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HomeMy WebLinkAbout10354 CITY OF DIAMOND BAR �`��-.+ `,' COMMUNITY DEVELOPMENT DEPARTMENT i � � " ,'� -n,C 21660 E.Copley Drive Suite 190 � -� ' PRESS (909)8b0-3195 Faz(909)861-3117 / C� /'�f,r FIRM '""" BUILDINGPERMITAPPLICATION ; ��� �y } / "� - APPUCATION s ��a PERMIT / p/p o DDRESS �s� S . �Jfr�rG GL�/"'l�" DATE '" ��� -�� NUMBERL� # ��`f�-� � APN �}OT TAACT �SSUE NPE OCC °C OWNER T/�R�%� DATE CONST. GROUP O " ADDRESS � � f✓r�� C` C �ii��' ZONING SETBACKS Z CITY�'As�wl1 ,[1�R ZIP TEL. ' 1 FRONT RW p g APPLICANT M/l-!�..J� .od�S TEL. REAR � Z SIDE/SIDE STREET RW ❑ ¢ CONTFIACTOR �'1/�-[.�,JS �oc� _S SIDE _ C p� ADDRESS Si.�.�5� ,!- 0 CITY C./-�.sJ� ZIPjr7r� TEL. G3-��7.�Y PROPOSEDUSE�C'{�`� � .J .�e " w ARCH/ENG/ z DESIGNER Lf+-C�c� � ADDRESS rLG NO.DWEL. NO. NO. � CITY Qh/"7v-�� y�e1./t ZIP��.�6 TEL.�Py � �'��' UNITS STORIES BEDROOMS cn DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION p� OWNER-BL'IIDER DECLARATION SFRlADD/REM O 1 HEREBV AFFIFM UNDER PENAITV OF PERJURY THAT I AM EXEMPT FROlA THE CONTRACTORS LI- G8f896IC8fP0f� W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPpOFESSIONSCODE:ANYCITYOR (n U CWNTYWHICFIREOUIRESAPERMITTOCONSTRUCT,ALTER,IMVROVE.DEMOLISH,ORREPAIRANYSTflIJC• W Patio/Deck W TURE,PHIOH TO ITS ISSUANCE,0.LS0 REOUIRES THE APPLICANT FOR SUCH PERMIT TO Fl�E A 9GNED W STATEMENT TH0.T HE OR SHE IS LICENSED PUR5UANT TO THE PROVISIONS OF THE CONTMCTORS L6 � CENSE LAW(CHAPTER B(COMMENCING WITH SECTqN 700a)OF DIVISION 3 Of THE BUSINESSAND PRO- LL P001/Sp9 � FESSIONSCODE)ORTHATHEORSHEISEXEMMTHEREFROMANDTHEBASISFORTHEA4EGEDEXEMP� (� V TION.ANYVIOL0.TIONOfSECTION70.11.5BVANYADPLICANTFORAPERMITSUB.IECTSiNEA7PLICANTTO Z Re-Roof ACIVIL PENALTY Of NOT MOqE THAN flVE HUNDRED DOLLARS(5500).): � �I,ASONMEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, 0 C0111f110fC18I Z WILL DO 7HE WORK,AND 7HE STRUCNRE IS NOT iN7ENDED OR OFFEHED FOR SALE(SEC.7od�,BU51� J N NE55 AND PROFESSIONS CAOE:THE CONTRACTORS LICENSE I.AW DOES ND7 APPLY TO AN OWNER OF � PROPERTV NMO BUIL0.S OR IMPROVES 7HEREON,AND WHO DOES SUCH WORN HIMSELF OR HERSELF OR � 7HROUGHHISORHEHOWNEM�LOVEES,PROVIDED7HATSUCHIMPROVEMENTSARENOTINTEN�EDOR m OOFFEREDFOFSILLEIF,HOWEVER7F�EBl➢��INGOFIMPROVEMENTISSOIDWITHINONEVEAROFCAMPLE Z TION,THE OWNER-BUILDER WILL HAVE 7HE BURDEN OF PROVING TNAT HE OR SHE DID NOT BUILD OR � IAIPROVEFORTHEPURPOSEOFSALE). ❑I,AS ONMER OF hiE PROPERTY,AM E%CLUSIVELV CONTRACTING Wlhl LICENSED CONTRACTORS � TO CONSTqUCT THE PR0.IECT(SEC.7060,BUSINESS AND PROFESSIONS CO�E:THE CONTflACTORS LI� V8IU8llOf1 � � "� ADJ.AFiEA W CENSELAWOOESNOTRPPLYTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTHEflEON,ANO � WFIOCONTRACTSFORSUCHPRQIECTSWI7HACAN7FACTOF(5)UCENSEDPURSUANTTOTHECOMRAC� QUANTITY OESCRIPTION FEE TORS LICENSE LAW.1. O ❑I AM DCEMVT UNDER SEC. B.8 P.C.FORTHIS REASON Q e �O d � � d• Y � ¢ do` �LEeI'•lre+L- �, -� � DATE OWNEH � Z W � LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIREA UNDER PENALTY OF CERJURV THAT I AM LICENSED UNDER VROVISIONS OF CHAPTER �. /�� �.. �l�y� d B(COMMENCING WITN SECTKKJ 7000�OF DIVISION 3 OF THE BUSINESSAND PROFES610N5 CODE,MID Z �� �X MY UCENSE IS IN FULL FOFCE AND EFFECT. m � o c__-5 �3 ''f.���,'.7 �/ � ,�--rz.a-� 2 e/. es � LICENSE CLASS LIC.NO. � ���� ?.�f'C�� V DATE f�' 7• �9 �-7 CONTRACTOR �� � 6 d'`1� d W � WORKERS'COMPENSATION DECLARATION Q � 1 HEREBY AFFIRM UNDER PENALTV OF PERJURY ONE OF THE FOLIOWING OECLARA710NS: Z Z _IHAVEANDWILLMNNTAINACERTIFICATEOFCONSENTTOSEIF�INSUREFORWORKERS' a S Q CAMPENSAiION,ASPROYlOEDBYSECTION37000FTHEUBORCODE.FORTHEPERFORMANCE �U O OF THE WOflN FOR WHICH THIS PEFMIT IS ISSUED. � �C.r`� Y.! � 0 ��,. � ;/ � . W _I HAVE AND MALL MAINTAIN WORKERS'COMPENSATION INSUqANCE,AS RE�UIRED BV SEC710N Q 3700 OF THE LABOR CODE,FOR 7NE PERFORMANCE OF THE WORK FOR WHICH THIS PERMITIS ��A� �� ISSUED.MY WORKEflS'COMPENSATION INSURANCE CARRIER AN�POLICY NUMBERAPE: CONSTAUCTION J — / j CARRIER__�� _ � LANR€VIEW � �Lr� �F=✓�If � .�:�/�• �:�y , Z POLICYNUMBER t✓�L'�,j a^��°����° ELECTRI�=C•r' _ C�r• yr ¢ (� � (fHISSEC710NNE�NOTBECOhW.ETE�OF'MEPERA9TLSFOROfJEMItOfi'cD0011AA5(51a0)ORL65.4} PLUMBING Z T• Y Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERIAIT IS ISSUED.I MECHANICAL ___ • SO (� SHALL NOi EMPLOY ANY PERSON IN ANY MANNEfl SOAS TO BECOME Sl1BJECT TO THE N WORKERS'COMPENSATIONLAWSOFCAIIFOfiNIA,ANDAGREETMATIFISHOULDBEC-0AAE INSPECTIONFEE = 6UBJECi TO THE WORKEqS'CAMPENSATION PROVISIONS OF SECTION 370D OF THE IABOR —�/ _ COOE,1 SHALI.FORTHW^I�TH COMPLY WITH TH0.SE PflOVISIONS ISSUANCE T � D • � Z.%�APPLICANT: 4�."K_ .rJ� p DATE:�- s �� � SMIP __ J WARNING:FAILURE i0 SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,M'�SHALL BE ENERGY P/C � SUBJECTANEMPLOYERTOCRIMINAI.PENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS�ftoD.aao),IN ADDITION TO THE COST OF COMPENSATION,OAMAGES AS PROVI�ED FOR IN - ¢ SECTION37080FTHELABORCODE,IN7EREST,AN�ATfORNEY'SFEES. RETENTIONFEE: _ � � � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBY AFFIRM UNOER PENAL7V OF PERJURY THAT 7HERE IS ACONSTRl1CTION LENDING AGENCY �'� �� ,. FOR THE PERFORMANCE OFTHE WORK FOR WHICH 7HI5 PERMIT IS ISSUED�SEC.3097,CIV.C). � Z W � LENDER'SNAME__ _ F- IENDEq'SADDRESS �'• � ICERTIFVTNATIHAVEREADTHISAPPLICATIONANOSTATETHATTHEABOVEINFORMATIONISCORRECL TOTAL FEES �%D• �" � IAGREETOCOMPIVWITNALLCITYAN�COUNTVOR0INANCE50.NO5TATELAWSRELATINGTOBU1lAMG .� � �� � CONSTRUCTION,PND HEqEBv AUTHORQE HEPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE�M MIONED PROC HTV FOR INSPECiION PUflPOSES. COMMENTS 0 � _ . �m PERMIT7EE NAME(PRINT) T � �,, 1 °� ��"�'�-�J i .L✓�`�r✓�-c,�s�+ S-�J'�� p��,,� N SIONANREOF PERIAITTEE �ATE RECPT.NO.f(ifv 7. PAID BY VAUDATION S ~ WH17E—De Ament Co YELLOW—Finance C pa py, opy,PINK—Assessor Copy,GOLDENRO�-File Copy,GREEN—Applicant's Copy �'.;. . .-�,r.•. a .. .3.�,1.�:F;i• , r, �+='✓� , . .. .�,;•Sc: .�,. ... i9ii�JNM�n..�'i��:;S':��a...T.�,.�., .:i":e:.:u.�y[.; .. . �.*,,..<a: . . 'ro.. . , . ., . . , . ,. . � .. . . � . .��.' ,. , , ' . . �I�f'lf �� �i�iifl�f�C� E3r4� : . . INSi��C���� ������? , . � • . i � + o S w - , �� ! .6 ... s � g � nes . .. � .zu.�..�._. •. _. _,. ,,..x., . . .•��......,. ._ . . �. ... " "' ' , S�i BACiC � � FLOOR JQIS-r . ----}`-- --- ----- --- --..�.------�--- ---- - - FTGS/FORMS/STEE� I(� �� �.-- --_ � /�� , Fi-i:4 FtEQi�TS � _ _ , ,.. �.,.,:...._. _--�-t-------- . . -- -- - -- ELECTRlC GROUIVD i UNDER FLOOR DUCT T . - � --- =- . =��..�...�_ -----t=- _.. GROUND PLUMBIIVu IJND�R ��r;CC�hiDUlT � '� �i') � ' - ----- -~ a - ��,-_- -�=-==-- -.-, __ _ : . . : ��-_ _ �_----�.== - ----�.� . . SLAB G�iACiE FIREPLACE FOUNDAT1bN � __ ° ' -- -- ----- ---- - -- TEt�1P PQWER _+- - - FIF#EPLACE BOfVD BEAM . � ` - - - - ----- - . WATER SERVICE _ ----�- --_---------�.._:�' MID FiT. B�ND SEA� . .._ � --------- -- • ;•,�, .:;, : ,,_T AOCiF SHEi4THING �- 8 Fi'. BOND SEAM--------- - - - . FRAMINGlVENTILI�TlON� '_.------ --' � �INAL BOND BEAh4 � . . . -- - ---- - .. ..., RC70F C�VER - _ . PRE-GRAniNG. . -- ------------- - - �_ " . • , .... - - ---- Rt�UCzl-1 HEAT{i�iG - -- BE�3Cf-iiNG� ,- - -------._...-------- - - ----------------- ROl3GH ELECTRiC i ROI:uH GRADfNG � -----t-�---- -- ------- - -.- 3�OUGFi PLUMBING ` : F(NISH:aRAD'NG ---,-•- I —__ •.� _ R ; . �'_"'______' '""_-_ -__ SHaWERlTUSTEST�-�-�- � ' PdO�ELECTRiC ; fdG��l; • � - -- ------*----- -----_. ------ - - �---- ------,_._�...._ EX7:LATH/S{Dlf�G , _ ,-- �_] ��(�L FE�lCING -----_ ^vo��_..� - ----. .. ---- ------. - ........._.. _,._.. - -- ---� iNALL li�lSULATiON ----- --_:_--�- �OOL FiiV,AL ��..-- �Z_-�'r7 � : . ....._ _.. ---. . -- - ------ --------- CEILIidG INiULATION ; OFF SITE IR�fPS. .' ' � --- . . _-._�--..---===-- -- --- DRYtNALL NAILING j DEC3iCAT(t?NS --- ------ ------------- ---r--- _- ------ �-----..�__ . - SEWER � �lNAL.ENG. SEPTlCTANK ------- ----- . _ � l--�-LANt�S�A!'�;IRF�IG.� � . . -� __.�-_. . . SEEP PITJL.L.`-------���-- ----- ,_ON SITE IMPS.'__�,.-- �------- ; .., GASAIR�'ESi ---�� ----�-----_.._�� , FINAL ZONii�G --�-------- `f-----� - - ; , . --a -- - - , __ �/`�� �-�_.____------�---- -.--�- -----� - ---- � FlNAL GONST. - ��' '7 �IRc U�t�T. �iNAL _...�_--------�- --- .. i.�.z.`-`�---; -. __ --�-,-�---------�-------- - ...------... --- --�----_---- - : FiNAL kiEATlhG ' � ; FtEAL�Fi DrPT. FiNA� � _ _....----�-- ' ,----------- ---- - --=---------------- �--------�-- : y ; �3 EV. F t r S PAI U � -- --- - 1, rINAL ELE�7FIC _�-�-- --�- ---f ... _ _,-�--------- ---..._.___�.-�----------i-__�.�...__ :�.' 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