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HomeMy WebLinkAbout12017 (11) - i .._ . ---,._. .____ ---- -- -- .._��....__ CITY OF DIAMONb BAR ' • -' . ;. . .` ��W:.u�J �.�%t�/l� �� • DEPARTMENT OF COMMLJNITY 8c DEVELOPMENT SERVICES 21660 E.Copley Drive Suiu 190 , (909)860-3195 Fax(909)861-3117 � PRE$$ , ' ^���. � BUILDING PERMIT APPLICATION . FIRMLY � JOBSITE ' I p- APPUCATION �' .��, C/ PERMIT /� I P/C ' ¢ ADDRESS— [ S�O �i�1 erL� �� LQ 11+�- . p DATE L NUMBERL x � APN L T____�_ TRACT - DA� . . . . NPE OCC CONST. GROl1P p OWNER ndRrd. s�tc,i :� "� ' LL ADDRESS ' ZONING SEfEiACKS "' CITY � ZIP��2��TEL C 'I/�� FRONT RW ❑ � APPUCANT �- �- m -rl 1 Oa� TEL � � R�R ❑ � SIDEl51DE STREEf RW O CONTRACTOR � rn e�� , ,j�iL• SIDE ❑ � ADDRESS � PROPOSED USE ciTM�'li�5s;o„ Vi� 21P 2- � L TE -d 0 o ARCWENG/ • . � DESIGNER - NO.DWEL NO. NO. . ADDRESS UNITS STORIES 6EDROOMS � CITY 21P ' TEL N " cr� DESCRIPTION SO.FT." FACTOR PSF ADJ.AREANALUATION Q ._ . . OWNER-BUILDER D�CLARATION _ � � �SFRIADD/REM � -� � � � O .. � p 1 MEREBY AFNW UNDER PENFLTY OF PEiWRY 1MAT 1 AM OCE4PT FH01A TNE COHTMC7pH5 LF Garapa/Ca�poR . � � CENSEUWfOR1HEFOLLOwiNOREA50N(SEC.7o7t.68U5R1E55ANDGfi�FfSSIONSCOOE:AN'!CT'OH (� COUNTYMMIGIREOUIRES�VEM11TiOGON57ilUGT,ALTERMPROVE,DEbqUSH.ORREDAIR11NY5TAUC• W PatioJpeck lUf1F.,PiWR TO fTS ISSUMICE,ALSO IIEOUIRE5111E APPL1CANf FOR SIMN PfRMIT TO FILE A SICNED w � BTATEMptT iHAT HE OR SME IS LICENSED PURSUMfT TO iNE VROYISICNS OF TME CONiMCTORS LI• CENSE UW(CMMTER Y(COMMENpNO NTiH SECTpN)000)OF DIVISqN 7 OF THE BUSiNE55AND PRO- � PooUSpa . . � FESSqN5000�ORTW�TNEOR5MEI5EXEMPTTHEREFFiOMANOTMEB1515FOfiTMEAl1EOE0E11EMP• . (!� TION.ANYVIOlA7DNOF6ELT10N7071.6BYANYAPPLIGVtTFORAVERMI73UBJECTSTHEAPPLICMlTTO - z Re-Roaf �„„ 11 UYL 7E1ULT'OF NOT 40{7E 111AN FNE IA1qDRE�DOlLANS(SSOq.)' 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PROPERTY VY1q BUIlD3OR MPROVES 7HEREON,A!U VAIO DOES SUp/Y10RN HI115ELF OR HERSELF OR � THRd16HN50RNEROYMELiLOYEES,PHWDEDM�TSUCHIA�PROVEMEMS�AENOTMElIDEOOq m OiFEREDFORSALE F.IIOWEVER 7ME BULDO'140N MFIiDVEMEIf�IS SOLD'M7HIN ONEYFJA OF COM0.E• H Z TqN,TNE OwNER-0UILDER N'ILL HAVE TME BURDEN OF GROW�CI THAT NE OR SHE DID NOT BNID Oil . , . = MVROVEFORTHEPURPOSEOFSALE4 . • � ' W OLA40WNEROFiHEPROPERTYAIAE%CIUSNEL�CONTMCTN01YRMlICEN5E000NTMCT0115 � N CONSTRUC7 7HE PPA.lECT(5[C.Tou,BUSINESS AND PROFESSIdiS CODE:TME WNTRACTOAS LI- V01U8110f1 �ADJ.ARFA �� �� � GENSE UW DOES NOTAGRI TOAN OVVNER OFA DflOPERTV WIq BULDS OR IMPROVES THEREON.AND � Mf1000HTRACT8FOR5U67PHOJECTSVATMACONTRACTOR(S�LILENSEDPURSUAMTOTHECONTMF pUANTITY �ESCRIPTION � FEE � iIXi5l10EN5E UIW.} .. . . . . .. . .. . . . . OIAlIEXEYPTUNDERSEG B.IP.C.FORTWSREASdJ Q 3 � _ LL � DATE OWHER ! � UCENSED CONTRACTORS DECLARATION . - ' —W+ • . � W IHENEBVAFFWILNDERPENALTIOFDEiWAYlHAT1AIALICENSEOUNDERVRONSqN50FCNAPTER V, `-. � �I�MENGHONrti115ECT10N70oo)OFDMSqN]OFTMEBUSINESSIUIDPROFESSiON5CO0E.AND - �'• � � X YY LJCENSE IS N FlA1 FOqCE ANO EFFECT. ` �—'�- � � /�� 11J �/d-� � "{�✓ l�, i , � LICENSE C1A55�] _�_L1C.NO. � � V OATE � ��J���aV corarrucron' .M F�(�iPmex a u' �u � WORKERS'COMPENSATION DECLARATION � , � N IH[REBYAFFIRA/UNDERPEtULTYOFPEMIMONEOFTHEFOLLO`MNODECLAMTqNS: �� - � � Z �� - � � � • � _I/NVEANDWiLL►WNTAN�CERi1F1CATEOFCON5EM705E1F�N5UREFOqMOPKERS' ¢1" COMPENSATION,ASPRONDEDBYSECTIONS/aoOFTNEUBORCODE,FORTHEPERFOqYANCE " W OFTHE WORK iOq WNIC/ITHIS VENAI7141SSUED. � � Q �1 HAVE AND VIILL YAMTNN WON(ERS'COUPENSATqN MSUIW1Gf,AS REOUIRED BY SEC7�ON 770oOF7MEUBORCOD�iORTHEPERFOMIMICEOFiNEWOa1(fOFWMICH7HISGERMITIS . . . .�. � . . . � ISSUED.IAYWORKER5C0 PEHSATIONW ' CE RIERAn�VOIICYNUAIBERME: CONSTRUCTION � CARRIER 0't� � � �1�5' • PLANREVIEW � POLICYMIIAOER �.�nC ELECTRIC . o (iksSEenoN�t+orsEmu�rIDovnfaewetsRaar�iurasnoatruisRtw�oatFssl PLUM�ING (� � Z ICERTtFYTHATNTHEFERFORAAMICEOFTNEWORKFORWH�CMTHiSPERURISI55UED,1 � MECHANICAL � C7 SNALLNOTEMVLOYANYVER50NINANYMANN[RSOhSTOBECOMESUBJECTT �ME N WON1(ER5COI.IPENS�TIONLAN50FLALIFORNI/IANDACREE7MATIFIS ELOME INSPECTIONFEE _\_ S SU6IECTTOiMEWORNERS'COIAPEN511710NPROVISIONSOFSf:Cf10N77 O MEUBOR - . . . . . . . .• . . ��7— COOE,151u1LLFOR71NnTHCOMKYWi SEDROMSIONS. �SSUANCE � � � SMIP p DATE: ` APPLICANT: - � � � ENERGYP/C WMNINO:F.ULVRL TO SE WRE WOILCERS'CdAVEN5AT10N COVERAGE IS UM.AwR1L,AND SNALL BE � SUBJECTANEMVLOYERTOCRIMMhLPENKTESANDpVILFWE3UPTU0NEMUNDREDTiIOUSANO � ENERGYPERMIT ' ' - OOLLAIiS(SIoo,Ooo),N 11DD1T10N i0 TME COST OF Cd.1PENSATpN,DMIAOES IS iFOVIDED LOR IN ¢ SECi1ON770DOFTHEIAlfOflCODE.NiEftESL/WDATfOWVEYSiEEi RETENTIONFEE: ^ 'r" � a CONSTRUCTION LENDING AGENCY PREALT FEE: ✓ �'�1 � �i�� O � I HEREBYAFFIPAI UNOER PENALTY OF PEM1H1'THATTHERE IS A CONSiRUCT10N IENOPlO ACfiNCV � ' fOR THE VERFOqA1ANCE OF THE WORK FOR WHIQ/TMIS PERM1715ISSJE�(SEG 70v1.GIK CJ. . � ' � LENDERSNMIE .. .. .. .. � LENDERSM1DORE55 �7 ' � ICERTIFYTHATIIUYEREADTHIS�PVl1CAT10N/NU5T11TElW�TTHENqYENFONAAT10NI5LOMECT. TOTf1L FEES � J D. W IA6REETOCOMPLYN1T1ALLCffYANUCOUMYORDwANCESANDSTATEUWSFEUl1lKSTOBU4D�NG ' � CONSiw1CT10N.ANDMERE9YAUT1qNZENEPRESEMATIVE50FTw5COUNTYTOENiERUF'ON7ME � � � ABOVE�4EMqNEDFROPERTViOIiklSPECTqNWRPO5E5. COMMENTS : � ' 2,��P�1 m VEiWITTEEN wr+n . , . � � , � Uj SqNAtUR[O PENA E DAtE � RECPT.NO. PAID BY VALIDATION WHRE—Depertment Capy,YELLOW—Fnence Copy,PINK—AseessaCopy,GOLDENROD--Filn Copy,GREEN--ApplicsnfsCopy � . .. .,.. . ... . , � ..�._� ' ' f � ,.,....�v. .. . . . _ . .. ...., .:. ... .... .,.�...... n .. ..... . -�.�.�--.� ,i. .r �,1"K.1.' ��1�. I � Y I • . . .. , . . . , .� � . ... . . . ��7:.... . i ..� .1:'i"i ..A�, .. . . . . . _ � _.r ��V .. � . .`�, _ , . . CITY OF DIAMOND BAR �;:::;-, .:�; ; - ,, __ . ..... ,.,.. ,. . _. _.._ _ : .. . . .. ... . . . . .. .... .. .. .. - . `: . ` � �.. ,"� INSPECTION RECOF�D', `: �_',�.�:'`�:� ,.:: � . , , . - �_ . , . . . _ �, ,�. . • � � • ' ' • � ' • ' SET BACK ' ,' , 1 �- ` -. .`� - FLOOR JOIST`� �� �, ; �.�I �,•. •,r;; =• ;'_ ;- \ : FTGS/FORMS/STEEL ' '' FHAREQMTS� -- - - . - - _ . . .. . .._. .. ... -.-----...__..._. � ELECTR�C'GFIOUND-.--- ._-_ "_ _.,._. :- - - -- � � : UNDER FLOOR DUCT -` � - - � , c1 � ' - GROUND PLUMBING • • UNDER FLOOR COt�Ip�11T ���, �i,� '•s•: � � ' ... SLAB GRADE _ • _ _ .. - :, FIREPLACE'FOUNDATION�� - -.� ..' = ' ,",-''�. '� } j : TEMP POWER _. �' • _ ' , ':: �� : FIREPLA�E`BDND�BEAM_ .: ; .-... . . . _....__ . . WATER SERVICE =-- ---- �.. --�.:. -:.. _.:....... _.. .. - MID HT.BOND BEAM ...,� �,.. i, �.; � . „ - - _, � ;a . - -• • - - . , ROOFSHEATHING ----- . . _ . - , SF;L BONDBEAM . ,�,. . �, � � : .• •.� ,....;:.,1�; •:. . � ,� FRAMINGNENTILIATION FINAL BOND BEAM � • ' ' ROOFCOVER;== ..-, : PRE-GRADING � - � - � ' , _.� -ROUGH HEATING--, - -- — -- - - - - BENCHING - ' � --- � "•' � ' -ROUGH ELECTRIC--� -- � -� -- -��-- - � - - - � ROUGH GRADING • , •• � " ROUGH PLUMB(NG ` -- -- � � - � � -�" - � FINISH GRADING. : ' �SHOWERITUB TEST�- -- .__. . . - --- - �---..- _ POOL ELECTRlC . , . • �: ! : - - ' .. � � EXT.LATH/SIDING ROOL FENCING � WALL INSULATION ' POOL FINAL " ' CEILING INSULATION I , OFF SITE IMPS. � • • • DRYWALL NAILING DEDICATIONS . ' - . : � SEWER.__. . FINAL ENG.. •� � • ' - -- -- - - - - � , , : : , ; SEPTICTANK ' .______ ._ . N�S APE/IR I . ... - SEEP-PIT/L:L: -=--- -- - _.. . ON SITE IMPS. .. . , . .. , , � GAS AIR TEST��-- - - - - -- — - -; - -- FINAL ZONING '� FINAL CONST.-: ---__. . .._ .. _.... .. . .......-.- -- , . --.- - FIRE DEPT.FINAL _ _ � ; ; FINAL HEATING - --- - - --- �- - - �� HEALTH DEPT. FINAL _ _ . .... . . i :�' FINAL ELECTRIC� - � � - DEV. FEES PAID � -'" ' : .. . .�.,. , : FINAL PLUMBING . G y� ' ' ENERGY � � i . . � �- � . ' � � , , , . . , , �,� e • - - �..1 � . ; ; �, . ... .. .. ... .... . ... . . .. .. . . .. . . , . ---- - - - -- . _. .. _ .. . .. . . .. . _ _..�..�..�._.... . .. ,. _ . ,...:.-. . . ,._ � ..i`_ , . :-- � -- ' - - - - __ -- — �. . . ,,. COMMENTS-�- -. - - - - - , : � . , ,: i :. . _ .....- -- ._ _ _ _ : � : , ., ;. _ _ _ . . � . .. � ' ; � . . .. :. >,. ,, - �� ._... _ _ . � . - -, �. -- t- ,,' .�`�,1 - ! _ - - -.. ." ' ' - - - - - - . � , � . _ , , . ! ._ .. _ _ _ _ _ - .. : � � ... - . , . _ . . _ . _ . ._ , ..� �, ,.-. .-; �� . . --- � . . , -- �, . �-- , , �� , _ .._ _ _. . _ , , .. ; SEPTIC TANK SIZE � ' -- • : , , � � . . � . . SEEP PIT/U SIZE � :._.^;- _ • i � ; -- '� . -.Y..._. . . - - - 1 ' . . . . -- _ � . � -- --.. . . _.. � i .= _ , _. ,, . . ; • . .. . . � . � � � . .. , i . _ _ -- I 1t r; r � , i �• • � _.._. � . - - � . .._ , . - . . .r . i : t r� � • , ..:.. ' ` . ' • - • .. .. . --.. .._ .. . . . . � • '� J � . � , I. . . . -- -�� �� ' .. _ � . . ..�. . .. . _.. � _.. _. _ __ ' . �, . '. ,� ' . . . , , � � � � � ' i ,