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HomeMy WebLinkAbout11180 (5) �---���--• CITYOFDIAMONDBAR �' COMMUNITY DEVELOPMENT DEPARTMENT �� 21660 E.Copley Drive Suitc 190 . (909)860.3195 Fax(909)861-3117' ' PR ESS ""' BUILDING PERh1IT APPLICATION FIRMLY ¢ ADDRESS�aI`�[iLl.�/1:../��//IIE��� ��� APPLICATION/ nC�/J� PERMIT ' p/C p DATE eG0 �j NUMBER # � ISSUE TYPE OCC APN LO�T,_ TRACT ,DATE p OWNER _ . u� � LC CONST. GROUP " AD / GDL' " �S ZONING SEfBACKS . o FRONT Z C'TM � REAR RW ❑ g APPLICANT � 6- T � SIDE/SIDE STREET RW ❑ � CONTRA�jj IN �L Er 'SIDE p OADDR $6' , pROPOSED USE . o cmr � z w ARCH/ENG/ - • • z OESIGNER - - • " w NO.DWEL NO. NO. n. ADDRESS ' � CITY ZIP TEL. UNITS STORIES BEDFi00MS � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� - .- .- . OWNER•BI:ILDER DECLAHATION _ � SFRlADDlREM p 1 HEREBY AFFIRM UNDEN PENAITY OF PERJURY THAT 1 AM EXEMPT FROM iHE CONTRACTORS LI-� G3rdy9/C31pOR W CENSEUWFORTHEFOILOWINCREA50N(SEC,70.71.SBUSINESSANDPROFESSIONSCODE:ANYCITYOR (n " � � � - C� COUNTYNMIpiREWIRESAVERMITTOCONSTRUCLALTER�M7R0VE,DEMOL15H.ORHECA:RANYS7RUC- W W NRE.PRqfl TO ITS ISSUANCE.ALSO REOUIRES THE APPIICANT FOFl SIICH VENMIT TO FlLE A SiGNEO w Patio/Deck STATEUENT T/AT HE OR SHE IS 110EN5ED PUISSUANT TO TNE PRONSIONS OF iNE CONTMCTORS LL � � CENSEUW(CNAPTERo(COMMENCINGMAhISECT10N7000lOFDIVISiON�OFTHEBU51NE5SANDPHO- �- PoaUSpa � FESSIONSCOOE)OFiHATHEORSHEISEXEMPTTHEf1EFROMANDTHEBA515FORTMEALLEOEDE%EMP• (7 V TION.ANYVIOUTIONOFSEGTION7071.SBYANYAPPLICANTFOflAGERMITSUBJECTSTHEMPLICJWTTO Z �B•ROOI ' A GIVIL PENALTY OF NOT IAORE THAN FIVE HUI:DRED DOlURS(f 500�.): 0 OLASOWNEROFiHEPROPERTY,ORMYEUPIOYEE5IMTHWAGESA.^>T�fEIfISOIECOMPENSATtON, ❑ COmmBrtlal '� Z WILL DO TME WOPK AND THE STRUCTURE IS NOT INTENOEO OR OFiERED FOR SALE�SEC.7a�,BU51• J � NESS ANO VROFESSiONS COOE:THE CONTRACTORS UCENSE UW DOES NOT A7PLV TO AN OWNEROF ? , DR07FRTY WHO BUILDS OR IAIPROVES THEREON.AND NMODOES SUCH YY�RK HIMSELF OR HERSEIFOR 2 THROUGHHISORHEROWNEM�LOYEES.GROYIDEDi/U75UCMIMPRpYEMENTS�RENOTWTENDEDOR m � OFFEREDFOflSALE1F,F10WEllERTME0UIL01N�ORIMPROVEMENT155dDWRMNONEYEAROFCOMGLE• � � Z TqN,THE OWNCR�BUILDER N1LL MAVE TME BURDEN OF PqOVINO TNAi hIE Ofl SHE OIO NOT BUIID OR = 4APROVE FORTHE PURPOSE OF SALE1. . , w O�ASOWNEROFTMEGROPER7Y,AME%CLUSNELYCONTMCTINGHTTHLICENSEDCONTRACTORS . [t TO CONSTRUCT THE FHOIECT(SEG 701�,Bl15ME55 AND GROFESSIONS fADE:iME CONTMCTORS LI• Valu8ti011 ADJ.AREA W CENSEUWDOESNOTAPPLY70�HOWNENOFAPROPERTVWMOBUILDSORIMPROVESTHEREON,AND � NM1qCONTRACT5FOi15UCHPRQIECTSWITH�CONTMCTOR�S)LICENSEDPURSUANTTOTIECOMMC• QUANTITY DESCRIPTION �E TOilS UCENSE LAw^). • 0 ❑IAM E%EMPi UNDER SEC. B.6 P.G FOR THIS REASON Q � � � � V � ` � DA7E OWNER F— 0 W �Q _ LICENSED CON7RACTORS DECLARATION ' W [L IHEREBVAFFIRMUNDERPENALTYOFPERIURVTHATIMILICENSEDUNDEHPROViSiONSOFCHAPTER ' � Y(COMMENCING WI7H SECTION 7000)OF DINSION!OF iM[BUSINESS AND PROFESSiONS CODE,l�N� � Z � � _ � � �� YY LICENSE IS Pl F11L1 FORCE E�F ECL . m � LICENSE SS � �1� LIC.N0. � I j V DATE � COMRACTOR � � d �L c� �/ � WORKERS'COMPENSATION DECLARATION �/�\� a � / � IHEHEBYAFFIHMUNDERPENA�T'OFPERNRVONEOFTHEFOLLOWWGDECLAPoI 2 � _IHAVE�IJDWILLEIAINTAINACERTIFICATEOFCONSENTTOSELF�IASUR[FORWORNERS' _ � COAIPENSAiION,ASCROVIDEDBYSEGTION770oOFTHEUBORCOOE,FOfiTHEPERFORMANCE `U , Q OFTHEWOFKFORWHIp1THISPERMITISI55VE0. � • � _IHAVEANDWILLNAINTAINWORKERS'COMPENSATIONINSURANCE,ASNEOUIREDBVSECiqN � 970o OF THE LABOR COOE,FOFi THE PERFORMANCE OF THE WORK FOR Vrtllpf THIS PERMIT IS J ISSUED.IAYYVORKERS'COMPENSATIONINSUMNCECARR�ERANDPOLICYNUM9LRME. CONSTRUCTION j CARR�EH PLAN REVIEW ' o va�crNw"oER ELECTRIC � � � (nasSEcr�NEmrara�oor.x�rEooFn[vEaMrtaioaa+etaeo�saocuu�sRioo�ar��Ess} PL BING � Z ICERTIfYTHATINTHEPERFOIiMANCEOFTHEWORKFORWHICHTHI ' SUED.I MECMANICAL C7 SHALL NOT EMPLOY MlY VEHSON W ANY MANNER SO E SUelE O THE ; y WOPo(EPS'COuvENSAT1ONUw50FCALIFOWJII, AC _" MA 1 DBEC0I�E INSPECTIONFEE � � - � S SUBJECTTOTNEWOPKERS'COIAPENSATqNP S . ])OOpFTMEU00R — �^ � ` ^or+ tneor�r�rvnrnre+o r s ISSUANCE -', � � �,� ;� " � � �� SMIP ••� � � . p DATE: APPLICANT. - � WARNINC:FNLURETOSEWREWORKERS'COMPENSATIONCOVERAG utiuw .Mrosru«ae -ENERGYP/C �y SU&lECTANEMPLOYERTOCRIMINALPENRLTIESANDCIVI�flNESUP qJEHUND DTHOUSAND ENERGYPERMIT •i ¢ WLURS(51D0.000).WADDITIONTOTHECOSTOFCOMPENSATION.D AGESASPR VIDEDFOqN SECilON770BOFTHELA00RCODE.INTEREST,ANDAiTORNEYSFEE "" " RETENTIONFEE: � •!1 �� •V� + � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � INEREBVAFiIRMUNDERVENALTYOFPERIURViHATTMEREISACONSTHUCTIONLENDWCACENCY - ' � fOR THE PERFOMWVLE OF THE WORK FOR WMlpl THIS CERMIT IS ISSUED�SEG 7�97,CN.C.�. � . _ . . � LENDER'S NAA1E � IENDER'SADDRE43 � '- � TOTAL FEES. �Zj- , � ¢ 1 CERTIFY THAT I HAVE READ THIS APPLICATqN AND STATE TMATiHE ABOVE INFORIAATION IS CORRECT. W 1 AC0.EE TO COMPLY WITM ALL LITV AND COUNTY ORDINANCES/�ND SlATE UWS REUTINO TO BUROING ' � O_ � CONSTRULTION,A' HEREBYAUTHORIZEREPRESENTATIVQSaFTH15COl'NNTOEMERUPON7NE Z ABOVE�M[NT OPERTYFORINSpFGyONPURPOSE$.' .. _ COMMENTS � ' � cf ��� s m PERMITTEE NiN ��� ' ' ' ' � Q N � SIGNA i F DATE `"��'}�� � RECPT.N0.�PAID BY �1 J VALIDATIO' k , �_ �- WHITE—Oepanment Copy,YELLOW—Finance Copy-PINK—AssessaCopy,GOLDENROD—Fde Capy.GREEN—Applicant's Copy , .. . � _ .,. . � - . . . _ .. . . - . :; ___ • , . , � -�� .- .-�---...�.. _... -:- -.. . _ . .,.. , : . _ ., ,. . ;i: . . .. - . CITY OF DIAMOND BAR ", ' . � ;:' � ' . �� • • 1NSPECTION RECORD , �' � , . . , . , -;. . ; , , • � � • ' • � • � - � SET BACK� � � � FLOOR JOIST -- - - - _ FTGS/FORMS/STEEL - - fiHA REGIMTS ' -. -. - ' , ;, � � ELECTRIC GROUND UNDER FLOOR,DUCT , � ,,.� �� `-• ; � � - � GROUND PLUMBING - � UNDER FLOOR�ONDlt1T � . �� • . . SLAB GRADE - ��" - � FIR�PLACE FOUNdATIbN ' � " ' ' TEMP POWER - � - - - =- FIREPLACE BOND BEAM ' - ' ' - . • • � WATER SERVICE - - � - MID HT.�BOND BEAM.�;; � � ' - ` ,-,;•,•,,•;,,:, • ROOF SHEATHING 8 FT.BOND BEAM . +.. • FRAMINGNENTILIATION 'FINAL BOND BEAM --- -- - ROOF COVER - - - - --�- -- --- - PRE-GRADING .-. . � �• I ; - - ROUGH HEATING - -: - ' - -- - BENCHING �'- � ROUGH ELECTRIC ' �-- � - -� - - --- - - ROUGH GRADING . ; � ROUGH PLUMBING " -�- " '- FINISH GRADING • � , SH�WER/TUB TEST - - POOL•ELECTRIC , . EXT.LATH/SIDING - - � - POOL FENCING • WALL INSULATION ' POOL FINAL '. • ' ., CEILING INSULATION OFF SITE Ih7PS. � DRYWALL NAILING ; DEDICATIONS ' , SEWER. __....-- - -- -- - - . _. . .---- ---� ... .- --- - FINAI:ENG. . ; _ SEPTICTANK.: . . _ _• '..' _ .. LANDSCAPE/IRRIG_ . � : , � „ � _,, SEEP PIT/L.L: - -. .. ' ON SITE IMPS. • �-- . GAS AIR TEST - -- -- ------- - - -. -- .- -. FINAC ZONING . � � , FINAL-CaNST.: - - -�- -- - - ---- �- - FIRE DEPT.FINAL - � _ ._ _ _ FINAL HEATING -- � -- -- - - -- ; - - - HEALTH DEPT.FINAL - --- - ... . . FINAL ELECTRIC -� - "-� - - � ,� ' DEV.FEES PAID � � , i FINAL PLUMBING ,� - / ENERGY � . - \ .t�___� ` _ . - �. .�. _.� , • • � � � �,-_.i� �--�, _'_ ' __.. . ,.1' /. ` . . .. . . � . .. � , r ,r ... . ---- '--- . .. ._. _ 1 ' . _ . .._.. .. . , , • , . , COMMENTS- ' ' � � ' � . � . . . . .. , ± � , - - ---- ._ _. __.. -� -- . � � _.. . . . - � : - ---- � -- - - - - - ; � , , . , - -- - � ; � , - � . _ - , - � , , . _. .. . . _ _ i � - _ . , ,. . � : ` � . �.� - : ._ .. , __ . , . .. . i . _. . . ' ' � ' - \ . . , `;',\ �J\� � . . _ � ' .� . � �. � I ' 1 . .. 1 , .� . . . SEPTIC TANK SIZE -- - - �' � ---..._ ._-.--- -- -- - � - -- - -- - --- � SEEP PITN SIZE - " � - - - - � i , � � � • ;�. � . � _ • . , - . .., --, - -- ==_- - --- - � �- ' ,. , ,... � . ; .. � j � _` - - � • � . .r,��-� = .��� � . . •i�."_ _-<'- \ ' �• . 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