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HomeMy WebLinkAbout14494 (13) � . . : . .. E�PIRED CITY OF DIAMOND BAR ' - � - �� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES :c ' ai66o E.c�ieY nri��s�►�i90 . . ' 0 C T 2 5 2002 . (909)860-3195 Fax(909)861-3117 PR E$$ �'�^' BUQ.DING PERMIT APPLICATION . FIRMLY o� JOBSITE ' ��5 �I � DATE CAT�`� �_ o a NUMB R< � � q/C ADDRESS � ISSUE TYPE OCC APN _ LO AC DATE` " CONST. GROUP p OWNER '• o ADDR S , _���� _ ZONING SETBACKS z C ZIP TEL. FRONT ' - pyy ❑ g AP ICAN TEL.��� R�R O �-d. SIDE/SIDESTREET RW ❑ a� CONTRACTOR _ _ SIDE p � ADDFiESS`• / / p Cm, , r _ � -1 PROPOSED USE 5 L.��N� . , o AR � . / � (I�� � S , ' � ADD ESS `---�- ' NO.�WEL. NO. NO. ' � CITY ZIP TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� . OY/NER•BUILDER DECLARATION SFWADD/REM , O � , . . . _ . . �, p 1 HEREBV AFFlRM UNDfF DEN/LTV OF Pc'R1URV THAT I AA1 EJ(EIUOT FROA1 THE CONTMCTORS LI- G8f890/C2fpOR �� � 11J CENSEUWFORTHEFOLLOWtt+OREASON(SEC.70]1.68VSINESSANDPROFESSIONSCWE:ANVCRYOF . (n U �{,NryWF11CHRE0UtRESAPERMRTOCONSTRUCT,AITER,IMPROVE,OEMOUSH,ORREVAIRANYSTRUG W Patia/Deck � � 7URE,PRIOR TO ITS 153VANCE,Al.4O REOUIRES THE APPLN'.ANT FOR SUCH PERMIT TO fllE A 51('iNE� W - � .� STATEMENT THl1T NE OR SME IS LILENSED PURSU.WT TO TME PROVISIONS OF TNE LONTMCTORS U� , � . � S CENSEUW(C1IAPTERY(GOAIMENqNOWITH5ECT10NT0o0�OFOM5lON70fTMEBU5IN[55/V:DPR0. PooUSpa � . . � FESSqNSCOOE)OHTIATHEORSHEISEXEMPTTHEREFROMAN�THEBIISISFORTHE/�LIEDEDEXEMP• � TIDN,ANYVIOU1TqNOFSECTION7071.SBYANYAPPLICANTFORA0EFA1IT51/&IECTSTHEA7PL�CANTTO Z Re-Roof .... .. ' r A CMLVENALT/OF NOT MDRE 7}/AN FiVE HUN�REO�OLLARS(t5oa).Y. � � � � ❑I,ASONTIEROFTHEDROPERTV,ORAIVEIIPLOYEESVATNWAGESI.STMEIRSOLECOIUDENSATION, (`,pmmBfC(eI - � � WILLDO TNE WC7Po(AND TNE STPUC7l1RE LS NOT INTENDED OR DFFER[O FOR SALE(SEG 70N,BUSI� � � � NE55 AND VPOFESSIONS COOE:THE CONTMCTOitS IICENSE UW 00[S NOT A7PLV TO AN OYMER OF � , PROPEHTYN110 BV0.D5 OR MPROVES TNEREON.M'D WF/O DOES$UGi VlORN NIMSELF OR NERSE.F ON C= THROUGH MS OR NE1i OWN EMPLOYEES,ifqNDED THATSIKN IMPROVEAIEMS ARE NOTMTENDED Oq m ' G OFFEREOfi7RSALE.F,/qWEVER7FIEBU1LqNOORIMVROVEMENTISSOIDWITMIYONEYEAROFCCMRE� � �. , 2 TION.THE ONTIE(48UILOFR YIiLL NAVE TME 9URDEN OF YFOVWQ?HAT HE OR SHE DID NOT BUILD ON . . = pAPROVEFORTHEPURP0.5EOFSALEL . . . . . . . . W ❑IhSOWNEROFTHEPpOPEHTY,AAIE%CIUSNELYCANTRACTPIOWITMUCEN5E000NiMCTORS [[ TO CONSTPUCT THE FFQIECT(SEG 7Da1.B1151NE55 AND FROFESSIONS CODE:7HE CONTRACTORS lJ• VBIUaS10f1 � � ADJ.AREA ��� LL CENSELAWDOESNOTAPPLVTOANOWNEROFA7ROPERTYWHOBUILDSORItAPROVCSiHEREON,AN� � W/qCONTRACT4FORSUCHPR0.1ECT5W17HACONTMCTOA�S)IICENSE�WPSUANTTOh1ECONTRAP qUANTITY- DESCFIPT�ON � FEE �� � TORS UCENSE UW�. .. . . . . . . . . . . ❑IAM E%EMFTUNOER SEC 8.\P.G Pofi TMIS PEASON Q . � . � U . . . . . . � � . . .. .. . . DATE ONMER � Z W � UCENSEDCONTHACTORSDECLARATION � W � � � � � IHEFEBVAFFIP/JUNDERPENALTVOF7EiilUMiHAiIANL�CEN5E0UNDEHPFOY1510NSOF�µ�PTER � � / � p„ •(COMMENCWO WITH SECTIDN 70Do)OF OMSION]OF THE BUSINE55 AND VROFESSIONS CODE,AND . Z �r' � � W LlCENSE IS W FllIL FOR :M1�EFFECT. �� /( m �'� � � LICENSE CUSS LIC.NO.� , �-j � � V DATE ��1��� I� COMRACTOR � W � WORKERS'COMPENSATION DECLARATION a . _ � IMEREBY/FFIRMUNDERPEN�I.TYOFiERR/F�ONEOFTHEFOLLO'MNGDECLAW1710N5�. � � Z � � - �- � - � �IHAVEANDWILLYAMT�INACEiRIFlGTEDFCON5EMT05[LF.INSUR[FORWOPKEfiS' _ C0IAPENSATqN,ASPROVIDEDBVSECTION77000FTNEUBORCODE,FORTHEPERFORMANCE U QOFTMEWORICFORYMIG7TNISPERMR�5155UED. � _IHIIVEANDWILLGAMTAMWORKERSCOAIPENSATpNINSUfUNCE.A5RE0UIRED8Y5ECTqN � � Q �7o00FTHEUBOqO00E,FORTHEPERFOR1.lANCEOFTHEWORKiORNM17iCNTHISPfR1AlT15 t ISSVED.MYN�DRK[RS'COMPENSATIONINSURANCECAPRI[RANOPOLICVNUMBCRME: CONSTRUCTION juwrueA PLAN REVIEW ��0� � va�crnui.mEa ELECTRIC f / o �rr+ssccr��mnoieeca.stErooFnfvEar.rrs�a+[��oatnns�s�m�a�tFssi PLUMBING [! w V� Z ICCRTIFYTNATNTH[PERFONMNCEOFTHEWORKFORWHIp/TNISPERMIT ,tswEo,l � MECHANICAL A .- (,} � SHALL110TEMPLOYNIYVERSONINANYM/J�NERSOASTOB[COMESUBIEC 10THE (n PJCEft5COMPEN5AT10NUW50FCALIFOflNIA,MIDAGPEETMATIFIS .DBECAr�' INSPECTIONFEE S . 18JECTT THEWOFKERS'WA�7ENSATIONGROYISqN50F5ECT10�177r OFTHEIAtlOR �OE.I SV>l1FOR COM7LY W Tl/OSE VROVISIONS. ISSUANCE �Si G� 0 p DA�: � PLICAM _ ._ _ ••,, . . � ENERGY P/C WMN�NO:FAILURETOSECUPEN'ORKER5CON ;:� T�ONCAVERAGEISU �WFUL,ANDSMALLBE � �y SVBJECTMIEMROYEfiTOCRIMINM,PEWLLTI .. �CIVILFWESUPTOON '�UNOREDTHOUSAND ENERGYPERMIT ' � DOlUR5�S10a.000).PVIDDITIONTOTHECO5T0 .OMPENSATION,DAMAGE. �SCPOVI�E�FORIN . JpC SEC7ION 77ce�F THE LABOR OODE,M7ERE5T, JATTORNEV'S FEES. RETENTION FEE: � oW_. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � O � IHEREBYAFFIRMUNDEflpENALiYOFVERRIflYTNATTMEHEIS�CONSTRUCTIONLEND�ry6�GLNCY . ZZ FOH THE GEN W RMANCE OF TME WOFK FOR WMICH THIS PERMIT IS ISSUED(SEC.7ool,GY.G�. I � LENDER5NM/E � � . . .. ... ".y'y-f S � LENOERSADDRE55 � � TOTAL FEES w ICERTIFYTMATIIUVEREADMISMPLI ATIONANDSTAT 1UTiMEABOVEINFORM�T10NI5CORRECL ' p., IAONEETOCOMPl�N7TMALlCfiYANf S)l1NTYOPDiNAN -SANDSTA7EUN5REUTwGTOBUIDINO , � CONSTRUCTICN,ANDHEREBYAUhlO 1ERFPRESFNTATIVE OFiHISCOUNiYTOENTEflUPONTHE . . � F•MENTqNED VROPER FOR SPECT�ION DURPOSES.� { COMMENTS � _ - Q PER E NA1JE(PR1NT) � � �; . � . .. . . ... _ . . . ,. (n SIONANfiE OF PERMITTEE DATE . � _. _ .. . . _ REC�� PA1D BY _ VALIDATION WHI7E-0epartment Copy,YELLOW—Fhonee Copy,PINK—AssassorCopy,GOLDENROD—File Copy,GREEN—/1pplicanYs Copy � � - - .. . .. � • ' , . � r. ,. . .. , , .. � .., . .. � . .. .. . � , � . . �' ...,I . ., . '. � . .. . 'r. v . � .. . • . CITY OF DIAMOND BAR � INSPECTION RECORD 1 e e� ' • - • � � • - i� SET BACK - ' '.. - � _�� FLOOR JOI�T ,•;� � � _'y-_,'S :' ., /' � � ; ,� , FTGS/FORMS/STEEL ' FHA REQMTS � ELECTRIC GROUND UNDER FLOOR pUCT � ' • � ;.; ' , +-�•, r GROUND PLUMBING UNDER FL�70R COI�DUIT '� -�; •. 1_ -�' � ��,�: \, '_• , , SLAB GRADE FIREPLACE FOUNDATION , . ., -"=- TEMP P�WER FIREPL�ICE-�OND�BEAM �'' �- z • � " � ` `-' ��` '- : WATER SERVICE � - MID HT. BOND BEAM .-�°- ' -: -'•. ' ' ROOF SHEATHING-- ' . . � , 8 FT. BOND�BEAfvl '.' ; ' - � - �� `' • FRAMINGNENTILIATION FINAL BOND BEAM' � � � " ' ' ` " `` ' ' ' '� �� ' � ' ROOF COVER PRE-GRADING ----- -- ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST � POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEIUNG INSULATI�N OFF SITE IMPS. DRYWALL NAILING DEDICA710NS SEWER FINAL ENG. SEPTIC TANK _ LANDSCAPE/IRRIG. SEEP P1TlL.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. - FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING 1 ENERGY • �; ���r.0 � s ,' COMMENTS -- � A � , � , . , ------- �`���� '� , � ;`I , � . _.� - `, . _ ' 1 SEPTIC TANK SIZE � SEEP PIT/U SIZE � ,�J�, ; .� , . _. .��.� ------ � '.� \ .. t. s . ' . . :