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HomeMy WebLinkAbout12634 (11) . _ _ , .. .. _- -.. % ' ,,.��.. _ „i--- -._-- --- -- - -- -- �rt � CITY OF DJAMOND BAR` ` � '� / �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � __1 ;;,�a 21660 E.Coplty Dri�e Suite 190 • (909)860-3195 Fax(909)861-3117 • PAE$$ �'�^' : BUQ.DING PERMIT APPLICATION. . ' FIRMLY � o ADDRESS �d 0 � � l�ol cl e n s 1�� Y , DATECATION--- � � b�� PERMfT j2b3 P/C NUMBER N � APN ISSUE TYPE OCC � 10T� CT � DATE CONST. ' GROUP g OWNE � p AD ES � ZONING SETBACKS � CI ZIP � . �7 � . , , FROhfT RW ❑ APPUCANT 7EL, REAR p � SIOE/SIDE STREET RVy - p CONTRACTOA � SIDE � p� ADDRE , o C�T�' ZIP 2 DT�L. — PROPOSED USE . � ARCWENG/ � DESIGNER NO.DWEL NO. NO. NADDRESS STORIES BEDROOMS CITY ZIP TEL. UNITS � DESCRIPTION S�.Fi. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDEq DECLARATION , SFWADDJAEM � (HEREBV AFFlRM UNpEH PENILLiY OF VEILVRY 7HAT 1 AAI E%EMPT FROM TNE CONTRACTORS LL � �a�7���n � CENSEUWiOq1HEfOLLOWIN�REASd1(SfC.7W1,66U5P1ESSM1DVkpFESSWNSGOOE:ANYCRYOq (n COlMTYYNEq1REOUIRESACEAMRTOCON57AUCT.ALTERIMPROVE.DEM0U5H2ORpEVA1RMIYSTRUC• � W p3�ip/DBck 1URE,PRqq M RS ISSUMICE,+LLSO 11EWIAES THE ADPLM.ANT FOR 6ULH pERN1T TO iILE A 61GNED � � � STATEMENT hUT HE OH SME LS LICEttSm PURSUNIT TO THE PRpVI510NS OF Ti7E CONTMCTORS U- � CENSE UW(p1AP7[R i(CpAMENpNO YATM SECiION 7000)OF DIVISION 70F THE BUSINESS AND Pq0. LL PooVSpa . . � . FE55qK5W0E70RIMATNEOfiSME15EXEMPiTh'EAFFROMA1tpTMEBA51SFq1THEALLE�EDEXEIAY• C7 TION.AHYVIQATqNOFSECT10NT0]t.6BYANY/➢PLICAN7FOR�iEPMITSU&IECTSTMEIYPLILANTTO . Z Re-Roo1 F„� J�CIVd CENAL7Y OF NOT MOi1E 1HAN FNE MINORED DOtURS I=�)�1� ... . • . . . . � � � O�ASOMMEHOFTHEPROPEHTY,ORWYEM{�LOYEESWITHWAGESASTNEINSOLECOMPENSATION, O �mmerelal . � � . � 1ML1D0 iME WOfH(.MA THE S7qUCTURE IS NOT IMENOED OR OFFERED FOR SALE(SEG 7W�,BU51•�. J � y NESS M!O PROFESSIONS NOE:Tf1E CONTRACTOR4 LICENSE UW OOES NdT►vPLv TO AN pWNER OF . FROPERTYYNq9Ul,pgpqlMp{1pyESTHEHCON,ANDWHODOESSUW�WRKHI4SELFOqHENSELFOq = ' � � � � CC MRIX10M/q9ORHENOWNEMPLOYEES,PROVIDEDTHA7SUCHMPROVEMENTSARENOfMENDEDOq C� �3� OFFERmFORSAIEfF,HOWEYER71tE8UtDPqORWPROVEMEMISSOtDWfTHNONEYEMOFCOMRE- Z 'TIDN.TNE OWNER�UIIDER WILL MAVE 7HE OURDEN OF PROVINa THA7 HE OR SHE OID 1qT BUItD Oq � IMOROVE FOq THE PURPOSE OF SALEL � . . . . . . W OI��MMEROF7HEPR07EH7`/,WIXCIUSIVELVCOHTMCiWOVATHIICENSEOCOHTMCTOH3 . . . . '�-`- (� TO COr�STRUCT THE PRO.IECT(SEG f0u,BUSINE59 AHD iROFE5510NS COOE:THE CONTMCTpRS LL �Vflluelid7 � � � � ADJ.AREA � Z CFNSEUWDOESHO7AP7LYTOIWOVMENOFAPROPERTV1M11qBURD50qMVROVE3IHEREON./JD f_ VM�OQOflTMCT9FOqSUCMPRQIECT9WITIACONTMCTOii(S�UCENSEDPUqSU�WTiOTNECONiqAC Q()p,�.J'nTy � OESCRIPTION �E � TORS UCENSE UW} ' . O 11W EXEAIPT UNDER SEC 8.l P.C.iOR TNIS NEASIX�� Q I � � ' U �=" DATE OWN[R �� . � !�-� � . . . �4 � i U ....._...�- . . • , UCENSED CONTRACTORS DECLARATION W _ , CC INEREBVAFFlPoJUNpEf1VENALTYOFPEFiRIi{YTHATIAMUCENSEOUNDERVROYiS10N5pFCHAPTEH � � L1, �(OOMAIFNCINOYVfTHSECTION70oo)OFOMSION�OFTIEBUSINESSANDPfi0FE55qN CODE.MID Z � . . O W UCENSE S N fULL AND FiFGT.. .. � /��a �3 ' � J �•/J O UCENSE CL45S L1C.NO. � � ah CONTR4CTOR 7 J � WORKERS'COMPENSATION DECLARATION ���j,�\� ¢ � IHEREBYAfFlRMUNDERCEWLLIYOFVER1UqY0NEOFTHEfOLL0V.7N(i�ECLAMT 5:�%1 � Z � .. . � �IlUVE1WOWILLIMRlTAMACEqTIFICATEOFCON5EM7O5ElF.INSIINEiORWORKERS' ¢ CpAPENSATI0N,A5iROVIpEDBVSECTIONJ70oOFTNELABOACODE,FORTHEPENFORMANCE U Q OF THE WORI(FOF MMlpl TMiS PEf W iT�ISSUED. ,, � ��IHAVEANDWILLAWMTAdlWORKEf:5COM0ENSATqNINS ANCE,ASq[OVIqEDBYSECTION Q �7o00FTMElABOR E,FORTHEVERFO ANCE E ORKiQRWHidITHISPENAlI71S � ISSVED.MYN'ORKE - EN IN�U A��M>IOP�OL�ICY�MIMOERME: CONST�UCTION � uRwEA w`� � PLAN REVIEW � POLICYMIMBER �� LECTFIC .. . p' I���+�IDr+�Te��7fDOF7�r�u*fsPoaor�E�mOttl�nsRmfatlFSs} PLUMBING W � I CERTIFY7HAT N THE PERFOMW�CE OF iHE WORK FOR WHICH TH15 PERI�IT 6155UED,1� MECHANICAL � � � . Sw�ll NOT FMVLOYANY OERSON N�MI W.NNER 50/S TO BECOME SUOJECT i0 THE (n WONKER5COMPENSATqNUW50FCAL�F UAGREEINATGISHOl1DBECOME INSPECTIONFEE P�� S SU&lECT70T/GWONCERSCpAPENSAT P S SOFSECTIONf7000FTNEUHOR � . OOOE 15 I.F _fpwin�caar�vwitH s o isa++s ISSUANCE 1 0 W o,,,�: 1 t P�� �aFLK'J.NT SMIP � WARNINp;FARURLTOSEWREWOIiNERS'COMVENSATIONGOVEMCE UNUWFUL/wDSMALI.BE ENERGYP/C � � SIIBJECTANEMiLOYERTOLRWiNALPENALTIESANOCMLFWESUPTOONEFUNOREDTNOUSAND � ENERGYPERMIT DOlLAR3I2100.000I,N ADORION TO TIiE COST OF COMPENSATqN,DIUA�0E5 AS PAOYIDED FOR IN ^ 0 J SFCTqN�7oeOFiMELAPORCODE.N7EAE5LAN0ATTOqN[YSiEES. pE7E(•JT�ONFEE: � !1 CONSTRUCTIONLENDINGAGENCY PR6ALTFEE: � V SA ' 'TY � IHEREBY/�FFlpMUNOERVENAlTYOi�ER1URYiHATTHEREIS�CONSTRUCTIONIENOW0A6ENCY . � � �� , � FORMEOERFORMANCEOFIHEWOANFORYMIG/THISVERMITISISSUEO(SEGJDW,CIY.GJ. � ��� IENDER'SNAAIE � ... .. . . . C LENDER'S�DORE33 ' � ICERTIFYTHATIHAVEqFl➢TInSAPPLICA710NM1DSTATEiNATTHE1180VENFORA1AT10NI5CORRECL TOTAL FEES � � � , � � IAOREETOCOMPLYWITN.41C(TYANDCOUN1YOqDWANCE5AN�5TATEUWSRFUTINOTOBVIIDIN6 ' . � CONSTRUCTqN,ANOMEqEOYAUTWfiRERFVRESEMATNE50FTH15COU TOENiEqUPONTHE . ,,, , , . „ , - � , , /�BOVE��1EMiONEDP�ERTYiOfiWSPEGTIDNPURPDSES. COMMENTS � � �...�.,�-�. �� � . � � PERMfTTEENMIE PRI n " I� a �', cn (n EWHATUREOFPEAMITTEE OAl� `t� _ RECPL NO. PAID BY VAUDATION _ . . . .WMITE—DepaRment Copy.YELLAW—Finanea Copy.PINK—AsaeSaor Copy,GOLDENROD—File Copy.GREEN—ApplicenCs Copy . . . . � . ,... . .. - , . . , . , , -- .. . . .- .- . , „ , . ., .,� .... , . , , .. ., ., '\! . �..' CITY OF DIAMOND BAR . , : -, . , ; � � : : ,; �.,:; ; ,., .. .. .. .. ,. . .. _ .. ,, . , .. ,, '�: . �: = � INSPECTION RECORD� , • � ., : . . ... . . ,} . . - . . . ' • � � � • - � � � � � - SETBACK ,.. ,`•� C��a �, '' �iJ��•'�.i � ' I ( . , , F'LOOR�JOISTI"1=iG �i � ��� -•� ( �� t' U� _ . . . _,_ ' FTGS/FORMS/STEEL ._ �. : . ; FHA REQMTS _ . : ,� _ .- , - - - - - _ _ _ ' . . _ . ^ ^ .... J ... . . � � ELECTRIC GROUND-.__ ..-. . _:.__ . ..-_ __ UNDER FLOOF;D.UCT�.; ) ,,�, ). -,v._i. !. ..�:'t_. ' GROUND PLUMBING � �"" � " UNDER FLOOR CO�IDUIT; !.� l i'� • �:1 �� '�i f'ti i �`; , SLAB GRADE - - • •� � ' FIREPL'ACE�FOUNDATION� c =f'' ' j . -. -�r"r. ;�_-_, : . TEMP POWER ------ '`' ' . -' � FIREPLACE BOND BEAM ! :- _ . ' . _ . .. .�. , . ..._. , ' ,. .., � ..,.•,� ._� � � . � „ WATER SERVICE- _. .. - _. - ... _ __ _ _ . .. _ .__: MID HT. BOND BEAM , i , . r . -• — ,. . .. . i -.. RO�F SHEATHING . .__. _. '. , •' � 8 F.T.';BOND BEAM, ` ; :.,.• � .�- �:_.., � ,j i ,' � FRAMINGNENTILIATION _ � FINAL BOND BEAM ROOFCOVER ,'. , .,� .. '� PRE-GRADING . , � ROlJGH HEA�'ING . .. . . _ _ BENCHING ' , . . . , .. � ROUGH ELECTRIC - �- ` ` - -'� - ' '-"' ROUGH GRADING .. , , � " ROUGH PLUMBING - - - -- --" � " � "�� � -FINISH GRADING , . , ,. . , SHOWERITU6 TEST -- � -- -- - - . POOL ELECTRIC ' � : . EXT.LATH/SIDING � - ; , POOL FENCING . WALL INSULATION I � POOL FINAL CEILING INSULATION - OFF SITE IMPS.. • �; DRYWALL NAILING DEDICATIONS; ' � : , ' .SEWER _..... __ ._..._ . '� _ . _ . . ! FINAL ENG. _ � : �� _. . .. SEPTIC TANK _ . .. _ _ _ _. LANDSCAPE/IRRIG. � _ _... , � � SEEP PIT/L.L: ; -' ' _ .. ON SITE IMPS. � . .. � GAS AIR TEST �- .._.._ —. ..,.-- , - .--, - FINAL ZONING �. ! ,� � , fINAL CONST. .`:; ,+ _ .. _.. :. , , ._ • ... + -FIRE DEPT.FINAL - ' , , FINAL HEATING y ' - -'� ' �' � HEALTH DEPT. FINAL � �� FINAL:ELECTRIC � � Z3 ' _.DEV. FEES PAID :,� - FINAL PLUMBING � ENERGY � • � � , 1 ` , . � � , � �' A • • •) ' `c. R 1 .... ... .._._. ... �. .._.._. , " , I �' - -� `. . . � . � ' � � .. ....... . . ,. ._...._... . . ..... . . ` 1 � i 'J. ��. � � ,, . . ,, 1 i ,. COMMENTS . . _ ... _. _ , . ;�.�. �; .--.__ . .... .. ; . :_._.._ - -- - , . _ .. � � ' _ _ . _ , _ , ....... . ... ._. . ; , , __. . .. . , � , , . � ' ,. � . _ �. , . _ . -- .. , - . - = �-- . � .. . . , - ,� '� � . . , ...... ...... . . . . , . , , ; ' --�..Al���i /! , � , . . _ . . ; i , ,` •j` _,i , , .. �L�i !�. J. l:i Vi � .� .. . ' ;_ _.. _.. _ _ . . - � � , - , , �'SEPTIC TANK S(ZE:� i i+�i•f�.r.;;;'?i� Y�1'4'? . � . , � . SEEP PIT/U SIZE :��'�,; ".��; � ..- ' ; ; , . _ ; .` ; . . _ , : , , , .. _ .. _. _ . _ . .. , , � . . . .��, , . . , , . �; _---. ... _ .-- - _ . _, i ', . l. '� \`'�{..S ` � ; ' � ...__. . - -- .�.� � .:. � . .. \ . �����•:�._;, . . I _ .. . , .. ..... ... . . . . _ � � ' \ , � . . - � ' � i� �I � . ..- - . i. �.. . . ... .. . � i .._ .. . .. � ' � � ,. ., . � . . ,. . . . � i ' i, . , . . . . . .. , .