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HomeMy WebLinkAbout11411 _ . --��—� CITY OF DIAMOND BAR � COMMUNTI'Y DEVELOPMENT DEPARTME .�_:,.; 21660 E.Copley Drne Suite 190 PRESS (909)86a3195 Fax(909)861-3117 "^" B UILDIIVG PERh1IT APPLICATION FI R M LY o ADDR'ESS '' ��� E� E��-I�d DATE CATION"Z Z� � NUMB R ` #'C ✓ � APN ' LOT TRACT ISSUE TYPE OCC DATE CONST. GROUP p OWNER P�� L� 1 O o .ADDRESS �'h - ZONING SETBACKS EXPI�D � Z CITY _�11Y1O1�J �rA-I� ZIP TEL. FRONT a APPUCANT (J{CK t���11CSM 1 R � SID SIDE STREET�.p�A;IV�pp�� ❑ � CONTRACTOR �iM SIDE U l.� U u LUUU p � ADDRESS � � � CIN -L-VY1 1 ZIP TEL. PROPOSED USE � ARCHIENG/ � • z DESIGNER ' NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� - - OWNER-BL'ILDER DECUIRATION __ SFR/ADD/REM O 1 HfREBY AFFIRAA UNDER PENALTY OF PEtiA1RY TNAT I lU7 EXEMPT FROA1 TME CONiRACTORS L4 Garege/Carpon W CENSEUWFORTHEFOLLOwINGREA50N(SEC.70.71.SBUSINESSUJDORO�E551dJ5C0DE:/�M'qTY0i1 (n U W�JNTYNMICHREOUIRESA7ERM�TTOLONSTRUCT,ALTERIMPROVE.OEMOIISH,OflREPA:RANY3TRUG W Patio/Deck � Z NR[.PRpR TO RS ISSU0.YCE.A150 REOUIRES THE APPLICANT FOR SUp7 PERMIT TO FILE�SIGNED - ' �W STATEMENT THAT NE OR SHE IS LICENSED PURSUM7T TO THE VROVISIONS OF 1HE CONTMCiOfiS L4- " w S CENSE UW(CHAPTER9(COMMtENCING YATN SECTION 7000)OF DIVISION 7 OF THE BUSiNE55 ANO PHO• � � POOUSp3 � � Q FESSIONSCODEIORTMATNEORSHEISEXE4PT7MEREFfl01AAN7THE8A51SFOFTH&ALIEGEDEXEA�P• V TION.A4YVIOUTqNOFSECTION7071.5BYANYAPPLICANTFORADERMIT5U8lECTSTl1EAPPLICANTTO Z Re-Roo1 . • A CML VENALTY OF NOT MORE THAN FNE HUNORED DOLURS(f500).): O 4���1ER OF THE PROPERTY,OR MV EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, � Z � Commercial WILL DO THE YVORK,AND THE S7RUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEG 7otL BU54 � J NESS/NO PROFESSIONS CODL:THE CONTMCTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF � PROPERTYYMOBUttD50RIMPROVESTHEREON.ANDN'HOp0ES5UCHINURKHIMSELFORHERSFLFOR = � � THROUGHHISOHHEROWNE�PLOYEES,PROVI�[OTMATSUd11MPROVEA�ENTSARENOiINTENDEDOR m QOFFEREDFORSPLE.IF,VqWEVERTNEBNLDINCORIMPROVE1.tENTI550LDWITHINONEYEAqOFCOMV�E- ' � � Z TION.7FIE ONMER�BUIlOER WILL HAVE THE BURCEN OF PROVINC TMAT HE OR SHE DID NOT BUIID OH � IMPfqVEFORTHEiURPO5EOF5AlE). . w 01.115OWNEROFTHEPROPEHT7,MIE%CLUSIVELYCODRHACTWGW�TMLICENSEDCONTMC70R5 _ , � [[ TO CONSTRUCT THE PROJECT(SEC.70u,BUSINE55IWO PRO�ESSIONS CODE:THE CONTRACTOfiS L4 Valuation AW.AREA � � W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPEH7YWHOBUILDSORIMVROVESTH[REQV.AND � W/IOCONTRACTSFORSUCHPRQIECTSWITNACONTRAC70R(S)LICENSEDPl1R5IlANTTOhI[LONTRAG Quarmrr DCSCRIPTION � � FEE. Y MRSLICENSEUW.). . � �I AM EXEMPTUNDER SEC. B.l P.G FOR iHIS RFASON U I � / � � - LL 2 CIJ� 1 � DA7E OWN[R w .. � Q � �` I M , � LICENSED CONTRACTORS DECLARATION W �1 ,", -' o r� � 1 HEREBY AFFIiU1 UNDER PENALTYOF 7EfUVRY THAT IAM LiCENSED UNDER PROVISqNS OF CMAPTER �r , "'d Y(COMMCNqNG1MTH5ECT10N70D0)OFDMSION�OFTMEBUSINESSANOPROFESSIONSCODE.AND Z X ►IYLILENSE IS W FULLFORCE�NO EFFfCT. m . L1J ^'}� `,� , � LICENSE CLA55 S UC.NO. yT�/_.M�V 1��� J V DATE�� "YZ�� � CONTRACTOR_�lC"JIAES�Nr1IR W � WORKERS'COMPENSATION DECLARATION �;Zy��� ¢ I Fll , � 1HEREBYAFFIRMUNDERPENALTYOFFEHJURYONEOFTHEiOLLOWINGDECLARATIONS: � Z It-�-� L� i aL /L(��(� �'� f— V_7 t � � _IHAVEIWOWRLMAINTAINACERTIFIGTEOFCONSCNTTOSELFaNSUREiOfiWOflKERS' _ .�y� � 1 COrAPENSATION,AS PROviDED BV SECTiON�70o OF TNE IABOR CODE,FOR THE PERFORM/NCE W � �/ � C !�-�O� O OF THE WORK FOR YRIIC/1 TMIS PERMIT IS ISSUEO. � W � I� I/AVEAN�WILLMAINTAINWORKERS'fAMPEN5AT10NINSUiUNCE.115REOUIREDBYSECTqN � O 37ooOF THE UBOR OOOE,FOR TME PERFORIAANCE OF TME WOpK FOR WHICH iHlS PERAIIT IS ISSUED.MY WOPKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMDER ME: CONSTRUCTION 6 , ] CARqIER C L CC)� PLAN REVIEW . � ..VQICYNUMOER G� ECTRIC . ... � , � -- a �0 (M1iSSECT10NNCmN0T0[OOM�lE7EDOFh[PEiMT6PoROKEHlDfiEDDd1AP5(Et0�0 PLUM81 W Z ICERTIFYTI/�T W THE PERFORMMICE OFTHE WORK FOR WFiiCHTHiS VERIAIT 6155UED.1 M CHANI { (7 SHAtL NOT E4IPLOYANY OERSON W ANY I.�ANNER SO�S TO BEC0IAE SUB.IECTTO iHE � �/] WQRKERS'C04CENSATION UN5 OF CALIFORNI�AND AGREE THAT IF 1 SNOULD BECOAIE INSPECTION FEE� " � ' '� A ./,� S SU&lECTTDTFIEWORKERS'COIAPENSATIONPROYISqHSOF6ECTqN77000FTHEUBOq U U COOE,I SWLLLFO iN COMPIY W1T`H�T,HOSE VROVI510N5. �SSUANCE � 3-a.b•`�� N�CK ll�l�KU`1]g SMIP . . .�� ' p DATE: APPLICANT: � WARNING:FMLURE TO SEGURE WORKERS'CdAPENSATION COYERAGE IS UNLAYIFUL,AND SHALLBE ENERGY P/C . � SUBJECTANEMPLOYERTOCPIM:NALPENILLTIESANDCIVaFWESUPTOONENUNDREDTM0U5AN� ENERGYPERMIT DOLURS(S 10a.0Dq.IN ADDITION TO THE COST OF COMVENSATION,DAMAGES AS PROVIDED FOR IN `///��� WSECTION370BOFTHELAOORCOOE,NTEFEST,ANDATTORNEY5fEE5. � � RETENTIONFEE: �Jy����AQ � -- ' n. CONSTFUCTION LENDINCa AGENCY PRE-ALT FEE: r, � � - O . _. . . . . . . CL IHEREBVPFFIRMUNDERPENALNOFPE0.tt1FYTHATTHEREISACON5TRt1GTIONIENDINGIIGENCY � ' n- FOR TME GERFORMANCE OFTNE WORK FOR N71ICM TNIS PERNIT IS ISSUED(SEC.70D7,CIV.G). . Z .. . . . . . � . . . � w � IEtJ�ER'S NAME • F— �ENDERSAODRE55 � ��� � � TOTAL FEES � D � ICERTIFYIYNTIHAVEREADTHISMCLILATIONANOSTAiETHATTHEADOVEWFORAIATqNISCORREGT. � IACREETOCOMPLYYVITHALLCRYM:DCWNTYORDINANCESANDSTATEUWSHELATWCTOBUI�DING � . � CANSTRUCTION,ANDHER[BYAUiMORREREPPESENTATIVE50FTM15CWNTYTOENTERUPONTME - , - Z A�OVE�MENTIONEUPFOPERTYFOFINSPECTIONFUHPOSES. . Q - � COMMENTS = l C 11l'�� ' Q FERM�A �tP 'T) � � � ' N � n 3 ��-6-9$ � 5 nATUNEOFPEnMITiEE DA7E t � RECPT.N0. � PAID BY VALIOATION � �� � �-- � WMITE—DeDartment Copy,YELLOW—Finance Copy,PINK—Assessor Capg GOLDENROD—Fite Copy.GREEN—Ap0licanfs CopY . . .. .. . .,. ,: .. • , . .. . . . . . . .� .r . � , r�..:A. - }_. .. _ •' _ ... ' _ f.' _ , . . . �,. � , . . .�, r ....�... :.. ' � . �� ,. • . . + . ' . ' ' � . . .'i , . ^. . .... . ' . . .... . ... � � .. . '�' F DIAMOND BAR �� '. � � � � I ECTION RECORD ', � � � ' � ' • � � � - SET BACK ' _ � � FLOOR JOIST - -- � FTGS/FORMSISTEEL _ _ _ FHA REQMTS - •' , � ,-= ' - � � , ELECTRIC GROUf�fa7r•� ;,,E� - UNDER FLOOR DUCT _ �, .. ' • GROUND PLUMBING� � �+ �� UNDER FLOOR CO�IDUIT �� �• �•" =' • .• � ' ''•,��i � � SLABGRADE f.i:'�� �'•` : ?'+'� ' ' FIREPLACEFOUNDATI01�' '� " ""• `- - ' '. . TEMP POWER - -- --- - FIREPLACE BOND BEAM � - ' ' '� � • � " ' ' WATER SERVICE - - - � MID HT.BOND BEAM � i '• .:� �� • -� ROOF SHEATHING 8 FT.BOND BEAM �� . � . FRAMINGNENTILIATION FINAL BOND BEAM � ' : � ROOF COVER - . - -� - PRE-GRADING - � ' .. ; ROUGH HEATING - `. BENCHING ROUGH ELECTRIC - - � - ROUGH GRADING . ROUGH PLUMBING ' -- � FINISH GRADING � • SNOWERlTU6 TEST POOL ELECTRIC . , EXT.LATH/SIDING � POOL FENCING WALL INSUTATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING • DEDICATIONS SEWER_ _ __ _ __ _. . . FINAL ENG. SEPTIC.TANK� _ _ _ _ . _ LANDSCAPE/IRRIG.. SEEF PIT/L.L: • - ' ON SITE IMPS. GAS�AIR TEST . = ;� '�" • � _ - ��•� � FINAL ZONING • , FINAL CONST.' , ' -' . .',., , ',' � " FIRE DEPT. FINAL FINAL HEATING - ' ' , - , .�.- - . • .. ' '. - � HEALTH DEPT.FWAL - --- - � FINAL ELECTRIC - - ' - '"� - DEV. FEES PAID �._ FINAL PLUMBING ENERGY r . — _ • • - . - . .. �- . _ _ � - . . „ ..'., , . � COMMENTS - � ; . , , __ . , . - � - . _ � '-� :�::r - .. � :. � • , � _ ! - -- - -- ; � . . _ _�,, � , . ' - �� , . . . • . � � � � � ,_ , � ,__ ;� . _} `;; .. � _ 1 �_ ._ . . . . _ —,. � , . . . . . .. �. � , . . . . .. .. . .. . . . , . _ . (j .I, l.)� ' ; �: /j� " 'J� � ' ��� ,� t . .���' . " _ . � "C\ �; - , . . .. � . ., . '.. .. � ! . SEPTIC TANK SIZE . _�� � �(v: ' --- I SEEP PIT/U SIZE _ . _.. , � , ' � ��, . � � .� ,. ,� , -. . . r� ` r_• c.- . .. , ' <' i•`''•��• �� , , i � :, . . _. .. --- � � �