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HomeMy WebLinkAbout17133 (30) _ _ _ ______ _ . _. __.__ _..._._ �_._�___.___�T.— _.. . r,, .�� CTTY OF DIAMOND BAR � DEPARTMENT OF CONIIv1UNITY&DEVELOPMENT SERVICES E�P I R E D 21825 E.Copley Drive `%..��y BUILDINGPERMITBAPPLICATIaN JUN 19 2002 PRESS FIRMLY o� JOBSITE �/��� 'O��j,p',t Qlr APPLICATION/� PERMIT �� P/C ADDRESS �4 �CAIU �✓ DATE �� NUMBER 71 c� ISSUE TYPE OCC APN LOT ACT DATE CONST. GROUP °C OWNER � ZONING SEfBACKS ADDRESS Z CITY r IP TEL. R�RT RW a g APPLICANT TEL. SIDElSIDE STREET RW ❑ � CONTRACTO I SIDE ❑ � ADDF SS PROPOSED USE � CITY ZIP I 0 TEL o ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLAFaATION SFRlADD/REM O p 1 HEREBY AFFIRM UNDEH PENALTY OF PERRIRY THAT I IM E%EMPT FFOM THE COMiRACTORS LI• G2f9p8/C21p0A W CENSEUWFORTHEFOILOW�NOREA50N(SEC.T071.6BUS�NESSANOPROFESSIONSCODEANYCITYOR (n C_.) COUNTYWHIpIREWIRESAPEHMRTOCONSTRUCT.AITER,IMPROYE,DEMOLISH,ORREPAIRANYSTRUG W PBtfO/DeCk � TURE.OFIOR TO ITS t55UANCQ ALSO NEOUIRES THE lWPLMJNT FOR SUCH iERM1T TO FILE A SIGNED W � STA7EMENT THAT HE OR SHE IS LICENSEO VURSUANT TO THE VROYISIONS OF TME OONTMCTORS L4 � CENSE UW(CNAPTER 0(COMMENCINQ WITH SECTqN 7000)OF�NISION�OF THE Bl15ME5S MiD�q0 �- PooYSpa FE5510NSCODE10R7NATHEORSHEISE%EMPTTHEREFROMANDTNEBASiSFORTHEALLEOEDE%EA�P• TqN.ANYVqLATqNOFSECT10N7W1.6BYANVAPPLIGANTfOFi�PERAtITSUBJECTSiHEMPLICANTTO Z Re-Rao1 � ACNIL7EN�LT'OFNOTMORE7H�UlFNEHUNDREDDOLLARS(f5o0j.): 0 OtIISONMEROFTHEPROPERTY.OqMYEMVLOYEESMn7HwACE5A5MEIR50LECOMPENSATION, Q COrtIRIBfCl81 Z WILL DO THE MIORN,IW�THE STRUCTUNE IS NOT IHTENDED OR OFFERED FOR SILLE(SEC.7W�,BU51• J NE55 AND PROFESSIONS COOE:THE CONTMCTORS UCENSE UW DOES NOTMPLY TO AN OWNER OF � VROPEHTYNn70BURD50HIMPRDVESTHEREON,MlDVMODOESSUd1WORKHIMSELFORHERSELFOR = � Q THROUGHNISOFHEROVPNEUPLOVEES,VROVIOEDTNATSUCHIIAPROVEMENTSARENOTMEN0E00R m W OFFEREDFORSJLLEIF,HOWEYEi�THEBUILD�NGORIIAPROVEIIENTISSOIDWITHiNdJEYEAROFCAMPLE• � TqN,THE OWNER-BURDER NALL HAVE T1E BUHDEN OF VROVING TNAT HE OR SNE DiD NOT BUqp OR � MICROVEFORTHEPURPOSEOFSALE} W 04�30WNEflOFTHEFRDPEHTY,AMEXCLU5IVELYCANTRACTWOWITHLICENSEDCOHTRACTORS (= TO CONSTRUCT THE PHOUECT(SEG 70N,BUSINE55 AND PPOFESSIIXiS CODE:THE COMMCTOPS Lb V2Itl9SIOf1 A0.1.AREA W CENSEUWDOESNOTIIPPLYTO/WOWNEROFAVROPERTYWMOBUROSORIMPROVESTHEREON.IIND � N7/OCONTMGTSFOFISUGHPNQIECTSWITHAGONTMCiOR(5)LICENSEDPUHSUANTTOTHECONTflAG QUANTITY DESCRIPTION FEE Y TORS UCENSE UW). � ❑IAMDCEIAPTl1N�fRSEC. B.{P.C.FORTHISREASON U � � � OA7E ONNER f"' W �4 LICENSED CONTRACTORS DECLARATION W LL I HEREBYAFFIPM UNDER PENALiY OF PERIURY 7T1AT IAM LICENSEO UNDER PROVISIONS OF CMAVTEN Z / � d Y(COMMENCIN6WITHSECTION70oD10FDM510N�OF7NEBUSINESSANDPROFE5510N5CO0E,AND X 11Y LICENSE IS Pl FULL FOHCE ANO EFFECT. �a m e •� 1�A iu/' � LICENSE 3 lG LIC.NO. � �o I � �� �vwr J O C • vonre corirrucroa a W r r• � WORKERS'COMPENSATIONDECLA ION � � U N IHEREBYAFFIpAIUNDENFEN/1TYOF7E0.7UMONEOFTMEiOLLO'MNUDE A710N5: u' a G _IHAVEANDWILLMAINTAINACEflTIFIGATEOFCONSENTTOSELF�NSUREFORWORKERS' 2 � COMPENSATqN,A57ROVIDE0BY5ECilON77000FTMEL�BORCODE,FORTMEPEPFORMMlCE W � OFTHEWORKFORWHICHTHISVEHMITISISSUEO. � � 1 HAYE ANO WILL MNNiAM WO{L(ERS'COMPENSATIWd INSU{UNCE,115 REOVIRED BV SECf10N / O O 37ooOF TNE LABOR GODE.FORTHE VERFORAIANCE OF THE WORK FOR WHICH iHIS PERMIT�5 / ISSUED.MY RN RS'COMP NSAT WSUMNCE ARRIER�'ovaiernun�een�vte: CONSTRUCT�ON yJ � '¢ CARRIER����� ��rP� �. 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CONSTRUCTION LENDING AGENCY PRE-ALT FEE: CC IHEREBYAFFIiiMUNOERDENALTYOFPERJURVTHATTHEHE15ALONSTRUCTIONlfN01NGAGENCY �- iOn7NEVERFOR4ANCEOFTMEWORKfORWHICHTMISPERMITI5155UE�(SEC.90Y7,C\CJ. W � IENDERSNAME � � IENDEFTSADOR€SS W ICERTIiVTHATIHAVEREADTM�SMPLICATIONANOSTATETHATTMEABOVENFORMATIONIS RqE�,. TOTAL FEES I d IAGREETOCOMPlYN7TMALlCfTtlANOCOUNTYORDINANCESAN�STATEUWSRELAT�NOTOBUILDINO CONSTRUCTION.ANOHEREBVAUT/10RIZEPEDRESENT�T SOFTMISCOUNTYi0EN7ERUPON HE Z -MENTIONEDVROFERT/F wsrecrnNvuan �s. COMMENTS � w � er� U m � ¢ PERMiTfEENAME(PRiNT) n O� �/! � � y SI�NANREOFVEPIAITTEE D iE O � RECPT.NO. P/UD BY ' VALIDATION WMITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applieant's Copy . ; .. y..�'..r'.:..�.:�:h:T..._... . ..�..�.'`_b. r- , � . . � Y h"� y '� ' i Y"' ._ , .- I i n. ., n. . .�'V. . .- . �.�1t �.'-�'F� .��3.'r7�•'��.i6��:.� I-�yt. .. .._ . r ' . , . . . _ . .. . , .. ,. . ,.. ,F-.".. rY',' CIT`�' OF rlieGfl�Qtv'D E3f-�i� ' ' - era����-�oc�r�i ��carr� � _A...�..�._._� _.� .�_n_..__�_,._ __,.. _________. ��►��.-�F��;-rt-�►o ;����.�� � i►�� a� �� � _ _ � c c c � e ); iI��E�'i.a'�c C(��I��� ���1.r`= (►�}-^3r�e';i�a1:� I --__.._____---_____.� �_._... . _. _ ._ ._ - - _ . _--.._...__. ._._.____..__. _..�_._.___..___.__ ._._ _.,_ .---__. _ ___.�__ _.____.�..�.=____..___ SET BACK i I FLOOR JOIST ; F?GSIFORMS/STEEL j ' FHA REQMTS ELECTRIC GROUND UNDER FLaOR DUCT � GROUND PLUMBING UNDER F1�00R CU�'�!DUIT � • �` . • SLAB GRADE I FIREPLACE FO�UND`ATlON ' I ' ' TEMP POWER FIREPLAGE BOND BEAP�i WATER SERVICE I MID HT. �OND F3EAM � ROOF SHEATHING �i 8 FT. BONO BEAM • . � � ' � FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER � PRE-GRADING AOUGH HEATING BE�dCHING ROUGH ELECTRIC ROUGH GRADItJG ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATHlSIDING POOL FENCING V'JALL IPJSULATION i POOL FINAL i CEILING WSULATION ' OFF SITE IMPS. DRYWALL NAILIPJG DEDICATIONS SEWER FINAL ENG. SEPTIC TANK � , LANDSCAPE/IRRIG. SEEP PIT/L.L. � ON SITF- 1��1PS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DrPT. FIPJAL FINAL HEATIPJG I HEALTH DEPT. FIPJAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING � � ENERGY . \ • .--....�...,.t--,�..--...�;,�.,' _�:?_�'=r��(11'i ^'1l::t� __�.____ __ CUPJiMENTS SEPTIC TANK SIZE � SEEP PIT/U SIZE 'ti� . , j 'I�q� --' �� j _, , , � ' - � , �. ��j, : , .• . J � .'