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HomeMy WebLinkAbout17383 �\ CITY OF DIAMOND BAR EXPIRED DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21825 E.Copley Drive JUN 17 2002 PRESS (909)860-3195 Fax(909)861-3117 '��� BUILDING PERMiT APPLICATION FIRMLY � JOBSITE y� ¢ ADORESS`Y �D .�.p f� l�i II ��� APPLICATION �i !� PERMIT � "f P/C o � DATE � NUMBER M � APN LOT TRACT ISSUE TYPE OCC �L;�� DATE I � CONST. GFiOUP p OWNER o ADDRE S � ZONING SETBACKS z CITY �n� �iIP TEL. FRONT RW ❑ g APPLI ANT f'vL�' TEL. ��U_�;�9 U REAR p SIDE/SIOESTREEf RW O � CONTRACTOR � � -F SIDE ❑ p CI�T�Y� S Z�P .TEL • PROPOSED USE lJ`G Cc �Q_ o ���.�07(J �C/.?-�c1 Fr G i P� ow ARCN/ENG/ FC - �/��� � DESIGNER NO.DWEL. NO. NO. N ADDRESS UNITS STORIES BEOROOMS � CITY ZIP TEL. � cn DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION p� OV'MER-BUILDER DECLARATION SFRlADD/REM O I HEREBV AFFIHM UNDER iEWLLiY OF GERAIRY THAT 1 AM E%EMPT fROM TME COMMCTORS ll• Gflf890/C81pOfS W CENSEUWFORTNEFOLLOYANOREASON�SEC.7mt.S8U5iNE55ANDPROFE55pN5CO�E:ANYpTYOR (n U CpUNT�lWMIp1REWIRESAVERMi77000N57RUC7,ILLTER�PROVE,DEMOLISH,ORREi/JRANYSTRUC• w W 7UNE,PRIOR TO fT5 ISSVANCE.AL50 REOUIRES THE APPLICANT FOF SUCH VERMR TO FIIE A SIGNEO W Patio/Deck � STATEMEM THAT ME OR SME IS LICENSED PUHSUANT TO THE PIiOVI510N5 OF THE COMMCTORS LL CENSE LAW(dIMTER Y(CDMMENCINO WITH SECfION 7000)OF OIVISION]OF TNE BUSINESS AND PRD• LL" PooVSpa FESSIONSCODE)OHTHA7HEORSHEISE%E4PTTMEREFROMANOTHfBA515FORTME/V.LEGEDEXEMP� (' � TION.M(YVpLAT10NOFSECT1ON70�1.68YANVAPPLICMITFORAPERMITSUBJECTSTNEAPPLM.�NTTO Z Re-Roof F ACMLPEWLLTVOFNOTMORETHANFIVEHUNDREOOOLURS(S'+00).): � ❑I,A90NNEROFTXEPR07ERN,ORMVEMPLOVEESWIT/WAGESASMEIqSOLECOMPENSATION, O Commercial - WILL DO THE WORK AND TME STRUC7URE i5 NOT INTENDED OH OFFERED FOR SALE(SEC.701�,BU51• J � NE55 AND PROFESSIONS OODE:THE LONTRACiORS UCENSE UW DOES NOT AVPIY TO AN OWNEH OF ? 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W � LICENSED COMRACT CLARATION W � IHEREBYAFFIRMUNDERPENALT/OFPERNRYTMATIAMLICENSEOUNDERGROVISIONSOFCHMTEfl � p� Y(COMMENCINOWIMSECTqN7000�OFOM510N70FTHEBU5INE55ANDPHOFE5510N5CODE,AND Z �X ►IYIICENSEISNFULIFORCEIWOEFFECT. m � � UCENSE CLASS � � � 5 UC.N0. � j H � onre � ��(� l corrrrucroR �/ a � WORKERS'COMPENSATION DECLAFlATION 4 � IHEREBVAFFIRMUNDERPENALNOFPEfiNRYDNEOFTHEFOLLOWINODECLARATIONS: Z , �') _IHAVEANDVALLMAINTAWACEFTIFICATEOFCANS[NTTOSELF-INSUfl[FORWORKERS' ay' � COMPENSATqN,ASPROVIDEOBVSECTqN77ooOFTMELABORCOOE,iORTHEPERFORIAANCE W Q OFTHE WORK FOR WHIp/THIS VERMIit3155UED. � � � IHAVEANOVALLI.WMAINYMDRKERS'COM�ENSATIONINSURIWCE,ASREWIREOBVSECTION r+_�• ^ ^ I J7ooOFTHELA80RCO�E,FORTHEPERFORMANCEOFTHEWORKFORWHICNTHISPERMITIS �� LV � } ISSUED.MY WORNERS'COMPENSATION INSUMNCE C�RiYER M1D POLICY NUMBER ME: CONSTRUCTION CJ } CARRIER PLAN REVIEW � � � POIICY NUMBER EIECTRIC � (nrssEcnor�r.�rrneEca�m��rIDoci�cE%rrswraor+Eµx�n�000u�sK+m)ca�. PLUMBING z ILERTIFYTFUTINhIEPERFOflMANCEOFTNEWOiiKFORWHICHTHISPEHMITISISSUED,I MECHANICAL L'} SHAILNOTEMPlOYN1YPER50NWANYMPNNERSO�STOBECOMESUBJECTTOTME (/� WORKERS'COMPENSATIDNUWSOFCA�IFORNI0.ANDAGREETHATIFISNOULOBECOME INSPECTIONFEE S SUBJECTTOTNEY+ORKERS'CAMPENSATIONVROVISiONSOFSECTION]7000FTHELABOR '�� cooE.�swu�Fo�n�ca.�vir wini nas¢rAovisions. ISSUANCE � SMIP p OATE: APPLICANT. J WMNINO:FA4URETOSEWREWORKERS'COMPENSATIONCOVERAGEISUNUWFUL,MIDSMALLBE ENERGVP/C � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDGVILFWESUPTOONEHUNDNEDTIIOUSIND ENE-RGYPERMIT DOIURS(St00.000I.IN ADDITION TO THE LOST OF COM7ENSATqN.OM1AGES AS PHOVIDEO FOR IN � SECilON�7oeOFh1ELABOHCODE,INTEREST,ANDIITTORNEY5FEE5. RETEMTIONFEE: _ '_ OCONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IN AFFIRMUNDERPENALTYOFPE0.ri1RYTHATTMEREISACONSTNUCTIONIENDIN6AGENCY Z FOR THE PERFORMNiCE OFTME WORK FOR Vrt1lp1 THIS VERMIT IS ISSUED�SEC.�oY7,CIV.C.�. W � LENDERSNAME � IENDEf7SADDRE55 � TOTAL FEES � ICEHTIFYTMATIHAVEREADTHISAPRICATqNMl�STATETHATTHE/180VEINFORMATIONISLDRRECT. � � W UGREETOCOMClYN7THILLlGRYANDLOUNTYORDINANCESAND57ATEUWSHEU71N6TOBUIIDING � RUCTION,AND HEREBVAUTM00RE REP MATIY�S OF THIS COUN7Y i0 ENTER UPON 7HE � ENTIONEDPROPEHTIfORINSP URPOSES.\ COMMENTS E E N �PRINn �„ S /-- I+-/--,o ( . 5 E F P RMI EE DATE RECPT.�0. PA�D BY VALIDATION WHITE—DeDartment Copy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy .a:.,. , tc: . _,s-•, , ..... , ,�.. •-, .,, ,..�_, _,,. .. ,.�-.rr�,':_,r. �,•<�,�•. .•--- -� - , � ,_, _.,.. -.. ..,;,>_ . _ ,_. .. ... .. . . .. .. .. .. �.�..� 1 �i� �ii� ����'f��\�' ��,�� B��i�e=���lOT�! ��CO��� �I►'�E-'��I.�c;�hCm,��! ._,.....�...�k^��; ___-f►�k-`i �=�e x�;1:t__�I��k-`1.�.;r`'?CC�1►�f er..�:�'- � I�v�.:t:.l�c'^�'a.j_� �-�, --�-�-----__----------__ ___._ _-� . . _ .._.._.. __ _ , n — �- - - .,_._. ....-- -- -- - _ __�_.--_ _ _.._.___._.---- SETBACf: I ' ; ' � I � FLaORJQIST I .-.-_�__._.�_.__� �— FTGS/FORMSISTEEL ^_�_____ FHA REQ��ITS � ELECTRIC GROUND ' ' ' ' � 4 UNDER FLOOR DUCT �� j GROUND PLUMBING i U��JDER FLOOR COMDUIT SLAB GRADE � FIREPLACE FQUNDATIO�J I TEMP POWER I FIREPLACE BOND BEAP�1 I iNATER SERVICE MID HT. 80ND BEA�rI R�OF SHEATHING /-l.�-�� � FT. BO�JD GEAM � FRAMINGNEf•�TILIATION FINAL E30tJD BEAM � ROOF COVER I PAE-GRADING I ROUGH HEATING � BENCHING � ROUGH ELECTRIC � ROUGH GRADING � ROUGH PLUM8ING � FINISH GRADING • SHOWER/TUB TEST POOL EI.ECTRIC EXT. LATH/SIDING PODL FENCI�dG WALL INSULATION POOL FINAL CEIL.ING IN�ULA.TION OFF SITE IP11PS. DRYWALL NAI�ING DEDICA710NS � SEWER FINAL ENG. SEPTICTANK L.ANDSCAPE/IRRIG. � SEEP PIT/L.L. ON SITE It�1PS. GAS AIR TEST FINAL ZONING FINAL CONST. , FIRE DEPT. FINA!_ FINAL HEATING HEALTH DEFT:-FiNAL FiNAL ELECTRIC � DEV. FEES PAID FINAL PLUPABING I ENERGY � `�����r-:t�1- �_I`;�...�.�._ �_._.. I I CUMPJIENTS SEPTIC TANK SIZE SEEP PIT/U SIZE F�4. . ,���� _ �, � , , � { , „ __ __._� __. .__ ._.._..____..._, � ;