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HomeMy WebLinkAbout11454 (5) ,-- ... -- _ .. . . . . i .. f%y . _._ . . � ��� ---� CITY OF DIAh10ND BAR . ' COMI�IUNITY DEVELOPMENT DEPARTMENT '�:..� 2I660 E.Coplcy Drive Suiie 190 ' ' . • PRESS (909)860-3195 Gax(909)861-3117 �'^'` BUILDING PERhtIT APPLICATION FI R M LY � JOE3SITE Z L��� C MN�'�Z� V lF�t,lJ APPL�CATION �- �� PERMIT !C o ADDRESS DATE NUMBER I if � ISSUE TYPE pCC APN LOT�_ TRACT DATE - CONST. GROUP p OWNER (lnSt�•����Ol'�V ' ' ,o ADDRESS La2� [��; � �1lCK U P�'I e� ZONING SETBACKS z CITY _C�"UG(.�in-wN ZIP �I�TEL.���'Pbb-��1•L) FRONT . pyy ❑ � APPLICANT ' TEL. - REAR ❑ m� SIDE/SIDE STREET RW ❑ CONTRACTO L V►'tt /�L - SIDE ❑ ADDR SS �� �"� pROPDSED USE ` o CITY � ZIP Z u.7 _TEL. J7' L w ARCH/ENG/ • z DESIGNER ` � w NO.DWEL. NO. NO. a ADDRESS - UNITS STORIES BEDAOOMS � CITY ZIP TEL. . � - _.. cn �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � _.. OWNER�BCILDER DECLARATION _ . � SFR/ADDIREM . p 1 MEREBY AFFIfiM UNOER PENALTY OF PEMJRY THAT I AM E%EMPT FROM TME CONTMCTORS LI� Gala99/C0fp0A � " ' � W CENSEUWFOHTHEFOLLOWINGREASON(SEC.7031.SBUSiNESSANDPROFE5510N5CODE�.ANYCRYOR . (� ' � � U COUMYWHIdiREOUIRESA7EflMITTOCONSTiYUCT,ALTERIMPROVE,OEVOl15H.ORREVAIRANYSTRUC• w . Z TUF[FRIOR TO R9 ISSUA4CE.AL50 0.EOUIqES THE ADCLICAN7 FOR SUCH PEiiIAIT TO FILE A SIGNED PatidDeck �- ' STA7EIAFM THA7 HE OR SHE IS UCENSED PURSUANT TO TME PROVi510N5 OF TH[CONTiUCTOFS LF- ��� W • _ _ � CENSE UW(CHAPTER 0(COMMENpNG W1TN SECiION 70D0)OF DMSION 7 OF THE BUSiNE55 ANU PRO- � POOUSp3 _ - - ��•� FESSIONSCODE)ORTlUTMEOflSMEISEXEMPTTMEREFROMMlDTHEBASISFORTHEILLLEGe�E%EMP• � � TION.ANYVpU1TIONOFSECilON7071.5BYANYAPPLICANiFOflA7EHMIT5U9JECT5THEAPPLICANiTO Z Re-Rao1 � A CIVIL iENA1TY OF NOT MORE THAN fNE HUNDR[D DOLURS�f500)�: Z~ �I,ASONMEROFTHEPROPERTY.OflMYEMPLOYEESWITHWACESAiTMFIRSOLECOMPENSATION.� W�LL 00 THE WORK,M1D iME STRUCTURE IS NOT INTENDEO OR OFFEREO FOq SALE(SEC.70��,BUSI- .� � COTRiBf�I�I . � NESS M'D DROFESSIONS COOE:THE CONTRACTORS LICENSE UW DOES NOT�PP�V TO AN OWNER OF ' ? PHOPERTY WHO BUILD5017IMPROVES THEfl[ON,MiD WHO DOES SUCH WORK HIMSELF OR NERSELF OR W THRWGHMISORHEROwNEMVLOYEES,GflOV10EDTHATSUGML4PROYEMENTSMENOTWTENDEDOR m , , Q OFFEREDFORSALEIF,FIOWLVERTMEBUILDINGORIMPROVEMENTIS� �WITMINONEYEAflOFCOMPLE- Z TION.THE OWNEF�BUILD[R WILL HAVE THE BUROEN OF PROYINO THAT HE OR SHE DiD NOT BUILD OR = pAPROVE iOR TME FURPOSE OF SALE� • w �I.ASDWNEROFTHEPROPEHTY,AIAE%CLUSNELVCONTMCTINGYuiTHIICENS[DCONTMCTORS . � TO CONSTRUCT THG iROJECT(SEC.761�,BUSINESS AND FROFESSIONS CODE:i11E CONiMCTORS U-� V3N0}iOf1 ADJ.AREA � W CENSEUN'DOESWJTMPLYTOANOWNEROFAVROPERTYNAIOBUILDSONtl.IPRp1lESTHEREON,AYD � � YnqCAMMCTSFORSUCHPROJECfSWITFI�CONTMCTOR(S�UCENSECPURSUANT70TXECONTMG QUANTITY OESCRIPTION � ' � FEE Y TORSUCENSEUw.). � - � - . .. . . . . .. .. .. .. ... .. _ . . � OIAMDIEMPTUNDERSEC. � B.iV.C.F00.THISREASON O � � .. . ... _ .. . . _ _ . n � OATE OWNER / , , . Z . . . . .. .. . . . . � LICENSED CONTRACTORS DECLAFiATION " � � � IHEREBYAFFIRMUNDERPENALNOFPEMIRVTHATIAMLICENSEDUNDEHPROVISIONSOFCHAOTER � � ' n. 9�COA�AAENCWOWITISECTION7000)OFDIVISION�OFTNEBUSINESSANOiPOFESSIpNSWDE,AND Z MY UCENSE IS W FULL FORCE AND EFFECL C. � /� tIQ1� 7 � � LICEN C SS ` b LIC.NO. `� ` J� l � V DATE ' COMTRACTOR � LViM (V` d �W • � WORKERS'COMPENSATIONDECLARATION �3b � N IHENEBYAFFIRAIUNDERVENALTYOFPERNRYONEOFTHEFOUAW�NCDECLARATIONS: N . . � _IWIVEANDNALLMAINTAINACENTIFlCATEOFCONSEMTOSELF-IHSUREFOi1WORKERS' COMPEN511TqN,AS GROVIDED BV SECTION J7o0 OF TNE UBOR LODE.FOR TME PERFORMANCE Q ,OF THE WORK FOR WMICM iH15 GEFMIT IS ISSUE�. _ ___ � , 0W _IHAVEANDWILL6UUNTAINWOP1cER5'COMPENSATIONINSURANCf,ASRE0U1RE08V5ECTION J�ooOFTHEIABORC00E,FORTNEPERFORMANCEOFTNEwOfiKFOFYmip17HI50ERM1T13 ISSUEU.MYWDRI(Efl5'COMPENSATIONINSUMNCECARR:ERM1DPCliCYNUM�ERME: CONSTRUCTION J j CMRIER PLAN REVIEW . Z vo��cYNu�noER.. .. . - ELECTRIC , ¢ 0 (fH55EGT10NM1EmNOTBECOhPIETEDOFh[PEfiRT6Pofi0N[Fll�OfiEDDQ1AfiSR��OitlE55I V��B� . ' / 1 Z IGERTIFYTHATNTNEPENFORMNJCEOFTNEWOPI(FORWHICHTHISPERAIITLSISSUED,1 MECHANICAL , C7 SwLLLNOT EAAPLOYANY VEt350N IN AVY MANNER SOAS TO BECOVE SU0.IECT TO THE , N WORKERS'COMPENSATKKJLAWSOFLALIFORNIA,ANOAGREE7HAiIFI5FKKILDBECOIAE INSPECTIONFEE �� � - � � � - � � SUOJECTTOTHEWOqNERS'COMPENSATqNPROVISqHSOFSEC7�0 O F7HEUB0f1 OWD I S FORiHWITN CpAPLY WITHTHOSE PROVI51ON5. ISSUANCE _ � p DATE:� AVPLICANL _ � SMIP ' � WAfiNINO:FAILURETOSEWREWORKERS'COMPENSATIONLOYERAGEISUNUWFULANDSHALLBE ENERGYP/C . . �� I ; •1 ' LL SU0.IECTMIEMPLOYERTOCflIMINALVENAITIESANDCMLFMLSUPTOONEHUN�RCOTMOUSIWD ENERGYPERMIT D�LLARS(S�OO.WOI.IN ADDITION TO TN[COST OF COMPENSATqN,DAMAGCS AS PRONIDED FOR IN �� SECTION]708 DF 7HE IABOR COOE,INTENEST,ANDATTOHNEY'S FEES. � ' ' RETENTION FEE: � � - � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � 1HEREBVAFFIRMUNDERDENALiYOFPE0.IURVTHATTMERELSACONSTRUCTIONLENOINGAGENCY �- � � � � GOR T1E PEN W R4ANCE OF THE WORK FOR WFlltll THIS PEPMIT IS ISSUED(SEC.]oVl,CIV.C J. Z . . . . .. .. . ... . .. _ . �. • W � IEKDER'S NUAE � .. ._ . . . ' _ ._.. LENDERSADDRE55 � `��� � �-���� � � � ' ¢ ICERTIFYTNATIHAVEREADTiISAPPUCATIONANDSiATEiMATTHEA80VEWFORMATIONISCO/iAECL TOTAL FEES � . � IAGREETOCOMPLYWITHALLCITYM7JCOVNTYORDINMlCESANDSTAiEUWSRELATplGTOBVILOING ' ' "' " ' � . � CqiSTRUCTION,ANDHEREBVAURpRIZER[PRESENTATIVFSOFTNISCOUNTYTOENTERUPONTHE . , � � ABOVE�YENTIONEDPROPERTYFORINSPECiqNYURPO5E5. , . . COMMENTS � O _ �LN �Li�� ¢ PER�E N�NT� �., t �_(1 � . . . / � �� �� 2 N SiGNA�UREOFPtHM17TEE OnTE ` � • R[CPT.N0. �PAID BY _ _ VALIDATION -�� � - � WHITE—DeDartment Gopy.YELLOW—Finence Copy.PINK—AssessaCopy.GOLDENROD—File Copy.GREEN—Applieant's Copy . ..._. ....,_........» ....t .—,...... ... ..�......�,..y�;•. , . �...• ,•.r...Y.,r•C'•. ._. . ..,... :.v;r „ ..,.. a . .,�. .. _. . ., ::7:... -.,.•, _ CITY.OF DIAMOND BAR " � '. �. ''��. : ; - . � . . . , , , � � INSPECTION RECORD ' � � . ; , , . . . _ � � , • � - • � , � , - SET BACK .. 4' � FLOOR JOIST - - - - - -- � : FTGS/FORMS/STEEL FHA REQMTS - - _ ELECTRIC GROUND UNDER FLO�R DUCT ' � � GROUND PLUMBING UNDER FLOOR CO�IDUIT :'� ' • � _ SLAB GRADE - � FIREPLACE FOUNDATION .. - TEMP POWER� - • - - . . - FIREPLACE BOND BEAM 1-- '" - ' , . WATER SERVICE � - - MID HT..�OND BEAM � ' RO�F SHEATHING 8 FL BOND BEAM FRAMINGNENTILIATION ' FINAL BOND BEAM - • • ROOFCOVER - --- -- - - PRE-GRADING . ' � ROUGH HEATING '. � - = ' ` BENCHING ROUGH ELECTRIC - - - -- ROUGH GRADING ROUGH PLUMBING - -- ' FINISH GRADING • SHOWERlfUB TEST � POOL ELECTRIC EXT.LATH/SIDING � POOL'FENCING WALL INSULATION POOL FINAL • CEIUNG INSULATION OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS. SEWER. - _..-- --.--- . � ' - - _ FINAL ENG. . SEPTICTANK. .. _ ` ` . .. LANDSCAPE/IRRIG. � - - SEEP PIT/L.L. ' . ...-.-- . - --...__ _. . . .. . _ � ON SITE IMPS. � GAS AIR TEST - - - - . . - - i FINAL ZONING " ' FINAL CONST. � ---- �"" `'" f= • • ' FIRE DEPT.FINAL - FINAL HEATING - - - -- HEALTH DEPT. FINAL :, � - FINAL ELECTRIC -- - - DEV.FEES PAID FINAL PLUMBING � ENERGY J , � . , , . ... . .. � � - - - . . . . . ._. .. �' .. ',r •1 COMMENTS � ' , , � . . . . - - - � � • _ -- , . . _ . , _t. � . - -- - - - ;,,.., ,. . _ . . ��� :���-4 , .. � . - , �(i:�; r �� r,C•� _. _�,' ._. ---_ _' . `- - . __ . . _ . I , ' . SEPTIC TANK SIZE � � - . SEEP PIT/U SIZE � ; : . " ; ��; . ,-�, , , , , ,. _ � -. , , ; .-._` , : : ,