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HomeMy WebLinkAbout11630 (10) � �"''—' " C]TY OF DIAMOND BAR �l�� COMMUNTTY DEVELOPMENT DEPARTMENT ��� <,�.,w • 21660 E.Copley Drive Suite(90 (909)860-3195 Fax(909)861-3117 � PRESS �'""' BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE ���`,�� ������ APPUCATION � �� �PERMIT t � #/C ADDRESS E/ DATE NUMBEPI_ �-�_,,_ � ISSUE NPE OCC APN LOT TRACT �I� DATE CONST. GROUP p OWNER ! Ci -ti7�i'4 " ADDRESS ��- y� ,(�g'"�ZIC ZONING SETBACKS z CITY ,�rp�, CI��I—� ZIP TEL.-���_y�� REART RW ❑ g APPLICANT TEL. ❑ � SIDE/SIDE STREET q�A/ ❑ � CONTRACTOR �"�C-�j�t(�{�� SIDE p ADDRESS � CITY ZIP TEL. PROPOSED USE �� �T���'�L� a ARCWENG/ � � � � C����� z DESIGNER w NO.DWEL. NO. N ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � v� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLAAATION SFR/ADD/REM O 0 I HEREBY AFFIRM UNOER PENALTY OF PEFiJURY THAT I AM pfEMPT FROM THE CONTRACTORS LI� G8f896/C81p01I W CENSEIAWFOR7HEFOLLOWINGREA30N(SEC.7oa1.5BU51NE55ANDPROFE5510NSCODE:ANYCINOR (f� C> COUNfYWHICHREWIpESAPERMITTOCONSTRUC7,AL7ER,IMPROVE,DEMOlISH,ORREPNRANVSiRUC- W PetiO/DBCk W TURE,PPIOR TO ITS ISSUANCE,AL50 REOUIRES 7HE APP�ICANi FOR SUCH PERMIT 70 FILE A SIGNE� W .� STA7EMENT THAT HE OR SHE IS LICENSED PURSUANT N THE PROVISIONS OF THE CONTRACTORS LI� � .� CENSE LAW(CHAPTER 9(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS ANO PRO- POOUSpB � FESS�ONSCODE)OflTHATHEORSHEI5E7CEMPTTHEREFROMANDiHE8ASI5FORiHEALLEOEDEXEMP- (� TION.ANYVIOLATIONOFSECTION703i3BYANYAPPLICANTFORAPERM�TSIIBJECiSTHEAPPLICANTTO Z Re-Roof � ACIVILPENALTYOFNOTMORETHANFIVEHUNDREDDOLLARS(5500)J: � OI,ASOWNEROFTHEPROPERTV,ORMVEMPIOVEESWITHWAGESASTHEIRSOLECOMPEN6ATION, 0 COfl1P(IBfC18I WILL DO THE WORK,AND THE STRUCTURE IS NOT IN7ENDED OF OFFERED FOP SALE(SEC.70a,BU91- J N NE55 ANO PROFESSIONS CODE:THE CONTRACTORS LICENSE LhW�OES NOT APPLY TO AN OWNER OF � PROPERTY WHO BULDS OR IMPROVES THEREON,AND WIiO OOES SUCH WORK HIMSELF Oq HERSELF OR Q THROUCH HIS OR NEF OWN EMPLOYEES,PRONDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m � OFFEREDFORSALE.IF,FIOVYEYER,THEBU�LDINGORIMPROVEMENTISSOIDNATNINONEVEAROFCOMPLE 2 71ON,THE OWNEH�BUILDER WILL HAVE THE BURDEN OF PHOVING THAT HE OR SHE OID NbT BUILD pR � IMPROVEFORTHEPURPOSEOFSALE). W ❑I.ASOWNEROFTHEPROPERTV.AMEXClU51VELYCONTRACTINGWITHLICENSEDCONTqACTORS � TO CONSTRUCT THE VROJECT(SEC.70l4,BUSMESS AND PROFESSIONS CADE:THE CANTHACTORS ll- VflIU8GOf1 ADJ.AREA W CENSE UW DOES NOTAPPLV TOAN 01NNER OFAPROPERTV WHO BUILDS OR IMDROVESTHEREON,AND � WHOCONTR4CTSFOFSUCHPROJECTSWITHACONTRAC70q(S)UCENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE � TORS LICEN6E UW.). � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR 7HI5 REASON Q ?,� U , LL � OATE-. ONMEN H O f t W F LICENSEO CONTHACTORS DECLARATION W � IHEHEBVAFFIRMUNDERPENALTVOFPEfWURv7HATIAMUCENSEDUNDERPROVISIONSOFCHAPTER � � B(COMMENCING WITN SECTtON 7000)OF DIVISION 30F THE BUSINESS AND PROFE9SIONS CODE,AND Z ��� MY UCENSE IS IN FULL FORCE AND EFFECT. � � LICENSE CL45S UC.NQ � V DATE CONTRACTOR Q W � WORKERS'COMPENSATION DECLARATION � � 1 HEREBY AFFIRM UN�ER PENALTY OF PENURY ONE OF THE FOLLOWING DECUIMTIONS; Z � IHAVEANOWILLMAINTAINACEHiIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' _ COMPENSATION,AS PROVIDED BV SECiION 370o OF THE LABOR CODE,FOR THE PERFORMANCE U O OFTHE WORK FOR WHICH THIS PERMIT IS ISSUEO. � 4 Q _IHAVEAN�WILLMAINTAINWORKERS'COMPENSATIONINSURANCE,ASREOUIREDBVSECTION y , �� e,.y� 370o OF THE LABOR COOE,FOR THE PERFORMANCE OF THE WORK FOR WMCH TNIS PERMIT IS �V J ISSUED.MV WORKERS'COMPENSATIO¢J INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION e � CARfl1ER PLAN REVIEW �`� '� Z POLICY NUMBER � t EI.ECTRIC ¢ o (n+�ssEcrpr�r�No7eEcana�tEr[�oFn+eaew.tt�swaoriE�n,rn��DalaRslroo)oALEss1 PLUMB�NG Z I CERTIFV THAT IN THE PERFOPAIANCE OFTNE WORK FOq WHICHTNIS PERMti IS�SSUED,I MECHANICAL �� � C!� SHALL NOT EMPLOV ANV PERSON IN ANY MANNEH SO AS TO BECAME SUBJECT TO THE Uj WORKERS'COMPENSATIONLAWSOFCAUFORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE � SU&IECTTOTHEWOHKERS'CAMPENSATIONPflOY1510NSOF5ECTpN37D00FTHEl.ABOR y = CODE,I SHqLL FORTHWITH COMPLY WITH THOSE PROYISIONS. ISSUANCE � � p OATE: APPLICANT SMIP t J WMNING FAILURE TO SECURE WORKERS'COMPENSATION CQVERAOE IS UNIAWFUL,AND SNALLBE ENERGY PIC � SU&IECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREOTHOUSAND ENERGYPERMIT OOLLARS(1100,000�,IN ADDITION TO THE COST OF COlAPENSATION,DAMAGES AS PflOV@EO FOR IN � SEC710N 3708 OF 7HE IABOR CODE,INTEPEST,ANDATTORNEV'S FEES. RETENTION FEE: ( OCONSTRUCTION LENDING AGENCV PRE-ALT FEE: � I HEREBV AFFIRM UNOER PENALTYOF PEFiIURY THAT TNERE IS A CANSTRUCTION LEN�INO AOENCV _ FOR 7HE PERFORMANCE OF THE WORK FOR WHICH TMIS PERMIT IS ISSUEO(SEC.30D7,CIV.C.). Z W � LENDER'S NAME F— LENDER'S ADORESS � W I CERTIFY TIiAT I HAVE READ THIS APPLICATION AN�STATE TMAT7HE ABOYE INFORMATION IS CORRECT. TOTAL FE ES � � 1 AG(iEE TO COMPLY WITH ALL CITYAND COUNTY OROiNANCES ANO STATE UWS RELATING TO BUILDING . � CONSTRUC7lON,AND HEREBY AUTHORIZE REPRESENTAiIVES OF 7HI5 COUNTV TO ENTER UPON THE � Z ABOVE-MENTIONEO PROPERTV FOH INSPECTION PURPOSES. COMMENTS � �c� ��9�'�� /�3�/L/ m PERMITTEENMIE(PRINT) � " �� � �?'' - ��_%'"_...- a�'1� " � SIONATUREOFP I EE pATE . � RECPT.NO. ' � PAID� VALIDATIOn ``��^�� WHiTE—Department Copy,YELLOW—Finance Copy,PINK—AssessorCopy,GOLDENROD--FlIe Copy,GREEN—AppltcanYs Copy `� ;`. ���{{�i;Aai,�?�,"'pPStsSW.a�t T?'�".'tiFa,i�+�'��. �µ y�r,�"'.'„�M'.' y�+���q w :a�fi�,a SFC �S.',kSt{'`aa,•;�'�"'py;' ""�ib '�� �'v3�i" q�5'�'A�,-�4:°�'tti4.�;„�tY,Wy�+� '�. ` , .. .... � .:`,,1�w9' . .���,`:•.,�i� �.N,'^'R.9�h� i�`�.' �''�'- {�' ��F�9 � � •f�� . .,•��'4� kh'� �'edSK.,�"a't '1'y;�`�' ��i. � ..-i x , CITY OF.�PI.RMAIVL�,�,l4,�t K�, . ���;.�� �� — .. .. l6il����'�`IC)NI t�E���'� '�;" � ,;;.. �� � :��» �.. . .�.. �� � ..�: .. . , �„� t � �.._..�..,.�,.�. . _ . _ � _.-- � a. , � . � .. m � ��-... - ., i � r �� . ..�_'���,.. �.�,.�r,���. ... ����..�,. SET BACi4 , , . :•. . ._., ��'�.-; . _. __ _ FI_bOR JC)IST ... * .. `. _. � ..__' - _�_.._----- -..�� . FTGS/FORMS7STEEL ;" ,, _ F}9�A F�EQMTS `. __.. , y _. ELECTRIC GROUND "� � = ' .UN;D�R FLOOR DllCT ' _,,,. �: _��, ; _. . �. .; _ ...�u - - . , ____ ___-- -.__T_— _ _ _ GROUND PLUMBING "`" � _ _ �,+-; � IJNDk�R FLC?LbR�OK4DU1'i . . � :`. SLAB GRADE . . ' IRE�'LACE FOUNDATft7N � ` � �_ _ , , � _ , .�. ... , _ _— __� TEMP POWER _ _ _ ' �IF�EP E BOND BEAM ., ,. . ' ` � ...� z'>__ WATER SERVICE> - - � MID HT.BOND BEAM _ �V --- — _ RdOF SHEATNING . , .� ����� .�'�`�____.._. 8 FT'BflND BEAM . �� FRAMINGNEN�ICIATION ��_ ' ____��__�r',' ,rFiNAl�BONDBEAM ___ __.._ _ . __._ _- _. ,�,�rc�a � x' — ----- ROOF CUVER " ._ _ .. PRE-GRADING ,_., ,.,,. � . �,. , s _ � .... , ;..,... -- AOUGH HEATING � ': ;-. .. r � ��� _.; ,�.,�.. . 6EhEGHING _ ,, , .,, r ..,, .� �.----�-_ -- -- — --r: . . ___ __ � ROUGH ELECTRiC ._._._ . . . ,, R(aUGH GRADING ,,. .,��,; ,. .� ,, ,..,�, „ � _. ROUGH PLUMBING -... __. . . ._ ___. -::. FINiSH G�iA�11fVG �r�aa ,: ,: ;� 3 �,-�-r;-.� ,... � il2Wk 4 � . . - ..,.. „ ..�' .... SHOWER/TU8 TEST _ , ..._. ; PQOL El:E�7R;lC - �T f�� J S. . u�..v.�1.y' EXT.LATHISIDING _ __........ ' _...__. ....._.._}. ., , P.tOOL F�IV�1t�G , �<R ,' � :-, r ; , ',,,,, . - :. � ,; , - _._ — ,. _,. ____ __ - -. __. , .. '' . _....�___. 1NALL INSULATIDN � ,�:;;,,;,.. fJOL FiNAL: . . , , ° __ __..._.. __.----__ __ - ..._ ,..._... __.. CEILING iNSULATION OFF SITE 1M�5. , �� , ���., ,� . � DRYWALL NAILING _._,�- , D�DI i , . :, - ' " ,� �;3� , e;; __. _ ONS ;. „ ,; ,,. car� _ SEINER _. ._ .. I __ a. ... � .� _. _FINAE..EN�,, . ,.. , � �,�:� aa SEPTIG TANV< ��_--s. _ .. . _- � ' ; LAND'SGAPE11�F2i�. ' a �.l>:' .I19":� . t " ...... _ ._...`__ . ..: : , . r..:i .,, .___.___ ..� I. '._: �,.>`. _ ,; ON SITE lMPS.. . . ;;;;�: �. SEEP PIT/L:C. •" GAS A!R TEST • t FtNA��ONiNG - �.' � - f,. � �t-,..�� _ _._ � __ `.- , , FINAL CONST. - � I�3 �) � � � ` ' � �tF�E LiEPT FINAC � , �, . �.. � ,, I � _.�.: -—_ - — -- ----- _ FINAL HEATth1G � _ p __..... j � HEALTF# DEP7. 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