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HomeMy WebLinkAbout15716 r _. __...,.. . ..._...... . . ,�._. . `. -- - r + I _. UFDIAMONDBAR • EXPIRED � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES %__..� zi�oE.coP��,.nri��s����o ' JUN 17 2002 � (909)86a3195 Faa(909)861-3117 PRE$$ -�--- � ~���� BW.DING PERMTT APPLICATION FIRMLY : � JOBSITE / /��� . S. APPLICATION PERMfT � P/C o ADDRESS �� DATE I I ` � NUMBER I � � � � APN LOT�_ TRAC ISSUE NPE OCC J DATE CONST. GROUP � OWNE�F G�=�f f_, �`A�7� p ADDRESS�3��� ZONING SETBACKS � CITY ZIP TEL REAR � . Rw p APPLICANT TEL � SIDE/SIDE STREET RW ❑ CONTRACTOR (��� �/ I � SIDE ❑ � ADDRESS �� � �; CfTY �/ �'" ZIP �% TE L� ,f PROPOSED USE C: / — � ACLS �C' u'[1C2, w ARCH/ENG/ • - � � � 2 :U ' / � S 4 C i/ OESIGNER NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROO � CITY ZIP TEL � cn DESCRIPTION SQ.FT. FACTOR PSF AREANALU N p� OWNER•BUIIDER DECLAiiATION SFR/ADWAEM v J D O p I NEREBY AFFlRY UNDER PENALTY OF pE0.A1RY 1W�T 1 AM EXEMPT FROM THE CONTRACi'ORS LI- G3f8Q9/CBfpOR ' �� laJ CET/SEUWWitTHEFd10V/P70REASON(SEG70.77.6BUSINESSANOPROFE3510NSCODEANYCI7YOR � (n U COUIfTYMT1ILMRE0UWE9AiERA1RTOCONSTAUCT,IITERMPRONE,DEMOUSM.OHREPAIRMIYSTRUC• W LL� TURE,PRIDR TO R9 IS9UIWCE,A150 REOUIRES THE MPIICNlT FOR SUQ1 PEIIMIT TO FILE A SIONED W PatiO/Dedc STATEMENT TNAT HE OR SHE 6 LICENSED WRSUANT TO T11E VROVISIONS OF TNE CONTMCTOR3 U• � CEHSE UW(CIIMTER Y(COMMENCpJO WIiH SECTION 7000)OF DMSqN�OF THE BUSINESS AHD PRa � PooVSpa �• � . � FESSqN3OOOE)OR THAT HE OR SME IS IXEMPT THEREFROAI AND 7HE B.151S F0111HE ALLEOED EXEMP• TION.�NYVIOLATIONOFSECTION7C1t.68VANYACPIICANTFORAVERYITSUAIECiSiHEAPPLICIWTTO z Re-Rool � ACMLiENALT/OFNOTIdOiiETHANFIYEMJNDREDGd.L11R4�f500).): �� � ' � � OlA40WNEqOFiMEPROPERTY,ORMVEMPLOYEESWIiHWAGESASiHEIR50lECOMPENSATION, (',pmmgfClal - � . . WILL 00 THE WOiK,/ND iHE STRUCTURE t5 NOT IMENDED OR OFiEREO iOR SALE(SEG 7M�,BU51• . � N NE55 AND PROfE5510NS COOE T11E CONTMCTORS LIGENSE Uw DOES NOT APPLY TO AN OwNER OF = .. . . PROVEATY W1%]BULDS OR MPROVES h1EREON,AND YR10 DOES SUCH WOi1K NIMSELF OR HERSEIF OR ' � � (� TT4i0UCiMHISORHEqOWNEMVLOYEES,iNOVIDED7HAT5lX]iMPqOYEMEHiSMENOTINTENDEDOR m �� OFFERmFORSAlE6,F104YEVEt�iHEBU0.DINOORIFIPitOVEMENTISSqDWRMNONEYEAROFCOMPLE• � �TIOM.TME OMTlER�BURDER WILL HAVE THE BURDEN OF PROVkJO iNAT HE Oit SHE OiD NOT BUIID OR . . MPpWE iOfiT1E M1RO�SE OF SALE] - W OI,ASOWNfROFTHEDROPEiRV,AME%ClUSNELYCDNiMCTINOWRHUCENSEDCONTRACTORS � lU CONSipJCi THE PROJECT(SEC.7oN,BUSINE55 AND PROFESSIONS COOE:THE WNTFUCTORS U- V21UetiOtl � ADJ.ARE/1 � � CEN5EUW00E9NOTMPLYTOANOKNEflOFAPROPERTYWNOBU0.DSORIMPRDVESTHEREON,AND N1qCOHTMCTSFORSUdiFRDJECT5WITI�COHTMCfOR(S�LICENSEDWRSUANTTOTHECVNTM6 pUANTITY DESCHIPTION FEE � TOR4 UCENSE UW.� ' . J O IA4 EXEMPT UNDEH SEC. 8.l P.C.FOR THIS REASON Q 3 � � � DATE OYVNER � V , . � � - LICENSEO COMTRACTORS DECLARATION W � iMEREBYAFFYWUNDEHPE/UITYOFGER1UNYi/MTIMIUCEN5E0UN0ENVROYISqNSOFCHAP7Eq -� Vr . � � �(GOMMENCNOYlfTHSECT10N7000)OFDMSION]OFTHEBUSINESSANDPHOFESSIQVSCOOE.ANO z W UCENSE IS IN M ORCE IND FECT. m � UCENSE CU55 ��� LIC.NO. �. ^� j � � DATE / ! � � CONTMCTOR� F%v�~�� � a WORKERS'COMPENSATION OECLARATION 4 . � INEREBVAFFIR4UNOERPENALTYOfPERR1RY0NEOF7HEFOUAWiN(iDECIAMTN7NS: � � Z � � _IINVEMl�WILLMAiNTANACERTIFlCATEOFCONSEIlTTOSELHNSUR[FOHNViL(ERS' _ COMPENSATION,ASPROYIDEDBYSECT70NJ70oOFTNEVBORCOOE,FORTMEfERFORMANCE W OF iHE WORK FOqNA11p1 iFtl3 VEM11T 19155UED. � O � �IHAVEMI�YALLMAIMAd7W�0l�CERS'COMPENSATIONMSUWWCE,ASREOUIREDBYSECiqN - - � �f�� Q17ooOFTHEIABORO00F,FORTVIEVEHFORAIMICEOFTHEWORK ORWHICHTHISVERAIR6 Ie \/ `� = ISSUED.MYWOR GEN TqNINS CARRiER icrNun�e�a�wE: CONSTRUCTION �+ •IO X � �C. j c�aa�Ea v�� PLAN REVIEW � PoLICYNUI.�BER ELECTRIC � (ifn55Eci�oNrJ�rqTBEpR.(iEiEnoFnEp6'wffstORONEH11�Dnm0at11PSR+oqoqlFss�. PLUMBING Z ICERTIFYTHA7NTHEiERFOPAIM10EOf1MEWORKFDRWHICHM15PERMITI5155UED,1 MECHANICAL , (,� SMALLNOTEMPLOYANVVERSONNAN`/MIWNERSOAS_TOBECOM _CTTOTHE r+ A fl � worucE ca.+v�saarauwsovcu�oarm uro r�en{ �cis BECOME INSPECTIONFEE _��OZ i 4� ►��� � � SU61E O E N�D(U(ERS'COMVENSIRION V IS S OF S .ION]T OF THE LABOR � � � � coo r ,co)an�vm�coua�rMnni a hsaNs ISSUANCE 1.v� p DATE: � U^i v� APP��C/Wi: . 1'�% SMIP. . . S � ENERGY P/C C WARNI FAL iETOSECUAEWORKERSCOMPENSATqNCOYERAGEISUNUWFUL,ANDSH�ILBE � SU61ECfANEMPIOYERTOCRIMNALVEWLTIESANDCMLFWESUFTOONEHUNDRED7NOUSAND � �ENERGYPERMIT DOLLA1i5(StOo.000�N ID01710N i0 THE CQSTOF COu7ENSATION.OMUGE3/S�ROYIOED FOR W ' J SECTION770eOFTHEIABORCODE,HTEREST,ANOATTORNEY5FEE5. RETENTIONFEE: � ' � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHERE9VAGF1PoAlAVDERPENALTYOFPERtt1RViHATiHERESACONSTRUCTIONLENDINOAGENCY. � fON 1HE VERFONAAANCE OF TME VJORN W R WHICH THIS 7ERMIT IS ISSUED(SEG 70W,pV.C). �yj �. � � IENDER'S NAME . . . . . � � LENDER'SADDRE55 � TOTAL FEES W ICERTIfYTMATIHIIVEREADiH19APPLICATqNAND5TA7ETHAThiEABOVEINFORMAT10NL4COARECT. p� IAGREETOGOIA7LYWI7HALICT/ANOCOlMiYO CESIWOSTATEUwSREUTMIOTOBUILDINO � � ODNSTRUCTIqN./WDHERE9VFlR110{ilZEiiEPRE �MA VESOFTHISLOUNttTOEMERUPONiHE . _ . .. , . � S� VEJAE PRDPERttFORNSPECi uavo Es. COMMENTS � � � 9 ��' '�N C�/!��'l ,�' . m PEw 1 J _ .. ... . . tn `�v r (n SIONl1 �OFPE ITiEE O�TE � � RECPT.N0. PAID BY VALIDATION WHITE—Depertment Copy,TELLOW—Finence Copy,PINK—Aexesa Copy,GOLDENROD—File Copy,GREEN—ApplfcanCa Copy � � - � -� --- - . . .. . . . • .. . �..� . CITY OF DIAMOND BAR , ., . . , n .. . , � :.� � ��.i:.���'�i`'.. .., , . ' t , ' � , INSPECTION RECORD �" � . ;'?�S � , . , . . , � ; � � � • ' � � � \ SET BACK " ' � ; 1 I ` ;' I ;, - I I FLOOR JOIST ` , --- , .�r • .• � ,' FTGS/FORMS/STEEL = FHA REQMTS - - -- ELECTR�C GROUND -_- '�"' - -- � - UNDER FLOOR DUCT, . �.: GROUND PLUMBING UNDER FLOOR COMDUIT - • • - SLAB GRADE � FIREPL.ACE FOUNDATION ` � - -- - � ' TEMP POWER- - � " -- �'= -`� ' ' FIREPLACE BQND BEAM: -. - . - _ ._ _ �` WATER SERVICE � �•--- -'• •.-- -. .� - MID HT.B�ND BEAM L .. ' , � , �ROOF SHEATHING�- ' �-�- - ' = - -- ' '• � S FT.BOND'BEAM. • �- ./` •-. : _�� ;. ..` -- : FRAMINGNENTILIATION - .- �i FINAL BOND BEAM � ROOF COVER ' PRE-GRADING �- � ROUGHHEATING _ . _ -.. __ _ . _.; _. ._ .- BENCHING _ � _ _- -- ' �ROUGH ELECTRiC ` `� ;---: • , ROUGH GRADING � - � ` ROUGH PLUMBING - - ' � -" "" ; - FINISH GRADING , ! � SHOWERfTUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEIUNG INSULATION ' aFF SITE IMPS. � DRYWALL NAILING DEDICATIONS" ' SEWER . ---. __ ' . . --- _ FINAL ENG.. SEPTIC7'ANK :_. . _ _ _ _._ , ,, LANDSCAPE/1RRIG. SEEP PIT/L.L. -- - - = � ON SITE IMPS. - GAS AIR TEST; - - -- --- - - FINAL ZONING � � FINAL-CONST. • - -- - � - FIRE�EPT. FINAL ' � FINAL HEATING � � - HEAI.TH DEPT. FINAL • - FMAL ELECTRIC - - - - - � DEV.FEES PAID FINAL PLUMBING ENERGY - ;�r� .� _ . .� ' _y- • � . �- - - � - t� . ';' , ; . , COMMENTS— � ; _ ; � � . . � , - _ �� __. _ _ __ . ; . �i; ,, t + ' _ . ', • �r(i �'' . . .. .. , _...:.1� . , � . � . . - . . . .. . �� _ . . . . . . . - � � � . � . . . _ . . . . -_ , . .,;.').^ . . . _ . , . . . - _ . „ , �� , , .. _ . . .. . . .. . �I , _ . . . . . � � . _ . .,r. .. � . . . _. . . _ . . �.�_ 1 f. _ ` . ; ... _ . ._ _ . ._. .. "- _ • . . , . ., � -. ,\ \,� 1 ' SEPTIC TANK SIZE � SEEP PIT/U SIZE , ; _ _ __ .. __ _ � , _� ; . , _ _ _ _ , . - � _ __- �