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HomeMy WebLinkAbout11799 (5) ..... .. . ,,,,. _ � . �....� "� /' �1�� � -- - --- CITY OF DIAMOND BAR } � COMMUNITY DEVELOPMENT DEPARTMENT �_� . 2I660E.Copley DnveSui[e 190 PRESS ..........: (909)8G0-3195 Fax(904)861-3117 '""' BUILDING PERMIT APPL]CATION ..FIRMLY o DDR1ESS /�"�� �'�/� C..-���� APPUCATIDN PERMIT 1� P/C !�?O`I DATE NUMBER � q � APN LOT TRACT ZZZ ISSUE���j� TYPE O C `F` — OATE �P ' � CONST..' GROUP p OWNER - " ADDRESS ZONING SETBACKS., w FRONT t RW [:; g CITY ZI = TEL. � p ---- APPLICANT TEL. 'REAR �� SIqE/SiDE 5TflEET - RW CI � CONTRACTOR� SIDE ❑ � ADDRESS � CITY ZIP TEL. PROPOSED USE oARCH/ENG/ � DESIGNER NO.DWEL. . NO. NO. ADDRESS UNITS STORIES � � CITY ZIP TEL. BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BL'ILDER DECLAAATIDN SFRIADDIREM Z. O � I HEREBY AFFIRM UNOER PENALTY OF PERAIRY TMA7 I AM E%EMPT FROM TH'c CONiFACTORS�I� GefeJBlCarp01L gs W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.5BUSINESSANOPROfES510N5CO0E:AN1'GITYOR (n U COUN7YWHICMREOUIRESAPERMI77000NS7RUGT,ALTER,IM�ROVE,DEMOLISH,ORREPAIRANYSipUC� W patid�BCk w Tl1RE,PHIOR TO ITS ISSUANCE.AL50 REOUIRES THE APPL�CANT FOfi SUCH PERMIT TO FILE A SIGNED W � � STATEMENT THA7 HE OR SNE IS LICENSED Pl1RSUANT TO THE PFIOVISIDNS OF THE CDN7FACTORS ll- � . CENSE LAW(CHAPTER Y(COMMENCING Wlhl SECTION 7000)OF DIVtSION 3 OF 7HE B�SINESS AN�PAO- � Pool�Spa FESSIONSCAOE)ORTHATHEORSHEISEXEMPTT1iEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- � � TION.PNVVIOLATIONOFSECTIqJ7031.5BYMIVAPPLICANTFOHAGERMITSUBJECTSTHEAPPLIC41TT0 z Re-Roo} A CIVIL PENALTY OF NOT MORE THAN FIYE MJNDRED DOLLARS(f 500�J: ['�1,AS OWNER OF THE PROPERTY,OF AIv EMPLOYEES W�iM WAGES AS THEIR SOLE COMVENSATION, Z � Commercial YAI1 DO THE WORK,AND 1NE 57RUCTURE IS NOT INTENDED ON OFFEREO f-0R SALE(SEC.7oI4,BUSI� J � NESS AND PROFESSIONS CODE:7HE CONTAAC70R5 LICENSE LAW OOES NO7 APPIv TO AN DWNEFi OF ? 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Z �Q LICENSED CONTRACTORS DECLARATION W i � 2 1HEREBYAFFIRMUNDERPENALTYOFPERJVRVTHATIAMLICENSFDUNOERPRO4ISIONSOFCHAPTER �I , a e(GOMMENCINO WRH SECTqN 7a0a)OF DIVISION 3 OF 7HE BUSINE53 AND PROFE9510N4 COOC.AYD z: X MV UCENSE IS IN FULL FORCEAND EFFEGT. 'r � � LICENSE C S LIC.NO. � •� � j• �� � � � ��t J: V DATE V�+ CONTRACTOA�� , .y� � W a� WOAKERS'COMPENSATION DECLARAT70N �� � ¢� � 1 HEREBY AFFIRM Ut�AER PENAL7V OF GERJURY ONE OF THE FOLLOWING DECLARATIONS: Z� 0 _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELFINSUREFORWORHERS' =i � fAMPENSATION,ASPROVI�EDBYSECTON�TOOOFTHELABORCO�E,FORTHEPERFORMANGE UI OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED. W� p �; w �IHAVEANOWILLMAiT1TAINWORKERS'COMPENSAiIONINSURANCE,A5REIX11RE�BYSECTIDN �}�, y Q 3�o00F 7HE LABOFi COOE,fOR TNE PERFORMANCE OF THE WORK FAR WHICH THIS PERMIT IS � Il I�V� �y h ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE CONSTRUCTION s� J"y !'�1 Li Q CARRIER���''��' . PLAN REVIEW �L(.,�e r � �r.� Z POL�cYNUMeER �b�_ ELECTRIC a � ♦ � �iFIISSECTN7NNE�NOTBECOMPIEfEDOFTHEPERAVfRFOHONEFl4DRCD�OLIMS(f100?qiLESS�. PLUMBING _ Z I CERTIFY 7HAT IN THE PERFORMANCE OF THE WOHK FOR WHICH THIS DER41T IS ISSUED.1 MECHANICAL (�J SHIILLNOTEMPLOVRNYPERSONINANVMANNERSOASTOBECOMESUBJECTTOTHE N WOPo(EFS'COAIPENSATION UWS OF CALIFOPN'A,ANO AGHEE THAT IF I SHOIILD BECOIAF INSPEC710N FEE _ SUBJECT TO THE WORKERS'COMPENSATION PFOVISIONS OF SECTIpN 3]OG OF THE LABOq QCO�E,ISNALLFORTHW17NCOMPIVWIiFITHOSEPROVISiUNS. ISSUANCE I�. � p DATE: APPLICANT SMIP �� J WARNING FNWPE TO6ECl1RE WORKERS'COMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE � ENERGY PIC �]�q LL SUBJECT AN EMPLOYER TO CRIMINAL PENILLTIES AN�CIVIL FINES UP TO ONE HUNORE�THOlISANO ENERGY PERMIT /� �[ OOLURS(5700.000),IN ADDITION TO THE CAST OF COMPENSATION.DAM�GES AS PROVIDED FOR IN . `�.L J SEC710N 3708 OF THE UBOR CA�E,IN7ERE5T.ANO A770RNEY5 FEF.;. � A p� RFTENTIONFEE: �� _ �" jS1 V� - O CONSTRUCTION LENDING AGENCY . PRE•ALT FEE: �_._.__ _ _ �y�► � IMEREBYAFFIflMUNDERPENALTVOFPERJURYTHATTHERE15�CONSTPUCTIONLEN�INGAGENCV _____ FOR THEPERFORMANCE OFTMe`WORK FOR WHI THIS PEFMIT IS ISSUED�SEC 3097,CIV.C.). .. Z ' W -- � LEN�ER'S NAME _..'_"_""'_""'__ '" . "-- 1— LENDERSADDRE55 W TOTAL FEES �ZS, � �r ���j�� e � I CEFTIFY TMAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFOFMATION IS CORPECl. � I A6REE TO CAMPLY WITH ALL C17V AN�COUNTY ORDINANC[S AND STATE LAWS RE'.A'fING TO BUILOIhG � CONSTRUCTION.ANOHEREBYFUTHORIZEREPRESEN7AT!VESOFTH:SCOUNTVTOENTERUPONTHE Z ABOVE� NTIONED VRDPERTY FOR IN 'CiION GURVOSES. � 0 ,,/� COM�AENTS_____ _ _ = 1.�. �1.s !L!�1' � - ¢ PEPMI NAM (PRI � " i7 — I � ��r�'��'�----- T(�`-[�yD � SIGNAT E FPERMITf .T� � = RECPT.NO. � PAID BY � _� ALIDATIO��~��� ~ WHITE—De artment Co YELLOW—Finance Co FINK—Assessor Co GOI�ENqOD—File Co GREEN—A licarn's Co P PY. PK PY, PY, PP PY , . CITY OF DIAN60riVlD BAR IN�RECTIO(� RECORD _�j� � • � i , s �- � � � �� � - _ . E.. .: SET BACK ' FLOOR JOIST-y _ -� ------� - ---=--�-- - -- . : . ? 20 `I _N'�^�''_�� .-� ' FrGS/�ORMSJSTEEL � FHA REQMTS -. . . - ---- ` � '� � _��.;.��_ _ ELECTRIC GROUND �Zl7� ___�•`„_ UNDER F�OOR RUGT :•_;•. ; T_ GROUND PLUMBING I 6-30-? p�_ ,�j UNDER FL�OOR G'��IDUIT ' _. . ••'� _ , _T SLAB GRADE -Z0 _ � ; FIREPLACE FOUNDATION ______ TEMP POWER • �; FIREPLACE BOND BEAM ' ° _ WATER SERVICE � � f_ � � MID HT.BOND BEAM _ ___ ROOF SHEATHING � Z Pi _ ---��-iI� 8 FL BOND BEAM __ FRAMINGNENTIUATION � ' I I FINAL BOND BEAM ROOF COVER I PRE-GRADING _ ROUGN HEATING Z I BENCHING ROUGN ELECTRIC ; � . . ! ROUGH GRADING I ROUG}i PLUMBIRIG ;! __ I FINISH GRADiNG __ SHOWERITUB TEST � Z '��Q� _i POOL ELECTRIC - ----•- -- EXT.LATH/SIDING � POUL FENCING __________� WALL 1NSULATION � � POOL FINAL � ___ __ CEILING INSULATION � f%� � ; OFF SITE 1MPS. DRYWALL NAILING � � � DEDICATIONS _ �_ SEWER � ; FINAL ENG. SEPTIC TANK I ` '; �' ` `� � LANDSCAPEIIRRIG. �._�� � SEEP PITiL.L. I ON SlTE IMPS. I: � GA5 AIR TEST L �j� � FIfVAL ZONING i FINAL CONST. Z i � FIRE DEPT. FINAL i _ FINAL HEATING � � HEALTH DEPT. FINAL _ FINAL ELECTRIC ' I DEV. FEES PAID FINAL PLUMBING _ � ; ENERGY . . � _ S � i �i ' � ' �: ' .' . I : --- i � f � �--r;., ; _ �' �, � _ � 1 � ;k--- . ,. _. -� COMMENTS ti ;.=, , �.. . , 1 ,� •1i , i S� ,1. , . �' r�., ---�----.�.----i' _.� i ' ' �, . :',� _. �--- � I�. <� 1� ,; 1�'1 SEPTIC 1`/�NK SIZE _._,�,.�, . ; SEEP PIT/U SIZE�:T_ � � � - , � �. 1 .4 , lij ----�_.._ ; _. , , ,. . ' E 4. _.- ...'_- l � �C � .. t . . � . .,' ti � ;� � �j , 1� ' , t,. � . '