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HomeMy WebLinkAbout11717 .� DEPARTMENT OF COMMUNIT E�PI R ED �� _ CITY OF DIAMOND BAR ��' Y&DEVELOPMENT SERVICES JUl 19 2002 - � . 21660 E.Copley Drive Suite 190 , (909)860-3195 Faz(909)861-3117 PAE$$ � �'�_ BUII.DING PERMTI'APPLICATION FIRMLY a DD ESS�!yy�l��L�Ci! N I,JT.� zp0 APPUCATION PEflMIT �7��f P/C c DATE NUMBER � �1 $ ISSUE TYpE pCC APN LOT -- TRACT DATE CONST. GROUP p OWNER - � ADDR SS ZONING RO�CKS RW � � CITY ZIP TEL � REAR ❑ APPUCANT TEL� SIDE/SIDE STREET RW O � CONTRACTOR SIDE p AODRES � CITY ZIP TEL PROPOSED USE � w ARCH/ENG/ , z DESIGNER �A� NO.DWEL NO. NO. � C�D�D�RESS '�7 Z�p TEL UNRS STORIES BEDROOMS � rn �ESCRIPTION SO.FL FACTOR PSF ADJ.AREANALUATION p� , OVYNER-BUILDER DSCLAFlATtON _ " SFR/ADDIREM O 8 1 HEiIEBY AFFlHM UNDER GENALTY OF OERAIRV THAT 1 W EXEYPT LpOM THE CONTAACTOAS LI. GafB�B/CetpOR � � CEN5fUWFORiHEfOL�OM�IN�REASON(SEC.707f.6BU5ME55MIDFROGE5510NSCO0E:ANYGiVOR (n COUI(TYYMIpIREOUIRESAVERMRTOCON5TiR1CT,ALTER�P��.OEMOlJSF1,ORREPNRANYS7RUG W patialDack 7URE,PRIOR i0 R9 SSUANCE,AL30 REOUIRES THE APPIICANi FOR SIKH PENMR TO FlLE A SiONEO w - STATEMEM 7HAT ME OR SHE IS UCENSED WRSUNfT TO T11E PROVISIONS OF iHE CONTfUCiORS U• , � CEH6E UW(GIAPTFR i(COMMENCMO WIT/1 SECTION 7000)OF DIVISqN�OF TME BUSINESS ANO PRO� �- PoaVSpa . . � FESSpN3 WOE)OR iN�i HE OR SHE IS E%EYPT TMEREFROAI Ml�THE BASIS FOR THE ALLEOED EXEMV. C7 T10N.AHYVqIATIJNOFSECTI0N7071.6BYANYAPPLICJUlTFORAVERMITSUB.IECTSTHEMVLIWITTO Z R9-R001 � � A C1VIL VENALTY OF NOT IAORE iNAN FIVE MINORED DOl1AR5�t5001 J� ._ . � OlA40NMEROFiNEGROPERTY,ORMYEAI�LOYEESMnTNWAGESASiHEIPSOIECOMPENSAT10N, (',pmmBfC18I . - ' � � YALL DO THE WOWC.AND THE STFIUCTURE tS NOT MTEHDm OR OFFERED�OR SALE�SEC.70u,BUSb �J , NE54 AHD Pi10FES510NS COOE:THE WNTRACTORS UCENSE UW DOES NOT APPLY M AN OWNER OF � . � PiqPEHTYMT10BUlA50RIMPROYEShIEREON,MOWNODOE55l1G1MqiiN/9M5ELFOqMERSELFOR� ' � � � TYIROUGHNISORMENON'NEYVLOYEES.PROVIDED7WUSUpIWGROVEMENT511RENOTNTENDEDOR m OFF6im F�iSN.E F.F10WEVEi�THE BULDN60Fi MPROVEM@R 45 SOIDVrtTHIN ONEYEAR OFCOMPLE• 'TION.THE OVVNEi4BU0.DER YALL HAVE TNE BURDEN OF GROVINO iNAT HE OR SHE DID NOT BUILD OR MPROVEFORTHENIRPOSEOFbALF} � � {y� �t�.40M�MEROFTHEVROPENT`/,AAIDIQUSNELYCDNTRACTNfiN'IiHLICENSEDCONTMCTOR9 � TO CONSTiNCT T1/E ViiOJECT(SEC,7ou.BUS�NE53 AND PROFESSIONS CODE:TME WNTMCTOFS U- VelU8ti0f1 ADJ.AREA � ��- CENSE UW DOES NOTMPLYTO AN ONNER OF A GROPER7`!Mnq BURDS OA MPfqVES TIEREON,IND � MRqCOHfRACT9FOR3Up1VROJECTSWIiHAGONTMCfOR($)LICENSEDPURSUANTTOTMECONTMG� QUANTITY DESCRIPTION � � � � FEE - � TGS LJCENSE UW.6 . . .. . .. . � ' ' . . OIAAIIXEMPTUIDERSEG B.1p.C.fORTHISREA50N � 3 � � u. ¢ DATE OWNER U O - � J� � W 11 LICENSED CONTRACTORS OECLARATION W � IHEREBYAFFi9/UNDENFEWLLTYOFVERAIRYT/UTIAMIICENSEDUNDENPROVI510N50FLMMTER � � . � s ifCOMMENCtKiVAiNSECT10N7000)OfOMS�ON�OFTHEBUSMESSANDPROFESS10N5CODE.AND .-. - Z �L W UCENSE B N FUl FOHCE AND EFFECT. m � UCENSE IIC.NO. � � . . j . � V DATE �' ..--.__ ._COMMCTOR ' � . W ' [� ' WORKERS'COMPENSATION DECLARATION a � � IHEREBVIIFFIRAIUN�ERPEWLLTYOFPEFLAIRYONEOFTHEFOLLOWPIf3DECUMTqNS: Z �- � �- � � � � _IMAVEMAMALL►URfTANACERTIFlGTEOFOJN5EN7TO5ELF•INSUREFOFWORKERS' _ COAIPENSATION.ASPROVIDEDBYSEC710N37000FTHEl/BOi1C00EFORTHEPERFORMANCE U � qF THE WORK FON WHICN ilaS VEiWIT IS I55UED. W �F— / � . . . . . . .. . . V IMAVEINJIMLLMARliAP7WOFUCERS'COMPENSATqNMSURANCE,A5RE0U1RED8Y5EGTION- Q ]7000FTHE LABOR CDDE,fORTNE VERFORAtANCE OF THE WORK FOR WMIp1THIS PERMIi IS � LSSUEO.AIYW'ORKE0.5'COMOENSATIONWSURAHCEGARIERMlD717LILYMIMB£R/AE: CANSTRUCTION � CARRiER ��7� ��.v PLAN REVIEW � oo��N�,Fa /3�q/ e�c�ic 2� �nessEcrqr�r�ruree¢es�.ErmaFirE�anirsror+a+e�ua+moa�nr�sn�m)oatEss' PLUMBING �AAV�� Z ICERTIFYTHATNTHEifiiFOR1AANCEOF7HEWOPKFORWNiCHiHISOER6UTLSlS5UE0,1 MECHANICAL - �i�T (� , SFI/LLNOTEMPLOYANVPERSONNANYA.IMINER50ASTOBECOAIESUBJECTTOTHE �q WORNERSCOMPENSAiIONUW50fCAL�FORN1IANDA E TIF SHOU�DBECOME INSPECTIONFEE . � � SUBJECTTOTHEWORKERS'CdAPEN5A710NVROVIS ECT 770oOFMEUBOH - - . .. .. . - . . ... .. (�, ,���y�oarnwimcaac�rwirnrro s. ISSUANCE � . OV� O �jjj�/�pp . p DATE:��' / APPLICANt. � • . SMIP � WARNiNaFAIIURETOSECUREV�OFVCERS' PENSATIONCOVERAfiE15UNLAWFUI.ANOSHALLBE ENERGYP/C -� SU&IECTIWEMPLOYENTOCWAAINALVEIULTE5MIUGMLFINESUPTOONENUNDREOTMOUSAND - ENERGYPERMIT � � � -� � - DO11/W5(f100.000).W ADDITION TO THE COS70F WGPENS�TqN,DAMAGES AS PROYIOED FOR IN J SECTION770EOFTHEIABORC00E.HTEREST,ANDATTORNEY5FEE5. RETENTIONFEE: ' � CONSTFiUCTION LENDING AGENCY PRE-ALT FEE: O .. � IHEREBYAFFlRMUNDERVENAITYOFPEMdi7TW�TTIIEREISAGONSTRUCTqNIENDINa110ENCY � FOR 1HE VERFORMAHCE OF TME WORK fOR WNlpl THS iEflMIT IS ISSUED(SEG 7097,qV.C.). . _ � LENDERSWWE ���NLi� . .. . . _ . . . � LEHOER'SADDRESS � � ICERTIFYiHATIHAVEREADTHISAPPUCATIONANDSTATETWRTHEABOVENFORIA�TIONISCORRECT. TOTAL FEES � � - �� � . ,f b•�� W IAGiiEET0004A7LYN7THALLCrtYANDCOUNTVORDWANCESANDSTA7EUWSPEUIINOTOBURDIN6 � � ' � CONSTRUCiION.ANDHEREBYAUTFIORIZEREPRESENTATNE50F7MISC0UNTYTOENTERUPONTNE � . � S� ABOVE�4EMIONEDPii7DEfiTYF01iINSPECi70NPl1RPO5ES. COMMENTS -� � 9 _ _ m PE1iM N ��. . . . _ . . . �� , N E EE O��E � RECPT.NO. PAID BY YIWDATION WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—Aseesaar Copy,GOLDENROO—fila Copy,GREEN—ApplicenCa Copy- - - � � - �- : �. �i�. .. .. , 1,.T.. .'.k... . . ' . . • . . ... .. . . . ' . � _ . ' , � ' . . �� i ' ' � , " ' . ' - � CITY OF DIAMOND,BAR . -,- ,, , : ,- , . - -_. ,,. . ° . INSPECTION RECORD'�'` . . - . . •- ! � . • - • � � ! ' SET BACK ' 1 � '� ' r�, �'- FLOOR JOIST , •'\\• `, '.,� � � . �. , . � ,. . FfGS/FORMS/STEEL ! � .•: •�`. ."•• �, FHA REQMTS _- - • • . . �. -. ELECTR�C GROUND � `-�_- � � UNDER FLOOR DUCT ' ' ' " '�` ' . ,_�,. • ,. GROUND PLUMBING UNDER FLOOR CONDUIT i�. : '��: ti�:..;.': ; +��..'l.', ' ` SLAB GRADE _ ----- - __ FIREPLACE FOUNDATtON` ,� � ,. •. , ' _;`;�c'_,,, , . . ' ...�..�,.--._ .: •-�••-'.�\ ; . TEMP POWER-- ` '- � ' FIREPLAC��BOND�BEAM WATER SERVICE--___ :-- - -_- __ . _ : MID HT.B�ND.BEAM• . =--�• -'•:_.�'• - �.,'.•, . ,. _. _... _ . ROOF SHEATHING - . - - S FL BOND BEAM.... , .---.,' . ,�., ;"'•�`::.'��._ , . , FRAMINGNENTILIATION FINAL BOND BEAM , � ,�� ROOF COVER-_' 'PRE-GRADING � J � � ' � � �� �� , , _ ROUGH HEATING-_ __ _- -- - - -- - BENCHING � _ , ; : ROtJGH ELECTRiC , - '"�' � - � ROUGH GRADING , , • � ROUGH PLUMBING --- -- -- - FINISH GRADING .. . ,,, SHOWERITUB TEST�� � POOL ELECTRlC � EXT.LATH/SIDING : - , POOL FENCING ' ' ` WALL INSUTATION POOL FINAL , . � CEILING INSULATION OFF SITE IMPS. - DRYWALL NAILING I DEDICATIONS � SEWER _ _ _ _ '__ ._ _. __ _ _ FINAL ENG. : . SEPTlC TANK __. _ ._ -- - -- ._. _ - -- . LANOSCAPFJIRRIG. _ . SEEP PITlL.L - --:_-_ --- ` _ -._ _' ON SITE IPAPS. ; GAS AIR TEST' - - -- --.: -. ,. . .. , � FINAL ZONING : FINAL•'CONST' ' . . J ".' '':•'� -'�='� FIRE DEPT.FINAL ' ' -FINAL HEATING , :, ,� �. ,� . ,`.`�.; ' ..`,- HEALTH DEPT. FINAL ' : FINAL ELECTRIC . . `.• .- DEV.FEES PAID ; FINAL PLUMBING ENERGY �� , , , i � r ' -. �> >„ ; - ---. ._ _ . __ . . : _ ... ._ �.y_ , - _ _ ,,� _.� C(�MMENTS � � . , ,, .. - -- _ _ _ _ ___ _ _ : .� _._ �_ ;; �: , :,, �L' .�' . ` , '"� " '" `� 'Y'f�M, , , ` _ _._ __. _ - - ...., ,.� „ � ,_ _ - . _. _ „\k,,.y ,` _ , , , �,'.' ' .i -:.�. • �. ` SEPTIC TANK SIZE ' ' . . . . i , . . - SEEP PIT/U SIZE - • - ` , . • � . _ , _ - - - , , ;�- _ . . , � - . � -. ------_ _ . _ - - ; .� ; _ _ _ _ _ • , - -- -- ---- . - _ . . __ __ � _ _ _ _ __ � _. . --- . . .,� ' , . � � . i .. � . . ,, . _ � . . --- .._ _. _ . __ _ - , , , ,. . .. , - - - _ _ , .. . . , . ,:. _ _ __.. . ,\ _ __ ^\ _ . -,,; .�; _ ., , � • � _. � - � _ - ., . .,.ti ; � ,�, ,,\ --, , _: . _ _ � `�; "� �- , � . _ • ,, ' _ � '