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HomeMy WebLinkAbout15922 (17) ^� CITY OF DIAMOND BAR EXPI RED ---�� — DEPARTMENT OF COMMUNTfY d�DEVELOPMENT SERVICES 2'�°E.c�'`yD""`5�``'�o JUN 19 2002 PRESS � r �����c BUII.DING PERMIT APPLICATION FIRMLY ` pN JOBSITE � S � DATECATION f �.� NU B R I P/C ADDRESS 1 $ ISSUE TYPE OCC APN lOT TRACT DATE CONST. GROUP ' � OWNE�—�� A�y3y�S � o AODR SS ��S � . �C�S `J _ ZONING SE7BACKS CITY � ^ 'r ZIP TEL. �b\_-�,\3�i FRONT RW ❑ APPUCANT ��r� �f.,���y�; TEL. REAR O SIDElSIDE STREET RW ❑ CONTRACTOR `� � SIDE O ' ADDAESS ���a ' ' � CITY So��.��.� ZIP�Q TEL -1��p-\�n4� PROPOSEDUSE ' � ARCH/ENG/ � < • - • DESIGNER NO.DWEL ^ NO. .w NO. ADDRESS ���fi'� UNITS STORIES BEDROOMS � CITY ZIP EL. � DESCRIPTION SQ.FT. 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WILL DO TNE WOpC AND iHE STRUCTURE LS HO7 IMENDEO OH OFiEREO FOR SALE(SEG 101�,BUSL J NESSAIUPROFESSION4COOETHECOHTRACfORSLICENSEUWDOESNOTAP7LYT0 ANOWNEROF N PROPERTYWI108UIlDSORMPROVESiHERfON,AHDVAIODOESSUCHWORKHIUSELFORHERSELFOR = � TMpp10HMSORHEROKHEMVLOYEES,GROVIDEDiWlTSUCHMPROVEMENTSMENOTINTENDEDOR m � OFiEi�pipqSALEG,MONIEYERTMEeU4D1NOORWPROVEMBRIS50LDWRF�NONEYEAHOFCOMPLE- TqN,7ME OWNER�BNIDER WILL INVE THE BUFDEN OF FROV W�THAT NE Oii SHE DID NOT BURD OFl MPRGYE FORTHE PURP0.SE OF BALk? � 04A9OWNEROFTHEVROPEHfV,AMEXCLUSNEIYCOMqACi1N�MATHLICENSEDCON7MCTOR3 TO CONSTiR1CTT�E PROJECT(SEC.7ou.BUSiNE55 AND PPOFFSS�ONS CODE:THE COHTMCTORS U• V81U8Ii0n ADJ.AREA CEt15E Uw DOfS NOTAPPIY TO AN OMt1EH OFAPROPER7Y NRq BUILDS OR MVipVES iHEREON,M!D � WNOCONTqACTSFOR5Ud10NWECTSNtTNA00NTMCfOR(S�LICENSEDPURSUANTTOiHECANTMG pUANTtTY DESCRIPTION FEE � TORS UCFNSE LAW.�. ,.J OIAMEXEMPTUNDERSER B.1P.C.FORIHISREASON Q � U . � \ Q LL' MTE OWNER W � � LICENSED CONTHACTORS DECLAAATION �y � I N[REBV AFFIPoA UNDER PENAL7Y OF VE0.1UM TNA71 W LICENSED UNOER PFlOVISIDNS OF CHAPTER Ur , � 1(OOMMENCINOWIiHSECf10N70ao)OFDMSION90FTHEBUSINESSANDPROFESSIONSCOOE,AND Z X W LIGENSE 6 N iULL FORCE FND E�FEC7, m LLI l_ � � LICENSECUSS � IIC.NO. �v� O �J (,� �j DATE �adTRACTOR a W � � WORKERS'COMPENSATION DECLARATION a � � U N IHER�YAFFlRAIUN�ERPENALTI�OFVERtt1H'/ONEOFTNEFOLLOVIINODECUMTIONS: Z Q � _IHAVEINDWILLMAMAINACEHfIFIGTEOFCONSEFfTTOSEIFdNSUREFORN'ORKERS' 2 G�DMVENSATqN.IlSPRONOEDBVSECT10NYlooOFTNEUBOi1GO0E.FORiHEVERFOH1AlwCE U �� OFTHENGRKFORYh11d17HI5GERMITI515SUED. � � _I HAVE AHD NALL WMTAW WONKERS COMPENSATION INSURANCE,AS REOUIHED BV SECTION Q ]70DpF7HE1ABORCOOEFORTHEFERFORMANCEOFiHEWONKFORNMICHTHISPERA1R15 ISSUED.WWORKEAS'COMDENSATION URANCECARRIERANOGOUCYNUTA9EHARE: CONSTRUCTION � ��� � GIAPoER � - Cl\ � PLAN REVIEW � POLICV NUMBER�ri�-C� �h\ � ELECTRIC � p (ry16g(C�pp�NEIDrq78Epp,qElEppFhEpEp.RSFCfiWEH1�DF1m00l1AfMR��IORLFss1 PLUMBING Z ICERTIFYTHATNTIIEPERFORMANCEOFTHENORKfORWNIp/1HI5GERA117156SUE�.I MECHANICAL �J SFULLLHOTEIAPLOYANYVEFL.ONNANYMJWNERSOISTOBECOAIESUBJECTTOTHE � YIORKER5G7AVENSATIONU�NSOFCALIFORNItiAND11GREETHATIFISHOULDBECOAIE INSPECTIONFEE S SU6IECTTOTHEWORKERS'COMPENSATION7ROVISIONSOFSECTION770oOFTME4BOR �SSUANCE COOE.I SHALL FORT/IV/fTH COMPLY WITH 7H SE VROVISIONS. � o � SMIP .��� . ► o p DATE� APPLICANT. _ . .. WARNM�:FAILURETOSEWREM�Oi1KER5'LOMPENSATIONCOVERAOEIS tA,AN�SMALLBE ENERGY P/C � � SUBJECfANEMPl01'EHiOCRIMINALPEwLLT1ESANDGIViIFINESUPTOONE DREDT�AND ENERGYPERMIT CITY nF n�aMQNR.Bp�t � pOlURS(f t00,OD0�,IN ADDITKJN TO TNE COST OF OJMPENSATION,DAMAGES AS PROVIDED FOR IN J[t SECi1DNl7otOFTHELABORCO0E.4lTERESLAND�TfORNEY'SiEES. RETENTIONFEE: �ITTT D�T�����'t'Y/ __ pW„ CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IMEREBYAFFlRAIIRDERiENALTYOFPEfWRVT1UTiHEREISACONSTRUCTIONLENOWOAGENCY � Z FOR THE VEHfORMANCE OF THE WORK W R YA1IG1 TM�S iERMIT IS ISSVE�(SEC.]091,CIX R�. W � LENDERS NM�E �S LFNDERSADDRE55 ``, W ICEHTIFYTHATI/UVEREADTIISMPLKA110NANDSTATEiW�TT1EABOVEWFORMATIONISCORRECT. TOTALFEES � �/` � � IAOREETOCOL�ClYN1TMALLCfiY/�NDCOUNTYOPDIWWCE5AND37ATEUWSRELATINaTOBIALD�NO . , CON�TqUCTION,AND HERE9Y AUTMORIZE PEPRESENTATIVES OF THIS COVN7Y TO EMER UPON ME � AOOVE-MENfqNEDPROVERT'FORINSPECiIONPURPO5E5. COMMENTS � 0 � r` m PERIAIiTEEN l NT) Q O � � 8WNATUqEOFPE TfEE �ATE � � � RECP7.NO. PAID BY VALtDAT10N WHITE—Depenment Copy.YELLOW—Fnence Copy,PINK—AsseasaCopy,GOLDENRO�FIe Copy.GREEN—Apd��Y Copy . . . ,...I... . . �..I• .. �.� � .�� ... , wJ:>�,L��1'c�". -r. :X �!. 7 "y� .�,q1 Y �� '1.,.. t • ^,r Yrw'.Ih:.i�� �� a �.l�t�i . - �- .. . _ . . . . . . . .� �, � . . . ., , �l" . CITV OF DIAMOND BAR � . '. 1tdSPECTION�RECORD . �'���l��.��►�•Y �r�,;L��' ���' �� o il►�E".i��01 �,:,��� '���-yr�u�t,�o1��...__� 5ET'BACK , ; ��� , ! FLOOR JOIST=; , , IFTGSIFORMS/STEEL .� " ` - FHA REaMTS' `" , - . / ` :ELECTRIC GROUND - _ _ UNDER FLOOR DUCT ' • ` �GROUND PLUMBlNG UNDER FLOOR COP�IDUiT • ` • " � �:SLAB GRADE - - FIREPLACE FOUNDATION � TEMP POWER � FIREPLACE BOND BEAM • • • - WATER SERVICE MID HT. BOND BEAM 'ROOF SHEATHING i .�_,.�_ 8 F7.BOND BEAM • � �� � FRAMiNGJilENTILIATION .�.�� FINAL BOt�D BEAM � � " ROOF COVER '� PRE-GRADING � - ' 'ROUGH HEATING � BENCHING �•' ;l{ � - � ROUC�H ELECTAIC ROUGH GRADING -- AOUGH PLUMBING - - - - FINISH GRADING SHOWERITUB TEST POOL ELECTRIC EXT.LATHlSIDING - POOL FENCING WALL INSULATION � - POOL FINAL , ,CEtLING 1NSULATION I � " OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ,SEWER � I � � FINAL ENG. ,SEPTIC TANK � LANDSCAPEJIRRIG. SEEP P!T/LL . ' , .'• ON SITE IMPS. � 'aAS AIR TEST FINAL ZONIMG :FINAL C�NST. ' FIRE DEPT.FINAL , FINAL HEATING . � HEALTH DEPT. �INAL � FINAL ELECTRIC •• � ••. _ � DEV. FEES PPID - - - f�l�lAL PLUMBING � �•:'�' � • � ENERGY f -_ I �__ _ ,._ . 'ei��,�� t ''s��e�c:; . �. ., .�_.1 I . —_ :_i�... .. , . '+�r . . _ . . . .. . . .. . .'r;��. . , , �r , ,/ — COMMENTS - � _ . 1 r , ,�.;:. . _ ��, .,,; ,'�i,: , , . �u'.,_. . 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