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HomeMy WebLinkAbout15271 J� CITY OF DIAMOND BAA � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERV[CES � . si�o�.coPi�ynri�es�c�i90 PpESS (909)860-3195 Fax(909)861-3117 ��^�^� BUII,DQVG RMIT APPLICATTON FiRMLY o DD ESS �� � � DA�CATION G 7� b O NUMB R�� xlCDD� L $ ISSUE TYPE pCC APN LOT TRA DATE CONST. GROUP g OWNER U /? h� p ADDRESS � ZONING SETBACKS �LL' CITY ZIP TEL. R�R RW ❑❑ APPLICANT TEL.� SIDEISIDE STREEf RW ❑ � CONTRACTOR ����5 �iE SIDE ❑ g ADDRESS ' ' � G � ROPOSED USE CITY L���'/'{�i� TIP��2.5'TEL___�7�[,�,�� ,� ARCWENG/ ��" OESIGNER N�.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � rn �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALIIATION � OWNER•BUILDER DECURATION SFRlADDlREM O p 1 HEREBV KFliW LNDEq PENAL7Y OF VE0.IURY i/uT 1 M/DfEUPT FROM THE CONTMCTORS Ll- Gefflge/C8(port � CENSELAWiORTMEFOl10NrINOREASON(SEC.7at1.68U51NESSINOiROFE5510NSCWE:ANYq7VOR (n COVNTY�NtlQiRE0URE5APEqA1rtTOCONSTiC.K:T.ALTER�PROVE.OEMOl15H.ORREPAIRANYSIAUG � P81I01DeCk TURE,VHqR TO R9 S6UANCE.K50 REW�RES TNE MPUGWT FOR SUp1 iEwAIT TO FlLE A SIGNED STATFMENT iTUT HE OR SHE 5 UCENSED WIPSUANT TO TNE PROVISIONS OF THE CONTRACTORS L4 � CENBE UW(QUFTER Y(COMMCNqNO WfTH SECTION 7000)OF DMSqN�OF THE BUSINE55 M!O VRo- V" POOVSpO FE5510N5 COOE)OR 111AT HE OR SXE IS IXEIAPT TMEqEFRdA AND TME BASIS FOR iHE ALLEOEO EXEMP• T10N.ANYVIOUTqNOFSECT10N7071.6BVAM'APVIICANTFORIIVERMITSUBJECTSTMEAPPLICApTTO Z RB�R001 � A CML VEHALTY OF NOT MORE TUN FNE NUNDRED DOUMS n5a0J.): � ❑�ASOMMEROFTMEPNOPERIY,ORMVEMVLO�EESWITNWA6ESASMEIRSOLECOMPENSATION, Cp�pmBfCle� � YNLL00 TME N/OqK.ANO THE STRUCiURE IS NOT IHTEirDED Oil O�GERED iOp S�LE ISEC.7M�,BU56 � N IESS ANO PROFESSqNS C40E-7NE CDNTMCTORS LICENSE LAW DOES NOTAVPIY TO AN OWNEH OF ? 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L 0� � � J t� DATE CONTMCTOR a � /r�.3 WORKERS'COMFENSATION DECLARATION a � �'i U y 1 HEREBV AFFIRN UNOER PENALTY OF PER.IURV ONE OF iHE FOlLOM1Nfi DEq.AM7�ON5: z a � _IIUVElWOYALLMAINTAWACERTIFlGTEOFCONSEHTTOSELHNSUREFOFiWORKER4 S OOMPENSATION,A9PROVIDEDBVSEC710Nf7aoOFTHEU100itCODE,iORTMEOERFOMIANC6 w h7E WORK FOR N'HIC1/7NIS YERMiT IS ISSUED. � Q 1 MAVE ANO N1LL MAIHTAW WOPXERS'CO�APENSATqN INSURANCE.AS REOU�RED BV SECTION d J7000FiNElABOflO00EFORTHEFERPDRMANCEOFTHEWORKFORWHICMTHISPERMRIS �,/ ISSUFA.WW01IXFR5'COJMPEy5�_ar�INSURAN/CE�ARRIERANDPOLIGYNUMBERAHE: � CONSTRUCTION � CANYER T/f�'Ffr Cr � I �.._� PLAN REVIEW � Z vaicrnu+eEa ��( �/G- r7 ��� ELECTRIC �� � fnass[cnct�nEIDw7�mr.aFrIDCFntvEFMrQPoaa+E�Wuuas6,m�oral[ssl PLUMBING G z 1 CERi1FYTNAT N 1HE fERFOHMANCE OF THE YVOPoC FOR WHICM THIS VEFMIT LS ISSUED,I MECHANICAL � � &iILLtNOTEMPIOYANYPER.�ONWMIYE�M'NERSOASTOBFOOMESUBJECTTOiHE � NbPo(ER5COMPENSATqNUW50FG1UFONNI�,ANOAOHEEi1NTIFI5HOt1lDBCCOME INSPECTIONFEE � SU&IECTTOTNEri'ON(ERS'COIA�ENSAT�DNPROViSqN50FSECTqe 77ooOFT11EUBOR owoE� ��,�i/o�/���n�cor�r�rvnrnn�a psn y ISSUANCE ,ry �r..' • p DA7E:_S��C���V� V vAPPLICIiM: SMIP l.I e r /l�l�,T/'1AT r�1—.� � , �"I�I'fI7"IS,y�� WAiWIN4 AiIUREToSEWREWON(ER9'COMPENSATqNtO 6EISUMAWFUl.NASHALLBE ENERGYPlC RTT�� � BUBJECf1NE4PLOYERTOCP111WIL0ENALTIESANDCNILCt SUPTOONENUNDHEOT/qUSAND ENERGYPERMIT OOUARS(f 10a,000J,IN ADDITION TO THE COST OF CpAFENS�TIDN.DAMAGE$AS PROVIOED FOR W ¢ secnor+noeocn�Eueoawo�,r+�aEsr.uro�noa+�rscEEs. qETENTIONFEE: � CONSTRUCTION LENDINGAGENCY pRE•A T E: �� ( Q IMEREBYIIFFIRMUNDERVEN/iLT/OFVERIURYTHATTHERE�S�WNSTRUCTqNLEN�WO�DENCY �+� �Z- FORTMEPER�ORIAANCEOFTHEWORKFORWHId/TNI5DER4RI5155UED�5EG]oY7,dVGJ. W � IENDfR'SN�IIE C LENDENSADDRE53 � IAOREETO����„w CIT'ANOCWN ORDTiNANCE5AND5T�UW5�;�TO�BNlDtN6 TOTAL FEES'�F.A-�'�y T,�',i�Q _eo'� O• CONSTRLICf10N.M1DNER BYAUTMORIZERECPESE NESOFTNISCOUNTYTOEHTERUPONiHE � ABOYE-MEMIONEDP Rf'IFORINSPECTqN Es. OMMENTS � �� rr D V _ m PERMITTEE NAAIE(PRI //� C!� K f � 6KiNATURE OF PE 1lEE D E � RECPT.N0. PAIp BY VALIDATION WHITE—DepaRment Capy,YELLOW�inenee Ca{ry,PINK—Assessor Copy.GOLDENROD—FJe Copy,GRE N—Appl' t s Copy . : ,. ...,.,`r. . .. ..�,� . ...t .,....�,_., . : . t . ,.,.. .�,�. ��.:R.. , s �, ....:. .5.��'b- . . . "- , t. . . r ir.; CITY OF DIAMOND BAR . , � �.. .� ,�. :i�dSPECTIOi�E.RECOf�D : . . - I"",' `�.�'���_.�.:.,'�. �!'� �� T �II � � (, 1�@�" C? � �'i�� �I�C'I��.�A► �l` ��'. � ,I � ' ��`I 0 I �=' 1._�! �'�P'� °�''��s ..��,.�� P �M .,,�,,.. }���y�J�__ ►. ,� � i ;SET'BACK , } , �� ,• ��� �:\ �� FLOOR JOIST, �� ' � � .�� ;� �FTGS/FOR"�S/STEEL � � � FHA R�QMTS `_� � ' ' '. ' ' ;ELECTRIC GROUND ._.- - UNDER FLaOR DUCT ��, , ,. . �GROUND PLUMBING UNDER FLOOR Cd1�IDUIT � � " � • ' ' ' ISLAB GRADE -- FIREPLACE FOUNDATION • iTEMP PO4VER ' FIRE�Lf�CE`BOND 8EAh1 �"�-'•- • •--� ` ``�'.`� . �WATER SEFiVICE - - MID HT. BaND BEAM ,':-'`� �. �'-��=• -.' � . , c . �ROOF SHEATHING B FT,pOND BE�AM � ` ' � " " ' • i � :FRAP,IINGNENTILIATION - - - - FINAL BOR1D'B�AM ; " ;ROUF COVFR � PRE-GRADING iROUGti HEATING - - BENCHING :ROUGH ELECTRIC_ '_ '� � ' ROUGH GRADING - ;F?011GH PLUMBING- � - - F(NISH GRADING SNOWERlT'UB TEST ; -- --- - POOL ELECTRIC • EXT.LATH/SIDING PO�L FENCING � ' 'b'JAL�tPJSUU1TiOTd - POOL FINAL CEiLiNG INSULATION " " -" OFF SITE IMPS. DRY11'1ALL NAILiUG r , ,� =,'•�_� - �,�,:,, DEDICATIONS SEWE�� � � ' � � FINAL ENG. ' SEFTICTANK _ ' '. �--, ,,, LANDSCF,PE/IRRIG. ,SEEP PIT/LL. � • � -' �-� - ON SITE Iti1P5. ;GAS AIR TEST FINAL ZO►JING I ' - FINALCOtJST. FIRE DEPT. FINA�� �b�J� Flr1AL HEATIhdG . HEALTH DEPT. FtPJAL �� i .. �FINAL ELECTRlC DEV. FEES PAID 'rit�Jl1L PLUMBfRlG - � ENERGY � i— I i ';..,r•_.;,:�,��, - t....,-.._.�w.....,... ..�. I - - - - t�n;Ch.�l �' t �, �� .._...� . -- --: _. .._. ,I ' .. C1�=�y`. , , - � ,'' : CO�VIMENTS `3�" �1 y . � , i � -. . _.. , , , `, i , - - . .; ; .�.,;;��.`,.t� , . _ _ , _ _ ! � . . [,i;:1:, �! � ..1 i, - • — 4 � �� • .�.� �..�'�l� ..r1.� `,t.� " }� ' � . . , , . � { SEPTIC TANK SI�E 'SEEP PIT/U SIZE , . �._..^..__ _ �..�._._�..�_. �'i _ ;�r� , , ' -, ., ��7�5� - ��i��';;.� �` �= �� � „ _� ;- - - - � _. . � , ,. _' � . . � . � , � , ��, � �:,.;,'- , . , . s, ... - i . „ '' : ' ,'J V \\�,' _ - ' ` �, � , ._. ....._....: .,_,.,.... . ., _ _