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HomeMy WebLinkAbout10946 _�.________ _�..._._�._.-T.1. __.._._._.________.___.._�_____.�..__�..�___.___ _,__....--------._.----._.__._.....__.__.._.____- � ---�� CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMEIVT ' Zi66o e.coPiey���e s�«��90 . . PRESS � (909)8603195 Fax(909)861•3117 - 'w^� BUILDING PERhtIT APPLICATION FIRMLY ;IOBSITE (� '?, Q APPLiCATION PERMIT P/C o ADDRESS � ✓ `� � DATE NUMBER I�# c� ISSUE��-�t�� TYPE OCC • APN_(�, lOa',�_�TR I' DATE CONST. GFiOUP p OWNER l� ����' C� ADDRESS ZONING SETBACKS p CITY ZIP TEL. • REART Rw ❑ o APPLICANT �� SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE p � ADDR S � PROPOSED USE � CITY ' ZIP TEL. w ARCH/ENG/ W DESIGNER NO.DWEL. NO. NO. n. A�DRESS UNITS STORIES ' '' BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ' ti � _ - OWNEFi-BCILDER DECLARATION SFFVADD/REM � O p I HEFEBY AFFIRM UNDER PENALN OF PEFiA1RY T11A71 AM f%EMPT FROM THE CONTMCTORS U� GBf39BIC0fpOR - - - W CENSEUWFOfliHEFOUOWINOREASON�5EC.70J1.58USINE551WDPROFESSIONSCODE:ANYCITYOR (n � U COUNTYWHICHREONRESAPEiiMITTOCONSTRUGT.IdTER���ROVE.OEMOLISH,ORREFAIRANYSTRUG W �.Patio/Deck � � ' WNRE,PRIOH TO RS ISSUANCE,ALSO REOUIRES THE RPPLICANT FOF SUCM PERMR TO FlLE A SIGNEO w - � STAiEMEHT THAT HE OR SHE IS UCENSE�PURSUANT TO THE PFOVISICMS OF THE CONTRACTORS U•, - . , , . . � CENSE UW(d1APTER Y(COMAIENCING SNTH SECTION TD00)OF DIVISION 0 OF THE BUSINESS AND PR0. u' �PooVSpa _ � ^ FESSpNSCODE)ORTHATHEORSMEISE%EAI7TTHEREFROMANDTHEBASISFORTMEALLEGEDEXEA�P• � TION.ANYVIOLATqNOF5ECT10N7071.6BY/WYAPPLICANTFORAPERMITSV&lECTSTNEAPPLiCANTiO Z �Re-Roof � � AGVILPENALTYOfNOTMORETHANFIVEHUNDRED00LUA5(15o0).): � 0 ❑I,ASOWNEROFTMEPROPERTY,ORMYEMPLOYEESWITMWAGESASTF1EIq50LECOMVENSA710N, ' � .OpmmefCl01 . � Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENOED ON OFFERCD FOR SALE�SEG 7oN,BUSi- J NESSAND VROFESS�ONS OODE:THE CONTRACTORS LICENSE lAW DOES NOTA77LY TO AN OWNEfl OF � N PROPERNWHOBUILOSORIMVROVESTHEREON.AN�WHODOESSUCHYlORKHIMSELFORHEHSELFOR � _ ! 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' � O 1 AM EXEMPT UNOER SEC. 8.a BG FOR THtS REASON � � � � I � � 2 0 � OATE OWNER U W � LICENSEDCONTRACTORSDECLAHATION W ', 1 ' � IHEHEBYAFFIRMUNDERPENQTYOFPERNRlTMA71AMlICEN5E0UN�ERPROVISIONSOF TER� � • `�'�.,`� '�.,^��',�`�.� _ � � 0(COMMENCPIG WRH SECTION 7 OF DNISION 7 OF THE BU'NESSAN� OFES 10E D Z '� J �� MY LICENSE IS IN F RC AN FECL m 0 LICENSE CLAS � _LIC.NO. J V DATE / COMRACTOR __ � �- W _ � � WORKERS'COMPENSATION DECLARATION a = U � IHEREBYAFFIPMUNOERPENAL7YOFPERJUMONEOFiNEFOLLOWINODECLMATqNS: � . � � y Z Q � _IHAVEM1Dri'ILLMAMTAIN�CERTIFICATEOFCONSENiTOSELf•INSUNEFORWORKE0.S' S �, � COMiEN5AT10N,ASPROVIDEDBY5ECT10N�70oOFTHEIABORCOOE,FORTHEPERFORAIANCE W . � MIT IS ISSUED. � O ISSUE�.MV WOF HS' OMVFNSA .. � ... .. . . � .. . _. . .� . . . � OFVEANDYNLLMAIMAINWORNE 'OOAIVENSATIONINSl1MNCE.ASREOUIREDBVSECTION ' Q PERFO FTHEWORNFORWHICH7HISPERMRIS 4 07ooOFTHEU80 FORTH O NSU CE RRIER DGOLICYNUMBERARE: - CONSTFIUCTION � " - � � _ .. . j CARRIER PLAN REVIEW Z va�crNuueEA_ ELECTRIC 2•4� � Q , � - �ssEenoraN�rareeaa.p oc vE�r.+i Po or+eHra�aootwsR+oo�on� PLUMBING Z I CERTIFY THAT W Tr1E PfRfORA1ANCE OF THE N'ORK FOR W111C}i THIS GERMIT IS ISSUED.1 MECHANICAL ('}. . . SHALLNO7EIAPLOYANYVEFSONNANYMANNERSOAS COAIESUBJECTTOTHE . vj WORHERS'COMPENSAT WSOFCAUFORNI�ANO GR TMATIFISHOULOBECO/AE INSPECTIONFEE �- ' �� -� � ' ' � 3U&IEGTTOTHEWORKER COMPENSATqNPROVIS S SECTiON770oOFTHEUBOR �,�Lf 0 o i s o . r r�r w�n+mose r . oris. ISSUANCE ' p OAtE:��� PLICAFIT: .. _ .SMIP .. . � . . � � .. . � ENERGY P/C . WARNINO:FAILURE TO SECUHE WORKERS'COMGENSATION LOVEHAGE IS UNLAWFUL.AND SwLLL BE I � SUBJECTAN EMP�OYER i0 CRIMINQ PENA71E5 M1D CML FwES UV TO aNE HUNDREO iNOUSAND ENERGY PERMIT OOLURS(f I00.0001.�7�DDIiION TO 7HE COST OF COMPENSATION,DAMAGES AS PfiOVIDEO FOR IN � �- SECTpN37010FTHELABORCOOE,NITERE5LAN0�TTORNEY'SFEE3. - - RETENTIONFEE: �� - �-� � � pW., CONSTRUC7ION LENDING AGENCY pRE-ALT FEE: ' ' O - - � - - . . . .. - � � . � IHEREeVAFFlauUNOERPENALTYOFPER1uRVTHATTHEREISACONSTRUCT10NLENDM6AGENCY -- ' � n- FORTHEPERFORMANCEOFTMEWORKFORWNICNTMISOERMITISISS�ED�SEG]W7,LIV.C.�. Z W � � LENOER'S NAME - • � F= LENOER'SADDNESS � � �� � � �� w ICERTIFYTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHE VEWF ATqNISCORRECT. TOTALFEES . __. . - . . 7��� � IAGREETOCOMPLYWITiIALLGTYIWDCOUNTV RDINANCESMID TAT'UW FEUTINCTOBUILDING � � � CONSTRUCTION,ANONEREBVA RIZEREV "cNTATIYE O 71.5 70ENTERUPONiME � Z ABOVE�ME EO iPOPERtt F INSPECT R SE ,_ _. COMMENTS _ .� � ` - QPERAIITfEE NAME(PR . . - . .. ..- . . � (/� SIGNANaE OF PERMI DATE ' , . � FECPt NO. PAID BY VALIDATIOh '�' • - � � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Capy,GREEN—Applicanl's Copy � , . . .. .. . . __ .. .._.. .. . . . .... .. ..... ........ . . . .. . . . ._.. ..- �- -- - ._ . _ _ �� . ..T.. �P:.�,`t.n,,,,)nJ.a�.•.� �F, .�.. I .. . . � . , .,. .. ... � . ..es�F�..- .�+;�. _ ,yf��.. n�w.�.�._.�.L.,�:1-�v,>"r,`.'.r.tr5.s'1t:•�•R,c....�..-r $..�.��7c"..';':`.^..F+a�Jd"L'::• rw. ,.^- � /` , ` '�`��,\\ , � . � ' . ' - . CITY OF DIAMOND BAR •, ' � . \`�, �� INSP�ECTION �RECORD ' ' . .: , � � ----�'� �: .., � . _ , .. , � . � • • - � � � � • - SET BACK: �� " � FLOOR JOIST - ' � - - FTGS/FORMS/STEEL FHA,REQMTS� �;,-,;�' i', , ,-' _; ^: - , -�:.'; : ; . , , ELECTRIC GROUND UNDER FLOOf��DUCT � � � - ' . I GROUND PLUMBING � � ' UNDER FLOOR CO�IDUIT " ! ' ' ' SLAB GRADE ` ' � FIREPI.AGE FOl"1NDATION, ._ "' '' " ' ' TEMP POWER - .� FIREPfACE�OND�BEAM ' -' ` 4,y, ' . �;' -_', •_' _. , _ , WATER SERVICE- MID HL�80ND�B�AM`'�''`•' : -r . __, '� � :� �r� . "._, ! , ROOF SHEATHING � 8 Ff.BaND��AM � ' r • i � FRAMINGNENTILIATI�N ` ' FINAL BOND BEAM - - ' ROOF COVER - - - - - - PRE-GRADING ' ROUGH HEATING - BENCHING ROUGH ELECTRiC ' - ROUGH GRADING ROUGH PLUMBING � � . FINISH GRADING - � SHOWER/TUB 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- . . LANOSCAPE/IRRIG. SEEP PIT/�..L.-=� � = ' � '! ''- -- ON SITE It�IIPS. . GAS14lR T�ST` � ' l;. = ,. • '=�=-�-� j . _ FINAL ZONING FIP1fC1:CON�S� ._. „_r : .,:;�. � '�, .�..- :1,._ . , `1_ FIRE DEPT.FINAL ! - . FINALHEATING - � ` - ` - --: HEALTHDEPT.'FINAL. F1NAL ELECTRIC - l �f " ' DEV. FEES,PAID ' , FINAL PLUMBING - . _ ENERGY: \ .C; •� � � �-�, �� � ,, ; , ; : _.' �� i\..,.�. 1 ; - , , � • • � � ..� � - - _ __ _ COMMENTS _. . _. � . :.. - - . _ ; _ _ __ , , . _ , --.. __ , . - . ��, _ , _ , _ ., . �'1� !J-� y ' � -� � / � 1 � i ���:�. �.`. `` . _ _ - . .. ._ _ . . � ' �. . . ' � ��_� }' 'n I!. f�, ,�, ' I . � _ . . .. .. . . . _ �. . ,. � . . . . , . . V I . _ . . . _ _ . _ . . , . . .1 ' • . Gl. —;,1 . '� ' _ .,� . '_�, .. . �. �� � ' . .. . _ _ . . . . .. . . � . . . ti����. . _.�� i � � i . . . . . . � . , .. .. . . , . ' ' ' , . i . SEPTIC TANK SIZE -_ - � SEEP PIT/U SIZE - . -- -- - , ' � .. , - . . _ . 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