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HomeMy WebLinkAbout10541 ..7;.4,cy ,. . .rl �.r";;-.�`� v ig,,,,w �:.5, �l�T'"+�j�"tJ CITY OF DIAMOND BAR COMMUNITY DEVELQPMENT DEPARTMENT O �,,,� 21660 E.Copley Drive Suite 190 �T 0 310d0 PR ESS (909)Sb0-3195 Fax(909)86I-3117 ��'""' BUILDING PERMITAPPLICATION FIRMLY a DDR'SS �i4'�i Zl � D I�I r�,P'F�. APPLICATION�,� � �� PERMIT /�� P/C �-a ,�p'`, " DATE a--��� NUMBER V.J p---��� �`� � ISSUE ?YPE OCC ! APN ?J LOT TRACT n D �_ DATE CONST. GROUP � p QWNER b ADDRESS I�k ZONING SETBACKS Z CITY l ZIP TEL. REART � ❑ g APPUCANT U TEL. ,-�,c � 0 SIDElSIDE STREET RW ❑ � CONTRACTOR / SIDE ❑ Q ADDRESS ' PROPOSED USE o CITY ZI TEL. w ARCH/ENGJ / iz DESIGNER �r1-!�� — - - NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS C►TY ZIP TEL. � DES I TION FT. FACTOR PSF ADJ.AREANALUATION cn � OWNER-BI;ILDER DECIARATION SF DD EM � O [] I HEREBY AFFIRM UNOER PENALTY DF PEFJURV TNAT I AM EXEMPT FROM THE CONTRACTORS LI- G8f99B/CHfPOfI W CENSELAWFORTHEFOLLOWIN6REASON(SEC.7o31.6BUSiNESSANDPROFESSIONSCADE:ANYCITYOR (n ZCWNTYWHICHRE(N11qE5APERMITTOCANSTRUCT,ALTER,IMPROVE,DEMOUSH,OpREPAIRANYSTRUG W PatiolDeck W TURE.PRIOR TO ITS�SSUANCE,AL50 REdU1RE5 THE APPUCANT FOR SUCN PERMIT TO FILE A S�GNEO W � STATEMENT THA7 HE OR SHE IS LICENSED PURSUANT TO THE PROVISILV.IS OF THE CONTRqCTORS U• � CENSE LAW(CNAPTER B(COMMENCINO WITFi SECTION 7W0)OF DIYISION 30F THE BUSME55 AND�PqO- � PooVSpa FESSIONS CDDE�Ofi 7HA7 HE OR SHE 13 E%EMPTTHEHEFROM AND THE BASIS FOR THE ALlE0E0 E%EMP- TION.ANVVqUiIONOFSECTION7071.68�ANYAPGLICANTFORAPERMI?SUBJECTSTHEAPPLICANT70 Z qe-Roof � A qVll PENALTV OF NOT MORE TNAN FNE HUNDRED DOLLARS�5500),): Q OI.MSOWNEROF7HEPROPERTY,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, ❑ CommBfcial Z WILL W TNE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SE0.)014,eUSI- J NESS ANO PROFESSIIX�IS CO�E THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNEfl OF ,ry� ,� f IX. � PRpPERTYWHOBUILO50RIMPROVESTHEREON.MIOWHODOESSUCHN'ORKHIMSELFORHERSEIFOP = X �'� ^`�'� A � TNROUGHHISOHHEROWNEMPLOYEES,PqOVIDE�THATSUCHIMPROVEAIBJTSARENOTINTENDE00p � - QOFFERE�FORSALE.IF,HOWEVER,THEBUIIDINGORIMPROVEMENTIS50lOWffHINONEYEAROFCOMPLE z iION.7HE OWNER�BUILDER WILL M�1VE TNE BUROEN OF PROVINO THAT HE OR SHE DID NOT BUI4D OR = IMPROVEFORTHEPURPOSEDFSALE�. W ❑I,ASOWNEROFTHEPROPERTY,AMEXCLUSNELYCONTRACTINGWITHLICENSEOCONTRAGTORS Q 70 CONSTRUCT 7HE PROJECT(SEC.70dd,BUSINES3 AN�PROFESSIdJS CODE:THE CONTMCTORS Lb VaW01lOn ADJ.AREA W CENSEUWOOESNOTAPPLVTOANOWNFAOFAPROPERTVWHOBUILOSORIMPROVESTHEPEON.AND � WFIOCON7RACTSFORSUCHVROJECTSWITHRCONTR0.CTOR�S)UCENSEDPURSUANTTOTHECANTMG Q�jqNTITY � DESCRIPTION FEE � TORSUCENSEUW.). J � O�N+�E%EMP7 LINOER SEC. 8.8 P.G FOR THIS REASON U � � � OATE �WNER V 2 w � LICENSED CONTRACTORS DECtARATION �j �:" "j � I HEREBV AFFIRM UNDER PENALTY OF PERIURY THAT IAM UCENSEO UNDER OROVISIONS OF CHAPTER � V��..°1 (L 9(COMMENCING WITH SECTON 7000)OF ONISION 3 OF THE BUSME55 AND PPOFESSIONS CODE,AND � X MY UCENSE IS IN FULL FORGE 0.N0 EFFECT. m � � LICENSE CUISS LIQ NO. �+O � j � �.k , V pATE CONTRAC70R "J u 0. W 1 C� � WORKERS'COMPENSA710N DECLARATION ✓ 1 ' .. � � /� e7 .�.. � "hy ] ✓ � I HEREBV AFFIHM UNDER PENAITY OF PERJURV ONEOf THE FOILOWING OECLARATIONS: � Q ZI HAVE AND WILL MAINTAIN PCER7IFlCATE OF fANSENT TO SELF•INSURE FOR WORKERS' � � ^COMPENSATION,ASPfiOVIDEDBV3ECilON97000FTHElA80flCO0E.FOt1THEPERWRMANCE W OF THE WOflK FOR NM111CH THIS PERMIT IS�SSUED. � 0 w �I HAVEAND WILI MAINTAIN WORKERS'CAMPENSATION INSVPANCE,AS REWIRED BY SECTION �} Q3700 OF THE LA90fl CODE,FOR THE PEPFOFMANCE OF THE WORK f-0R WHICH THIS PERMIT IS ��y�p �"� J ISSUED.MY VJO KERS'CAMPENSATION INSURpNCE CARRIER PNO P I V NUMBER ARE: ONST ¢ PLAN REVIEW ' �� � CARRIER � POLICY NUMBEFi � �� ELECTRIC � � �'� ��- � ��� Q Q (IHISSECTqNNE�NOTBECDMFLEIEDOFiHEPERMT�SFOfldNEFM1N�DPED�OLIPR9(E100,,,)���di 1. � PLUMBING Z I CERTIFY TMAT IN THE PERFORMAMCE OF THE W RK F R W CH THIS PERMIT IS ISSUEp,� MECHANICAL (} SHAI.LNOTEMPLOYANY7ERSONINANVMANN 50 TO COMESl1BJEGTTO7NE� WOfiKERS'COMPENSATION LAWS OF CALIFOR A,AN AG iHAT IF I SHOULO BECOME INSPECTION FEE M°" � SU&IECiTOTHEWORKERS'COMPENSATION R VIS N SECTION37000FTNELABOR � CODE,ISHALLFORTHWITHCOMVLVWITH I . UANC , ^� 0 SMIP `�!� OATE:� APPLICANT: � W --� WARN�NO:FAILURE TO SECUflE WORKERS'COMP SA IPN C AGE�5 UNLAWFUL,N1D SHI�LL BE ENERGY P/G � �__ �^ � '".AIBJECTANEMPLOYERTOCRIIAINALPENAL7IES DCMLFIN. P700NEMUNDREDTFiOUSAND ENERGYPERMI7 85j�r �'u" DOLLARS(5100,000).IN AOOI710N 70 hIE COST OF COMPENSATION,DAMAGES AS Pq0`/iDEO FOR IN � SECTION370aOFTHELA80FCODE,WTERE9T,ANDATTORNEY'SFEES. RETENTIONFEE: d CONSTRUCTION LENpING AGENCY PRE-ALT FEE: � IHEREB�AFFIRMIINDERPENALTYOFPEFWRYTHATTHEREISAGONSTRUCT�ONLENDINQAGENCY FOR THE PEflf-0RMANCE OF THE WOAK FOP WHICH THIS PERMIT IS ISSUED(SEC.3099,CIV.C.�. ` Z W � LENDER'SNMIE F- LENOER'SA➢OFlE55 wICERiIFYTNqTIHAVEREADTHISAPPLICATIONpNDSTATETHA7THEA80VEINFORMATIONISCORRECT. TOTAL FEES � ��� Y/~ � I AGiREE TO COMFLV WITH ALLC11'/ANO COUNTV OR�INANCESAN�STATE UWS REL471NG TO BUILOMG CANSTRUCTION.AND HEFEBYAUTHpW2E flEI�R�SENTATIVES OFTHIS COUNTY TO ENTER UPON THE z ABOVE•MEN710NEDPROFERTYFORINSPEGTIONPURPOSES. COMMENTS O ( ' � ` m PERMITTEE N� IP )i �. d _ t� '�- � SI�NANRE I EE TE , = RECPT.NO. PAIO BV VALI�ATIO ~ WHITE--DepaAmenl Copy,YELLOW--Finence Copy.PINK—Assessor Copy,GOLDENROD—File Copy.GflEEN—Applicant's Copy `�.� '�'.,,y " y CITY �F DIAMOND BAR � ,� -: "; '` ��� IIVSPEC�fIC)F� RE�ORD �� .. . � . � � . • - • • � � � e '. , : FLOOR JOIST ,.,-.. , , , SET BACK - • -- ._, _ -- � FHA REQMTS �� � � FTGS/FORMSlSTEEL ��=�`�-`'l ` ; '`� - , ` ` �, - ----- --- --= -� llNDER FLOOR DU��Jf � . � . � ' ELECTRIC GROUND '` ;' ;n' � ' -.. � GROU�ID PLUMBING UNDER;F�OOR CUi�IDUIT � �;` , �""`�� .� " � .... ,._. FIREPLACE��(7UNDATICIN �� ; � ' 9 ' SLAB GRADE � .5. _ FIREt�L�,4G��BCjWD B�EAM ;. :. .. TEMP ROWER - - » � , __._T , . WATER SERVICE - -_ ----___._. MID HTi,BQI�JD�EAM � `' , . N ' . ROOF SHEATHING /p�'/f.-97 ' 8 FC.BOND BEAM ` '` �' FRAMINGNENTILIATION � _, � FINAL BOND BEAM . � _,,� � ,,. ; _ PRE-GRADING . ROOF COVER - ROUGH HEATING - � "` BENCHING � __ �__ __ -` ' ROUGH GRADING RbUGFI EL�CTRIC . _. __; - _ _ FiNiSH�RADING =" : , . ROUGH PLUMBING � -- ___' , SNOWER/TUB TEST POOL ELECTRIG '' ''`"' f - --- -- _ .- ; EXT.LATH/SIDING ��/��/l��' �' POOL F�TVGING ' - , _ . �'��-- - - � WALL INSULATION P�OL FtNAL / � G�—-- GEILING INSU�ATION , OFF SITE IMPS. f _. -- DRYWALL NAILlNG c � DEDICATIC}NS - / � � , __..,i .... _ . . FINAL ENG � `4 SEWER ,. _. . _ . _ , SEPTICTANK ° _ ' •'>,,_ '' . �ANDSCAPE/IRRIG. _ _ ;: . UN SITE IMPS. , SEEP PIT/L.L. ' � _____ GAS AIR TEST - F3NAL�QNING _. _ _ _ FINAL CONST. __ ._.. _.: .._....._ . FIRE DEPT. FINAL _ FINAL HEATING � ,. : . ;-._. __ _... . __:_ � HEALTH DEPT. FINAL , _ _ �y -- - - — .�: -. � . FINAL E�ECTRIC __,�"- � � ` � DEV. FEES PA{D .. .:� a;, . FINAL PLUMBING , - � EtVERGY __ , a, , _... _ ,. _ . _ ,— � . . n � � � � , �.. , � . , _.,< <, ,.. --�,_� - ; , _ �., _ _ _. _ ; --�: � i - - ---- -- _ -=r�--`�_ ..- � .,:. , . :.� i . �,`.�:i�< ;r , �,i, a_ , � , —a-----rt— ,.. ' � , ..... ,f. __ ._...�: �.� - . -" . . . . ....�,4 =� . ..................... .... ..... . � .� . .. . .. . � COMMENTS , . . ...... . .,..�.r.,, Ur"_:'_�. f.�.::1 tJ J.,.. .� .-:r T .I'Y::'rri .' . : .,. , . � ,�:.. ° .... _ ,. . . .... . �......,.... . . .... '� ., ��.:i I .,'4^;. .:.�.�, �� I ::.::,' .:''���,; i R�Ir'.Il�.h'.4,iR'�q, .,. . ..... .._ . -_._ . . . . . .i .� ....tir., .,,.r, r ,�i.'.; !, � ' �.���� —__ .. .. . . ...... . . ._ .. . _., ,... ...- ' .; . . . . . .�' ; ; . ,,.,:.:..I I -.�.^. .::..-. ,: , ��. .il�..'�I�1:�11�.f .�:'r:9.�d.,:.N��.Vk';r'.ic!i'....._. � '�. -� �. .. . . ' ,-. 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