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HomeMy WebLinkAbout17755 __.. _.. . . . .. .._ __- - ------ ---- _ --� __ _ _ _ . . �. . _. _ CITY OF DIAMOND BAR J''� DEPARTMENT OF COIvWIUN1TY&DEVELOPMENT SERVICES , 21825 E.Copley Drive ' (909)860-3195 Eax(909)861-3117 PRE$$ �`-:�' BUILDING PERMIT APPLICATION FIRMLY � JOBSI7E Q�, r�1����� p 12. APPL�CATION 3 PERMIT �'7+�,�-�-+ P/C o ADDRESS�U � / _ DATE �� cZ"" NUMBER •.(�j1L,t It c� ISSUE TYPE OCC APN LOT TRAC7 DATE 3� <<I �L CONST. GROUP p OWNER ADDRESS J[.v ZONING SEfBACKS z CITY -- ZIP��.�TEL. REAA RW D g APPUCAN • TEL. •r� SIDFJSIDE STREET RW O � CONTRACTOR C SIDE O ADDRESS PROPOSED USE — •V � CIN ' ZIP TEL. --�' � � w ARCH/ENG/ � � DESIGNER a ADDRESS N0.DWEL. N0. NO. � CIN ZIP TEL. UNITS STORIES BE OOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNEq-BU�LDER DECLAHATION SFR/ADD/REM O p 1 HEREBY AFFlRM UNDER VENALTY OF GE0.IURY THAT I AA1 EXEMPT FROA1 THE COIITMCTORS LF Garage/Carport W CENSEUWFORIHEFOLLOWIN�RE�SONISEC.70.t1.6BU51NE55M1DPROFESSIONSWDE:ANVCRYDR (� � COUNTYWHICHREWIRESAPEN.��TTOWNSTRUC[KTER�MPPOYE,OE4W9LORFIEPAIRANYSTRUG W PatiolDeck NRE,PHIOR TO ITS ISSUANCE.ALSO REW�AES 7NE APPLIC/�M FOP SUCH FERMIT TO FILE A SiGNED W � STATEMENT THAT NE OR SME IS UCENSED PUHSUANf TO THE PROVISIONS OF 7HE COMRACTORS lF � CENSE LAW(CMAPTEA o(COMMENCNO WITH SECTqN 7000)OF DIYISqN�OF TNE BU5ME55 ANO PR0. u' PO�VSPB ^ FESSIONSCOOE�ORTIUTNEORSHEISE%EMPTTHGREFROMMIDTHEBAS�SFORTMEALLEOEDE%[MP- � TION.ANYY�OLATIDNOFSECTION7007.6BYANVAPPUCANTFORAPERMITSUBJECT97MEAPP�ICANTTO Z Re-Roof � ACM�VENALN OF NOT AqqE iHAN iNE HUNDRED DCIURS(5500).): 0 O�ASOWNEROFTIEPFlOPERTV.ORMYEMPLOYEESWITHWAGESASMEIRSOLECOMVENSATION, 0 COmm9fCf01 � Z WILL DO TXE WORK,IWD iHE STRUCTURE IS HOT INTENDED OR OFFERED FOR SALE(SEG.70N.BU51- J NESS AND GROFESSIONS CO�E TME COMMCTORS LICENSE UW DOES NOTAVPLV TO AN OWNER OF � FIqPERiYVM110BU11.090RMVROVESTHEAEON,ANDWNODOESSUCHWONNHIMSELFORHERSELFOR m Q 1HROUCHMSORNEROMMEMPLOYEES.�ROViDE0iMA75UCHIMPROVEMENTSARENOTINTENOEDOR LL1 OFFFREO FORSAIE IF,IqWEVER 7ME BLMLA�N(i ORIAIPROVEIAENT LS SOID 1NRMIN ONE YEAR OF COM�LE- � TqN,THE OriNER�BUiIDER N7LL MAVE THE BUROEN OF PRONN�TUT ME OR SHE DIO NOT BURD OR Z MIDROVEiOR7HEPURPO5EOF5KE). = pI,ASONMEROFTHEiROPERTY,AMEXCLUSNEIVtOMMCTINOWI7HLICENSEDCONTRIICTORS n .. � � TO LONSTRUCT TIE YRQIECT(SEG 70H,BUS�NE55 AND PROfE55lON5 COOE:THE CONTMC10H5 Lb V0IU8lI0f1 h GT�D ADJ.AREA �� p I' • W CENSEUWDOESNOTAVPLYTOANOWNEROFAPROVERTYWNOBUILDSOHMPROVESTNEREON.MIO � W/1000NTMCTSFORSUCM7ROJECTSVATMACONiMCTOR(57L�CENSEDPURSUANTTOTHECANTiUO QUANTITY DESCRIPTION FEE Y TORSUCENSEUW.). � O 1 AM EXEMPT UNOER SEG B.t P.G FOR THIS REASON a � U u' UATE OWNER � Z W � UCENSED CONTRACTORS DECLARATION �y � IHEREBY/FFIRMUNOERPENALTYOFPEiWRY7NATIAMLICENSEDUNOERPROV1510NSOFCIUPTEF � d i(COMMENCMaNTiHSECTqN70D0)OFDN�SION70FTHEBUSINESSANDPROFESSIONSCODE,I�ND Z 4V IICENSE LS IN iUl FORCE AND EFiECT. m � 0 UCENSE CUSS �• LIC.NO. � J V DATE � CONTRACTOfi � d .. _._W . - . . - � WORKERS'COMPENSATION DECLARAT�ON Q � U � IH q�BYAFFIRMUNDERPEWLLTVOFPERIUMONEOFTHEFOLLOWINOCECLAMTIONS: � �'�{��/r' Z 0 y��HAVEANONALLMAINTNNACERTIFlCA7EOFCONSEMTOSELF-INSUREFORIMORKE115 2 � � Z�OMPENS�TION.ASFROVIOEDBYSECTION7IOOOFTHELABORCODE.FORTHEFERf-0RMANCE W OF 1HE WORK FOR WH1CH TMIS VEAMIT IB ISSUED. � � IHM/EANDVJ�LLMAIN7AMWORKERS'CAIAPENSMIONINSURANCE,ASREWIREDBYSECTION /�(�^DO Q J7000FiHEtABORCODE,FORTMEFERFORMANCEOFTHEWORKFORNMICHTMISiERMR15 � ISSUED.MYWORIfERS'�PE�N°TIONWS 10ECMRi NJDPOLICVNUMBERME: CONSTRUCTION 6J � CARRIER �Yi'—'�'^ PLAN FEVIEW Z POLMV NUMBER ��'�� ELECTRIC � (fWssEcm�rEEDeaiBE0.Y.RFfEooFTfPERMi16inROh£Hl�AiiEDDOl1MSK+00I0RLE551 PLUM8ING G Z ICERTIFYTHATNTHEPERFORMANCEOFTHEWORKFORWHIpITN15PERA1ITISISSVED,1 MECHANICAL C7 SH�I.LNOiEMPLOYANYPER50NINANYMANNERSOA5TO8ECOME3U8JECTTO7FIE N WORKERS•COAIPENSAiIONUWSaFCALIFORN10.�N0/�fiREfTHATIF15110ULDBECOME INSPECTIONFEE �J � SU&IECTTO7MEMlORNERS'COMPENSATqNPROVI510N50FSECT�ON�7000FTHElABON �SSUANCE +�'�-+' ^r CODE, OHTIMATH COMVLY WITH TNOSE ROVISIONS. )� p DATE: ' � ��APPLICANT. I��CJ C�U� SMIP � WARNINo: MURETOSELUREWORKER5COMPENSATqNCOVERAGEISUNUWFUI,AN�9WLLLBE ENERGYP/C •SD_ � SU&IECTANEUPLOYERTOCRIMNALPENALTIESANOCMLFWESUPTOONEMJNDRE0THW51WU ENERGYPERMI7 DOLLARS(St W.DoO).IN AOOI710N TO THE C0.5T OF COAIPENSATION.DAM�GES AS PRO�OED FOR IN Q J SECTION 770t OFTHE UBOR CODE,NTEHEST,ANO ATTORNE'!5 FEES. RETENTION FEE: � oW.. CONSTRUCTION LFNDING AGENCY PRE•ALT FEE Q IHEREBVAFFIRMUNDENVENALTYDFVERJURYTHAT7HEREISACONSTRUCT�ONLENDiN6AGENCY a FORTMEVERFOWAANCEOFTHEWORKFORW111CMTHISPERAIITISI55UED(SEG00C7.qV.G). � � � LENDER'SN�E � LENDERSADORESS WICERTIFYiNAi1H�VEREADTHISAPPLICA110NM7D5TATEiHATT7EABWEINFORMATqNISCORRECT. TOTALFEES I� � � IA6REETOCOMVLYN7THALLCT'ANDCOUNiYOROWANCE5AND5TATEUNSREUTWOTOBURAINO CONSTRUCTION,AND NEREBV AUTHORI2E AEPRESEMATNES OF THIS COVNTY TO EIRER UPON TNE � ZABOVE�I.�ENTqNEOVROVEFTYFORINSPECTqNFUNVO5E5. COMMENTS o � � n� miER1AITTE N E(ORINT� � 0'-z1 � SiON U �OFPERMITf TE � RECPT.N0. PAID BY VALIDATION WHITE—Dapartment Copy.YELLOW—Fnanee Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy tj.. ..... .._ . , .' .�: Ylti: '�i.—.._.v�R- .. -.'�):.zo:.,s P✓�;Y,�,`tPiJ. .-:.C4.L"-7.�I.i.'��ry'..J'���•8Y�'4���r-,P" �. ��r;.r-.�._�'.w.T.a•w�w.>n.•erM":_.yd>.. - .. .��^ ... . 'b. " � , CiTV OF DIAMOND BAR � INSPECTiOfs REC06;D � - � i1��-����:�c���. . i�'��� �"��-���.��o�r� � . lf►,�����`.�I��� :��`��r=� .�. ����.�'�� �'�� : SET BACK � , _ --:�._.. .... � _ FLOOR JOIST .._._..� ..__I:� .J ., - FTGS/FORMS/STEEL �� � . FHA REQM7S ELECTRIC GROUND UNDER FLaOR DUCT . GROUND PLUMBING UNDER FLOOR CUI�IDUIT -` - ' ' SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MIO HT, BOND BEAM ROOF SHEATHING I' /Ll 8 FT. BdND BEAti1 FRAMINGNENTILIATION � FINAL BOND BEAM ROOF COVER . � ��(�i PRE-GRADING ': RODUH HEATING BENCHING i ROUGH ELECTRIC R�UGH GRADING � ROUGH PLUMBING � FINISH GRADING SHOWERlTUB TEST � I POOL ELECTRIC EXT.LATH/51DING POOL FENCING WALL IPJSULATION � ' POOL FINAL � CEILING INSULATION � ! � OFF SITE IMPS. � DRYWALL NAILING I � DEDICATIONS SEWER. _ ; FINAL ENG. SEPTIC TANK . ; LANDSCAPE/IRRIG. SEEP PIT/L.L. "�� � ON SITE IMPS. GAS AIR TEST ; FWAL ZONING � FINAL CONST. J ! FlRE DEPT. FINA! FINAL HEATiNG � ; HEALTH DEPT. FINAL FINAL ELECTRIC� � 1 - I ' DEV. FEES PAID FINAL PLUMBING � i ENERGY ' � I • I ; � �,"c9 �,�p.�c��1 a c e. . � . � � - - - -- --- -_ ___ - - -- •----- .--- - - --— - COMMENTS _ . . _ . . . . . 11 �' fy. . .. `. SEPTIC TANK SIZE SEEP PIT/U 51ZE . _�� . . , .... I ?���� .�. • .��r li M _ ::� _, � . . . . � . � _..,.�..�_._........_� - �� , i ;: . . . .