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HomeMy WebLinkAbout12416 (11) CITY OF DIAMOND BAx : Y� --- DEPARTMENT OF COMMUNITY 1�DEVELOPMENT SERVICES � , 21660 E.Copley Drive Suite 190 (909)Sb0-3195 Fax(909)861-3117 `�- PRESS . BUII.DING PERMiT APPLICATION FIRMLY o� JOBSITE ,S—s2� R��Y ��u�� APPLICATION . G� PEFiMIT 7 P/C ADDRESS__ v�� DATE„�_D,�!� WUMgER� ` 1� $ ISSUE 'typE � APN LOT ZC.P TRACT.S�Z� DATE CONST. GROUP � OWNER --.'�j`�}.fi1�fl� �kf �G i C� ADDRESS /SC��'�i 1�/ Mr�t,,I�}2�F�F[ltL�. ZONING SEiBACKS FRONT CITY 1''�C. ZIP�j�.TEL"�i� � Rw ❑ APPUCANT � � - ►nJ TEL �'/C.! REAR p SIDE/SIDE STREET RW ❑ CONTRACTOR C,,, SIDE � ADDRESS � CITYZgj-A ZIP��i TELS�l^��i"' PROPOSED USE � ARCHlENG/ '��'2-1 DESICiNER NO.DWEL. NO. NO. ADDRESS � UNITS STORIES BEOROOMS � CITY ZIP TEL N DESCRIPTIpN SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ ONMER-BUILDER DECLARATION SFR/ADDIREM O I MEREBY AFFlHM UNDER PENALTV OF PEfWRY THAi I/W EXEMVT FROM THE CONfHACTl7H5 U• CENSEUWFOR71iEFOLLOWINGREAAN�3EC.)09i.6BU3WE83M10PROFE3510N9CODE:ANYCITYOR � GBR9fl�CefPOR OOIIN�YYMICFIREOUWESAPERMRTOCON57qUCT,µTER�PHOVE,DEM0�I5N,ORHEPMRANYBTHUF W PAfbIDBdC IURE.PRIOR TD 11'S K9UANCE,/iLSO REOUq1E6 TME MPLICAM FOR SUCN VERNIT TO FlLE A SIONED BTATEMENT THA7 HE OR BHE IS LICENSEO PURSW WT TO THE PROVISIONS OF TF1E CON�MCfORS U• CENSE LAVY(QiM7ER�(COMMENCIHO MfITH bECTqN 7000)OF DMSqN 7 Of iNE BUSINESS AND PRO � POOU$p9 FESSIONSCGD�OItTNATXEORBXEISE%EMPTTNEREFROMANDTNEBASISfOFiTMEKLEOEDEXENP• (a TION.ANYVIOLATIONOFBECTION70D1bBYANYAPPLICMITWRAPERMITBU&IECiSh1EMPLIClN1TT0 � Z RB-ROOI � A CML/ENALTY OF NDT MORE TII/N FIVE NUNORED OOl1.ARS(2500)J: � � �tASOYVNEROFTNEPRDPERTY,ORIdVEAIOtDYEESWITHWAGE3ASTHE1RSOlECOMPFN3ATIDN, � Cpmrtl9fdfil � MfILL DO iF1E WOHK,AND THE S7RUC7URE IS NOT IMENOED OR OFFEFED FOR SALE�SEC,7W,8U51- Q � NE55 AND PROFESSIqJS OOOE:THE COMRACTOHS LICENSE Uw DOES NOT A7PLY TO AN qWNEH OF ; PNOGERTI'WFW BULLDS OH HIPIqVES 1HERFAN,AND YNiO DOES SUCH WORK HIMSEIF OR HERSELFOR � iFR10UGHHI50RHEROWNEMPLOYEE3,PROYIOEDTHATOUCXMIPROVEMINT$ARENOTINTENpEOOR m OFPERED PORBALE IF M�MIEVERTME BUILDIN�OR MPRO�EMEMIS&OLD WITHIN ONE YEIIROF OpMPLE• TpN.TME OWNER�UriDEF WILL WWE TNE BUR�EIV OF PROVINa TMAT FIE OR SXE DID NOT BUIID Oq MPIpVE WN T}1E PURPOSE OF 6ALEL � OIASONMEHOFTHEPROPEHTY,NAEIICLU8IYELYCDNT1UCfINO1MTHUCENeEDCOMRACTORS 1O001J5TRUCT 7NE ifqJECT�SEC.7DN,BUSINESS AND PNOFESSIONS CODE:TIE COHfMCTpqS U- VGIU&110f1 /�J,/�j� CENSE LAW DOES NOTAP�IY TO MI OWNER OF A VROPERTY WFID BUILpS Op MPROYE9 TiEREON.AND �RACTS�RBUCIiPROJECT8M1TNA00NfMCTOR�B)LICENSEDPUR6UAHITOTHEWNiRAC• p�qNn7Y DESCRIPTION FEE � O 1 AM EXE\pT UNDER SEC. &{P.C.FOR THIS NEASON � U W Q DATE ONMER � � � ��[ UCENSED CONTRACTORS DECLARATION ¢ I HEREBV AFiIR4 UNDER PQiKTY OF PERIURY TlMT I MI IICENSED UNDER PROVISIONS OF CHAP7ER� � � /(OOMNENCWU1MfTX9ECT10N7000�OFDM510N80FTNEBUSINE551WOPqOFES510N5CODE.AND z u� MY UCENSE IS N FUIL FORCE AND EFFECT. m � �!CE�NSE qJ133 Li�� LIC.NO. �_ j � �j o,t�' 3,31 1'I.bc�[� conr�ncro_�•�� a W � WORKERS'COMPENSATION OECLARATION � Z � . ,� � 1 MEREBY AFFlRAI UNDER PEN�U.7Y OF VERIUi1Y dJE OF THE FOLLAWIN(3 OECLARA710N3: Z ^�J' � -SZ-] �y a 4� � �INAVEANDIMLLMAINTAINACERTIFICATEOFODN9ENTTOSELRi115lIREFORWORKERS' S ^J � � q OOGPENSA710N.AB PROVIDm BY SEGTION S70o OF THE LABOH CaOE,FDA 111E PERPDRMANCE C.7 Z� rl I �i•�• . 3 O OF 1TE WDRK FOR Nh11q1 TNIS PERMIT IS ISSUED. � � �' �� Q �I HAVE M1D WILL LWMAIN WORKER8'COMPENSATKKJ MSURANCE,AS REIXIIRED BY SECTiON 970o OFiHE LABOR COOE FORTIIE PERPoRMANCE OF7l1E WORK PDR WHICH 71115 PEPoNIT IS ISSUED.MVYYORKERS'COM�ENSATION INSUiUN CARRI AND POUCY NUMBERME: CONSTRUCTIDN � CARRIER �����\A�V PLAN REVIEW � POLN.YNUNeER��-��— �_Ly�� ��Cez�,��'UCe � E�ECTFiIC 0 (nesaEcfioNr��r�oreEao��oFnev�a.rrer�onerw�000wwsR+oMora�ss7 PLUMBING W � I CERTIFV THAT IN THE PEHFOHMANCE OF THE WORK FOR WHICH 7H19 PERMIT IS ISSUE0.1 MECFL4NICAL � SW1Ll NOT EMPLOY ANY PERSON R!ANY IAANNER SO AS TO OME Sll&1ECT TO THE (q MIOIiKERS'CdAPENSATqNUW50F IFORN�A�N� NATFI&iOULDBECOME INSPECTIONFEE S BUBJECT TO THE WORKE ' NSA P 9100 OF THE LABOR �E,i ww. cara osE G��` �vs ISSUANCE � � O p D�TE: SMIP W � WARNINO�FAILUH[TO SECURE WbAK N ION COVEMGE IS UNUWFUL,AND 6NALLBE ENERGY P/C � SUBlECTANEMPLOVERTOCRIMINALP T CIVIIFINESUPIOONEHUNOREDTHWSAND �EFiGYPERMIT JO�IL�s(f��.0o�),N ADDITON TO7HE C0.5 COMPENSATqN,OAMAOES AS PROVIOED FOR IN 6EGTION97000FTHELABOfiCODE.W7EHE57ANDATIOFiNEYSFEES. /{E7ENTIONFEE: O CONSTRUCTION LENDING AGENCY PHE•ALT FEE: � I HEREBV AFFpM Uli7ER PENKTY OF CERNRY TNAT IERE 19 AL+ON9TpUGTION IENDINO ApENCY ��, ''� ''! � POR TF7E PEfiFORMANCE OF THE WOAK W H WH qi �3 VERMR 19 ISSUE�(SEG 30f�,CIK C.). � � IENDERSNAME _ C LENDERSAUDRESS � ICERTIFYTUTIHAVEREADTHI9MPLICATIONANO9TATE7HATTNE�BOVENFORMATIONISCOqRECL TOTAL FEES �c/ ' � IAOREETOCOUIPLYWIMALLCRYANOCIX/MTYORDWANGESN/OSTATEUWSRELATINOTOBUILDINO ( � CONSTqUCTqKANOMEFEBYAUT1qqQEPEPRESEN7A71VE50F7W5COUNfY70ENfEHUPIXJME JI/) ABOVE-MENTqNW PpOVERTY FOR INSPECTION PURPOSES. �� 9 COMMENTS e- _ - �FTvS � rEwairr E(va � y BIONANRE E � RECPT.NO. PAID BY YALIDATION ITE--Departmant Copy,YELLOMI—Finance Copy,PINK—Asseasor Copy,GOLOENROD-file Copy,GREEN--Applicant'e Capy �"�'"..,.."�..""""""""..°."°"�' _ —— . . , , , , , . ,. ,. , . . . . .,, . . , . � , � . CITY OF DIAMOND BAR . , „ It�ESPECTiON RECORD ' s E � • o - o ! , , � - SET BACK FLOOR JaIST,. . . F�GS/FpRMS/STEEL FHA REQMTS • EIEC..TRiG GROUND UNDER FLOOA dUCT - - GROUND F'LUMBING UNDER FLOOR CU�ID,l11T.: __ ,. ' � _ . . . ..... . SLAB GRADE FIREPLACE FOUNDATION - � - _ ._ TEMP POWER I ' FIREPLACE BOI�fD BEAM " � WATER SERViCE MID HT.BOND BEAM ' � - - --- - RO�F SHEATNING S FT.BQND BEAM - '' -- � ' . FRAMINGNENTIUATION � FINAL BOND BEAM ROOF COVER ' PRE-GRADING RQUGN NEATING Z BENCHING ROUGW ELEGTRfC ROUGH GRADING ROUGH PLUMBiNG FINISH GRADING SHOWER/TU0 TEST POOL ELECTR[C i EXT.LATH/SldlhiG POOL FENCING WALL INSULATtON POOL FIIVAL CEILING INSULATION OFF SITE IMPS. � DRYVJALL NAlLING , DEDICA7fON5 SEWER i FINAL ENG. SEPTlC TANK . . ! LANDSCAPE/1RRIG. SEEP P!T/L.L. ON SITE 1MPS. Gf+S A!R TEST � FIt�fAL ZONING FtNAL CONST, , ,�` � FIRE DEPT. F1NAC FItJAL HEATtNG fsi Ir�-- � HEALTH DEPT. FI►UAL � FINAL ELECTRIC � DEV. FEES PAID � - F1NAL PLUMBING � ENERGY i ! � � i . s � � COMp1/iEN�"S • � � • . . ' � . _ � _ _� . _ _ . _ . _ __ :: .., � . :�.;,, .. — �� ;, . . --=r— ,--`----�:-;...=—�---- SEPTIC TtiNK SIZE SEEP PiT/U SIZE - .. . , �� '� � �i4 . . t , . ; .. ' .. � • .��. .___ - ...�.�.�.r.