Loading...
HomeMy WebLinkAbout14121 (14) - 1,� CITY OF DIAM�OND BAR � DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES Te 21660 E.Copiey Drive Suite 190 (909)8G0�3195 Fax(909)861-3117 PRE$$ '��'� BUQ.DING PERMTT APPLICAT[ON . FIRMLY o DDRESS ��O /.�y G�7f�L��1 �P(U/V�$ �2., pA��CATION ..�ar� NUMB Rl � Z) � ��i./ � APN �7 LOT� �� RACT 00 7 ISSUE TYPE OCC 6�L J � DATE CONSL GROUP p aWNER (t� "' ADDRE S �v0 ZONING SEBACKS � CITY A ZIp g3�E , [ FRONT RW O APPUCANT TEL REAR p � SIDE/SIDE STREET RW O CONTRACTOR-DdLl�/l ONST GD � Z�/C• SIDE ❑ � ADORESS�(9 M ITCI{r.L . IV- �JZ1!/n�E pROPOSEDUSE �'�1 � f�X/ /✓ ,.�ST. CRY T2�!(A%!� ZIP�L�, TEL. �z � : /�J�/ FcIE� LlNES ' nw1D � ARCH/ENG/ . �//�I� tLS£D FtiG L v,cPG s .LS � DESIGNER NO.DWEL. �J . 7b SiT�, NO. �,J ADDRESS UNRS LVY �� CITY ZIP TEL ' DESCRIPTION S0.FT. F OR PSF ADJ.AREANALUATION '� p� OWNEH•BUILDER DECUIRATION ' SFFVADDh7EM O � p 1 NEREBY AFFIfM UNDER iENKTY OF PERA1flY iMAT I iVA C%EMPT FROM THE CONTMCTOiiS LI• GOfege/C81p01! UJ CEHSEUWFORTHEFOILGNViNONEASONISEG70.71.6BU5WE54MIDVPOFES510NSCO0E:ANYdTVOq (J) C.) COUHTYVYFOCHREOUIFlESAPEHMRTOCqISTRUCT,KTER�PNOVE,GEAqLI511,ORREPNRAMYS7Rl1G• W P8lIGJC)BCk� Z TURE.VRIOR TO RS ISSUANCE AL50 REOUIRES THE AVPIH'.ANT FOR SUd1 VERYIT TO FILE A SICN[� u� ETAiEMENT 7HAT NE OR SNE IS LICENSEO PURSUM7T TO iHE PROYISIOflS OF iHE CONTMCTORS U- � � � CENSE UW(C11APiER Y(COMMENQNO WfTH SECTqN 7000)OFDMSION l OF TME BUS�NESS M!D PAO� u' P��PB � fE89q11SCO0E)OR7HAiHEORSHEISEXEMFTTHEREFii0MAN0T11EBASISFORTHEJlLLE0EDE7(EMV• (� TDN.ANYVIOLATIONOF6ECTIONTW1.68YAHVMPLICANTFORAiER1AITSU&IECTSTHEAPiLICAHTTO z Re•Roo( F ACIV4iEllALTVOFNOTNORETHANFIYEHUNDREDDOLlAHS(f600).1: i� 0 04��'NEROFTNEPpOPERTY,ORMYEMPLpVEESMATHWACESASTHfIR50lECOMPENSATqN, O CORIfI1BfCI31 � Z NILLDO iHE WORK,AND THE S7AUGTURE IS NOT INTENUED OR OFiEREO FOA SALE(SEG 70N,BUSI• J � MEBS AND GROFESSIONS COOE:iHE CONTMCTOHS LICENSE UW DOES NO7 ADPLY TO AN OWNER OF ? VNDFEHTY INHD BUILDS OR IMPROVES hIEREON.AND MAIODOES SUdf WORK H�MSEtFORHERSELF Oq d TMRDUONHSORHERO'NNEMVLOYEES.PROVDEU7HATSWIYPROVEMEMSAREHOTMENOEDOfi m .� ,OFFERFDWNSILEIF,IIOYhVERT1EBUlDNfiOR►APRWEYFMISSOLDMATHRIONEYEAROFCOMRE- 'TIDN,TME OVMER�BUItDER YALL NAVE TME Wi1DEN OF GROVINO THAT ME OR SME q0 NOT BUILD OFi W PROVE FOR iHE iUPPO6E OF SALE). � OlASOWHEROFTiEGROPERfV.AMfXClUSNELYCONTRACTNOWRlIUCEtYEDCONTFL�CTOR3 Q ADJ.AREA TO CONSTRUCT THE PRQlECT(SEC.7aN.BUSINE55 I�IA PROFESSIONS LODE:T11E COHTRACTOHS L4 V81Ufl1IOn � CENSEUWOOE9NOTAPV�VTOANfNMEROFAPROVEH7YM/HOBULDSORIIAPROVE9THEREON./WD v�rioca+in�crsFoasutH►tiaEcrSwriHAcartqticron(5)L�NSEONnsuurtioiHEtorriMo pUANTITY DESCHIPTIOV FEE � TOf13I10ENSE UW.} O I MI EXEYPT UHDER SEC. B.�V.G FOq THiS REASqJ ' � U LL" WTE OYmER � � LICENSED CONTFlACTORS DECIAHATION , -� � ', W IHEHEBYAFFIfOAU1�ERPENALT/OFPERNFYTNATIMIIICENSEDUNDERPFiOVISIONSOFCHAPTER Vr s •(COMMFNCNIO WRII SECTION 7000)OF DMSION]OF TME BUSINESS 1U10 pROFE5510NS CODE ANO z W LICENSE IS M FULL FORCE MA EFFEGT. �J m � IICENSECUSS IIC.NO.��)I I /� I ' � H � � DATE � � � CONTMCTOFi�d�.L1�J ��.�0. .CJ, � � WORKERS'COMPENSATION DECIAAATION 3D a yIHEREBY/�FFpiMUNDERPENAL7YOFGER1UilYONEOFiHEFOLLOWINGDECLMATqN9:1''� Z . � _IHAVEMANILLMAMTAINACERTKICATEO�OONSENTTOSELF�INSUREFORWORKERS' S NAIPENSATION,ASDROVDEDBYSECTION]7000FiHEUBOHCODE.FOHTHEYERFORMANCE w OFTHEVlOi1KFORMrt4CNTMSPERMITI4155UE0. i � � � _I HAVEAND VnLL MNNTAM WORKERS'CCMPEHSAT70N MSUFiANCE,AS REGU�RED BY SECTION � ^D a70oOFTHEUH(7RC00[.iORTHEPERFORMANCEOFTHEWOFi1CiORWHICHTHISPERMITIS '/ � ISSUED.UYWOHKERS'COMPENSATIONINSUiUNGECARAIERA�NOJGttICYNUMOERl1fiE: CONSTFlUCTION h � upwEp �+'�Q 1�� � =NS• `� PLAN REVIEW 4 � PoIICYNUAIBER y�_�'3OC7� �� ��C• ����' ELECTA�C � pp (tHssEciulNE�Noi6Eo�.i7ErIDCF't1[P£ri.+rsPoRa+[ €�oatAtsgimloRtEss1 ' PLUMBING Z 1 CEHTIFYTHA7 RlTH[PEIiFOqMANCE OF TNE M�OfU(FOR WMlpf THIS GERuIT IS ISSUED,I M[CHANICAL � (•} SNAILNOTE�PLOYNJYPERSONINANYMAM�ER50A3TO8ECOMESU&IECTTOTNE (n INOR(ERSGOA�PENSATqNlAW30FCALIFpRM/�ANDAOREETIUTIFIS/iOUIDBECOME INSPECTIONFEE 5 6lAlECTTO7HENDPo(ER5COAIDENSATIONPN OFSECTION77 OF7MELABOR cooEisNu��ormmin�courivvnn+ P � ISSUANCE r �� �p a SMIP ��� �" ). p �ATE: �O� —r APPLICANT: � . � ENEFC3Y P/C WAANINO:FAILURE TO SEWRE YrOfiKER4 COAIPENSATION COVERA6E IS UN.AWFUL,AND SNAII BE }� �y SUBIECTANEMPLOYERTOCRIMINALPEWLLTIESIWDpVRFNESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT �11�nFT1I�, OOl1ARS(f10D,DooI.W�01T10NTOTXECASTOFC0A1PEN5ATqN,DAYAGESASVRO�IDEDFORIN ---�-.n � � SECilON770lOF7NEUBORCOOE,INTEREST,AND11TiOfiNEYSFEES. F{L-TENTIONFEE: i3ITR.T����'�Ta����,�,T 1 O CONSTRUCTIONLENDINGAGENCY ��� PRE-A E �i1'1: � IHEREBYAFflfiMLNDERVENALTYOFVEMJNVTI/ATTMEHEIS�CONSiRUCTIONLEN01NaA0ENCY � �.�� FOR i11E VEAiORAIANCE OF iHE WOHK FOR WHICH TMIS PERMIT IS ISSUEO(SEG 7071.CIY.G.1. � tENDER'S NAA1E • � LENDEHSADORE55 � ICEHTIFY711ATIHAYERFIDTHISAVPLICA710NMASTATEiWITTMEABOVENFORMATIONISCORRECT. TOTAL FEES . � IA6REETOCqAMYN7TNALLCIT'MIDCOUNMOPDMANCESANOSiATEUWSREU71N�708U1LDIN0 . 'n CONSTRUCTKKi,M1DHEREBYAUTHORREREPR[SENT�TIVESOfT1115COVNTVTOENTERUPIX�THE � ABOVE�AENtIDHED vpOPERTY FOR pJSPECTIDN iURPO5E5. COMMENTS 0 /��/�)� �//-�� � J17 v� �/'1 l.A�ON m P E(PRI 1 a ��.� - � � � �cn,�Tu� o P� E �� /�E���� RECPL NO. I'AID BY � �/VALJDATION ' � YJFIITE—Oepartmenl Copy.YELLOW—Finence Copy.PINK—As sea Copy.GOLDENROO—File Copy,GREEN—Applicant'n Copy � '�—� ��r_—c./'1 �., . ., , .D d.i • • .'r.• . , .. . ,�+' . ��.�^7'. �'�� ' � ..r ' .. � , .a'.�"In.' ��ni-.rrr��L , "ti�. .r;..� .... . ,. � ,. .. � . , . .. . �� . .�"�'. �;� CITY OF DIAMOND BAR , . ., .. ,.. � . . . . . �. . �Itt�SPECTIOh� RECORD �. . , " � . . .. .. :c � . ����'��{?�G�.���'�.�� ���JJ��' �.I�.�;�.�.�.�`,�°�,,r.�;��.._..'�'!;�C►��-�a,3�,�`'��o.��.�!.'!"��e'�'��C�� �1����1�:�I��� 'SECrE3ACKµ � � ! . ,� , -�> FLOOR JOIST_ . ,�..�..... ;...,.,. .�.. , , FTGS/FORMS/STEEL - - : � '. _ � � - FHA REQMTS�': .: , . . . . ` ' : 'ELECTRIC GROUND _ • . _. .. .. UNDER FLOOR DUCT �'`•' . ' �. `'.• ,,' ` ' ` '' "' • ; � � � i 5 „ . GROUND PLUMBiNG UNDER FLOOR CdP�IqUIT. ; � " � � � ' � � ' SLAB GRADE �� � - - - _ , FIREP.I.A+CE'.FOIJI�DATION,._, , . �..:, . ;• ' ,�.; . ; �' � , , ! '' �_ � , ., �i ��1 1 . ... .� i �1 �i.. . �.. ,� . . �TEMP POWER . �- � FIRE`P AEE-80ND�B�EAM �• : VdATER SERVICE - - - MID HT. BOND'BEAM • ' •' '� '� � � ' � - - � , ROOF SHEATMIPJG 1.'1 � :' , � � 8 FT.BOND BEAM '�;? ` �`,. �_ .`.• �, . . .. ; ' FRAAII�t�;�, ENTfLIAT10N.( '... ; �:'' ` � -. • FINAL'BONDBEAM. . . _ - .. ' ROOF COVER '' •� • "�-'� , PRE-GRADING .. _ _.. . . . � , ROUGH HEATING• `• -% ' ' ' ' • `` � BENCHING � ROUGH ELECTRIC ! ._ ', :.'_ '. ` ; ' ROUGH GRADING . . _ .. _ . .....__� ,,. 'fiOUGH PLUMQING -' �- FINISH GRADING i <. . SFiOWER/TUB TEST : _ . - - . POOL ELECTRIC � ; ,� �EY.T.LATH1SIDfN6 - . - — ' -- - ' FOOL FENCING ; � ' � U!l1LL•I�JSUUITION _ __ _ POOL F�'JAL `• � � , CEILtNG (N5ULATION OFF SITE IMPS. ' ' ` '� ;DRYWAL:L NAILING ; - �EDICATIONS ScWER � � FINAL ENG. ; ' SEPTIC TANK LANDSCAPE/IRRlG. ' '� ' SEEP PIT/L.L. - (. " `��`-� ON SITE IMPS. � ''.� GAS AIR TEST / � FINAL ZONING ! =: FIN.AL CONST. _ (,3�.c�o; FIRE DEPT. FINAL • � • ; ; FiNAL HEATING . .. __ HEALTH DEPT. FIN�L - ` FliJ�L ELECTRlC - - - - DEV. FEES PAID -- - i FI^JAL PLUMBING -- � - ENERGY . --- . _ . .._ , ; .. ._ . I ^ /� � .. ' u3Q.�S'b�i�:.�`,'L�4 STl��:. . ..�1 I ' � �COMMENTS . . . . . _ - ,, . �� .�,� . � � I l, . � . . 1� ' . 1,��'' �.. . , , � � . . .. . . . . . i � i , �,`� �\ _ . . . . . � _ ' .. - ._ . . . ..,. _ .. , - � i '1 i: .I. , . ' .., . . . . . . . _. . . ' . � ' � ' . , . . , � .- � ._ . 4y,i , . � ' � . . - i . � . . r.;�tj.i{ 1�. 1� � a)l:� . � j � '---- .`. . . ._ .. \ . _� � � � ... .. - l 1. , � � 'SEPT�C TANK SIZE' ��`r `;•.;::1�it,? . :;.... . . ,,, � , , � — SEEP i�IT/U SIZE • ��,�,....�.L��sl rs' , , . .. _. �. . ,�'1 --.�..,-�-.� f _. � � � . , ' f �.�' � ' .� I � �, � i ' . ....1 . _ , � � . . _ � ; ;��y� �,! . � ; .. ._ -- _ ; -,, , ; , + , ; r�� :. : .. _...,: . i . �r �� � .,, � ,, _. ; 1 i• . . . . i . • . � i . ..�.,........ �...�...�.. .:.� • 1 , . � � . \� . � , \ ,. . ; . ... . j