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HomeMy WebLinkAbout12425 _..__.____._._.__A... __.... ... _. . . --__. _... _._. . .. . ... �,_ -_ .- ___ _ .. _.... ... ...... . . _..,---.—.......�__,. CITY OF DIAMOND BA& -- ' -- DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive 5uite 190 � (9Q9)860-3195 Fax(909)861-3117 � � PRESS �`•^n'� BUII DING PERMTT APPLICATION FIRMLY � JOBSITE APPLICATION PERMR /C o ADDRESS ���8 �V��%�.R+L�G ��,�_ pA� NUMBER_�� � APN LOT TRACT (SSUE 1 TYPE OCC � OWNER �'�!r�L'!� /7�S13� DATE CONST. GROUP ADDRESSS1Is�f� ZONING SETBACKS �� CITY_��N��� .�� TEL.�{�J�`'�,�� REART RW ❑ APPLICANT TEI. SIDEISIDE STREET RW ❑ � CONTRACTOR 'Z SIDE ❑ � ADDR S . • CITY�k.[°rc.t�.2"J D ZIP � TEL�13�S"'SF�Z.7 : PROPOSED USE ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. � C�TM�S Z�P �� UNITS 6TORIES BEDROOMS sn . DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILOER DECLARATION SFR/ADWqEM p 1 NEREBY AFFlRM UNDER PENNLTY OF PERRIRY THAT 1/M E%EMPT FFlOM TME CONTN�CIDRS LI• GBfGgB/G•81�OK YJ CENSELAWFONTHEFOLLOWINOREASON(6EC.7W7.6BUSpaESSANDPROfESSiONSCODE:AHYG7VOH (fj C� mUNiYWIiIOiREa1WE9APERMIT7000N5T11UCi.KTER,IMPROVE,OEMOlJSH.ONREPAIRANYSfAUC- W Z 7URE,/RqH TO 1T9 IC9UANCE,N.LO REOUIRES TiE APPLICINf POR BUpi PERMIT TO FILE A BMaNEO P8110�6Ck �� STATENENf 7iUT HE OR SME B LICENSED PIIRSUANT TO iHE PROVISIONS OF THE CANTfiACTORS[R W CENSE LAW(CFUPiEfl 0(COMMENCINO NATH SECTION t0U0)OF OIN910N 9 OF iF1E 9U91NESS AN�PHO- u' POOUSPB FESSqNSCOUqOit11UTNEOR9MEISEXEMPT7HEREFROM/�N�TNEBA5ISFORTXEALLEOmIXEAfP. (� TqN.M7Y V10LAT10N OF BECTIOH 7091.6 BYANV MPIIGNf FOR A PERMIT SU&IECTS 1HEAPPLICANT T0 Z Re-Raof � lICMLPENKiYOFNOTMOHElNANFIVEMINDREDDOI.IMS(iSW�.): • OI,h60WNEROFiHEPROPERTI;ORMYEMP�OYEESWITHWqGE3ASTNEIRSOIfpOMPENSATl0�.1, D Com111BfC181 MIILL DO TNE YYOfK APIO TME 6TNUCTURE IS NOT INTENDFD OR qFFENEO FOR SALE ISEC.704a,BU31- J � NFSS M10 PROFESS10N6 CODE:TTIE CONfMCfORB LICENSE UW OOEB NOT MPLY i0 AN OWNER OF ? PI[]PERTY Mllp BUL0.50R MIVROVES iNEREON.MW yNi000E5 SUCF1 VIORK NMSELF OR FEqSELF OH Q TIi1IXMN MIS OR NER OVYN EMPLOYEES,PqONDED TWIT 9UCF1 IMPROVEMENT3 ARE NOT MTENOEC QR m � OFFEREDPDRB/LEIF,IIDWEVEIL171EBUILDINOONMPRDVEMEN713SOLDWITMINONEYEAROF,COMP�E 710N,THE OWNFRiU1LDER WILL VMVE iNE BUADEN OF PROVINo THA7 HE OR SHE D�U NDT B1ALD OR = MPHOVE FOR THE Pl1RPOSE OF SAL�. � W ❑I,AS DNMEROF 7NE PRDPERTY,AM El(CLUSNELY CONTqACfpJO WRN UCENSE�CONTNACTOqS � 10 CONSTRUCT iNE PRQIEC7(SEC.70M,BU31NE35 AND PPOFESSiONS CODE:THE CONTMCTORS U• VeI11flfW� ADJ.AREA CENSE L11W DOES NDTAPPLY TOAN OWNER Oi A PROPERTY N110 6ULDS OR IMPROVES 7H6q60N.AI�D � NTIOCONTfllICT9PDNSUCMPHQ1ECiSWI7M�COHfMCTOR(S)LICEN6EDPURSUAMTOTHEGONTMF QUANTITY DESCRIPTION � �E � TOA6 L10EN66 LAW.�. , . ❑1 AM DIEMPT UNDER SEC. B.d P.C.FOR THIS iiFJ.SON q U � GATE OWNER � LICENSED CONTRACTOFS DECUIRATION � � 1 ME�BY AFFIRM UNDEA PENALTV OF OERJURY iMAT I AM LICENSED UNDER GROVISIONS OF CFi/�VTER � S Y(GOIANENqNOYYfT118ECiqN7000)OFOMSICN90FTHEBUSINESSMID7ROFESSION5COOE,AND Z ���L MY UCENSfi IS IN FULL FORCE AN�FFFEM. m �� t10EN5E IXASS ��7 w yv LIC.NO. 7�— � `� � �j �\ .-w � WTE„�0 /�' .f 7 CONTRACTOH — /` � •�+ w C E�c�'Q.�.��� = WORKERS'COMPENSATION OECLARATION 4 � 1 MEREBV AFFIiUI UNDEH PENALTY OF PE0.1UM ONEOFTHE FOLLONAN6 DECLAMTqNS: ' � � � � �11NVEANDWILLYNNTIVNACERTIFlCATEOFCONSENTTOSELFINSUREFOqWORNER = fAMPENS�TION.ASPiIOVI�ED6Y8�TION77000FTHEUIBORCQOE.FORTHEPERWRMANCE W OFT/E WOHK FOH WHId17HIS►ERMR 15185UE�. � _I INVE AND N7LL MAIMMJ WORKER5 CAMPENSATIINi INSUiWiCE,AS REOUIRED BY$ECTKKA � 97000F 1HE LIBOR CODE,FOfl THE PERFORMIWCE OF iNE WOPoC FOfl WHICH TNIS PERMIT IS ISSUEO.MVIMDRKERSw'O�OLIPENSATIONINSURANCECAqF1ENANDPOLICYNUMBERARE: CONSTRUCTION jC.�wwEn G�f,rGl'� C�1�-C��'J�T�'C"i� PIAN REVIEW Z aaacrNUMaEn �.l.�_ �) C7 ,�,�Z�� ELEC7RIC G � (1WSSECIpNn�N07BECO1fREIEDOFnEPERAaiBR7RONEla.�DREDDOLUR5lS/m10f7LEss? PLUMBING � Z ICERTIFYTNATNTHEPEHFOqMANCEOF7HEWpNNFORWHICMTH15PERMIT151SSUED.� MECHANICAL (7 $HALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBIEC'f TO TME y WORKERS'COGIPENSATIONLAWSOFCALIFORNIA�NOAQREETHIITIFISHOULOBECOM INSPECTIONFEE 6�1BJECTTOTMEYYORKENS'COMPEN9 PR0IIISIONSOFSECTpN7T0oOFTHElAB R �j COOE,I 6Fp/ALL�FOi1TFIWtTH COMPL ITM THO RGl�ISIONS. �SSUANCE - � pp�:�"��'�,1 SMIP � p APPLICANT- � � ENEHGY P!C WAPNINO:FNLURE TO SEWHE WORKEHS'COMPENSATION CAVER�OE IS UIW.AWFUL,�ND SHALLBE �y SUBIECTANEMPLOVERTOCRIAAINKPENALTIESANDCNILFINESUPi00NEMUNOREDTHOVSANO ENERGYPERMI7 '� ��� DOLIARS lil 00,000),Nl ADDITIOIV 70 TNE CAST OF COMPENS�LION,GAMAOES!15 GqOV10ED FOR IN ¢ SECTION97DtOF7HELPBORCOOE.NJTEREST,AN�ATTOFNEYSFEES. RETENTIONFEE: OCONSTRUCTION LENDING AGENCV PRE•ALT FEE: � I NEREBYAFFIfl�i UNDER PENALTY OF PERIURYTiATTNERE�5 ACONSTqUCT1ON IENOM'10�GENCY FOR iHE PERFORMANCE OF TNE WURN FOR NMICH TXIS OfFlMiT IS ISSUFD(SEC.lOY�,CIY.C.� � � LB�DER'b NAME LEHDEHS/�DHESS �CEfiTIF/TNATIlUVEREAD7111SMVLICATIONANOSTATETIUTiHEABOVEINFORMATIONISCORRECT. TOTAL FEES � � IAOREETOCOMPLYYY�THNICITYMIDCOIMTYOflDINANCESANOSTATElAWSRELATMOTOBULUINO � CONSTRUCTION,ANO HEREBY►UTIppIZE REDFESENTATIVES OF THIS COUNTY TO ENTER 11PoN iHE , ABOVE�MENTIONED PFlOPEflTf FOR INSPECTION PURPOSES. S ��MMENTS � ���Iv�y�L� . m PE E(PHINf) � �` b=?� y &ONAIUREOF PE Y TTE �ATE � RECPT.NO. PAID BY VAUDATION ` YVHITE-0epartment Copy,YELLOW�inance Copy,PINK--Aesessor Copy,GOLDENRO�File Copy,GREEN--Applicanfs Copy CITY OF DIAMOND BAR � INSPECTtON RECORD • � • � • • • e � - e - SET BACK � ''ti��'�.; �- ; , f ,: k FLOOR JOlST � . . ' F?GSJFORMS/STEE ' ; ;; '�. ; 1 ' ''� FHA REQMTS ELECTRIC'GROUND ' � UNDER FLOOR DUCT � GROUND PIUMBING UNDER FLO�R Cp�IDUIT � SLAB GRADE FIREPLACE FOUNDATION --- � `�• • `- �- TEMP POWER FIREPLACE BOND BEAM WATEFI SERViCE MiD HT. BOND BEAM' : - � RO�F SHEATHING '� i �.�. ' 8 FT.BOND•BEAM, FRAMINGNENTILIATION ''' '����" '� � FINAL BOND BEAM ROOF COVER ' PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHaWER1TUB TEST POOL ELECTRlC EXT.IATHISIDfNG POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS . SEWER FlNAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/l..L. ON SITE 1MPS. GAS F.IR TEST FINAL ZONING FINAL CONST. FIFIE DEPT. FINAL . FINAL HEATING HEALTN DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAI PLUMBING ENERGY '�'. !� � � • ' f i O - COMMENTS � ' :., ; _ . - , '. . .. _ . ; -, SEPTIC TANK SIZE �- r � SEEP PIT/U SIZE��,j, � '; .. . �� x.� �I �r ,�i��� . � . . . � . � , .�'+�' ��" � . . ..