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HomeMy WebLinkAbout11511 �.a ...r " CITY OF DIAMOND BAR / COMMUNTI'Y DEVELOPMENT DEPARTMENT �^ �' .:,.W 21660 E.Copley Drive Suite 190 c9o9�s6a3i9s Fax�sos>s6t-3ii� PRESS �'""" BUILDING PERMIT APPLICATION FI RM LY y JOBSITE �9� O�",J-. APPLICATION PERMIT '� P/C < ADDRESSo4�b ���v f G/2,�Q,QryOb # p DATE NUMBEf�� � APN LOT TRACT ��.3�3,� pATEE NPE OCC p OWNER TG �At L �.G'�/GL CONST. GROUP o A�DRESS ����L �*� L�C^±/t t ZONING SETBACKS �"' ciTv�.q �(,jr1-/� ZIP TEL.��yv��� FRONT RW ❑ APPLICANT TEL. REAR p SIDE/SIDE STREET qyy ❑ �� CONTRACTOR �� �/L , SIpE ❑ ADDRESS_"2,���$' Q� �5;^c,AL t� � CITY�+)r� j,�'�y���-TP ZIP �— TEL..,3cy�-y g� PROPOSED USE f2'�¢ Sf/�-�cT�oze � w ARCH/ENG/ � ' O (L/L/c*h � C:r � �ps.� z DESIGNER w NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � C�TY ZIP TEL. � �n DESCRIPTION SQ.Fi: FACTOR PSF ADJ.AREANALUATION p� OWNER-BI;ILDER�ECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER PENALTY OF PERJURv 7HAT I AM EXEMPT FHOM 7HE CONTRACTORS LI� G8f8gB/C81'pO�f W CENSELAWFORTHEFOLLOWINGREASON(SEC.7o37.5BUSINESSANDPROFESSIONSCODE:ANYC�TYOR (n U CqUNTyWF{ICHREWIRESA7EfiMITTOCqNSTRUCT,ALTER,IMPROVE,DEMOUSH,ORREPAIRANYSTRUC- (L W TURE,PRIOR 70ITS ISSUANCE,AL50 REDUIHES 7HE APPLICANT FOR SUCH PEqMIT TO FILE 0.SIGNED w PatiolDeck STATEMENT TMAY HE OR SHE IS LICENSED PURSUANT TO THE 7ROYISIONS OF iNE CONTRACTORS LI- '�� CENSE LRW(CHAPTER e(COMMENCING WITH SECTION 7000)OF�IVISION 3 OF THE BUSINESS ANU PRO- �'�' POOVSpfl FESS�ONSCODEIOHTHATHEORSHEISEI(EMPTTHEREFROMAN�THEBASISFOHTHERLLEOEDEXEMP- (� V TION.ANYVIOLATpNOFSECTION9031.5BYANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof A CIVIL PENALTV OF NOT MORE THAN FIVE Hl1NDHED DOLLARS fS500J.)� � OI.ASOWNEROFTHEPROPERTV,ORMYEh1PLOVEESWITHWAGESASTHEIRSOLECOAIDENSATfON, � COff1lflBfCl81 z WILI DO THE WOPof,M1D THE STRUCTURE IS NOT INTENDED OR OFFERE�FOR SALE�SEC.7oM,BUSI- _I N NE65 AN�PROFESSIONS COOE�,THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF ? PROPERTY WI10 BUIIOS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELFOR � THROUGH HIS OR MER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROYEMENTS ARE NOT INTENDEOOH m Q OFFEREDFORSALEIF,HOWEVER11/EBUILDINGORNIPROVEMENTISSOLDWITHINIXJEVFJIFOFCOMPLE- Z TION,THE OWNEH�BUILDER wILL HAVE 7HE BURDEN OF PROVIN6 TMA7 HE OR SHE�ID 1�WT BUIID OR = IM7ROVE FOR 7HE PUHPOSE OF SALE�. w OI,ASOWNEROFTHEPROPERTV,AME7(CLUSIVELVC4NTRACTINOWITHLICENSEDCONTRACTORS � TO CANSTRUCT THE PRQIECT(SEC.7044,BUSINE55 AND PROFESSIONS COOE:THE CONTRACTORS LI� VeWetiOn ADJ.AREA W CENSELAWDOESNOTMPLVTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTViEREON,AND � Yh1000NTRACTSWRSUCVIVRQIECTSWITHACONTqACTOR�S)LICENSEDPURSUANTTOTHECONTRAF QUANTITY DESCRIPTION FEE TORS LICENSE LAW.). � ❑1 AM EXEMPT UNDER SEC. B.h P.G.FOR THIS REASON Q U LL � OATE �� OWNER t - I— Q W F UCENSED CONTRACTORS CLARATION W � I NEREBV AFFIRM UNDEF PENALTv OF PERJURV THA71 AM LICENSED UNDER PROVISIONS OF CHAPTER � � D(COMMENCING WITH SECTION 7000)OF DIVISION aOF THE BU51NE5S AND PROFESSIONS CODE,AN� Z LX MY UCENSE IS IN FULL FORCE AN�EFFECT, m � LICENSE CLASS LIQ NQ � V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLAqATION Q � 1 HEREBY AFFIRM UN�ER PENALTV OF PERJUfiY qVE OFTHE FOLLOWING DECLARATIONS: Z Z _I HAVE AND WILL M/UN7AINACERTIFICATE OF CANSENT i0 SELF-INSURE FOR WORKERS' _ Q CAAAPENSATION,ASPROVIDEDBVSECTION37aoOFTHEU80RCO�E,FORTHEPERFOFlMANCE W Q OF THE WORK FOR WHIf%i THIS PERMIT IS ISSUED. � W _1 HAVE AND WILL MAWTAIN WORKERS'COMPENSATION INSURANCE,AS HEOUIRED BV SECTION � 3700 OF THE IABOR CODE.FOR THE PERf-0qMANCE OF THE WORK FOR WHICH THIS PERMIT IS .�l/"lriY /---'J� ISSUEO.MY WORKERS'COMPENSATqN INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTflUCTION l"�'7� "7// J � j CARRIEii PLAN HEVIEW ZPOLICYNl1NBER ELECTRIC Q � (IF955ECiX)NNE�fJ�TBE00rdPLEIEDOF7F�PERMTISFORONEMX�DREDWLLARS(E100)ORLESS) PLUMBING , w Z I CERiIFY TiAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERA/IT IS�SSUED,I MECHANICAL _� in ��� �J SHALL NOT EMPLOY ANV PERSON IN ANY MANNER SOAS TO BECAME SUBJECT TO THE � �� � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF 1 SHOUL�BECOME INSPECTION FEE = SU&IECTTO THE WORKERS'CAMPENSATION PRpYI510N5OF SECTION 37000F THE LABOR CADE,�SHALL FOftTMWITH COMPLY WITH TIiOSE PROVISIONS. ISSUANCE �O � p DATE: APPLICANT: SMIP W J WAqNING FAILURE TO SECURE VJORKERS'COMPENSATION COVERAOE IS UNLAWFUL.AND SHALLBE ENERGY P/C LL SU&JECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIYIL FINES UV TOONE HUNDREO7110USAND ENERGY PERMIT DOLURS(f100.0001.IN ADDI710N TO THE COST OF COMPENSATION,DAMAGES AS PROVIDEO FOR IN � SECTION 3�OB OF THE LABOR CODE,iNTERES7,AND A7TOflNEV'S FEES. RE�ENTION FEE: � OCONSTRUCTION LENDING AGENCV PRE-ALT FEE: G � I MEREBYAFFlRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION IENDINO AGENCY FOp THE PERFOi1MANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.�OB7,CIV.C.�. Z W � LENDEWSNAME F— LENDER'SADORESS W ICERTIfYTHATIHMEREAUTHISAPPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCORRECT, TC�TAL FEES � I AGREE TO CAMPLY WITN ALL CITYAND COUNTV OROMANCES AND STATE UWS RELATING TO BUIL�ING � CONSTRUCTION,ANDHEREBYAUTHORIZEREPRESENUTIVESOFTHISWUNTYTOENTERUPONTHE Z RBOVE-MEMDNEO PPOPERTY FOR INSPECTKKJ PUqPO5E5. COMMENTS - O � fl cf'' C�r�2�/ /�j cr,3 r.� �" m PERMITTEE NAME(PRINT) t� ? /�C " ��� ' � Cn 7'�(/�' 7,/J ', � I�NA7UREOFPERMf17 DA7E � � RECPT.NO. PAID BY VALIDATIO WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROO—File Copy,GREEN—ApplicanYs Copy �s:. . ' ,.��.-, aa:� t� �:�' n . � ��rs �?,�u . , • z�'tu'.?'�k..?'f y u�y�Hw.�a.s,L r + �?a7' .,�� � ?S.'..� ..� as .,�;:��"'� ,�"..�"' �'��.�'^� �.�;•.., z _�k'.,'+p�`r�1+5`i�`-m)`'�w$'�;i,�t�c , y�": , ';�'e":'��;�z4:�+�'':`"fC`�'�+,����"�� , .4'`��.�1Y'�i�y�s-,�' ,'�i,'�1�,�'�, ;�:, ,:.�a CI! i �r!r,V��1YI.FJIV�,�s'A��. .. .�. �. �,� '� • - -- � - :` - .�.':=�.. INSPE��"IC��V ����R� , , .. Lt:, :. Y� �` • � � � � � ° � � � � � � „ _.._.._ . ...... _ .,..._ SET BACK,. .. � __- `� -,-, _. _ _ ._. _... , FLb4R JC�lST _. . _ � _ FfGS/FORF4ArS/STEEL. 'c:�`' _ _ ' `FHA REQMTS _. — - . ",--- . : �: ELECTRIC GROUND =;u-,a< r�.> :>�� UNDER FLOOR DUCT � _ J � :. .r �. � ._�. , _.. _ _ GROUND PLUMBING � -- _,�,.,,. � U DER �LOOR Ct1�tD{�!T "'`' _ � :. ,, � _ � :�.: _.� , , ., _ -- SLAB GRADE , _ _ :: � .;? � ._<; i FIREPLACE Ft3UNDA?{UN _. . . : , : :.. �_..` � :; TEMPPOWER _ _ __ "`____-._ FIREPLAGEBONDBEAM .-f�,��:;>. -- ; M — -- WATER SERVICE .. ' _ � • Iv11D WT. BOND BEAM LL ' ` . . � ~ ,. . ROOF SH�ATHfNG � �2`i��'___� 8�T' BOND BEAM �° - �........ _� --- - '- FRAMING/VENT1tIATION - � �INAL BOND BEAM "r,r;� ' '. , � ----� RUOF COVER '__ _, .. _._. � PRE-GRADING ' �.:� _ __ '. ,.„ . ;r..:, _ _. _ t�Y '�iOUGN HEATII�G . � . _ i _. , � += ; BENGHING �, LL,.,.,. , :,,. ; __ _�_____ �-� . „. ; aOUGH GRADING M,:;:: , : „. ` ROUGN ELECTRIC j __ .- _. _ . _.. . y,; . . .....,_ .. ...: :� .. . .� . . . ...... ..._,_.._ ._.,. . ' -, ,.-.�.�r��. �:, . . .,�.,�.:.,. ,., ROUGH PLUMBIt�tC ' ; FINISH GRAC3ING ,,�,:, � ..:::; ', ; ', —�-�..•.--. .. SHOWER/7U8 TEST'_. _. __ .______.._._._ �pOL ELECTRiC .,. . .� . ' n EXT: LATHlSIDING ' _.1_ _ _ _.__ __,.._.. _ _ ✓ _ pUOL FENCiNG . , :,, , ' , � , - �. WAL.L iNSULATION_ _ _ --__._,_ _ .:.< I'00�FINAI� . 3 ,t ,. : ` _,tt�:, CEILING INSULATION _.__ �t3FF SlTE IMPS. . DRYWALL NAILING I�EdICATI�NS ,, ' — ` "�� ,' r ``"`: _ __ . . . --- SE.WER. _.__ .__ . FINAL ENG, ., ,� , � , �: , . ,,;,;,, �,: _ _. ____ _._._._ _..__._ . ,. .,, . ,�, :,_. �, ,� ;, � �EP74.�TANK ._ . ' , `' _ ��'' LANDSCAPEl1R�iIC`a. ' ' - ,:, T �.',�:,'�., �� ' __. �.,. ON SITE iMPS. -�,,-t•—.--• ,�� SEEP PIT/L:L. ` . _ _. f � GAS AIR TEST, � f� �/�: �II�A�ZONING � " / i�l �.�..'"_'Y"__.}_.__ �._ -�� ;... FINAL COIVST. j �/�,� � ,..�- �--�- FlRE dE`PT FWAL > :- ,. :,,,. ' __. _..-:— --- ,. _ s ; � � .. . ' FINAI HE,4TING _ ,0' t �r_ _ HEALTH DEPT.FINAL,,`. , _ _. .._. .._ .. �;. � FINAL PCUMBING _ E�eNE�FEES PAID � -r,,, .: ., ,:. , y � , __ _.. -- ----) __.�_ _ _. . _, . ._ .. , , ' GY ,' _........__. _.,_...___ ._ ..__-__.+ _�_.. -- . .. _ _. ._.__. .. . - , . � ; �. , , ,,.,; : � .�.,�� ... � i , _ _. _ _ _ ..._. _.__� ._ � __- -- _ ___ _ _ ._.. ___..__._ __ _..__._ _.. , , . r � _ _ . � � � �n���-,- _�.�_<i,��i ;���_�.—� ;.,ti�,v�i— - __. _ __ _ ._ ___ ,..._.._ _._.. ___ . __ COMMENTS ,�� $ � :. ... . � _ _ __ —_ ___ � ___— --�._ ..� � . _ •>,:lv F s i -.��. ru _�. ,..'1:, .i 3.:4',.�` ri_... �N t iN , .' , '. .. ..�.. � � , . .�.. -..-. -....�:::�� '� .: :•.I: _".._ . _� . � � . . .�.......� .. �.. . . � .... ........ . ..._,..,.... . . . ... . .._. ..............__.. .. . .. .._.._.._.. . .... ...._._.,_.. , . . .. . . � �. �,• , . . . _...... .. . ....__. . . . .. . .......... ...�,..... .. .._.._. ._..'__ "._.._..... .. �. !'. .... , .. . . .:1[?N':N:hs. . . . , ___ . . � .. _.. . . . . . . . ... � \ a ,..,.�.a . , . 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