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HomeMy WebLinkAbout17983 �` CTIY OF DIAMOND BAR �i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)860.3195 Fax(909)861-3117 PRESS �`%��' BUILDING PERMIT APPLICATION FIRMLY � JOBSITE � ' APPLICATION PERMIT P/C o ADORESS ( � DATE 519/02 NUMBER 17983 � � ISSUE TYPE OCC � APN T T T DATE CONST. GROUP p OWNER o ADORESS � ZONING SETBACKS z CITY ZIp u/iEL: FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDFJSIOE STREET RW ❑ � coNTaACToa_ APPLIANCE INSTALLERS INC. SIDE o � ADDRESS �R9:�Industry Ave p ��TM �ak�����Q PROPOSED USE o ARCweNG/ (562)98fi-5511 � DESIGNER r36�594�R� NO.DWEL. NO. N0. a ADDRESS UNITS STORIES BEDROOMS � CfiY ZIP TEL N <n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADDlREM O I HEREBV AFFIRM UNDER iENA1TY OF PEILUpV THAT I AA/EXEMPT FROM THE CONTMCTORS LI• GBfB J8/C81p0(l W CENSEUWFORTHEFOLLOWINaREA50N(SEC.70.71.SBUSWESSANOPROFESSIONSCODE:ANYGITYOR (� U CpUNryNMICHREOUTAESAPERMITTOCON5IRUCT.AITER.IMPROVE,DEMOU5H,0AREPAIPANYSTRUC- W patio/Deck � NHE.VRIOR TO RS ISSUANCE.ALSO REQUIRES TME APVLICAM FOH SUCH PERMIT TO FILE A SKiNED w STATE�ENT THAT HE OR SHE IS UCENSEU PURSUANf TO THE PRONSiONS OF TNE CONTRACTORS LI- � CENSE UW ICHAVTER Y�COMMENCW�N7TH SECTION 70D0)OF DIVISION 7 OF TME BUSINESS ANO 7R0. u- PooUSpa FESS�ONSCOOE)ORiHATNEOFlSHEISFXE�NPTTHEREFROMAND7NEBASISFORT/EALLECEDE%EIAP- (� � TION.ANYVKKAipNOFSECTiON70.71.58YANVAiPLICANTFORAPERMITSUBJECT5IMEAPPLICANTTO Z Re-Root A qVIL VENALTY OF NOT YORE THAN FNf HUNORED OOLURS(f500).�: 0 OlN^�NNEROFTHEPBOVERTY.ORAIYEMPIOVEESWITMWAGESASTHEIRSOLECOMPENSATqN, O COTrt19/C101 Z WILL DO THE WORK�ND TNE STRUCTURE LS NOT IHTENDEO OR OFFEREO FON SALE(SEC.70U,BU54 J N NE55 M!D PHOF'ESSIONS CODE:TM[CONTMCTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF ? GROPEHTYY7H0 6U0.D5 DR MPROVES TMEREON.AND WMOOOES SUCM WORK HIMSELF OR HERSELF OH � 7MROUCH HIS OR HER DMM EMPLOYEES,PROVIDED THATSUCH INPROVEMEMS ME NOT INTENDED OR m w OFFEREDFORSALEIF,HOWEVERTMEBInLDIN40RIMPROVEMEMI550LD'MTHINONEYEAqOFCOM7LE• 0 TION,iHE OWNER�BUILDER WILL HAVE TME BURDEN OF PROVWG THAT HE OR SHE OID NOT BURD ON Z UAPROVEFORTMEVUHPOSEOFSALE). W OlA50WNEROFiHEVRO�ERTV,AIAE%CLUSIVELYCONTqACTWGWITIILICENSEDCDMMCTORS � TO CpNSTRUCT THE FRQIECT(SEC.7aN.BUSINESS AND VROFE5510NS COOE THE CONTMCTORS Ll- VdluBtiOn ADJ.AREA W CENSEUWDOESNOTAPPLYTO/WOWNEROFAPROPERTYK'MOBUILOSOFIMPROVESTNEREON.IW� � VnqCOMMCTSFOR5Up/7R0.1ECTSWiTHAGONTMCfOR(S)UCENSfDPURSUANfTOTHECONt�UG QUANTITY DESCRIPT�ON FEE � TORS LICENSE UW). 0 O I AM E%EMPT UNOER SEG B.i P.C.FOR iMiS REASON Q � U u.. � OAiE OYINER V Z W �Q UCENSED CONTRACTORS DECLARATION W LL IHEREBYAFFIRMUNDERPENAL7YOfPER1UAYTFW71A1ALICENSEDVND 0 5 � �yQj{q �, � i(COMMENCPVOWITHSECTpN7000)OFDMSION�qj�E��` I���V�EIYY'. �� MYIICENSE IS W FULLFORCEAND EFFECT. 3BZ3 IndUS1�AVP.. m � UGENSECUISS UC.NO.��nnr� rA �7�Z j � on� corrrrucro�(5E2)qA6-5511 a � WOAKERS'COMPENSATION DE��a,����''4282 Q y U N IMEREBYAFFlRMUNDERGENALTVOFiERJUMONEOFTHEFOLLONnN4DECWUT10N5: Z Q � �IHAVEANDWRLMAiNTNNACERTIFICATEOFCONSENTTOSElFdNSVREFORWOHKERS' _ COMPENSATION,ASGROVIDfDBVSECT10N7)o00FTHELABORCO0E,F00.THEDERFppAIANCE U � OFTHEWO�CFORW//1p1iFCSDERM�TI5155UE�. � � 1 MAVE AN�WILL MAIHTAIN WORI(Efl5'COMPENSATION INSUMNLE.AS REOUIRED BY SECTION Q �7000F iHE LADOR CAOE,iOR THE 0 RLORIAANCE OF TNE WORK FO(7 WNICH THtS PERMIT IS ISSUED. E ' ENS INSURANCECARR!ERIWDVOLICYNUMBERARE: CONSTRUCTION � CARRIEH PLAN REVIEW � POIICYNUMBER �- ELECTRIC 0 (f1A5SECf%7NF!lEEmNOTBE�PIETIDOFI/EPERl.ttISW(iO�EFU�L�iEDDOl1AitSRiOo)ORl.E55} PLUMBING z ICEHTIFYTHATINTHEPERFORMANCEOFTHEWOFU(FORWHICHTNISPERMITISISSUE0.1 MECHANICAL ('} SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBECOMESVDJECTTOTHE (n WOflNERS'COMPENSATIONUWSOFCAIIFORNIA,ANOAGREETM.�TIF�5HOl/LOBECOME INSPECTIONFEE S SUBI CTTOTHE WORKERS'COM7ENSATION VROV1510NS OF SECTIOry�7pp OF THE UBOR i oRrH�!,n+canv�rwi in�o5e �sa ISSUANCE � % � I SMIP p DA7E: StPPLICANT: _If/_�I� � ENERGY P/C WAiW ING:FAILUFE TO SECURE WDRKERS'COMPENSATION COYERAGE IS UNUWFU�,AND SMALLBE LL SU0.IECTMIEMPLOYERTOCRIMWALPENALTIESANDCMLFWESUPTOONEHUNORE0T1KK15AN� ENEFGYPERMIT DOLLMS�f 100.000).N AD�IiION TO TNE COST OF COMPENSATqN,DAMAGES AS PRO��DED FOR IN � SECTION�708 OF iHE UBOR COOE,NTERESi AND ATTORNEY'S fEES. RETENTION FEE: a CONSTRUCT�ON LEND�NCi AGENCY PRE•ALT FEE: � IHEREBYAFFIRMUNOERPENALTYOFPERNRYTHATTHEREIS�CONSTRUCTiONLENDINCAGENCY FOH THE PERFORMANCE OF THE WORK FOR WMICN THIS VERMIi IS ISSUEO(SEC.70Y7.CIV,C.�. Z W � LENDER5NMIE C IENOERS�DDRE55 � � ¢ ICEM�FVTNATIHAVEREADTHISAPPLICATIONWJDSTATE�TTMEABOVEINFORIAA7�ONISCORqECT. TOTAL FEES � W IAGREETOCOMPLYWITNALLCIT/ANOCOUNTYOROWANLESANDSTATEUWSREUTWGTOBULO�N6 � � CONSTRUCTION,ANDHEREBVAUTNORREPEPRESENTA7NESOFTNISCIX/NTVTOENTERUPoNTHE Z �MEMpN DiROP FORIN PE i�OSE� COMMENTS � O _ _ +c./ QP R1A1 iE (PW I ' (n `�I (n SIGfUTUFEOiPERMITTEE DATE � RECPLNO. .PAIDBY 9448 VAUDATION CC WHITE—DeDartment Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicenTs Copy ..:t.i"A":r"l,fil. � �1. `� 7 � ..7�'..Y'"1,�.. ��r.,�. . �fr v�w/'v'�����n�. .-`..: .4. .y: . . •_x"'.7. � i�' � . r .. .. . . . •v r1 •. . • � . .. � � . i��4 �.�r ��r � � Ci�'g' C�� DIAP�C3P�'D B/�.� !(��S€-c C'�i0��1 RLC�Ra �I►i�-'S.a���'C+[��►�t �� k.�;�_�,:.1►��-y.?o(¢F�cl.a't._.�._,�.._..,.,���i�� c;�;(a�1►1 � �)��;�^� ���r�-�=��S''�'�.�� � ___.��_�_.�_�________.. - . __._. ___._...._._�._ ._ ... .._ ----_.__:�_ ,___ _..��__.____.._. =—�.__ ._.__. ..__.__�-_.._____.�.�__ SET BACK I � FLOOR'JOIST i . FTGS/FORMS/STEEL � � FHA REQMTS I ELECTRIC GROUND j UN�ER FLOOR DUCT t • GRQUND PLUMBING I ( U�1DER FLpOR CU�IDUIT SLAB GRADE �_ FIREPLACE FOUNDATION ( I TEMP POWER I FIREPLACE BOVD BEAM I WATER SERVICE I I MID HT. �OND BEA��'�'` �� ' � " " ROOF SHEATHING I 8 Fi". BOND BEAPA -. FRAMINGNENTILIATION FINAL E30ND BEA�A � -+�T ROOF COVER _� PRE-GRADING ROUGH HEATING � BENCHING ROUGH ELECTRIC / I ..y ROUGN GRADING ROUGH PWMBING j�2��a�-�f,.�' FINISN GRADING SHOWERrTUB TEST I � �_1_POOL ELEGTRIC EXT. LATH/51DING � I POOL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION OFF SiTE IMPS. DRYWALL NAILING DEDICATIOfJS SEWER FIPJAL EPJG. SEPTIC TANK LANDSCAPFJIRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST �INAL ZONING FINAL CONST. �IRE DEPT. FIP�AL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTf31C , 'r �. � DEV. FEES PAID r-.,, r,t� � FINAL PLUME3ING ���.�. �Z� �•' � I EN�RGY -.,,, , . , , �-1 '' j .TI ; �.,-_.-�.. ..:� __=,�y.�����.����•�-_ _ __. : __: COMPJIENTS ; , SEPTIC TANK SIZE SEEP PITIU SIZE R`�[ ,�dk� - ��I I � i , . , 4 � \ . � . ` `� � ' I � • 1