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HomeMy WebLinkAbout17116 �� CITYOFDIAMONDBAR � EXPIRED DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,�� � z��oE.coP��Y�;��s����o � JUPJ 19 2002 PRESS (909)860-3195 Faz(909)861-3117 '����� BIJQ.DING PERMIT APPLICATION FIRMLY � JOBSITE � ��� LU APPLICATION -l�-�1 NUMBER � I ��C o ADDRESS DATE � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNEF "" ADDRESS� � ZONING SEf6ACKS � CITY � ZIP ' TEL. I REAR flW ❑ APPLICANT TEL. SIDElSIDESTREET RW ❑ � CONTRACTO �.1 SIDE ❑ � ADDRESS PROPOSED USE C17Y ���� • ZIP��TEL � ARCFVENG! DESIGNER NQ.DWEL N0. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADDlFEM O 1 MEREBY AFG11M NAER iENILLTY OF GERRIR`/TMAT 1 AM EXEA�PT FiYOM iHE CONTMCTORS l4 GaragelCarport � � 8 CENSEU1WiOfi7HEFOl10WINaREASONISEG7W1.6BU5wE5SANDVROFE5510N5CO�EINYCT'OR (n y COUN�7WIiICHpEOUWESAPERMRTONN5Ti1UCf.AL7ERMPflOVE,DEMOl15H.ORREPAIRAHY9TRUG W PatlalDock u� T1RE.i1L0ii M R9155UAHCE AL50 PEOUIRES THE APPLICMlT WR SUCH VERMITTO FILE ASi[�NED w � ETAiFMENT 7/NT HE Oit SHE IS tICENSED GU/iSVANt TO THE PROVl4�ONS OF 7HE CONTMCTORS l4 � tFNSE UW(CIWTEF 0(COMNENCWO WIT/I SECTqN 7000)OF OMS�DN 7 0F iHE BU5ME55 NJD iRO � PooUSpa fESS10NS COOE)OR THA7 ME OR 9HE IS IXEMPT THEHEFROM AND 1NE BASIS FOR TME AlLEOED E%EMP- 7qN.ANYVI0LAT10NOFSECT10N7031.6BYANYMPLICAflTfORA�ENMITSUBJECTSTHEAPPLICANTTD Z RB•ROO(- � ACMLPENALT/OFNOTMOHETIANFNENUNDRE�Da.I/�FS(f5oD).): , � OI��NEROFIHEFROPER7Y.OfiMYEMPLOYEE5W1iHWAGE5A5TMEIR50LECOMPEN5A7qN, 0 �mmerdal - WILL DO TME WdiK AND THE STRUCNRE�5 NOT IHTENDEO OR OFFERED FOii SnLE(SEC.70u,BU51- _! NESS/JO PROFESSIONS COOE TME COM�MCTORS LICENSE UW OOES NOT APPLY i0 AN ONTlER OF N CiqPEHiYYRiOBUIIDSORIMPIqVESTHEREON,/WDYM1iODOESEUCNWORKHIlASELFORHERSELFOq m Q 71�i0U0MW30RMEROwNELWIOTEES,VROVIOEDTW�75LCHIMPROVEMENiSARENOTMTEN�EDOR . �-�1 ,OFFEREDiOHSAIEF,FqWEYERIMEBUILdNOOFIMPROVE1.lENTI35�LDWiTMNONEVEAROFCOMPLE. � 7qN.THE ONMEN�9U�lDER WILL MAVE iME BURDEN OF PROVNG TIMT ME OR BME DID NOT BURD OR 11APilOVE FOit THE WRV06E OF S4El. w O4ASOYMEROFTMEPROiEffiY,AME%CLUSIVELYCONTMCTNOWITHUCENSEDCONTMCTORS � 70 40NSTRUCT THE iROUECT(SEG 70u.6USINESS M1D PROFESSIONS CODE TME WNTAACTORS U• V81U9t1017 ADJ.AREA CFNSE UW DOES NOT APGLY TO AN OWqER Of A PROPERTV WTq 0U4DS OR W PROVES TMEAEON.AND � Mn1DO0NiMCf4FOHSUdIPR0.1ECfSW17HACONiMCiORlS)LICENSED7URSUANTTOTMECOHTMG QUANTITY D[SCRIPTION FEE � � 70ii5 UCENSE UW.� OIAMIXEMPTUNDENSEC B./V.C.FORTNISREASON 4 3 � � �=' MTE OwNEH V � J F LtCENSEO CONTRACTORS DECLAFiAT10N w � IHEREBYAFFlNIIUI�OERPEIUCTYOFPEiWRYTMATINALICENSEPUNDERPHOVi5�ON50FCHAPTER � � S 9(COAMAENCW�WITMSECTION700o)OFOMSION70KTHEBUSINESSANODpOFE5510NSCO0E,M10 Z X MY LICENSE IS t1 iUll FOfiCE AND EFF�CT. � LL � � UCENSE CV.55 UC.NO. O � J �j DA7E f�CONTMCTOR a � •' ' ORKERS'COMPENSATION DECLAHATION � a � I HEREBV AFFlPM UAER PEWLLN OF CEREIRY ONE OF THE fOLLDWING DEtl.AMT10N5: V � z Q C I/NVEANf1YNLLAWIITAP1ACEqTIFICATEOFCONSENTTOSELFJNSUREWFVpiiKERS' 2 � � OW �T10N,I15YROVIDEOBYSECiqNJIooOF7NE4EONCWE,FORTHEGERFOfWANCE W Q E WORK fOR WMCH TW9 PERMIT IS ISSUED. � �{-.} 1 NAYE ANO MALL MNMAIN WORKENS'COMPENSA710N W SUNwC[.AS Rf WiRED BV SECTION �¢ 97000F1HEUBORCOOE,FORTNEPERFORIIANGEO THEWOP)(FORWHICHTHISPERMRIS 0 SSUEO.MYYAHKEj�i�S4 COM?ENSATIONWSUFWlCEC RIERMlDPOIICYNUMBERME: CONSTRUCTION � CAiWEH �� ��� PLANREVIEW � POLICYNUTABER�L,�.�/ 14 2 _ � ELECTRIC < < ..� � (iFiS$CClfp�tJE�NOfgEWFilETEDpF71�pEq6fTISFqyp.lCµlpFiQlptlllASRipqOqLE551 P�UMBING � i z ICEHTIFYTMA7WTHEiERFORM.V:LEOFiHEW�FlKFOqWHICHiFItSPERA11TI51SSUE0,1 MECHANICAL � SHALLNOTEl1P�0YMf'IVERSONNMIYMANNERSOASTOBECOMESU&lEC1TOTHE __.._. � NUPoCER5COA1vEN5AiqNUw50F OHNIA,ANDAGREETWITIFI5H0ULDeEC041E INSPECTIONFEE 4"—'-' S �SUfl1E TO WOflNERS'COMPEN � V�SIONSOFSECiqN77000FTHElABOR J � ' - - _ cooe s Forsr�n�coM�.rw��� sE sans. �SSUANCE f_.� �''•\, i i � N 0 � p pq7F: APFLICANT. _ �SMIP � - GY P/C 1 W/ANIfN:fAIW �TOSEWPEMNRNERS'WM7ENSATIONCOVEMCiEISUNUIMFUL/WDSNAL � SUBJECTANE1./PIOYERTOCR1AlIWLLDENALTIESANDCNRfNESUPTOONEMMOREDTHWSAN� ENERGYPERMIT DOlUNS(110a,OW),IN ADDITKK/TO THE COST OF COMPENSATqN,DAAIACES AS PROVIDFO FOR IN � SECT�DN7�o10FTNEUBOHCODE,MEREST,ANDATfORNEY'SFEES. ' RETENTIONFEE: QtT. - pW., CONSTRUCTION LENDING AGENCY PRE-AlT FEE: "` � O � IHER[BVAFFIMlUNDERiENAL7VOFPEFUURVTIUTTHEREISACONSTPUCTIONIEN�W6A0ENCY FOqTHE VERWRMMICE OF iME WOiiK FpN WHICH THIS PEHM�T IS�SSUED(SEC.�97,QV.G). � � �ENDERSNNAE — C LENDER'SADORESS � ICERTIfYTUTINAVEREADINISADDIJGTqNM1DSTATETHATTNEABOVEWFORM�TIONISCORRECL TOTAL FEES � pW., IAGREETOCOMPLYWRMALLCrtYANDCO�MT'/ORDINANCESMIDSTATEUNSREUITINOTOBULDING CONS qN,ANDHEFEBYAUTMORREREPRESENiATrvE50FTM�5COUNTYTOEMERUPONIHE �/^� � /BOV - E�VROPERTYFORWSP6CTqNGt1RFOSES. COMMENT$ �� J � y{1 m GEPu {Py—t— � 6 � a � _, (n 81GHATUH OF i�RM�77EE � RECF'T.NO. PAlD BY VALIDATION � WHITE—Department Copy.YELLOW—Finance Capy,PINK—Assessa Copy,GOLDENRO�File Copy.GREEN—Applicsnl's Copy , . . . , , , . , . , . , . . , . .r , . . . .,, , . , , � - . • . � :. CITY OF DIAMOND BAR . , . . __ _. , _ �� 1NSPECTION•RECORi3�" . :. . . , _ - -- . > ...... ._ _ • ��..�C� � � ��1�; I� ' �!�o,, (R���+��':'�l�R I�i��tc�+,��t�= �f���-� �=�`'4'Q���� � .. - ._ . . ._ __�--• �-� --..�. ., _ .._ .., __ _ .. . _ . , _: � � . �. .. .,. �SET BACK " � • � - r,-';.f_! _'� . . , FLOOR �IST :�, \ � . i � �, ,, , .__ !FTGS/FORMS75TEEL � � ,.. : , FHA R QMTS � _ ._ ;ELECTRlC GROUND... _ _ -. - -. - UNDER FLOOR DUCT � iGROUND PLUt�1BWG � UNDER F'�LOQR CU�IpUIT`` ' • ' �• � . � • ---:� !SLAB GRADE- - - - - FIREPL�AGE��DONDATION - ' --- _. , !TEMP POWER _ � _ �: - FIREPL�ACE 60ND BEAM . . . • � " , 'WATER SERVICE -- MID HL BOND_B�AM • � °° �ROOF SHEATHING , 8 F7.BOND,BEAM � � - '.FRAMING,NENTILIATtON - - FINAL'BOND B�AM ROOF COVER . - PRE-GRADING - - 'ROUGH HEATING -- � _. : BENCHING !ROUGH ELECTRIC :. _ `" '. '- _'_ " ROUGH GRADiNG � - 'ROUGH PLUMBING ---- � - - FINISH GRADING r ._ 'SHOVJERfTUB TEST , - - � POOL'ELECTRIC :EXT.LF�TH/SIDING---, _- - -- - PQOL FENCING VVALL lNSULATION ` POOL FINAL - ;CEILfNG RvSULATION. OFF 51TE IMPS. DRYWAL.L NAtLfNG- DEDICATIONS SEWER FINAL ENG. ;SEPTIC TANK LANDSCAPE/IRRlG. SEEF P(ULL. � ON SITE IMPS. � GAS AIR TEST rINAL ZOMP�G ~ ;FIi�F,L.C�NST. _ _ _ FIFaE DEPT. FINAL 'FINAL HEATING__ _ ___ _ _ HEALTH DEPT. FINAL ' f;J���.::L[LECTRlC - - - DEV. FEES PAID - ' --- .�._ � :_i°.!p.L PLUMBiNG -�,�, . _ '_ _ _.- , , -� ENERGY , . _ _ . -- . . . _ . , .. . � , — , � � ;— -� . - ( _ _ . _ _ . �...�.-.Ra.......�..,.,,---- � 'e;r vf����:. ,���..< � .:� � � � � IE _.a2 ...z'_�. z..d.r�, . ._ _. . I' _... .. _ _ _ . .. . . . . . . , �_ .. . . . . . . . _ ____. . . _ . __._�_—... .f _ . . . ' �.-. � C01'vii��ENTS . , -. .- . - .. _ ..__ ._ _ _ . _ � . ' � � � � � �� - � � ! - � ". . , .. — i _ _ ----- __ _ _. �\ � � _ . -----:— -_ _ '`--- _. _ � , . SEPTfC TANK SIZE � `i . - -- _-�.;_ �SEEP P1TItJ S1ZE . ; ° ____. , � ��--°�- T.---,-., , � �' �:'�� .. 1 , � - .. �. �.. , ' :+�_ � , --- , ,�� ���, . ,- - - . : _; , . -. _ � �1�1�': 'j:� � _-_ . .. , _ __ .. .;i4 l r�1 ; T� _ ' • ` ��.) i .- — — k . � •� ; ,. . � , , . . . s � � � ; . , _..__ � , � \ __ .. , _. . '�-., .�° =�'' - '_::.i �. 1� F; .�.�. V � � . . , �`--- ;