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HomeMy WebLinkAbout15573 (20) CITY OF DIAMOND BAR EX PI F3ED ---«-� • 1� - DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES Z��oE.c���,.nr;��s����o JUN 17 2001 PRESS (909)860-3195 Fex(909)861-3117 ����� BUII.DING PERMIT APPLICATION FIRMLY o� JOBSITE APPLICATION 7 I� Gr6 NUMB R / � N/C AODRESS O DATE � � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER i 1p ADDRESS U 7 G� YV1:S S i ca.A�d (L.:a�y ZONING SETBACKS cmr t?a,ti,�„z �T.�,. ziP �.5?� -�y��y FRONT Rw o APPLICANT TEL REAR ❑ SIDFJSIDE STREEf RW ❑ CONTRACTOR �F: SIDE p ADDRESS l S'�+` �w�l. � CfTY S2fLL�+^,� ZIP��'7CrG TEL 9�31-3 PROPOSED USE �(r�J� [�C.,'R T�Lt Q�— � A � ARCH/ENG/ � ��u! �r.L,. l �ay «+....T �y t A �L�� � .li DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLP.RATION SFR/ADDlREM O � I MEAEBY AFFltM UfUER VENALTY OF OEiWRY TFIAi I AM EXE/A0T ipAM TNE CONTAACTORS l4 Gefe96/CerpOR CEHSEUWFOHTMEiOLLOWNOREA,AN(SEG7071.68USPlESSANOPROiE5510N5CODE:ANYCfTYOH (n COUHTYNHIOIREWWESAPERMRTOWNS1AtKT,ALTERMPqOVE,DEMOUSH.ONREPAIRAN`lS7RUG W pa110/DBCk NRE,PRqR TO RS ISBUANCE,ILL50 NEOUIilE51HE MPLKANT FOR SUp1 PERMIT TO FILE 118iGNED � ETATEMENt 7NAT NE OF�S11E IS 110EN5ED Cl/N3UANT TO THE P1�VISION3 OF 1HE COHiRACTOR3 lF � � t818ELAW(QUFTERY(COA/MENCt�WVvfi115ECTqN7000)OFDMS�ON70F7MEBUSMESSANOPRO LL POOVSpB FESSIDNS CODE)OR 7HAiME OR SME IS EXEMPT TMEHEFROM ANO iME BA513 FOR iME KLEOED EXEMP- TION.ANYVMJL�TqNOF6ECT10Nlai1.68YANVAPPIICAl1TFORA7EH11RSU&IECTSTHEAPiLICANTTO z Re•Root F, ACMLPENALTVOFNOTMORETHNIFNENUNDREDOd1AR5(fba0).h , . O OIAeONNEROFTHEVROPEi1T1:ORMYEwPLOYEESYviiMWACE5A5T11EIR50LECOMGENSATqN, � COrtlmerCiel � � YKL 00 THE M'OWC,AND 7ME STRUCTURE IS N�T�HTFNDED OR OLFERED FOH SALE(SEG 7041,&154 J NESS MD FROFESSqN3 COOE T1E COMTMCTORS LICENSE l/�w OOES NOT APP�Y TO AH OIMNER OF y VROPENTVVYIiDBUILD90RMVROVE9TMEREON./VnON'110U0E55UG1YlOfiKNIMSELFOi1MER5ELFOR � � TNROUONHBOqNEROWNEMPIOYEES,VROV10EDiHAT5Up/1YPROVEA�EMSMENOTINTFNDEDOR m OfFEREO fON SALE F,IIOM/EVER THE&ADNOOil NIPHOVEMENT{5 SOID WITNMlQ4E YEAfi OF WMPLE• �TqN,TME OWNEP�BU�LDER W1LL NAVE 7HE BUROEN OF VROWJO iHAT XE OR SHE DID NOT BUILD DR MPAO1/E FOR TIE PURPOSE OF&LLE1 � OGIlSOY1HEHOFiMEiFOPE�Y.AMIXCLUS�VELYGONTMGTN�IYITHL�CEN5E000NTRAGTOP3 ,_ _ TO CONS7RUCTTHE GRO.IECT(SEG 7ou,BUSM'E55 ANO PROFESSIdJ4 COOE THE CONTMCTORS ll• ValUOtiOn � ADJ.AREA CEN9E UW DOEE NOTMPLYTO/JI OYMER OF A iROPEiRY WNO BUILDS OR MPiqYE9 THER[ON,MID � MRqCONTRACTSFOR5UQ1PRQIECTSWIiHA00NTMCTOR(5)UCENSEOVURSUAHfTOTNECONiMG pUANTITY DESCqIPT10N FEE � --- � TORSUCEl/SEUWJ. ❑I AM E7(EYPT U1�EA SEC. B.t P.G FOH TMIS REASON � LL' DATE OWNER r � . � W LICENSED COPtrRACTORS DECLARA710N W � INEREB'lAFFIRMUNDERPEWLLTYOfiE0.1UHYT1IATIAMUGENSEDUNOERiROYi510N50FCMAPTER z t-^� "� •ICOAMIEHCWO WITN SECfqN 7o0D)OFDIVISiON�OF THE BUSINE59AN0 DROFESSIONS COOE.AND NYLICENSE R W FUILFORCEAND EFFECT. m � LICENSE CUISS�Fr3�1 Sfr LIC.NO. ��� - _ � � � �� �, z�� _ ����oa a � nn w n , . . .... � � WORKERS'COMPENSATION DECU+HATION � " • '-' '"" ' "' ' V y�� � IHEREBYAFMMUNDERPEN�LTYOFiE0.riliiYONEOFiHEFOLLOWINODECLARAT10NS: z :��~ �•'• `�•' � �_IHAVE/NDWILL4ANTNNACEitiIF1CATEOFLONSENTTOSELFdNSUREFORNOqKEftS' S � � ppyPEN3AT10N,ASPiqNOEDBY9ECTIONJro00FTNEUBOf1000E,fORTHEPENFOHMMICE W p OFTHE WOpK FOR WNK]I TNIS VEiUAIT IS ISSUED. � F�j �I HAVE IND VALI MAMA�N WORKERS'COMPENSATqN INSUWwCE.AS REOUIREO BY SECfqN � Q J7000FTNELABORCODEFOi1TNEPER�ORAIANCEOFTHEWORNFONV+H�CNTNISVERMRIS � LSSUE�.►fYWOR10EA5COMPENSATqNWSURANCECARRIERANDV0.ICYNU48ERARE CONSTRUCTION � GAFWER � f V � POucrNUMeEn 111.�..Gh1�_��3 � ELECTFIC pp �SSEcn�r�amwrgepp.�rmcFnfpEqi,�isroqor��a�npatu�ls�aa�oqtEssy PLUMBING � ICE�nFYiHATW7HEPERFdWANCEOFiHEM/ORKFORYMiCH1HI5VERM1TI5155UED,1 MECNANICAL SMAtL NOT EMPIOY MN PEASON N ANY YANNEP 50 AS TO BECOME SUBJECT TO7HE (�/� NOW(ERSCqAPEN5ATI0NUN�SOFLALIFORNt�AHDAOREETNATIFISHOUIDBECOME ECTIO E. f� S SUBJECTTOTHEWOWCERS'COYPENSATIONVPOVISIONSOFSECTIDN�7000FTHEUBOH SSUqNC - � v CODE,1 SWLLl fOHT/N+�iH COMPLY WI7M T/1DSE PMNSIONS. � IP pll.� DATE: APPLICAM: � . � WAiWIN¢FNLURETOSECUR[Y.ORKERS'CddPENSATqNCCVEM0EI5UNLAwFUL.MIOSNALLBE M' . SU9JEGi AN EMPLOYER 10 CNMINAL PENAlTiE5/W D CML FWES UP TOONE MUNDREO THIXI3AND . pOLURS(t t0o•Ooal.�N ADDI710N TO iHE C051 OF COMOENSA710N,OAM�GES AS VROVI�ED FOR IN E� �/� J SECTIDN77oeOFTHELABORCOOE.IN7EREStANDA7TOflNEYSFEES. ENTIONFEE' ��� �� I7 � CONSTRUCTION LENDING AGENCY . � IHEREBYAFFlRMUNOEROENALTYOFVERIURYTH�ITTNEREISACONSTRUMIONLENDWOA�ENCY � FOR iME YEHFORYANCE OF iME WOFK FOR WMICM TNIS VERAIIT IS I55UED(SEC.ioa7,qY.C.). � LENDER'SNM�E . � tENDER'SACONE53 . � ICEqi1FYTHATIHAVEPEA0h1�SAPPLICATIONNlDSTATETHATTIEABOVEWFOR1AATqNISCORRECT. TOTAL FEES � � � a„ IAGREETOGOMPLYN7fHALLGTYANDCOIMfIORDRlANCESMIDSTATEUWSAEUTMl�TOBULDINO "^-��,�_ . .. . . � �ONSTRUCT�ON,/VJDMEREBYAUTIiDRREREPRESENTATIVESOFTWSCOUNiYTOEMERUPONTHE . FAFqOPERTYFOfiINSPECTIONPVRPOSES. '(,�MMENTS - O • I � � � ` m Q _ .� y SIGN VERMITTEE DA7E � ' RECPT.NO._ PND BY VAUOATION WHItE-0epertment Copy,YELLOW—Finenu Copy.PINK—Asseasa Copy,GOLDENROD—Fle Copy,GREEN�Applicanfs Copy ( ..�.�� . .... , �g , �p,•. � ..c.�.}�. , . .._:�a� . .:-A� ..r�. '.Y'. .. '�a. , �.*:�.. ;+•. � ... .M� ... '�, � - •' _�i:. . . t �. ' � ' CITY OF DIAII►iOND BAR . l�dSPECTION RECORD � � — - 6�I�......�� --'�°�"�.�-� ., �- ',j! y' e o �t�l�.� �...�-�'v��w��s���cr�r�..__. ' SET 6ACK "��-.�' '� FLOOR JOI$T, - ., : ,FTGSIFORMS/ST�EL " . �� FHA RE(�t�7�� _`�, •. ... � ., , , • • ' -- - ELECTRIC GROUND__ UNDER FLOOR DUCT ' ` i GROUND PLUMBING UNDER FLOOR CdI�IDUt : ' � ' ' �� ' SLAB GRADE - FIREPL�G �FOU�lDATIO�1 �, , .� ; _ � ;,; ' ITEMP POWER FIREPl..ACE BOND BEAM WATER SERVICE - - - MID HT.BOND BEAM •• � : 1,. .; . � 'ROOF SHEATFi?NCa��_'-i +�:i ;.�_C.. ,t (..' . ,r�' 8 FT. BONR REAM .. ' � � ' •� � . , , - :FRAMIN�G/YJE�tTitlATibN `` `'' '' '' "•`•• " ' FINAL BOND BEAM y ;AOOFCOVER .,� PRE-GRADING - ' :ROt1GH HEATING - - BENCHING � ROUGH ELEC7RIC ' RQUGH GRADING ROUGH PLUMBING - - FINISH GRADING �SNOWEF�lT'UB TEST - - - - POOL'ELECTRIC ,EXT:LATH/SIDING- - POOL FENCING WALL INSULATION - -- POOL FINAL 'CEIL(NG INSULATION� -" OFF SITE IMPS. DRYWALL NAILING - DEDICA710NS ! SEWER ' FINAL ENG. SEPTIC TANK ! LANDSCAPE/IRRIG. SEEP PIT/LL. � -' '- ` ON 51TE IPAPS. GAS AIR TEST FINAL ZOUING �FINAL CONST._ _ FIRE DEPT. FINAL - 'F1NAL HEATING _ _ __ . HEALTH DEPT. FINAL � FiNAL ELECTRIC - DEV. FEES FAID �� I=1�lAL PLUMBING - — - -- ENERGY - .. . _ _ �'�, �4'�1z����r.��: ; . -� � — e.��E.,...��:�� x.m: �_ ._. .� _ .. . _ - . • . . 1� '�>c COMMENTS -- -- -- ------ � _. _ . . ... ___ , • . r ' - .� � . � < , . .. — , � • _ . SEPTIC TANK SIZE , — SEEP PIT7U SIZE� • _ ..__ , i - -,...�-�.-.....-•---�--^^---� A-::.{�1�'. � _ � �:i �r,; _ _ �� ; , - � �� � � �' , . , �. ,�. � �. �. _ _ - � y��. �� ,� �`, ` � , _ - . ' � . � . _ _ i .��� ;, .. � � �i: ; ' � 1 ' .,.. - ; �..a � - j'-= ..,. ....._`..:1 ; . .. . ._ .. � • � i