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HomeMy WebLinkAbout11723 CITY OF DIAMOND B AR • • � ""-J� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE �' 21660 E.Copley Drive Suite 190 ' ' ' � (909)860-3195 Fax(909)861-3117 - PRESS �^M'� BLJQ.DIIVG PERMIT APPLICATION FIRMLY d ADDRESS 3 / � , APPLICATION� � PERMIT � /C , o ' DATE NUMBER # g ISSUE TYpE pCC APN LO TRACT DATE CONST. GROUP - g OWNER p ADDRESS ZONING SETBACKS � CITY ZIP TEL. • � '� REAR � ❑ APPLICA TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR t - SIDE p ADDRES � CITY ZIP TELf PROP����E e� k1 o ARCWENG/ • � � DESIGNER NO.DWEL , tJO., • NO. C�ESS ZIP TEL. . UNITS STORIES � BEOROOMS � �n DESCRIPTION SO.Ff. FACTOR PSF AW.AREANALUATION ¢ ONRJER-BUILDER D�CLARATION : SFR/ADD/HEM O . p I HEREBV IFFIp1A UHDEH CEN.LLTY OF VE0.1lDiV 1HAT I AY EXEYOT FR04 THE CONTAACTORS L4 Garapa/Carport . _ � � � ll_J CENSEUWiORTMEFOLIOWWOREASON(SEG7ao1.i8U5p1ES5ANDFROFE5510N5CODE:ANYCfiYOR (n �� OOIMiYMMICNH[OWiESAFERMRTO00N57iri1CT,ALTERMPf10VE,DEMOl151iORREPAIAANYSTRUG W patlol�eck u� IUP.E.PIWA TO(T9 ISSUANC�ALSO REOUIRES THE MPLICNlT FOR SUdI PERMIT TO FiLE A S16NED � w � � 6TATEMEM THAT HE OR�ME IS UCENSED PURSUANT TO TME GROVISIdiS OF TIE CON7iUCTOfi5l4 CENSE Uw IpU1V7ER Y(COAIMENCNO N77H SECTION 7000)OF�MSqN 70F h1E BUSINE55 M17 PRO� �- PooVSpa � fE5510NS GODE)Oq THA7 HE Oti SME IS El(EIAPT TMEREFpOM AND iME 60.515 FOR THE ALLE�ED EXEMP- TION.AM'VIOIATK)NOFSECTION7071.lBY�NVAOGLICANTFORAOERMITSUBJECTSiHEAPPLICAHTiO z Re-Roof �,_, A C7VR iENILTY OF NOT b10RE 7fUN iNE HJNDRED DOLLMS(t6ao),I' . . O ❑lASOVMEROFTIEVRODERTY.OFUYEMVLOVEESMATMWAGESASTMEIRSd.ECOYPfHSATqN, 0 COn1m9fCIF11 � � 1M1L007NE WORK M1U TNE STAUCNRE IS NOT INTENOED OR OFFERFD FON SILE(SEC 70s1,BU54 J N NESS AND PROFES&ONS COOE iME COHTMCTORS LICENSE UW DOES NOT AGPLV TO N1 OWNER DF ? , PR07ERiY NM1q BUlD3OR YPiqVE4 TIEREON,ANO YMO DOES SUd/VdORK HI45ELFOR NERSELf OR (� 1HNOUGH MS OFt NER OMRi EMPLOYEES,VfiONDEO THAT SUL11 MGROYEMENTS ARE HOT MEl�EO OR m � OFFERmfORSALEIF,NOWEVER711EBUlGNGOflIMPROVEMIXTI55qDWffHNONEYEAROFCOMPLE Z 'TION.TME OYYHEIiBULDER MALL YIAVE THE BURDEN OF Vf10VW0 iHAT ME OR SHE DD NOT BUIID OR = MPFiOVEiORT1EPUNPOSEOFSALEI � � W O11�405VNEROF7HEPROFEifTY.NAEXCLUSNELYCOHTRACTiNOWRYILICENSEUCdNTMCi0R5 � TO CONSTAUCiT11E PR0.IECT(SEG 7ou.61151NE55117�iROFES510N5 COOE:TME CaNTRACTOiiS LI. V81U8ti0n ADJ.AREA � CENSE UW DOES NOTAPPLY TO AH ONMER OF A VROPERTY YVIq BU0.DS OR MPqO'VES 7HER[ON,AND � �W1q00VfRl1CT5FORSUCHPRDJECiSWIT1ACOMMCTOR�S��ICENSEDPURSUAHiTOTHECONTRAC- OUANTITY DESCRIPTIOtI � FEE � � TOpS UCEHSE UW.} � - OI/WEXEMPiWDERSEC. B.iV.C.fORTMI5REA50N Q 3 • c� •. _ . u.. , ¢ . _ DATE OYrt1ER U . � LICENSED CANTRACTORS DECIARATION W � IHEREBYAFFIFUIUNDERPENALTYOFPEMIRYTHATIAMLICENSEDUNDERFROVISIONSOFGiA7TER �r � •(GOM4ENCNO WfiH SEGTqN 7000)OF OMSqN]OF iME BUSINESSIND iROFES5UN5 CODE,AND Z. ' �� W UCENSE IS N fULL FORCE AND EFFECi. m � LICENSE CLASS � v LIC.NO.C +�_ V � j , � V DATE �' CONTMCTOFl d IL � WORKERS'COMPENSATION DECLARATON -� y IHEHEBYAFFIRMUNDERPENALTYOFiEiWMONEOfTHEiOLIAWINGDEq.AiUT10N5: Z - � � -' � � �IHAVEANDWILLMIUMAMACERTIFlCATEOFCONSENT705ELFaNSUREFORMpN(ER5 = Q COMPENS�TION,ASPROVIDEDBVSEGitONiTOOOFTHEUIBORCODE,FORTNEFERFORIAANCE W O OFTMEWOflKFORWMIp1iM9iERMR19155VED. � � =1HAVEANOWILLI.WMAd1WO(iKERS'CaUFEN5AT10NM5URAlKE.ASREWIREOBYSECTqN � • � O l7DOOFiNEIABORCOOE.FORIHEPEHWN.IANCEOFTHEWORI(FORWHICHiM�SPEflMR15 ISSUm.NYYNHKERS'COMO ATqNINSURANG�WHRIERANDPOLICYNUMOFRARE: CONSTRUCTION � GIRFUER_�' ��'[ �/�4 �T PLANREVIEW . 0 POIICYNUl18ER �%?��p�� ELECTRIC d � (nass[cmiu[tawreem�stFrIDocnfv[w.�rswaa+[wnamoatinsaioc�a�tFss� PLUMBING Z ICERIIFYTNATWTHEPERFOilYANLEOFTMEWORKFORYMIp/THISPERYRlSI55UED,l � MECHANICAL (� SMALL W7 EMPL0IANY PERSCN N ANY YANNER SOAS 70 BECOME SU&1ECT TO7ME � � � N'OPo(ER5COAIPENSATqNUWSOFCALIFORMA,/NDACREETHAiIF DBECOAIE INSPECTIONFEE S SUBIECTTOTHEWORKERSCOMPENSATIONFROVISqN50F ECT ]700 'TMELABOR . COOE,ISHAII. 1HC01.IP�VYnT/T110 EPROVIS ISSUANCE i. 1 � �� SMIP p DATE: APPIICANE � W ENERGY P/C � WARNiN�:FARURETOSECUREWORKERS'COMPENSATqNCOVERAG UNUWFUL,IW�SHALLBE /� ("'y SUBJECTANEMPLOYERTOCAIAIINALFENALT[SANDCNRFNlESUPTOONENUNDREOTHOUSMID ENERGYPERMIT ��[ � DOl1ARS(f 100.000).W AODRION TO THE fAST OF COMPENSATIDN,DMIAGES AS VPOVIDED FOR IN J SECTIONf7oeOFTHEU00RCO0E,WTE11E5T,/WDATTORNEYSFEES. RETENTIONFEE: � oCONSTRUCTION LENDING AGENCY pRE-ALT FEE: � INER£BYAFFIpMUNOENPENAt7YOFPE0.tt1IiYTNATTHER[ISACONSTRUCTIONLEN�INOAOENCY • Z FOq THE VER W RIAANCE OF THE WORK FOR WNICH TMIS 7ERYIT IS ISSl1ED(SEGlOo7,pV.G). . W � �ENDER'SHMIE . .. _ _.. ' � LENDER'SADORE55 ¢ ICEFTILYTUiINAVEREADiMISAPPLIGTIONIW�SUTETNATTIEABOVENFORYATtlN15CORHECi. TOTAL FEES � � IA(iREET000IIRVVA7NALLCfTYANDCOIMTYORDINANCESANO3TATEUwSRELATHOTOBUILDINO !` ` � CONSTRUCTIOµ/J:D HEREBYALRFIORQE 11EFRESENTATNES OFTHIS COUNTYTO EMER UPON THE . ���� , '1(_/_O � ' : l�BOVE-4EMqNEDPROPERTYFORINSPECfqN RPOSES. COMME-MS ��« �� � f f � �.f . m iERYi7TEENAME(P Q ��__ ,��.� � � 8:6N�TURE E � RECPL NO. PA:D BY VALIDA ' VYFiITE—Oepartment Copy,YELLOW—Flnance Capy,PINK—Aseenaor Cop7r,GOLOENROD—File Copy,GREEIy—Appicant'a Cqry � � � � �.�...� �i:h�.'S.��.�.�n.�w.'...�.�.��'1�"'..n��.N�.•..'r��:�....::n��.... � . ._ .. � , wf. .. r.1.� ...1 :��:`�. ��.� � ��44.� � . r.t�.. , .%L.;f. l��', . � . .. ' . . . � � � . � . , .h�. . CITY OF DIAMOND.BAR ,... :;-,- :_. _ , . �� . ,.,;.: . . . ,... _ . , , .. . .. . - - �-. �� INSPECTION'RECOF�D�:, ; ' �' .,, ' : ._ .� , . ,:'.._ . . , ,: � - ;� . , . . � � , � • - • � • • - SET BACK � � � � •� � � '� (:�.\� FLOOR J015T ) • .t, �� i', � •� • _ , � . .� , , ., , , FTGS/FORMS/STEEL �' � � ` FHA REG2MTS -` -�- - �' ELECTRIC GROUND.�-�. -�-__.� _ . : - � UNDER FL:OOR DUCT� -- ' " �� ' � � . .. , GROUND PLUMBING � • UNDER FLOOR CU�IDUIT .:�. _:��.�: �. � __ � • � - .. . ._ .. .. .__... . __.. . . , SLAB GRADE- - � -- - � •.• . ' FIREPLACE Fbl'JNDATION -- - --� =�-� - -�'• ' TEMP POWER - -`'�:. ---� '- '^� '.' FIREPLACE B�ND BEANI -:-- ------- - --- --- - . WATER SERVICE -� -- - - -- - - � . - MID HT.B�ND BEAM .` . , •,, �. = ; '= - _ ` . ' � ROOF StiEATHiNG � '- Z - - � 8 FT.•60ND B�AM �•��� ���� '�� • FRAMINGNENTIIIATION ,:'..ti:_ -� � � `� FINAL BOND BEAM� ` • " ` i -- � - - --- ..._ _.. . ... _ ... ROOF COVER.. . � / �' " �'/ 'PRE-GRADING • : = ROUGH HEATING- -- - - - - - - :-- - BENCHING ' '' �:: : -ROUGH Ef:ECTRIC-- - � � - - - � � � ' � - - ROUGH GRADING ,� ROUGH PLUMBING - -"--- -�- -�- �- � - . - FINISH GRADING ,.-.. - ' ' � SHOWER(rUB TEST� ��- . POOL ELECTRlC� : � , . . � EXT.LATH/SIDING , POOL FENCIPJG . WALL INSULATION i : POOL FINAL . ' ' �� ' CEIUNG INSULATION OFF SITE IMPS. � ' DRYWALL NAILING � DEDICATIONS � � � ' ' .SEWER .__.__._ _ _ . FINAL ENG. • -- -•- -- - - -- - - SEPTICTANK _ __..' - ',_. . :-. .- LANDSCAP,E/IRRIG. . . � •- -SEEP PIT/L.L. _ _ - - ' -`� ' ON SITE IMPS. • � , ' + ' GAS AIR TEST: � -- � � - FINAL ZONING �• " FINAL-CONST.• -- l - -- FIRE DEPT. FINAL - ' � FINAL HEATING - � -� ---� � - - -- � � HEALTH DEPL FINAL •� FINAL ELECTRIC - - � - � � � � DEV.FEES PAID � FINAL PLUMBING ENERGY - � a�a' e • • --- - �,�. . �--------. . _., - - - - .. ._. _. . . . . �COMMENTS. . . .-- - � - . . ' ... ' ... ' '. ,`� �•' ,,, ... - � , • � . . -- - -- - � - , , .. , __ •�:.'� 'i �. ';' ;`.,•, . - --.._ . __. . . . .. ' •. ; . • � , . �, i -.. , , . . , . -;-,` •- �-- _ • \• � i: - --- . .. . - - -. , , '. , , i SEPTIC TANK SIZE " ':`„'•��� iti"� �. . ' � ' � . - SEEP P.IT/U SIZE :� -. � . � . � i , - - - -- _ I � � , . ---- :. . _ .. ---.-- - I ; � .- � �. , . , i . , . .. ,,1 „ ._� . , �_ � �1' �1 � , � � �� ` . \ . . ..-- . ... . . 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