HomeMy WebLinkAbout13112 (24) 1� CITY OF DIAMOND BAR �
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
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(909)86Q3193 Fex(909)861-3117 PRESS
�'^"� BUILDING PERNIIT APPLICATION FIRMLY
Q ADDRESS 1580 Sapphire Ln APPLICATIO PERMR p/C
c DATE �3-12-99 NUMBER �_? 112. �
� APN LOT 31 TRACT 32400 pq7� CONST. GROOUP
�� OWNER _�,S��nriar�Cg�r�ur �V�— ZONING SETBACKS
ADDRESS � FT–
cmr Costa Mesa ziP� Te�.7146684300 FRONT � ❑
APPUCANT TEL. REAR ❑
SI�E/SIQE STREET RW ❑
CONTRACT��d�Plumbin� SIDE ❑
� ADDRESS "
CITY Rlv ZIP TE PROPOSED USE Plumbin�-Plan 2
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DE5IGNER NO.DWEL. NO. NO.
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� OwNER-BUILDER DECtARA110N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
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CENSE UW�CNAVTEp f(COMMENCINO WITN SECTpN 7oao)OF OIVISqN�0F ME BUSINESSlWD PRO- ' � POOVSpfi
FESSqNS OODE)OH 7T4\T XE OR SXE IS EXEMPT 71iEREFqOM MID T11E BASIS FOR TNE ALLEOED EXEMP•
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o �lIISOWNEROFTHEPROPERiV,ORMYEMOLOYEESWITMWA6ESIl5THEIR50LECOMPEN5A710N, CpmmBfClel �•
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N NE55 AND PROFESSIONS OOOfi:THE OOfffRACT00.4 LICENSE LAW DOES NOT APPLY TO AN pWNER OF j
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OFFENED PWi SIILE F,NOWEYER TMEBUILDINU OR IMPROVEMENT IS SqD WITHIN IXVE YEAROF G9MP�E-
itON,iHE OWNER-BUILDER WILL M11YE TME BURDEN OF RiOVMN3 iH�7 NE OR SNE DID NOT BUItD OR
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W 01.�40NMEROFiHEPHOPEIRY,IMAE1fq.U31VELY00MRACTINOWITHLICENSEDCOMMCTORS
� TO QONSiRl1CT 7NE PRO.IECT(SEG 7nM,91131NES5 AND VNOFE531ONS CO�E THE CONTFACTORS LI- VBIUltIOn /,pJ,qpEp
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❑1 AM O(EMIPr UNDEH SEC. B.�P.C.FOR THIS NEASON a
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IICENSED CANTRACTORS DECLARATION W
� I NEREBY AFFlqM UNDER PENi1lTY OF PEIUURY 7tUT 1 NA LICENSED UNDER PROVISIONS OF CHAP7FR � � � .
� Y(COMA1ENpNG WITH 9ECTION 7000)OF OMSION 9 OF THE BU61NES5 iVlO PROFESSIONS CAOE,AND Z �
X YY UCENSE 16 N FULL FOHCE AND EFFECT, m
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� LICENSECU139 C36 �w.No. _260324 � �.
� �� 03.=12-99 corrrA,.,croa u,,,;a oi timl�i nn S.'
WOFiKEHS'COMPENSATION DECLARATION �
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� _��MAVEMlDWILLMAINTNNACERfIFICATEOFCON9EMTTOSELF-INSUREFOWWOqKERS' _
OOMPEN5ATqN,AS PROVIDED BV SEC710N 770o OF THE LABOR COOE,FOR h1E PER WPMM7CE W
Q OF THE WORK FOR WFIICFI Tl118 PERMR IS ISSUEO. �
� �I HAVEANO WILL 1M41NTAIN WOHKER500MPENSATION IN5URAIJCE,AS REOUIRED BV SECTION
Q 97a00FTHE LABOR CODE,FOR TNE PFAFORMANCE OF 7NE WORK fOR WHICM iH15 PERMIT IS
� ISSUm.MYYYOHKEAS'j�MP�N9/y�,O I�TURANCE CARRIER AND VOLICY NUMBER ME: CONSTRUCTION
]r CARRIER i, i l, r PLAN REVIEW
� POLICYNUMBER ELECTRIC
� (nus[cmH�IDwreeaor�aFrmoFnepEw�r�sronor��ppo�uwsryiarjaq�ss} PLUMBING ZLO.HO
� I CERTIfYTHIIT IN THE PERFORMANCE Of THE WOPo(FOH WHiCH THIS PEFMIT IS ISSUE�.1 MECHANICAL �' �
� 6NALL NOi EMPLOY M1Y PERSON M!ANY MANNER 50 AS TO BECOME Sl1BJECT TO T11E
(q NfDAKER3'CMJPENS�TIONUWSOFCI�LIFORNIAANDAGREEMATIFISHOULDBECOME INSPECTIONFEE
� 6UBJECT TO THE YYORKERS•COMVENSA710N PqON510N5 OF SECTION 7IOD OF ME UBOR
DODE,16iULLFORTliVYIT/COMPLYWIT}IhqSEVRON510N9. ISSUANCE '����A
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WARNINO:FNLURE TO SEWRE WORKERS'COMPENSATION COVEHAOE IS UNUWFUI,AND SHALL 8E ENERGY P/C O
� BUBJECT AN EAPIOVER TOCAIMINAL PENALTIESAND CIYIL FINES UP TOONE NUNDRED THOUSANp ENERGY PERMIT U
DOLLAH6(i100,000�,IN ADDITION TO THE COST OF COMPENSATICN,DAMAGES AS PROVIDED WR IN T
� 6ECTqN37080FT/7ELABORCODE,INTEREST,ANDATTORNEY'SFEES. FETENTIONFEE: _�Q��J.L
� CANSTRUCTION LENDINQ AGENCV PRE•ALT FEE:
I HERFBV AFFlRM UNDEH PENALTY OF PERJURY THAT THERE IS�CONSTHUCTION LENDING AGENCV
FORTHE VERFORMANCE OF iHE WORK FOR WHlpi Til9 PERMIi IS 1SSUED(SEC.ioi7,CIV.C.).
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� LENDER'8 NAME
�s LEN�EFTSAODRESS
� ICERTIFYl1MTIHAVE TH PLICATIONANDSTA rnie,moveNr��T�isconnecT. TOTAL FEES
� IAORF�TOGOMPLVWI ALL IWDCOUITYORDI CES�NDBTATELAWSRELATINOTOBUILDWG
� CONSTRIICTION. R IZE XEPHES TIYES OF lH6 COUNTY TO EMEq UPON THE
I1BOYE-MENfqNF ROP INSPECT osEs. COMMENTS 24S.8O
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� VERM �
y 03-12-99
y NAlURE OATE
� ' RECPT.NO. PAID BY �YALIDATION
WHITE--Department Copy,YELLOW�Inence Copy,PINK—Aasassa Copy,GOI.�ENROD—Flle Copy,pREEN—Appli s Copy
C{TY OF DIAIr160ND BAF�
' INSPECTiLlht RECQRD � , .
• • � � � • - � a � � � � -
SET BACK • FLOOR JOIST '
FfGS/FC}RMS/STEEL � FHA REQMTS �
ELECTRIC GROUND � � UNDER FLOOR DUCT
GROUND PIUMBING UNDER FLOOR CG�IDUIT �
SLAB GRADE FIREPLACE FaUNDATION
TEMP POWER FIREPLACE BONb BEAM
WATER SERVICE MID HT. BOND BEAM
R�OF SNERTHING 8 FT. BOND BEAM
FRAMINGNENTILIATI(�N FINAL BOND BEAM I
RO�F COVER PRE-GRADING �
ROUGH NEATING BENCHING �
ROUGH ELECTRiC ROUCH GRADING
ROUGH PLUMBING • 2 FINISH GRADING �
SHOWERITUB TEST i P�OL ELECTRfC y
EXT. LATH/SIDIN.t'.� i � PO�L FENCING
WALL INSULATIQN � POOL FINAL
CElLING INSULATION i OFF SlTE IMPS.
DRYWALL NAILING 1 � DEDICATIONS
SEWER � FINAL ENG.
SEPTlC TANK LANDSCAPE/1RRIG.
SEEP PIT/L..L. � ON SITE IMPS. i!T
GAS AIR TEST � , FINAL ZONWG �
FINAL CONST. ! � i FIRE DEPT. FINA� -�-C--�
FINAI HEATING ���I HEALTH DEPT. FINAL �^� �
FINAL ELECTRIC j � j DEV. FEES PAID �
FINAL PLUM8ING �• ; ENERGY —j� �
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SEPTIC TANK SIZE J '
SEEP PITIU SIZE — '�
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