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HomeMy WebLinkAboutNo Permit Number (18) �� , CITY OF DIAMOND BA1t � DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES 21660 E.Copley Ihive Suitc 190 (909)860-3195 Fax(909)861-3117 PRESS ��'^�'�� BUILDING PERMIT APPLICATION FIRMLY � JOBSIT€ APPLICAT70N PERMR P/C ADDRE$S 1578 SAPPHIRE LA13E pq��� NUMBER � �'O � � APN_ tOT -28 rRacT 32400 pt1.6 �SSUE 7yPE �C � OWNEFi STANDARn p� A T DATE 2' CONST. GROUP ADDRESS ZONING SETBACKS CITYCOS 1 ZIP � TEL. 'E' -' O FRONT qyy O APRLICANT TEL. REAR p SIDE/SIDE STREET RW O �pN�►croR HO D PL � SIDE ❑ � CTy E��V�li5���1 Z���SU'3��9��5=z�+'�s8 PROPOSEDUSE PT.T?MRTN(t-PLAN �f3 � ARCHIENG/ ADDR SS NO.DWEL. NO. NO. � CITY 21P l'EL. UNITS STORIES BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUA110N p� OWNER-BUILDER DECLARATION SFRMDDIREM O I HEREBY AFFlRAI IN�FA PENALT/OF PERIURY TMAT I AA1 E%ENM FROM TME CONfRACTORS U- G8f2QflK:B�Ort CENSEUWFdI7HEP01.LOWWOREA90N�SEC.7Wf.8BU51NE53ANOPROFF5510NSCODE:ANYCITYOR (n OOUMYWMOCMREClARE9APERMrtTOCONSipUCi,ALTERIMPqOVE.DEAKKISH,ORREPAIRIWY9TRUC- . W P6tip/D6Ck TURE,PRIOR 10 IT8 199VANCE.AL90 itEOUIRE9 THE APPLICANT FOR SUCH PERMtT i0 FILE A&ONED w 8TA7FMEM TfAT HE OR 8HE IB UCENSE�PUR8UMIf i07HE PROVISIONS OF TF1E CONTFlAC70RS LI- GENSE LAW(CMAPTER�(COMAIENCINO WI7M BECTpN 7000)OF pIY610N 7 OF TFIE 9U91NE55 ANO PRO- LL POOVSpiI FESSqNS CODE)OR THI1T NE Of18HE IS f7�MiTTHEXEFROM ANll TNE BA513 FOR THE ALLEOED F�(EMP• � (� TGN.lINYVIOLATIONOF6ECTION7W1.68YANYAPPIICANTFOqAPERMITBUBJECT97HEAPPIICANTID ' Z p�Rpa F �CML►ENKiYOFNOTMORE7HM1fNENUNDNEDnry��r�c(iGao).). . � 04L90�NNEHOFTNEPROPERTV,OqYYEMOLOYEESWITHWA6E5ASTHEINSOLE00MV4NSATION, , CORIIIIlfC181 �- WILL 00 ME WOIIK AND THE STRUCTURE IS NOT INTENDED OR OFFERED iOR 6/1LE(6EC.701s,8U51� � � NESS ANO PiqFES810N8 COOE:iHE OONTFUCTORS LICEN9E lAW DOES NOT MPLY TO AN ONMER OF = PROPERT'(YYFIO BUIIDS Oil MPqOVE97HEREON,AND M//p GOES SUG1 YlORK HIMSELF OR HERSELF OH � TNIIOUGH W 5 OR NEN OYM BJPLOYEES,PHOYIDEO iHAT&JCH MPpOVEMEN79 ME NO7 N7ENOE0 OR : m ' OFFENmPDR&4Eff,YqN�EVER7MEBUIIqNOORINPRDVEMBdiIS60LDWITHINONEYEAROFCqAPLE- � TION,INE OiVNER8U1L0ER WILL NAVE 7HE BURDEN OF PRONNO 7NAT HE OR SHE DIO NOT BUIID OR IMPFIOVE FOH THE PURPOSE OF BPLEI. ' � OI./SOWNEROFTHEGROPERTY.AMEXCLUSNELYCpuTMC71NGNATHLICENSEDCONTpACTOpS TO CONSTRUCT THE VROJECT(SEC.7oN,BWINESS/NO PROFESSIONS COOE:TNE CON7AAC10RS LI- VelUfl11O11 qp,J,pREp CENSE lAW DOE4 NOTAPPLV TO AN OVMER OF A PROPERTY YVFp BUX�S Op MPROVEB THEREON,AND WMOOOMHACTSFORSUCHPROJECTSWfTFiACONTAACIOR(S)LiCBdSEDPUR9UANTTO7HE0oNTRAG QUANTITY DESCRIPTION mu ucEr+sE uw.y FEE � O I AIA El(EMPT UNDEH 8EC. B.�0.4 FpR TF9S qEA50N Q U � GA7E OWNER ¢ � LICENSED CONTRACTORS DECLARATION w � IMEHEBYAFFIHMUNDERPEWLL7YOFPERIURYhUUINALICENSEUUNOERFROVI3IONSOFCHAPTER . �f ��COM4[NQN(iWRH6ECT10N70W)OF�IVISION70FiNEBUSINE55ANOPROFES510NSC0�E,AND Z T L1H�OO � W LICEN6E IS IN FtILL FOfiCE AND EFFECT. m 1 O�9 O � UCENSEGUSS C36 uc.wo.CA260324 �. � w�� �—�g—S�S1 cowrw��croa I a � ETS 13.70 R 10.90 WORKER3'COMPENSATION DECLARATION a � IMEqEBVAFFIRMUNDERVENALTYOF0ERRIRYIXJEOF7HEFOLLOWINO�ECURATION3: Z � �IMAVEANDYYILLMMNTAR/ACERTIFICATEOFCONSEIYTTOBELFdNSUREFOflWORKERS' _ OOAIPENSA710N,AS PiqV1Um BY SEC710N l700 OF TNE LABOR CODE,FOR 1HE PERFOFMANCE ,C,), � OF THE WDRK FOR WHICH THIS PENYIT IS ISSIJED. � �I HAVE AND VYILL NAIMNN WORKEflS'OOMPEN9ATION IN9UFlANCE,AS REQUIRED BY BEC7qN Q J7000FTFIE LABOR CODE,FOR TTiE PERPDRMANCE Oi THE WORK FOR WMICHlH15 PERMI715 ISSUED.MYYNDqKERS'COMPEN9ATION INSURANCE CARRIER AND POI.ICY NUMBER ARE: CONSTI�UCTION � CARRIEA CAL�COMP ... PLAN REVIEW � ��Y�aEA W97916374 ELECTRIC frtassEcnonr�Noreeoo�rmoF�rEwer�wr+onErunor�ooaur+sRiao�attss} PLUMBING 253.SO ►9 Z I CERTIFYTIUT W TIIE PERFORMANCE OF T/E WORK FOR WHICH iHIS PEHu1T IS ISSUE�,1 MECHANICAL 6XALL NOT EMPIAY ANY VERSON M/ANY MANNER 50 AS TO BECOME SUBJECT TO THE � WORKE0.5'COMPENSATqNUWSOFCALIFOPNI.�ANDAOREETHATIFIbHWLDBECOME INSPECTIONFEE SBUBJECTTOTHEMIORKERS'OOMPENS11TqNPROVISIONSOFSECT10N77aoOFTHEIABOR �� �� � O DODE,I SFULI FORTMMTN CqAPLY WITH 7HQ4E VROVISIONS. ISSUANCE .C^e�� p DAiE: APPLICANP � SMIP !;y�' � WARNIN(i:FNLUHE TO SEWRE WORKERS'COMPENSATION COVERACE IS UNLAWFUL,AND SHALL 6E ENERGY P!C �Q9 �y Btl&IECTANEAWLOVERTOCRIMINKPENALiIESANOCMLFINESUFTOONEHUN�REDTHOU9AND -� OOLLMS(1100,000),IN AODITION TO T7E COST Of GOMPENSA7qN,DAMIIGES AS PFiOYIUED FOR IN ENERGY PERMlT �^ J SECTqN770eOFT11ELA80RCO0E,IN7ERE5T,ANDATTORNEY'SFEES. q�ENT10NFEE: � :� �4C'i � CONSTRUCTIONLENDINQAGENCV PRE•ALTFEE: ��� t[1� , I HEREBYAFFlRM UNDEH PENALTY OF PERJURY iHl1T THERE ISACONSTflUCTION IENDINO�OENCY `J>���1s WRT}IE VERfORMANCE OFTHE WORK FOR WHICH MIS PERMIT IS ISSUE�(SEC.70Y7,pV,G.). W -�O � LENDE17S NAME R v � LENDEfYSA0DRE53 � 1 CERTIFY 7HAT I MAYE I$ 7qNAN�STA7E TMAT TME 11BOVE NFORMATION IS GORqECL TOTAL FEES T��"�S O � I AORE�70 COYPLY L CRY �CaIAYTY D11D1 CES IWO 6TA7E UWS REUTING TO BUHDNIO � CONSTFIUCTION.MO REBY RRE AEPRESE VES OF THIS COUN7Y TO ENTEN UPOH TNE 11B01IE-MENfqNED EATY R SPECT es. COMMENTS � � 9 RI T m PERMRTE AYEiP ) � C � N BIO F E � RECPT.NO. PAID BY VALIDATION WHITE--Department Copy,YELLOW--Flnence Copy,PINK—Asseasor Capy.GOLDENRO�File Copy,GHEEN--Applicanl's Copy .,. ,. ._ . , .... , , CITY OF DIAMOND BAR INSPECTiON�RECOfiD � . � � , . a . . � E , . � . SET BACK - FLO�R JOIST � ' FTGS/FORMSiSTEEL � � FHA REQMTS• � � ELECTRIC GROUND � � ` ` UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOUR COAIDUIT SLAB GRADE FIF#EPLACE FOUNDATION � TEMP POWER � � FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM ` .,- �_ ROOF SHEATHING � 8 FL BOND�BEAM � � FRAMINGNENTILIATION FiNAL BOND BEAM �` T ROOF COVER PRE-GRADING ROt1GH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROl1GN PWMBING Z•f1, •`j FINISH GRADING SWOWER/7UB TEST , PQO�ELECTR�C EXT. LATH/51DING __�j j POO�FENCWG � WALL INSULATION j � POOL FINAL � CEILING INSULATION i ; I UFF SfTE IMPS. � DRYWA�L NAILING � DEDICATIONS � _ SEWER� ; FINAL ElVG. SEPTIC TANK I I LANDSCAPEIIRRIG. SEEP PITJi..L. ; ' ON SITE IMPS. � - GAS A€R TEST� J� ; ; FINAL.ZONiNG FlNAL CONST. i � FIRE DEPT. FINAL ^ � � • FINAL HEATING ': � ; HERLTH DEPT. FINA� � � �� � FINAL ELECTRIC � i j DEV. FEES PAID ) " FINAL PLUMBING �i•3•7 j `�% �� ENERGY ��___ � � ; � � � i -� COMMENTS _ � __.. i SEPTIC TANh SIZE , _ _` � SEEP F'IT/L) SIZE �, • , -- - � � :. . , ' ' �