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HomeMy WebLinkAbout12474 (11) ---. , _ 5���6�' CITY OF DIAMOND BAR � -- " — DEPARTMENT OF COMML71vITY&DEVELOPMENT SERVICES �" � . 21660 E.Capley Drive Suite 19Q PRESS (909)860-3195 Fax(909)861-3117 ���'�+ BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE APPUCATION PERMIT 1� /C o AODRESS 1501 SAPPHIRE LANE pATE 10/12/98 NUMBEd��"'� � APN LOT 1 TRACT 32400 �SSUE TYPE OCC DATE CONST. GROUP S OWNER STANDARD PACIFIC ADDRESS • MAC ARTHUR BLVD. ZONING SETBACKS 8 ciTM COSTA MESA aP 92626Te�.714-668- 30 FRONT Rw ❑ APPLICANT TEL. REAR ❑ �5 SIDE/SIDE STREET RW ❑ � CONTRAC�� HOOD PLUMBING, INC. s��� ❑ O ADDRESS PROPOSED USE PLUMBING — PLAN 3 cmr RIVERSIDE ziP 92503 re�.909-689-248 o ARCHIENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOFi PSF ADJ.AREANALUATION h � OWNER-BUILDER DECLARATION 6FRIADDfREM O �Q 1 NER�Y AFFlRM UN�ER PENALTY OF PERIURY TWl7 I AM EXEMPT FROM THE OONrR�CTORS U- � G8f8Q91CBIpOR � ' � CENSELIIWPDRTMEFOLLOW�NaREA6CN(SEG.70.11.69USINEESANDPROFESSIONSCODE:ANYCINOR (/� OOIqiTYYYFUCXREOURESAPEAARTTO00N5THlri.'T.ALTEH,IMPROVE,UEMOl�SH.ORREPAINANY..S7Iil1C- W P81i0/DBCk� 7URE,PRIOR 70 fT5 18SUANCE,AL90 f1EWIRES 7HE APPIICAM!P�H BUCN YERMIT TO FlLE A 9CiNW � �� ��� � �� -��- ��- - � 8TATEMENT 7HAT HE OR SHE IS LICENSED PUfISUANT 7O iHE PqOVISION3 OF TNE CONTMCTORS U- � �� � CENSE tAW(CMAPTER i(COMIdENCINO YYI1H SECTION 7000)OF�IVISION 90F7HE BUSINESS AND PR0. �" Foul/SPe FESSqNS ODDE�OR 7F41T NE OR SHE IS IXE4PT TMEREFqOM AND hIE BASIS FOR THE AILEQED E%ENV• TpN.AN7VqLA710NOF8EC71ON7o9t.68VANVMPLICANTiORAPERM176UBJECTSTHEMPLICufT70 Z Re-Roof � 11GVIl/ENALTY OF NOT MOfiE TYiAN FNE HUNDFE�DOU'J�RS(i60q.�: � . � ❑I,�SOWNEROFIHEPIpPERTY,ORMYEMPLOYEESWITNWAQESA37FiEIR90LECOMPENSATIDN, COmRIBfC10I ' WILL 00 iHE WORK AN�7HE STNUCTURE IS NOT IMEtY�EO Ofi OFFEHEO FOR 8lLLE(SEC.7W1,BU51� NESS MID PROFESSION6 CODE:7HE CONTRACTORS LICENSE UW�OES NOT MPLY TO AN OWNER OF ? � PROVEFirvNM1lO8L1lDSORIYPROVESTiEREON.ANDMIHODOES3UCHW'ORKMMSELFORNERSELFOR Q TV4IWOHMISORNFRONRJEMPLOYEEB,GROVIOFDTWITSUCIIMAPROVEMENTSARENOTNTENDEOOR m � OFFEqE�FDRBALE.IF,/10MlEVEi�THE&1�01lKi00.1MPROyEMHJT1850lDMAiHINdJEVEAROFCOlAP1.E TqN,iHE OYVMER�UILDER WILLiNVE THE 9URDEN OF PROVINO THAT HE OR SHE�IO NOL BUILD OR IMPiIOVE PORTNE PURPOSEOF SALE). � OI,ASOWNEROFTMEPHOPERfY,l1MEXCLUSIVELYCOMMCTINOWI7NlIGENSEDCONTRAGT011S TO CONSTRUGf TlIE PFqJECT @EC.IOH.BUSINE53 AND PROFESSqNS OODE:iHE CONTRAC7DR3 l4 VfiIUBS10f1 ADJ.AREA CENSE UW DOESlpTAPP1,.V TO AN OWNEN OF A PROPEfiTYYVFIO BUIlD5 ON MAPRDVES T1iEHEON.ANO W11000NTRAL'TSiOR9UCHPPOIECTSWITiACONTMCTOR(9)IICENSEOPUflSUANTTOTHECOHTPAG pUANTYTY DESCHIPTION FEE � 70RSLICEN6ElAW.1. O 1 AM OfEIAFT tMOER SEG &!P.G FOR THIS NEASON � Q DATE OWNER � LICENSED CANTRACTORS DECLARATION � �C IHEREBYIIFFIRMUNOERPEWLLTYOFPEiUUAYTHA7IAMUCENSEDUNCERPROVISION50FCHAPTEF Ur O FIXTURES 1 3�O � �(CONNEHGIN3 YAfY19EC�lON fOQO)OF DNISION 9 OF TNE BUS W ESS ANO PROFESSIONS COOE,PND z �^•C ��C MY LICENSE IS IN FULL F'OHCE AND EFFECT. �� C36 � 1 DISHWASHER 8. y0 � uc�cuss uc.No. 260324 6 GAS OUTLETS 10 30 / s7� � °A� `ONT�"`�' 1 WATER HEATER .15 g� � WORKERS'COMPENSATION DECLARAT70N a � I NEREBY/IFFIRAA IINDER PENALTY OF VE0.IURY ONE OF TNE FOLIOWING OEG.ARATIONS: z a � �iXAVEMDWILLIANNTNNACERfIFICATEOFODNSENTTOBELF-INSUREFORW'ORKER6' � COMPENSATIDN,AS PROVIDm B'!SECitON 77o00F T11E IABOR CODE,FOR THE PERFORMANCE OF TXE WORK FOR WHICH iHIS PERMR IS ISSUEO. � _I HAVE AND WILL MANTNN VYOflNERS'OOMPENSATION MBURANCE,AS REWIREO BY SECTION � 970o OF TFIE IABOR CODE.FOR TFIE PERFORMNICE OF TME WORK fOR wHICH 7HI5 PERMI71s ISSUED.MYVYORKERS'COMFENBATIONINSURNVCECMHIERMI�POLICYNUMBEflME: CONSTRUCTION � �,,,,R,ER ' CAL—COMP � PU4N REVIEW � POLICYNUMBER ELECTRIC � (n�s[cnoNr��r+creeoo�rmoFnerewarsr�oue��xmmoaiusR�amaa�essF PLUMBING � •60 'Z..S3. D Z 1 CEAi1FYTMAT M!THE PERFONIANCE OF THE WORK FOR MMICH TNIS PERMIT IS ISSUED,1 MECMANICAL � SFULL NOT EMPIOY ANV PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE N WORKERS'COMGENSATIONlAW50FCALIFORNI�ANDAOREETHATIFIBHOULOBECAAAE INSPECTIONFEE S 6UBJECTTO THE WORKERS'COMPENSATqN PRONSpNS OF SECTIW!77000F THE VBOR ' GODE.IBHALLFORTMWITiCOMPLYYV1iHTNOSEPROVISKKI3. �SSUANCE ��+ D�O � SMIP p DATE: APPLICANT: � ENERGY P/C WARNM�:FNLUHE M BEGURE WOflICERS'COMPENSA710N COVEAAOE 18 UNLAWFUL,MID SHALL BE � SU&IECTMI EMPLOYERTO CNIMINAL CENALTIES AND CINL FW6 UP TOONE HUNDRED iT10U5MD ENERGY PERMIT � Y DOLLMS(it00,000�,WADDITIONTOTTIECOSTOFLOMPENSATpN,DAMAGESA9►ROYIDEOFOpIN � 9ECTION 970!OFTHE NBOR CODE,INTEREST,AND A770HNEY'S FEES. RETENTION FEE: CONSTRUCTION LEN�ING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRMUNDERPENALTYOFPERIUMTHAT7HEREWAOONSTPULTIONLENDWOAGENCY FOR TNE PERWRMANGE OFTME YYORK FOR WHICN THIS VERMIT IS ISSUED�SEG.aW7,CIV.G.�. .pT TTi � D lJlir � LBdOER'S NMIE � � LENOEfTSADDNE55 � 1 CEPTIFT T1AT I NAVE REM77NI5 MPUCATqN AND STATE THAT 7HE ABOVE W FORMATpN 13 CORREGT. TOTAL FE ES � ��6 0-�� 1 AORE£TO COMPLY Wfl'H ALL CRY MID COVNTY ORDINANCES MI�STATE lAW3 REUITINQ TO BUILDWO • CONSTRUCTION./UIDHEREBYAUTHORIZEREPRESENTATIVESOF7HISCOUN7YTOENTERUPONTHE � ��� /� S� ABOVE•MENTIONED PROPERiY FOR M15PEC710N PURPQSES. ('AMMENTS i S � 9 E.K. EASTMAN, GENERAL SUPERINTENDANT � PERM N IP 1 O/1 2 9 H ' . r r � BNi RE O PE EE DATE � � � RECPT.NO. PAID 8Y VALIDATION WNITE-Depertmenl Copy.YELLOYY-finance Copy.PINK—Asasasa Gopy,�OLDENROD--FlIe Copy,GREEN—Ap �can1�5 % CITY OF DIAMOND B/�►R � INSPECTION RECC?RD, - � i: . � - . Q � , . �, . SET BACK ` � ` • , � FLOOR JOIST FTGSlFORMS/STEEL FHA REQMTS � ELECTRIC GROUND ' UNDER FLOOR DUCT GROUND PLUMBlNG UNDER FLO�R CG�IDUIT SLAB GRADE FIAEPLACE F�UNDATION � V TEMP POWER - FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ' ' RO�F SHEATHING 8 FT. BOND BEAM FRAMINGNENTILIATION FIIVAf�BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING � ROUGH ELECTRIC � ROUGH GRADING � ROUGH PLUMBING 2 � FINISH GRADING SHOWER/TUB TEST P�OL ELECTRlC EXT.LATHISIDING � POOL FENCING WALL INSULIaTION POOL FINRL CEILING INSULATION OFF SITE fMPS. DRYWALL NAILING i DEDICATfONS • SEWER FINAL ENG. SEPTIC TANK ! LANDSCAPE/1RRIG. SEEP PlTlI..L. ON SITE 1MPS. GRS AIR TEST j j FINAL ZONING FINAL CC)NST. � j FIRE DEPT. FINAL __T_ � FINAL NEATING ! i � HEALTH DEPT. FINAL V� FINAL ELECTRlC I i DEV. FEES PAID .. , ' FINALPLUMBING I 'Z'3 ' j � ENERGY _�,�� . . ! I ii , `, , �. � o ---��_. _ . . . , _ _ � -- ----, _ -._. .--- --.. -- . . . _; - - - . � . COb��JlENTS � �,�t.Y,���.',c _.�--- ----� SEPTIC TANK SIZE '��-�f E: :� ��!i; SEEP PIT/U SIZE ,�,�. • -- —�— —� ��i't)A�i�;�:�;^Ii;>Y'I'l.:.; � �'n?.Cit�! :�+�•'�l:11(Ir;:i.. ___� _.., � .,, ` _ .. ----� _ _ _' � `.._; . — � . � . —� _ _.i .. , �