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HomeMy WebLinkAbout11524 (5) ---��--• C1TY OF DIAMO[VD BAR . - • � COMh1UNITY DEVELOPMENT DEPARTMENT '� -... 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 •� � PRESS ''"'' BUILDING PERh1[TAPPLICATIO:V FIRMLY o� JOBSITE ��/����� ,' �/�� J DATE ' . NUMBER��SZ p ADDRESS � fi f.� APPLICATION PERMIT P/C �. ' � OCC � p OWNER y_C G ��RACT��_� pq EE ONST. GROUP LL �l--� r�'�u� o ADDRESS /� Ci" /i,�— ZONING SETBACKS Z cirrT�.2wiYt•!L ZIP TEV.'d_�it���i:e�s' FRONT RW p ' � APPLICANT TEL. REAR p � SIDElSIDESTREET RW ❑ � CONTRACTOR �i _� SIDE p � CITY ECf/�ififl ZIP`��jQ TEL.r � � .PROPOSEDUSE � o ARCWENG/ y z DESIGNER a ADORESS . NO.DWEL. NO.; NO. - � CITY ZIP TEL. UNITS STORIES BEDROOMS ; N DESCRIPTION SQ.FT. FACTOR PSF " ADJ.AREANALUATION Q � - -- OWNER•BCILDER DECLAFATION _ p - SFR/ADD,'REM - . p 1 HEREBY AFFIRM UNDER PENALTV OF PERJURY THAT I AM EXEMPT FROM TME CONTAACTORS ll- � GafOge/C9rpp11 - W CENSEUWFORTHEfOILOWINGREA50N(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANYCITYOR (n � _ V COUNTYWMICHREOUIRESACERMITTOCONSTRUCT.AITERIM7ROVE.DEI/OLISFI,ORREPAIHA.YYSTRUG W . ' w TURE.PRIOR TO R9 ISSUANCE.ALSO li[OUIRES THE AOCLIGWf iOR SL'CH OERAIIT TO FILE A S!GNED � w Pa�idpock _ � , . . . � ` STATEIAEM THAY HE OR SHE IS IICENSED PUHSUM77 TO TME PHOViSiONS OF THE CON7MCTONS L4' ' � CENSE UW�CFUPTER 0�C0IAMENqNO VAiH SECTqN 7000)OE DIVISiON�OF THE BVSINE55 MD PRP LL- PooVSpa . . . � . . � FESSIONSCOOE)ORiHA7MEOR5HEI5EXEMPTTHEREFROMANDTME8A515FORTHE1LLLEaEDE%EMP• (� U TKKJ.ANYVIOLATIONOFSEGTION70]I.SBYMlYAPPLIC/UlTFORAPERMiTSUBJECTSTHEAPPL�CANTTO ' Z qe.q�� , � ACNILPENAL7`/OFNOT►10REiHANFIYEHUNDREDDOLURS(SSOD�.): � - ' 0 O1�50WNEROF7HEPf10PERTY,OHMVEMPLOYEESWITMWAGESA:THEIFSOLECOMPENSATqN,' . � COmfflBfCi01 - � Z WILL DO THE WORK�ND THE STRUCTURE IS NOT IMEN�E�OR OFFERE�FOR SALE(SEC.7w�,BUSI- �J � ' N NESS AND DROFESSIONS CODE:THE CANTILICTORS LICENSE UW DOES NOT APP�Y TO IW OWNER OF ? GROPERTY NM1108UI1D50R IMPROVES TMEHEON.AND VMO DOES SUCH YF�RK HIMSELF OR HERSEIF OR CC THfiWCH HISOR HER ONM EMPLOYEES,PROVIDED 711AT SUCH IMPROVEMEM511flE NOT RlTENDE00fi m . � OFFEREDfORSALEIF,MOWEVER111EBUIL�INGORIMPROVEMENiISSqDWI7MINONEYEMOFCOMP�E� ' . ' - Z TqN,THE OWNER-BUILDER IMLL HAVE THE BURDEN OF VROVINO THAT h1E OR SHE�ID NOT BUILp pR MPROVE FOR TME RIRPOSE OF SILLE). � w OlA50KTlEROFTNEPROPENTY.AME%CLUSIVELYCON7RACTINGN1TNLtCENSEDCONTqACTORS - [L TO CONSTRUCT TME PRQIECT(SEG 7ou,BUSINE55 AND OfiOFESSIONS CODE:THE CONTMC70R5 LI-� V8N2tiOn ADJ.AREA � � W CENSEUWDOESNOTAPPLYTOAN0INJEFlOFAPROPERttWHOBUILDSORIMPfqVESTHEREON,ANO � WFiOCONTMCTSFORSUqIPRpJECTSWITHl1CONTRACiOR�S)UCENSEDPURSUANTTOTXECONTiUP ourwnrv DESCRIPTIOV � � �- � Y toasucer+seuw.y -FEE � OIA11E%EMPTUNDERSEC. 8.6P.C.FORTHISRElSON O ' � � DATE OKNER � ~`�� � Z . �� . . . � . . � LICENSED CONTRACTOFiS DECLARATION " ~Q � W — 7:..�/�s� 2 IHEREBYAFFIRNUNDERPENALTVOFPE0.1llRYTHATIAMLICENSEDUNDER7ROVI510NSOFCHAPTER � � �� �'7„� �J ysl.-�` � � 0(COMMENCINGK77HSECTION700C)OFDIVISiON�OFTNEBU51NE5SAN�PROFESSqNSCODE,IwD Z ���i �- � MYLICENSEISINFIIL�FOHCEANDEFFECT. tl � , LL /) �, � �':� . � LICENSE LCL/ASS�/ LIC.NO. _ � . V DATE�' � ` � CONTRACTOR � ' d ! ` �� •�,/� % � WORKERS'COMPENSATION DECLAAAT�ON �/ � s � IHEREBYAFFIRMUNDEFPENALTYOFPERNRYONEOFTHEiOLLOWINGDECLARAT10N5: a' - �'?".b • �l � �IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTiOSELHNSUREfORNqRKERS' - � � � � COMPENSAT�ON,ASPROVIDEDBYSECTION37000FTXEUBOFCODE,fORTMEPEflFOfiMivlCE Q OF7HEWORKFORWHICHTXISPERMITISISSUED. • � _IHAVEM;DWILLMAINTAINWORKERS'COA7PENSATIONINSURANCE,�SREWIflEDBYSECfiON ' � J7000FTFIEIABORCOOE,FORTHEPERFORMANCEOFTMEWORKFORWHICM1M157ERMIi15 ISSUED.MYWOPKERS'COMPENSA710NINSUfi�,JE!CARRIER�AjN¢'/OLICYNUMBfRARE: 'CONSTRUCTION " - j CARRIER���' J / /L✓'r PLAN REVIEW � Z POLICYNUMBER_/7 K N Z 7�SQ / _�1�, � ELECTRIC � � � ' � Q � (R�SSECf10NhEmNDiBE0p.4'LETEDOFiFEPERMT6WfiOhEM1MqEDOq1Ai5R��lOFIESSI PLUMBING �.�9•q0 W Z I CERTIFVTHAT W THE�EFFORAAANCE OF TME WORK FOR WHICH 7HiS PERIAIT IS ISSUED,1 MECHANICAL CJ SNALLNOTEMPLOVANYPERSONINANVMM;NERSOASiOBECOMLSUBJEGTTOTHE y V/ORKERS'WMPENSATIONUWSOFCAUFORN10.NNOAGREETHATIFISHWIDBECOME INSPECTIONFEE ' � - � - SUOJECTTO TNE WORKERS'COMFENSA710N vROVISqNSOF SEGTqN]7ooOF THE UBOR � cooE,i swu�Fo�crmnrH caar�r win�n+o aohsioris. ISSUANCE �S.b�J 0 . . W OATE: Z �r APPLICAN � SMIP - J WAiWING:FNLURETOSECUREWORKERS'COMVENSATIDNCOVEHAGEISUNUWFUL,ANOSHALLBE �ENERGYP/C � � SU&IEGTANEMPLOVERTOCRIIAINALVENALTIESIWDCMLiINE5UPi00NEHUNDREDTHOUSAND ENERGYPERMI7 � DOLLAflS(5700.000).W ApD1710N TO THE COSi OF COMPENSATION.DUA�GES/�S VROVqEO FOR IN SECTION77080FTHEUBOi1CODE,INTEREST,N:DATTORYEY'SFEES." ' ' q�7ENTIONFEE: � •� ' ' "'- O _, CONSTRUC710N LENDING AGENCY PRE-ALT FEE: � � ' � � 1HEREBVAFFIFIIUNOERVENALiVOFOERIURViHATTNEREISACONSTi7UCTIONLENDINCACENCY ' � FOR THE VERFORAWaCE OF THE WORK iOR WNICH THIS PERMIT IS ISSUED(SEF 70G],CIV.C.�. �� �` � ` � Z . . . .. . . •' 11J � � LENDER'S NAA1E t F= LEN�ER'SnDDRL55 � � - � ' ' " . w .ICERTIFYTHATIHAVER[ADiHISAPPLICATIONANDSTATETHATTHEA80V[INFORMATpry15CARRECT. TOTAL FEES ' � ' !/�� d IAGR[E7000MPLYN7Tr1KLCITYANDCWNTYOR0INPNGESANDSTATEUWSRELATINGTOBUILDING ' � . � CANSTRUCTpN,ANDMEREBYAUTFqFIZEFEVRESEMATNESOFTHISCOUMYTOENTERUPONTHE � ' Z A90VE�MENTqNE0PR07ERTYFORIHSPECTIONCUAPOSES. , COMMENTS ' _ ' �.tt�jJ�y/�IS���JtJ . J m OERAAITfEEN (PP'1�lT) /� _/A �� . ... N 5�3�'��'.1� �..G���va� Z-� %�' � � dTUREOFPERM�iTEE DR'E . � RECPT.N0. PAID BY VALIDATION_ � � �� � WHITE—Departmenl Capy,YELLOW—Finanto Copy,PINK—Assessor Copy,GOLDENROD—FileCopy.GREEN—ApplkanYs Copy . .__ - - - - . . ; � , . , ...,,. , , y. . . , . ,. . • . . . . • � • � . , . ,. . � � � . . , • � ..�,�� ��:�, .r, -.n. ., .. .... . .. � � . .... . . CITY OF DIAMOND BAR ' � � . � � INSPECTION RECORD .� • � � � - • � � • - SET BACK ? ` � "��'��'' �1 FLOOR JOI$T _ � _�� FTGS/FORMS/STEEL � FHA REQMTS`,' `; • � `-�- ELECTRIC GROUND UNDER FLOOR;DUCT . ��-�.' � ��•_ •�.•�= GROUND PLUMBING - - UNDEF#FL`OOFi COf�DUIT �' �:'-. ��•.. _..,•.:� ' SLAB GRADE � FIREPLACE F�UNDATION._ � TEMP POWER - FIREPLACE��BOND BEAM`�'• ' `��=•��� � •`-- � � WATER SERVICE - �MID HT.�.BOND BEAM: � � + ' � � ROOF SHEATHING 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM - . ROOF COVER - PRE-GRADING ' ROUGH NEATING � - � BENCHING ROUGH ELECTRIC -;- - ROUGH GRADING ROUGH PLUMBING -: 9� � FINISH GRADING ' SHOWER/TUB TEST POOL ELECTRIC EXL LATH/SIDING POOL FENCING WALL INSULATION , POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS. SEWER -.-._ . _ . .. . .. . FINAI:ENG. SEPTICTANK- -. _.'. LANDSCAPE/1RRIG. SEEP PIT/L.L.- ON SITE IUIPS. � GAS AIR TEST - /o � -= ^ '�� FINAL ZONING ' FINAL CONST. -- // -. - � `- FIRE DEPT.FINAL . FINAL HEATING -- � - " ` � H�ALTH DEPT.FINAL - . , FINAL ELECTRIC •,. �:� ,1.,, , .'. ;,' �` - � ' DEV.FEES PAID •. . FINALPLUMBING �� � �.�__ ENERGY • �•, � � � � , f. �; � .�, — � , . ,. �., � • • � '. �� � _ • , . , `-- '\`` -- _—�, I ,t ` ..� �� �� � COMMENTS -�� '� _'c_� _—__ c`•, ! . � � _.._ __ . .. . _ _ . , _ , , '�.�. _..�:��., . -.�,,:. ; _ - ,, - . . .. �...�. ;< - � - . , _.�� � . . ; :��;.L C i _ � . � i - Y�.� _ --- ... ,�_ � ,` ' - - - c--'_' ' ���. �• • ,� ' ' ,,\_. \ SEP71C TANK SIZE ..- ' � - -- -- -- SEEP PIT/U SIZE �� . ,, � • � l . . . , --�:.;—:''. S , � _� ,�.+ , . ;� , � `, �• � c- `,� � \ .,. ,�� \ .� � _ �- . - �� ._, �� . . � - - — � � 'Ll� . .