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HomeMy WebLinkAbout11745 (5) . . .. _ . . . . .. . .. _'""�-_�_'__' •"_ ;_"" " ' '._...._.."'"'_'_""'_'___ .__.. _.._'""" "__'___���...f��_ -�� ---• CITY OFDIAMOND BAR . ' � COMMUNITY DEVELOPb9ENT DEPARTMENT � � ..,,.� 21660 E.Coplcy Drive Suite 190 � � � PR ESS (909)860-3195 Fax(909)861•3117 • ""' BUILDING PERh91T APPLICATION FIRMLY � JOBSITE �/� f��/__ __ / ^ ' APPLICATION . 2 PERMIT P/C o ADDRESS � ��� //� (r4'v6'��• (,�J- DATE NUMBER N c� ISSUE TYPE OCC APN L9 T Z TRACT DATE CONST. GROUP p OWNER �` Ht.! � "' ADDRESS L ZONING SETBACKS z CITY ZIP S TEL. FRONT RW ❑ � APPLICA T TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ Z ¢ CONTRACTO .r�'/� SIDE ❑ � ADDRE , PROPOSED USE � CITY ZIP TEL. i r w ARCH/ENG/ ' z DESIGNER NO.DWEL. � NO. NO. a ADDRESS UNITS STORIES _a�BEDROOMS� � CITY ZIP TEL. N DESCRIPTION SO.FT. ' FACTOR PSF ADJ.AREANALUATION � OWNER-BCILDER DECLARATION. SFRIADQ�FiEM '- ' � O p I HERE9Y AFFIRM 11N0ER PENALtt OF PERNRY TMAT I AM EXEIAPT FROM THE CONTRACTORS ll• GafBQB/Ca1POR � W CENSEUIWFORTHEid.LOWINOREA50N�5EG70.7t.58U51NE55ANOVRDFE55bN5CA�E:ANYCITYOR (f� � U �p{JNfYWMCHREWIRESAPERMITMCONSTRUCT,ALTER,MPROVE,DEAIOLISH,ORREPAIRANVSTRUC- W patio/Deck � • Z TUR[,PRqR TO ITS ISSUANCE,ALSO R[OUIRES THE APPLIC0.YT FOR SUCH PERMIT TO FlLE�SIGNED � STATEMENT TMA7 HE OR SHE IS ULENSEO PURSUANT TO THE VROVISIONS OF TME CANTMCTORS tl• W � CENSE UW(CH�VTER Y(COMMENpNG VnTH SECTION 7ooa)OF DIYISION 7 OF iHE BUSINE55 AND PRO• � PooVSpa FESSIONS CODEIOR 7HAT HE OR SHE IS EXEMPT THEREFROM AN�THE 6r515 FOR THE�ILEGED E%EMP• VTION.ANYNOLATIONOFSECTION70]1.5BYANVAPPLICANTFORAVERMITSUBlECTSiHE�PPLICANTTO Z P0-R00( � � A CML VENALTV OFNOT MORE TMAN FNE NUNDRED DOILARS(SSao).�� � ❑�ASOWYEROfTHEGROPERTV.ORAIYE�APLOVEESWITMWAGfSASTHEIR50LECOlA7EN54TbN, Q �mmercial � Z WRL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFEAED FOR S+LLE�SEC.7W�,BUSI- J � � NESS IWD PROFESSIONS CADE:THE CONTMCTORS LICENSE UW OOES NOT AVPLY N IN OYRJER OF j PROPERTT NR10 BUILDS OR IM7ROVE5 THEREON.AI:D NMO DOES SUpI WORN MIMSELF OF NERSELF OR � THROUCHHSORNfROVMEMPLOYEES,PROVIDEDTHA75UCHMPROVEMENT5l1RENOTNTENOEDOR m 0 OFFEREDFORSALE.IF,HOWEVERTHEBULDINGORINPROVEMEMISSOLDWITHINONEYEAROFCOMDLE• Z TION,TNE GtMJER-BULOER W1LL H�VE TME Bl1fiDEN OF PROVINO TMAT HE OR SHE OID NOT 811i1D OR � 0.1PROVE FOR TNE OURP0.5E OF SALE). ❑4�OVJNER OF iHE PROPERTY,AM E%CLUSNELY CON7RACTINC YATN LMENSED CONTMCTORS ' � TO CONSiHUCT THE PROJECT(SEC.70N,BUSINE55 ANO PROFESSIONS LODE:THL LONTMCTORS LI• VBIUQ1IOf1 ADJ.AREA � � W GENSEUWDOESNOTAPPL�TOANOVMEflOFAPROPER7YNRtOBUItD50RIMPROV[STMEREON,MID � VMOCONTMCTSFORSUGHVHWECTSVYIiMACDNiMCTOR(5)IICENSEDPURSUANT70THEWNTRAG OUANTITY DESCRIPTION FEE . . TORS LICENSE UW.). � '. 0 O I AM E%EMM UND[R SEC. B.A P.G FOR THIS REASON U � ¢ u" DATE OWNER f' ZW . , ��., � , . �¢ UCENSED CONTRACTORS DECLAFiATION W - ' . ' - 2 IHEFEBVAFFIRAIUNOERPENAITYOFPERJURYTNAT1AAlUCENSfDUNDGRDpOVISqN50FCMAPTER � ' � i(OOMMENCW�WITHSECTION70oo)OFDMSKKI�OFTHEBUSINESSANOPROFESSpNSCOOE,MN Z �� YY LICENSE IS N FULL F RCE�ND EFFECT. � m � LICENSE CU LIC.NO.�_(LL/_(/� _ J � U DATE� CONTRACT � a . ' ^�W h WORKERS'COMPENSATION DECLARATION a OV' �T� 7 q� � U ' � N � IHEREBYAFCIRMUN0E0.DENALTYOF7E0.1URYONE�FTHEFOLLOWIN00ECLAAA71DN5: Z ,` � INAVEMIDIMLLMAINTNNACERTIFIGATEOFCONSENTTOSELF-INSVREFORWOIL<EFS' _ ' COMPENSATqN,AS PROVIDED BY SECTION]7000F THE LABOR CODE.F0117NE VERFORIAl1NCE U OFTHEWOiiKFORWHICHTMSPENMITLSI55UE0. � /LY r O u� r C w _IMAVEANDWIILMAIN7AINWOHKERS'COMPENSA710NINSUMNCE,ASREOUIREDBYSECTION � Q 77000FTHELAfiORCODE,FORTHEPERFORMANCEOF7HEWORI(FOHWHIp1THI5PEFiMIT15 ISSUED.MV KER'CO PENSATqN I RANCE/CA(��1 IER AN�� �L1C�Vs NUM�ER ME: CONSTRUCTION � CARRiER � ' �✓� �' •— ���• PLANREVIEW Z vo��crNur.+oEa '� � ELECTRIC . ¢ 0 (iH65EC11CN1:EmNOTBECd.fRFfEDOFMPEFMf6PoRONEFAIHY7EDWLL/�JLS(S�W70RLESSI PLUMBING Z ICERTIiVTHATPlTMEPERFORMMICEOFT+EwORKFORWHICH7HISPER1.11TI5ISSUED.1 MECHANICAL � C,7 SHALL NO7 EMGLOY ANY PERSON IN ANY MMINEfl SOAS TO BEQOME SUBJECT TO THE , � YVORKERS'COMPENS�TqNLAWSOFC�LIFORNI0.ANOAGREE7MATIFISHOUIDBECOME INSPECTIONFEE - - � � SUBJE�T TO TME Ml�RKERS'COMPEN511710N PROVI510NS OF SEC7�ON 770o OF iHE UBOH � . . ' `' , CO�E/�SHALLF THWITHCOMPLYWITH SEPROVISIONS. �SSUNdCE �1 C � �/.� �,�� � Q SMIP p DATE:��-_��APPLICANT:�b�}v�yy��y . . � WAfWING:FAiLURE TO SECURE WORNERS'COMPENSATpN COVEPAGE IS UNLAWFUL AND SHALL BE ENERGY P/C � SUDJECfANEA�ALOVER70CRn.1WALGENI171ESANOCNilFWESUPTOONEHl1NOREDTNOUSANO ENEFGYPERMIT DOlLARS�f I00.000).IN ADDIT70N TO iHE C0.5T OF COAIPENS�TION,OAMACES AS GROVIDED FOR IN v /�/� � SECTiON17DeOFTHEU80HCO�E,MEREST,ANDATTORNEY'SFEES. RE7ENTIONFEE: ��7��Vy� � a CONSTRUCTION LENDING AGENCY T�T T PRE-ALT FEE: O � IHENEBYAFFIRMUNOERFENALTYOFVERNRYTHATiHEREISACONSTRUCTIONLENDIHCAGENCY FOR iHE VERFORMANCE OF hIE WOR1(FOR WHICN THIS PERM17151SSUED(SEG 9DY7,CIV.C.�. , Z - w � � LENDER'SNAAIE - F— LENDEf7SADDRE55 � TOTAL FEES � � I CERTIiYTHNT I Hl1VE READ TM15 MVUG1TpNAND STAlE THAT MEA80HE WFORM�TqN 15 CORflECT. W IAGREETOCOMPLYWITHALLCIiYANDCOUNiYOHDINANCE5AND5TA7EUWSREIATINGTOBU�LDING - � CONSTRUCTION.ANDHENEBVAUTHORIZEREPRESENTATIVESOFTHISCOVNTYTOENTERUPONTHE Z ABOV�4EMIONEDGROPEH7YFORINS�ECTIONCURPOSES. . / COMMENTS � 1 n _ — m pE I EE NnME(PRI � - z �'� � SI HE GkH TTEE A1E � RECPT.N0. PAID�Y � VALIDATI � - WHITE—Oepartmant Copy,YELLOW--Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicenfs Copy � � . . . . ,.. �r . . .. y.. � '.� ... .�. . . . .. � ' CITY OF.DIAMOND BAR ' . ` .� � � .- , . , , . . . .- - . � INSPECTIOI� RECORD, '°.' - .. , • ' . .; . , , . ����, - _ c � � ' "�o.�. � ' : o 'r� o : � - SET BACK •. . . ' - � FLOOR Ja1S7- - _ ' � . -- - ---...._; FfGS/F.ORMS/STEEL . . ' - - FHA REQMTS � ' � � " � .\, • ELECTRIC GROUND • � ' �UNDER FLOOR DUGT•.•� . ,.. �:�� . -,- GROUND PLUMBING � � - - � -� - UNDER FL�OR CO�IDUIT �,. ' '." ' - `' � :=.` . �> �..\ � � � - SLAB GRADE - � ` - - _ ' - • FIREP.LACE FOUNDATION _ � '' ` _ _ -TEMP POWER - - - . - - - FIREPLACE�BOND..BEAM . , , .:: �~ � . �. -", "' :';_ . - � V'JATER SERVICE - • • � - MID HT BONb�BEAM �� : �� i�-''••� ' � ' �' I ROOF SHEATHING � • 8 FT.BOND BEAM � FRAMINGNENTILIATION ` � FINAL BOND BEAM ' .. ROOF COVER -� ---: - - • PRE-GRADING "' _. _ ROtJGH HEATING - � f�i - � BENCHING - � - ' ROUGH ELECTRIC - � - ROUGH GRADING . � ROUGH PLUMBING � - �- -' - ' - FINISH GRADING ' ' SHOWERlfUB TEST - � -- � POOL'ELECTRIC EXT.LATH/SIDING POOL•FENCING � WALL INSULATION ' POOL FINAL . . CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS , SEWER_...._ _ _ ._.. ..___.__ _. FINAL ENG. � � SEPTIC TANK . . . .__ � LANDSCAPE/IRRIG. ' SEEP P!T/L.L. � - -- ` ' - -. . ON SITE IMPS. � �=� ' . FINAL ZONING � • ' GAS AIR TEST: - -- ... .. . . _ .. -- . FINAL-C�NST. ---- --- - - - - -- - - - FIRE DEPT.FINAL -- " i •. FINAL HEATING �- � y y - - �� - HEALTH DEPL FINAL � ' - - -- - ---- � FINAL ELECTRIC- - - - - -- DEV. FEES PAID . ,: , . ; � FINALPLUMBING ENERGY . . ; ;. � � � `�''.. ` . .` - , `' ' . , ,. - . i "e� � _ �,- '. _ � , I... . , . . _ . _ -- - -_ --- — - - - ,... -. ._ .,._ - - - - -..._ - COMMENTS' . � �.� - . - . `,: , � .. l': ., , - ---- . - , - ; . . ;; '_._ . — , - _ r. ....... . . . . _ _. ._. ___ . . . . . . . _ .... ._. � � ... � � , . . . . ." . ... ' . . 'i � . , . • .. .. � . . . . . .. . . . . . � . � � . : f'." .,\\ �-:,•'` ,� '�\ � � � i . . . .. .. . . .. ._. . .. \ �' . � � . ` �; . .. � . • . . . c i ,. .� � 1 i . •,' .,_. . , •- - . -- .. . ; � : ., ._ . . .. .. . ; I , - ., ,c , , ....___.. . . .. . .. _. ' � i �J,��J. , � . . i . � .. , � , l, � . . , , � � � . �. . _ .. � �� - r•� ..': : � .'.. . ii i .�. . . .. . . ' .. . ' ' _. , SEPTIC TANK SIZE�� •�� • - ' � � ' ' � � . ---- -- - _ .. _ . - - _ -. , , :.: _ _ SEEP PIT/U SIZE - - � i _ . - � i _ . _ . : ��� i .'. , . `. ; ,�1 • _,� ..,_. , , �.I i', � �\• � � ' �