HomeMy WebLinkAbout13997 (856) t CITY OF DIAMOND BAR ������� ' • -- DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES w 21660 E.Copley Drive Suite 190 I � (909)860-3195 Fax(909)861-3117 S E P ] Q 2(1�j2 PRESS ����� BUII..DING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION �( �J PERMIT P/C o ADDRESS I_315 dA�l.l�Y d�s�'q DATE � ," � l� NUMBER�39�'� # � �P A T . TRACT���7 9 ISSUE TYPE OCC DATE CONST. GROUP p OWNER ADDRESS J II�{ I ZONING SETBACKS W CITY ZIP �/l I/�i TEL�JD9�9Fi�5355 FRONT RW ❑ � _ REAR ❑ � APPLICANT TELf.I SIDEJSIDE STREET RW ❑ CONTAACTOR SIDE ❑ ADDRESS�_Q_, ,[L `��j PROPOSED USE � cmr S.�il R)!YL�— ziP -- 7 7 TELS��K�jZ` � -. 8 ARCH/ENG/ � DESIGNER SdIJ�j LAI��T -9�f SIf/�A�S�TN NO.DWEL. O. � NO. ADDRESS � H/aV£FJ z��� ''309 UNITS STORIES BEDROOMS � ciTvF��-TI! LOMA ziP�/� TELy[�9R�'7/DO u� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � O� OWNER-BUILDER DECLARATION SFR/ADD/REM � I � I HEREBV AFFlRM UNDER PENALTY OF 7E0.1UFY THAT I AM EXEMVT fROM THE CONTRACTORS LI� Gef89B/CBfPOR CENSE UW FOR THE FOLLOWINO HEASON(SEC.7031.6 BUSINESSAND PROFESSIONS CODE:ANV qTV OR (n COUlT'WHICHRC-0UIRESAPERMRTOCONSTRUCT,ALTERIMPROVE,DEMOl15H2ORREPAIRMIVS7AUG W peti0/DBCk TURE,PRIOR TO RS ISSUANCE AL50 REOUIRES THE MPLICANT FOR SUCH PERAIR TO FILE A SIONED w � STATDAEHT 7HAT HE OR SHE IS 110ENSED PURSUANT TO TNE PPOVISIONS OF 7HE CONTRAC70RS LI� CENSE UW(CHAVTER V(COMMENCWO WfTH SECTION 7000)OF DIVISION 3 OF THE BUSINESS M1D PRO- � POOVSpB ' I FESSIONSCODEJORiHATHEORSHEISIXEMPT7HEREfROMANDTHEBASISFORTHEALLEOEDEXEMP� (�� TqN.AHV VpL�T10N OF SECTION 7037.5 BV ANV APPLICANT FOR A PEqMIT SU&IECTS THE MPLICANT TO Z Re-Roat � A CML PENALiY OF NO7 MORE THAN FNE NUNDRED DOLLAHS(iGoo).): � 04��M�NEROFIHEPROPEHTV,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECAMPENSATION, 0 COfTIRIBfCIBI - N7LL 00 THE WORK AND THE STRUCNRE IS NOT IMENDED OR OFFEREO FOR SALE(SEC.7W1,BU51- J I � NESS AND PipFESS10N5 CODE THE CONTRACTORS LICENSE UW DOES NOT APPLY TO Ml OWNER OF � PRDPER7Y WFIO BUILD3 OA IMPROVES THEREON,AND N?IO bOES SUCH WORK HIAISELF OR HERSELF OR Q THHOUGH IUS OR HER OMM EMVLOYEES,PROVIDED THAT SUCFI IMPROVEMENTS ARE NOT INTENDEOOR m � OFFEAmFORSALEIF,/pWEVERTNEBUp.DINOORIMPROVEMENTIS50LDWfTMINONEYEAROFCOMPLE- Z �'TqN,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVIN�7HAT ME OR SHE DID NOT BUILD OR� � IAIPfiDVE FOR hiE PURPOSE OF SALE). , w ❑1,tiSOWNER OF 7HE PROPEHTY.AII EXCIUSNELV CONTRACTAlO WfTH LICENSEO COHTRACTORS '' � TO CONSTRUCT TNE PR0.IECT(SEC.70N,BUSIHE55 AND PROFESSIONS CODE:THE CAN7MCTORS ll• V81U8f1 ADJ.AREA W CEl19ElAWpOE9NOTMPLYTOMIOWNEROFAPROPERTY1V1708U9D50RIMPROVESTHEREON.AND � M/IIOCAHTRACTSFORSUCHPROJECTSWIiHACONTMCTOR(S�LICENSEDPUR9UANfTOTHEODNTRAG pUANTITY .DESCRIPTION � mas ucEr�sE uw.�. FEE _ O I AM EXEAIPT UNDER SEC. B.8 P.C.FOR h11S REASqJ J O U 3 � � DATE OwNER � �j W � LICENSED CONTRACTORS DECLARATION W I HEREBV AFFIHM UNDER PENALTV OF PEfUUfiY 7NAT 1 AM UCENSED UNDER PROVISIONS OF CHMTER � (� Y(OOMMENCWO LNTH SECTION 7000)OF DMSION 3 OF THE BUSINESS AND PROFESSIONS CO6E.AND Z X W LICENSE IS Pl FUl FORCE AND EFFECT. m � UCENSE CLASS Y) �- LIC.NO. � C/ — � . V DATE COMRACTOR d LL � WORKERS'COMPENSATION DECLARATION Q � I HEREBYAFFIRM UNDER PENALTY OF PEiUURY f1NE OF�THE FOLLOWINO OECIARAT10N5: Z � . . � . . ' Q. i� . �`f. ' �. �� � _I HAVE AND WILI MAINTAIN A CERTIFlCATE OF CONSENT 70 SELF-INSUqE�FOR MORKERS'' _ � ' � � ` . . � � - . , � COAIPENSATION,AS PROVIDm BV SECTION 37a0 OF iHE LABOH COOE,FOR THE PERf-0� U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. . . ' � „�IHAVEANDWILLAWDRAWWORKERS'COMPEN9A710NINSURANCE,ASREOUIRED S qN -, � � �Q �37000F THE L�BOR CODE:FOR THE 7ERFORMANCE OF THE WORK FOR NM1iICH IS PERMIT IS ' , � ��� ' ,ISSUED.MY YlOFlI(ER5 COMPENSA710N INSUMNCE CARRIER/WD POLICV NU ER AAE y .CONSTRUCTION 1 � ~� cuawEa T" — 4 PLAN REVIEW � VOLICY NUMBER � / � ELECTRIC � (R06sECiqNNEIDNOTSEWA�LETmaFhEFEfi.QfsFORONEHl.t.9qE000un0.s mORLE PLUMBING n q , Z I CERTIFV THAT W THE PERFOiWM10E OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �L11 11!7 I] CJ SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SU&lEC7 70 THE �-�+�+u' �/j WORKEfiS'COMPENSATION UWS OF CALIFORNIti I�ND AOREE THAT IF I SHWLD BECOME FEE ��� J/� SUBJECT TO THE MGHNERS'COMPENSAiION PROVISIONS OF SECTION 370o OF THE UBOR Z'SY"T-- -~j CODE,ISHALLFORTHWITICOMPLYWI7HTHOSEPROVISION9. SUANCE (� ry �t� p DATE: � APPLICANT: �SMIP S�P 1 I � 1�J� w ENER Y�P � WARNIHO:FA0.URE TO SECUflE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,M1D SHALL BE �,i�Y pF,�at;,�iv�v � SU&IECT M/EMPLOYER TO CRIMRlAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSMID (');'� DOLUFL4(S100.000).IN ADDI110N TO THE C0.5T OF COMPENSATION,DAMAQES AS PfiOVIDED FOR IN � SECTION 370!OF THE L/�BOR CODE.MTEREST,ANO ATTORNEY'S FEES. � RETENTION F L��u�`����, �'j p OCONSTRUCTION LENDING AGENCY E; � I HEREBV AFFIHM UNOER PENAL7Y OF PERNRV THAT hIERE IS A CONSTRUCTlON LENOINO AOENCV FOR THE PEIiFORMANCE OF 7HE WOFiK FOR WHICH TMI$PEFMIT I51$$UED(SEC.30Y7,CIV.C.), , Z W � LENOER'S NAME F— LENDERSADDHE55 � I CERTIFV THAT I HAVE RF1D THIS APPLICATION AND STATE THAT 7HE ABOVE INFORA/ATpN IS CORRECT. TOTAL FE ES � � I AGREE TO CAMPLY WITH ALL CfTV AND COUNTV ORDINANCES AND STATE UWS REUTINO TO BUIIDING � , � CONSTRUCTION,AND HEREBv AUh10RIZE R RESENTATIVES OF THIS COUNTV 70 ENTER UPON THE ' Z ABOVE•MENT ED PROPERTY OR I E N PURPOSES. COMMENTS � � � � J � m PEFiM E ( Q (n ' � � SIONA F P DATE � RECPT.NO. PAID BV VALIDATION � � WHITE—Depenment Copy,YELLOW—Finence CoPY.P�NK—Asaessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy �ITY �� �9�6l���� ��9� • � 6�1S�E��'O�f� ff�f��C�9�8� . � �. p �� �: �. _ .� r., .. e_ . — , �y������ ,,�� ���y�,-��� ��V`' U U�JIJC1 � . �` � � o p o� �� ::,; l�l�.�"U Lt`"JUV 1 � p • � LI[J�.1�JLr'1.5`U'U L�iln)�4 '��'' SE7 BACK ' ' FLOOR JOIST , FTGS/FORMS/S7EEL . FHA REQMTS � ' �� ' ELECTRIC GROUND UNDER FLOOR DUCT: � � , . GR�UND PLUMBING UNDER FLOOR CUf�'DUIT .� SLAB GRADE FIREPLACE�OUNDATION • TEMP POWER FIREPLACE BOND BEAM . - WATER SERVICE MID HT. BOND BEAM ' ' ' ' a - a; ROOF SHEATHING . 8 FT: BQND BEAM . •• ' - '-� FRAMING/VENTIL,I/�TION FINAL BOND �EAM � ' ' ' ' ROOF C4VF_R ',. � PRE-GRADINi� '' ��`=° • • ,`�. RC�UGH HEATING BENCHI.N�; • ' � • '� '. • . ROUGH ELECTRIC ROUGH GRADING ROUGH PLUiVIBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDIM1JG POOL FENCING W�1LL INSULATION POOL FINAL CEILlNG IrlSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATiONS SEWER � FtNAL ENG. S�PTIC TANK LANDSCAPE/IRRlG. �SEEP PiT/L.L. ' ' � ON 81TE IMPS. ' G��S I�IR TEST �' FINAL ZONING F(i�1�,�.CCNST. FIRE DEPT. FINAL F1NAL HEATING HEALTH aEPT. FINAL ''f'���i_ELECTRIC DEV. 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