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HomeMy WebLinkAbout11254 (5) .. .... . . . . , i .- ----- ---------- ---..._T -- ---- ---------- -- � ��� ----��-- CITY OF DIAb90ND BAR � - • , � CO;v1MUNITY DEVELOPh1ENT DEPARTMENT 21660E.CopleyDriveSuite190 � . PRESS � (909)860-3195 Fax(909)861-3117 " '�^' BUILDING PER�41T APPLICATION FIR M LY � JOBSITE �[ APPLICATION I PERMIT ,P/Cr o ADDRESS aa D� � DATE �'`�~ _NUMBER � N_ I c� ISSUE TYPE OCC APN LOT T T DATE CONST. GROUP • p OWNER All!)N W� A1G. "' ADDR�SS � G 2 20NING SETBACKS oCITY u '"I�DN ZIP TEIQa d� � REART RW �. o APPLICANT TEL. � SIDFJSIDE STREET RW ❑ � CONTRACTOR � C C SIDE ❑ ADDRESS � � CITY .�,)tlQ �� ZI �1�bo TE y�7�7 y�19 PROPOSED USE � w ARCH/ENG/ w DESIGNER � NO.DWEL. NO. NO. • a ADDRESS UNITS STORIES E3EDROOMS � CITY ZIP TEL � � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI;ILDER DECLARATION . SFR/ADQ'REM p 1 HEf1EBY AFFWM UN�ER PENILLTY OF PERJURY THA'I AA1 E%EIAPT FROM THE CONTMCTORS ll• Gefe9B/C•3fpOR � � � W CENSELAWFORTMEiOLLOWINOREASON(SEC.7071.SBUSINESSAN�PROFESSIONSCOOE:ANYCITYOR (n U COUNTVWHICHRFWIRESAPERIAITTOCONSTRUCT,ALTERN7ROVE.DEAIOLISH.ORREPNRMIVSTRUP W patiolDedc � , w TURE.PRIOR TO IT�ISSUANCE,AL50 REWIRES THE APPLICANT FOR SUCH PERMIT TO flLE I151GNED _ W � STATEMENT TMAT HE OR 3HE IS LICENSED WRSUANT TO THE PRONSiCNS OF THE CONTMCTORS U-" ' S CENSE LAw(CFUPTER s(COMMENCwG MniH SECTION 7ooD)OF O�ViSWN]OF TME BUSiNE55 AND iR0 � PooVSpa � FESSIONS COOE)OR TH�7 ME OR SHE IS EXEMPT TM[REFROM AN�THE Bti515 FOii 7ME AlIECED E%EMP• , V TION.�NYVpUTqNOFSECTiON7071.5BYANVAPPLICANTFORAPEA�iTSUBJECTSTHEAPPLICAN7TO Z Re•Raof � � � A CIVIL DENALTY OF NOT MORE THAN FNE Hl1NORED DOLLARS(f5[O�J: . 0 OLIlSOWNEROFTHEPROPERTY.ORuvEMOLOVEESWITHWAGESASTNEI{ISd.ECOIUPEN5AT10N. � COTrt10�G31 ' . � Z WILL DO iHE MIOP.K�17�THE STRUCTURE IS NOT INTENDED OR OfFERF'D FOR SALE(SEC.7a�,BUSi- J N[SS IWD PflOiESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOTAPPLY TO AN ONT�ER OF; � � � PROPERTYWIIOBUILDSORIMPROYESTMER[ON,ANDVJHODOESSUCHN'ORKMiMSELFORMERSELFOR � � TMROVGHHISORHEROWNE�PLOYEES,PROVIOEOTHATSUCHIMaROVEMENTSMENO7WTEN0EDOR m . . , pOFFEREDFORSALE.IF,iqWEVER7MEBUILDINGORIAIPROVEAIENTISSOI�WITHINON[YEAROFCOMD�E- � Z T10N.TME OWNER�BUiIDEfI W:LL FUVE THE BUR�FN OF PROVIN6 THAT ME OR SHE�IO NOT BUIID OR � IMPitOVE FOR THE VURPOSE OF SALE). O�AS OWNEH OF iME PROPERN.MI E%CLUSIVELY COMMCTWC VlITH LICENSED CONTMCT00.i � M CANSTRUG7 7HE PR0.IECT�SEC.7W�.BUS:NESS IWD PHOFESSKK�S CADE:THE COHTMCTORS U- VdIU81ip1 ADJ.AREA W GENSEUN�DOESNOTAPPLYTOANOWNEflOFAPROPERTYNT100URD50RIMPROVESTHEREON,AND � WFI000N7MCTSFORSUQI7ROJECfSWITHAGONTRACTOR(S�UCENSEDPURSUMITTOTNEGONTMP QUANTITY DESCRIPTION� ' FEE � Y IDRS IICENSE UW.). � .. � n, � OIAIAEXE�APTUNDENSEC. ' B.BF.QFORiN:SREhSON U � O� M � G�y � � ' � . � � u 9• �A, LL' DATE OMMER U .p 'I5 (�, � / f V V ,. Z W � LICENSEDCONTRACTORSDECLARATION w _ LUNI UI� ¢ .: e �C I HEREBV�FFIRAI UN�ER PENALtt OF PE0.IURY T/Ui I M1 LICENSED UND6R GROVISqNS OFCNAPTER ( d 9�COMMENCINGWITHSECTION7ooD)OFDIN510N70FTHEBUSMESSIW�PROFESSIONSCODE,AND X MY 110EN5E IS W iULL FOFCEAND EFFEG7. n �/ C I LLI p _ 4 � LICENSECUSS `_�O LIC.NO.�� ~ DATE���y� CONTRACTO � ;` W . � WORKERS'COMPENSATION DECUIRATION �a � k �Q � � IHEREBVAFFIRMl1N�ERpENALTYOFDE0.IURYONEOFTHEFOLLDWINGOELLAMTqNS:� � G� � Q�. 0 �IHAVEANDW�LLMAINTNNACERTti1CATEOFCAHSENTTOSELFiVSUREFORWORHERS' � COA/PENSATION,ASPROVIDEDBYSECTION77000FTHEL►DORCOOE.FORTHEPERFOPI.UWCE , OF THE WORK fOR WNICH THIS PENMIT IS ISSUED. , � � w _IHAVEANDYALLMAINTAINWORKERS'CAMPENSATIONINSURANCE,ASREOUIREDBYSECTION _Q �7000FTHELABORCODE,FORTHEPEHFOHMANCEOFTHEWORKfOHWHiG71TnI5PERMiT15 ISSUE�.YYWORKERS'COMPENSATIONINSURANCECARR�ERANDPOLICYNUMOEHME: CONSTRUCTION - j CARRIER S?���_ 7C✓'�� I� PLAN REVIEW � va�crNuuoER_�'7-4 d 07�"�i� CTRIC • 0 (hGSECiI[NhimNOTBE006�LETEDOFIIEPERt�fBFC(iONEH.,WfiED041/JtSRt0010RLE551 PIUM�ING Z ICERTIFVTHATNTMEPERFORMANCEOFTHEWORKFORNM11ICHiHISVERMITISISSUED,I MECHANICAL (,'} SHAI�NOT EMP�OYANY PERSON W ANY MANNER SOAS TO BECOA�E SUOJECT TO THE � WORKERS'COMPENS�TKKiUW50FC�LIFOFiNIA,ANDAGREETM�TIFISMOUIDBECOME INSPECTIONFEE ' � S SU0.IELTTOTMEWOFNERS'COAIPENSRTIONGROVISIONSOFSECiiON37000F7HEU80R � moE.isNnuFoan+win�oo�+a�rwm+Trwseaaohsioy$. . /J n ISSUANCE a � `- � p DATE:���Y APPLICArI�S t�� � � SMIP _ J WAHNING;FAILURETOSECUREWORKERS'COMPENSATIONCDVEMGEISUNLAWFULANDSHALLBE ENERGYP/C - . � SUBJECTANEMPLOYERTOCRIAIINALPEN�LTIESANDCNILFWESUPTOONEHUNDREDTHOUSAND ENEHGYPERMIT DOLURS(f�C0.000).W ADDITON TO THE COST OF COUPEN5A7qN,OAMAGES AS 7ROVIDED FOR IN � SECTpN 170e OFTHE UOOR CODE.NTEREST,MlD ATfORNEYS FEES. ' ' � �� �� RETENTION FEE: � � a CONSTRUCTION LEND�NG AGENCY PRE-ALT FEE: " O - . . . . � IMEREBVAGFIFMUNDERPENALT/OFPERIURVTIUTTHEREISACONSTFUCTIDNLENDINCACENCY FOR iHE PERFORMANCE OF THE WORN FOR WHId1 TM15 PERMIT IS i55UFD(SEC.�097,qV.G.). , Z � W � LENDEfYSNAGE � LENDER'ShDORE55 ¢ ICERTIFYTHATIMAVEpEADTMISMPLIC�TpNANDSTMETMATMEl180YEP1FpRM�TIONISCORRECT. TOTAL FEES � � , W IAGREETOCOMPLYMATMALICIiYANDCOUN7YORDINMICE5ANO5TATEUWSRELATIN6TOBUILDING �� � � - ' � CONSTNULTION,ANDHEREBYAUTIIOW2EREPRESENTATIVESOFTHISCOUNTYTOENTERUPONTHE Z ABOVE•MENTIONEDVROPERT'FORINSGEC710NWRPOSES. ' � - COMMENTS 9 � °� e e lrw 4' �J� � � / SIG _ ER � EE fE � � � • • � . RECPT.�� PAID BY VALIDATION � WH E—Depanment Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—AppliwnCs Copy • , . . .. .. . . .. . . ...,_.. � .. . . .. . __ . . . ,. • . � . . . .. . .. . . . .. ,. , .�., .., ., , -_ �_ ,:; ., �� CITY OF.DIAMOND �BAR ' ` ; ' ,. , � � � : , INSPECTION RECORD ,� � , � ` ' �, � .. . ' ,, . �� . _ o � � � • - • � � � - i SEf BACK : � : � FLOOR JOIST ' ` � FTGS/FORMS/STEEL FHA RE�MTS - ' :� i ... ,, •.,� ��::.; � ELECTRIC GROUND UNDER FLOOR DWGT• li •,,'.,,i'�;,;,;,C.- .;t '�,�!•,t : GROUND PLUMBING UNDER FLOdR eONdUIT ��• ��-: � �'''��=+��-�-` �; � - � � SLAB GRADE- ' • ' - FIREPLACE FOUNDATION '� TEMPPOWER, .-.': -:.- ; : ;.. -, : :-�. _.-_. ;.- - - FIREPLACEBONDBEAM' �.,�. ��,\ � �. �'.`..:.. . , � WATER SERI�ICE ._,y' ` " ' - - �' �' ` `• MID H .�BOND,BEAM"•�� '. �. ,�; - � . . ; .. < < ROOF SHEATHING 8 FT.BOND BEAM ' ' FRAMINGNENTILIATION . . �: FINAL'BOND BEAM � � ' � ROOFCOVER --------� - - - - -- - - - --- - PRE-GRADING � ' " � AOUGH HEATING '• � ' BENCHING ROUGH ELECTRIC - - " - ROUGH GRA�ING . ROUGH PLUMBING ; - - - - � FINISH GRADING SHOWEFi/TUB TEST . POOL ELECTRIC • ' EXT.LATH/S�DING i POOL FENCING ` � WALL INSULATION : POOL FINAL • CEIUNG INSULATION OFF SITE IMPS." � DRYWALL NAILING � DEDICATIONS ' SEWER . ._ ....... . .__'... . .-- -.. .-- - ---- _ FINAL ENG. � ' SEPTIC TANK . . � _.. ' _. . .: _ _ .LANDSCAPE/IRRIG. SEEP PITlLL - ---- � -- - - ON SITE IMPS. GAS AI.R TEST . --- - ," " ` -,.:�� = - �' FINAL ZONING ' ' ' - . F1NAL'JCONST. : - ___ - ''"-'`�,. ; �: " .:, •�,: . . � . FIRE DEPT. FINAL F,lNAL H.EATING •-� - .. .. ., -, , .. , - . ; - - HEALTH DEPT.-FINAL . ._ . . . , �� ,.. ...,. FINAL ELECTRIC � � � � �; . � , : �;• DEV. FEES PAID ,,, , FINAL P�.UMBING \ i' � ,+. ,�.�, • 1' ENERGY - , i .i•.\'1 �� i \ ,;: ,}" •i'.` .1':� . Q � . ��'- .� \ -�_ � � .,��- .. �J-- �: � �- .`,.�� _ � . � ' . COMMENTS � •� ! �,... . � ,,, ' , . . �. , � _._ __ .. . .. . . . _ . . , ; ;�� . . ' .. � � — c , .��.�. . . _�l- \ �- : , . . ... • . ' � ' � � .� t _\..�•� . r.-�-�_ . • _ .. _ . . � ..-�-� �J . _ � ; � „ , . .1. _ . .. . .. . , ' - - - r� �� � i - - � --':�-� -- _ _ i I ;�.. �-.. . .. . ---'' •-_._ .... . i -S� - � .. i ' �. � . ' -. , � .. . ' - , . . .. . .� � . SEPTIC TANK SIZE _. . . . . � : ;.. . _. . .._ _. . _. SEEP PIT/U SIZE � , . ; i . ; : - - . �• - , ; : ---._.. . . -- ... . _ , . , . . ,;.� . �• . � I \_ .. _ . .,d . , . �. ,� ���'�. . ,` , . . . . �� � y