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HomeMy WebLinkAbout12030 (11) ND B AR' : _. ��r'��- �J��-�"" ��� � CITY OF DIAMO • DEPARTMENT OF COMMUIIITY&DEYELOPMENT SERVICES � si�oE.cop��yntiY�s�ic�i90 . . . � PRESS �'�*��. � BLJQ.DING PERMIT APPLICATION � � FIRMLY � JOBSITE r � � / _ APPLICATION -2 ��BE� ����/C o ADDRESS lS� Gh�el'10.I� (��7<- OATE �� $ ISSUE TYPE OCC • .- APN �T U TRACT � ' DATE - 'CONST. GROUP g OWNER An Rr c•� : � ; ADDRESS ,ZONING SETBACKS W CITY - P ZIP�2�z TEL. � " � , FRONT RW ❑ � APPLICANT " TEL (I t[41��1�-�/U _ REAR ❑ . . � . v-^�^-r SIDE/SIDESTREET RW O CONTRACTOR � Gtit r � SIDE D g ADDRESS PROPOSED USE � Q C(r( 1� i n i�'u ZIP�yTE �� 0 _ _ _ . , wo ARCH/ENG/ • . ' , � DESIGNER - - - NO.DWEL NO. NO. . . ADDRESS UNITS - STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. - FACTOFi PSF ADJ.AREANALUATION � Q _ _ . OWNEF-BUILDER D�CLAFiATION . SFR/AD�/REM - -� - � O ' I NEREBY IIiFGW UN�ER VEWLLTY OF VERIURY TNAT I AA1 EXEMPi FRdA THE LONTMCTORS ll• G2f8Q6�C8190R ' B CENSEUWFONiNEfOLLdWiNORE150M(SEC.70.t1.68u51NE5SMIDPROFESSqNSCODE:ANYpTYOfl , (n C� COUNiYNROCHREOURESAVEWARI000N5711UCT.�1TEfLdAOROYE,DE�OUSH.ORHEPAIR�M'STRUC• � W paCw/Deck ' - � � �L7LRE,iiilOit TO R9 6911ANLE.AL.O NEGIIRES TME�VPLIC/Jlf FOH 6UCH PEFAIIT TO FlLF A SIGNED W � BTATFLIIXT 71UT ME OR SME 45 LICENSED WJFi3UANT TO THE VF10Vl.lOH9 OF THE CCNTMCiOFiS LI- . � CENSE WM(f.IUPTER i(COMMENPNO WI7H SEC710N No01 OFOIVISION l OF TME BUSINESSIWD PRP � � POOVSp3 . ' . . FESSIDNS OCOE)OR T/UT ME OR SME IS El(EMVT iHEREFRqA ANO iHE 9A515 fOR T11E AILE�ED E%ENP• TION.AN'(VIOLATIOMOFSECf10N7W1.6BYANVAPPLIG�NTFORAPERMITSUBJECTSTNEAPVLICANTTO Z Re-Roof F A CML PfNALTY OF NOT MOiIE 71UN FNE MUNDRED OOLIAR3If5001.1: . 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J � NE53 AND PROFE5510N5 WDE T11E GOMMCTORB LICENSE UW DOES NOT MPLY TO AN OV:NER OF - � � � � - � � VMGEHTYYMIOBULDSOfiNVRDVESTNEREON.ANDW110D�[SSUCHwOFiKMIuSEtFORXC0.5ELFOR � ' � THROUGHMISORHEROMMEYPLOYEES,DROVIDEDTIUT6UpIMVROVEMENTSARENO7PlTENDEOOR m � . � OFFEREDFORSALEIF.HdWEVERT1EBUtDIN00RWPRDVE►1EMISSOLDWRIIINONEYEAROFCOMPLE- �� • '� �710N,7HE OYlNERSUtIDER WILL NAVE THE BUROEN OF iROVINO TUT ME OR SHE 01�!qT BUIID Oq MPROVFFORiMEPURPOSEOFSALEI �� W ❑�ASOYMEROFTHEPROPERII;AME)(CLUSNELYCONfMCTwONTiHLICENSE�COHTMCTORS � TO CONSTRUCT TME VRQIECT(SEG 7ou.BUSINE39 IJrD PROFESSip+S CODE:7HE CONTMCTOf13 U� V01U81id1 ADJ.AREA� CENSEUW DOESNOTAPPLITOANOWNEROFAPflOVERTYMM1�OBUILDSORIMPROVESiHEREON,IWO � MRqCONTMCTSidiSUCHiR0.1ECT9WITHACONTMCfOR(SJUCENSEOVURSUNRTOTMECONTMG QUANTITY DESCRIPTION � -- � � � FEE � T00.411LENSE LAW.I. . . .. - . . .. .. . . . . -. . . . _ OIAMEXEMPTUNDER6EC B.ID.CFONTHISREASdJ .. U Q . �=T� OATE OWNER � V ' � F4 W LICENSED CONTRACTORS DECLAFATION W ¢ IHEREBY/FFYIMUNDERPENALTYOFPEiWMiHATI/vdLICEN5E0UNDERVROV1S10N50FCiUVTER � �r „ , � Y(C01M�ENCNONrtiHSECTiON7ooa)OLOMSION70F7HEBUSINESSANOPROFESSiW1SCODE,AND Z X NYUCENSEISNFL1llFORCEANDEFFEGL /p� m � u� F�0 � �- ' � � LICENSE GJISS LIC.N0. � ���.,,.���. J . . . V DATE �� � � �f1(7�+ CONTRACTOR ��}''- a W ` , X{ � WORKERS'COMPENSATION DECLARATION ' Q . � N IHEREBYAFFUWUNDERPENALNOFOE0.RIMONEOFTHEiOLIOWINGDEQAMTqNS: U ���� -� - � - - -� N a _. C _INAVEANOMALLIMiMAINACERTIFlGTEOFWNSEMTOSELHNSUREFOR1MDfiKERS' S . � COMVENSATION,ASCROVDEOBYSEC7IONS/OOOFTHEIABORO00E,FORTHEDERiORIMNCE `U OF THE wORK FON W111G17MI4 OERMR IS ISSUCD. � G �I HAVE/WD NnLLAWMAM WOfiKERS'C04PENSATION MSUfiANCE,AS REOUIRED BV SECTqN O l7DOOFTHEUIBORCOOEFOR711EPERFORMANGEOFTMEWOHI(PoRYrt7Id/THISPERMITIS . . .. . . ISSUED.L1Y WVPJfERS'COMPENSA�qyyy��SU E CARRI u�o voucr nt»eoSA�we: CONSTRUCT�ON � CAMIER �I�M [J'���G �l.S• � PLAN REVIEW � . . . . � va�icv r+uueEa_ �Ci�� ELECTRIC . (M55ECnoNr0.FDtqigE�lEre�oFnEaER.irswaa+[M�E�oau0.s(f+a�a+�Qsy PLUMUING � G Z ICERTIFYTHATNTHEPERFOFiAIANCEOFiHEWONCFORWNICHiHISGEW.�IT15lSSUEq1 MECHANICAL� � � ����� � ' �` ' ('} SHALLNOTEMPLOYPNYVEitSONINANYMANNERSOASTOBECOMES .CTTOiHE ' � WDPoCER5COMPEN5�7qNUwSOfGWFOf1NItiANDACREETHAT61 �OULDBECOME INSPECTIONFEE S SUBJECfTOTHEWORKERSCWPENSA7qNGflOY15�ON50F5EC?IO ooOFTHEI/�BOR �SSUANCE COOE.�SWILL OHTMA7MCOMPLY OSEVROVISIONS. O �/ p DA�--���---��APPLICANT: ��✓"6 SMIP . . . W ENERGY P!C WNWIN(i:FAILUHC TO SEW RE VXNiKERS'CO�dPENSATqN COVEfUGE IS UNUwFUL AND SMALL BE �y SlA1ECTANEMPLOYERTOCRMPIAI.VENILLTIESANOCMLFINESUPTOONEHUNDREDTHW5M10 ENERGYPERMIT - - DOlURS�ft Oo.oao).N 11DDRION TO TFIE C0.5T Of COMPENS�TqN.DMUGES AS PROYIOED FOR IN ' J[C SECTION77oeOFTNEIADORCODE,NTEREST,ANDATfORNEY5FEE5. RETENTIONFEE: d CONSTRUCTION LEND�NG AGENCY PRE•ALT FEE: n � � ' � O 1� . , � IMEREBYAFFlRMUNDERVENALiVOFVERNRYTNATT/ENEISACONSTRUCiIONIENDPlO�GENCY,. _ � FOR iME PERFORIAANCE OF TME WORN FOR WHIC11 TIIIS VER1AiT IS LSSUEO(SEC.]097,dV.G). , � � LENDEiMSNAME � � � � � � LEN�ER'S 1DDRESS 1p wICERTiF7THATIHAVEREADiHISAPPLK.ATqNANUST�TET1Ul7iN[ABOVENFORUA710Nt5COR11[CT. TOTAL FEES � C� � IAGREEiOCOMVLYM7iNKLCRYANDWUNTYOFlDWIWCE5AND5TATEUwSRELATIHOTOBURDING CONSTRUCf10H./VID NEHEBY AUTMORIZE REORESENTATIYES OF 7FIIS COIMTY T0 EMER UPON iHE . . . S� ABOVE#�ENTIONEDPiqOERTYFOAINSPECTqNVURP05[5. COMMENTS � � 'L turd /4 . : i'I��I�e�� 4 v¢rwirrc E(pRirf� � r � . � � � (n 810 F RA4T7EE OA7E ' � .. . RECPL NO. PA1D BY VALIDATION WMITE—Depertment Copy,YELLOW—Fnence Copy,PINK—Aeeesaor Copy, OLDENROD--Filx Copy,GREEN—AppicaM's C.opy- .. . . . . .. .. .....: ...... , ...., • . , .,. ( 1 .. . , .. . . . ,.. , . ... . ., . . ... .. ,� . . . � • . . .�. •� .� . ,. � -. ... . . . - . . . _ , ' � CITY OF DIAMOND BAR - ;:. : . �: ;;. �.. . .. .. .. .. ... . . ... _... . . ... . . �. ..,. .. . , ,�..�INSPECTION'RECORD ...:,. ���: .. . .. :�� _ : , , . �. . ,;.. .. .. . . � � :�, . . � � � • - • � � • - SET BACK " '� j •- ..� � , . , _. , FLOOR JOIST :�� �, ;..i , ,�,. ,, ,�. :� , .. . FTGS/FORMS/STEEL . ': � ,FHAREQMTS - .__.. .. ......_ ... _..--- -.- .- . -----.-.-.-.-. - -. ; .; ,. ELECTRtC GROUND-... . .--- -� .......... - - --- - -- UNDER FLOOR DUCT _ ,� , ; ,,r, �, .',:I -.: `r ., -;-. : I -. GROUND PLUMBING ' '�� ` � -UNDER FLOOR CO�IDUIT� .•.�. ;��.�, .`�'� ; ��< � - ' . . . , . , SLAB GRADE._.. ....... .. . . . -- - -._...--- .,":, • � FIREPLAGE'FOUNDATIQN �'- =' '.; ,.. ,,:.,, ,, , ; .� �_ ._. . � . : . TEMP PO1VER- -- - �� . - - '; � • : FIREPLACE��OND'BEAM . �.�' .. .� �--. . ' _ .. .. _. - .. 1_ ' '.�.�. I'� ,�,.��i . .'• I . WATER SERVICE _-_=--_.-. .� =-_. _:_. _:___- _. .. --. . .. �:.. . MID HT.BOND'BEAM .�,,, ,�,.. , . ,. .. .` . .. . ... � . . ,� ._.., ; _ _ ROOF SHEATHING..._...-- - - - - - - . _: . ,c . . 8 FT. BOND BEAM .:.-., .. .-:� , .• ,�.� , ,�•. ',�;� •. , � �� FRAMINGNENTILIATION _ FINAL BOND BEAM - ' � i '.' ROOF COVER.�-`'-. ' "" `PRE-GRADING � - -� -ROUGH HEATING—:- - --- -- - --- - _ . - - - - BENCHING . - � -• - - - - ... ._.. _ _... .._ , ; , -ROUGH ELEC7RIC-. - - � - - - - - --` '-' ROUGH GRADING ,- .: •;. ' ROUGH PLUNIBING- ' � ��- -��- - - -" -'�-- "� -' - : FINISH GRADING � - . , .. �SHOWER/TUB TEST� -- -- ---- --- ---- --- - POOL ELECTRIC . � . • EXT.LA7H/SIDING-- �-- - - ---- - - ----. POOL FENCING � ; ' ' WALL INSULATION . POOL FINAL • ' . '. '.,. ; ; ; CEILING INSULATION ' OFF SITE IMPS. • � DRYWALL NAILING ; DEDICATIONS :, . - . : • � . , , ; ._ — _. . FINAL ENG. � � • - , . y � ---- . .SEWER- -� ---- -...... _ � . . . SEFTICTANK.._ ._. .:__. _. _.._._._.. _. .' ..... . . LANDSCAPEJIRRIG. . ' •' i . . .. - .. . ON SITE IMPS. . . � , � SEEP-PIT/L.L:: -.__--.._. :---- --..._ ._ ... ._ . � . GASAIRTEST�-- -- - - - -- ------ ._. . .. .. -�-��-----� FINALZONING , . . . ; . :� FINAL CONST:'---- - - -- ------� -- - - -� -FIRE DEPT. FINAL � FINAL HEATING ----- - -�- --- - - --- • ���� HEALTH DEP.T.FINAL - ! � _... . FINAL"ELECTRIC - -- -�- �------...... _. .�. , _. DEV. FEES PAID ._ . .' . „ FINAL PLUMBING . ,-'� ENERGY . � � I � , ;' .. - , . � „ . .. ; - � � �- • •►' .. _ , _ . . _, _ . . . ___.._.-•- -- -..._ .. . . ,,. . . _.. -�-- - -._.. . .. _ , ... , �" • , ., _ _._. _. . --- COMMENTS -- -.. - � ..,:•, ,. _. . . . • , _ . - - --. .._ : .. _ . _ .._ , . .. _ . _ , . � , . _ . , ,. - ---. _ _. - - _ _ _ . _.. � „ : .. __ _. . . _ ��• •>:� `_.. ,�• . . _ . • . � � A ' , .�' ' ' __ . . .. .. . . . ' ' , . . . , i ' \ ' . � .,. ' ' � .� ' � i I � � . . . . _. .. _.� _.... .. .. . . . ... . � `� \ �. .� �`,� ' . i �- • . . � � . - . . .. _ ��� � � � � . .. . .. . .. _ . . , . . .� , . • ' . ' . . .. ; . SEPTIC TANK SIZE , . � ... . . , � . � , . , � SEEP PIT/U SIZE. �"-- --- r ,. , ,.�.. . . _ �,• , . i . , . . , . . ':. .; -. . _ . , � � .. . _ , , ..._ _ . .... - - -� , . - . . .. � ... ,� . . . ... .. . . . . . :. . : .. � , , , . . ,.,. , , � - ... ._ . . .._._ .. . , � � -- _. ...... , . , � . - .. _ , �`, _r . . �`\� - . �`. ��. � . • - - — , - ' , . ... , , ��l _ ._ _ �` yi ...��• � �:\: