Loading...
HomeMy WebLinkAbout14472 (8) -----���— CITYOFDIAMONDBAR - � • COMMUNITY DEVELOPMENT DEPARTMEIVT " � Y 21660 E.Copley Drive Suite 190 - • ` P RESS � (909)860.3195 Fax(909)861•3117 ' ' - � '�^'� BUILDIIVG PERMITAPPLICATION FIRMLY } JOBSITE /� �, APPLICATION I��i. PERMIT f i�DlC o AODRESS / 4 OATE NUMBEf� if c� ISSUE TYPE OCC APN LOT TF CT DATE CONST. GROUP � OWNER p ADD SS 7 ZONING SETBACKS 'A FRONT RW � O g �� � REAR ❑ APPL CANT '�� SIDEJSIDE STREET RW ❑ mCONTRACTO � SIDE O a ADDR S _ � CITY ZI TEL. PROPOSED USE oARCH/ENG/ z� DESIGNER -- NO.DWEL NO. NO. n, ADDRESS UNITS STORIES BEOROOMS � CITY ZIP TEL. � DESCRIPTION -SQ.FT. FACTOR PSF ADJ.AREANALUATION � . � OWNER-BCILDER DECL4RATION. . . . �. SFR/ADO/REM �� � - - � � - O p I HEREBY PFFIRM UNDER PENALTY OF PEiWRV THAT I AM E%EA/PT FROM THE CON7fUCTORS L6 - Gaf2g0/C3fpOft � W CENSEUWFORTMEFOLLOWINCREASON�SEC.70.I7.68USINESSANOPROFESSKKJSCODE:ANYCRYOR (n C.� OIXINTYWFIICNREOUIHESAVEHMITTOLONSTHUGT,QiER�PROVEDEMOLISH.ORREFAIRANYSTRUG W PetiO/DBCk � ' ' � WTURE,PRIOR TO ITS ISSUMICE,ASO NE�UIHES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED � � S7A7EMENT THAf HE OR SXE IS UCENSED OLI0.SUANT TO THE DROVISIONS OF TNE CONTMCTORS U• . , � GENSE UW ICMA�TER i(COMMENCIN(3 WITM SECTION 7000)OF DIY�SpN 1 OF THE BUSINESSMI�PRO� V"' 'PaOVSpa ' � -� FESSIONS COOE�OR THAT HE OH SHE IS EXEMPT TNEREFROM AND THE BASIS FOR THE i1LLECED EXE1Aa� VTION.�NVVIOL�TIDNOfSECT�ON70J1.6BYANYAPPLICANiFORAPERMIT5UB1ECT5THEMPLICPNTTO Z qe-poof � � � ' � AqVILFENnLT'OFNOTMOREiMANFNEMINDREDDOLURS(fsoo).): � ❑L�SON'NEHOFTHEPHOPERTV,ORMVEMPLOVEESWITHWAGESASTNE�ASOIECAMPENSATIDN, � COmrtlefC�al . Z WIU.DO THE WORK ANO THE STRl1CTURE IS NO71NiEN0E�OH OFFEHEO FOR SALE(SEG 7W�.BUSb J NESSANDPROFESSIONSCOOE:TMECONTMCTOHSUCENSEUw00E5NOTAPPLYTO ANOWNEHOF N PROPERTYWF�OBNlD50RIMPROVE57HEREON.M'DWHODOESSUCHWORNHi415ELFORHERSELFOR = ' Q THROUGHHISORHERO'M�EM�LOYEES,FROVIDEO7HATSUCHUAPROVEMENTSARENOTINfEN�E�OR - m , W OFFEREDFORS/�LEIF,NOWEYERTMEBUI�pIN60RIMPROVEMEMI350LDWITWNONEYEMOFCOM%.E• � TION,iME OWNER$UI�DER NnLL HAVE THE BURDEN OF PROVW�TMAT HE OR SHE DID NOT BUILD OR � � � Z IIAPqOVEFOATNEGURPOSEOFS/il�. ' �_ ❑I,ASOwNEHOFiMEFROPERT:AME%CLUSIVEIYCONTRACTINGWITH�ICENSEDCONTMCiW1S TO CONSTRUCT iME PROJECT(SE0.70/1,BUSiNESS ANO PROFESSIONS CODE TNE CONTRACTORS L4 Valuation � ADJ.AREA � � W CENSEUWDOESNOTM�LVTOANOWNENOFIIPROVERTYWMOBUILOSORVAPRDVESTMEREON.AND � YMOCOMRACTSFORSUCMPRQIECTSYATMACONTMCTOR(SILICENSEOPURSUANTTOTHECONTMC �UANTITY DESCRIPTION ' - - � FEE � TORS IICENSE UW.). . ¢ ❑I AM E%EMPTUNDER SEC. 8.6 P.0.FOR THIS REASON � � � Q LL" OATE ONM[R � � � V � � UCENSED CONTRACTORS DECLARATION" ' - iy � IHERE9YAFFIRMUNOERPENAITYOFPERtt1R�TMAT1AAlUCEN5E0UN�ERPROYI510NSOFCHAVTER � � ' . _ d v(COMMENCW6NlI7HSEGTIDNlOooIOPOrvI5lON30FiMEBU5WE53M10PROFE55iON5CODE,AND � Z � X MY LICENSE IS IN FULL FORCE ANO EFFECT. m .,� . . � LLI A R � � UCENSE CUSS ����_UC.NO. ` J `- ` V DATE - CONTMCTOH a W a� � WORKERS'COMPENSAT�ON DECLA I N a � U � IHEREBYAFFIRMUNDERVEN1LLiYOFPERNRYONEOFTMEFOLLOWINGOECUMiqNS: .. `—" a � _IHAYEAN�WILLMAINTAINACERTIFICA7EOFCONSENTTOSELF-INSUREFORM/ORKERS' - S � �- � � � COMPENSA71ON,ASPROViDE08Y5EC'TWN37ooOFTMEUi[fORCO�E,FORTHEPENWtU�ANCE U ��� OFTHEWORIfFORWHICHTHIS�ERMITISISSUED. � G . . _ . _. _. . . - w _IMRVEMI�MALL�dMNTAINWOflNERS'GOMPENSATIONINSURANCE,ASREOUIREDBYSECTION � 970oOFiMEU[fORGODE,FORTMEPERFOHMANGEOFTHEWORKFORMMICHiHISPERMITIS � ISSUED.MYYYORKERS'COM�yS�T�NiNSURANCECMRIERANDiOLICYNUTABERARE: CONSTRUCTION � Q � CARRIER %iL ��� � _ PLANREVIEW � pa�crNu�.+oeA � � - ELECTRIC 4 � � � � (fFiSSECfIp�NEFprqTBE�.u'tETmOF7t+EPEfV.9iSW130NEHJUPEDDOIiMSIStro)OqLESS�. PLUMBING / Z ICERTIFYTHATWTHE�ERFORIAANCEOFTHEWORKFOHWHICHTHISPERMITISISSUED,1 M[CHANICAL C7 SHALLNOTEMPLOY�NYPERSONINANYMANNERSOASTOBECOMESUOJECTTOTHE � Y/ORKERS'COMPENSATIDN LAWS OF CALIFORNI0.N�DACREE T AT IF I SNOUID 8 COME iNSPECTlOP1 FEE S 5�1BJECTTOTHEWORNERS'COIAPENSATqMVqOYi NSOFS TION7TaaOiTM OR COOE�,I1SHALLFOR THLOMPLVWITHTNOSE� �h5�a+s. 1SSUANCE +-- � I /A/U� - SM1P _ p DATE:_+_��'_ APPLICANT: w ENERGY PJC J WARNINp:FAILURETOSECUFEWORKERS'COMPENSA �VER�GEISUNLAWFUL.ANOSMNLLBE �y SUBJECTANEMPLOYERTOCRIMINALPENALTIES/N�GVILFPIESUPTOONEHUNDREDTFIOUSAN� ENERGYPERMI7 DOLURS(f100.000),NPDDITION TO iHE COST OF COIdPfNSATqN,OAMACES AS pFOV�DEO FOR W J SECTION�70lOFiHEUBORCODE,WTEHESjINDATfORNEY5FEE5. - - RETENTIONFEE: - � � � � � - � �� - . � � a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: - � � IXEREBYAi/IRMUNDERFENALTYOFPERJURYTMATTHEREISACONSTRUCTIONLENDINGACENCY �' - zFON THE VERiORMANCE OF iHE WORN FORNMIL51 iH15 PEfiM1T IS ISSUED(SEC.�091,CIV.G.). fATm�s_nF TT A 1/t�,�m R�.F W 4.11 Y iJ1ttL1 �+!+ � LENDER'SNAME T�TiTi T��d f�^j�afii'L',i i � IENDEiI'S�WDFESS - � " - - �- - ' /} ¢ ICENT�FYiHATIHAVEREADTMIS/PPLICA7�ONM1D5TATETUTTIIEABOVEINFORMATqNISLORflECT. IIO�ALLILES , ��—( W IACREETOCOM7LyW1THALLGT'ANOCOUNTYORD�NANCESANDSTATEUWSFELATMOTOBVILDMG � U V � CpN UCTiON,M10HEHE8VAUTFIORREREPRESENTA7!VESOFTNISCOUN7Vi0EN7ENUPONTNf � � ABO E#/fMiO EDPAOPERTVFOHINSVECid�7URPoSES. COMMEN7S � � •��( �"� �G77�3� � iTTE N EryFYNT) - � � Q � N SICNANH GERAIIT/EE - -- ATE ' " � RECPL NO.1,_ PAID BY � VALIDATION WFIITE—DeDartment Copy.YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD—Filo Copy,GR�EN—ApplicanCa Copy _. .. . . . ... . .. ._ _. _.. .. � r A� .ol n : . � ..,...._. ..... -• . rc-r�.._ . .�. i . .-...��:.;. .�,. ...�zt:�c-rhr.«i'�`1;. . ... � ,r..ae:��.d�.a�r1�.��.:.�.. r :,.w �.. � � .... �,�.e�.. .�,: .y.. ,�s�.• . .. . . . . .. '�;� ... . .. � .. f . � . . . '. . . t'..� �t ... � � - _ , � CITY.O,F;DIAMOND BAR , '. ',f ; ' `� % � INSPECTION RECORD - � ;� - � '�. . � � .. � • � � ' e . � � ���°�.�;���� :. , SET BACK FLOOR JOIST -- - — FT'GS/FORMS/STEEL � FHA REQMTS �:., � � Y. ELECTRIC GROUND UNDER FLOOR OUCT . • . � . ' ;;. �' GROUND PLUMBING UNDER FLOOR COt�DUIT • • , SLAB GRADE - ` FIREP.LACE FOUNDATION -�- � �' ---- . TEMP POWER - - FIREPLACE BOND BEAM '' - • ' � . WATER SERVICE - MID HT:�60ND BEAM � ' � ,, ; ROOF SHEATHING 8 FT.BOND BEAM • ~ � FRAMINGNENTILIATION FINAL'BOND BEAM , � '� ROOF COVER . - PRE•GRADING ' � . ROUGH HEATING - -: BENCHING ' . , - : ROUGH ELECTRIC - - ROUGH GRADING ; ROUGH PLUMBWG _:. FIN15H GRADING , - SHOWER/TUB TEST POOL ELECTRIC ' ' ' EXT.LATH/SIDING POOL FENCING . WALL INSUTATION � POOL FINAL' ; CEILING INSULATION OFF SITE IMPS. ' � DRYWAIL NAILING DEDICATIONS � � � SEWER .. ! � FINAL ENG. ' ' , : : SEPTIC7ANK_ ___ - . . ' LANDSCAPE/IRRIG. I �. SEEP PIT/L.L. ' --- - - ; ON SITE IMPS. � j • GAS AIR TEST =- - - FINAL ZONING � ; : FINAL CONST. ; - - FIRE DEPT.FINAL ' FINAL HEATING � ; , ' , ; ,HEALTR DEPT.FINAL - - -- - ` - - FINAC ELECTRIC �DEV.FEES PAID FINALPWMBING .:.��. �:_\ ENERGY �' ! _ . .; , , , - �� � , • • • , _ - - _ .COMMENTS = - - � ' ; . - . . - - -- _ . _ , - - - _ -- _ . _ _ . � - ,i t, ; l. ` . , � � I , , � �. ; ' � �. , r ' i � i . � . _ ,. - , i. f . � SEPTIC TANK SIZE , - - - _ ._ . _ __ _- .__.._. .. , , .. ;, , _ � SEEP PITlU SIZE � , . _ „ , ";, , _ ' , , I . . . _.. _ — _ . --.. _ . -,, , , , � , . . . . f _ ,, . . , � . . . , , �. � . . � . ��. .; .. 1 �' . . . , . .. ' .. . " ` .� i I . . .` . t\��\.J\` . � , � � ,_ - i �