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HomeMy WebLinkAbout18072 (17) ( � CITY OF DIAMOND BAx -- ' -- DEPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES � 216b0 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PR E$$ ��+�^� BUII.DING PERMIT APPLICATION FIRMLY o AD RESS � �"I�7 S, 1 A�'{T)b-1 �� DATE�CATION F� �2 OZ NUMBER � ��i1� LJ c� ISSUE /L TYPE OCC APN-��- LOT T T DATE � CONST. GROUP � OWNER dyN11 V��i� ���'L �„�_ " ADDRESS � ZONING SETBACKS � CfTY P . .A�L' ZIP TEL IOS�7 FRONT RW ❑ APPUCANT TEL REAR ❑ � SIDFJSIOE STREET RW O CONTHACTOR Sf l� � � F � SIDE • O ADDRESS `� ' ✓ � � � � E,�� � _ PROPOSED USE RCFVENG/ � ZIP TEL ��LC X.rt7V/ t� / /G _ � /r l(. DESIGNER NO.DWEL�l� `'L {�Cc'�NO. NO. ADDAESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLAFtAT10N SFR/ADD�FIEM O I HEREBY IIFFlFM UNDER VENAITY OF PERIUR7 7W�T 1 AM E%EMPT FTqM TME CONTMCTORS lF Garape/Carport 8 CENSEUWFOR7HEFOlLOW�NOREASON(SEC.7D71.6BUSNESSANDVROFESSIONSDOOE:ANYCITYOR (n C,� COU!(TYWHICHREWIi1E5APERMRTOCONSTHUCT.ALTE0.PAVROVE,DEMOLISH.ORHEPAINMNSTRUC• W PatiO/DeGk � b TURE.VR�OR TO fT3 ISSUANCE�LSO NEOUIRES THE APPLICANT FOR SULH PERMIT 70 FILE A SIGNED w 8TATEMEM TUT HE OR SHE tS UCENSED PU0.Sl1ANT TO THE PROVISIONS OF TME CONTMCTORS U• � CENSEUW(C1UP7ERi�COA1IAENCINOVATHSECT10N7000)OFDIVISION�OFTMEBUSINESSANOORO• u' FaoVSpa � FE59qNSCOOEJOi1THATMEORSHEISEXEYPTTHEREFR0IA�NDTHEBASISFORTNEl1LLEOEDE%EMP- T10N.ANYVIOLAiKX/0F9ECTqN70]1.6BYANYApPLICA7Ri011A0ERMIT5U61ECT5THEMPLIGNTTO Z RaFoot i � ACMLVENALTYOFNO'TMORETWIFNEMUNDREDDOLURS(iSoo1�Y � 04ti40WNEROFiNEGROPERTY,ONMYEMPLOYEESWITMWA6[SASTHEIRSOLECOM7ENSATqN, 0 L'pmm0ICl31 - MALL DO THE WORK AND THE STRUCTURE IS NOT INTENDW OR OFFEREO FOR SALE(SEC.701�,BUSI- J NESS ANO iROFESS�ON3 COOE THE COHTMCTOPS IJCENSE LAW DOES NOT AD7LV TO AN OWNER OF y PHDVEHTYY/H�BU0.DSOR�IPROVESh1EREON,ANDVhiODOESSUC}IWOFKMIA15ElFORHERSELFOR = C� TIROl16HWSORHEROM9JEYPLOYEES.GROVIOEDTHAT5Up/p10qOVEYENTSARENOTM7TEN0EDOR m OOFFEREDPoR5+ILEIF.HOWEVERTNEBIri.DINOORMMqVEA1ENTI550lDWITMMONEVEAROFCdAPIE- � TION.THE OWNER�BULDER VM7LL NAV[TME BUMEN OF OROVNO ilU1T NE OH SHE OID NOT BUILD OR W VfqVE FOR TME 7UR705E OF SAIEy � OL�OWNEROFTHEVROPEHTI:/WEX0.U51VELYCONTMCTNOWRHl10EN5EDCONTMCTOR3 TO CONSTPUCT THE PNO.IECf(SEC.70N.BUSIN[SS AND PNOFESSIONS CODE:TNE CONTMCTOfl9 IJ- V8IU0IIOf1 AOJ.AREA CFNSE UW DOES NOT APPLYTO AN ONTIER OF A PROPER7Y VA�O BUlDS OR IAIVFqVE3 TNEREON,AN� � WFqCONiMCTSFOflSUCHVROJECT9WIhIACONTRACTOR(3�lICENSEDPUNSU/JRTOTIECONTMG pUAMITY DESCRIPTION FEE . � TOitS LICENSE UW.� OIAMIXEMPTUNDfRSEG B,tPQFORTNISPEASON 4 U tt. � DATE ONTIER V � UCENSED CODlTRACTORS DECIAAATION � � w IHEREBY/�FFIiUlUHOERVEWLLTYOFVEiUURYTHATIAAIUCENSEDUNDERGROViSI0N50FCHAPTEq U. � �(COYYENCINa WRM SECTION)ooD)OF DMSION]OFTHE BUSINE55 AND PROFESSiONS CODE.AND Z X ►IYLICENSE 6 W FUIFORCEMJ�EFFECT. m 0 LICENSECIASS `J UC.NO. �/ j �j DATE �—��--'D�� CONTRACTOR / ' �-',(�y a � WORKEFlS'COMPENSATION DECLARATION Q � U � IHEiIEBYAiFlR/AUNDERPENALTYOFPERIURYONEOFTMEFOLLOWwGOECUMTIONS: Z Q � _IMAVEMAIMLLAURlTAMACEfi�1FICFTEOFCONSENTTOSELFdNSUREFORWORKERS' 2 - CONGENSATION.ASiROVIDEDBYSECT10N�7ooOFTHEUBOA000E.FOR7HEPERFOPAIMlCE W Of THE WOfix iOq WHld/THiS PERAIIT IS ISSUED. � G �I ILWE AND WILL 1MMTNN WO(iKER3'COMPENSATqN INSVMNCE,AS REOUtRED Bv SECTION /� Q �7000F7NE LABOR CODE,FORTHE PERFORMNICE OF TME WORK FOR WMlpl iM15 PERMIT IS �� � i55UE0.MYWORKERSCOMPENSATqNINSURANCECARRIERANOPOIICYNUMBERME: CONSTRUCTION �� � CAqR1ER '��� PLANREVIEW � POIICYMIMBER � - J.�/ ELECTRIC - 0 �s[cnxi��noreeoor,�moFnEv�r+rtsFoaa�tuoamoa�sR��)��1 PLUMBING Z ICERTIFY7HATINIH[VERfORMANCEOFTHEWORKFORWHid1THI5PERMITI5155UE0,1 MECHANICAL (� SHALLNOTEUPLOYAN'IPEPSONINANYMANNERSOASTOBELOMESU&IECTTOTNE � N9RKER5'CWPENSATqNUWSOFCALIWRNIqMlOAGREETFUTIFIS/iOlADBECOME INSPECTIONFEE S SUBJECTTO THE WORKERS COMPENSATION VRONSIO 15 Of SECTqN�700 OF iHE UBOR COOE,ISHALLFORTinYfTHCOMPLYWIT117HO5EPR sw�+s. ISSUANCE 0 � '� `p OA7E: ��'" C'Z- APPLICAN7: �SM�P / � ENERGY P/C WARNINU:fALURETOSEWREVXNiKERS'C01A7ENSATIDN VERAGEISUNLAwFUI,/iNOSHALLBE � SUBJECTANEMPLOYERTOCNM�WLLPENALTIESANOCNILGINESUPTOONEINNDREDTXOUSM70 ENERGYPEflMIT DOlLARS(iloo,000�.W ADDITION TO THE CAST OF COMPENSATpN,DA/AAQES�5 FHOVIDED FOR IH J SECTqN i7oe OF TME UBOR CODE,INTEREST,AN�ATTOPNEYS FEES. RETENTION FEE: 2 a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFlRM UNDERPENAlNOFOE{LNRYTNAT7NEREISACONSTPUCTIONIENDIN6AGENCY ' FOR TNE FERPoRMANCE OF TMEYVORK FOR WNId17H15 VERMIT iS ISSVED(SEG 7ar7,CN.GJ. � � LENDERSN.WE � LENOERShDDRE55 W ICEqTIFYTHATIHAVERFIDTH15APPLICATIONMlOSTATETUTTHEABOVENFqiMATION�500FiRECT. TOTAL FEES � ��3 • � � IAGREETOCOMPL�WITHALLCT'M7DCOl1NTVOi7DINANCfSINOSTATEUVSREUTMIOTOBU0.�INa . CONSTMICTION,AND HEREBY AUTFqRIZE REPRESENTATNES OF TIUS COUNTY TO EMER UPON THE Z �eove-ue TqNEC PROFERTY iOR WSVECTION 7URPOSES. COMMENTS o �� �� m iERM�TTEE NAA1E(PRI.n �/ Vf l � /� /f � � --n-- y SIONAiURE OF PE EE OATE � RECPT.NO. PAID BY VAUDATION WHITE-0epertmentCopy,YELLOW—Finence Copy,PINK—AssessorCopy,GOLDENROD--FileCopy,GREEN—Applicant's Copy � . .,r^. ....rt".r� •_}�. .:�.,�.p ..e(..,{��., �}..,.. . ,.r...«y�. -Yy. �s, �w{a,:� �..a,��•,r.lF � 'xl.�.,� .P.r •5 ..�.2. . . . . . � ... , ,.r� •r,.u. .,. ...� , � . � 1:5 . CITY OF DIAMOND BAR _ , � � IhiSPECTi ION RECORD . �����►��� �.D .�. � � �► y' . _. e�.y „_..� . e 1, ,� ,.� r��e���'"�. '� �SET BACK : • � � FLO�R JOIST iFTGS/FORMS(STEEL �� • � . FHA REQMTS ' IELECTRIC GROUND ._ � �` UNDER FLOOR,DUCT -- GROUND PLUMBING UNDER FLO�R�C(7MDUIT ;SlAB GRADE - - - FIREPLAbE FOUNDATION • - ;TEMP POWER FIREPLACE BOND BEAM " 'WATER SERVICE- MID HT.BOND BEAM • - ' ROOF SHEATHING �g� 02. /�- fi FT.BOND'BEAM ' � FRAMINGNENTILIATION FINAL'BOND BEAM ROOF COVER � IQ PRE-GRADING ,ROUGH HEATING BENCHING `ROUGH ELECTRIC ROUGH GRADING �ROUGH PLUMBING FINISH GRADING ,SHOWER,ri'UB TEST - POOL ELECTRIC iEXT.LATH/SIDiNG POOL FENCING WALL WSULATION POOL FINAL ;CEILING INSULATION OFF SITE IMPS. � •DRYWALL NAI�ING DEDICATIONS `SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/LL "�' �" ON 51TE IMPS. GAS AIR TEST FINAL ZONING �FINAL CONST. .� _ _ /fi FIRE DEPT. FINAL � FINAL NE.4TlUG __ _ _ HEALTH DEPT. FINAL iFiNFL ELEGTRIC -- � DEV. FEES PAID �;E�IP3AL PLUP,�BWG - ENERGY �, _ _ - ».�.,,,..� rJ=s �'f'�; �d�E, . �'_4.t3.�.� ]C. �f._'w.. .�.._ ..__ .. . . . . . ...�t` . �./'� , , ... . . . - . .. _. . � cor,nnnEr�Ts ; . , � � ;SEPTIC TANK SIZE , ' �SEEP PIT/U SIZE � ���`� ` ' � , ��,��'k' : �:.� , �� ; i .,,.��► _ � ; - . F. -J .� .r.��..�'i ....� ._...J � . . � ' 1 - ' l . . .