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HomeMy WebLinkAbout14346 , . _ , , .. . . , . . - �-� � -_1�_ CTTY OF DIAMOND BAR , .: ,.., - .. . �,'; , DEPAR'fIvIENT',OF COMMUNiTY&DEVELOPMENT�SERVICES . , .:2ts25 E.copley Drive.` - , ,�8�1���(�� `�,.PRESS (909)860-3i95 Fax(9.09)861:3117 �.', �' �' - suII.n�rG P�nT:a►prr.�Ca�orr � - . � :; �.�; : ;FI R M LY � 'ADDRESS �� L � I } ;IOBSITE `.''✓} i�' +� � G ''APPLICATION i r +�,'.PERMIT � � '�: ;` ' P/C�� � `�� � �,':� o L �-� I � ; ' • ,DATE ` _ � � NUMBER # � ,r �•�- . _: $ , :, . - � , :.. -,,, ._ �,� �f;,,. �. � :TYPE ,. �•.00C . .. .. ;..;ISSUE , _ APN '.' . _ : LOT �`: � ... .TRACT .. � ,.. , _ . " -DATE � �� �` CONST GROUP_�-'' p OWNER .z< - .� , . � � ADDRESS ''�: � �. : i.f:� .:`"�.. �'� , ' '� :. ..� •. .: ZqNING ' SETBACKS-_ �� Z •CITY�"'••=��, :; !:. -r�y;.: `ZIP, � TEL 5 : r; , � `. . '. FRONT � �RW ' ❑ ! , < . REAR , , ..: ❑ - g` 'APPLICANT �*i:�"� bx:r�'i � � :TEL ' � �I , r ; �- -�—`=---i- ,,�= � :SIDElSIDE STREET RW ❑ - zd.. ,. , _ _ , c�. CONTRACTOR ;� e i•- ti .� , ' I _:�.1 SIDE. � ❑ . �, ADDRESS hr �,��:.:y t ►� �� 31'� :' : _ . ,�. . , 4� E :t� PROPOSED USE , t a-"' . - o CITY rX"�x r �ZIP t� «�� TEL t ,,,. •��, , w ARCH/ENG/ ` � .DESIGNER. �` �`-� '� � = F # �i � � {. : � ADDRESS ' + ' t _i } ,� �° � , , N0.DWEL '.NO.'. N0:. ', � • . ,; , . ` F UNITS '=- • STORIES � BEDROOMS - ,'. � ..CITY rr�t:Mu,3�t,g ���. _ ZIP ''' '- - TEL ^ -�::� . ` �.:r��:, . 'i .�:��,.c�n � ��� �. „�„-DESCRIF?T101�, SQ_Ff �FACTOH PSE,,.�' ,.,,.�ADJ:.ARE/UVALUATION, ' Q _ ,� OWNER-BUILDERDECLAHIPTION a , ,_' � . � . , r'. .: >; 3 '•. . j �• SFR/ADD/REM . • I �_.".'p �"- fHEREBY AFRRM UNDER PENALTY OF PEfWRY.THAT I Mt�El(EMPT FROM THE CONTRACTOHS LI �• G8ffl99�C91p011�� � -� � . W� �.CENSEIAWFORTHEFOILOWMOREASON�SEC,703L5BU51NES5MlDPROFESSIONSCOOE:ANYGNOR ,;(n �� - `�.'..`U'�� COUNTYWHIq1REWIRESAPERMRTOCONSTAUCT.i1�TER,IMPROVE,�EAplI511.0AREPAIRANVSTAUG ` �:`� �..' �. .�.`. . . .- � , �� -_iURE�PRpRTO�R5ISSUANCEALSOREWIRESiHEAPPLICANTFOR.SUCH.PERMITTO,FILE�ASIONED p-'V Patio/Deck ��. - '.,? � � 9TATEMFM 1HAT HE_OR SHE 1910EN$ED PURBUANf�TO THE PROVISIONS OF hIE CONTRACTOPS LI � �� , .. __�—._„__. J .. �.. � :',CEN9EUW�(Cl1APTERbjCOA1MENCINO�NATMSECTION7000�OF_DIVISION]OFTHEBUSiNESSMIDPHO-��V"'POOVSpB'�'�"`-- -,i.~�.��-" r � �'� °..�- � �d�.; __ � ��-T�' � �'FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROM'ANDTHEBASISFOR7HEALLE4EDEXEMP ��(� � � . - � � � � :�TION.ANYVIOLATIONOFSECTION70.7t.58YANYMPIICMfTFORAPERMITSU&IECTSiHEA7PUCANTTO '•:z . � � " ��', ;��� � �'�,�� -' Re`Roof'_ .: ' •: �- . . , a. -'�� '�'ACMLFENALT/OFNOTMORE�THAN�FNEHUNDREDDOLHARS(i6o0).):-.�_. ��. . . .. .t-. .t.a`'.� ' _ _. . . _ ��, . ���� � . ,,'� • �,�" .. .. .I . . _._� :...:....�._ . . .r..+u.►r� . .CC�'OYYN2ROFlMPPfiCVERf1'K%MR1'�EK_WCOTF.E8M/fl11. � RI �Tfl . ... - . . .'"� . , _, . _ . _ � ; ...�' � .� _..�. � ,,..... . .N � ��WILL DO THE WORK,.AND THE STRUCNNE:IS NOT�INTENDED Of1�OFFERED FOR SALE(SEC:70at,BUSI- �- J '- - - ' � �: NE59 AND;PROPESSIONS CODE:THE.CONTRACTORS LICENSE.LAW OOES NOT APPLY TO AN OWNER OF. ��-� — -���.��.,� . � � � � '��' .: :-�'-�� .PROPEHf1'AWIIOBUILU90RIMPROVESTHEREON.ANDWHODOES&UpiWORKHIMSELFORHERSELPOR� .� � • �`- � �-�� �� - � �-I ��-�-, THROUGHHIS,ORHEROWNEMPIOYEES.PROVIUED.THATSUpi1MPROVEMENTSARENOLINTENDEDOR ��. �� � �� �- � - ,. .�:= - " . -���� � � .y`j ���� � � OFFEREDFOR3ALEIF,HOWEVEqT1EBUItDIN60RIMPROVEAlEMI550lDWfTHINONEYEAROFCOMRE� :" ' : -:�- � ' .. .' :. � ' . . . ;.:_ . .��.�. �F � .�TpH;�THE OWNER�UIIDER WILL HAVE�THE BURDEN�OF7ROVINO THAT HE OR�SHE�DID NOT BUILD OR �:��t ..UAPFiDVEFOR7HE�PURPO6EOFSQEI-`^`'�.,. .:.'.:�,yr .�. ••.:_ : .:.., q ..>:`: - ' .} ..i[' _ : .. ?,d, �1� � e`*`.:` �`I .�;� LLJ '.x:;.,O1,ASONMEROFTHEPROPEHfYAMEXCLUSIVELY,COMMCTINOWfTHLICENSEDCONTRACTOqS . � t p - ¢ ,TO CONSTAUCT THE PRQIECT(SEC.70H,BU3INESS AND PROFESSIONS CO06:THE COHTMCTORS LJ • V81U911011 �'-��' -j�S + , -�j ADJ.AREA ' - � ± ��, W'��CENSEUWOOE8NOTAPPLYTOMIONMEROFAPROPERTYMM1108UILD90R�IMPROVESTHEREON ANO ` �f� �!����.��NR10 CONTRACTS FOR SUGH PRQIECTS WIT11 A CONTRAC70R(S)LICENSEO PUHSUAHT TO THE COHiMG .,'��i TORS LICENSE UW) `: -.. ,o :.. . " ,. - ,�. TY .� � '��.:(Y i ". ) ': .� .�. : '. . k':` �� �r.-'n �. . _ . . -.�r ¢ . � . .3• ..l � :,. . ... _ , �� � ..�.;.-`�fM1:EXEMFTUIVDEHSEC. . - .. - ' - B.a�P.C.FOR,h115R61SON ...���,� I t'. -', '� .�' ��:-i � ,. . ~ ,;:� S ^ 1(�' t ' _, l _ -� �DATE " � -.', .. ��: ..':OWNER '-'. . . -�� . Z� . .:_ _ � . .:� e. �� .. . _;W ...i_ = , �¢ " '� .,UCENSED CONTRACTORS DECLARATION` i ::'LLj - F s �- - ¢ ��1 NEHEBY AFFIRM UNDER PENQTV OF PE0.IURY��THAT 1 AM LICEN9ED�UNDER PROVISIOHS OF CHAPTER _'� :r � -��,� �+'-' � �l . d •.Y,(COMMEHGNCi.NrtTH SECTION 7000)OF�DIVISION 30F iHE BUSINESSAND PqOFESSIONS COOE�AN� �;Z - '-MY 110ENSEdS IN FULL FORCE AND EFGECT � ' O :'. ,' � �.� .:. � t ..� + s,:'�� � ;� � .. � '� ,•i'�y gt . � : . � 'GCENSE CIASSt '� � � LIC NO.� 4 {J � d y� -:r� .�, i}1 `,;... ,� ..pp7� t�'-3:.'��— CONTRACTOR "�'w'�"�tF'att P.; -•4. � �. ' .W .. �. ...�'_ .Y" . .�. . -.- :.,:� .:+ F �_7' y ,.� �I � � _ Q ,, WORKERS COMPENSATION DECLARATION ,. Q ` ,�, � ., , . � r.^Uje_��--�—• .r;� ' — ---r+i,rax.�;.<-: +-y�: a.r-.-�-+�-,a� ,:U - 'T-� ,y: — T7 I HEREBY AFFIRM UNDER PENALTV OF PERIUFiY ONE OFTHE FOLIOWINO DECURATIONS F �,'�� � ,, v� ., - ,... .. - - P� �",'`.� �'"� - �'_� �� {HAVEANOWILLMAINTNNACEFiIIF,ICATEOF�CONSEr{TTO�„SElFINSUREfOHWOHKERS} _,Z "�� v.�� ' �' �-. '�� . ..- ..,. _.__a .___..___._ .____._ . --- �ac���. ��.rrr � COMPENSATIONASPROVIDED�BYSECTION37a00PTNELABORCODEFORTHEPERPDRMANCE " W _ OF7HEWORKFORVhfIC11THIS�PEfWITI51S6UED �.�r �-.: �� ��., : � f- -• - � �W ._IHAVEANDWILLAWNTAINWORKERSCOMVENSATIONINSURANCE,ASREOUIRE�BYSECTqN - , . �� � &�:( }� ����...; � Q'� ,9700 OFhIE LABOR COOE,FOq THE PERFORMANCE OF THE WOfUC FOR WHICH THIS PERMR IS � � , , '� ( .� � .�, ISSUED.MY WORKEAS'COMPENSATION INSURANCE CARRIEH MIO POLICY NUMBER ARE:�' .,., � CONSTRUCTION ��� -'�`� �'� t , � � ��CMRIFR z:''�,�Jr'i.'�:. ��� .•5.:.�.. , PL:AN�REVIEW _ �,�'{ - . ¢ _.aaICY rvuMBER !k �, '.9 r �"'.., - . ELECTRIC ' ��y��j . � . . �(nass[t'fqNNEE�wTeEooAPLE7IDOFnEPFAMisfaRa�ENU1�OfiEo�a.t/J�Sltim)oatEss) .PLUMBING '_ . . . . �" �"��.'R N W . . _ . . .� � _� . . � .. . . ,_. . . . . � . : - t. � ' ��" Z'�fs ---^+'fCERTIF/.TMATINTMEPERfORMANCEOFTHEYAtiKFORWHICHTNIS:PERA11T15�ISSUE0;1 � �.. . ,,�MECHANICAL-•�.,.�. �;, - - - �� - ���''�� '��- ". (,rJ � �.SHALL NOT EMPLOY ANY PERSONIN ANY MANNER 90 AS TOBECOME SUBJECT TO THE -� � � "' ''' ' � � . � . _ ' �� ' ' .. - � � .WORKERS'COM7ENSATION IAWS OF CACIFOqN1A AND AOREE THAT IF I SHOULD BECOME �- INSPECTION�FEE- - " � � - , � � SUaIECTTO THE NfORKERS'COMVENSATqN�PRON510N5 OF SECTION.9700 OP THE LABOR-. . - ' - . . . '_ . ' .- "`� cooe i sw�u wRri+win+co�+v�r wm+n+osE rAovisioris. ISSUANCE � 2 .: , . .,, , O �"`, � ,r," . �.i� ����'t�". t:-.:;� ' SMIP L�- � .� . '. p. . DATE. � � -� � APPLICANT. .� .'.. � �_ .:`. .. �..� . � -..� ,".., . _ ' J . _ ,. ; _.. . ENERGY P/C - J WARNINO:FAILURE TO SECURE WORKER9'COMPENSATION CAVERAGE IS UNLAVhUI,AND SHALL BE � �� ,� .,. _� � SUBJECf M!EMPLOYER TO CRIMMAL PEtULTIES ANO CNIL FINES UP�TO ONE HUNDRED 7HWSAND „ :�, � ENERGY PERMIT �� � , -� - � � � DOILAFi51i700.000),IN�DDI710NTO7HECASTOFCOMPENSATION.DAMAGESASPROVIDE�FORIN � . � � � J - SECTqN�370aOFTHELABOR�CODE,ItfTEREST,ANDATTORIJEP9�FEE5. � - ' - �RETENTION,FEE . �'�r !,�.� � - � 1• � � � � . . . _ . ,. L : d �� " ':'CONSTRUCTION LENDING`AGENCY . PRE•ALT FEE: , ' �' :. .. . , , ,., "` • . .:� , �;,_ . ��.' �' ��1 HEREBY AFFIRM.UNOER PENALTV OF PEFiIURY THAT THEHE IS ACONSTRUCTION LENDINO AOENCY �. � - �- i+��� � � � '� '-- -- - �FOR hiE PERiORMANCE OF THE WORK.FOR NMICH THIS PERMIT IS ISSUED(SEC.J097,CIV.CJ. �u; � , . , 'z . , - -..�_, -�.. ..,. .,,. ;_ , _ . . . W . . _ . . ; .. ._ _.. . .... . . � � ��LENUERS NAME ' � _ � � . . � . . - - , F_ � LENDERSADORESS ' � . . . . '. . : � ��.` . . .� �� . � T _ y..A �-.�`_'.� i�3t � + _� . ' ��� ��ICERTFMTHATIFiAVEREAD�THISAPPIICATIONANDSTATEhUTTHEPBOVEINGORAIATION�ISCORRECT .��-TO�IAL FEES �..� f � � ' � d� "�I AaREE TO COMPLV WITH ALL CfTY AND COUNTY ONDINANCES AND STATE UN5 RELATINO i0 BURDINU .F;� � �„�� � � ' ; CONSTRUCTION,ANDHEREBYAUh10RIZEREPRESEMATIVESOFTH�SCOUMVTOEMERUPONTHE ' � ���- : = � �� ABOVEMENTIONED PROPERTY FOR INSPECTION PURP0.SES "�" �' � ` COMMENTS �' E `f " .,.. �.. - .: ;� _ - . . . . ,e.. i ' . _ ' . _' .' �4:u�l�' 1 +�5;=�k��' j Vf�' � �� .b� - � � . , . .. �"',t :�� �.,�� Lf�� t} 't .��.` � m ���VERMIITEE NAME(PR1Hf�. y,(� . � . . . ' � _ #.,r �. ..... . ��:M1 -�,Z - . . � ., Cn. :�f;l ft .v-j,� .R.1X' /1. - � � � � .. .. ' .� ` . . . �.'. . , � ."� �.� N SIONANRE OF PERMITfEE.. ... ... ��,.. . ...' � �..:. DATE 7 �. �... .. �.. . . . . . . � ..� : . .� � = AECPT.NO. _. ^ : PAID BY . ' ' ';VALIDATION � : . .���_�: •,.' . � � ~ � WHITE—flepaRment Copy,YEICOW--Finenee Copy,PINK—Assesaor Copy,C30LDENROD--Flle Copy,GREEN—Applicant's Copy , " ' � . . ; ,, _ _. , ... . . . . . ._ _k. .'�� ,. " ;` ':�� �i-rv oF �i�annc�N�:`.���_ -; . : , .. . . ; . . ,. ,. �:::IIVSPECT'90l�6 �tE�C}RD , .� .: . . ,.-- ,,. - . . a.l�� . , . .. ' . . � . � . � � . � . . � � . . .. .. .. ' � . ry. . . � . � � + r � n� � � � � � � r � . SET BACK ' : ' < .- _.:: . � . � , -FI_OOR JOIST . � - ..,. . FfGSIFURMS/STEEL .. . �: : � 'F;�A�REQMTS" - . , . ELECTRIC'GROUND: :�_� �.� .:.� - _ UNDER FL04t� DUCT , GROUND PLUMBING . . � _ `- � ' "UNDER FLOOR CU�IDUIT . _ : _ SLAB GRADE ' :. ` -, . .-: -_-- ; -: '. � ` FIREPLA�E FOUNDATION.. . .. - t.:` ' , TEMP POW. ER ,. .._. .. . • . .-. .-: ;. ,. � „ � `, F(REPLACE BON[3 BEAM .� .:., . .. :..�: ._ WATER SERVICE, :: .. . . . ; . �: : - ' , , . _ MID HT. BOND BEAM ' . :_' . .. ROaF SHEA7HING.��. ;... . , . :. : _ _, � . 8 FT. BOND BEAM _f . _ FRAMWGN�NTILIATION ` - � _ FINAL BOND BEAM " _' _� I , .- . .. .. ; . , _ _ , ROOF GOVER.. ; .. .. -. � PF�E=GRADING. � .' : . :. :_'� . . __ _'� ` . FIOUGH HEATING :... ..-.: .:�-. ;' ':.> , '� .:: BENCHING •= ; . ' - e� .__i--ra�5•_. ' ..:s-frx��.�c�r'K�s . . ._ ._ . . . . :. ' '��. _ —s ,_ =t' ROUG1-�ELrECTR1C� . � = � .. � .ROUGH GRADING^�' ��- - - RDUGH PLUMBING '' ;_.. _ _ ; .:, .. . .,� . �:: :FINISH:GRADIMG . : ' _ � .�.-.�..�.._._........�.:T_. <_,. -. ; ..._ � -_,-- _:r- , . _ _ , � �,;. .. �� _- ,:: �,- � SHt)WER/TUB TE5T - - - PC7QL ELECTRIC� . �"� � T-�XT.-LAT�t/StDtIV� �. : : .., . . . ,:.. -POCC�C�E�10ENP-" ' ' � --i:..� � _ WALL.INSULATI�N , � . . � - .. , :_ , , ;, POOL FINAL' . . " _ . . �. - -,- : :: •; , - _ ..___. _. . _ . _ _ _ ._. _ _ DRYVitALL NAI�ING .': ._.. ,.. .= ` . :. . _ _.: . DEUICATIONS' -. . -'"•:...� _ , .. ,._ : : - . - SEWER .,. ,- '-. ,;:._y, .. : ._.;: ,. ��; . _ ._,._;_. . �:_;: _ . FINALENG .._ ` ' : : � ,s ._ SEPT.IGTANK- : ,.�: : . . . . ' ... . :.;; - __:. : .:LANDSCAPE/IRRIG._.;x'..'. . :.:_ :v;: <. , - . _ - SEEP PITIL.L.� - � . ON SITE.IMP.S. . ,;i . _ . . , , ._ . , ;:.., _ - _,.. ,, GASAIRTEST ; .. - :. .: .. ._. . : _ . . - --.- : FINALZONING : _:; FINAL CONST:' . . .:.. . .... .. . .,;,:. FIRE DEPT. FINAL ..- : ... ,. . . . : , , � . . . FINAL MEATINC _ ,;. . . .. : ,,_ - MEALTH DEPT. FINAL'- , .. . :. _ FINAL EIECTRIC, _ : : , :. :. :?- DEV.:FEES PAID: . ' .�;--; ,-� .�:., :,, . . , ' FINAI.PLl1MBING.._ _;._ : .:� .,.: _ . ENERGY ' ` - ' ,. , ..._ �. _, _,, .._�.,:-� ".: :>.-.b..., ,:: _..> ;� ..�- ��:.� �:.a .,�.� �. �. �,�,....�., , , . ; . .. , _ . - . . , . . . .. . _ , . ... .... � .. . � . o � � ' � . _ . . � ' ,.._r. '� .e ..�. . . . ..:., � /I .. � _ '✓. .�! �.:_1 ,r'-�-,X'-._:�. =m -- E�3MMEN�s��:0�—:� .� _ �. _ _ ,�:�:� _ .. �,�. .�_> �. - � �^_ � . }. _,_ . .. _ .. . ._ _ _.. _.,_ _._ ���:_�___ ��_.-.��.� .�.� -�—�.s�-�--.�.:_�- .._ . .. x-a—��-�-,,.�...� _ -�-����-��,_ ._._ . . . -�--- ---- -- ,�..-,-� _:.��.-�---�-��_, :_ : .,;.. :.:._ -.�� .. .;_ _- ..<. - :: _.,. w �....,.,_ : _ _ . _ . ,' : .. . , , .. . � . .. SEPTIC TANK SIZE .. - , . � � - - . _ . .... ,.. , SEEP..PIT/U SIZE . — _ . � � , , ,�� � . . . . . � _ . : - .- : , . _ . � . ., _ . _- -- _ , :