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HomeMy WebLinkAbout11083 (5) - .----�—;___�_--_-. --- - � — --— . . . .-----�- - �r�(-� �� s� � - Y "'� i �� ----�'� ---, CITY OF DIAMO D BAR • - � - • � � C0:�IMUNITY DEVELOPMENT DEPARTMENT ' ` 21660 E.Coplcy Drive Suitc I90 cvo9>s6o-3i9s r•�x cvo9�s6i-si�� � � PRESS '�"' B UILDING PLRhiIT APPLICATIO�1 FI R M LY o ADDFiESS�� ('�DI�QV�- �✓���S 1/f': DATECATION L/l�^'� NUMBER / � #/C $ ISSUE /� / /� �TYPE OCC APN LOT' TRACT �ATE �/ p OWNER �V V � M • CONST. GROUP p' ADDR S p y� ZONING SETE3ACKS • z CITY • �`� ZIP �A'- TEL. ' ' FFiONT RW O p APPLI ANT � TEI.B - rT. S DE/SIDE STREET pW ❑ � CONTRACTOR �G W ATT r,e �- � SIDE ❑ ' � CITY � � ,� ZI �(�Q7 TEL. -/ PROPOSED USE �TC/�'��'�Ooc✓.N^ �D f�v✓S� w ARCH/ENG/ ' wDESIGNER . NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION -O - OW�JER•fiCILDERDECLARATION � SFR/ADO�'REM��, ' � 1 HEREBV AFFIF7M UNDEN PENALTY OF PERNRY 7MAT I AM E%EMPT FROM TH[CONTMCTORS LI- GafH9B/C31pOR'-�1 \ � •� ' W CENSELAWFORTH[FOLLOWINGREASON(SEG7W1.5BUSINESSAN�PROFESSpNSGODE:ANYCIiYOR (n � � U COUNTYWHICHREWIRES�DER1.71TTOCONSiRUCT.ALTER�L�DpOVE.DEMOUSH.ORREPAIRMIYSTPUC• w - • w TURE.PRIOR TO IT$ISSUNJCE.A150 REGUIRCS THE APPLICANT fOR SUCH PERMIT TO FILE A SICNED w Patio/Deck � ` STATEMCNT TF1AT HE OR SME IS LICENSEO PURSUANi TO 7HE PPOVIS�ONS OF TME CONTiUCiORS LI• � L �CENSE Uw(CHAPTfR Y(COMMENCINC 4NtH SEC7iON 7000)OF O���S�ON�OF}HE BUSINESS AN�ORO� � POOVSpa fE55KK15CODE�OR7HATNEOR5HE13EXEMPTTHEREFROMANDTHEBti415FORTNEALLEGCDEZEMv C7 V TION.ANYNOLATIONOFSECTION7D71.SBVANVAVPLICANiFOHAPEFMITSU&IEC757H[�PPLICANTTO Z Ro-Root A CML PENALTV OF NOT MORE THAN FIVE HVNORED DOLLARS(f500).�: 0 ❑LASOwNEROFTNEPROPERTY,ORMYEtJPLOYEESWIiHWAGE5A5THEipSOLECOMPENSATION, � �pmmercial � � . z W!lL 00 iME WORK,ANO 7HE STRUCTl1RE IS NOT INTENDEU OR OFFEREO FOR SALE(SEC.7ou.&ISI. J N NE55 ANO DFlOFESSIONS CODE:7HE CONTHACTORS LICENSE lAW UDES NOT APPLY TO�N OWNCR OF ? PRO�ERi7 V/r70 BUILDS OR IINPFiOVES TMEREON,M1D NM110 DOES SUCM WORN HIMSEIF OR HEHSELF Ofi (C THROUGHNISORMEROWNEMG�OVEES,VROVIOEDTHATSUCHINPROVE4ENTSARENOTWTENOE�OR m QOFFEREDFORSKEIF,IIOWEVERiMEBVILDINCORIMPROVEMENTISSOIDY�^TMINONEYEAROF�MP�E� z TION.iH[OWNERBUILDEH W:LL W1`/E TM[BUROEN OF PROY:NO TwtT ME OH SME OiD NOT BURD Oq = IMPROVE FOR TNE VURPOSE OF SALE). � w ❑I,ASOWNEROFTHEPpOPERfY,M7EXCLUSNELYCONTMCTINOK'ITHLICENSEDCONTMCTORS [C TO CANSTRUCT THE PR0.IECT(SEC.TDI�.BUSINESS 1WD PROFESSIONS CODE:TNE CONTRACTORS LI• V31UB110n A0.1.AREA W CENSEUwDOESNOTMttYTOANOWNEROFAPROPERTYWFqBUILD50R4APROVESTFIEREON,AND � W11000NTMCTSFORSUCHPR0.IECTSWITHACONTMCTOR(5)UCENSEDVURSUNITTOTHECONTMG QUANTITY DESCRIPTIO.V � FEE Y TORS IICENSE LAW�. � ❑1�EXEMPT UNDER SEC. B.6 P.G FOR THIS REASON U O C T � _ , � DATE OWNER ' � Z U � - �Q LICENSED CONTFiHCTORS DECLARATION ' W � J LC I MEFEBYAFFIPAI UNDER GENALTY Of iER1URY iH1171/VA LIGENSED UNDER GRO��SIONS OF CMAPTER � , • , _ � - � Y(C01.�1�ENCING1MiHSECTION7Dao)OF�IV1510N]DFTHEBUSINESSMDVROFESSqNSCDDE.AND Z X MY LICENSE IS W Ml FORCEAND EFFECi. , � LICENSE CUSS C�1 O LIC.NO.���Y 0� j ,v DATE I Z—('7 — c1� corrrancToa � w AT Pt r a W .. _ __ � WORKERS'COMPENSATIONDECLARATION ��1 ¢ N I MEREBY AFFIPM UNDER PENALTV OF PERAIHV ONE OFTHE FOLLDYJING�ELLAiUTqNS:� ` N � _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELFaNSUREFORWORKERS' 2 � fAMPENSATqN.AS PROV�DED BYSECTION 97000F TME LAOOfi CO�E,iOR TNE PERFpRMMlCE W OF THE WORK FOR WHICH iM15 PERMI7IS ISSUED. � � W _IHAVEANDWRLMAINTAINWORI(ERS'COMPENSATqNINSURANCE.ASPEOUIREDBYSEGTION Q �700 OF THE UOOR CO�E,FOR THE PERFORMANCE OF THE WORK FOR WMIp17H15 PERIAIT IS LSSUEO.MY WORKERS'COMPENSA710N INSURANCE CAFRIER AND POLICY NUM9ER 11RC: CONSTRUCTION J . j CARRIER PLA � VOLICYNUMBER � �� Z Q � � - (fYaSSEGRICNNEmNOT8EC0A�lFfEDOFTIEPERMTlSPoRd:EHUKY7m00L1ARS�St00)ORLESS� PLUMBING � I CERTIFV THAT Nl TME PERFOPMANCE OF THE WORK FOR WHICN iMIS DEPIAI7 LS ISSUED.1 MECHANICAL r� C,�} SWLLLNOTEMPLOYANYYERSONWANYMANNER50 uBEWA7E5U&1ECTTOTHE (/j Y/ORKERS'COI.IPENSATIONLpWSOFGAlIF0�1N�A ' GREETlUTIF�SHOULDBECOM[ INSPECTIONFEE � F SUBJECTTOTNE�MORKERS'COMPENSAlpNvqOV SOFSEC710N�70oOF711EU80R � (/—S � GO�E,ISHALLFORTIM'ITNCOMPLYWITHTHOSF )NSIONS. SSUA _ / /�7 p DATEJZ-17-`17 APPLICANT: SMIP ` J WARNINO:FAILUflETOSEWREWORKERS'CO �AIIONCAYERAGEISUNUWFUL.ANOSMALLBE ENERGYPlC _�� 1�� 'LL SUBIECTANEMPLOYERiOCRIMINALPF SIIMDGVILFINESUPTOONEHUNORLDTHOUSMID ENERGYPERMIT DOLLARS(5100.OW�,MADOITIONTOT CO OFCOMPENSATqN,DAMACESASORONDEDiORIN ¢ SECTION770BOFTMEUBORCOOE,NTEREST,IWO�TfORNEY5FEE5. " � � � RETENTIONFEE: � d CONSTFiUCTION LENDING AGENCY PRE•ALT FEE: O - � IHEREBYAFFIRMUNOERVENALTYOFPERIURYTI/�TTHEREISACONSTNUCTIONLEND�NGAGENGY FOR 7XE GERFOMIANCE OF iME WORN fOR MMICN TMIS PERM1715155UED(5EG]o97,CIV.C.). Z � ' W � LENOERS NAME F,�' LENOERSA�DAC55 � W ICERTIFYTMATIHAVEPEA�THISM%JCATIDNIINDSTATETNIITTHEABOVEINFORMATqNISCARHECT. TOTAL FEES ' �� � �_ � IAGFEE i0 CdAPLY Wltrl ILL CITY AND COUNTY ORDiNANCESAND STATE UWS PEUTiNO TO BU4DINC • � CANSTRUCTION,ANDMEREBYAUTIqR12ERE7PE5ENTAT:VESOFTH15CWNTVTOENTERl.7'ONiHE � , Z 11BOVE�MENTIONEDPIiOPEHTYFOFINSPECfKKJiURPO5E5. '__ p ��-� �V�� . � COMMENTS _ � J '\ -�.�r"' ¢ PERAl117EE NAIAE(PRINT - '�.� ' �`�� � L�'��q� � '' . � � �SI V iiTE D�TE ' .S - � � '• \, r• .�.._;. . . -. .. �. . . , flECPT.NO. � �. • • ._PAI�BY �i/ VALIDATION _ � � WHITE—Oepenment Capy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy _ . n, ...� � ; . , • . . . • . '� �./' . . -. . , . � .. . . . .- -... • ^ ' ., .\ "• ,1;, \ .. . � . - . . � CITY OF DIAMOND BAR � � . . " ; INSPECTION RECORD . �, , �� � � � � • - � � � . � . SET BACK • : � ., , . FLOOR JOIST ' � FTGS/FORMS/STEEL ' � � � � FHA REQMTS ELECTRIC GROUND UNDER FLCSOR DUCT,, , ,.� ; ,<.;:+•,. � ;-i; , , - GROUI�D PLUMBING - �� UNDER,FLOOR CORIDUIT • ' = �� ' SLAB GRADE � - - FIREPLACE FOUNDATION''" '•:�. �•'' �� `_ � _ ^ • TEMP POWER - - � FIREPLACE60ND gEAM =- ' � ' `" -' ` �""� � WATER SERVICE � �' -.. i ` MID HT.BbND$EAM�,�• . �� .,�. ` ' �� •,�;,`,• � , ` ROOF SHEATHING 8�.BOND BEAM ' FRAMINGNENTILIATION FINAL BOND BEAM .. . � ROOFCOVER - - - --- - - PRE-GRADING • • ROUGH HEATING • BENCHING - � ROUGH EIECTRIC � ROUGH GRADING ROUGH PLUMBING' � - � FINISH GRADING � SHOWERlTUB TEST - - �� - ' POOL ELECTRIC EXT.LATH/SIDING • POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER _ _ _ _.. FINALENG. • SEPTIC TANK . _ _ LANDSCAPE/IRRIG. SEEP PIT/L.L. - - - - � ' ON SITE IMPS. GAS AIR�EST' - � - ��' '��' ' " ' ' = � FINAL ZONING FINAL CONST. ' \ ' -' � � ' " `�' — FIRE DEPT.FINAL � FINAL HEATING�� - - � - - - � HEALTH DEPT. FINAL - FINAL ELECTRIC - — DEV.FEES PAID � FINAL PLUMBING ENERGY � . .. , • _ , �„-_� . , - - - - - -... __.._ . _.__.._.___ + �, a _ - ' - i '-=. , _- . .. � COMMENTS - - - - .�. � . ; . �, _- -- - - - . ; �i. _ . .� - , ,i --....... , ., � , � �; ' �`�� �C`:7 r. ' ���s.. .♦ . . � � , I __r � t - . • � . _ ��;^�.'` . . SEPTIC TANK SIZE ' . , � - „ � SEEP PIT/U SIZE , . , . � - � . - - . , - I . l : /�r .1. . '� \�� i ;� 1-� ._�-�- � •-�, � �'= =� G6 �/ 2%' .-„ �� .��,��v �__ -�-�7�