HomeMy WebLinkAbout14196 � �XC��� �'� C31.�D� �f-
_!�� CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
I W 21660 E.Copley Drive Suite 190
(909)860-3195 Fax(909)861-3117 PRE$$
���M� BUILDING PERMIT APPLICATION FIRMLY
� JOBSITE APPLICATION PERMIT1 (�, �P/C
o ADDRESS 2006 Silver Hawk Drive 2i�n�tG DATE ��22�99 NUMBER� � a
� issue rvPe occ
APN LOT TRACT ��n�G DATE CONST.�_ GROUP R-3&U-I
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p OWNER Silver Hawk
� ADDRESS ZONING SEfBACKS
w C�Ty Diamon Bar ZiP TEL. REART RW ❑
� APPLICANT ��, j�g��� TEl8�$-��/I-/'ovl
'� SIDE/SIDE STREET RW ❑
� CONTRACTOR Timberland SIDE ❑
oADDRESS PROPOSED USE o,...,.. �
crrv Brea zi TEL.• -S - �1O �u.u�
w ARCH/ENG/
z DESIGNER .,.7.;��„ Nolan NO.DWEL. NO. NO.
� ADDRESS UNITS Z STORIES 2 BEDROOM�PP P1 a
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� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
p� OWNER-BUILDER DECLARATION SFR/ADD/REM
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� I HEREBY AFFlRAI UNDER PEN�LTV OF PE0.NRV THAT I AM EXEMPT FROM THE CONTMCTORS LI� Gef3J0/CefPOft
W CENSEUWWRTHEFOILOWINGREASON�SEC.7031.5BUSINESSANDPROFE55pNSCODE:ANYCITVOR (n
C.� COUMVNMICHREWIRESAPERMRTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUG W P0110/DBCk
w 7URE,PRIOR TO ITS ISSUANCE,A150 REWIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE A SIGNED w
STATEAIENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PHOVISIONS OF THE CONTRACTORS LI�
� CENSE UW�CHAPTER Y(COMMENCINO WITH SECTION 7000)OF DIVISION 9 OF THE BUSINESS AND PRO- � Pool/Spa
FESSpNSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBlSISFORhIEALLE4EDEXEMP• (�
TION.AHVVIOIATIONOF5ECT10N7a71.5BVANVAPPLICANTFORAPERMITSUBJECTSTHEAPPLICAHTTO Z Re-Roof
� A CML PENALTY OF NOT MORE hIAN FNE HUNDRED DOLURS(3500�.):
� OI.ASOWNEROFTHEPROPER7Y,ORMYEMP�OV[ESWITHWAGESASTHEIRSOLECOMPENSATION, � Commercial -
MIILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70u,BUSI� J
NE55 AND VROFESSIONS CODE:TNE COMRACTORS LICENSE UW DOES NOT APPLV TO Ml OWNER OF
N PROPEHTYNTIOBUILDSORIMPROVESTHEREON.ANDVAiODOESSUCHWORKHIMSELFOqHERSEIFOR �
Q TIROUGH HIS OR HER OMM EMCLOYEES,PROVIDED THAT SUG1 IMPROVEMENTS ARE NOT INTENDED OR m
� OFFFAEDFORSALEIF,FIOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCAMPLE•
Z �'TION,THE OWNEREUILDER WILL HAVE THE BURDEN OF PROVINO 7HAT HE OR SHE DID NOT BUILD OH
� IMPROVE FOF THE PURPOSE OF SALE). ^
❑I,AS OWNER OF 7HE PROPEFRV,AM E%CLUSIVELY CONTRACTIN6 WITH UCENSED CONTRACTONS
Q TO CONSTRUC7 TNE PR0.IECT(SEC.7oI4,BUSINESS AND PROFESSIONS CODE:7HE CON7RACTORS LI- VelllflflOft � A .ATiEA
W CENSEUWDOESNOTAP7LY70ANONRIEROFAPROPER7YV1FiOBUILDSORIMPROVESTHEREON.AND
� WIiOCONTRACTSFOR5Ud1PR0.1ECTSWITIACONTRACTOR(S)LICENSEDPURSUANTTOTHECON7RAG QUANTITY DESCRIPTION FEE
� TORS UCENSE LAW.).
0 O I AM EXEMPT UNOER SEC. _B.8 P.C.FOR THIS HEASON� Q
3 � _ �
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DATE OMMER �
W
� LICENSED CONTRACTORS DECLARATION W
� I HEREBY AFFIRM UNDER PEN�LN OF PEiiIURV THA7 I AM LICENSED UNDER PROVISIONS OF CHAPTER �
p. Y(COMMENCINO WI7H SECTION 7000)OF DIVISION�OF THE BUSINESS M1D PROFESSIONS CODE,AND Z
AIY LICENSE IS IN FULL FORCE AND EFFECT.
� LICENSE LASS _ LIC.N0. �D���� �
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V DATE V CONTRACTOR
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� WORKERS'COMPENSATION DECLARATION �i�,,r, a
� � I HEREBV AFFIRM UNDEF PENALTV OF PEiiIURV ONE OF THE FOLLOWING DECURATIONS; �
tn ,, ,� Z
� 1 HAVE AND WILL MAMTAIN A CERTIFICATE OF CANSENTTO SELF-INSUFE FOR WOHKERS' '� ' _ � . • i . � ' � � ' � • �� '
� COMPENSATION,AS PROVIOED BV SECTION 9700 OF THE LABOR CODE,FOR THE PERFORMANCE �U
OF hiE WORK FOR WHIGi THIS PEHMIT IS ISSUED;� � � y- '�' . + � �
� ..» � � ; + . , ,nl � ��.. �t � . (. ' .R'.�.:.;r,,,� � y �.. ':Y.:t [ � �� ..
W �I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION '
Q 370o OF THE LABOR CODE,FOR THE PERFORMMICE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED.MY WO RS' MPENSATION INSURAN E CARR D POLICY NUMBEHARE: � � CONSTRUCTION •/
� CARRIER �� .� �� PLAN REVIEW ' , .. .
� POLICY NUMBER "'� � { � ,.1... n.'F 4 1!^ � . . .. • • .� . ��
ELECTRIC '�.:���
¢ + � r .:1/
o (n�SSEcrqr�Ne�rareEaonw�rIDOFn+ErEw�r�sroria+EMx�oamoalaas�s�ao)oa�ss�, !PLUMBING ; Y , , , . . - _
Z I CEA7IFV 7HA7 1N THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUE0,1, MECHANICAL I•�
(3 SHALL NOT EMPLOV ANV PERSON IN ANY MAtJNER SOAS TO BECAME SUBJECT Tq 7HE�� .� 1 �(,'' • . . . . ?�- -• �.
� WORKERS'COMPEHSATION UWS OF CA�IFORNIA,AN�AGREE 7MAT IF I SHOULD BLCAME t' 'INSPECTION FEE � - ��•.+. ���i.-�� �.
SUBJECT TO THE WORNERS'COM7ENSATION PROVISIONS OF SECTION 37000F THE UBOR �r
CA�E, SHALL ORTHWITH COMPLY HOSfi.PROVI510NS I X � � ��,/ 1 . 'ISSUANCE ���T`*� -�. �„� � �� '
p DATE: O APPLICANT: ' �1�K-1[�1 �K+a�,N` �`�1 Sv/ / '`�•SMIP �Y a•,41�`�� � I•:���, .
t�`:L� � ' �
J �' ' � ENEflGY P/C�- ,.�. `� �'a
J WARNINO:F LURE TO SECURE WORKERS'CAMPENSATION COVERAGE IS UNUWFUL,AND SHA�L BE' 1. - ,.� , , _ ..
LL SUBJECTANEMPLOYEFiTOCqIMINALPENALTIESANDCIVILFINESUP700NEHUNOHEDTHOUSAND � •ENERGYPERMIT,
DOLLARS(f1o0.oDo),IN ADDITION 707HE COST OF COMPENSA7qN,DAMAGES AS PROVIDED FOR IN � �' /J
� SECTION 37oB OF 7NEiLABOR CODE,INTEREST,AND ATfORNEY'S FEES�. ,'RETEI`I�TION FEE: { I� �7
d � �CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
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� I HEREBY AFFIHM UN�ER PENALTY OF PERJURV THAT THERE IS A CqNSTRUCTION LENDING AGENCY � ��
FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HIS PERMIT IS ISSUED(SEC.3007,CIV.C.). �'—'
Z
W
� LENDER'S NAME
F- LENDERSADDRESS
� TOTAL FEES
� I CERTIfY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMA710N IS CARRECT. '
w I AGREE TO CAAIPLV WITH ALl qTY AND COUNTV ORDINANCES AND STATE LAWS REUTING TO BUI�DING
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS CWNTV TO ENTEF UPON THE �
ZABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS
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m PE EE NAME(PRI1fT) -
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SIG 7URE OF PERMITTEE DA ,
= RECPT.NO. D BY VALIDATION
~ WHITE—Department Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy
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SET BACK - ' � � �� FLOOR JOiST � _
FTGS/FORMS/STEEL FHA RE�MTS
ELECTRIC GROUNQ j UNDER FLOOR DUCT
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GROUND PLUMBING UNDER FLOOR CUt�I�UIT i
_._.._._...__
SIAB GRADE FIREPLACE FOUNDATION � __
TEMP POWER FIREPLACE BOND SEAM •
WATER SERVICE MIQ HT. BOND BEAM
RO�F SHEATHING 8 FT'. BOND BEAM •
FRAMINGNENTI�IATION FIiVAL BOND BEAM
ROQF COVF_R PRE-GRADING ' `
ROU�H HEATING BENCHING -
ROUGH E�ECTRIC ROUGH GRADING
' ROUGH PLUMBING � I FINISH �RADING
SN�WER/TUB TEST POOL ELECTRIG
EXT. l..ATH/SIDING POOL FENCING
WALL lNSULATIOiV � POOL FINAL _
����CEiLiNG I�:SULATlON � � OFF SITE iMPS. �
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z:���F�,IR TEST � � FlNAL ZONING �
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���t";;_ELECTRIC DEV. FEES PAID
:� ''�'!PLUMBIMG ' ENEHGY
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