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HomeMy WebLinkAboutNo Permit Number �` CITY OF DIAMOND BAR ��� ��. DEPARTMENT OF COMMUIrTITY&DEVELOPMENT SERVICES � 21660 E.Capley Drive Suite l90 PRESS (909)860-3195 Fax(909)861-3311 "������ BUlLDIIVG PERMIT APPLICATiON FIRMLY N JOBSITE ,...y�p APPLICATI�N �p �( PERMIT P/C a ADDRESS IC'] "t'-/ �LL.�Y /�LC-�� DATE �0�� " F NUMBER � Ik � ISSUE TYPE OCC APN LOT TR DATE CONST. GROUP g OWNER '' ZONING SETBACKS � ADDRF�S Z cITY�� _ Cr`l� Z� ��• REART � O � APPLICANT SIDE/SIDE STREEf RW ❑ CONTRACT R SIDE ❑ � AD� S _ PROPOSED U5E �� CITY ZI TEL. � ARCMIENG/ �'+' �y DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DE5CRIPTION Sa.FT. FACTaR PSF AW.AREANALUATION a OWNER-BUILDER DECLARATION 5FFVADO/REM O 1 MEREBY AFFWM UNDEN PENAITY OF PEiWRY 7HAT I AM EXEMPT FFlOM THE CONiRACTORS LI- GBfAQBIC9190R CENSE{AWPDqTMEFOLLOWINOREA.40N�5EG70.91.sBU5WE55ANOPRDFESSIONSCODE:ANYCITYOR (n COlW7YWHICNREQUIRESAPENMRIDCOIVS7Rl1Cf.KTERMPHOVE,OEMOLISH.ORREWJRANY8IRUG W Pgt1D/DBCk 7URE,►RqR TO IT$189UANCE,AL80 REW IREB THE APPLICMIF iOR BUCH PERMI7 TO FlLE A SIDNED w BTATEYEM TNAT NE DR SHE IS LICENSED PURSU�NT TO THE PROVISIONS OF THE OOHfMCiPRS LI• CFl�ISE UW(CH1lPTER Y(CdAMENCWG N11T1 BECTION 7mo)OF DIV1910N 8 OF THE BU51NES5�ND PRO• �� POOVSp9 FESSpNS COGE)OR 1W�7 HE OR BHE IS F%EMPT iMEREFROM AND 7ME BASI9 FOR THEALLEOED EXEAAP- TpN.M7YV10LATIDNOF$ECTON7091.6BYANVAPPLICANTFORAPERMRSUBJECTSTNEAPPLICAMfTO Z qe-Roof � ACMI►ENAL7Y OF NOT NOPE iHAN FNE FMINDAED COLUIRS�iGoo1.I: . . ❑L�aMNEpOFT1EPROPEHTY.OHMYEMPLOYEESWITNWAGESA9THEIR90LECOMPENSATION, 0 COrt1/119lCI91 WILL DO TME MIOHI(,MID TME BTRUCTURE{S ND7 MfTENDED OR OFFFAE�FOR SALE(SEG To��,BUSF J NESS N1D PNOFEBSIONS CADE:THE CONTMCTOXS I,ICENSE LAW OOES NOTMPLY 70 AN pWNER OF N ►IIOPEFiYNM1fOBULD50AYPROVEBTHENEON,ANDNfFiDDOESSIICNYYOAKNIMSELFORHERSELFOF = Q TIGqUGHNI50RHEROWNEWPLOVEE3.PROVIUEDTNATSUCHIMPROVEMENT8ARENOTIMENCE00R m � OFFEREDFGFBILLEIF,/qYVEVER7NEBUILDINO0i11A1PROVF1AENfISHOLDWRHINONEVEAROFCOMPLE f10N,THE OWNER�BULLDER WILL NAVE TME WNDEN OF PROVPKi THAT NE ON SHE DIO NOT BUIID OR NAPiqVEFORTNEPURPO5EOF9ALEj. . �y,� �4A3dM�EROFTIIEPROPERiV,AMEXCLU3IVELVCOMMCTINOVNTHLICENSEDCONTRACTDHS � TO CONSiRUCT TME PROJECT(SEC.7aI.BU91NE55 AND PROFESSIONS OODE:THE CONTqACTORS�I- V81U81iOf1 AOJ.AREA CENSE lAW DOES NOf APPLYTOIW OYlNER OF APROPERTY WFIDBVIL09OR IMPROVE9 il1EREON.AND WFqppMR11CTSFORSUCHGROJECTSWITIACON7R�C70P(8)LICENSEDPURSUMI770TNECONTMG QUAIYTITY DESCRIPTION FEE � i0R4lICEN6ElAW.�. p O I AM IXEMPT UNDEN 9EC. B.i O.C.FOR 7HI5 pE.ASON U . � 4� / � � '! G aaE owNea � LICENSED CONTRACTORS DECLARATION � � 1 NEREBV AFFlRM INDEH PENA�TV OF PE0.IURY THAT I/W1 LICENSED UNDER PFmHI510N5 OF CHAPTER Vr s �(COMMENGW(iW1TN8ECT10NMaD)OFDIVISION30fTHEBUSINE55ANDPROFES510N5CO0E,AND z 1V W LICENSE�6 M Fltt1 FO ANO EFFECL m � � � UCENSE S LIC.NO. �' J � pA'IE � CONTMCTOR a WORKERS'COMPENSATION DECLARATION � � INEREBY/1FFlRMWDERPEMALTYOFVERIURYONEOFTFIEFOLIAWINODECLARATIONS: U y � � _IHAVEANDVIILLMAN7ARIACERTIFICATEOFCIXiSENTTOSELF-INSl1REFORVYORKEHS' COMPBJSATIDN.AS PHOVIDFC BY BECTION f7Do OF THE UIBOR ODDE.FORTHE PENFOR1lANCE W OFTNE WORK PoR WHICHT1119 PERMIT 1916SUED. � 0 �I HAVE 1W�WILL AWNTAM VNORKERS'COAIPENSATION INSURMICE,AS HEOUIREO 9Y SECfION Q 97ao Of 7FE LABOR OODE.P�N lNE iER WRYANCE OF iHE WORK FOR Nhildl THIS PENMI715 ' � ISSUED.MY WORKERS'ODMPENSATION INSU�/�C,E�CARN�ER^ANO POIICY NUMBER ME: CONSTRUCTION � CMNIER � - r K-.�..g k' P VIEW � ra�cvwuMeER ,� ^ ELECTRIC Q (iF16SECIqN1EIDN]rBEm.i�E7IDaF7HEPEHMf19wHp1E�alDRED�OLIARSR10U1�ilESs? PL NG Z I CERTFY TrNT IN7HE PERFORMANCE OFTHE WORK FOR WHlpi THIS PERMIT IS ISSUE�,I MECHANICAL � SHILLLNOTEMPLOYNIYPERSONINANYMPNNERSOASTOBECOMEBU&IECTTOTHE � WOPoCEFS'COMPENSATIDN lAYVS OF CALIFORNIA,AND�aREE TMAT IF I SMOULD BECOME INSP ON FEE SU&IECTTOTHEWORKERS'COMPENSATqNiRDVISqNSOFSECrI�NAooOFTHEUl80R SSUANCE s CODE.I6HM1 iHCOMPLYWITHTHOSEPROVI510N3. � " rs�„r � O ���•� ppp p� DA7E: ^ APPLICANT:C \f]t[�1 . � ENERGY P/C WARNINO:FAILURE TO SECURE YYOWCEHS COMPENSATpN COVERAGE IS UNLAWFIA.M1D SHALLBE � BUBJECTANENPIAYERTOCIUMINALPENLLTIESANDGVILFlNESUPTOONEMUNDREOTHOVSANO ENERGYPERMIT OQ OOLLARS Ittoo,0oo),IN AD�I710N 70THE COST OF COMPENSATION.DAMAOES AS VNOVpED FOR IN � BECTION87aBOF7HEUBORCODE,INTERESLANOA7TORNEV'SFEES RETENTIONFEE: � d*� qW, CONSTRlJCT10N LENDING AGENCY PRE-ALT FEE: 8 �u��{'l�O �{,1rt�� g � �►�F�',' . IHEREBYAFFItaAl1NDERPENALTYOFPERJURYiHATTHEREISACONSTRUCTIONLENUINGAOENCV J�jJ 1! Z FORTNE DEHFORMANCE OF TFIE WOPK FOR WHICH THIS PERMIT IS ISSUED(SEC.30Y7.GV.C.). W � LENDEH'S NAME � IENDER'SMDRES9 Q ICERTFYTHATIlMVEREAOTi15APPLICATIONAtiDSTATETHAThIEA80VEWFORMATqNISCORRECL TOTAL FEES � � I M3REE 70 COMPLY N7T/AU.CIi'/MI�COUNTY OROINANCES AND STATE UWS RELATMNi TO BULDINO � � CONSTRUCTION,ANDHEREBYAUTHORIZEHEPRESEMATNESOFTHISCOUMYTOENTERUCONTHE ,� � � ABOVE•MENf10NEDPROPERTYFORINSPECTpNPURPOSES. COMMENTS � 3L '� � ` �" �. , m VERMITTEE PRI a � v� . 1.�1 .. ! . 6WNAN RMI EE DATE ��� � RECPT.NO. PAID BY VALIDAl10N�� WHITE—�epsetment Copy,YELLOW—Finance Copy.PINK—Assassa Copy.GOLDENROD--File Capy,GREEN—ApplicenYs Copy . .. ,.:.:,.. .. .. . . .. . . .... ., . ,. . . . , . . . . ., . . . _. . . .Y'... . . . . , . ' ,. ' .. � . � . .. ' ' .. . . ... , ..i . . . . .. . .. .. . ' . ' / .Z,. � . " ' � ' CITY OF DIAI4'IOND BAR � ° INSPECTfOI�t REC4f�D � � � - � - • � s � � � - SET BACK � FLOOR J�tST ` . i , .. = � FTGS/FORMS/STEEL FHA EQMTS - - ELECTRIG GROUND UNDEA�FL�OR�DCJCT-•;'��� �.°' ' � ' -- -�-- , , ... GROUND P�UMBING UNDER FLOQR•CGhiDUIT,,�_; _�. , ', � �� '> _.� - _ . .. .. SLAB GRADE FIREPLAC�'FOUND'RTIpN �' � � •� - • �� -. TEMP POWER � FIREPLACE BOND BEAM WATER SERVICE , - • MID HT.BOND B�AM • -- - � -'-- — . ROOF SHEATHING� ' ' ' �' ' - - • S FT.BOND.qEAM • ' � � � � " � � ' FRAMINGNEIVTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC — ROUGH GRADING R�UGN PLUMBING FINISH GRADING SHOWERI7UB TEST POOL ELECTRIC EXT. LATH/SIDING POOI. FENCING WALL INSULATION POOL FINAL CEILIIVG fNSUtATIO1V I OFF SITE IMPS. DRYWALL NAILING I DEDICATIONS SEWER I , ; FINAL ENG. SEPTIC TANK j � � LANDSCAPE/IRRIG. SEEP PIT/L.L. j � ON SITE iMPS. � •.GAS AIR 7'EST ,--,�.,• ,: , FINAL ZONlNG FINAL CONST.• �- • i -� - • � FIRE DEPT. FINAL 'FINAL HEATfNG ' -� " "- " �' HEALTH DEPT. FINAL FINAL'EL'E�TRIC � � ` DEV. FEES PAID F�iVAL PLUMBING y � ' ENERGY f - ' iF. ' b i _ . . . COMMENTS .. � . . 'y ' . , . .. . ., ' --- .. � � _. . � . . . I � . , . . --i n�; SEPTIG T�`,NK SIZE � �'`'� " SEEP PIT/U SIZE:, �.;r ^+f�.;'�OE,e��.':'T'��•Y{,�'~' — ''''`��',,.'•. �)V'�'�.'[���c- \ . . . 's — . ._L.