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HomeMy WebLinkAbout12-1979 ,�� �� — CITY OF DIAMGiND BAR 1� I - --�'�`� --- DEPARTMENT C?F COMMUNTTY&DEVELOPMENT SERVICES 1\��� "� ' � 5 1 21810 Copley Drive,Lliamond Bar,CA 91'76 (9p9}839-7020 Fax(9fl9}861-3117 Building Inspectian flotline(904}$39-702fi PRESS ����+��� BUILDING PERMIT APPLICATION FIRMI.Y �� JOSSITE �IV� �IGs G.p V�b,s APPLIGATION 1 l l� �2�' NUMB R�"'� l. �/C ADDR�SS DATE_ G, ISSUE / ��TYPE ' J� ,�� � OCC `.a APN LOT TRACT DATE �L � GQNST. ���"`�'�ROUP � .—..—�a� r��� p OWNER �� � Zt7NING SEfBACKS � ADDRESS Z}p �.E� �y?j. 4,2 FRONT RW ❑ z ��n' REAR O � APPL.ICANT TE�• SIDElSIDE STftEfT RW O Q C4NTRAGTOR �(/�` ��`b SIDE � � ADDRESS S '' ppQpQSED USE "L/' __ M_ ' . � CiTY /t?asu.�'�.oYG�3 ZiP Ytot�+ TEt_. • 3JrI-33tj w ARCWENG! � L.�-- T.� i/'�-��I'1�'� z DESIGNER NQ.DWEL. NO. No. .,,J a ADDRESS UNiTS STORIES SEDROOMS � CI7Y ZIP TEL. � DESCAIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUA710N u� � OWNER-BUlLDER OECLARA710tJ gFRlADOJfiEM a t HSREHv AFFl»M uNOEa r�reurr oF rEwuav nuF r ua exerAvr aROM n�s caertrtw�:ciaas u GaragetGaryort W CEF/S6LAWFORTiEFq.IOWIN6REA50N(SEC.7031SBUSINESSANDPROFESSIONSCADE:ANYCf7YOR (n . CJ GDUNTYWHVCk4pEC]U�RESAPENMITTOCON5TRUC7,ALTE0.UAPROVE.DEMqUSN,ORREPAIpANY57PUC LLt patiotQeck wTitRE.FRIOR S6 iTS iSSt}ANC£u50 REQUINES hfE APPUCAt1I F-0A SUCH PERMiT TO FI�E A SIGNEQ � � STATEMENT THA7 HE Ofl SHE 1^a LICENSED PURSUANT TO TiE PRQVISIONS OF THE CANTRACTORS ll• � PO4uS � � CENSE UW(Cti14PTER 4{COMMENCING WITH SECTiON 7coo)QF D3Y35bN�Of TNE BUSINESS AND PR6 � P Q FEUM�NSq70E�ORTHATHE4N5HEISF�(fAiPTTHEREFROMANDINEBI.SI5F4HTHEALLEC,EDE?fEM9- U 710N.ANYVIOLAT14NOFSECTION7037.5BYMlVMFLICMfTfORAPERMITSU&IECTS7HEAPPLICANTTO Z Re-Roo! � A CINL PENACTY QF NOT MQAE THAN FiYE HUNORE4 DOlttAS iiSW},}: " . a ❑I,ASGWNEROFTHEPRpPERTY.OFMYEMPLOV6E5WITHIVAGES/STHEIRSOLECOMPENSATION, � COYI'IrtIBfCidl � � Wllt p0'SHE WOHK+1N0 7HE STHUCTUR£15 NOT IMTFNDEO OR OFFEAED FOR S71.E(SEC.TC�s,BU51- J � ME55 AND PFlOFESSVONS C6DE-TNE CdNi'MCTORS UCENS£UW OOES NOT APPLY TO AN OWNER OF � C+ROPEfTTYWti06UiLD80RIMVROVESTHEREON,MIDWHOQOESSUCHWOHKHIMSELFORHERSEIFOR � � (� FFiROUGHNi50FtHEROWNEt�APIOYEES.PHOVib£a�NATSUCtfli.iPROVEMENtSARENdTiNTENDEDOH �W� OFFE{7EDfORSALEIF,HOWEVER711EBUItDING4RIMVpOVEMENTISSOLDWf111�NONEYFAROFCpMPIE- � 710M,THE OWNER�AUIlDHR Y11LL HAVE TME BUROEN OF PAONNG THAT HE OR SME OID NQT BUI4D OR � IMPROVE FCYN htE PUAPOSE qF SALE} p I,AS QWNER OF THE PROPENTY.AAA E7(Q.USIVELY CANTRACTW O WfTM LICENSED COMRACT00.5 � Yo cor+srAucr��raruEct{sEc.�wa,a�s�»�ss u�o�aocEss�a�s caQE:n�E caMancToru u- Vatuatio� AOJ.AREA LLl CENSELAWWESNOTM�IYTOANOWNEROFAPROPERTYWH09UILD50HIA1PROVE57HEREON,ANQ � NTIOIXINTMCTSFORSUCNVHWECTSWfTHACOIRRACTOH(5)LIGENSEpPURSUAlIfTOTHECONTMG Q�,fApJ7�'�( DESCRIPTION _ FEE - TORS UCEfiSE UW.}. `�' J � �1 Ml EXEMPT UNDEA SEC. B.6 P.C.�OR TNLS REI.SON u � Q u" Ot�TE bwNER . U � W � IiCENSED CONFRACTQRS DECt.ARATION -t � w i HER£SYAfFfRiA UNDER PENAI.TY OF PEMIRY THAT 4AM LtCEMSED UNDER PR4VlSIONS OF CMAPTER �e � n„ 9(COMMENGING NA1N SECfION 7aW)OF pMSION 7 OF THE$USMESSMIO PROFESSIONS ODOE,AND Z ��� }C MY IICENSE�5 IN FULL FORCE AND EFFECT. �� � � �tl ��. Q UCENSE ClAJS5 �''�.V LIC.NO. ��� - !� � � pATE jr ' �S��'� CONTRACtOR I� `��`� a t1J � WORKERS'COMPBNSA710N DECI.ARATION -� Q tt� � � i HEREBY AFGiRM UNDER PENALiY OF PERJUflY ONE Of 7HE fOLLQWWG DEQARAMlNS: Z Q � ^I tiAVE AND VfiLL MAtN7AiN ACERTtFiCATE OF C9NSENT 70 SEIFiNSUAE FOp WORKEAS = COMpEN$p71qJ,AS PpOVI�ED BY SECTION 71000F THE LABOF CODE FOR THE PERKORMANCE � �TNE WORK FOR HMICii THIS PERMIT L9ISSUED.- � G'1 W _._.1 HAYE AND WILL MAW'TN!!NKINCEAS'COMPENSASION fNSUf1A1VCE.AS REDU{f4ED 8Y 5£CTION � d 37W Oi THE tABOR CODE,FOR THE PERFORMMICE OF THE WORK FOi1 WlitCti THIS PERMR IS � � ISSUED.MY WORNERS'COMPENSA710N INSUF4ANCE CMRIER AND POIICY NUMBERME: CQNSTRUCTION = CARRIER •�� ��� PLAN REVIEW I � aa.tcYrn.i�BER �UL d?U �S?'ri '�- ELECTRtC � (IttlS5Ct7totiN£IDtATBEa',XhtEtEooFTtiEFESAittSF4RCNEtaR�DPFDoaVSiSisiOD}aiiESs? PlUM61t3G ♦ Z 1 CERTIfY THAT IN THE PERFORM�WCE Of 7HE WORK fON WMtCl+T4il5 PERMIT IS ISSUED,1 MECHAIVICA� b •'` � (,� SHAI.L NOT EM('t.OYl1N'/PEPSON W ANY AiANNER 5415 i0 BECOME SU9JECT TO THE � WpqKERS'COMPENSA7qN LAWS Oi CAI.IFORNIA,AND AGREE THAT IF I SHOUID BECAME INSPECTION FEE � SUBJECTTOINEWOPoCERS'C4MPENSATIIX�IPROViSiOHSOFSECT1�73Ta00FTtiEtABOR _�� � CODE,I SVULL WFtfFM7TH COIAPLY WITH THO,'�€pRO�SIqNS. ISSUANGE � O t t'� SMIP � DATE: - r j'�2 APPLICANT: f � � ENERGY P!C � WARNIN6:FAM1.t1RE T4 SECURE WQflKERS CahiPENSATidN CQVEMGE i5 UNtA'NFUI,AN6 SriALl BE � SU&IECT AN EMPLOYER 70 CRIMINAL PENALTIES AN�CML FINES UP TO pNE HUNORE�7HCIUSANp ENERGY PERMIT DOItARS SSi0n.09o},IN AD41710N TO THE COSF 4f COMPENSATION.DAMAfiES AS PR4YfDE0 FOR IN . _ h � J SECTWN3�OBOF7HELABORCODE,INiEREST,AHDATTOiWEY5FEE5. � RETENTIONFEE: �"� � � CONSTRUCTiON tENDING AG£NCY PRE•ALT fEE: o� � t tiER£HY PFFlRM UNDER PEkAITY OF PERJURY IHAT T}tEAE 7S ACANSTAUCTt4N�ENDW6 AGENCY FOR THE PERFORMANCE OF TNE WORK FQR WHICJI TNIS PERMIT IS ISSUED�SEC.3097,CIV.C.}. � W � LENDER'S NAME N LENDERS AODRESS . �}` cC � �¢ � WtCERTfGYiHA71HAVEFiEADTHISMPUCA7i0NANO5TATETHATTHEh89VEiNFORMATlON�SCQARECT. (OTA�FCGS �y I AGREE TO COMPIY WITH ALL CIiV AND COUNN ORDINANCES AND STATE UWS REI.ATING 70 BU0.DIN0 � CANSTRVCtION,ANQ ttEAEBY AUTtK)RiZE REPRESENTATNES flF THiS CWN7`!TO ENTEN UPOk THE . � �BOVE-MENTIONEU PROPERTY FOR INSPECTION VURPOSES, CCIMMENTS � �F�� J�Fe�%L � PEPMiTfE��. ' � � jf'/S'(� n uj SIGNANREOFPE EE DATE RECPL N4. PAlD BY YALIDATIOk � WHITE-0epartment Copy,YELI.OW--Fnance Capy,PINK—Assessor Copy,GOLLlENRQa--FIe Copy,GREEI�--ApplkanYs Copy "` I' '1 1y r`-7 1� !i il�' .1 i_� :_.:)a'�f�'� ' - U�.� i � ��� �_�'B:i.:��0 1.. ..:J j`ii � 7�\7 a�6�",��..+�7 9 4..�J ti .�'e�!�'j,���L-h�1�.� i .-_ .; �.L. N �_r c`T -'-• •y...y .�,�,d. r.y t ..� . 1 ;,.F1.�� m � i-9 ri�-'�`--q,,;> >.�-s�^n - .W.,--1 '� '�; r1 � .�i�'� y♦I'Zll�ita+ .� ,1� . ,.,r� 'SpjF 1 ��o:y���l{.. .linkl�t7 -'c. M t� ��l`•`�,'t..'�{.q��a�.�,4y��.'�-y;: � z ` t,�a�t,'�i-q'frl+. F'�..ro7J�� /.'!„ti;~'n,�;i�. I.i 1� ,;�.l�ll\, �+�°�� ;��jFQ .y,� a:.�. 1�`�"tjr'y�^^1l�' v:���. •���� �'"�,�6:.t}'..��a.��L•� fi�i 1,"�l-'�a11� ��i�c"'x.-��)�' :]4� ��'.' s c� � -��i�A� 6 "� � - .n� ' �; F F � y � t�rSM- 1^ -. �� i���1...�ll �. 4 �.t ` � �� ���;C`i � i� � r5}w�4,���.:2�t1�:��yi rt�' � s y. _�.�. . __'::.,:t ._.. h .�s: � "�lc�'�i.i�� tv��'sF_� —wvs.�.�.°�,.:�a�m�r'� rr -l�,nl:nl. x� �:, : �.`„ir.. �:.�.n'�...u..f. `.�. ��'re. kl.�.�. .eY. . .i�._ l_�."._`��� (SETBP,CI< � � FLUOR 101ST ----._ ..._ ._._I.__.. __ _..-.I--- --- --- � . :7. . �FTC��/ Onivl�'�I�EL _ i .._ _ I _ I i FH4 RFQ�v1T$ _ --.._ . .. ...._ .. _.._ .. - -.... _.. .. .. _..._ . ..,_ ._.. _._...----.. _.---- -- I ...._.._._ _. ........ j _ ...__._. ._ . ELtCTiJC r,^,OUt�lD I , ;�.��JDER�I.00R Dt1CT ----..._--------- ---' - _ � ,------�------- -------_I-..-------.....--. _...—._---------------------_ _ C:�R�:)UIVD PUJi+.�1.P,IMC , i i UNCi�R FLOOR COMDUIT ---------------------- ------------' �------------�-------------- SLAB GRAf�c � i FIP,E?LACE FOU��lDATION ---------------------- -------- - - �- �---------------- --------- I EMP PO�VER ' � FIREPIfICE BOPID BEAM W�;TER SERVICE '�MID HT.30ND 2EAM ROOF SHEATHI�JG ;8 FT.BOND BEAM ----- :---- ----- FRAMIPJG/VENTILATION j FINAL_BOND BEAM__ __ _ _ _ --- .. ..- -----._ _...._..---------.._.__ - -------- _----,_._.._._.......__. --- ROOF�OVER I j PRE-GRADING � ----._...----_...-------— ------------------ _..------_.__.._..___- , ROUGH HEATI�IG � �BEfdCHING --------------------------- ---------- --------------.__.._..__.__.. �-------�---------------�---------�------- ROUGH ELEC�PJC I ROUGH GRADING ROUGH PLUMBING I FINISH GRADING SHOWER/TUBTEST I POOL ELECTP,IC EXT.LATH;SIDING POOL FENCING ` �VALL I�lSUI_ATION j POOL FINAL CEILING I�•!Sl ILATION �— �OFF SITE IMPS. DR'fV+IALL N;\ILING j DEDICATIONS ----------------�------------—---_�---._—.__._..-----------...----._..._- --------------_ �I ;EU/ER !F J�I AL ENG. --- _ . ._ _--_ ---- ------- -------- --- ---...-- ---- --------------- ----------- $EPTICTANK i LANDSCAPE/IRRfG. --- - -- — __.___.._..__ --._ __. _..._ ... ____------- � -� - - �--- SEEP PIT!L.L. OhJ SITE IiV1P5. �------------�------ --- GAS AIRTEST ;FINAL ZONING _ FINAL CONST. �FIRE DEPT.FINAL FINAL FIEATING �HEA�LTH DEFT.FINAL FIN�L ELECTRIC j DEV.FEES PAID FINAL PLI)NIBING I EI�IERGY FINAL PLAN�NG -,�-:: _, ,.,, . � -- - -------..__..-----------.._.------�-----------------------.._._._...------- ,.� � FI NAL ENG I M EE RI N G ------ -----------�-------- -�=�'`�'� `a �'' � i. ---------- connnnEr��rs SEPTIC TANK SIZE . SEEP PIT/U SIZE � .� 4 r � 4 — ' �� I1�, � � _ _ ♦