Loading...
HomeMy WebLinkAbout16589 (20) i . . �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY R:DEVELAPMENT SERVICES � � r ��y i 21825 E.Copley Drivc (904)860-3195 Fax(909)86I-3117 PR ESS ��-�� BUILDING PER1tiiITAPPLICATION F RMLY o ADDRIESSLv��• � ���• _ DATE CATION I O NUMB R �!C c� ISSUE TYPE OCC APN LOT TRAC DATE CONST. GROUP p OWNER � �L �_� ADDRESS� r !H� ZONING SETBACKS z CITY 1 ZIP TEL.� � REART RW p g APPUCANT _ �— TEL.gs�'�� SIDE/SIDE STREEf FiW O � CONTRACT 1���a� O 1T' SIDE ❑ � ADDRESS A9.�3 PROPOSEDUSE � CITY� ZIP��TEL.�� _�� o ARCH/ENG/ z DESIGNER NO.D1NEL. NO. NO. oW., ADDRESS.�� UNITS STORIES BEDROOMS = CITY ZIP TEL. � OESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-E3UILDER DECLARATION SFR/ADD�FIEM O I HEREBV AFFlM1 UNDER DENALTY OF GE0.IJRY THAT I AA1 EXEA�PT FqOu THE CONfiUCTORS LL G82g0/CefpOft W CENSEUWFORiHEFOLLOWINGREA50N�5EC.70]1.58USIN[SSANDPpOFE5510N5CODE:ANYqiYOR (n C.� �COIMTYWHItlIREOUIRESADERMITTOLOI:STRUGT,ALTER��PROVE.O[MOlI5V1.ORRCFtiRM1YSTRl1G -� W patidpeck - - w 7URE,PRIOR N ITS ISSUANCE.AL50 REWIRES THE APPLICANT FOR SUp1 PERMIT TO iILE A SICN[D W STATEMENT 7HAT HE OH SHE IS LICENSE�PURSUMIT TO THE PROVISIONS OF 7HE CONTRPCTORS L4 � CENSE UW(Ci1APTEfl 0(ODA�MCNCINC WITH SECTiOM 7000)OF OINSqN�OF THE BUS:NESSA4D PRO- u- PooUSpa FESSqNSCOD�ORTW�7MEOR5ME15EXEUPiTHEREFROMM+OTNEB�SiSFORTnEILLLEGEOE%EMv (� VTION.ANYNOIATpNO�SEM10N�071.6BYANYAPDUCANTFORADER�AiT5UQ1ECT57HEAPCLICANTTO Z R8-ROOI A GMl iENALTY OF NpT MOF1'c iMAN FIVE MUNDHED DOLLA/15(f SOO�J: 0 04�SOYMEROFTHEVROPERMORMVEIA7LOYEESWITNWAGESASTHEIRSOLECOMPENSAiION. ❑ COrtIf11BfLI�I Z Vnll00 7HE W0�7K,AND THE STRUCTUHE IS NO7INTENDED On OFFFREO FOR S.LLE(SEC.70��,OUSI• J NESS AND CqOFE5510N5 CO�E:ME CONTRpCTORS LICENSE lAW DOES NOT APPLY TO AY OWNER OF � PROPEflTYN?fOBURDSORIMVi10VE5THERCON,MIOWMODOE55UCHWORKHiM5ELF0l1HERSELFOR � � THRWCHHISORHEROVMEMPLOYEES.PROVIOED7HATSUR7IMPROVEMENTSARENOTMTENOEDOq m WQ pFFEREDFOqS/LE.IF,HOWEVERTMEBUiLOMGORMPROVFIA[NTISSOIAYYITH:NONEYFAPOFCOAIRE- Z TqN,TME OWNER-BUILDER WILL HnYE 7HE BUA�EN OF VROYINO TMAT ME OH SME DI�NOT DUI�p OR OAPROVE FOR TH[RIRPOSE OF SALE� W OI�OMMEROFTHEPROPENTY.AME%ClUSIVELYCOHTMCT:NGNITHLICENSE�CONTRACTOf15 [[ TO CONSTRUCT TNE VRQIECT(SEC.)ou.BUS�N[SS AN�VRDf[SSIONS COOL TNE CONTFACTORS LI� V31u3!iofl {IDJ.AREA W CENSEUWDOESNOTAP%,YTO�NOWNEROFAPROPERTYWlqBUItD50RMPROVESTNEREON,ANO � WHOCONTMCTSFORSUd/CR0.IECTSVATHACONTHAC70R(5)LICEhSEDVUHSUANTiO7NEGONTM:- QUANTIN DCSCRIPTION FEE Y TORS UCENSE U�w.l. � O I AM EXE�Pi UNDER SEC. B.6 P.0 FOR THIS REASON Q � U li � � DATE OWN[R U l � �- � LICENSED CONTRAGTORS DECLARATION W � 1 NEREBYAFFIqM UNDER PENALTT OF 7ERJURV TMAT I MI LICENS[D UNDEfl GROVISIONS OF CMAPTER � d i�NMMENCINCWRHSECTION7000)OFDINSqN70FTHE8USINESSAhD�FOFES5i0I:$$$LLL OOE.�':D Z � X MY 110EN5E IS IN FULL FORCE ANO EiFECL ����/� ' � 0 IICENSECLA �LIC.NO. j V OATE��,�� CONTRACTOR�O�C` � a W � WORKERS'COMPENSATION D[CLARATION -� ¢ � U N IHEREBYAFfIpMUNDER�ENALTVOFGERIURYON[OFTHEfOLLOVYlYGOECURATqNS: Z . Q � _IHAVEANDWILLMAINTAINACEHTIFICAlEOFCONSENTTOSELFANSUR[FORWON(ERS' _ COMPENSATION,ASGflOV10E08Y5EC710N]7000FTMElA80ACO�E,FORTMEPENFORMANCE U Q OF E WONN FOR MMICH TNIS DEpA/lT IS ISSUED. � 0 . W IHAYEIWDWILLMNNTAINWORNERS'COMPENSATqNINSURANCF,ASREWIREDBVSFCTION / Q ]7ooOFTNEL/1(IORCOOE,FOfITH[PERFORMANCEOFTHEWORK �qMM1iICMiH15PERM:i15 1 O , ISSUED.MYWOFKER5Cs MP�NSAT'. vSUNANCFf 9RIERAND x�cvNUM�eR�ne: CONSTRUCTION l ¢ - � cu3a�Ea_ ` � PLAN REVIEW Z POLICYNUMBER �� _ =� ELECTRIC Q � (MSSECIIONNCmNDTBC�'.pLFfEJOFMPERMT6iORONENU!%'S�DCLLARSIt'��Ia11E551 PLUM6ING W MECHANICAL Z I CERTIFV hIAT W THE PERFONAANCE OF iHE N'ORK FOA WHICH TNIS PE W�1IT IS ISSUEO,1 � C} SMILLLNOTEMPLOYIINYPEASONINIWYMMlNER50A5T08[CAM[SU0.JEC7707ME N WORNERS'CddCENSATICNUwSOFCALIFOf�NI�ANO .REETH.ITIFISNd1LDBECOME INS?ECTIONFEE � S SU&IECT OTN WORKERS'COMPENSATqNPROVIS OFSECTqN17ooOF HEUBOR CCCY1E,1 �IALL �RTM'MTHCOMPLYWITM7lqSEPR ISiON. ISSUANCE � ✓ /� APPLICANT: _ � � SMIP p DA7E: � � ENERGY P/C WIIRNINC:FARUAE TO SECURE WORKERS'COMPENSATqN COYERAGE IS UNUWFUL.AND SHALL BE �y SUBJECTANEMPLOYERTOGRIMWALPENILLTIESMIDCMLFIN[SUP700NENUNDREDT7WSMlD ENERGYPERMI7 � DOIURS(t t00.000�Rl ADDITION TD THE COST OF CW.�PENSA710N,DAAUGES AS VROVIOED FOR IN � SECTION�70lOFi17ELA80ftCADE.INTER[5T,11NDATfOR4EYSFEES. RETENT�ONFEE: nW., CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � INEREBVA�FIPIAUNDERDENALTVOFFEiLNRY7TUTTHEREISAfANSTRUCTIONIENDING�GENCY FOR THE DERFORMANCE OF THE WORK FOF WNid1 TMIS PER1.tlT IS ISSUfD(SEC.709�,CIV.C,�. W � LENDE(YSNAAIE � . F- LENDERSl1DDRE55 . � TOTAL FEES Q��U ¢ ILERTIFYTHATIMAVEREADiM15APPLICATqNANDSTATETHATTMEADOVEWFOAMATIONISCARAECT. W I ACREE TO COM7LY WITHALL CI7V AND COUN7YOROINANCES RND SiATE UwS REUTING TO BUM1DINC � CONSTRUC710N.AND MEREBYAUTHORIZE REPRCSENTATNES OL iHIS CAV`!TV 70 ENTER UPON THE ZAHOVE�IAEMqNEDCROFENTViORINSPECTIONPUR705C5. COMMENTS � �Go l/ . _ m GERNITTEEN E(P .' ` -�v __����� � N SICNnT .E F c �T EE ATE . � � RECPT.NO.��PAID DY _ VALIDATION _ WHITE—Department Copy,YELLOW—Finante Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy ... ., . .._. .. ... ,. ;. .. _ -r..✓w.��., � . •�r.. °r.112�1 4�:'.^.,.M.q-•...... - � , • w t?: Ys:. , <7:X} ,. • . •- .. .� ....,.. . . .. � :i•"?��: .'7 ..re�. ,.. :i�• l. CIT�' OF D1r4N10f�D Fk�i IfJSPECTIOf� REC(7�i�D .._. _.._ _ - --, ._. __._. I►'E-y�!.�c�''C(�7►1 �)�t�'=; l►l�-i;a� �'���1. I}'E.�:��c:'�lc'�►'t ;i)�Ei'� �c?a��— , r�, �� _,._ . , _. _. _ � �.�- _. . ,�1 ._ . . . _____-----____�._.._...�--__--------- --------._.._._..._.....__----____-- .---�...._.---------_.----------..�_�__���_�_� SET BACK '� ` � �-: � FLOOR JO1ST ;.,� , ,, I... : FTGS/FORMS/STEEL � ' I ' FHA REQ?�ITS �_ ELECTRIC GROUND � ' � ' —� UNDER FLOOR DUCT � • I _ GROUND PLUP�1E31NG I UNDER FLOOR CUNDUIT � � � � • � SLAB GRADE } FIREPLAG��FOUNDATIO�d - � � • TEPAP POWER 1 � FIREPLACE BbND BEAM • � �� � WATER SERVICE _1_ � PAID HT. �OND E3E!`,PA ' � � � �,1�� • � ROOF SHEATHING G�� I f3 F�'. BOPdD B�AM, j FRAMINGNENTILIATI�N� _� FIPdAL BOND BEAFv1 I __ ROOF COVER �-�b-�f I PRE-GRADING � ROUGH HEATING � BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADIPJG SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING 1NALL INSULATION � POOL FINAL CEILING INBULATION OFF SITE IPJIPS. DRYWALL NAILING DEDICATIOtJS SEWER ' FINAL ENG. SEPTIC TANK � ' � LANDSCAPE/IRRIG. SEEP PIT/L.L. ' OfJ SITE IP�IPS: GAS AIR TEST FINAL ZONIPJG FINAL CONST. _��� — ; FIRE DEPT.FINAL FINAL HEATI�dG HEALTH DEPT. FINAL FINAL ELECTRIC - DEV. FEES PAID FINAL PLUh1BING � ENERGY ' � . ' _ ., . - - - - - ---L �ci��r.r cTi: �.le;c. ,. ,�._... � . -�.w� CUMMENTS , - . _ . �� � . • '�, . SEPTIC TANK SIZE SEEP PIT/U SIZE ''�I �1�� _ � , ; ;i, -; ,