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HomeMy WebLinkAbout10372 , CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT .,,,� 2I660 E.Copley Drive Sui[e 190 PRESS (909)86Q3195 Fax(909)861-3117 �M�"� BUILDING PERMIT APPLICATION FIRMLY � 'JOBSITE ��� �f+''/'���1�F -D1�: s � o ADDRESS ����� �� ���- s �'f� %���-�' DATEICATION j �.'y �`� NUMB R/ ���" #'C c� ISSUE IYPE OCC r APN LOT TRACT , DATE CONST. GROUP p OWNER �,'=•Lal.f}� °?�/}LE./�filJ�;/-( c�i.L'i�/�f' "" ADDRESS� �9` 5�+f/�/T�'-��/a'�'� , ` ZONING SETBACKS W /� ,L'.'L� �,� TEL. CT .�: FRONT RW ❑ Z CITY !��/,��c'%/✓ iq�iIP ��t� ��✓ t—s o APPUCANT 5",a1A'9� �9.5 ="GL'%✓�r'Z TEL. =�=�i'�;/C= REAR ❑ SIDFJSIDE STREET RW C � CONTRACTOR v� SIDE ❑ � ADDRESS ' PROPOSED USE l_%�f"�h�' ,T'/:�-�P� o CITY ZIP TEL. ����`� wo ARCHlENG! �z DESIGNER NO.DWEL. ��QO`. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFR/ADD/REM O � I HEFEBY qFFIRM UNOER PENALTY OF PERJURY THAT 7 AM E%EMPT FROM THE CONTRACTORS�I- � Garage/Carport W CENSELAWFOfl7HEFOLLOWINGREA50N(SEC.7031.SBUSINESSANDPHOfE5S10N5CODE'ANVCIIYOR U COUNTVWHICHHEOUINESAPERMITTOCAN5TRUCT,KTER.IMPROYE,DEMOUSF7,ORREiA1RANY5TflUC- W �Pat10/DBCI( 1 g Z TURE,PRIOR 70 ITS ISSUANCE.AL50 REOUIRES TME APPLICAN7 FOR SUpf PERMIT TO FILE A SIGNED W ' '3�y W STATEMEN7 hiAT ME OR SHE IS LICENSED PURSUANT TO TNE PRWISIONS OF THE CONiMCTORS LI- � CENSE LAW(CHMTER 9�CDMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AN�PRO- � POOVSP3 � FESSIONSCODE�ORTHATHEORSNEISEXEAIPT7HEREFROAIANDTHEBASISFdR7HEALLEGEDEXEMP- VTION.RNVVIOtATIONOFSECTION7037.5BYANYAPPI.ICANTFORAPERMITSU&IECTShIEAPPLICANTTO Z Re-Root � A pVIL VENAITY OF NOT MORE THAN FIVE HUNDRE��OLURS(i500�.)', � � ❑I,ASOWNEROFTHEPROGER7V,ORMVEMPLOYEESWITHWIIOESASTIiEIRSOLECOMPENSATION, � Commercial Z WILL 00 THE YVDRN,AN�THE STRVCTUNE IS NOT INTENOEb OR OFFERED FOR SA.E(SEC,70<a,BUSI- J NESS AND PRDFESSIONS CODE:THE CONTRACTORS LICENSE LAW OOES NOT APPLV TO AN OWNER DF N PROPERTVWH06l/1LD50RIMPROYESTHEREON.ANDWHODOESSUCHWORKHIMSELFORNERSELFOR = Q 7HROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT�NTENDED OR m , W OFFEREOFORSALE.IF,HOWEVER,TiEBlAL01NGOFIMPROVEMENT15SOLDWITHINONEVEAROFCOMPLE- � TION,THE OWNER-BURDER WILL HAVF THE BURDEN OF PROVING THAT HE OR SHE OID NOT BUILD OR Z IMPROVE FOR THE PURP09E OF SqLE). � � �I,ASOWNEROFTHEPROPERTY.AMIXCLUSIVELYCONTRAGTINGWITNUCENSEDCANTRACTORS � TO CONS7PUC7 7HE PROJECT(SEC.7o4a,BUSW ESS AND 7ROFESSIONS COOE:TiE CONTRACTORS LI- V81U9110i1 '� '�ti'� ADJ.AREA W CENSELAWOOESNOTAPPIYTOANOWNEROFAPRDPERTVWHOBUILO50RIMPROVESTHEREON,AND � WHOCONTNACTSFORSUCHPHQ7ECTSW17HACANTRACTORIS)LIC[NSEDPURSUANTTOTHECOMRAC- QUANTITV DESCRIPTION FEE � TORS LICENSE LAW.)_ � O I AM EXEM7T UNDER SEC._ B.L P.C.FORTNIS REASON U � t � LL' DA7E �' OWNER "�R-'_ .I� �i U . Z � W �Q � LICENSED CONTRACTORS DECLARATION W 2 1 HEfiEBV AFFlRM UNDER PENALTY OF PERJURY THAT IAl.1 LICENSED UNDER PROV1510NS OF CHAPTER � � e(LOMMENCING WITN SECTION 7000)OF DIVISION 3 OF THE BUSINESS PND PROFESSIONS CODE.AN� Z MY LICENSE IS W FULL FORCE AND EFFECT. m lLl O � � LICENSE CLASS LIC NO.__ _. J V DATE_ CONTRACTOR �- W � WORKERS'COMPENSATION DECLARATION a � U � INEFEBYAFRRMUNDERPENALTVOFVERJURYONEOF7HEFOlLOWINGDECLAfiAT10NS: C� a � I HAVE AND WIIL MAINTAIN A CERiIFICATE Of COFISENT TO SELFdNSURE FOR WORKERS' _ CAMPENSATION,ASPROVIOEDBVSECTION�7o00FTHELA80RCO�E,fORTHEPERFORMANCE U Q OF THE WORK FOR WHICH iHIS PERMI7 IS ISSUED. � 0 w _I HAVE AND WILL MAINTAIN WORKEfiS'COMPENSATION INSURANCE,AS FEOUIRED BV SECTION Q 3700 OF THE LABOR CODE,FOR THE PERFOflMANCE OF 7HE WORN FOR WHICH THIS PERMIT IS ��. y� � ISSUED.MYWORKERS'COMPENSAiIONINSURANCECARRIERANDPOLICVNUM6ERARE: CONSTRUCTI N __ � � CAR{iIER EW' Z aoLICY NUMBER ELECTRIC ¢ 0 (R165E(:TIONNEmNOTB'c00M%FTFDOFTHEPEMMfiSFORONEHVt�RED00lLAflS(51001�LES3). PLUMBING Z i CERTIFY THAT IN TNE PERFORMANCE OF TNE WORN FORNMICH THIS PERMIT IS ISSUE�.1 MECHANICAL (� SHALLNOTEMPLOVANVPEFSOMINANVIAANNERSOAST08ECAMESUBJECTiOTHE * �/j WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANOAGREETHATIFISHOULDBECAME INSPECTIONFEE SU&IECTTO THE WORKEFS'COMPENSATIOY PROVISIONS OF SECTION 97DOOF THE LABOR r�,��� � CA�E,ISMALLFORTHWITHCOMPLYWIiHTHOSEPROVI510N5. ISSUANCE _ � SM p DATE: APPIICANT� _ .,�f W ENERGY P1C _�.�5 CT�y��J J WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL.AND SHpLL BE — g M �� � SU&IECTAN EIdPLOVER TO CRIMINAL PENALTIES AND CIYIL FINES UP TOONE MUNDHED 7HOUSAND ENERGY PERMIT DOLLAHS(5100.000).IN AD�ITIONTO THE COST OF COMPENSA710N,DAMAGES AS PROVI�ED FOR IN ----- J SECTION 3�08 OFTNE UBOR CODE,INTEREST,ANU ATfORNEYS FEES. RETENTION FEE: Q — d CONSTRUCTION LEND�NG AGENCY PRE-ALT FEE: _ � 1 HEREBVAFFIRM UNDER PENAI.NOF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCV � FOR 7HE PENWRMlWCE OF THE WORK FOR WHICH THIS PERAIIT IS ISSUEO(SEC.3097,CIV.C.). Z W — � LENDEH'S NAME H LENOER'SADDHESS • � ^•� ¢ I CERTIFY THAT i HAVE READ THIS APPUCATION AND STATE THAT THE ABOYE INFORMA710N IS CORRECT. TOTA�FEES � . ��a ��' W IAGREETOCAMPIYWITHALLCiTYANOCAUNT'ORDINANCESANDSTATElAWSRELATINGTOBUILDING /g � ! � GONSTRUCiKKJ,AND HEREB�AUTHORRE HEPRESENTATIVES OF THIS COUNTY i0 EMER UPON THE �J U,a(�, //y��j/^Q' I zABOVE�MENTIONED PROPERTV FOH INSPECTION PURPOSES. COMMENTS��� ��'m`" "—� ��� �!�����' � P� � �f�f'7���L- / ' /'^��G��/"l..t���'Av _ � � m PERMITTE ��E(PRINTI, A � / 1 _ Cn �G'C/''"�" � �,�J,i�..e=._-.d.�,; ���! �� r � SIONATUR,OFPERMIITEE � DATE RECPT.NO. + PAID BV ��� VALIDATION � S ~ WHITE—DepaAment Copy,YELLOW—Finance C opy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy - �..e�:,.r.,W..�.,..�.,...,....m.._....,.__,..._.,.----...----- ......—.__._-__M,>..,..�....F..,�.,....e+-w�wa.�rram�a.w�+;�:� -...0....... .........M,.....,,....._.,_......_......._..._........_.......,...,.�.�.. ............ .. .:. .... . ,-. ,. .. .... ,. , ,,, .. .. . . . . ti , ..:. ,-... ,..:� .: . - �. , ... •.r.;,,... _. . . . ,:_. .. . ,... ,:. _ , ., , . . , ... ri . . . ,. . _. .. . , .,: ...� . �. .,... . ., ...: . .:. . ,s . . ..u. ,... . . . �i�!' �F L71A�A��D.���;� ; �Nl����"�'6��V ������ • , , 1 . � ° � , 4 i � - SETBACK�:. � � ��.�r- � �; FLOOR�!C)!ST � ;____- - . . _. , . �.. . _,, _,. F�'GS/rORM,�/STEEL-- —y_ ------ +'FHA RE'�MTS,-------�}— � -- , . � c � ,a"� � - --- ---------- ELEC7RIC GROUND � -�. . ?: :� � UNDER FIOOR�QUCT � � , GROt)ND PLi1M8iNG " � �' UM�ER�F!_OOR CUAIDUiT----- - ` SLAB GRAD� ...�---- ` . - ---FIREPL�CE FOUNDATI�}tv . . ----- ---- �- - ------- - i EMP PQVVER i F1R�CFLACE�CNC3 BEAM � �.:•.;,, , ;�,�.: �. ----- -- ------- - � ---�-----�-- . WATER SERVIGF � �` i�,11D HT. B�ND BERM --�------------------�- - -•----- --- ._.. __..._ , ------- ----- � :. .. ROCSF SHEATHING : �. _ 8 FT. BCND BEAM f.:`�- ' ` - ----------�--------------- ; - -- -�-- _. _._ _ :. . FRAMINGNENTICIATION .� �_��f _ _ _ �_F"INAL BOND BEA�A .. :. -- - :.. ROOF COVER . P�3E-GRADING - _ � .. - -�------- - - - - - --- ROUGH H�ATING �------- _ ; BFNCi�fNG�------- ---.--- _ - __._.- ----�-----�--�------...--�--------- _,_ ..__--------- ROt;GH�LECTRIG . . Y ROUGH.G�SADlNG .^ . - -- --- ----------� � --- ---- ��`:. _ ROUGH PLUM8ING � � � " G" i �i�l!SH GRAOING�� -a---= --- -- SHOWERlTUB TEST I ?OOL ELECTRIC � � � � --- ---------- - ,� -�— - -.. . -- t-----.._�. -- - tXi.LAi H/aIDING ,�._' POC?L�EiVGfN�----- , - ,� L�NALL INSULATION �JOL F1NAL , •..�..:. . � CEILiNG INSULATiON i QFF SITE I�liPS._.��'__. ._ _ - -_____--�._� —�------- - _ � . , . _ _, :, __ ... . .- . _.__ — ' ` DRYVVALI.N,4ILING ! � L�EDlCt�TIONS ' SE���..�_ . -{- FIiUAL ENG.__--- ------- —�� ` -L---------=-------_-- �._ ----- - SEPTICTN[�K ----� • • � '� , , . LANDSCAPEiIRRIG-- _ i_ �.SEEP t IT/L.�L. . -- � . � _� .. . _.. .. ON SITE iMQS. � . . . ,;;- , . GAS�-- A�R TEST ' ; --------- FINAL ZONIi�G ----------�--j------ ---; ._ �---------�_._-----+' /--. _.---------- -�=---._�_��._---------- -- ---�_._. y FINAL CONST, i�l����� ! � FiRE UEFT,•FiiVAc � __ -- -- -- � FlNAL I-lEATING iiEALif-! C)EPT. F6tilAL � ----. -�._.......-- --------�--------_ ------- �------- --- � ENRL ELECTRIC �_��DEV�FEES_PAi;1 i ^ �� , , _____ __ ---- - -- ---- -- ... .. - --- --;—;--__----- � � , } ` .. -..,._.___.�.---- ._._�._;_ ' ._.� . �FINAL PLUfVlBING ' I �N�FiCY � 4:---.-- --------'-------�--- ---'----�-'-'---...----......-�-----'-'-�—�'---------- ------ . . .. . . . .. " I ' : � . . �---------------'— ---- ---------------`� . . � _��� -. . � , i � � -- ----- --------L-— ------- � • d � ��MMEN`1"S---- � ----- ---------�—�---------��--------------------------------- 4 . , --- � . --- ------------------------ -- --- . - ---- — --- - ---- ----- -- .. _... .. . _ ..... .. ....,_.. .� . ., .._ � . _ ------------�--- -------- �� �----__ __ _______.--- --------- ------•--�----�------- — . :. . . . .. —_._. _��..��i_._,� ___--__--___._._.� __—____' --_ __�_�� _ . . 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