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HomeMy WebLinkAbout11945 (5) � � '�' CITY OF DIAMOND BAR COMMUNTI'Y DEVELOPMENT DEPARTMENT 21660 E.Copley Drive Suite 190 PRESS � (909)860-3I95 Fax(909)861-3117 �'�� BUILDING PERMITAPPLICATION FIRMLY � JOBSITE -, APPIICATION , ��,r PERMI7 P/C o ADDRESSf�-p� ����� ��g��� ���' DATE � NUMBER # � ISSUE TYPE OCC APN LOT TRACT 1�',�� DATE CONST. GROUP °� _�_��yTG .��o c a O AODDRESS/� ' S�� ' �����---- ZONING SETBACKS � CITY U �✓�N C7 ZIP �TEL�gL–Gl�'�3 FRONT RW ❑ APPUCANT TEL. REAR ❑ SIDE/SIDE STREET flW ❑ � CONTRACTOR ��.�I�/'� 51DE ❑ � ADDRESS PROPOSED USE � T,��-[�v�L.^(, � � CITY ZIP TEL. JLc� /� c�� �-- w ARCHIENG/ Z DESIGNER NO.DWEL. NO. NO. � A�DRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION cn � OWNER-BI:ILDER DECLARATION SFWADD/REM Q p I HEREBY AFFIRM UNOER GBNRITY OF GERJUqV THAT I AM EXEMPT FROM THE CONTRACTORS LI� GBld(JB/Ca�01i W CENSELAWFORTHEFOLLOWINGREASON�SEC.)031.SBUSINESSANOPROFESSIONSCOOE:ANYCITYOR (/] ZCOUNTYVYNiCHREQUIRE3APEFMITTOCONSTAUCT,ALTER,IMPROVE.DEMOUSH,ORREPAIRANVSTRUC- W PdtiO/DeCk W TURE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNEO � STATEMENTTHR7HE OFi SHE IS I.ICENSE�PURSUANT i0h1E PROVISIONS OFTHE CONYMCTORS LI� � CENSE LAW(GNAPTEfl 9(COMMEMCIN6 WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- �'�' PooVSpa � FESSIONSCODE�ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISGORTHEALLEOE�EXEMP• V TION,ANVVIOLATIONOFSECTION7031.SBVANYAPPUCANTFORAPERMITSU&�ECTS7FIEAPPUCANTTO Z Re-Roof � A CIVIL PENALTY OF N07 MORE TNAN FNE HUNDAED DOLUHS�5500).�: - O pI,ASOWNEROFTHEPROPERTY.ORMVEMPLOYEESWITHWAGESASTNEIR50LECOMPENSATIDN, � COf1lT0ICieI Z WILL DO TNE WORK,ANO THE STRUCiURE IS N�T INTENDE�OP OFFEFED FOA SALE(SEC.7044,BU51� J NE55 AN�PROFE55lON5 fA�E:TME CONTRACTORS LIGENSE UW DOES NOT APPLY TO AN OWNER OF � PROPERTYWHOBUILDSORIMPROVESiHEflEON,ANDWHO00ESSUCHWOqKHIA1SELFOHHERSELFOR m � THFOUGHHISORHEROWNEMPLOYEES,PROV10E�7HAT5UCHIMPROVEAIENTSAHENOTINTENDE00H � OFFEAE�FOFSAIEIF,NOWEVER.THEBWLDINGORIMPROVEMENTISSOIDWITHINONEYEAROFCOMPLE Z TION,7HE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVINO 7HAT HE OR SHE DID Nb7 BURA OR = IMPflWEFORTHEPURPOSEOFSALEj. ❑I,AS OWNER OF THE PROPERTV.AM EXC W SNELY CONTRACTING WITH UCENSED C�NrRACTORS � TO CqN5TRt1CT THE PROJECT(SEC.7014,BUSINESS ANO PROFESSIONS CqDE:7HE CONTRACTORS LI- V0IU81i0f1 ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROVERNWMDB�ILOS�RIMPROVESTHEREON.AND S WFIpCONTRACTSFORSUCHPROJECT5W17HAGONTRAGTOR(S�LICENSEDPUN3UANTTOTNECONTRAC- QUANTITV DESCRIPTION FEE Y TORSLICENSELAW.). � p 1 AM EXEAIPi UNDER SEC. .8.8 P.G FOR THIS REASON � � ll_. � DA7E � " ��^� OWNER U � LICENSED CONTRACTORS DECLARATION �j � I HEREBY AFFIRM UNDER PENALT40F PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER V. d 9�COMMENCINGWIYHSECTION700o)OFDIVISION30FTHEBUSWESSANOPROFESSIONSCADE.AND z �X /Av LICENSE IS IN FULL FORCEAND EFFECi, m � LICENSE CLASS LIC.NO. � U DATE CONTRAC70R a- W � WORKERS'COMpENSATION DECLARATION Q � U � I HEREBYAFFIRM UNDER PENALTV Of PERJURY ONE OFTHE FOLIAWING DECLARATIONS: Z Q � �IHAVEANDW�LIMAtNTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' 2 CAIAVENSATION.A5 7ROVIDED BY SECTION 370o OF TME LABOR GODE,FOR TME PERFORAIANCE U Q OF THE WORK FOR WHICH'�M�S PEflMIT IS ISSUED. � Q yyy _I HAVE AN�WILL MAINiAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED 9�SECTION / Q 370o OFh1E LA60R CODE.FOR THE PERFORMANCE OF THE WORK f-0R WHICH THIS PERMIT IS ��"� �� V � ISSUEO.MV WORKERS'COMPENSA7qN INSl1RRNCE CARRIEF AND POLICY NUMBEq ARE CONSTRUCTION � CAFRIER PLAN REVIEW z POLICV NUMBER ELECTRIC Q � (iHISSECTqNNE�NO78E00M^LEfEDOFiI-IEPERlMISWRONEInN�DfimDOLLARS1E7c0)ORlESS). PLUMBING w I CERTIFY THAT IN THE PEPFORMANCE OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAI. Z ('3 SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBECOMESIJBJECTTOYHE � WORKERS'COMPENSATIONLAWSOFCAL�FORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE .�._,f}.___ SUBJECTTOTHENIORKERS'COMPENSATIONPROVISIONSOFSECT10N37000FTHE1�190R ��[, � COOE.i SFIALL FONTHWITH COMPLY WITHTMOSE PROVISION3. fSSUANCE __ /'j'���,,�� � SMIP / ` �� p DATE:_ APPLICANT: W ENERGY P/C � WARNINO:FAILURE TO SEWRE WORNERS'COMPENSATION COVERAGE IS 11NLAWFUL.AND SHALL BE J SUBJECTANEMPIOVERTOCRIMINALPENALTIESANDCIVILFMESUPTOONEHUNDREDTHOUSAND � ENERGY PERMIT �OLURS(5700.000�.IN ADO�TION TO THE COST OF CqMPENSATION,DAMAGES A$PPOVIDED fOR IN ., � � SECTION 870e OFTHE UBOR CODE,INTEREST,AND ATfORNEVS FEES. RETENTION FE 'q� �- d CONSTRUCTION LENDING AGENCY pRE-ALT FEE: e� O � I HEREBV AFFlflM UNDER PENAITY OF PERJURV THATTHERE IS A CONSTRVC710N LEN�ING AGENCV FOR h�E PERFOFMANCE OF THE WORK PoR WHICH TNIS 7ERMIT IS ISSUED(SEC.3097,C�V CJ. W � LENUEH'SNAME F— LEN�ER'SAD�RE55 � IAG EETOCqMPLVWITNA�LLCITYANOCOU�MVORDINANCESA�STA�TELAWS ELATINGfOBUL�ING TOTAL FEES . , CONSTPUCTION,ANp HEREBY AUTMORIZE REVRESENTATIYES OFTWS COUNTY TO ENTER UPON 7HE Z 0.BOVE�MENTIONEDPFOPEH7YFOR�NSPECTIONPURPOSES. COMMENTS _ ��+C� ��f�� l���n 7"' m ;FRMITT_ NAME(PRINT� � � J � �G� r � / �.Ct+ '{ Uj SIGNATURE OF P ITTEE DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREE —App Ica Ys Copy � . ....,.,�,.,..,� :�..:-.«aa:��-�;'.'�'f�ao-�u,�'0►L t.,.iw.p.aa^c'q'�rt�daew.a�• +�: a5��c.an,..�.:Aw,.!,.w � � r � ��r^. +,�y,»S�,,p� �•n;:,.�y� - r �.w..a v�r.:m � � ., , _ .,. ,� .+ `+;,ry+ip$° . . ...^' . ?µ�y'..�:N' . �`Ft::�FS.rc,µ .dwr�q�:;»r°_ .��,er �'��...�i;'A3`i�M;"xt'�_ .�,y&p'S�",„ ..�r,;wn°�.. ,�:.... �•.�:.,. .�j....,.. , �� � CITI( OF DIAMOND BAR INSPECTIO�I Ei��A�� r _....�.._ . � � , . � . . � � , , s . SET BACK, " -;;; FLOOR JOIST ,. ` FTGSIFORMS/STEEL '"`"`' �HA REQMTS ELECTRIC GROUND =� . :, UND�R FLOOR QUGT �' GROUND PLUMBlNG � UND�R FLO�R GC)�lDU1T L"' ` SLAB GRADE _ - �`7 ::' '` FIREPLACE FOUNDATIC?N '�EMP POWER :�. �'IF�EPLACE B�ND BEAM � '. '- ` � , WATER SERVICE MIQ WT. BONO BEAM , ' ROOF SHEATHING� - 8 FT. BOND BEAM `=� , ,. ', _ FRAMINGNENTILIATION ` '''' FINAL BONd BEAM -" `� ' � . RObF COVER - PRE-GRADING ROUGH ELETING �� .; � BENCHING _ _. _ __. CTRIC , _ , ' ROUGH GRADING ,. ' � r , � I RUUGH P�UMBING I � _ FINISH GRAQING , . , � �� SHOWERlfUBTEST _ _ -- t POOLELECTRIC ' � -___- - - EXT, LATHlSIDlNG ' _ POOL FENCiNG ". ', f WALL INSULATION � POQt FtNAI. - �, � CEILING INSULATION OFF SITE IMPS. {s" = ,. , _. __, DRYWALL.NAILING i DEDICA710NS " " , __ ,_ .. . _ :.�------ SEWER � FINAC ENG. � _ _ ..__ . .. _� ._ SEPTIC TANK `�. : , "� . ' ' LANDSCAPE/IRRIG. ` SEEP PiTiLL. _ ON SITE EMPS. � � ,�� GAS AIR TEST FINA�ZOMNG � FINAL CONST. _ _ __ .. i FERE DEPT. FINAL' _ % FINAL HEATING - - - HEAL7H DEPT. FINAL ,` 5 � FINAL ELECTRIC - - DEV. FFES PAID , ,.,,, ,,.��� __� _ `_ � �__�.--- , --__, ^��.._._� FINAL PLI,IMBING _� _ .._. _.. ___.___ ENERGY ° ' �� " : _ _. , ; - ! O _ _,. � _. _ _. _ _ _. . —� COMMENTS : _ , ., ,, . , , , , .;,�. � ��,. . . .,;fi.. � ,:,�� • . .. ..... ._. _ .. .._. ... . ._"___.._. ."_ .... ............ _...._. . . . .' ... �: . -�� . 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