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HomeMy WebLinkAbout17504 (17) _____. ____ _ -.----__�_.. _. —, J� CITY OF DIAMOND IIAR ((�) DEPARTMENT OF COMMUNTIY&DEVELOPMENT SERVICES v �, 21825 E.Copley Drive � �'-�(909)860-3195 Fa�c(909)861-3117 PRESS ���^�� BUILDINGPERMITAPPLICATION • FIRMLY � JOBSITE �h{x� t ► �����,r� �� �� APPLICATION I 0����O� PERMIT P/C o ADDRESS N ry X DATE � NUMBER �� p�� � APN LOT TRACT ISSUE TyPE p�C DATE CONST. GROUP °C OWNER � I.�C. _ X?At /��O O p ADDRESS 4.1� ��a p ZONING SETBACKS z CITY ZIP�TEL. FRONT RW ❑ g APPLICANT ► - TEL,�� S DEJSIDE STREET � � CONTRACTOR � . SIDE RW ❑❑ ADDRESS • •� � C� ZIP C � TEL PROPOSED USE 't-t—' U '•�" o ARCHlENG/ z� DESIGNER � .�C ��7 �n ' n � NO.DWEL. NO. a ADDRESS �'�t�O NO. � C�11' -� ZIP��,� �TEL. 2 UNITS STORIES BEDROOMS � OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BVILDER DECLARATION SFR/ADD/HEM 1 p I HEREBV AFFl0.A1 UNDER PENAL7Y OF PEFWRV THAT 1 AM EXEMVT FROM THE CONTMCTORS l4 GaragelCarport W CENSEUWFOR7NEFOlLOWWOREA50N�5EG70.t1.58U5iNES5ANDFROFE55KKi5CODE:ANYC1iYOq (n ' U COUNiYYhiIp1RE0UIHESAFERMITTOCONSTRUCf,ALTER�PROYE.DEMOUSH,ORRE7�IRANY5IAUG W patio/Dedc b NFE,iR�OH TO RS i55UANCE,ALSO REWIRES THE ACPLIGWT FOR SUqi FERMIT TO FILE 1151GNED w � STAiEMENT THAT NE OR SHE IS LICENSEO VURSUANT TO THE GiiOVI510NS OF TME CONTMCTORS tl- CENSE UW(CHAPTER i(COMMENCINQ WITH SECiION t00D)OF DIVISION�OF TME BUSINESS AND VRO. � POOVSpe � FESSIONSOODE)OR7TINTHEORSHEISEXEMPTiHEFEfROMANDTHE8A51SFORTHEALLEGEDE%EMP• (� TqN.ANVVIOLATIONOFSECTION7031.58VANYAPVLICANTiORAPERMITSUBJECT57NEAPP�ICAIVTTO Z Re-Raof •� ACMLVENAIiYOFNOTMORETIVNFIVEHUNDNEODOIURS(fsoo�.�: 0 O�ASONMEROFTHEPROPER7Y,ORMVEMPLOYEESWITHWA6ESASTHEIRSOLFCOMPENSATION, O COTRIBfCl2I ' Z MALL DO THE W�RK,AND THE STRUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEG 7W1,BU51• J � NESSAND iROFE5510N5 GOOE:7NE GONTRACTORS LICENSE UW DOES NOTAVRY TO AN OWNER OF = iROPERTY N7f0 BUILDS OH wPROVES TNEaEON,IND NAIO DOES SUpI WORK HIMSELF OR HERSELF Ofl Q TMROUf3MMI50RMEROYMEMPLOVEES,GROV10EDTMATSUCHYAPROVEAIENTSARENOTNTENDEDOR CO 0 OFFENWFORSiILEtF,HOWEVEi�iHEBUILOINGORIMPROVEMEMI550tDN1iHINONEVEAROFCD4vLE• Z TqN.THE OWNER�BU�LDER WILL HAYE THE BUROEN OF ORONNO THAT HE OR SHE DID NOT BUIID Oq WMPROVE FON THE FURGOSE OF SALE� OI��WNEROFTHEVROPERTV,AME%ClUSNELYCONTRACTIN6WI7HlICENSEDCONTMGTORS � TO CONSTRUCT THE PRO.IECT�SEC.701�,BUSINE59 M1D GROFESSIONS COOE:7HE CONTMCTORS lt• V01U2li0f1 pp,�,qqE,e, W CENSEUWDOE9NOTAPVLYTOANOWNEROFAPROVERiYWFpBU1LO50RMVROVESTHEREOH,AND � N'HOCONTMCTSFORSUp1FROJEGTSYnTtACONTRACTOR(5)LICENSEDPURSUANTTOTHECONTMC. QUANTIN OESCRIPTION � roruucENseuw.�. FEE pO I IUA EXEMPi UNDER SEG B.t O.C.FOR THIS HEASON Q l �+ �0 � U u" DATE OWNEF F � CCMn�cS � �S� � LICENSEDCONTRACTORSDECLARATION W � �'� ���� 70 � J � W IHEREBYAFflRA1UN0ERiENALTYOFPEiLA1RYTHA7IAMLICENSEDUNOERPROVI5iON50FCHAVTER .^ /O.nU � 9�COMMENqNOWIM5ECT10NT0oo�OFDNiSiON70FTHEBUSME55ANDGROFESSIONSO00E,AND Z �PC r �`�� -� ��� MV IICENSE IS N FULL FORCEANO EFFECL m � UCENSE CUSS � UC.N0.. UQ b��S � � 4U rS 1 � Z� � p v D�� lU-3/-'L��3 corrrw�cTo� \7ic.�l.:�t. C.o.,SV. - a •� �•, 7 w w � WORKERS'COMPENSATION DECLARATION a �S / �� C, e iw.t/r r3. � IHEREBVAFFIRIAUNOEROEWLLTYOFGERAIRYONEOFiMEFOLLON"NCDECIAMTpNS: Z � _IHAYEMIDNILLMAINTAMACERTIFlCATEOfCONSEHTTOSFLF•INSUREFORWCXiKEHS' _ . COMPENSATION,ASDROVIOEOBYSECTION�7ooOFTHEUeORCODE,FORIHEDERFORAIANCE U Q OF THE WORN FOFt WMICH TMIS PERMIT IS ISSUED. � Q _I MAYE M10 WILL MIUNTAIN WOPI(ERS'COMVENSATIDN INSURANCE,AS RE WIRED BY SECTION I' /� ^ � �7000FTHELABORCODE.FORTHEPERFORMANCEOFTHEWORKFORWHICHTNiSVERURLS � �� "}�(/ ISSUED.AIYW�ORNERS'COIAPENSATqNINSURMICECARIUEFANDPOLICYNUTABERARE: CONSTRUCTION v jcu�Ai[n PLAN REVIEW V I � POIICYNUMBER J Z ELECTRIC ¢ � (R16SECTriJNEmNOTBEO]�RETmOfTHEPERIdTSfORONEHUqiED00t1ARS�Stao�OAtESSA PLUMBING — - � O. � Z I CERTIFV TliAT IN THE FERFORMANCE OF h1E WORK FOR WHICN THIS PERMIT IS ISSUED,I MECHANICAL�� ��'�� � � � // C,7 SIIALLNOTEMPLOYANYPERSONINANYMMNEflSOA5TO8ECOMESU&1ECTT0T1tE I (n WOflKER5COM7EN5ATIONUW50FCALIFORNIA,AND�GREETHATIFI51qUlOBECAME INSPECTIONFEEDE S SUBJECTT07MEWORKERS'COMPENS�TIONGROVISIONSOFSECTION77000FTHEUBOR COOE,I SHALL FORT/M9TH COMPLY WITH TF105E PROVISIONS. 1 ISSUANCE � �� '' �Llwl. GC�LT�� S%S ' � � p DATE: �Z�� APPLICANi:� Il. 04 • SMIP � ENER�Y P ��Y' WAqNING:F�0.URE TO SECUFE YARNERS'GOMVENSRTqN COVERAGE IS UNUWFU.,AND SHALL BE �,__�•, � SUBJECTANEMPLOVERTOCRIMWAI.PENQTIESANOCMlFWE5UPT00NEHUNOREDiF10USAN� ENERGYPERMIT __� � '-'-- �1 OOLUR51SI00.000),IN ADOITION TO TME COST OF COMPENSATpN.DMIAGES AS PROVIDED FON IN 1 ' � SECTqN])0lOFTHELABORCODE.WTEREST,ANDATiORNEY'$FEES. RETENTIONFEE: . 'M , + ,L� 1 O ', CONSTRUCTIONLENDINGAGENCY PRE•AL� � IHEREBVAFFIRAIUNOERPENAITYOFPERJUHVTHATTHEREISACONSTRUCTIONLEN�INGAGENCY ~ FOR THE PERFORMANCE OF THE WORK FON VYHICH THIS PERMIT IS ISSUED(SEC.]097,CIV.G). �� LENOERSNAME `rG�"�u�� .�i,L�UiSf►^th�d L..f�►? �er+oeas�noacss_��5. 1J. �:vsr Vie..J �ntil.�;.� I�il�i �'1 W 1 CERTIFY TNAT I HAVE READ THIS MPLICATION/JJO STATE THAT THE A00VE PIFORAIATIDN IS CORRECT TO AL F E ES �} �3� !�l/�` ��� p� IAGpEETOCOMCLVWIiMALLGTVANDCOUNTVOR0INANCESANOST�TEUWSREUTINaTOBUILDING / � � CONSTRUCTION.MDHENEBVAUTHORIZEREVRESENTATNESOFTHISCOIMTVTOENTERUPONTHE Z A80VE-/AEMqNEDPROPERTYFORINSPECTIONPURPO5E5. � n / COMMENTS � Cd-i 't1.C'�iin N I•� '1'• / m PERMI7TE E RINT) Q N 1„� �C (A SIGNATU OF PERMI E DATE � F7ECPT.N0. 1 j yO PAID BY L� VAUDATION WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanCs Copy �'9T�' C?F r{�f�;C3fv'Q f��'-�i� lf�S���;;�6G,�,9 F�f�Ct�b�U __. ,_ _.�. _..._ - .A -- ----�..�,.� _ ...�,�_� ___�---�— � I►�k-'�,.d-+e'_��(r��� �t..rc I►k �Ax i'+���r� I►�f'�I.� ���CICI��G ����'��� =� I►"��-''��►=�E`��'�� �� � .4 � � : __. ___.__..�.. _.._.� _ SETBACK - _ ... ._ ._. ..._... __,_. �_ __.�_.. �.__---.-- '' � _ �. ' ; i I FLO�R JOIST I __�_.._..____...__��.__ ---� —._ -- �-- FTGS/FORMS/STEEL i � ' { FHA REQ"�ATS '--- ELECTRIC GROUND U^JDER FLOOR DUCT� I GROUND PLUPJIBING l__ UNDEp FLOOR CUf,IDUIT � � SLAB GRADE ( FIREPLACE FOUNDRTfON � TEMP POVVER � ' I FIREPLACE F30ND BEAM WATER SERViCE � � I �,11D HT. E301�dD BEAP,1 _ROOF SHEATHlPJG �T I F FT. BOND F3EAPv1 �` R�lfa111JGNENTILIATIO;J I/"'��'0�— ' �'^'AL BOtdD BEAh�i � �—__� OOF COVER � � �j PRE-GRADING � � � OUGH HEATING , �v � BENCH(t�G ��OUGH ELECTRIC !, r�}. � ROUGH GRADIf+1G .;OUGH PLUM�ING �� � I FIP•diSH GRADIPaG --�------ SH�WERITUB TEST j � i POOL ELErTRIG � -EXT. LATHISIDING � ` POOL FENCING � WALL ffJSULATiON I � POOL FIf�'!'�� i CEILIVG If�SULATIOt� ���,d'�' � _ _ ____ OFF SITE IPJIPS. � DRYWALL NA1LlP.G ��' �'� �'F%�� DEDlCATIO;JS ' SEWEA J FINAL ENG. � SEPTIC TANK LANDSCAPE/IRRIG. SEEP P1T/L.L. ' OfJ 51TE Ii�1PS. GAS AIR TEST I � FItJAL ZONING FINAL CONST. �,�,pZ. j _ i ��RE DEPT. FINA! _4_. •� FINAL HEATING � IT� HEALTH DEPT. FINAL � FINAL ELECTRIC ( � ( DEV. FEES PAID FINAL PLUME3ING ;I ENEAGY � _ ���a2 ir�`"cL"b`�--� _.�.�___ � __�__ ___--t-�.- , .� � � � - __ --. — z� , :� , . �--- ------ - - __ _ , _-_ =_.—`_- - --- - _. _ CU��IN;ENTS ,- - ����s _c�2- ,��_v_v� p�'�G� ��17►e-ays o�a�-�r.�a-S��d �S'�l ,-- r- ` -�, �J'L�/O"Z ��8�'� �J�nI�Z. � �r�ytJ`'4_C.. L t�� �� � � —c-��._���-�: �I-f-��.� '����j:l� �C ;�-,}-�!�--t ' _ /�-�1•� 6zJ r�R1 L'�'�-�'�}�- ���?�-F—"1�•9-'���l�•h-�s��' Y --�%� 6'�6'�Z - �c.�c. ca�u-rba. �ry c-��W��u��.�i7�t���4-«tc.��.�,,,r�,� �c_�7 !'�"�t �cxs�,_Cu�-(�R_�� C-�C_i—�R�� T_� �''�2__�fv-�-�4-��--`l�- SEPTIC TAtJK SIZE � SEEP PIT/U SIZE i'r� �._.�_.�_. ���� :� . i � � �=+� , � ,�