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HomeMy WebLinkAbout11042 - .... .------- ..__--------- - --._^_. :�--�.,.�. �-- -. ___ -.-_. ..---- . �...__,,�_� ..�---- - ----- , ---�''� ----• CITY�OF�IAb90ND BAR � � � COMh9UNITY DEVELOPMENT DEPARTMENT C' �.,,.� 21660 E.Coplcy Drive Suite 190 � . . . � (909)860�3195 Faa(909)861-3117 ' ' PRESS N"' BUILDING PERTIIT APPLICATION FI R M LY Q DDRIESS ���I ►�"'"� APPLICATION PERMIT o �� r DATE NUMBER .!t �i7_� � ISSUE TYPE OCC : � APN LOT TRACT DATE ' CONST. GROUP, p OWNER D - t 'r ��C � o ADDRESS v • rJO ZONING SETBACKS � CI G _ ZIa�S�� TE ,C�1_���a-3`�W FRONT RW O � o APPLI ANT �-. �OULP TEL. REAR ❑ Z � SIDE/SIDE STREEf RW O ¢ CONTRACTOR � (� LIG(� SIDE - ❑ Q ADDRESS� �- =� «� �� o .CIlYr0/�-/ - �1Gr ZIP�`j.p7� TEL a. ' � PROPOSEDUSE ��T � _. . .wo ARCH/ENG/ . z DESIGNER NO.DN�EL. NO. •., �1 . NO. nw. ADDRESS UNITS �.STORIES ' ��'• ' BEDROOMS ' � CITY ZIP TEL. ' � cn DESC P ION S .FT. FACTOR PSF ADJ.AREANALUATION . � . . . . .__ . . OWNER•BI:ILDER DECLARATION _ . �� - �SF ADD EM � - ' �- • � ' ' -� ' O _ . . 1 HEREUY AFFIRIA UNOER PENILLTV OF PERIURY THAT I AM E%EMVT FROM TH[CONTMCTORS LI- G2f290/C31pOR � , W CENSEUWFORTHEFOLLOwIN�REFSON(SEC.70]1.SBUSiNESSANDPROFE5510NSCODE:ANYCITYOR � (n � � � � . U �MyWHICMREOUIRESAPERMRTOCONSTRULT,AITER�PROVE,DEA10LI5H2ORREP�IRMf'(STAUG W patio/Dedc ' ' � � NRE.PRIOR 70 R:6SUANCE,ALSO REOUIFES THE APPIIGNT FOR SUCH PERMIT TO FILE 11 SICNEO W STATEMEM THA7 HE OR SHE IS LICENSED PURSUM7T TO THE PROVISIONS OF TME CONTRACTORS L4 '� W �� CENSE lAW(CHA7TEN Y(COMMENCING WITH SECTION 7000)OF DIVISION 7 OF THE BUSINE55�KD PRO- � PooVSpa ' . FESS�ONSCODE)ORTNATHEORSHEISExEA1PTTNEREFROMANOTNEBASISFORTMEALLEGEDE%E�P•• (� VTION.ANVVIOUITIONOFSECTION7071.5BVANVAPPLIGI+lTFOf1�PERAIITSUBIECTSTHEAPPL�CANiTO� : Z �F'{Q•ROOI � . ' . �CINLPENALTYOFNOTMORETHANFNEHUNDREDDOLURS(f500).�: ' . ZOlA50WNEROFTMEPROPENTV.ORA7VEMPLOYEESWITMWAGE5A5TMEIRSOLELOMPENSATqN, O COR1fl10fL18I _ � 1�t „ . ' ' ' WiLL 00 TME WORK,ANO THE STRUCTURE IS NOT INTEhDED OR OFFERED FOR S�LE(SEG 7a�.BU51• J � NESS M!D PROFESSIONS 07DE:TNE ODNTHACTOf15 LICENSE LAW�OES NOTAPPLY 70 AN OWNER OF ? ��'� � �,., , . . PHOPERTY NMO BUILDS OR IMPROVES iHEREON.IWD WHO WES SUCH K'ORK HIMSEIF OR MERSELF OR • [[ TMRWCHHISORHEROWNEIAPLOVEES,PFOVIOEDTHATSUCH0.IPROVE4ENTSARENOTINTENDEDOR m ;, Q OFFEREDFORSILLf.IF,ipWEVER7}1EBU�lDiNGORIMPitOVEMENTIS50LOWITMINpJEYEAROFCpMDLE� ���ti� ' �)� � • ' � : j TION,iHE OV+N[R�BUILDER WILL MAYE THE BUflDEN OF PROVING THAT ME OR SHE OID NOT BVIID OR . � IMPROYE FOR THE PURPOSE OF SALE} - . w� ❑1A50WNEROFTM[PROPERT;AME%CLUSIVELYCON7RAGTPIGYniHUCENSE�CONTMCTORS , � [[ TO fANSTRUGT THE PROJECT�SEG 7W�,BUS:NESS AND PROFESSIONS CODE:TH[CONTMCTORS LI- V811181iOn ADJ.AREA � � � � W CENSEUWDOESNOTAPPLYTORNOYMEHOFAPROFERTYW}fOOUILD50RIMPROVESTHEREON.AND � IM11000NTMCTSFORSUCi1DR0.1ECTSWITHACONiRACTOR(5)LICENSE�VURSUANTTOTHECONT�iAC• OUAMITY � ��ESCRIPTION ' �' "-' "' FEE.. Y TOQSLICENSFLAW.). : `. ' r . • - -. � ' ' "' __'"" '__ .. . . . .. . ... J .. . . . " ' " . . . - .... . .. .. p ❑I AM EXEMPT UNDER SEC. � B.8 P.G fOR THiS REASON ' Q �- - � U . .._ . � - ". . . . . . ._. ...., . .- . ..... . . . LL _ � . . . . .�. .. DATE OlSMEF - U - � . . , � Z �. w .. . . . .. � . � .. . . ' _ . � LICENSED CONTRACTORS DECLARATION ' ' ' W Q I MEREBYAFFIRM UN�ER PENALTY OF PERJURY iMAT IAM�ICENSED UNDER PROVISIONS OF CMAPTER � ' u� +; � 9�COMMENCINGWITHS[CTqN7000)OFDIVISION�OFTHEBUSINE55ANDPROFESSIONSCODE,AND ��' � � Z _... . _.. . .. _ ' . . . . . _ X� MY LICENSE IS W ML FORCE AND EFFECT. � � m LL1 �'7_ ' � UCENSE CLASS � LIC.NO.� v ��� j , V DATE ... . . CONTRACTO /r G� GON°J! a - � .W • � WORKERS'COMPENSATION�ECLARATION a ' � IHEHEBYAiFIRMUN�ERPENALTYOFPERIUfiYONEOFIHEFOLLOWINGDECUMTqNS: Z ' .. � � _I HAVE M10 MALL MAINTAIN A CENTIFICATE OF CONSENT TO SELFdNSURE fOR N'ORKERS' 2 ' �-' CdAPENSATiON,AS DpOVIDED BY SEC710N 770o OF THE LADOR CODE,iOR THE PERFORIAANCE w OF THE WOflK FOR Nh71p/h115 GERMIT IS ISSUED. � 0 . ., _ .. . . . . .. . w �I HAVE M1D N�LL MAiNTAIN WORKENS'COAAPENSATION INSUMNCL AS REOUIRED BV SECTION ^� Q ]7000FTHELABORCODE,FORTMEDERFOiUAANCEOFTHEWORKFONWHICHTH157ERMR15 �/y 7 / � ISSUED.MYWORKERS'CAMPENSA7� INSURAM10ECARRIERANDPOIICYNUMBERARL: CONSTRUCTION - � �- �o�' D 'd � �I� PLAN REVIEW � �L(� 7J� '� /�,�%/i+. C�• � > WRR;ER ` ,�/� � POLICY NUMOER��/� �S�T ELECTRIC .. .� . .� _ .. . . ..,7,��—(� ¢ � - ..(iNS5EC110NNEmNOTBEff�.7RF�EDCFTHEPERMff6PoRONEEaJKX1EDDOl1/YtSpi0o1��`1 PLUMBING ��- W ,/ Z ICERTIFYTHATINTHFVERFORMANCEOFTHEYVONKFOflWNICTITHISPEPMITI5155UED.1 MECHANICAL �L � C7 _ SHALL NOT EMPLOY ANY PERSON W ANY MNVN[R SOAS TO BECCME SUBJECTTO THE � � WORNERS'COMPENSATIONLAWSOFCALIFORNI/�ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE� �� ' � - SUBJECi TO 7HE WORKERS'COMPENSATION PROVISIpNS Of SECTqN 3700 OF TNE LABOR � s COOE,I SHAlA FORTM4ITN COMPLY W1TH iHOSE Pi70NSIONS. ISSUANCE �OO � SMIP ' � . . . p DATE: APPLICANT: � WARNINC:FA4URE TO SEWRE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,AND SHALI BE -� �ENERGY P(C� � � ��-' � SUBJECTANEMP�OVERTOCRiMiNALPENALTtESANDCmLFINESUPTOONEHUNDREDT1qU5AND ENERGYPERMIT `�i .DOIUH.`a(SI00.000),W ADOITION TO THE COST OF COMPENSATION,DAMAGES AS PROY:DEO FOR IN ' � SECTION770BOFTHELAOOROODE,PITEREST,AN�ATTORNEY5FEE5. � � � " � RETENTIONFEE: � � ' " " 'I� �_' � nw. CONSTRUCTION�ENDING AGENCY PRE•ALT FEE: � � � ' ' O - .._ . .. _ . .. .. . ... . � IMEREBYAFFIRMUNOERPENALTYOFPERJURYTNATTHEREISACONSTRUCTIONLENDINCAGENCY _ � • ' - FOR iHE PERFORMANGE OF THE WORK FOR WMICH iH15�ERMITIS ISSUED(SEG JOB7,CIV.C.7. . Z ... . .. _. .. . ... . . . ' � ' , i W � LENDER'SN�ME ' � F- LENDEfYSM�RE55 � � � � � �� . ¢ ICERTIFYTHATIHAIIEREADTHISAPFUCATIONANDSTATETHATTHEl1BOVEWiORMATIONISCANRECi TOTAL FEES w I AG{ifE TO COMPLV WiT:1 ALL CITY ANO COUMY ORDINANCES ANO STATE UWS RELATING TO BUILDINC - ' '" '- '-"" '" � � CONSTRUCTION,AhDHERE�YAUTNOPjZER[PRESENTATIVESOFTMISCOUNTVTOEN7EflUPONTHE Z !¢7ovE�MEM1�NEDiROGEH ORI IKaECTION7VRVOS . _._ ., �COMMENTS ��C '1—t[ /�.LG! '�`r1Lfi . �4r+�.� ',fiht.�r-�./ 0 J � m P RMITTEENAME(PRINT ' - • `� ..� �� ,--' � � ` .,� _' --... � � ... �. cn ������(� �O�Ci 17 ' ` " � biG ATUIiLOFP HA�rTEE� _...':t . " - -...DA7E , .. � ' ' � . - • , RECPT.NO. �� PAID BY � VALIDATION � �� � �• --�� - � - WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Ccpy,GREEN—ApplicanCs Copy � . . � ... . � . . . . .. . . • � . . . .1 _... -..� � .. . •. i L'.. ' ' . . ` . �� . ... ' . " ` ' ..r. ' 1 .. • .. ... . ' . CITY OF DIAMOND,BAR �. � � � . `; `� �� � . � � � `� � INSPECTION RECORD ' � \ �� . . � . , , . � • • � � • - � � � . � . SEf BACK � FLOOR JOIST- FfGS/FORMS/STEEL. t-�z-r> FHARE�MTS,-.;� .. . ELECTRIC GROUND • � UNDER FLOOR•DUCT� ••.•�, ;� � GROUND PLUMBING � � UNDER,FLO�R CO�IDUIT �- "� - � �.• - .: , SLAB GRADE - FIREPLACE FOUNDATION '� � ' ' ' TEMP POWER •. - � FIREPLACEBOND 6EAM � `- � " WATER SERVICE� " � MID HT.•BOND.BEAM� `-• ' -' - • ROOF SHEATHING 8 f-T.BOND BEAM � FRAMINGNENTILIATION z � /"' � FINAL'BOND BEAM ROOF COVER- --- • � � PRE-GRADING ROUGH HEATING- � - BENCHING ROUGH ELECTRIC - ' � • - � ROUGH GRADING ROUGH PLUMBING� - - FINISH GRADING SHOWERlfU6 TEST . POaL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSUtATION POOL FINAL • CEILING INSULATION OFF SITE IMPS. . DRYWALL NAILING � DEDICATIONS . SEWER .. ._ .. _... :. _ ..-- . •.i� 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 PLUMBING ENERGY , -,- �. . 1 . - _._ --------- ------- ' • • COMMENTS - � - - - - - - _ . � , ;. - . . '� � - , . ' ' � �:.� .. , �- • . � -_. . - - - � � -� - �� s — - . . ,, _�. , .. . . . _ . . . � ; � \ . . .:..., . .,:.. . . , : . ._ � ; , '� �: . � .. � . . _ , SEPTICTANK SIZE ��� . - - - -. SEEP PIT/U SIZE . . � .. � . \ � ; . � , . , , � . \ ., -. ' � � _ -r . -ru, . i Y�, �r .'y' . . ' t i �! . . i . i , -•, _� � r_ ` � , . ' ; . ... , C f—?/-1�-- T� �� v -r;�u