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HomeMy WebLinkAbout11640 . _._ . _._____,__,.. _.___r._,.__. .�..______.�.�___...._.__� .��-..�.�,a..y.....w;..r.�.,,:.....�,.�:Y...t.�:_. - CTI'Y OF DIAMOND BAR C/ � COMMUNITY DEVELOPMENT DEi�ARTMENT �7 " 7 �,.� 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 �"""'. BUILDINGPERMITAPPLICATION FIRM4Y � JOBSITE APPLICA710N PERMIT� P/C o ADDRESS ����' � ���'� DATE �� NUMBE � # c� �> ISSUE TYPE OCC APN LOT TRACT '��V�S pATE CONST. GROUP p aWNER [�M //`�� ��� " ADDRESS ��y 1�T��� ZONING SETBACKS Z CITY 7�tii Ec��� ZIP TEL.V —�T��� FRONT RW ❑ g APPLICANT TEL. REAR p � SIDE/SIDE STREET RW ❑ � CONTRACTOR �����'�— SIDE ❑ � ADDRESS � CITY ZIP TEL. PROPOSED USE +, � ARCH/ENG/ G a,� c �c:ry7�ec� W DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CI7Y ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFR/ADD/REM O �NEREBY AFFINM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- G8fff9B/CHIpOR W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.58USINESSAN�PROFESSIONSCODE:ANVqTYOq (f) U COUNNWHICHREQUIFiESA�EFMITTOCONSTRUCT,ALTER,IMPROVE,DEMOUSH,ORREPAIqANYSTRUC- W Patio/Deck Z 7URE,PRIOq 70 I7S ISSUANCE,ALSD REQUIRES THE APPLICANT FOR SUCH PERMI7 TO FILE A SI�NEO w STATEMEN7 THA7 HE OR SHE IS LICENSEO PURSUANT TO THE PNWISIONS Of THE CONTiUCTORS ll• W � CENSE LAW�CHAPTER e�COMMENCIN6 WITH SECTION 7ao0)OF�IV510N 3 OF TNE BUSINESS AND PRO- �'�' PooUSpa FESSIONSCODE)OHTHATHEORSHEISE%EMPT7HEREfROIdlNDTHEBASISFORTHEALLEGEOEXEMP- (� � TION.ANV VIOIATION OF SECTION 7031,5 BYANV APPUCANT FOR A PEPMIT SU&1ECTS THE PPPUCANT TO z Re-Roo1 ACIVIL PENAI.TY OF NO7 MORE THAN fIVE HUNORED DOLLARS(S5oo�.�: Z ❑I,ASOWNEROFTHEPROPERTV,ORMYEMPLOYEESWITHWAdESASTHEIR50LECOMPENSA710N, 0 ComRlBfCiel WILL DO 7HE WORK,AND 7HE STRUCTURE IS NOT INTENDEO OR OFFERE�FOR SALE(SEC.701I,6U51- J NESS AND PROFESSI4NS CO�E:T�E CONTRACTOflS LICENSE I.AW OOES NOT APPLV TO AN OWNER OF � PROPEiiT`/WHOBUILDSORIMPROVESTHEREON,ANDWHODOESSIICHWORKNIMSELFORHERSELFO(i � � THROUGHHISORHENOWNEMPIOYEES,PROVIDE0THA7SUCHiMPROVEMENTSARENOTINTENDEDOR m 0 OFFEREOWRSALE.IFHOWEVEfl,THEBUILDINGOHIMPROVEMENTISSOLDWITHINONEYEAROFCAMPIE- Z TION,THE OWNEREUILDER WILL HAVE THE BURDEN oF PROVING 7MAT HE OR SHE DI�NOT Bl11LD OR = IMPROVEFORTHEPURPOSEOFSALE). W ❑I.ASOWNEROFTHEPROPERTY,AMEXGLUSIYELVCONTRACTINGWITMLICENSEDCONTRACTORS � TO CONSTRUCT THE PROJECT(SEC.7osa,BUSINESS AND PROFESSIONS CADE:hIE CONTRACIORS U- V91U9iiOf1 ADJ.AREA W CENSE LAW DOES NOTAPPLY TOAN OWNER OFAPROPERN WHO BUILDS OR IMPqOVE3 TNEREDN,AND � riM11000NTRACTSFOFSUCHPROJECTSWITHACONTFACTOR�S)LICENSEDPURSUANT707HECONTqAC- QUANTITV DESCRIPTION FEE � TORS UCENSE LAW.). Q ❑IAMEXEAIPTUNDEASEC. B.SPC.FORTHISREASON Q � U � � pATE _ OWNER � � Z W �Q LICENSED CONTqAC70RS DECLA ATION W . CC I HEREBVAFFIRM UN[7ER PENALTY OF PEftJURY THFT I AM LICENSE�UNDEfl PqOYISIONS OF CH1IPTER � � � d 8(COMMENCING Wlhl SECTION�D00)OF DINSION a Of THE BUSINESSPND PROFESSIONS CODE,PND Z 1X MY UCENSE IS IN FULL FOfiCEAND EFFECT. m � UCENSE CLASS LIC.NO. j V DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION Q � IHEREBVAFFIRMUNDERPENALTVOFPERJURVONEOfTHEFOLLOWINGDECLARATIONS: Z Q � _IHAVEAPAWILLMAINTAINACERTIKICATEOFCONSENTTOSELF-INSUREFOFWORKERS' _ CAMPENSATION,AS PROVIDED BV SECTION�70o OF THE LABOfi CODE,FOR TNE PERFORMANCE U Q OFTHE WOpK FOR WHICH THIS PERMIT IS ISSUEO. � � W _I HAVE AND WILL MAINTAIN WOPoSERS'COMPENSATION INSUMNCE,AS RE-0UINED BV SECTION , `��� Q 37o00F7HELA80RCODE.FORTHEPERFORMANCEOFTHEWORKf-0RWHICHTHISVERMIT45 L� ISSUED.MV WORKERS'COMPENSATION INSURANCE CARRIER AND OOLICY NUMBER ARE CONSTHUCTION ,� J j CARRIER PLAN REVIEW z POLICYNl1AABER ELECTRIC Q � o �tti�sSEc'raraNE�No'rBEca�na�ErEoocn�aEw�MsroaouENuwrtE000unaSK��)�LEss� PWMBING _ Z �CERTIFVTHATINTHEPERFORMANCEOFTHEYlORKFOFWHICHTNISPERMITISISSUED,� MECNANICAL ('� SHALL NOT EMPLOV ANY PERSON IN ANY MANNER SOAS TO BECOME SU&IEC7 TO THE � WOFKERS'COMPENSATItlNLAW50FCALIFORNIAANDAGREETHATIFISHOULOBECAME INSPECTIONFEE � SUBJECTTOTHEWORKERS'CAMPENSATIONPRONSIONSOFSECTION3700OKTHEIABOR ' ` CO�E,I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE � SMIP MAV ! t1 � �7r p OATE: APPLICANT: � WARNING:FAILURE TO SECURE WOPKERS'COMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C �y SUBJECTANEMPLOVERTOCRIMINALPENALTIESAN�CMLFINESl1PTOONEHl1NORE0THOUSAN� ENERGYPERMIT DOLLARS�5��.�).IN AOOITION TO TNE COSTOF COMPENSATION,�AMAGES A$PRONOED FOR IN � SECTION 37080FTHE LABOR CODE.IN7ERE5T.AND ATfORNEV'S FEES. L RETENTION FEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBYAFFIRM UNOER PENALTV DF PERJUFiV THAT THERE IS A CONSTRUGTION LENDING AGENCY fOqTHE PERFONIAANCE OFTHE W�K WR WHICH TH�S PERA/1T IS ISSUED(SEC.309'f,CIV.C.). Z W -- � LENDEH'S NAME F— LENDEWSADORE55 � ICERTIFYTNATIHAVEREA�THLSAPPLICATIONANOSiATETHATTHEABOVEWFORMATIONISCORRECT. TOTAL FEES �.��� � I AOREE TO COMPLY WITii ALL CITYAND COUNTV ORDINANCES AND STATE UW5 RELATINC TO BUILDING � CONSTRUCTION,ANDHEREBVAUTHORIZEREPRESENTATIVESOFTHISCAUNTYTOENTERUPONTHE Z A90VE-IAENTIONED PROPERTV FOp INSPEC710N PURPOSES. COMMENTS � /2-✓ C'�-tiN Q�l�/i-� m VERMITTEE NAME(PRINn ¢ l�Gyv-"".� �=�.-'8' � � � IGN UREOFPERMI E DATE (" 2 RECPT.NO. '�'�AIO BY VALIDATION- ~ WHITE—De artment Co YELLOW—Finance Co PINK—AssassorCo GOLDENROD--Fila Co GREEN— . -� ��� � � - P PY, PY� PY� PY� ApPifcant's CoPY -__-•.w.r++— _ .. < )�, c�,-C»} ;Y::: .q�l a i,�l. �`M1gq ad� .. ,.C, ' . . �-G .. . ... . . ,. . . .,. � r. . . ' .� . . , , . �i - . r .. - ' : .. . CITtf OF.DIAMOND �AR . INSPEGTIOh! RECORD _ . � ' �, . . � � , � . � � , . � . , a : __ . -.� FLOOR JOIST , SET BACK_,�; ,. _ . FTGS/FORMS/STEEL :;' _ _ _ - FHA REQMTS , ELEGTRIC GROUND U�lD�R FLOOR DUCT � = - , GROUND PLUMBING - i UNDER FLOOR CO�IDUIT ' ' ° ._ — ------ -- —-- -- SLAB GAADE � - - FIfiEPLACE FOUNDATIt�N , TEMP POWER { FiREPLACE BONb BEAM `' WATER SERVICE ' - - . " - #� `� '` M10 NT. BOND BEAM ROOF SNEATHII�IG � . ::.. � `::: $F1'. BOND BEAM - FRAMING/VENTI�.IATION ` ''"'` FINAL BOPJD BEAM _ _ PRE-GRADING . , ., ROOF'�COVER " ROUGN HEATING _ _''_ - ' BENCHING - _ .. _ . — _,._ ROUGH ELECTRIC _ _.. _ � i ROUGH GRADING ,...,,. . , .. .�:. ROUGH PLUMBWG . _._...__�__._ _ ___ FINISH GRAQING , . . ,;:.,,, ` ,, ;:,.' SHaWEFUTUB TEST _ _ POOL EC.ECTRIG , ; .: r EXI:CATH/StDING _ POQL FENCING , WA�L INSULATION. , POOL FiNAL _ � � _ __ --- CEILING INSULA710N I QFF SITE IMPS. ' ' DRYWALL NAILING DEDICATIt�NS " ' SEWER. _ :.;:�__. :, ', ._ FINAL ENG. , ,; ; � SEPTIC TANK `"` :.` � _' `.:" � -- v,,: LANDSCAPE/IRRIG. u. , � SEEP PIT/L.L. . _ __....... .. : -. _ _ ' ON SITE iMPS. � � GAS AIR TEST � �� � . INAL ZONiNG � ` � , �, _ �� � , �____�_.� --- , FtNAL CONST. � o.��'J• l`T�_,�,e°�1_f� �,° FIRE DEPT. FINAL_.,. _ _._ . '.Y. ;r . . __� , FINAL HEATING � -1 !`""� HEALTH DEPT. FINaL � � FINAL ELECTRfC __ ._._... DEV. FEES PAID , �_ �� _ ��.— �INAL PLUMBING ; _ _ ._ __.. ENERGY ��. , ;, , ., `_`_. _ _ _._.-- _ __ — _ _____.__. _ _ __. ��., : _. _ .. _;,; _ • • • _. , . , .,., _ _.. _ ' �i __.. ... COMMENTS _ , . .,:�_ ,,:,.. ��.;. ,. � ,4. �,... _ _ _. ___._. .. _._._.._ _. _ __ _. . . .;,. ., _ , . , �,,_, _-,,; ,. , _ ___ � � . _ x� .,. � _ .__ . . g..�. _ , ,. ._ � , ..q . . .. . > :���� �r,��.:.l.;�a�_ ��.:� .� . ._. ,. ... ....... . . . ,.. , . . ... � , _._. ,...� ;.� ..,. . ._ . . .. . ._ ... . . ..-. .: . .. : ,..: --,:�� . :. ...,����. . .:. ... .: ..: �, ,. ..... r. ....-.�.,. . -�.. ... ' �.� , � �..,. .:-.� .. �,.,:.,._. .,ui�:.iv.�..: �:.;N�:.v.ie�::, � .-.�....: �..-�. . _ ' __ _ ��� � �� SEPTIC TANK SIZE ' SEEP PIT/l�S[ZE ----._ _ _. , , ., _____ , � ,. . . �� _., ,. , � . �, , `, � . . - '.