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HomeMy WebLinkAbout11997 �- � - - .J_... ..--------� - � . - -.. �„� CITY OF DIAMOND BAR ' • DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Coplcy Drivc Suitc 190 (909)860-3195 Fax(909)861-3117 � PRESS �'�^�. BUII,DING PERMIT APPLICATION FIRMLY } JOBSITE `l/ APPLICATION ry PERMIT I P/C o ADDRESS � � DATE � � � d NUMBER � `_ �q '7 N � APN LOT TRACT DA7E ? Z9 'YPE °CC p OWNER >`/���/1,�i'S /Gf� CONST. GROUP ADDRESS 20NING SETBACKS � CITY ZIP TEL. REART . RW p APPLICANT TEL. SIDE/SIDE STREET RW O � CON7AACT � SIDE ❑ � ADDRESS * •PROPOSED USE CITY ZIP TEL. - + o ARC NG/ ,// � DESIGNER /yTL/�— NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUIIDER D�CLARATION SFR/ADD/REM O p I HEREBY AFFlRM UNOER VENILLTY OF VEiWRY TUT 1 AA1 EXEMPT FROA1 TNE CONTRACTOitS LF ' Ga�a���rt � � CQISFUWFORTHEiOLLOWP1�Rf�l50NISEC.7D7t.6WSWE55ANOPPCiESS�ONSCO�E:ANYCITYOR _ (n COIMTYYA/K]INEOUYIESAVERMITTDOONSTAUCi,ALTERMVRpVE,pEAqU5F1.ORHEFuqANVSTRU6 W Pd11OlDBCk TUHE,PRqH TO RS ISSUNICE./�LSO REOUINES THE APPLICAI7T FOR SIKH PERMiT TO FIIE A SIGNED w STATEMEM T}UT HE OR SHE IS IICENSED PURSUANT TO THE PFiDVI510N5 OF TME CONTMCTORS LF � CENSE Uw(QNPTEH v(WUA1ENCw0 YA7H SECTION 7000)OF DIV151DN]OF TME BUSiNE55 M!J PRP u- PooVSpa FESSANS COOE)OR TIU1T ME OR SME IS IXEMPi 7MEREFR0IA IW U TME BASiS FOR 1)7E Al1EGED EXEMv- TION.AH'/VIOLATIONOFSECTION70JI.68YANYAPPLICA1fTF0f1ADERMITSUBJCCTSTHEAPPUCANTTO Z Ro-Rool � ACMIiENALTYOFNOTIAORETHANFNElA1NOREDDOIURS(l500).1: � Ol�SOM�NEROFTHEPROPERTY.ORYYEUPLOVEESNnTHWAGCS/uTNE:f150LECOYPENSAT70N, O COAImerCL71 - � MALL 00 THE WORK AND THE STRUCfURE IS NOT INTFNDE�OR OFFEREO FOR SALE�SEC.7aN,BUSI- J � NESSMlDPROFESSWNSCOOE:INECONTMCTOqSUCENS[UWDOESNOTAPPLYTOANOWNEROF ? PROPEHTY YAfO BUlD50R NPROVES 7HEREON.AND YMO DOES SVQI N'�RN MIMSEIF OR HERSELFOR Q TMROUOMNISORNERONNEYPLOYEES,VIiOVOE0IYUTSUCHM�ROVEIAEHTS�RENOTRlTEI�EDOR m � OFFEREDFORSKEIF,IION'EVEqTMEBUilDW40RIYPROVE4EHTISSOLDWfTItlNONEYFAHOFWIARE• Z 'TION.THE OMMERBUttDER YALL HAVE THE BUROEN OF PROVINO iHAT HF OR SHE DID NOT BUILD O(i = M7ROVEFORTHEVURDOSEOCSALEI W Ot�qM1EROF711EPpOPERTY,AMFXCLUSNELVCOHTMCTtNON'RHUCENSEDCOHTMG70llS � 70 CONSTRUCT TNE PROJECT(SEC 7ou,BUSINESS AND PROFE5510N5 LODE:THE CON7MC70R5 U• VdN0110n AQI.AREA � CEl1SEUWDOE9NOTMPLVTOANOKNEflOFAVROPERTYVAIOBURDSORMPRO'YESi11EREON.MA W1�OCONiRACf3FORSUp1VRO.IECT51M7HA00NTMCTOR(S�UCENSEDPU0.5UM7TTOiHECOHTMG pUANTITY DESCRIPTION FEE . � TOR..LICENSF UW.�. OIAYEXEYPTUNDE0.5EC. B.IV.C.GOATH15REA50N U I I P - O � �/ 3 � DATE priNER V � � �� � UCENSED CONTRACTORS DECLARATION W J � IHERGBYAFFIRYUNOERiEW1TYOFVE0.AIRYTU71AA1L10EN5EDUNDERPROVISiONSOFCNADTER V, S /�CO�MENCCI�NTT}15ECTION7000)OFOMSION70FTHEBUSINESSANDPROFESSIONSCWE.ANO Z X W UCENSE IS N FUIL iO/RC�E ANO EFFECT. 0 LICENSE CLl S ✓/� LIC.NO. � � �"'j DATE � cortrrucron a w � WORKERS'COMPENSATION DECIARATION Q � I H[REBYAFFlRM IINDER VENALTY OF OE0.NRY ONE OFTHE FOLLOWING DECUMTqNS: Z � �INAVEANDWILLIUMTNNACERTKICAiEOFCONSENTTOSELFdNSUREFORVlORKERS' _ CpIPENSATqN,ASPROVIDEDBYSEGTION]7aoOFTHELABORC00E,fORiHEPERFONAIWCE W gF7HE WORK FOR NM111p17M5 CERMIT IS�SSUED. � Q� ��NAVEANDN"LLMARRAMYVORK[RSCdIPENSATqNINSUMNt[.ASREWIREDBYSECTIDN ]7oa Of THE LABOR CODE.FOR TME PERPORMANCE OF iHE WORK FOR WHIp1 iH15 PERMIT IS � 65UED.4YNORKERS'COMPENSATIONIN URANCECMWERMID�OLICYNUAIOERARE: CONSTRUCTION � � GARIER �7 �' /v:� PLAN REVIEW � ����"B�R��, , ' .ELECTRIC �L D, �D � (nuS�CiqNrE�wisEm.REtmoFncPEwar6raROSNuuitvooul�lu(Siwlor�tFssl PLUMDING Z ICERTIFVTHATNTHEPERFOiiMANCEOFTHEWORKFOHNMid/TNISVEiU11TI5155UED,1 MECHANICAL (J SHALLNOTEMPLOYANYPE1i50NwANYYANNERSOASTOBECOMESU&lEC7TOTME (n 1WRKERSCOMPENSATIONUWSOFCALIFORNI/�ANDAGREEiHATIF151qVLDBECOME INSPECTIONFEE SU&IECT TO TME WORKERS CpAPEN511T10N VROV1510n i B SECTKKi 77000F THE IABOR s COOE,1 ORTHWITIW�.�PLYWITHT R S. ISSUANCE S��OD O r : � p OA7E: Q_ Avat�CaNT: . SMIP �„ '�C� � ENERGY P/C WARNINO:iMURCTOSEGUREWOfLCERS' vEN5A7pNCOVEMGE15UNLA'RFUL,ANOSHNiBE �"y 6lAJECTANFMPLOVERTOCRIMiN�LPENALTIESANDtMlFWESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DqlARS(f tao.0aa1.W 1�[10ITION TO iHE COST OF ODMPENS�TION.OAMACES AS PROVIOED FOR IN � SECTIONf7alOFTNEUBORCOOF,NTEREST,ANDATTORNEYSFEES. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMER£BVAFFIpMUNDERVENALTYDFVEiWRVT1UTiMEREISACONSTRUCiIONLENDINaACENCY FOR iME PERFOPIAAHCE OF TH[WORK FOR WHICH TMIS 7ERI.IIT IS ISSUED(SEG 7oV7,CIV.G�. . � �LENDER'SNAAIE��� - C LENDEIrS:IDORE55 � TOTAL FEES � 1 CERTIFY iHAT 1 FUVE REID THIS APPLICATION IWU 5TIITETTIAT THEABOVE N�OiW�TION IS COMECT. 1 AOREE 70 LOGFLY WIM ALL CT'ANO COUNTY OROCLW CES AND STATE UWS REUTNO TO BNLDING n � CONSTRUCf10N,/�NOMEREBI'AUT}qRIZEREPRESENTAT1YE50FTM45Q"%MTYTOEMEflUPONTME . � I , AWVE�MENTIONE�VRDVERTYFOqINSPECTIONVURPO5E5. ( V Q -� '� ! ��i� COMMENTS = U � m ERA1 ' Q �� � iw1 EE D � RECPT.NO. PAID BY VALIDATION YVHITE—Dopertrnen[Copy.YELLAW—Flnance Copy,PINK�Hseesea Copy,GOLDENROD—File Copy,GREEN—Apptican['s Copy ' ' � . . .. ' ' ' . . . . . . . .. . `t' . . .. .. . . . � .. .. . �..5'. �� ...� .. . ... . . . .. . .. � r ' � , .. . � CITY OF DIAMOND BAR : ,. . , � ' . ' INSPECTION RECORD� �' � '; ; ; ' � . ,.: � � . • - � � � • � . SETBACK • '. ' ' ,�' � ; � ��\ � FLOORJQISTj. �, '• � ' i FTGS/FORMSlSTEEL ` \ �,�-.• FHA REQMTS ` \ - �-- � ELECTRtC GROUND - - ' - ' � UNDER FLOOR DUCT :';�-�,� . . ,.::,;:. �.. . ', GROUND PLUh1BING �UNDER FLO�R CO�IDUIT � ; SLAB GRADE � � FIREPLACE FOUNDATION - ' ! • TEMP POWER-- - � - FIREPLACE BOND BEAM WATER SERVICE - - MID HT.BOND BEAM- _•�� '� ' ' � = � � � � . �;,'�. ... --••--•�- • -- --- - ROOFSHF�ITHING - _ ' 8 FL BOND BEAM-'�.�` .; , :,� � ,• . � �,'. ! . FRAMINGNENTILIATION FINAL BOND BEAM �,•, .. •� ' ROOF COVER . - PRE-GRADING � � " ' � � ROUGH HEATING � -- - - BENCHING - � � - � ROUGH ELECTRiC - - - � ROUGH GRADING ' ROUGH PLUMBING - - - � - FINISH GRADING . SHOWERITUB TEST - � - POOL ELECTRIC • EXT.LATH/SIDING POOL FENCING VVALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS. - DRYWALL NAILING DEDICATIONS ' SEWER..,_.. FINAL ENG. � SEPTIC TANK - LANDSCAPE/IRRIG. SEEP PIT/L.L. -- '-- ON 51TE IMPS. GAS AIR TEST , FINAL ZONING FINAL:COt�tST. . : ' � '' � - ' ' ' �-- � ; FIRE DEPT.FINAL � FINAL HEATING ' ' ' � �__ ' HEALTH DEPT. FINAL FINAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING ENERGY � • �� � s . . � _,,- ._._ ..., ..,, . . - . COMMENTS -- ' - - , '�' � ��;`_ . :� ,;= - ,�. ,- - - ��, _ . -. , ..`. � - ,, . -�;� , . , _ _._ , .� -�\� . ';..•..• � SEPTIC TANK SIZE � SEEP PIT/U SIZE � - . . _ _ . � . . ` .� �� ... ` _.;�=� - '� ., - . , . , . .\ \ . .. ,�, • - . .. . . ::�: :;.,... ' . : � ;,i f . � .ti , _ . ..--�._, _, ,ti � , . - . '.;`, 1 � ` cl \- . '.:.: .. �'�',