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HomeMy WebLinkAbout10151 (5) ;� �_. _ a._.,_---.._._ _.__ .._..___.._�._..__.._�.,�._..____ ..��_ .._.__:_, . _:__ ___. " �'`��� CITY OF DIAMOND BAR / � COMMUNITY DEVELOPMENT DEPARTMENT / - .;,.� 21660 E.Copley Drivg Suite 190 � PRESS (909)860.3195 Fax(9b9)861-3117 f �"'"'� B[7ILDINGPERMITAPPLICATION ' FIRMLY � JOBSITE '�'�j�(� �'I����I C,�s�--'� � �j'✓ DATEICATION �/�� NUMBER/O/�/ #/C / ��.��'� o ADDRESS 1 � APN LO T T �� - ISSUE /!/� � , TYPE OCC DATE 7 % CONST. GROUP p OWNER A/ �a '�' p ADDRESS � ZONING SETBACKS gCITY ��ZIP� TEL. I� ��- FRONT qy� p APPLICANT TEL. REAR ❑ p,� SIDE/SIDE STREET RW p � CONTRACTOR �rl� �'I� - ��- i�}� SIpE [] o ADDRESS PROPOSED USE � �',�'°T�Q� fir � �'^E'/✓'� o CITY ZIP TEL.'��"' Z'.s�" ��E�� /��� - o aRcweNc� w DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNITS ST�RIES BEDROOMS � CITY ZIP TEL. � <n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI;ILDER DECLARATION SFfUADDlREM ZI � /. V a �? 3s9 - p I HEREBY AFFIRM UNDER PENAITV OF PERJURY THAT I AM EXEMM FROM THE CON7RACTORS LI- Gflffl9B/C81p0f[ CENSE LAW FOR 7HE FOLLOWING REASON(SEC.7031.5 BUSINESS AND PROFESSIONS CODE ANYGfTYOR COUN7VWHICHREOUIqESAPERMITTOCONSTRUCT,ALTER,IMPqOVE,DEAIOLISH,OiiPEPAIRANYSTRUG � J w TURE.PqpR TO ITS ISSUANCE,AL50 RE�UIRES THE APPLICANT FOR SUCH PERMR'TO FILE A SIGNED w Patio/Deck ��OU /2, d �� �CJ-� STATEMENT THAT HE OR SHE IS LICENSED PI/RSUANT TO THE PROVISIONS OF THE CONTiiAC70RS LI- """"-"� CENSE LAW(CHAPTER 9(COMMENCINO W17H SECTION)000)OF DIYISION 9 OF THE BUSINE38AN0 PRp- �'t' PoOUSpa O FESSIONSCODE)ORTNATHEORSHEISEXEMPTTHEFEFROMANDTHEBA515FORTHEALLEGEOE%EMP� (� V TION,ANVVIOLATIONOFSECTION7031.SBYANYAPPLICANTFOqAPERMIT6U&IECTSTHEAPPLICANTTO Z Re•Roof � A CIVII PENALTY OF NOT MORE THFN FIVE HUNDREO OOIURS(5500�J: 0 ❑I,ASOWNEROFTHEPROPEfiTV,ORM�EMPLOVEESWiTHWAGESASTHEIFS�LECOMPEN5ATI0N, � COR1f11BlCiel Z WILL W THE WOflK.AND THE STRUCTURE IS NOT MTENDED OR OFFEftE-0 FOR SALE(SEC.70N,BU51- J � NESS AND PPOFESSIONS COOE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF = PROPEflTV WMO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELFOR CL THROUGH HIS OR HEq ONM EMPLOVEES,PROVIOED THAT SUCH IMPROVElAENTS AFE NOT INTEN�E�OF m W OFFEREDf-0RSALEIF,HOWEVER,TFIEBUILDINDOPIM7ROVEMEN7ISSOLDWITHINONEVEAHOfCOMPLE- 0 T�ON,THE OWNER-BUILDER WILL HAVE h1E BURDEN OF PROVING THA7 HE OR SHE DID NOT BUIL�OR � Z IMPROVEFORTHEPUqPO6EOF5ALE). �_ ❑I,ASOWNEROFTHEPROPERTY,AMENCLUSIVELYCONTRACTINGWITHUCENSEDCONTF�4CTORS TO CONSTRUCTTHE PRQIECT(SEC.7044,B�INE55 AND PFOFESSIONS CAOE:THE CANTRACTORS LI- VdIU8NOf1 S ADJ.AREA W CENSELAWDOESNOTMPIVTOANOWNEROFAPROPERT'WHOBUIL0.SORIMPROVESTHEREON,AND � WHOCANTRACTSFOqSUCHPROJECTSWITHACONTRACTOR(5)LICENSEOPl1RSUANTTOTHELbNTHAP QUANTITY DESCRIPTION FEE }� TORS LICENSE LAW.). �I p� �/rJ / "' ❑1 AM E%EMPT UNDER SEC. B.8 . .FOR THIS qEA50N Q �^-� ��`�r�U� �'I 7 Q (�G/ �'l � � I�AG f? 33'`} —�'f���'�� -- o� � OATE oWNEF V z -�==- y y. Y ov��-s y y��-,ru"�� ,s'. ?� � LICENSED CONTRACTOFS DECLARATION W �' �� �G/C /'��JQ�- �"'''7 o Z Q IHEREBVAFFIRMUNDERPENALTVOFGERJURYTFN7IAMLICENSEDUNDEAPRQYISIOdSAFGH�PTER'�6�� � � � ��` �� �Q�,Y.,� � 9(COMMENCINGWITHSECTION?000)OFDIVISION30FTHEBUSINESSANDPFOFESSIONSCODE,�AND Z X MY UCENSE IS M FULL FORCE AN�EFFECT. ,yr �W $� �7� m LICENSE CLASS LIC.NO. �`� � U DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q IHEREBVAFFIRMUNOERDENALNOF7ERJURVONEOFh1EFOlLOWINGDECLAqATIONS� � Z _�_I HAVEAND WILLMAINTAINACERTIFICATE OF CONSEMTO SEIF�INSURE FON WORKEPS' _ Q COMPENSA710N.AS PROVIDEO BY SEC710N a7oo OF THE UBOR CODE,FOR 7HE PERFORMANCE W OF THE WORK FOR WHICH THIS PERMIT IS IS&UEO. � . � � �I HAVE AND WILL MAINTANV WORKERS'COMPENSA710N IN9URANCE,AS RE�U�REO BY 3ECTION �Q�. ?� _,,.� �� Q 3700 OF THE LABOR CODE,FORTHE PENFORlAANCE OF THE WORV(i'-0F WHICH THIS 7ERMIT IS �1A%G � ISSUED.MV WORKERS'COMPENSATqN INSURANCE CARR�ER AND POLICY NUMBER ARE� CONSTRUCTI .y / I����/►' j caqRieR PLAN REVIEW Tn� yf��/�� �� "�^ z POLICY NUMBER LECTRI . ?d Q � ��ssEclar+NE�noreEo�n+p.FrEooFncr�w�vt�s�oaaniEiiuwnEooal.ulsnim�oral�ry. PLUMBING Z 1 CEFYfIFY THAT M THE PERFORMANCE OF THE WOFK FOR WHICH THIS PERMIT IS ISSUE�,I MECHANICAL (_3 SHALLNOT EMPLOYANV PERSON IN ANY MANNER SO AS TO BECOME SUBJEC7 TO THE �/7 WORKERS COMPEN5ATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE � SUBJECT TO THE WORKERS'CAMFENSATiON PROVISIONS OF SECTIO 3700 OF THE LABOH `/ (� CODE,I SHALL FONTHWITH COMPLY WITHTHO PROVISIONS. ISSUANCE ]�i[ �O 1 p DATE:6�1� APPLICANT: ���n'Y'i1C"La '-` SMIP �' � �A wWARNINGFAILURE7Y15EWFEWORKERS'COMPENSATIONOOVERAGEISUNLAWFUL,AN�SHALL9E ENERGYP(C �y SU&IECTANEMPLOVERTOCRIMINALPENAITIESANOCIVIIFINESUPTOONEHUNOREDTHOUSMIp ENERGYPERMIT DOLLARS(5100,000).IN ADDITIONTOTHE COST OF COMPENSATION,DAMA6E5 A3 PROVIDED FOR IN � SECTION�70eOFTHELABORCOOE.INTEREST.ANDATTORNEV'SFEES. RETENT�ONFEE: � CONSTRUCTION LENDING AGENCY pqE-ALT FEE: � I HEREBV AFFIRM UNDER PENAITYOF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THEN'bRK F07i WMICH TNIS PERMIT IS ISSUED(SEC.3087,CIV.C.), Z W � LENDEFI'S NAME F- LENDER'SADDRE55 � I CERTIFYTHAT I HAVE READ h115 APPLICATION ANO STATE THAT THE ABOVE INFORMATION IS CORRECT TOTAL FEES � I AGREE TO CAMPLY WITN ALL CIT'AND LOUNTv OROINANCES ANO STATE UWS REUT�NG TO BUILDING � � CANSTiM1CT10N,ANOHEREBYAUTHORiZEREVRESENTA7NESOFTHISCOUNTVTOENTERUPONTHE ��/ �/J/J, �S ABOVEMENTIONEDPHOPERTYFORINSPECTIONPURPOSES. COMMENTS�/..�A�O ) �avb/C � ✓� ���� �� � PERMITTE E PIN� ' - � f� sf � d 3�/�� � SIO O PERMI OATE ,�v ' ' _ • � RECPT.NO. �R PAID BYC�ISS VALIDATION ~ WHITE—Department Copy,YELLOW--Finance Copy,PINK—Assassor Copy.GOLDENROD--File Copy,GREEN—Applicant's Capy , _ , ., . � :� �a.+ s.� . .o_ t ,,,.. �.., ,6 .;r:�> z s. ' . � �"Y. .. ��- ,_. y< CITY OF DIAMOND BAR INSPE�TI�� l��G(3RC) ,� - � • � � � . . i4 . s �,m. -�_. __- , _ _.._ SET BACK .,•� ,, FLOOR JOIST �- • . =.�� - .,t�». FTGS/FORMS/STEE� ' �� ' • �- FHA REQMTS '- i `" ° " �7 ' � ;: i4 �� ELECTRIC GROUND ' UNDER FLO�R DU�,T; . , E�.,�� r .,�� -;;��,,,� �-•- ., ..;_ UN'DER �LsOyC3 _. DUIT '�'„1'ti' .:,il'.: �.:r��y.� _ GROUND PLUMBING -- -----� _.-., SLAB GRADE ,�:.' ; , FIF�EPLA�E U r , � ..>.< -�:4:_�..� 7EMP PQWER � - - _ ' FIREPLk�E�� CJ� NfJ" ,a 'si � �.;� •�.. ;�p - WATER SERVIGE ° ' ` .�-w>� ' . MID H3�-8C7FJD.E�EAJy1. ROOF SHEATHING 8 �T. BONp BEAM i--�� _____— FRAMINGNENTILIATION �j/�q _ -__, - FINAL BOND BEAM ' ,', ROOF COVER PRE-GRADING � . ROUGH HEATING --- � � BENCHING ,.._.___._ �__�._� ,� t. _ ___ ___ � ROUt.�N E�E�`�f�IC —' � �-j RQUGH GRADING . . ,, ; ROUGF-�P��JMB(NG ,�� t ., - -. -=-_.____ �WfSH GRADtNG -�-;----- ________._ SHOWER/TUB i cST ' POt�L ELECTRIC /� � --- — EXT. LATH/SlDING � POQL FENCING �:. WALL WSULATION '�� � � ��'__ ----_.-- POOL FINAL - __ . , CEILING INS4ILATION OFF 51TE IMPS: DRYWALL NAiLfNG ����� pEpiCATfONS '� SEWER � FINAL ENG. , SEPTICTANK � ; -` �" ,�` I�AtVDSCAP�/IRRiG. � . SEEP PIT/�.L. _ • ON SITE IMPS. GAS AIR TEST ' , ='' FINAL ZONING ' . -- ; , FlNAI CONST. �.. ��.`_(..`�l - .. , �! FIRE DEP7'. FIId�L--:��, , . :''�. .� �'��._, F�, c� .. . a�,.. . ___ .'.-'.s�Y�.b_»_.. ._.__�. - .. FINAL HEATlNG � : ' � ' HEALTH DEPT. FINA,�,. - FINAL EIECTRIC ` � �� � ' DEV. FEES PAID � --{—a----------=------�--- - _ , ., � _ — . . FINAL PLU(v1�ING . i EIVERGY „ � . __ _ �._ �� ._ _ �"� I _ _ ; _ _ , ; .. ..- ._ ._ ._,.�.__- r � � , ,-- ,.,.. , � . ....._.._�__ � .. � '� . _ ... ,. .._. ._...,. ._. .,, . . . .. .... . ,,. . COMMENTS ���_ — � _ --- ---- _. ._. _. ---- -------- __ __ --- - _ � �_. `�'_y y5'>---f'/z�c; l`'a�z__ I�c,�.._ � __ _ - _ _.._ _._ _-- ------- ------ -____ , � ,., :. __ - y . ..� ��- � , . .. .... .. ..,.� . . . . . ... . . 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