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HomeMy WebLinkAbout11634 (5) �� = CITY OF DIAMOND BAR , - COMMUNITY DEVELOPMENT DEPARTMENT �_ �,/ -.,,C - 21660 E.Copley Drivc Suite 190 / (909)8643195 Fax(909)861-3117 PRES'S """'. BUiLDING PERMIT APPLICATION FIRMLY 0 ADDRESS�� ��«' � �T'Es4��4s7Z'� pATE CATION "� � � � PERMIT � P/C NUMBER # � APN �OT TRACT '����� pATEE TYPE OCG p OWNER rs /' ,p. CONST. GROUP p ADDRESS t <<-- ZONING S�TBACK3 � CITV �'/� �iiAJ,� ZIP TEL. e�� FRONT Ryy � g APPLlCANT 7EL. REAR � � SIDE/SIDE STREET Ryy � � CONTRACTOR �= ' SIDE � o ADDRESS �� �,?��C�� p C�T�' ZIP TEL. PROPOSED USE_ `('( w ARCWENG/ R z DESIGNER b�►I� �C rG f2 �a— a ADDRESS NO.DWEL. NO. NO. N CITY ZIP 7EL. UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢� OWNER•BI;ILDER DECLARATION SFR/ADD/REM p I HEREBY AFFIRM UNDER PENPLTY OF P6RJLIRY THAT I AM E7fEMPT FROA1 THE CONTRACTOpS LI. (jaf09B/CefpOfl 4! CENSF�WFORTHEFOLLOWINGREASON�SEG.7037.SB1/51NES5ANDPqp�55lONS�OE:ANYCtTYOR (� WCOUNTYWF1iCHREOUIRE3A0ERMITTOCON^uTpUC7,A�T[R,IMPROVE,OEMOLISH,ORREPAIRANYSTRUC- W pg�iOlDBCk TURE,PRIOp TO IiS ISSUANCE,ALSD qEdU1qES THE APPLICAN7 FOq SUR1 PERMIT TO FIIE A SIGNE� W .�r STATEMEM THAY ME Dii SHE iS UCEN5E0 PURSUANT i0 7r1E PFOVISIONS Of THE CONTRqCTOR6 ll- � CENSE LAW(CHAPTER 9(COMMENCM�WITH SECTION 7o00)OF pWISION 3 OF THE 6USINE55 ANO PRO- LL' PooVSpa FESSIONSCO�E�ORTMATHEORSMEISE%EMPTTHEREFROMANDTHEBASISFORTHEALLEOEDE7(EMP- � V TION.ANYVbUTIONOfSECTION7031,68VANYAPPLICANTFORAPERMITSIIqJECTSTNEAPPLICpNf70 Z Re-Rooi � A CNIL PENNLTY OF NOT MORE THAN FIVE HUNORED�OLURS�5500).�: � 71,ASOWMEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGFSAS7NEIR50LECOMPEN5AT10N, � COmII'101CIaI WILL DO THF WOFK,ANO THE STRUCiURE IS NOT INTENOED OR OFFERED FOR SALE�9EC.70a4,BUSI- J � NESS ANO PROfESSION5 COD[:THE CONTqACTORS UCENSE LAW�OES NOT APPLV TO,W OWNER OF ? Fft07ERTY N'HO BUI(AS OR IMPROVES 7HEREON,M1D WHO�OES SUCN WORK HIMSELFOR MfiiSELF OR L'C 7NHOUGHHISOPHERONMEMPLOYEES.PROVIDEpTNATSUCHIAIPROVEMEMSARENOTINfENDEDOp m w OFFEqE0FhR5PlE.IF,HOWEVF0.7ME6UILDWGORIMPROYEMEN71S50LDWITHINONEYEAROFCAMPLE- z TlON,TME OWhER�BUIIDEA NALL NAVE 7HE BUR�EN OF PqOVMG THA7 HE OR SHE 0�0 NOT BUILO OR � IA/PROVEFORTHF.PL1qPc�EOFSAIE�. uJ OI,ASOWNEqOFT{EPROPERTY,AMEXCLUSIVEIVCONTRACTINCWITNUCENSEDCONTRACTORS � TO CONSTkUCT iHE PR4IECT(SEG>044,BUSINE55 AND PROFESSIONS CODE:THE CONTMCTOi}5 U� V81U8�1011 qp,�.qpgq LL1 CENSEUWUOESNOTr1PPLY70ANOWNEROFApROPERTYWHOBUILD60RIMPRpVES7HEREqN,AND — � WHOCONTRACTSFORSUCHPqpJECTSWITHACdNTRACTOq(5)LICENSEOPUHSUANTiOTHECONTRAF QUANTITY ESCRIPTION ^ FEE TOHS LICENSE LAW.). QJ 7 AM E%EMPT{lNDEA SEC. B.8 P.C.FOq THIS pE�$OH Q '�y U � OATE � OWNER G � {�— . � UCENSEO CONTRACTOfiS DEC ATION W � IHEREBVAFFIRMUNDERVENAL.TYOFPERJURYTHA7IAMLICENSEDUNDERPpOV15iON50FGHAPTEq � � 9(COMMENCING WITH SECTION 7000)OF OIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,hND Z �� MY LICEN3E IS IN FULL FORCE AND EFFECT. m � LICENSE CU155 _^ LIC.NO. � V DATE corrrnacroa - a w � WORKERS'COMPENSATION DECLARATION � � 1 HEAEBYAFFliW UNOER PENALTY OF PERJURv qJ�OF THE FOLLOWING DECU4qA71�NS U � Z � ^I HAYE AND IMIL MAINTAIN ACERTIFlCATE OF CONSENTTO SELF-INSURE FOR WOpKERS' _ a COMPENSATION,ASPqOVIDEDBVSEC710N370dOFTHEU80RCODE,FORTHfPEflFOHMANCE C..S OFTNE WORN FOR WHICH THIS PEFMIT IS ISSUED. W � � W `I HAVE AND WI�L MAINTAIN WOqKERS'COMPENSATION INSl1RANCE,AS REOUIRED 9Y SECTION Q 37000FTHELABOFCODE.FORTHEVERFORMANCEOFTHEWOHKFORWHICHTHBGERMITS �/�^""�, /"��'Q ISSUED.MV WQpKER9'COMPENSATION INSUFiANCE CARRIERlJV�POUCY NUMBEq ARE: CONSTRUCTION j f y(� � CARRIER PLAN fiEVIEW � POLICV NUMOER ELECTRIC d (r�ssEcnavNEa�rioraEoon�aterEooFn�aEa�rrawRon�eMx��ooaW�s(tioolaat�ry. PLUMBING w ' Z 1 CENTIFV THAT M THE PEAFORMANCE OF THE WORK FOR WHICH THIS PEflM1T IS ISSUEO,I MECHANICAL C7 SHALL NOT EMPLQY ANY PERSON IN ANY MANNER SOAS TO BECOME SUBJECT TOTHE (�j WOAKEPS'CqAPENSATION LAWS OF CALIFORN10.ANO AGqEE TNAT IF I SHOULD BECOME INSPEC710N FEE � SU&IECi TO THE WORNERS'COMPENSATION PPOYISIONS OF SECTION 97000FTHE LABOR O CO�E,ISHALLFORTHWITHCOMPLVWIhITHOSEVROVISIONS. ISSUANCE ',J I p DATE: _ qPPLIGANT: SMIP V W J WARNING FAILUFlE TO SECURE WORKERS CpM7ENSATION COVEflAGE IS UNLAYYFUL,ANO SNAILBE ENERGY P/C {,L 9UBJECTANEMPIOVERTOCRIiAINALPENALTIESANDCIVII.FINESUPTpONEHUNDHEDTHpU5M1D ENERGYPERMIT � DOLURS(f 1Co,opO),IN�➢DITION TO TNE COST OF COMPENSATION,OAMAGE5 AS PRpylOED FOR IN SECTqN 37080F TNE LABOR COpE,INTEREST,ANO ATTORNEYS FEE9. RETENTION FEE: L OCONSTRUCTION IENDING AGENCY PqE-ALT FEE: � IHEREBYAFFlRMUNOERPENALT/OFPERJUR4TH�TTHEpEISACONSTRUMIONLENDINGAGENCY FOR THE PERFORIAµCE OF7HE WORK PDR WHICH THIS PERMI115ISSUED(SEC.3oB7,CIV.C.�. � W � LENDER'S NAME � F'— LENDEfYSADDRE3S .iZ Q� I CENTIiV THAT I HAVE RFAD TMIS APGLICATION AND STATE 7HAT TNEABOVE INFORMATION IS CORREC7 TOTAL FE ES ( I AGREE TO COMPLY WITN AlL CITY AND COUNTY OROINANCES ANO STATE LAWS REUTMG 7p gUILDING � CANSTRUCTION,ANO HEREBY AUTHORRE RFPRESENTATNES OF THIS COUNTVTO ENTER UPON THE ""�'"- ' "�' � Z qBOYE-MENiqNED PROPER?YFORINSPECTION PURPOS[S. COMMENTS "��- ' � �� ��+�`� /�����' :,.x4 J 0. m PEHMIITEENMIE(PRINT) � � Q �� �--�,��- � "� -' _ � .,,�.,���; . ,i ', (/� SIONA REOFPERMITTEE pATE � RECPT:NO. pA�D BY_ "VAL70AT10 � WNITE-0epartment CoDy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--Fila Copy,GREEN—App�IcenPs Copy �.� �s. n;;�£i�r"'�?�r"�`���';�'�ri �:u°r!r"�k�+?�a 'a a� r ��r� r `� �' . -n�ss,�!°�"�"�..����!'�+;�t�a��,�;. ��� ���+��w�x.�; �,��2�����t������rt,���•��°as�.�; ��a�s.:��n�°'��k'��;�ii�<. ,.�°".. CITY �F DIAMQ�[� [�AR � . .: ..../.�. . °s,9':ull�r... Y.nz�,�2�i.�.._�'��,,,.. � '�. .... ;....;_. �1Ma7���.s 1 I�IY ����f��, ,. :.:::7"'. `r ° ��lm .+:,.:. � . � �1 � ■ � � r � ! � � . �.. . .. ...__. __.._. ... . _ . . ' SET BACK;;.. , ._�_ -` - . FLQt�R JOIST ' .. - --.—., . - _._ _ FfGS/FORM5ISTEEL %;�;c;c� . _ _._____ _ -� FHA REQMTS " , ;._ ELECTRIC GROUNO < �.-:' � . " UNDER FIOOR DU�CT �: -; , __ . _. _ GROUND PLUMBING ' __. __ " -: UNC3�R FLOC?R CUICIDUIT ` � �<�- --" " ' ; ``: _ _ ___ - , , SLAB GRADE __. " - �� s -� '�:, � �IREPLACE Ft3UNDATIC�N _ __. a :,; .------- TEMP POWER _.:._ . -- _ ,"__'_- FlF�EPLACE BOND BEAM ,° , , _ '• ';: , :" _. 1KATER SERVtCE : ' ' , _ ` MiD HT. BOND BEAM ._ . ,, ,. ' ; - — ROOF SHEATHING : + 2�3 �� ,�� �,�..�.-.--�-�"z" 8 FT. BOND BEAM I - FRAMIN NENT"ILIATION � , . .`'°' ' ` ,�lNAL BOND BEAM - -- . ' . - � . � ROOF COVER .. .__.... __ , . ___ PRE-GRADING �;<- , ; � :: RfOUGH H�A71TdG ' �._ .� ..`; , ;: ,r BENGHItUG � ---- Y+ "...'._} ... r , .. .__._._ — _.._..._..__ RUUGH ELECTRIC � F�OUGN GRp,DING ,,,.,, „� ' ROUGH PLUMBING __.. ... _ ___�... :,:"; FINISH GRADlNG' , p` `` . ` _' -.;- . ;�>_ SHOWERtfU6 TEST _._._ PO'OC ELEGi�RIC ,,,,: ,� ,> ,.; _ ,, . , ,. EXT.LATH/SIDING _. _., _ _ _ __ . �'OCOt FENCING- ' , ��,�, �,, ,t,1 WALL INSULATIC3N . _..._ _ . .__ _ PO'L�C FINAL J , ":; - _.__ �.,•„ ; ' CEILING INSULATION_ ._. ___ - QFF SIl'E IIVI,PS.. '�� ; ' , � � ^ ,� ��� °i �.��wFr ;:�� DRYWAL�NAILfNG DEDICATIbNS ' "' '� ' "" '" ; -:Aear a;�r �. . . . �...,, . , . ._.. ........ . ..... . .. . . —�,— .. ,: SEWER _ _ _ __._ _. '.__..,n .. : . _ __ _ FINAC ENG. . , , , 4 ;;.� S�PTlC TANK �. � A x -.f•_' „ ON SITEAivIPSRRIG � ���,_�V._�� -'-`"--" a - --I-�-----.; " -,., ., . �. SEEP PITIC.C. _ ___.._ . _ _. : �--'��"� GAS AiR TEST � �✓� . -r FINAL ZONING ' f` � ''�� � F�NAL CUNST, --��',- ..¢�`'"�-- — -- �� �� ;s,�,.%��.� � �tRE DEP� FWA(� :y.. � ,1� _`_ __�_�v . .�� , � � z.. J FINAL HEATING � � . � -- I j HEALTH DEPT. FINAL. . i.,; . . ,,.. ,, , _- -- --�—E—� _ _ , _._ FINAL ELECTRI,C _ � DEV. 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