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HomeMy WebLinkAbout12259/ EXPiRED � CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES W ai�o E.c�i�y�;��s��i90 MAY 0 9 2003 (909)86Q3195 Fax(909)861-3117 PRESS � `^^�r_ BUII.DING PERNII'I'APPLICATION . . ' . . FIRMLY �' JOBSITE ��-' c�i�Q/�%� �Q APPLICATION/]� p yr PERMIT P/C j o ADDRESS i�'1� o ' ' t!/��-N' ' �e�R�`i DATE '"[ - I� ^ ! (J UMBE �� # ���✓� � ISSUE _ TYPE OCC APN LOT�� TRACT DATE �I CONST. GROUP °C OWNER �(',��ltiP f�" ( Q/►'(/�1. ' � ZONING SETBACKS • p ADDRESS �w CITY ZIP TEL. REART RW ❑ • APPLICANT � � �(�EL. SIDE/SIDE STREET RW ❑ � CONTRACTOR C.c f G�t c� SIDE ❑ ADDRES � ..-r��o � CITY Q�- ZIP �'][� 3 d PROP.OSED USE ' J l V h.�- o ARCH/ENG/ ~ DESIGNER NO.DWEL. NO. � NO. ADDRESS UNITS STORIES BEDROOMS � CITY ' ZIP TEL. � v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION ' SFR/ADD/REM O � . p I HEREBV AFFIR►1 WIDER PENALTY OF PERIURY THAT I AA1 E%EAIPT FROM THE CONTRACrORS Ll• GHfH B/Ce R . . Lll CENSELAWFORTHEFOLLOWINOREA.90N(SEC.7031.6BUSMESSAHDPROFESSqNSCODE:ANVGTYOR (n 9 � U COUMYWMpIqEOUIRESAPERAIRTOWNSTRUCT.ALTER�PROVE.DEMOIISH.ORREP/JRAN1'9TRUG W P9tl0/DBd( � TURE,PHpfi TO RS lS3UANCE,ALSO REWIAES 7HE MPLIC/V�IT FOR SUq1 PERMIT TO FlLE A 51(iNED w � STATEMENT TUT ME OR SHE IS LICENSW PURSUANT 70 7HE PROVI910N5 OF 7HE CON7MCTORS U� � , � CENSE UW(CHADTER i(COIAMENqNO WITH SECTION 7000)OF DMSION J OF THE BUSINESS AND PRO-� POOU$p8 FESSIONSCOOE)ORTHA7HEORSHEI9EXEMPT7HEREFROMANDTNEBASISFOR7NEALLE�EDE%EMP- (� TIOH.ANYVIOLA770NOFSECilOH7W1.6BYANVMPLICMlTFORAPERMI75U&lECT57HEMPLICANT70 Z Re-Roof '� ACML PENALT'OF fqT MORE 7HNJ FIVE HUNDRED OOIIAAS(i500).): ' � � ❑4��NNEROFTHEPFOPERTV,ORAIVEMPLOYEESWI7HWAOESAS7HEIHSOLECOMPENSATION, � Commerclal . � WILL DO iHE WORI(AND THE STRUCTURE IS NOT IHTENDED OR OFFERED FOR SALE(SEC.7aa,BUS4 . J N NE83 AND PROFESSIONS CODE:THE COMMCTORS LICENSE Uw�OES NOT MPLV TO Ml OWNEfi OF � PROPERTV 4M1D BURDS OR IAIPROVEB THEREON.AND W110 DOES SUCH WORK W MSELF OR HERSELF OR Q 7HRdlOH HIS OR HER OWN EM7lOVEE3,PROVDED 7HAT SUCH IMPROVEMENTS ARE NOT INTENDFA OR ' m � OFFBimF�ORBALE�F.MOWEVERTMEBULqNOORWVROVEMINTISSOLDWITFCNONEVEAROFCOMPLE- �TqN,THE OYVlIER-BUtLDER MALL HAVE THE&1RDEN OF PROVINO iHAT HE OR SHE DID NOT BUILD OR IAIPHOVE FOR THE PURPQSE OF 3ALE). � � (y� �4�OM�NENOFTHEPROPEHfV,AMIXCLUSNELVCONTMCTP10N7T}ILICENSmCOMRACTOR9 _�, � � 70 CONS7RUCf T1E PRQIECT(SEC.7a4,BUSINESS AND PROFESSIONS CODE THE COMMCTOR9 U- VelU9(bfl C7� D O ADJ.AREA ' CEN9E LAW DOES NOT APPLY TO AN OWNER OF A PflOPEHiY NR10 BU6D9 OR W PROVE9 7HEREON,M!D � N1fOCOMTiACT9FOR5UCHPR0.IECTSN7THACOMMCTOR(S�LICENSEDPUR3UANTTOTHECONTRAC pUANTITY DESCRIPTION � � � FEE � 70R9 UCHt6E LAW.). , � � ❑I AM EXEAtPT W�DER BEC. B.8 P.C.FOR h115 REASON U S ( C� SQ 3 � ¢ DATE ONMER V Z w FQ LICENSED CONTRACTORS DECLARATION W ¢ I HEREBY AFFlRM UNDER PENALTV OF PERRIM THAT I AM LICENSED UNDER PROVISION$OF CHAPTER � � Y(COMMENCWO WITH SECTION 7000)OF DMSION 70F THE BUSINESS AND PROFESS10N5 CODE,AND Z � W IICEHSE S M NLL FORCE MID EFFECT. � �� � �Yr ��.No. 3 a = V DATE����� corrrancroa� a � iL � WORKERS'COMPENSATION DECLAFlATION � � I HEREBY AFFlRM UNDER PENALTV OF PERRIRY ONE OF THE WLLAWINO DECLAMTIONS: Z � - � � _IHAVEANDWILLMAWTAPIACEqTIFICATEOFCONSENT703ELF-INSUREf-0RMpRKERS' _ Q COMPENSATION,AS PROVDED BV SECTION 7700 OF THE UBOR CODE,FOR THE PERFO{iMANCE w Q OF THE WORK FOR WHIq1 THIS PERMR IS ISSUED. � Q �4-1 HAVE AND WILL MNNTAM WORKERS'COMPEN3A710N INSURANCE,AS REOUIRFA BV SECTqN t� 970o UF 7HE LABOR CODE,FOR THE PERFORMMICE OF THE wORK FOR Nrt11CH 7HIS PEFiM1T IS /y'�/�} � ISSUED.A(Y WORKC�is'CqMPEN9ATION INSU$0[JCE CARR15qAND POLICV NUMBER ME CONSTRUCTION ��� 1 ✓ > c�HaiER � !, rr�.�i 1 j =��i l PLAN REVIEW O OT� Z ao��crr�a�eER����: ELECTRIC Dd. °l-W-4$ � ( Q Q 0 (ncssEcnoHiJ�ra7BEaoAi�E7�OFnfaERAffSa'KiontEF1U1�O�DD0.uRs(S�oo)atLEss). PLUMBING Z I CERTIFY THAT Pl THE PERFORMANCE OF THE WORK FOR WHlpi THIS PERMIT IS lSSUED,I MECHANICAL � (3 SFIALL NOT EMPLOY ANY PERSON IN ANY MINNER SO AS TO BECOME SUBJECT 70 THE (n WOR!(ERS'COMPENSA7qN LAM/5 OF GLLIFO D A6REE THAT IF 1 SHOULD BECOME INSPECTION FEE � SUBJECT 70 THE WORKERS COMPENSAT P ISIONS OF SECTION 970o OF THE UBOP - o ��.���� ��� P �5. �SS�,��E _ ,o0 p DnTE: �'Z7.��cANT. � �SMIP I , � t WARNINO:FAdURE TO SEWRE WOFiKERS'COMPE ATION COVEMOE IS UM,AWFUL,AND SHALL BE ENERGY P/C � SUBJECTANEMPLOVER70CRIMPIM.PENALTIESPNDCMLfWESUPTOONEHUNDRE07HOUSAND ENERGYPERMIT ' DOLLARS(f10o,0a0�,IN ADDI7'lON TO THE COST OF COMPEN9ATION,DAMAOES AS PROVIDED FOR IN /�.� � 3ECTIDN37020FT1ELABORCODE.MTEREST,ANDATfOfWEYuFEES. ' RETENTIONFEE: �C�LJ d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: ' O � I HEREBV AFFlRM UNDER PEN/�17V OF PERIUHY 7HA77HERE IS A CONSTRUCTION LENDIN�AOENCY _ � Z FOR THE FERFORMANCE OFTHE WORK FOR WHIC}i TMIS PERMI7IS ISSUED(SEC.30W,CIV.CJ. . _ . W � LEPIDERB NAME � � � H LENDER'SADDRE53 � I CERTIFY THAT I HAVE READ THIS M%JCATION AND STATE THAT THE ABOVE INFOR/AATION IS OORRECT. TOTAL FEES � I AOREE 70 COMPLY N7TH ALL CITV AND COUNIV ORDWANCES AND S7A7E LAWS RELATIN(i TO BUILDINO �^q . CONST HER�V AUTFK)R1ZE REPRESEN7ATIVES 7HIS COUN7V TO ENTER UPON THE I � •� / 3 � ABOVE-M PROPEHTY FOR INSPEC710N PURPQSES. COMMENTS ' � �� �% 9 �t�c-�[.-/ CY � — ¢ � � �-_ z�-�y � N E PERA1 DATE � � _ RECPT.N0. PAID BY VALIDATION � WHITE—Depertment Copy,YELLOW--Flnence Copy.PINK—Asaessor Copy,GOLDENROD--RIe Copy,GREEN—Applicant's Copy ��}"°�``��``� CITY OF DIAMOND BAR � ���` �� y�`�'; INSPECTION RECORD � � � ° � � � • � - • . . . • , . SET BAGK , . . - • FIOOR JOIST . ' .- --._ FTGS/FORMS/STEEL • FHA REQMTS ELECTRIG GROUND -• UNDER FLOOR DUCT . GROUND PLUMBING UNDER FLOOR CO�IDUIT SLAB GRADE ' FIREPLACE FOUNDATION ' � TEMP POWER ' � FIREPLACE BOND BEAM � WATER SERVICE • � • MID HT. BOND BEAM' - , � ROOF'SHEATHING '" ' �- S FT:'BOND BEAM � � ' � ' FRAMINGNENTILIATION � ' FINAL BOND BEAM ROOF COVER PRE-GRADING ' ROUGH NEATiNG - � BENCHING _ ROUGH ELECTRIC - ROUGH GRADING ROUGH PLUM8ING' ' FINISH GRADING SHOWER/TUB TEST POOL ELECTRlC EXT. LATH/SIDING POOL FENCING WALL INSULATION � POOL FINAL - CEIUNG INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS , SEWER FINAL ENG. • SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. . . ON SITE IMPS. � , . • " , GAS AIR TEST FINAL ZONING „ FINAL CONST � FIRE QEPT. FINAL � FINAL HEATtNG HEALTH DEPT. FINAL FINAL ELEGTRlC DEV. FEES PAID ' FINAL P�UMBING ENERGY . � '� • ,- COMfi/IEiVTS . _ , : , � . . , � . , . SEPTIC�"ANK SIZE . SEEP PIT/U 51ZE . �n : ,�� � "'�� i,«�"� �� � � �� � 'G a�,a�'�a' ,�*"� �` ,t ���'��, :_.� ' . , � c���� � a�� � , . _ ±±��k;;d��'t���� n� ��;. �x.:_ . . d� �'a; � . � , . ' . . 4�+�,+'���{ ' 'trl�-.W t ,_..:sw-�...r. tw.�.��..tu+.w.+.. , { ,.?4� .c�3:pe.-,,.a.,tc�. .v.v- '-,y � ,� �, ' • 1 . . . . _ . ,