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HomeMy WebLinkAbout11636 CITY OF DIAMOND BAR , COMMUNITY DEVELOPMENT DEPARTMENT � '� .;,,� 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)661-3117 """'� BUILDING PERMIT APPLICATION FIRMLY oy JOBSITE ��)�r.� �I f�R�� APPLICATIONC� 3 (J PERMIT� ��P/C ADDRESS �-y>_ 7�� ��' �ATE �0 NUMBE # c� ISSUE TYPE pCC APN L�T�� TRA¢T 3� DATE CONST. GROUP p aWNER �Ml�i /l�tC3 .b. p ADDRESS a C. ZONING SETBACKS � CIN J7�Q��.Z, ZIP TEL.�`�C� FRONT RW ❑ APPLICANT TEL. REAfi ❑ � SIDE/51DE STREET RW ❑ � CONTRACTOR���,J���_ SIDE ❑ � ADDRESS � CITY ZIP TEL. PROPOSED USE ��'�Tv✓� ° Q ARCHlENG/ �Z �c3 lC iz DESIGNER NO.DWEL. NO. NO. a. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL m cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEP-BCILAER DECLARATION SFR/ADD/REM O p I NEREBY AFFIRM UNDER PENAL7Y OF PERJURY TNAT I AM E%EMPT FROM THE CANTRACTORS 41• GeI8y6/C9fpOf1 W CENSEUWFONTHEfO1.LDWINGREASON�SEC.7o31.58USiNESSANOPROfESSION5CO0E:ANYCITVOR (n U COUNTYWHICHREWIqESAPERMITTOGON57RUCT,ALTERIMPROVE,DEAAOLISH,OHREPAIRANYSTRUC- W Pd1i0IOBGk Z TUHE,PRIOR 70 ITS ISSUPNCE,ALSO RE�UIRES 7HE APVUCANT FOR SUCH PERMIT TO FlLE A SIGNE� W STATEMENf TFfA7 HE OR SHE IS LIGEN5E�PURSUANT i0 THE PROVISIONS OF 7HE CONTMCMRS LI- W � CENSE UW(CHAPTER B(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AN�PHD� � PooVSpa FESSIONSCO�EIORTHATHEORSHEISE%EMPTTHEAEFROMANOTFIEBASI3FORTHEALLEOEDEXEMP- (� � TION.ANVVIOLATIONOFSECTION7031.5BYANVMPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof A CNIL PENAI.TV OF NOT MORE THAN FIVE HUN�RED DOLURS(55DD),): Z ❑I,ASOWNEflOFTHEPiiOPERTY,ORMVEMPL�YEESWITHWAGESASTHEIRSOLECOMPENSA710N. O COrtIrtIBlCiBI WILL DO THE WORK ANO TNE STRUC7URE IS NOT INTENDED OR OFFERED FOR SQE(SEC.70�a,BU51- J � NE5S ANO PROFESSIONS CODE THE CONTRRCTORS UCENSE L.M'DOES NOT APPLY TO AN OWNER OF � PROPERTV WViO BUILOS OR MPROVES hIEREON,AND NMOOOES SUCH WORK HIMSE�FOR HEFiSEIF OR � THROUGHHISOFHEROWNEMVLOYEES.PROVIDEDTHATSUCMIMPROVEMEMSARENOTINTEN�ED'OR m � OFFEREOFORSALEIF,HOWEVER7NEBUILDINGORIlAPROVEMENTISSOLDWITHINONEVEAROFCOMPLE� z TION,TNE OWNER�BUILDER WILL MAVE THE BURDEN OF PROVIN6 THAT HE OR SHE DID NOT BUILD OR = IMPROVE FOR THE PL1qPOSE OF SALE�. W OI,ASOWNEROFTHEPROPERTY,AMEXCLUSIVELYCON7RACTINOWI7HLICENSEDCONTMCTOHS W CEN�UWDOESNOTAPPLYTOANOWNEROFI�PROPERTVWHOBUILDSOR�IM OVE�EREOIJ,AND VelU0li011 ADJ.AREA � WHOCONTHACTSiORSUQiPpOJECTSWITHACONTRACTOR(5)UCENSEDPURSUANTTOTHECONTMG QUANTITV SCRIPTION FEE Y TOPS UCENSE Uk'.). � ❑I AIA EICEMPT UNDER SEC. 0.a P.C.FOR THiS REASON Q � U � � � DATE OWNER "<.� U Z W � LICENSED CONTRACTORS DECLARATION W OC 1 HEREBY AFFIRM UNDER PENAI.TY OF PERJURY THAT I AM LICENSED UNOER PROVISIONS OFCHAPTER � d, B(COMMENCING WiTH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS COOE,AND Z �`� MY UCENSE IS IN FUII FORCE PND EFFECT. m 0 UCENSE CL4S5 LIC.NO. j � J V DATE CONTRACTOR �. W � WORKERS'COMPENSATION DECLARATION q � I HEAEBY AFFIRAI UNDER PENALTY DF PE�URY ONE OF THE FOILOWING DECLAIiATIONS: Z � _IHAVEANDWILLNAINTAINACERTIFiCATEOFCONSENTTOSELF-INSUREFORWORKERS' _ COMPENSATION.ASPROVI�EDBYSECTIIXJ37ooOF7MEU80RCOUE.FORTHEPERFORMANC€ �U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, � 0 w ,I HpVE AN�WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS HEQUIRED 9YSECTION � � Q 37oa OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORN f-0R WHICH THIS PERMIT IS � ISSUE�.MVWORKEFS'COMVENSATIONINSURANCECARRIERANDPDUCYNUMBERARE: CONSTFiUCTION J j CARRIEF PLAN REVIEW Z POLICYMJMBER ELECTRIC Q � (iH65ECT1011NE�NOTBE00MPLETmOFh1EPEM'ffSFORONEI�KNDFIED�OLLARS(E100)ORLESS} PLUMBING __^ Z 1 CERTIFY THAi IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 133UED,I MECHANICAL __ � SHALLNOTEMPLOYANYVERSON�NANYMANNERSOASTOBECAMESUBJECTTOTHE WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAOREETHATIFISHOUL�BEC�ME INSPECTIONFEE SU&IECT 70 THE WOPo(ERS'COMPENSATION PROVISIONS OF SECTION 9700 0F THE LABOR -~j COOE,�SHNN.I..FORTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE ��!� � -}– p DATE: APPLICANT: SM�P ----�;}�—T � • „"'�j WARNING:FA0.URE TO SECURE WORKERS'CqAPENSATION CAVERAGE IS UNUWFUL,AND SMALL BE ENERGY P/C �R�1 II � SUBJECTAN EMPLOYEfi TO CRIM�NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT DOU,ARS(i100.000),IN ADOITION TO THE COST OF COMPENSATON,DAMAGESAS PROVIDEO FOR IN � SECTIDN37oBOFhIELABORCODE,INTEREST,ANDATTORNEY'SFEES. � RETENTION FEE: � CONSTRUCTION LEN�ING AGENCY PpE-ALT FEE: O � I HEREBV AFFIRM UNDER PENALTY OF PENJURY THAT THERE IS A CANSTRUCTION LENDWG AGENCY FORTHE PERf-0RMANCE OFTHE WDRK FOR WNICH TNIS PERFAIT IS ISSUED(SEC.30D7,CIV.G�. Z W -- � LEN�ER'S NAME . F— LENDER'S ADDRE55 � TOTAL FEES � � I CERT�FY THAi I NAVE READ THIS APPL�CATION MA STATE hIAT THE ABOVE INFORMATION IS CORflECT. d 1 A6REE TO COMPLY WITH ALL CITV AN�CAUNTY ORDMANCES AND S7ATE UWS RELATING TO BUILOING � CANSTRUCTION,AND HERFBVAUTHORIZE AEPRESENTATNES OF THIS COUNTYTO EMER UPON THE � ABOVE-MENTIONEO PROFERTY FOfl INSPECTION WRPOSES. /'' ,, COMMENTS � LG% C?f//Z� �L.E3�/t T`� � PE'FCMITfEE NudE(VRM� � � Q ��� r �.. � SIONATURE OF P IREE OATE - '�� '"'''' ( = RECPT.NO. '`� PAID BV VALIbA71��J� r WHITE—�epartmant Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENFO�File Copy.GREEN—ApplicanNs Copy ...c fi:, i F ,k.; -,e,,, .,ar��;a'§t'a",rrvt'iz.ar `Y; � .r n�"P,f�' �'cW��. r �: .,>..,ti r, . - � _ "�'+ . .. �._i. .^� �� ,+,5'�. �,z..�ir`itte�ati ' M . r. :�t��`r ,�. , t+ . •':� "Wl�'a�^��n'��. .T�"'A4�FA`.���,t�g�`"��i'-r'��":���i4R'.�s,4{;T'h.'�k�r�•,S'%tyx'4�Y5;?�yi �,-� �''a r ti . � . , � . ,. CIT`Y C?.F DIq11AQND BAR , , -�.r �._. � Cy!� ■/��.4■' ,�+�M qp Y1 --:V i' :!� ',.,' �.::4 ..i dl �.,y"_,.:: '�V■ �W 1 �V\3� ��VM�N. .. . . ',..a dHp �.� l, ,. �" . " �.-�.,.. � .. c ��.�"..� - -' �:.��:.. ...r . ..„ . � � � � s � � . � l • • � SET BACK _ , . , __ - . FLbC1R JOIST- ' . ___ _, ---- � --_ . . FTGS/FORMS/STEEL -: ;,, _. _ 1` FHA�iEQMTS �. . _' __ ,.. __: '-�--- , . . , . ., _ . , ELECTRIC GROUND :: � �: _�. UN;QER FLOOR DUCT :,�, . ; ..s. ,.� _. ,`_ . . GROUND P�UMBING " _ ,-''.' UN;DER FLOOf#CC�riDUIT " - . .�.. . ; SLAB GRADE _ _ . ` : FIF#EPLAGE FQUNDATlUN _ ``" ; _' -----__ _.. _ ; TEMP POWER _. _ : ..: FiREPLAGE BOND BEAM � .., a:,,.t ;:,, ,,a � ;`.: __.._._ ,.,: G WATER SERVICE _ _. ' ° ',. , F;.-�r 'MiD MT. BC7ND$EAIVI _ ,, .. , u.� --:, .,___.. t, � � ROOF SHEA'fHiNG � 8 F"L BOND BEAM � r�. �'.:: FRAMINGNENTILIATION ` ; �� �'INRi�BOND BEAM _ .___.,--. . _ ____ ... .� _ _ ":'' ____-- ac' .,, ROOFCOVER _ _ . PRE-GRAC3ING ,. _. . <,, � ... _ „ . __ ROUGH HEATING ' ' , .; Ei t;�.,. BENCHING _ _.._. _ _. ._.. _� RUUGH ELECTRtC _ : _ _ j- - .- ROUGH GRAD(NG...;. � ROUGH PLUMBWG _ _ ... . . __. .___�_. F'INISH GRA'[�11VG?....:,,:.�, :„.;', . , , ,'�', .. ; �. � ;. , _ ,_. ,,. <, � SHOWER/TUB TEST __ ___ _ __. ._. __.._. _ __, POOL ELECTRIC ' >;:�_, ---- , � EXT: LATH/SIDING_ _ _ . _ , -; PdOL FENGING ,-. ,,,, ._ : , , ; :, ,; , . , . .. . ,,,. WRLL INSULATION _ __. ._ ___ _ _; o�OL FINAL ;:.."„ , , . ,� - �: _. _.__ ._ _ . CEILING INSULATION� C}FF 51T�IMP$ ,,,, . :;�'�N ..J ...��p� DRYWALL NAILING � DEDIeAI`IOIVS' ` ��3' ` '.��`" ` - SEWER .. . _. _ _ �, i. f r� . .__. : . _:.,__ _. ._._ FINAL ENG. , ;; S.EPTIC TANK _ . ..,_ ' . . - :,. . �. ., � „�,; LANDSCAF�E/iRRfG, - ,,, � . �, SEEP PIT/L..0 ,`:_:i . ON SITE IMPS. � � ` :' -- _ _ _ _ __._ ;,. GRS AIR TEST F1NAl.ZQNING � __. �,,`.;, - - _ _ -- --- ___ ___ - FINAL CONST. �� ��,��'�j�t' ,����. �o�,,�.�;`',.°"' FIRE UEPT. FINAL � � _ ; � -FINAL HEATfNG � � .-i��' HEAL'i'H QFPT. FiNAI. , ` �- � __ .� , . . � _ �� . fINAL ELECTRIC - __' - DEV. FEES PAID , , , _ �_._. _ __ ...—.---���,_—__... . ---,<<-�------ FCNAI PCUMBrNG _ ____ ENERGY ��• . _. __ _. .. ..__ _ _ _. __ __.. ... . ._. _.__. - �_ � -- - --__ . __ -- .._. ,,� ;,� �;, �, ._._..._ ____ _.__.__ � _ _ _ ' . . . .._.. . r � � �. ' . . . r'`, � .. :-'... ., �. . '."-..�..:� ...:... . ..:... � ... y �.-.._. ._..__._._ ._.______. . .. ._....._�._._.....__. __......__. ........_____.._ _.�__. _._.._._.. � COMMENTS >u� � . ,..;:.,;, ,,,: ��,,,��,�.z::�����a�a:,nYQ��,, � .,, � .;-u,. N ,�<-...,�.. � "• :�7.il�A3�: .� .rt.� � -� . - - - •. > ,.J.i1W,.a ' �__.._ ...._....,..v..._...._..� ........ .._.._._..._....._..._... _,..__....._.'__"_ �' . .,..., � �-. � ..._ : : . ., ._..._ ........_......_..._.._..�.., . . . ..ap.t t . . . .._... .... � . .. .. .., . .... �.i. y:,.i1tHL:. �tip:_'. ._.__.__ ___. _ ._ . . .... _..._. .._ .. . .. . . . . 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