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HomeMy WebLinkAbout12886 (14) CITY OF DIAMOND BAR EXP�RED --1��-— DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES �;.� z�6�oE.c��eynr;��s����o NOU 21 2000 (909)860-3195 Faa(909)661-3117 PRESS �%�'� auu,nnvG r��rr nprt.tcATTON " � FIRMLY 4 AO RIESS DATE CATiON 1_S�9 9 NU B R I 2 g�� #'� t � ISSUE r""�� TYPE OCC APN LOT TRACT pATE `—7 CONST. GROUP S OWNER • L L � ADD� � ZONING SETBACKS �� CfTY ZIP TEI,. REARr RW ❑❑ APPU TEL. SIDE/SIDE STREET RW O CONTRACT R E L .� SIOE ❑ � ADDR S ' PROPOSED USE E'S CITY 21P _ TEL. � ARC NG! �� DESIGNER AD�RESS NO.DWEL. NO. NO. c"'� C�T'( Z�p �� UNITS � STORIES � BEDROOMS J y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION fJ! � OWNER•BUILDER DECIAHATION SFR/ADO/REM 0 � I MEREBV AFFlRM UNDEH PENAL7Y OF PERJURY THAT I AM EXEMPT FiIOM iHE CON�MCTORS L6 G81AgBlCfllpOR CENSEUWWRTFIEFOLLOWINOREA60N�SEC.70.9f.68U51NESSANOPROFE5510NSCODE:ANYCI7YOFi (� ppUNfVMRiICMREONRESAPERMRit)L+DN37FVCT,ALTER�P�E.�EM041SH,ORREPAIRANY37RUC- w P��Q�� TUiIE,PRfOR TO RS R9UMICE,ALSO RC-0UIRES THE APPLN.`AHT FOR Sl1CH PERMIT TO FlLE A 61ONED � BiATBdENT 11Y1T NE ON 9ME IS UCENSED PURSUMR f07NE Pf10Y1910H5 OF THE CONTMCTOHS Lb CENSE lAW(f�lA7'TER/(COGIMENCINO WITtI tECTION 7000)pF qIVI310N�pF THE BUSMESS MID PR6 �LL �VSpB FESSIONS COoq Oft iTUT NE OR SHE IS E7(EMP7 iHEREFHdA AND TME BASIS FOR TNEALLEGED ENEMP• TqN.ANYVqlhT10NOF6EC7WN7091.6BYANVAPPLICAN7FORAPERMITSUBJFCTSTMEAPf'LICANTTO Z Re-Root �,_, AdHLVENAL7VOFNOTYORETHANFIVENUNOREDDOLU1A51�'+�)•h � 04�3�EROFTHEPROPEFRI:CRMYEMPIAYEESWITHWA0ESA5THEli160LECOMPENSATIpN, � COmmBfGiel � WILL 00 THE WOAN.AND 7HE STAUCTURE IS NOT IMEN�ED OP qFFEREO FOR SALE(SEC.7WL B�51- J NESS M1O iiiOFES510N6 ODGE:T/1E OONTfiACTOR3 LICENSE UW DOE9 NOT MPLY TO MI OWNER OF y pppP6ltiYNhIp9U0.0SORMIPROVESiHERFAN.IWDN'FIOOOESSUCHWOPNFtl4SELFWiMER3ELFOH � � TNNOIWXHI50RFIEHOYMEMPLOYEE9,PROYIDEDTHAT9UGHiMPROVEMENTBARENOTMTENOE�OR m � OFFEREpPORSALE1F,FqYYEVERTMEeULDINOORMIPRO�EMEIJTIS80LDYYITH�NONEVEAROFCOMP4E iION.iXE OWNER�U0.DER WILL IiAYE 7HE BURDEN OF PRW WQ THAT H@ OR SME DID HOT BUILO OR MAPAOYE FOR TNE PUNP09E OF BAI.E). "' ❑I,/SOWNEROFTHEPROPEflIY,AMD(CLUSIVELYCONfRACTINOWffHIICEN5E00W�(fMCTORS oL TO OONS7IRlCT TiE PRO.IEC7(SEG.7o�a,BUSINE63 AN�PROFESSIONS COOE:TIIE CONTMCTDRS L1- Velu9NOf1 ADJ.AREA �S C@iSELAW00E5NOTMPLYTOANOVMEHOFAPROPeRTYNRiOBU�LD50NIMPq�YE57HEREIXY,AIID Z YRqCOHTMC78FOR9Ur,HPPWEC7S4A�MA00NTMCTOR(S�LICENSEOPUNSUMIf70THECONTRnG p�p�Ty DESCRIPTION FEE t' roas uc�uw.� OO 1 AM DfEIAPTIMOER SEG B.l P.G FOR TNIS REIISON � 3 � ¢. �=" GATE oWNER V � LICENSED CONTRACTORS DECLARATION W � IHEREBYl1FFIRIAUNDENPEWLT'OFPERIURYTHATIAMLICENSEDUNDERPROVISbNSOFCHAViEN V. � O�WYYENCNK3WItHSECTqN7000)OFOIVISpN]OFTME9VSINESSANOPROFESSIONSCODE,M1� Z MY LICENSE S NI FVLL FORCE AND EFFECT, �/ m � UCENSECLASS(.L� LIC.NO.,�_,y�.(,/ I � � J � pA7E � CONTRACTOR � a � WORKERS'COMPENSATION DECLARATIpN ¢ y 3 6 � N INEREBVIIFFIRMUNDERPEWLLTYOF7EiWRYONEOFTHEFOLLOWIN6DECURA7qNS: y a 3 a0 O �_III�VEINDWILLMAN7INNACEIITIFlCATEOFCONSENTTOSELF-IN5UREFORM/ORKERS' _ Z CpIPENSAiqN.A4VROVIDEOlYSECTION?7000FTHEUIBORCODE,FOATHEPERFORMANCE U Q OFfHEWOPo(FORMMICHTlIISPERMRISISSUFA. � � _I W1VE AND WILL MAR�ITAIN WOfUCER3'COLIPENSATIOH IN9URANCE,AS REWIRED BY 9ECTIDN Q �7000F7HELABOROODE,FORTHEPERFORMANCEOFTNEWORKFpRWHICHTNISPERMITIS � ISSUED.MV WORKERS'COYPENSATION INSUIiAIVCE CARRIER AND POLICl/NUMBER AflE: CONSTRUCTION � �pqiEq PLAN REVIEW � Pq,ICYNUMBER ELEC7RIC 0 (nass[t�qNr�IDraTeEaOtis�'rmoFn#newarb�or+aEFa�noamDouAa.SR+oMara�ssl PLUMBING ��.j-j�..;\ ,{.� � 1 CEA7�FYTHAT MTHE PEHFORMAHCE OF THE WORK FOR WHICH 7HI5 PERMIT lS ISSUED,I MECHANICAL �'�" f v O SWLLl NOT EMPLOV ANY PEFSQN N ANY N�NNER 50 AS TO 6ECAME SUBJECT i0 THE � VPOPKERS'COMPENSATqNLAVlSOfGLIiORN1AµDAGREEiH�TIFISFiOULDBE00ME � P TIONFEE S SUBJECTMTHEWORKERSCOMPENSAT NPROVIS�ONSOF6ECT N37000FT11EUeOR ISSUANC •►1 n ✓ 7000 � / DO CODE.ISNALLFOf�NWIMCOMPLYWI HOSEPNOVI NS � !� p UATE: �J APPLICANT SMIP ENERGY P/C ..���4�I7 RAR WMNINO:FAILURE TO SEWRE WORKERS' f'ENS�TIDN COVEfll10E 18 UNI+� ANO SFNLLBE 't7.1 G ���T � 6UB.IECfANEMDLOYERTOCRIMNALPENAL ESANOGVILFlNESWP100NEHUNDHEDTHOU9AND ENERGYPERMIT �� �y.d�"�■ + pDI.IMS({100,000),MI PDDITION TO THE COST OF COMPENSATqN,OAMAOES AS PROVIDEO tOR IN � SEGT�ON]7oaOFT1EU60NCODE,NTEHEST,ANDATTORNEYSFEES. RETENTIONFEE: � CONSTRUCT�ON LENDING AGENCY PRE•ALT FEE: � 1 HERE6Y AFFIflM UNDER PENA�TY OF PERNRY THAT TNERE IS A CONSTRUCTION LEN�INC�GENCY FOR TME PE0.FORAIANCE OF AIE WONK FON MM1IICH 7NI.5 GERMIi IS ISSUED(SEC.�oD7.CIV.G�. Z W � IENDEH'S W1ME C LENDEWSA(1DHES5 � ICERTIFYTHATIHAVEREADTiISMPLIGT10NNJDSTATETIUTTMEABOVE1NFpRIJAT10NI5CORRECT. TOTAL FEES `y� 'O O d 1 MiREE ft)C�OAAPLY WITX N.L G7IY AN�COIMTY ORD�WiNGES AND STATE LAWS RELATINO TO BU0.UIN6 � 7 CON6TNUCTION,ANO HEREBV AUi11DRlac qEPRESENTA71VE5 OF 1HIS OOUNiV TO EMER�PON 7HE � � ABOVE•MENTIONEO YHOPEHTY FOR WSPECTIpV PUHPOSES. COMMENTS / f ` � J • �-t:'42` m NRTEENA4IE(PRINf� ,�w - � V Q � .\ y EOFPEfW�7'TEE �TE — RECPT.NO. PAI�BY VALIDAT70N / wHITE—Department Copy,YELLOW—Fnance Copyt PINK—Assosevr Copy,GOLDENROD--File Copy,GHEEN—Mplicanl's Copy _... ..�..�+.�.....�...� --- � cri-�r oF o�an�orv� Ba� . , � INSPECTION RECORD * � E ' � ' ' � � � • � ' SET BACK • . � ; . •• • -� FLOOR JOI �.� . � , _�,� - ,. � ` � � 3 c•. ° � � --. �.__ FTGS/FORMS/STEEL , , ._ "; FNA RECIMTS '� � ELECTRIC GROUND � ' UNDER FLOOR DUCT i . ` _ . -�..� GROUND PLUMBING UNDER FLOfJA�O�IbF��1' " SLAB GRADE FIREPLACE FOUNDATION • -ry�:{; ='` '-��•':,°�; TEMP POWER FIREPLACE BONQB�AM ., WATER SERVICE MID HT. BOND B�At�A�ti��"' •°'-, �' �`"`'� '" . , ',=�_ RODF SHEATHING "' -� �,, •'-: �` � � ._.� ' 8 FL 6 ��AM ��• � � � . � � _,..,:�. , FRAMINGNENTILIATI�N FINAL BOND BEAM ' RO �FCOVER . '' \ PRE-GRADING RC?UGH HEATING BENCHING ROUGH ELECTRIC RDUGH GRADING RC)UGH PLUMBING ��--V FINISH GRADING SHOWER/TUB TEST POOL ELECTRlC � _._ EXT.LATH/SibING POOL FENCING WALL INSULATION POOL FINAL � � CEiLING INSULATION OFF SITE IMPS. DRYWALL NAILING ' DEDICA710NS SEWER j FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. " ON SITE IMPS. GAS AIR TEST FINAL ZON(NG � FtNAL CUNST. FIRE DEPT. FINAC FINAL HEATING , � HEALTH DEPT. FINAL —,�-- ' FiNAL ELECTRIC � i � ' pEV. FEES PAID ���� FINAL PLUMBING � � ENERGY ^ I , . S �:�W� � � - t_�� ,:.�': ..�- —___.. . . .... ... .... �V i • i COM�JfE�VTS ...�:� w•,; : ;; �., , • • . .�.. .:� . .�� i... �:: , . b�1� .1,,, , . . . ._. . �$ "- ,., .. . i.�'k' . ';:ir � �, ,., •�•'� � � . 4 --- _ , .,t'' .t--;;, — � � �. . ... . �� y . SEPTiC TANK SIZE ' - • •� � SEEP PIT/U SlZE -+'—" 'SP' � i' E�, -- �� " ; � '"'+'�i� ' _. ,', r , - - (• .,,.. 1 �4 -y J -' ' •;;'• :t':'';w ___..—