HomeMy WebLinkAbout18020 �\ CITY OF DIAMOND BAR �
' DEPARTMENT OF COMMUNTTY 8c DEVEIAPMENT SERVICES
21825 E.Copley Drive � . •
� '"` (909)860-3195 Fax(909)861-sii� . PRESS
�`'-«A'" BUILDINGPERMITAPPLICATION FIRMLY
} JOBSITE APPLICATION G� I�'V�UMBER O O N/C
o ADDRESS DATE ��
c� ISSUE TYPE OCC
APN LOT TRACT DATE CONST. GAOUP
p OWNER Pulte omes
u' ADDRESS 7 8401 �/Ofl Karman St@ 200 ZONING SETBACKS
z CITY Irvine ztP 92612TE�.9497974400 FRONT RW ❑
S APPLICANT TEL. REAR O
SIDE/SIDE STREET RW ❑
� CONTRACTOR SAME SIDE ❑
Q ADDRESS
� CITY ZIP TEL PROPOSED USE
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� DESIGNER Hove Desi fl NO.DWEL NO. NO.
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� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
p� OWNER•BUILDER OECLARAT�ON SFR/ADO/REM
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p 1 MEREBV AFFIRM UNDER PENALiY OF PE0.UflY TNAT 1 AM E%EMP7 FROM THE CONTMCTORS ll• G8f8gB/CBrpOR
W CENSEUWFORTNEFOLLO`MN�flEASON(SEC.70.71.SBUSWESSiUlOV(tOFES5iON5CODE:ANYC1iYOR (n
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b 7URE.VRIOH TO RS ISSUANCE.ALSO PEWIRES THE APPLILAHT FOR SUCH PERMIT TO FILE A SIGNED w
� SUTEAIEM THAT HE OR SHE IS UCENSEO VURSUANT TO TiIE OROVISIONS OF THE CONTRACTORS Lb
� CENSE UW(CHA7TER Y(COA�MENCIN6 WITH SECTION 7000)OF DINSION 1 OF THE BUSINESS M1D 7R0- � PooVSpa
FESSqNSCODE�ORTHATHEOR5HEI5EXEA1PTiMEREFROI.IANOTNE8A51SFORiHEALIEGEDEXEMP- (�
� TqN.AMfYKXAiqf10F5EGTION7031.60VMlYAPPLIGWTFOFiAGERMITSUBJECiSTHEAPPUCANTM Z Re-Roof
ACML iENKT/OF NOT MORE THAN FIVE MUNDHED DOLURS�550%.r
� �4��WNEROFTHEPROPERTY,ORMYEMP�OYEESwIT1wAGE5A5TNEIR50lECOMPENSATION, O �mmercfal -
Z WILL DO THE WOiiK AND iHE STRUCiURE IS NOT IN7ENDED OR OFGEREO FOR SALE(SEC.7011,BUSI- J
NE55 ANO PROFESSIONS COOE:THE CONTMCTORS LICENSE UW DOES NOT APPIY TO AN OWNER OF
N iROPERTYNM1iOBVILDSORMAPROVESTHEREON.ANDVMODOESSUCHWORKMIMSELFORMERSELFOR �
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w OFFEREDiORSALEIF,FqWEVEiLTHEBUttDW(30RIMPROVEIAENTISSOLf1MATlqNONEYEAqOFC01AVLE•
zTqN.THE ON?dFR-6UILOER WILL HAVE TNE BURDEN OF FROVwO 7HAT HE OR SME D�D NOT BULD OR
W PROVE fOR THE PURPOSE OF SALE�.
O 1.AS OWNER OF THE PROPERTV,AM E%CLUSIVELY CONTMCTM6 WITH UCENSED CONTMCTORS
Q TO CONSTRUCT THE 7RDIECT�SEG 70��.BUSINE55 AND PHOFESSIONS CODE:TME LONTMLTORS U• V3II18IIOf1 ADJ.AREA
W CENSEUWDOESNO7APPLYTOANOWIJEHOFAPR07ERTYWn08URD50RIMPfqVESTMEREON.AND
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¢ O IAM EXEM7T UNDER SEG B.1 P.G fDR THIS REASON U
�
� OATE ONRJER �
Z W
�¢ LICENSED CONTRACTORS DECLARATION W
fL IHEREBYAFFIRMUNDEflPENAITYOFPERIURYTW�TIAMUCENSEDUNDEHVRONSI0N50FCHMTER �
d Y(COMAIENCWOVATHSECTION7000)OFDMSION�OFTHEBUSINESSANDPROFESS�ONSCAOE,AND Z � �
X Yv LICENSE IS IN FUIL FORCE AN�EFFECT.
� IICENSE CUSS �°► �,�.No. 5175 93 �
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� WORKERS'COMPENSATION DECLARATION 4
� 1 HEREBV�iFlPAI UNDER PENALTY OF DERJURY ONE OF THE[OLLOWING DECLAHATiONS: V
N ¢
� _IHAVEIwDWILLMAINTAIN�CERTIFICATEOFODNSENTTOSELF�INSUREFORWOHKERS' $
COMPENSATqN,AS VRONDED BV SECTION�7000F 7HE UBOR CODE.FOR TME iERFORMNJCE 'U
OF THE WORK FOR WHIq1 T145 VENMIT IS ISSUED. �
�
_I HAVE AND WILL MAIMNN WORKERS C0IAPENSATION INSURANCE,AS REOUIRED BV SECTION
Q i7000FTHEU�BORCOOE,FORTHEPERFORMANCEOFTHEWORKPoHWMICHTM15FERMRI3
ISSUED.MYN'ORKERS'COMPENSATIONINSUMNCECARRIERAN�POLICYNUMBERME: CONSTRUCTION
� GARIER Pacific Em 1 ins. Cn. PLANREVIEW
� POLICYNUMBER ��� ELECTRIC
0 (iFtSSEC710NNEmNOTBEWMLETEDOFT�EPEPh1T6Fdi0NEHJlOREDDd1ARS15100)ORLESS} PLUMBING
Z 1 CERTIFV THAT IN iHE PERFORMANCE OF 7HE WORK FOR WHIp17Hi5 PEPAnT IS ISSUE0,1 MECHANICAL
C7 SHALLNOTE�7LOYANYPERSONINANVMANNERSOASTOBECOMESUBJECTTOTHE
N WORKERS'COAIFENSATiONUW50FGLLIFORNIA�NDAGREETMATIFISHOUlDBECOME INSPECTIONFEE
S SUBJECTTO THE 1MDRNERS'COAAPENSATION PROYISIONS OF SECTION�700 OF 7HE UBOR
COOE,1 SHALL FOFtTlM'IM COMPLV WIiH T1q5E VROVISiONS. ISSUANCE �
� Pulte Homes SMIP
p DATE: APPIICANi:
� ENERGY P/C
WARNINO�fAILI1RE TO SECURE WORNERS'COMPENSATqN COVERAGE IS UNLAWFUL,AND SHALL BE
� SUBJECTANEUVLOVER70CRiMWALOENALTiESAN�CMLFWESUPTOONEHUNORE0TH0U5AN0 ENEFiGYPERMIT
DOIURS(S1oo,000),N/�DDIl10N TO T11E COST OF CONPENSATION.DAMAGES AS PROVIOEO FOR IN
J SECTION]70eOFTMEV�F70RCODE.NTEREST,ANDATfORNEYSFEES. RETENTIONFEE:
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nW. CONSTRUCTION LENDING AGENCY PRE•ALT FEE:
� I HEREBVALi1PlA UNDER OENALTV OF OEfLURY THAT THERE LS A[ONSTRUCTION LENDINO AGENCY
� FOR 7ME VEFFORMANCE OF TME WORK iOR WNICH TMIS VERAIIT IS ISSUED�SEC.70V7,CIY.C.). �
� IENOER'SW1ME None (Pulte)
� LENDER'SADDRESS -�
� TOTAL FEES
¢ I CERTIFV h1AT I HAVE READ TMIS APttICATqN AND STATETHATTNE ABOVE WFORMATION IS CORRECT. �
W I�GREETOCOMDLYWITMALLCITYANDCOUNTVORDINANCESANDST�TEUWSPEUTINOTOBUILDIN6
� CONSTRUCTION.ANOHEREBVIIUTHORIZEREPRESENTATNESOFTHISCOUNTYTOENTERUPONTHE
Z /�BOVE�IAENTIONEDFROPERTYFORINSFECTIONPVR705E5. COMMENTS
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m PERMITTEE NAME(PRIIfT)
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� SIGNATUREOFVERMI7TEE OATE i
� RECPT.NO. PAID BY S VALIDATION
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessw Copy,GOLDENROD—File Copy,GREEN—ApplicanYa Copy
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SE7 BACI� , �. FLOOR JOIST ' �
FTGS/FORMS/STEEL I FHl1 REQ^ATS � �
ELECTRIC GAOUND � UN�JER FLOOR DUCT �
GROUND PLUMBI��G I UNDER FLOOR CU��IDUIT
SLAB GRADE FIREPLACE FOUNDATIO�d
TEMP POWER FIREPLACE BOPJD BEAM
WATER SERVICE h.91D HT. BOND BEAM
ROOF SHEATHING � B FT, 80ND BEAM ;
FRAMINGNENTILIATION � FINAL E30NG E3EAt�l �
ROOF COVER PRE-GRADING
AOUGH HEATING BENCHING
ROUGH ELECTRIC � ROUGH GRADING
ROUGH PLUMBING I� FINISH uRADiNG
SHOWER/TUB TEST ;_ POOL ELECTRIC
EXT. LF.TH/SI�ING I POOL FEPdCING
WALL INSULATIOfJ POOL FINAL
CEILING IN�ULATIDN OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWEF3 FIP�AL ENa.
SEPTIC TANK UIPJDSCAPEIIRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINA.L ZONING
FINAL CONST. FIRE DEPT. FIPJA!
FINAL HEATING HEALTH DEPT. FIPJAL
FINAL ELECTRIC " � � DEV. FEES PAID
FINAL PLUMBING j��D� f � ENERGY
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COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
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