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HomeMy WebLinkAbout11223 (5) � - - -_.._----_._.._.. ,_..�._-- -- — -- ��-. . .. .. _... _. ..._ -- - �` - —��--� ' CITY OF DIAMOND BAR • " • � - !� COh4MUNTI'Y DEVELOPMENT DEPARTMENT %` ,'�:..� z�66o e.copi�y o����s��«�vo PRESS (909)860-3195 Fax(909)861-3117 "'' BUILDING PERhtIT APPLICATION FI R M LY � JOBSRE . + � ;' APPLICATION � PERMIT P/C o ADDRESS v � �•� DATE ���'� NUMBER fl�,�a_�a g '004�2 � issuE TVPe occ APN LOT TR�GT DATE � CONST. GROUP p OWNER+����-!�L 1�• �bGr/5. . p ADDRESS '���r ZONING SETBACKS t z CIN/�� _ P,��T s - 6f FRONT RW ❑ � APPLICANT • E�� /-�y,�2 REAR ❑ � � SIDE/SIDE STREET•. RW ❑ � CONTRACTOR K � / SIDE ' ❑ � ADDRESS � CIN 1r ' ZIP • TE � Z PROPOSED USE ' oARCH/ENG/ � / r. ' J , . • � � DESIGNER f NO.DWEL. NO. NO. . n. ADDRE S �^ UNITS STORIES BEDROOMS � CIN � ZIP TE " � DESC PTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•ElL'ILDER DECIAFiAT10N _ SF lREM O p 1 HEREBY AFFIRM UNDER VENALTY OF PEfU1RY THAT I M7 E%EMPT FROM THE CONTRACTORS LI• G3fege/C8ry0rt ' � � � � W CENSEUWFORTHEFOLLOWINGREASON(SEC7071.SBUSPIESSANOPHOFESSIONSC00[.ANYCITYOR (f� U LOL'NTVWHICHREOU�RESAPERMITTOCONS7iUJC7,ATER�uPROVE.DElAOl15H2ORREVAIRANVSTqUP - W P0Ii0/DBCk � � TURE,PRiOR TO RS ISSUIVlCE,ALSO REd11RES THE MPLICAN7 FOR SUCFI PERMI7 TO FILF A SiGNED S STATEMCNT THA7 ME OR SHE IS IICENSED WRSUANT TO THE PROYISIONS OF THE COFITRACTORS L4 � � CENSE UW(QIAPTEfl Y(COMMENCING WITH SECTION 7a00)OF DMSqN JOF TNE BUSIN[55 AND Pfl0- PooVSpa . FESSIONS CODE)OR THAT HE Ofl SHE IS E%EMPT TMEREFflOM AN'J TNE BA515 FOfl iHE AILEG[D E%EMP• V TION.AN1'VKKATqNOFSECTI0N7031.58YANVMPL�CANTFOHAGERMITSV&1EC75TNEAPPLICANTTO ` Z RB-R001 � ' � • ' A CML vENALTY OF NOT MOfiE 7HAN�NE MUNDRED DOl1ARS(5500).1: ZOI.ASOwNEROFTNEPFOPERTY,ORMYEA�PIAYEESWITHWAGESASTHEtR50LEC047ENSATION, � Commercul � ' � �; � � N"•LL DO THE WORK,AND TXE STRUCTURE IS NOi INTENDED OR OFFEREO FOR SALE ISEC.7ou.BUSI- J NE53 AND VROFESSIONS COOE:T7E CONTRAC70RS LICENSE UW DOES NOT APPLY TO AN OWNER OF • � PROPERTYWF/OBURDSORIMPROVE57MEREON.ANDYMODOESSUCMWORKMIMSELFORMEHSELFOR = ' �! [[ 1HRWGMHISDRHEROKNEMFLOYEES,PROVIDEDTMATSUQIIMPROVEMENTSMENDTINTENDEDOR m - � OfFEREDFORSALEIF,HOWEVERTNE0UIL01NGORIMPpOVEMENTISSOLDWITHNONEYEAROFCOMPLE• ��• � Z TION.7H[OWN[R-BUILDER WILL HAVE THE BURDEN OF PROVINQ THAT ME OR SME O�D NOT BUILD OR = IM7ROVEfORTMEGURPOSEOFSALEI. O�AS OWNER OF THE PROPERTY,AM E%CLUSIVELY CONTMCi1NG WRH UCENSED CONTRACTOHS � TO CONSTRUCT THE 7R0.IEGT(SEG 70ts.BUSMESS AND PROFESSIONS CODE:THE CONTMCTORS U- V2IUdIi0f1 ��� ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOMMEROFAPPOPERTYWFiOBUILD50RIMPROVESMEREON,AND � W/qCON7MCi5FOR5U(]1PROJEC75Yn7H11CONTIiACTOR(5)LICENSEDVURSUulTNT1ECONTMG Qurwnrr DESCRIPTION FEE Y TORS IICENSE UW). � OIAIAE%EUPTUNDERSEC. B.IP.GFONTMISREASON U � . W � DATE OWNER V Z W �¢ LICENSED CONTMCTORS DECLARATION ' W [C IHER[BYAFFIRIAUND[RGENALTYOFPERJURVTHATIAAILICENSEDUNbERFROV15lON50FCNAPTER Vr � � 0(COMMENCINGWtTMSECfION7o00)OFDMSION70F7HEBUSINESSANDCROFESSIONSCOO[,M1D Z X� MY LICENSE IS IN FULI fORCEAND EFFECT. m 0 LICENSE CL)ASS •-+ LIC.NO. � j W DATE /��� �� CONTRACTOR � d J \ � � - '" WORKERS'COMPENSATIONDECLAFIATION -y�/^ Q - � -� � IHENEBYAFFIRMUNDERVENALTYOFPEfWNYONEOFTHEFOUAWINCDECLAMTI S; 9 G z � _IHAVEANDWILLMAINTAINACEflTIFlCATEOFCANSEMTOSELF-INSUREFORWORNERS' _ COMPENSA710N,AS PROVIDED BY SECTION 970o OF TME U1BOR LODE,FOR THE PERFORMANCE U Q OF THE WORK FOR WHICM TMIS PEFMIT IS ISSUEO. � � W �IHAVEANDWILIMNMAINWORKERS'CAMPENSATIONINSUR.WCE.ASREWIREOBVSCCTqN Q J7000F iME UBOR CODE,FOfl THE PEflFORMANCE OF TME WOPo(FOR WMlp1 THIS iERMIT IS /3�J,S� ISSUED.MYWORNERS'COMPENSATIONINSURANCECARRIERANDPOIICYNUMBERARE: CONSTRUCTION Q //7. l� � CARRIER PLAN REVIEW ZVOLICYNUM�EN ELECTFIC Q 0 (iff55ECfANNEmNDiBE00nREfEDOF1H[PERMT6PoRONEIMDRm00.U11S15�00)OHLESSL PLUM8ING . Z IGERTIFVTXATMTHEOERFOiWANCEOFTHEwOiiKFOHwNiC31TF1iSVERAAiTLSI55l1ED,l MECHANICAL C7 SMALLNOTEMPLOVANYPERSONINANYAIANNERSOAST06EC01AESU8JECTTO7HE � riORKERS'LOMPENSATKKJUWSOFCALIFORMI�AND�CREETWITIFISMOULDBEODME INSPECTIONFEE I S SUBIECTTOTHEWORNERS'COMPENSA710NPnOVi510N50F3ECTqN770oOFTHEU00R �� CODE,ISHALLFORTHWITHCOM7LYWITHTN PROVISIONS. ISSUANCE � SMIP p OATE:� APPLICAM _ J WARNINO:FA4URE TO SECUHE N9fiKERS' MPENSATION GOVERAGE IS UNUWFUL ND SHALL BE ENERGY PIC /,��� �y SUBJ[CTANEIAPLOYERTOCRIIAINALPENALTICSANUGViLFWESUPTOONEHUNDRc�hqUS�ND ENERGYPERMIT DOLLARS(ftm.000).W/DOI7ION TO THE COST OF COMPENSATION.OMIAGES AS PROVIDEO FOR IN � � � SECTION77CBOFTNEUBORODOE,tlJTERE5T,1W'JATTORNEV'SfEES. RETENTIONFEE: � ` Z,,bO d CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � IHEHEBY�FFIRMUNOEHPENALTVOFPE0.ri1RVTHATTNERELSACONSiRUCT10NLENOINCAGENCY FORTNEPERFORMANCEOFTHEWORKFORWMICHTMISPERAI:715155UED(SEC.70W,CIV.CJ. , , Z - � IENDERS HAME /� .� — F= IENDER'S�IDORE55 /�'� � ICERTIFYTHATIHRVEREADTHISAPPLICATIONAN�STATETHATIHEABOVE�NFORMAiqNISCORRECL TOTAL FEES I���v f ' w IAGREETOCOMPLYWITr1ALLCITYANDCOUNTYORDINANCESANOSTATEUWSflEUTINCTO6UILDMG � CONSTRUCiION,AN�HEREBYAUTHORREREPRCSENTATIVE50�THI5COUNTYTOENTENUPONTHE Z AOOVE�MEMIONED7R07ERTYFORINSPECTION7U OSES. � Q � � ` , COMMENTS � � m v uin G(PPIM) �^/ ¢ -f� 2_� - �d- . � �,� I �UF PEHMIREE . , . - OATt � .� • • ' RECPT.NO. �� AID BY VALI�ATION _ WHITE-Depanment Copy.YELLOW-Finance Copy.PINK-Assessor Copy,GOLDENROD--File C\y,GREEN-Appl�cant's Copy -� ,. ._...,. ..._..-. . �_....,.. ,. ,. ., � . . . _ . , _ ... .. _ ..-� ... . . • � . ., . _ -- . . --- � . . CITY.OF DIAMOND BAR : � � '"�,'`� � � iNSPECTION RECORD ' ' � � , ■ � � �',,' 6 - � ! � � - SET BACK � � - � � FLOOR JOIST- - - . - . -:. . FfGSlFORMS/STEEL /1'7 3 �. � FHA REQMTS - - ELECTRIC GROUND � � UNDER FLOOR DUCT '�_. �, ; _ - " " GROUND PLUMBING - � • UNDEF��F`LbOR�GUNDl71T ' •' ' :.� �=�. `,.,.:•:,.,_;•�, � SLAB GRADE " %y � FIREPLA��FdUN6ATItiN. V , ,`'' ''' '�'�` C• ' - � , ..;.� • . „ � TEMP POWER - - FIREPLACE BOND BEAM '� ' �� ' �� WATER SERVICE : -- � ��� ' MID HT.BOND.BEAM �� �. ; � - ' '" . �",,. ROOF SHEATHING� � ��f6 � S FT. BOND BEAM � ' \ - � � FRAMINGNENTILIATION � FINAL BOND BEAM � "t;"�. " '=�.���"� � � . ROOF COVER - - - PRE-GRADING.' .•::, ,� ._•� '�. �: � ,� -`:r,�� •�;; : : � ROUGH HEATING - ` ' � �� BENCHING � - • ROUGH ELECTRIC - IG� ROUGH GRADING ROUGH PLUMBING � � - - FINISH GRADING � SHOWERlTUBTEST � POOL ELECTRIC EXT.LATH/SIDING �j /� ��' i1 fj, PO�L FENCING ' � � WALL INSULATION � � 'j/� POOL FINAL , CEILING INSULATION � ' � OFF SITE IMPS. . ' DRYWALL NAILING z1 4,p �t�, DEDICATIONS SEWER _... . _ ._ FINAL ENG. SEPTIC TANK . _. _ � " �`� LANDSCAPElIRRIG. • . SEEP PIT/L.L. ' - �- - - ON SITE IMPS. I GAS AIR TEST - -- - FINAL ZONING � � FINAL CONST. = - - j -- �- � - FIRE DEPT.FINAL - FINAL HEATING - �, - - HEALTH DEPT.FINAL - - FINAL ELECTRIC r � (�� DEV.FEES PAID! ,. � h FINAL PLUMBING ,` �' ENERGY• , . - � •:� , ,�� �. , , �.. �-� - �-c � • .. , . . . . - � � -� - - - - - - - --\i-_ --- �- - - -.. - -:. --- ---- ---- --- , . - - - ;�,��:'" . COMMENTS - � ' ' - - - -- � � -�- --�--. . _ . . , . . : f «�' L.` ' - ' -- � ' • • ' � , . - .- ' .- - '.1' .� . . . . . . ,�� � . - ., ,. . � - --- � . . ' . . � � . .. � • ` . �`\ \ "!� '� .,, � . � . . �\; • .-�:�- �� . 1 � ='`�•`` . i ' ', ' , . , , �. SEPTIC TANK SIZE � ' ' SEEP PIT/U SIZE - , , , .t , t. �, t _. . , ; .. .-- --- ---.._ . � : � , , ` _ .. 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