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HomeMy WebLinkAbout11949 (5) CITY OF DIAMOND BAR `'�— � COMMUNITY DEVELOPMENT DEPARTMENT �yS �„w 21660E.Copley DnveSuite 190 PRESS (909)8643195 Fax(909)861-3117 �"""' BUILDING PERMTT APPLICATION FIRMLY JOBSITE L.Z.0 � APPUCATION.� .-- PERMIT P/C o ADDRESS � �� �a���"' DATE �� NUMBER R � � ISSUE TYPE OCC APN LOT TRACT �� _ DATE CONST. GROUP p OWNER �Zfa t-/N D �l � JSZ � ADDRESS ��L� L�'d�'�/��t` �'' rJ� ZONING SETBACKS �� FRONT RW ❑ Z CITY � '�A/`�o ZIP ��TEL.��"'"� REAR ❑ APPLICANT TEL. SIDEJSIDE STREET RW ❑ � CONTRACTOR� -�'��� SIDE ❑ � ADDRESS PROPOSED USE " i9� ' � ARCFI/ENG/ ZIP TEL. ��,.ut jc'/1, j G,( 6c.9�TCv✓ iz DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY 21P TEL. � DE5CRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � O OWNER-BI;IL�EFi DECLARATION SFRlADDlFiEM � I HEREBY AFFIRM UNDEP PENALTY OF PEFJURY 7HAT I AM E%EMPT FROM THE CONTRAGTORS LI- G3f89B/CBfpOfl W CENSELAWFORTHEFOLLOWMGREASON�SEC.7037.58USINESSAN�PROFESSIONSCODE:ANYCIT'OR (n U COUNTYWHICHREOUIRESAPERMITTOCONSTpUCT,ALTEfl,IMPROVE,�EMOLISH,ORREPAIPANvSTRUC- W Pg1i0/DBCI( WTURE.PRIOR TO ITS ISSUANCE,ALSO RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FlLE A SIGNED � STA7EMEN7 iHAi HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOHS U- � CENSE L4W ICHAPTER 9(COMMENCINO WITH SECTION 70D0)OF�IVISION 3 OF THE BUSINESS AN�PRO• LL' POOUSPa FESSIONS CODEI OR THAT HE OR SHE IS EXEAIPTTHEREFROM ANO THE BASIS FDfl THE�LLEOED EXEMP• � TION.ANVVIOLATbNOFSECTION7037.5BYANVAPPLICANTFORAPERMITSUBJECTSTHEAP7UCANTTO Z Re-Roof � A CIVIL 7ENALTV OF NOT MORE THAN FIVE HUNDFED DOLLARS(ZSDo)J: . 0 ❑I,ASOWNEROFTHEPROPERTV.ORMYEMPIOVEESWITHWpGESASTHEIPSOLECOMPENSATION, � Commercial Z WIIL DO THE WORK.PND THE S7HUCTURE IS NOT INTENDED OR OFFEREO FOR 3AlE(SEC.7oad,BU51- J NESS AND PROFESSIONS CWE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPERTYWHOBUILDSORIMPflOVESTHEREON,ANDWHOD�E55UCHWORKHIMSELFORHERSELFOR m [C THRWGHHISORHEROWNEMPLOYEES.PROVIDEDTHATSUCHIMPROVEMENTSARENOiINTENDEDOR W OFFERE�FORSALEIF,HOWEVER.THEBUIL�INGORIMPROVEMEN7ISSOLDWITHINONEYEAROFCAMPLE- � 710N,THE OWNER-Bt11LDER WILL H0.VE 7HE 9URDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR Z IMPROVE FOi7 THE WJRPOSE OF SALE). _ ❑I,ASOWNEROFTHEPROPERT',AME%CLUSIVELVCONTRACTINGWITHLICENSE�CONTRAC70PS Q TO CONSTFUCT TNE PR0.IECT(SEC.]064,BUSINESSAND PROFESSIONS CODE:TNE CONTRACTORS U� V6IU8IlOf1 ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUIL�SORIMPROVESTHEREON,AlO � WHOCON7RACTSFOFSUCNPROJECTSWITHACONTRAC70H(S�LICENSEDPURSUAMTOTHECONTqAC- QUANTITY �ESCRIPTION FEE � TORS LICENSE LAW.�. J � ❑I AM EXEMPT UNDER SEC. B.8 PC.FOR THIS RERSON Q � �. V"' DATE OWNEH � Z W � LICENSED CONTRACTORS DE RAT N W � I HEREBY AfFIRM UNDER PENALTY OF PERJURV THAT I AM LICENSEO UNOER PROVISIONS OF CHAPTER � d a(COMMENCING WITH SEGTIqJ 7000)OF DIVISION 3 OF THE BUSINESS ANO PROFESSIONS CODE,AND Z �X MY LICENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS LIC.NO. _ � ' J V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q = U � �HEREBY AFFIRM UNDER PENALTY OF VERJURV ONE OF THE FOLtAWING DECUM710N5: C� Q O I HAVE AND WILL MAINTAIN A CEpTIFICATE OF CONSENTTO SELF-MSURE FOR WORKERS' _ COMPENSATION,AS PROVIDED BV SECTION 3700 OF THE!ABOR CODE,FOR THE PERFORMANCE U a OFTHEWORKFORWHICHTHISPERMITISISSUEO. � O w 1 HAVE AND WILL MAINTAIN WOflKERS'COMPENSATION INSURANCE,AS(iE�UIHED BV SECTION Q 37o0OF THE L480R CODE,FORTHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ��� ��� ISSUED.MY WORKERS'COMPENS0.TION INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION � J � CARRIER PIAN REVIEW ZPOLICY NUMBER EIECTRIC Q � (fHISSECTKNJNE�NOTBEGOMPIETEDOFhEPEWAf�lSFORONEHIMDR�00LLAR5(510�10RLESS). PLUMBING Z I CERTIFY THAT IN THE PEIiFORMANCE OF THE WORK fOR WHICH THIS PEFMIT IS ISSUEO,1 MECHANICAL (3 SHALL NDT EMPLOY ANY PERSON IN ANV MANNER 50 AS TO BECOME SUBJECTTO THE � NKIRKERS'COMPENSATIONLAWSOFCAUFORNIA,ANDAOREETHA7IFISHOUL�BECOME INSPECTIONFEE _� SUBJECT TO THE WORKERS'COMPENSATION PHOVISIONS OF SECTION 3TOo OF THE LA80R �. CADE,I SHALL FORTHWITH COMPLY WITH TMOSE PROVISIONS. ISSUANCE p DATE: APPLICANL SMIP t �� J WARNING FAILURE TO SECURE WORKEF3'COMPEN9A710N COVEFAOE IS UNUWFUI.AND SHA�L BE ENERGY P/C � SU&IECTANEMPLOYERTOCRIMINALPENALTIESANOCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(f100,000),IN ADDITION TO THE COST OF COMPENSATION,OAMAGES AS PROYIOED FOR IN � SECTION97080FTHELABORCOOE,MTEREST,ANDAr'fORNEV'SFEES. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEHEBYAFFIRM UNOER PENALTY OF PEflJURY 7HATTHEflE IS ACONSTq4CTION LENOING AGENCY FOR THE PERWRMANCE OF THE WOAK FOR WHICM THIS PERMIT IS ISSVED(SEC.3097,qV.CJ. Z W � IEN�ERS NAME --� � - --��� F_ IEN�ER'S AD�RESS `S � I CERTIFY THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE R80VE WFOFMATION IS CORRECT. TOTAL FEES i � � IA6REETOfAMPLVWITHALLqTYANDCOUNTYOR0INANCE5IUJOSTATELAW5REUITINGTOBUILDING � CANSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS CAUN7Y TO ENTER UPON THE Z ABOVE-MEN710NEDPROPERTVfORINSPECTIONPUPPOSES. COMMENTS � ,��a C�R�/ ��.�s�� T' m PERMITiEE NAME(PHINT) ^-� .m CA 1� 6�'s✓ !"� ^'/ . . , . � SIQNATURE OF PERMITTEE DATE �� ' - t � RECPT.NO. �'� PAID BY VALIDATION WH1TE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--Fila Copy,GREEN—Applicant's Copy � , .r,.aV . .�.�r.r.aok!.4�'(a"�''�'3 iN:a,,:�, rAi-ya7e�:d:>•.:aas+tt�l�'1Sr,,. c.iv:W4n;,�.ur.�^rqo,.•.4drr.v.-..N.'+ '.�,�,� m � ¢:n .a . yW:�. . .�h�y &`.� �)' �ek�a. 1-�i' ].- 4x.., nf� � �t YM .,`� I:Ci{`^ ..:s'Ji�.(ty �`';�47.A';;1i',1kk4C)!P+}n�i.'a1!i�l���t�,�'•^,i..`ty'.i:), ^.'�1.�%�� +�5�,.� � I< ,�'t�'�"''W`�iS:C✓`�''VJ'.3:n� H� CITY OF DIAMQND BAR _::��z; ; INSPEC'TION t3�COF�D N; '�,- � � ` a � a . . � � � . � r -- .. _.._._ SET BACK .�;; FLOOR JOIST ; _.: ., ' �. � FTGS/FORMS/STEEL ' ' FHA REQMTS � ' ` ' ELECTRIC GROUND . Uf�D�R FLOOR DUCT ��• —------�- GROUND PLUMBlNG UNDER FLOO�i CUnIDUIT � '�`'' . . SLAB GRADE FIREPLACE F(�UNDATIQN " TEMP POWER FIREPLACE BOND BEAM ` ` G: WATER SERVIGE - - - MIQ HT. BOND BEAM , ; :e. ROOF SHEATHING - 8 Ff. BOND BEAM � �= FRAMINGNENTILIATION FINAL BOND BEAM .. . � . ROOF COVER PRE-GRADING � ROUGH HEAT{tVG BENCHING , . . _ � .°.� ` -�_� ROUGH ELECTRIC _ ROUGH GRADING . f_., ,., , ;. .. .. , ROUGH PLUMBING _.._ __.. , F�f�ISH GRADING"�,. :.: ,:,.:. �. ._,, , , . .� .. ; , SHOW�RITUB TEST _ _ __: . ..__: . P(a;OL;' ELECTRIC " ;' ' . ` _'; EXT.LATH/SIDING ; POOL FENCIN("a , , — ... � „ � WALL INSULATION _ POOL FlNAL � .— : ;: GEILING lNSULATION � OFF�ITE iMPS.__,_. . , ,:: ., ,, , .. QRYWALL NAlUNG DE ICATIt7N5 ' ` `` ` � " _ �. SEWER _ .� � . . '. FiNAL ENG. . . `. < :';.4_ ,. � ' _ ,.:_ �A�JDSGAPE/fRRIG, . , , � ;,. _ .� h SEPTICTANK. , � ; _ ,, I . SEEP PIT/L.L. _ :. ,, l i .ON?SITE iMPS. „ ,_„ GAS AIR TEST . _ � �INAL ZONING _ ; -.,;,. , � ::. FINAL CONSi: ! __ _ �CRE bEPT.FINAL "` <.:' •;- ;. I �; _� ,. _ _ �INAL HEATING - - HEAL`�H DEPT. FINAC. , . ; - _T_ FINAL EC.ECTRIC DEV. �EES PAIp : ::,, ,,. 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