Loading...
HomeMy WebLinkAbout17880 EXPIRED �` CITY OF DIAMOND BAR 1 DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,1 U N 18 2002 ��y 21825 E.Copley Drive (909)860-3195 Fa�c(909)861-3117 PRESS ��'-� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE -�7 ,Q /� APPLICATION �(� ,PERMR ��,?�/C o ADDRESS J�V ����G�/ /d V� DATE �� •' �1�JUMBER � � ISSUE TYPE OCC -- APN LO.�T,�� — TRACT DATE CONST. GROUP p OWNE�t�l�r�// NJ��� p ADDRESS G (JCi ZONING SETBACKS gCITY w N�'7 ZIP��. TE � � U' � FRONT RW ❑ APPLICANT TEL REAR ❑ SIDE/SIDESTREET RW ❑ � CONTRACTOR :1 GVO�/ SIDE ❑ ADDRESS ' p C�n, /YC/�j%C�a�. Z�P 0 TE Z.� PROPOSED USE oARCF�/ENG/ �z DESIGNER NO.DWEL NO. NO. o.. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLARATION SFR/ADDlREM O p I HEREBY AFFlRM UNDER PENALT'OF 7ER1URv THAT I AM EXEMVT FROM TNE COMMCTORS L4 Garage/Carport W CENSEUWFORTFIEFOLLOWWGNEASON�SEC.7WI.SBUSINESSAN�VROFESSIONSCO�E:MnC1TYOF (n �..� COVNTYWNIdIREOUIRESAVERMITTOCONSTAUCT,ILLTER,IMPROYE,DEMOl15H2ORREPAIRANYSTRUG W P3t10/DeGk � NRE VRpR TO ITS ISSUMICE.hL50 REWIRES THE A➢PLICANT FOq SUCH PERMIT TO FILE A SIGNED W STA7E4ENT THAT HE OR SHE LS LICENSED VURSUANT TO THE PROVIS�ONS OF THE CONTPACTORS L4 � CENSE LAW(CNAPTER 0�COAIMENCIN6 WITH SECTION 7000�OF DNISION]OF THE BUSINESS Ml0 PRb u- PooVSpa FESSqNSCODEIORTHA7XEOR5HEI5EXEMPTTHEHEFROM,UDTVIEBASISFORTNEALLEOEDf%EMP- (� � TpN.ANVYIOIATqNOFSECfION1071.5BVANYl1PPLICPNTFORAPEflMITSUBJ[CTSM[APPLICANTTO Z Re-Roof ACML GENALTY Of NOT MORE TMAN FNE HUNDRED DOlUR3(SSoo�J: Z ❑t,A50WNEflOFTHEPROPERTY,ORMYEMPIOYEESWITNWAGE5l1S7HEIRSOLECOMPENSATON, � COTTBlCl2I - WILL DO THE WORK,M10 THE STRUCTURE IS NO7INTENOED ON OFFERED FOH SALE(SEC.70��.BUSI• J � NESS AND VROFESSIONS CODE:TME CONTMCTOHS ItCENSE UW DOES NOT APPLY TO AN OWNER OF = VROPEHTY NTIO BU4DS OR IUPROVES THEREON.AND Mh10 DOES SULH Y/ORK MAISEIF OR HERSEIF OR � THROUGN HIS OR HER ONIM EAIPLOYEES,FRONDED THAT SUCH pAPROYEMENTSARE NOT WTENDED OR m QOFiEREDFOHSALEIF,FIOWEVER7F1E8UtDIN60RIYPROVEMEHTISSOlDWI7MNONEVE�ROFCOMPIE• Z TION,T/E OWNER-BUILDER WILL HAVE TME BURDEN OF PROVINC iMAT HE OR SHE DID NOT BU�LD ON = W PqOVE FOH THE PURPOSE OF 6ALE). W 04ASOYMEROFTHEVROPEHiY,AMEXCLUSNELYCANTMCTIN6N7R/UCENSEDCONTMCTOflS � TO CONSTRUCT T1E YRQIECT(SEC.7W�.BVSINE55 AND PROFESSIONS COOE:THE CONTMCTORS LI� Va1110GOf1 ApJ.AqEp, W �NSEUWDOESNOTAPPLYTOANONTIEROFAiROPERTVW/10BUIL�50RIMGROVE57MEREON,MlO � NTqCONTMCT5GOR5Up1FROJECTSWIiHACONTMGTOR(5)LICENSEDPURSUANTTO7MECONTMG QUANTITY DESCRIPTION FEE Y TORS UCENSE UW.). � ❑IAIA E%EYPTUN�ERSEC B.t P.C.FORTHIS REASON U 'Ty LL DATE OYMER � Z W � LICENSED CONTRACTORS DECLARATION W � I MEREBYAFFIRM UNOER PENALiY OF 7ER0.1RY TMAT IAM LICENSEO UNDER PHOVISIONS OF CHAFTER � p. Y(COMMENCWOWITHSECTION70oolOFDM510N�OF7MEBU5WESSANDPROFE5510NSC00E,AND Z X YY LICENSE IS N FULL FORCE ANO EFFECT. � LICENSE CL0. �'� _LIC.NO. ��a �!` ] � J V OAiE cornrucroa a W � WORKERS'COMPENSATION DECLARATIO ¢ U � �Q = U � 1 HEREBY�FFIRM UNDER VENALTV OF OE0.1UpV dJE OFTNE FOLLAWING OEClAiU710N5: Z � � �IHMEMlOW4LMAINTAINACERTIFICATEOFGqJSEMTOSELF•INSUREFORWOfiKERS' _ COMVENSATION,AS VROVIDEO BV SEC710N�7oa OF7ME UBOH CODE.FOR TNE PENFORMANCE U � OFTHE WORK FOR VlHldl THIS PERMR IS ISSUED. � 0 W _IHAVEAN�WIIIMAINTAINWORKERS'COMPENSATIONINSURANCE,ASREWIqEDBVbECTpN Q �7000FTHEUBORCOOE,FORTNEGERFORMANCEOFTHEWORKiORN?1iCfiTNISVERMITI3 ISSUED.MYWORKERSCqAPENSATIONINSUNANCECAflRIERIW�POIICYNUMBERME: CONSTRUCTION J � CARRIER Pt/1N REVIEW � POLICY NUMBER ELECTRIC � �n+sstcrp�N[mnoreEoc+.r�ooFn��aMra�oaa+Eµ+naE�oauasR+ro�aa�ss? PLUMBING w !'� Z I CERTIFY THAT W THE PERFORMANCE OF 7HE WOiiIC FOR WMIA1 THIS PERMIT I5155UE0.1 MECHANICAL .L•� C7 SHALLNOTEMVLOYANYPERSONINANYMANNERSO�STOBECOMESUBJECTTOTHE � WORKERS'COMPENSATION UWS OF CALIFORNIA.AND AGREE TMAT IF I SHOULD BECOME INSPECTION FEE S SUBlE TTOTHEWORKERS'CdACENSATKKJVfiONS10NSOF5ECTIDN]7000FTHELA90R E sN�1�foar�rvumrcaaa�rwm�rwos isioius. ISSUANCE �� . � /� SMIP p OATE� /�'" L APPLICANT: � / ENERGY P/C WMNIN6:FA�WRETOSECl1REWORKENS'COMPEN IONCOVE GEISUNUWFl1LAND5MAL�BE �y SUB.IECTANEAIPLOYERTOCRiMINALVENALTIES GVILFWF PTOONENUNDREOTNOUSANO ENERGYPERMIT DOLLAiiS�f100.000),INADDITqNiOTHECOSTOF qN,DAMAGESA50ROVIDEOFORIN � SECTION 9708 OF THE UBOR COOE,INTEREST,ANDATTORNEY'S fEES. RETENTION FEE: d CONSTRUCTION LENDING AGENCY PqE•ALT FEE: O � IHEREBYA�FtR4UNDERVENALTVOFPE0.NRYTHATTNEREISACONSTRl1CT10NLENDINGAGENCY n- iORTHEGERFORMANCEOFTHEWORKFORNMICHTHISPERMITI5155UED�SEG]DY7,CN.G). Z W � LENOER'S NAAIE F- LEI:DERSnDORE53 ¢ ICER71FY1NATINAVERE/�THISAPPLICATIONAN�STATETHATTHEABOVEPIFORMATIONISCORRECL TOTAL FEES � . D W IAGR[ETOCOMPLVWITHALLCRYANDCOUNTYORDINANCESANOSUTEUWSRELATWCTOBUILO�NG � CONSTRUCiION,MIOHEREBVAUTNOR2EREPRESEMATNESOFTHISCWNTYTOENTERUPONTHE ZABOVE-MENTIONEDPPOPERTVFOAINSPECTIONPURPOSES. COMMENTS � J 7 / m PER G . ( f�OZ a .i � � SIGNANREOFV HMI �E D�TE � RECPT.N0. PAID BY VALIDATION WHITE—Department COpy.YELLOW—FNance COpy.PINK—Asses50r Copy,GOLDENROD—File Capy,GREEN—Applicant s Copy ` � .. . . . � . . . t ,r.�;_. . . .. . ,.�'....., . '�t:,rr;.i:.!'..�• .t.�rJ .�%::. .�",✓.:ti;p:t��;P:-� . .-.�.7.cr . :•a'��.s:�.�.. ,-C. .frf.: .. .,. �-»� , .. . + . ,.� � .. , ��i�� Q�' �OQ�"L���� �'�� IidSf=EC¢i0t�1 RECC3EzD ._._.____� _ .__�_.� __ '�li��-yFa=2�.'iCl��►tiY !!'1��:C'=, I�'!-'S a_:e�'l"�1�� I►°1:=�:���:�i�[c.��►+.� e���,j��; 1►���.��c�;�o)�� I .., ._.. __. ----�------- __ __.___�.. ...____.____.�_�___,.�__ _ _____._�______.Y__�__.__... _ ___ ..i..___. .---____ _. SETBACK � i. ! ,' � I FLOORJOIST � _.__..___...._. FTGS/FORM5ISTEEL�� �, _ ; FHA RE�MTS _ � ELECTRIC GROUND � I I ; UNDER FLOOR DUCT i GRQUtJD PLUh1BiNG I I � UNDER FLOOR COhIDUIT ' SLAB GRADE I ~ I FIREPLACE FOUNDATION TEMP POINER � i I FIREPLAGE BOND BEAM WATER SEi�VICE � j_j it11D H7. E30I�1D BEAP,� ROOF SHEATHING � I _l ! II F7. BOfJD BEAM • ; FRAMINGNENTILIATION I I I FINAL E30ND BEAM I ROOF COVER I PRE-GRADING ROUGH HEATING � BENCHING ROUGH ELECTRIC � � ROUGH GRADING ROUGH PLUh,rBING � I I I FINISH uRADING SHOUJERIfUB TEST I I I_�_POOL ELECTRIC EXT. LATH/SIDING I I I i POOL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRY4'VALL NAILING � DEDICATIONS SE1h'ER FINAL ENG. SEPTIC TANK LANOSCAPE/IRRIG. SEEP PIT/L.L. � ON SITE I�JIPS. GAS AIR TEST FINAL ZONING �INAL CONST. . F1RE DEPT. FINA! FINAL HEATING t1EALTH DEPT. FINAL F(NAL ELECTF�IC DEV. FEES PAID FINAL PLUMBING EPJERGY � c`.�E.rt.����..�'��" ___.--�___ . COMMENTS � 1 SEPTIC TANK 51ZE SEEP PIT1U SIZE .!�� 1 ��� �� .:: , r � 9.ti .