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HomeMy WebLinkAbout11247 (5) ——. .---- —--- 1 ----��� --- CITYOFDIAMONDBAR COMMUNITY DHVELOPI�IENT DEPARTh1ENT � � �� yi �:,.� 21660 E.Coplcy Drivc Suitc 190 , � PR ESS (909)860-3195 Fax(909)861-3117 '"" BLTILDING PERhiITAPPLICATION FIRMLY d ADDRIESS ��v ,� ,`�CKi�.1Lj`'���L.�. APPLICATION PERMIT 1 I�, P/C o � DATE �� NUMBER ��L # � ISSUE ' � TYPE OCC � APN LOT TRACT DATE CONST. GROUP °C OWNER _ ALE�1� E-�f�S��' ' 0 �'p ADDRESScS ZONING SETBACKS z CITY�1A�1d.x� ZIP � ` T I- FRONT RW ❑ � APPLICANT TEL. REAR ❑ ¢� SIDE/SIDE STREEf RW O CONTRACTOR �L^4?5�t��, � SIDE ❑ ADDRESS � CITYj-R�l[F'u�G� ZIP TE �( PROPOSED USE o ARCWENG/ � w DESIGNEF NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � � CITY ZIP TEL. � rn DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AqEANALUATION Q OWNER-BL'ILDER DECLAAATION SFFL�ADD/REM O I HEREBY AFFWM UNUEH PENILLTY OF PERIURY THAT I AM EXEM7T FROM THE CONTMCiORSII- G0f0g0/CarpOrt �W CENSELAwFO(i7HEid10WINOREASON(SEC.7o71.6BU51NESSAYDCPOFE5510N5COOE:ANVLITYOR (n ' U COUNTVWHICHREWIqESAVERMiTTOCONSTRUCT,ALTER��FROYE,DEAlOL15N,ORREPAIRMIYSTRUC� W � • w NRE,PRqR TO ITS ISSUANCE,ALSO REOUIRES 7HE APPLIGWT FOA SUpi PERMIi TO FILE A SiGNED W PatiolDeck . � � 57ATEMENT THAT HE OR SHE IS 110EN5ED PURSUMl7 TO THE PqOVi5�ON3 OF TNE CONTMCTORS l4 CENSE UW(CMMTEfl 4(CAMMENCING 1MTN SEGTION 7000)OF DIVISqN J OF THE BUSINESS ANO PRO � PooVSpa � � FESSIDNSCOOE�OR7MATHEORSMEISEJ(EMPTTHLREFROMMIDTHE90.5ISFORTHEALLEOEDEXEMP- (� ' V iION.ANVNOUTqNOFSECT10N707L58YANVAPPUCANTFOR�PERMiTSU&IECi51NEAPPIICANTiO Z Re-Root � . • . 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B.!O.C.FOR THIS REASON � � � V - LL" DATE OWNER hr Z U ' _ . � LICENSED CONTFiACTORS DECLAAATION w ¢ � IHEREBVAFFIRIIUNDENPENALTVOFPERJURVTHATIM7LICENSEDUN�FRPROVISIONSOFCHAPTER V. , - d 0(COMMENCWCNIITIiSECT10N7000)OFDNISION]OFTHEBUSINESSAN'JPROFESS�ONSCOOE,AND Z X MY LICENSE IS IN FULL FORCE IND EFFECT. . ' m . � �'^ ./ LLl � UCENSE CLA55 �C�r LIC.NO. ���� j � V DATE ���V CONTMCTOFi a W � WORKERS'COMPENSATION DECLARATION Q � 1 HER[BV AFFIRIA UNDER PENILLTY OF iE0.A7PV ONE OF 1HE FOUAW:NG DECUM7qN5: V � � �IHAVEANDWIlLMA1NTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORWOHKERS' � CAIAPENSATqN,ASPROVIDEDBYSECT10N37000FiHELIBORO�DE,FORTHEPERFORMANCE � OF THE WOpK FOR WHICH iHIS 7EHMli IS ISSU[0. � ` . w 11HAVEM/DWILLMAINTAINWOPICERS'LOMPENSATIONINSUMNCE,ASREOUIREDBYSECTION � � 97DOOFTHELABORCODE.FORTHEPERFORMANCEOFTN[WOiU(FORWHiWiHISPERMRIS LSSUED.IAVWORKERS'COAAPENSA710NINSUR/iNCECARR:ERANDDOLILYNUAAOERARE: CONSTRUCTION Q .�-.�`� (����M`�., � CARRIER �LNIN �"MK���� PLAN REVIEW Z va�cvwuuoc�(7I� ELECTRIC n~1 . � � (MSSECTONN�NJTBENRit.EfEDOFTL[7EW.R6PoRONEHNY1CDDd.U�YSpiO%IXiLFSS� PLUMBING � � � . I� Z I CER7IFY THAT IN THE PERFORMANCE OF iHE WORK FOA WMIp1 THIS PERMITIS ISSUED,I MECHANICAL C7 � SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBELOMESUBJECTTOTME (n YVORKENS'COMPENSATIONUWSOFCALIFORNIA,AN��GR[ETHATIF15/10ULDBECOME INSPECTIONFEE � - S SU6IECTTOTHEVYORKERS'COMPEN PROVISIONSOFSECTION77000FTHEUBOR ,,J�? � , O� CAOE,1 SHA�LL F�OrRTlWITM COMC wirH rHo s. ISSUANCE � O DATE:f—��X3 � -- . . p APPLICANT�`��rL�"�� SMIP � WARNINC:FAIWRE TO SEQIRE WORNERS'COMPENSRTION COYENAGE IS UldAN'FUL,AN�SHALL BE � ENEFjGY P/C � SU0.IECTANEAIPLOVERTOCRIMIAW_PENALTIESANOCMLFWESUPTOCNEMUNDREDTNOUSANO ENEFGYPERMIT DOlURS�f f o0,000),IN ADDRION TO THE CAST OF COMPENSATION,DAMAGES AS PROVIDCO FOR IN � SECT10N770eOFTHEUWRC00E,INTERE4T,�NDA7TORNEY'SFEE3.� - RETENTIONFEE: �� � � O _ CONSTRUCTION LENDING AGENCY PRE-AL7 FEE: �' ' � 1 NEREBYAFFIRM UNDER PEN/�LTY OF PERJURV TFIATTHERE IS AGONSTRUCTION 1EN01NG AGENCV ' FOR THE FERFORMANCE OF iN[WORK FOfl NMIp1 THIS PERMIT IS ISSUEJ(SEC.70Y�,LIV.C.�. Z W � LENDER5NAME . � LENOER'S�D�RE55 � � � �� � TOTAL FEES. .. 2 3:I r ¢ I CERTIFY THAi I HAYE READ THISMPLICATqN IWD STATE THAT THE�BOYE INFORMATqN IS CARPELT. w IAGREETOCOMPLYWITHALLCRYANDCOUNTYOf101NANCESANDSTATEU'NSREUTWGTOBUIIDING ' ' ' ' � CONSTRUCiION,IN'�HEREBYAUfHORIZEREPRESfNTATNESDFiHISCOUNTYiOEMERI:PONTHE � � AUOVE�MENTIONEDVRODER7YFORIN57ECTqNDURPO5E5. ' ' • Z� Q � �� � �- � COMMENTS • � `lV��'V�'/�C./ � m PERMITTEEN -(PRINn � '� ' ¢ ���� N N SIGNAiUREOFPERMITTEE DATE � RECPT.N0.� PAID BY VA�IDATION � �WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�Fite Copy,GREEN—Applicant's Copy � . / � ' .•1 . � .. . ..1� . . . . .l .1n.lt. . . ' .- '. . . . . - . . � ' .. w . .1. •..... ... ...� •• .� ... ' _� ���:: ..� , , � .. . . � . . . . CI OF DIAMOND BAR: . �. 1'� , . .. -, �� � ECTION RECORD ` = �.�.. . ., . . �. �� . .. � . � . • � � ' • ' • � ' ' ' SET BACK. . , `, �•• FLOOR JOIST _ . _ _. _.. � FfGS/FORMS/STEEL - � - FHA REQMTS � ' ELECTRIC GROUND � � UNDER FLOOR DUCT : ' -_ � ' GROUND PLUMBING - � UNDER FL'O�R COPIDUIT " ' ' '• ' SLAB GRADE - •- FIREPLACE FOUNDATION _ � � ' , � . . ; . . .. 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 = ` ' � � ROUGH HEATING • , � BENCHING _ _.. _ .._. _..... . ROUGH ELECTRIC � - - - - � ' ROUGH GRADING . � " ROUGH PLUMBING � � - � � FINISH GRADING. � � ' SHOWER/fUB TEST � ` ' "POOL'ELECTRIC � - POOL:FENCING EXT.LATHlSIDING ' WALL INSULATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWAiLL NAILING ' DEDICATIONS. SEWER . . . _ : .... __. . .. _ .. . FINAL ENG. , - SEPTIC TANK . .. LANDSCAPElIRRIG. . ' �� _. . _ . _ SEEP PIT/L.L. � - -- � ' ' ON SITE IN1PS. � GAS AIR TEST -- -- - - FINAL ZONING ' "• '' FINAL CONST. - -- - - - � - FtAE DEPT.FINAL , � • FINAL HEATING - - - ' - HEALTH DEPT.FINAL . � � -- _ . , � FINAL ELECTRIC - - DEV.FEES PAID FINAL PLUMBING . � ' � ! ENERGY • � . . . . - --- -- - � . .. - - --- - --. _. -- - ...... ... � : : COMMENTS -- � ' ` .� - � -- . __ ....___.. � . , � '. , . __ ..__ ._. _ ... . _ _ .-- - -- / .__. . . , , , ., . - , . .,. �,- �. � . - . �-- - . - , -- . . . 1 . ' . _. . `�3 /1,�a.� � _. � i . . . . _ - ��;. - �: . . ' ' ' _. .. , 1 . : � . . . ... . . . . . - � - - - -- - . , . , . . , �---`--'-� .. ' . . . . . . . ._ _ . � . .. _ , • . • . i SEPTIC TANK SIZE � � SEEP PIT/U SIZE . . � , .. . . . � . . _ - - ' � � • , , . . . � . . . ,,; . .. ' . � , , , . ' �. l , '� � .�.1►� ; 1 r � �