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HomeMy WebLinkAbout11512 "• CITY OF DIAMOND BAR �/ \( � J `�s� ` COMMUNTI'Y DEVELOPMENT DEPARTMENT /� " / \...:��' .;,.;w 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS """' BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE �g . D'C.-._ APPLICATIpN � PERMIT � 'P�f ���P/C ADDRESS,��J��� ��t� �Le,/L��i�O DATE �o��� NUMBEF��! " # � APN LOT TRACT �7���'S— ISSUE TYPE OCC p OWNER L�l�NTCF�H�-�aA . DATE CaNST. GROUP " ADDRESS,;;�„�.�JT� ��'S��-^^'/L i L ZONING SETBACKS gCITY s�;�_�'j.��_ ZIP TELe��� y�2 FRONT RW ❑ APPLICANT TEL. REAR p SIDE/SIDE STREET qyy ❑ � CONTRACTOR �"'X�g�,�,•� SIDE p o AD�RESS PROPOSED USE I��� .S�,�K TC,�rt CITY ZIP TEL. C., , w ARCWENGJ ` � ,� z DESIGNER �� �'� w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI;ILDER DECLARATION SFR/ADD/REM O p 1 HER�V AFFIRM UNOER PENALTV OF PERJURY THAT�pM E%EMPT FFOM THE CONTRACTORS U- G8f89BIC8fpOIL W CENSEUWFOR7HEFOLLOWINGREASON(SEC.7o31.58U5MESSANOPROFESSION9CKIDE:ANYCITVOR (n U CWN7YWHICHREOUIRESAPERMRTOCONSTRUCT,ALTER,IMPROVEDEMOLI3H2ORREPAIRANYSTFUC- W PatiO/DeCk w TURE,PRION TO I75 ISSUANCE,AL50 REW IRES THE APPIICANT FOR SUCH PERMIT TO FILE A SIGNED W � STA7EMENT THA7 HE OR SME IS LICENSEO PURSUAN7 70 THE PROVISIONS OF THE CONTMCTORS ll• � CEN5E LAW(CHAPTER 9(COMMENCINQ WITH SEC710N 70D0)OF DNISION 3 OF THE BUSINESS AND PRO- POOUS(� � FESSIONSCOOE)ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISf-0RTHEALLE6EDE%EMP- (� TION.ANVVIDWTIONOFSECTION7031.SBVANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z R0-RoOf A CIVIL PENALTV OF NOT AIOHE THAN FIVE HUN�RED�OLURS{f5a0).): Z~ OI,ASOWNEROFTHEPROPERTY,ORMVEMPLOYEESWITNWAGESASTHEIRSOLECOMPENSA7pN, WILl00 THE WORK,AND TH6 STRUCTURE IS NOT IMENDEO OR OFFERED fOR SALE�SEC.7046,BUSI• � GOffIRl6fCi81 � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW OOES NOT APPLY TO AN OWNER OF � PROPERiY VJFIO BUILDS OR IMPROVES THEREON,AND VRiO OOES SUCH WORK HIMSELF OR HERSEI.F OR � TMROUGN HIS OR HER ONTi EMiIOYEES,PROVI�EO TMAT SUGM IMPpOYEMENTSARE NOT INTEN�ED Ofl m O OFFEREDiORSALE.IF,HOWEVER,TiEBUILDINGOqIMPROVEMENTIS50LDWITHINONEYEAROFCOMPLE- Z TION,THE OWNER-BUILAER W�LL HAVE THE BUROEN OF PROVIIJ(i 7HAT HE OH SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). W ❑I,ASOWNEROFTHEPHOPERN,AMEXq.USIVEIVCONTRACTINGWITHLICENSEDCONTMCiORS � TO CONSTRUCT THE PFlOJECT(SEC.70U,BUSINESS AND PROFESSIONS CODE�THE CONTRACTORS LI� V01UetlOfl ADJ.AREA W CENSELAW�OESNOTAPPLYTOANOWNEi70FAPROPERNWHOBUILDSORiGPqOVESTHEREON,AND � WNOCONTRACTSFORSUCHPqQIECTSWITHACANTRACTOR(S)LICENSEOPURSU/WTTOTHECONTMC- QUANTITY D SCRIPTION FEE � TORS LICENSE LAW.�. � ❑I AM FJ(EM7T UNDER SEC. 8.d P,C.FOR THIS qEA50N Q sy U � DATE �� ' OWNER � � F� . . O W � LIGENSED CONTRACTORS DEC TI W ¢ � I NEREBYAFFIRM UNDER PENALN OF PERJURYTHAT I AM LICENSED UNDEH PROVISIONS OF CHAP7ER �. d B(COMMENCINp WITH SECTION 7oao)OF OIVISION 30F THE BUSINESS AND PHOFESSIONS CODE,AN0 Z '1X MV LICENSE IS IN FULL FORCEAND EFFECT. m � LICENSE CLASS LIC.NO. � V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q � i MEREBV AFPIRM UNDER VENAI.TY OF PERJURV ONE Oi TME FOLIOWING DECLARATIONS: Z O _IHAVEAN�WILLMAINTAINACERTIFlCATEOFCpNSENTTOSELF-INSUREFORWORKERS' 2 . Q COMPENSATION,ASPROVIOEDBVSECTION3�OnOFTHEL4BORCODE,FORTHEPERFORMANCE U Q OFTHEWORKFORWHICHTHISPEFMITISISSUED. � w _�NAYE M70 WILL MAINTAIN WORKERS'COMPENSATION INSUfUNCE,AS REQLIIRED BY SECTION 0 37000f iHE LABOR CODE,FOR THE PERFOHNANCE OF THE WORK FOR WHICH 7HIS PERMIT IS ���� ISSUE�.MYWOPKERS'COMPENSA71ONINSURANCECARRIERANDPaICYNUMBERARE: CONSTRUCTION J j CARRIER PLAN REVIEW Z voLICVNUMBER ELECTRIC ¢ p (IHISSEGfIONNE�NDTBEWMPIEiIDOF7FIEPEiMTISFORpJEFKN�DRmDOLLARS(SIOD�ORLESS� PLUMBING Z �CEFlTIFY THAT W THE PERFORMANCE OFTHE WORK FOq W WCH THIS PERMIT IS ISSUE�,I MECHANICAL � � . (� SHALLNOTEMPIOYANVPERSONINANYMANNERSORSTOBECOMESUBlECTTOTHE � WORKERS'COMPENSATION LAWS OF CALIFOFaJ1A,AN0 AGREE THAT IF 1 SHOULD BECOME INSPECTION FEE � SU&IECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTI�N37000FTHELpBOR (� ` = CO�E,�SHALL FOqTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE ti/� Q �y p DATE: APPLICANT: SMIP � / J WARNING:FAILUHETOSEWREWORKERS'COMPENSATIONCAVERA6EISUNLAWFUL,ANUSHALlBE ENERGYP/C � SUBJECTANEMPLOYERTOCRIMINAIPENAlilE3AN�CIVILFINE3UPTOONEHUNDREDTMOUSAND ENERGVPERMIT DOLLARS(5100,000),IN ADDITWN TO THE W5T OF COMPENSATION,OAMAGES AS PROVIDED FOR IN � SECTION 37oe OF TME U190fl CO�E,INTEREST,ANO ATTORNEV'S FEES. flETENTION FEE: 1 OCONSTRUCTION LENDING AGENCY PpE-ALT FEE: � IHEREBYAFFIRMUNDERPENPLTYOFPERIUqYTHATTHEREISACONSTRUCTIONLENDINGAGENCV FOR THE PERWRAWJCE OF THE WORK FOR WHICH THIS PEiiM1T IS ISSUED(SEC.30B7,CIY.C.). Z W � LENDER'S NAME ' F- IENDER'SPDDRE55 W ICEHTIFVTNATIMAVEqEAOTHISAPPUCATIONANDSTATETIiATTHEABOVEINFONMATIONISCOFRECT. TOTAL FEES . �n � � � 1 A6REE 70 COMPLY WITH ALl CITY AND COUNTV ORDINANCES AND STATE LAWS RELA7ING TO BUI�DIN6 � CONSTPUCTION,AND HEflEBYAUTHORRE REPRESENTATIVES OF TMIS COUNTY TO ENTER UPON THE . . Z ABOVE-MENTIONEOVROPERTYFOflINSPEC710NWRPOSES. COMMENTS - 0 / ,, m �IC,� C?Fi��}C�yG/L� PERMITTEE NAME(PRINn Cn ' .L�iP„ 'I�'_�� . �J �ION REOF PEFMI � OATE � ����. �� � RECPT.NO. _ -"" PAID BY 2- VALIDATION' � WHITE—Depertmant Copy,YELLOW—Finance Copy,PINK—Assessw Copy,GOLDENROP�Ie Copy,GREEN—AppllcanYs Capy ��" � � � � . , •��-,ti:;'r kR,�i*.�.�},;�ti y-nv:.,q;;?Y'�a„P"* �i ':`�'.'A�f��. �,v:;�,r .��,aRg�;r�",�5..��� ��Ce�;. k��t�`�+:�:x:ru:�k�R'*'�roi:,q{,:it�.r.��,.+�,._L i b p9�+::. ,�WY�Yrt�,�atrr?1'�4 ,��f���{r �P�r yhu�2l.,� t���.pf wa .,�:yk�i . , r'l� _.�. 4 0 �''�r� .�i�'�. a�a�: {s� . : iJ� �ha" �a�,�%€�;,r.�'�� „�.�1'.. �'�N'�,�P��,"F�. .��. �:I� �� ��A��ND �AR �.: , � . . .. . .., �..,4,,w __._.t;;,_ : �Ns���i���� �E�i��� . ;:� ,:�,�.,f:-�. __ _. • � ! � • , . ° s , � " • . ■ SET BAGIf. . . ;; ," __ FLOC)R JQIST -.. __ _:__. : - _.. FTGS/FOFINIS/STEEL - � _ , ' FHA FiEQMTS ` ,;, ELECTRIC GROUND = i=:�> - : UN'D�R FLOOR DUCT : � . ,; ,,,: j :' • _._ _ ; � � GROUND PLUMBING ' __ y�.`,,, UMD�R F�OOa GCU�IDUIT �" - < , SIAB GRADE.. - , � ' -- �' ';, ' FIFtE�'LACE FClUNDAT!=C N .:. : -- . ,�, -�------ TEMP POWER : - -- '' FIREPLAGE 81.7ND BEAM :_ , •� _: � � � - __ , T. BOND BEAM . . �:: WATER SERVICE � ' � ,�-y-_�'---- B(�ND BEAM " _, ....__ , ROOF SHEATHfNG ��i ry ��. �_ , 8 FT.' _ _ _ ._. � , � FRAMINGNEN7ILIATION _„ ��INAL BOIVD BEAM " y � ' _�.> , , , ROOF COVER _ _ _ _ PRE-GRADING , ': _ _ _ . , �tOl7GH HEATING �:+�. '. .:. . ,;>,; BENCHING .,;,, -, - ------- ----- — ROUGH ELECTRIC __ _. _ .. .. _ .__..._. _._ , ROUGH GRADWG �,,,,, _�-� . . . ._ ...:'._...�- ,-r.. . .,` 3 .'.µ:..: ROUGH PLUMBING _.___ _.. . .._._.._ FINlSH GRAbING ;: > _, - , ,.v „ . .SHOWEFi/TUB TEST; _ _. j � __ ".. pOOL Et�ECTRtG . - ' ; EXT. LATH/SIDING _ _. � _� .� ��POOL�ENCING � �, , , _ , , , � " >: r 4 , : -- , WALL INSULATION '_ _ _ , , pOOL FiNAL , �, , �__ .._.. __. _ �. CEILING INSULATION OFF SiTE IMPS' ' , �' " ' DRYWALL NAILING DEDICA7lON5 �, `'� �<,�. ;; _ _ ___ SEWER _. _ _ _._ _._.__ __..._ FINAL ENG.. . �� . , . , . , :, � SEPTICTANK ',''; •� - _. `= ._ : " :"-< LAMDS�APF/1RRIG:" , , 4 �;.. , , ------- , -,- _ _,.._y...�_: ' ,. �.� SEEP PiT/CL: .._ . __._ __'° _ ' _ �.'' � ON.SITE IMPS. ,.,, �„�;� , __. -- - -- -----,-�- � ' FINAL ZONiNG' ':r ' , "' "` GAS AIR TEST _ � _ i .. /� �^ y,- I FIRE DEPT. FINA� ` FINAL CONST. �( �,�, ,,� ;,. , , ;,�,. --- �.._: � �✓ J- ���- ,�-^e.._ -i ; --- — ' FtNAL HEATiNG �` HEALTH DEPT. F1MA1., ` - - ,_• : �- .., . : ' FINAL ELECTAIC _ DEV. FEES PAID - -' , � ,, :.. �,,-� , : , � _ -. _ . ___ .. : . - _ ._. , FINALPCUNIBING._ _ � _. __ _..___ , ENERGY �.,:: , ;,��.F ,;.. _. ._ __ _ _ .. . _ — __. _ __.__.__ �. -., �, , ,..;_, � _ .. <. �., , �, _ _ _ _..._ _ .__.._.__ _.._ .. . � --- _ _._ � � .... ._ � � �� _.�;�. _ :� - a;.:,_ ;..�, . .. __._ .__..__.. ___ .. �__ � _�_. . _____ - _ . �OMMENTS •. , .� �,�;,� a�� 1,:,: , _—.�__.�_ ,x�,;,��. ,�,�; ��,G _ . .� .�... . .......� . I.� .`.::. . v()'. .. .. .A r'J+?A<:✓"V4v�': __—_ ....._.. . .-...__.. _......_.. ......____ _. .........._ .._.,....._"'_""_'........ ...._....,. _...._... ... ..... '�'. j � � � .. . �^ .-- . i� .. �.., .. .i .� ". . ... ...__ .. 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