Loading...
HomeMy WebLinkAbout17224 (25) _ _ CITY OF DIAMOND BAR E�P I R ED �� � DEPARTMENT OF CONIIvILMTfY&DEVELAPMENT SERVICES .��� 21825 E.Copley Drive (909)860.3195Fax(909)861-3117 JUN 19 2002 PRESS "'-:A�' BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE ���� D��,�ODK�id/�e ,� APPLICATION �!S�1 O,,,v1 NUMBER I��a��rC ADDRESS ;1 OATE LJ 1 c� �SSUE TYPE OCC APN�•�z�TF{ACT DATE CONST. GROUP p OWNER r����l !] f� " ADDRESS ZONING SETBACKS Z ��TM Z�P FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDElSIDE STREET RW ❑ CONTRACTOR �P�'LIAPlCEINSTALLERSINC, SIDE O � ADDRESS '' � � CITY I ak�ivrd,ZlR. 4071Z TE PROPOSED USE � ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. n, ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-Bl11LDER OECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNOER VEN�LiY OF PE0.URY TNAT�MI E%EMPT FROM THE COMMCTORS LI• G2f9QB/CHIpOA W CENSEUWFORTMEFOLLO`MNOREASON�SEC.70.71.58U51NESSMI�PROFESSiON5CO0E:ANYCITYOF (n U CpUNTYNmICHREOU�RESAVERMITTOCWrSTRUCT,AITERIAIPROVE.DEAIOLISH.ORREVAIRAM'STRUC• W P8ti0/DBck � NRE PRIOR TO ITS ISSUANCE.K50 REOUIRES TME APPL�CMIT FOR SUCH PEHAIIT TO FILE A SICNEO w S7ATEIdEM 711AT NE OR SHE IS LICENSED PURSUANT TO TME PNONSIONS OF THE CONTMCTORS Ll. � CENSEUW(p1APTERO(COAIMENCW�WITHSECf10N7000)OFDIVISION70FiHEBU51NE5SANDVRO� � Pool/Spa FESS�ONSCODEJORiHATHEOHSHEISEXEAIPTTIIEREFROMANOTHEBA515FORiNEALIE�EDE%EMP� (� � TION.ANYVIOUTIONOFSECTION70]1.SBYANVIIPPLIGNTFORAPERMITSUBJECTSTMEIIPPLICANTTO Z Re-Roof AGMLiENALTY OF NOT MOAE hIM1 FIVE HUNDREO DOLIAAS(f5oo1.} Z ❑I,ASOWNEROFTHEPROVERTY,ORMVEM�LOVEESVnTHWAGESASTHEIR50LECOMPEN5A71CN, � CORIRIBfCIflI � WILI DO THE WORI(AND TME STRUCNRE IS NOT INTENDED OR OFFEREO FOR SALE�SEG 70�t,BUSI• J N NE55 AND iROFE5S10N5 CODE:THE CdJTMCTORS IICENSE UW OOES NOT APPLV TO AN OWNER OF = PpOPERTYN410 BUIIDS OR MPROVE5T71EREON.ANONHO DOES SUCN WORK HIMSELFOR HERSELFOR � TMRd16NH150HNEROwNEA1PLOVEES.VHOYIDEOTHAT5Up11NPROVEMEMSARENOTINTEN�EDOH m w OFFEREOFORSALEF,/qWEYE0.TNE8UILDMGORpA7ROVE/.AENTI550lDWITMNdJEYEAROFCqAPLE� � TqN.THE OWNER BUILDER WILL HAVE TME BURDEN OF VROVINO TW�T HG OR 511E D�D NO7 BUILD OR IMPROVEFORTHEPURPOSEOF6ALE} 0 4�OVRIER OF THE GROPERTY,AA1 EXCLUSNELV CANTRACTWO WITH UCENSEO COflTMCTORS Q, TO CANSTRUGT TME iRQ1ELT(SEG 70N.&151NE53 ANO iROFE3510N3 CODE:THE CONTMCTORS LI• V8IU8lI0f1 AQI.AREA W GENSEUWDOESNOTMPLYTOANOWNEROFAVROPEiiTYMlHOBUILDSORIMPFiOVE5TIEREON,AND � V41qCONTRACT5FOR5ULHVR0.)ECTS'NITNACONTMCTOR�S)L�LENSEOPURSUANTTOTNECONTMG QUANTITY DESCRIPTION FEE ' � TORSUCENSEUW.). � O I AA1 EXEAIPT UNOER SEC. 8.t P.C.FOR THIS REASON � � U tL � OATE OWNER V �¢ LICENSED CONTRACTORS DECLARATION W 2 IHEREBYAFFIRMUNDEHPENALTYOFVERNHYTHA7IMILICENSEDUNDENPROVISIONSOFCHAPTER (� 1\ � 9�COMMENCW6WITMSECTION7000)OFDMSION]OFTHEBUSINESSANDPROFESSiONSCODE,AND Z � �-J W IILENSE LS N FULL^FO�R10EANO EFFECT. � UCENSE CU55 vy ���.No. SQ�a�Z = V OATE CONTRAciOR .I I / d W � WORKERS'COMPENSATION DECLAHATION 4 � U � IHEREBVAFFIfWUNDERGENALT/OFOE0.IURVONEOFTNEFOLIOWINO�ECLAMT10N5: Z Q � _IIUVEANDWILLMAWTNNACERTIFIWTEOFCONSENTTOSELF•INSUREFORYYORNERS' $ COMPENSA7K)N,ASVROVIOEDBYSECTION77oaOFT11EUBORCODE,FORTHEFERWRMANGE W OF THE WORK FOR WHICH MIS 7ERMIT IS ISSUED. ,� 0 �IIUVEAND WILLI.URfTA1N WORNERS'COIAPENSATqN INSURANCE,AS REOUIREDBYSECTqN 0 77ooOFTHELA90RCODE,FORTNEGERFORMANCEOFTHEWORKFORWHiCHTH15PERMrt15 ISSUED.MY 0 KERS'CAMPENSA7qNIN5URANCECMflIERANDPOIICYNUMBERARE: CONSTRUCTION j GIRRIEH �ti?�r-oe o PLAN REVIEW � voucyr�uueEa 7� W� I ELECTRIC � R1iS5ECiri�NE�NDTBE001.1PlEfEDOFhEPERMfTSiORONEFtl�Di7EDDOL1M3lti0o70ii�E551 PLUMBING Z ICERTIFVTHA7NTMEPERFORMMICEOFTHEWORKFORWMIp1THI5PERMITISISSUED,1 MECHANICAL U' SHALLNOT EMPLOV ANV VERSON IN ANY MANNER SOAS TO fiECOME SU&1ECT TO THE � WORKEH5COMPENSATIONUWSOFCALIFONNI0.�NDAGREETHATIFISHOULDBECOAIE INSPECT�ONFEE S SUBJECTTOTHEWORNER5COM7ENSATIONi�N17000FTHEUBOR \ GOOE,I 51ULL FORTMYITN COMPLV WI7H TMO � ISI N ISSUANCE 1 � SMIP p DATE: APPLICANT: � ENERGY P!C � WARNINQ:FAILLIHETOSEWREVJORNERS'COAIPENS�TIONCOVERAGEISUNUWFULANDSHALLBE �y SUBIECf/iNE1APLOYERTOCRUAWALVENALTIESANOCMLFWE9UPTOONEHUNDREOTHOUSFtJ� ENEFiGYPERMIT DOLURS(f t0o,000).IN ADDITION TO TNE fAST OF COMVEN5AT10N.DAAIAGES AS PNOVIDED iOR IN J SECTION97000FiHELABORCOOE,INTEREST,MIDATIORNEV'SFEES. RETENTIONFEE: � � a CONSTHUCTION LENDINGAGENCY pRE-ALT FEE: O � IMEREeVAFGIaul1N0ERPENALTVOFPERAIRYTHATTHERE15ACON5TRUCTIONIENOWGAGENCY FOR ME VERFORMANCE OF TNE WORK iOH WHICH THIS FEflMiT IS ISSUEO(SEC.JOW.CIV.C.). Z W � LENDER'SNAME � LENOERSADDRE55 ^ ¢ ILERTIFYTHATIHAYEREADT115APPLIC,1TqNANOSTATETHATTNEl100VEW�ORMATqNISCORRECL TOTAL FEES (�I/ � I W I�aREET000IJPLVW1TNULCfiYhN�COUNTVORDINANCESANOSTA7EUW5RELATINOTOBU�LDING �� � �•� � CONSTRlICT10N,ANDNEREBYAUf1/0R2EREVRESENTATNE50FTHISCOUNTYTOENTENUPONTHE ZIBOV EMIONEDOROPERTYFORINSG IONVURPOSES. COMMENTS � ,�GiybGt�'�v �ell m PERMITfEE NM1E(PfUNn ��O /�/ Q // y l/ (A SIGNATUREOFPERMITfEE DATE � FlECPT.�O. _PAID BY VALIDATION WHITE-0epaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy i:\�- .. . . . .� .��t•4 � -.-..��. •.. .Y�:f-' �.i��:C�'v'I.i> . rt t"' . r i. . rt ^�Y.: ^- , .v `" ' . "r.: �Q'. ��.,. � "� . ..r . i. �. •.-�:...i�.i�...... .�� .�♦ ..- . . .. � Z C� 11` C.�� Q�AP6��P�'D BAi� It��S�=EC s iUCv �=s�:CZ3F?� __.__ ___�_ __-------- -- ----�__..__ ____ _____._______._�� . . . __._..._._� 4 �I��-'��a=�f;Cl�li`! r���E!,-- .I►�F-`_f a._`-•` �'�',a:� i!�'F..`yr�_yc,;�;'Ci^i►�l �1�'�E:,=: I►`E.''1,:,►:�c'1�o`�-�I. �'I _._._____�___--.�----' -__._._ --...- __. _- . _ - - -- ------ ----..... ._.__ ___...__ .. _.__._..__ .-=------ -.___.______.-----__.._�_ 5ET BACK FLOOR J015T I I ---- �! -I--- � FTGS/FORMS!STEEL � � FHA REQMTS 1 ELECTRIC GROUND i I I UtJDER FLOOR DUCT GROUND PLUMBING I Ui�lDER FLOOR CUP�I�UIT SLAB GRADE � FIREPLACE FOUNDATIO�d TEMP POWER I j FIREPLACE BOND BEAM WATER SERVICE ! MID HL �OPJD BEAP.1 ROOF SHEF�THING � 8 FT. BOND BEAPA FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BEfJCHING ROUGH ELECTRIC � ROUGN GRAD�NG � ROUGH PLUMBI�JG � FINISFI GRADING SHOWER/TUB TEST POOL ELECTRIC EXT_ U\TH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING IN�ULATION OFF SITE I�l1PS. ; DRYWALL NAILING � DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPEIIRRIG. SEEP PIT/L.L. ON SITE Ih�PS. GAS AIR TEST FINAL ZONING FINAL CONST. � GlRE DEPT.FIPdAL FINAL HEATING � HEALTH DEPT. FIPJAL FI1`dAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ����:f' CL�: £1,C�C.____�_.,._.._.J CUMMENTS -------`- -- - - _ SEPTIC TANK SIZE SEEP PIT/U SIZE ;'�� � �,���� �� ,� �