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HomeMy WebLinkAbout11755 _.. . . _ . ., . --�...._..... ... .... . --- . . . . _. . ...... _ CITY OFDIAMOND BAR - — DEPARTMENT OF COMMUNTTY•&DEVELOPMENT SERVICES � �� 21660E.CopleyDriveSuite190 � ' (909)860-3195 Fax(909)861-3117 PRESS ' . ���'�,. BUILDING PERMIT APPLICATION � ' , FIRMLY o ODRESS 3 O �I �A1� IK�a�L D�, APPLICATION �. PERMfT P/C DATE NUMBER SS * c� ISSUE TYPE . � OCC . APN� LOT TRACT DATE � CONST. GROUP g aWNER I L LL" ADDRE55 0 IC UL�- ' 20NING SETBACKS Z CfTY 21P�� TEL. � � FRONT , RW ❑ • g APPLICANT TEL. REAR O � SIOE/SIDE STREET RW • ❑ CONTRACTOR T Lt) SIOE ❑ � CITY�J I�A-.f.T7! 21P� TEL • PROPOSED USE � �✓����. . � r�/� �+ ARCFUENG/ , � DESIGNER - NO.DWEL NO. NO.. ADDRESS UNITS STORIES� BEDROOMS � CITY ZIP TEL N DESCRIPTION S�.FT. FACTOR PSF ADJ.AFEANALUATION � OOWNER•BUILDER DECIAFlATION ` . � SFRIADDIREM � 1 NEREBY AFFlRM UNOER PENAL7Y OF PEILMtY THAT 1 AM E%E/APT iROY i11E CONTRACTORS L4 Garepe/Carport. � ' � 8 CENSEUWFOqiHEFOLIAWVK3REASON(SEG7W1.60USP7ESSANDPiiOFE5510NSCO0EANYCRVOR (n C� OOIMiYYMIC]IREOUWESAYERMRiOCONSTRUCT,ALTERMFROVE.OEMOUSN.ORR[FAIpANY3iRUP W patlo/Dedc _ � 6 il1RE,PRIOq i0 RS 159UNiCE,IL5011EQ11RE5 TNE APPIIGMlt FOR SUpI iERMIT TO F0.E A SiGNED W , � BTATE4EIR 7141T HE OR SME IS UCENSED%J0.SUAHT TO THE VROVISIONS OF iHE CONTfUCTORS l4 � , . � CENSE Uw(fSUOTER Y(CaYYENCl10 WITH SECTION 7000)OF DMSiON]OF iNE BUSINE45 AND PRO� �- PooVSpa - FESSqHS COOE)ON TW1T XE OR SME IS E%EMPT iHEREFROM MID TXE 9A515 FOR THE IiLLEOED E%EMV• 7qN.N1VVIOL�T10NOFSECT10N70.11.68YANVAPVLIC/UfTiOiiAPERMITSUBIECTSTHEAPPLICANTTO Z RaRoof �„� ACMIPENALTYOFNOtMORETIANFNEHUNDREDDOILAiY..(t5co).r ' � OlA50WNEROFiNEPROPERTY,ORA/'IEMVLOYEESVnTHWAGESA47HEIR50LECOMPENSATqN,' O ��rcfal . WN.L DO THE WOir(,AND TME STRUCTURE IS NOT MENDED OR OFFERED fOR S+LLE(SEC.7W�.BU51• J NESSAND iRDFE5510NS COOE:7HE COHiMCT0f15 UGENSE UW DOES NOTAVRY 7C1/W OWNER OF' � � PROPEMYMM1q&MDSORYVROVESTNEREON.ANDYVIpDOE55Up1N'ORKHiA15ELFOfiHERSEIFOR � �'Q TIWOLIOHHSORHEROVMEMPLOYEES.VRONOEDTUTSUCHYCpOVEYEMSARENOTMEI�E�OR � m � .OFFEREDFORSALEF.HOWEVERTHEBU4DwaOHMPiIOVE/AEM6.AlDWIT1MONEYFAROFCOVVLE� . . . � TqN.7HE OWNEM1BNLDER WILL/NVE 7HE BVRDEN OF PROVNO iHAT HE OR bHE DIO NOT BUIID OR MPROVE FOH TME PURPO6E OF SKE} � � � ��ASOMMEROFTMEVROPEHTY,NAEI(CLUSNELI'CONTiUCTN�WRNUCENSEDCp1TMGTORS TO CONSTN1Ci iHE VNOJECT(SEG 10M.BUSINESS IUA VROFESSIONS WDE:THE CONTRAGiORS W- Vah18IiIX1 �S� ADJ.AflEA- CM 0 CEMSE L/1W OOE3 NOTMRY TOIW OVMER OF A PROPERTY N'Fi0 BVLDS OR IMPFlOVES THEREON.AND � YNqCONTRACf5FOR5UdIPHOJECTSWITHACONTRACTOR(5)LICENSEOPURSUANfTOTHECaNTRAG pUANTITY ��ESCRIPTION . FEE � 7WiEUCFNSEUW.} . � - . . `- O 1 AM IXEMPT LNDER SEG B.�P.C.fORTHIS REASON U BU /%� � u' OA7E OWNER ' �' . . � W �� ��� UCENSED CONTRACTORS DECLARATION W ' � � IHEREBYAFFRUIUHOERPENKNOFPEFWRYTN7IAlAUCENSEDVNDERFROVISIONSOFCHA7TER Z . / �J �LI^'�•'' �� ' � . S i(COAYIENCNfIWRHSECT10N7000)OFDMSION70FTHEBUSINESSANDPROFESSiON5GO0E,IWD . L ^ W L1C£HSE LS N FlJll FOfICEAND EFfECL m L�NG � � � �Zp � ���,���/ � .-�'�g �'0 u�.Na.� . c� .� 6 � . � �s-=f—f� T� °' p�� corrr�ucron � WORKERS'COMPENSATION DECLAMTION���• Q �� �IMEREBYAFiVWUNDERPENPLNOFPEiWMONEOFTHEFOLLOWINODECLARhTqNS: " � � �� � " -� � Z a � _IHAVEAIAWILL►WNTAHACERTIFICATEOFCONSEMTOSELFaNSUREFORWORKERS 2 COMPRISATpN,ASOHOVDE0BY5ECT10N77DaOFTHEIABORCOOE.FORTHEPEHFORAIANCE W Of TME WORK FOR WMCl1 TIMS VERMIT IS ISSUW. s2 0 I W WE ANO Wttl WPRAIN WORKERS'COUPEN5AT10N INSURINCE,AS REOUIqED BY SEGf10N . dQ 77ooOFTHEUBORC00E.F0117HEDER�ORUANCEOFTHEWOPo(fORWMICHiMISVEfl1AR15 � ���J � = ISSUED.MYHIOi1KER5CdAPEH5ATK7NW5URlWCEGAPoER�N7POLICYNUMOERIINE: C NSTRUCTI i � - -j CARRIER ' �I1 REVIEW � � va�cYnuaaER " LEC7RI �J �'9� 0 (nssEet�onN[mw76EmRt.ETIDocnivEnn.rttsrOiia�EKt�Ormonu�s(tianjrnlf� BING �„� _ -- � Z � ICEHTIFY7TIATNTTIEPENFOIiMANCEOFTNEWOPKFOFlWMICHiHISPERMIT15455UED,1 ANICAL " (,7 SMMLNOTEMPLOYAMlPERSONMIINYWWNEHSOASTOBECOMESUBJECTTOTHE � N WOPo(ERSCOMPENSATpNL11W50FGWFdWU�ANOACREETHAT615H0ULO8ECOM[ INSPECTIONFEE SUBJECT TO THE WOPo(E0.5'CdAOENSA710N Vf10NSqNS OF SECTION]7000F TME LABOR COOE,I SHAllfOIiTMVI7M COMPLY NnTH TNOSE PqOV1510N5. , / ANC `�� � p DATE: f � APRICANT:����//1,� W/"�,V`� . ,�� . � WARNINU:FAM1URETOSEWREWOf1KER5'COUPENSATIONCOVERAOEl5I/1iAwFUI.ANDSMALLBE ERGYP/C SU9IECTANEMPLOYERTOCRWiN/LPENALTIESANOCMLFMIESUOMONENUNDR[OTHOUSAND ENERGYPERMIT - - DOLlARS(f lao.0oo),IN ADDITION TO TME COST OF COMPENSATION,DMIAGES AS PROVIOED FOR IN J[C SECTION770lOFT1EUBOflCOOE,RfTENEST,ANDATfORNEY5iEE5. /jEjENTIONFEE: � d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � IMEHEBYAFFIqAIUNDERPENKTYOFPEiWMTFIATTHEHEISACONSTRUCTIONLENDINOAOENCY - FOR TXE PERfORMANGE OF i11E W�DRK FOR WM1G1 TMIS iERM1T IS ISSUED(SEG 70v,.CIV.C.). � � IE�DERSN�wE - � � � lENOER'SADORE55 . W ICERTIFYTMATIHAVEPEADT/ISA7PLICATIONIWOSTATEiM�TT1EABOVFINFORMAT10NI5COitRECT. TOTAL FEES - - � ���70 � IMiiEETOCOMVIYWITMILLIGTYANDCOlMTYORDIW�NCESANOSTA7EUw5HElJ�TNUTOeULDIN6 CONSTRUCTION,AND MEAE9Y AtIfYIOHIZE REVRESENTATIVES CF THIS COUNTY TO E17TEfl UPON 7HE . . . S� /�BOVE-MEMIONEDPROPERiYFOqIH50ECTY7NPUNPO5E5. �" � ' COMMENTS � 9 � E�MfFs. -:�. .c.c�/��"�. f,�'. m 6 FERMIITTEE HNAE(vW � ���/ . / /r 4�� . .. . . . . . �.. N ��.�!7 .�"' � � i � uJ bKiNANREO� E� OA7E •r � RECPT.NO. � PAID BY VALIDATI . WHITE-Department Capy,YELLOW-Finanee Copy.PoNK-Aaeessor Copy,GOLDENROD-Fi�e Gopy,GREEN-Iy�plicanCs Cap� CITY OF DIAMOND BAR .,;J _;•, ,�; ,•; . .- ., .-..� . ; ":�.,. INSPECTION RECORD.' .. . . ' . . _ . . , ._.. . , � �.. , .. _ , . ,.y _ .. ,, . ; ..: ,, , - �, �.`� . . . , v�:.. • � � • ' � � � • - SET BACK ' °FLOOR J015T . . , �.�. .�t•� -s;•- ` \ ;.`t :. - � • ; : FTGS/FORMS/STEEL " .• �, ;., , FHA REQMTS ELECTRIC GROUND ���. _. _� . _::- . : ' ' ' � '_— UNDER FLOOR DUCT � - � - - ---- c;;•,,; .. . GROUND PLUMBWG ' �UNDER F.LOOR CO�IDUIT 1 = ' + � '�,', .•- • - - . . .. _ _. . . . . :. SLAB GRADE � � -� � � • FIREPL'ACE�FOUNDATION � •`�� � -, ='• �, '� ` �"��=`��� � ��- ' � TEMP POWER-- `. - � � . `�� ' FIREPLAC�gOND'B�EAM . . _,.. . .:,.... -• . , . . . . .. ' WATER SERVICE.-..-_. . . -:. :_. .:: -. __ MID HT.BOND BEAM . �' .•. ::. . , '`� �' .; `,',,\ �.. �, � . . . ,,_ .,,., . . . . . .__ ,_ ROOF SHEAT'I-� G .�,". ,' , : ,. - : 8 FL BOND BEAM', .� . � �, FRAMINGf1/ENTILIATION �� FINAL BOND BEAM ' • �- ' • -- - -..._. . -- . ..._ .. ROOFCOVER''. . ' ' :PRE-GRADING �� ROUGH HEATING-...- - - --- - ---.._.. . . .. . _ ... BENCHING . ._._ � _ .... ` .. . - �;•. � �. ROtJGH ELECTRIC - ='= -- � - � ROUGH GRADING , - • , - ` �ROUGH PLUMBING : ` - - - � - � FINISH GRADING. .� � - . , i .`_' �SHOWEFi�TUB TEST; - - - - � -; � � � POOL ELECTRIC ' ' _._..._ .._. _.- POOLFENCING ' . EXT.LATH/SIDING ; • ' WALL INSULATION , � POOL FINAL . CEILING INSULATION OFF SITE IMPS. ' � � ' DRYWALL NAILING � DEDICATIONS . ' ` . .. � , i � . ' ..... SEWER.._ _._......__ � ' FINAL ENG. • , i SEPTIC TANK _ ___ _ .. . .._ .. . . . .. '. _ LANDSCAPE/IRRIG. „ �, - , . :. •• :' �. SEEP PIT/L.L. -- � �'' - ' ON SITE IMPS. • � , . ' GAS AIR TEST 21 /? . - FINAL ZONING , FINAL CONST:, - -- --�---- = - '� - FIRE DEPT.FINAL � - - ` . FINAL HEAT�NG - �- � - � HEALTH DEPT. FINAL -�,. � � _. ._. . FINAL ELECTRIC � - � � � DEV. FEES PAID -' FINAL PLUMBING ENERGY • • � • � . . . � . � -' ` • ' '>> � -"s a � - '\ • � . _ .. . , ._. _.. .,.,; . , _. _, - ;- •-- - .� --._....... .... . ._: . _ .•. ' COMMENTS---. . ._ . _ ._ .. . . . . . . � • - , . : � ;�. - - � �- - - - - , . �. ;-. - --- - ._ . _ . . _. - - _ , . ,_ � . .-i �, `- ; " _� . _ . . - _ � -. , .: - -- - - • .. . , . ��. � _.. . ._ . _ ..- - - - • ...� , � .. •\: , .. , . ,. . -- ._�.i�. _. . . � .. .' , � - ', ; - � , , - ---..... .. - -. . . _.. _ . ; . . , ;. - -- � . . . _ . ._.. ` �_� ._� � t., -� ,� �, � . � .; : -_.. . .. . . .. ..� � . , . . . • , . . � _ _ � . SEPTIC TANK SIZE. . . . . , ' , . - , _ _ . . . „ . ,. � , . . SEEP PIT/U SIZE - . . .. . �. -- - �- i ! . • . - -��r�r - - - � t , - -'''`'F ._;. ��1;�, -.:.. . - - - . _ : -, � . .. . . . .,� , . . , ; I � � • , \_ ...- — --- . , . t-__ . ��- � _ � - . .... � • -- -- . . _ . . , � - _ .. ... . ._.. _. . . ` _ � �� . . . - � � .. J ',, �.: ->'.,, .: � , _ ._. , .� - _ ,