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HomeMy WebLinkAbout13453 (29) _�� CITY OF DIAMOND SAR ` ' C� DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES T� . 21660 E.Copley Drive S uite 190 (909)860-3195 Faz(909)861-3117 PRE$$ . ��M^�� BUQ.DING PERMIT APpI.ICATION FIRMLY o DO ESS �s�� �)�V�f �PtY1 C� DA�CATIO�/�� /_� �S NUMB R �3��� R� � �� � APN LOT�_.TRACT_3Z�� DA EE S-I1^�I`I CONST. GROUP LL OWNER �'�'��-���1 AODRESS i.Sfc!� uJ.MIF��.KC' Jf �J.I� ZONING SETOACKS W CIN ��T�,� ZIP�� TEL.`714' �! FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDElSIDE STREET RW ❑ CONTRACTOR SIDE ❑ ADORESS � CITY �tJrlS PQQ._ ZIP q�Se� TEL�' PROPOSED USE � o ARCH/ENG/ • � DESIGNER N0.DWEL NO. NO. AODRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ApJ.AREANALUATION Q OWNER-BUILDER D�CLAHATION SFRlADD/REM O � 1 MEREBY AFFlNM WDER VENALTY OF OE0.IURY TNAT I A1A E%E61Pi FRdA TME CONTIUCTORS ll- G.a�g�L.a�rt ' , W GE�+SEUWFOfi7HEiOLLCMMCiHEA+OHI5EC.70.77.S8U5W[SSAN�PROFESSqNSWDE:ANYGttDR (n U CDUMYWMICHREOURESA�EHMRTOGONSTRUCLILLiER�MPNO�E.DEIAOLISH,OfiREFA1NINY5TRUG- W Patio/Deck � TURE,PRqq TO RS IS6V�NCE.K50 REW�RES 1HE MVLK/WT FOR SUq/VER4IT TO FILE A SICNED W " S7AiEME77T 71UT HE OR SME 15 L10EN5[O PUitSUANT TO THE FRO'V�SIONS OF THE CONTMCTORS U• � CENSE UW(Ou7TER 0(COMMENCINU WITH SECTION 7000�OF OIYISqN 1 OF TNE BUS�NE55 M!'J PRO• LL' P��Pa iE59�ON5 COOk�OR T1NT NE OR SME IS FXEUPi THEREFROY AND TNE BASIS FOiI TME ILLLECED ExEMP� iION.AHYY10.wT10NOFSECT10N7W�.68YANYMPLICA!liFORAFERMITSUWECTSTMEMPLICANTTO Z Re-Rool F A C1VIL OENALiY OF NOT MOi7E TIIAN FNE HUNDRE�DCILAAS�f 500))� ' � O1A30�M1EROFTMEOROPERTY,ORMYEMPLOVEESWITHWAGESASTHEiR50LECOMPENSATION, � COfI1R16fCWl � M'ILL DO THE WORK IWD THE S7RUCfUH[IS NOT N7ENDE0 OFi OFFEREO FOR S�LE[SEG.TOa�.BUSi� J N NESS AHD PiqFE5510N5 COOE:TI/E CONTMCTORS UCCNSE UW DOES NOT�OPLV TO AN OWNER OF � iROPEHiV YAq BU0.D5 OR IY7ROVEg THEREON,IfD Wi+a OOES SUd1 W017K HiMSCLF OR MERSELF OR Q T11RdlOHNI50RMERONTlE4PlAYEES.VROVDEDTHATSUCNM7ROVE41ENT5ARENOTMENDEDOR m QOFFEAmFOqSKEtF,HON�EVER71/EBUlDI1WpqIMPPAVEIAEMI550lDWTT1aNONEVFMOFCOM0.E� Z 'TION,iME OWNER-0t11LDEF W�LL lWVE iME BURDEN OF VROYWO 71UT NE Ofl SNE D�D WT BURD Ofi � MOROVEFORiHEVURPOSEOFSALEI W �I,AROViHEROFTHEPROPERTY,IWE%ClUSNEIYCOMMCT7N�NTiHLKENSEDCONTMCTORS � TO CONSTRUCf TME VfiQ7CCT(SEC.70N.BUSIN[55µ0 PROFESSqNS COOE:TM[COHTHACTORS L4 V81U8110f1 AQI.AREA � CENSEUWDOE9NOTAPVLYTOANdWNEROFAOROPEHTlVY1q&11L�SOqMVi10VESiHEREON.AN� YM1qCOHTRACT5FOq5UCHPRQJECf5WI7HACONTMCTOfi�S)LICENSEDPURSUANTT07HECONTiUG pUANTITY DESCRIPTION FEE � � TORS LICEHSE UW.► . .. . , . 0 �IAY E%EMPT UNDEfl SEG B.a D.C.iOR THIS REASON � � ¢ OATE OWNER U � W � UCENSED CONTflACTORS DECLAAATION W IMERCBYAFFlIWUNDERPFNALTYOFPE�irt1RYlHAilA61lKEN5EDUND[RVROVISpN50FCHNTER U, +� + � �(COMMCNCINOIMMSECTkXIl0001�ONISION]OFTME9USINESSN10VflOFE55qN5GO0E.AN0 Z / �� MY IICENSE IS H FULI FORGE AND EFFECT. lL '7(� � � � Ll.� �• � � LIGENSE CU55 C LIC.NO.���uJT ' J Y_ 1 .�7 �"" DATE CONTMCTOR,�� .� a l� � ! W � � 1� � WORKERS'COMPENSATION DECLAFiATION a = U � IHEREBYAFFlRMLfAERiEWL7YOFVERRIRYONEOFTHEFOLLOYnNGOECUN�TIONS: � Z Q 0 __IHl1VEAN0IN�LLMNNTAR7ACEHTIFIGiEOFCONSEMTOSEIF-INSUREFORWORKEflS' _ � OOI.IPENSA7pH,A5PRONDEDB�9ECT10NY/OOOFTNEI�AC�DEFORTHECEPFORUANCE W OF TME VYOFK FOf1 VMICM iM15 YERMIT IS ISSUED. � � _I FNVE ANO M"L!MA�YT�1N WOfiKERS'CMIPENSATpN INSURANCE.�5 AEOVIRED BY SECTION Q 77DOOFIMELA80RCODE,FORTMEiERFORMA4CEOFTHEW(MKFORWHICf17HlSDEp41TIS ISSUEO.M'�Mqf7KEP'COMPENSATqNIN UMNCECARIi:ERAND70L�CYNUMO:RARE: CONSTRUCTION jur+r�Ea �_ .���sO I11 PUUJ RFVIEW � va�crruMecn HJ—i► �� ELECTRIC ^ (M1!'+SECfICNlLmNOiBEQMIEfIDOFTEPER.fTF�fOf70NEH,.WREDLTJLLIASR�oD10RLE551 PLUMDING � ZZ . �O ZILERTIFYTHA7INTNEPERFO{iALtNCEOFTHENORRFORwMiolTniSPERMiTI51S5UED,1 MECHANICAL '��' () SHALL NOT EMPLOYANV OERSON IN ANV YANNER 501,5 TO BE�[SU9JFCTTO7HE ! ((j WORKERS'COMPENSATIONUVISOFCAUWANItiAND�GREEhUi1�151ql,LDBECOME INSPECTIONFEE � SUBJECf TO 1HE WORKERS'COAIPENS�TION VROVISqNS OF SECTION 7100 0F iME LACOR ' �7 l y`' ' s COOE.1 SHALL iOFT�4Ni7NC0'APIY WITH TMOSF PROVISIONS. ISSUANCE _ � (/J. J�C� �_ � SMIP 1 ��V �}E��f p DATE: APPLICAMT: � � , ENERGYP/C � � ��' 1� �W WARNiN�:FNLURE TO SECURE KO(V(EHS'COMPENSATqN COVERACE IS UhUWFUI.AN�SMMl BE �`, ��`✓���� SU&IECTNIEMRO`IERTOCWNPlALYENALTIESANOC1V4FwE5UPTOONEHUNDREDTHOU5MID ENERGYPERMR �1, DOLURS(ftoo,000),N1IGDITONTOTHECOSTOFCOAIPENSA7qN.DAAIAGESASVHOVI�EDFORIN �, V � SEGTION770eOFTH[LABO(iCOOE,NTEAEST,/NDATfORNEV5FEF5. RE7ENTIONFEE: • �'• `Y�-�-•��5, a CONSTRUCTIONLENDINGAGENCY PFE-ALTFEE: �'�� � �'"l~� � � IHER[BYAFFIMIUNDERPENALTYOFPERIUMTNATINERFISACONSTRUCT�ONLEN�WCAGENCY �^.�L�I' nZ' FONiM[YERFORMAAGEOFTHEM'ORKFORW111CMiFi�SVERMITI5155UED(SEC.70i].CIV.C.� � - - W � lE1mER5 NM�E F= IENDER5.IDDFE55 /� WICEifTiFYT11ATIHAIlEREAOh1i4MPl1UTiONANUSTATEiHATTHEABOVENFOR1AAl10NI5WMECT. TOTAL FEES `^ �S•CJ� d IAGflEETOLriAPLYWRHALICfTYANDCOl1NTYORDINANCE5AND5TATEUN'SMELATH6TOBV4DInC CONSTRUCTION./wD MEREBY AUTLqWZE REDR[SEM/.TNES OF THIS COUNTY TO EtfTER 11PDN THE � � ABOVE-MENTIONEOPROPEH7YFOti1N57ECTqNPVRPO5E5. COMMENTS � ���A�.�4��I m Q DERY Et w N � y sqNATUNEOFiEWII I OAfE � _ RECPT.NO. PAID BY VALI�ATION WH�TE—aepertment Copy,YELLOW—Flnance Copy,PINK—Aseeesa Coq.GOLDENR06�ib Copy,GREEN—Applicant'a Copy ' CITY OF DIAMOND BAR �•. . � ' INSPECTION RECOF�D� � • � � � - • � � � • - SEi'BACK � , ,.,\� , FLOOR JOIST .., �... - - , FTGS/FORh1S/STEEL - . - FHA REQMTS •_, _ - ELECTRIC GROUND ' ` UNDER FLOOR DUCT - . � GROUND PLUMBING UNDER FLOOR COI�IDUIT.. ';� ��.• ,r.%�'� � � SLAB GRADE FIREPLACE FOUNDATION��" ' • -�— — � TEMP POWER - FIREPLACE BOND BEAM � WATER SERVICE MID HT. BOND BEAM • �-•- � ' ROOF SHEATHING "' � '` � - '�' ' '�`� � B FT.BOND BEAM,' . � �� FRAMINGNENTIUATION _ FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING - - BENCHING ROUGH ELECTRIC � ROUGH GRADING -ROUGH PLUMBfNG- - � �� . �� - FINISH GRADING SHOWER/TUBTEST : FOOL ELECTRIC EXT.LATH/SIDING � ' POOL FEP�CING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER . ' FINAL ENG. SEPTIC TANK - . LANDSCAPElIRRIG. . SEEP PIT/L.L: =� ON SITE IMPS. GAS AIR TEST 4�� FINAL ZONING FINAL CONST.- -� FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV. FEES PAID , FINAL PLU6161NG tb• �`j� ENERGY :, i �-,� `; , ' • �-�o�,�f �i� _o, �- � _, . . _ ' � _ . .. � , _ _ ... -• -. -• -.. . . __. _ , .... --. ..._ , .. . COMMENTS , � . ., . , , � _ ' , • , - �. • ; SEPTIC TANK SIZE . ; SEEP PIT/U SIZE _, � . . . . • . . ... . , _ .._ -• _ � ` _ , , , . . _._- . . �