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HomeMy WebLinkAbout13944 J� CITY OF DIAMOND BAR � ' , ' EXPIRED D�E TME�Oc S OM�MUNITY&DEVELOPMENT SERVICES ,J U L Q 5 2002 '�c (909)860-3195 Faa(909)861-3117 . • . PRE$$ . �`��'� BUQ.DING PERMIT APPLICATION ' FIRMLY � JOBSITE APPLICATION I PERMR �1 P/� -ZCf, o ADDRESS���O WAL�T�LZ AQ DATE `' NIJMBER � "I �t 1� c� ISSUE TYPE . � OCC APN LOT TRACT DATE CONST GROUP p OWNER " ADDRESS e ZONING SETBACKS � CITY P�A-/_ �°S�'QTZIP 9.�11 TEL:� FRONT RW ❑ APPLICANT � �� SID SIDE STREET RW ❑ � CONTRACTOR A'�S itGt� ' -L, SIDE ❑ � ADDRESS PROPOSEDUSE_�A'L�-G1D� S�E7N DU �RK' a� CITY ZIP TEL o ARCWENG/ • LLLC.D LAf � DESIGNER NO.OWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL � . DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARE�WALUATION p� OWNER-BUILDER DECLARATION SFWADD/REM O p � 1 HEREBV AFFRW UNDER PENALTV OF PERIURY TWIT I AM EI�MPT FROM TF1E CONfMCTOiL:,LF G8�9���� o CENSEIAWFORTMEFOLLGYfNOREA.�ON�SEG)W7.68USWESSNIDPROFESSqN90DCEANYCITYOR (n c..> COUNiYWHIp1qEOUIf1ESAVER/ARNO0N5TF1UGf.KTEi�WPPAVE,DEMOLISN,OHREGAIRANYSTRUG uf Z NRE,iRIDR TO RS IS9UANCE,AL50 REOUIRES 7HE AVPLIGWT FOR SUCH PERMR TO F0.E A 61ONE0� Pa�b�� �l� BTATFMEN7 THAT HE OR SHE IS LICENSED PUiSUAHT TO THE PROVISION9 OF THE CONTMCTORS LI• W �� CENSE UW(CHAPiER 0�COM4ENCN0 WITH SECTION 7000)Of DIVISION�OF h1E BUSINESSAND PRO� � PooUSpa � - � iE33qNS COD�ON 7HAT HE OR SHE IS DfEA1PT7MEREFqDM AND TIE BASIS iORTHE ALLEQED E%EIAP• TqN.ANVNOLATUNOf8fCT10N7W/.68V/NVAPPl1CANTfORAPERMIT6UBJECTSTIEMPUCAHTTO Z Re-Roof � ACIVILPEN�L7YOFNOTMORET/MIFIVEHUNDREDOOLLARS(i5oD1.): � OI�aN!1EROFiHEPROPERiY,ORAIVEM7LOYEESV117HW�GESASTHE1R50lECO/APEN5AT10N, � �mmercial . . - � WRL DO THE YYO(iK,MA THE STRUCTUHE IS NOT MTENDm OR OfFERED FOR SALE(SEC.7oN,BU51� J N NESSMD iROFESS10N3 COOE:TNE CONTMCTORS LICENSE LAW DOES N0T APPLY TO AN OWNER OF . � VROPER'fY N410 BUlD9 OR M7RDVES iNEREON.AM�MM110 OOES SUGi NqHK MIAISEIF OR MERSELF OR Q TNROUGHItlSORNEROVMEVPLOYEES,PRDVI�EDTNATSlK71YPROVEMEMSARENOTMEPIDEDOR C� W OFFFREDFORSALEIF,IqWEVEf�ME&JILDWUORMIWIOVEA1EM1350LDWtMNONEYEAROFCOMRE� / � TIDN.7HE OWNER-BUIIDER VnLL MAVE TML BUi1DEN OF PROVINa TH�i HE OR 6HE OID NOT BUILD Oq � � MPROVEFOf1THEPURP09EOFSALE} . . . . � w 04�.70VMEHOFTHEPRDPEHfY,AMO(CLUS�VEIYCONiRACTN�KTT1ilICENSEDCOPliMCTORJ [C TO CONSTRUCT 7ME VRWECT(SEG 70M,BUSINE55 AND PROFESSIONS COOE:THE CONTMCTORS LI� V2IU8SIOf1 �� ADJ.AREA �17 CENSEUWDOESNOTAPPLYTOANOWNER iROPEFiT`f1NF�OBU0.�50RMPHWE57MEREOH.11N0 � N1q MCf3FOH5Up1VR0.1ECTSWI GOHrMCfORIS�LICENSEDPURSUANT70THECONTMG QUANTITY DESCRIPTION FEE � � TORS HSE UW.} IXEYPT ERSE . B.i P.C.FORTHIS REhSON a 3 " � � ATE OWNER � W LICENSED CONTRACTORS DECLARATION -� � W �.� IHEREBV/�FFIfUAUNDERPENALTYOFPERRIRY7NATIMILICFNSEDUNDERVRONSiONSOFCHAPTER � � f(COMIAEHCl/0 VATM SECTiOfl7000�OF DMS�ON 10F THE OUSINESSAND GROFESSIONS COOE,AND Z - �� MY LICENSE IS Nl FUII FOHCE AND EFFECT. � � UCENSECLASS LIC.NO. ' . . � . � ' � . _{ I V DATE CONTRACTOR a r� v }.. lL 1 t ,•� � WORKERS'COMPENSATION DECLARATION a .�LDI• q n C — � � 1 MEREHVAFFliW UNOER DENAL7V O�VEMIRV ONF Of THE FOUDMAN6 UEQAiUTiONS Z � _IIiAVEANDWILLMAM7AM�CERTIFlCATEOFCON5EMT08ELHN5UREWRMNRNERS' 2 . COMPENSATION,AS PFIOV�DEO BV 6ECTION 77000FTHE LIBOR CODE,fORTME PERfORMANCE W OF TNE WORK FOR NTlldl TNIS PEqMR IS ISSUEO. � � _IMAVEANCWiLLIMTfTAP1WORKER3'COMPENSATIONM9VILWCE,ASREOUIREDBY9ECTION ' -\ ¢ 770o OF 7HE UBOR CODE,Fqi 7HE VERFORMANCE OF TXE WOFiK FOR YVMIpI TMS PERMIT IS '7 i� � ISSVEO.AfYWOi1KER50pAPENSATIONINSUfW10ECARPoERM70POLICYMJMBERME: .CONSTAUCTION �� jcuwi¢p ' PLAN REVIEW O iOLICYMAIBER ELECTRIC � � �pp (nssEcflWrlEIDNOTaEQa.flEfmOcnEPEtMrsfaRot�lE�IUDREDCAl1M51i�m�ailE5S7 PLUMBING ' � ICEiiTIFYTWITNTHEPERFORMANCEOFTHEwOi7KFORWHICNTH15PEiWITIS55UE�,1 MECHANICAL C7 SMAL�NOTEMPLOVANYPERSONNlANVYANNERSOASTOBECOMESUBJECTTOiHE � N WORKERS'C0IAFENSATqN UWS Of CALIFORNU�ANDAOHCE TNAT IF 1 S/IOIXD BECOME INSPECTION FEE S 8UBJEGTTOTMEWOftKERS'C0IAPENSATIONIROYISIONSOFSECilON17000FTMEIMAR coo�.�s+u�u corcrHwirr wr.+v�r Nnn�n+ose vnovisiw+s. ISSUANCE � SMIP � p WTE: APPLICANT: - � ENERGY P/C WARNINQ:FA0.Ufl[TD SECUFlE WOPKERS'COMPENSATpN COVEMGE IS UNUWM.ANO SNiLLL B£ � SUBJECTANEMMOYERTOCRIMWALPEtULTIESANDCIVILFINESUPTO0NE/fUNOftEDTXOUSAND ENERGYPERMIT OOIURS(5100.00D).N ADDITtON TO THE COST OF COMPENSATION,OMU�ES AS PROVIDEO FOR IN � SECilON�70lOF7MEUBORCODE,tlJTEREST,AND11TTdUlEYSFEES RETE IONFEE: nW. CONSTRUCTION LENOING AGENCY PRE- LT FE�:� �� � IHEREBVAfflRMU1bERVENAITYOFFERJUfIVTHATTHEREISACONSTRUCTIONLFNDP16�0ENCY ,'t � - � � ' FON TNE CERFOfU,/ANCE OF 7HE WORK FOR W WCH TNIS VERAIIT IS ISSUED(SEG J007,dV.G�. . , , . � LENDERS NMAE �� � . � � � LEHDER'SADORESS W� TOTAL FEES 1 CEi1TIFY i1UT I HAVE RE1D THIS APttICATION AND STATE 1HAT TNE ABOVE NFORMATION IS COFRECT. . ' � � � 1116REE TO COMPL.V VATH ALL CRY/WD COIMTY ORDPlANCES AND BTATE UWS REUTN�TO BUILDINO �, . � � Cp�STRVCTION,MJDNEREBYAUTNOH2EREPPESEMATNE50Fi1pSCOUNTYTOENTEFUPONTME ['� � SL �BOVE�/AENTIONED VR07ERTY FORUdSPECTION M/RPOGES. COMMENTS � F����� ' � G�L.�A7 D 5 ,- ' �- % ¢ vE e �vwrrt� � � VJ TfEE DATE � �, . � RECP7.NO. PAID BY VAUDATION WHITE—Department Copy.YELLOW—Fnence Copy.PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Applicant's Cap�r �v� }��� .. .-;f,cr.'yr^,. t�. i*?.i.i;3a.� P .�v�. 'v �S��Sis. .s ,../:.y�a. :.r,.a�.+. ,•'*r :?� er �Fr .,r^.�a�.t„ ��it1��.1.✓:. .,r�T.,�,lef:��^,axtU':A..�d^�Ci;�F... .P�Y4,�1.K:�i���,�. ..,.,,�.r. �a ...,.... ., N�t.r �` �. �" ; '; . CITY OF DIAMOND BAR : , ,., . , .� , . . . � � � _ .. '; ' .. �,. IrdSPECTION RECORD � - . .. . .�� � ,, ' ' . .� � - •t. • � ��$o .� -� ° `� p ?� �v e `�...,.y ' ° o.� 'SET.BACK- � .,. `,, 1 _ ' �`'� I � FLOORJOIST , • i ��- f �. . _ I � , . , _ , . . .. I FTGS/FORMS/STEEL : . _ ':: :, ' .' , � � .. 'FHA REQMTS - . .� ., .,. _ __: r: : :: _ _, � % �ELECTRIC GROUND _ _ .�- -' _ _ ' UNDER FLOOR DUGT � .. -�.,—�-� "'`- ,, '� � : �GROUND PLUMBING • UNDER FtOOR C ,14�U17'� �' ` , - '_, ��.�'�;..,� ;�i � � I -� . , .�_ . '�„' �; ':SLAB GRADE _ ` - - -- -_ . _ . _- --- FIR�.�A E'�Q �JflA�ION�,�^� ' , ,ti. S1 ac�~t. �- ;� . I . � 1TEMP POWER _ - - FIF?�PL'A�•E,gC�ND AM _':.s.1-!c: f-� 'c��_ti�'-'_:, I ; � iWATERSERVICE _ __. _ _ _ MID HT.,BOND:BEAM�'; �', � �,�'if,.s�: .; i , , i� ;ROO�'�SI�EA'FF�t�t��. :��;, i,.��.1+.�.: I.;,^.,�•��f,c S FT.BOND BEAM _ • _ I ,`' ?FRAMING,.N�t�}Till/�T�ON -; � � , , - ,, .� FINAL'BOND BEAM • • I ' 'ROOF CCSVER PRE-GRADING - - - .'. I . � IROUGH HEATING - - - --- - _ _ BENCHING _ -- , i;�t I : I ROUGH ELECTRIC_ � ' '' _ _ __ � , ' ROUGH GRADING. - - - � �_� : ;ROUGH PLUMBING - - - - - FINISH GRADING ! � ' I SHOWERrfUB TEST - - - - - POOL ELECTRIC ' '• ` " � ; IEXT.LATH/SIDING --- - . - POOL'FENCING ' ' ' " ` IWALL-INSULATiON - -- --- -- _ POOLFINAL I�CEiLING INSULATION -- � OFF SITE IMPS. ' !DRYVJALL NAIIIPJG - " DEDICATIONS ;SEWER ____-- - - -- - _ FINAL ENG. ;SEPTIC TANK LANDSCAPE/IRRIG. I SEEP PIT/L.L. `� �:.����C:Z'� ON SITE IMPS. �GAS AIR TEST FINAL ZONING � ;; � �FINAL CONST.._ � FIRE DEPT.FINAL , � -_,, , . . . �FINALHEATING _ ____ _ -- . -_ _ HEALTH DEPT. FINAL � ',=.1 =-I , I' I FiNAI.ELECTRIC- - - - - - - DEV. FEES PAID -, - -- �}PIP.L PIUMBING - '• - ENERGY --- _ _ _ - - � , - _.__. _ _ - � -- _ .... _ _ - . �G w,,; r���,,,��� c, . � � .._; . �COMMENTS. _ - i __ . . . ---.. . _.._ . _ _ _ _ �., __ -; -- , ! �' . , _ __ _ . . _ ,_,, . � •:, � --- ;r . . _ .. SEPTIC TANK SIZE , SEEP PIT/U SIZE - — _ __. . -- - _ ;�;"''f _. _ r ��s � � . '}! �.-� .� _ . . . _ .. , ,, r ;� 3 — �,s � _ , ' u � ��� 4 � _ { _ - s.: , ::1 1�... �.i.. I•. . . , ' r ��� J.,. . '�• `1\� • .\i li.�_ .��:� ' ~l `�T ,1 _\ ` • �`4..: � '�It,.� '_ - ' _1 . . . . � .._ . . V'i. '.�.J`�,.� `- � ��..\��,�:Yti.���"���.� R i � � �' .. . .. . � . , ' .. . .. � � '