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HomeMy WebLinkAbout11507 r- z �'' " CITY OF DIAMOND BAR �� � " COMMUNTTY DEVELOPMENT DEPARTMENT .;,, � 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3I l7 ��'�' BUILDING PERMITAPPLICATION FiRMLY y JOBSITE ,, ^� }� r� APPUCATION ' U" PERMIT P/C o ADDRESS �J�� '�7��d �4^'/�R�"��7 DATE y NUMBER ��G� # ISSUE TYPE OCC � APN LOT ro T�C� � � __ DATE CONST. GROUP � OWNER � ~'� ���,j���, ZONING SETBACKS o ADDRESS,�,�'��� " z CITY ��� .L3A-Q ZIP TEL. C+�_`�___�/4.�. FRONT RW ❑ g APPLICANT TEL. REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTQR �c�C�A..�QI'L SIDE O o ADDRESS PROPOSED USE�� S,(Ivc�� S CITY 71P TEL. oARCH/ENG/ �.. G l�-� d r"" z DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION N � OWNER-BL:ILDER DECLARATION SFR/ADDlREM O � 1 HEREBV AFFIpM UNDER PENALTY OF PERJURV THAT I AM EXEMPT FROM THE CONiRACTORS LI- G8(998/C81�ID�I W CENSEWWFORTHEFOLLOWINaREA50N(SEGJ03f.5BU51NES5ANOPROFESSIONSCODE:ANVCITYpR (n U COUNiYWHICHREQUIqESAPERMITTOCONSTRUCT,ALTER.IMPROVE,OEMOLISH.ORREPAIRANV57RlIG W PBiIOIDBCVC W7URE,PHIOR TO ITS ISSUANCE,I�LSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A 516NED W .� STATEMENT THAT HE OR SHE IS LICEN6ED PURSUANT TO THE PROVISIONS OF THE CONTRACTOFS LI- � CENSE LAW(CHMTER 9(COMYENCINO WITH SECiION 7000)OF DIYISION 3 OF TME BUSINESS AND PRO- � POOIISp3 FESSIONS CODE)OR THAi HE OR SHE�S EXEMPT THEREFROM AND 7'HE BASI6 FOR THE AILEDED EXEMP- U TION.ANYVIOIATIONOFSECTION7031.5BYANVAPPLICANTFOFAPERMITSU&IECTSTHE0.PPLICANTTO Z Re-Roo1 � RCIVILPENALTYOFNOTMORETHANFIVEHUNDREDDOLLAHS(i500)J: � ❑I,ASOWNEROFTHEPROPERTY,Of7AlYEMPLOVEESWRHWAGESASTNEIq50LECOAIPENSATION, O COTIP1B1C18I z WIIL�O THE WORK,ANO 7HE STRUCTUftE IS N07 INTENDEO OR pFFEflED FOR SALE(SEC.7M1,BUSI� J NE55 MID PROFESS�W75 CODE:THE CANTRACTOR6 LICENSE LAW DOES NOTAPPLY TO AN OWNER OF � GqOPERTVYMO8UILDSORIMPFOVESTHEREON,ANDWMODOESSUCMWORKHIMSELFDRMERSELFOR = � THFOUGHHISORHEROWNEMPLOYEES,PROYIDEDhiATSUCHIMPROVEMENTSAqEN�TiNTENDEDOR m W oFFEREOFORSALEIF,HOWEVERTMEBUIL01NGOpIMPROVEMENTISSOIDWITHINONEYEAROFCOMRE- � TION,THE OWNEREUILDER WILL MAVE TME BUROEN OF PROVIN�THAT HE OR SHE DID NOT BUILD OR Z IMPROVEFORTHEPURPOSEOFSALE). _ ❑I,ASOWNEROFTHEPROPEHTY.AME%GLUSIVEIYCANTRAGTINGWITNUCENSEDCONTRACTORS � TO CANSTRUCT THE PR0.IECT(SEC.7oa.BUSMESS AN�PROFESSIONS CODE:THE CONTRACTORS U- V81U9tiOn ADJ.AREA W CENSELAWDOESNOTAVPIYTOANOWNEFOFAPROPF.RTYWHOBUILOSOFIMPROVES�liEREON.AND � WHOCONTRACTSFORSUCHPROJECTSWITHACaJTRACTOR(S)LICENSEDPURSUANTTOTHECONTMC- QUANTITY OESCFIPTION FEE Y 70RS LICENSE UW.7. � ❑I AM E%EMPT UN�ER SEC. e.8 P.C.FOR THIS REASON U � l ¢ � OATE OWNER � . W � LICENSED CONTRACTORS D RA ON W � �HEREBV AFFIRM UNOEP PENALTV OF 7ERJURY iHAT I AM LICENSEU UN�ER PROVISKKJS OF CHAPTER � � 9(COMMENCING WITH SEC710N 7000�OF�IVISION 3 OF THE BUSMESS ANO PROFE3SION5 COOE,AND Z. X MY UCENSE IS IN FULL FORCE AND EFFECT. m , lLl � � LICENSE CUiSS IIC.NO. � U OATE CONTRACTOR a W � WOAKERS'COMPENSATION DECLARATION Q � IHEREBYAFFIRMUNDERPENkLTlOFPERIURYONEOFTHEWLLOWINGDECUMTIONS: U � Z Q O _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSEMTOSEIF-INSUREFORWORICERS' S � COMPENSATION,AS PROVIDED BY SECTION 370o OF THE UBOR COOE,FOR THE PERFORMANCE �U OF TNE WORN FOR WHICH THIS PERMIT IS ISSUEO. � 0 w _IHAVEANDWILLMNNTAINWOflKER5COMPENSATIONINSURANCE,A3RE0U1REDBYSECTION Q 3�00 OF THE UBOR CODE,FOR THE PERPoRMANCE OF THE WORK WR VYFIIL`Yi THIS PEHMIT IS ISSUEO.MV WORKERS'COMPENSATION iNSURRNCE CAflRIER AND POLIGY NUMBER ARE: CONSTRUCTION � � J � CARRIER PLAN REVIEW Z POLICYNUMBER ELECTRIC Q � (IHISSECTqNNE�NOTBEWMPLEfEDOFT-EPEIifMISPoRONEFI.NDRED�OLLMS(EIO�Of4lESS4 PLUMBING Z I CERTIFV THAT IN THE PERFOPMANCE OF THE WORN FOH WHICH THIS PERMIT IS ISSUED,I MECHANICAL ('} SHALL NOT EMP�OYANY PERSON IN ANY MANNER SOAS TO BECAME SU&/ECT TO THE � WORKERS'COMPENSA710NLAWSOFCALIFOqNIA,ANDAGREETHATIFISHOULOBECAME INSPECTIONFEE S SUBJECi TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE IABOR ISSUANCE � - ` CODE,I SHALI FORTNWITH COMPLY WITH THOSE PROVISIDNS. � SMIP p OATE: APPLIGANT. __ ' � � ENERGY P/C WARNINO:FIILURE TO SECURE WORKERS'COMPENSA710N COVER0.GE IS UNIAMlFUL,AND SHALL BE LL SUBJECTANEMPLOYEH70CRIMINAIPENALTIESANDCIVILFlNESUPTOONEHUN�RE�THOUSAND ENERGYPERMIT A WLLARS(i1a0,0o0�.IN ADDRION TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SEC710Na7oeOPTHElA80RCODE,INTEREST,ANOA7TORNEr5FEE5. RETENTIONFEE: t. v�� P W CONSTRUCTION LENDING AGENCY PRE•ALT FEE: a � I HEREBY AFRRM VNDER PENALTV OF PERJURV THAT THERE IS A CANSTRUCTION LENDINO AGENCY � FORTHE PERFOflMANCE OFTME WORK FOR WHICH THIS PERMIT IS ISSUEO(SEC.3071,CIV.C.), Z W � LENDER'S NAAIE F— LENDER'3 ADDRESS r t � ICERTIFYTIiATIHAVEREADTHISAPPUCATIONANOSTATETHATTHEA80VEINFORMATIONISCAFRECT. TOTAL FECS � d IAGFEE TO COMPLY WITM ALL GTY AND COUNN ORDINANCES AND STATE LAWS REUTINO TO BUI�DING � CANSTRUCTION,ANDHEREB�pUTHORIZEREPFESENTATIVESOFTHISCOUM'�'TOENTERUPON7HE Z, ABOVE-I.IEN7'ANED PROPERTY FON INSPECTION PURPOSES, COMMENTS � �Z� � <-!3�:/�.�. m GERMIiTEENAME(PRINn Ir��� � / ln r. 6 `` � IONATUREOFP MITTEE DATE ''t = RECPT.N0. � PAID BY VALIDATION� ` ~ WHITE—DeDartment Copy,YELLOW�nance Copy,PINK—Assessor Copy,GOLDENR06—File Copy,GREEN—ApplicanYs Copy ,:...,� ,-rau��,,wp7��*'V�. ..a a��� s•rn'Nt "t, a�*t�k� ;l±: �e �.w��saa�t.rat.w,f> >, r �.A4v t�' s '� �'�j �Y.. , ,�a � � Xa� :��� �� . , .� '�,,�f,�`i. ��<� t, �� -��e�:�: �i,aw��i;�'�:�s3"!�ya�r���'��Sr�+a,s��:"�.��s��"�`�s�a . .•?v�� C��_0�.�'�'V{�OY��D.�a� .. ..k..'. :�fpY M riii�>.,. e �. r ■NS■ �V�I�6� Ei�VON,IIMM„�.�.. • . . y.hY� ,�✓��.:r•� � . � : . . . ..:j.." � � � � . � . s • , � • o �� . , :�. . . . _ _. _ _ SET BACIE _ FLOQR JOIST-, ,,, _ ._. . ._ �. FFGSlFOpMS/STEEL ,'z"' '' 1'NA RE(.�MTS ` ``; ,. � ELECTRIC GROUND ;y.._ .<., U�DER FLc�OR DUCT ,; � : _ : , ' _ , ---_ .______ _. . _ . GROUND PLUMBING "'�' __ ____ _ . U�R FL Udf�G�9t�DU17 {"; _ ` �,� � SIAB GRADE __ . -, ' > ,� .�� . FIF�EPLAGE FCfUNDATibN =-- �. �, TEMP POWER . _ � FIF#Ef�LACE BOND BEAM � , ,- — > ��,. , : -— _. _ WATER SE�'JJCE _ . MID HT. BOND BEAM ; - ; ,; __ _. ROOF SFiEATHiNG _�r �` • t _ ""'"` --- 8 F�!T�84ND BEAM .: � ' FRAMINGNENTILIATION � � - ` �'INAI.BOND BEAM . " " �, � F10i�F COVER ,. _ PRE-GRAbING ... ��s _ _ ,.. _ ._ ; , ;., , ,�6. :;=,.: ROUGH HEATING _. " _ '- BENGMING ; , �— -- - �— ��_._ _._ __ - ----- ��.__ ROUGH ELECTRtC _ _ _ � Rc�UGH,GR/�DI,NG , ' ---�--- �— .�.. ROUGH PLUMBING ' _ _ .---_ _ _._._, F(NISH'GFiADING , ` , - ��: SHOWERffUB TEST P<OC�L�L�ECTR' ,." . , - -- . �C , ., , - � � ,.�. EX1: LATHISIOING ; _ _ _ __ . . �.._`i. . PDOL F�NG1N� ,.' . ' � ,r, , �: uz _.. __ _._______. _ __ , WALL INSULATiON � � T . =E;:: , , FOOL FINAL � �� _ .. ��r , , - _. . CEI�fNG INSULATION ! _ . . - OFF SITE IMPS. � �` "F` �` �.�:i�,ai ..2�..'.�OI M1' DRYWALL NAILING 3 � DEDlCA7fONS — , ; ' r „c i <, :,.t . �4'a t^i1�0 N h Yi i _ ... . .... �"_ SEWER_ ___ _ _ ___1 ,; � _� �.. FINAL ENG. , , " ._. __ ,.; ,:` `„ , $EPTICTANK_ � ; a,on _.. . <<���� �ANDSCAP�lIRRIG. ` R „''� �� ' � ` ._. � ....... .. __.�__ ._ .., .,..,,: _. . �,�:<:,t,ri , •, .� SEEP P1T/L C.: _ :_ ___ � "`, ` -: _'_ ` ': ON SITE 1N1P5. �-----r'-,-^�---�' .., ,_... (4 `t.. 4l �'�'�-,. '_y-- _ ___ _ i„ �.-�` � ; FINAL ZONENG �' . FI Al.GONST �. �� ^ ����,�� �� '_ } : � ! F�RE DEF'T.~�iNAf `:"� , ,_, . � _� R•_ ..,F .. FINAL HEAT1�3-- G-�-'- � � ( ; HEALTH DEPT. 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