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HomeMy WebLinkAbout11953 (5) CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT �- �1 _;,.G 21660 E.Copley�rive Suiu 190 � PRESS (909)860-3195 Fax(909)861-3117 �'^�"'� BUILDING PERMIT APPLICATION FIRMLY o AD R'SS/Z�� l"���� ��''��'+i'���- DATECAnpN NUMBER #/C � ,�j 1 ..-� 1 � ISSUE TYPE OCC APN LOT TRACT %Z S- ._ DATE CONST. GROUP p OWNER �%'�`t ! � � " ADDRESS�r � �' '�T��c L- ZONING SE7BACKS oCITY(�Y�- '�J.J ZIP�1l��'EL. FRONT RW ❑ APPLICANT TEL. REAR ❑ �� SIDFJSIDE STREET RW ❑ � CONTRACTOR .�c SIDE ❑ O ADDRESS PROPOSED USE C� 6 CITY ZIP TEL. o ARCHlENG! e � DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF AOJ.AREANALUATION cn � OWNER-BI:ILDER DECU1RA710N SFR/ADDlREM O W CENSEUWFORTHEFOL OWNGEREASON�SEC 7 3p5Bl1SNE SANOP OFE SWNSCODE:ANYCITYOR Garage/Carport ZCOUNTYWNICHREQUIRESAVEFNITTDCONSTfiUCT,ALTER,IMPROVE,OEMOLISH,ORREVA�HANYSTRUP W Pa1iQ/DBCk � 7URE.PPIOR TO fT5 ISSUANCE.AL50 REDUIRES 7HE APPLICANT FOR SUCH PENMI7 TO flLE A SIGNE� W � STAiEMENT THAT HE Ofi SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS L4 � CENSE LAW(CHAPTER 9(COMMENCW�WITH SECTION J000)OF�IVISION 3 OF TME 6USINESS AND PRO� � POOUSp3 FESSIONS CODE�OR THAiHE OR SHE IS E%EMPT TMEREFROM AND THE BASIS FOR THE ALLEOED EXEMP� � TION.ANYVIO�RTIONOFSECTION703I.SBYANYAPPUCANTFOqAPERMITSU&IECTSTNEMPLICANTTO Z Re-Root � A CIVIL PENALTY OF NOT MORE THAN FNE HUNDRED DOLLARS(SSaO�.�: � ❑I,ASOWNEROFTHEPROPEFTY,ORMVEMPLOVEESWITHWAGESASTMEIRSOLECOMPENSATION, Q COR1R1BfC18I Z WILL DO THE WORK.AND 7HE STRUCTURE IS NOT INTENDEU OR OFFEREO FOR 3ALE(9EC.704a,BUSI� ,J NESS AND PROFESSIONS CqOE:THE CANTRACTORS LICENSE LAW DOES NOT APPLY TO AN QWNER OF � PROPERTYWHOBUII.DSORIMPROVESTHENEON,ANDWNOODESSIICHWOflKHIMSELFORHERSELfOR � Q THROUGHHISORHEROWNEMPLOVEES,PROVIDEDTHATSUCHMPROVEMENTSARENOTINTENDEUOR m 0 OFFERWFORSALEIFFIOWEVER,hIEBUIIOMGOiiIMPiiOVEMENTISSOIDWIhIINONEYEAROPCOMPLE- Z TION,THE OWNEH•BUIL�ER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NbT BUItfl OR = IMPRDVE FOR THE PURPOSE OF SALE7. ❑I,�S OYINER OF 7HE PFOPERiY,AM EXCWSIVELY CONTRACTING WITH LICENSED CONiRACTORS � TO CONSTRUCT THE PR0.IECT(SEC.�04a,BUSINESS AND PROFESSIONS CODE:7HE CANTRAC70RS LI• V81u8t�W1 ADJ.AREA W CENSE LAW�OES NOT APPLY TOAN OWNER OFA PROPERTY WHO BUILDS OR IMPflOVE57NEREON,ANO F NMOCANTRACTSFORSUCHPROJECT9WITIACON7MCTOR(S)LICENSEDPURSUAMTOTHECONTRAG QUANTITY D SCpIPTION FEE � TORSLICENSELAW.). � ❑I AM E%EMPT 11NDER SEC. B.8 P.C.FOfl TH44 REA90N U � � LL' �ATE��I.��=�� OWNEH � U Z W � LICENSED CONTRACTORS DECUIR ION �y � I HEFEBV AFFIHM UNDEF PENALTV OF PERJURV THAT IAM LICENSED UNDEfl PROVISIONS OF CHAVT6R � � 9(COMMENCING WITH SECTION 7000)OF DIVISION 30F TME BU51NE55 AND PROFE3510NS CO�E,AND Z w Mv LICENSE IS W FULL FORCE ANO EFFEC7. � � UGENSE CLASS UC.N0. � V OATE GONTRACTOR 0- W � WORKERS'COMPENSATION DECLARATION Q = U � 1HEREBYAiFlHMUIV�ERPENALTYOFPERJUFIYONEOFTHEF�LIOWWODECLARATKKJS: � Q O �,_1HqVEANOWILLMAINTAINACERTIFiCATEOFCONSENTTOSELFdNSUREFOPWtlRKERS' _ � fAMPENSATION,ASPROVIDEDBVSECT10N37000FTHEUBORLOPE.fORTNEPERFOflMANCE U Q OFTHE WOPoC FOR WHICH THIS PEFiMIT i5IS3UE0. � A w __IHAVEANDWILLMAINUMWORKERS'COMPENSATIONINSURNNCE,ASREDUIREpBVSECTION Q 370oOFTHELABORCADE,FORTHEPERFORMANCEOFTHEWORKWRWHICHTHISPERMITIS p ISSUEO.MYWORKERSCOMPENSATIONINSURANCECARRIEFANOPOLICYNUM9EqAflE CONSTRUCTION ` ��� Q ? CARRIER PLAN REVIEW z Pp�ICYNUMBER . ELECTRIC Q 0 (IHISSECf10NNE�NOTBE00MPLE7EDOFTHEPER�f'SF'ORONEfiLNDRED00U1R9(5100)OFiLESS} PLUMBING Z ICERTIFY7HATINTNEPERFOPMANCEOFiHEWORKFORWMICH7HI5PEFMRI5155UED.l MECHANICAI C,7 SHALL NOT EMGIOY ANY PER90N IN ANY MANNEN SO AS TO BECOME SU&IECT TO THE Uj WORKERS'COMPENSATIONUWSOFCAUFOqN�A,ANDAGqEETH4iIFISHOULOBECAME WSPECTIONFEE � SUBJECTTOTHEWOqKERS'CAM7ENSATIDNPROVISIONSOFSECTION37o00FTHELABOR Cq�E.I SHALL iORTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE �' p DATE: APPLICANT. SMIP � � ENERGY P/C WARNING:FAILVRE TO SECURE NKIFNERS'COMPENSATION COVERAGE IS UNLAWFUL,ANO SHALL BE LL SU&IEC7ANEMPLOVEflTOCRIMINRLPENALTIESANDCNILFINESUP7DONEHUNOREDTNW3AND ENERGYPERNAT DOlLAR3(tloo,000),W ADUITION 70THE COST OF COMPENSATION,DAMAGESAS PROVIOED FOq IN J SEC710N3ioBOFTHEU90RCODE,INTEREST,ANDAiTOpNEV'SFEES. RETENTIONFEE: � � �, � CONSTRUCTION LENDING AGENCY pRE-ALT FEE: �� s� 4 ___ CL IHEREBVAFfIRMUNDER7ENALNOFPERJURYTHATTHERE�3ACONSTRUCTIONLEN01NGA0ENCY � FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMRISISSUED(SEC.3007,CIVC.�. Z W � LENOER'SNAME F- LENDERSADDRESS ..., ..�. . �...�� .� Q 1 CERTIFV THAT I HAVE READ THIS APPLICATION AND SThTE iNAT THE ABOYE INFOqMATION IS CORRECT. TOTAL FEES � � I AQREE TO COMPLV WITH ALA.CITV AND COUNTY OFOINANCES ANU STATE LAWS RELATMG TO BUILDING CONSTRUCTION.AND NEREBYAUfHOFi12E REPRESENTATIVES Of THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTY F NSPECTION PURFOSES. � COMMENTS _ "a'c,� �r9az�� �C f3e2�` m �° Q, PEHMITTEE NAME(PRIPIT) �� �, �-/3-5�� � StONATUREOFPERMI OA7E -� �� � - RECPT.NO. PAIDBY �VAGbATION � WHtTE—Deparlment Copy,YELLOW—Finence Copy,PINI(—Assessor Copy,GOIAENROD--File Copy,GREEN—Appltcanfs Copy"� .�. �� � � - : �-�...r�..� ....�F.....�. �.. =w.;.,,. �... ...M�..,, .,.. . .,.�. ._ >.,::.� ..., :..: ��Y��"��r,Ysa�A. rw..?ia���N,,.:,i:-�,�„ti�;'!l`J• ,y p,.�y .,w1 Y n::��,+y�r ,➢y.e,,4o-�,�i � W,�gr�!.txr.4 ra�''d-.#��z�d�rY+w .� . . -,.: �., w... .. . �..., . � . ,�'. . .''. � -".\ l�. ,A * �':;., r�.J�'y� � *�' " �ITY OF DIAMOND BA�'' � :���� w�� °�y:� . � 3�� X,�,': . INSPECTION RI�C4RD , „ _, , w;� � .. .. .�._. ;. �;. : v<<; , _. ;„. . � : ,...,�, , .�,. ,,,t . � * 1 . � . . � � i � ,...,+ __ SE"�BACK _. :. : ,. . ....,. FLOOR JOlST . . _:_...__. _ ., . _ . FTGS/FORM�/STEEL _ �FHA REQMTS ' ,: _ _ _ � w,., � .�. , :, ELECTRIC GRt�UND , < ` '.',' , UNDkR FLOOR DUCT� � � ; 3 .;��i n. .^, GROUND PlUMB1NG � � UNDER FLOOR CC�4�IDUIT ''� ---- -- -- -- SLAB GRAL�E ` - . , ' �''� ` ' FIREPLACE FOUNDATION ' � . _ .,.. � _. ._ TEMP POWER _ _ _.. .:�:--- - FIREPLACE BOND BEAM _ : _ ,.: ,.. " � `. ___ __ .... . _ : � :., WATER SERVICE ._. _.__. ._." '. ,:: ,, - MID HT. BQND BEAM ,- , .,;,, , �._�, C ROOF SHEA"T'H#'NG - _"' ' - � -- 8 FT. 80NQ BEAM . ..�., _. ___-_ _ _ � . FRAMINGN�NTII�IATION '-''� - ° !��INAL BQND BEAM � - -� - �; �,,, R�OF COVER _ __ , _ _ _ PRE-GRADING _ _ ROUGH HEATItdG ' � ' ' _ :• BENCHING _._ n r • ROUGk-!EL.ECTRfC . � ROUGH G.RADlNG ROUGH PLUMBING ' - �fNISH�RAbI1VG „� `'' ' �.. , _ ,..., �, SHOWERITUBTEST __ . PC}aL EI.ECTRIC ,;', . . , ' ; EXT.LATH/SIDING _ _� ... ..._.... �U�QL FENGING . .. : ' ,_ : v __.__._ .__. __ _._. ----- WALL INSULATION ,,; POOL FINAL � v,. ,�, _ _ . _. .. 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