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HomeMy WebLinkAbout11221 (5) �� ... .._._..-_.------ -----�_ - --- - ----- - - - -• ---- ---- -------- - - ------ .�.: , \ � � � �---��— CITY OF DIAMOND BAR • �� COMMUNTfY DEVELOPMENT DEPARTMENT , � !-:..,^,' 21660 E.Copley Drive Suite 190 � (909)860-3195 fax(909)861-3117 PRESS ''^' B UILDING PERMIT APPLICATIO:V FI R M LY o ADDRESS ��� DATEICATION I�2� .�� NUMB R�I� �!C � APN LOT '�R-A`CT D TEE � ���� CONST. GROUP p OWNE�!�/rJ l �e�3�IX�I ZONING SEfBACKS "' ADDRESS 20��q T_i��a�g�}� ,�f0 • � gCIN 1 %l11G}t� �-}��P TEL � FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW p � CONTRACTOR � SIDE ❑ � ADDRESS - PROPOSED USE � . ,v�''J K/�►'� CITY ZIP / EL. � i{ � -l�a.,� .� .[�vcfis w ARCWENG/ / v� z DESIGNER - CD��I�I�"1� ��-a��—• a ADDRESS NO.OWEL. NO. Np, n�o UNITS STORIES BEDROOMS � CITY ZIP TEL. ' � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BI:ILDER DECLARATION SFR/ADD/REM p .. p I XEREBY AFFlRM UNDER PENALTY OF 7ER,NRV THAT 1 AM EXEMPT FROM THE CONTMCTORS ll� G3f8Q9JG8�OR " W CENSEUwFORTHEFq10WINOREA50N(SEG70.71.SBUSINE55/WDPHOFESSIONSODDE:�WYGI7YOR (n U COUNTYWVIICHREOUIRESAPERMITTOCONSTRUCT,ALTEi�IAAPROVE,DEMOLISH,ORREPAIRANYSTHUC• W patio/Deck w TURE,PRIOR TO RS 55UANCE.A150 REW�RES iME�PPLICANT FOR SUCH PERMIT TO FRE A SiGNED ' W � S7ATENEM THAT HE OR SHE IS LICENSED VURSUANT TO TNE VROVISIONS OF THE CONTRACTOPS L4 � CENSE UW(CHAPTER i(L�7IAMENCINO WITH SECTION 7000j OFDIVISqN f OF iHE BUSINESS ANO CR6 u' PooVSpa - FESSqNSCODE)ORTHATHEORSHEISE%EIAP7TNEREFROMANDTHEBASISFORTHEALLECE'JE%EMP• (� VTION.AM/VIO��TIONOFSECTION7071.SBYANYAPP�ICANTFORAPERMITSU&IECTSTHEAPPLICANTTO . Z �p•ROOI . � A CML PENILLT7 OF NO7 MORE THAN FrvE MUNORED DOt1J1N5(f 500�.): Z ' ❑I,�SONTIEROFiHEPROPERTY,ONMYEMP�0YEE5WITMW11GE5115TMEIfl50LECOMPENSATqN, 0 Cammerclal ' ' . IMLL DO THE WORK.!WD THE STRUCTURE IS N0T INTENOED ON OFFERED FOR SALE ISEG 70N.BUSI• J � N[SSAND PROFESSIONS LODE.iHE CANTRACTORS LICENSE LAW DOES NOTAP7LY TO AN OWNER OF ? - � PRO�ERTY NMO BU0.D5 OR IYFROVE57l1EREON,AND WHO DOES SUCN WORK H�AISELF OR NERSELF OR CL THROUGIIHISOR11EflOWNE1APLOYEES,PROVIDEDTHATSUGIIMPROVEMENTSMENOTNTENDEDOR m , Q OFFEREDFORSAIE.IF,lpWEYERTMEBUIDINQORIMPROVEMENTISSOIDYNiHINONEYEAROFCOMP�E• � z TION.TNE OWNER-BUItDER WILL HAVE THE BURDEN OF PROViNO T1i�7 HE OR SXE DiD NO78ULD OR IMPROYE FOR THE PURPOSE OF SALE). w OI.ASOWNEROFTHEPROPERTY,MIEXQUSNELYCONTRACTWGWITHLICENSEDCONTMCTORS (.= TO CONSTRUCT 7ME VROJECT(SEG 7a�.BUSINESS AND PROFESSIONS LODE:THE CONTMCTOHS LI� ValUatiOn _L Di��D ADJ.AREA ' ' W CENSEUWOOESNOTAVPLYTOANOK'NEROFAPROCERTYWFiOBUILD50RMPROVESTMEREON,AND ` � N7qCOHTMCT5FOR5UCHPROJECTSYnTHACOHTiUCTOH(S)LICENSEDPURSUANTTOTNECOFliRAG QUANTITY DESCRIPTION FEE � TORSUCENSEUW.j. 0 O 1AM IXEMPT UND[R SEC. B.�P.C.FOR THIS REASON Q � .LL ' � / '� h— � • DATE OWNER U . , Z W � LICENSED CONTRACTORS DECIARATION w .. � 1 HEREBYIIiFIRM UNDER PENALTY OF PERRIRV THAT I MI LICENSED UNDER PIiOVISIONS OF CHAPTER � /�G . O � Y�COIdMCNCINO WRH SECTqN 700010F DNISiON 7 OF THE BUSINE55 ANO PROFESSIONS COOE,AND �� YY LICENSE IS N NL.L FORCE AND EFFECI m � LICENSE CLASS UC.NO. Z�I 7 J r_ j V DATE� � � CONTMCTOR � d W ��+ � WORKERS'COMPENSATION DECLARATION �—^� y{r� Z �L ' J—1, � IHEREBYIIFFIRMUNDERPENAITYOFPERIURYONEOFTNEFOLIOWINOCECLAMTqN. v � _IMAVEANDNnLLMA1NTPINACERTiFlGTEOFCONSENTTOSELF.INSUREFOitNfORKEPS' _ COMPENSATION,AS FROVIOED BY SECTKKJ a7ooOF THE UBOR CODE,FOR TME PEHFOiVdANCE �U OFTHEYVORKiORYYMiCHTH�5PE1iMITI5155UED. � . _ . 0 . . ¢W _tHAVEANDNALLEWMAtNWORKERS'COUPENSATIONINSURANCE,A5RE0l11REDBVSECTION /']/! �700 OF THE UBOR CODE,FOR THE PERFORIAANCE OF TNE WORK FOH WHlpl T1115 PERAIIT IS /`���X / / .�S� 1 S J 155UED.MYYVOW(ERS'COA�PENSA710NINSURANCECARRIERANDPOLICYNUMBEHME: CONSTF�UCTION w/1 > CARRIER �� PLAN REVIEW , Z POLICYNUM9CR ELECTRIC �.5Q ¢ � (IN55ECfCNNEmNOTBEOp.RETEDOFMPE�MT6lCfi0NEF/JD(iEDDOLUiLS(St00)OR PLUMBING II✓ •30 Z 1 CERTIFYTHAT N THE PERFORMANCE OF iHE WORIf FOR WHICH iHIS PEHAUT IS ISSUEO,I MECHANICAL j�.2'� C7 51ULLNOTEMPLOYANVPENSONINANYMMlNEHSOASTO6ECOMFSUBJECTTOTHE � - • uJ WORHERS'COMPENSAT10NUw50FCAUFORNi/�ANDAGREE7HAiIFIStqULDBECOAIE INSPECTIONFEE � •�.`- SU&1ECT TO T1E VJDRNERS'COIAPENSATqN PROVI510N5 0F SECTION�70D OF iHE IABOR -�j COOE,1 SHALL FORT1Y117H COMPLY WiTH THOSE PROViS10N5. �SSUANCE . � O ' ' � p DATE: APPLICANT: SMIP I _O� � ENERGY P/C WARNIN6:fA1�URE i0 SEGURE WORNERS'COMPENSATqN COYERAGE IS UhLAWFUI,M1D SHALL BE � LL SUBJECTANEMPLOYERTOCRIMTUIPEN�LTIESANDGMLFwESUPTOONENUNDREDTMOUSAND ENERGYPERMIT DOLLAFS�f100.000�,W ADDI710N i0 iME GOSTOF COMPENSATION,�AM11GE5 AS PHOVIpED FOR IN '. ¢ 6ECTIDN770BOFTHEUBORCWE.INTERESLANDATTORNEYSFEES. ' RETENTIONFEE: ���� a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � O - � IHEREBYAFFIRMUNDERPfNAITYOFiEfUURYTHATTHEREISACONSTRUCTIONIENOWGAGENCY FOR TME PERFORMANCE OF TNE WORN fOH WHlpi 7HI5 PERMIT�5 ISSUEO(SEC.]077.GV.C.). Z _ W - , ,� IENDER'SNAME S C LENDERSADDRE55 - '- � w ICERTIFYiNATIHAVEREADiHISAPVl1CATqNANDSTATEiFIATTHE1180VENFOpIAATqNISCOFRECT. TOTAL FEES . � 2� � � IAGREETOCOMPLYVnTHALLCI7YlWDCOUNTYORDINANCE5ANO5TATEUWSREUTINCTOBUI�pINO . � CONSTPUCTION,AND HEREBY AUfHORIZ[REPRESENTATIVES OF iHIS COVNTY TO EN7ER UPON THE . Z ABOVE•MEMIOHEDVROPERTYFORINSVEGTIONPVRPOSES. , COMMENTS 0 I�, . ' m �r/����/IF..1 �,� S ¢ GERAIITTEENAME1PfLtfn � � � SIGNA7URE \ DAT �� RECPT.N0. PAID BY VALIDATION . • WHITE—DeDartment Copy,YELLOW—Finance Copy,PINK—Assessor Gopy,GOLDENROD—File Copy,GREEN—Applicant's Gopy . . . . . , i��..:q' . ..� . ... ` , , i . . , �� "' .. ��.7�. ��4 � .�. � �. .. � . , r . . . . . . 1� . • ..t. . . '���. ' , i . � ' ' ' ' CITY OF DIAMOh1D'BAR" � ' � , � � . INSPECTION�RECORD ; , . � � - , -;; . �� �� . .. . ` � . � � � . . � ` - -� - ;' • ; SET BACK , , „ . - FLOOR JOIST . . � . .- ---- - - . - "' � .FTGS/FORMSlSTEEL - - • ' - "' � • FHA REQMTS - � .- � � . __ i. , � ELECTRIC GROUND UNDER FLOOR DUCT�•_ • - ' . ' � � - - • � GROUND PLUMBING'' -- - - " UNDER FLOOR CONDUIT -- • -c _. -. � - , ... . . .. � .. .. . � • . SLAB GRADE � - " • . FIREPLACE FOUNDATION �-' ' � ''. _ . ._ __ -. TEMP P�WER - -_:_-_ -_.�___ ' '• FIREPLACE BOND BEAM - � ' ' = " � WA1"ER SERVICE: � • '-�' - ' � MID HT.�80ND.BEAM - " ' � - ' • , � � `ROOF SHEATHING .� ' '' ' ' ��''= � 8 F7 BOND BEAM . � � �• , ; FRAMINGNENTILIATION ' FINAL�BOND�BEAM � - _,, , , -ROOF COVER - - PRE-GRADING _ "'� _ _ � ROUGH HEATING _. .� "�'' ' ' -= �� BENCHING -� ROUGH ELECTRIC - - - � ROUGH GRADING ROUGH PLUMBING � -� - �- -- - '--- � FINISH GRADING SHOWER/TUB TEST% � - - - - - � - -- ' POOL ELECTRIC EXT.LATH/SIDING ' - � - ' POOL FENCING � , , , WALL INSULATION" ; - -� - POOL FINAL � CEILING INSULATION � OFF SITE IMPS. . DRYWALL NAILING : �'l/O -'- DEDICATIONS � �; SEWER � FINAL ENG. � SEPTIC TANK_ . - � '�` . LANDSCAPE/IRRIG.. . , SEEP PIT/L.L: � ' � � • ON SITE IMPS. � GAS AIR TEST. _ _ ' � ' . .. FINAL ZONING FINAL`Cp(J�ST. .___ _ ,3� F •: - . ` FIRE DEPT. FINAL - . � . . FlNAL HEATING.__._ - -.. -. - - - HEALTH DEPT.FINAL . . , . , FINAL ELECTRIC - - -�- --- ... _. __ .._ . �� DEV. FEES PAID . ' FINAL f�LUMBiNG -- -- \ -- - • . . . ENERGY ' ' ... � . �, , - - - � - - - ----- .._ � ' - -. '. �.� . . _ _ .. -. . ._. . _ - - - -_..-. :..___ . .._, � ._ --� _. `.`� _-- -,\��\\ `•�: ��,' �. t�, - - - `,> 1 .�-j ,� I COMMEN�fS _?►' ` �', � ---� -- � -�--- ---- � -. . __.. ..._.. . . ,; -- - . . .. .,. . .,. � .���� ....__.__ _ .�..--,.-�`- - - -. . . _ . �. i . . .; .. _ , • _ � - . �_ . --. - - �� ,, �,;.� . . . • ; I i . .•'� `• ., '� - - -, _ I ✓�'. 1 -- _. ,. - �..\.: _ � , , � ._. � . . . ���. �� . _�.�, ,•�t -- - --- - � , . , ,. . ; , - ; ' -- . -- - - . � • , . 1 .� i . � , ' '' �• � �� �,��?��;. -. _. _. ; ; . .. . _ __.. _ _ . . � - -. . - � . . ' ; . _. � � . . _ . � : � � . � SEPTICTANKSI�E' �, �� �i=�-; ' ' '` ,,�. .�.. , --- - � -...._ _. - - -- - - - --- - - � : .. . . , ; � . SEEP PITlU SIZE ; , ; , . . . . . ',- , . , . - , ... ._ .. . . . _. . .. ; i . . . : i .- -- - _ - - - � :.. : -.-. _. . _ .. . -- - ! - . ,; , .. � � � , . . . , . , : � � . . . .. . _ . . ! _� _ - � ` � . ,,.,�:;. , - _�,:. �� '� _ . , _ . , - -� ,,, \. ` _ _ � '•� - 1 - - � - �-- 1- r`_' �-' �� --.... ! , - -� \ - -- __ � �._ �'-�- -�' 2 �