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HomeMy WebLinkAbout16426 i : � �� CITY OFDIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)8643195 Fez(909)861-3 t 17 PRE$$ �'�^'� BUII.DING PERMIT APPLICATTON ' ' � FIRMLY o DDRESS ��9. ��I t��N�" APPLICATIO PERMff (r_I l� I _ P/C � r,�_—� DATE �.n ��NUMBER 1��?'�� x � APN LOT TRACT DATE /ONST. GROUP � OWNER O p ADDRESS /�fx • �' F' � N � ZONING SEfBACKS � cmr D�r1 o�D R�S2 ZIP TEL. REAR • RW ❑ APPLICANT TEL.� SIDE/SIDE STREET RW ❑ � CONTRACTOR �"Nb �c SIDE O � ADDRESS c L1-Y__ L-• � CffY QJl� �N�� RML IPA'I7 � TEL��� PROPOSED USE G`' �Q� f o ARCWENG/ � _�_ �, — � DESIGNER NO.DWEL • NO. • : NO. / i = CnDRESS Z�P TE4 UNITS STORIES ��� BEDROOMS N DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION � OOWNER•BUILDER DECLAFtATION SFR/A�D,'REM p �N[REBY AFFIRM UHpER PENALTY OF pEiWRY TMAT I MI E%EMPT FAOM THE CONTMCTORS U• G2fege/CefpOR LLI CENSEUWFORiHEFd10WNOREASON(SEG7071.68USWESSANDVROiE551dJ5CODE:ANYqTVOR (n � CLU!lfYYR71C11RE0UYlES�PERMfITOCONSliIUGT,ALTEiLMPROVE,DE1.10LI5M,ORHEiAIRANYSTRIK 'W patiolDeck � � � lUi1E,VRIOq TO RS ISSUFNCE,ALSO REW�RES THE M7lIC-�NT FOH SUCH PERMIT TO FILE A SICNEO .� SUTEMEHT THAT NE OR SHE tS UCENSED PURSUANi TO THE PROVI510NS OF iHE CONTMCTORS U- � CENSE UW I��ER 0([dAMENLWO WIiH SELTqN 7000)OF DIVISqN]�F TME BUSINESS AN0 7R0• � POOVSpa fE551DN5 tDO�OH THA7 HE OA SHE IS E%EUPT 7HEiiE�AOM JVm ME 8��5 FOR 7HE ALLEG[D E%EMP• TION.MIYVIOIATqNOF5ECT10N7W1.68YANYAPVLK/NfFORAYERMITSUBJECTSiMEMPL�CINTTO � qg�ppp� � A CML PENA�TY OF NOT MDHE iHI�N FNE HUNDRED DOLLARS�f500�.): � 04ASOWNEROFTIIEVROPEN7Y.ORMYEMVLOVEESYnTHWAGE5A5THE1R50LECOMPEN5A7qN, 0 CWI1m0fCL71 . . - MALL DO iHE WORK AND hIE STRUCTURC IS NOT INTENDED OR O�FERED fOR S.LLE(SfC.70��,BUSI• � NESSAND VROFESSiONS OOOE:TME CONiMCTORS UCCNSE Uw DOES NO7AGPLY TO IW OWHER OF ? PlIOiEHTY YNq BULDS OR IYPqOVESTHEREON,/WD YM10 DOES SUd1 WORK HiuSELF OR HE0.5ELF Oq � fT1R0UOMNISOitNEROWNEVPLOYEE3.►ROVDED7HATSUC11MPqOVEMEMSAREHOTNTENDEDOR � W OfFERE0iOR5ALEIF.FIOM�EVERTNGBULDW60Rl►1PROVFYEM@SOI�WfTMNIXJEYEAROFCAAIRE• ZTION.THE OwNEH�BUILDEA WILL MAVE TME OURDEN OF PROVINO THAT HE OH 6HE DiD HOT BUIID Oq = MVROV[FORTIF PURPOSE OF BILEI O 1,ti5 01N�ER OF 7NE iROPEiRV,AM E%CLUSNELV COHTMCTINO YRRI LICENSE�CONTMGTOHS .W CENSE�UWO ESMOTM YTOANOWNEROFIAPSROVfR�MAqBU1ID50D61v�ROVE5T11 RCON,ANO V�IU8liIX1 � ADJ.AREA � YNqCONTMCTSiOfi5Up1VRDJECT5WIT11100NfiV�CtOR(5)LICE�SEDPURSUANTTOTTI[COMiMG OUANTITY SCRIPTION FEE � TOHS UCENSE UW). � O IAY EXE4CT UNOER SEC. B.i V.C.FOR iM5 RE�SON U � aOA7E OMrt:ER V . . . . �4 LICENSED CONTRACTORS DECLARATION -� OC w INEREBYAFFYWUNOEPPEWLLTYOFPERNRYTWl11AA�LICENSEDUNDEAPROV1510N50fCHAPTEi1 U. � ��CdiMENCNOWITM5ECT10N7W0�OFDMS10N]OFTHEBUSINESSAN7VFOFESSIONSCOGE./V:D z �� W LICENSE 6 M FULL FORCE MA EFFECf. P � � LICENSE CIAS � LIC.NO.��a�V/ � a V DATE �CONTMCTORTIII�A't'L���tC� � W � WORKERS'COMPENSATtON DECLARATION 4 � U N IHEREBVAFFIRAl1AlUERPENFLTYOFpERA1RY0NEOFTIIEFOLLOMnNGDECUMT10N5: v, z � �INAVEMDIMLLAWNTAN�CERTIFlGTEO�CONSENTTObELFdNSUflEFORWORKERS' T � � '� CONPENSATION,ASVRCY10[DBYSEC710NTooOFTNEUBORCODE.FORTNEG[RFORAIANCE W OF iHE WORK FOR WHiPlTN�S PERMIT IS ISSUE�. � � _IHAVEANOWILLMA:MAMWOiV(ERS'COYPENSATpNINSUR/NC£,ASREWIRE�BYSECf10N 1 /� �./ Q ]7DOOFTHELAB0f100�E,F�RTMEiENFOHMANCEOF7HEWORKiORWMICHTN15PE��TIS � � ��'� LSSUFD.WWORN�ERlS'COMP�EINSATqNW/SUq�ANC�E/GARIERANDPOL�CYNUMBEAME: CONSTRUCT�ON .1 �J jwu�uca � � I�T-C� 'LL�NU ---- PLANREVIEW 0 pp��y�n�nFn�T��n2 ELECTRIC � � 0 (niSSECICNN�u0TDE0or.FlF1EDOfTEtLRMTSFOlioh'EVllLY1CDar1ARsa+oojMLEsS} PLUM6ING Z I CERTIFY TNAi W THE PEi1FORAUNCE OFTHE M�ORK FOR VM�dI MIS PERA1i71515SUED,1 MEGHANIGAL (� y1ALL NOT EMPLOY FNY PERSON W ANY MMlNER 50 AS TO BECOME SUDJCCT TO TME � WORxERS'COAIPENSATqNUwSOFCALIFOaNi1AN�AGREETH�TIFISNOUL�BECOYE INSPECTIONFEE S SU&IECTTOTIE'NOfil(ER+CW�PENSA710tIGROV15�ONSOFSECi1CN77000FTHEUBOR cooE,i �wt corrrriwm�cour�r vnnr r�ase pAwisior�s. ISSUANCE � � ' SMIP • p DATE: ��APPLICAM: __ � ENERGY P/C WARNIN�:FAILURETOSECUREWOfiNERS'ODMPE S 10 CAVEAAGEISUMUWFUL,/WDSHALLBE � SIAIECTANEMPLOYER70C(SMINALPENALTIES LIVILFWESUPTOONEMINOREDTMDUSIfD ENERGYPERMIT DOLURS(f 1o0.0oa).W AOD1110N i0 TME COST OF COMPENSATqN,DM/AGE51�5 VROVIOfD FOR IN ¢ SECTION]70tOF7HELA90FiCODE.�NTERE57,ANDl1ifORNEY5FEE5. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: CC IMERfBYACFU7uUNOERVENIITYOFDE0.NRYTMATTNERELSACONSTPUCTIONLENDIN�AGENCY � dZ iORTHCPERFOF7MNICEOFTN[WORKFORWMip/THISPERMITISI55UED�5EC.7oG7,GV.C.1. W � LENDEHS NAA1E � LENDER'SAlAflE55 /� WICERTIFYTUTINIIVEREPDTNISMPLICATIONANDSTATETW�TMEJIBONE�NFORM�TIONISCORREGT. TOTAL FEES I��� '/v � IAORFETOCWAPIYWITHALLCrtYANDCOUN7YORD�N:wCE5/NDST�TEUWSREU71N�T09ulDIN6 CONSTRUCTqN,AND NEREBYAUTMONRE RCPRESENTA7rvE5 OF 7H15 COVN7Y M ENTER UPON THG Z A&lYE•YLNTqNED VROPERTV FOR INSPECTION VURPO5E5. COMMCNTS � � }' r - � }� � Q PEWA NIWE WHT) r � l/� n,� � S1CNA :1. fE � RECPT.N0. PMD BY T VALJDATION WHITE-0epertment Coq,YELLOW-Finence Copy,PINK-,Aeseasa Copy.GOLDENROD-file Capy,GREEN-Nppicern' Copy . ...s . ..... . -- � . �n . " � .. ,.. j.Y.' • . .. , . .. , ' .. � , .. . . .. . � � .. .. . . . � .. .... . .. � _ _ CITY OF DIANfOI�LD,BAR , , ,,.,. . ,. ... _ �.,: . . . . .. . , �: , ; : : . .: � .. : . :.lNSPECTIOt� RECORD �... . :..�;� . __1; \ r _. _ , . _ _ :: �� 1 . . . �:. .r . .�"c � r '� • '1 � C�'1 0 �� � =�C1 C `�E .r�i:[C � '• ! �E� �������I��. I r��:��+�i�A� :�r.��� �L�=��t��;l�;a.�,_���.�-��_��i:�,..�..._., -��'�_ .,,__...:_...r�_��.__...�,. _. j SET E3ACK -� , ^,f---i ... , I - - - ,`. •FLOOR JOIST� ,, ._..r..1._.._M.,..� .,�....'�. : . .. � FHA R . , . , , . . . , . , . , _.. . � ...,. , : � ;FTGS/FORh451STEEL�. ` .,� , . . . , ... . . EQ1�7TS: .- -.- --: .- ' " CINDER FLOOR DUCT '�" � iELECTRIC GROUND.---- - .�.. ..--..-: - - .''" � :'. _. . _ . _. . . , — i-- (GROUND PLUPJIBING : . �•.:•: - UNDER FLOOR CUiJOUIT � . - ' ` � � _ � t --- � �- _ .. •-�--_-_�, ISLABGRADE----------�'�' - - ----..— _. .. .. __. .. �,..,. FIREPLACEFOUNDATION �, �, , .. •r. � ; ,; ' ; ;; �;! .,, .. � �, --. .._._.__... .. . __... _ . .. _.... ... __.._— TEMP POWER--� �.:; ; ; ,. �� FIREPLACE BOND BEAM - - - '' `� i : iWATER SERVICE---- -- --_--- - - " = MID HT.BOND BEAM . .`, ; '• :1: • ' , ; - c ;ROOF SHEATHING - � -2�"OJ` _ 8 FT.BOND BEAP�1. " ' � � � `�' � : ' • ' ,. .. .. . . , , • - -- - - - � ,-• ;FRAMING,NENTiLIAT10N : • -� ` FINAL'BOND�BEAM � � , � � i ROOF GOVF_R .n:' � � �, -r� � :: PRE-GRADING - -- - - - ' ' - •. --- -- _ _ . ' " . � !ROt1GH H�ATING - . ._. _. . . _ _ ........... .. .. . BENCHING . _ ._. , .., � ; , i FiOUGH.ELECTR(C.._..! .... . --. : : " ' '. .� _ 'ROUGH GRADING - . - -- ---- -- , � !ROUGH-F'Lllti161NG._' . . .--- ..._. , .... - --.._ _"_ FINISH GRADING ' �.: ;SHObVER,'TUBTEST-- -- --- ..._- _ ' -- . POOL'ELECTRIC . " ' . , . !EXT:Lf,TH/SIDING -' - - --- - - - __ POOL FENCING , �� . . . i ::. !VVALL iNSULATION ---- ---��---_ . :, ,�.� ` - POO�FINAL •. : � � �, �CE1L1i�G ii•:SUUiTION`-- "— - ' - " ' OFF SITE IMPS. . ' ' � 'DAYWALL NAILING __, ... __.. . - -; .- . DEDICATIONS � • i ; : ;SEI�"dER ..._._ ..._._. .. . ._ . _._ _ _ FINAL�ENG. . , . ., ; ; ISEPTIC TANK � LAP�DSCAPElIRRIG. � �SEEP.PIT/LL. ._ . . � •� ' � ' � ` ON SITE IMPS. � jGAS_AIRTEST � FINAL'ZONING ' ' . � : ! = tFl`AL C�NST... .....__ ._. :_. S��'�-�. ...� ' l <' ".-- FIR[DEPT. FINAL _. _ .... ... ' _ ._ ,. ;F1��t�.LHEATING.... ... __. . . ._... . - �� HEALTH DEPT. FINAL " --- DEV. FEES PAID _ -- -- •- - -! ; , ;FIIvC,I_ELECTRIC -----. ---- -- �'i=`:.�n.L- PLUh1BING ---- _. ..---.. _. .__. _. . . . .. .. .. ENERGY '•�--- . , � - --- --------- � -- -- �- - --. .. . _. . � , � - . ;.�_..._ - _ ti , �� -------- --... ........ .. �- - ---._... _. _ �r_ci (�e; �._._ --. .. • _ � — � .....__ . _. _ _. _ -- � :; �.a , , ,. . . .. ? . ,:;`. � ( '.. _ . ........ . . --- •. .. � ;cot�nnnErvTs � � � : , . . „ , , .. . . , -_.... __ ..._ . --- .__. . _ . .. . - -. _. . , ; . .-- -- --_ -- . ; . ,� .. . . . ; �,, � �,� .� ;� � ; . � . , . . , ; � . . _ . . - - - . , , . _ , � -. . .... '.r�'"_. i� %`^- . ____ . 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