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HomeMy WebLinkAbout12714 (41) �`_ CITY OF DIAMOND BA� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � 21660 E.Copley Drive Suitc 190 ' (909)86Q-3195 Fax(909)861-3117 PRESS ��'�? BUII.DING APPLICATION FIRMLY � ADDRIESS I �O U � � � DA��ATION '?O NVMB R ��� #� �`/✓ � ISSUE TYPE OCC APN LOT TRACT pATE CONST. GROUP °C OWNER S AODRESS ZONING SETBACKS � CITY ZIP TEL. FRONT RW ❑ � APPLICANT TEL. REAR ❑ SIDE/SIDE STREET RW ❑ CONTRACTOR R�G�QM' S�'n �i`�'K 51DE O p� ADDRESS � � � pROPOSED USE � CITY �/'Yc.Ar�_ ZIP TEL �,�0 � ARCHIENGI � DESIGNER � ��'"''��� NO.DWEL. NO. NO. AODRESS UNITS STORIES BEDROOMS � CITY � ZIP TEL Z � O � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFRlADD/REM � I HERE6Y AFFIRM UNDER PENALTV OF PEiWRY THAT I AM E%EMPT FF10M TF7E CONTMCRIRS U� G9lSQB/C8IPOSI 8 CdISEIAWPDRTlIEPoLLONANOREASON(9EC.70.9t.6BU5MESSANOPflOFESSIONSCODE:ANYClT1'Oq (f� COUNTYMMICHiiEdUIRESAPERMffTOCONSTRUCT,ALTE0.�NPFOVE.OEMOLISH.OflHEMIRANYSTRUG w patlo/Deck TURE,PRqq TO RB ISSUNiCE,ALSO RE�UN�ES THE APPI.MJNIi FOR 6UCH PERMIT TO FlLE A 91GNE0 STATERIENT 7H�T HE OR BHE IS LICENSEO PURS WNT TO TNE PImVIS10N6 OF TME OONTMC?ORS LI� C�MSE�M'/ICH0IPTERYfCOMMBJqNOWITFIEECTIONlOoO)OFpIYI5WN90FhIEBU51NES5ANDPRO V' Pool/Spa FE69qNS COOE)OR hNT HE OR SIiE�S EXEMPTTHEREFFqM AND 7HE BASIS FOR iFIEALLE0E0 EXENP� TqN.ANY VqIATION OF SECTION 70.71.6 DY M1Y MPLICMIT FOR A PERMIT 9UBIECTS 7NE MPLICANT T0 Z Re-Roof � �CML PENALTY OF NOT MORE iNAN FNE NUNDRED DO�UHS 1=6001.1' — � ❑t�ba�MNEROFIHEPROFERTY.ORMYENPIAYEE5WI7MWAf3ESASMEIRSOLECOMPENSATqN, COrtImBICl01 Z t� YMLL 00 iHE WORK IWO THE 87RUCNRE IS NOT MENDED OR OFFEHEO FOFl BALE(SEC.)DI�.BUS6 � NESS AND VFOFES&ONS CODE:TME CONTIUCiORS UCENSE LAW DOES NOT APGLY TO AN OWMER OF = PROPEFRYri/W BULDSOH NAPRDVESTHEREON,AND WHOOOE9 SUCH WORKHIMSELFORHERSEIFOq Q i1f10UGHXISOR/¢HOWNEMPLOYEES,PROVIOE�lHAT6Upi1MPROVEMENT'SARENOTRiI'ENDEDOR m � pFFEpFpFOR3N.EIF,/10WEVERTMEBUILOMGqiMPHOVEMENTW80lDWITHINWJEYEAROFCOMPIE� TpN,TME OWNER�Bl1qDER YVILL IU�YE THE BUHOEN OF PAOVINO TH�T HE OR SHE OID NDT Bl11LD OR NIPFIOVE FOR THE PURPOSE OF 9ALE). W OI,ASONMEROFTHEPROPENiY,AME%CLUSIVELYCONiMCTM6WIiHLICENSEDCONTFACTORS ��►r� � TO CONSTqUCT 7HE VFiOJECf(SEC.7oN,BU61NE5S AN�OROFESSIONS CODE:THE CONTMCTdIS lb V0111@f10� y.�- ADJ.AREA CBISE UW OOES NOTAPPLY TOAN OVMER OFA PROPER7`/WMO BUILDS OR IMPFlWES TNEREON.M7D W/pOONTRAGT6�ORBUCHPROJECTSWIhlAOONTMCiGP�S)LICFN6E�PUR6UIMTdiHECOMMG Q�fA�N pESCHIPTION FEE � TOHS UCENSE Uw.} O 1 A1A IXEMp7 UNDER SEC. B.6 P.G.FON TMIS iiEA50N � Q � MTE ONMER � � � 3 LICENSEDCONTRACTORS DECLAAATION � I IiEREBYAFFIPY UNDEP PENALTT OF PEFlM1R'�TlIAT I AM LICENSEO UPAER PROVISIONS OF CNAPTEN � � •(OOMMENCWOWITh18ECTpN7�)OFDiV1910N90FTHE0USINE55ANOPPOFESSIONBCODE,AN� Z X W IICENSE IS N FUI.L FORCE AND EFFECT. � Llt L q � UCENSE 5 c LIC.NO. �C� • � � p/�7E � O r CONTHACTOR �r d � � WORKERS'COMPENSATION DECLARATION U G �N�,�' d p � 1 MEREBYAFFIRM UNDEP PENALTV OF PE0.NIRV ONEOFTME FOLLOWING DECLAMTIONS: � Z Q Q �_I/IAVEANDMALLMMNTNNACEIITIFIGTEOFCONSENTTOfELF•INSUREFORWOAKERS' _ Z �pp�$,qTpN,/15 PqpYIDED BY 9EC71dJ�700 OF TIiE U60fl COpE.FOH THE PENFORMMICE U Q OF TME WORK FOR WMipi TNIS PERMIT IS ISSUED. � � �IHAVEANDWILLIMINTAINWORKERS'COMPENSATqNINSUMNCE,M5RE0U1REDBY8ECT10N � Q 97000FTXE UBOR OODE,FOR THE PEHFOflMM10E OFTHE WORK fOR WHICHTHIS PERMIT IS O �D � ISSIIED.MYWORKER'COLIPEN3AT SURANCECARRIERAN�POLICYNl1M6ER�RE� CONSTRUCTION � CMRIER S�lt�''C ��f rC¢ PUW REVIEW Z 2 � POLICYNUMBER I d'S9�G=9 ELECTRIC Q �nnss[cnwr��noreEooux�moFn#aEa�rr�sFa+ouEK�000u�asR+�)a+�1 PLUMBING a I CERTIFV THAT IN THE PERFORIAANCE OF TME WORN FOR WN�CH THIS PERMIT IS ISSUE�,1 MECHANICAL [_O O (� SH�LLNOTEMPLOYANYiERSONMANYMMNENSOA570BECAMESU&IECTTO7HE INSPECTIONFEE � WORKERS'COMPENSATIONlAWSOFGLL�FORNIA,AND110REETHATIFISHOULDBECOME S SUBJECTTOTMEWOAKERS'CNA7ENSATqNPi10V1510N50F5ECiON77000FiMElA90R � � coo isHaicorxrHnnmoon�w.rwini vNrnnsari ISSUANCE �q e+,.. 0 on�: ��3" 9j' npauc�wr: .. SMIP �� Lr7IJ ' � WARNINO:FNLURETOSEWREWORKERS'COMPENSATION VERAG ISUNU1NFU�AND6HALLBE ENERGYP/G BUBJECTlWEMPIOYERTOCRqIWALVENALTIE5MIDCIYIIFINE5UP700NEHUNDREDT1i0USMID ENERGYPEFIMIT , �0,-� � OOlLMS(i100.000),Ml ADDITION TO iHE COST OF COMPENSATON,DANAGES AS VNOYIDEO FOR iN �J 9ECTIDN87DlOFhIELABONCODE.RlTEREST.ANUATTORNE�"SFEES. RETENTIONFEE: Q qW„ CONSTRUCTION LEN�ING AGENCY pqE-ALT FEE: � I HEREBY AFFIRM UI�OER PENKTY OF PE0.IUAY THATTHERE IS A CONS7RUCTION LENDtNO A(1ENCV FOR TME PENFONMANCE OF TNE YYORK FON WHICN 7HI5 PEPMIT IS ISSUED(SEC.30Y�,qV.C�. � � LENDERSNMIE � LEND6R9A�DNE55 � ICERT�FYTMATIHAVEREMT713AVPLICpTqNAND9TATETHATTHE�BOYEINFOAMATpNISCORRECT. TOTAL FEES � ( J� �� � IA6REET00041PlVN7TXALlCRVANDCIXINTYORDINANCE3AN�STATEUW5RELATWOTOBUILDING � OONSTRUCTION.M10 NEREBv MJiHOFlIZE FlEPRESEN7�71VES OF TNIS C011N7Y TO ENfER uPON 7HE / S�. /iBOVEJAEHTqNWPiIOVERTI N�N5PECfIONPURPQ4E5. C,QMMENTS / 9 t�h /��N � m PERIARTEE (P � II�/ Q N y lIOtUTUREOFPE E ' D�T � � RECPT:NO. 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DRYWALL NAILING Z � - i DEDICATIONS SEWER ; `v I FINAL ENG. SEPTIC 7ANK ; —• LANDSCAPE/IRRIG. i SEEP P�T/L..L. � ' ON SITE IMPS. GAS AIR TEST ; ': FINAL ZONING i FlNAL-CaNST. Z ' --- ' FIFiE DEPT.FINAL � �---�-j-�— FINAL'HEATING � , f'� � '`" ' � ; HEALTH DEPT. FINAL �__ -} J __; FINAL ELECTRIC "' ' ' " ' - '� ! '; DEV. FEES PAIQ � : � FfPJAL PLUMBING i ' ENERGY � � I i ; �.� . j � ! I !t !� —'---;--r�--- w� - �, � , , >. ... .. . ---s-`,,-,�•�-` Ci������s - .'` s_4.. � l:, � '� , F � ,. .. . , -- __--�` . . -_-=�' •' '` �� �` ;� _ r- . �t�.t'�." _� �,`,4�: `�t�` '4 ,,.1��- \'r' - SEPTIC TANK StZE � SEEP PIT/l) SlZE � �i, '•' �;�l�r►'`: ---- - 4� " �I .�,;�, .. .. , - ; ____ --- �, . � .�. ��',, �� � . (�1 r� p . , ii I�.. � i.r.iYl•1 •�V;iri y i TS'. \�.1__ t . � . ,�� �-. t� . 't� .� . . , ,, \ . . .�, 4 . � , � .+� Z