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HomeMy WebLinkAbout10927 (5) --�� --. CITY OF D[Ah10ND BAR � EXPI R ED � COh9MUNITY DEVELOPMENT DEPARTMENT ' ,'�.;•C 21660 E.Copley Drive Suitc 190 • . - (909)8643195 Fax(909)661•3117 � O C T O 5 ZOOO PRESS ''"" BUILDING PERMIT APPLICATIO;V FI R M LY o� JOBSITE APPLICATI N PERMIT P/C ADDRESS_.���KZ04J� Gr�S � DATE _NUMBER O Z7 � � APN LOT TFACT �SSUE / � TYPE OCC. ' . �y DATE CONST. GROUP p -0WNER W L�n � o ADDRESS I ZONING SETBACKS • - z CITY ZIP�_ TEL: . FRONT F{y�/ ❑ � APPLICANT — - TEL REAR ❑ ; ¢� �� SIDE/SIDE STREET RW ❑ CONTRACTOR — � SIDE ❑ ADDR S G-�l +�- � � CITY ZIP TEL PROPOSED USE � �_S�. � 2 ( e�G�oo w ARCHIENG/ �G�-3 �- b �` n u �z DESIGNER � NO.DWEL �f' NO. « N0. a ADDRESS � CITY ZIP TEL UNITS STOFitES r BEDROOMS� v� cn , DESCRIPTION SQ.F7: FACTOR PSF ADJ.AREANALUATION -p� OWNER•E3l:ILDER DECLARATION _ ... . '. SFR/ADD/REM O , p 1 XEREBY AFFIRM UNDER PENALiY OF PEfWRY TNAT 1 AM E%EMPT FROM THE CONTMCTOfiS LI• .G�fd JB/COryOR � W CENSEUWFOHh1EFq10WINCRG5dJf5EC.70.71.SBU5INESSANDPROFE5510N5CODE:ANYCITYOH (n �' �� � � C-� COVNTYWMICHREWIHESAVERMITTOCONSTRUCT.ALTER�PA�E.�EMOLISII.ORR[PuqM1YSTRUC• W patio/Deck -- � —� TIIR[,PRIOR TO Rc ISSIIANCE,A150 qCOU1fiE5 THE Av�ICANT FOR SUCH PERAI:T TO FllE A SICNG� w - ` STATE�AENT THAT NE OR SHE IS UCENSED PURSUANT TO 7HE PROVISIONS OF THE CONiflAGTORS ll� . - S CENSE LAW(CHMTER Y�COMMENCWG WITH SECTION 7000�OF DIVISION�OF 7HE BUSINESSAND PRO• � POOVSP� ' .. . , • � .FESSIONSCODE)ORTHATHEORSHEISEXEMVTTHEREFROMMDTMEBASiSFORTNEALIEGEDEXEMP• (� V TION.ANYVIOLATIONOFSLCilON7Vl1,5BYANY�FPLIGWTFORIIPERMITSU&IECTSTHE�PPLIGWTTO Z Re-Roof " � � ACNIL VENALTY OF NO7 MOR[THAN FNE HUNDREO DOlURS(5500�.): � � ❑I,ASOWNEROFTHEPRODERTV,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � � COfnfllBrtial ' � ' Z N^LL DO 7ME WORK.�ND THE STHUC7URE IS NOT INTENOED OR OFFERED FOF SALE(SEC.7M4 BU51- J N NE55 AND VNOFESSIONS CODE:TNE CONiqACTORS LICENSE LAw DOES NO7 APPLV TO AN OWNER OF � . PROPERTY WMO BURDS OR IMPHOVES TNEREON.M!D Nk10 DOES SUCH WORK HIMSELF OR HERSELF OR � CC THROUGHHISORF1EflOWNEMPLOYEES.GROYIDEDTMATSUCMIMPROYEMENTSARENOTINTENDEDOA m . � OFFEREDFORSALEIF,NOWEVEi�iME8UiL01NGORIMPRpVEMCMI550lDWRHINON[YEAROFCOMPLE•. Z TqN,THE OWNER�9UIlDER NnLL MAVE THE BUR�EN OF 7ROVING hUT HE OR SNE D�D NOT BUIID OR - = IMPROVEFOR7HEVURPOSEOFSALE4 � O 4 AS ONMEH OF THE GROPEiiiY,AM EXCLUSIVELY CONTRACTWC WITH LICENSED CON7MCTOpS Q TO CONSTRUCT iME PRQIECT(SEG 70u.0U51NE55 AND VROFESSIONS CODE:iML CONTMCTORS LI- VdIU8110f1 � ��� ADJ.AREA � - W CENSEUWOOESNOTAPPLYTOANOW4EROFAPROPERTYWHOBUILOSORIMPROV[Sh1EREON,AND �� � NTfOCANTMCi5FOR5Up-IPHOJEG75MnTHACOMRACTOFl�S)UCENSEDPURSUANTTOTHECONTMG pUANTITY� � DESCRIPTION , �� �� �FEE � Y TORS LICENSE LAW.). � � D I AM FXEMPT UNDER SEC. B.d P.G FORTHIS REASON Q ���� � _ .� _. � U . . _ . .. . . ' . � � . . . _ . . . DA7E OWNER � F- 'O W � � . .. ... . . . _ .. .. . � ..� LICENSED CONTRACTORS DECLARATION ; W � IHEREBYIIFFIRAIUNDERPENALTVOFPERIURYTMAiIA/ALICENSEDUNDERPROVI5�ON50FCMAPTER V, . d i(CdAMENCINO WITI SECTION l000)OF DMSION�OF TNf BUSINFSS I1ND OROFESSiONS CODE,M1D � Z � ' X lev LICENSE IS Pl FULL FORCE AND E�FECT. m u� 2[� h 0 �ICENSECLA S GJ \ LIC.NO.���V � � VOATE���.� COMTRACTOfI 6J. W + • � WORKERS'COMPENSATION DECLARATION Q � IHEREBYiIFFIRMUNDEAVENALTYDFPERNRYONEOFTHEFOLLOW:NG�ECURATIONS: Z 0 IHAVEANDWIIIMAINTAIHACERTIFICATEOFCONSEMTTOSELF-INSUREFORWORKERS' a " ' ' ' � , '�d- �COMPENSATqN,ASiROV10EDBY5ECTION37000FTXElA80RCODE,FORTHEPERFORMANCE U Q OF THE WORN FOR WHICH THIS PERMIT IS ISSUED. _ � - 0W _INAVEANDWILLIAAINTAINWOAKERSCAMPENSATIONINSURANCE,ASRE�UIREDBYSECTiON ]7000FTMELABORLODE.FORTMEPERFORMANCEOFTHEWORKFOflWHICMTMISPERMITIS �Q.�j��� ISSUED.MY WORI�ji�PENSATION SURAIj;E CARRIER AND POLICY NUMDER ME: ' �CONSTRUCTION - �J � Q -�- --? CARNER J C- ti�r PLAN REVIEV'J � Z POIICYNUMOER 7 . . . - - ELECTRIC . . . . . . . . 4 . p (f1aSSEGf�NEmNOTBEWM1�IFfEDOF7MEPEfMf6fORON[iUL7ftED00l1A:i.(SIOOJQiL65} PLUMBING. . W " Z I CERTIiY THAT IN THE VERFORNANCE OF 7HE WORK FOR WHICH TMIS VFRMIT 1515SUfD,1 MECHANICAL C7 SM/�Ll NOi EMPLOYANY PERSON W ANV MANNEFl SO AS TO BECOME SUBJEC7 TO THE , N WORKERS'COMPENSATIONUWSOiCALIFORNIA�NDA EETHATIFISFqULDBECOME INSPECTIONFEE � • SU61ECi THE WORNEflS'COMPENSATION PROVISiON OF SECTION 370o OF iNE Ul30R � , ODOE,1 Pl FORTMMTHCOMPLYNnTH PROVI ONS. ISSUANCE � O.n O � p DATE: _ APPLICANT:��� � - SMIP ,- L .� w �, WARNINC:F�IL RE i0 SECURE WORNERS'COMPEN TqN COVERAGE IS UNUWFUL,AND SIULL BE ENERGY P/C , � SUBAECTANEMPLOYERTOCRIMINALVENALTIESANDLMLFWESUPTOONEHUNDRE�TT1d15AND ENERGYPERMIT w r' DOLURS(SI00.000),W A�DITION i0 7HE COST OF COMPENSATqN,DAMAGES AS PROY!DED FOR IN � 5[CTION77oeOFTXELABORCODE,W7ERE5T,Ml�A7TORNEYSFEES. ' � RETENTIONFEE: � � � - ' � �� OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: • � IHEREBVAIFWMUNOERPENALTYOFPE0.AlRVTMATTH[REISACONSTRUCTIONLENDINGACENCV _ . FpiTHEGERFOfiAIANCEOFiHEWORKfORVn/1CHTIISPEPMIi15155UE0(SEG909l,CV.C.J. ^ � - w - .. . .. �' � � � lENOER'SNAME . S � lEN0EFY5ADORE55 � � � � �� �" " ' . . w ICEflTIFYiHATIHAVEREADiHISMPL�CATqN/WOSTATETMATTMEABOVEII:FOR4ATqNISCORRCCT. TOTAL FEES �� � , g�3� � IAGREETOCOMPLYWITHALLCRYANDCOUNTyOR01NANCE5�KD5TATEUWSREUTWGTOBUILDII:G ' ' ' " ' ' ' � COrvSTRUCTION,MlDHEFEBYAUfHORIZEREPRESENTATNE50FTM�5COUNTYTDENTERUPONTHE . , Z ABOVE��EDVpOV�TYFOR�NSPECTIONPURPO5E5. COMM[NTS � � � �J �� . � l� m VERAII7TEE C-IPRI � .. . . . . � Q _ � , wn � �iJ4% ����, � . (n SIGNAfUflEOF EHMIREE —���DA 1 � RECPT.N0. PA�D BY VALIDAnON � - � � �� WHITE-0eparlment Copy.YELLOW�inanca Copy,PINK—Assessor Capy,GOLDENRO�Fite Copy,GREEN—ApplicenCs Copy� � � ,., t. i. . v . i. . . , . . .. . ' yl.. . � .. . • � . r . . . . �. .... � , � .. .. " . . . . , , • fi�r�?I�:X j CITY OF.DIAMOND BAR .. : . _ : : �;;:;; �L� j�� INSPECTION RECORD ' - . . � , , . . . , , , . SEf BACK- � 1. '� '�� � �, � � FLOOR JOIST ' ' FfGS/FORMSlSTEEL - � � ' •+ FHA REQMTS - ' � , ELECTRIC GROUND UNDER FLOOR DUCT J . � , �� GROUND PLUMBING - - - • UNDER FLOOR CONDUIT ' ' ' ���•� �! ' SLAB GRADE " FIREPL'A��FOUNDATION r � � "'''-` ' TEMP POWER � . :- - - FIREPLACE BOND BEAM•- - � � ° - —' ' • � - �-:�� : , ,.�. . �, :_. . WATER'SERVICE' �.�'. . ' � � MID HT:$OND BEAM . �. �. -`"; I i\ ' ROOF SHEATHING. � %� �i�' .• i --,'' 8 FL BOND BEAM FRAMINGNENTILIATION '• ' � FINAL BDND BEAM - ROOF COVER - - - - � PRE-GRADING � ROUGH HEATING � ' BENCHING - - ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUMBING - - - - FINISH GRADING SHOWERlTUBTEST � POOL ELECTRIC � EXT.LATH/SIDING POOL FENCING WALL INSULATION ' POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING ' DEDICATIONS ' SEWER. . - �. � . FINAI:ENG. SEPTIC TANK � . .�� _ LANDSCAPEJIRRIG. SEEP PIT/L.L. - - -- - • ON SITE IMPS. � GAS AIR TEST - -- - -- --- � - FINAL ZONING ' ' �FINALCONST. - -- -- � - - FIRE DEPT.FINAL - FINAL HEATING - - - HEALTH DEPT.FINAL: . � - �- - FINAL ELECTRIC - DEV.FEES PAID • , FINAL PLUMBING ENERGY � �-,�, 1 � �-� _� .._ _ _. . .__. - - -•- -- � � ......... _.. ; ,"�:-�:� --...— - - -- .. . . ! .. . - -. � .. COMMENTS - ' ' _ . . -- - � 'ti _. _ . _ _. �- � - —:C r— _ —� . — % --- . ,:. . . _ � � _ _ _ _ . _ _. � `_• • �� • � , � ' „ . . �.,;._ --y' • .;..��•1 , ` ,�•,� ,i . . �. . ,.._..-, ,.. .. - Y i � r� , .��i. ...� « . . . . . SEP71C 7ANK SIZE . . � -- � - .- . ; -- . . SEEP PITN SIZE � � z-rTsr .'(� !!�r< . � � , ... . . . � .!I� .��� ...�y :.,�1� � , � �.� �• \ � ' ����\!� � � '.�'.-�!� � Ir� � • . � i � ' �