HomeMy WebLinkAbout17490 (17) _.. --- - - - - _ __ - -- - - -. .
_.. `
J� CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES c X P I R ED
21825 E.Copley Drive
�"" (909)860-3195Fax(909)861-3117 JUN 18 2002 PRESS
"'%� BUILDING PERMIT APPLICATION FIRMLY
Q D RIESS ' �y�� / U�'MLiN o1C.. APPLICATIO �PERMIT n 0 P/C
o DATE NUMBER � M
� ISSUE TYPE OCC
� APN LOT TRACT DATE CONST. GROUP
°C OWNER La� o I�2S
O
LL ADDRES A--L- ZONING SETBACKS
gCITY �►M�-o r.� br�ZIP �7G TEL b - � R�RT RW O
APPLICANT TEL SIDFJSIDE STREET RW ❑
� CONTRACTOR IN «. d �►�+ SIDE p
Q ADDFESS G W• • �
� CITY G �/L ZIP 7/7 N� TEL i -�C PROPOSED USE �
o ARCH/ENG/
� DESIGNER N0.�WEL NO. NO.
a ADDRESS UNITS STORIES BEOROOMS
� CIN ZIP TEL
� DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION
Q OWNER-BUILDER DECLARATION SFR/ADDlREM
O
p 1 HEREBY AFFlPM UNDER FENALT/OF VERNRY THAT I AM E%EMPT FROM iHE CONTMCTORS L4 GaregelCarport
W CENSEUWFORiHEFOLLOWWOREASON(SEG7077.SBUSINESSAN�7ROFESSiONSCODE:MlYq7YOR (n
U COUN7YyN11CFIREOUIRESAVERMITTOCON57RUCT.AlTE0.M7ROVE,DEMOLISN.ORREPNRANYSTNUG W P01i0/DeCk
� TURE,DNqR TO RS ISSUANCE.AL50 REOl11FE5 THE APttICANT FOR SUCH PERMIT TO FILE A SIGNEO w
STATEAIENT THAT HE OR SHE IS UCENSED VURSUPNi TO THE GROVISiONS OF THE CON7MCiORS L6
� CENSEUW�CHAPTERY(CAMIAfNCWOWITH5ECT10N70o0�OFDN1510N]OFTNEBUSINESSANOPqO- u- PooUSpa
FESSqNSCOOE)ORTMATHEORSHE4SE%EMPTTHER[FROMANDTHEBASISFORTMEALtE6EDEXEMP- (�
V 710N.ANYVIOLATIONOFSECTION7Wt.6BYANYAPPLIGAMFORAVERMITSUBJECT3TFiEAPPLICAMTO Z Re-Roo1
A pVIL VENALTY OF NO7 MORE TMNI FIVE MUNDRED DOLLARS(i5o0).�:
ZO4��N'NEROFTHEPROPENTY,ORMYEMVLOYEESWITHWAGE5A5THEIR50lECOMPEN5�T10N, � COmm0ftf21 �
VALLDO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR S/�LE(SEG 70��,BU51� J
� NESS AND 7ROFESSIONS CODE TME CONTRACTORS IICENSE UW DOES NOi APPIY TO M!OWNER OF =
CR07EHTtl N110 BU0.05 OR IIAPROVES THEREON.AND Yh10 DOES SUd/WORN HIAISEIF OR HERSELF OR
[[ THROUCHHISORHEROWNE4PLOVEES,OROYIDEOTNATSUCHIMVRpYEMENTSARENOTMENOEDOR m
� OFFEREOiOR5QEIF,HOM�EVER7MEBUlDINIiORItAVROVEAIENT15501DW1T1/1NONEVFAHOFCOMRE�
Z TION,TNE OWNEREUILDER WILL HAVE THE BUROEN OF PROVIN6 THAT HE OR SHE OID NOT BURD OH
= IMvf10VEFOfiTHEPURPOSEOFSALEJ.
W OI,ASONTlEROFTMEPROPERTY,AME%ClU51VELYCOMRACTINOWITHI�CENSEDLONTMCTORS
¢ TO CDNSTRUCT THE PRQIECT(SEC.70N,BUSINESS/WO VFOiES510N5 fADE:7HE CONTflACTORS U• VaIU0I1011 ADJ.AFE11
W CENSEUWOOESNOTAPPLYTOANONMEHOFIIPRWERTYNTtOBUILD50RMVROVESTMEREON.AND
� WIqCANTMCTSiORSUCH7R0.)ECTSWITHACONTMCTOR(5)LICENSEDPURSUAN7TO7HECON7MG QUANTITY DESCRIPT�ON FEE
Y TORSUCENSEUW.1.
� OI�A1E%EYDTUNOERSEC. B.6P.C.FORTHiSREA50N 4
� U
k �
DATE OWNER V
Z W
� LICENSED CONTRACTORS DECIARATION W
� IHEREBYAFFIRMUNDERPENAITYOFPEfWRYTNAT�AMLICENSEOUNDERPRONSiONSOFCHAPiEp �/������
d 0(COMMENCINUN77HSECTION)oao)OFOMSION]OFTHEBUSINESSAND7ROFESSqNSCODE,AND Z W`r'k- .r-�.r
X MY LICENSE IS N GULL FORCEAND EFFECL m
� �,��SE�u5s �-3� ��.No. a �- �
V DATE J � A � CONTMCTOR '
�W � 3/ �
WORKERS'COMPENSATION DECLA ION 4
� IHEREBYAFFIRMUNDERPENALTYOFPf0.1URYONEOF7NEfOLLOWIN6DECUqATpN : � - •
� ..
O �II/�VEANDWRLMAMTNNACEHTIFICA7EOFCONSENTTOSELFdNSUFEFORMIORKERS' _ �� • �
� CAIAPENSATqN,ASPROVIDEDBYSECTIONI70oOFTHEUBORCODE,FORTHEPERFORMANCE
Q OF7HEWORKFORMMICHh115VEfUAIT131551lE0. �
� �,IHAYEANDWILLIAAINTAINWORKER3'COMPENSATqNINSUfUNCE,ASREWiREOBYSECT10N
Q ]7000FiHELA60RCO0E,FOfiTHEPEHFORMMlCEOFTMEWORKFORNTIICH ISPERMRIS
ISSUED.MYWORKERS'COMPENSATIONIN qANCECARRIERANDV0.ICYN ERARE: CONSTRUCTION
jGRRIER *'L �^� PLAN REVIEW
� PaicYNutaeER � � ELECTRIC
� �THSSECfqHNE�NOTBEOd.1PI.EfEDOFhEPERMfTGPoRONEHJ,ORED RiooloratFss� PLUMBING � T_
Z ICERTIFViHAiPlTHEPERFORMANCEOFTNEWORKFORVMIpITHISPER ITISISSUED.1 MECHANICAL
C7 SttALLN01 EAA�LOYANY PERSON IN ANY AIANNER SOAS TO BECOAIE SU&IECT TO THE
N WOPKERSCOMPENSATIONLAWSOFCAIIFORNIA,ANDAGREETHATIFIS �BECOME INSPECTIONFEE
- SVBIECT TO THE RNENS'COM�ENSATION GRONSqNS OF SECTIO O�i11E UBOR f-
S rc, . ,�__,--..... �
cooe,� wuF anronn�cor,�v�rwm�rrasEaaov�sia+ ISSUANCE ,
O . SMIP �J �'-•" " ..
p DATE: �Z ,I APPLICANT:
J WARNINQ:iA1lURETOSEWREWCNiKERS'COAIPEN T COVEMCEISIINUIWFIIL,ANDSHALLBE ENERGYP/C '
�y SVBJfCTANEMPWYERTOCRIIAINALPENALTiES iVILFWESUPTOONEHUNDRED11qU5AN0 ENERCaYPERMIT � �` �t - �
DOLLARS(f10o,000),IN ADOITION TO TME COST OF COAICENSATqN,DM/AGES AS PHOViDEO iOR IN
� SECTKK7770lOFTNEUBOFCWE,INiEREST,MIDAT70RNEY'SFEES. RETENTIONFEE: �
nW. CONSTRUCTION LENDING AGENCY pRE-ALT FEE: �'��T•
� IMEFEBVAfFIR1JUNOER0ENIITVOFPE0.IURYTHATTNEREISACONSTHUCTIONLENDINGAGENCV `_ "� -
0- FORTMECERfOR1AANCEOFMEWORKFORVv/11pITHiS0ERA1ITI51SSUED(SEC.7097,CN.G).
Z
W
� LENOER'S NAME
� � LENDERSADDRE55
� ICERTIFVTMATINAVEHFJIDTMISAPPLICATIONAN�STATETHATTHEABOVEINFOR1AATqNISCOqRECT. TOTAL FEES
W IACREETOCOIAttYWRMALLCINMlOCAUNTYORDINANCEShNOSTATEUwSRELATW6iOBUIL01N6
� CONSTRUCTION,ANDNEREBVAUf/10RREREPRESENTATIVESOFTH15COUNTYTDENTENUPONTHE
ZABOVE�IAENTIONEOPROPERNFORINSPECTIONPVRPOSES. COMMENTS
� ��s �iG�/�
� —
m PENAiTTEENAME(VqINn
� � Q
N SiGN DATE
� RECPT.NO. PAID BY VAUDATION
WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanCs Copy
.. , , -.. . - _ .. .. ._}_ , . . -� .. - , . ... . . .... . . _ . . ._., ..
•_ .. , .,. � . Y' . .. . .. .. . ..7' � . .. `M1 . .�r .i�' i� • ...... . .e . � . . . ,r .
CITi �' QF �Ih�f4�Of�C� F3�R
li�':;�=EC i��JP� P�COfi�
__._�� _._,.__..�.._.. _._... _�, ._� .�_ �_._�..__��__.__,.__
— :1►�k-'� -I:�,e..�'�a.�; _I�f-`iCJ_,t;i['ic`1►�E rr�`�I.� (��-�.;�=r��'t'��.��
11►�k-�:aa��lrlo)►�! �1 '��.-
_____._--.--_._.._----�____-- _ .. _ __.__..__---. .._ ....__ ,__... _._.__ .__..____.. _.--- -
_ --_I__.. ____.____.___.__�.___� .�_ _.�--
5ET BACK � I I I FLOOR JOIST
FTGS/FORP�ISlSTEEL ' I ' ! FHA REQMTS �
ELECTRIC GROUND I I � � UNDER FLOOR DUCT
GROUND PLUMBING I UNDER FLOOR CUf�IDUIT
SLAB GRADE FIFiEPLACE F�UNDATION
TEMP POWER I FIREPLACE BOND BEAM
WATER SERVICE I I� MID HT. �OND BEAP�I
ROOF SHEATHING I 8 FT.BOND BEAM
FRAMINGNENTILIATIOPJ � I FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PWMBING I FINISH GRADIPJG
SHOWER�i'UE3 TEST POOL ELECTRIC
EXT. LATH/SIDING POOL FEPdCING
V'JALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
pRYWALL NAIUNG DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PITIL.L. ON SITE IMPS.
GAS AIR TEST FINAL 20NING
FiNAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
F1NAL ELECTRIC � DEV. FEES PAID
FINAL PLUMBING � � ENERGY �
�
,-��,--•-�•--;-----�___.
"`"'.'"' ,
cJ:-t:E� a IP '�(c�ir
��_�__._.�.=---._.:�.,...�..___...------------1
• �
CUMMENTS '
SEPTIC TANK SIZE
SEEP PIT/U SIZE
'�� �a_..
'����" _
`, � `�, '