Loading...
HomeMy WebLinkAbout13523 (27) �� CITY OFDIAMOND BAR DEPARTMENT OF COMMiJNITY 8c DEVELOPMENT SERVICES ` 21660 E.Copley Drive Suite 190 . � (909)860-3193 Fax(909)8613117 PRES$ '�� BW.DING PERMIT APPLICATION . FIRMLY 4 ADDRIESS ���� //�'a rn o"d CO(�(I'"7 APPLICATION PERMfT � P/C p DATE NUMBER A � APN LOT TR T � -OO - ISSUE � NPE OCC � DATE �I CONST. GROUP � OWNER L p ADDRESS �La1r ZONING SEBACKS � CITY ZIP�tL TEL�)/'�f�—//�/ FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDFISIDESTREET RW O CONTRACTOR N� • .1-LL� • SIDE p ADDRESS � CITY � � � ZIP�2�� TE .-0� PROPOSED USE pARCH/ENG/ • � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � C(TY ZIP TEL. . y �n . DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OW4ER-BUILDER DECLARATION SFRlADD.'REM O p I MEREBT AFFlRM UNDER VEHALTT OF pEM1RY THAi I lu1 E%EMPT ifqM THE CDNiMCTORS LF Garaga�Carport � CENSEUWiORTNEFd.IOWNOPEASON(SEG70.7t.68U5�Nf55ANDPROFE5510NSCO0EANY[RYOR (/� WU(TYYMItl1RE0UWE9AiEiWRTOCONSTPoJCf.ALTE0.MPRC/E,CEMOl15N,ORRE]uqANYSTRUG W P01i0/DBCk TU1L ORqR TO Ii4 ISSIIANCE,ALSO REOUWES TXE A➢7LICAM FOR SUCJi PEP/A�T TO FLLE A SIGNED W 8TA7EYEM THAT HE ON SHE 6l10EN5E0 PU0.5UANT TO iHE PRONSIONS OF THE CONTIUCTORS LI- � CENSE UW fCT1AVTER Y(GOMMENpNO Mn7H SEGTqN 7000)OF OIVISION 70F 7HE BUSME55�NO Pfta �- PooUSpa � FESSqNS COOE)OR iIUT HE OR SHE IS E%EA1PTiMER[FROA1 AI.D THE BASIS iOH iME ALlEOED E1(EUP- TION.AHYNOIAiqNOF8ECT10H70.17.68Y/WYMCIICANTFOR�PEpMITSV&lECiSTHEMPI�CANTTO Z Re-Rool F ACNLLVENFLTYOFNOTMOHETlUWFIVEHUNDREDDOL1MS�t500�.r � ' � O�ASOMMEFOFTHEPROPEFRY.ORAIVE�PLOYEESM�THWAGESAS7HEIRSOLECO�IPENSATqN, � �mmercial �- W0.1D0 THE WORK/U10 T11E STRl1CTURE IS NOT WTENDED OR OFFERED FOR SALE ISEG 7W�,BU51• J N NES$A1b VfqFES510N5 ODOE:T/1[CONTMCTORS LICENSE Uw DOES NOT A07LY TO AN O'MIER OF PROPERTYN?qeU0.A40RMViqVESTHEREON,MAMAI0DOE5SUCHwORKHIMSELFORMERSEIFOR � � � THHOUGHw50RHEROriNEYOLOYEES,Gf10V1�EDTHATSUCFIYPNOVEMENTSARENOTNTENOEDOR m , - �L� OFFEREDWRSAlE1F,HOWEVERiNEBURDPIGORMPIqVEUEMI550LDM7i}11NONEYEMOFCOMPLE� ��� Z 'TqN,TNE OwNER�BUILDEF MT.1 MAVE THE BURDEN OF PROYINO 1TIA7 ME OR SN[DID NDT BURD Oq _ �ADROVEFpqiHEPURPO5EOF5ALE) ' � W 04�D�EROFiMEPfqPEHT`I,IUAEX0.USNELYCOMMCTINOWIT}ILICENSCDCONTMC70R5 � iOCON5TfM1CiTNEiRD.IECT(SEG7M�.BUSiNE55ANDYROFE5510N5CC0E:TMECON7RACTOf1.iU• Velu�li0n ADJ.AFEA � -CENSEUWDOE9NOTAPPIYTOANd�N�EROFAiFOPERtYWHOBUILD50RMPpDVE57NC�LOH,�fA M1100p(TRACTSFORSUCHiROJECTSNATNACOMFLICNR(S�LICENSEDWRSWW7TOTX[CONTMG QUANTITY DESCRIPTICN FEE � TCMiSUCFNS[UW} O I AA1 E%EIdPT UIDER SEG B.�P.G fOR iH15 HE/150N J LL OATE OWNEO . Z � UCENSE�CONTAACTORS DECIAFiATION ,Y• sIMEHEBYAFt1iWUlL1ERPENALTYOFPERAIRYTHATIAML�LENSEDUNOERPROVISIONSOFL/IAPTER Vr '� :�( • 0(W�.MAENLNOWITFiSEGTqNT000)OFOMSIONDOFTIEBULINESSANOPROfE55KKJ5CWJc',ANO Z ��� MY LICENSE IS N FULL FORCE M1U EFfECi. m ♦ � LICENSEUASS LIC.NO. �, J � a�rE � � corirrucroR ,f�i�-� • a � V`'ORKERS'COMPENSATION DECLAFLITION -� a � � y INEREBYAFFWIUNDENVENALTYOFPCRAIRYONEOFiHEFOLLOWNOOECUMTiON4: � _IHAVE/NDW�LLMANTAINACERT�FICATEOFCONSEMTT06ELF�NSUREFOi1WORKERS' Q WYPENSnTICN,M^PpOViDE0BY5EC7iONAooOFTHEUBOFCOOE.FORTIEDEPFORIAANCE OF TY1E N'ORK FOR V/MICH TNIS PEflMiT IS ISSUED. O 1 NAVE AND WILL MANTIUN WORKER5 GOMPENSA7qN INSURANCE,AS R[GUiRED BY SECTIDN Q l7ooOFTHElA80RCODF,FOHTHEPEPWRMu10EOFTIEWORNFORVM�dITMISPERAARIS � ISSUFD.MY WONKE CO P SATqN INSURANCE CMRIERAND POLICY NUM�EN AAE CONSTFlUCTION CARHIER � ��-'�\ G. PUIN REVIEW . � POLICTMIMBEH_� �� . � i , _..�.� _ 0 (iH6SCCIqNAiFDNOT8f00�.R£TEDOFT�EP60.�rt6PoACNEH)LxiCJDol1.AASRiao)ORtFSS? LUM° b. Z ICEIiT�FYiHATW1HEPEPFORMANCEOFMEIMOPKiORWHICHTMSPEM�R15155UED.1 MECHANICAL (�' SwLLI NOT EMPtAY I1M'PEi150N N ANY MANN[R 50 AS TO BECOME SUOJECT TO TME ��J�' - ��� (n WORNERS'COMPEN:JITIOHLAN50FCJL�FORNI�ANDAGHEETMATIFISHWLDBECOME � S SUBJERMTHENd7KER5'COIAPENSA7IONPROViS�ONSOFSECTqN)10o0iTHEUBOR r , , cooe.i swui n�ca+r�r winr n+ose rrro�nsrons ISSU l�j�}'C7`%11 T,� � ('�C ro� f /� yy� I p DaTE: ^I I' APPLICANT. ����1 Gl ra f-f , /!1�II P_N SMIP �+ZJ�7.11'�:;(: ' . . � EN[RGY P!C WAANIMa FA�LUflE TO SECVRE MAF9(ERS'COMPENSATION COVERAGC IS UNUINTU�/WD SMALL BE �y SUBJECT/NEMROYERIOCRIAIINALPEN/LTESANDpVILFWE5Uv700NEHUNOR[DiMDU5.VJ0 ENERGYPERMIT p011AliS(i t0o,0oa),W ADDI710N TO THE COST OF COMPENSATqN,DAAUGES AS PROVIDED FOR IN ¢ SECTION]7olOFiNEU1BORCOOE.�NTEREST,ANOA7TOliNEY'SFEES. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O ' � IHERE9YAFFlHAIlRJOERPENAITVOFDERNRVTHATiHERE15ACON5TRUCTIONLEND?IGAGENCY ' Z FOR iHE PERFON.IMICE OF TNE WO�iK FORYVFIKH TIIS VfMUT IS ISSUED�SEC.�Oul,CN.C.�. W � IE�IDERS N.W E • � IENDER'SIIDORE55 w� TOTAL FEES 1 LERTIFY THAT 1 HAVE RE�D iH15 APiLICATqN NA STATE�T THE ABOVE NiORWTqN IS CORRECT. � IAGREETOCJJMPLYYATNALLClTYM�DCOUNTYORDMANCESANDSTATEUwSREUT1NOiOBVIlDINO � CONSTRUCTION.ANDHER[BVAUTMORIZEREPFESENTATNESOFTNISLt7UNTYTOENTFHUPONTME � ABOVE#�EMIONED VROPER7Y FOR INSGECTION FURPOSES. _Q ar� ` ��I��`1 COMMENTS J � i m PEHA1 E(PRI ``_ � � � J �I ! (n HICNATU OFPENAIT7EE DAtE � RECPT.NO. PA'D BY VALIDATION WHITE—Depertment Copy.YELLOW�inence Copy.PINK—Aeseua Copy.GOLDENROD--File Copy.GREEN—ApplicanPs Copy • � - � . . .. .... , . , , . -. . . . . , . ,� :h ,;,:, , . . , . . ._.� CITY OF DIAMOND.BAR .; ,: .., .....,.;.. ( ; .. . . . _ � �\, � ���v.•. ,.�. -.-INSPECTIOn:RECORD � . .. � � , `� �1 c , .. . � �s -.: . - ��I������c��,�%:��} . ..�;�!'�; ���►��-�,`a�l.�:� ��.'�����,:��ijr.�rk ���'r��'� f►`�-ya��N�:c��� � �_ .� _..�..,� .. ;SET BACK :. � - - � FLOOR JOIST' _ � , , �,�- .. � �- - . FTGS/FOR��IS/S7EEL `-:. . . ;- .. ; - _ FHA REaMTS _ . .-. --..._ ._. _ .� �- ELECTRtCGROUNO__ �" ' _._. ' � . �UNDER FLOOR DUCT `- r � � . I -:�,. ' _.... -. _ , . .; _ '"' T'�.�-- GROUND PLU�•A�ING - UNDER FLOOR CUP�i:�UIT ' ` � � ; .. .. , ' , . . . � -•- �: - •SLABGRAD� - _. ' ' - . - -- . ' FIREPVACEFOUNDATION . •. � ; �', �.•• ' :�:� I '; _ ..�.. ":TEMP POWER � •= � �� ; ,. � � FIREPLACE BOND BEAM � - ' ' � ' ` !WA'fER SERVICE - - _ _.._... __ . _ ._.. -. ' P�11D HT. B�ND BEAM� '. '_. '' ,., � . ; .;, .• .� � , IROOF SHEATHING • - � 8 FT.BOND BEAM: ' ' . •-- ' � I =:� � . . . , �FRAMINGNENTILIATION - - � - - - - FINALBONDBEAM � �� �' � � � " --- ._ . •. . . . . �ROOF COVFR � ' :' PRE-GRADING - -- - - � ' � , �ROtJGH H�ATING� - ` BENCHING �- ,� ;, I • ;ROUGH ELECTRIC = .�'. ' ':.. " :. '' ROUGH GRADING _ ._. . .. _ . . -- - --- - ----� :ROUGu PLUM6ING .. .... ... _.. . .. � __.. .. ... ' _. FINISH GRADING ' ' '�SH i�VFR/TU6 TEST � - - POOL ELECTRIC � �.�XT.-L�,iH?SIDiNG __. .__. . .. . POOL FENCING , t^lALL lNSJL-A71�N : - - . -- - _ POOL FINAL � C:Il:lida li•:jULATION - .- . � _ . - OFF SITE IMPS. • • " ; -_. ,DRY1P✓AL.CNAILING ` . - _ DEDICATIONS . :'. ; ;.. _.__ j �—f . 'S�L'lEI; - � _ : Il�'7-,�Y FINAL'ENG. , � ; : �S'L-PTIv TANK LANDSCAPE/IRRIG. ��S����P!7lL.L. _. � . ' ON SITE IPAPS. i i-�,f>��,i�i CST FINAL ZONWG ' ' � i: -- - .. .. . __._.__.�._ �:'i_;i,'`: :,DNST.. � ._.. .._.. . ... _._.. . . . . -- . --- FIRE DEPT.FINAL � � :f;::--_t-IEATING _. __. _. .-- -. _. . ... . _ . HEALTH DEPT. FINkL - — � - f �..`.=''.'_ELECTRIC . _ ... . ._.. . . . _ DEV.FEES PAID _... ._..._..-----; ; `+.:PLUP.181NG J����- - - ENERGY j �. �..).,�'__ __. . . ��/. 1 I ' � .. � .. ;� ..... . . . .. ._ .. ... . _ _ . ._. ... . . . ,C�'�d�.L', ..�r`,Z,.i"y,t �� . . + - .. .. , .. , . . _ . . , � . �.: ♦ . , •� i , ,.' .. �� . ____ -f:..._t_�'_�L.' t'�:�_.:...,.�.._..'_�_'•-.. . .. .. . ;�G��'t��MENTS-- - --. _ .. __ � . . , . ' �',;'. ;-- . . • ; . - � , . _ ._ i - . ; _ .. . ._ _ .. _.... -� -- - � . : - - - - _. . ..-- _. _ . _ _ ; � . ,s • : _ _ . •; . _, . .. . � ' j` i t_ __ . . . . . . �--.. . � , . _ . .. . _ , i . . ; - - -- -- .. . ._ . . � ,r � � -, , _r , . _ . _. - _ _ � . — �; , \1 , . �. . � .. . i'� ' r . , i ;SEPTIC TANh SIZE -- - ' ' ' � - : � � ,SEEP PIT/U SIZE - ' - - . _._ . ; ._........,,...._ :l��' ,... .�� - --. _. , , - . . • .. . i . � � i . . ��.. . , . � . . . . . . _ . � . . . . . , .. . .. .. � .._ . .. .. . . _ I � ; . . ._ . .. i . . . . .. ._. . ' ' ' . .. ...... - ..:� . . � " ". . .. . _ . ,.... . . . . . . . . � �.i . i '. . . . ... . . . .. _. . . . ___. _—'—_ '• '�t'`l� �I�� ' — - � ., . . � , . . • . ' . . i A I , � " . . . . . . . .. � --. .... . . . .. � • � i . �. .. . . . . .. . . • . . ... _ .. .. .. � . .. . � . l '` `` '.1 . ), ,'%. _ . ..1.�...'.�r�....r.��. .�`,_` � . .. _ �(. � __ I � \ \ �\' �. _ "' _ � ,. " . .\\ � � ' • . . ' . -- ��� � ��— - .- �.'.