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HomeMy WebLinkAbout14491 (20) ----��- -- F DIAM ND BAR . . . �� I �C . � � � � CITY O 0 COM19h1UNITY DEVELOPMENT DEPARTMENT l' !:,.� 21660 E.Copiey Drive Suite]90 PRESS (909)860-3195 Fax(909)861-3117 ""' BUILDING PERMIT APPLICAT[OIV FI RM LY 4 DDRESS Z�!�S� L.�S`f�tl /��/ � APPLICATION i_. ��—�DPERMIT I L�L.� P/C o DATE � NUMBER � # c� ISSUE TYPE OCC APN LOT T CT DATE� CONST. GROUP p OWNER � o ADDR � ZONING SEfBACKS EXPIRED z CIN � D� ��'�L. � , FRONT RW ❑ � APPLICANT � �^ . '7E�: REAR ❑ � SIDEJSIDE STREET�af1f1 RW ❑ ¢Z SIDE W ❑ CONTRACTOR Q ADDRE � CIN IP /TEL. PROPOSED USE w ARCH/ENG/ w DESIGNER NO.DWEL. PJO. NO. = CDDRESS Z�P TEL. UNITS STORIES EiEDROOMS y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNC-R-BCILDER DECLARATION SFR/ADD�AEM - O p I HEREBY AFFIRM UNDER PENJLLTV OF PE0.IUFlY THAT 1 AM EXEMPT FROM THE COMMCTORS ll� ' GarJg9/CBfpOR � W CENSEUWFORTHEFOLLOWiNOREA50N(SEC.7071.SBUSINESSANDPROFES510NSCODE:ANYCRYOR , (� U CpUNT'/WFIICFIREOUIRESAPERMIiTOCONSTRUCT,/�LTERMPRWE.OEMOI.ISM,ORREPA�fiANYSTitUC� W patio/Dock � W NRE,PPIOR TO IT�ISSUANCE,JLL50 REOUIRES TME APPLICANT FOR SUCH PERMIT TO FILE A SIGNC� w ' � STATEMENT hIAT HE OR SHE IS UCENSED PURSUANT TO THE VROVISIONS OF THE CONTHACTORS LI•. . � CENSELAW(tl1A7TERY�COMAIENCINGWITHSECTION7000)OFDIVISION00FiHE8U51NE5SAhDPRO� � PooVSpa FESSIONSCOOE�ORiNATXEORSHEISE%EMPTTH[REFR0IAANOTHEBASISFORTNEALLEGEDE%EUP• VTION.ANYNOlAT10NOFSECTION7071.58YANYAPPLICANTFORAPENdRSU&IECTSTNE�PPL�CANTTO Z Re-Roat ' � ACNIL PENAITY OF NOT MORE THAN FNE HUNORED DOlURS(SSoo)): ❑4ASOWNEROFiNEPROPER7V,ORMYEMPLOYEE5Wi7MWnG[SASiHEtR50LECOMPENSFTpN, Q Z Commercial ' WILL 00 THE WORK,I�NO THE bTRUCTURE IS NOT INTENDED Dlt OFFERED FOR SALE(SEG 70��,OUSb J � NESS AND VROFFSSIONS CODE:THE CONifUCTORSIICENSE UW DOES NOi APPLY i0 AN OWNEN OF j DROPERTY N710 BUIlDS OR 14VROVES THEREON,AND WHO DOES SUd/WDRN HIA15ElF OH HERSELF OR Q TNqOUCHH150RNERONTlfA1PLOYEES.DiiOViOEDiIUTSUd11A1PROVEUENTSAR[NOTWTENDEDOR m . QOFFEREOFORSALE.IF,FIOWEVER7MEBULDINCORIMPROVEMENTISSOIDWITHINONLYEAROFC061PLE� Z TION,THE OWNER�BUILDER W:LL HAVE iHE BURDEN OF PROYiNO TH�T HE OR SHE D�D NOT BURD OR , � IMPFqVE FOR iHE PURPOSE OF S�LE). w OI,ASOWHEROFTHEPROPEHfY,A1.1EX0.U51VELYCONTRACTWGWITMLIGENSC�CDNTRAC70R5 . � TO CONSTNUCT 7HE PRQIECT(SEC.70u.BUSiNE55 AND PROFESSIONS CD�E'.THE CONTMCTORS Lb V31U3ti0n ADJ.AREA W CENSEUwDOESNOTAVVLVTOANOWNEROFAPROPERTYWHOBUILD50RIMPROVESTHEREON.AN� � 1HFqCON7AACTSFORSUp/CROJECT5W1iNACOMRAC70R(S�UCENSEOOURSUANTTOTI[COMRAG QUANTITY DESCR�PTION �� � FEE � TORSLICENSEUW.). 0 ❑IAM EXEMaT UN�ER SEC. 8.8 P.L.FOR 7HI5 REASON � � ¢ . LL D�TE OWNER V Z w QLICENSED CONTRACTORS DECLARATION ; W , ¢ 1 HEREBVAFFIRM UND[R 7ENALiV OF PERNRY TMAT IM1 LICENSEO UNDER PROVISiONS OF CH�P7ER Vr - d, Y�COMMENdNGVlITHSECT�ON700010FOIVISION]OF7HEBUS:NESSANDPROFESSIONSOJDE,AND X MV IICENSE IS W FULL FQ7Q=E AND EFLECT. m s . llJ �� /� � LICENSE CLAS �/ LIC.N0. ' � J �e V DATE CONTRAC70R a W � ORKERS'COMPENSATION DECLARATI � � IMEREBYAFFIfUAUJDERPENALTYOFPEWURYONEOFTHEFOLLOWINGDECLAMTIONS: Z Q � � _IHAVEANDWILLIAAINTAINACEHTIFICATEOFCONSEMTOSElFaNSUR[fORWORKERS' _ � COMPENSATION,ASPROVIDEDBVSECTION97000FTHELABORCODE,FORTMEPERFORMANCE W OF THE WORK FOR WMlq/TMIS 7ERMIT IS ISSUEO. � � _ W �I HAVE M1D WILL 4AINlAIN WORKERS'COAIPENSATICN INSl1MNCE,AS RE�UIRE�BY SECTION Q 770o OF THE L/DOR CODE FOR THE PERFORMANCE OF THE WOAK FORKHICH TMS PERMIT IS ISSUC�.A1Y WOIiICERS'COMP ' 'ON INSUFLWCE CARRIER/JJO POLICY hVMOER ME: CONSTRUCT�ON Q � CMRIER------� - , .�.� _ PLANflEVIEW .. . � POIICY NUM6ER � ELEC7RIC � Z Q � (M65ECtlONNEmNDTB[COhf'LE7EDOFhEPEfU.(tSFOtiOM1EHu�qimWll�iGRtoo)ORLESsI MBIN Z 1 CER7IFY THn7 W THE PERFOFiMANCE OF iHE WORK FOR VAIICH THIS PERMIT IS ISSUED.I MECFIAN1CAl (} S�W.LNOTfMPLOYANVDERSONINANYIIMNER50A5iOBECOMESUBJECTTOTHE N WORKERS'C0IAPENSATIONUWSOfCALIFORNI0.ANDAGRFETMATIFISHOULDB[C01AE INSPECTIONFEE � � ' S SUBJECTiOTHEWORNERS'COMPENSATIONPHOV151oa�OFSECTqN970oOFTHEU00R cooE i sN Foa WITH COMPL'/Wi7H 7 . E PROYIsan ISSUANCE � SMIP p DATE:� APPLICANL � J WARNiNG:FAiL RETDSECUREM/OiiKERS'COM ,,ATqNCOVEMGEISUNUWFUI.ANDSMAILBE ENERGYP/C . � SUBJECTANEMPLOYERTOCRIMINALPENAlTtESANDCNILFWE5UP70IX�EFNNDRE0T110U5AND ENERGYPERMIT ^ ^ DOLURS If I00.0001.��D01710N TO TH[COST OF COAIPENSATION,OAMAGES AS PROVIDED FOR IN -{-A��T J{�{�{} � SECTqN97oeOFTMEUBORCODE,RlTEREST,ANDATfOPNEYSFEES. � � � RETENTIONFEE: JF{ < LUUU � �� OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: �I�T-0����,i��II�itR . � IHENEBVALFIi1/IUNOERVENALTVOFPERIURVTHAiTHEREISACONSTRUCTIONLENDINGAGENCY �}TTii T{pT TFII�T{�A_�Tl) FORTHEGERFORMANCEOFTH[WORKFORWHICHTMISDERMITISISSUEDSEG]o97,CIV.C�. ��17IL�I7II\I 1I7J1'ir Z w � LENDER'S N.uAE ' F-' LENDERS/�DORE55 � � ^ � ICERTIFYTHATIHAVEREADTMISAPPLICATIONA\DSTATETMATTHEILLfOVEPIFORMATIONISCOf1ACCT. TOTAL FEES � �— O � �,� w I�GREE TO COMPLY MATH ALL qTY/WD COUNTY ORDINANCES M!D STATE UWS RELATING 70 BUILOINO ' ' � CONSTRUCTION,ANDHEREBV11UhqRIZEREFRES TAiIVE50FTHI5COUNTYTOENTERUPONTHE Z PBOVE 7�NTIONEDVROPERttFORINSPEC7qN7U OSES. _ _ COMMENTS � ��� � ' 7-�� . m PERMITTEE NA1AE 1 �M)� �� � � � ��� � ' a J �! � � th � Uj SIGN�TUREOFP .-TfEE DATE � RECPT.N� PAID BY _ VALIDATION � WHITE—DeDanment Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fiie Copy,GHEEN—Applicanfs C�opy . . .. - --. . .. ._ .... . ... . . . . .. . . _ . . .. . _. . . . _ �. _ _ � ,. . .. ... - . ,.- . ••.,. ..,.. ,,.,,:..:. - ,.• ,,:�: . . . . .,::•• ,. a....l 1.,;•-_,�- , , , , , , , ., - � �., �>: t. . . . .. .. , . . , •�s , .. . � . . , . . • .. . � ��� �� ` �, .. � � C OF DIAMOND BAR ` ...� . • ; : INSPECTiON RECORD . � - . � iE , ' C, • ' ' e . . ' ' . _� � � � � SET BACK � FLOOR JOIST - - ' j FTG5/FOFiMSlSTEEL FHA REQMTS , . - ' � ' � � ELECTRIC GROUND ''i�iy��.:t' ,':.; • UNDER FLOOR DUCT � • � GROUND PLUMBING UNDER FLOOR CO�IDUIT .` � - - . SLAB GRADE ;������. �• �- I i�� FIREPLACE FOUNDATION. . . __ TEMP POWER - FIREPLACE BOND BEAM • � � � � ! ' ' WATER SERVICE MID HT:BOND BEAM �� � ! ' ' ROOF SHEATHING 8 Ff.BOND BEAM FRAMINGNENTILIATION FINAI.BOND BEAM -- � ROOF COVER PRE-GRADING ROUGH HEATING- � BENCHING ROUGH ELECTRIC -- ROUGH GRADING ROUGH PL:UMBING FINISH GRADING SHOWER/TU8 TEST POOL ELECTRIC � EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER. FINAL ENG. � SEPTIC TANK LANDSCAPE/IRFiIG. ' � SEEP PITlL.L: - ON SITE INIPS. GAS AIR TEST FINAL ZONING • FINAL CONST. FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT.FINAL � - FINAL ELECTRIC - • DEV. FEES PAID � FINAL PLUMBING � ' � ENERGY � E 6 • - . . . . � COMMENTS ' , '� ' �� � _ . . . , ; SEPTIC TANK SIZE SEEP PIT/U SIZE ,, ...�., .„ . _ .. , . . . , . '?� :�:.. . . � i : r._.; • . . . .__..� i . , � _ �` � , . .. � i ' � '. :