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HomeMy WebLinkAbout11513 - CITY OF DIAMOND BAR �--- �(�'� COMMUNITY DEVELOPMENT DEPARTMENT �1� �-� : ,¢ 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS �'""'� BUILDING PERMITAPPLICATION FIRMLY Q DDRESSr��y ��G`�' � G�Z./Zf1�06 APPLICATION PERMIT � P/C o DATE NUMBER�_ # $ ISSUE TYPE OCC APN LOT T CT '�� ��_ DATE p OWNER �1 G �tJ CONST. GROUP p ADDRESS � �/L( l. ZONING SETBACKS z CITY ZIP TEL `�I �- FRONT RW ❑ g APPLICAN 7��. REAR � z� SIDE/SIDE STREET RW ❑ � CONTRACTOR �����'�/�„ SIDE ❑ O CDDRESS Z�P TEL. PROPOSED USE .�Z�� J%�c�@I u��C oARCH/ENG/ /`( Lrc�t ' �R c/aCll , z DESIGNER w NO.DWEL. NO. a ADDFESS Np• � CITY ZIP TEL. UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BI:ILDER DECLARATION SFR/ADD/REM O I HEREBY AFFIRM UNUER PEWLLTY OF PEqJURV THAT�AM EXEMPT FROM THE CONTMCTORS L�- G8f8g8/C8fR70f� W CENSEUWFORTHEFOLLOWINGREASON(SEC,7031.5BUSINESSANDPROFESSIONSCODE:ANYCiTVOR (n U CWNTYWHICNREWIRESAPERMITTOCONSTPUCT,AL7ER,IMPROVE,DEMOl13H2ORREP41RANY5TAUC• w W NRE,PRIOR TO ITS ISSUANCE,AL50 REQUIRES THE APPLICAN7 FOR SUCH PERMIi TO FlLE 0.SIGNED W Patio/Deck � S7ATEMENT TMA7 HE OR SHE IS LICENSED PURSUANT TO TME PROVISIONS OF TME WNTRACTORS LI• � � CENSE LAW(ClIAP7ER e(COMMENqNG WITH SEC710N 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- POOVSp9 � FESSIONSCODE)OF7HATHEORSHEISE%EMPTTHEREFfiOMMIDTHEBA5ISPoNTHEALlE6EDEXEMP• (� TION.ANVVIOIATIONOFSECTION7o31.5BYANYAPPLICANTFORAPERMITSU&IECTSTHEAPPIICANTTO Z Re-Raof A CIVIL VENALN OF NOT MOHE THAN FIVE HUNOREO DOLLAFlS�LsOo).): Q ❑I,ASOWNEROFTHEPROPERTV,ORMVER/PIOVEESWITHWA0ESA5THEIRSOLECOMVENSATION, O GOff1111BfCt81 z WILI DO THE WORK,PND THE STRUCTURE IS NOT MTENDE�OR OFFEREO Fdi SALE(SEC.70H,BU51- J � NE55 AND PROFESSIONS COOE:THE CONTtiACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF = PROPERTV WF IO BUILDSOR iMPROVE3 THEflEON,ANp WHO DOES SUCH WOflK HIMSELF OR HERSELFOR � THROUGH HIS DR MER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDEOOR m � OFFEREDFORSALE.IF,HOWEYER,TNEBUILOINGORIMPROVEMEN71SSOtDWITHINONEVFAHOFCOMPLE- Z ipN,THE OWNER�BU&.DER WILL HAVE THE BURDBJ OF PROVINa THA7 HE OH SHE DID NOT BUILO OR � IMPROVE FOR iHE PUflPOSE OF SALE�. w ❑I,AS OWNER OF THE PROPERTY,AM El(CLUSWELY CONTRACTING WITH UCENSED CONTRACTORS � TO CONSTRUCT THE PROJECT(SEC.70l4,BUSINE55 ANU PROFESSIONS CA�E:THE CANTMCTORS ll- VfllUfltiOn ADJ.AREA W CENSELAWDOESNOTAPPLVTOANONMEROFAPROPERTVWHOBUILDSORIMVROYESTHERC-0N,AND � WHOCANTRACTSFORSUCHPRQIECTSWITHACONTRACTOq�S�LICENSEDVURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE TORS UCENSE LAW.). Q ❑I AM EXEMPT UNDER SEC. B.6 P.C.f-0R THIS REASON Q � V ZOATE �'�r�� OWNER � ' U .�.G � , �¢ LICENSED CONTRACTORS DECUIR ION W 2 1 HEREBV AFFIRM UNDER PENALTV Of PERIURV THAT I AM LICENSED UNDER PFOVISIONS OF CHAPTER � � 9(COMMENqN(iNNTHSEC7DN7000JOFDIVISION30FTHE8U51NESSANDPROFESSION6CODE,AN� Z X MYUCENSE iS W NlL FORCEAND EFFECT. m lll � LICENSE CLASS UQ N0. � V DATE CON7RACTOR d � WORKEfiS'COMPENSATION DECLARAT _ .....ION �... . .. . Q � I HEREBY AFFIflM UNDER PENALTV OF PEPJURY ONE OFTHE FOLIOWING DECLARATIONS: Z � _I HAVE AND WIIL MAINTAINACERTIFICATE OF CANSENTTO SELFdNSURE FOR WORKERS' _ Q CAIAPENSATION,ASPHOVIDED6VSECTION37ooOFTHELA800.CODE,FORTHEPERFOpMANCE U O OF THE WORK FOR WHiqi THIS PERMIT IS ISSUED. � � �w _1 HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION 37000F THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 13 ��--{�' r')) ISSUEO.MY WORKERS'COMPENSATION INSURANCE q1RFIER AND POLICY NUMBERARE: CONSTRUCTION `7X �!/ Q � CARRIER PLAN REVIEW Z �������8� ELECTRIC ¢ � fnassEcnor�r��rureEca�erEooFn�aew�rrsw��ariern�ooavssR�ro�oa�ssa PLUMBING Z I CERiIFY THAT IN THE PERFORMANCE OF TNE WORK FOR WNICH THIS PEflMiT IS�SSUED,I MECHANICAL A C,'} SHALL NOT EMPLOY ANV PERSON W RNY MANNER SO AS TO BECAME SUBJECT TO THE � WOqKERS'COMPENSATION LAWS OF CALIFOFNIA,AND AOREE THAT IF I SHOULD BECOME INSPECTION FEE = 6U8JEC7TOTHEWORKEfiS'CAMPENSATIONPROVISIONSOFSECTpN37000FTHELABOR � CODE,�3HALL FORTHWITH COMPLY WITM TMOSE PROYISIONS. ISSUANCE �O � � p DATE: APPLICANT: SMIP W J WARNING:FAILURE TO SECURE VJORKERS'COMPENSATION COVERAGE IS UNUWFUL,AND SHALI BE ENERGY P/C LL SUBJECTANEMP�OYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDPEUTHOUSAND ENERCaYPERMIT OOLIAFS(i100.0001.IN ADDI710N TO THE COST OF COMPENSATION,DAMAOES AS PPOVIDED FOR IN � SEC7IDN 3708 OF THE LABOR CODE,MTEREST,ANDATfORNEV'S FEES RE�ENTION FEE: �� OCONSTRUCTION LENDING AC�ENCV PRE-ALT FEE: � I HEREBV AFFlRM UNDER PENALTV OF PERJURY THATTNERE IS ACONSTFUGTION LENDING AOENCY FOH THE PER WFMANCE OF THE WORK FOR WHICH THIS PENMIT IS ISSUEO(SEC.9087,CIV.C.�. Z W � LENDEWSNAME � !— LEN�ER'SADDRESS � w I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THATTHEABOVE INFORMATION IS CORRECT. TOTAL FEES � � I AOREE TO COMPLY WITH ALL CITYAND COUNTY ORDINANCESAND STATE LAWS RELATING TO BUILOINO � CONSTRUCTION,AND HEREBYAUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPDN THE Z n80VE-MEMIONED PROPER7Y f-0R INSPECTION PURPOSES. COMMENTS � i�c� G�,�-1 �c,�3r� r ¢ P�MITTEE NAME(PRIfJn � cn r c �i'-/3—''I � SI�NANREOFPE ITTEE DRTE � HECPT.NO. �- PAID BY 1/AIIDATION � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—AppllcanCe Copy ,....,. . ...:;.,�;,+k ��.�7�,�-rvn+.' .iYg��„>�.�� ,�a�;'�,.%�, �^SNx'��;"�':ia ��.a:�'�� �,�, � .. �..�, . ; � i, 4 c � oh'it«s,d � + y��.�S�'�� ax� 4�s�i�'b„a".�i�i;'� . ... . '� , ,�,�4'".,�� �p!�Yr�.,w 7���:. ..����::,:2:"t ��i.�.,T,�'�r,..i���' �.4a`ti� � -..��. 1°�',' �.,...�'� '`� S.,,? CaiTY ��.DI�1IU�QND ��l1F�' '' ,` r °"'` �c��,`��,�:: �. _ �.,-. It�ISP�C7°I+�tV ��±��6�L�' . �;.;�:'�;. �-'� -�,�,��.�>;�.,, �, �. • � r . � � - � s � , � e - _ , ... , . �:,, ,., ,, -_.;:� �_�+ _ FL47t7R JOIST ,.: . . _ SET BACK :.� . " . ��,r� g ,:. ,,., - , .� , , ,. FTGS/FORM�S/STEEL wza,. ----- '�H' REQMTS _ . ELECTRIC GROUND r:�-� w � e:- UND�R FLOOR DUCT . , ;.;;; � -- _ _ GR�UND PLUMBING __ , ..; 'JN;D�R FLL)b'�C�CCi�iDUl1` "`- �� + ;-- _ . _ , , .:� SLAB GAAdE -' `; . � FtFtE�.LACE FqUNDATION __. ---- _-� �� - _ . --.---__- . � TEMP POWER _ FIREPLACE 80ND BEAM __ ` . , :�;. � t� � - - _ _. _ � WATER SERVICE - . MI�HT.�BOND BEAM .:., -- FRAMINGlyENl"il�iATIC?N r, ;��: ° ;_. 8I�' B�ND BEAM y � ` ` 1 ROOF SHEATHING � �j� �� ---- ----- � ' .-"` L B�NI?SEAM 1 „�� � ''� ROOF COVER _. - PRE-GRADING ,,,_^ "•' "- ROUGH HEATING _ '. - ..:'� _� :� '__�_'• `°" , BENCHtNG __._.. __,,. � ,:,. . �;-, — - — , ------ _______M._._._,.v ROUGH ELEGTRIC. - -___ . ___. �� RO'UGH GR::,„ING ,. ..;, ,,;,., r ,, „ ___ ,� -- ---- ,,.:. , , ; - : ROUGH PLUMBING _. _ ._. __._ _--. .--- FINISH'�fRADIIVG ,. , . ;-' _._,__ _.._ ,. �; . . v _..._ , IC -.a ., � , , ,..., SHOWEWTUB TEST , k�0(�L ELECTR,. . . _' ; r; , , . . EXT.LATH/SIDING __ .._ __. _. , __.._ : y �?OC7�FEN�(NG �, . .,, 3 a.�. � ! - i- : +•)Ifa.y� Ni iN'.: ...� . . � ,... .�. . WALL INSULATiON _,__. . _.. ___. __ _ ' , ,^ j PO�L FINAL _ �, _. _ _ _ �..� _ • CEILING INSULATIC)N _ . . _ _ _- ; OFF SIT�IMPS;. <,�,:; ,,;` , � :-�� ��ry� 4,*k . , 1.� �F' DRYWALL NAILING ' DEDICATIC?NS • , " �i:� � `',iy= ;;:� _. SEWER_ _ _ __ _ ; x_ �INAL ENG. ; , � � x ,�r „ _.. _ _ , , a._<.a �� ��, �j�— �„�,-�-- ,, SEPTIC TANK _. ,, � IANDSCA�'E!f'RR(G. '� . , " ' `"" " � _ �� ! � .°�n�� ,: t. . .,` � ___ ,, SEEP PI'L/C`.L. .,..-; — .. „ �� _ _.______ . � (JN SITE lMPS. ��.�,'. � � / _ —ZONING = ,,�: FINAL CONST: � � �� w_ � J FIRE[?EPT. FIt�IAL ��— '— _ _ � __ _ — .. _ � � V / �� .,,,(rr� _ _ ✓v � i i 1"" ;" — l..s.,. FINAL HEATING � � - � H,�RLTH DEPI". FINAL. -, �- " e„ ;��7 f , . �+:, ,...�.. F1NAL ELECTRIC _ __ . _. __ _ T DEV. FE�S PAID j � ,, �.,,,,� t� . . ., � ___ ._._ � .. �_ .. . , �.;,_.�_W_.y. . 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