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HomeMy WebLinkAbout11301 ---.. _. . . _ . . _. - ---._ . .. . .. _._.. .... . ...... ----�- �-------- - --��--- .. ----�� CITY OF DIAMOND BAR ' � ✓' COMh1UNITY DEVELOPh7ENT DEPARTMENT ..,.� 2I660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 � ' '��"� IIUILDING PERh41T APPLICATION FI R M LY � .JOBSITE • �' D I �v DATE CATION �L' �� PERMIT P/C ' � Q ADDRESS NUMBE # 0 c� ISSUE TYPE OCC APN LOT T CT DATE CONST. GROUP °C OWNER ' OO AD�RESS ZONING SETBACKS z CITY ' ZI TE O FRONT RW ❑ � APPLICANT TEL._ � — �'J REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS ' � CITY ZIP TEL PROPOSED USE w ARCH/ENG/ ' � iz DESIGNER NO.DWEL. N0. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BCILDER DECLARATION SFR/A�D/REM � O p 1 HEREBY AFFWAI UNDER FENALTY OF CERAIRY THAT I AIA E%EMPT FFOA1 THE CONTMCTORS LI• Gaf8g8/CytpOn - � W CENSEUWFORTMEFd10WINGREASON�SfC.70J1.5BU51NESSANOVROFESS10N5CODE�ANYCRYOR (n U COUNTYWHICHREOUIRESAPEW.uTTOCONS7RUCi,ALTER��PROVE.DEA10LI5H2OHREPA:RANVSTRUC- W Pa110/DBCk w TURE.iHIOR TO IT:ISSUANCE.ALSO REOUIRES 7HE APPLICMrt FOR SUCH PERMIT TO FILE�SIGNED W ' � S7ATEMLNT THA7 HE 01i SME IS LJCENSEO VURSUMlT TO TNE PROVISIONS OF THE CONTMCTORS Lb . . � CENSE UN�(CFIAPTEfl 9(COMMENCINO WITH SECTION 7000�OF DIVISION 7 OF TME BUSINE5511ND PRO- �- PooVSpa FESSIONS CADE)OR THAT HE OR SHE IS E%EMPT iHEREFROAI M1J THE 8�45�5 FOR THE ALLEGED EXEMP- VTiON.ANVVIOLnTIDNOFSECTION7o71.5BYANYAPPLICANTFOR�PERMITSUBJECTSTMEAPPLICANTiO Z Re-Rao1 � � � ACIVILVENALTYOFNOTMORETHMIFNEHUNDREDDOLLARS(fSoolF 0 04�..`a�EROFTHEPROPERTY,ORMVEMPLOYEESWITHWAGESA5TME1R50LECOAIPEN5ATI0N, O COrtImOfC�B1 Z WILL DO THE V✓ONK�NO THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEG 70u,BUSI- J � NESS IWO PROFESSIONS QDDE:TME 0�1THACTORS UCENSE Uri DOES NOTAPP�Y TO AN OVINER OF ? , , VqOPERTYNR106UM1D50RIMPROVESTMEREON,ANDWNODOESSUCMN'OFlKHIMSELFORHERSELFOR m CL THRWGHHISORHEHOYINEAAPLOVEES,PROVIOEDTHATSUp11MPROVEAIENTSMENOTINTENDEDOR W OFFEREOFORS1ILEIF.FIGWEVE0.THEBUiLDINGOR0.IPROVFMEM65dDWITM140NEYEAROFCOMPLE Z �TION,THE OWNER�BUILDER WILL HAYE THE BUFDEN OF�ROYING THA7 HE OR SHE OIO NOT BUILD OR , , � IA1PflOVE FOR TN[PURPOSE OF SALEG ' ��. O I.AS OwNER OF TME PROVERf`I,I1M E%CLUSIVELYCONTMCTW 0 WfT11 UCENSED CONTMCTOFiS Q TO CONSTRUG7 TME PR0.IECT(SEG 70�<.BUSINE55 AND 7ROFESSIONS CODE THE CONTMC70RS lt• VelUeliOrl ADJ.AREA� � W CENSEUWDOESNO7APPLY7011NOWNEHOFA�ROFERttWMOBURD50RWPHOVE57MEREON,AND � WFiOCANTMCTSFORSUGIPqQ1ECTSWITHACONTRACTOR(S)LILENSEDPUPSUMlf70THEWNTP/1G pUANTITY - DESCRIPTION � FEE � Y T00.SUCENSEUW.�. . �J 0 O 1 AM EXEMPT UNDER SEC. B.l P.C.iOR7MIS REASON Q � _ U � ¢ . DATE ONMfR V . Z W � LICENSED CONTRACTONS DECLARATION W � IHEREBYI�FFIRMUNDERGENAL7YOFPEiWRYTHA7IAMLICENSEDUNDERPPOV15lON50FCHAP7ER V, � G(COMMENGWG YATH SECTION 7000)OF DNISiON]OF THE BUSMESS AN�PROFESSIONS COOE,AND Z � ` - �� MY IICENSE IS IN FUI.I FORCE ANO EfFECT. Jf1 / m � IICENSECLA55 LIC.NO. V��F?q�/��_ j V DATE � GONTMCTOR �-C:l"i d W � . ..._ WORKERS'COMPENSATION DECLARATION 4 - - - -- -- - � IHEREBYIIFFIFlMUNDERPENALTVOFPERIURVONEOFTHEFOLLOWINODEGIARATIONS: U � Q � _IHAYEANDVALLMAiNTAINACENT�FICA7EOFCONSENTTOSELF�INSUR[FOHWORKERS' 2 CdAPENSATION,ASVROVI�EDBV5EC710N�7ooOFTHEUDORCODE.FORTHEPERFORYANLE W F THE WORK FOR WHICH THiS PEFAIIT IS ISSUED. � � W _IHAVEANDWILLMAIM�INWORNEIiS'Wr.�PENSATIONINSURM:CE,A5RE0UIPED8Y5EG710N � 97000F TNE LABOR CODE,FOR THE PERFORMANLE OF iHE WORK FOR NMICH 7HIS PERMIT IS ISSUED.MYWOR�%,�'C ENS o SUHANC�61 CARWE "�DVOLICYNV a�aE: CONSTRUCTION juAwea W �� _LV 1+�- � PLANREVIEV'! � POLICYNUMBER ��q ELECT Q � (n+sSEciaNNEmNo'isECp.VLE7EnOF71EPEi��isPopONEH+OPEDDatAits(S1m�CatEss} P MBIN I Z1 CERTIFY TMAT N THE PERFOPA1ivICE OF THE WORN FOR WHlq7 THIS PEPAIIT 6155UED,I MECHANICAL U' SHALLNOTENPLOYANYCERSONPIAYYMANNERSOA5T09ECOMESU9JECiTOTHE .. � VYORKERS'COMPENSATIONUWSOFCAIIFORNIA,ANDACREETHATIFISYKKRO8EC01.1E INSPECTIONFEE S SUBJECTTOTHEWORNERS'COUCENSATIONP ON510NSOFSEC7ION]7o00F7HELABON ISSUANCE � �L CO E,I SMALL FO TH CAIAPLY WITH O E PRONSION � {�(� SMIP p DATE: ^'"o APPLICANT: J WANlING FA�LURETO SECUHE WORKERS'CA1APENSATION COVEHAGE IS UNLAwFUL ANO SNALL 0E ENERGY P/C � � SUBJECTANEMPLOYERTOCRIMMALPENALTIESANDCNIliWESUPTOONEMUNDREDTlKK/SAND ENERGYPERMIT DOILIlRS(f lao.00o).IN MOIl10N TO h1E G0.5TOF COMPENSATpN,DAMACES�5 PROVIDED FOR IN � � SECTIONJ70EOFTHEIABORCO�E,NTERE5T,M10ATfORNEY5FEE5. RC-TENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: pQ . � IHEREBYAFFIRMUNDERGENALTYOFPEfiR1FYiHAT7HEREISACONSTH�CTIONLENDINCAGENCY `7O � FOR THE PERFOfiMANCE OF TNE VYORK FOR WHICN TNIS PEflMIT IS ISSU[D ISEC.70Y7,GIV.C.). . Z W � LENDEIYSNAME � LENDEH'S IDDRE55 ¢ ILfRTIFVT/ATIHAVEREA�THISAPPLIG710NMD5TATETHATTHEABOVEWFORMATqNISCORRECL TOTAL FEES � � W IACREE7000A�DLYWITMALLGTYANOCOUNTVORDINANCf5AND5TATEUwSREUTINCTOBUIL0ING � � CONSTRUCTION,Iuu HEREBVAUTHOP2EHEPRESENTA7IVESOFTHISCOVNTYTOENTERUPONTHE ZABOVE�MENT E ROPERTV FOR IN. TqN PU OSES. . COMMENTS � 0 . .. � � � . , � J Q_I/� . "_ y��� < m PERMI��RIHn � . ��� •� . . . ¢ l�/ u� �q''�-,^► _.y SIGNATURE O P RMITiEE. , , �ATE . �ECPT.Np. `J, PAID BY VALIDA710 � � � - WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessw Copy,GOLDENROD—File Capy,GREEN—Applicant's Copy .. . . . . . . . . . . . . .. . . � ..� .. ...-' . ... , � . ' . . . . . . . .. ... •-• . .. - n~. . .-. .. . iy..: • .� .. ..... . . .�_ .. . ... . .. . . . . ' . . � , .. .. "- � CITY OF DIAMO�ND BAR ';;.'; ''�,��"';. - � ,. -� . . � __ . �` INSPECTION RECORD; .� � � � � ' ._�' � . . �• .. . . . . . �.,-; � � � �.I` ' • � � ' p ' �� � � f �' �.• � o � ' • ' _______ — _. ; . _ . . . _ . ' �' - � FLOOR J�IST ' SET BACK : � ' FTGS/FORMS/STEEL ` - FHA REQMTS ' `'-` ` •, ` � - ' • .' ELECTRIC GROUND ' UNDER FLOOR DUCT,,� � - � " � GROUND PLUMBING � � " UNDEf�FLOQR�CU�IDUIT +� -'�1•. '. • . . _ SLAB GRADE---- -- _ �=• . � � : .' FIREPLACE FOLINDATION ;,..: __.�_ , , : ;, , , TEMP POWER - _ : =_ -= - :_. _ FIREPLACE BOND BEAM . ,, _ WATER SERVICE -• � �- �-. - - `-' MID HT. BOND BEAM -; "` ROOF SHEATHING 8 Ff.BOND BEAM - ' FRAMINGNENTILIATION � ` � FINAL'BOND BEAM - - .. _ .. . ; . _ . PRE-GRADING. ROOFCOVER -- --•-- -' � ��'' ` _ . - - ROUGH HEATING--� - - " -- - -- ' " ' ' BENCHING -- - - ROUGH ELECTRIC� -�--- - �- -� -� � -�� - � ROUGH GRADING , ROUGH PLUMBING - -" - - " '- FINISH GRADING ' ' SHOWEFt/TUBTEST ' � " ��-" - - - �- POOL•ELECTRIC ' . EXT.LATH/SIDING � �� - --- POOL FENCING . ' •' � VVALL INSULATION i POOL'FINAL " � CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS ' � SEWER ..- ---- -' ,G''��� : FINALENG. SEPTIC TANK_..... _ __.._ .. . �.._. LANDSCAPE/IRRIG. . SEEP PIT/L.L.. : .. . . ----.--- ..--- . ' " . . .ON SITE IMPS. , - --- -._. _. _.. .. � - GASAIRTEST . _. .. .. .. .. _ ..__ . ...__.. ......... . . .----. FINALZONING .; � ; ; FINAL CONST. - - ---- - - -- - -- - -- FIRE DEPT.FINAL �- � � � FINAL:HEATING ----- -- - -� -- - -- - - HEALTH DEPT. FINAL. -- - -- - -- - . . . � FINAI ECECTRIC - -.-.-:�.- : - - - �_• i DEV.FEES PAID • . . ., ' FINAL PWMBING /%� _ � � ENERGY . • . ' ' _.. .• . . � � . � �� n � _ - . , -, _ __. _._. _.. .. __. . .. _ _.--- _ .. . . . , - - -- -— ._�. _ . _ ._,,._. .. _ ..._ _____ . _. . .. . _ ____ . _. .. _ -- - -.. --. . - - - -- ,. . . , � - . .. � <_ COMMENTS , , _ - ., . ;� ;_ _._. . ._ _� , .,_ .: . . _. _..._ _ . - � , .. . _ , _. .. . ... _ . _ . . . . . .. � � . . � . .. . !., . � . . .. ' i . . . � , � , _ . . . . . . , j . . _ .. , �.., , . . � � . . .... _ _ .. �..... . . � . _ . _ - � _ -.- -- ..__ . . _ � _ _ ,. ..__.. I , , i , . '�' . • , � rr - . . ; '� � . �++1�it r"Y. .!! _. � . i I � . I - .,:. ; , . , . . . SEPTIC TANK SIZE - , . _ . _ _. ._. , ; .. . . .. .- .. . . , SEEP PIT/U SIZE • 3!�j ry . i , , _ �. _. _ _ � _ • . � �� . �� t �Y 1 i I s�� '�p Zr' S o�,' � v��G , ; _ .,__ _ � r.s �i-z , , . . , ._ - , � �. . .: _ � ; , , , � �� - . , ,