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Home My WebLink About11429 ...��.:�.,-- . - _ - .- . . ` I__.._ . CITY OF DIAMpND BAR � ��(J I�n r� COMMUNTI'Y DEVELOPMENT DEPARTMENT �;.. ' 21660 E.Copley Drivo Suite 190 PRESS (909)860-3195 Fax(909)861-3117 '"'"� BUILDING PERMITAPPLICATION FIRMLY ¢ DDRESS �� D�� (�ivCi � • o � DATEICATIQN, �! j� C�G' NUMBER ��Z� p/C LI ;� issUE � ! Q TYPE occ� APN LOT TRACT OATE CONST. GROUP p OWNER _�I�� .��/•—,�� /d-/--- p ADDRESS��T_�'�g /2.A � ZONING SETBACKS Z CITY�iv�� ZIP TEL(a�ss � REART RW n g APPLICANT • TEL.�„�a7 8 SIDE/SiDE STREET RW ❑ z ¢ CONTRACTOR C �f � It/ SIDE ❑ � ADDRESS PROPOSED USE � CITY�� ZIP� TEL.��-'SIePS-�Nf� o ARCWENG// z� OESIGNER NO.DWEL. NO. NO. a ADDRESS = CITY Z�p �� UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFR/ADD/REM O 0 I HEREBV AFFIRM LINOER PENALTY OF iER.NRY TNAT I AM E%EMPT FROM THE�ONTRACTORS ll• G9�8 B/C8 R W CENSELAWFORTHEFOLLOWINGREASON�SEC.7IXf1.58USINES5AN0VROFESSIONSCOOE:ANYCITYOH (� 9 � Z CqUMYWHIqiREQUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,�EMOUSH,ORREPAIRMIYS7RUC- W PgIlO/DBCI( w TUflE.PRIOR TO RS ISSUANCE,PL50 REWIRES THE APFLICANT FOR$tICH PERMIT TO FILE A SIGNE� w � STATEMENi THAY HE OR 3HE IS LICENSED PUflSUANT TO TNE PROVISIONS OF TXE COMMCTORS LI- � � GENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF OIYISION 3 OF 7HE BUSINE55 M70 PRO• PDOUSpe � FESSIONSCODE�ORTFIATNEORSHEISEXEMP7TMEREFpOMANDTHEBASISiORTHEALlEOE�ExEMP• (� TION.ANYVIOUTIONOFSECTION7071,SBVANYAPPLICANTWRAPERMITSUBIECTSiHEAPPLICANTTO Z q�pppf � ACIVILPENALTVOFNOTMORETHANFIVEHUNDREDDOLLARS�fSoo).�: 0 ❑I.ASOWNEROFTHEPPOPEHTY,ORMYEM7lAVEESWITHWACESASiHEIR50L6COMPENSATpN, O COrtIRIBfC181 Z WILI DO TNE WORK,M1D THE 9TRUCTURE IS NOT INTENDED OR OFFERED FOR 6�LE�6EG 704�,BUSI- J � NE55 ANO PROFESSIONS CADE.THE CONTRACTORS LICENSE UW OOES NOT MPLY TO AN OWNER OF = PROPERTY WI�10 BUILOS OR IMPROVES hiEREON,AND NMO OOES SUGH WORN MIMSELF Oq MERSELF OR WTHROl1GHH150R MER OWN EMPLOYEES.PROVIDED TlNTSUCM IMPROVEMENTSARE NOT INTENDEDOR m � OFFERE�FORSALE.IF,lIDWEVER7MEBUILOINGORIMPROVEMENTISSOIDWIiNINONEYEAROFCOIAPLE• z TION,THE OWNER-6UILDER WILL HAVE iHE BURDEN OF PROVING THAT HE OR SHE OID NOT BUILD OR � IMVHOVE FOR TNE PURFOSE OF SALE). W ❑I.ASOWNEROFTHEFHOPERT',ANEXCLUSNELYCONTRACTWGWITMLICENSEDCONTRACTOHS � TO CONSTRUCT TNE PROJECT�SEC.704a,6USINE55 ANO PqOFES51ON5 CO�E:TNE CONTMCTOflS U- V8IU8(10/1 (1DJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUIlD50flIMPROVE3THEHEON,ANO � WFpCONTMCT3FOFSUCHPq0.1ECT5WITHACOMRACTOq�S�UCEN9EDPURSUANTTOTHE00NTMC- QUANTITY DESCFIPTION FEE Y TORSLICENSELAW.�, � ❑I11M E7IEMP7 UNDER SEC. B.6 P.C.FOR THIS REASON O � u" DATE OWNER Z � LICENSED CONTRACTORS DECLARATION � I HEREBYAFFIRN UNDER PENALTY OF PERJURY THAT I AM IICENSED UNDEN PROVI510N6OF CHAPTER d 6�COMMENCING WI7H SECTION 7000)OF UINSION 30F THE BUSINE33 AND PROFESSIONS CODE,AND �X MY LICENSE IS Ml FULL FOHCE AND EFFECT. � LICENSE CLASS �w LIC.NO. O�� V DATE��I��„$ CONiRACTOR L �G � W � WORKERS'COMPENSATION DECLARATION U �� O� � 1 MEHEBV PFFIHM UNDER PENALTY OF PE0.IURV ONE OF THE KOLLOYlING OECIARATqNS: Q L � p, �^ 1! � _IIMVEANDWILLMAINT/11NACEfirIFICRTEOFCONSENTTOSELF-INSUREFORWORKERS' _ ,e� Q COMPENSATION,AS PNOVIUED B�SECTION 370o OF THE LABOR COOE.FORTHE PERFORMANCE U �✓I ,`z�V Q OFTHEWOPo(FOqWHICHTHISPERMITISIS5l1E0. � �W �IHAVEMI�WILLMAINTAINWORKERS'GOMPENSATpNINSUHANCE,A5RE0UIREDBYSECTI�N 3l0o OF 7HE LR9OR CWE,FOH 7HE PEHFOHMANCE OF THE WOHK FOR VMICFI THIS PERMIT IS ISSUED.MY WORKEFlS'COMPENSATION INSURANCE GRRIER ANO POLICY NUMBERARE: CONS7RUCTION d � CARFIE1i �f7�}�� Lt�� PLAN REVIEW �Z POLICYNUMBER_T� ZA��I ELECTRIC Q � (nussecrqNr��rioTeemenrtErmoF�rEanrr�swnonEwr.nae�oalaas�Eiroloa�Ess1. PLUM8ING Z I CERTIFYTH0.T IN THE PERFONAAANCE OF THE WORK FOq WFMCH TH15 VERMIT 1515SUED.I MECHANICAL 2 �• (� SHAILNOTEMVLOYANVPEH50NIN/WYMMJNERSOIISTOBECOME6UBJECTTOTME Vj WORKERS'COMPENSATION UWS OF CN.IFORNItiAND AQREE THAT IF I SHOULD BECOME INSPECTION FEE SUBJECT TO THE WOfiKER3'COMGENSATION PROYISIONS OF 6ECTION 5700 OF TME V�BOR OCODE,I SMALL'FwOR,T�M_WiTH COMPLV NATH THOSE PROYISIONS ISSUANCE , I�G p DATE�� I�� APPLICANT. �� ' �"`"� SMIP � � ENERGY P/C WARNINO:FAILURET08ECVREWORKERS'COMPENSATqNCOVERAGE NLAWFUL,ANOSNALLBE � SUBJECTAN EMPIOYER TO CNIMINAL PENAlTIES ANO CIVIL FINES UP TO E NUNORED iHOUSAND ENERGY PERMIT • ¢ DOLURS(�700,000�.IN ADDI710N TO THE COST OF COMPENSATION,DAMAGES AS PROVIDE�FOq IN SECTION 3708 OF THE LABOFl CO�E.INTEREST.ANO A770PNEY'S FEES FlETENTION FEE: � ' OCONSTRUC710N IEN�ING AGENCY PRE-A�T FEE: � � IHEFEBYAFFIHMUNDERVENAITYOFPERJURYTHATTHEREISACONSTRUCTIONLENDINGAGENCY FOR iHE PERFORMANCE OF THE WORK FOR WHICH TMIS PERMIT IS ISSUED ISEC.7097.CIV.C.). Z W � LENUER'S NAME � F— LENDER'SADDRE55 W� TOTAL FEES 2S7• I/O ICERTIFYTHATIHAVEREADTHISAPPLICATIONANOSTATETHATTMEABOYEMFORMATIONISCORRECT. � IAGREETOCOIAPIYNATHALLCITYAN�COl1NTYORDINANCESANDST�TEUWSREL�TWG70BUILDINC � CONSTRl1C71ON,AND HEREBYAUTHORI2E REPRESENTATIVES OF TMIS CAUNTM TO ENTER UPON THE Z ABOVE-MENTIONEO PR07ERTV FOR MISPECTION PUHPOSES. � • 9 COMMENTS _ .��/ c. Y.a�/ m PERMITTEE�,WE�PRINTj ¢ w N 4/--✓-SP� � SN3NA7U UFPERMI77EE OATE � RECPT.NO. PAID BY VALIDATION WHITE—DepaRment Copy,YEILOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Gopy,GREEN—Applicanl'a Copy � -• • ,� - , . , ,.. - _ : • •, r�� CITY OF DIAM�ND BAR � ' INSPECTI4N RECORD • • � , . E . . o e , . • . SET BACK � FLOOR JaIST FTGSlFORMSlSTEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR UCT -, : ' � � GROUNDPLUMBING UNDEFI�LOOR•CO�IDUIT �'•�_;�t,�+ : �; . . � SLAB GRADE FIREPLACE�Kdt`JNdATI�N �. ...t, �: :� .: �'.,} , TEMP POWER FIREPLAC�BONU BEAM '"`�' � "''•'` ► WATER SERVICE MID H�'�;BOND�EIEAM � � � � �"` * ` � ` , � - ROOF SHEATHING 8 Ff.BOND BEAM FRAMING/VENTII.IATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING ZY y'F BENCHING ' ROUGH ELECTRIC RDUGH GRADING RqUGH PLUM8ING FINISH GRADING SHOWER/TUB TEST POOL ELECTAIC EXT.LATHlSIDING POOL FENCING WALL INSUTATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FlNAL ZONfNG FINAL CONST. FIRE DEPT. FINAL FINAL HEATING f � HEALTH DEPT.FINAL FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING ENERGY � 1 i ': s:. '.7 -- . � � . . . - �. , _ .. ' _ . 3 . ., ' . ;� _ • . . .. ' . COtV1MENTS + , . . .� . . . � � , ,,� .. �� ` , — SEPTIC TANK`SN SEEP PIT/U SIZE � • �--- . .� � �� , . -• , .