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HomeMy WebLinkAbout13555 �` CITYOFDIAMONDBAR ' ' ' • " F_XPIRED , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , �c z,6�oE.c���Ynr►��s�«��0 0 CT 2 6 2000 (909)86a3195 Fax(909)861-3117 PRESS ����^ BUII.DING PERMIT APPLICATION FIRMLY QN JOBSITE /��J D��L�D'/ }�J y��� n ., DATE'CATION� NUMBE � A� AODRESS f ���`� f'��� $ ISSUE TYPE OCC ' APN LOT TRACT DATE ' CONST. GROUP � �WNER /V ZONING SETBACKS ADDFESS//S7 OL��-.�t.UDK. LL= � CITY �•�, . 21P TEL '-- _ FRONT RW ❑ APPLICANT TE�, REAR O � SIDElSIDESTREET RW ❑ � CONTRACTOR s� SIDE ❑ � CfTY E� �(=�74' ZIP T�L - PROPOSED USE TI� �)1'��C_(�. �/�S�'`�Z �. �I� 11 oARCH/ENGJ ' l ' L�X i b ✓-}_ j"7VL _T� U C_ DESIGNER _ IO N/! . [,�.w..�, � ADDRESS NO.DWEL NO. NO. a CfTY 21P ' TEL. UNITS STORIES BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � . , Q OWNER-BUILDER OECLARATION - SFR/ADD/REM � O . p I HEREBY AFFlRM UNDER FENAL7Y OF 7E0.NRY THAT I AM E%EMM FROA1 iHE CONTMCTORS L4 G8f90a�C81pOA - - � W CENSEUWFORiHEFOLLOWNONE�ISON(SEC.70.71.6BUSWESSAN'JDHOFESSIONSCOOElINYCRYON (n ...._ . C� CpIA(TyY1RqO1RCOUYiESAVERMRTOCONSTRUC'LALTERM1�PFIOVE.OEUOlJSH.ORREPAIRFNYSTAUC• TVRE,Pi7qR TO RS ISSWINCE,MSO iiEW�R[5 ME MPUCANT FOR SUCH iER1AIT TO FiLE A S�GNFD � W :Petio/DBCk � -�� - ��� � - • ��� ---- ��-- � - LL $TATEYENT THAT ME OR SHE IS IICENSED RIRSUANT 70 THE PROVISIONS OF THE CONTRACfORS Ll� . � GENSEIAW(GUPTERY(CdAMENpNOWIM5ECT10N7000)OFDIVISION70FTMEBUSINESSANDGN6 � POOUSp.7 � �� FESSqNS�O�OH iHA7 NE OR SME 19 ExEu77 iHEREGROrA IW 0 TME BASIS FOR TME/�LLECED E%EYP• TIDN.ANYNOLATIONOFSECTIONTD]I.68YANYl1➢PLICANTiORA7EHMITSU&lECTSTMEAPPLICNJTTO Z Re-Raaf � ACMIPENAL7YOFNO7MORETMANFNEMU.IURED00lUR5�fsml.h . , .� � 04AS�N'NEROFiHEPROVERTY,OHMYEMPLOYEE5NITMWAGE5A5TXEIR50LECOMPENSATqN, O (',pmRlBfCl�l Y10.1 DO THE WOR1(MID THE STRUCNNE IS NOT INTENDED OR OiiERED FOH SALE(SEC.7W�.BU51� _! NESS AND VROFESSION.4 OODE�TME CONTqACTORS LIGENSE tAW DOES NOT APPLY TO AN OWNER OF� � ►ROPEH1YN71OBUM1DSORYPROYESiHEFEON.ANDIN�ODOE55UpiWi7QKNIMSELFORNERSELFOR m � Q T1IHOUCNHISdiHEROWNEYPLOVEES,iROVmE0T11AT5Vp1UAPROVEMENTSARENOTNTENOEDOR Q OFFEHE�WRSILEIF.IqN'fVERiMEBU4DP14W1MPROVEUEHf15uOlDW�TN�NONEYEAROFCOMPIE- .. . . . . , z TbN.ME OWNER�BUILDER WILL HAVE 7ME BURDEN OF VRWIIJQ TMAT HE OR SHE�ID NOT 6URD OR ' MPfqYE fOR 7ME PURPOSE OF SALE1 � OtA+�WNEROFTHEPROPEHTY,AMEXClUSNELYCONTMCi1N�M7THL10EN5EDCONTMC70RS To CdlSiRUCf TME PR0.IECT(SEC.7oN.BUSiNE55 AND GROFESSIONS CODE:TME CONTMGTORS LI- VelUe�lOfl AQI.AREA CEHSE UW DOES NOT MPLV TO�IJ OVRIER OF A PROPEHT`/YAA BUILDS OR M�pOVES TNEREON.MN � WHOCONTRACTSFOqSUC)/iRO.lECT5W17MACONiMCfOR(S�LICENSEDiURSUAHTTOTHECONfMG pUAN71TY DESCRIPTION � FEE � � . � iiDRSUCA�SEUw.). . . J � O 1 MI EXE4PT UNDER SEC. B.{P.Q FOB THIS REASON U � ¢ . . . . . . . . . LL OATE �T1ER � , F LICENSED CONTRACTORS DECLARATION � �j � � IHER[BYAFFlRlIUNDERPENALTYOFVENURYTMATIA/AI�CENSEDUHOERVRON510N5OFCHA7TER � - d 0(GOAYAENCUIO WIiT15ECTICN 70001 OF DIVISION]Of TME BUSWESS/�ND PROFE5510NS CO�L,MlD Z X A('!UCENSE IS N FU.L FOACE A+ND1 EFiECL m ' � IJCENSE CUSS�_y,/�LIC.NO. ' ��/�v� � �j DATE IU' �I'y� CONTRACTOR � � W � WORKERS'COMPENSATION DECLARATION b� � � � IHEREBYAFFIRNUNOERDENALTYOFVERIUMONEOFiMEFOLIAW:NGDECUMiKK15. � C/] Q . � �IHAVE/W�W�LLMAIMANACERTIFlGTEOFCONSEHTTOSELF.INSURFFORMOPXERS' _ � C0IAPEHSA710N,ASOROVDED9�SECTION77000FiMElABORLOOEFOflTHEVERFORMANCE w Q OFi}IEWOqKFORMMIqiTMSFERMIT�9195UE0. � W _I HAVE M1D WILL I�MAM MNPoCERS Cd�PET15AT10N MSUMNCE,AS PEOUIRED B'I SELTI�N ` ..F� . . .. .. . . 4Q l7000FTME L11�OF1000[.FOR TME PERFORMANLE OF T/IE WORK FOR WHIdITHIS iERMR IS � ISSUED.MVNURKERS'GOYPENSATIONINSURANCECARRIERJWDPO�LlICVM/MBERME� CONSTNUCTION GNRIER�� `�.Z��- - PLANREVIEW . � .. ... ._ ..._...._. . ._ ` � L �, O pOIICYNUMBER ELECTFlIC . L w C) (M55[C(LY�IFE�NJTBEOp.RE7�CFMP6MT6fORONEH11tAC0 `IS,�C t�sl PLUMDING � �`� .� � IGERTIFY7HATNTHEPEAFOiiMM�CEOFiHEWORKiORWMICHiHISPfNA�i45155UED.1 MECHANICAL (} SNALLNOTE/APLOYANYPERSONNANYMANNERSOASTOBECOMESUBJECTTOTHE n � �, N WORKERS'GM�VENSATIOHUWSOFCALIFORNI/�AN'JAGREElHAT615MOULDBEWIA6 INSPECTIONFEE „ �7—�17�— ' � ' SL9JECTTOTHEWORKEaS'td�PEN5ATI�NDROVI5qN50F5ECT10N77000FiMELA80A �SSUANCE �YIt�� `" '�` OODE.ISHALLFdiTMNATNGOMPLYYATNTMOSEPRON K)N5. 77 � � SMIP �S=�Y n�1T/!i,r�r'�:.��. .t��l> p DATE: APPLICAM: .... � ENERGY%C�Uj� 1>I�T✓-' •ti t.�r♦ �•r.r:�;y WARNINO:FA�URE TO SECURE WORKERS'COMPENSATION OOVEMCE IS UNUWFUL AND SNALL BE �'y 6UBJECTANEMPLOVERTOCRWRULVENALTIES�NDCMLFINESUVTOONE/UNDREDiHOUSANO � E(`IERGYPERMIT DOLLARS(iloo,000l,NIDD1710N iOTHE CASTOf COMPENSATqN.DIUAACES AS PROViDED FOq IN ¢ SECI10N770EOFTNEUBORCODE,IMEREST,ANOATTdiNEY5iEE5. RETENT�ONFEE: a CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: O . .� INEREBVAFfliiAIUWERPENALTYOFi[0.M1IRYTHATTHEREI511CONSTRUC710NlENDINO�GENCY FOR iHE PERFORMlWGE OF TME WORK fOR WNICH THIS PERMIT IS ISSUED(SEF 9oD�,pV.C.). � � LENDEi�S NAME � ' � LENDER'SI�DDNE55 � ICERTIFYiHATINAVEREADT115APPUCAT10NANDSTATETNT7NEABOVEINFqiMATqN19COitflECT. TOTAL FEES � � � IAUHEEiOCOMPLYN1TiALLCffYANDCOUlTVORDWNJCESANOSTA7EUWSPELATINGTOBUl01N0 CONSTRUCTIODL M1D MEREBV IU711ORIZE HCPRESENTATIVES OF THIS COUNTY TO EMEfl UPOH THE . . . S� /90VE•AIEMIONEOFiIOFEFTfFORWSCECT WNPOSES COMMENTS � - _ // /r"/l/`J� �i1f�/���! l-� . m CER►IITiE �M�AJ[���/�/ ��/) ' �► Q "%��✓'{�T�J�C�ljy... U � y L�OrN�CTUREOFPENMITTEE ATE , RECPT.N0. � PAID 8Y YALIOATION ' �� � WHITE—Oepartment Copy,YELLOW—Frtiance Capy.PINK—Assessor Capy,GOLDENflOO—File Copy.GflEEN—AppicanYs Capy � ��- -- � _ . .. . .,. ., . , _ .. . , - .. .i�.,,,. , ._� - .�+. .,.:�;. - . . .�.� ,�..� .,. ,,.. �1.�. � , .. . . .. ;,..�, „ . ,,.,:,.;' , , . , . . � . , . . . . f�=3;;;`=�',�::; CITY OF DIAMOND BAR : �� , • . �,,;� . ,. ... :� INSPECTION��RECOF�D ` . . � � . ��:�' �' C7 .. . _ .I• ., �. . ��:.. t''. �t��� � .. .. . . .. " . . • � � • ' • � � • � • SET BACK " � C C. ; � , � . �, � • FLOOR JOIST ~, , ;., .-=I . , , .,' ' ` \ �� ' ' FTGS/FORMS/STEEL � � FHA REQMTS � � - -� - � - ` � ELECTRIC GROUND_ - � - UN�ER FLOOR DUCT " " �.�. ; - � GROUND PLUMBING • � UNDER FLOOR CO�IDUIT\ • '•: � �.-=� � � SLAB GRADE ��- -� � FIREPLACE FOUNDATION ' � �'-� ' � , : .,,. TEMP POWER ' - ' ' ' . : FIREPLACE BOND 6EAM - � WATER SERVICE - - --� ---- - �p,--�. . - - MID HT.BOND BEAM '"..' -', : : "� _`� ' : ,_� : ; : ROOF,�SHEATHING � = :; �S-2L��. ' . ./.7t�4-,. . 8 FL BOND�BEAM - _ , -, � - ,.':.� . ; : � FRAMING,NENTILIATION �� � > )�' FINAL BOND BEAM � ROOF COVER . ' `PRE-GRADING • • ROUGH HEATING - - • -- -�- BENCHING ' • ; � ROUGH ELECTRIC-�� �- � �'- ' � � ROUGH GRADING • ; � ROUGH PLUMBING - - - - FINISH GRADING � •- SHOWERffUB TEST � -- - - � . POOL ELECTRIC � - • ' - • EXT.LATH/SIDING POOL FENCING WALL INSULATION i �•.� �, � POOL FINAL � CEILING INSULATION � OFF SITE IMPS. • ' - DRYWAIL NAILING DEDICATIONS . . ' � SEWER - _- - - ; __ - - -- FINAL ENG. SEPTICTANK....--. - .� - : .. . LANDSCAPE/IRRIG. ; : - ��' - = ON SITE IMPS. SEEP PITlL.L. --�- - - - - . .� . GAS AIR TEST' - - -- - - FINAL ZONING _. FINAL CONST. ` - -- - � - --- � FIRE DEPT.FINAL " - � FINAL HEATING - --- � HEALTH DEPT, FINAL .. FINAL ELECTRIC - - - DEV.FEES PAID - FINAL PLUMBING ' ENERGY - + _. � - � o • � � �' . --- - - - --- . . , . , _... .._.. . _ .... -- - -- . . ._ � � . i _. . 1 • COMMENTS - : ��� �{, , �f � • �. � i ., � , J, � - • _ _ . . ; . . _ _ . . . • . � . . . _.. . _ , •I .t � � �i•. �__ , � . � �� ' •� ; ;`�r ' - _ i . .. . _ • , � . _ -,. . . , . _; 1•- - . ; ----- - � , . , . . SEPTIC TANK SIZE ' � . - SEEP PITN SIZE , � , - .`. -- � . _ ' , _ . � . . . , . � � . \ . . ,. . . . • , � - , , . � _ ' �, . - �. . : , ___ . _.�� , �J:_ . . ' � �,..� � 'i . .\` • ' . . � � ., .. . � , ,\ • • . � • . ` �,