Loading...
HomeMy WebLinkAbout11080 (5) c^—' '�~ --�� � C1TY OF D1Ah10ND BAR • . ' � �. �• �. �. +�� ��:: COMMUNITY DEVELOPA7ENT DEPARTMENT ' E' q( '�:,•C 21660 E.Coplcy Drive Suitc 190 •�.�.' • • •� •, (909)A60.3195 Faz(909)861-3117 " � • ' ' '' PRESS ''"' BUILDIIQGPERMITAPPLICATION ' , � ��f�.'I �-`I�� . FIRMLY � JOBSRE r):1 n . . •APPLICA ION PERMIT /�Q�� P/C� /�_ � o ADDRESS d., 1 2S S.. �� I AMQ1J�� 8pe, � ► pATE���7 NUMBER #� 1� c� • ISSUE TYPE • OCC� - APN'" - LOT _, --- TRACT - - - .: - ---. DATE . - CONSL " - - GROUP. . -� ; ' °C OWNER f�C O . ;_ �. � ,.. . . .. ' � • p ADDR S .21 Sf ��M Q..�J �'� �' .ZONING SETBACKS i , , _ w �Mo►.'� . .. -_ , .: , „ , FRONT - . . _. . . - • RW - - �p - - - � � z CITY ZIP TEL. � . � � 'APPLICANT ' ---: -TEL. , !c - REAR p-. � . � � . ^ /E- SIDE/SIDE STREET RW p �� ' � CONTRACTOR � � � - (/�� • SIDE _ . - ❑ i � ADDRESS��-� - � -- - -- - . . CIN A1J�►�t.+f"� ZIP TEL. �, PROPOSED US �- �-5. C, GNA � : o �. � w ARCH/ENG/ r • ..; .. :., , .. . . .. �A�1� �. __- �....0 . .._ . _. ..._._ _. . .'. .. . � �•• '_ :_ _.� � _� .. c' � N'„^ .� 1�S� �� C1NilvI�LL�'. z DESIGNER- ,NO.DWEL. NO. NO. . -- a ADDRESS UNITS� STORIES - � "' BEDROOMS'' ' � CITY ZIP TEL. ' - - , �. .... . . N �� .. �ESCRIPTION SQ.FC FACTOR PSF ADJ.AREANALUATION ' � ---- ._.._._ _. OWN[R-BI:ILDERDECLARATION _._ ' � Q -•--- . . , _ . 0 , '... � . SFR/ADD,'REM.._ .. ... ....._ .. .._ , . . :. - ._ _..._._.._... .-- - _..--- ; . 1 HEREBY AFFIRAI UNOER FEWLLTY OF VERNRV THAT I AM E%EMPT FR01A THE CONTiUCTOfiS LI: -GefBJB/CBfp04 ' - " -' �W CENSEUwFORTNEFOLLOWINCREA50N(SEC7071.SBUS:NESSANDOROFESSiONSCODE�NYCT'OR (� ���� ���� � ��� � "� ""-' ' - - -- . U �NTYWWCHREWIRESAPERMITTOCONSTRUCT,ALTEF,IMPROVE,OEAIOIISH,ORREPAIflANYSTRUG- � W _'PaIlO/DBCI(__ � '� '+ � � w- TURE,PRIOR TO R9 ISSUANCE,AL50 REOUIRES TH[MPLICAF7T FOR SUCH PEM71T TO FtLE�SiCNED W - " '� ''�''��' ' ... . ... ...... . .. ... . ... ... a- STIITEMCNT THA7 F7E OR SHE IS LICENSEO PURSUMlT TO iME PROYISIONS OF iNE COMHIIGTORS L4 � CEhSE lAW(WAPTER i(�MENCING WITH SECTION 7000)OF DMSION]OF THE BUSINE55 AND PRO• ' � PooUSpa _ _ _ _ � �'�-• �� . � •-..�� • � � FESSqNSCODEIORTUTHEORSHEISEXEMPTTHEREFRONANDiHE8A51SFONTHE�IIEGEDE%EMa- • (� - ; � 71ON.ANVVIO�ATIONOFSECTION7071.SBYANVAPPLICANTfORAVER1AtTSUQIECTSTHEAP{qICANTTO� z 'REROOI ' �.�� ..� ' . A CMl PENAITY OF NOT MOR[THAN FIVE HUNDRED DOLURS�SSoo),): � ' ' : Z ❑4ASOV�RaEROFTNEPROPER7V,ORMVEMPLOYEES'M7HWAGESASTHEIRSOLECOMPE�SATION,�, ;' � '�,pmmOfCl�l � . � . __ -M/iLL DO iME WOflK,AND TME STRUGTUPE IS NOT INTENDLD OF OFFERED fOR SA�E(SEC.70N,BU56 • J N NE55 AND PROFESSIONS COOE:1ME CANTMCTOHS LICENSE UW DOES NOT�PPLY TO AN OWN[R OF- _ � . , _ . _ PROPERTYWHOBUADSORIMPROVESTHEREON.ANDYMODOESSUCHNORKHIMSELFORHERSELFOR � - fL THROUGHMISIXiNEROWNEMaIOYEES.PROVIDEDTHATSUCHIMPFOVEMEMSAHENOTNTENOEDOR - C� QOFFERE�FOqS.LLEIF,HOWEVER?MEBUILDINCORIMPROVFM[NTISSdDWITWNONEYEAROFCOIARE• ��i�". - Z TION,iHE OWNER-BUI,DER WILL HAVE THE BURDEN OF PROViNd THAT HE OR SME O�D NOT BVIID OR _ � MPROVE FOR TME PURPOSE OF SALE�. . . '� ' �� � � ' � � , - �� �-�04ASOYINEROF.iMEVROPERTY,AMEXCLUSIVELYCONTRACTWGY/RHLILENSEOGONTMGTORS �� � �� Q TO CONSTRUCT TnE PRqIECi(SEG 7ou.EUSINE55 AND PROFESSiONS CODE:THE CONiMC70RS LI- V3N2Ii0f1 . � � ADJ.AREA . . . _.."_ .__"___' , L�1 CENSEUWDOESNOTAPPIYTOANOWWEROFAVROPER7YNR10BURDSORIAIPROVESTHEREON,AND - ' � YMOCAMMCTSFORSUCHDROJECTSWITHACONTRAGTORIS)LICENSEDPURSV/WTTOTN[CDNTMG ` QUANTITY�� � DESCRIPTION ; �� "' ' ' -� ' '�-'--' FEE� TO0.5 LICENSE UW.�. ' � � ' '.' Y -.--.'. -'..._.. : . .. • , .. . . � ._.. . .. .._ .._.. . ... '-- ....-' -._ . . ._ . ... __.._ . . . .. � ❑1 AM EXEMPT UNDER SEC. ' B.d P.C.FOR THIS REASON i Q ' � . O . _. ;�' . .. ..., . _ . .. _._.._ ... .._.. ._.... . .- • ---�- -........._.._. .. .. � - � -. _ ..� ( - � � .- -_ . - .. .. � -- � u' DATE ' OVMER � .'�...I-' ..'.-. - V � -Z - . . .__.. . . . ...._... ' __ __- _'_ _.._ . O __ LICENSED CONTRACTORS DECLARATION � W � , . . _, ,J � � . . . ..� ... � . � .._.. .. . . W ' . ..... .. . ._ . � . ;. .__. . . .. . ._... . . . .. ....__.... � 1 HER[BY AFFiRM UNDER PENAITY Of PE0.JURY THAT I AM LICENSED UNO[N PPAVIS�ON90F CHAPTER�� � � , ' p. Y(COMMENCINGWRMSECTION7000)OFDIVISION70FTHEBVSINESSANDPROFESSIONSCODE,MlD Z - - - �� �� `X MV UCENSE IS W FUIt FORCE AND FFECL : � m � . _ � _ �. _. _.... _. . .. . � LICENSE CU155�y��LIC.NO._�.Q� j . � LL �ATE��„�CONTRACTO(1 ��� d � WORKERS'GOA7PENSATION DECLA A ON a � 1 HEREBV AFFIRM UNDER FENALTY OF VERIURY ONE OF THC FOLLOWINC DECUMTqNS: Z ,_� . � , !. — . .._" " ' ' � . .. . ' . Z _IHAVEFNDWILLMAINTAINACERiIFICATEOFCONSENTTOSELFaNSUREFORWOHKERS'���� _ � � --' � - '�� - "— -��-� , Q C0IAPENSATqN,/SPROViDE0BY5ECTION]tooOFTHEU180RC�E,FORT1EiERFORAIANC �U Q „_ OF TNE WOFK FOR WHICH THIS PERIAIT IS ISSUED. � "_" _'._.._ ... . _.. ._. . . . _. . . .. .... . .. .... . . . ... ... ........... . ... . _'_" ' "'_..__. . � W �IHAVEANOWil�A1NTAINWORKEPS'COh1PENSATpNINSURANCE.A5RE0U1RED8YSECTION � Q _. 770o OF THE tA80R CO�E.iORTHE PERFORMANCE OF THE WOFK FOR WHICNTHIS PERAIIT IS ' ISSUED.MYWOcRK[�RS'COMPENSA7KKJINSUMNCECARRIERAN�POIICYNUMOERARE:����-' ' '� �CONS7RUCTION �' �-"'�� � '�'�� �� �� �- �� --��--�� ' j CARR�ER y�.� �J�` PLAN REVIEY! - �. . N7�t-��- - ' - -- �� .�LECTRIC _. Z POIICY NUMBER��_�4 ' '' ' " ' . .. ."""._. i r -0 ... (fMISSECf10NN�NOTBE�I.iLEfmOFTlCOFAMi6fORONE/4k,ORCD00 �s�c�ort _ ..PLUMBING. ._.._ . Z I CER7IFY THl1T IN TME PERFORAIANGE OF 7NE YYORK fOR WMICM iMIS PERMi71S ISSUED.1 MECHANICAL . U' . . ..St�ALLNOTEMPLOYAYYPERSONWANYMMNERSOA5T08[COMLSUBJECTTOTNE :�� . WORK[RS'COMPENSATqNUW50FCALIFORNIAANDAGREETMATIFI5F10ULD8[COM[ INSPECTIONFEE � � � � ������ � � ���-" • �„� SUBJECTTOTHEWORKERS'COIAPENSATIC PROVI510 FSECTION]7000FTHEUIBOR . . � ,., ,,.CAO�ILL FORTMYITM COMP�Y WITH SE Pf10 ' N5. ISSUANCE O . - . .. ._...... . .. . . ... .. . .. . _.. . - ' " "' ' . . , I�(� . . _..' ""'_.. .. . ._. . __ , � p DATE: �_ APPLICANT: SMIP • ��� WARNiNG:FAILUaE TO SECURE WORRERS'COfdPENS � COVERAGE IS UNUwFUL AND SNALL BE�' "� ENERGY P/C .__._ � SUBJECTANEMPLOVERTOCR:MINAIPENA�TIESMIOCIVILFWCSUPTOCMEHUNOREDiHWSAND ENERGYPERMIT ' DOlUR5�S7o0.0oo),INADDITIONTOTHECOSTOFGOMPENSA7IDN,D�MAGESASVROVIDEDFORIN � ' — � J SECTION37080FTHELA80RCOOE,INTERES7,�NDAT70RSEY5FEE5. � ' �'� -'- � � � �- � ^• Q RETENT�ONFEE: � .-- -- ---- � � /l1 : . . / a CONSTRUCTION LENDIUG AGENCY PRE•ALT FEE: ' � ' � ' ' ' ' � � : .. _. ... _ . ._ p. . _..-----. ... .__.._ . .. . . . __ . - .. -.- -..' --- �� � _ � IHEREBYAFFIRMUNDENVENILLTYOFVERIURYTNATTNEREISACONSTRJCTIONLENOWCIIGENCY �� / ... _. _ � _ .; . _ • FORTHEPERiORMANCEOFiHEWORKFORWHICHTM15CERMITI5155UED�5EC.�oa7,CIV.C.). — . Z . . . _.... .. ,... .� . . . . . . . ,... . . . .__.... .."' "" " . ..__. _..,.. . W jLENDER'SNAME . � . � . .. .... _'_. .. . .. I— LENDER'S iIDORESS -_.... ._..'_ "' ' ".... _. _ .__..._ � ¢ ICERTIFYTNATIHAYEREAJTHISAPPLIGTION�trDSTATETHATTMEA90\'EWFORMATIONISCORRECT. TOTAL FEES � w IACREETOCOMVLYWITiIALLCITYANDCOUNTVORDINANCESANOSTATfUWSREUT�NGTOBULDINC - -" ' ' "'- "'"" � � CONSTRUCTION,INDMEREBYAUfHORREREPR[SENTATiVCSOFTHISCAUN7vTOENTEHUPONTME � � � � . ,�- . . . .. � • ABOVE-MENTIONED VROPER7Y FOR INSPECTION PURPOSES. "� ' ' ' ....Z - -� -- - ---- ..-. .COMN[NTS _ . . _... - - - - ---� . . � � � � J . - � �_ . m PtnMl �:NAMEIPRINn� . .. . . . . .. _ ,_. . .. ..... . ""_._. . . - � � !O IZ? � -- ---... ��� Si ,I���E �r MI .FE , DtiTE � • '/ i � � � .�� ' '. , •':. �•, :;• � -�� ���` ' � aECPT.N0. '7 � PAID BY � � U VALIDATION _ � - - -- -�-�- -�• �� ���WHITE-Deparimenl Copy,YELLOW-Finance Copy,PINK-Assessor Capy,GOLDENROD-Fita Copy.GREEN-Applicant's Capy . • � . � .. .. ,. . .. . . . . . . . . . . ....,. �... r".. ' . . . , .. � , .. . . . . .�r. . . • . . , .. .... . . .�. . . .' ., CITY OF DIAMOND BAR ' . , ' � _ � ,� _ . . ` �� INSPECTION RECORD � ' � i , . . , .. • � � � ' � � � . � . 'SET BACK � ' ` ' FLOOR JOIST - - - �F�'GS/F�RMSlSTEEL - FHA RE�MTS • � � --- ELECTRIC GROUND UNDER FLOOR DUCT : � . . � , , � GROUND PLUMBING - � UNDER FLOOR CONDUIT SLAB GRADE - - ' FIREPLACE'FOUNDATION - ' ' ' ' TEMP POWER - �. - - - FIREPLACE BOND BEAM . - ' '-- 'WATER SERVICE�•.' '�' -- - ' ' � -' -`' MID HT.BOND BEAIvI `�- -' �- � '" -" � ROOF,SHEATFiING , ;' 8 Fi:BOND BEAM FRAMINGNENTILIATION FINAL'BOND BEAM - ROOF COVER � - � PRE-GRADING ROUGH HEATING = � BENCHING � ROUGH ELECTRIC , - ROUGH GRADING ROUGH PLUMBING ' - � - - - FINISH GRADING : SHOWEF�fUB TEST `. � - POOL ELECTRIC . EX7:LATH/SIDING ' POOL FENCING � WALL INSULATION POOL FINAL CEILING INSULATION aFF SITE IMPS. ORYWALL NAIIING DEDICATIONS SEWER --. . . . . . _... _ _ . � :... __ •. .. _ FINAL ENG. SEPTIC TANK . . _ _.._ - •,��'� ` LANDSCAPE/1RRIG. . SEEP PIT/L.L. � - - - . - . ON SITE IMPS. GAS AIR 7EST-•� ; -• � � � - •, �• , • FINAL ZONING FINAL CONST. ; -- -= - - - - ' �-' � FIRE DEPT.FINAL FINAL HEATING -- - - - - - - - HEALTH DEPT.FINAL . � FINAL ELECTRIC - DEV. FEES PAID FINAL PLUMBING ENERGY �� � ; _ _ . � , . . ' • • � .:_ ... _ .__ .---- - • - --- � • -- -- . __ , .._... . . _.__.. _... . . - � ( COMMENTS � �-,� .. - __ _ . , . . ; _ .,. - � , _ . - --�„ . - - , _ - . _. _. . , � , . , _._ . �:,- -,, . � . . SEPTIC TANK SIZE '� ' , . - - - ,_ . . .. SEEP PIT/U SIZE � t�;;; � ' ';:. , . _. � � � , - ; .� � .J 7 , � C,' � � C�'-�. ' � . � ..� , . ' ; � ..2 /_. �i- �1-"� . _ "�. .3-#" . . �'.. . � �