Loading...
HomeMy WebLinkAbout14384 (30) � _ CITY OF DIAMOND BAB DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)86Q3195 Fax(909)861-3117 PRESS '*���`.� $UILDIIVG PERNIIT APPLICATION FIRMLY oJOBSITE ���(� v� APPLICA O PERMIT P ADDRESS; 1� �1 - /y����� L� OATE � NUMBER� N � ISSUE , . TYPE OCC APN LOT D TRACT_ ►�, DATE CONST. GROUP � OWNER. � _ ADDRES ZONING SETBACKS e CITY - � ZIP�� TEL. REAR RW O� g APPUCANT TEL.�'�as+ Q � SIDFJSIDE STREET RW ❑ CONTRACTOR SIDE ❑ g ADDRESS � CITY ZIP TEL. ROPOSEO USE � ARCHIENG/ DESIGNER NO.DWEL. ' NO. N0. ADDFiESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. y . �ESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION ¢ OWNER�BUILDER DECLARATION SFR/ADp1REM O �QQQ 1 MENEBY AFFRW UNDER PENALTY OF PERIURY THAT I AM EXEMP7 FROM TNE COHIMCTOPS ll- GafeQtl/C81pOfI GENSEUWWR7HEWLlOWW�REh+ON�SEC.7091.6BUSINESSANDPROFE5310NSCOOE:ANYqTVOfl WIMI`IWMCx1RE0UFE8APERMRlOCq61AUGT.AL7Eq,NIPROVE,DE1.bU31{ORREPAIRANY8IRUG Pa11WDBCk 1t1f1E,PRqH 70 fT9 185UANGE.11L80 REW IRES iliE APPLICAHr fOR BUCH PERMI�PD FILE A SIONE� BTATELIENT 71U17 HE OR SNE IS IICENSED PURSUAM TO 7ME PWOYISIONS OF TME CONTMCfOR9 U- � CENSE UW(WAPTER Y(COMMENCINO WITH BECTION 7000)�F DM910N 7 OF TNE BUSINESS AND PR6 LL POOUS�9 FESSIONS OOOq d37NAT ME OR BHE 18IXEMPT THEREFROM AN�THE BA913 WH TIE ILLLEOEO E%EMP- TqN.ANYVqLAT10NOF6ECTION7m1.68YAMlAPPLIP.�NTFORAVERMIT9UBJECf3THEAPPLICANTTO Z Rg.F1pp} � 11 CIVR PENALTY OF NOT MORE TMAN FNE NUNORED DOLLARS(ib�l�Y ., 04�O�MNEROF7MEPHOPEHTY.Oi1MVBAPLOYEEBNATHWA0E8ASTHEIR80LECOMAENSATION, - 0 CpmmgfClBl YYILL DO TNE WOi1K AND h1E 9TRUCTURE 19 NOT NJTEND60 Oii OFFEREO POR 9ALE(SEC.10u,BIISF J NFSS ANO PAOFESSIONS CODE:T11E CONTMGTORS LICENSE lMN OOES N01'APPLY TO AN OWNER OF i ? � PROPERfYMM1iOBUL0.SOR�iPqOVF87MEREON,ANDM11i000E53Up7WORKHIMSELFONMEfi6ELFOR � TMi0U0HHISORFiFAOWNEIAPLOYEE&P�DEDTIATSUCHIMPROVEMENiSMENDTAJTEN�EUOR m OFFERm FORSAI.E IF FIOWEYER7NE BULDNOOR MIPNOVEMfNT�BOLD WITNIN ONE YEMOFCOAIPLE TqN,7ME OMINE0.&11lDER WILL FIAYE 7ME BURDEN OF PROV WO TNAT ME OR 811E DD NOf BUIID OR NAPROVE POiiTF1E PURP0.SE OF BAL�. � DAbOM�NEROFTHEPROPERI'/.AMDLCLUSNELYCOMMCENOWITNItCENSEDCON7RACTOR3 10 OONSTRUCT THE PIiOJECT(8EC.7oM,BUSINESS AND PROFESBIONS COOE:iHE CONTMCTORS U- II16tIOR "r ADJ.AREA CENSE LMY�OES NOTAFPLYTO AN CNNER OF APROPEHTY NM11O BUX.DS 0111MPHWES THEREON.A1O WIi000NTRACTSFORSUCHPROJECf9WIhFA00NTRACTOiNS�IICEN9EUPURSUAMTOTMECONTRAO QUAN7T�Y OESCRIPTION FEE � lORS UCEN6E LAW.�. . � ❑I AY IXEM7T UNDER BEC. 8.�P.C.FOR THIS HERS � V � � pATE ONMER � � � W s[ LICENSED CONTRACTORS DECLARATION W � I MEREBYAFFWY lMOER PENALTY OF VEiWRY 7lUT I MI IICENSED UNDER PAOVISION9 OFCHAPTER '� •(OOIAYENCWfi 1NRX SECTqN 7000)OF DM610N 9 OF THE BU61NES5�ND VROFESSqN6 CODE.ANO z IAY UCENBE IS N F10.1 FORCE AND EiFECT. m � LICENSECLASS LIC.NO. � � F-- �j DASE COM�MCTOR � .� � � WORKERS'COMPENSATION DECLARATIQN • U. ', � IHEREBYAFFIRMUlIDEHPENAITYOCPERJURYONEOFIHEFOLLAWINGDEQAR/.TIONS� u� .. z Q _I�NAKAN�YVILIMWIJTANACFHI1FiGATEOFCON5FMt08ELF•INSUHEPONriORKERS'� . a � • ., ` � �.. ,. . .... � � . .... � Cd1PEN3AT10N,ASPfi�VIDED6Y6ECTI0NJ7000F?HEIABORCOOE.FORiHEPERfORMANCE�'��� �� s Q OF THE WORK FOR WNIp17MIS PERMIT IS ISSUED. W �j- � .7 t' O _I NAVE MDN7LL MAMTIUN MqqKERS OOMPENSA710N INSUMNCE,�S AEOVIRED BY BECTION 8700 OF 7HE LABOR OODE.FOR iHE PERRDFAIANCE OF THE WONK WR WHICH 7HIS PEFtl.11T IS 1 : .. 4 � ... ,. . � ISSUED.MV VAORNERS'OO�IPEN3ATqN IN5l1RANCE CARRIER AND POIICYNUMBER ARE CONSTRUCTION � � CARPoER PLAN REVIEW � POLICYNUMBER ELECTRIC � _. (iFiSgECfpN1�NOTBEpp�qF7mpFnEPQAarsFapoNEM1A[;impollARs�i�ao�oqLESs). PLUMBING 8 1 CERTIFYTHAT N 7HE PERFORMANCE OF THE WORK FOH WHIGI h115 PERMIT IS ISSUED,I MECHANICAL � (� 6FIALLNOTEMPLOYANYPERSONWIWYMANNERSOASTOBECOMESUBJECTTOTHE „�•,��' 6, N WOFYCERS'COMPENSATqNUMf50FCAlAFORNI0.NIDAOREETHATIFIBHOUlABECOME INSPECTIONFEE � x� S SUBJEGTTO THE MGRKERS COAIPEN9A710N PROV1910N5OF BECTION 41W OF TME 1A90N I cooe,i sNu.�wmNvntH cor�r�r rnrn rnose raows�or�s. ISSUANCE p DATE: APPLICAM: SMIP � . � � WARNINO:FAILURETO8Eq1HE WOFLCER9'COMPEN9ATpN COVERAOE IS UNLAWFl1L.AND SHhLLBE ENERGY P/C. °�+� 6UBJEGTANEMPLOYEN70CRIYtNALPENALT1E6M/DGVILFINESWTOONEIWNDRED7HOUSPNO ENERGYPERMIT i I f` '�'�`� DOLLARS(it00,00D�N ADDITION TO T/IE COST OF COMPENSIITION,DAM�GE9 AS PROYIDED PoR IN .,rJ SECTION7J0lOF7HEUBOROODE.MiiEREST,ANDATfOHNEV'8FEE5. RETENTION FEE: �L�.nT�'•TC'f�.�.7i e��-'��T'�C!�7 1 ¢ 4 CONSTRUCTION LENDING AGENCY � P��LE-�kF-F_EE � 1 NEREBY AFFIRM UNOER PENPLTY OF PER7UHY THAT THERE IS A CONSTRUCTION LENDNG MfiENCY r Z FORilIE PERFOHAIANCE OF TXE WOfiK FOH WHICJi THIS PERM�713ISSUED(SEC.90Y7,CIV.C.). W .. � LENOEN'S NAME �S LFNDEX'SADDNESS W 1 CERTIFV i/U1T 1 HAVE REM 1Y113 AVPLICATION MI�6TATE TFUTIHE A90VE INFORMATqN I8 CORRECT. TOTAL FE ES //�� � I � d IAOREEi000MPLYWIiliALLCRYANOCOtMfYORDINANCE3ANOSTJREUWSREUTINOT09URDINO ��� /;� / (�� '^ CONSTRUCTION,AND HEREBY AUTNONIIE REPHESQJTATIVES OF THIS OOUN7Y TO ENTER UPON THE. (a _ � �( 3 ABOVE�YEMqNED PROPERTY FOR INSVECTION VURPOSES. COMMENTS t �� � . //Ijt� !�{..-� Q nEM�rrrEi N,ws laa � . y / l y� ilON1QU IiA1fT7EE OATE � RECPT.NO. PAID BY � YALIUATION WHITE—Department Copy,YELLONf�inance Copy,PINK—Asaesaw Copy.6DLDENROD—FNa Copy,GREEIw�Applicant's Copy .. CITY OF DtAMOND BAR `� '.._:�--�1, � IhISPECTI�R! RECOf�D ' ' ��, - • s � � - s - • � � r • � � - SET BACK � � � , F�.pOR JtOiST-, , , FTGS/FORMS/STEEL f /�� FHA REQMTS . Et�CTR1C GROUND UNDER FLOdR Dl7CT ' ' - � GROUND PLUMBING UNDER FL�QR,Cq�IQU�T�: �. •. 5LA8 GRADE • FIR�Pt:AC� FOUNDATION � • - -- - TEPAP POWER - FIREPLACE BOND BEAM � " � - WATER SERV(GE MID 61T. BOND BEAM ROOF SHE/3THlNG • • -- • - - S FT.BOND BEAM FRAMINGNENTILIATION , ., . FINAL BOND BEAM ROOF COVER . PRE-GRADING ROUGH HEATil�1G BENCHING ROUGH ELECTRIC � FiOUGH GFiADING R�UGfi PLUMBING . FINISH GRADING SHOWER/TUS TEST PaOL ELECTF[C EXT. LA7HFSIDING POOL FENCING WALL lNSULATION POO�FINAL CE(LING INSULATION � OFF SITE IMPS. DRYWALL NAI�ING DEDICATIONS SEWER � FINAL ENG. SEPTtC TANK � LAN�SCAPEJIRRIG. SEEP PIT/LL. - I . { ; ON SITE IMPS. • GAS RIR TEST , FINAL ZOIVING �INAL CC)NST. 2. .Cp ; ; FIRE DEPT. FINAL FINAL HEATING i ` HEALTH DEPT. FINAL • i �� F1NAL E�EGTRIC ; DEV. FEES PAID • --�— - F1NAL PLUMBlNG � � � � EfVERGY �_� ' � ' ---�_— _- � ` � � �k O t.� - ` -� COMMElVTS S�L fJ� !� _���C� , „��t� ' '_ � y � �—�� � � -- - SEPTIC TRNK�IZE SEEP PIT/U SIZE � �--u� � , � . . ; , �