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HomeMy WebLinkAbout11508 (5) .- ! CITY OF DIAMOND BAR - �� � �'` � R'^ COMMUNITY DEVELOPMENT DEPARTMENT ' � � 21660 E.Copley Drive Suite 190 �y (909)860.3195 Fax(909)861-3I17 PRESS �'"'""� BUILDING PERMIT APPLICATIaN FIRMLY } JOBSITE t� ,J?�^'„„ APPUCATION PERMIT P/C o ADDRESS��C��.,�0 �f�.�,�Z'S f �,�A,L�C� DATE NUMBER ^� i� ISSUE TYPE QCC � APN LOT TRACT �/'�C�� DATE CONST. GROUP p OWNER C> ' '= .G� p ADORESS�,���91w s/�I.. .STc�i2e l, ZONING SETBACKS � CITY �� � R 21P TEL.��i�-��l�?;1�- FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIOElSIDE STREET RW ❑ � CONTAACTOR l��/l�L� SIDE ❑ � ADDRESS �. .� � p CITY ZIP TEL. PROPOSED USE S t I�'`�' v/t.�. oARCH/ENG/ -1-}-/ lc.Liol1 Jj�,".�' iG.a- Ior �z DESIGNER NO.OWEL. NO. NO. a ADDRESS UNITS STORIES BE�ROOMS � CIN ZIP TEL. N DESCRIPTION SQ.FT. FqCTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER OECLARATION SFRlADD/REM � p I NER�V AFFIRM UNDER PENALTY OF PEfUURY THAT 1 AM E%EMPT FROM THE CONTRACTORB L4 G8f89B/CBryOR W CENSEUWFORTHEFOLLOWINGREASON(SEQ7o3t.5BUSINESSANDPROFESSIONSCODE:ANYGNOF (n U COUNTYWFIICHREOUIRESAVERMITTOCONSTqUCT,qI.TER,IMPROVE,DEMOUSH,ORREMIRANYSTRUP W PatiolDeck z NRE.PRIOR TO I75 ISSUANCE,AL50 flEOUIRES THE APPLICANT FOR SUCH PEFlMIT TO FIIE A SIGNEO w STAiE11ENT THA7 HE OR SHE tS LICEN6E�PURSl1ANT TO THE PROVISIONS OF THE CONTRACTORS l4 W � CENSE UW(CHAPTER e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � P�USpB FESSIONSCD�E)ORTHIITHEORSHEISE%EMPTTHEREFNOMANDTHEBASISFORTHEhLLEOEDEI(EMP- (� � TION.ANYYIOLqTIONOF3ECTION7031.5BYANVAPPUCANTFORAPERMITSU&IECTSTHEAPPL�CANTTO Z Re-Roaf r A CNIL PENALTV OF NOT MORE THAN fNE HUNDRED�OLLARS(5500).): 0 OI,ASOWNEROFTNEPROPERTY,ORMYEMPLOVEESWITHWAGESAS7HEIRSO4ECOMPENSATIDN, 0 COmrtt6lCifl1 � WILL DO THE WORK,ANO THE STRUCTURE IS NOT INTENOEO OR OFFERED FOR SALE(SEC.704d,BU51- J � NESS AND PROFESSIONS CODE:THE CONTRAC70RS LICENSE UW�OES NOT APPLV 70 AN OWNER OF ? PqoPERTY WHO BUIIDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR CC TNROUGHHISORHEROWNEMPLOVEES.7ROVIDE�TNATSUCHIMPROVEMEMSARENOTINTENDEO�R m QoFFEREDFORSALE.IF,MOWEYERIMEBULAMGORIMPROVEMENTISS�LDWITHINONEYEAROFWMPLE- Z 710N,7HE OWNER-BUILOER WILL HAVE THE BUR�EN OF PROVINO THAT HE OR SHE�ID NOT 6ULD OR = IMPROVEFORTHEPURP�SEOFSALE). w ❑I.AS OWNER Of TME PFOPERTY,AM EXCLUSIYELY CpNTRACTING WITH LICENSEQ CONTMCTORS [C TO CONStRUCT THE PROJECT�SEC.�044,BUSME55 AND PROFESSIONS CODE:THE CONTRACTORS LI- VelUetlan � ADJ.AREA � CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERTYNMOBUILDSORIMPROVESTHEREON,AND WHOCONTRACTSFORSUCNPP0.IECTSW�THACON7AACTOR(S)LICENSE�PURSUANTTOhIECONTRAC- QUANTITY DESCRIPTION FEE � TORS UCENSE UW.). Q ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON U � � u" DATE �/ ' OWNER U .. Z W � LICENSED CONTRACTORS D CLARATION W � I HEREBY AFFIRM UNDER PENALTY OF PERJURY 7HA7 I AM LICENSED UNDER PROVISION3 OF CHAPTEA � � 9(COMMENCINO WITH S6CTION 7000)OF DIVISION 3 0f THE BUS�NESS M10 PROFES510NS CODE,AND Z X MY LICENSE IS IN FULL.FORCE AND EFFECT. m LLI � � UCENSE CLASS LIC.NO. � � J V �ATE GONTFiACTOR a W � WORKERS'COMPENSATION DECLARATION � Q � IHEREBYAFFN3MUNOERVENALTYOFPERJURYONEOFTHEFOLtAWIMGDECtARATIONS: Z Q O IHAYEANOWILlMA1N7AINACEFTIFICA7EOFCONSENTTOSELF-INSUREFOFiWOPoCERS' _ L COMPENSATION,AS PROViDED BY SECTION 370o OF THE UBOR CODE,FORTHE PEHFORMANCE U Q OF TNE WORK FOR WHICH THIS PERMR IS ISSLIED. � O w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATbN INSURANCE,AS RE�UIRED BV SECTION Q 370o OFTHE LABOP CODE,FOR THE PEHFORMANGE OF THE WORK FOR YrtiiCH THIS PERMIT IS ��_—- ISSUED.MV WORKERS'COMPENSA710N INSURANCE CARR�ER AND POUCV NUMBER ARE: CONSTRUCTION J j cnRRiER PU1N REVIEW Z POLICV NUNBEF ELECTRIC Q o �nssEcnor�r�wreeca.v�erEooFn�a��wrrswr�avE�e000unru(i�oo)on�ssx PLUMBING ('� Z I CERTIFY 7HAT IN THE PERFOPMANCE OF THE WORK FOR WFiICH 7HIS PERM�T IS ISSUED.I MECHANICNL ..�T., (3 SNALL NOT EMPLOY ANV PERSON IN ANY MANNER SOAS TO BECAME SUBJECT TO THE Uj WORKERS'COMPENSATIONlAW50FCALIFORNIA,ANDAGREEh1RTIFISHOULDBECOME INSPECTIONFEE � SUBJECTTOTNE'NORKERS'CAMPENSATIONPFOVISIONSOFSECTION37000FTHELABOR � � fADE,�SHALL FORTHWITH COMpLY WITH THOSE PROVISIONS. ISSUANCE � SM�P ��a p DA7E: APPLIGANT. � WAHNING�FAIWRETOSECUREWORKERS'COMPENSAiIONCAVEFAGEISUNUWFUL,AN�SHALLBE ENERGYPIC � SUBJECTANEMPIOYERTOCRIMINALPENAL7IESANDCIVILFINESUPTOONEHUNDREDTFqUSAN� ENERGYPERMIT DOLLARS(f 700.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROYIDED FOfl IN � SECTKKt�'/OBOFTHELA9�NCODE,INTEREST,ANOATTORNENSFEES. RETENTIONFEE: � a CONSTqUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRMUNDEflPENALNOFPERJURYTHATTHERESACONSTAUC710NLENDINGAOENCY FOR THE PERWRMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.JOW.CIV.CJ. Z W � IEN�ER'S NAME - � LENDER'SM�flE55 � I CERTIFY THAT I HAVE READ THIS APPUCATION AN�STAfE THAT THEABOVE INFORAIATION i5 COqRECT. TOTAL FC ES w IAGREETOCOMPLYWI7HALLGITYANOWUNTYORDINANCESANDSTATElANfSREUTINGTOBUILOMG � CONSTRUCTION.AND HEFEBYAUTHORIZE REPRESEN7ATIVES�F THIS COUNTY TO ENTER UPON THE Z A60VE�MENTIONEO PfiOPERN FOR INSPECTION PURPOSES. . COMMENTS � Q�,,� ��c�2�� /�c.,s�s�" m VERMITTEE NAAIE�ORINT) .. 4 cn �Z Gr� .F.,-ti �iG°L."'.."� t- l.�-�l'� , , N 516NANREOFPERMITfEE �� DATE ,,g �g = RECPT.NO. � PAID 8V VALID�77ON ~ WHITE—DepeAmem Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—File Copy,(�REEN—Applkarn's Copy „-E,'�''f�f..,n''f-^;'�dyJ,.c.� >!"�.5,"�n�xCra�i'4"t°«!;;�'.ro!yt.l�.�:=�7".8irn� ,?r�"?..;",�'�yq'.��:`'�9'nW+n,:xk'n+yq'`�sl,"'7'�'�yi'..A�,'rt^:��•'(3$�l+gr a!ar,�'i$+'.t'�ns rr4�t}'d''����i"�,e��x'44�Pj!5z"�Y�$�'Z.'t�^'�” ,+��1�r�-.'.^ak1'K!.#'�'2�����u'���i����'�'"it'�t�.�� .. . , .�: .:�: . . � CITY O� L�IAMONQ► BA�i . � ` � �' �NSp���TIt�N ���CO�C) �,r�, �_ '.� -- � : � .: � � � � • � . r � ,. i j o . +.,'�" _.� ,,, .. ,.. .___ _ , _ _ _. SET BACK,;-;t� � - ': z �':'�, ,'`> .. , .FLbOR JOIST _ FTGS/FOF�lv4`SISTEEL ;;;, ____.� �_'•_ _ , `�NA REQMTS ' ,, , J �. ...a „_. . _ . . . � ELECTRIC GROUND . �i� =`. Uf�IDER FLOOR DUCT �-s. �. '' , , -- __ __ __ _._ ,... GROUND PLUMBING , ' -__.__ _ . _. UfV{D�R FLOOR COhIDUIT `' � . � � , _ .. _ . , � , , .,., . SlAB GRADE ' , ,-�°' ,", "' ' FIREPLACE FOUNDATION _ TEMP POWER - __ _._ � FtRE�'LACE BOND BEAM ' ` ` '� , . ' _ _�-, — WAYER SERVICE " --�� _• . _ __ ' • MID HT. BOND SEAM .::. � � ROOF SHEATHING - ��J' _� /'(,�� - 8 FrT.BC7ND BEAM ' ' ��" ," ' _ _ ; FFtAMINGP�`�v"fiL:iAl"ivi*: ,�%�'ft• ��`� y�;� -_ °�'INA'L BONQ BEAM ._._ � � e�y - _____ ROOF COVER � � PRE-GRADING ,�s`� � '� ; - ROUGH'HEATING "' . . _ -_ �:_ � , `'_''_' ' BENCHING _ _'___ 6 'i.��-.::� ... ROUGH ELECTRIC -_ � .� _ , � �OUGH GRADtNG .. �INIS'N Gf�AT}IN� , ,.; — ROUGH PLUMSING ; _ _. ; .. .,. . � , ; -'' , ,;n ., . ¢,.a� �_,r,, ._i �,:-. a .. SHOWERITUB TEST _ . POOL EI.ECTR,IC � ' . _ � POQL�ENCING ,� ., � f� � �... EXl'.lATH1SIDING t<;��. ., ��� ; ,� .. �t. .. _..___ . __ , WALL INSULATION ' i POQL FINAL : , ,. .... - _ _ _ . . _ CEILING INSULATION_ _ C)FF SITE lM�S,. ,., ' - ' . . ; ' ,"'. DRYWALLNAILING � DEbICATlON5';� `"�: ,�� SEWER, _ .. ._�,...,._.' ,�i. � FINAL ENG. `; , ; ;:_, ', _ .. ....___ -_ _ _ , � .__ SEPTIC TANK _ E,..� , ,; -' ,.:' `� "=: LANdSCAP�/IFfRIG. , ,: �'; ; r : -- -- — SEEP PI7/L.L: _ __ ._ . ; ,�.�� < . __. , ON SlTE iN9PS. ., .;,, � .-. GAS AIR TEST: ___.. _ J !----� �.,.......: -� FINAL ZONING-� ---_ ^rI._�_ v� .� ��t ., x, �:` �_,�:_�il �. FINAL CUNST. .. _---- `�`s/" �y; "� ' ; H�ALTH DEPI'. FlNAL ,, , I ,: :..; ?: , , ; >> F1RE DEPT FiNAL I FINAL ELEGT C� � __ _. . _ ._— -f�-- .-DEV. FEES PAID� . __� i_ -��A. ;,, ... �, . , . ,.,, , �, -� ._.�..,�__,_�-T..••�,•--- . � , - . . � ,' FfIJAL�I'Cl7t;llBit�� ' _.._. -4 ENERG`l --, ,___ __` __ _ . .. . . . — �, I _,____:� 1� J , �.�", I :. _.. ���;> __.._. _._ _.__. . .__.._. ____ _ _ _ ______ .. .--. . __ ... ... , � � � . . . .. . , • • --- -- I _..— . - . ,-Ji'I?�. 4 ....,. �� _... .",.V .,. .. �. �:.: - �� -'. _ I .....'__ "_...._.._._ ._.`___._.._ ....__..... ._.� ..... ..._ .. ._._ .-.__ , ' COMMENTS °� ^ , � _. � _ -- ,. ° � _ — J , •. � � ;. � � � _ _ . _.__. __ _� --. . _. .___. — — _ ::� ... ,� , , , .., ,� .. :.. ,�aa� � .._ __— — _ _ ___ _ ___ ._ —. ..— :.— — .. , .. —_ .. h : � ��f 3 t �'A M a'r.4 ,i� fl h:.wa tYtHi..... . �{ -.__�'_.�_�_Y�...,--- —'__—_A I"i , c ,�_ _ ..� � . �� ��' ..-.... '-� ..__ . .. ' ...,. _""_'", ,__..�___ � ..._.. .._�__.. �. ._.-...�___#��� ._. _ _... � . ' '.':' .... .....__. .. . .. ._. . _�_._.._.�......._. ._..-_.... . _ . ' ..,. �I ' '... 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I!� SEPTIC Td�i��`SiZE �:� . . ��i SEEP Pl1"N STZ� ___ __ __ , , _._.....,... .�... .._._....._ .�_'__'_ _._... __.._. .__... ._ __ , ��.r�- t64< ,�� :r. .? �.�.: �. .�,�iv:� , . .. ,�j..rWP.,�..1,. ,. .. � ..0.v... . .. _ _ . ...__ .. . � . . . .. . .. . . . i .. .... ._._. . . . . :: ',-..,: �'� q r..,...-, , ��-'�:ii , �,.�-nu� nay'.t, .:,. :��:,,�� �r;.. ; �.�, .rl•�r,�.i, ' �, ..� � . . . .: � . .. -_-" �.:.�� .,,:�.t.��4 . . � ��:.:�,. '..., ..i' ,i^r.:. ..✓.1�.-t ..�. .... �aet.vM51. � ..,:..��c... ,, .,,+ .. . . . :.. . .�. �...r.:: ���..;,irtn rt �,.,,; .. I� .__....."�^.-.�..---. .... . _ - � � . , � P . .i ',. i _ _� � . ._ .... ... ... _.. . ._... . ; _. _ . . . � .. . . . . i ...:. .;'.I:e., " T ... :. ... . _ .. '. ._ ... ..'` - _ . '- . ' '.'��. ' - . 1 �� ...�. .. . . ..�. .. .....,. . ... . . , '. _�e���...�.��._...�e�_.�.��...e.�..s.�r� ��. �Jr ——