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HomeMy WebLinkAbout11136 _._._._ _� —�._._-_..-•-------�-- r.. .. . _. _ _._._ . .. .. - ----��---- C1TY OF DIAMOND BAR . ° -. �' COMMUNITY DEVELOPMENT DEPARTMENT � � ,±:,.0 2I660 E.Copley Drive Suite 190 . • • - PRESS (909)860-3195 Fax(909)861-3117 ' ' '^�'� B UILDING PERb1IT APPLICAT[ON FI R M LY oN JOBSITE �7.��t' ��/ APPLICATION 1 �� NUMB R / ��� 11/C 'O�7 ADORESS y � DATE $ ISSUE TYPE OCC , . APN LOT TRACT DATE CONST. GROUP � OWNER � ZONING SETBACKS p ADDRE�S oC�Ty�g� TEL. FRONT - �RW ❑ APPLICANT � TEL.�7'� REAR ❑ o ����`S`� SIDE/SIDE STREET ' RW ❑ � CONTRACTOF /J �. SIDE ❑ ADDRE � 7 PROPOSED USE ,�j�',� �,I�f ti l � CITY J r °� ZIP TEL. — / f'�Y _ �' o ARCHIENG/ . z DESIGNER N0.DWEL NO. NO. � ADDRESS UNITS STORIES ' BEDROOMS � CIN ZIP TEL. � N DESCRIPTION Sa.FT. FACTOR PSF 'ADJ.AFiEANALUATION � OVYNER-BCILDER DECLARATION ' � SFR/ADD/REM � O .. . p I HEREBV AFFIRM UNDER PENALTV OF PERNRV THAT 1 MI E%EAIPT FRO/A THE CONTNACTORS L4' Gdf399/C8lPOA ��� �- --- - ' W GENSEU�MFORTHEFOLLOW:NGPEASON(SEC.7071.68USINESSANDPROFESSIONSCOOE:JWVLITVOR (n U COUNTYWNIpIREWIRESAPERMITTO0ON5TRUCT,ALTER.9dPROVE.OEMOL15H2OflflEPAIRAMlSTRUC• W patiolDeck. . ' ' � � W7URE.PHIOR TO ITS ISSUANCE,Q50 HEWIRES iME APPLKAN7 FOO SUp7 VERMiT TO FILE A SiGNED W --- - - � STATEMENT THAT HE OR SHE IS 110ENSED PURSUANT f0 THE PROVISIONS OF THE CON7MCTORS Lb . � CENSE UW(C}IAVTER Y(COA7MENGNO WITM SECTIDN 70D0)OF DINSION]OF TME BUSINE55/JJD 7R0- V' PoaUSpa _ _ ^ FESSIONSCO�E)ORTHATHEORSHEISE%E6IVTTHEREFROMANUTHEBASISFORIHEALLEG[DE%EMP- (7 i � TqN.MlYYIOIATIONOFSECTION70�1.SBYANVAPPLICANTFORAPERIAITSU&IECTSTHEA7PLIGWTTO �� Z Ra-Roof � � ACMLPENALTYOFNOTMORETUWFIVEMINDREDDOLURS(f5oo).�: ,. � O�ASOWNEROFTHEPROPERiY.ORMYEMPLOVEESYATMWAGESASTMEIRSOLECOMPENSATbN, �' O �mmerciat . Z WILL DO THE WORK,ANO THE STRUGIUFE IS NOT IN7ENOED OR OFFEFED FOR SALE(SEG.7oN,BU51� J .NESS AND PROFESSIONS CODE:THE CONTMCTORS LICENSE LAW DOES NO7 AVPLY TO AN OWNER OF N FR07EFtTYVUNOBUILDSORIMPROVESTHEREDN./WOYMODOESSUqIWORKHIMSELFORHERSELFOR m (= THROUGHHISORMEROWNEMG�OVEES,PROVIDE�TNATSUCHIMPROVEMENTSARENOTPlTEN�EDOR . . ,�__• W OFFEREDWRS/LE.IF,HOWEVERTMEBU1LdNGORIIAPROVEAIENiIS5OLDIN�TH�NONEYEAROFCOUPLE• � ' ,ar Z TqN,THE OVlNEH�BUILDER WiLL HAYE THE BURDEN OF PROVING THAT NE OR SHE D�D NOT BVILD OR = IMPROYEFORTMEGUHPOSEOFSALE�. � ❑1,AS OWNER DF TH[PROVERTY,M7 E%ClU51VELY COMMCiING WITM LICENSE�COMMCTORS � TO CANSTRUCT 1HE PROJECT(SEG 701�,BUSINE55 M!D PROFESSIONS CDOE TME CONTMCTORS LI• V8W811Df1 ADJ.AREA W CENSEUWDOESNOTMPLYTOAYONM[HOFAPROPEHN'MIOBUILDSORIMPROVESTlIEREON,AND � NM1+OCONTRACTSFORSUCHORQIECTSWITNACONTHACTOR�S)LICENSEDPURSUAMTOiH[CONTMG pUANTITY � DESCRIPTION � �� � � FEE � ' � . Y TORS LICENSE UW.J. .. . _ _ _ __ _ _ ' ____ . .. -. . . . ' � ❑1 AM E](EMiT t NDER SEC. B.s P.G FOR TFIIS REASON U ' � O . .. . . .. . . . .. _ y ¢ � u" DATE OWNER F' � .. V . ... .-- � � ---� W �Q LICENSED CONTFiACTORS OECLARATION W , � fL IMER[BYAFFIHMUNDERPENALTYOFPEiUURVTMATIAMLIGENSEDUNDERPROY1510N50FCHAPTER U. . � Y(COIAMENCINGWRHSECTION700010FOIVIS�ON70FTF�EBUSINESSANDPROFESSiO`ISGOOE.ANO � Z X MV LICENSE IS M FULL FORCEAND EFFECT. � m , � . ` .. , . lll ' � LICENSE C S � LIC.NO..� J H V� DATE COMRACTOR �� a W CO, � WORKERS'COMPENSATION DECLARATION Q � INEREBYAFFIRMUNOER7ENALTYOFGENURYONEOFTHEFOLLOWINGDECIMATqNS: U - - . . Cn Z Q _. 0 _Iyy�M��VEANDW!LLMAINTAINACERTIFICATEOFCONSENTTOSELFaNSUREFORWORKERS' _ � �MPENS�TqN,lS PROViDED BY SECi10N]70o OF iME LIiBOR CO�E,FOR THE PERFORAIANCE 'U � OF 1HE WORK FOR NT11CH TNIS PERMIT IS ISSUED. � Q ' , . . .. .. ._._ .. . . . . .. ... .. ... . w _IHAVEANDWIILLWNTA1NWOqKERS'COAAPENSATIDNINSUHIWCE,ASRE�UIREDBYSEC7qN y O �7o00FTMElA80RCODE,FORTHEPERFORMANCEOFTFIEWOPKFOAWHId1THI5PERAl1T15 � �. / . ¢ � ISSUED.MY WORKERS'COMPENSATqN INSU 1yNCE C R:ER IwD POLICV 6V61 ER ME: CONSTRUCTION ��- - �� � ] CARRIEH � P"/���Gt�Ol1 //J�(�fL1�« � • PLAN REVIEW �.Z�o9 � POIICYN6:1.CEp�I�S . . . � � ELECTRIC ... . .. _. . . . . . . .. Q � (IHBSCCfriJNCmNOTBE07�dRF7EDOFhi[PEPMTISiaRO�:EHIf�L.%imOq1A0.5ltemlaitFssl PLUMBING Z I CERTIFVTHAT N THE PERFORMANGE OF THE WONK FOR WHICM MIS PEPM�T 15 65UED,1 MECHANICAL (�} SHALLNOiEM?LOVANYYERSONINANVMANNERSOASTO BECOMESUBJEGTTO7HE . . .. . .. . . . . . .. . N � WOPNERS'CO'.�PENSATpNLAW50FGLIFORNItiANDAGREETHATIFISFqULDBECOME INSPECTIONFEE � S 6UQlE i TO THE WORNERS'COMPENSATpN VROVISIONS 0F SECiION 37000F iHE U80R , ��� COD[ SH FsORTMNATMCOMPLV WITH iOSE PROVISiONS^. ISSUANCE `. �p DATE: v APPLICANT: (�"� "' `- /�/��7 SMIP J ENERGY P/C . � WARNiH .fMURE TO SECURE WORKERS'OOMPENSATqN CAVERAGE IS UNUWM.M'D SNALL BE � SUBJECTANEMPIOYERTOCRIMNALPENAL71E5Ni0CINLFINESUPTOONEHUNOREDTHOUSAND ENERGYPERMIT DOlLAHS�SIOO.OW1�IN AODITION TO THE COST OF COMPENSA710N,�AMAGES AS PROYIDED FOR IN /� � � 6ECTqN17080FTHEUBORCODE,INTEREST,ANDA7TORNEY5FEE3. RETENTIONFEE: � � � � � � � r�-�`��� � � � a CONSTRUCTION LENDING AGENCY PpE-ALT FEE: , " � ' O - . . ._.. .. . . , . 2 IHEREBVAFFIRMUNOERPENALTYOFpE0.NHYTH�TTHERL15ACON5TRUCTIONLENDINGAGENCY - - -- d FOR THE VEHFOFMlWCE Of iHE WOPK FOR WHICH 7HI5 PERMR IS ISSUED�SEC.7o97,CIV.G�. . . . . . Z . .. .. .. _.. . � W � LENDEFYSNAME ' F- LENDER'SADDRESS � " � � � � ���� r � ICERTIFYTHATIHAVEREADTHISMPL�CATqNAN�STAIETNATiHEABOYEPlFONA�TIONISCORRECT. TOTAL FEES ' J ��Z� W IAGREETOCOMPLYWiT.IALLC1iYANDCAIMTYOADINANCESAN'JSTATEUWSREUT�NGTOBUILDING " � �� ' �' CONSTflUCT10N,ANDHEREBYAUTNOWZEREPRESENTATIVE50FTH15COVNTVTOENTERUVONTHE ZABOVE�MEMIONEDPROGERTYFORINSPEC710NPURPOSES. COMMENTS � � � ��s � �/1�1�P QPE 7TEE NAME(PiL� �� . . . . . ... .. .. . . . _ . . .. . . . ._ ,. . � � N 5 ATUREOF iHMI E D�TE " � y RECPT.N0. PAID BY � VALIDATION . .WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Capy,GREEN—Ap icant's Copy . .. � • . , . . . � .. .. . . . . .. .. . .. . .. . . �t'�;• . .�.,., . . ^ .'r�?.:c:� .�:. .,... .....•�. , , - ,. , . ,, . _. . + . • � . - , � CITY.OF.DIAMOND BAR :: . �;, ' , , � - � � INSPECTION RECORD "' " � � � . � . . � � , � . SET BACK . -.- : " � � FLOOR JOIST --- �• - FTGS/FORMSlSTEEL - ' " - FHA REQMTS - ' ' ELECTRIC GROUND ' • UNDER FLOOR DUCT� �� �•.'�� '��..�,., .'; �-;�;�•��; ; � GROUND PLUMBING �- - UNDE�3FI.00.. .CONDUIT �' . :� =� \.1�^..c:��.<_; • SLAB GRADE " � FIREPL�A'G"�FhU�DATION , ' ' • � " � � _ . TEMP POWER - - - • - -- FIREPLACE BOf�D BEANI ' � � �:.:� ���> > \�' ,��..� =e.. , �, WATERSERVICE '= - � "' � ' - ,� - MIDH .`�QNQ�B�A1r1L'� • "l.,"� � ., .�� �i•:�;:i:�L'.;;� . ROOF SHEATHING 8 Ff. BOND BEAM • FRAMINGNENTIUATION FINAL BOND BEAM - RDOF COVER - - - --- - - -- - PRE-GRADING � . ROUGH HEATING -- - � BENCHING . � ROUGH ELECTRIC-- -- - -- ' ROUGH GRADING . , ROUGH PLUMBING- , - - " - FINISH GRADING • SHOWERlTUB TEST ��- -- -- POaL•ELECTRIC • EXT.LATH/SIDING POOL FENCING , WALL INSULATION POOL FINAL • - � . CEILING INSULATION OFF SITE IMPS. � .. DRYWALL NAILING � DEDICATIONS . _ SEWER .. .. _. . - . -- - - -- :-. _;,. . FINAL ENG. . SEPTICTANK . _ _ ... ' . _ ... " �.''` LANDSCAPE/IRRIG. , � SEEP PIT/L.L. -' - - -- . . .... . ... ON SITE IMPS. � GAS AIR TEST - - - � � - - FINAL ZONING - � FINALCONST. -- ---- - -- � � - -� • � FIRE DEPT.FINAL ; ;� FINAL HEATING '�- - � - - - , HEALTH DEPL FINAL � --- FINAL ELECTRIC- � �� - - '- DEV. FEES PAID • • � FINAL PLUMBING S A � ENERGY ; :� � =� � . .r , • • - . — -. —.- -. . - — .• -.. . COMMENTS - - - � , . , -,•� �. :_ _ - - - _ __. . � - . . ,`;"� . S , . , � , \tl`.�.1' �'",•, • a-. , .,. � , � . _ ' _. • ... ��.. :^,_ .. ,, : _ .c''� � . t • `� T ?;11(;^ 1``� _ . � .. . , _ . .;` : � ��, .� _ . • ' . . SEPTIC TANK SIZE ;.'��I . , _. . _ __ . SEEP PITN SIZE . . , . � . , ';\' •�- , •, -�'�•,� � .I � , _ ,�=-�� .. _ ,\; f i;; �.. � ..' ... ._...._ .. , ` - �~ - ..: _ .. . . _ . _ 1 ,�