Loading...
HomeMy WebLinkAbout15594 (9) - � -- i - �- - --- . . __--- ___.—_ � + CITY OF DIAMOND BAR � --� — DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . 21660 E.Copley Drive Suite l90 • (909)864-3195 Fa�c(909)861-3117 . , PRE$$ ����� BUQ.DING PERMIT APPLICATION FIRMLY � JOB5ITE �D So. PA1J'tE�R �DRW E' APPLICATIO /�f PERMIT �/ /C o ADORESS pATE ��✓�NUMBER �S/ #� � APN LOT TRACT ISSUE TYPE OCC � OWNER MAcRK 'D1ZU,G\L� (Z DATE CONST. GROUP ADD ESS S . PA��I'CFS�-p` h1E. ZONING SETBACKS P" CfTY����'D � ZIP �-lLT TEL �S�2 FRONT RW ❑ APPUCANT TEI.. REAR O SI�E/SIDE STREET RW O CONTRACTOR SIDE ❑ p� ADDRESS � CITY ZIP TEL PROPOSED USE � ARCH/ENG/ • DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION y � OWNER•BUILDER DECLAAATION SFR/ADDIREM � p I NERFBY AFFVW 1.►�ER PEN�LTY OF PfiWRV THAT I N.�E%EAIPT FROM 1HE GONTMCTORS LL Garaye/Carport Q f�NSEUwFONiMEFOLLOW�NCINEA.50N(SEG.7Wt.6BU51NE55ANOPROFE551�N5CODE:M"/CfiYOR (n �� COUNTYWFIICMREOURESAPEMIRTOCONSTRUCT.ALTER�M7ROVE.OEMdJSH,OfINEPAlR�71Y5TiiUC- W -P8II0/�BCIC � TURE PRIOH i0 R8 q9VANCE,AL50 REWIftE3 7HE AVPLICANi FOR SUqI PENaR 70 FllE A S�ONED STATEMBIT iHAT ME OR SHE 5 UCENSm PURSUINT TO TNE VROVISIONS OF 1HE COMRACT00.9 LF � CQiSE UW pRUPTFR i(COMM9ICWO WITH SECTqN 7000)OF DMSqN 7 0F TME BU5INESS AND VR0- �" PooVSpa FESSIONS C00�OR THATNE OR SHE IS EXEMPTMEREFi10Y ANO TNE BA515 fOR THE ALLEOED EXEMP• TqN.11NVV10LAT10NOFSEC110N70.11.lBVANYAVPLICNITfOiiAVERMITSUBJECTSTMEAFPLICM7TT0 Z Re-Roof � A CM�VENALTY OF NOi MORE TNAN iNE MIINOREO DOLLARS(f600�.r I , � OI,ASONMEROfTHEiROPERTY.OHIdYEFIPLOYEESWITiWMESASTHEIRSOtECOMPENSATION, 0 �mmerGal � Yl0.1 DO iHE WOFK,IIND TME SiRUC1URE IS NOT MTENOEO OH OFiEREO FOR SN.E(SEG 70/4 BU56 J NESS AND PROFESSpNS COOE:TIE COflTMCTOpS UCEN9E UW DOES NOT APPLV TO AN WMER OF y ifqPEffTYWIqBURDSOHMVfOYE9MEREON.M6lW��000ESSUCMWORNHIM50.FOqMERSEIFOR = � THRdIOHHISORHEROMMEMPLOYEES.PRO�DEDTHATSUCHIMPROVEIIEMSMENOTMENDEDOR m OFFERED PoRSIilE IF.NOWEVER7ME BUlDN40R MMIOVEMENTLS SOID WfTTIN ONE YFAR OF WMPLE- 'TqN,TME ONMER�UtLDER WN.HAVE iME 8�1ROEN OF GROV WO TMA7 NE OR SNE q�NOT BU�LD OR tAVNOVE FORTHE PURPOSE OP&LLE�, � O1�401MJEROFTHEPROCEHi`/,IUAIXCLUSNELYCONTAACTNUWfT1iLILENSEDCOHTiUCTORS TO CONSTRUGT TI�iRO.IEGT(3EG 7w�,BUStt1E33 ANO VROFESSIONS CODE 71�E CONiMCTOR3 ll- VBIUeS10�1 ADJ.AREA CEN9E U1W DOES NOTAPPLYTOAN OVMER OF A PpOPEqTY Vrtp BUlD3 OR W PROVE9 THENEOH.ANO wNoeartru�crswnsw�vnaEcrsmni�cartrucroafstueExsEownw�wrTon�eeoertruc pUANTITY OESCRIPTION FEE � TORS UCEHSE UW.). y . , . . .. OIAllE77�YPTlWDENSEG B.�F.C.iOR ISREASON U t� � } LL" pA7E OWNER � W ` UCENSED CONTRACT RS DECIARATtON W ¢ INEREBYAfFIRNUNDERPENALttOf7ERA1RYTUTIAMLICEN5E0UNDLRpROhSIONSOFC14PifR z l�' ���`�-�T s �(OOLIMENCNfiYVI7NSECTtlNfOoo)OFOMSid170F7HE8U51NE53M1DPROFES5lON5CODE.MA LL� W LICENSE IS N FL4 FORCE AND EFFECL m � UCENSE UJ�SS UC.NO. � � o�re corrrFucTOR n- = WORKERS'COMPENSATION DECLMATION � N IHEqEBYAiFlNMIRJDERPEWLLTYOFiE0.1UfiYONEOFiHEWLLOWPMDEGIANATIONS: U `� a C �IINVEANDVALLMAINTANACERTIFICATEOFCOHSEHTTOSELFdNSUREFORW'DPNERS' S � OpMPRIS/RpN.ASVilOVIDEDBYSEGT�ONJ70oOfTMEIJBORC00E,FOR7FIEPERFORAUNCE w Of THE WOPoC FOR NMiGI lHiS PERIAIT IS ISSUED. � � _I IL1VE AND W4.L►UMAIN MMNKERS'WMPENSATION RlSUNANC[.AS REOUIRED 8Y SECTiON l70o Oi TIE UBON COOE.iOH iME PEAFOR/N�ANCE OF THE WORK fOR WNICH TMIS DER411T IS � ISSUED.MYWORKEN'S'OO�APENSA110NNSURANCECARN�ERANDiOLICYMJMBERME CONSTRUCTION � �,�p� ' PLAN REVIEW � vo��cv�n�eER ELECTRIC � (tHFSECIGNNF.IDN0TBE0C6plfTIDOFTEPEMtTsiORONEHRi%tEDDQUiSRiaqORLE551 PLUMBING �� �R� ! Z ICERTIFY711ATN7HE►ERfORMIUJCEOfTHEYroRKFORWMICHh115PENAITiSiSSUED,I MECHANICAL �x"r (} SI4ILNDTEMPLOYI�NYiER50NNANYWiNNERSOASTOBELCMESU&IECTTOTME � YpRI(ERS'COMPENS�TIONLAW90FCKIFORNU�AND�OREETHATIFISMWIDBEODME INSPECTIONFEE [ �} S SU&1ECTTO7HEWOfBCENS'CDYVENSATIONPFiOVI51DN50FSECTIONJ10aOFTHEUBON ISSUANCE �,�=,P � J (O�� � • - CODE,1 SFIAIl FOFTV11NT11 COMPIY M'ilM THOSE PROVISIONS. '� '� � - SMIP +� -- ._ DATE: APPLICANT: WAANINO:FAIURE TO SECURE NORKERS'Cp�PENSATION COYERAGE IS UNUYlFUL.AND SNFLL 8E ENERGYP/C 1 lttitl 1� a � � SL6.IECTANE4PLOYERTOCA�PULGEWLLTIESANOCMLFINESUVTOONEHUNDNEDT110US.WD ENERGYPERMIT � il'.Jf _v Jf � r DOLLARSIf100.OW).MADOITIONT07MEWSTOFCOMPENSATqN.DAMA0ESA5PROVDEDFORIN , � SECTION a10e OF711E LABOR COOE,lrtERESt IWDA?70RNEY'S FEfS RETENTION FEE: CONSTAUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFiNMUNOERiENKTYOFGERRJRYTWITTHEREISACONSTRUCTIONLENOINOAfiENCV ' � FOR T/1E PER WRAIANCE OFT11E WOPoC FOR WMIG1 TIIS PERIAIT�S ISSVED(SEG 7w7.CIV.G7. � � IENDEH'SNMIE ' � � LENDER'SACORE55 � i cermrr nur i w�ve t�w rras�vuuna+�v+o sT�rc nur rHE�sovE Ncaaa�riori�s coraecT. TOTAL FE ES �f'� � IAGREETOCOAIttYMATHALLCT'ANOCOUNTYORDPLWGES�ND57ATEUWSNELATINOTOW0.DIN0 � CONSTRUCTION.ANO HEREe�AURWRRE REPRESENUTNES OF TIIS COUN7V TO EMER UVON THE , � ABOVE#1EHfIONEOYROVERIYFONINSPECTIDNiURPO5E5. COMMENTS � � MR� D R vc10ER 4 E IvnWr� � . J NS NA7UREOF Ru1TTE IUE � RECPT.NO. PAID BY VAL1DA710N WHITE—DepartmentCopy,YELLOW—Finanee Copy.PINK—Assesaor Cop/.GOLDENROD—File Copy,GREEN—Applicent's Copy ..r; .-,.r.^..7.� ,,np.�•�-n . ,.,^.r.�.�.s,y,.��.:".. . � . . .. . �,;.7) r�.r�:.'F�y;..i�' � .. '�r.aK.ex•'� •;'.'�k..�' '.�t L,�. ` .��.,��..rx.*;y1s��inl;�l'Atiy^,1Te.�.,�.,2..c,�,,��. �� - CITY OF DIAMOt�lp.BAR . . _. _ � ' ' � ' � ' � _3 . 1 ..� ' � ,' , . .. .'.:.INSPECTION RECORD � : '� , ..�. , � , , �.".�.�_�� �.��'.:"��:�.�.:��i.R'�.. �. ��, � �� ° � .'�F�..�... �.!I.�����.��:.�� '� .�,,,, . � _ y Y..�,.__ SET BACK :i� _ , � ' �' • FLOORJOIST J ���_��_ :• _�� .-!+=r - �, c �.; l, , 'FTGS/FORMSlSTEEL -• _ ' FHARE�MTS - - ------ - - -- - ----- -- --------i :. 'ELECTRIC GROUND _ _. _ - - - . UNDER FLOOR DUCT---- �. � �'� -- ' ' ' ' �GROUND PLUMBING - UNDER FLOOR Cd�tD4!T :.�^..: .��-��,.•-,`Y -" ,� ��� � � SLAB GRADE . _ _ �- --- - - - - � . ; FIREPLAG�E��bUNQAT.ION z �l'"' � .` ,s =; :_.� ,,,�t', ,. ; '. -- - � � - - � FIREPLACE BOND BEAM ' ' � ;TEMP POWER �•, . - - -- - ---- . . ;.�,, . . . ;WATER SERVICE " -- ' MID HL BOND BEAM �' i : � �ROOF SHEATHING ` � �: ' 8 FL BOND BEAM -- - -- - ' ' ' � � _ � . .. 'FRAMINGNENTILIATION � -- FINAL BOND BEAM , � �' iROOF COVER _ ' ' PRE-GRADING • -- --- •----F ' ..:- ' I �- - - - - - - - �ROUGH HEA71tJG � 'BENCHING � :� : ; ,ROUGH ELECTRIC __ � �ROUGH GRADING---- - -- � - --- ? � ROUGH PLUMBING - ; - -- - - � � FINISH GRADING 'SHOWERlTUB TEST �, - -- - -- POOL ELECTRIC : � '.' iEXT.-LATH/SIDING -- - POOL:FENCING i : ;WALL INSULATION -� -- -- POOL FINAL �� � : ;CEILING tNSULATION; -� - OFF SITE IMPS. ' _ ' • , DRYWALL�NAILING ' � DEDICATfONS - - ... . �SEWER FINAL'ENG.• , : - `SEPTIC TANK � LANDSCAPE/IRRIG. ' �SEEP.PIT/LL. _ _ ON SITE IMPS.� 'GAS AIR TGST � � ' ` FINAL'ZONING ` :FINAL CONST._; ______.__ . y -•Q� FIRE DEPT. FI AL �- � _ ._.•-- ,. I ; , FINAL.HEATING'... - _- - _ - _ HEALTH DE„�T. FI�AL., ,' _ . (sr , ,. , — ; �- - i , ,FINAL ELEGTRlC -- -- � - - �DEV. FEES PAID i � ' � �1h�F,L PLUMSING - :ti -, � -_ r r .: �_� . . � ' � EIdERGY . ; � - . , 1 - -----,-- ..� . _- - . •.��P��-�,.�¢��e�..�.: , . ��.'«, i�— Td3. %`N1�.c:�t.�: iC4MMENTS — - -- - , - . � � - - --- - - -- - ' �- - --- - - - - - - - ; - - - ".- , . , ,. , -� . . _ , . � ; ; _ . , - - - ; . . ., ,� ; � • , � . - i � _. � - - �: � � - �SEPTIC TANK SIZE , � ; ' , , - , 'SEEP PIT/U SIZE � ,,� ; . , � ; - - - --- - ,_.,_; _._ ..-- -- - � ; � ����_=".,, 1 - _ .. ; : . � � `. — �:' .;,�'-�•� - � � � ' _ . _ , � - - - - � i - -. - - . ,. . . ., . � � . :;R••-r;�r;.�.. -�--�.�I - - - - _ . j " } _."" ... - . -, „ '- - - - -- - ----_- i r g�. •i,.,;� � • • � ,� .{d �; .q�.�•�;,,, •.. . .�.. :� _. _ ' _ _ . _ _ . . _ . . � •� �, , , , .. .'; , � �- :� � -� -- - � ` . . �' I, _ ,.� 1 _i.i;� ' . � a{� � ` . _ �l ` __�--�. .. `� j .r:. _ �:�.�....._,..,......�� _ •> + � ' ���` �1 ' -- . � - - .. , . - � - , . � � '