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HomeMy WebLinkAbout10986 _ . i _ ._...-- - . . _.. ._ .... ---�� CITY OF DIAMOND BAR � � COMMUNITY DEVELOPMENT DEPARTMENT .,.� 21660 E.Copley Drive Suite 190 ' PRESS (909)860-3195 Fax(909)861-3117 "^'� BUILDINGPERMITAPPLICATION � FIRMLY y JOBSITE APPLICATION ,.��^� PERMIT /C o ADDRESS `� Z �+ � Q DATE NUMBER $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP. °� OWNER M��e� ..-.[. 0 o AD�RESS r ' 'ZONING SETBACKS z CI ZIP�]�.� TE .,5�� L��lIr3 FRONT - RW ❑ o APPLICANT TEL�' '�� SIDE/SIDESTREET RW ❑ ¢2 SIDE ❑ CONTRACTOR . ADDRESS �L.���f� '(s-�� � p � PROPOSED USE �P/�� _ �.�.�.t•v� _S c�4 . o CITY��..�� ZIP`�� TEL. TT�k�1 1,���i'r L�1iS�� 5 nt < wo ARCH/ENG/ z DESIGNER NO.DWEL NO. � NO. a ADORESS UNITS I STORIES BEDROOMS�_ � CITY ZIP TEL. c�i� OESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BCILDER DECLARATION SFRlADDlREM ' O I NEREBV AFFIRM UNDER 7ENALTY OF DERAIRY THAT I/UA EXEMPT FROIA THE CONTRACTORS LI-- -G0f0ge/COfpOfl - W CENSEUWFORTHEFOLLOWINCREASON(SEG7031.6BUSINESSANOPROfE5510NSO0DE:INVC1iYOR (n � ' -- - ' U �OUNTyN7iICHREOU�RESAPERMRTOCO�STRUCT,AL7ER,IMPROVE,OENOlISH,ORRE7AIRANYSTRUC• W _PaliO/DBCk ' - ' w TURE,�RIOR TO RS ISSUANCE,AL50 RE�UIRES TNE APPLICANT FOR SUCH PERMIT TO flLE A SiGNED W � — - ' STATEMEM THA7 HE OR SHE IS LICENSED PUHSUANT 70 THE PROVISI0Y5 OF THE CONTMCTONS lF � CENSE UW(diNPTEH i(COMMENqNO WITH SECTION 700070F DINSqN 0 OF THE BUSINESS ANO Dq0• V' PooUSpa - � � FESSIONSCA�E)ORTNATNEOHSHEISEXEAIPi7HEREFROMMIDTHE8A515FORTHEIILLEOEOE%EMP. (� VTION.ANVVqLATIONOFSECTION7071.68YA4YAPPLICANTFORAPERAIITSUBJECTSTNEAPPLICANTTO z A@-ROOI � . A C1VIL VENALtY OF NOT MORE iHAN FNE HUNDREO DOLLARS(Ssao).�: ZOI.ASOWNEROFTHEPROPEHTY.ORMYEMPLOVEESWITHWAGESASTNEIRSOLECOMPENSATqN,� '. O �mmercial � . YViLL 00 THE WORK,AND iNE STRUCTUFE IS NO7 INfENDED OR OFFERED FOR SALE(SEC.70s1.BUSI• J N NESS AND PROFESSIONS CODE:THE CONTHACTORS UCENSE UW DOES NOT�PPLY TO AN OWNEROF � - , � PROPERTY WNO BUILDS OR IMPRDVES THEREON.AND WllO DOES SUCH WORK HIMSELF OR HERSELFOR � � wTNRWGHHISORHEROWNEIAOLDVEES,VHOVIOEOTHATSU(]f1AAPROYEMENTSMENOTNTENDEDOR m � OfFFREDFOR3ALEIF,/10WEVERTHEBUILDINCORIMPROVEMENTISSdDWRMNONEYEAROFCOIAP�E• Z TION,T/E OWNER-BUILDER YnLL HAVE THE BUROEN OF FPONN6 THAT HE OR SHE OiD NO7 BUILD OR � MPROVE FORTHE PURPoSE OF SKE�. � O 4�OWNER OF iHE PROPERTV,AM EXCLUSIYEIY CON7MLTW G WRH UCENSEO GONTMGTORS � TO CONSTRUGT THE PROIEGT�SEG 70u.BUSINE55 AND PPOFESSIONS CODE:TME CONTMCTORS W VdW7tiOf1 �`Z'�') ADJ.AREA - W CENSEUWpOESNOTAPPLYTOANOWNEROFAPROPEi1TVWNOBUILDSORIMPROVESTHEFEON.AND � N1qfANTiUCTSFORSUCHDRDJECTSWITHACONTHACTOR(5)LICENSEDPURSUMlTTOTHECONTMP ouavnnr OESCRIPTION � � FEE . . Y T00.S UCENSE UW.�. � -� . � O UM E%EMPT UNDER SEC. B.a BQ FOR THIS REA�ON � - � - U . . . . . _ _ .. � � DATE OWNER V 1.-. � � ' Z W � UCENSED CONTRACTORS DECLARATION W � IHEREBYAFFIRMUNDERPENAITYOFPERJURYTMATIMIUGENSEDUNDERPROVI5lON50FCHAPTER � � , p. Y�COMMENCINGVII7HSECTION7000)OFUMSION70FTHEBUSMESSANDPROFESSIONSCODE,AND Z �L NY LICENSE IS W FULL FORCE AND EFfECT. / � � UGENSE GUSS L� "1 LIC.NO.- J -���� J . V DATE�� � CONTRACTOR a � WORKERS'COMPENSATION DE ATION a � ,�36� � � I HEREBYAFFIRM UNDER PENALTY OF iERJURY qJE OF THE f-0LLAK4N6 DECLAMTIONS: Z . . � _IHAVEANDWILL►IAINTAINACERTIFICATEOFCONSEMTOSELHNSUREFORWORNERS' S COMPENSATION,ASPROVIOEDBYSECTON77aoOFTNEVBORC00E,FON7HEPERFORMIWCE tU � OF THE SNORK FOR WMICH THIS PERAII7 i5 ISSUED. � G W I HAVE AND WILL MAINTAIN WOPXERS'COMPENSATqN INSURANCE.AS REOUIRED BY SECTION � ]70o OF THE UBOR CODE,FORTHE CERFORMANCE Of THE WOPK FOR WHICHTMIS PERMIT IS ISSUED.MY1vORKERS'COMPENSATION INSURANCE CARPoEP AND POLICY NUMBER ME: CONS7RUCTION - �� J j CAARIER /� PIAN REVIEW Z POIICYNUM[iEH 2,����d ELECTRIC � ¢ o (iHS5ECT10NNEmNOTBE�h�tFTEDCFTIEPEPo.R6fORONEFA1nDREDD011A�Rt0� PLUMBING � Z ILERTIFYTHATWTHEPERFOFiMANCEOFTHEWORKFORX7iIpITHISPEHAlITI5155UED.l MECHANICAL L} SH/LLLNOi EMPLOYANY FERSON IN ANY MANNEfl SOAS TO BECOME SU&IECTTO THE � - � WORKERS'C0IAPENSATIONLAWSOiCAUFORNIA,AND�GREETHATIFISHOULDBECOAAE INSPECTIONFEE ' S SUBJECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION�70oOFTHEUBOR 1 CO E,ISHALLFOR7MwITHGOMP�YWIi11THO5EGROY1510N5. �SSUANCE � 1� SMIP �� - � � � - � p DATE: � /APPLICANT: J WARNINa:FA0.URE TO SECUFE WORNERS COMP TION COYERAGE IS UNLAN'FUL,AND SH�LLBE ENERGY P/C ��I I � ir�2/1fl�1 � SUBJECTANEMPLOYERTOCRIMWALPENALilE5/iNOCMIFWESUPTOONEHUN�REOTFqUSAND ENERC,YPERMIT + ��� 'v�" � DOl1ARS(f10D.000).W ADDITION TO THE COST OF COMPENSATION,DAMAGES AS GHOVIOEO FOR IN � SECTION770eOFiHELABORCODE,PlTEREST,/iNOATNRNEY'SFEES. ����-� �� RETENTIONFEE: � �� � � CONSTHUCT�ON LENDING AGENCY PRE-ALT FEE: � ' � - O --. _ . . . . � IHEREBYAFFIRMUNOERPENILLTYOFPERAIRVTHATTHEREISACONSTRUCTIONLENDINGAGENCY - �� - FOR THE PERFORMANCE OF iHE WORK FOR WHICH T/IS PERMITIS ISSUED(SEC.3DC7.CIV.QI. . . ._ . Z .. . .. . . . _ , . W � LEN�ER'SNAME � • F-' LENDER'SMORE55 � � ICERTIFYTHAi1HAVEREADTHISAPPLICATKKJANOSTATETHA7TIEABOVEMFOR1AATqNISCORRECL TOTAL FEES � � �/ W IAGREETOCOMPLVWITi1ALLCRVANDCOUNTYOR0INANCESANOSTATEUWSREUTINCTOBUILDING � �� -- -� ' � � ' �' CONSTPUCTKK{ANDHEREBYAUTMORIZEREPFESENTATIVESOFTHISCOUNTYTOENTEflUPONiHE � Z ABOVE�MENTpNED�POPERTYFONINSPECTIONVUflPO5E5. � � � � COMMENTS _ ��S�T� m PERMITTEE NAME(G ' . - - . .. Q ` Cn �t�. � 31GN � RE F iE .1 EE DATE RECPT.NO. � _PAID BY VALIDATIO -� � - �- � �- � �WHITE—Departmenl Copy.YELLOW—Finance Copy,PINK—Assessa Gopy,GOL�ENROD—File Copy,GREEN—Applicant's Copy� . r�-��„ ..< ., • •- ..�a.�.��.w ........... ...� �,. , ��— -���..�..�: . ......., , .... •..: , �,>.... -, y ..., , .,. . .. ,,. .. .,.. . . S, a �' � CITY OF DIAMdND BAR . , "' ' . . ; �. , , . ' ' INSPECTION RECORD � � " � � . � . ,- � , � , � f .� � � . • • - • a � � ��'e���,� � 's • `_ ' " " SET BACK . ' '� ' FLOOR JOIST ` � � � F • ��� � _ ._ . _. __ .-_ -_-__ ' �.' FTGS/FORMS/STEEL -- FHA REQMTS - �:; ELECTRIC GROUND ' UNDER FLOOR OUCT � � � • �Y" GROUND PLUMBING UNDER FLOOa CONDUIT .�- � ` � � � ' ' SLAB GRADE ' FIREpLACE`FOUNDATION - ' - ' 1 • TEMP POWER - - - � FIREPLACE BOND'BEAM'- -- � '`• -=- = �:- � ' - i � WATER SERVICE `''� - -- ' ~' r ' ' "- MID HT.'BOND�BEAM � � � - ' "" � ; ROdF SHEATHING � � � � � � � �� 8 Ff.BOND BEAM - � FRAMINGNENTILIATION I , FINAL BOND BEAM - - ,. ' • . ROOFCOVER- - - - - ` PRE-GRADING _ - � ., ROUGH HEATING ' � BENCHING — ROUGH ELECTRIC � - ROUGH GRADING ROUGH PLUMBING - FINISH GRADING ; ' SHOWERlfUBTEST - _ -� � PODLELECTRIC . ', ' EXT. LATH/SIDING POOL FENCING � WALL INSULATION PODL FINAL � -. CEILING INSULATION OFF SITE IMPS., ORYWALL NAILING DE�ICATIONS ' SEWER _ FINAL ENG. SEPTIC TANK-• `-'�-� '-- ' -'-�`=-�' LANDSCAPE/IRRIG. ' ' � : SEEP PIT/L.L. �. ON SITE IMPS. • ,. � GAS AIR TEST' -- - FINAL ZONING � FINALCONST, �, � - FIRE DEPT.FINAL j ^_ , FINAL HEATING � HEALTH DEPT. FINAL - - - - - - ; , , FINAL ELECTRIC - " DEV. FEES PAID . , � FINAL PLUMBING ENERGY i �' ' ' _ �. < < _ - . _ ; <� 0 � •— ' / ; , .. . ._...� , ��� - .. �,,.� ,. - i , COMMENTS -- .,� L . �� � I ' . , - - - - - - , � i ` . ,, - -.. __. _ _ � _ ; ; -- - _ , .. , � . , . , - . .; _. _ ; - . . , ..-�i�' yl-�/ . .. , . ,__ - � ; i .: : . ! � � ; - ',� .,, . . � =, .-i. , ; �i_ �j t�._;_�'-,j''k. � . ; .� .� � _ _. . -•- • - � . ' � --f�'�' , - •, .� , . 1 � , i _ , . � SEPTIC TANK SIZE - . . : . - -- - - — - , SEEP PIT/U SIZE , . , „ _. . _ . , I -� __ ' -- - - - ---- --� I � ,', , . " -' � , , _� ' ' ' � , , , ,' j 1 � � / � • , , , , �� _ _ ,. __ .._.._ _ __ ----- - ---- --�