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HomeMy WebLinkAbout11633 �..�/' „r. CITY OF DIAMOND BAR �� '` COMMUNTI'Y DEVELOPMENT DEPARTMENT .(�}'•T� ..,,^ 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 � PRESS "'"' BUILDING PERMIT APPLICATION FIRMLY � JOBSITE ��I ,f < ADDRESS�W'YS� /I�ESG� f.� �C/t,i2qD� APPLICATION � �� PERMIT f1--�C��`7'2 P/C o DATE NUMBER(� /„1# ISSUE TYPE OCC � APN LOT�- TRACT'�'���� DATE CONST. GROUP p OWNER /�17'Cf 1 K C9 /' �,�.-G'� iQ ADDRESS�,��T�° S/ri_ �,G�7'brLr( ZONING SETBACKS gCITY ,t'�J�_1,��i� � ZIP TEL.,,���X.3'2 FRONT RW ❑ APPLICANT TEL. REAR � z� SIDE/SIDE STREET RW ❑ � CONTRACTOR /��- SIDE p � ADDRESS p� � CI'fY ZIP TEL. PROPOSED USE /C�?� S!�G'�TC�'C'e o ARCHlENG! ,,;��r/t C+L/� �/ / �/�v-i iz DESIGNER NO.DWEI. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BI:ILDER DECLARATION SFRlADD/REM O p 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM E%EMPT FflOM THE CONTMCTORS LI• GBfA B/CH R W CENSEUWFORhiEFOLLOWINGFiEASON(SEC,7o31.50USINE55ANOPROFE5310N3C�E:ANYCRYOR (f� 9 � C.) COUNNWHICHREOUIRESAPEHMITTOCON3TRUCT,AL7ER,IMPROVE,DEMOUSH,ORREPAIRANYSTRIJG W Petio/DBCk W TURE,PRIOR 70 ITS ISSUANCE,ALSO RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE 7ROVISIONS OF THE CANTRACTOHS LI• � � CENSE LAW(CHMTER 9�COMMENCINO W17H SEC710N 7000)OF DIVISION 9 Of THE BUSINESS AND PRO- POOVSpB 0 FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISGORTHEALLEGEDEXEMP- (� V TION.ANY VIOLATION OF SECTION 7031.5 BYANY APPLICANT FOR q PERMR SU&IECTS TNE APPLtCANT TO Z R�@-Rpp� � A CIVIL PENALN OF NOT MORE THAN FIVE HUN�RED DOLURS(f600J.): Z ❑I,ASOWNEROF7HEPqOPERTV,ORMVEMPLOVEESWITHWAGESAS7HEIRSOLECOMPENSATION, � COff1ff19fC181 WILL DO TNE WORK,AND THE STRUCTURE IS NOT INTENDEO OR OFFEFiEO FOR 6ALE(SEC.7oM,BUSI• J � NE6S AND PROFESSIONS CA�E:THE CANTRACTOqS uCENSE UW DOES NOTAPPLY TO AN OWNEF OF � PROPERTY NRiO BUILDS OR IMPpOVES THEFEON,AND NMO OOES SUCH WORK HIMSELF OR HERSELF Oq 2 THFWGHHISOqHEROWNEMPLOYEES,VROVIDEOTHATSUCHIMPpOVEHENTSAHENOTINTEN�E00R m 0 OFFEREDfORSPLE.�F,HOWEVERTHEBULDINGORIMPROVEMENTI550LOWIiHINONEYEAROFWMPLE• z TION,THE OWNEH•BUILDER WILL HAYE THE BURDEN OF PROVINO 7HA7 HE OR SHE DIO NOT BVIID OR � IMPROVE FOq THE 7URPOSE OF SALF). � w ❑I,ASOWNEROFTHEPROPERTV,AMERCLUSIVEIVCONTRACTINGWITHUCENSEDCONiRACTOqS � TO CONSTRUCT THE PHOJECT�SEC.7014.BUSINESS ANO PROFESSIONS CODE:THE CONTqACTORS LI- VelU811011 ADJ.AREA W CENSEUWDOESNO7APPLV70ANOWNEROFAPROPER7VWHOBUiLD50RIMPROVES�'HEREON,AND � WNOCONTRACTSFORSUCHPROJECTSWRHACANTRACTOR(S)LICENSEDPURSUANiTOTHECONTRAG QUANTTY DESCRIPTION TORS LICENSE UWJ. FEE � O I AM EREMPT UNDER SEC. B.8 P.Q FOR 7HI5 RE0.SON Q � U LL � DATE W ER- ~— F— . Z U � LICENSED CON ACTOFS DECLARATION W � 1HEREBVAFF�FMUNDERPENALTVOFPERJURVTHATIAMUCENSEOUNOERPROVISIONSOFCHAPTEh � � 9(COMMENCINGWITHSECTIqJ7o0a�OFDIVISION30FTHEBUSINESSANDPROFESSIONSCODE,AND Z �� MV LICENSE�S IN FULL RbRCE AND EFFECL m � LICENSE CLASS LIC.NQ � V DATE CONTfiACTOH a W � WORKERS'COMPENSATION DECLARATION Q � I HEREBY AFFIRM UN�ER PENALTV OF PERJURY ONE OF THE FOLIOWING DECURATIONS: Z Z _IHAVEANDWILIMAINTAINACERTIFICATEOFCONSENTTOSEIF-INSUREFORWORRERS' _ Q COIAPENSATION,ASPROVI�EDBYSECTION37o00FTHEL,ABORCODE,FORTHEPERFORMANCE (J Q OFTHE WOFK FOR WHICH THIS PERMIT IS ISSUED. � Qw _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTqN 370o OF THE LABOR CO�E,FOR THE PERFORMANCE OFTHE WORK FOii WHICHTHIS PEpMIi IS ,I ISSUED.MV WORKEHS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION �� L�� J � CARRIER PLAN REVIEW Z POLICY NUMBER ELECTRIC Q � (iT4SSECIX7NNE�NO7BECeNPLEf�OFhEPERt.�TISinRQ4EMN�DNEDDOLLARS(LiDJ10qL6S}. PLUMBING W Z I CENTIFV THAT IN THE PEHfORAIANCE OFTHE WORK FOq WHICH THIS PERMIT IS ISSUE�,1 MECHANICAL C3 SHALL NOT EMPLOV ANV PERSON IN ANY MANNEq SOAS TO BECOME SU&IECT TO THE (/� WORKEFS'COMPENSATION IAWS OF CALIFORNIA,ANDAGREE THAT IF I SHOULO BECAME INSPECTION FEE = SU&IECTTOTHEWORKERS'COMPENSATIONPROVISIOIJSOFSECTIDNS7DOOFTHELABOR fADE,�SHALL FORTMWITH COMPLV WITH THOSE PPOVISIONS. ISSUANCE G' � p �ATE: APPLICANT: SMIP � W J WARNINGFAILURETOSECUREWORKERS'CAMPENSATIONCOVEflFGEISUNLAWFUL,ANDSHM.LBE ENERGYPlC � SUBJECTAN EMPLOYER TO CRIMINAL VENALTIE9 ANO CIVIL FINES UP TO ONE MUNOREO THOt15AND ENERGV PERMIT JDOlLNRB(5100.000).IN ADDRION TO THE COST OF GOMPENSAiION,DAMACES AS PROYIDED('-0R IN SECTqN 3708 OF TME UBOR CODE,MTEREST,AN�ATfORNEV'S FEES. - [C RETENTION FEE: � OCONSTRUCTION LENDING AGENCY PqE-ALT FEE: � IHEREBVAFFIRMUNOERPENPLNOFPERJURYTHATTHEREISACONSTRUCTIONLEN�INGAGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH TMIS PERMIT IS ISSUED(SEG.3097,CIY.C.). Z W �-T LENDER'S NAME � F— LENDER'SADDRE55 -���� w I CERTIFV THAT I HAVE READ iHIS APPLICATION AND STATE TMATTHE ABOYE INFORMpT10N IS CORRECT. TOTAL FE ES � �� � I AGREE TO GOMPLV WITH ALL CITY AND COUNTYORDINANCES AND ST�TE UWS FiEUi1NG TO BUILOING � CANSTRUCTION,ANDFIEREBYAUTHORIZEREPRESENTATIVESOFTHISCAUNTYTOENTERUPONTHE . Z ABOVE-MENTIONEO PROFERTY FOR INSPECTION PUqPO5E5. COMMENTS 0 J ��� C-"gK�/ �itC,(5�i� �" � m PERMITTEENAAIE(VRINT� - � �� � � ¢ ���-- -�-9' �` cn c -> . � SIONATUREOF PERM EE OATE �-� � . . � RECPT.N0. � PAIO BY VALIDATId V WHITE—Deperlment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENHOD--FIIe Copy,GREEN—Appllcanfs Copy� � ' .. � - �� ... ,.,. 'r �Y�';J�� v�`L,.N: ,.s; �ii�Y >'� r� .'�'➢ rs,!t� "hr,.:�:�,n uyi''�jk9!StT�g .+'P#�'...a�w.�.,,,�yu. : �i�'PV''4 w�.�?➢i:i��kit'�.�`��tl,k�.ii�p��s�a»�,�i�Y3Y+iN�6�'�'e'�(Y5"'T`Cc�°,.�'I�,,��t{TS�'�..�.`�S+S�'T;:�;. . , . . � .. .. ..... . �''.. ..�-.; CITY �F DI/�MOND BAR � "�-";` �IVSPE�TIU� ��+CORta < ;;�; �`�' �u,�r��� . � r , • • - - • � � • � ,.. __ ___ .. .__ SET BACK:.:: . �_.___. j;� .. FLOOR JOIST � _ .._ _ . ,. ___ ._ _ _ —----�---�'-- — ° FTGS/FOI�I�A'S%STEEL ,`'`r� __ _ .FHA REQMTS . _ " , . , _� . � _ ELECTRIC GROUND ::�,'t .: . r-;° UNDEp FLODR DUCT ,_� , � � � ; . ` —` 7� _ .- - --- . .. , GROUND P�UIUIBING ,� _ _ '._ � Ut�1DFR�FtUt`�R CC1�4DUIT ' `� , ;. ,; ..... r'. ... . .r. ... ....._... . ..._. . - ' ' .. FIFtEpLi4CE FQUtVD�,�'ION .. . , SLAB GRADE :, t;,. . , _� -- .. TEMP POWER _ � FIREF'LACE BOND BEAM - ' ' ` _ ` _ , Mip HT. BOND�BEAM_ __ ____ _ _ ___ _ WA7ER�ERVICE • ' '" � , �:,P, _ __ ROOF SHEATHWfa _��r d`�_��(�,�j'�'��� _- -- 8 F`f. BOND BEAM ` ' FRAMINGNENTI,L�IATION J � . . ' - : -- _ _. . . ._.._ "._s.. ` ` �1NAL BOND BEAM � RDOF GOVER -v"::: _ _. � _ " "__:. ." PRE-GRADING _ �,,.,. 11'.:� . _. . . _ .. .._..... . ', .�. ROU'GHNEAT(NG f !: �:'.�;'..,.. _i__ • .;r,:... ' BENCHlNG , „ fi: _ ,�.,.,. ..,. ., . _. ------- .— _.-- ftOUGH ELECTRIC _.._._.. ' �_.__ _ ,, . ; , ROUGH GRAD1��,�;:. , , �:.-, . „ ,,,,. .,,,»., ` „ _.. ROUGH PLUMBING __...._-_ . _._. �. .. ,;. �l'NISH"t'aRAD{NG =;�,:.. ,,: :;i� . �, �,p . > ,;, �r tL�n:1.�. SNOWEHli"UB TEST __ _ � Pt301;.E�ECTRIC �, � , - `' • JGr:t r.__.._.._. . . . , ; . EXT.LATH/SIDING ____ _.. . � ___; ._ _..... Pt�UL FE�JGING .. , ' , ' ` �., _..... _ _._ _ . � _ -- ,,. ,,.._ WALL INSULATION , ..- ,,.. POOL FWAL ::,:;�,. , ,,a� { c, ....__._. __ ___._. ' _. _ _ _ CEIL(NG INSULATION UFF , ITE lMPS,: ': " �' , � �F':�+. Ht.r. -;F:..` �O�i'+ ' DRYWAL�NAILING [SEbiCATIONS`' , , , ' ' � .": ,., +..t;'r _ _ _ . SEWER FfNAL ENG. ... . _ ..:. r;.. .__ _ _. .� _. -- . : .�_. ��... . , .. ^ . . ,, ; � SEPTI�TANK �`° �,�` � .. ' ` ' '_ � LANDSCAPE/I�RIG. . ,>q�_,,.. , . :' ,�,, SEEP PIT/L.L. ,: __i�._' '_' t�N'SITE IMPS. ,,. ,--�-- , GAS AIR TEST ,9 � � ,{ ': � FII�lAL ZONING -~�r';` ' r 'M/A I V '.'' �. __ FINAL GONST. i�, ��v'��������� A A,.� � Ff RE dEPT.fINAL -�� _ . FtNAL HEATiNG � i F HEALTH DEPT. FPNAL_, , ,� , ,. -- - --- -- — FINAL ELEGTRIC A �f'" _ ` . _ . . DEV. FEES PAfD „-: .- ,, . . : , _._. �; ---___— _ � - � . .. . ENERGY ,,:;. �. I F(NAL PCOMBING � _ � ..,'Y" .._ , -- __..._.._ __ _.- - _ f. � ,,, _ .� , . �,. � _. _. ___._ . _ _..__.._ i . ; - • � _ � . _ J_._ _�_ - --- ; ___ , , ,_______,_.._.. _...._. . .... __._._..__. .._ --.___ . . __._ __. ...._ — i �;;, F ,,... _, ,,;:av,,, COMMENTS , � }., -. 7 ,H� a��,-� ;��m�;�:4a,r. � _.�_�__..-----�-- — >,.,:,: ::�; , �..,:>,� ,::, �_.;.�:. ; � . , _ . ___ �. 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