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HomeMy WebLinkAbout16569 (17) �� CITY OF DIAMOND BAR e.��+l� . DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES _t� � 216b0 E.Copley Drive Suitc 190 (909)860-3195 Faz(909)861-31 t7 �U�1� 1 $ 2002 PRESS ���+�^�� BUII..DING PERMTT APPLICATION FIR LY � JOBSITE ' APPLICATION PERMfT 'I„j�,n� P/C o ADDRESS 2 2$ !$ �`h�0 h I��eW �� DATE NUMBER��v J� w � issuE � TYPE occ APN LOTT� TRACT DATE CONST. GROUP p OWNER l�Or� 2or P��I � � p ADDR SS 2 07 I�10.Y�0 a� F�.R'►� IS ZONING SEiBACKS u' CITY 1�� V��.n � �31P�I�G 5 TEL�I U f�'�L�b�6I REAR RW O � APPUCANT TEL.�'���^y� SIDE/SIDE STREEf RW ❑ � CONTRACTOR K�-- Mc�G- �'.►,.� �-�a G SIDE O � ADDRESS 2 • C � v'�- PRaPOSEDUSE CITI( a-�' +�.n�.nte 21P��TEL 7 � i 'G , � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEI. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION N � ONMER•BWLDER DECLARATION SFR/ADDlREM O Q 1 NEREBV AFFRM UNDER VEWIITY OF PERRIRY T1NT 1 AA/E%EMPT fRdA THE CONiMCTORs�I• G01800/CBfpOR W CEN$EIAWFOqTHEFOLLOWIN6RE/150N(SEC.7o71.6BU5,NE55ANOPROFE55qN5GO0E:ANYCIttOR (n . Cz CflUNIYNRCp1REal11RE5AiERMRTOCONSTiiUCT.ALTER�PROVE.DEMOLISH.ORREPAIRANYSTRUC• W Pdi(O/DeCk � �LNRE,VRIdi TO RS 6SUANCE,/L50 REWIRE4 THE AGPUCANT iOR SUCH PEIWR 70 FlLE A SIGNED W � STA7EMENT 7NAT HE ON BNE 6 LICENSED PURSU/�M TD THE FROVISIONS OF THE CONiMCfORS ll• � C@ISE UW(CHMTER i(COMMENdIJ�VnTH SECTION 7000)OF DMSION]OF iHE BUSINE55 AND PRO- . � P��Pa FESSIONS WOE)OR l}UT HE OR SNE IS IXEMPT THEREFRO/A AHD iHE BA515 FOR 7HE FLLEDEO E%EIAP• TION.ANYVIOLAT�DNOfSECT10N7W1.68VANVMPLICAHTFOHAVERAIITSU9JECTSTHEAP7�ICANTTO z Re-Root � J1 C7V4.YENALTY OF NOT MORE THAN FIYE MMORED DOLLARS(f500).): � Olti`�EROF711EPiqVERT/,ORYYEMPLOYEESWITHWAGESA4THEIRSOIECOYDENSATION, � �COR1R10tCi81 . � ' WILLDO iHE WOi1K AND THE STRUCiURE IS NOT IMENDED Oft OFFEHED fOR SAIE(SEG 70��.WSI- _1 NE54 ANO PRDFESSIONS COOE:THE COf(TiUCTOR3 UCENSE LAW OOES NOT MPLY TO IW OWNER OF � iROPERTYMAqBUlD40fiIMPiqVESiHEREON,AN01N1000ES5UdiWORKHIMSELFORHERSELFOR = Q THqOUnNHISORNEROwNEYPIOYEES,PROVIDEDTHATSUGIMPROVEMEMSARENOTMENDEDOR m �1 DiFERmFORSALE1F.110N,EVER7NE8ULONGORIMPROVEYENTI350LDNrtfF11NdJEYFAROFCdARE• . `', TqN,THE OWNEqEUIIDER YALL HAVE MF BURDEN OF pHOVINd TNAT HE Oq SHE DID 110T BUIID OR .�-� MPROVE PoH TNE PURPOSE OF SN.E4 � 04��EROFTNEPfq7EifT'/,N+7IXCLUSIVELYCONTRACTINOWITlIUCENSEDCOMMCTORS Tp WNSTHUCi TI/E PRQIECT(SEC.70M,BUSINESS AND FIWFESSIONS CODE:TNE CONTMCTORS U- Vdll18(iIXl A0.1.AREA GQ15E UW DCES NO7MPL�TO AN OYMER OF A iR07EFiTYri110 W CDS OH uAPPOVES TMEPEON.N1D WNOWHiMCf9f-0RSUCHVROJEGTSWITHACOqTMCTOtI(S�UCENSEOVURSV�WTTOTNECONTMG ou,nNnrr OESCRIPTION FEE � TOfi.aL10ENSEUW} O I IJd IXEMPT UNDER SEC. B.l V.0.FOR THIS RE0.SON U � �= DATE ONTIEH ~ � W UCENSED CONTRACTORS DECLARATION �j � INEREBYAFFIRMUNOERVEN11iYOFPEfWRYTINTI/UAUCENSEDUNDERDROVi510NSOFCHAPTER � , 0(LOMMIENClW WITH SECTION 7000I OF DMSION�OF 7NE BUS�NESSAND PROFESSiONS COOE,IwD Z MY LICENSE IS N FUl FOi10E AND EFFECL m L � uc�se cuss �Z� uc.r+o. L' � p J ►- p,th Z corrrtucro� a � WOFiKERS'COMPENSATION C /Tl / _ � � 5 ut,Yv�aLC pS5 � 1NEREBYAFFIRMUNDERPENALiYO�7E0.UMONEOFTNEfOILOWINGOECLAiUT1ON5: a 2 Gv��'`���S�/��ii` 7 �C7 � �IHAVEANOW�LLAWNTAPIACEfiT�F1CATEOFCONSEMTOSELF�NSUREiORWf%i!(ER5 S 5 � '�`}Qyt � COMPENSATION,ASPROVDEOBY6ECTION77000FTNEV�HORCOOE.FORTMEPERGORMAVCE U Q OFTHEWORKFOiiNM1ACHMISVERMITISISSUED. � Z .�cY G�rp��Q�/ Z(��!�Q G �_IHAVEANOVALLLWMAMWORKERS'COMPENSATIONMSUMNCE,ASRfOUIREDBYSECTqN -y�� � ' •�Il'7� O S�ooOF7NEUeDHCOOE,FOHT1�EiERFORMANCEOFTHEWORKiORWHICHTHi5PER6�lTt5 �0�� ISSUED.AIYWO ERS' PENSATIONWSUR.wCE �ERMrOPOI�C'�NU4IBERARE CONSTRUCTION � CARi11EF �1�1�Q V►1�'1'1'� PLAN REVIEW > � POLICYNUABER NW G ELECTRIC � d � �mssEcr�x+r�mr+oTe[oa.s�ttoanfr�nr.rrsca�a+c�on[ootttuisR�ro�oa�¢ssi PLUMBING W MECHANICAL . � - Z I CERTIFY iNAT b:TIE PERFORMANCE OF E MORK FOA Yn9CN 1HIS FERMiT IS ISSUED.1 � .��-= (} EHAl1NOTEMPLOYANYPER50NW �WNEFSO/�STOBECOM[SU9JECTTOT„E y WOPoCERs'COAIPENSA710NUWSOF IFORNIA,y�DAGREE�IIATIF15110ULOBECOIAE INSPECTIONFEE S SUBJECTTOTHEWOiiKEiis'fAUPE ATIONPRQyI510N90F�5ECTiDN�7�oOFTHEI�BOR �SSUANCE CODE�S1ULL F anNnTM ca.�o� 7N T1105.b OVI i S!1� c 0 �7 SMIP p pATE: '2 �'�"APPLI 1T: � . � � ENERGY P/C WARNiN6:FAILURf TO SECURE WOHKE 5'COMP AT COVEMGE IS VNUN'FUL,AND SHALLBE LL SUBJECTANEMPLOYERTOCNIMWILV NALTIES C FMESUPTOONEMUNDR[OTFIOUSIND ENERGYPERMIT ppLURS�t100,0o0),rlfDDliIONTOTH COSTD CO ENSATION,DMU�ESASPNOVIDEOFORIN ¢ SECT�ON]70lOF7Y1[L/�BORCOOE.W . DA 6rwcrs►Ecs. � RETENTIONFEE: a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � IMEREBVAFFiRMUNDERVEN.LLTYOFPE0.IURVTHATTNEREISA00NSTRUCTWNI£NDIN6AGENCY FOH TME FERiOFMANCE OF TME WOHK FOR WNICN TMIS DERMIT IS ISSUEO(SEG�OY7.qV.C.1. � � LENDERSN/WE � LENDEH'SADORE55 � 10ERTIFYTMATINAVEREMTIISAPPIICATION/�NOSTATEliUTTHEABOVEN�ORAIATqNISCDNRECT. TOTAL FEES �� � I AtiREE TO CdAttV Vn7N ALl CRY AN�COUNTV OR�MANCES AND STATE UWS RELATINO TO BUIDING CONSTRUCTION.AND MEREBY AUT/10RRE PEPRESENTATIVES OF THIS CWNTY TO ENTER UPON THE � ABOVE-M[MqNEAPROPERi7FORWSPEMION7URPO5E5. COMMENTS � � ,� ,,�,�T�rftvM _ 4 iERMI7TEE E /Mq �. I/ O/ N 1I, f Uj SIGNAT EO 7E�inE DA7E � /�,• RECPT.NO. PAID BY � VAUDATION �/ WHITE—Depenment Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Fite Copy,GHEEN—Applicanl's Copy , +t . .... .. . �r . +Z � _ , .. � . , . . . . .. .. . � . . ... ... . . . ..�. . . . . , . , - . CITY OF DIAMOND,BaR , . : ,. . � . ' '� ; �IP�'SPECTi 10P+e RECORI3� . � I_:c,7 � � � � c �� o t " ��c�-�--� - �---�-� . _ . . . . . ..,� �C�E-�r �.: F�I;1�w:� ��''�.��.1� �1�'f-.�3�.�..-.,.�.,�i ��I►!�-�:�.,,�,�I���,��i�� �'n��.y--'-.�.�......u:����-y :=� . K �.k.--- ;SET BACK _.» ......,r I � �..r�. E '•::� � �<� FLOOA J015T . � i i�c,.v� .y ur w, ;FTGS/FORMSISTEEL ' ` : , � . .• - FHA REQMTS ' _ - , - . _ __ �ELECTRIC GROUNQ_. __ __..' '' ! `_. ' ' _ � '. . UNDER FLOOR DUCT -- _ � " ' GflOUND PLUMBING UNDER FLOpR COf�!DUIT - " � • }- ,.c• c � `- iSLA6GRADE -- - � FIRE��AGE'FOUNDATION ;. . � , ,. ; , .. I _' ..� !TEMP POWER - FIREPLACE'BOND.6EAM ' � �� _ � � ; 'WATEfl SERVICE_ _ _ MID H7.BOND BEAM , . . ' : : � -' ^ � , , ; :ROOF SHE!'.THING 8 F7'.SOND BEAM - `-� ' � ; .. . 'tFRAti11NGNENTILIATION -- - - FINAL BOND BEAM � ' � i ; ; �ROOF COVER . PRE-GRADING - � i ;-, �ROt1GH HEATING _ ` BENCHING ,, , ! � tROUCH ELECTAIC ` ' _' ' ' : � ; ROUGH GRADING- - � - ;ROUGH RIUMBING--: -- - - - - ' - - FINISH GRADING ' , i SHO�"JER/TUB TEST- - - � � ' -- POOL ELECTRIC !EXT.-LATH/SI�JING- ' - - POOL FENCING ,WALL 1N5UtATiON - - POOL FINAL ;GE1Llida if�IjULATION, OFF SITE IN1PS. " ' ; DRWJALL NF,(LtNG - DEDICATIrJNS ( • �SEV'JcR - ___ i --- _ FINAL ENG. � � 'SEPTICTANK � LANDSCAPEJIRRIG. � ; ;SEEP P}TlLL. ON SITE IMPS. iGAS AIR TcST FINAL ZONING ;EI7J�l.COCJST._i _ J _ FIRE DEPT:FINAL I ;�lf.AL F{E4Tl�v{'z _ . _ _ . � HEALTH DEPT. FIPJ�,L 'f'i�vA�_[LECTRIC - - -_ - DEV. FEES FAID -- - � ' ;`_;�:A.L°LUMBfNG ENERGY � ,. _ _ _. _ _ . _ ;.�� ���� I � � _ 1�� i l .._ __....__.,,__._ . . � . i ';�% �i� �,i1, i � -- — -- ' �S...s r�.c �_._ ' ,� , � , � ',f _ _ — ----- 1 �. � ��COU{P�E�'�TS ... . ; , ; K ` - - . , � � , .. . . � _ ;: . . _, :. � _ • , �-. . ; , . , � � , , . _ , � _ , _ , SEPTIC TA��1fC SIZE -- - - ' ' — �SEEP PIT/lf SIZE , , -. --'— ,— � -...., .... .�..�.., �.., , , � ' _ - _ i��� ._ � _ , -- � - -'; -- � .,. ; , . • j •\ _ ` , 1���� - . ��j• , _ , i _ - ., _ _ ' _ — - � _ . , - .. 1 _ _ _ . . � . _ � � _ , ___ _..:_�"_ _ .� `� ' .. t'., `.. , -� � � � �