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HomeMy WebLinkAbout11423 (7) . . � -- '� � ---�'"� --• CITY OF DIAMOND BAR � C�C/'��U�/ �%�!� � ' COMMUNITY DEVELOPMENT DEPARTA4ENT <,. 21660 E.Copley Drive Suite!90 � (909)860-3195�ax(909)861-3t 17 PRESS '"" BUILDING PERM1IIT APPLICATION FIRMLY , Q �oaSirE . 1807 DIAMOND KNOLL onrE + r APPLICATION PERMIT 'J` � P!C ¢ ADDRESS �NUMBER �7 �J # � ISSUE TYPE OCC . A P N L O T R T R A C T 4]]7 9 DATE CONST. GROUP p OWNER -�I��. t`t�c-o-.-��.''{�—G�2A ;.. o ADDRESS 187 Wright AVa_ ZONING SETEiACKS � z CITY ZIP�.��50 TEL.� FRONT RW ❑ o APPLICANT ran Pi Prmari n� TEL:~����� � S DFJSIDE STREET RW ❑ �� CONTRACTOR ermar n Ent.� ZIIC. SIDE ❑ ADDRESS__ 210(1 ReServnir - � . _ p PFiOPOSED USE I _.� n ) w ARCH/EtJG� �-0A30�t�— ZIP.�b TEL. �n��S 9 ' Peter Lee En ��` � z DESIGNER (;. Inc . w NO.DWEL. NO. NO. a ADDRESS 11 9n S_ San ('_a}.ri ol RI�.A �E7�(1 UNITS STORIES BEDROOMS ' � CITY • �IP��� TEL.�$�� O cn �ESCRIPTION S�:FT FACTOR PSF ADJ_AREANALUATION � � � � � ONMER�BI;ILDERDECLAF7ATI0N .._ . � � SFRlADD/REM � '� O p .-- .1 HEHEBY AFFIRIA UNOER PENALiY OF VERIURY THAT I AM E%EMPT FROM THE CONTRACTORS Lt� GefegB/C3fpOrt W CENSEUWFORTHEFq.LOWINOREA50N(SEG707f.5BUSINESSANDVROFES510N50DDE:ANVCrtYOR , (n � U COIMTYWHICHREOUIRESADERMITTOCONSTPUCT,ALTER��PAOVE,OEAAOLISH,ORREPA1qANVSTRUG' W Patia/peck � Z TURE,PRiOR TO RS ISSVANGE,AL50 REOUIFES THE APCLIGVJT FOR SUqI PERMi7 TO FRE A SiCNED � ' S STATEMEM iHA7HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF TH[COMRACTORS�4 � w ` CENSE UW(CMAPTEH Y(COA�MENdNG VATN SECTION 7000)OF 0�'l�SqN 7 OF i11E BUSINESS AND PR0. u- PooVSpa . � � FESSiONSCOD[)ORTIUTMEORSMEISEXEMPT7HEREFROMANDTMEBASISFORTMEALLEGEDEJ(EMV- (� ' _ V TqN.ANVVpLATqNOFSECTION7071.SBYANYMPLICANiFORAVERMIiSU61ECT5TNEAPPLICNNTTO ' Z Re-Roof � � A ClVIL PENILTY OF NOT MORE THAN FNE HUNORED DOLLARS�f5m��� ZOI.ASOH?lEROFTHEVROPERTV,ORMYEM7LpYEESWITHWAGLSA5THEIRSOLECO�APENSAT10N, � Commarcia� ' . � . � -. _ WiLL DO 7HE WORK,AND THE STRUCTUPE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7a�,BVSI- J � NESSANOPROFESSIONSCODE:THECONTRACTOFSUCENSELAWDOESNOT�DPLYTOANOWNEROF ? , PROGEHiY WHO BULDS OR IMPROVES TMEREON,MlD WHO OOES SUCH WORK MIMSEIF OR MERSELFOR Q THRWGHHISORMEfiOWNEMPLOYEES,VROVIOEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m . � OFFEREDFOHSALEIF,FIOWEVER7I�EBUItDINGORIMPROVEMENTISSOLDMATHINONEYEAROFCOA1PlE- � ' ' ' � � Z TION.THE OWNER�BUILDER W:LL HAVE THE BIJH�EN OF DNOYNO 7MA7 HE OR SME DID NO7 BUR�OR� � MPpOVEFORTHEPURPOSEOFSALE} ' . ��-w OI,ASOWNEROFTHEPROPERTKAME%CLUSNELYCONTMCTING1MTHlICENSEDCONTMCTOflS . ,. . � TO CONSTRUCT h1[PROJECT(SEG 7011,BUSINESS/WD PROFESSKKlS CODE:iHL CONiMLTOflS LI• Vdl{1BSIOf1 A0.1.AREJ1 � � W CENSEUN'DOESNDTMPLVTOANONNEROFAPROPERTYMrt10BUI�p50RIMPROVESTMEREON,�IVD � � W/qCANTMCT5FOR5UCHPRQIECTSWITH/1CONiMCTOR{S�LICENSEDPURSUANTTOTHECONTRAC• OUANTITY DESCRIPT�ON FEE � Y TORS LICENSE UW.). � , _. �� � ❑IAMEXEMPTUNDERSEG B.tP.C.FORTHI5REA50N J � � �� � � O ¢ � V '. _z DATE ONMER ... ... . � . . ; , r` . . . I O W .� ¢ LICENSED CONTRACTORS DECLARATION . W � _ [L IHEREBYAFFIRMUNDERVENALTYOFPERNRVTNATIAIALICENSEDUNDERPROV1510N50FCHAPTER � �p., O�COIAIJENCWOVAlHSECTqN7000)OFDIVISiON70FTHEBU51HE5SANDPROFE5510N5CO0E.AN0 Z \� ' � X MY LIGENSE IS IN iIAL FORCE/1ND EFFECT. m ,� { �� ' . / LL ; � UCENSECLASS B-1 ���.No. 283724 � V DATE 12�31�99 cor,r�acron �PiPrn,arini ' � a w � WORKERS'COMPENSATION DECLAFiATION � � Q . , � IMER[BYAFFIRMUNDERVENAITYOFPE0.NPYONEOFTNEFOLLOW:NCOECLARA7qN5: Z . � �IHAVEANDMALLMAINTAINACERTIFICAIEOFCONSEHTTOSEIF-INSUREFORN'ORKERS' _ - LOMPENSATION,AS PROVIOED BY SECTION 37000F THE LAOOR CODE,FORTHE DERFORAfANCE �U Q {� OF THE WORK FOR WHICH TNIS PERMIT IS ISSUED. � ' � n IHAVEANDMALLMAINTAINWORKERS'COMPENSATqNINSUfUNC[,ASREOUIflEDBYSEGTION � Q _ 77000FiMELABORCWE.FORiHEPERFORMANGEOFTHEWORKFORWWCHTHiSPEWAITIS ISSUED.MY WOKKERS'COMPENSATION INSURANCE CARRIEH ANO VOLICY NUM�ERAAE: CONSTRUCTION J � GARIER Farmers PUINREVIENJ ¢ vaerr+uu[3Ea—$�g�_(f8_(48�/�n8 ELECTFIC . . (fHSSECf10NNEmN0T8f0oM3ETEDOFMVER6fT6FORONEMI�DfiDDOL1ARS(SiOCypilF5S1 PLUMBING . .. � � � � Z ICERTIFYTHATINTHEPEAFORMMICEOFTHEWORKfORWHICHTH15PERMITI5155UED,1 MECHANICAL �- (7 SHALLNOiEMPLOYANYFER50NWANYMANNER50A5TO8ECOMESU9JCCTT07HE (n WOPoCER$'COMPENSATpNUN50FCALIFORNI�AN'JAGREETMATIFISMOUIDBECOML INSPECTIONFEE � � �� � � � � SU9JECTTOTHEWORKERS'COMPENSATIONPROVIS�ONSOFSEC710N]7000FTHELA[iOR -- ��f • rj COOE.I SHALL FORTHVYITH CAMPLY WITH Tl105E VROVISIONS. _ ISSUANCE I �(/I J � SMIP � p DATE: qPPLICANT: J WAMliNG:FAILURETOSELUREWONKERS'COMPENSATIONCOVERAGEISUNUWFUL,ANOSHALIBE ENERGYP/C �y SUIiIECTANEMVLOYERTOCR:MINALPENALTIESANDCNI�FINESUPTOONEHUNORE0T110U5�ND ENEHGYPERMIT DOLUAS(f 100.000),W ADDITION 70 TNE COST OF COIA7ENSATpN,DAlJACES AS PROVIOED FOR IN � SECTqN]70BOFTNEL/BORCODE,INTEREST,ANDATTORNLYSiEES.' ' ' ' ' ' ' � RETENTION FEE: ' "' - "' "' oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � � IHEREBVAFFIRAIUNOERPENA�TVOFPERIURVTHATTHEREISIICONSTRUCTIONIENDINCAGCNCY - iOR iHE PEAFORMPNGE OF THE WOflK FOR WHICH TMIS OERMIi IS�SSUED(SEC.70D7,CIY.G.). � � ' . � LENDER'SNAME � � LENDER'SADDRESS � � " � TOTAL FEES � ICERTIFYTHATIHRYEREADiH15APPLICATIONANDSTATEiMATiMEABOVEWFORMATqN15CARRECT. ' W UGREETOCAMPLYYAiHAL ITYANDCOUNTYORDINlWCESANDSTATEUVfSREUTING70BUILD;NG- " � ' � CONSTRUCTION.ANOHERE�UTHOR12EREPRESENTATIVESOfTH15COUNTYTOENTERUMNiME ' � ' � 1100VE�MENTIONEDDROCE LORINSP VURPOSES. ' Z � COMMENTS � � � � . � J ' m - . .. . . .. ¢ PERM�TTEE NA1A� 4T � � � � � � (n SIGNATURE OF E0. E DAT . � RECP7 NO. P �D�Y �� VAL�DATION � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO ilo Copy,GHEEN—Applicant's Copy . . . . • , I •. . .. . .1 . . . . ' �.. . , . . � _� �� . . . ' CITY.OF DIAMOND BAR� : . � � ' .- ; - � ' INSPECTION RECORD . .�. . . � � . � � � � � ' • � + • - SET BACK ; � , FLOOR JOIST -- - � FTGSlFORMS/STEEL � FHA REaMTS � � ' ' ' ELECTRIC 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 " 8 Fi.BOND BEAM ' FRAMINGNEN7ILIATION FINAL BOND BEAM : ' ROOF COVER - - - - PRE-GRADING . ; ROUGH HEATING BENCHING ROUGH ELECTRIC " - ROUGH GRADING � ROUGH PLUMBING FINISH GRADING ' SHOWERlTUB TEST i � POOL ELECTRIC EXT.LATH/SIDING POOL FENCING . WALL INSULATION POOL FINAI . ' CEILING 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. � � ', pj ,-- - FIRE DEPT.FINAL FINAL HEATING -- - -- '' ' ' ': , - HEALTH DEPT. FINAL - FINAL ELECTRIC - DEV. FEES PAID FINAL PLUMBING �' :' ? ;h•t ENERGY-• � , . ' � . .,. . � . • • . . _.... ...._ .. COMMENTS -- � ' � . ; - � .,; `, _', `. � .. ' . , SEPTIC TANK SiZE - SEEP PIT/U SIZE , , , - ; ; . .`� . • - � . �