HomeMy WebLinkAbout16803 (26) � CITY OF DIAMOND BAR EX P I R ED � DEPARTMENT OF CONIIv1UNTIY&DEVELOPMENT SERVICES z i azs�.copiry n��Y� � J U PJ 17 2002 (9U9)860-3195 Fax(909)861-31 l7 PR ESS "'-�'' BUILDINGPERMITAPPLICATION FIRML o ADDRESS JZ� N. PAI.O l�L�� D� DATE CATION � O NUMB R #'C $ ISSUE TYPE OCC APN OT TRACT DATE CONST. GROUP p OWNE�� LI t "" ADDRESS �?'j �n/� Lh ->ERO _ ZaNING SETBACKS Z CI7Y 1�• �' � ZIP TEL. �I� 7_� FRONT RW O g APPLICANT TEL. SID�IDESTREET RW p � CONTRACTOR ✓ SIDE O ADDRESS ' � CITy o ZIp A TEL �i� - 03 ' PROPOSEDUSE E pY1= P - 2 _ / � � w ARCH/ENG/ �� DESIGNER ADORESS NO.DWEL. NO. NO. � CITY ZIP TEL UNITS S�'J� STORIES I BEDROOMS � y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNEF•BUILDEF DECLARATION SFRlADD/REM O p 1 HEREBV AFFIRM UNDER FENiILTY OF VE0.AIRY THAT I AM E%EMPT FROM THE CONT(iACfOqS LI• Gaf890/Cy1pOrt W CENSEUWFORTHE�OLLOWiNGREA50N(SEC.700t.68U51NE55ANOPROFE55�ONSCODE:ANYCI7YOR (n � COUNfYNMI(71REWIFESAPERMRTOCONSTfiVCT.ALTER��AOVE.OEMOLISH.ORREPAIRM7YSTRUC• W Patio/Deck W 7URE,PRIOR TO RS ISSUANCE,PLSO ItEOUIqES THE A7VL�CANT FOR SUCH PERIAIT TO FILE A SIGNED W � STA7EMEM iMAT ME OR SME IS UCENSED VURSUM7T TO THE PROVISIONS OF THE fANTRACTOfiS LI• , � CENSE LAW I�APTER 9(Cd.�MEHdNa YnTH SECTKK�7000)Of DIVISION]Of THE BUSINESS AND PRO� � PooVSpa ^ FESSIONSCODk�OHTFIATHEOHSHEISE%EAIPTTMEREFROMANOTHEBASISFORTHEI�LLEGEOE%EMP- C7 � TIDN.MlYVIOLATIONOFSECTION7071.6BYANYAPPLICANTFORAFERMITSUBJELTSTMEA7PLICANTTO Z Re•Roat � ACMLPENALTYOFNOTMOFiETHANFNEHUNDREDDOLUNS(f500�): � 04ASOwNEROFiHEFROPERiY,ORMVEMPLOYEE51Ni7MWAGE5A57HEIqSOLECdAPEN5AY10N, O Commarcial � Z 1NLL DO T11E WORIC ANO iHE STRUCTURE IS NOi INTENOED OR OFFEREO FOR SALE(SEC.70/l 6USL J NESSAND PROFESSWNS COOE:THE CONTFACTORS LICENSE UW DOES NO7 APPLV TO AN OWNER OF � PROPERTYYAIOBUILDSOR9APROYESTNEREON.MlD'M/ODOESSUCNM/ORKHIMSELFORNERSELFOR � Q TNROIMHHI50RHERONR�EMPLOYEES,ORONDEDTMAT5Up/11APROVEtAENTSARENOTINTEN0E00R m W OFFEflEOFOR5ALEIF,MOWEVERTIEBU0.DWGORIMPqOYEMEMISSOIDWIiMMONEYEAROFCOM7lE� 0 TION.TNE OWNER�BNIDER NALL HAVE TME BURDEN OF 7HOVW6 TFUT ME OP SHE D�D NOT BUIID OR = WGROVEFORTHEM1iiPO5EOF5ALE4 �y,� ❑LIISOMMEROFTMEPPOPERTY,AMIXGLU5IYELYCONiNAC7NOWITMUCENSEDCANTMCTORS � TO CONSTRUCT THE PROJECT(SEC 7ou,BUSINESS AND CAOFESSIONS CODE:TME CnMMCTOFS LI- V21U9110ff ADJ.AREA GENSE UW DOES NOT IIPPLY TO Ml OWNER OFA iROVERTY WHO BURDS OR IMPROYES 7HEflEON,IWD � WHOCOHTMCTSFORSUCHGROJECTSYnTHACONTRACTOR(5)LICENSEDPURSUANTTOiHECONTMG QUANTITY DESCRIPTION FEE Y TORSUCENSEUW). 0 O 1 AM IXEMPi UNDER SEC. B.d RG FORTHIS REASON U � � LL DATE OWNER V . Z yA � LICENSED CONTRACTORS DECLARATION W � IHEREBVAFflRMUNDERPENALTYOFPE0.Ni1YiHATIAMLiCENSEDUNDFRPROV15lON50FCHAPTEN V, d i(CpAMENpNO WITM SECTION 7000)OF D�Vi510N J OF THE BUSINESSAND PflOFE5510N5 CODE,M1D Z ' X 1.lY UCENSE IS 14 FULL FONCE AND EFiECT. � LL1 Q UCENSE CLA55 ���� UC.NO. Q ^ J F-- V OATE 7� I�"�I COMRACTOR "'^- a W � WORKERS'COMPENSATION DECLARATION � � U N 1 HEREBV AFFIiLN WDER OENALTV OF OEHJURY dJE OFTHE FOLLOVIING DECLAMTIONS: � 4 � �IHAVEANOY/�LLMAINTUN�CERTIFICATEOFLONSENTTOSELF•INSUREFOHYK7RKER5' S � GOMPENSAI�ON,ASPFOVi�EDBYSECTON77o00FTHELA[lORCDDE.fORTHEPEAFORMMICE W OF THE WORK FOR WHICN TMIS VERMIT IS ISSUED. � C W �IHAVEµOVALLUAINTAINWOPKERS'COM7ENSATIONINSUNANCE.ASREOl11RE0BYSECTION /� O ]70o OF 7HE LA60R CODE.FOR TME FERFpRMANCE OF THE WORK FOH WNICH TH�S PERMR IS �lK �� ISSUED.YYWORKERSCOMPENSATIONINSUFANCEGRRIERANDVOLICYNIlA/BERARE: CONSTRUCTION >> Q � CARNIER PLAN REVIEVY � POLICYNUMBER ELECTRIC � (fFtSSECfICNNEmNOTBECOM1RE�EDOFTEPEiV,RISF�OfiONEHIl1MiC�0IXUi�Rlao10(ilESS) GLUMBtNG W ICERiIFYTUTWTMEPEPFORM/�NCEOFTHE RKFORWHipITMISPERMITI5155UE0,1 MECHANICAL Z (� SHAILNOTEMPLOVANVGEflSONINANYMAN $OASTOBECOAIESU&IECTTOiME � WORKERS'GOMPENSATIONUWSOFCALIF DAGREETMATIF15/10ULDBECOME INSPECTIONFEE S SUBJEC7TOTHEWORNERS'COMPENS�T I qN50F5ECTION77ooOFTHEI/�BOR cooe,i siwi.voAn+win�mea�r wi e rn�ns�o1r�s./ ISSUANCE �„ � � DATE: l o APPLICAM. / SMIP "> ^ _ _ , . J � ENERGY P/C � WA{W IN@ iNLUFE TO SECURE WORICEAS'COMDENSATION COVERAQE IS UhUWNL ANO SHALL BE �y SUBJECTANEM7LOYERTOCRIMINALPEWLLTIESANOCNILFWESUPTOONEMUNDREDTHOUSAND ENERGYPERMIT DOLURS(f t00,000),W ADOITiON TOTHE COST OF COMPENSIITION.DAMAGES AS PROVIDED FOR IN ¢ SEGTION�70sOFTHELABORCODE,INTEREST,MlD11TiOfiNEY'SFEfS. RETENTIONFEE: OCONSTRUCTION LENDING AGENCV PRE-AlT FEE: }.{ � IHEREBYAFFiRMUNOEHPEN�U.TVOFFE0.M1IRYTHATTHEREISACONSTRUCTIONLfNDINOACENCV u / ----- --- --I � FORTNE GERFORMANCE OF THE WORK FOR WHICTI TMIS VERMIT IS ISSUED(SEL.70i�.LN.G). - � � � LENDER'S NAME � IENDER'SAOORE55 � ICERTIFYTHATIYUVEREADTNISM7l�TqNANDSTATE�TTIIEABOVEWFO1WATqNISCANRECT. TOTAL FEES �2, • � W IAGREE TO COMPL MATN ALL CRY AND COUNTI'OROINANLES AND STATE UWS REUTIN6T0 BUILDING � CONSTRUCTION NEREBYAUTMORIZEREDRESENTA7NESOFTHiSCOUNTVTOENTENUPONTHE � Z ABOVE.uENT E 7ROVERTYFoqINSVECTIONPURPO5E5. COMMENTS � J � m VERMI MIE(Pa / ¢ �<tuL l�tizG��'I 7� ��n) � y SIGNATUHEOFPERMiTfEE OATE � RECPT.NO. PAID BY VALIDATION WHITE-0epartmant Copy,YELLOW—Finance CoDY.P�NK—Assessor Copy,GOLOENRO�File Copy,GREEN—Applicanl's Copy ,�\-1. r (_i �G. ,. . �u�ro.., , , "l," �,�!�� .� �, . ..���l.r. .:t" ,'.:1� ••'P � .;1'�>":Y�p•_.u- :ov .� ..... n',"' "w_:. . _ , .-. .......,_.... ... ._. . . .. crs�� �t� �snrv�or�� Br;� �r,�s�Gc�r tor� ��co�r� .�... __.,.__._.�.._.___._ _ ____._ ---.______--____ .:� , _ _ .. _, I�E'�'a'�C"fle.l►�l �j,u-C= I►�F-`��a=,f1 C��.� !�' 1F��.� flc7►� r�y��C= 1►��-y;��e'"G`el:� I R � __......».._..._,___..._..._�_.......___..__'_" , ... ... ._.._......_.._._..y_... .,.: .,""......,...."'_'..�..._,_" ._.""'.,.......��._..._..._...""'^._.. ._�.__.""._.._. ._...._..._�...__...`��.. ...�....... SET BACK � _ � ^_ � � i FLOOR JOIST• _ � I �_ � _ FTGS/FORMS'STEEL I , FHA REQD,1TS ELECTRIC GROUND UNDER FLQOR DUCT Iy I GROUND PLUMBING UNDER FLOOFi CUNDUIT I SLAB GRADE FIREPLACE FOUNDATION ' TEMP POWER I FIREPLACE BOND BEAM WATER SERVICE __�_ - --� P�11D HT. BOND BEAM I • _ ROOF SHEATHING ^���� _ £i FT. BOND BEAM � FRAMINGNENTILIATION FINAL BOND 6EAh4 ROOF COVER PRE-GRADING ROUGH HEATING BENCHING � ROUGH ELECTRIC ROUGH GRADI��G ROUGH PLUMBI�JG FINISH GRADING SHOWER/TUB TEST � � POOL ELECTRIC EXT.LATHlSIDING POOL FENCING WALL INSULATION POOL FINAL CEILING IN�ULATION OFF 51TE IMPS. DRYWALL NAIUNG DEDICATIONS SEWER FINAL ENG. SEPTIC TANK - , LANDSCAPE/IRRIG. � SEEP PIT/L.L ON SITE IMPS. I GAS AIR TEST FINAL ZONING FINAL CONST. �!RE DEPT. FIP.AL FINAL HEATING HEALTH DEPT, FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY � �;n;�rr *,a,���.�lr'�,t�� � ' COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE , ��� I�I '���� '�I � I ; . . ' � 4 • r. 1� .. f � � � ' ��