� t�OU�H CRADIfVG - --- -I-- �_.__�__--- ---- .------ ,- . ; RO�Jiaii PLt3�iBR�G � ` , � FlNISH�RADiNG - __�____ � _, __.;_ �!-9C)lNER/TiJB TEST —�� .:_ � ,,,C3C7L ELECT�IC � --� --� --- — - ----- - �X�.LA�H/Si�ll�G -� � � ��� ���; . ._.. �' :POO��Ei�CiNG.:. ' _.—... . - -- ----- - .. -�.__._--- __ ,.�: ' ;: � VblALL t1�SIJ�TiOV� � , ,�,. PDCL�fN�;L ., _. ' _... .. . .. . . - . _.�_.� - -:------- --- _ _ — _ CEEi i�3G Ii�1SULATIGN - OFF 51Y,E It�fi_P5 _ .,: .__. :: . . �RY'IVALL!�lAILlCvta ;. . �^. :. ,_, .: .-- - - .DEbfGA'1`IONS �— ` - --- _ _. i _ _ — -_--- :. .. SE�1fER _ __. _� _V FINAL EiVG — - SE�'YI�T,41VK _ :. ' LANDSCAPL/IRHiG SE��'P!�'lL.L'. '... _� �_ ..; _,.... ._ _.. O�V SVTE IN'iPS. � i . .- �.------ £.:; ---- --- Gi�S�IR TEST . _ _ _. _ .. F N ZONif�U ; . , — — _ _—....__ - -- � - _ F!N{�L CONSI� .. . . 1 ___.... _ . ..__ .._ �'iRE DEPT FINA� ,, „., ---�- - --- -- -• _ - �if�fAL HEA7lI�G ! . � _ -` , H•tAL7H DEPT FiNAL, - _ _ . _ ... _ — -_ -- -- - - -- — - FiNAL ELECTRIC __ .._._.__.._. � DEV FEES�AlD --- --- -- -- -- �_. �__ " I .... — - -__ �----�- _ ;. FINAL P4UMSING .... � .--- � I i E.NERGY .. , - — ,... —. _.: --- � ___ ,- — -___�._� --- ------ , } j �..._ .. � . . . . f '.� _" ' . ... .. . . ., � -- -' . -:- . _ .:.-- � . . , ... .. .' _. �—` . . . ' . ... � � �. � - , . ., , -- ------ i -- -- -:.; :, ' .,�. 1— :. +: p . E� l+I.JSYIiVi�1V�� ----. .. .. .. ,.. . . .._..._. ..... .....'.�. - .. ._— - -- . . . -- . i -- �'-' --- — _"- i� � , . . � .. .. .., . � _. _. ... � . .. . ...... ..... _ ..... .. ... . . . .. ..... ... ... . . .. ...... ,... _...._ �. i� ...�--�.__..._' .. - -'-- . _ . .....; . . ._. ... _ .. _. .. ...._. ..._. . . ..._..... ..............._ .�._�._ . - . - � � ., .,� - JL . 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