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HomeMy WebLinkAbout11219 (5) �; � ,� ---���---,� CITY OF DIAh40ND BAR .•' " '. � COMbtUNITY DEVELOPMENT DEPARTh1E T �� 5.:,,.� 2I660 G.Copley Drive Suite 190 � . � PR�SS (909)660-3195 Fax(909)86I-3117 . '��' BUILDINGPF„Rh11TAPPLICATION ' F�f�M�.Y � JOBSITE APPLICATION PERMIT J P/C � oADDRESS�V � ' �� ' DATE NUMBER.f �� # c� ISSUE���� TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER � � "" ADDRESS � ZONING . SETBACKS . Z C�7y TEL. FRONT RW ❑ � APPLICANT TEL. • REAR O z SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR � _ ' ' SIOE ❑ p� ADDRESS PROPOSED USE � � CITY ZIP �EL - w ARCWENG/ �z DESIGNER NO.DWEL .. NO. NO. n. ADDRESS UNITS STORIES � BEDROOMS� � CITY ZIP TEL. - � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AFEANALUATION � � OWNER-BI;ILDER OECLARATION � SFR/ADD,'REM � ' O ' p 1 HEREBY AFFlM1 U�OER PfNAITY OF DERIURY THAT I MI E%E4PT FHOA1 TME CONTRACT00.5 ll• Ga�a9�/C.+��OK , ' W CENSEUWFORiHEFOLLAWINOREA50N(SEC.7071.SBUSINESSANDVHOFESSIONSCODE:MlYCRYOR (n U LOUNTVWHIpIREWINESAPERIAITTOLONSTAUCT.ALTERMdPROYE.DE170USM,ORREPAIflMlYSTRUC• W Patio/Deck � - Z TUqE,PRIOR TO IT$ISSUANCE.ALSO REW IqES THE APCIIGNT FOR SUp/VERAIIT TO FILE A SIGN[D w ' ��-� ' -w STA7EMEN7 7TIATME OR SNE IS LICENSEO PURSUAN7 TO THE CPOVi510N5 OF TIE COMMCTOFS LF � � CENSE LAW(d/APTER Y(COIAMENCINQ NATI SECTI�N 7000)OF DMSpN]OF THE BUSINE55 AND Pfl0- U" PooUSpa . . � � � FESSiONSCODE�OR7HATMEORS+{EISEXEMPTTHEREFROMAN'JTHEBASISFOHTHEALLECEDE%EMP- VTION.�N/VIOUTqNOFSECTKKJ7071.58YANYAVPLIGANTFOflAPERMIT5U8J[CTSTH[AGP�IGANTTO Z Re-Roof - � • � � ACMLOENALTVOFNOTMORETWINFNEMUNDREDDOILAiiS�fS�).): . � ❑I,ASOWNEROFTMEPROPERTY,ORMVEMVLOYEESWITHWA0E5A5TNEIR50LEC�MVENSATqN, 0 COmm0fC181 ' � � • Z 'MLL DO THE YlORK,ANO THE S7Rl1CTURE IS NOT INTEY�ED OR OFFEHEO FOR SALE ISEG 7011 BUSI•. J NE55 AY�PROFESSIONS ODDE:iHE COFlTHACTORS LICENSE lAW DOES NOT APPLV TO AN OWNER OF � � FflOPEHTYWMOBUILDSORIMPROVESTHEHEON,ANDWMODOE55UpiWOFlKHIMSELFORMCRSELFOR � ' � Q TMHWCHHISORHEROWNE�7LOYEES.VROVIOEOTHATStKHWPROVEYEHTSARENOTWTENOEDOR. m W OFFEREDFORSALEIF,FIOWEVERTMEBUIIDINGORIMPROVEMENTIS� NATHMON[Y6lROFCOI.�PLE- � TION.TME OWNER�BUILDEfl WILL HAVE THE BUR�EN OF PROVING TMA7 NE OR SME DiD NOT BUILD OR ' Z IMPiqVE FOR iH[PURPOSE OF SALE� - � ' � _ ❑I,ASOWNEROiTMEPR07EFfTY,AMEXCLUSNELYCOMMCTINON'ITHLICEh^+EDCONTMCT0�5 Q TO fANS7RUCT THE FR0.IECT(SEC.701�,BUSINESS AND PHOFESSIONS COOE:THE CONTNACTORS U� ValU9ti0n AQI.AREA W CENSEUWDOESNOTMPLVTOANONMEROFAPROPERTYWFIDBUILDSORMPROVESTNER[ON.AND' . � YNIOWNTMCTSFOqSUCHVR0.1ECT5WI7NACONfMCTOR�S�IILENSEDVURSUANTNTHECONTMC� OUANTITY DESCRIPTIOV �' � FEE , TORS LICENSE UW.). � � ❑1/IME7fElAPTUNOERSEC. 8.6P.C.FORTNISRE��N U � O �C `�'� S � . ( u" DATE OWNEfl � � � � ~ . Z W � LICENSED CONTRACTORS DECLARATION � � � W ' ' � � : Q r 2 IHEPEBYAGFINMUNDERPEN�LTYOFPEFUUAYTMA7IM�L�ENSE01,R10ERPROVISi01.50FCHnPTEH � Ve d Y(COA1A1[NCiNCWRH5ECT10N7o0D)OFDMSION70FTHEBUSINESSANDGROFESSIONSCODE,AND Z X MYLICENSEISINFUILFORCEMIOEFFECi. � m � r � � LICENSE CLASS � �� LIC.NO. 7 � " . . V DATE;��_�C- CONTMC70 � a � � . � W � WORKERS'COMPENSATION DECLARATION Q . � I NER[BYAFi�FiM UNDER PENAITY Of VER1U�ONE OF THE FOLLOWiNC DECLAM710N5: U � � � Z Q � �IHAVEMlDWILLMA:NTNNALEATIFICATEOFCONSENTTOSFLF�NSURLFOR1yL�H10E0.: � 2 � COMPENSATION,ASVRONDE�BVSECTKKJ77000FTHEUBORGOOE.FOfliNEVERFORMANCE W OF THE WORK FOR WHlpl TNiS�EM�i7151S5UED. � � w IXAVEIWDYALLMA'NTNNWORNERSCG.�PENS�TqNINSURANCE,ASREWiHEDBVSECTION Q 77ooOFTHEUBORCODE,FOHTHEPERFORMANGEOFTHEWORNiORWNiCHTHI57ERMR15 � ` � � � � ISSUED.MYWORN 'COM.EN TIONINSU CECARWERMIDPOLICYNUMBERME: CON57RUCTION � CARRIER�_����� _ _ PL/1N REVIEW. .. . Z — va�crnve�eea ELECTRIC g- �j�! ¢ � (fF155ECIlONNEmNOT8E0CA1RF7E00FMPERr.RISPoRCNEMIlOitEDDOl1MSl5t00)IX1LE55} PLUMBING Z 10ERiIFYTMnTNTHEPERFOFtMM'CEOFTNEW'ONCFORWMiLMTHISPEHMITISISSUED,I MECHANICAL , 'U SwLLLNOTEUIPLOVANYVER50NWANYYANNER50ASi08ECOlAESUOJECTTOTHE � WpRKER3'COMPENSATIONUWSOFCALIFOR DAGREETMATIFISHOULDBECO�IE INSPECTIONFEE Sll[LIECTTOTHEWORKERS'COMPENSATqN i0 SIONSOFSECTION�7ooOFTHELAbOfl � / ��Q� OCADE�,`1� �LF[ORTIIWITHCOIAPLYINTM JSE 'nSqNS. ISSUANCE � � p OATE: ����APPLICANT: SMIP � J WARNINC:FMLURETOSEWREIWRKERS'CW.�PE 710NCOVERACEISUNUIWFUL./WDSHNI6E ENERGYP/C � , �y SU&IECfANEMPLOYEHTOCH:MWALPENALTIESAnDCMLFINESUPTOONEINNDRCDTNOUS�wD ENERGYPERMIT .����� � OOLLARS(S 100.000�.W ADDITiON TO THE fA57 OF COMVENSATION,DMIAGES AS PFOVIOED FOR IN � J SECTqN]iOeOFT1EUBORO00E,INTEREST,ANDA7TORNEY'SFEES. � pETENTIONFEE: ��. � nw_. CONSTRUCTION LENDING AGENCY pRE•ALT FEE: O � IMEREBVAFFWMUNDEAPENALTYOFCERJUHI'THATTHEREISACONSTRUCTIONIENDINGACENCY ' n- FORMEPEflFORMANGEOFTHEWORKFORWMIp1TMISPERMITISISSUED�SEG7a97,CN.G�. . Z W � LENDER'S NAME - ' � IENDER'SADORE53 ��� W ICEfiTIFYTHATIMAVEREADTN15APPLICATIONMi05TATEMATTHE�BOVEMiORMATpNISLORRECT. TOTAL FEES � � IACREETOCOGPLYWIT:iALLCI7V11NDCWNTYORDINANCE5AND57AiEUWSRELA7INGTOBUILDING _ CONSTRUC710N,AND HEREBY AUTHOR1y REFRESENTATIVES OF THIS CWNTY TO EN7EH UPON TH6 � ABOVE�MEN7pNE0 PROVE�7Y FOfl INfP�TION VURVOSES. Z {/ COMMENTS � o v ��� - m PEPMITT ' '(PRINT) � ' ¢ N ' N ' A R OF VERMI DATE . , .. . � � RECPT.N0. �PAID DY _VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIDENROD—File C�py,GREEN—ApplicanCs Copy .,, �.`;::;.:°', .. -.;;: :�+: .;.. ' � - ' - �1-, . .... _ , .,'. .� .r�S�r�/�'/�i ' ' - � � _ e. .. .�� ♦ ''i ' . y '.• - . � !! .. � .. ` � ., . CITY OF DIAMOND�BAR � ' , . , - � .. � , INSPECTION RECORD ' �� __ _ r, , . ......_ ,. _ ,� � � � • ' � � � • � . • - SET BACK • ,.,� ;1t �_--, ;� �, -> � �" FL�OR JOIST .- . ,';' ; c-• _ ; FTGS/FORMS/STEEL ' " ' ' ' ' FHA REQMTS _; _. �� � •: "�, . ' �. ELECTRiC GROUND " ' ,UN�ER FL'OOR DUCT' -''" ' '��• ' -� GROUND PLUMBING UNDER FLOOR CONDUIT. • - - - • ' SLAB GRADE ' FIREPLACE FOUNDATION . • ` �� ' �' ' � :t TEMP POWER ' FIREPLACE 80ND BEAM.'- � �• ��' " �,� : ,_�.�-1 WATER SERVICE - - Mlb HT.BOND BEAM � �`• '�� ROOF SHEATHING - 8 FT. BOND BEAM - � FRAMING/VENTILIATION FINAL BOND BEAM � � : : ROOF COVER PRE-GRADWG � ROUGH HEATING - � BENCHING ' ROUGH ELECTRIC � ' ROUGH GRADING . ROUGN P�UMBING FINISH GRADING SHOWER/TUB TEST ' � ' POOL ELECTRIC EXT.LATHlSIDING - POOL FENCING . WALL INSULATIQN - - POOL FWAL . CEIUNG INSULATION OFF SITE IMPS. DRYWALL NAIl.iNG DEDICATIONS SEWER - " - FINAL ENG. SEPTIC TANK- � LANDSCAPE/IRRIG. . ; SEEP PIT/L.L."�� ON SITE IMPS. ' - GAS AIR TEST ' --� `. - �FINAL ZONWG _ FINAL CONS� - '�FIRE DEPT. FINAL - - FINAL FiEAT�NG � . ' HEALTH QEPT.FINAL FINAL ELECTRIC . _ ^ /� )' ----- DEV.FEES PAID FINAL PLUMBING - ENERGY __ � ,. ' -C�MMENTS . . _ , . � . -` .' •' _.' ` , . . . . � . �t..`� .1' , : _ , . , . � ' ' ; . , ' ' - � .. � � o- �,`, �'i • -- ' .. . . i • � , v�Y '. � „�.� , __ _ .._.. . .. , 3EPTIC TANK SIZE ;��;�; "3 '� �:. • , = � , , ' 3EEP PIT/U SIZE : '� . �'.. . , , . ; . ' } .. - _ , , ' '. . , _ . . . . . . " l� J � .. " '"__ . . , t �.1,C� `�' .. . . ._._. ._. .._.. , , .