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HomeMy WebLinkAbout11869 ',;,;��!�y. � CITYOFDIAMONDBAR� � �• "-' -' � ' XPIRED �"��:;,��'�:"�;, �� - '"' DEPARTMENT OF,COMMUNITY&DEVELOPMENT SER C S 'M4%����u. 1: .. . .. . 2'6�o E.c�'°Y�Y°s�u'�o � . O C T 2 61000 PRESS �V � (909)860-3195 Fax(909)861-3117 , '��»��. BIJII.DING PERMIT APPLICATION . � � � FIRMLY o ADDRESS.�["l �.��IQ lS'���I) DIO� � APPLICATI N � PERMIT �{p�JPIC . �� DATE NUMBER �-1! c� ISSUE � ,TYPE OCC APN LOT TRACT DATE � CONST. GROUP p OWNER p ADDRESS_22.�+' S• GIa Cf�� p^� ' ZONING SEBACKS � �W CITY QJAtrw"�r�.� L3C�� ZIP TEL: �Q �TSn� REART Rw p APPLICANT �A(�SAe'_Q�fL TELa9l�� SIDE/SIDE STREET RW O � CONTRACTOR SIDE -� p g ADDRESS 2.��2.'jC � - �,, CITY'���� C {4� ZIP�$�TEL$h�ST�1'lA Z PROPOSED USE ` o ARCFUENG/ . � -� . • � DESIGNER NO.DWEL. NO.,` NO. . . a ADDRESS ' UNITS STORIES BE�ROOMS � CITY ZIP TEL. � , DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLARATION SFRlADDIREM - - O I MEREBY AFFlRM UNDER GENILLTY OF 7EiWRV THAi I M/E%EMVT FH01A TNE LONTMCTORS L4 GHfBOB/CAIpDIt � e CENSEUWF011TMEFQlOYYNOREA50N�5EG7031.6&15P1ESSANDVHOFESSIOf15GO0EANYCtiYOR ., (n COUHTYWHIpIRE0U1RE5AVERMRTOCONSTRUCf,ALiERM�F10`/E,DEAIOl13H2ORREPAIRIWYSTRUG W P8110/D9Ck � 7URE.i1YOR TO rt4 lSW1ANCE,AL50 REOUIRES Ti/E 1lDPLICANT FOR SUCH PEFiMIT TO FILE 115iCNED W � ' � � STATEIAEM TUT ME OR SHE 6 UCENSE�iURSUAN7 TO TH[VROVLSiONS OF TH[CONTRACTORS l4 �SS CENSE UW I�hR V(C04A1ENCH0 WIiH SECTIDN 7000)OF DMSION]OF T11E BUSINESS M!0 Pi1a � PaoVSpa ._• � � . � FE9310N9COOE)ORTNA7HEORSHEISIXEMPTTHEREFROMANOiHEBASiSFORTHEAlLEOEDEXEMP- iION.AH'lVIC��71CNOf5EG710N7W1.68Y/tA'APPLIL�NTFORAPERIAITSUBJECTSTMEMPI�GViTTO �. Z Re•Raof �„_ A CML VENIILTT OF N0T 4qRE TNAN FIVE HUtARED DOlURS(fsao).Y. 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O 1 AA1 E77�M7T V1I7ER SEG 8.i P.C.FOR iM15 NEASON Q E 3 � � • • � D�TE ' OWNER � . W �4 UCENSED CON7f3ACT0AS DECLARATION W ¢ IHEREBYAFFIFMIUNDERPENALTYOFPERR1RfTMAT1AMLICENSEDUNOERPROVI510N5OFCHACTER ' Vr � �(CdAYENCRqNrtiHSECTlON70001OFDMSqN�OFiHEBUSINESSANDPROFES510N5000EM1D . Z ��� WLICENSE6NFUlLFORCE�tAEFfECT. m � LICENSE CUSS � LIC.N0. � � � O J �j DATE " � CONTMCTOR � -` 0' .- W . v � WDRKERS'COMPENSATION�ECLARATION a � N IMEREBYAFFlRAIUNDERPENALTYOFPERIlIRYONEOFTIIEFOLIOMAN6DECURAT10N5: V ' ' � 4 � _IHAVEAIAW:LL�.u�NTANACERTIFIGTEOFCONSEMTOSELF�NSUREFORWON(ER5 S COMPENSATION,ASPROVIDEDBVSECT10N77DaOFTNEUBORGODE.fORiHEVERCORYANCE U � OFTME WORK FOR WHICHT1119 PERMIT S ISSUED. � � �IHAVEM7DWILLUA:NiNNWORKE0.5'C0IAPENSATIONPISVILWCE.ASREWIqEDBYSECTION � Q 77000FhIEUBORC00E,FOilT1ECERFOR4ANCEOFTHEWONCiORWMICNTHISVERAIRIS O�� ,�� 65UED.MYWORKERS'COMPEHSATIONWSUMNCECMR�ER�NOPOLICYNUMO=RARE CONSTRUCTION (S � ..... .GARRIER� .� I . - . .. PL/W REVIEW � . . . .._ .. � POLICYNUABER� .ELECTRIC _ � (M1ISSECiIONNEmN7T8[OC�4'4ETmOFTEDEiidT6PoRCt�EHUt�Dfim00lUR:(StOqORLESS} PLUMBING �� Z I CERTIFYTU7 N THE PENFORMIWCE OF 7NE ri9RK FOR WMICM TMIS VERMtT I515SUED,1 MECHANICAL (, SMI1LL NOT EMPLOV ANY PERSON W ANY MINNER SO AS TO BECAME SUES1ECf TO THE . N WORKERSCOMPENSAT10NlAW5OFGALIFORNIAANOAGREE7HATIFISIqUL�BECOME INSPECTIONFEE " � SUBlECTTOTHENIOqKERS'CqADEN4�TI0NiROV151oN50yyyF���5EC710N]7ooOFTMEUBOR �SSUANCE .0� COOE.�SHALLFOR7HN�ITICOMPLYMn7H�EPR SIO � ' W DATE:_����� APPLICANF. �� . SMIP . ��^---(((������ ��� . � WAANINQFMURCTOSECUREWOi1KERSCOM7EN5ATIONCOVERAGEISUNUWFUL.ANOSMALLBE ENERCiYP/C u'_�� � SU0.1ECf/NEMPLDYERTOCRIMINALPEWLLTIESINOCMLFNESUPTOONENUNDREDTHOl15AND ENERGYPERMIT ' � ��.iLL�TI�G�"N' �, DOlURS(f1oo.aoo1.W/�DD1TIONTOTHECOSTOFO0A1PEN5AT10N,DMUGE5A5PflOVIDE�FORIN �V�y�� . J� SECTIDN770lOFTHELAB7�iCO0E.MTEREST,INDATTORNEI^SiEES. RETEMIONFEE: pw. CONSTRUCTION LENDING AGENCY pHE-ALT FEE: ' � IHEREBYAiFINAUNDERPENAiTYOFPEFWiIYTHATiHERE15ACON5?flUCT10NLENDwO�OENCY � � Z FORiHEfENWNMNCEOFTHEWOPXFORN'M�CNTMISPER4ITISISSUED(SEG70v'I,pV.G} , . W � LENDERSNAME � � � � � C lENOER'SMORf55 � � ICERTIFYTHAiIMAVEREI➢TUSAFPUCATIONANUSTATEiW1TTHEABOVENFORMATqNISCORRER TOTAL FEES ' D ' a � IAGREETOCOMPIYWfiHALLCfTYANOCOIMTYOROWANCE5AND5TATEUWSPELATWOTOBUILDINO � � CONSTRUCTiON.M1DNEREBVILLITNORIZEHECHESEMATNE50F7HISCOIMTYTOENTERUPONTNE _ . I l� ABOVE/JA�EMqN[D GROPENTV FOR INSPECTIDN PVRPOSES. COMMENTS E' / . .. = l/yG^�1`�l.�,W��t . . m PERMiTTEE (PRiNn ' � •�� �-t Q � � � EqNA7UREOF E E � RECPT.NO. PPJD BY VALIDATION � 'WHtTE—DeDertment Copy.YELLOW—Finerca Copy,PINK—AssessorCopy.GOLDENROD--File Copy.GR N—Applicant'a Copy � - - - ! . �l' � . . �� �, i • .i , e r ' ' � ,• � . . . .. .. :'i,�, . 5' , •:/'f ��.�'!.. ,�� ."�". :•(.:.. .'f. . . . . �. .. . . .. . ,'.i'. . .� " - .. .. . . ��:��{�-?��s , ';,�; � CITY OF DIAMOND BAR :,. . . , ::., �;,d " ( , ;` �: .. �: ...��. . ��INSPECTION'RECORD� � ' _ , ..." ; ; ' ;,� ., � . ._ , ,� . "��. .� ,. ._ 1;)( . ;- . . e � � • � . . � � , . � . SETBACK `• `�a•;1 � � � � ,1 �\ ' FLOORJOIS c'.( �C�i ', .-,1�,`: c: ;-��_� � ` . ._ .. .. . ,.. . . . FTGS/FORMS/STEEL : ��' ` ' 1 ' FHA REQMTS . -- � --- __... . . .. _ . _ � .. ... _.__ . - ELECTRIC GROUND:�. �.- .':"_. .". '- -�-- -::-- �. � UNDER FLOOR DUCT "- - �� - ! •� GROUND PLUMBING �• -� • UNDER FLOOR CO�IDUIT�"� ; �..�, ._ ;'.:� ,<: �'�:� : � �� , � :' .. . . SLA6 GRADE - --- - •' - -- --- -- .. _ � FIREPLAGE�OUNDATION .. . � ': :''-�-_ -�'_.;r! :,.., ; :. _ ---.. =�., �. :... TEMP POWER - '' - . __ - - ` �' ' � FIREPLAC�$�OND BEAM - ; _ � -. . -WATER�SERVICE._=._. .._. ._-- :_.:_.. .... :- - - - - MID HT.BOND BEAM �;�: ;--;--° ---% '•�`_'... ; .� . .. . . . , � � _, . ._ ; _.. ROOF SHEATHING � -- � � -- � e FT.BOND 6EAM��'- r.'.- �:• ��• �- •, � -, � � -' , FRAMINGNENTILIATION .. FINAL BOND BEAM � � � :.• _. .. . .. ... .. .. ... .. , ROOF COVER.:.'.. - ' PRE-GRADING � ROUGH HEATING- _ . -- -__. .. _ ... . , -.. -- BENCHING -_ � • _ '�� � �ROUGH ELECTRiC � - - -- -�--;� � ` - ROUGH GRADING , ; • ' ROUGH PLUMBING - - -- -- �--�?�- : �FINISH GRADING - , ' - SHOWEFilTUB TEST -- - - � -� �� POOL ELECTRIC � • . . : ! EXT.LATH/SIDING � POOL FENCING ' � WALL INSULATION POOL FINAL • ' . ; •. CEILING INSULATION ' DFF SITE IMPS._ ! = DRYWALL NAILING � DEDICATIONS ' " SEWER ....- -- - - � -'- --- . . . FINAL ENG. . : � � .,. SEPTIC TANK __ .__ ..'._.._ - _ - . - �, ' ;� _ LANDSCAPE/IRRIG. ; ; SEEP PITlL.L.=.=_.. : ._. . '.... . __ . �..�'1 V ON SITE IMPS. ' , , . ,: ; •GAS AIR TEST: -- = � - FINAL ZONING � -' FINAI CONST. -� - ---- - - - - -• - FIRE DEPT. FINAL ' . _ , . FINAL HEAT�NG --� - -- - --� , HEALTH DEPT.FINAL ••, : � FWAL ELECTRIC - -- -�- -- DEV.FEES PAID FINAL PLUMBING ENERGY � � - , ; �:. i �s A i i �_" � .. , • .• , .,, • - . . ._L , _ � , . . ._ _ COMMENTS - � � __ - - -.._ . .._.. . _.... . . _ . , . _ _... . � �.. - -- - - .. _ , .. , - . �s , l''`� . . . , , , � . - --... - _ � _� , r , � . , , , -r -,= - ���-��r,f . . _ . . � . . ; _ �. -- -" ' •��t . ���:, {�' �' � - ���r .NIiS/rn �' ' :f j�� . ; , . ,` � . -- - - ��Ei���}i1Q%i;,I i j• , , ; ' - �. ' . } . r !J' i i SEPTIC TANK SIZE . +``,, J�`.i , � :• � - ' . _ ' ,. . , i - _ _.. : . ; ; _ SEEP.PIT/U SIZE • , . � , ; - .. . . . � � , i --- . , ; .. � :- --. . . . _. , � � ; .-. . . _. -- - = � i . ... ...- - j - ,. . , .., ., . ; � . ; , �� . i 'C.,;.,`' _. ._ ` .,�-r ��.r . . . • i , . ! . �Jh � `I �1~ �+` I _1_..," _ ' .'" 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