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HomeMy WebLinkAbout11022 CTI'Y OF DIAMOND BAR �� COMMUNITY DEVELOPMENT DEPARTMENT � � ;,,,� 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ^'"' BUILDING PERMIT APPLICATION FIRMLY o DDR1ESS � o / � UJG'��������L'�r� DATEICATION :� � NUMBER P/ � ISSUE TYPE OCC APN LOT rs�� TRACT DATE CONST. GROUP p OWNER /{,�+.td � ADDRESS � � ZONING SETBACKS gcirY `7'd�-r.�,�.. ZIP�s'� TEL.�IG+�-Si�,l��3�`` FRONT Ryy p APPLICANT TEI. REAR p � CONTRACTOR G�- � SIDEISIDE STREET RW p .,e � SIDE ❑ ADDRESS o CITY ZIP TEL. PR�POSED USE ° � ' o ARCFi/ENG/ z DESIGNER w NO.DWEL. � NO. ,� NO. � ADDRESS UNITS STORIES BEDROOMS� � CITY ZIP TEL. N cn DESCRIPTION SQ.F1: FACTOR PSF ADJ.AREANALUATION � OWNER-8L'ILDER DECLARATION SFR/AD�/REM O p I HEFEBY AFFIRM UNDER PENALTY OF PERJl1RY THAT I AM FXEMPT FV'KM/THE CONTqACTORS LI- G8129B/C01p011 W CENSEIAWFORTHEFOLLON/INOREASON(SEC.7o31,5BUSINESSANDPROFE55IONSCODE:ANYC�7YOR (n U COUNTVWHICHREOUIHESAPERMtTTOCONSTfiUC7,ALTER,IMPROVE,DEMOIJSH,ORREPAIRANYSTRUC- W PaiiDlDBCk w NRE,PRIOR 70 IT9 ISSUANCE,PL50 REOUIRES THE APPUCAN7 FOR SUCH PERMIT TO FlLE A SIaNE� W .�r STATEMENT THAY HE OR SHE IS L�CENSED PUHSUANT TD THE PROVISIONS OF THE CANTRACTORS LI- � � CENSE LAW(QiAPTEF e(COMMENCING WI7FI SECTION 7000)OF DIVISION 3 OF TNE BUSINESS AND PRO- POOVS(Jfl � FESSIONSCODE)ORTHATHEORSHEISO(EMPTTHEREFROMANDTHEBASISFORTHEALLEOEDEXEMP� (�f V TION.ANVVIOLATIONOFSECTION7031.SBYANYAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANT7o Z Re-ROOf A CIVIL PENALTY Of NOT MOFE THAN FNE HUNORED OOLLARS(f5oo).): � ❑I,ASONRJEROFTHEPROPERTV.ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, 0 COffIfflBfCIBI Z WILI 00 7NE WORK,AND THE STRUCTURE IS NOT iNTENDE�OR OFFEREO FOR SALE(SEC.70H,BUSI- J � NESS AND PROFESSIONS CO�E:THE CONTMCTORS LICENSE UW DOES NOT APPLY 70 AN OWNER OF � PROPERTV Vh10 BUILDS OR IMPflOVES THEREON,AND WFIO DOES SUCH WORK HIMSELF OR HERSELF OR wTHRIXIGH H�S OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDEOOR m � OFFEREDFORSALE.IF,HOWEVER,THEBUILOINGORIMPROVEMENTISSOLDWITHINONEYFAROFCOMGLE- Z TION,THE OWNER�BU�DER WILL HAVE THE BURDEN OF PFOVING THAT HE OR SHE DID NOT BUIID OR � IMPROVE FOR THE PUflPOSE Of SALEI. W ❑I.ASOWNEROFTFIEPROPERNAME%CLUSIVELVCONTRAC7INGWITNLICENSEDCONTRACTORS Q TO CANSTRUCT THE PROJEG7(SEC.7o�s,BUSINESS ANO PROFESSIONS COOE:THE CONTMCTORS LI- Vd1118tiOf1 ADJ.AREA W CENSELAWDOESNOTAPPLYTOANONTJEPOFAPROPERTYWHOBUILDSORIMPqOVESTHEREON.AND � WHOCONTRACTSFORSUCHPROJECTSWITHACANTRACTOR�S�LICENSEDPURSUANTTOTHECONTRA6 QUANTITY DESCRIPTION FEE TORS LICENSE LAW.). � ❑I qM E%EMPT 11N�ER SEC. 8.8 P.C.FOH THIS REASON � � U � . OC DA7E 2" OWN F- O � � LICENSED CONTRACTORS DECLARATION W .. � � . . � I HEREBV AFFIRM UNDER PENAL7V OF PERJURY THAT I AM IICENSE�UNDER PROVISION30F CHAPTER � d e(COMMENCING WITH SECTpN 7ooa)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE,AND Z }C MV UCENSE i51N FULL ORCEAND EFFECT. � LICENSE CLAS���y � UC.NO. ��lr�� ✓� � U �ATE � 1� CONTRACTO d W � WORKERS'COMPENSATIONDECLARATION � �.� - ��. /1�� .'T /�� - � I HEREBY RM UNDER PENALN OF PERIURV ONE OFTHE FOLLOWING DECLAMTIONS: Z � - ��N/ �oL r1� T rs ti i � I HAVE ANO WILLMAINTNNACERTIFICATE OF CONSEM TO SELFINSURE FOR WORKERS' = L7 4.'� �� "�'�J��4� � r f COMPENSATION,AS PROVIDED BY SECTION 370o OF THE U80R CODE,FOR THE PERFORMAIKE U 'N L '� QOFTHEWOqKFORWHICHTHISPERMRISISSUED. � � _1 HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSUMNCE,AS RC-0UIRED BV SECTION 4Q 3�0o OF THE LABOR CODE,FOR THE PERFORMNJCE OF THE WORK FOfl WHICH iHl9 PERMIT IS ISSUEO.MY WO�RS'CA ENSATION I UPANCECpNRIER-�A^ND POLICY NUMBERARE: CONSTRUCTION � CARRIER P1�'/�'� ��e 4 J–�S PLAN REVIEW Z POIICY NUMBER� G—' ��"� -� GyU ELECTRIC ¢ � (RIISSECiK1NNE�NOTBENMPIETEDOFTHEPERAYfISFORONENII�DFEDDOLLAi{S(5100)ORLESS� PLUMBING W � . Z i CERTIFV THAT IN THE PERfORMANCE OF TNE WORK FOR WHICH THIS PERMIT IS ISSUED,I L C3 SHALLNOTEMPLOYANVPERSONINANVMANNERSOASTOBECAMESU C TOTHE � WORKEqS'COMPENSA710N LAWS OF C RNIA,AND AGREE THAT IF H J�d BECOME INSPEC7ION FEE � SU&IECTTOTkEWORKERS'CAM ATION VISIONS�SECTI OpTHELABOR 1 � � CODE,I ALL F RTHWITH COAIP V WITN THOS PROVISIO . ANC / ";'-�'+� ,�'�. / p DATE: `� � �� APPLICANT: SMIP k� �� "�p,' J WARNINGFAILURETOSECUREWORKERS'COMPENSA710NCOVER ISUNIAWFUL,ANDSHALLBE ENERGYPlC �y SU&IECTAN EAIPLOVER TO CRIMINAL PENALTIES PND CIVII INE TOONE HUNDREDTHOUSAND ENERGY PERMIT DOLURS(5100.000).IN ADOIT�ON TO TNE COST OF COMPEN N,DAMAGES AS PROVIDED FOR IN J SECTION37080FTHELABORCODF,WiEREST,ANDATTORNEV'SFEES. e�i.� 0� RETENTION FEE: 57&. OCONSTRUC710N LENDING AGENCY PRE-ALT FEE: � I NEREBV AFFIF$.1 UNDER PENALNOF PERJURV THAT 7HERE IS A CONSTRUC7ION LENDING AGENCY FOR THE PERFONMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC,3oB7,CtV.C.�. Z W � LENDEft'S NAME F- LENDER'SADORESS W ICERTIFYTHATIHAVEREADTNISPPPLICATIONIWDSTATETHATTHEABOYEINFORMATIONISCORRECT TOTAL FEES //S � � 3 �_ � I AOREE TO COMPLY WIiH ALL CITYAND COUNTYORDINPNCESANO STATE LAWS PELATING TO Bl11LDING !/ � CONSTRl1CTION,ANO HEREBY AUTHORIZE REPRESEMATIVES OF THIS CWNTV TO ENiER UPON THE z ABOVE- ENTIONED PROOEHTV FOR INSPECTION PURPOSES. COMMENTS � � �l��ivt�� m PER (Pi11NT� . , . . Q � '�' � � SIONA R PERMITTEE E - � RECPt NO. PAID BY VALIDATION WHITE—Departmant Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENHOD—File Copy,GREEN—Appl nfs Copy . . . �!�..,�c«r .��.°�;,��s :��;��it� b :�:�;an^�. r nu,,a�¢#�zn �rqu"��'a?�"-��sc",,'�d:x-itlr?'?T�'���4�'n,..�.��:t°�gt�°�cwt��s",�•'..�,ah"�.�xw!8f�t`TM��?�.�;�G,�.,+� ,. . 'n:-:: . . . . . . . _ . . . � ;. GITY QF DIAMOND,BAR ` �_ : :. - �. �.�. :>�, � ,_.� ;.: � ,,�, . . . : � � W;,,•�r.> � :a:��,� , ' INSPECTIO�V RECC)WD , " , ;" _ � �.� . � . � � , . � . . � � , . � . SET BACK,r•_�; . _ _ FLUOR JQ15T _ _ . _ . . _. .. . ,{ :.� _ FTGS/FORMS/57EEL r:. _ __. _ FHA REQMT,S, ,!.^��_ '. . ,� ,..�, _ _ . _ A. . - ,... _._. _. ELECTRIC GROUND '+' a -_: ' UN`DEFi FLOOR DU��_ ,. ��, , . ,' � ^ � •,�c a<:`�,. i :; GROUND PLUMBING r' __ ' , ' ' UND�f�F'LObR CO�IbUIT - � �'.. �" � �" � , ,, , SLAB GRADE . ;" - ._ ' `..'' � FIRE�'LACE F(�t1NDATIUN _ " � - . . .:. TEMP PUWER . . ' FIREPLACE BONd BEAM'.'< , ,d . .� , : :. --- . _. WATER SERVICE .��. " _� � ;'' ._._ " . MID HT. BOND BEAM ;, ROOF SHEATNING 8 FT. BOND BEAM �R� ' FRA1utINGNENTILIATII)N �`• '-` "v` FINAL B�N�BEAM "� �.�, '�- � ROOF COVER . ` _ _ _ . PRE-GRADING ;, ,. ROUGH HEATING BENGHING , flOUGH ELECTRtC , R�UGH GRADING _ > ---- . _ ROUGH PLUMBING F'lNiSH GRAa{NG , SHOWERITUB TEST _.._._. _.._ - POOL.ELECTRIC - � r ° ;,,; ; ._ _. __.__..___ . . . ;. EXT.LATHIS{[]ING __.._. ._ ,.. POC�L FENCING ' , ;,, � - _ --- , `,,.: , , --- WALL thfSEJLAi'ION . POQL FINAL, : �,. , I CEILlNG#NSULATIOf� OFF SITE lMPS. ., , ' ' - DRYWAE.�NAiLEiUG DEDICATION� � . _ . _ —.-_--� f; SEWER _ __.. _... _ FINAL ENG. ; , �; SEPTiCTANK � ; 1 LANDSCAPElIRRIG. ' ; :� __ .._ �------- � SEEP P1TIL.L. ". " - ON SITE IMPS. - ' C�AS AIR TEST _ _ FiNAL ZONING ` FiNAL GON�T. __ _. FlRE DEP�`, FIf�,L,x,' �; . �.:� ...._�.;.r.r:.t �- �°� �{ __._ 1 � ; : > .: FINAL HEAI"!NG ,? �� �( HEALTH aEPT. FINAL , . R�_- _----- -- FINAL ELECTRIC --�—� � �, � DEV. FEES PRID -_-,,: � ,,._._. � �INAL PCUl�7fBING___.. I __ ... ENER,GY ., ,, _ � � _ _ _ , , . , , _ _ � .,�. :. . ; ,�,�,. ;�.�a,�� , �� � , - = .' '� . _.__..... _ .. ._._ ..�..._...'...... ._ r � -- �nd �`" '_ . . . . .. . . .. � -' � � - - . t. . _ -,- .. . . - ._ _ � , a w.� r� r l ��";`"�fi ti`. - �..� �.._.. _y_._:__. __. . � � . �. .- '� �fiw '.> �.: - � _ ,u.:��.�a. 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