HomeMy WebLinkAbout1000 (9)CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY FIRMLY
BUILDING PERMIT
JOBSITE
ADDRESS �a SS S. D %A ►' "�Q PSL
APPLICATION PERMIT I USE
DATE ISSU/ q-19-70 NUMBER CODE
TYPE OCC.
DATEE 7 CONST. GROUP
APN LOT 1� '' TRACT�3 341
CRO,c 1EA CA•mlyaH A4
OWNER � A*l6 E ACAYL FJt.K UAV/W
ADDRESS 1ESS' S, '6'A ti W AAVL
SETBACKS P"
ZONING taO"F�"'g
FRONT RW ❑
REAR ❑
CITY— ZIP 011 (0 ' TEL514f U
SIDE/SIDE STREET RW ❑
E.
APPLICANT nts✓S Vliv"E'L TEL$ ('e'IfA
SIDE
CONTRACTOR GO1tsmuC2011
ADDRESS •O- May S130
CITY f>J/4 /111 EJL fA Zip 4 U TEL
SEWAGE
DISPOSAL ❑ PUBLIC PMT
❑ PRIVATE SO. FT / 100 GAL
GRADING ❑ CU. YDS. EXC. CU YDS FILL
STATE
LIC. NUMBER
TYPE SO FT FACiDR PS ADJ.'AREAIVALUATION '
ARCH/ENG/
DESIGNER
ADDRESS -7S00A M'eM 104
W
i
LL..
2
CITYLA611i4I ZIP 4 .-3 - TELA 31-8/ (0
C7
3
PROPOSED USE_ [Ja40fv%nS SUrOhy CL
t12EpCAC(. sgwil Lif•4E.
-3-4
GARAGE
NO. DWEL NO. NO.
UNITS STORIES—2-- BEDROOMS
LOT DIMENSIONS /2 C�GA-titi uL'F177 Y 3 y(f
j
PORCH
0]
VALUATION ADJ. AREA
OuANmY DESCRIPTION ,:: FEE
NO. OF BLDGS HOW
ON LOT 7WO USED SLA'
❑
LICENSED CONTRACTORS DECLARATON. I hereby sffmt Mus Ism kensd udr P"Wous of Ctrpssr 9 Irom.eKwy
with Section 70001 of Division 3 of the Business end Professions fade. Ind tad license is in fs1 bice ud efrcl
ac
❑
W
OWNER BIALT ER DECLARATION I Nershy Mhrm thin I am esemat from the C-tracrr's License Lar for M. lollmving
mason (Sec 70315. Business and Professions Dodo- Any city a tarty which requires a primite r rar.trucs.(�
alterimprove, demalsh, or rzpair any structu e, prior on is issuance. also mquals M spkcent IN such /emit
to file a signed sta@r2rt that be R kensed pursuant to the prw'nions of the Conrecir's karst law Pope
9 (commencing with Satan 7000) of Divisnn 3 of de Business and Professional Code) d Out he is exsepe thrnhom
and the basis for Ou alleged exemption AM wkilvion M Station 7031.5 by any applicant IN a Parma sebjacr
the apptsmt to a end penalty of all mom than five hundred dolem 13500)):
, Dc:"
Z
m
r
❑I, as avrer of the property. tar my emplaces with wagas as ow sole cowpurusien. wolf do to wad:. bell
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the structure r mot intended or offered fa sale (Set. 7644, business will Prolossims Crede: The Cmllacea i literati
Law does rot apply to in owner of property who builds a inpan Mersin, and who does such work himself,
Rich mproxets NO not ietnded or offend for salt. It. however.
Lthrough his am employees, prwdd that sucmen
budding a improwmmt is fold within oro yea of eonrpleem, the or~ Walla wil Ana the burden of piping
that he old rot build or improve for the purpose M aide I
:
-_
❑h, Is owner of the property, In excluavely comraaag xvith licensed contractors r construct Oa prgat ISac
IL
7044, Business and Pnofessam Code. The Cmtracrr's lkma Law does int appy to in owne, of Iwo" who
builds or ingroves Mean, end who contracts fa such projects with a CmtiKta(i) kensall prins nt to W Cadnactr's
hearse Law l
CONSTRUCTION
❑ I am Immpt wdr sac . B. 6 P.C.IAvach Cakf earl.
PLAN REVIEW
0i1e Owner
J
ELECTRIC
O�•� �+'1
MBIN • L% l --J
MECHANICAL
IWRKERS' COMPENSATION DECLARATION I hereby affirm shot 1 hen a certificate of chart to sail nsre. w
a cerbftam of Vkfhml !amenen talInsurance. a A tatted copy M.rill ISK. 3800. Lab. W.
❑ certified stay is hereby funisMd
❑ Certified copy is filed with to Building rspaton DMrtmerl or DMrr.w.
CE RTIFCATE OF E%EMPTIDiY FROM VM ERTCONPENSATIdI PWFIApCE: This eaearn naM rat M comilevd
d the perm, a for an, bandied IS 1001 a less. I certify That in to performance of Or weak IN which this
pxrrif is issued. 1 shah not empty any palm n any atam� as r bases a8lact r Ihs Nlerkri famlem.en
Laws of California
GRADING . .
ISSUANCE i
SMIP
Oats y _dd .
W
IL
PARK FEE
SCHOOL FEES
NOTICE TO APPLCANT. M, afun mating this Cab!"te of Fxrupt-, you abbeams reApacs to to kWkw•s
Com titan. prwisims of the labor Cath. ya must lrMwkh eonply with with prwaira or M Parini Thal
at deemed revoked
dwmaN OF MIOOSTRIAL SAFETY 1 J18
i
i ❑I hereby candy that ro excavation Rea 151 a wati het in death into which a Pram is nerirad to ducal.
.
: .1 he made an Cohens with work aueraked by this panni. arc ru, ro Iti}rl strwtra, sulfelfy, leeueerk.
• a demolt- or nesmmortl-icol otbe rerrXW,Mfljp'u 1j8)ll�}I'J�. (ChM 32. Grp 2• Art 2. Sac
.. m i. Tide B. C.A C 1. Irl 1 i lei r.•: t•. •.
f {l it! r.:^d3 / �:v SAFETY
❑As owner -buil er, I wifl rinvoliff lhyene to do work which war repro a Prow how Ile Divair ad
Industrial Safety, as road scars. cerins Ruth Prat las a pwnn to do such work how Ow ieiaan.
-
❑Oris- of Industrial Safety aMrmi, No. ...
C6RSixuerION lEFt01NG AGENCY: I hereby Mfkm MI byre is s uwaucaon rrYap ePrwP IN M Pro, rwwr
t of Os work IN which this permit is turd (Sac. 3097. Cir. Q.
TOTAL FEES
' Ledr's Rae
Lender's Address
COMMENTS
c CERTIFr.ATE OF CW#UAMM ANO A ONMATIM OF FNTRy. I cw* I hew rood sear ssPksaew eel Mar
1 that the elr—wren phws as Conrad. I seta to two* with ad sir Ma ale ag WOMM a nb*o to rilel
.K O.w of BtiYy d r IW M
r:aubut-, ad a d ow*32* am s Pepsi
: b wlech I Or. d aura rypu d rrq raPwaru
RECPT NO. —Y PAID BY VAUDAWW6
WHITE—Department Copy. YELLOW—Finance Copy, PINK—Motessor Copy, GOLDENROD—Fide Copy, GREEN— Applicamto Copy
BS106.11/B9 -
CETY. OF:DIAMOND..-BAR
--INSPECTION RECORD'
SETBACK.
FIGSIFORMS/STEEL
ELECTRIC GROUND
GROUND PLUMBING
13
ZEN
...... .
FLOOR JOISTS
FHAREQMTS;.
UNDER FLOOR DUCT.;;
UNDER FLOOR CONDUIT,
SLAB GRADE+
FIREPEACE-FOUNDATION
TEMP -POWER -
FIREPLACE BOND BEAM -j
WATER SERVICE
MID H T. BOND ----------
ROOF SHEATHING
6 FT BOND BEAM
.RAMINGIVENJILATION
FINAL BOND BEAM
ROOF COVER.
ROUGH _HEATIRG
ROUGi I ELECTRIC
PRE -GRADING
BENCHING
ROUGH GRADING
ROUGH PLUtABING_
FINISH GRADING '! -j
SHOVVER.TrUB TEST
POOL'ELECTRIG
EXT. LATWSIDING
POOL FENCIN G.'.,;
WALL INSULATION___
POOL FINALi-I
CEILING INSULATION
OFF SITE IMPS.
DRYWALL NAILING
DEDICATIONS'.
SEWER
FINAL ENG.
SEPTIC TANK
LANDSCAPEi[RRIG.'
SEEP PIT/L.L.
ON SITE IMPS.
GAS AIR TEST
FINAL ZONING
FINAL CONST.
FINAL HEATING
FINAL ELECTRIC'
FINAL PLUMBING
... .......
FIRE DEPT.- FINAL
HEALTH DEPT. FINAL
DEV. FEES PAID
ENERGY ---
---- -
� = ---
L__
COMMENTS -
SEPTIC TANK SIZE
SEEP PITIU SIZE