Loading...
HomeMy WebLinkAbout12687 i _ . �� CITYOFDIAMONDBAR ExP��ED DEPARTMENT OF COMMUNTTY&DE � 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 • U C T 0 3 i0Q0 PR ESS ����^� BUILDING PERMTI'APPLICATTON FIRMLY � JOBSITE APPLICATION C PERMR 7 P/C o ADDRESS 21 LCo o Gc'n'�/ i�rr-�v C OATE ✓ �� � NUMBER `� # c� ISSUE TYPE OCC APN LOT TFiACT DATE CONST. GROUP � OWNER Tc:sa„^.^E�- �^L'u"^� O o ADDRESS I�GuS `.. �-��C ��F - 5z-F; Zu ZONING SEBACKS W CfTy cnY �w �No<<:rr-y ZIP �I��Wg TEL.�lo��9�s--�i FRONT RW ❑ � APPUCANT K.���s"""�""t TEL./��")�y"-r'�"' . REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR T�E'�"^Rt'A.2 �"�. SIDE � ADDRESS �1ur �Ea �� T pROPOSED USE 0 CI7Y ���^�{.�M 21P `��� TEL �'a `�'-'� w ARCH/ENG/ �� DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS , � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AFiEANALUATION � p� OWNER•BUILDER DECLAFiATION SFR/ADDIREM O p I HEREBY AFFlR1.1 UAER GENALiV OF FERIURY TIAT 1 AA1 E%EUPT FNpJ THE CONTRACTO0.5 L4 GafOgB/CU1pOft LiJ CENSEUwFORTHEiOLLOWb10HGSdJ(SEG70of.sBU5WE55ANDDROiE5510N5COOL:INVCITYOR (n ' "' � COtMYY1F71RIRE0UIRESAPERMfTTOCONSTilUCf,ALTEiLMPROVE,DEMDL191.ORREPAIqANYSTRUC- W Paiio/Deck - � '�' ' � �- � � TURE.iR10R TO RS ISSUANCE.AL50 REWIRES TME APPLICANT fOR SUCH GERMIT TO FILE A SIGNED w � STATEMEHT 7HAT HE OR SME IS LICENSED PURSUNlT TO T11E PROYISIONS OF iNE CIXiTMCTDRS U• � LENSE UW(CHAPTEN�(COMMENCWO VATH SECTION 700DI�DIVISION 7 0F TME BUSINESS AND VRO� u' PoollSpa FESSONS COD�01t THAT NE OR SHE IS EXEMPT iHEREFR041 MA THE 8�5�5 FOR THE ALLEGED EX[MP• TION.MlYNOU�TIONOFSECTION70]t.68YAHv�PCIN'JN1TG0l1�PERAIITSUfl1ECT5THEMPLILA11TT0 Z qp•Rpp� � ACMLPENALTYOFNOTE�ORETIVNFNENNJDREDDOCLARS(f500)} � O�ASOM�NEROFTHEPROPERTV.ORMYEYPLOYEESVATNWAC[SASMEIRSOLECOMPENSATION, ❑ �pmmBfCiBI YnLI DO 7i7E MIDNIC AND TME STRUC7UR[IS NOT ttfTENDED OR OFFERED FOR S�LE�SEG 7W�,BU51• �! NE55 MD PROFESSIONS COOE:iHE COHiMCTORS LICENSE LAW DOES NOTAPP�Y TO A4 OWNEfi OF N PROPEiCiYYVF10BUqD50RMPROVESTHEREON.ANDN'MODOESSUCHWORKHIMSELFORHERSEIFOR = � CC T1IRWGHMSORNEROYMEMPIOYFES.VROVIDEDTHATSUCHMPROVEMENTSARENOTMTEKDEDOtt m � OFFFREDFORS/LLE6,FqVhYERTNEBULdl1�ORn1vROVEUEMI550lDWRMNONEYEAROFCOlAPLE- � TION,7ME ONT�ER-BUCDER wILL MnVE THE BURDEN OF VROVINO T17Ai HE OR 6NE DD NOT BUIID OR � tAPROVEFORTHEPURPOSEOFSALE). O L�l5 OWNER OFTHE PROPEHTY,AA1 E%CLUSNELY CDHTMCTIPW NrtTFI LICENSED CONTMCTORS � ro ea+srr+ucr n�v�cr�sEc.�oa..eus�r+�ss u+o vaovess�a+s cooe:n+e cor+rw�cloas u- VaWation ADJ.AREA W CEMSEUWOOESNOTA7VLYTOANOWNEROFAPROPERTYY�TqBVILU50HMPROVESiHEHEON.AND � NR,OCONTMCf5GOR5UCJiVRQIECTSWIT!AOONTiUCTOR(5)LILENSEDPURSUANTTOTHECONTMG OUANTITY DESCRIPTION FEE � TORSLICENSEUw.). J �.St. .�1�.= `��o1...0 'L 0 O I AM EXEMPT UNOEH SEG B.1 P.C.FORhliS REASON - Q � � U ¢ �'i Z�.,o0o J u" D�TE OWNER � W F6 LICENSED CONTRACTORS DECLARATION w � [� IMEREBYAFFIRIAUNDERFENKTYOFPENUAYTilAT1A1AL�CENSEDUNDEROROVIS10N50FCHAPTER � d /(GVMYENCPq rifTM 5ECT70N 700010F DIVI510N 7 0F iME 8U51NE55AN0 iROFE3510N5 C00E,AND Z X IAYLICENSEISNFULLFORCEMIDEFfECT. m LL1 � LICENSE CUSS G Z'� LIC.NO. �'Z�� 7 � �� 11�/4 .8 cornancron �� , a w ���� WORKERS'COMPENSAYION DECLAFiAT10N 4 • � IHEREBYAFFIMIUNDERPEfULT/OFPERNRYONEOFTHEFOLIAWINGDECLAMTqNS: V � � � � N . Z Q O _IHAVE/J7DWILLIAAMTNNACEHTIFICATEOFCONSEMTOSELF•INSUR[FORWONKERS' 2 � COUPENSATiON.ASPHOVIDEDBYSECT10Ni7000FTMEUBORC00E,FORTHEGERFORMANCE U Q OFT/ENORKFORVAIIGITHiSPER1/ITI5155UfD. � � �J �fj,�l HAVE AND N7LL MAINTARI N'ORKERS COMPENSATION INSUMNCE,AS flCOViRED BY SEL?qN Q ]70aOFT1/EUFiORCOOE,FOATHEPERFORM.WCEOFTHEWORKiORWNIpITHISVEPMITIS ISSUED.A�YWORKEHS'CdA7EN5ATIONINSURANCEGRRIERIW�VOLICYMIMBCR/WE: CONSTRUCTION �� -- -� . .,wa �Ga.✓�1 s L� ao T�E1w��.F I� ] CARRIER A .Jt-� G0. - PLAN REVIEW - . _. . _ .. .. ... .. .__... ._ � PoIICYMIMOER � �7 ELECTRIC � (no^.,SECroNrgFnNo78Efri.stE7�OFTEPEMtt6WRdd[Mf�Di�£DOo � iacyMLE55? PLUM01 W / W `,, Z ICEHTIF'ITHATNiMEPERFORMANCEOF7HEWONCFORYMICNTH15PER1/1TI5155UED,1 Mt�.FfANIC _D� , (,'} SHALLNOT IMPLOTANY PERSON N ANY MANNER SO�S TO BECOME SUDJECT TO 7ME � WOHNERS'LdAPENSATIONUN50FGALIFORNV�AND�GREE7H�TIFISHOUIDBECOME INSPECTIONFEE S SUBJECTTOTHEMKKiKERS'Cd.�PENSATIDNPROVISqNSOFSECTI0N17D00FiMElABOR ' caoc.�sx' iORMW1T11Cd.�PLVN7iN7TK15EV s ISSUANCE (�(� � � Il �9 q APPUCANL � ,. SMIP �-�.�-3:��3.7V p OA7E: w ENERGY P/C WAPNING:FARURE TO SECURE WORKERS'COFAOENSATION AGE IS UNLAWFUL.AND SMALIBE �y 6V&lECTANEMPLOVERTOCNIAiN,1�VENALTIESANDCMLFINESUPTOONEMUNDRE�THOUSANO ENERGYPERMIT C'ITY nF DIAMOND BAR DOl1AR+(f1oo.0oU).�N/�DITIONTO7MECOSTOFCqAPFNSAT�ON,D�M�GESASVRO�nDEDiORIN n---�7–T– �t A��7� --- ¢ SECfiON�7oeOF7T1ElABOflCODE,PlTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: 17tJ11•1/TNIJ t'�\l!SA�Y a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IMERCBYAFFINAUNDERPENNTYOFPE0.JUqYTHATTHEREISACONSTRUCTIONLENDINCACENCV Z FOfi ME FERFORMANGE OF iM[WOP1C FOR N?1lpi TMiS PEiW IT IS ISSUED(SEC.]Ov�.CN.C.1. W � LENDER'SNNAE � ' � LENDEi#SADDR[55 W ICERTIFYTNATINAVEREAO7MISAPVUCATIONANOSTATETUTTIE�BOVEINFORMATIONI9CORRECL TOTAL FEES 7 , � IAGREETOWIdPLYWRHALICfTY11N�CIXMTYOR0INANCE5�ND5TATEUwSRCUTNGTOBVdDINO CONSTRUGTION.AND NEflEBY AUfYlOR2E PEPRESEN7A7IVE5 OF TW S COUNiY TO ENTER UPON TME � ABOVE.YEMiONE00ROPERTYFORWSPECfqNVURPO5E5. COMMENTS � ��� s 3. S►wrr+� d m GEfUAfTTEENAME(PNIDlT) \ � �� ` � �/ �� �� N y SIGNA7UHEOFPERMiTTEE DATE � RECPT.NO. PAID BY VAUDATION WHITE-0epaRment Copy,YELLOW--Flnence Copy,PINK—Assessor Copy,GOLDENROD--Fila Copy,GREEN—ApplicanPa Copy . �. � • . .. . . . .. .. . ...,. . . � • � . .,.. . . , . . -. . . '?. -. . . . ' ., . . . . � . , . • - .. - , r -.. , . ,,.:��- �-- • IT F DIAtJIOND BAR . � �:•::�'�I"1�._, ' . . � I CTION RECORD � ' . . .. _ ��,,; �, � T��l! �, _ IF ! B � • ' � � + � - SET BACK � • ' . '. FLOOR J015T � � , FTGS/FORMS/STEEL . �� FHA REQMTS � ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CO�IDUIT � SLAB GRADE - � - � FIREPLACE FOUNDATION = TEMP POWER � � ' ' � FIREPLACE B�ND BEAM � � WATER SEflVICE MID HT, BOND BEAM ' � "' � � ROOF SHEATHING - - 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM � ROOF COVER PRE-GRADING • ROUGH HEATING - BENCHING -- - � ROUGH ELECTRIC ' ROUGH GRADING • ROUGH PLUMBING- - " FINISH GRADING - , SHOWER/TUB:7EST POOL ELECTRIC EXT.LATH/SIDIIVG POOL FENCING WALL INSULATION . POOL FINAL CEILING INSULATfON OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. � SEPTIC TANK. . LAN�SCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. ; GAS AIR TEST � FIPJAL ZONING FINAL CONST. - - ' ' FIRE DEPT. FINAL FINAL HEATING • HEALTH DEPT. FINAL ;_ FINAI:ELECTRIC - - DEV. FEES PAID FINAL PLUMBING ENERGY . =i;� • • � COMMENTS��1�.�� t �T�. . ; , _ . . . . .:!f r 1 _. - . � . r ,�,)�i �-'���!�r. , r A � �.A SEPTIC TANK St��i:;r..���•r,,�,� :=j,�;r; ,���:; . SEEP PIT/U SIZE . .I�t � , ' , , �} ^; , .. � . � ; , . . . � ,_