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HomeMy WebLinkAbout11490 _.. . ..... . .... ..�. . ... .., . -.__. � _ .._ . . � ...�..._."'�"_"'"—.�-'��-�' ��_'.' _.��'��..�.��... . .... . . .......... .�.... . ..�...__....�-.��_.....,7.�. . , S ..._ � � t�ed ----�'�— CITYOFDIAMONDBAR i :'�'t:' ".a'. ', :� COMMUNITY DEVELOPMENT DEPARTMENT ` ,X�,•e 21660 E.Copley Drive Suim 190 . � + :... . ;..ti...:. :-: , pRESS (909)860-3195 Faa(909)$6l•3I17 . . ` . .- • .. ' , "^'� � BUILDING PERM[TAPPLICATION FIRMLY � � JOBSITE .'.�.'�j , . . ' . APPLICATION , PERMIT / P/C � ADDRESS . 7 _-����'l -�'2�� 71 �, NUMBER r� # ' . ' p �O'�7^ ' �ATE _ i ISSUE����� TYPE ; OCC �, . •.- . , - ' � APN - "' TRACT - 5' ' DATE " l CONST. ' ;GROUP � °� .OWNE� -w� . �1/�. , OO i p ADDRESS � � ��L'•�� �Z�NING SETBACKS XP� C^ i z CITY ZIP '� TEL. -FFiONT: ' ' - ' �R�= p - , �REAR. , , � ._� APPLI ANT '� TEL. . _ , ; =' - � .: p i . , SIDE/SIDESTREET p� c �' :� : - c.� , � , •77/�(}� ❑ � vUU ❑ ; .. .. . _ - -- E . . .. ; ; � CONTRACTOR� � SIDE , '� -ADDRESS_ _ � -�N./?.('J�� _ .. PROPOSEDUS�7✓ , .... , . . ✓ _ _ ; o CITY ZIP.�1:l�'a.TEL. .�7-t�fl � : , ; � , . .. ' w ARCWENG/ ; ; _ , _ , _._ . ,�,.. G��_�,,�lS--P ' ' z -DESIGNER � � .� __. . ....._._..._. . .. f....... _...._ .. ... . .. . ' _ .... � ' � NO.DWEL NO. ; NO. � . .,., . , � � ADDRESS ' UNITS� - - - -STORIES ' ' BEDfl00MS ' � ' • ' � CITY ' ZIP � TEL. ,� . i .N . .. ._....' _ ' ........ .. . . .. . .._"•. , .. ._. . . . ' N , � �;� , DESCRIPTION �'S0.FT:'"' ' FACTOR PSF ADJ.AFiEANALUATION , LARATION _.._,_ .. i. O ._ .-. ---.,OWNER-BL'ILDERDEC , ;^I . _. ; SFWADDlREM - - . , . :. 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ACNILFENALTV OF NOT WORE iNAN FNE HUNDRED DOLIARS(f5o0�.): - " ' "' ; � 04�0'NNEHOFiNEPROPERTY,ORMYEMPLOYEE9WITHWACE3ASTHEIR50LECOMGEN5AT10N,� :' 0 '•COf11rt1BfC131 � . ����' ' . ,., WILL DO THE M/ORN,M10 THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70u.BU51- ' � NE55 AND PRpFE5510N5 COOE:TME CON7RACTORS UCENSE UW OOES NOT�VPLY TO AN OWNEfl OF � . .iROCERTYWHOBURD50qIMDROVESTXEREON.ANDWMODOE55I1CNWORKMIMSELFORHENSELFOR ' � � � �I'. � � CL THRWGHNISORHEROY�TIEMPLOYEES,PROYIDEDTMATSUp11MPROVEMENiSARENOTINTENDEDOR m � W OFFEREOFORSALEIF,HOWEVE0.TME9UIL�INODRIMPROYEIAENTISSOLDWITMNONEYEAROFCOM%.E• I ' � ' ' � � �'.-i�, � t�`� TION.THE OWNER�BUMER WILL�HAVE THE BUROEN OF OqpVWO THAT HE OR SHE D�0 NOT BUtID OR � = IMPROVEFOR7HEPURPOSEOFSILLEI. 1 '-:- I �, ' , ., � �ty,� �-�--OIA.SOwNEHOFTHEGROPE1iTV.MdEXCU151VELVCONTMCTINGWITHLICCNSEDCONTRACTORS. 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" F, '_'_..__.... . . . . � , . . . . ... ..... ..........._. . i � � " ' _ LICENSED CONTRACTORS DECLARATION__„. � � IH[REOVAFFlRAIUNDERPENALTVOFPERJIJRYTHATIAMIILENSEDUI.'DERVROVISIONSOFCHA7TER i '� i y���p,' 9�COMMCNCIN�WRHSECTION70oo)OFDIVISWN70FTHEBUSINESSANDPfqFE5S10N5CO0E,AN� ' Z - -- �L� �'�' �' Of' � `X IAY LICENSE LS W FULL FORCE AN�EFFECI , m '. . ;� j. , ' � UCENSE CLASS �3.• ...._..�..LIC.NO. ..��y� .-_ `..- � , � � , V DATE�� •••• -'.., .......-CONTRAC'TOR � '.. d . ._LLl. _.._, .._..___' �,. . ...... . " � , � I( l3C RS'COMPENSATIONDECLARATION � IHERCBYAFFIRMUNDERPENAINOFPERJURYONEOFTHEFOLLOWINODECLAMTIONS: � , N � . . ...— . .. ...._... ._.._._....__. . _. _. . .. . .. _ .._ � _IMAVEANDWILLM�MTAINACERTiFICATEOFCONSENTTOSElFdNSUREFORWORKERS' � � �� �� �� � ' . CdAPENSATION,ASPHOVIDEDBYSECTION77ooOFTHEU00RCODE,FOATH[FERFORIAANCE i ;...Q .... ..QFTMEWORKFOfiNM1/1CHTHISPERMITISISSUED. , i . .. .. ,. . ... ...... . . .. _.. ..... .. . . .. . _ ..' ".' _ _" ' w �IHAVEANOWILLEIAMTAINWORKERS'OOI.IPENSATqNINSUiLWCE,ASRGOU1RE08VSECTION �. ,� ,,,,, 77000FiFIEL/1DOFO00E,FORTMEVERFORMANCEOFTHEWORKFORWMIGHTHISPEPMITIS ISSUED.MY WO ERS'COMPENSATqN INSUqAN�CE yC�AW/+IER AND POUCV NUMOERARE: � �� " CONSTRUCTION'' ''' "' "' '-' '""""' '� '''- � � �-� J ... ._.._.._ � j GARRIER 70�� �"�✓`� PLAN REVIEW . _ - o ��slS� '•Gt Z?'79G-�'^J .. _ . .. . ----, .. _. _ � POLICYNUM9GR • . . ..... .... _.. ... , . r Z ELECTRIC ¢ � -� -- - (fHtSSECrblNEmNoiBEm.s3ETEootnevEwyfrsiOnadEfA.�aiEDDOLLutsR�m)aiLEssl. _ ..PLUMBING.. .... ��-•�l� Z �CER7IFYTHATINTIiEPERFORMMICEOFTMEWORKFOHWHICHTHISPERMITISISSUED.1 ,�` MECHANICAL• �, �-�C7 . ..SHALI NOT EAIPLOY ANV PE0.50N IN ANY MANNER 50�5 TO BECOMC SUBJECT TO THE � � � WORKERSCOMPENSATIONUWSOFCILIFORNItiANOACREET/ATIfISNdJIDBECOME 1` ' �NSPECT�ONFEE��� ��� "� "-'-' "-' ' "' . . _.._'"""'_"'_'�.. . ....' . I - SUNECTTOTHEWORKERS'fAMPENSATpNPROVI510NSOFSECTqN97000FTHEUBOR � � " �' � �, O „ ,..,fAOE,ISMALLFORTHVATHCOMPLYWI7HTHO5EFROVISiONS. _, � � ISSUANCE _ � - �/�.�C�-� .. . ._..... . _..... . ..... . . .. . . .. _ . . , ���'1�=15: ��'G� � SMIP '� p DATE: APPLICANT: � � WARNINO:FAILURETOSECUREWORNERS'COMPENSATqNCAYERAGEISUNUWFULMIDSMALLBE "" -� -�ENERGYP/C� �-•.-- J SU0.IECTANEMPIOYERTOCRIMINALFENALTIESM�CMLFWESUPTOONEMUNDAEDTMOUSAND � � ' � DOLURSISIOO.OWI.INAODITIONTOiHECO570FCOMPENSATION.DMUGE5A5PROVIDEDFORIN ENERGYPERMIT � r S[CTqN770BOFTIEUDO�COOE,R�7ERE5T.ANDATTOFNEY5FEE5. " ' -"��• �� � �� RETENTION FEE: � . . . . . f w ' CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � �) "� � ' ' ' � ' ' � � ; . .� .. . .... . .... . . . . ..._..... ........._.. .._�.. �� ... .__.... . . ...... . ... ......_... � � IHEREB7AFFIRMUNDERPEN�LTYOF�ERNflYTNATTIEREISAGONSTRUCTIONIENDINOAGENCV - - ' FOR THE PERFORMANCE OF TME WORK FOq WHICH iHIS PERMIT I5155UED(SEC.90D7,CIV.G). ., , .�.�, � . �� . , .. . .�. , i Z . .., ... . _ _.. . .... .. .... . _... . ...__..._. _._._. . . ' w ___. .. ,..... .. .. . ... .. .. ... . . . . i � lENOER'SN11AE . � . . y F,_ LENOER'SADDRE55-.-." "_' ' . .._._..._ ___. ..... . _.... � _.a. .10ERTIFYTMATINAVER[ADTMISAPPLILA7pNAN�STATET/UITTMEA80VEWFORMATqNISOORRECT. TOTALFEES 'rI �y IACREETOCOIA�LYWITHALLCITYANDCOUNTYORDiNANCESAN�STATEUWSREUTWCTOBUR01N0 �- " "' ' " '' "" � �"� ���O , � GONSTRUCTION,ANDHEREBY�UTHORIIEREVRESLNTATIVESOFTHISLOUNTYiOENTEHUPONi11E ' � ' � p Z /.BOVE�IAEMIONEDPROPERTYFORINSPECTIONMIRPOSES. COMMENTS �� � � .. . ._ . . . . .. ._.. ., . .. .... .._. . . :� _ / . ........_ .. .. . ... _, .... _.. � Q �C.t.J�l2.17���1/�3✓� , , � �-- � /� � � PFflV EFy�1�:PRI ��� .... .... . . ._'_..__. . . . ' _.... ..... ...._...... .... . ^ . '. I � cn � � "'/"1F/� .. i SIGNNf�OFPEfIMITTEE DATE - �� RECPT.NO. PAIO BY VALJDATION �� �-�- ����----�� -- • ��- WHITE—Department Copy,YEILOW—Fnance Copy,PINK�Assessor Copy.GOLDENRO�FIIa Copy.GflE —Appliwnt's Copy � �. . .. . . � .._..--'---... _.._. _.._._.._. .___... .__._ __.._..___.._— -_ -._-_. . _.____._...... ...._.._...._._ .._.... ..._...___...__......�. � � .. . , , � . . . � . . ,. . • . � .. •9'J', . �. �: .. r��.i,.:�.� �.)�.� 'Yi.�r.�,�,ti .�� •'�'� �t�: , 'a,ir., .� . ,�.��1,— � �� � . . . .. .. ��� F C� OF DIAMOND BAR . , � � �;, ;: ' INSPECTION RECORD ' ';' .; . , ,.� " . . ' , �,, ,. �, • • � � � � - • � � • � - ,SET BACK:. , ('��` .-:!\��\` FLOOR JOISY - - FTGS/FORMS/STEEI: ' � � FHA REQMTS .,, ,,.,,.. ... ;, ., ,: ' :.! ELECTRIC GROUND.,-�, :{�`••;?�=`� ;�'' ;• " UNDER FLOOR DUCT�. � ,._:?.- ��, ..� .'.;-: ,' r �••�--,_ GROUND PLUMBING�� � 5�-22-y� UNDE� FLOOR COMDUIT •� �� =•'•� ';''�•� `.'; � � �, �i� r: , • SLAB GRADE--- - r,':��'� , ��� � FIREPLACE FOUNDATION . � ' ' ' - TEMP POWER ,, : . 1 1 -- . .. _ � FIREPLACE BOND BEAM'�� � -.::=��.1 , -, :.`. � . " WATER SERV(CE-; :.•- ' � �. � �. • ',`t;c, ; ' MID HT.-BOND BEAM, ' - . • , e„ ' 'ROOF SHEATHING �� ' � � � � ���� ' � 8 FT.BOND BEAM FRAMINGNENTILIATION "' ' FINAL`BOND BEAM ' ROOF COVER- �-- . - - PRE-GRADING � .. . ROUGH HEATING � " ' BENCHING ROUGH ELECTRIC� I - -- - ROUGH GRADING ROUGH PLUMBING � • FINISH GRADING SHOWERlfU6 TEST � POOL ELECTRIC EXT.LATH/SIDING POOL FENGING ' • WALL INSULATION �POOL FINAL CEILING INSULATION i 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 - - - HEALTH DEPT.FINAL � - - - � FINAL ELECTRIC �• .;;ti , � ., , DEV. FEES PAID . ..�.- FINALPLUMBING •, , � � ENERGY , ' , _ _ . � . . .. � . .. . • • . . , , ,- . . . _. ..� _ . _ .,., � �c.t �i COMMENTS- _ _.. I�.".�",. '.� , ,, . � � � - -- - - _ _ _ � . . , - _ . __ . _ � _. ; � �, . �� � . , . . ,i" . . � ° � �����..r '� .. - , ,- �1;���; ,. .,�. �` �- - - - �� — � ' . i - ... . , • . • , . ,. , , _. . 1� . � . - -� , , .., . . . ,, � , . � _ ��~,' r - , - -_� ,,� . ... � .�, _'�:-. . _ _.. . , % � , . : .. J. , . , .1 ' , ' SEPTICTANKSIZE ''��� �' ` 5��� —..,._r/ � _._ . . .. . .. . . SEEP PIT/U SIZE , � i ' _ ����- �.\���. ' �_i. ,- .��_,.;�� : , `. ��, , � . � ti• ,. , - _ , __ .. . . , -- . ,� : . � �. �' L ::._' .' ' . _ . _.. .. _.,