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HomeMy WebLinkAbout10610 _� P _.,, �, _,. _ _. __. _ .__.____. ��,r�4+��_��:�' I �r�wh CITY OF DIAMOND BAR �� ✓� /r ,,,�""*� COMMUNITY DEVELOPMENT DEPARTMENT ' � / : � • � 21660 E.Copley Drive Suite 190 1 (909)860-3195 Fax(909)861-3117 PRESS - �"""'� BUiLDING PERMITAPPLICATION FIRMLY � �� � JOBSITE 4 ADDRESS 2870 WOODBRIDGE COURT APPUCnTION !� � Cj'� PERMIT O�n1 � P/C ��,�►�� p DATE ! � NUMBER lJ # � ISSUE TYPE OCC APN LOT 15!16 TRACT 4 7 8 51 DATE CONST. GROUP p OWNER DIANIOND BAR EAST PARTNERS o ADDRESS 3480 ToYrance Blvd. Ste. 300 ZONING SETBACKS Ter�ance �� � 9�- 1G0-399 FRONT Rw ❑ g CITY ZIP TEL. 1 5 REAR ❑ APPUCANT R� h rd Gntil d TEL�;?mP ahovP SIDE/SIDESTREET RW ❑ � CONTRACTOR J.C.C. Enterprises SIDE ❑ ADDRESS same as owner � CITY ZIP TEL. PROPOSED USE NPw S�n�l e Family ReS�deriCe w ARCWENG/ z DESIGNER R1C�1�Y'd Gould NO.OWEL. NO. NO. a ADDRESS S�m2 8 S oemer UNITS 1 STORIES i � � CITY ZIP TEL. BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O OWNER-BL'ILDER DECLARATION SFR/ADD/REM 11 138 /� r 1 HEREBY AFFIRM UNDER PENAITV OF 7ERJURY THAT 1 AM EICEMPT fROM THE CONTRACTORS LI- GHfflQ6IC81p01� 1�O�-F 3 �p W GENSELAWFORTHEFOLLOWINGHEASON�SEC.7o3L58USINESSANOPROfESSIONSCODE:ANYCITYOR (� U COUNTYWHICHREQUIRESAPERMITTOCONSTRUCT,AL7ERJMPROVE,DEMOLISH,ORREPAIPANYSTRUG W P8I10/DBCk�a, p Z TURE,PRION TO iTS ISSUANCE,ALSO RC4UIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE�151GNED 1 C O O� i � STATEIAENT THAT HE ON SHE IS UCENSEO PURSUANT TO THE PqOVI510NS OF THE CONTRACTORS U• � � CENSE UW�CHAPTER e(COMMENCING WITH SECTION 7000)OF�IVISION 3 OF THE BUSINESS AND PRO- POOUSpa � FESSIONS COOE)OR THAT HE OR SHE IS EXEMPT7HEqEFROM AND THE BASIS FOR THE ALIEGED E%EMP• (� 710N.ANVVIOLATIONOFSECTION7o31.58YANYAVPUCAN7FORAPERMITSUBJECTSTMEAPPLICANTTO Z Re-Roof � A CIViI PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(S5ao).): � ❑I,ASOWNEROFTHEPpOPERTY,ORMYEMPLOVEE5WI7HWAGESA37HEIRSOLECOMPENSATION, � COfnRIBfCiel WILL DO THE WORK,ANO THE STRUCTUfiE IS NOT IMENDED OR OFPERED FOR S�LE(SEC.7os6,BUSb J � NESS ANO PROFESSIONS CODE:THE CONTFACTORS LICENSE UW DOES NOT APPLY TO AN OWNEF OF =p o r ch 4 3 PROPERTY WFIO BUILUS OR IMPROVES THEREON,AND WHO DOES SUCH WORN HIMSELF OR HERSELF OR ' [C THROUGH HISOR HER OWN EAIPLOYEES.7NOVIDED THAT SUCH IMPROVEMENTSAHE NOT INTEN�EDOR m W OFFEFEDfORSAIE.IF,HDWEVER,7HE6llILDINGORIMPPOVEMEMISSOLDWITHINONEVEAROFC06APLE- " ZTION,TNE OWNER-BUILDER WILL HAVE THE BURUEN OF PROVINQ THAT NE OR SHE�I�NOT BUILD OR � = IMPROVE FORTHE PURPOSE OF SALE). �, ❑I.AS ONMER Of THE PROPER7Y,AM E%CLUSIVELY CONTRACTNO WITH LICENSED CONTRACTORS 1 � To CONSTRUCT TME PROJECT(SEC.7oa1,BUSINESS AND PROFESSIONS CODE:THE CONTR0.CTORS LI- V81U8110f1 � ADJ.AREA r� W CENSELAWDOESNO7APPLY70ANO4VNEROFAPROPERNWHOBUILDSORIMPROVESTHEREON.AW � � WFIOCONTMCTSFORSUCHPROJECTSWITIACONfRACTOR(S�LICENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE � TORS LICENSE LAW.1. � ❑IAMEXEMPTUNDERSEC. B.EP.C.FORTHISREASON Q � U LL DATE OWNER � Q W � LICENSED CONTRACTORS DECLARATION W � I NEREBV AFFIRM UNDER PENALTV OF PERJURV THAT 1 AM LICENSED UNDER PROV1610NS Of CHAPTER � d 9(COMMENCINp WITH SECTION 7000)OF DIVISION 30F THE BUSINESS AND PROFESSIONS COOE,AND Z X MY LICENSE IS IN FULI FORCE AND EFFECT. m L!J � LICENSE CLASS R UC.NO. �I�J��Q � V DATE CONTRACTOR T.C.C. F•T1t. GJ. W � WOAKERS'COMPENSATION DECLAHATION a � IHEREBYAFFIRMUNDERPENALNOFPERJURYONEOFTHEf-0LLOWINGDECLAMTIONS: Z � _I HAVE AND NMLL MAIN7AIN ACERTIFICATE OF CONSENTTO SELF-INSUHE FOR WORKERS' ¢ 2 Q CAMPENSA710N,AS PROVIDEO BV SEC71IX�137000F TNE LABOR CODE,FOR 7HE VERFORMANO@. OF THE WOFK FOR WHICH THIS PERMIT IS ISSUEO. � V W 1� �HAYEAND WI�L MAMTAIN WORNERS'COMPENSATION INSURANCE,AS REQUIRED BV SECT � Q 37ooOFTMELA80RCODE,FORTHEPERFORMANCEOFTHEWOPoCFOFWHICHTMISVERMITIS (7'lf� ISSUED.MY WORKERS'CAMPENSATION INSURANCE CARRIER AND POLICY NUMBERARE:9 CONSTRUCTION��i / !7/�Y �,C� �j`� � � CARHIEP �.(]7' �(1T'?1l Si �!��'u'�Y QYj.C�'c t].Qn�".f� (� EVIEW `t"� s Z PIX.ICYNUMBER GT9F1R�LLFi54L4 �� f�" RIC ¢ � (�}USSEC710NNE�NOTBEODN�f'LEfEDOFTfPERRY�ISFOFip�EfA1NJRED�OI.IAqS�§100)OqLESu} PLUMBING I�°� Z I CER7IFY THAT IN THE PEPFORMANCE OF THE WORK FOR WHICH THIS PER41T IS ISSUED,I MECHANICAL (�^ C!3 SHALL NOT EMPLOYANY PERSON INANV MANNER SOAS TO BECOME SU6JECT TO THE Uj WORKERS'CAMPENSATION lAWS OF CAIIFOFNIA,AND AGREE THAT IF I SI�KK1L0 BECAME INSPECTION FEE SUBJECT TO THE WORKERS'CALIPENSATION PROVISIONS OF SECTION 3700 OF THE UBOR s CODE,I SMRLL FORTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE �� � p DATE� APPLICANT SMIP � J WARNIN�:FA0.URETOSECUREYJORKER3'COMPENSATIONCOVERAGEISUNIAWFUL,PNDSHA�LOE ENERGYPIC � SU&lEC7AN EMPLOYEH TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNORED 7HOUSAND ENERGY PERMIT OOLURS(5100,OOoL iN ADDITION TO TME COST OF COMPENSATION,DAMl1(3E5 AS PROVIOE�FOR IN J SECTION3700OFh1ElABORCODE,INTEREST,ANDATTORNEPSfEES. � RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 MEREBY AFFIqM UNDER PENALTY OF PERJURV TXAT TNERE IS A CONSTflUCT10N LENDIN�RGENCY FOR THE PERW RMANCE OF THE WORN W R WF9CH THIS PERMI7 IS ISSUEO�SEC.3097,CIV.C.�. Z W � LENUER'S NAME 1— LENDER'SAODRE55 W ICEHTIFYTHATIHAVEREAD7HISAPPLICA710NANDSTATETHATTHEA80VEINFORMATIONISCARRECL TOTAL FEES r �• � � � I AGREE TO COMPLY WITH ALL CYfY AND COUNTY ORDINANCES M1D STATE L4W5 RELATING TO BUILDING � CONSTRUCTION.ANO HEREBY AUTNORIZE RE7RESENTATIVES OFTHIS COUNTY TO ENTER UPON THE � z ABOVE-MENTIONED PROPEHTY fOR INSPECTION PURPOSES. COMMENTS � ��,t�—l{��E—"t� G L�C-1 L'(� < .� a��� � � � SIO ATUREOFPERIATTEE OA � � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOL.�EN O Ile Copy.GREEN—AppllcanYs Copy ;. . .:. . ,. ,, .. . ,. ,. ._, _ . , . .. .... , . . . , .. . . ...z . �. fr�`'-- . , \.:� V� A i,.o.F..�'S�+'�S-�'�Ir� ��"4R .-.--�s� )ir A�, 1�:: �� �r 5 ,_ . f ' �::': ', .;. „a..i. . �. , : . _ _ IRI'5����Ti�� ������ , � .., x; � ��� <�, nu. ���:- f ` ' � i � . 0 . � � P , o � ■ " _ � 9 _ .Fi �t"}F«JC�IS7 , � . __ _y.__ _. � __ , _.__.__ __�__._.� .,y:.._ FTGS/FOR�UIS/STEEL �z 9 � w � i! _.___-- —_._._�___ �� . /� FH� R�C�MTS ._ SET BA •, , ____ _ ---_ ___°Gt,ff/� _...._�_ _ ' _,._ ..___._. EIECTRIC GROUND UN.DER Fl_<)OFt DUCT y lz-5� -- . _ ___ �_ ___ GROl1ND PLUMBtNG � � � � UND�R FLOOR CC�t�lDl.tlT - ---- --._ __ ___��_.�— _ �._ _ S4�AB GRADE :.::___` �� � �._.__._. FIREF'LAC`E Ft�UN1�l�TCt�N _ Y/ _y7 - _.�________ _ _--- --____ _ _______ ___ _ _ __ TEMP POWER F6REPLAGE BC1N[7 BEAM "` ' � __..�_ ._____ _ �,... WATER SERVICE � _. _:____._ ��` __ . MID HT. BC?ND BEAM y:_. ___ _ W � 8 FT E3C}ND E3EAM '� ROOFSHEATHING J I //���9� ____._____._...� r..� _...... . . _ �__ __ _____�_�_._. FRAIVIINGNENTILIATIC7N I d�2���i2� !__..�+'S_. '�F`INAl�.�3C�N��iFRM . _.__�_..__�_...__� > —r-_� _. ROOF COVER � PRE GRADIN� _ _�_ _. ____. ____. �___:_..� �:__;_________ ..� FiOl1GN F�EA�'INta,_ __._. f�2��9,�� �s BENf HING { _ _ � � _. . . Ri�U�H ELEET-1=�IC ._:_._.. %�1.�' %�_;�(+�,5 ROUGH GRADINC".,� � � -- _, .L� ' uL.e..{ _..:..a;L.aL <G:..:�.�..�'llA1 .... . .....,... —. :.V-, _ �-.. . FiMSH�G�i�1T�l�� �, : , ROUGN PLUMBIPJG � ��y �q'�'; �� �----- . -- ----------_ ._.._.n...... _.,:�_._.._.... _ _ _.__ .. SFiOWER/TUBT�ST ` __. Pt3i�L�(,.�GT;'�;t�, ., ; , / J ___. __ - : EXT.LATN/SI[�ING ' f�s y,� .�' C'(�OL,EENCiN�`a �_�----. �� � _� _� _'__.�.__. l�P --- - _ , ` ,__ WALL lNSl3lATION �� Z,a` `I,Y � ���'v� . . � POC�L FINAL ` ^ _� _.�.... _:.::..� _._._._,_ .�_..... �,+...__� CE6UNCa INSULATION � d, . _.._ QFF SlTE IMPS, : ` ` " .— ���1 � ..?� _ _ _ � __ �—_— � _�_. �___.. AILING ����'�'' _ � I DED(CA�fONS : .M�. _ ___. __ ._.._ -.— ' SEV1f�RLL N; . , �� 4 . __ ,.FINAL ENG. ;' , , .. __�_ --- _____:�._._.__ ____.._____.. SEP.TiC TAhIK `" � l_ANd5C/�r�i1�R�?I�, . , .,, _ _---._.____ .__.._..__,_. -r— _-^-^--�. �. „�..,__��._ SEEF? PIT/L.L. ON SITE 1P�lIPS. _ Pl __ ___ _-- - —____..____�_.—_. _ � ____.._______. GAS AIR TES7 � '� ,� � FiNAI ZQNING � _- -- . __ _�_ T_ _.. _ ! 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