Loading...
HomeMy WebLinkAbout16360 (1117) � � CITY OF DIAMOND BAbt , DEPARTMENT OF COMMUNTTY J�DEVELOPMENT SERVICES :----" ` • �, . 21660 E.Copley Drive Suite 190 (909)86a319S Fax(909)861-3117 �:� � PRESS ���'� � BUILDING PERMIT APPLICATION ' FlRMLY � DDRIESS I ��Q Va� V 1� '�i,i� DATE CATION •� �� NUM6 R�����_ � ISSUE TYPE OCC APN LOT TRACT DATE CONST. vN GROUP � p OWNER � � � ADDRESS � G ZONING SETBACKS � CITY ZIP�TE "I FRONT RW ❑ APPUCANT L�fQ1�h� ���'1 TE REAR ❑ SIDElSIQE STREET RW ❑ CON7AACTpR SIDE ❑ ADDRESS g CITY ZIP TEL. PROPOSED USE GQi Par ARCFUENGI � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL. rn DESCRIPTION SQ.FT. FACTOFI PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLARATpN SFR/ADDlREM O 1 NEREBY AFFlRM UNDER PENALTV OF PEFUURY TFYIt 1 AM E7(EMPT FROM TME CON7MCTORS U- Gef6QBJCflIpOII CQSELAWFORTHFFOLLOWWOREAGON(SEC.7W7.6BUSINESSAN�PROFESSIONSCOOE:ANYGTVOR (n OOUAlIYMRGCF4RE011IRESAPERMRTO00NS7pl/C[ALTERMAPROVE,DEMOUSH.ORREPYUR1INYSTRl1G W Pgf10/DBdf TURE,MqR TO ITS 163W1NCE,ALSO NEIXIIRES 7NE AVPl1CANT FOR BUCM PERMIT TO FI4E Il SIONEO w 6TATEAIEM TNAT HE OR 8HE IS UCENSED PIIRSUANT TO THE PROVISIONS OF TME CONTMCTORS ll• CEHSE MW(OIAPTER i(OOMMENCINfi M7lH BECi10N 7000)OF DIVISION 9 0F iHE BUSINESS AN�PRO• LL POOUSpB FESSIONS CODQ ORTiA7 NE OR 8HE IS IXEYPT 1TIEREFROY M10 iHE BASIS FON iHE AlLE4E�EXEMP• 710N.ANYVqLAT10NOFSECTION7071.6BYANYAPPLICIMFORAVERMITSUBJECTSTNEAPP�ICANTTO z (je-Fjpp� � A qNL PEWL7Y OF NOT MORE THAN FNE MUHORED DOLLAH6(t5oC1.J: OI,hSOriMEROF7HEVilOVEiCTY,OHMYFA1PlOYEESW1iHWAOESA5T1E1R90LECOMPENSATqN, CpmmefClBl WILL OO TF1E WORK AND iXE BTiWGTURE IS NOT IMENDED OR OFFERED FOR SALE(SEC.7M�,BUSt• � NE85 AND PROFESSIONS CODE:TME CONTRACTORS tICEMSE lAW OOES NOT MPLV TO�fl OWNER OF � PqOPEHfYYAiOBUADSORIMVipVE8iF1ENEON,MAYIFiO�0E98UCHMlORKHIM6ELFORNERSELFOR � � 714i0UC.HlpSORHEROWIiEA1PlAYEES.PHOVIUEDTHATbUClIIMPROVEMENTSARENOiIMENOEDOR � � OFFEFiEDfOR8ALE1FFpN1EVEFliNEBURDINGOflIMVflOVENENf185qDWITWNONEYFAROFCOMPLE- TION.THE OWNER�UILDER M7LL NAVE TtiE BUNDEN OF PROVNO THAT ME OA BME DID NOT BINID OR IUVRDVE FORTIE PURPOSE OF BALE} W OLb^OMMEAOFIHEPIWPERTV,AMEX4lU8NELYCONTMGTNOWi1'FiLICEN6EDCONTRACTOR3 � (O CONSTRUCT THE iRO.IECT(SEG toM,BUSINE55 AND PROFES910N3 CODE:THE CONiMCTOR9 tl• 11811011 ADJ.AREA CEN.4E U1W OOES NOTAPPLY TOAN OYMIER OFA PROPER7Y Wq0 DUILDS OH IMPF10VE3 THEREOK MD � wracoKrn�cTswnaua�vnaecrsvnm�oorrriucrorus�uceNseowRswwrTon�ecoHtruc pUA ITY DESCRIP710N FEE � ior+s uco+se uw�. O I N,1 EXEMPT UNDEP BEC. B.i P.C.FOR iH15 NEASON 4 U � CATE OMMER � � LICENSEO CONTRACTOFiS DECIARATION � � 1 MEHEBYAFFIRAI UN�ER PENAITV OF PERJUiIY THAT I AM LICENSED UN�ER PFiOVI310N9 OF CHAPTER � 0(CdAMENdNOWITN8ECTION1000)OFOMSIONJOF7HEBUSINESSAN�PPOFESSIONSCOOE.AN� Z 1[ YY UCENSE IS N FULL FORCE AND EFFECT. IL +/� � � LICENSE Syf � LIC.NO. ` 7J � DA7E � V � CONTHACTOR �I a � KE �•60MPENSATION�ECUIRATION a yIHEREBYAFFlRMUNOEHPENALTYOFPERNRYONEOFIHEFOLLOWINaDEClA1iA7qN5: Z � _IWNEANDYVILMANTAINACERTIFlCATEOFCONSENTT09ELF-IN5UHEFORWORKERS' COMPENSA7pN,AS VpONDED BY 6EC710N 8700 OF TNE LABOR COOE.PoH TFIE 7ERFORAIMICE W O OFIFIEWORKFORYVMICHTHISPERMIT18153UED. � � �I FUVE/VW WILL MAINiAW M/iDPoCERS'OOMPENSATIUN INSUMNCE,�5 HEOUIRED BY 3ECTION Q 77000FTNEUBORCODE.FOHTHEPERFORMANCEOFTHEWORKPoRWHICHTHISPERMITI3 � ISSLIED.��R/KJEfiS'CDNPElLS�TION IN3URMICE Gi�i0.f1ER AND POLICY NUMBERARE: CONSTRUCTION � � c�rusp� / S_ Y.e�'�E/JoC�ir PLAN REVIEW � POLICV NUTABER �J. ELECTRIC r p (n�saEciqNlE�WoieEm6lRFfmOF7ifPEliMf6FORaVEFLTDREUDolW151S1ao10RtE551. PLUMBING z I CERTFv7MAT N hIE VEi1fORMANCE OF THE WORK HICH TIIS � I IS ISSUE�,I MECHANICAL (��' 8YIALL NOT EGPLOY AN'!►ERSON MI AN'I MANNER O BE TO iHE � WOAKEIiS'COMPENSATqNtAW90FCALIFOP A�REE ECO INSPECTIONFEE Uv S bIIBJEC7 iO TME WORKERS'COMPENSA SIONS OF T11E R _'^ CWE,1 BHALL WRT11W1 COMRY WITII PROVIS ISSUANCE V� 0 /� � .. p DA7E:7—!� APP�ICANT.. SMIP � WMNINCi:FAILURE TO SECURE KDFY(ERS' pN COYERAGE 16 UNLAWNI,MID Sh1ALL BE ENERGY P/C ry SUBJECTANEMPLOYEflTOCWMINALPENALIIESANOGMlflNESUPTOOHEXUNDREDTYIOUSANO ENERGYPERMIT � � DDLL�RS(f100.OW),N JIUUITpN i0 THE COST OF COMPEN511TqN,OMMQES A5 PROYI�ED FOR IN J SECTqN�7oeOFiNELABORCODE,MTEREST.u1DATTOiUIErSFEEs. RETENTI�IFEE: _,_, QWW � CONSTRUCTIONLENDINC�AGENCY PRE-AITFEE: �'�� I XEPEBYAFFIRM UNOER PENILLTY OF VERIURY TIMT TMERE ISACONSTRUCTION IENDINQ II�ENCV Z FON THE PERiORMANCE OF ME WORK FOR WHlpi THIS PERMIT IS ISSUED(SEC.]OG7,CIV.C.�. W � LENDE�i'S NAME � LENDER'9ADDRES3 � ICERTIFYTMAiINAVEREl1DTHISAPPLICA7qNM1DS7A7ETHA7T1EA80VEINFORMA7qNI5COHRECT. TOTAL FEES I AGREE TO COMPLY WfTH ALL CRY M70 COUNN OROINANCES AN�STATE UWS REUTINO TO BU0.DIN0 ^ CONSTRUCTION,ANU NEREBY AUTFiORIZE NEPRESENTl�TNE5 OF TNL4 COUNTY TO EIiRER UPON THE // '1) S� /�BOVE•NEMIONEDOROPEIYfYFORNSPECTIONPURPOSES. COMMENTS(� O�� � V� � �� I � � �e�n ` � , Q P6RMI ^ ^��-� � _� � C/) � (n SqNATUREOFPERMI DATE � HECPT.NO. PAID BY VALIDATION WHITE—Dapnnment Copy,YELLOW—Finance Copy,PINK—Asaeasor Copy,GOLDENROD--File Copy.�REEN—ApplManPs Copy ���' + Yv cirY oF �i�Mor�o eaR . =.'_ !t'��PEC�'10!"� �3ECOF�t� � . � _ �`Y S+ .�� '� 1 � ' � �� � �� � A��S ���,4�N�����, , .. �xe �. .5s—MS�-a—�, a �SET BACK . ! � `.� � '� �. FLOOR,JOIST_�-------'_-•-.,. --_:_.-_.>.� :_•�_�__�---_.._-------- - — - -- �.__. . . --------- — — -- FTGS;FORMS/STEEL - � FHq RFC2MTS ' ' ' � -- ' :_�._�.�. ----....- -------�-------- — ----------------- — ------------ --------------- � --... ELECTf�IC GROUND " ' UNDER FLOQR DUCT ' � � �------------ ----- -- ---- ------------_-_-�i-..---�- - _-- --....� _-.. - •G€�(7UfVD FLUMBING I UND�R FLOOR GUn1DUl'T ,, I . , .--`--, T•-r-:----- - ---- -- -----._._-- ---- -��----�-`--T�:----------_ ' _ .. . 'SLAB GFIAC)E -- —._�_____`. FIREPuACE�_F�UN[�ATI�R!_,_.i__._..----�-_ , �- i:--'-'�-...:,,., � ...._. TF�MP POth'EH � FIREF�LA�E g�N�B�AM . .i. . . � -.' , ' � I -- --- - ----- ----- . ..___._. WATER SERVIGE MID HT. BOND SEAM ' ' ' --- -------- ----- --- -- -.. —.------------- -}.-____---.._._�-�---�--------------•-- �R�OF SHEATHING • � '�' : , �. : '� !' ' ' ' . ��'. BOND BEAM � ---------- --- -- ------- _.._—___.-•---_----- -..__�.—�..-------- - ------ �FRAMlNGfVENTfLIATfON ---t FINAL'BOND BEAM -----�_---------;._....--------------------�.__--- ----._...------------ - F�GC)F COVF_Fi PRE-GRADlNG _ , _� ' + __._._._ ---- — -- — -__...___-��____....------- 'RC3UGH NEA71h1G BENCHING � G -----i_,._.. _.._.__�__._....__—_--- --._ __---- - ------ � ;ROUGN ELEC7RIC � ROUGH GRA�IM1tG -- ------- � - --------- ----- ,RS7UGN F'LUMSlNG -- ---- — �---� F{NiSH GRADING _.� ��_��___ � _ '.SF�d�"VFFiTfUB TEST Y POOL ELECTF{IC j � ! '�XT. IAT�!!SIDING -�----- - — --- PO4L FENCiNG- � � 1-- ------- -.- -- -----------._.____._�.—.._— �-- --.._.._--_----------- ---____ �_________�__---...._. ;WR�L INSULRTI�N POt3L FiiVAL -i --- ---.__ __._._,—._.. ____� __._ .�.-----...:._._...._ __..__ _.___�.__ 'CEI�lP�� 1t�3St1LATtOiV OFF S:TE IMPS. ! ------------------- — - ------------------*--�---------------......_...._...._..-�---------.._. DRYVv'RLL N�lL_ING i �•- ,;_ DEDICATIUNS � j k . _-----�--------- • — _.—_ I 5E1A1�� _�` ' � � FINAL.ENG. --__.�_.�_----r---.._�.---.__,___..�_._�__. ___..�__._._.._�---- --- -- -- ---- --�------�.__--------_----°----� ScPT3�TANK � LANDSCAPEJIRRiG. ; i '. — ' ------ - -----r ---�-------___..__...._.__.....--- SE��r!Tr'! l. ' , ; ; . C1N SETr�lMI�S. i ' ; ...---- — --'------'------�----------�------'—"�---_.�_—��_..�_ .��i:a..`�'.�I�;�g cS� FlNA�ZONIPYCC � � , -- ._.._._�._.._�' - - — _ — _ - - - -- - - -------- ----- ---_.....__._�.. ._ - - --------�-------------_-------__�...--- F'1?J�E.CC�il,�,.�i.-_._,_.—i � FERE DF='?. FlfJAL ' •-------._.���_� — ------------------=------------------- --.._.__.._�___ _ �;���t�liLr,TiNG ; ; I !-fEAI.�Tf-t DFFT. �IfdAl. - - -- --------- - - --------------_.___-�--.._..._.__--------�____._._------------------ -----------------------••---_.--- ;:;tiL._cl_cGTNIC: I�--- - - —:_L`IEV. FEFS PAiC�----�------------�---------._.._._. ' -- ---_.__ __ ___ ....------- - ---- �--_....-- .,, • i'l.IJP�!�f�t� ' ; :_,..,. F C` , . : i. ' F..��I .R.a`{ _ .... ...--------- - _ — -- -� ---------� -------------,...._--- ---•----------- -•------- , � -------------------- _ i � � �_... ------ -------�I----- ------- �,�..x _a,�`"� , ... .----�--- -•----;------------- ,- ......__� � ---- ---�1._.—��_...— ^�.�s°_� �'���r�' �1, f i , ' i �,'�a������, —_—. ---- ---------�----------�----� � ; --- --- ----- -- - - - -� - - - --- - - � k _.., .�_.__._...-----------------------..�---________._...._, ...--- -----._. ---- � .. ., _ -. -- I ; I __ _-- --__._._.-------- -----------_____�.___._r-«__._........_.,......----, . . I . . ; � . , , . _.. `_____--�--..�_..______-------._._�.�.-- -- -.....----------------..... ......... --------- � 1 , ---- --------.-_-___---�-----�...___ � --- ----�--- -------.___�.---_-.------------------------ - -- -- --- .--�_..._._....------__ j �-•--_�---,----_ '._. ..._...__.. _ , __ .... _.._.._ ... . .-_ ,. ....�-� ;. . � .:.� .� _._ _—_--— - , .-- - --- --*-- � ..... .. � �... . .. . . ; � , ,. �__.___—_------��.�----------------------------- --....--- --•------ .__.__,._--------------• ,; , I __ S�PTlC TANK SIZE ---_� � SE�� �'1`i/U SIZ� .....:.---- ....---�-----•--.._.i.----------.-------- -- - ------ --------- - ----------�----------- -----.....: � - - � .____-------------------___.__...---......_ _ ---------------------------------. ._._._. ..._.. ...__ --r� �, ..____.':-.--..,,. -.t! � � _ --- --------- ----------�----------�-----....--------- ---......._... __..--------�------;. ; ; � -_.�_..-.______-------- _...----..._-------------------..._.....__.�---------...----------W. ......; -.._._._.......--- , . . ; � . . �. . . . . . • , . - • -------__�... _---------- ... ------�- --�--------...-- -------------- -- - ; . . _ �