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HomeMy WebLinkAbout18316 ___ . ----._ . J� CTCY OF DIAMOND BAR - � DEPAR'TMENT OF COMMiJNTIY!�DEVELOPMENT SERVICES v �.c . siazsE.co�ryn�rve PRESS (909)860-3195 Fax(909)86l•3117 ''"'~ BUILDING PERMIT APPLICATION . RMLY � JOBSITE APPLICATION l PERMR P/C o ADDRESS/,��� LEI�iVJ�C� PI�II E DATE 1 � � NUMBEA�� f� � ISSUE TYPE OCC -- APN ' LOT TRACT DATE CONST. GROUP p OWNER �--��f2E 7E C�l�I�/V� "' ADDRESS � ZONING SETBACKS � cmr Q�C3Mc.�1�� ilA� ZIP TEL - 3 R�R RW O � APPUCANT TEL SIDE/SIDE STREET RW O � coriraACTOR f1�%E�/ T�CN GoNr?IeC/c7/ ,iN ' sioe ❑ ADDRESS� 1� s S�. �'3L�0�-o�Ll�j /4UE � CITY L/-i ZIP�O[� TEL.���-� PROPOSED USE �Q^''�� :r +'^" l� �!c �sL� w ARCWENG/ � y � DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNRS STORIES � BEDROOMS � CITY ZIP TEL. —7'— � DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECUIRATION SFR/ADDiAEM O p 1 NEREBY AFFOW UNDER VENALiY OF PERUHY THAT 1 AA1 El(EAIPT FHOM 7HE CONTMCTORS L�• GereQ9/C81pOh W tENSEUWFORTHEFdlOMnNUREA50N(SEC.7o77.68U51NE531WDFROFE55lON4COOE:ANYdTVOR (n U COUNT`/MhpCHREOUIRESAPERMRTOCONSTRUCT,ALTERIMPROVE,OEMOlISH,ORREPNRMJYSTRUC- W PBli0ID6C1C � TURE,PRIOR TO RS SSUANCE,ALSO ilE W tHES THE A7PLICANi FOR SUCH PEHIAR TO FlLE A 516NED W STATEMEM TUi ME OR SME IS LICENSED WRSUANT TO iME PROVISIONS OF iME COHTMCTORS Ll- � CENSE UW(QUPTEN�(COMMENpN�M77M SECTION 7000�OF DIVISqN]OF TME BUSINESS AND PHO� LL' PooVSPe FESSpNS CODE)OR THAT HE OR SHE IS EXEYPT iHEREFRpA ANO TME 8A515 FO(i TNE ALLEOED E%EMP• TqN.ANYV10LAilONOFSECTI0N7W1.68YMJYM7LIGWTFORAVEHAIITSU&lECT3THEMVLIGWTTO Z Re-Root F A CML VENIL7Y OF AIOT MORE THAN iNE HIJN�REO�OLtJ1Fi.4(t500).F � OI.ASOVRIEROFTHEPROPFRTY,OHIdYf�uPLOYEESMnT11WAfiESASTMEIRSOLECOu0fN5AT10N, � �,pmmefCle� � YALL 00 THE WORK AND THE STRUCTURE IS NOT IHfENDfD OR OFFEHED FOR 6ALE(SEC 70N,BUSI- J � NE33 ANO GROFE3910NS COOE T1E COMMCfOR3 LICENSE UW DOES NOT APPLY TO AN ONRlER OF ? iROVERfY Vh1D BUILDS OR MPROVES 1HEREON.ANO Yrt10 DOES SUCH WOPK HIMSELF OR HERSEIF OR CC THROUGMIe50RMEROYVNE7dcLOYEES,VNOYIDED7YUT5Up1WPROYEMENTSMENDTN7TEN0EDOH m 0 OFFEREDfORSALEFi1OWEVEF�iHEBULINNaOHWPROVEMENTIS50lDWfTMNONEYEAROfCOMPLE• z TqN.TNE OWNEN�BUILDER WILL HAVE THE BURDEN OF PROVPIO THAT HE Ofl SHE DD NOT BUIID OR = MPR011E FORTHE VURPOSE OF SAL�. W OI��NEROFTNEGROPERiV./LLIEXCLUSNELYCOMRACTWOWfiHIK:ENSEDCOHTMCT00.4 �rn � TO tONSTRUCT THE iROIECT(SEG 70u.BUSINESS ANO VROFESSbNS CODE:TNE COHTRACTORS U- VelUetl0fl �/�+ ^ ADJ.AREA CENSE UW DOES NOT MPIY TO AN OWNER OFAPROPERM WNO BUIlD4 OR MVRDVE4 iNEPEON,/�lA � XRIOCOflTMCfSFORSUCHFRWECTSW1iN�CONfMCTOR(S�LICEHSEDPURSUANiTOT11ECONiMC- pUANT1TY DESCRIPTION FEE � � T00.4 LICENSE UW.} �,.. . 0 OIAMIXEMPTUNDERSEC. B.iV.C.FOHTH�5REA50N � 3 c.� . � � DATE OWNER U Z W � , UCENSED CONTRACTORS DECLARATION � � IHEREBYAFFYWUNDENPEWLLT70FGE0.AIRYTHATIAMLICENSEDUNOENPROVISIONSOFCI4PTER Vr (L, �(COMMENCNCi VATM SECTiON 7000)OF DMSION]OFTHE BUSINE55 ANO PROFESSIONS CODE,AND Z W LICENSE IS W FULL FORCE lN0 EFiECT. m � LICENSE CUSS ��� LIC.NO.� �"� j V DATE b CONTRACTOR a ._ W --- -- � _. . . � WORKERS'COMPENSATION OECLARATION a � IHEREBVl�FFlRMUNOERPENALTYOFPE0.IURYONEOF711EiOLLOWiNODECUMTIDNS: V Cn Q � �IHAVE/NDWILlMAN7AINACERTIFICAiEOFCONSEMTOSELHNSUREFOHWVRKERS 2 COAIPENSATIDN.ASPROVIDEDBYSECTION7700OFTHELABORCOOE.FORTMEPERFORMiVlCE w pF 7NE WOPo(FOR WHIG17/85 DERMIT 5155UE�. � � �� 1 HAVEAND WILL MAINTAIN WORKERS Cd/PENSATION INSUHANCE,AS REOURED BY SECTION .' /� ,/f71 Q ]7000FTHELA80RCOOE,FOHTMEVERWRtUNGEOFTHEWORKFORWMIp1THISPEPoAIT�S %�i � � lSSt7ED.lIYWORKERSCOWPENSATIONINSURANCECARRiERM1D NUABERME CONSTRUCTION �1 ,✓ � �,aER e .o•y..uP-•.r����•- PLANREVIEW � VOLICYM/MBFR b �Q ELECTRIC � (MSSECIqN1E�PqiBEW1�q,EimOcnEPEwAisfY7a0NE�aRfJiiiED0aWZ5(fta�ailF35/ PLUMBING Z ICfRTIFYTHATINTHEVERFORMANCEOFTHEWORKFORwMIG1TNI5PERMITI5i55UED.l MECHANICAL (J SFiALI NOT EIAPLOY ANY PERSON N AN'!AUNNf R SO AS TO BECdAE SUBJECT TO TNE N WORKERS'COMPENSATIONUN50FGLLIFORMI�ANDAGREETHAT615 BECOME INSPECTIONFEE S SUBJECTTO TIE WORKERS'COMPENSATIDN iRON5qN5 OF SECiqN 17 OF THE UBOR �SSUANCE � moe.�s�uu camnnn+wur�r rnrn nase v saNs. � O SMIP OC7 o nah: / v a�k�wr. WARNINO:iAIIUftETOSECUREWONCER5CDMPENSATIONCOVEM0EI5UNUWM.ANOSHALLBE ENERGYP/C � SU&IECTAN EMROYERTO CWAIINAL PENALTIES AND CMl iWE3 UP TOONE HUNDREO THOUSIwD ENERGY PERMIT OOl1MS(f 100,0001.H�DITIONTO THE COST OF COMVENSATqN.DAY�6ES h5 PROVIDED FOR IN ¢ SECTION�TO!OFTME LABOR CODE,WTEREST,AND ATTORNEYS iEES. RETENTION FEE: � a i CONSTRUCTION LENDING AGENCY PFE-ALT FEE: � INEREBYAFFIRMUNOERVENILIYOFPERNRYTH�TTHEREISACONSTRUCTIONLENDINOAGENCY nZ- FOR THE iERFOPMANCE OF THE WORK FOR WH�Q1 TH�S YERMI715155UED(SEG 70Y7,Crv.G�. � W � lENOER'3 NMAE � � IENDERS ADDRE55 � I , `�� WICEqTIF'/THATIHAVEREADTHISMPIJCATqNANDSTATETHATTIEABOVEINFOHMATIONISCORRECT. TOTAL FEES � 1AGREE7000MPLVWITHALLCfi1M1DCOlMTYORDINANCESINDSTATEU�NSREUiNUTOBUILMtN] � CONSTRUCTION,AND HEREBV AU7110FiIZE REFRESENTATNES OF i1U5 COUNTY TO ENTFRUPON iNE ZABOVEJAEPfT10NE00ROCERTV fOil WSPECfION PURDOSES. COMMENTS � • . � G�y m PER1AffTE �//� O � S� RIFEOFDERFUT7 DATE � � RECPT.N0. PAID BY VALIDATION WHITE—Depertrnent Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appl' 's Copy _._�= . _�. "` � . � :. �•.�•.�, �.. .-^ -^ ... , . ,- ''t' ... .'? . .. . ''t':�,.,"t' ,_ .�. � . ,� _, •v. _.._... _, . . . . . . . , . „ :�, . . CITY OF DIAMOfJD BAR INSPECTIO�! RECORD �(��-���:�-`'��a7�� ��.��� �L�������`t���:� �l►�.E-�����►��+a ����fi= II��-����if.�� SET BACK ` FLOOR JOIST ' �4 FTGS/FORMS/STEEL � FHA REQMTS ELECTRIC GROUND ' UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CU�IDUIT SLAB GRADE FIREPLACE FOIJNQATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE � MID HT.BOND BEAM ' ROOF SHEATHING �1� 8 FT. BOND BEAM FRAMINGNENTILIATI�N ` � FINAL BOND BEAM ROOF COVER a 2. `• PRE-GRADING ROUGH HEATING BENCHING , ROUGH ELECTRIC ROUGH GRADING ROUGH PLUN181NG FINISH GRA�ING SHOWEFVrUBTEST POOL ELECTRIC EXT.LATHlSIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWEA 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 DEV. FEES PAID FINAL PLUM6ING ENERGY � �cd^tio�,� c c c` � _::,�..�.._ COMMENTS ;� i . . , • . , . �` SEPTIC TANK SIZE SEEP PIT/U SIZE ��� �� I � ' F I �,��w� � � . , � , . • . '.`� �