Loading...
HomeMy WebLinkAbout10894 (5) . ---�- ----- ------- -- - - - -- �\ -�---� CITYOFDIAMONDBAR �. ,•`� � .• :• :••; :�;' • • COMMUNITY DEVELOPMENT DEPARTMEM' ' C 4� !-.,C 2I660 E.Copicy Drive Suite 190 , . •• (909)860.3195 Faz(909)861-3117 • ' - • •-" • PRESS ""' BUILDING PERMITAPPLICATION FIRMLY ' � �JOBSITE .�J��cI � , : APPLICATION � PERMIT P!C �• o ADDRESS.Ei�/T� F����1�� �• '' ' OATE ' NUMBER�.p •�� '' : :TYPE OCC . � APN LOT - ' 7RACT ' -' � pq� "- - - ' - CONST. " .GROUP �� o OWNER . S �� .. . :. } o ADDRESS� :�Q1Z. • ZONING SETBACKS , , - ' z CIN�,LJ��U ZIP�TEL:. -FRONT .. Ryy ' p : � APPLICANT ' -- . . .TEL. , - ' - . _ _REAR •p � SIDEISIDE STREET qyy ❑ ; z � . . ` m CONTRACT�R _,J��I _�1-6--..C�. �-- � � � SlDE' - - -- p . ; o ADDRESS/ —��5�,�� . - -- , � - _ . _ . ... . � CIN .ZI Q�Q� TEL.d�'�XJ' PROPOSE�USE � � o -, CQ/9-� _._. .. __.. _ . . Z DESIGNER - o ARCF�L'ENG/ / Q �-.a ADDRESS -- . _. NO.DWEL. N0. . NO. ; ! � CIN ZIP TEL. . UNITS - --- STORIES ' '' BEOROOMS� ' � _... .. _ . � . �� � 'DESCRIPTION SQ.Ff.- "'FACTOR PSF ADJ.AREANALUATION �o- - ' �---- -. -- OWNER-BCILDERDECU1RA710N _. . ..._ .. �'. - SfR/ADDlREM - .. . _.._�-- � . .p . 1 NEREBY AFFlflhl UNDER PENALTY OF PERAIRY.TMAT I AA1 E%EI�PT iROM 7HE fANTpACTOR4 LI•' �Garoge/Carport W CENSEU'NFORTNEFOLIOWINGRLA50N(SEC.7Gt1.5BUSINE55ANOPROFESSION5CA0[:ANYqiYOq (f� � 1 U �NTYWNICHHEWIfl[SAFEFMITNLONSTRUCT,ALiEfl,IMPROYE.DEMOl15FI,ORRLPAIRANVSTRUC� W P8:i0/DOCK_ W NAE,PRIOR TO RS�SSUPNCE,A:SO R[WIRES TNE IWPLICANT FOR SUCN PER1.1iT TO FILE►SICN[O � - _ ' � • - �� - � . , ` 6TATFMENT T41AT HE OR SHE IS UCENSEO P110.5UANT TO TME VRONSIONS OF TNE CONfMCTORS�6 CENSEUW�GIIAPTERY(COMMENLINGWI7HSECTqN7o0o)OFOIY�SION701'THEBUSII:CSSAN�PRO-' V" Paol/Spa • . . . . � . � . � 0 Fc5510h'SCOD[)OHRUTFIEORSHElSEXEM?iiNEREiR01AAWT11EBA5tSFORTNEA:LEGEOEXEMP• � (� V TqN.iWVNp�ATIpNOFSECTKKJ70�1.5BVANYA7PLILANiFOH�PERMITSU&IECT57MEAVPUCANTTO � Z' Re•Roof ' . • . , � pCMLVENALTYOFNOTMORETHMIFIVEMU�DREDDOLLARS{f500).): '" ' " " ' ' p1,A50YMEqOFTHEPRO?EHTV,CAMYEM7lOYEE5N71HWAGESASTHFfpSIXECOMPEhSATpN, ;. � .CORITB/C181 ' 'Z W'L100 iM�WppN,IWD TNE STRUCNHE IS IJ�T INTENOED OR OFFERED FOR SALE(SEG 70H,BU51- ,,,� � NE55 M'O PpOFESS�ONS COOE:TME CONTHACTORS UCENSE UW OOES NOT APPLv 70 AN OWNER O[ � N PROPERTYMM1�OBVRCSORIMPROVESTNEREON,ANDNM1IODOESSUCNWOAKHIMSELFOqHERSELFOq ` � ' ' �(� . , . W THROUCHHISORHEROW4EMPLOYEES,PROYIOEOTHATSUCMIMGROVEMENTSAqENOTWTENDEDOR m � OFFEREOFORSALE.IF,FqWEVER7MEBUlDiNGOR1IAPROVEAtENTIS50lDWITNINONEYE�ROF�q,IP�E. � , Z TqN.THE ON'N[R�BVROEN W'LL HAVE THE BURDEN OF PROYINO TMlli NE OR SNE DiD NOT BUILO Oq IMOROVEFOq7HF.VURPOSEOFSAIE). ' - � w 04ASOWNCqOFiHEPRCPERTY,MIE%0.USNELVCOMMC7INCMJITH(7CENSFDCONiMCTOliS _ � [[ TO CONSTRUCT THE PRQIECT�SEC.7W�,BUSINESSAND VROFESSIONS LOOE:TNE LONTRACTORS U-� � •{(aIIJ31i0f1 {IDJ.AflEA � ' � W �ENSEUWDOESNOTM7LYTOANOVRIEflOFAVROPENTYWHOBU1�,p50RMPRpyESINEAEON,MIp WHO CCMMCTS FOA SUGH PROJECTS WfiHA CONiRICfOR(5)IICE�SED PURSUANTtt7 TNE CQviNAC- ' � Toasuce�sEuw�. auarrrirr oescRianaN - - �e � ..._ . ._.... ... . ' " "' _ ' � ' J . . _ _' .. _ _. . 0 O II/J E%EAAPTUNOEA SEC. B.i PG FOq LNIS REASON Q . � � � � - ' - ' - � � ' . .� . _ _. ...__.._. ' ' " ' ""_ ._... ... ' " ' " _ ": .' ' ' r u" �ATE OYMER .` .. F - _. " _ .. " . .. . . _ Z � � ' _ U .._ _ __ ._ . __ . _ ' _ .- ' -______ ._ .. ,. � . .. . LICENSED CONTRACTORS DECLARATION'_'. . • _ - ' ' . w � � IMEREBYAFflRMUNDERPENAtiYOFPEHJURYT4tTiIAIIiCEN5EDU170fRPROVIS10n50F'CNIPTER:' � p., 9(COMMENpNCWITMSEC'��ON7000)OFDMSKKJ]OfTHEeuSINESSANDPRpFE5510N5CpDE,MlO Z � � � .SD . � MYIICENSEISPlFULLFORCE�NDEFFECT. m __� __ _ J � � LICENS/E JCUSS LIC.NO.�(��Z � ; � � V DATE((�--�GOMRACTOR " . ., d y • .. i w ..- "• .' _ ' _ ' . + � � WORKEFS'COMPENSATIONDECLARA710N a , � IHEFEBYAFFIRAIUNOERVENA(7YpipEFWRYONEOf1NEFOLLONlINCOECUMTqNS: Z , 0 _�NAYEANDY/ILLMNN7AlNACER7IFIGTEOFCONSENTTOSELF�INSUREFORWORKERS' � � ¢ ' ' "- ' - �- � �- I Q CAMPENSATION,ASPROVIOEOBVSECilON97000FTHELABORCOOE,FORhIEPERFORMINCE U ;, _ . OF T11E WOiSK fOq WNICH TMIS PER411T IS ISSUEd. W W - .. _ . ..__ .. """ ' ' � _ " ' _ _ "' -_ � __IMAVEANOWILLMAINTA:NWOfiKERS'CAMPENSATIONINSURANCE,ASHECUIREOBYSECTbN Q �7ooOFiHEUBORCODE,FONTHEPERFORRIANCEOFTM[NNRKFORWHICHT7115VERMiT15 ISSUEU.MY-W�O—PKERS'COMPENSATIONINSUR�ANC�EC��HR�:R�NDPOLICYNVMOERME; ' ' ' '- CONSTRUCTION -�-• � -�• ��� -�-� �---• -- . � f'/L„�jT�i✓ f G�+y//C PLANREYIEW - C+�iYitfF- ZGOIICV NUMOER AQI � . . .� . . -- -ELECTRIC . ._ -. ._ . .- ' - -� - -- -- �-- . Q � 0 fn+ssEcr�ncmraoreemua�tcban+[v�rswna+E�arars000unftsR�¢lcnt.Essl. . PLUMOING _ �.`� d � w I Z 1 CERTIFY THA71N 7HE PERFORM0.NCE OF ME riORK iOR WH�CH TH�S PEN.11T IS ISSUED,I MECHANICAL C7 . .SW�LLNOT EMf'LOY ANY�ERSON IN ANY MANNER SO AS TO BECOME SU W ECi TO h1E N WORKERS'�1.1➢FNSA71pNUWSOFGLIFO ta,v�,�o�crtEenur�F�sNoutDaEcoue � � INSPECTIONFEE � ��� �� _.'_ _ "__"" " ' '_' '_ � SUBJECT70TMEWORNERS'CpAPENSAT '�gfiy1510NSOFSECTqN�7000FiHEUBOR � _.� __ CObE,ISHAILFOiT1WITHCpAPLYWITHi IS PR iswr+s. ISSUANCE _ � . � Q .r � -- -'- � - - -... � —� - --'- -- -- - •--- '-� - - � � - � - ip pATE mL�( '�3.��APPLICAN7: SMIP - ' �-� -� . 1J � J WARNIN�:FAILUflEiOSECUR�WORKERS' PENSATIpNCAVEHAGEISUNUWFUL,ANOSHAL�BE-- ENEf7GYP�C---- .._ �7 ty, SUBIECTAVEMPLOYERTpCRiM�NALPENALTIESANDCMLFWESUPTOONEMINDREOTNOUSAND ENERGYPERMIT y DOLLAAS(S IOo,00e),IN ApD�TK1N TO iME CAST Of�OMP�NSATION,D�tNAGES AS➢RONDCD iOR IN ! -J SECiqN]�OBOF7HELABOflCOpE,MTERE9T,AND�TTOi14EY'SFEE9. ' - - � �- � ct RETENTION FEE: '-� . - - -- - � . _ . - _ .. . _ : O CONSTRUCTION LENDING AGENCY �. pq�.qLT FEE' -- - ��-- ---� '% ��^ � ' � � -- - ....._.. . _ . . ' _. .- - . _ .. - -�-- � '---- . . . � � �NEREBY�GGIFMUH�£AiENALTYOFPERIUAYTMATTNEREtSACANSTRUCT70NLFNDWCAGENCY (�rT .�j - FOR THE PEfliOHMANCE OF TME wOFlK FOq W111CNTM15 GENMIT IS ISSUED ISEC.�aol,CIV.G). W_ _".._ ...._ ... ._ . _. ...._.. .._ ._ . . .... _. . . • . • . � � LENDER'SNAME F= LENJFR'SbORESS . . _ . __._' ._ . __ _. .___ .' I � I�GAEET COM�IYK'I�TMILLCITYAfi CAOUMYOR�NANCE5MlD5T�A EyN'NSRE�UTWG o���oN� TOTAL FEES _ _ _ __ __ . : � b,� , � CONSTRUCTqN,AYDMER[BYµ/fHOR2EHEPRESENTATIVESOFTHISCOUNTYTOENTEpUPONTHE � � ' . . ' 1 L ABO E� .NTIONEOOHOAFATYFORINS�ECTIONPUAPOSES. . COh1MENTS ' ' � �� ` i -- ' " ' ' _ "'__ ._._ . _ _ ' � � (�1�7ti �dlfsi�A�t'�-- . , _ . eRMr �E AIE INn . .. . _. ' � ' oL`T`� �9� - --�--- - - -� - - - � Sif cOF✓CRMITfEE DA� , . � � RECPT.NO. l� PAIO BY VAIJDATION ' �-" �� - � -�� � -�-�-��^--WHITE—Department Copy,YELLOW—Finance Capy,pINK—Assessor Copy,GOLDENROD--File Copy.GREEN—/VpD6canYs Copy � ._..... ._.._.___..-�------ �--�----_ .. . -- - -�-- -- ' •- ._...._.. ._ _"---�-.-• -.f._ � . �.. �- . . `_ ._' ' __._.,. . ..._.....,_... _ __ �_'_ '--'�'-'.__.. .. .. ... ._.._. .._._�� �� . . . . .. ". . ..l'�.. ..��� 1 ' '. . i .. • � •.�� . . . .. . .. � . . . . � � ��' �. .. . w� 1� ` CITY OF DIAMOND BAR '" �.� � � - ��� � � INSPECTION RECORD ' • . �� . � � . • � - � � , . � . SET BACK ' ' - � ' � ' ' 'J \ FLOOR JOIST - � � - FTGS/FORMS/STEEL " FHAREQMTS, ..,�,, ..• . • ti . : .� ELECTRIC GROUND UNDER FLOOR DUCT�•. — • .,�..;;: , . _ ; •,:: GROUND PLUMBING UNDER FLOOR CO�IDUIT `, � ��' � ' ',�•��'�'•` : SLAB GRADE ' - FIREPLACE FOUNDATION - TEMP POWER - FIREPLACE BOND BEAM �='� ''•�' �; �'•' � �`' �� • � WATER SERVICE � - --- - MID HT.80N��EAM� � ��� y � � � ,-•'.;;,� •. ROOF SHEA7HING � 8 FG BOND'BEAM ����' '•�.� FRAMINGNENTILIATION FINAL BOND BEAM � ROOF COVER � � PRE-GRADING " - • ROUGH HEATING - - BENCHING ' ROUGH ELECTRIC � . ," - '' ROUGH GRADING ' ROUGH PLUMBING �;y � s�.-' -. FINISH GRADING • SHOWERlfU6 TEST � � "� ` POOL ELECTRIC EXT.LATH/SIDING ! POOL FENCING � . � WALL INSULATION � POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWAIL NAIL�NG DEDICATIONS • SEWER _._. _ FINAL ENG. SEPTIC7ANK . ' . 'LANDSCAPFJIRRIG. SEEP PIT/L.L.- � -- . ON SITE IMPS.• GAS AIFi TEST � FINAL•ZONING FINAL CONST. - - FIRE DEPT.FINAL • FINAL HEATING � - -- HEALTH DEPT.FIIYAL � - FINAL ELECTRIC ;�,�, -pEV.FEES PAID ' . FINAL PLUNIBING ' G ' �NERGY • • — .. .. . . �; _�_ _. � --- . � � _._. . —: �, ,. --- • �-�•.:,- . .. _ _......__ . ,. -;; .: • . ., . . • • . ... COMMENTS �- � �'�' � � � - - --. . „ . . y, ' '� . . .. ._ . . . ' _ -- ., . � '_�.` ,-. - ' • � - --• � � � � _.. _ .� , . ":_� -,� � . , ' ' ---- ' ..' > ,\ . ,` .`. '"\_ ' ... , � f,;� (,� , �. ' ' . . . , .�.:�-, SEPTIC TANK SIZE. ' � "-� SEEP PIT/U SIZE -��'nr :� ; .;�;J , . _ ..._. , . .�� . . , - - _ .. . �; � . . _ . . ' ; : . �,�,:: �• ��. . '•� �'� • � ���,�:,,���� , . � � � ..,