Loading...
HomeMy WebLinkAbout11427 (7) � � ---�� ---�; CITY OF D1AhiOND BAR • .. COMMUNITY DEVELOPMENT DEPARTMENT % � �:,^C 21660 E.Copley Drive Suite 190 � �`� (909)860-3195 Faa(909)861-)117 ''"' BUILDING PERMIT PPLICATION , � oJOE3SITE APPLICATIO ' PERMIT p/C \ ADDRESS l DATE NUMBER tt � APN LOT TRACT ISSUE TYPE OCC DATE CONST. GROUP °G OWNER _ ALPt/S O \ p ADDpESS_%/�0 Dr�rMc.vD (S'/?-.f� QL�I�L)' . ZONING SETBACKS �. ^� ' / . �FRONT � � z ciNO1�MaNa.,(3�iR�rA ZIP TEL. . �.. � ' ". RW ❑ . � � p APPLICAIVT TEL. S DE/SIDE STREET RVy ❑ � CON7FACTOR_NNRT�6��PoT�r��s ��cCcr.p�G' SIDE p a ADDRESS/.3 7��19.P.}PA/ �PGg[t' Sv/TF� o CITY GH 1 vC�a [A ZIP 9/',]�!� TEL.469•(27-/�fQ� PROPOSED USE � w� ARCWENG/ , z DESIGNER a ADORESS NO.DWEL. NO. N0. N CITY ZIP TEL. UNITS STORIES BEDROOMS cn DESCRIPTION SQ.F'f. FACTOR PSF ADJ.AREANALUATION p� _ OWNER•E3LYCDER DECLARATION _ . • SFp/ADDlREM O � - p .1 MEREBY AFFlAAI UNDER PENALTY OF PERNqY THA7 IAN E%EMPT FROu THE CON7AACTOBS LL Gefe9e�C3ry0R � ' � � W CENSEUWFOR7F7EFOLLOWINGREASON�SEC.7D71.SBUS�NESSAN�PRCFESSIONSCOOE:ANVCI7YOR (n � � - V COUNTYNMICFIR[WIRESAPERMITTOCONSTRUCT,ALTER,W.PROVE.DEMOl15H2ORREPA1qM1YSTRUC- W patiNDeck w TUfiE.PRpR TO IT9 ISSUANCE.AL50 HEW�HES 7ttE APPLIGANT iOrt SULH iENbnT TO fttE A S�GNEO � w ' � - _ � S7ATEUENT TNA7 HE OR SME IS UCENSEO PURSUANT TO THE PROVISIONS OF TnE Wr7TMC70R5 LI- � ` CENSE UW(CNAPTER Y(COMAIFNCWG WITH SECTION 70001 OF pIV1510N]OF TNE BUSINESS IWO PNO- POOVSPO ' . . . � LE5510NSCODE)ORiFIATHEORSHEISE%EMPTTH[HEFqOMANDTMEBASISfORhiEAUEGEDE%EMP• (�] , V TqN.ANYVIOI,A110NOF5ECTION70�1.SBVMIYAPPLICANTFORADEp1A1TSUBJECTSTMFAVPLM.iVfTTO Z pQ.Rpp( A CIVIL PENAI7YOF NOT MOA[THAN FIYE HUNDAEO DOLUAS�SSoO).}; � 0 ❑I,ASON7JEROFTMEPROPEHTV.ORMYEMPLOYEESWITHWAGESASTNEIRSOLECOMPENSATqN, Q , , Z WILL DO THE WORK,/W D THE STRUCTURE IS NOT INTENDEO Oq OFFEREO FOR SALE ISEC.7a�,BUSi- J COmmOrCial , N NESS AND�ROFESSIONS COOE:THE CONTf1ACTOFiS LICENSE UW OOES NO7 APPLY TO u�l OwNEH OF ? PROPERTV NM1q BURDS Oq IMPROVES THEREON.ANO NRiO DOES SUCH W ORK HIMSELF Oq NEHSELF OR ' . wTHnWCHHISORHERO'ATJEMPLOYEES.�ROVIDE�THA75Ud11MPPOVEMEMSABENOTNTENDEDOR . m � OFFENEDFORSILEIF,NOWEVERTMEBUILDINCORIAICROVEIAENfI55q.DWITIdN01:EYEAROFCOMPLE• . , z TpN,THE GWNER�BUILD[R YALL H�YE TME BURDEN OF PROVINO THAT HE OR SNE DID NOT BUILD OR = tlAPROYE FOR iHE VUHVOSE OF$/�E). W CIIISOWNEROFTHEVROPER7Y,AMEXCLUSNELYCONTMCTINGYA7MLICENSEDCOHTMCTORS Q TO CANS7RUCTTHE PRQIECT(SEC.70��,BUSINESS/WO PROFESSIONS COOE:TME CONTMCTORS LI• VdIU2ti0� ADJ.AREA � Li! CENSEUWDOESI�qiAPPLYTOMIONNEROFAPROPERTYN?pBUtLDSORMPROYESTNEREON,MO � W1iOCONiRACTSFOHSUCHDROJECTSVA7HACONTiUCTOR(S)IICENSEDPURSUANTTOTMECONTAAG QUAPITITY� DESCRIPTION - �-� � Y roas ueer+se uw.�. . FEE 0 O I AM EXEMPT UNDEH SEC. � B.8 F.C.fOR iH15 RCASON Q S L�G`IIT/�/YT(JIP F:rs i � ¢ �G�'��sMf� SF.P..�te •'R�F-�vFG. DATE OVJNER !— � LICENSEDCONTRACTORSDECLARA710N • � � G/?GU/i$- � W z� /at c��r�c t . 1 HEFEBY AFFIRAI UNDEF PENALTY OF PERNRV T1FT 1 AM IICEN3ED UNDER PpOVISIONS OF GHAPTER� ; _p. i(COMMENCING WITH SECTION 7000)OF ONISION 7 OF THE BUSME55 Ml�GqOFESSiONS CODE,AND � � ' � - ' � �u E1Y UCENSE IS N FULL FONCEAND EfFECT. � LICENSE CUSS� LIC.NO.� ��' ; oA,��J1f 4 y �o���T w . . � WORKERS'COMPENSATION DECLAHATION ��31� � IMEREBYAFFIqMUNDERPENILLTlOFPERNRYONEOFTHEFOILOWINCDECURATqNS: y � _IHAVEANDWILL6U:N7AIN110EiRIFICATEOFCONSENfTOSEIF�IN5l1REFDRWORNERS' � � - COb1PENSATIDN,AS PROVIDED 8Y SECTON 770o OF TNE UBOR COOE FOR THE PEAFORMANCE . Q OF THE WORK FOq WMICH THIS FERMIT IS ISSUED. W �HAVE/u:DWILLMAIN7ANWOfiNERS'COMPENSATqNINSUIUNCE.ASHEWIHE0BY5ECilON Q 770o OF THE UBOR COOE.FOR THE PERFORMANCE OF iHE WOFJC fOR WMICH THIS PERMIT IS J ISSUED.MYWORKEAS'COMCFNSATIONINSUNWCECARWERAN700LICYNUTABERARE CONSTFiUCTION > cu�a�eA Go�.oF�/ Ei1G U ► PUWREVIEW Z ao��crNUMoea /J���_ � ELECTRIC _ - Q ¢ �� (n+SSECfpNrJEmr+oiBE00AwLErEDOcnEVEaMfisPotta+E1U1�D�imOcuJ�Rs(StOCI0RlE551 PLUMBfNG . W Z ICEATIFY7NAT1N7HEPEAFOAMANCEOFTMEWOR%FORWHICHlH15PERMIT15155UED,1 MECHANICAL C7 SMnLLNOTEMPLOYIWYPEN50NWANYMANNERSOASiOBLCAME5UBIEGTT07HE (/� WOwCERS'fAUDENSA7qNUW50FCALIFORNU�ANDACREE7/1ATIFI51i0ULD6ECOME INSPECTIONFEE ' SU[iJECTTOTHEWORKFFS'COVPENSAT10NOi70NS10NSOfSE�ilON77000FTHElAWR /`. p^ O �GO�D/E�,I�SH�AL�LFORTM'nTHC01dPLYWITH SEOROVISION N7?t aR,�,•T/�'��PS ISSUANCE s, „� �� p DATE:Y��7 L�_ APPLICANT:�1����4C(,t,��fls.�'_ F(�C��G.. SMIP ' �__� �� . � WARNIN�:FAIWRLTOSECUREWON(EHSCOMPENSATPONCAVfFAGE15UMAWFt1L,ANOSHALLBE ENERGYP/C . � ��• r J � � SUBJECT/WEMPLOVERTOGRIMINALPEWLLTIESANOCNILFWESUPTOONENUNDREDIHWSAND ENERGYPERMIT DOIURS�f 100,000),P!ADOITION TO i7�E COST OF COAIPENSATqN,DNA�GES AS PflOV�EO FOR IN �—�.I SEC710N77080FTHELA80RCODE,INTERES7ANDATiORNEY5fEE5. - � - �� - � { ¢ RETENTION FEE: �'� � CONSTRUCTION LEND(NG AGENCY PRE-ALT FEE: � IHEREBYAFFIRMUNDERVENALTYOFpER1URYTMATTHEREISACON$TRUCTIONLENDINGACENCY FOF 7NE iERiORMJWCE OFTHE WORK FOFl WHIpITHIS PERM�T IS ISSI:ED(SEC.]oY7,CIV.C.�. w - - . . . .. . . � IEN�ER'SNAME F� LENDERSADORfSS � � " � ' � �� w� TOTAL FEES 25 �Q 1 CERTIFY THAT I HAVE REA�THIS AiPUCATION ANO STATE THAT iHE ABOVE MLORMATqN IS COfIRECT. J ' � � I AGREE TO COMPLV WITH AILCITY AND COUNTY ORO�NANCES AND STATE UWS REUTINC TO BUILDING " ' � � CONSTRUCTION,ANpHEflEBVAUfHORIZEREPRESENTAT!YESOFTHIStWNTVTOENTERUPONTHE . . . Z A90VE�MENTlONmFROCERTYFORINSPECTqNPUAAOSES. I COMMENTS �- � 0 - . . ..... , �1 . � g� �.�� r m VEfiMI AME(PRINTj � ' ' ' • � - ... . C � � [/�! // L,-t�.,t • �f�— J. (n 81 7U tUFY�.Yi 4iE , � RECPT.N0. �pA10 BY �__VALIDATION � �� � WHI7E—Depanment Copy,YELLOW—Finance Copy,PINK—Assassor Copy,GOLDENROD—File Copy.GREEN—ApplicanYs Copy , CITY OF,DIAMOI�D BAR ' , � . � � � � INSPECTION RECORD � � . � � , . � . � � , � . SET BACK '• ' j FLOOR JOIST �� ' � _ FfGS/FORMS/STEEL � " - FHA REGTMTS ' ELECTRIC GROUND y+j,�y UNDER FLOOR DUCT... ,, • � - ,�� . GROUND PLUMBING � -2�—`� '� � UNDER FLOOR CO�IDUIT . r ;• '. . • '� SLAB GRADE ' - -- FIREPLACE FOUNDATION . � ' TEMP POWER -=`;-- - - • - - FIREPLACE BOND BEAM' • �" '� '� � WATER SERVICE � " ` -�� � �1 MID HT.BOND BEAM. " ' � ".' ' -' ROOF SHEATHING �. 8 FT. BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM . RDOFCOVER . -• - - -- - - PRE-GRADING - � ROUGH HEATING - ` BENCHING ROUGH ELECTRIC � g ROUGH GRADING ROUGH PLUMBING - � - FINISH GRAOING SHOWERlTUB TEST , � � POOL ELECTRIC � EXT.LATH/SIDING � POOL FENCING WALL INSULATION ' POOL FINAL � CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS SEWER __ _.. _ _.. FINAL ENG. SEPTiCTANK _•:. LANDSCAPFJIRRIG. � SEEP PIT/L.L. - - - ON SITE IMPS. GAS�41R TEST - - - ' ` - - FINAL ZONING FINAL CONST. �" - - ' '• FIRE DEPT. FINAL FINAL'HEATING '. -� - HEALTH DEPT.FINAL - - . - FINAL ELECTRIC - -- _ ` � DEV. FEES PAID FINAL PLUMBING ENERGY . . • _ . - _. _ . � � • • _ - - . . � - ..� .. _...._ ._... ---- - . ....---- -- -- - - _. .--- -- ------ , .. .r.... - ; _....._.._.. _' _. . ;. -;. . --- , ,,. . .... .. � COMMENTS . -- . . : _��:1�;: , . � ' - -. _ . -- ., i _ . . �. ' ,_ . . , ., , :� , �c, ,r, . . , . . '� , �.i . , - - _ . , - , • - -- , - ; .� � . , . . _L_\ ,,..,., � . , �_� ,-� . � _�,- , :,-.. . :_ . . _ . ' . ..,, � ,i . SEPTIC TANK SIZE - ` � - � - - -- ' SEEP PIT/U SIZE , , . . . _ _ . -- - -. . - - . . ; � , i �--,_, . , ,. • �. • { r , � ;� �� . . - ..�_�. '.. ' � "�_� .. .. . .. _. -- - . . � .