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HomeMy WebLinkAbout16481 (28) l..� � J� _ CITY OF DIAMOND BAR EXPIRED '« " DEPARTMENT�F COMMUNITY&DEVELOPMENT SERVICES � � 21660 E.Coplcy Drive Suitc 190 (909)860-3195 Fax(909)861-3117 JUN 17 2002 PRESS ��*�� BUQ.DIIVG PERMIT APPLICATION . FIRMLY o ADDRESS (�O,S �Ol��� �fT"'��� DATE CATION`�l��1\( NUMB R I �s'� v � �,C 1 lJ � ISSUE TYPE OCC APN LOT TRA T DATE CONST. GROUP' g OWNER /�lQ = C/Lf ADDRESS I'� ZONING SETBACKS � CITY ZIP TEL. REAR RW ❑ APPLICANT TEL SIDE/SI�E STREET RW O � CONTRACTOR C IIJ SIDE ❑ � C'DnDrRESS ` Z�P p��a TEL].Z� _�l� PROPOSED USE 11 �I� � 1� � ARCFVENG/ . =t++"�t � - � ••� 1 � ,o� DESIGNER NO.OWEL. NO. N0. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL N DESCRIPTION S0.FT: FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLARATION SFR/ADD/REM O p I MEREBY AFFlRM UNDER PENALiY OF FEiW1iY TUT 1 AM E%EMPT FiiOM THE CONTMCTORS l4 Ga�9���h W C£I15EUWFORTHEFOLLOWPl6NF/IS�N(SEG70.71.68USINESSMIOPROFESSIONSCOOEANYCITYOR (n � WUIlTYWMQIREWIRESAVERMRTOCONSTRUCT.ALTEii1MPROVE.DEMOUSM.OfiREVAIRANYSTRUG W PatiolDedc � 7URE VRpR TO R9 ISSUANCE.AL50 REW IRES THE APPIKJ�NT FOH SUCH PERAIIT TO FILE A 516NED W .� ETATFMENT T1AT ME OR SME IS LICENSED iURSUANT TO iHE VROV4510N4 OF TNE WNTMCTORS LF � CENSE UW(OrADTER 0(COMMENCtNU MTTH SECi1DN 7000)OF DMSION]OF THE BUSINESS AND VNb V"' POOVSpt iES410NS COD�OH THAT HE OR SME IS E%EIAPT THEREFNOM AND 7HE B.1S15 FOR iHE ALLEOED E%EMP- TpN.ANVVqlAT10NOF5ECT10N7o0t.6BYANYAPOIICANTFORADERMITSVeJECTSTHEMVLICANTTO Z Ro-Roof �.. � ACIVII VENFLT'OF NOT IqRE T1AN FNE 1NNDRED DOLURS(fsoo)d: � O�ASOWNEROFiHEPROOERiY,OiiMYEMPLOYEESNATHWA6ESIl5THEIRSOLECOMPENSATqN, � Commercial . - WILL DO TT1E WOflK,�lA iNE STRUCTURE IS HOT IMENOEO OR OFFERE�FOR S/�LE(SEC.7aN,BU51• J NESS MW VHOFE5910NS COOE:THE WNiMCTORS LICENSE UW DOES NOT AVPLY TO AN OWNER OF � PHOPEHTYN'/iOBUlD30FiMPROVESiHEREON,ANDMTI0DOE55UCMV/Of1KMIY5ELFORMERSELFOR = � THq0U0HHISORHEHOWNEMVIOYEES,iROMDEDiWITSUCHMVROVEMENTS�RENOTINTENDEOOR m . OFFERm fORSALE IF.IpWEVE0.7ME BULDIIHIOR WPROVEIAENT IS SpD WRHNONE YEAFiOFCOMPLE- 'T10N.THE ON'MERAI��ER VnLL HAVE T11E BURDEN OF VROVINO TNAT HE ON SHE DIO NDT BUILD Oq MPIqVE FONTHE WRPOSE OF SAL.E} � OlA40WNEROFTHEPROPEIRY,AMEXClUSNELYCOMRACTINCiN7MLICENSEDCONTMCTOR4 TO CON^TqUCT7HE ii1WEGT(SEG 70N,BUSINL54 AND PPOFESS�ONS CODE:THE CONTMCTORS LI- Vd1U8t10f1 O ADJ.AREA CENSE UW DOES NOTMPLY TO AN ONNEH OFA iROPERTY YN10 BUILOS OR MCRDVES iMEREON.NJD � W1pCOtQTMCT5FWi5Ud1PRQ1ECi5W77HA001JTMCTOR(5)UCENSEDPUFiSUANTTOTMECONTMG QUANTITY DESCAIPTION FEE - � TORS UCENSE LAW.�. , O VA1 EXEYPT UNDEN SEC. B.i P.C.FON THIS PEASON U LL � DATE OWNER V . � J �q_ UCENSED CONTRACTORS DECUIRATION W 2 INEF�BYAFFIfi4UN0ERPENALT'OFPERA1ttYTMATIA/ALICENSE�UNDERPROVISIONSOFCFUPTER Vr - � •ICOMAENGNO VATH SECTION 7000)OG DIYISION 7 OF TNE BUSINESS AND PROFE5510N5 COOE,ANU Z � AtY 110EN5E IS N FULL FORCE AND EFFECT. m � LICENSE GASS ` � � UC.ND.�� I `� � � � J V o,����_Q_.�._cow'rrucroR a w �n � WORKERS'COMPENSATION DE �fOtJ��'l7, a � U � IMEREBYAFFSWUNDERGENAL7YOFiERri1RYdJEOFTHEiOLLOYANGOECUMTI0N5: Z Q � �IHAVEAHDWILLWMITNNACERTIFlCATECFCONSENTTOSELFJNSUFEFORVK)RKEHS' _ � COM�ENSA710N.A5 PROYDED BY SEC710N]7ao OF THE UBON LOOE.FOR iNE iERFORMANCE W OF THE WORN iOR WMp1 THIS VENMIT IS IGSUED. � 0 �INAVEANDMALLEWMAP7WOPo(ER5L047ENSATIONINSUiUNCE,ASREOUIREDBYSECTION fO(� ' /� Q770o OF TIE LABOR CODE,FOR T/1E PERFORMANCE OF THE WORK FOR WHICH 7HI5 PFiUAiT IS �: � ISSUEO.MYWOfiKERS'COMPEN�SA{7'/qlNW,/AANCECAFlRiEqANDPOI���1yyy�vvv NUMBERME: CONSTRUCTION � ? GRWER � S 1('I�G T u'�'/ PUW REVIEW � vaicrrrtiwBER C�O O I��� ELECTRIC _ 0 �nastcnor+�IDwreEca.n�rmoFnfvca.irrsioaar.��a�moauns8�ac)aa�ss� PLUMBING •—. '.-� .... w Z ICEN7IFYTWITNiMEPERFORMIWCEOFTMEWORKfORwHICHiHISPERMITI5155UED,l MECHANICAL ��' �� ��•- -'`--^ (� SHALLNOTE47LOYM1YVEii50NNANYMiWNEH50A5TOBECOMESUBJECTTOTME y N'OHKERS'COMPENSATIONUWSOFCAL�FORNItiIWDAGREETMATIFISFIIXAOBECOME INSPECTIONFEE S SU6IECTTOTHEriORKERS'COMVENSATqNPRON510N50F5ECT10N�7000F7MEU80i1 S L cooE sN coan�win�couv�r(v�n�n�naserP�aohsaNs.7� ISSUANCE � � � I APPLIC�NFtiC_ U��� V� SMIP � DATF: WAANINQ:fAILURETOSECUREWOiiI(ERS'COIAPE SATqNtOVEM0EI5UNUWFUL.MASHALLBE ENERGYP/C � SUBJECT/W EMPLOYER TO CiiIMINAL pENALTIES AND CML iMES UP i00NE MIMDRED THOUSAND ENERGY PERMIT —"" OOLLMS(f 100.0001.�N ADOITION TO TXE COST OF COMVENSATION.DAM�6E5�S PROVIDED FOR IN � sccraNa�oeoFn�eueoacooe.a+reaEsr,�wo�ttorw�^ssE[s. RETENTIONFEE: ¢ a CONSTRUCTION LENDING AGENCY PRE-ALT FEE O � CL 1 HERE9YAFFIRM UN�fR PENALiY OF PERNRV THAT TMERE IS ACONSTRUCTION 1EN01N0 AGENCV �Z- iOf1 TNE PERFORNAAICE OF iHE WORK FOR WHICN THIS PERMIT IS ISSUED ISEQ OOD7,dV.Q). . W � LENOER'S N�L1E � � IENDERSADDRESS � ICERTIGYTHATINAVEREADTHISAPVLICATIONANDSTATETUTTHEABOVEHFORMATqNISCORRECT. TOTAL FEES � W IAGREETOWUPIYNnT11AtLCrtYANOCOUNfYORDWANCESANOST�TEUWSREUTINGTOBV4DING � . �� � � � fANSTRUCTION,ANDHEREBYAUf110RIZEREPRESEMAi1VE50FTHISCAUNTYTOEMERUPONTHE � � � IBOVE�AIEHTIONEO ViqVER FOR INSPECTION GURPOSES. COMMENTS � J _ 4 OERMiTT E PWrm � , � ����� y awru E DATE � RECPT.N0. � PAID BY � VAUDATION WM�TE-0epartment Copy,YELLOW—Finance Copy,PINK—Aaseuor Copy,GOIDENROD—File Copy,GREEN—ApplicanTs Copy . .. , . . , , . _ . . - . � CITY OF DIAMOND B�►R � . � If�SPECTIOt� RECORD � � _ _�� .J�. � '�..� � � ° .�Ey����l���r����'h4�� .��I���-�,�?�,f�.1'�:� _ � �SET BACK -- � ;�i ' FLOOR'JOIST\;.� • , FTGS/FORMS/STEEL ' ` �--' FHA REaMTS ' ' :ELECTRIC GROUND UNDER FLOOR DUCT ' 'GRDUND PLUMBING � UNDER FLOOR CUrIDUIT -- ' • ' � ' .SLAB GRADE - FIREPLACE'IF�UNDATION � ' �TEMP POWER I FIREPLAC�BOND BEAM �WATER SERVICE � MID HT. BOND BEAM � �ROOF SHEATHING ., �! OI • � 8 FT.BOND BEAM ` - � ' , 'FRAMINGNENTILIATION � � FINAL B ND bEAM ; • ROOF COVER � ' PRE-GRADING ;ROUGH HEA7ING BENCHING �ROUGH ELECTRIC ! _ ROUGH GRADING - ;ROUGH PLUMBING FINISH GRADING ' ;SHOWER/TUB TEST POOL ELECTRIC ' 'EXT:LATH/SIDING - POOL FENCING I �WALL-INSULATION POOL FINAL :CEILtNG INSULATION, OFF SITE IMPS. DRYWALL NAILING DEDICATIQNS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. � - ON 51TE IMPS. GAS A1R TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINA�HEATIN� HEALTH DEPT. FINAL FiNAL ELECTRIC DEV. FEES PAID FIMAL PLUMBING ENERGY +�l��P�.�� .. �.r._,�,._�: --. . _. . COMMENTS . ;..I��; ��� ;I� � � . ; ; � _ . �- + . ;SEPTICTANKSIZE � - SEEP PIT/U SI�E �' �� �� , . �;y � � � ,���� - � �� T.:� °'�,.. i -_._ I . , . , � .....� -� ` -- . _ _ .