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HomeMy WebLinkAbout11465 ,_ ...__. __ . .. ._. __ � --•-- �---- _ . .. ._ _ ....�____�.- -�-----�-.. .._ - �; ----���--- CITYOFDIAMONDBAR �. - � � COMMUNITY DEVELOPMENT DEPARTMENT.� ' - !�,.: 2I660 E.Copley Drive Suitc 190 ' , '- • PRES•S• (909)860.3195 Fax(909)861-3117 ' ' " ' ""' BUILDING PERh4ITAPPLICATION FIRMLY �. � JOBSITE O �/ ',/ Y �� o AD�RESS �-ZS1S ��N�6N vIa'�'" :� � APPLICATI �a PERMIT. 1 � " P/C DATE O'"��NUMBER # ' � APN ' ' LOT 6 TRACT '��� ISSUE TYPE OCC .. DATE � CONST. GROUP ' ; p OWNER ': .o ADDRESS � 20NING SETBACKS - • : z CITY ZIP L. • - FRONT RN1 p - ;' o APPLICAN - 'TEL. SIDE/SIDE STREET RW I ❑ • . � ., , . . .... -SIDE - -- - - -- - ❑ - + m¢ CONTRACTOR U - ADDRESS - ' - � _. .. . ' � CITY _TEL. PROPOSED USE . ; _ _ _..._ .. _. . _. . .. . � w ARCH/ENG/ • ; .. W DESIGNER .. ._ .. ' .. _ � a .ADDRESS ,;, , NO.DWEL. NO. : . --- NO. . . ' � CITY ZIP TEL. � UNITS - �-- -STORIES ' -- BEDRODMS ' _., l ..�, _. _. .._ __.. _ . . . _. . _ . ... _ � �n , .. : DESCRIPTION �SQ.FT. FACTOR PSF ADJ.AREANALUATION ; . � .. _ . ..._ OWNER•6l'ILDER DECLAAATION __._._. . . ' -- SFR/ADD�REM - - ._ . O ' . . . . . ... . ..... � p . . 1 HEflEBY AFFIRIA UNOER PENALN OF PE0.NIlY TFiAT I AM E%EMPT iROM TNE CONTRACTORS LI- �" G2f0g0/C9tpOK���� ��� �- - � -� � . -' .. . ' � ' � ' I W CENSEUWFORTHEGOLIOwINGHEA50N(SEC7o]7.59USINESSANDPFOFESSIONSCOOE:ANYLRYOR (n ' ' U CpUNfYyvinplREWIRESAVENA117TOCONSiRUCT,ALTE0.���PROVE.DEAA0U5H2ORRGPAiRANYSTRUC- W pa�iolDeck � � � � � ' .'�� � lUa[,PRIOR TO RS ISSUANCE,AL50 R[WIRES THE APPUGWT FOA SUCFI PERMIT TO flLE A SiGN[D W ' . ._. _ _ . . _ ._ ` STATEMENi THAT HE OR SHE 19 UCENSED PURSUAYT TO THE PROVISIONS OF THE COMMC70R5 l4� '- ��� ��- S CENSE UW(p1FPTER v(COMMENCING WITi SEGTION 7000)OF DMSqN 7 OF THE BUSIN[SS AND GRO• ._. � .POOVSP� _,,,, ' ' ' � � ' FESSqNSCDDE�OHiMATMEOR5MEI5E%EMPTTHEREFROMIINDTHEBA515FORTNElLLLEOEDE%EMP• - V TqN.ANVV10lATpNOFSECT10N709L5BYANYAPPLICA4TFORAPERA11T5U0.1ECTSiHEA�PLICANiTO� • Z qe�Rool .. . . _ A CML�ENALN OF NOT MOFE THAN FIVE HUhDRED DOLIARS�f5oo).)� � � Z04��wNEROFTNEGROPEi1T1;ORMYEM7LOVEESWIiNWAGESASTNEIRSOLECOIADEN5AT10N, �, � �mmercial . . . . � ' � . � W:LL DO TME WOFlK,AND TME STRUC7UPE IS NOT IN7ENDE0 OF OFFEREO GOR SAIE(SEC.70u.BU51- J . N NE55 AND GROFESSIONS CODE:hIE GONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWN[R OF, � , , � � . , � PROPEPTY W��O BUM1DS OR IMPROYES TMEREON.AND MMO DO[5 SUCH NORK HIMSELF OR MERSELFOR [[ THROUCHHISORHERONTlEMPLOYEES,VROVIOEDT/MTSUCNIMPROYENENTSARENOTNTEN�EDOR m � OFFER[OFORS�LE.IF,HOWEVERTMEBUILDINOORIMPROVEAtEM1550lDWRMNONEYEAROFCOMPLE- � � '�� - � Z TION,iME OWNER�BUILDER WILL HAYE THE BUFiDEN OF iROVW6 THAT HE OR SHE�ID NOT BUII.�OR �� W pAPPOVE FOR THE DURGOSE OF SALE). ' � . .. . . . .. .. -.. 04�ONMEROFTHEPROPERTY,AME%CLUSIVELYCONTMCTPlGY/RH � MCTORS ' � N CONSTRUGT TME PFlQIECT(SEG 10M,BUSIAESS AND PP C.•S DE:THE COMMC u• Valuatim ADJ.AREA ' W CENSEUWDOESNO?APPLYTOANOW^IEROFAi Wr�OBURD50RIMPApYESTMEHEON.A D � � �WIqCANTiiAGT5FOR5UQIPRQIECiSWI TRACTOR�S)IICENSEDPURSUMlTTOTH[CON o OUANTITY OESCRIPTION ' " ' � � � �� �E � � TORS LICENSE UW.I. � . - � ' .. . . . .._.. ._. .. . _. . . .. .. .. . _ . _.._. .. . _... ; 0 OI.uIE%EMPTUNDER ,.. � . .FORTHISRUSdJ Q ..-. . .. �" ' . '. .� _. .._ ... . .. _._. (� . � • � :. . - . � . . ... ... _ ... _. . LL . � . .. . . .. ' ' � '. ." '..' .-.- ;, DATE OWN R '' U . Z . . .. . _.. . . . . . _ .. . . .. , O W ..... . � _ _LICENSED CONTRACTORS DECLARATION . "' ` W �- - . . _ . . _.. .. _ . Q 1 HEREBV AFFIRAI UNOfR PENALTY OF VERNRv THA71 AA1 LICENSED UND[R PROVIS�ONS OF CHAPTER � V, � .., , . . . � p. 'Y(COMMENCINGWRHSECTION7000)OFDMSION70FTNEBUSINESSANDPROFESSIDNSCODE,AND Z - - - - ' X MY�ICENSE IS W FULL FORCE AND EFF[CT. , m , LLI � 0 LICENSE CUSS ---.. -. . IIC.NO. ' ._- ... . .. .�. .. .- . . . � . ' J i U DATE CONTMCTOR �� � a .._'W . _ ' _ _ . _ '. . 1 . . , : � WORKERS'COMPENSATION DECLARATION � ! � 1 HEREBY AFFIRM UNDER DENAITY OF OE0.ri1RY ONE OF THE FdlOWING DECUMTIONS: Z . y O _�WWEM7DWiLLMAINTAINALER7IFICATEOFCONSENTTOSELFaNSUfiEFORY/OFiKER4' _ • � CAMPENSATqN.AS VROVIDEO BY SECiION 770o OF THE LADOR GWE,FOR 1ME PERFORMANCE W � _ ... _OF iHE WORK FOR WNICH THIS PERMIT IS ISSUED. � ' '._ ..._ _ .. .. ..... � .. . ..._'__ ' _' ..... ....... .""' _. ..... . "" " ' . ... ._. .,.. iw _IHAVEANDWILLMAINTA:NWOPI(ERS'COMPENSA7qNM5URANCL,A5RE0UIRED8Y5ECTION -- Q ]7o00FTNELA80RCODE.fORTHEPERFORMANCEOFTHEWOPKFORWHIC177HI5PERM1T15 ����� ISSUED.MYWORNERS'COMPENSATqNINSUNANCECARRIERANDP0UCYI:UMBERARE: � - CONS7FiUCTION ' " '" '-� ��" "'--� --'- �-�-�-� �• � I J j c�nr�[n _,p�AN REVIEW � . _ ..__.. ... .. ..... ... .. .....--- � - - _. - -- _ _ -- -- -_ _ ._ _.... .- - — - - I Z POLICYNUA�ER ELECTRIC ¢ 1 --p �--� (I11155ECTOMNEmNOTBGOY�REiE00FhfPEiMT6iORONEWrDF[DDOLLM'LsR�rolOttLE5S1.- PLUMOIN . .. �"� W �` �, Z 1 CERTiFV THAT INTHE PERFORMANCE OF TNE WORK FOfi WNICN TMIS PER�AIT IS ISSUED,1 ECHANICAL ;'.__(J . . SHALLNp7EA1PLOYA4YPER50NPiANYMM'NERSOASTOBECOMESV&IECTTOTME � ; (n WORKERS'LOMPENSA7qNUN50FCALIFORNiAAND�GREEiHnTIFI5F10ULDBLCOM[ ��INSPECTION FEE� � � ��-�� � �'- ' �� � -"'"-"" i SUBJEC�TOTHEWORKERS'COMPENSATIONPROVI510NSOFSECTION]7WOFTHELABOR ,. ..O . .., COOE,I SHKL FORTHWIiH COMPLY VAhI h105E PROVISIONS. ISSUANCE �� ♦ .,_ _ .' ' '_'. . ... .. � p DATE: APPLICANT: SMIP "-. . ..__. . " . _ i J WARNING:FAILURETOSECUREWORKERS'CWAPENSATIONCOVERAGEISUNUWFU�ANDSHALLBE �- �ENERGYP/C -� � - �y SU&IECTANEMPIOYENTOCRIMINALGENALTIE5MI0CIVILFNESUPTOCNEHUNOREDiHOUSAN� ENERGYPE ' DOIURS�ft00.000).WADDITIONTOTMECOSTOFCOMPENSATION,DMUGESASPROVIOEDFORIN �^ �-y� ""-� S[Cf10N77o80FTHELABORCOOE,VREREST,IINDATTORNEY5FEE5. ' -" --""' ' � RETENTIO K ii - ----��- '�� � ""� ' �' �. o CONSTRUCTION LENDING AGENCY PREALT FEE: - --� ' � ' ' - — -� - • ,. , • � I HEREBV AFFIRM UNDEH PENALTV OF PERIURY THAT THERE IS ACONSTR:ICTION IENOWC ACENCY - ' � � - FOR THE PERiORMANCE OF THE WORK FOR WHILH THIS FEPMIT IS ISSUE�(SEC.70G7,CIV.GJ. , , . Z . .. ..._ . _... ..__ .. . . ' '""' ' ' "".. ._...._...._. .. , ,. .� . . . . W � � LENDER'S NAME ' ' . �H LENDER5IIDORE55- __. _.__ . . . _ . _. . _ .__' ._.__._ _... � TOTAL FEES �j ,�r ' � I CERTIFY THAT 1 HAYE REA�iM15 APPLICATqN AND STATE TMAT TME A901'E W�CRMATqN IS CANFECT. w IAGHEETOCOIdPL�WITNALLCITYANUCOUNTYOHDINANCE5AND5TATEUWSHEUTINGTOBUL0ING --� - - " d ' � � CONSTRUCTION,MIDNEREBYAUTHORIZEREPHESENTAT!VESOFTHISCOUNiYTOENTENUPONTHE . � � � � ,� Z A90YE�MENTIONEDPROPERTYFORINSPECTION aaases. . .COMM[NTS � -� � � ...... . .� ...... ..... . � J , j --m - r . _ . .. ___""... . .. .. ......... .. . . . . • MiTTEENAM[�PRI n � - � � � N SiG URC-OFPERMiREE JAT ' � RECPT.N0. � PAID BY _ VALIDATION � � ��-- � ���-- � �-� � --�-� WHITE—Depaflmenl Capy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Applican['s Copy . � .. . . .. .. ... ... .. .- . . . . . .. .•., . .��.<, ��.;.. . ,,. -. '.'` . � . � CITY OF,DIAMOND BAR "' �;-.��, :�;�: ; . " INSPECTION RECORD ;'., . - � . � � , . � . . � � . • • - SET BACK : ' FLOOp JOIST ; . , ,_, '- FTGS/FORMS/STEEL FHA REQMTS � � ��� : , ,� �� ELECTRICGROUND ' � UNDERFLObA:DU�T�' .��;.�1:���.���•.��.:::Z•�. � �,;;;y� GROUND PLUMBING � � UNqER FLdOFi SCCSRIDUIT ��.` •==� '� • '��'='�''�.•��•,� SLAB GRADE FIREPLACE FOUNDATION. <- TEMP POWER � - FIREPLACE BOND BEAM��''•.�='1'-•`� ��r_= •�;'�•�'� ` WATER SERVICE _' l9�' �"'= •_`�°; MID HT.BOND BEAM � � -,. � `••• � ROOF SHEATHING 8 FL BOND BEAM � � FRAMINGNENTILIATION FINAL BOND BEAM - • ROOF COVER - - - -- - - - � PRE-GRADING ' � - ROUGH HEATING • - - BENCHING ROUGH ELECTRIC -- - � ROUGH GRADING . ROUGH PLUMBING , - � FINISH GRADING SHOWERlfU6 TEST - POOL ELECTRIC � EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. • DRYWALL NAILING DEDICATIONS SEWER � FINAL ENG. _.. _ . . _.. _ . . . . - SEPTICTANK :.- . . _ ' _. LANDSCAPE/1RRIG. ��" - �� _ � .. SEEP PIT/L.L. - - - ---. ON SITE IMPS. "'�� � GAS AIR TEST -- - FINAL ZONING_____'---___ ��., � FINAL CONST.- - - - - FIRE DEPT. FINAL �� FINAL HEATING - - - - - HEALTH�EPT.FINAL � � FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING ENERGY • • COMMENTS _ _. - - - . , , . :. �. ; � � , ., - . � . . " �I�� . i ' • . � i . � . � . '. � . . SEPTIC TANK SIZE " . - - -- - - SEEP PIT/U SIZE - - � . .. . � �: i . � , . �; ., . . . . � ���,�,�\.�.i,:-'�,'`f-_ - �`�` '`-�, �`------ ._.-�.....- - .._ . � :