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HomeMy WebLinkAbout13111 (25) �� _ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUI�TITY&DEVELOPMENT SERVICES � . 21660 E.Copley Drive Suiu 190 (909)860-3195 Fax(909)861-3117 PRESS �'��'�� BL1dDTNG PERMIT APPLICATION FIRMLY � ADDRESS 1568 Sapphire Ln. APPLlCATiON FERMR � � P/C o OATE e� }�-9�_ NUMBER�_ • � APN LOT 3O TRACT 32400 ISSUE 7yPE �C DATE CONS7 GROUP � OWNER ����ard 1�cific_ ADDRESS r V • ZONING SETBACKS C�Ty osta Mesa Z�p TEL.�1 66H 3OO FRONT F;yy � APPLICANT TEL. REAR p 51DE/SIDE STREET Ryy ❑ � CONTRACTOR oo um ing SIDE � o CITY E��� �2�� CZIPSr����•TEL. �g��l►�� PROPOSEDUSE p111II1b�IIg-Plan3 � ARCM/ENGI DESIGNER NO.DWEL. NO. NO. ADDRESS �n UNITS STORtES BEDROOMS � CITY 21P TEL. � DESCRIPTION SQ.Fl: FACTOR PSF ADJ.AREANALUATION q� OWNER-BUILDER DECLARATION SFFVADD/REM C� I NEHEBY AFRRM UNDEH PENALTY OF PERRIM THAT I AM EXEMPT FROM THE CONTAAC70RS LI- GBlB B/Ce CENSEU1NfFOR7HEFqlOWINOqEA90N(SEC.7031.6BUSINESSAN�PqOFESS10N5CODE:ANYGTYOR (f� 9 �� Cd1MY WHICM REOIIIRESAPERMITIDOONSTRUC7,ALTER M1�P���DE4�OLISH,Oq qEMIRANY BiAUC- TURE.iRqR TO R8 RSSUANCE.AL40 REOUIRES 7NE APPLICANT MR BUdI PERMIT TO FILE A EKiNED � PBtb�DBCI( tTAZEIAENT TNAT ME OR SHE IS UCENSED PURSUMfT TO 7HE PROV{SIONS OF TME CONfMCTpRS U• CENBE L/1W(CHAPTER/(COMMENCNO YYITN SECTION 7aa0)OF DIVISqN e OF 7F1E BU9INESS ANO PRO• u' POOVSp2 FESSION900DEJONTHATXEOHSXEISE%ENPTMEREFFiWAANOTHEBA515fORTHEALLEpEOE7(EMP• (� TION.M11'VIOLATIONOFBECTION7091ABYANYMPLICMITWRAPERMITSU&IECTSTHEAPPLICINfTO Z aB-ppp{ � �CMI►ENILLTYOFNOTRtOREIMANFNEHWOflED00LLMSpG001J: - OtABOWNEROFTNEPROGERTY,ORMYfMPLOYEESWITNWAGE3A3THEIHSOLECOMPENSaTION; � COf�mBrClel WILL 00 TME WDIY(,AN�TXE STRUCTl1RE IS NOT VITENOEU OR OFFERED FOR SALE(SEC.7oM,BUSI- J N NESS AN�VibFE33101�1a CODE:TIE CANfMCfOR9 UCENSE LAW DOES NOTAPPLY TO AN OWNER OF � PROPERTY YYFIO BULD$Oq IMOpOVE$iNEpEON,AND WHO DOE6 SUCH WORKHIMSELF OII HERSELF OR � 1fIR0UONMSORNENOVM6JPLOYEES,PROVIDEOiHATBUGiIMPHOVEMENfSARENOTIMENDE00H m OFFERm PDR SILLE IF,IpYYEVEFt7HE BUq.dNG ORNPROVEMEN7IS SOID Wrt111N qYE YEAROi COMPLE- TION,7HE dWNER-BUIiDER WILL FIAYE 7ME BUROEN OF PROVNIO 7NAT ME OR SHE UID NO7 BUILO OR tdPiqVE FOR 7lIE PURP0.RE OF S�LEI. � ❑I,/SOWNEROFTMEPROPERT;AIAEXCLUSNEI.YCOMRIICTINCINATHLICENSEDCONTRACfOqS TO OONSiRUCf TME PROJECT(9EC.M11.BU9INESS AN�PROFESSIONS CO�E:7HE COD1TqACTOqB U. VfllUeti0lf ADJ.AREA CEN5E LAW DOE9 NOTAOPLYTDAN OMINER OFAPROVERTV WFp BUHDS OR IMPIqVE9 THEREON,AND WF�OOOMNACTSFORffi1CHPRQIECTSWI7HAOON7AACTOR(3)LICBISEDPURSVANTTO7HEOONTMG QUANTITY DESCRIPTION � fonsucasEuw.y FEE O I AAA IXEAAPT UNDER SEC. B.�P.C.FOH 71Y5 REASON � U 4- o�rE OWNER � � � LICENSEO CANTRACTORS DECIARATION W � 1 MEREBY AFFlHY UNDER PENALN OF PE0.IURY TFUT I M1 LICENSED UNDER PROVISqNS OF CHAPTER � � •(OOM�IENCl/q WIT119ECTION t0ao)OF OMSION 9 OFTFIE BUSINESS�IVO PROFESSIONS CO�E,AN� Z � - �� MY UCENSE R N FVLL FORCE AND EFFECT, m 0 LICENSECUSS C36 �,�.,,o. 260324 � � n�� 03-1 2-99 corrrAacroA Nnnrl P1 nml,i r,o a WORKERS'COMPENSATION DECLARATION � IHEREBYAFFWMUN�ERPENALTYOFpE0.NpY0NEOFTHEFOLLOWING�ECLAMTIONS: V � Z � �I MAVE AND 141LL MAIMAN A CEHTIFIGITE OF OONSENT TO 9ELFdN9URE FOH WORKERS' = T COMPEN9ATION,A9ppOVIDED9YSEGTION37aoOFTNELABOflCOOE.FOHTHEPERFORMIINCE `U Q OF 7XE YqqN FOR WHICH TF115 PEfIM1T IB ISSUED. � � _I iIAVE AND WILC MAIMAN WORICEHS'CdAPENSATION INSUMNCE,AS REUIIRED BV SECTION �4 �7000FTHE LABOR OOOE.FORTHE PERWRMANCE OF 7HE WORN FOfl WHICHT115 PERMR IS 155UED.MYWORKERS'COMPEHSATIONINSURJWCECARRIERANDPOLICYNUAIBERME: CONSTAUCTION jc�wien. .. C31—C'.omR PLAN REVIEW � � POLICYNUA1BEfl ;a����t c ELECTRIC p' (n�s�cra�r+��noTeE�oFn�a�auTsra�a+Eruron�aoou/�sR+rolatlEss� PLUMBING _ _1� W '(7*! � 1 CERTIFY TMAT MV THE PERFORMANCE oi THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL 1•' SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME BUBJECT TO THE (q WORKERS'COMPENSATIONUWSOFCALIFOfW1AAND11aREEiHATIFISHOUI�BECOME INSPECTtONFEE � SUBJECT107HEWORI(EH5COMPENSATqNGqOVISION50FSECTION]looOFiHEUBOR ZS�OO cooE,i srw.�Farr�nn�coua�v wm+r asE rnows�s. ISSUANCE � DATE: AFPL�cAMP SMIP WARNINO:FAILlB1E TO SEWRE WORNERS'COMPENSATqN COVER�OE IS UNLAWFIiL,AND SHALL BE ENERGY P/C J _` �"'^y SUBJECTANEMPIOVEHTOCRIMINALOENALTIEBANOCMLFINESUPTOONENUNOREDTHOU&WO ENERGYPERMIT _t�1 1�V r OOLUA.S It100.000),N!ADDITION TO THE CAS7 OF CAMPENSATION,DMMOES!$PROVIUED FOR IN — 1 WSEC7MNs7oeOFh1ELABORCODE,INTEREST,JWDATTORNEYSFEE3. �{� ,� RETENTION FEE: ��y� O CONSTRUCTION LEND�NGAGENCV PRE•ALT FEE: � IHEREBYAFFIqMUNDERPENKTVOFPEF4ilJRYTHATTHEREI5ACa115TRUCTIONIENOIN�A�ENCY FOq THF PERWRMANCE OF THE WORN PoR WHICH THIS PERAl1T IS 189UED(SEC.�oY7,CN.G). � � IENDER'BNAGE . CS LENDER'SADDRE55 � IAf3qEE COAIPVWITMAI.� .µ ry pqqA CE9MIDST�EUWSHHATTINOITOBUILDINO TOTALFEES �'L78.50 � CONSTNUCTqIy AND HER A� IZE REPR iIYES OF TWS COUNTYTO ENTER UPON T11E . ABOVEdAENTqNE�Pfl qTY � ry5P�CTID es. COMMENTS 0 J � P�� , e9. � 03-12-99 y F EE DA7E � RECPT.NO. PAID BY VALIDATION WHITE—Deperlment Capy,YELLOW—Finance Copy,PINI4—Asseasor Capy,GOLDENROD—File Copy,GREEN—Applicenfs Capy . . . , . , . . . . . � . . . . . , . . .. . . CITY OF DIAItliOND BAR IhtSPECTiON RECOfiD • Et E � . � . . � ` , . � . SET BAGK �L�OR JOfST FfGS/FORMSlSTEEL � FHA REQMTS EL:ECTRIC GROUND ' ' ' UNDER FLDOR DUCT GROUND PLUMBlNG UNDER FLOOR CUMDUIT SLAB GRADE Flf#EPLACE FOUNDATION � � 7EMP PQWER i FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ROQF SHEATHiNG 8 FT. BOND BEAM FRAMINGNENTILIATION FINAL BONp BEAM ( ROOF COVER I PRE-GRADING ROUGH HEATINC BENCHING ROUGH ELEGTRiC ROUGH GRADING ' ROUGH PLUMBING 7'2.`1'� FINISH GRADING SHOWERri'UB TEST POOL ELECTRlC � EXT.LATH/SIDING POOL FENCING WALL INSULATIC�N POOL FINAL CEIL�NG INSULATIbN OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS SEWER , � FINAL ENG. SEPTiC TANK i LANDSCAPE/IRRIG. SEEP PIT/L.L. ' ON SITE IMPS. GAS AIR TEST � � FINRL ZONING FINAL CONST. ? FIRE DEPT. FlNAL FINAL HEATING � HEALTH DEPT. FINAL i ~ FiNAL E�ECTRIC � � ! DEV. FEES PAID ' i FINAL PWMBING •�S�I� � �' ENERGY � � __ -�-i i +II i � ------ COi1/iMENTS ; . SEPTiC TANK SIZE SEEP PIT/U SIZE -� � _ �;; ;� - --