HomeMy WebLinkAbout13772 (16) CITY OF DIAMOND BAbt �kP�REd
-- DEPARTMENT OF COMMUMTY& S V E
w . Zi�oE.c��ynr;�os,�c�i90 OeT ���
(909)860-3195 Fax(909)861-311?
�'��°�f� BUII.DING PERMIT APPLiCATION FIRMLY
� JOBSITE APPUCATION PERMR����'7 P_/C
Q ADDRESS DATE � Z� NUMBER f��
� ISSUE TYPE OCC
APN LOT TRACT DATE CONST. GROUP
g OWNER �C2N'at� ��
o ADDRESS (a ZONING SETBACKS
CITY �' ZIP TEL �v/- FRONT RW ❑
APPi.ICANT TEL'� . "' / r REAR p
SIDEISIDE STREET RW O
CONTRACTOR e SIDE p
ADDRESS / D S lI�'�
� CITY /U ZIP c/06Sn TEL - /,?� PROPOSED USE
� ARCFIIENG!
DESIGNER NO.DWEL. NO. NO.
AODRESS UNITS STORIES BEDROOMS
y� CITY ZIP TEL.
DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
� OWNER-BUILDER DECtARATION� SFR/App/NEM
i neaEer,��w unaen vEr�n oF r�rwm'�r�r i u�exeMwr rs�me conrrrucroas u- Garage/Carport
CBiSEUWPoR7HEFOlLOVY1NORFASON(SFC.7q11.6BU51NE5SANDPROFE35lONSCOOE:ANYCITYOR (n _
WlM1T1'W1i1p1pEOVIRESAPEHMRTOCON57Al1GT.ALTEA,NIPFOVE.DEMOLISH.ORREPAIRANYSTpUG W Patio/Deck
TUF1E,PillOq TO IT6163UANCE,ALSO AEGUIREB TFiE MPLICAN7 FOR 6UCH PERMIT TO fN.E A 61ONE� �
6TA7EMENT THAT HE Op SHE IS UCENSEO PURSUANT TO llff PROVI$IONS OF THE CONTRACfpRS Ll-
f�iSE lAW(dWPTER Y(COMMENCpiO Y/IT11 BECTION 70W)OF OIVISION 9 OF THE BUSME59 ANO PR6 � PDOVSPB
FESSIONS CO�E)Oli THAT XE ON SHE IS IXEMPT 7NEPEFROM AND iFIE BASIS FOfl TME KLEGED EXEMV-
TpN.ANYVIOLA?IDNOFSECTION7W7.68YANYAPPIICANTFORAPEHMITSUBJECiSTHFAPPLICANTTO Z Rg-Rpp�
.. � ACMLYEIW.TYOFNOTNOflE7HANFlVEHUlWHmOOLUR51f500�J:
04A40WNEROFiF1EPi�PERT;diMYEMPLOYEE3WITHWA0E8A5TNEIR$OLECAMPENSATIDH, 0 Commercial
MN.L 00 TlIE YYOFIK,M10 THE STFp1CR1PE IS NDT IHTENDEO OR OFFEREO FOR ShLE(SEC.70a�.BU51- J
N NESS AI�PiiOFESS10N9 OODE ME OONTMCTOp9 t10EN9E 1rW DOES NOT APPLY TO AN OWNEP OF ?
CRODERfT MIFIDBUNDS OR I.iP110VE5 THEHEON,AN�HM11000E5 SUCH-WORK HIMSELF OR HERSELF OR
� 1HpOU0Flip90RHEROMMEMPLOYEES,PROVDED7HAT8UCHIMPROVEMEMSMENOTINTENDEDOi1 m .
OFiERm i�lBAIE IF,HOWEYERTHE BUILWNCi ORIMVfiDVEMENT ISSOID WI7HIN IXiEYEAR OFCOAAPtE-
-710N,7HE OWNER�UItDER WILL HAVE THE BUMEM OF PROVINO 1HAT HE OR SHE UiD NOT BUIID IXi
YPROVE PoH TNE PURPO�E OF SALE�. �
r W ❑I,ASOWNEROFTHEPfqPERfY.MAIXCLU81Y0.YCONiRACTINAIM'RILiCBtSEUCON7IUCTORS
- � TO OONSTIiUCT TNE PR0.IECT(BEC.7M�.BLISWE35 AND VROFESSION$ODDE:iHE WNTAAC70R5 LI� �/8IU8(Ial ADJ.AREA
CEN9E tAW DOEB NOTMPLYTO Ml OWNER OFAPROPEHTY Wlq BUI�DS OR MPipVES TNEHEON,IWD
WFbOONfRACTSWREUGiGRQ1ECTSN7THACONTRACTOIyS�LICENSEOPURSUAN770T1ECONTMG QUANTITY OESCRIPTION FEE
� ra+s ucer�uw.}
O 1 AM E7�1APT IMDEN SEG B.f P.C.PoR THIS REASON J
u" DATE � ��' ONMEA
Z —�
� UCENSED CONTRACTOiiS DECLARATION ,
1 F1ERE8Y AFFYW lRK7ER VEIULTY OF PERIVRYIHAT I AM UCENSED UN�EH PflOVI5iON5 OF CHAPTEH
s •�f.1'M�AENCNq WITH SECTION 7000)OF DM310N 9 0F TNE BUS�NE55 AN�PROFESSIONS COGE,AfA Z �
u� W LIGENSE B Y.FU.L FORCE AND EFFECL m
�
� ucase cuss �'-�' uc.wo. / //� �
� a�� 7/Z-� ca+rw�cron �
� WOFiKER ' OMPENSATION OECLARATION �� �(� - . . . .
N �
y I REBYR ID TYOFPERIURYd1EOF7NEFOLLAWINGDECUMTION� �
� WILLAAAMTAiNACEf{TIFIGTEOFWNSEMTOSRFINSUREFORMRIRKERS'
� CdIPENSA:pN,ASPROV10ED8YSEG710Nn0oOFTNEL�BORCWE,FOHTFiEPEhFORMANCE
OF TME WORK FOfi YYHICH TNIS PERMIT IS ISSUEO. �
_I HAVEAND YNLL MMNTAIN WORKERS'COMPENSATqN INSURANCE.AS REW�RED BY SECTION
� 9700OFTHEU80PODDE,FORTHEPFRFORMANCEOFIHEWORKE'ORWHICHTHISPERMITIS
-- ----.-�. . _..._IASUEL_NYINONKERS'COIRPENSATqN6/SURANCECl1NRIEHANDPIX.ICYNUMBEHARE . CONSTRUCTION
� GflNIER �e I��IZ '�l��.�_ PLAN REVIEW
� raucYMn�eER ELECTRIC -
� (I1asECT�dVNEEUNdi'B'c�OAPlE7�CiTHEPEW.IRI5a1RONEF�II�DPE�Od1AA5R»1�LE551 PLUMBING �
Z 1 CERTFY hNT!J THE PERFORMANCE Of THE'NORK FOH WMICH 7HI5 PERMIT IS 165UE0,I MECHANICAL
(} SNULNOTEMPLAYMIYPERSONWANYMPNNER50A5TO8EC/JME5UBJECTTO7HE
� 1YORKEflS'COMPENSATpN LAWS OF CAL�FORNIA,ANDAaHEE THAT IF I SHOUID BECOME INSPECTION FEE
S SUBIECTTOTiEWORKERS'COMPENSATIONPflOVI5lONSOFSECTpN97000FTMEUBOR
CWE,ISHALLFpATIiCVY17HCOMPLYW�7I�THOSEP �srons. ��J ISSUANCE •
pDA7E: ��I z—S/APPLICAtlr: �� �"�✓ SMIP
� ENEHGY P/C r^�
WARNM�K3�FAILUFlETO SECURE WORKERS'COIAPENSATION COVERAQE IS IINLAWFIJL,AN�SNALL BE
� DUB.IECTANEMPLOYERTOCRtMINPLPENALTIESANDCMlFwE5UP700NEHUNDREDiHWSM1� ENERGYPERMIT t-' '1 - � '��
�OW1R8(i100.000}.N ADDITION T0T11E C�5T OF COMPQISATION,DAMAGES AS VNOVIDEO FOR IN
J SEGTIONITOl�TTIEUIBORCOOE,IN7ERE3tMIDATTORNEY'$FEES. RETENTIONFEE: � ��'� � {^-`
� CONSTRUCTION LENDING AGENCY ppE-ALT PEE: � -
O
� IXEREBYAFFWYUlAERPENALTYOFPERIURYTHATTNEREIS�CON ' 1 GAOENCV. ' �
z FOR 7T1E PERFOqMANCE OFTHE WORK FOR IS�IE�ISEQ 90Y�.CIV. . - ..
W
� LEI�IDERS - .
C LENOERSADDRE55
� ICERTIFYTMATIHAVEREAUTHISMPIICATqNANDSTATETH�iTHEABOVEWFORMATqNISD7RRECT. TOTAL FEES - ���'•
d IA(iREETOLOMPLVWiTHALLCITYAN�CIXMTYOflDINANCE511ND8TATEUIWSREUTINOTOBUILDINO
� CONSTRUCTION,Mll1NEREBYAUf}10RIZEREPRESENTATNESOFTHISCOUNTVTOENtERUPONTHE
11BOYE-MENTIONFA PqOPEFtt FOR�NSPECrION PUPP�ES.
� �� �`�� COMMENTS
_ 'G'
m
_ 7-- �—F � r� �
81ONANNE OF PERMUTTEE OATE
�- RECPI:NO._ - AID BY „ VAIIDATON
WHITE—DepaRment Copy,YELLOW—Finnnce Capy,PINK--Aasessor Coq,GOLDENR06—File Copy,6REEN—Applicanl's Copy
„ .:_ ._ . _
. „ �, a;. �._, .. . �� � < , �.
�j=' �CiT DIAMOND BAR
...�'+.4 .t .1
�-'.'Y,�..:i .. ..��"� .
` � �� `� �. ,I TI�1'� RECflRt3 .
;��y;
�
• �� � • ' � ' � �.�, E � ` •
_ _.
�
.,..,��..�a:.�c�, . �.-. .. �, _ � '.. ;. -��;�_r�s. �.�_t,��..�__::.. ..�.:�-_. _-.- ..,s . _ .�. � . . .��� �;
SET BACK I ! �; � Ft�00R JOIS� � �� Y
FTGSt�ORMSiSTEE� i FHA R�QMTS ; �
ELECTRIC GROUND ; _._j_` UNDEft FLOOR DUCT
GROUI'dD PLUR�IBING I f ��UNDER FL�OR CU�1C}UiT ' j .�A _
SLAB GRADE � ; ( FIREPLACE F�IiNDATi��! �
TEM”POWER ! I FIREPLA�E BOt�D BEAM � � �.�
' ��
WATER SERVICE � � ' M1D HT. BOND BEAM I �
,
ROOF SHEATt-lING � � 8 F�t'. BONd BEAM ` I
FRAMINGNENTi�lATl�N� FINAL BON�J BEAM I !
ROOF COVER i ( PRE-GRADING ; f ----�
ROUGH HEATING BENCHING i �
RQUGH ELECTRtC i ROUGH GRADING ' i �
ROUGH F�UhlE�iNG j I FINISH URACrING j � ' �
SHOWEF�lTUB TEST ' POOL ELEGTRIC � i
EXT. IATH?SIDkNG j i POOL FENCING � i � �
WALL IM1lSULATfON � POOL RNAL ! �
CEILING IP��ULATIC?1�2 ; � OFF SITE 1MPS. � —[—�___ -
I ���
DFiYWAL�N���lhlG � � �j DEDICATIDNS I _ i �
SEVVER i j ; ; F!'�IAL EhJG. �
SEPTIC TAItIfC : I LA€VDSCAPE/IRRIG. � � ����
SEEP P1TiLL � � ; i D(v S1TE IP�1PS. � ' ;
GfiS t�i�TEST j f FiNAE.ZC}Nlt'�fa� ' ' ��
' ` -------�
� r=3�l�,�..�ONST. ' 1 i � FiRE DFPT. FiNA� � ;
�FIC'1r�I-9Efi�Tl(�;G " ��I �i��LTN DEPi. FI�JAL � � E
� Fi'v�.�F_LECTRIC T�� , ' DEV, FEES �AID ; — �
, _m�_ � -- _ _ i
=�':,_,�FLU�'f8l�l..�'� , � EN�RGY ; --�
--------- ,
� � � i � � i
, , :
_.___ �_ ,
, � �� .��.��� ���� v
� � - ---�----�`_--- –�
,� Ct����ME��T� z�c�� G(� � __ '
a
� ;
_ _ _ __:
�
.__ -- — ;
s
t ---- ________I
� !
� �. _____.._�
i
__.__.�._�
. �
I
� ! ' �
SEPTiC TAN�C SiZE — ____._.._ _�..._�1
SEEP PSTfU �IZ� _�__.�_____ `________�
_ i
}V � ��_ __�
}
_ _ �
-------- —F
f
1
. —_.___.___—�
. �`� �
�
. . . � . �.»�_1