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HomeMy WebLinkAbout13671 (16) . - - - - _ _. __.__ - --__._-----,;:,,.. --•- -� .�";. _J�a�'1 -� � CITY OF DIAMOND BAx � ��, J� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �. ' ��; , 21660 E.Copley Drive Suite 190 (909)860-3195 Faa(909)861-3117 PRESS ' '� '�A^'�+ BUII.DING PERMTT APPLICATION FIRMLY � o ADD ESS ` � � DATE CATION � � �,� NUMB R I�� ` �!C /�C, _� � � � ISSUE TYPE OCC APN LOT TRACT DATE CONST. v'�J� GROUP �� °p� OWNER �i 1�11 _C.n('.�. �..,�) " ADDRESS I AtGt .—�� �J ZONING . SETBACKS � ' ��� / W CITY 1 I�Ut AJ� ZIP� � /� TEL • G a- � FRONT � RW ❑ � APPLICANT,��� (¢�� TEL � REAR ❑ � SI�E/SIDE STREET RW ❑ CONTRACTOR �A'�5 lV��( C'i0�1- 1�1C�7 SI�E ❑ � ADDRESS���Q '���/h . �'• • � � PROPOSEDUSE ��l!'� T�IT/f�n/�1F, � ��.G � LJ , CfTY 1 R�(l N� ZIP�'7'l l r_ TEL��/• GZ7• "� -rin � � ARCH/ENfi! DESIGNER �' ' ' � � - � � ������ O.DWEL NO. NO. ADDRESS S UNITS STORIES BEDROOMS � CRy I-!r i ZIP "r� . TEL + N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OYVNER•BU�LDER OECLAHATION SFR/ADDIREM O Q i�neer�rw unoea vEruiTr a�vErauRv rwv�iva cxEuaT�Aaa n+E courrucroAs u- Garege/Carport W CE1iSEUWFORTMEfOLLOWlN3PEASON(SEG70.7t.68U5INE55ANDFROFE55qN5CWE:ANYCITYOR (n - � OOUIiT`lWMK)IREOUWESAVEiWRTOCONSiRUCT,ALTEf�IYPROVE,OEMOUSM.ORRFPMRANYSTRUC- w patio/Dedc TURE PNqR TO ITS 155UANCE A150 REOUIRES T}7E MPLICAN7 FOR SUp1 PERMIT TO FIIE A SIGNED � ETATEYENT THAT ME Oft SHE IS UCENSEO VURSUANT TO iHE VROYISIONS OF THE CONTRACTON9 l4 � CENBE UW(GUVTFR Y(COAI4ENCINO VATI SECTION 7000)OF DMSION 7 OF THE BUSMESS AND PR0. � P�OVSpe iE5510N5 COOE)OR TUT HE OR SXE IS E7(EMPT TMEREFRdA AND THE BASIS FOR THE ILLLEOED F.J(EMP- TqN.�NVVqlAT10NOFSECT10N7D71.SBYANVAPVLICANTfORACERYITSUBIECTSTHEAPPUGNTTO Z qQ.Rppf � A CML PENALTY OF NDT MORE iHAN FNE INNORED DOLUAS(f500).): � 011liO'NNEROFh1EPHOPERiV,ORNYEMPLOYEE5NITMWA�ESA57NEIRSOIECOMPENSATION, O (',p}�R7gfCi8� ' YRLL DO THE WOi1K AND TME STRUCTVRE IS NOT INTENDED OR OfFERED FOR SALE(SEC.7Du,BU54 J � ME5311M0 PROFESSIONS CODE:TNE COHiMCTORSIICENSE LAW OOES NOT AiPLY TO AN OWNER OF ? PROPEHTY M9K/BUlDS OR IYPf10YE5 iMEHEON,AND YMO OOES SUp1 WORK NIAISELF OR NERSELF OR ¢ THNOU0/1WSORNEROVMEAIPLOYEES,VROYiOEDTMATSUCMMPROVEMENTSIIRENOTMENDEDOR m �11 pfFEpW WRSJLLE6.NOWEVERTMEBULOWGORdAPROVEMINTI550LDMlRMNprEYFMOFCDMPLE• ZTtlN.TNE dwNER�BUItDEN WILL HJ1VE THE BURDEN OF pROViN(3 TMAT HE OR SHE DID HOT BUILD OR = MVROVE FORTHE VURP0.5E OF SALF1 W OI.ASONNEROFTHEVROpEHTY,AMfI(CLUSNELYCOMRACTWU1NRNlMENSEDCMfTMCfOR3 � TO CONSTPl1Ci THE iRQIECT(SEG 7ot1.BUSME59 AND OROFESSIONS CODE:TNE CONTRACTORS U• V01U8Ii0f1 1 'u y � � ADJ.AREA CENSE UW OOES NOTMPLY TO AN OWNER OF A PROPERTY Wlp BUILDS OR W PkOVES TNEREON,AND � vnacorrtructsFonsua+vaaecTsvnn+�canrucroa�s�ucENscoouAsuu+rron+Ecor+rn�a pUHtJTITY ' �ESCRIPTION FEE � iOH3 LICENSE I.AW I• ' • ..' ' . J �I AM EXEMPT UNDER SEG B.1 P.G fOR THIS P.EASIXi � � LL' OATE ONMER V � UCENSED CONTRACTORS DECLARATION -� � w IHEREBYAFF6WlMDERPENALttOFPERIUHYT11AT1AMLICENSEDUNDERVROYi5ioN40FCHAPTER � s �(COMMENCNOWITNSECT�ON700070FDIVISiON70FTMEBU51NES5MlOPROFE55�ON5CO0E,AND Z V� Wl10ENSEISINFULLFORCEANOEFFECL m � UCENSE ClA UC.NO.�,��� � V DATE caarnncror� /1��S GV�,'.�'�`��r,-AE � w . � WORKERS'COMPENSATION DECLARATION a � IHEREBYAFFlRIAUNDERGENALTYOfPERIURYONEOFTHEFOLLOWINODECLARATIONS Y U - �� � , � N •�. Q �� �INAVEAN�WRlMAN7AlNACERTIFIGtEOFCONSEMTOSELF-INSUREFORNtlRNER5 � _ - ^ COMPENSATIDN.ASPROVi0E08Y5ECT10N71WOFTMEU80RCo0E,FORTHE7ERFOMIANCE W OFTHE WOqK FOR WHICM TMIS VERMIT S I55UED. ' � i+�__ . � . �'i /' -1 ��•� � � �I HAVE ANO VALL W1NUN WOaKERS'COMPENSATION INSURANCE.AS NEOUIRED BY SECTION \ , D �•,,�Jf ,� Q 7700 OF THE UBOF COOE.FOfl 7HE PERFORAIMICE OF iHE WOPK fOR WH1CN THIS VERMITIS � . 1� �;�. ISSUEO.MYNCIRIC�EJq����p�,�.PRISATIOIIINSURIWCECARWERANDPOL��f�MB�E�R�RE� . �CONSTRUCTION �_ ' � GRRIER �LsflC7^I� �� r���c� l�'I�FTYf}� FLANREVIEY! �• oa. . � ppU�yWl1MBER 'I �''����I��U ELECTftIC � � (n�55ccnoNrEIDr+o're[cux�rEoocnEOEw.risroaa+�w�m0a1/�R�ro)OqtF55a . PLUMBING .: . . ` . , . - . . Z ICERTIFYTM/�iNi11EPERFORIAANGEOFTHEWORKfOFiwHICHiHiSPEN.uTI51SSUED,1 ' MECHANICAL � (�' S/ULLLNOTEMPLOYM7YFERSONN/IHYMANNER50A5i08ECOMESU&IECTTOTHE � � WORKERS'COMFENSATION UYVS Of GLIFOPNU�IWDAaREE iNATIF 15�UUlDBECOME ' INSPECTION FEE S SUBJECTTOTNEWORKERS'COA�PENSATqNPRON510N50FSECTI0NJ7D00FTMEU80R - �SSUANCE CODE.1 SHAIl iOnT11NnTM COMPLY W17N THOSE PROVISIONS. 0 � . . I . . .SMIP - ' � '� DATE: �. APPLICANT: . -. , , . W I ' � � � � � s ENERGY P!C , '� WAANINO:FAILUR[TOSECUREWOAKER5COMPENSA710NCOVERA6EISUM/IWFUL.IWOSM�LLBE • /� �/ � SUaIECT/NEMPLOYERTOCRIM:NALVENAITESANOCMLFNESUPTOONEHUNDREDTHOU5AN0 ENERGYPERMIT - ' � LV�7J•I�/ DOI.LARS(f t0o,000).W ADOITION 70THE COST Of COMPENSATqN,D�LUGESAS VROVIDED FOR IN 1 � SECTION]7o�OFTHELA80RCO0E.INTEHEST.ANDATTOHtJEYSFEES. � � ' RETENTIONFEE: - `� 9 '�� O ., - , CONSTRUCTION LENDING AGENCY PRE-ALT F�: �-� Q '' � 111ERE9YAGFIRMUNOERFENALTYOFPEfWFVTHATTMEREIS�CONSTRUCT10NlEN�INQ�GENCY �I ),F/OR'7NE OEHfORMANCE OF T1E WOP1C FOR M?i�d1 TH�S PERMIi IS ISSUED(SEG 7oT,CIV.C.). , . � 7LENDERSNAIAE CG , fn'10� � !` • � /�— � LENOERSN'�RESS � ^ �' /��" O I . 1 r- Y � ICERTIFYiHATIMAVEREADTHISA7PLICATIONANDSTATET/uT7HEABOVEINFORrAAiqNISCORREGt OTALFEES ' !�, V�p�-O�j� � IA[iREETOCOYOLVVAMILLLUTYµDCO1JNNORDIWWCE5IND5TATEUWSREUT►I6TOBUILDIN6 � CONSTPUCTION.�NDNERE9YAUfHOHIZEREP0.E5ENTATNE50FiN15C0UNttTOEMERUPONTNE � Z !�IBOVE�MEMIONEDVROVERiYFORINSPECf10NWNP05[S. COMMENTS • � � 5 � . . . � _ � ERMITTE6 �E(P ) � - .� � j : � ��OFY YIMITI , .OATE � R[CPT.N0._ PA�O 8Y VALIDATION 'i' ITE-�e partment Copy.YELLOW--Finance Copy.PINK—Aaseasa Capy,GOLDENROD—File Copy,GREEN�P�pplicanCa Capy ,/0^Q.s��L..-�, `t'Cst.t`'LL>A � . v �% �� _,_._ „___.,__..--- --- - CITY OF DIAMOND BAR � INSPECTIO��! REC�RD . , ����-'�C���a�p���"�� � I��Y��r!....�.���;� ��' 0 f`v�','-- �-'••����r.�....�......_..:._.:.�'br.�.....��►��'y����;1�'����. ,s"-�1 �SET,BaCK� I f tis; �:. ) FLOOR JOIST . � -r . FTGS/FnRMS!STE L /p l� -�.��:��:,� FHA REQMTS � -� . . . . � � ELECTRIC GROUND • UNDER FLOOR DUGT ' � ! GROUND PLUM6ING UNDER FLOOR GUP�IDUIT • , '� ' ' SLABGRADE ' �� ! S•S� FIREPi.ACE-FOUf�iDATION ' � � • ' . TEti1P PONJER FIREPLACE BOND`BEAM �','-•� 'VVATER SERVICE MID HT. BOND BEAM' `�'�' '.�' '. ', � _,;. � '•RObF�NE`r1Tk-IING ,� � .; ,�` 8 FT. BOND BEAM � •. ' ' ' . 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