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HomeMy WebLinkAbout12871 (6) - l _,. . .__ _ . .. y • . ._ -�� CITY OF DIAMOND BAR �: � ;� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �; 21660 E.Copley Drive Suitc 190 , i`� (909)660-3195 Fax(909)861-3117 PR ESS � �y^'� . , BUILDING PERMIT APPLICATION � � FIRMLY � JOBSfTE ^ � � APPUCATION � � PERMIT P/C o ADDRESS� DATE f.o�����8 NUMBER�� p � 15SUE NPE OCC ' APN LOT TRACT DATE � CONST. � GROUP � OWNER 'o . , ADDRESS ZONING SETBACKS � � CITY • ZIP I �TEL '� , FRONT RVy . p . APPUCA TEL � REAR ❑ ' � � 510FJSIDE STREET RW O r� CONTRACTO P 51DE -- O -•� ADDRESS ��� /�. S.,., �,nt=.E/;.,n iI . _ _ _ . ' � CfTY � �..� „t ZI�� TEL �3 /�-J7 PROPOSED USE - ! w ARCH/ENG/ . " , � OESIGNER - ADDRESS NO.DWEL NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS ; c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� -- - - OWNER-BUILDERDECLARATION - SFR/A�D/FiEM - ' O 8 I MEREBY IIFFlRM UNUER PEN�L7Y OF iEM1RY THAT I AA1 EXEGFT FHOM THE COrRMCTORS l4 Gef9p0JC8ryOrt CENSEUWFORTHEFOLLOWPI�REASON�SEG7071.6BUSWESSANDPFAFESS�ONSCOOEANYCfTYOR (n � COl1RYWHIdIREOUIFESADERMRTOCONSTRUCf,ALTERMPROVE.pEUOl15HOHREFA1R/uJV5TRt1C. - W -PBIIOID6Ck _ _ ' 7URE,VRIOR TO R8 ISSUANCE.AL50 PEOUIRES THE APPLICANT FOR SUC11 PERAIIT TO FIIE A SIGNED W STATEMEHT T'AT HE OR SME IS LICENSED M1i1..VANT TO THE PROVISIONS OF THE CONTMCTOiiS LL ,� CENSE UW(Q1A7TEH i(COMMENGW�YVITH SECTqN 7Do0)OFOIVISqN�OF THE BUSINE53IwD PRP LL' POOVSpO � � � � FESSqNS COUE)OR iMAi NE OH SHE IS EXEYPT 7MEREFROM IND TNE BASIS FOR THE ALLEGED E%EMP• TqN.AHVV10lAT10NOfSECf10N70J1.6BYANYAPPLICANfFORAVERMITSUBI[CTSTNEAPPLICANTTO Z R�R00} , �„� AClVILVENAlTY0FN0T►qHETH/JJFNEHUNDREDDOlURS(i500).} " - � OI.A501M1EROFTHEPROPERTV,ORMVEA1PlAYEESM7iHWA0ESISTHEIq50LfCOMPENSATION, O COmrtlBfGlel � � --� � - � MALL DO THE WOFW IWD iHE STRUC7UIIE IS NOT IHTENOED ON OFFERED FOR S/LLE(SEC.7Du,BU51� J � NESSAND VHOFESSIONS COOE:THE COflTMCTORS LICENSE UW DOES NOTAPPLV TO AN OwNER OF ? � � GROPERTYYA108U0.DSORIMVqONESTYIEREON.M7DWF10DOE55LCHYRNiKMIA/SELFORXERSEIiOR (L 7HROU6HHSORMERONMEMROYEES,VROVmEDiNA75Up11MPROVEMEMSARENOTMFNDEDOR m � � OFFEREDFORSALEIF,HOWEYERTHEBULWNOORMPROYEMEMISSOLDNAiHMONEYEAROF[OMPLE• � .. . TIOH.THE OWNER�BUILDER WILL HAVE 7ME BUHDEN OF iROVtlq THAT NE OR SHE DiD NOT BURD OR MIPROVE FOq 7HE PURPOSE OF SALEL ` W O�ASOWNEROFTHEDROPFHfY,AMD(CLUSNELYCONTMCTN4VrtTHlICENSEDCONiMC70R3 ; � TO CONSTRUCT THE PROJECT(SEG 7oN.BUSINESS AIO PROFESSIONS COD£THE COMRAC70HS U- VeludflOrl � ADJ.AF�EA � GENSE UlW DOE$NOTMVLY70AN OWNER OF A VflOPFRTY WHO BUL�S OR IMPROVES hiEREON,ANO , � N1qGONTMCTSFOqSU�1PRCLIECTSWfTHACONIMCTOR�4)LICENSEDPURSUANTTO7MECONTMG pUANT1TY 'DESCFitPTION � - -- -� � �FEE � � Td1.4 LICENSE UW.� • . . _ .. .. . . . .. . .. . . � O IAY E%EI.IPT UN�ER SEG B.1 V.C.iORTHIS REASdJ U ' lL ¢ . _ .. .. . _._ . � . � DATE OVMEN � . . , . . . . w . -._ .. . . ._... . . . _ . . �d UCENSED CONTRACTORS DECLARATION W ' CC I HEREBV AFiGUA UNDER VENIU.Tf OF VERri1pY THAT I/W IICENSED UNDER PROVISIONS OF CHAOTER � , p., ��COYUENClqVrtT115ECf10N1oo010FOM5lON�OfTHEBUSINESSIWDPROFE5510N5C00E,AND Z 3 / SD`'.�C� � �L WUGENSEISNFUILiORCEIWOEFFECT. "' m � LICENSE CLASS . .. LIC.NO. I'r,�� . .; J �-j a�� cormucTora a w � WORKERS'COMPENSATIONDECLARATION �����Z � , N IHE VAFiIPA111NDERGENA�TYOFPERJURYDNEOFTNEWLIANlINGDEClAMTIONS: - Z � ' �-�-" � ' � �" - � �IHAVEANDW�LLMAMNHACERTIfICATEOFCONSENTTOSEIF•INSUREFOHWORKEflS' � COMPENSA7qN,A5PfiOVIDmBYSECT10N77oaOFTNEUBOfiGOOEFORiNEPERFORMMICE W � OFTHEMIOfi1CFOqVMIp1TH13PERMITISISSUED. � � �I H�YE AND YnLL IAAttltAR1 WORKERS'COM7ENSATqN INSUMNCE,AS REOVIRE�BY SECTION � J7o00FiHEUBORCOOE,FORiHEVERFORMANCEOFiNEWORKiORMAfIpfTT115PEi1M1715 .. .. .��T . _.. . � . . . � ISSUED.MY{WRKEAS'COAIPENSATION INSUMNCE CARHIER Ml�POLICY M1IABER ME: CONSTRUCTION =� � CARRIER PLRN REVIEW z OOLICYNUA9ER � ELEC '¢ 199�-� � �rrtss[cnonrEmr+o7eEoor,sterIDOFnEVEw.�tsroaa+e�noou�s , or� PL .G —�� F 2 ICEq7IFY TNAT W 7HE OERFONMANCE Of THE M�OqK FOR YMid1 TMIS VERIAIT I515SUED,1 � MECHANICAL - � - ('} SMALLNOT EMPLOV AM'PEIi50N W ANY►/N�NER SO�S TO BECOME SU&IECi TO THE ' � 1NDPoCERSCOAIPENSATqNUWSOFGL�FOFl qANDACqEETHATIF1u/10ULD8ECOME INSPECTIONFEE�,' IAM SU&IECTTOTHE WOPoCER5 COMFENS� O 5 S OF SECiIDN l70o Of TME U80R � � --� - - - CODEq,ISHMIFORTOMiNCOMPLY 5 iS1ON5. 1SSUANCE BLTILDING AND � � � �"� � APPLICAM: �SMIP. p onTe � ENERGY P/C WAANINU:FAILURE TO SEW RE WORKERS'CdMPENSATION COVERACE�5 UNUWFUL,AND SHALLBE � �y SUBIECTANEAIPLOYERTOCRIMINALPEN/�LTIESANOCMLFINESU7TOONEHUNDREDTNOUSANO ENERGYPERMIT -' � � - DOlU1RS If 7oo.0ao).N ADORION i0 THE COST OF COMPENSATqN.D/UAAOES AS GNOVIDED FOR IN � SECT10N�7ooOFhIEUBORCOOE,INTEREST,ANDATTORNEY'SiEEi � RETENTIONFEE: � � ' d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O ..� INEREBVAFFlRMUNOERVENAl7VOFGERNMTHATTHEREISACON57PUCTIONIENDINOAGENCY , FORTXE PERfORMANC£OF TME WORK FOR WH1C71 THIS 7EiW IT IS ISSUED(SEG�097,CN.G). � : � LEPDEiYSNAAIE _ - . . . . . � � lEN0ER5ADORE55 ' � ICERTIFYTiUTIHAVEREADiN15APPl1CAT10NAND5TATE7w�TT1EA80VE1NFORMATIONISCORREM. TOTAL FEES -- w � IAOREETOCOMPLYWITMALLCT'ANDCOUNTVORDINANCE5MA5TATEUWSREUTN6TOBVLDINO _ � CONSTRUCTION.ANDNEHEBYAUfNOR�ZEREGRESENTATIVE50FTHI5COUNTYTOEMERUPONTHE:_ ._ . . . . .. . S� ABOVE•MEMIDNEDPPOPEHTYFOfiINSPECfqNR1RPOSES. COMMENTS � � o � . 1 � m VERIARTEEN ' (D Nn - . � _ '_ ' ^� . ._ . . _ (n 61GfUTUR V ATE � RECPT.NO. PAID BY VAUDATION 1NFiITE—Depamnent Copy,YELLOW—Ffnence Capy,PINK—Aeseswr Copy,GO ENROD—Flle Copy,GREEN—Applican s Copy � - - --- - � � � .. ,.. .. „ , . ,. ..,... �, . . . . - ,. _ . ., . . . � . . , . .., : ., . .. . . . , . CITY OF�DIAMOND.BAR ;,;.,,::�; t, ,; ,,:'�:', �� .,."::INSPECTION�RECORD . - r,;,, . . , , , . . . � . . � .. . � , ;:.�, - . e e o � • - • � � • - SET BACK .... � , ,�' �'� '.. � , , . � FLOOR-JOIST , . , '� ; • . -. ; : FTGSIFORMS/STEEL ' � ' ' ' FHA REGZMTS � - -- - ELECTRIC GROUND � � - ' - -'_ � :- --� UNDER FLOOR DUCT - � �' � - GROUND PLUMBING � - 'UNDER FLOOR COf�IDUIT � � � ' . . .. . SLAB GRADE - -- __ , � ; FIREPL:ACE FOUNDATION - �''� r . . , . _, . TEMP POWER- - - '„ , -- -- - - - ' . FIREPLACE�BOND BEAM - _ .. ".... . ` WATER SERVICE � _ - -- � - .__- -- � -.---_ - --. _ . MID HT.BOND BEAM � . _ . �.. _� __� �__ , -., ; ; . . . . . ROOF SHEATHING --- - - -- _ _ _ __ . . . 8 FT.B�ND BEAM. . . , — • - � ,. _ ; � , FRAMINGNENTILIATION ___ FINALBONDBEAM '� � •`� � ' ROOF COVER: . �' ' PRE-GRADING � � _ _ 1 _ ROUGN HEATING---;-- - . --— - - _ . _ ..- BENCHING _. :� . . . - _ -- -- - , � ROt1GH ELECTRIC- • - ' = ��'- - - - � '� � ROUGH GRADING ' ` ' ROUGH PLUMBING"; -- � "--� --- - --� - - FINISH GRADING , ; :,, , I ':. SHOWERlTUB TEST?-- - -- _ __ _ __ . .... -- _. . POOL'ELECTRIC .• . . . t , EXT.LATH/SIDING i - _ - - -- - POOL FENCING ' ; " � _ ' WALL INSULATION POOL FINAL ' � • ' CEILING INSULATION OFF 51TE IMPS. ' 1 "_ DRYWALL NAILINC DEDICATIONS ' ' -. , .. i �:: _SEWER - -_ - - -�--- • �.. FINAL ENG. ., - _ �; SEP_TICTANK --_ _--_'--- _-_ -.- . _. . _-- - .._. LANOSCAPE/IRRIG. , � - , ,,. - - ON SITE IMPS. • SEEP.PITlL.L.- - - ._ _ _ _ GASAIRTEST;.------- - - -. ._. _.. _ ; _ FINALZONING "_' FiNAL:CONST.; - _ _ . _ ..__ . ---..-_-._. ._ . FIRE DEPT.FINAL � . FINAL HEATING - - - - � - � HEALTH DEPT.FINAL � .FINAL'ELECTRIC- _-- --- - _._ . _.._. _ DEV. FEES PAID _- - - FINAL PLuMBING -- � ENERGY � . , , , �� s e - _ _ , ; � . , -- - - - - •-- -- - --- -- -- . .___: _ ', . , �-_j �- COMMENTS � � , . _ ,. ^� -- -- _ -- - - - -- _ _ _ _. _ . , _ � , , _ �Ga�;�c . . � .; . � ._, . , I , , . ., - _ _ ' _ _ — _ , , - - -. _ _ _ _ . , . ,_ •. _- ', - . � � �� _ '�1,� . �., __ � _ � lyL':'�, i i:. J.��{ _ ,' ' ,.� J� / �, � i i _ _ ..`t _` _- _ ,�t•.=i :x:�:�i: �.>>t�1�v'Y'%'1:? � ' � . � - . �•-• . .. , _�.�i.�_�!.�... ; , , . . '�� . . . . , . . . i ,- - - - - _ . , , , , . SEPTIC TANK SIZE - � . ' � SEEP_PIT/U SIZE , _ ., : , ; - . - � � ; .�` -, ' � , � ; , ; . - - - .. - _ .. ; , _ . _ ; _ : . _ . ; � �, , - _-. . , I , . � _ . - . .._ _ < �. _ , . . ; _ _ _ __. � - � ; , ,t t; . tif �.�, _ _ -- - - _ , .. , . � . ; �