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HomeMy WebLinkAbout14753 -- - - .__ __-- -.. � _----- - - -- ��—_ -----�___�_._- -- __ ._,-.. _, - -— _- -- --_ _ _. _ _ -- -_ �� CITYOFDIAMONDBAR ` ' EXPIRED r '-�"" DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' Zi�oE.c�i�yn,���s�ui90 ` PRESS � �'���~ BUILDING PERMIT APPLICATION �UN 1 I ZOOZ FIRMLY y�. JOBSITE r�!(( C Gl._ �/� ��„L� APPLICATION 'S� �� `�a PERMIT P/C o ADDRESS ✓0 D ����r� DATE / NUMBER p c� ISSUE /�,� I TYPE OCC APN LOT TRACT DATE �'� CONST. GROUP. p OWNER �-�=�� " ADDRESS L • ZONIN� SETBACKS � CITY ZIP TEL. REAR RW p APPUCANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR .� � ��'-� ti�1 c�.�� SIDE - p o ADDRESS z �'^7c 'r pROPOSED USE �'�^o"t"`5��I``� ' ,. �L`� �!�/ �s�- CITY �t'►� W^r"' ZIP TEL _ ay B ARCH/ENG/ � -- � DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION u� � OWNER-BUILDER DECLARATION __ SFWAOD/REM O p I HEREBY AFFliYA UNDER GENALTY OF FEiWRV TNAT 1 AM EXEMM FROM THE CONTMCTORS LI- G2fflQ9JCHIDOR W CENSEUWFORiHEFOIIOWWOREA50NI5EG7m1.6BU51NE53ANDGROFE5510N9CODE:ANYCRYOR � (n � COlp1TYYYHMJIRE0UIRESAVEfVARTOCONSTRUCi.lLLTERMPROVE,DEMOLISM,ORREVAIRANYSTRUG W PeliO/DBCk NRE PflIOR TO ITS�.SSUiVICE,ALSO fiEWIRES TME AVPLICANT FOR SUCH PERAIIT TO fILE A SIONED w � STATEMEHT THAT HE OR SHE IS LICENSED PURSUANT TO 7HE VROVISIONS OF TME COfdfMCTORS L4 � � CENSELA�N(dU7TfqY(CDuuENCNOW17H5ECTIDN70001�DM510N]OFTHEBUSINESSMIDVRO- u' PooVSpa FESSiONS COOE)OR i11AT HE OR SHE IS E%EMPT iHEREFR011 M'O T11E 6AS�S FO(iTHE ALLEIiED E%EMP- 7K1N.ANVVIOlAT10NOFbFCf10N7W1.60VANVMPLM1MFOqAPERMIT5U61ECTSTHE�DPUGWTTO Z pe-paol �w� � �� �ACMLiENKTYOFNOTAqRET1INFNEHUN�RE000LUR5�lS00).r , � OlA50MNEROFTHEPROVERTY,ORMYEMPIOYEE9WITHWACESASiNEIRSOLECOIAPENSATION, 0 COffIflIBfCI�71 � YALL DO iHE WORIC AND TNE STRUGIURE IS NOT INTENDED Dfi OFFERED FOP SPLE(SEG 7a�,BU51• J NESS/JJ�PHOFESSIOHS CDOE:TME CONTMCTORS 110EN5E UW DOES NOT APKI'TO AN OWNER Oi � � N VROPERTYMA106U0.DSORMPROVESTHEREON,ANOWHOOOESSUCHWOiiKHINSELFORMERSELFOR �- m � THROUGHMSORHERONTIEAIPLOYEESpFiOVI�E�THATSU[HIAIPROVEMENTSARENO7NTENOE�OR , W OFFEREOFDRSALEF,IIOWEVERTHEBUID�N�ORMFROVEMEMISSOIDWITHINONEYEIAOFCOMPLE� . Z �TION,THE OWNER�BUIIDER NnLL HM/E 7NE BUROEN OF VROVINO T/UT HE OR SME DID NOT BWLD OH = IMPROVEFORTNE%1PGMEOFSALE�. . . . W O�A90wNEROF711EPROPENTV.AYIXCWSNELYCONiMCTIN6N77HLICENSEDCONTRACTDRS � �TO CONSTRUCf iHE PROJECT(SEG 7oar.BUSINESS AND PROFESSIONS CO�E THE CONTRACTORS ll� VelU0tl0�1 ADJ.AREA CENSE UW DOE9 NOTAPFLY TO AN OWNER OF A PPOPERTY WMO BU0.DS OR W P{qVES THEREON,ANO � �� YRqCOMTRACTSFORSUCIIPROJECTSWRNACONTMCTOR(S)UCENSEDPURSUNlTTOh1ECONTMG QUANTITY DESCRIPTION � � FEE � - � TOFi5l10EN5ELAW.} . .. . . , . . . . " � OI1WFJfEIAPTUNDERSEC. B.�P.C.FORiMI5REA50N U _ 3 ¢ . . LL" DATE OWNEH �"" . � . . . . . . . . . W . . LICENSED CONTRACTORS DECLARATION W � IHERfBYAFFpWIRDERiENALTYOFPEfLA1HYTMA7IAMLICEN5E0UNDENVROV1510NSOFCHAPTER � , � � p. 9f�EN�IN(1NIMSECTION700a1�DM510N�OFIHEBU5INESSANDPF10FE55lON5CO0E,AhD . X W IICENSE IS N LULL FORCEAND EFFECL ����� � � L�CENSE CUSS C��� LIC.NO. p,�7E�a�9 � CONTMCTOR � �l � WORKERS'COMPENSATION DECLARATION � � . . � � � IHENEBYAFF6iuUNDE OENALTVOFVE0.A1i1VONEOFTHE W NODECUfUT10NS � � �� � � � � � Z � �IHAVEAND LMAINTAINACERTIFICATEOFCONSEMTOS LF�NSUREFOR RKER' a COMPENS� .IlSGROVIDEUBYSECTON77ooOFTHE FCOOE,FORTH ERFO MANCE W OfTMEWO FORWHId/iHISiERM1T�91S5UE0. � 0 O �IHAVE VALLMIVMAINWONCEPS'COAIFENSATONIN MNCE,ASRE4UIREOBV ECTIDN 77Da ME UBOR CODE,FORTIE PERFORMANCE OF [WORK�OR WHICH THIS ERMR IS � ISSU .M'IYARKERSCOMPENS�TIONINSURANCECA ��ER/WDPOIICYNUMBER HE: CONSTRUCTION � IER PLAN REVIEW Z �cv rn»�eEA ELECTR�C ¢ Q �rass[ctnnr+�r�orgem�s3Fr�pOFiffpEaMrtsroaoNEFaen�mDottans +av�OR�ss} PLUMBING .r� Z �F$LLYTHATNTHEPERFdWANCEOFTHEWORKFORWNICHTHISVERMIT15455VED.l� �MECHANICAL ■�� � WOPofERSCOMPENS�IONEUW50FCALIFORNIA,AND G EET�M TIFIS/KKIDB C�E INSPECnONFEE � � SUBJECTTOTHEWORKERSCOMPENSATIONVROVISqNSOFSECTION�70oOFTHEUBON � � � � � � � s : cooE,�swuisoAr�nn+cor.�a�rwm�nasevno�nsaus. ISSUANCE /�f � � �Pvt�rrt: SMIP ;�B _ B_�1 L . W DATE:�_ . . . .. � � WMNINO:FAILLIRE TO SECURE WOfY(ERS'COMPENSATION EM6E IS U L�ML BE ENERGY P!C SU6.IECTWEUPIAVERiOCRU.1iNALDENALilESANDdNLFWESUPTOON HUNDREDTHOUSANO ENERGYPERMIT -+f+ A� DOlU0.S{ilao.000),N/�DDITION TO iHE COST OF COAIPENSATtlN,DAMAGu AS PROVIOED FOR IN J SECT1DN77olOFTHEUBORCODE,INTEREST,ANDATTORNEYSFEES. RETENTIONFEE' Q�/ � ONSTRUCTION LEN NG AGENCY pRE•ALT FEE: Y . .� IHEREBVAFFlRAIUN�ERV ALttOFPEFWRY7H�TTHER ISACONSTRUCTIONLENDI A(iENCY Z FOR ME iERFOau�NCE 0 T11E WORN FOR Wr11GI lHIS VE MIT IS ISSUED(SEG]oY7, .G). W . � � IEN�ER'SNAME -"� " " � IENDER'SADDRE54 � � WICERTIGYTUTIHAVE EADiHISAVPLIGTpNANDSTATETMATiHEIBOVEINFOR/�ATION SCORflECT. TOTAL FEES� - d IAGREETOCOYDLYMI ALLCrtYAN�00lMTfORDIIUNCESANDSTA7EUN5RELATINOTOBUIDM� CpJ5T0.UCT10N.ANO HEREBV A11T410RIZE RFPRESEH7ATNE5 OF THIS COUNTY TO EMER UPON TME. .. . � ABOVEJAEIRIONEOPROVERTYFORINSCECTIONFUNPOSES. COMMENTS � ��l • � 7���n-G . � m PERM�T7EE 1In Q OG � � � SIOn�NREO IT7EE �� � RECPL NO. PAID BY VALI�ATION WHITE—DepeRment Copy,YELLOW—Finence CoDy,P�NK—Asaeseor Copy,GOLDENROD�IIa Copy,GREEN--Applicant'a Copy - . .., , , ,. . ., . ._, , „ CITY OF DIAMOND BAR -. :, . ;:.; i� �,:�, :'.� • . . . r.,-,� - INSPECTION'RECORD ` �� . _ _.. �� . �;'.�� '� i � . .. G B � � ' • ! � � ' SET BACK ,- � '.' ', .' ' t �; FLOOR JOIST , • ,�, :.:-. '�, ;.c'. ' ! FfGS/FORMS/STEEL ' •� , • � . - i �. '��- FHA REQMTS - - - - - ELECTRiC GROUND � _ _ " � ' � ' '� UNDER FLOOR DUCT ,, , ., , ,, t GROUND PLUMBING UNDER FLOOR CO�IDUIT• ���' " � SCAB GRADE - FIREPLACE FOUNDATION - -- ' `: TEMP POWER-- - ` - - �''" - FIREPLACE BOND-BEAM �, . � ._- - WATER SERVICE _ , _- � _ MID HT.�BOND B�AM ' 't ; ,. ' . , ,. � ROOF SHEATHING�-... -. .Z`l�- ' _ 8 F�'.BOND BEAM�' . .,� .-� ,, , , FRAMINGNENTILIATION FINAL BOND BEAM � ' ROOFCOVER ' : ..PRE-GRADING -- ROUGH HEATING__ - -- . - BENCHING . _ _ `., . .. , _ : ROUGH ELECTRIC - ROUGH GRADING ' ROUGH PLUMBING - FINISH GRADING , . SHOWERlrUB TEST -- - POOL ELECTRlC EXT.LATH/SIDING POOL FENCING WALL INSULFITION • POOL FINAL � CEIUNG INSULATION OFF SITE�MPS.. ' � ._ DRYWALL NAILING DEDICATIONS , I SEWER -- . _ - - FINAL ENG. , . SEPTIC TANK _ '_.. . - _ _ . , LANDSCAPE/IRRIG. � � ' � - SEEP PIT/LL. - � • • • ON SITE IMPS. GAS AIR TEST - FINAL ZONING � FINAL CONST.- -- �� FIRE DEP,T. FINAL FINAL HEATING - - HEALTH DEPT. FINAL FINAL ELECTRIC - � DEV.FEES PAID FINAL PLUMBING - ENERGY ! r , � � ' f J� W U � ' _ , , , _ � t ' �.._ _• . . _ � . , I ,� ��� • •.\ _ . COMMENTS _ — — - - _ �.. , 1 � _ . __ . . _ _ -_ � ;. � _ _ _ _ _- _ -\ , ,\ _ - _�'� ;.� _ ' � �, - �. � , �� , . . _ ���.�, : _ �a.e . �,' ' _.. _ _. _ _, ,;:%•�, �., .1�� �, `� !, ' .I'Z.� Y'�:".'i/;/r "' �r.f , � �-• � _. . ., , , . �'���'T;:".'.�1;.;z'�..,, �, i SEPTIC TANK SIZE .,; ��!'TC;.i:i r}, ! � :. SEEP PIT/U SIZE � , , � �' � 1'� , _ , i �� _ � . . . � .. _ _ ( . . . _ � ' , — . . . � . . . . .-_c` ,. .�i . , � ' .