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HomeMy WebLinkAbout15648 (17) �� �" CITY OF DIAMOND BAR�♦ �V� � --�� — DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES . � 21660E.Cop]cyDriveSuite190 (909)860-3195Fax(909)861-3117 , . PRESS �'��.r. BUILDING PERMIT APPLICATION • FIRMLY, } JOBSfTE 'APPUCATION r� ti�;=D ERMIT'��r„ Pl�)�Z, o ADDRESS��AL'T.�d�SPG ��,as�►% DATE 6 NUMBER '• v� r v � � � ISSUE ._'. TYPE, . ' OCC � APN LOT /�,�,.�,TRACT DATE CONST. GROUP p OWNER V-�-� Trn�-(,� ADDRESS_f'�21 GL1.:J�lT1tQ'l��}%_ �!Vl�- ZONING SEfBACKS �" CfTY��D 13�1C_ ZIP��1 TEL�pT�� -/l REART Rw p APPLICANT TEL. 7 � SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE g ADDRESS PROPOSED USE d � 0 ' CITY ZIP TEL � ARCH/ENG/ ' DESIGNER NO.DWEL NO. NO. AD�RESS UNITS STORIES BEDROOMS � CITY ZIP TEL � OESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION y p� ONMER•BUILDER DECLARATION ,SFR/ADD/REM O � - 1 HEPEBY AFFlIMI UNOER GENALTY Of PEiWRY THAT 1 MI IXEMPT FROA1 THE CONTRACTORS l4 .Gefe9B1C8fp0A CENSEUWF01tTNEfOLL.OV/NOREASON(SfG7a77.6BUSINES5AN00ROFESS10N3CODEM7YqTYOR (/] COUN[YNT/KHREOI11itE5AFERA7RTOCONSTRUCi,ALTER�p��.DEMOLISH�ORREPNR/JJYSTRUG . LLJ P8If0/DOCk 28 TURE,PRqR TO ITS ISSUANCE,ALSO RE�UIRES THE APVLICJVif FON SUQ1►ERMIT TO fILE A SIGNED �� STATEMENT T/AT NE OR SHE IS UCENSEO WRSUANT TO THE Vf10Y151ON5 OF 7NE CONTMCiORS l4 � CENSE UW(dU1VfER 01COYlAENCM4 YATH SECf10N 7000)OF DMSION]OF THE BUSINESS ANO PRO� u' P��SPB FESSIONS COOE)OR TIA7 HE OR SHE IS EXEAIPT MEREFROM AND THE BASIS FOH THEALLEOED E%EMP• TpN.AM'VqLATqNOFSECT10N7071.6BYANYADPIICANTiORAVERYIT6U81ECTS7HEAP7LICANTTO Z Re-Roof � J1 CML PENALTY OF NOT MOf1E THIW FNE MUNDRED OOIURS(f'�1.1: '.� , . � OL���EROFTHEGROGERiY.ORMYEMPIAVEESVAMWA6ES1lSTHE1qSOlECOMPENSA710N, 0 (`,pmmBfti21 � ' WILL DO iME WONK.AND TME STRUCTUNE IS NOT IHfENOED OR OFFERED FOR SALE(SEC.70N,BU51• J y NESS NA PROFESSIONS COOE:THE CONTRACTORS LICENSE Uw DOES NOT INKY TO AN OWNER OF = � P(iOPEiRYMRqBUILD$ORIM7ROVESTHEREON,ANDMn10DOES5UQ/WOHKMMSELFORMERSEtFOR � iMilOVOHM190RNERONME1APlOYEES.PROVIDmiHATbUCHMPROVEMENT9ARENOTMFNOEDOR m - . OFFEqED FOR SALE F.IIOY/EVERTHE BUIIDINU ORIYPROVEIAENT q SOLDYNTNM!ONE YFM OFCOAIPLE• TqN,THE OWNER�BULDER WILL NAVE TME BURDEN OF PROVIN(3 TUT HE OR SME DID NOT BUtt.O O!t MPROVE FOR THE PURP06E OF SKE� � O l�4�Y/NER OFTNE PROVEHfY.IW EXCLUSNELY COMMCfiNO MA7H IICENSED COMMCTORS ¢ TO GONSTRUCT hlE iROJECT(SEC.7oN.BUSINE59 AND PROFE591ONS CODE:7NE CONTMCTORS L4 ValUOU AQI.AREA llJ �$EUWOOESNOTAPPLVTOA110WNEROFAPROPERTYN11OBU4DSORIMVf10VESTHEREON.AND � wNocoNrq�crscw�wcnvwwEcrsmn+�oorrtw�crays��rc;�r+smvunswwrron+ecorrtw�c pUA DESCRIPTION FEE .I Mf35 UCENSE UW). ' �J 0 O I AM EXEMM UNDER SEC. 8.1 P.G FOR TMIS REASON Q _ � 1�-� 3 � �'- o�h a am,Ea � z � �4 UCENSED CONTRACTORS DECLAAATION W CC INEREBYAFFUWUNOERVENALTYOFPEFUURY111ATIANLICENSEDUNDERiROV1510NSOFCHAPTER ' V. . „ . S �(COMIAENCfW WIT115ECTION 7000)Of OMSION]OF TME BUSINESSANO VHOFESSiONS CODF.,AND Z X W LICENSE IS NJ FULL FORCE AND EFFECT. m �u O � �� LICENSEttA55 LIC.NO. � J � pATE CONTiiACTOR a .. WOFiKERS'COMPENSATION OECLARATION a � V � IMEREBVAFFlFMLNDEHYENALTlOFPEiWNYONEOFTHEFOUDWWODECW1AT10N5: y Z Q � _INl1VEANDVnLLMAR1UlMACEfiTIFlCATEOFCONSEMiObEIF-INSUREFORWORKERS' 2 � � � LOMPENSATqN,ASPROVWE0BY6EC710N77DnOFT11EUBOiiC00E,FORTMEPERFORAUNCE w OF TME WORK FOR NTIIq1 TNIS►ERMIT IS ISSUED. � � O __I HAVE ANO VlILL IAAttlTAN M'ORKERS'COYPENSATqN INSUfLWCE.AS HEWIRED BY SECfION /'� 07a00FTHEUBORO00E,FORTHEPERF00.uANCEOFTHEWORKiORWHICH7HISVEHYRI3 ` �p � ISSUED.WWORKEHS'OOMPQ/SATqNWSURANCECAIiPIERAN�POLICYNUMBERME: .CONSTRUCT�ON � �q�Fp PLAN REVIEW � paicrt+uuBER ELECTRIC _ � . _fnisscctrNr�wreEoa.c�Erfnac7�v[w�+rsFcaa+e�arnn[noaiusaioqa+�Ess? PLUMBING .. ZICERTIFY7INTIN7NEVERFORMANCEOFTNEMIONCFOHYrt11p1TMI5CERMRI5155UED,1 MECHANICAL (J SHMLNOTEWPIAYANYVER50NINANYMINNEH50A5TOBECpAESUBJECTTOTHE w y YVORKERS'COMPENSATION UWS OF GU�ORNIA AND AOREE TN�IT IF 1 SMOlAO BECOME � INSPECTION FEE S SUBJ[CTTOTMEVJORKERS'COMPENSATIONPROVISIONSOFSECTqNJ7D00FTHElABOR � � � coo�,i s�wi ramrv,nrH oanr�r wm�nase oaowsar+s. ISSUANCE O . ' SMIP . . . p pATE: APPLICANT. . � WARNINU:iAIURETOSECUREWDPoCENSCOMPEN5ATI0NCOVERAGEISUNUWFULANDSMALLBE ENERGYPlC �r�� Lnnn SUBJECTANEMPLOYERTOCi11MINALPEwLL71ESANOCMLFlNESUPTOONENUNORE�7110USAN0 ENERGYPERMR /� DOLLMS(f 100.000�N ADDITION TOTME COST OF WIAOENSA7qN,DMIAGE9 AS V1IOViDfD FOR IN ,`.n q -��}J��-/�- J SECT�ONi70sOfT1EUBORO00E,INTEREST,ANDATTOiWEYSiEES � RETENTIONFEE' � r 1/ltl�'! R �' - d CONSTRUCTIONLENDINGAGENCY PRE•ALTFEE: u� U1NG t1P`ID SAFETY � IHEHEBYAFFIMIUNDERPENALNOFPEiWRYTHATTHEREISACONSTRUCTIONLENDINQAOENCY � � n- FORTHEFERfORMANCEOFTHEWOiiKFOHM/N�CNTMISPERMITISISSVEO(SEG7o97.pV.G1. , � � LENDERSNAME � � , � . � lENOER'SADDRESS _ /� W I CEPTIFY THAT 1 YNVE READ THIS APVLICATION M!D STATE T1NT 7ME FBOVE NFOR1AATqN IS GORRECT. TOTAL FE E S • � ` ( /1 � IAUREETOCOMVl�K77MKLCRYAN�CDUMYORDIWWCE3AND3TATEUWSNEtATNOTOBU0.DIN0 � � � � � � . , � � CpNSTRUCTION,NIU MEREBV AUTIqRIZE REPRESENTATIVES OF THIS WUNTY TO ENTER UPON THE S� �BOVE•MEMIONEDVROPEHTYFORINSVECTIONPURPOSES. COMMENTS J �� . . . . . - � m VERMfTTE E(G IHT) � Q / �tn I (n SIONATUREOFFE ITiEE OA1 ' � RECPT.NO. PAID BV VAUDATION WHITE—Department Copy,YELLOW—Fnan�e Copy.P�NK—Assessor Copy,C�OLDENROD—File Copy,GREEN--ApplicanCs Copy . � .� .. :,-._._. ....,.... . ,,,.....,... ..., . . .... . .._... . .. . -�� ..��...... :.�.�..,�:ti�.,.,1���.-. ,,..����� ;�.��..�n.r•��v...\'Ls��1 M�..� ..n . r /'.lt.t. a . ... ` . . . . , . �R . - ' ` � CITY OF DIAMOND,BAR ; :,� ,,.�.,_ , , �:.��:v::-„, -f,�:INSPECTiON`RECORD ,. ���s:r �,�,. =;:, ., �, .�.;_ - r �;_ �:� . ;r; �� • <'. � �. ._.. ._.._ _ - ��� �,.. '�.�°.�,� �`���� �. �� o - .- .i����.'r��_,f �y� :, ,;..::��^� ,� ��� _ ���c��:t.. _ ' _ ^ , f`` f '. .. . � .. . _ � �• - I�GS/FORMS/STEEL-�- �I��.� - FHA REUMTS'�....''�" .""' . ' �'?'1'' •• ' c:, SET�BACK " ' � � , � FLOO JOIST r • : . _----- ._ _.. � . - -- _. ... � .. �ELECTRIC GROUNQ___. _..__:' "� �'' __ . UNDER FLOOR DUCT � '' , . , . , �:. -. - --------- - - ------ - � _ ,, ,,_ = . ,. � IGROUND PLUMBING ��;r • �:- � � UNDER FLOOR�CU IDUIT : r ..:, , -. r., ,, F , � ,_. � '_� , - -- �SLAB GRADE--- ---- '�''' --_ _- ---- _- - ' FIREPLACE FOUN ATION' t �1 _�{ 1 Ql,n �-}4r� ;i� 6 iT�MP POWER — --„_ �------- --_ , _-� ,:�, - FIREP�S�1��'SOi�tD'GE�Mr ___ - - .._ .._... , .�;�,;,, � �-- IWATER SERVIC� -- { ----- --_ _ . . �'.�. _ MID HT.BOND BEAI'�1� !;,- � -_".�, � I QQFSHE/�dIIINC�1�-i� � -=ju ►s�i�1Ci�_,•, �_.,, . _.8F? BONDBEAM - ` _-_-- __ _ _- -- -,. '"' I �i IFRAMINGNENTILIATION _.__ _-- -- . ---_-- - . '. FINAL'BOND BEAM _ - `�_ --- -- -,-� , i,�,.;�, I -` I - - .. ROdF COVER .�., ; PRE-GRADING _ _ .--- _. __ _� _-- ` ' �::�, � ,, � _ _ __.... ._ . _ _ - _ . -��_ . IROUGH HEATING' -_ -:- -_-- - , ------ --- -- " BENCHING � � -. -r�-� I �`. IROUGH ELECTRIC---i-- .` `--�== - ._ ;>__. __�`C'" ROUGH GRADING . __. _ _ --------. ---- - - - -, GROUGH PLUMBING _.; -- ----- ------ . -----_.___- --'_' -`- `FINISH GRADING . _ ; SHOWERlTUB TEST_,_ ------- --;, -.: __ --- ' - . 'POOL ELECTRIC ., , . ,,. . ,;.,, , � �._, ��. , ; .' _ ,. , � " .�� „ ` _ : . {EXT LATH/SIDING -- — ---- - --- ----- --- - - POOL FENCING . - ' � � . ,, f WALL INSt1LATfON-_--- ----- --.. -- ._-----_ .__ _ _ POOL FINAL , � , ;�-�, .' - : � - ,,�� , �, �� CEILIIVG�INSUCATION _-- - -------- -.-.. . _ ___._ _ -., OFF SITE IMPS. . ' • . ° ` ' �" '.' , , _ � , . �DRYWALL NAICING - ---- - - - --- - DEDICATIONS �� ., : , � . , � . �SEWER " ------ - -- _. . _ ----�---_ _ _ . ___ -_ _ FINAL ENG. . . ,, , � �SEPTIC TANK, } ; �, 1, ' LANDSCAPE/IRRIG. . '; ; ISEEP_P_(T/LL. . _ _----. _. _._ `l'I,.._�,._ ON SITE IMPS. � , � �.: :, : � . ,�.�.• rc �GI+S_f+iR T_EST_'' ___ .` `: FINAL ZONING . � _ _ --- -- � _ ,:..: ;FIN�`,�.�ONST. -'.--_— -__. . p. .p __. _. FIRE DEPT. FINAL _ _.. .. .,, .. �jFl,�ll�HEATING-- --- .---- _ _ HEALTH DEPa"i..FJ�AjI.,— _ t__. _ _�.�„ ' ; __ !i�_�,��,�ELECTRIC----_ _ ___.. - - ____ _._ _ _ DEV. FEES PAID _- -. : _;- - - '- � —•- --- ;-. _�. �, �.,n,LPLUMBING- ------- -- --- _ -� - �--- ___ _ _ _� ENERGY ., .- . , . . .�, _. . ,. . ... ..�.. .,: . ,. „ . ; �_.____ ,�_ _ , , --_ ____ .. .-- --- -- __ __ - _---_ _ ___ _ i i :,:. ��---- -----___..- ----------__ ---_ . ___._ _.._ --- ,e - o -'E'a e c � : I - � a.�4 _ --.Y:::� •� ,�, ,, ��:-------_ . .. --- ---- - --- ---- ...__._.. . . __ ___ _ . - _ _- .� -- `jCOMMENTS .-, __ _ - - -- - - .. , , — ;.. . _. _ __ j . _. , ,. r____------__ ___-- - - - .._ _ ._. _ ., _ .. . - -- - - _ _ . � , , . ,. ., �ti� • ' ' � � 'i:` ' . . ; - � __ _ � , ,. . , ��� �._ I . C , � ,,. . � __-- __ __ ._ _-- -- . . . - .-- - , , - -— ._ _.._ ____. . - -- __._ . , . ; �__-- -- - - ----..... --- -- - - ,.; ., . . , . ... ... 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