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HomeMy WebLinkAbout11568 (5) /�� . . .. ._. . ._��.__"'���'�.."�_"�_'_""'_'�"' _����"_ "__..�_.�-._.. .�-���_" . . . . . . . . . . � ---��--�. CITY OF DIAMOND BAR � ' � � � COMMUNITY DEVELOPMENT DEPARTMENT ,±<,.e 21660Ii.Copley Drive Suite 190 RESS (909)860-3195 Fax(909)861-3117 "^' IILTILDiNG PERh1ITAPPLICATION FIRMLY � JOBSITE APPLICATIO / PERMIT �� P/ o ADDRESS (S�O� D�'L-12L/f�q EEYL �.Q �, •' � DATE C �I� � NUMBER ��`-`� # � � APN� � LOT b TRACT O l ^ p � ISSUE � r� /�� TYPE OCC q �— —ILL� - DATE `fJ CONST. GROUP p OWNER br• �� "" ADDRESS ZONING SETE3ACKS - . . ' 0 Z CITY �G'U+�tn.r�ZIP �TEL.� REART RW Q g APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS " PROPOSED USE �✓� �- 2 � CITY ZIP TEL. ' w ARCWENG/ ' , z DESIGNER 1 ✓1 ��L�G�{�— NO.DY�EL. '. P�O. - � NO. � ADDRESS �GL.Q • � � UNITS - STORIES ' ' �EDROOMS � CITY ZIP TEL. a-.�ad•QiDOv � DESCRIPTION S .FT. -.FACTOR PSF A .A ANA UATIO � OOWNER•BL'tIDER DECLARATION SFR/ADD�I7EM I � p I HEREBV AFFIRM UNDER PENALTV OF PE0.NAV THh71 M1 EX[A1PT FROM iME COMMCTORS LI• Gyf39E/CBryOR � • � W CENSEUWFORTMEFOLLOVlINaREA50N(SEC.70]1.SBUSINESSANDP(70FESSIONSOODE:JWYGITYOR (n U GOUNTYYMICHHEOUIRESIIPERMITTOCONSTRULT,ALTER�PROVE,DEMOLISH,ORPEPA:RANYSiNUG � W patio/Dec � W NRE,PRqF 70 fT5 ISSUANGE.ILL50 RCOUIRES THE APPLICANT FOA SUCH PERMIT TO FILE A S:GNED w � STATEI�ENT TIUT HE OR SHE IS LICENSED PURSUANT TO iHE PFOVISIONS OF 7HE CONTMCTORS L4- � CENSE LAW(tl1APTER Y I�MENGPIG WITH SECTION 7000)OF DIVISqN 10F iHE BUSINE55 AND PRO� �- PooVSpa 0 FESSIONSCODE)ORTNnTHEOR5HEI5E%EIAPTTMER[FRdA�NDTMEBI�.ISFORTHEALlEGEOExEM?� (� \ _ _ _ V 7pN.ANYVqlAT10NOF5ECTION7WI.SBVANVA?PLICANTFORAVERMITSUOJECTSTHEAPPLICAMTO Z RB-Fj00I - F ACMLiENALTY OF NOTMORE THAN fIVE HUNORCO DOLURS(f50C�.): O Q 01,1150WNEROFTHEPROPERTY,ORMYEMP�OYEESYATHWAGESASTHEIRSOLECOMPENSATIOY, CORIfI10fLIflI ' � � ' Z WILL DO THE WORK AND THE STRUCNRE IS NOT IN7ENDE7 OR OFFEH[0 FOR SA�E(SEG 7W�,BU56 J NE55 AND PflOFE55iON5 COOE:THE CONTMCTORS LICENSE UW DOES NOT APPLY TO 1W OWNER OF � � PROPERTYWFqBU1lD50RIMPROVESTMEREON.ANDNTiODO[SSUCHWOHKHIMSEIfORNEfiSELFOfi = � TNROUCHHISORHEROWNEIAPLOVEES.DRONOEDTHATSUCHUAPROVEAIENTSARENOTMTENOEOOA m W OFFEREDFORSALEIF,HOWEVER7HEBUILDINCORIMPROVEA�EMISSOLDWRHiNONEVEAROFCAIAPLE� ' ' � TION.THE OWNER�BUIIDER 1MLL HAVE THE BUROEN OF VROVING TNAT HE OF15HE DIU NOT BURD OR ' Z IMPROVEFORTMEPURPOSEOFSALE} '\ _ ❑�11SOWNEROFTHEPFOPERTY,AMEXCLUSIYELYCONTMCTIN4.W'iMLICENSEDCONTMLTORS � TO CANSTRUCi THE PR0.IECT(SEC.70N.BUSINE55 AND PROFESSIONS CO(�E:7HE CONTRACTOf75ll� V�IU0I10I1 � ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFA7ROPEHTYWI�OBUILDSORIMPROVESTHEREON,MlD � WLpOONTMCTSiORSUCHDRQIECTSWITNACOMRACTOR(5)LICCNSED7URSUANTTOTHECONTRAG QUANTITY D[SCRIPTION FEE Y TORS LICENSE Uw.). � ❑I AM EXEMP7UNDER SEC. B.6 P.C.FOR hi15 RCASON Q � V . � � OA7E OWNER U . � r W �Q LICENSED CONTRACTORS�ECLARATION W _ , ' ' CL IHEREBVAFFIRMUNDERPENALTYOFVERNFlYTHATIAMLICENSEOUNDERPROVISiONSOFCHAPTEH Vr . � � o(COMM[NdNG WITH SECTION 7000)OF DMSION 70F THE BUSINESS M'D PROFESSqNS CODE,AND Z X MV UCENSE IS IN NLL FORCE AND EFLECL m , � llJ �h� � LICENSE CLASS UC.N0. �-�i C%1�� J -• � . . �, . . , ~ DATE �� CONTRACTOR �jA.Lj! a W r � _. WORKERS'COMPEI•'SATION DECLARATION . . . Q . . � -��� � ' ' _ • �. �.. � U N IMEREBYAFFIRMUNDERPENALTYOFPE0.NRYON[OFTMEFOLLAWINGDECLAMTpNS: Z Q � _IHAVEANDVJILLMAINTNNACEHTIFlCATEOFLONSCMTOSELFdASUREFORWORNFRS' 2 , , . � COMPENSAiqN,ASFROV�DEDBVSECTION97000FTH[UBORWOE,FORTNEPERGORMANCE W ' OFTHEWORNFORWMICHTHISPERMITISISSUED. . �- � � � � O L W _IHAVEANDVnLLMAiNrAINWORKERS'COMPENSATIONINSURANCE,ASHEOU�REOBVSECTIDN , •� '- . � 'J �y�� , Q 97DOOFTHEUBORCODE,FORTHEPERFORMIWCEOFTHEWORKFORWHICHTHISVERMITIS � � � . ' ' ' . � A.� ��/ �3�+ . 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O • . . . . , � IHEREBYAFFI0.MUNOERDENALTYOFPE0.IUMTMATTH6RLISACONSTR'JCTIONLENO:NGAGENCY �-� FORTHEPER�ORMANCEOFTM[WORKFORWHICHTMISPERMITISISSLIEJ(SEC.7097.CIKCJ. .Z W ' ' � � LEUDER'S NNaE 5 , . • � LENDERS ADORESS .. �� . . - • �. . . . � !, , w ILERTIFYTHATINAYEREADTHISMPLICATIONANDSTATEhIATTHEABOVE1NFpq1AAT10NISCORRECT. TOTAL FEES , � , /� q V 3�q7.� • � �IAGflEETOCAMPIYVnTM/�LLGT/ANDCOUNTYOROINANCESANDSTATEU'NSF[LATING700UILDMG i� ••� CONSTHUCiION,MlDMEREBYAUiHOR1ZEREPRESEMATIVE50FTNI5CWNTYTOENTEflVPONTME . Z ABOVE�MENTqNED 7 7ERTY FOR INSPECTION PURPOSES. COMMENTS -_ . - i �N�l�''S�U� -- ' m CERIAiTTEE N,wE(P . . ' . Q . . . , . ,/ 3� � -�, . . C/f_-i{/_ �� 61GNATUREOF E ` '�+mC �]� . � _ RECP�J - _PAID 6Y '�� ��� VAUDATION - WHITE-Department Copy.YELLOW-finance Copy,PINK-Assassor Capy.GOLDENROO-Filo Copy.GREEN-Appl�cant's Copy ., .,:. -..,.. .,.,� . ,....,..,.,...r _. . . . . . ~�_,� � CITY OF DIAMOND BAR ' , , . . � • INSPECTION RECORD � o r � � a • - � � e, e e � • - SET BACK � - � ;• FLOOR JOIST, �, . � FTGS/FORMS/STEEL � � ' ' FHA RE(2M 5 ` ` � � - � ' �' � �_� ELECTRIC GROUND ��� i UNDER FLOOR DUCT,.,.1. . ' � � i ; .�� GROUND PLUMBING � UNDER FLOOR CO�IDUIT '��� :�; - • ' ' � ' �•% `'�� � SLAB GRADE - FIREPLACE FOUNDATION � TEMP POWER • FIREPLACE BOND BEAM � - � WATEfi'�SERVICE '"�� ''� � �'' ' i ="'�'+� MID HT. BOND BEAM � - ' ROOF SHEATHING �z � 8 Ff. BOND.BEAM FRAMINGNENTILIATION i�� � :'� FINAL BONfJ BEAM ,- ' . ' �; ,' . , � . ! , ROOF COVER - PRE-GRI4DING''' ' - �::'i '�"• � ' •ROUGH HEATING y f BENCHING � �� ' ' ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING � ,� �„ FINISH GRADING . ' SHOWER/TUB TEST � : � � POOL ELECTRIC �� � EXT.LATH/SIDING � POOL FENCING � ' WALL INSULATION 74� POOL FINAL . CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING 3 z DEDICATIONS � SEWER FINAL ENG. " SEPT.IC TANK - _ ; ' ' LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. . - GAS AIR TEST FINAL ZONING i � FINAL CONST. " FIRE DEPT.FINAL , FINAL HEATING HEALTH DEPT.FINAL - -- - � FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBIN �-z. ;\. _�' ENERGY • � � �s � , - - �. :,� . � e . � : ^.._.____ . _ ; .; . , - , �� � , :. _ _ ._ .. . .. , .� . ,_ ------------ --_.. - -- ---- - COMMENTS " � � ' 3�� ;2_�7''._w � �� � t ' - G ��S ;�'E"!l,J.�/� .Ta _� ''.�ZsZl1�. -• _ l ' u � �'•�� .. � . � " � ; �./ �� 9 �Y� _L�c, c `� ,1: ,;� 1.;, � �.�( � � � .��-f=i--t�`�Y—�o��—I"��/ � ' . .. , •� ;..-� � _ .� �•� /� � . �` , , . � �,� "�7�7 : . 1 , .- � . ► . �: . , � . ,����s�� ;:p�� � . --. .< � � �, � ��� �, �� . _ � . �� � SEPTIC TANK SIZE r' � �S � � - SEEP PIT/U SIZE f �,��-7z-/o� � `% ����J��� o , �, 7�� . �� �, 01-l. �� Z , � .��i'" �' ��i , . - — �> � _ - ` � Fr , r,t?,?.`.,,t_..�,''\�! ,>}',ta�o .i ir 7 ,�c'��/� S �- I .i' �\ . � ' +�. ' ,�: V f� J� � S �� f,','; .�.:. ��`"'� � 2� 3�'�'fJ��t� , � J /