Loading...
HomeMy WebLinkAbout12053 (6) _ �� CITY OF DIAMOND BAR - � ' EXP I RED J DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Lkive Suite 190 ' J U{V 13 2002 (909)860-3195 Faa(909)861-3117 PRESS � '^�"��� BUII.DIIVG PERMTT APPLICATION FIRMLY y JOBSITE !"� � APPLICATION ,� _ PERMIT .��� t�/C o ADDRESS U � .DATE NUMBER ✓� � ISSUE TYPE OCG APN LOT TRA T DATE CONST. GROUP � OWNER wADDRESS a u ZONING F O�CKS Rw � Z CfTY • ZI TEL REAR ❑ 4 APPLICAPlT TEL�� SIDEJSIDESTREET RW ❑ � CONTRACT �• SIDE O � ADDR S _ PROPOSED USE CffY ZIP,�,2�pTEL Pu ARCWENG/ � � DESIGNER NO.OWEL. NO. N0. ADDRESS UNITS STORIES BEDROOMS � CffY 21P TEL � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � p� OWNER-BUILOER DECLARAT�ON . SFR/A�D/REM O I MER�Y AFFIRM UNDER PENALTY Of PERRIPV THAT 1 AM IXEMPT FROM THE CONTMCIORS LI• GefB(�0/C81p011 . " e CENSELAWfdtTl�FOILOWIN6REASON(SEC.70J1.69USINESSANOVHOfE5510NSCO0E:ANYqTYOfl (n C� COIMf'/NRqpIRECURE511FEiWRTOCONSTRUCT,J�LTER�P�'1F.OEIAOl15/LORREP�IRANVSTi1UC• W P8tb1D0Ck ' - u� TURE VfiIOH TO RS SSUANCE.AL50 REW WES THE A7PUCANi FON SUCM iENA1R TO FllE A SIGNED . W � STATFMENT THAT HE OR 9HE IS IJCENSED PURSUINT TO TNE VPOVIS�ONS OF THE CONTMCTOR4 ll• , . .� CFNSE UW(pN7TER Y(COMMENC7Na YATM SECiION 70D0)OF DIN3IDN 7 OF THE BUSINESS AN�VRO � P��Pa iE55UHS COO�OR TIAT HE OR SHE IS EXEIIPT i1tEREFROM M!D iHE 9A515 FOfi TME/UlE�ED EXEMV• TqN.N1YV10LAT10NOF5ECTKN70]7.68YANYA7PLIfJJlTFOli�7ER1AliSUBlECTSTHEAPPLIGNfTO Z �g-R001 F ACMLiENALiYOFNOTMOfiETWNiIVEHUN�REDDOl1M5Ii5uo1.): J � 04�"d�N�EROFTHEPHOPERTY.ORMVEM7LOVEE5W17HWAOESAST11EIqSOLECdAGENSATION, ❑ �mmercia� � W�L DO iME WONK AND THE STRUCTUNE IS NOT INTEN�EO OF OFFEfiEO FOR SALE(SEG,7a�,BU54 . J NE53 AIA VROFESSIONS COOE lNE CONTRACTORS LICENSE Uw DOES NO7 APPLY i0 AN OWNEN OF '� � PROVEfITYNR10BU4D30RM7ROVESTHEREON,/VAWHODOESSUQIWORKNIMSEIFORHER5ElF011 � � THROU6HNSORHEROWHEYPIOYEES.PROVI0E0TMATSURIIMPROVEMENTSARENOTMEN�EDOR m � OiTEREG FORS+�LE F,HOWEYER���d OH M�RDVEYENf 1550L�wfTNM pNE VFAR OF ODIAPLE. 'TION.TME OwNER�BURDER YVILL NAVE TME BURDEN OF iROV7�113 iHAT ME OR 6HE DID NOT BUIID OH MVROVEFORTHEPURPOSEOFSALE� � ' W 04�SOMNEROF7HEiROiE1RY,AMIXCLUSNELYCONTMCTPIOWR}IUCENSEDCOMiUCTORS � � TO CONSTRUCT TNE VR6IECT(SEG 7M�1,BUSINESS ANO iROFE5510N3 CODE TME CONTMCTORS U• VdIt18ti0/1 ADJ.AREA CEtISE UW DOES NOTMPLYTOIW O'M�ER OF A GHOPERTV NMO BULDS OR IAIPROVES THEREOµAND � NRqCOHTMCT9FOR5Up1VPWECTSWfTMACOHfN�CTORI9ILICENSEDPURSUANTTOTHEGONTMG QUANTITY DESCRIPTION . � � FEE � � � 1f7fi9l10EN5EUlW�. . , ., . . . . _ ' OIAME%EIAPTUNDERSEG B.1P.C.fOR7HISRE�50N U 3 ¢ . LLZ' OAiE OWNEH V . o LICENSED CONTAACTDAS DECLAAATION W F _' � w IHEi1E8VAFFIfWUN�ERPENALTYOFPfRAItivMATIAulKfNSfDUNDERGROV�5iON40FC/uDTER V, r S i(CWIENCINO MiH 5EGf10N 7000)�OM510N 70F TME BU51NE5SAND GROFE5510N3 CODE,/JJD Z X LfYLICEN5EI5NFUlLFORCEANDEFFECT. m lL � � LICENSE 55 LIC.NO. � J . . �j DATE . .. CONTMCTO a � � WORKERS'COMPENSATION DECIAFiATION a � . . . , � U � N IHEREBVAFfliWUNDERPENALTY0F0E0.ri1RYONEOFTHEFOLLAWINO�ECLAIUTIDNS:� � � - � - -" � Z Q � G _IHAVEANDVALL►UC1TAtNACERT1FIGlTEOFOONSEN7TO5ELF-INSUREFORWORKER5 S � COYPENSII110N.ASPHONDEOBYSECTION�70oOFTHEIABORC00E,FORTHEPfRFORM�NCE W - OF TIE N'OWC FOR NM111p1 TFIIS FEMAIT S ISSUED. � � � �IHAVEANDW�LLNAPRIUNWONKERSOO��PENSATIONINSUMNCE.ASREWIREDBVSECTqN - 77ooOF1HEUBOfiCODE.iOHTHEGERFORMANGEOFiHEWORKFOqK'MICT1T1115GEfiMIT15 � ISSUE0.MY WOFKERS W;PEN9AT�ON IHSUMNC.�Cl[IfiIER.{�:N D'��CY MIMBER ME CONS�UCTION � CARRIERS aY� C\ J /. PLANHEVIEW Q� POLICYMIMBER \l���Y c ��. ��--` ELECTflIC : 0 �ss[cnonr�mrroTe[on.aFrmocn��aarswaor��oa.w�6�omoA�ss� PLUMBINO � . Z ICERTIFY71uTNT1EPEpFORAIANCEOFTHEWORKFORWMIq1TH15FERMiTb�55UED.1 MECNANICAL � (} SiIALLNOTEMPIOYANYGER50NMIWYMM'NERSOASTOBECOMESU&IECTTOTHE � � WORKERSCOMPENSAiIONUW50FCALIFORNU,MID�GREETNATiFISFqULDBECOME INSPECTIONFEE S SUFUECTTOTHEWORKERSCGM�PENSATqNORONSIONSOF5ECT10N�7000FTME OR' �� � L��. OODE. SHALL ORtHwiT11 COMRY E PROVISIDNS. 1SSUANCE � O DATE^__�A��APPlICA�E�ryp��2C SMIP .. C W ENERGY P/C WARNINQ:i lUR[T SEWRENORKERS'CAMPENSATIONCOVERAOEISUNUWFUI„ANDSMALLBE � SUB.IECTANEMPLOVERTOCPIIA�NALDEWLLTIESANOCMLFINESUPTOONEWINOREDTHOUSANO � ENEROYPERMIT � DOLLARS(it0a.0oUI.IN AODI7ION TO 7HE COST Of GOMPENSATqN,OkMA6E5 AS VROVIDEO FOR W ¢ SECf1DN 77oe OF 7HE UBOR COOE,MTEREST,AND A7TORNEVS FEES. RETENTION FEE: a CONSTRUCTIONLENDIN6AGENCY PRE-ALTFEE: ��� � �� T�'�� � O . � IHEREBYAFFIRMUNOERVENILTYOFGER1URVilUTTMERE151lODNSTRUCT10NlENDIN�AOENCY z FORTME PEPFONAANCE OFiHE WORK fOH WHICH 1w�5 FEpuiT 45155UED(SEC.�oV7,LIV.C.). . W � LENDEfTS WWE � � - C LENDER'3ADDNE55 � � IGERTIFYTMA7IMINERF1DTq5APiLIC.�TqNANUSTATETNTT1E/100VEWFORAIATqNISCORRECT. TOTAL FEES � � � � ., � � IMREETOCW��LYWIMFLLCT'ANDCOUNTYORDINANCESANOSTIITEUWSREUTN�TOBU4DIN(1 CCfISTRlKT10N,ANDHEFEBYMlf110HQEREPfl[SENiATNE50FTHISCOUNTYTOENTERUPONTNE . . .. � � S� ABOVE.IAENTIONEDPfWPERTYFORINSPECTIONVII POSES. COMMENTS J _ � F NAME(PRIIfT) ' ^ Q N ! oIPERWTTEE A7E V � _ . . RECPT.NO. PA1D BY VALIDATION WH�TE-0ep9rlmMt CApy.YELLOW—Finanee Copy,PINK—ASle33M Copy.GOLDENROD—File Copy,GREEN—ApplicanYa Copy , .,.. ,..._ ..•...,.. . .. . ,,. .. .,._ ., .._,;, ., . .�.,:, . . . _ . .. . . .. . . . , , . . � ,. ,. . , �� . . .. . . , •. j_�:,_>'�;,••',,:,,' CITY OF DIAMOND BAR ; , . , . , � � '��'1NSPECTION RECORD� � � � ' �,'. � �'��I' . . . � , .+ , � • .__ . . ,����1 +.. .. • � � � • ' • / � • ' SET BACK � 1 '.'_:. ;. ;,, ; �, : .i � � FLOORJ015T; "� �, � , � , . . FTGS/FORMSlSTEEL - � FHA REQMTS - - - �-- - ELECTRIC GROUND � -- _ �. -" :-- - . UNDER FLOOR DUCT -� - � GROUND PLUMBING UNDER FLOOR COf�IDUIT � � SLAB GRADE . - FIREPLACE FOUNDATION - ' . - - - , 'fEMP POWER- --- ''• - - FIREPLACE BOND BEAM-. � �- � - - -� � ' -WATER SERVIGE -- - - - _ • MID HT.BOND�EAM -- '- . _ _. . - - - - - -- ._._ -- ROOF SHEATHING--- - - -- - . ' 8'FL BOND BEAM , , , , • i FRAMINGNENTILIATION FINAL BOND BEAM ' � ROOF COVER,-:. - PRE-GRADING - � ' ROUGH HEATING -- .. __ __ . _ . _. BENCHING _ _ __ . � ; RQUGH ELECTRIC-;- � � ' `� ROUGH GRADING - • ROUGH PLUMBING � � - 'I - : - FINISH GRAOING � `... SHOWEFirfUB TEST - - ' � POOL ELECTRIC ' � - EX7.LATH/SIDWG � ' POOL FENCING WALL INSULATION � POOL FINAL . � CEILING INSULATtON OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS SEWER . __-- -- --. _ _ _ _ _ � _ FINAL ENG. � i SEPTICTANK __.___ ___ .. __ _ LANDSCAPE/IRRIG. , � - . SEEP PITlL.L,- -- -- _= _.. _� ON SITE IMPS. � GAS AIR TEST�, - - - �- - --- - �- FINAL ZONING FINAL CONST:I - -- - FIRE DEPT.FINAL � FINAL HEATING - ; HEALTH DEPT. FINAL . ; � FINAI:�LECTRIC __ _ _ _ ---� DEV. FEES PAID _ __ �F1NAL P,LUMBING ENERGY � � - � , , �' e d _ _ --- - ---: -- COMMENTS-- - - _ - - - - . ' `_ , _ ___.___ ___ _ __ _ _ . ___ , - _ . , ; , � , � , , - -- . _._ _ - - � , •' �ti' � '>> _ _ - _ _ - - � i - --. _ . _ _ , , . _ _ , � - . � �_ . _ ___ _ . _ _ _ � � . SEPTIC TANK SIZE _ _ , SEEP PIT/U SIZE { � , �.- .- ,..,. ;� � � '. ,, , � 4 ;_�:��,i..�. . � .."._!` - ' _. ; i . . -_ _ _ _. __ ; _ , , ; . � , ; �, _ ; ' - - - .. _ _ - t_ _ � _ . . _ _ . . . � ;;; , , , • , ,. ,