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HomeMy WebLinkAbout14711 (19) CITY OF DIAMQND BAR � • � { • � � � �� --� DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES x�` 216b0 E.Coplcy Drivc Suitt 190._. - , (909)860-3195 Faz(909)861-3117 • PRE$S " ''"'� ' BUILDI1�iG PEF.MIT AFPLICATION • FIRMLY y JOBSITE �� �,,� 3 ov 1 y�l J 4G-Ol 1 ¢ ADDRESS L���� � �. APPUCATION PERMIT p/C a ,► DATE •NUMBER 7t � . ISSUE TyPE pCC APN � LOT TRACT DATE � CONST. GROUP p OWNER �g�_�$- 1 p ADDRESS �.j •:�f/N bJ2'•,���� ' ZONING SEfBACKS � Z CITY , fi0 � � .. ZIP� �L� TEL.�C�-,z-! FRONT . : . RW p . g APPLICANT �_�� TEL.6. �J-�_7 S DE/SIDE STREET RW O - � CONTRACTOR / U � SIDE p � ADDRESS C mt��_ t � CfTY ZIP ��O TEL,�_��,4��LG�E'7 PROPOSEDUSE S W ARCFUENG/ , �� DESIGNER � t � ADDRESS NO.OWEL. NO. � J NO. � CITY ZIP TEL. UNITS � � - STORIES �^ BEDROOMS � . � cn' • . DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION , Q OWNER-BUILDER DECLARATI04 • r � . 0 . • SFR/ADD/REM" p I HEREBY AFFlPAI UNDER PENAL7Y OF P'ciWRY TMAT i AM EXEMPi FROM iME CONTRACfORS L4 , � GaregelCarport � W CENSEUwFOftTNFFOLLOwINOPEA50N�5E470.71.SBUSINE55AND7ROFE55i0N5CODEANYCITYOR ' ' � U pOUHTYWFi1CHpE0UIRESAiERMRTO00N57RUCi,ALTE0.MPROVE.DElA0U5M.ORREPAIRANYSiAl1G W patia/Deck � TURE.VRIOR TO RS ISSl1ANCE ALSO RE�UIRES THE APPLM.WT FOR SUCH PFfWIT TO FILE A SIGNE� W ' , ' STATEUENT 7NAT H[Oq SME IS UCENSED VURSUMIT TO THE PROVISIONS OF TML CONTMCTOAu lL � CENSE Uw(CIMPiER 0(COMMENCRIa WITH SECTqN 7000)OF DIVISION 3 CF hl[BVS�NE55 AI:D PRG u' POOUSp3 ' FESSIONSOOOE70RTHATHEOFSHEISEXEMPTTMEFEFHOAIAN�TNEBASISFORTM[/�LIEG[DEX[MP• (� TION.ANVVIOLA7qNOF5ECilON1071.58VANYAPPLICAMFOFA�ERMITSU&lECT5THE11PPLICANTTO Z Re-Roof F A QVILPENALT'OF NOT MORF.7MAN iIVE MINDRED�OLURS(t500�.): ' '' : � � OlIl50�N1EROFTHEPROPERTY.ORYYEMP�OYEESVnTHWAGESASTHEIR50LECAMPENSA710N, O �mmerclal � � ` Q Yl:LL DO TME WORI(,ANO THE STRl1CTiJRE 6 NOT IMEMJC�04i OFFEREO FOrt SALE(S[G 7oal,BltSb J � ' ' ' � NE55 Ml0 GROFESSIONS COOL THE COHTRACfORS I�CENS[UW OOES NOT APPLv TO AN OwNER OF j � , OqOVERiI'W/10 W lD5 OR IMPROVES THEREON,AND NMO DO[5 SUC11 WORK HIMSELF OR H[HSELF OR ' WM�70UC/IHISOflHEHONMEMVLOYEES,FRONDF.DTHAT3UCHIMPROVEMCMSARENOTWTENDEDOR m . , G OFFEREDiDR$ALEIrIqWEVERT7EBNLD�NGOFlIMPROYEMEMI550lDWITMIYONEYEAROFCOMP�E� Z TION,TME OMIER-BURDER WILL HAVE iME 6UNDEN OF VROVWO THAT HE OR SHE D'D HOT&IIID ON� = W PRDVE FO(i THE PUHP0.5E OF SALEy � w OI�OVMEROFiHEPROPERTY.ANEXCLUSNELYfANTRACTNCN17HLICENSE�Cd.TMCTORS ¢ TO fAN5TRl1CT THE PR61[CT(SEG 70u.BUSINE55 ANO DROFESSIONS COOE'.TME CONTMCTORS u� Valuation AQI.AREA � '� lll �ENSEUWOOESNOTAPVLYTOANOWNEHOFAPHOPFi1TVVn108URD50qIMPfiOVESiHEREON.IWO � M'NOCONTMCTSFq15UCHPR0.IECTSMATH�CONTMCTOR(S�LICENSE�PURSUNRTOTHECONTR�C pUANTITY D 3CRIPTION - Y rau ucer+seuw.�. � ., FEE 0 OIAIIE7�MPTUNDERSEG B.dP.C.FORTH'SR[/�SON Q i � J�v' • 3 � Z LuET . , C� u' DATE OWNER F- / /' Z V o� �-��ll-}�� V/. � � \•�• � UCENSED CONTRACTORS DECLARATION W . , f •� � IHEREBVAFFlMINi�ERVEW4TYOFPERRIMTHATIAMLICENSE�UNDEFiGROVI5�ON50FCHFPTEH V, /� C� � , d 0(COMAIENdNO YVI7H SECTUN 70m)OF OMSION]DF THE BUS:NESS�ND DROFESSbfcS COOE,AND � Z � �� ' ' TC W�NSEISNNL�FORCEANOEFFECT. � LICENSE CLAS^,� 11C.NO.�' �_[_[_�'��\�'-1+� j •. �R W DaiE_y�Cs'C'd caarancroa - —�/l_►/��. d v - . %� � str�� tn � WOFKERS'COMPENSATION DEC I • � Q : � •. . � IM[REBVAFFlRMUNDERPENALTYOFVERNRYONEOFTMEFOLLDwINGDECURA710N5: 1 A�, _ Z � , ' ' � � �IHAVEAM1MnLL1.uiNTI.wACERTIFIGTEOFCONSFMTOSELF-INSUREiORWONKER��• .`\, '� z - � �•; �;_ . . , � . . . - . �� �pAPENSATION,ASP{qVIDFDBYSECTld1»o00FTNLLA80RCODE,fO�iTHEPER�OFMAI:CE U M W OFTHE WORK FOR WH�pITNIS PFRMIT IS ISSVCO. G � _I HAVE AN�YfLL IWMAM W'ORKERS'C0�IFENSI1T10N INSUMNC[,AS HEOUIRED OV SECTION_' �� . Q 77000F1HELABORCOOE,FORTHEPERFORMAYCEOFiHEWCRKfORWHICHTHISPERMITIS - '_� ; . . .. ��I� O 4`SUED.MYWORNERS'ACpdPFNSATqNINSURIW�CIECARRIER/WOPOLIGI'NUM�ERFRE: CONSTRUCT�ON � �`' -y� '1�� � jCARR:ER �STI�T�i` �nCLN y/h ' PLAN REVIEY� � �T✓� �{/� . . .. J �� � �OIICY MIYBER_f�< l['� r v `! ELECTRIC. _ ����U � • — . � TJ~ � 11 , O � 0 �ness[Cnor+rcmwrBECa.ptFrEcoFnFae ,swaor+¢ru�ra[000tt�sR�m)ontEss� +� �PLUM6ING , _/� - � Z ICERTIF`/THATINTMEPERFOAMAhCEOFTNEWOFKFORMMICMTFUSPERMITI5155UED.1 . MECHANICAL � � ' "' � �_S_Q (} SHiV.LNOTEMPLOVANYCER50NNANYMANNERSOASTOBCCOMC5UQ1CCT70THE ' � . (n YKIRNERS'Cd�VENSATqNUWSOF�µIFORNIAAND�CREEM�TIFI5HIX1LD8ECOM[ INSPECTIONFEE S SUBJECTTOTHEMNRKERS'CW/PENSAT104PROVISIONSOFSECT�ON �ooO�TH[U^AR = � , _� cooE� MALLIORTNMATTICOMPLYV/ITMTH0.iEVRON"7N5`( r _ ISSUANCE � Q ' . i :�. "'-• i .. .. '. � .��. . . �� 0 oare: I��0� -APPLICANT: _ � _ �Sti11P• �' _" W ENERGY P/C �� ' � WMNINO:FAIUPETOSEWREWORKERS'COMPEN. ' C: �G[ISUNU'NFUL,AN� LL10E 7 ' — - � SUBJECTANEMPLOYEFTOCiiiMINALPENALiIE5M1D .IVILFinr.. JPTOONEMINDREOT11t SANp ENERGYPERMIT � � DOLURS(i 10a.0o0�,IN�DDITpN TO TME COST OF G1�MPENSATION,OAMAGE 5 AS VROVIO[0 FOF IN � J SECTIDNJ70eOFTHELA80RCO0E,nlTEA[SLA4D�TTORNEYSFEES. ¢ RETENTION FEE: - � O CONSTRUCTION LENDING AGENCY PRE-AI.T � :��� �� .� IHERFBYAFFIR4UNDERVENALTYOFPERNi1YTNAiTNEREISACOI:S7AUCTIONLENDINOAGfNCY - � FOR TNE GERFORu4lCE OF 711F:WORN FOR WHICH TMiS VERIIIT I5155UED�5[C.7ov7,CIV.C.�. — ��� � LENDER'S NAA�E . _1 � /yJ/ . . � -� -{s{/ � �ENOEasi,00Ress _ � � TOTAL FEES � I CERTIFY T/UT 1 HAVE REA�THIS APPLIGTION AND STATE 7HATTHE ABOVE INFOR4ATION IS CDqRECT. � W IAGREET0001A7LYWITHlJ.LCRY/�NDCIXRlTYORDINMICES.w'JST�tEUWSPEUTINO108U1LDINC 1 / � �CONSTRUCTION.ANOHfAE8VAU1TIORREHEPRESENTATNE50GTMiECOUNTYTOEMFRUPONiHE � S� AAOVEYENTIONEO PROPERTY fOR INSPECTION VURP05[5. � . . � � ��� ` COMMENTS J � I� . � m VERMRTEF ' E � Q � ��/'�) � ��(n SIO URE TE� pAiE � . . RECPT.N0. � _PAID BY VALIDATION YVF T:-0epanment Copy,YELLOW—Finance Copy,PINK—A»essor Copy.GOLDENROD--Fila Copy.GREEN�Apqicant's Copy � � .. ,. • , .. -- , � •�_.. . . . . . . . . �^� � CITY OF D1AMO�ID BAR �- � � • INSPECTION RECORD • . ... � t� � � • ' • � � • • - ���AGEC�) 1 �ti '' � • � L��'•�y ti ` FLOOR JOIST�. ;l ' .'i- ,�. ,, �• � • FfGS/FORMS/STEEL �. � FHA REQMTS ' � ` ELECTRIC GROUND � UNDER FLOOR DUCT� , . , , - � ; �,�.: �„ __�,�;,,, GROUND PLUMBING � UNDER FLOOR CO�IDUIT•:.. �' �.?. ', . � ;-�' •. � � SLAB GRA�E —2a- '� FIREPLAC���OUNDATION = � ��' - ' �- '�'�''���-� TEMP POWER ' FIREPLACE$OND BEAM ' "' '` ' ' '''�"' WATER SERVIGE MID HT.60ND BEAM`.`'`- '� � ••• ' ' • ' ROOF SHEATHING ' ' / d � ' 8 FT.BOND BEAM .�. . � , � ; :. �.' �: � FRAMINGNENTILIATION 2 d ' FINAL BOND BEAM ROOF COVER. � PRE-GpADING ROUGH HEATING - � BENCHING - . ROUGH ELECTRIC ROUGH GRADING �ROUGH PLUMBI�'1G ��,,;�' �, ' FINISH GRADING SHOWER/TUB TEST"� ' POOL ELECTRIC ' EXT.LATH/51b'jNG POOL FENCING WALL�1(�$U�ATJON� 1! � ; �,�� POOL FINAL CEI'LING`�PJSUl:A710Nt?` �- , �-�fD OFFSITEIMPS. � �� DRYWAIL NAILIN f�%C�. � ' � DEDICATIONS . �� SEWER �- FINAL ENG. . SEPTIC TANK . . � �;;�;., (` � LANDSCAPE/IRRIG. SEEP PIT/L.L. . � \`� ON SITE IMPS. G,AS AIR j�ST � / v� , � FINAL ZONING FIN�t��'�7Nr5T. �/r��� ' � FIRE DEPT.FINAL F(NAL WEA�'ING q�36 ; HEALTH DEPT. FINAL FINAL ELECTRIC /J ' DEV.FEES PAID FINAL F.LUPhBING d� ' ENERGY • (' i� _::_�, � . . -. ,; _ ;`� � 1 f..; .. ,�._,. p � , �., . . � -��.:� : � , .. . _ . . . _. ._ _ . .i, _ . , ,. _ ._ . _. - ,_ , ... . .. . .._ , �CQMMENTS;..-� �1(�� � .a,;�8 • • ,, �� � �� ` �... -�::� _ ., ...,�.�:� , �. � , '�-{'�c_'a� 'W—�,�p��-_.,_ 0 ' �1��'� � I o s , � . , .�„ ,�. � ,,,. t ,�.`���:`��; - �. 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