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HomeMy WebLinkAbout16571 f� CITYOFDIAMONDBAR EXPIRED DEPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES ,; > 2166o E.coplcy Drive su�te 190 PRESS .,M:�,' BUII.DING PERMTT APPLICATION '�UN 1 8 1QQ2 FIRMLY o ADD ESS�l.C7Y' 1 �C�O�-D LK . �I�]gq DATEICATION_K NUMB R � �� C,J � APN LOT RACT �SSUE TYPE OCC p OWNER 1�I�,y�OC-{G DATE ' CONST. GROUP o ADDRESS- ATYI� ZONING SETBACKS �W CITY ZIP TELC'.jffi 5�2,� FRONT RW ❑ APPUCANT ` � /1(S7"i �� TEL. � HEAR p � - SIDE/SIDE STREET RW ❑ CONTRACT R ' SIDE ❑ ADDRESS � CITY - � �1 ZI TELv 2 t� PROPOSED USE ARCH/ENG/ DESIGNER NO.DWEL NO. NO. = CnDRESS ZIP TEL. UNITS STORIES BEDROOMS N �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADDiAEM O p 1 HEREBY AFFlWA tINDER OENALTY OF FERIURY T1UT t AM E%EMPT FROM THE COHiRACTOR3lF Garege/Carport . l/.J CE115EUWfORiHEFOILOWNORFASdi(SEG70.1t.6BU51NE59MIDGROFE5510NSCO0E:ANVCITVOR (f� <� LOUNTYMFIICNREOl1YiESAPERMITTOCCNSTAUCT,ALTEf�MVpOVE,DEMO�ISM,ORREPAIflANYSTRUG W �Z TUFiE VWOfi i0 RS ISSUANCE ALSO REWIqES THE MPLICANT FOR SUCl1 PEHAl1TT0 F0.E A SIQNED W P8t10/00Ck � ETATEMEM i11AT HE OR SHE IS 110ENSED VURSUANT TO THE PROVISIONS OF THE COHfMCfORS L4 � � CENSE UW(d/APTFH Y(COYNENCPXI W17H SECTION tODO)OF OMSION�OF 7HE BUSINESS ANO PRO POOVSpO iESSqNSCOOE)OqTHATHEd15ME�3OIEMPTTMEREFRdAANDiHEBA515FOHTiEALlEOE�FJ(E1AP• (� TION.ANYVIOlAT10NOFSECTION)4t7.6BV►M'APP�ICANTFORAPERIIITSUBJECTSiHEAPDLICANTTO Z Re-Aool � A CML VENALTY OF NOT IAORE THAN iNE MJNDHED DOl1ARS(15a0).�: � O�ASWRlEROFTNEPROPERTY.ORIAYEMPLOVEESWItMWAGESASTMEiR50LECOMPENSATqN, Cpmm0fd81 � WILL 00 THE WORK.AND iHE STRUCTURE t5 NOT IMENDED OR OFFEREO FOR SALE(SEG 7oN,BUSI• � N NESS AND VROFESSIONS OOOE:TME CONif1ACTOiiSIICENSE LAw DOES NOT A7PtY 70 AN OWNEN OF ? iROiERfY VAp BUqDS OR WPflOVE4 7HEREON.N10 VMO DOES SUp1 KORK MIMSELF OR MERSELF Ofl (L T11ROU(iHMISOXMERONMEMP�OYEES,Vf10ViDEDT1UT5UQIMPROVEMENTSARENOTWTENOEDOR m � OFFEAEDfORSILEIF,IqNiEVEi�TMEBUIDINGOflIIAPROVEMENTISSIXDVATHNON[YEAROFCOMPLE Z TION.TME 0'NNER�BUILDER MALL HAVE THE BURDEN OF PROVNO iHAT HE OF1 SME DD NOT BUIID ON = NPROVE FORTHE PUNPOSE OF SILLEI . W ❑1A40wMEROFTHEVROFERT'f./WEXCLUSNEIYfAMRACTNOWRHUCENSEDCONTMCTORS � TO CONST0.UCT THG VRO,IECT(SEC.7u1,BUSMESS AND VROFESSiONS ODDE:TME CONiMCTORS LL Valuatbn ADJ.AREA CEN$E UW OOES NOTMPLY TO/W OWNEFl OF A PROPERTY W/q BULDS OR IIAPFiDVE4 7M[REON,AND M/F1oCOffTMCTSFOASUd10RWECiSWIiHA00NfMCiOR�3)LiCENSEDVUfiSUAMTOTMECONTRAC pUANTITY DESCRIPTION FEE . � TORSLICENSEUW.} OIAMD(E7AVTUNDERSEC. B.iV.C.FORTHISREASON Q 3 �' LL' DATE � ONMER � � J t_ UCENSED CONTRACTORS DECUIRATION W � IHEREBYFFFlRMUNDERCENKttOFiE0.1URYTUTIAA/LICENSEDUNDERYRJN510N50fLW1PTER � s �(WNMENCVqWfTHSECTION70o�)OFDIVISION70FTHEBUSINESSIW�FROFESSIONSOODE.AND Z �' W LIGENSE 6 M fULL FOHCEAND EFFECT. � - �'q�a8� � F IICENSE CUSS IIC.NO. � V w� eorrrrweroa a w � WCRKERS'COMPENSATION DECLARATION � N IHENEBYAFFlRMUNDERPENALTYOFOEfUURYONEOFTHEFOLIOWINGDECLAMTIONS: z � _I INVEANO YAl11MMT/JN�CERTIFIGTE OF OONSENTTO SELF-INSURE FOR WORKEF35' _ COMPENSATqN,ASPROYiDE08YSECT10N�7ooOFTMELABOi1tO0E,FORTHEPERFORMANCE `U O OF7/1EYVOPoCFOHWMIp1MISGERMITISISSUEO. � � _IHAYEANDWILLMAIMAINWORKERS'CdADE�SATqNINSURANCE,ASR[OU�REUBYSECTIDN O77000fTHELIBOqIX70E.iORTNEpERWRMNJCEOFTHEY/OPKFORNRiICHTHiSPERMITIS � ISSUW.I�Y�EI15'CON.y�PEH511T10N INSURANCE CARRIERAIi)IOIICY NllMO� ARe: � CONSTRUCTION �-/V].�/�j �V� � CMRtER . /l�I,`"I�/� / PLAN REYIEW � POIICYMIMBEN� _,_� - � —�—v ELECTRIC Y � (iH55ECitJNNE�NOTBECd.fIETmOFhEPEtMT6GONONE1lR.OPLDDOLUR.(St00�OqLE55} PLUMBING . Z ICERTIFYiHATNTNEPEAFORIMNCEOFTIEWOP1cFORVMip1THI5iEW.liTLS155UED,1 MECHANICAL (�' SWLLLNOT EMR.OV MIY FERSON IN M!Y MANNER SOAS TO BECDME SV&ICCT TO TNE , (/� WORKERSCOM7ENSATIONUWSOFCALIFORNI^ANDAGREETW�TIFISMOI�lOBECOME INSPECTIONFEE S SUBJECTTOTHEWORKERS'COMPENSATION OViSIONSOFSECTION77000FTC EUBOR i �v rtHcauaLrNnnr sE�sp+s. .E�JK�1il/ ISSUANCE . p DATE: APPLICANT: N7 SMIP w ENERGY P/C � WMNIN6:FAilURETOSEWREWOfY(ERS'COAIPENSATIONCOVEMGEISUNUWFUL,IINOSW�LIBE �y_, SUBJECTANEMPLOVERTOCRIMW/LPENALTIESANDCMLFNESUPTOONEHUN�REOTHOUSAND ENLRGYPERMIT DOIURS If l00.000).N ADDITION TO TNE COST OF COAIPENSATqN.DAMAGES AS PHOVIDED Fqi IN � SECTIDN]70lOFTHEIABOFiCOOE,NTEN[ST,MlOATTURNEY5FEE5. - RETENT�ONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBVAFFI{UAUNDERPENAITYOFVE0.)URYTHATTHEREISACONSTRUCTIONLENOINGAGENCY FOR TME PERiORA1ANCE OF 7HE WORK FOR WMICH THIS iERMIT IS ISSUE�(SEC.]oW,dV.G). � � LEHDER'SNAME � IEHDERSADORE3S � ICERTIiYTHATIHAVEPEADTIISAPPLIGTqN/WDSTATETMA77NEABOVEINFORMA71DNI5CORRECL TOTAL FEES ��/5O � IAGREETOCOMVLVVA7HILlGfT`/ANOCOIMTYOR01tUNLESANOSTATEUwSREUTINGTOBU0.DINQ � CONS7RUCTION.ANDHEREBYAUTHORQEPEPRESENTATIVESOFTHISCOUN7YTOENTEHUPONTHE ABOVE• MIONEDVROVERTYFORINSCECTIONMIRPOSES. COMMENTS ' � Sl1_ m PER4 NA11[(Vql. ) Q � � S10N�TUREOFPEW.�iT'fEE DATE � PECPT.NO. PA1D BY VALt0AT10N WHITE—Dapartmen�Copy,YELLOW—Finflnce Copy,PINK—Assessa Copy,GOLDENROD--File Copy,GREEN—ApplicaM's Copy CITI' OF DIAMOND,BAR , . ' . • . .. . . . �I , . �: �.;;�.,;.: ._ ,._. .. ,��If�Sf�ECT�OR� F�ECORD ::�., - +�(►YK-�,���ei Ir��'�►f Ir' �►'���"- , ���-�r���''1��,.�...��-�i►r�.�"����M��'�'���r^�p�' .;,..:f►.�F-�,.��¢� �c�---�----, I SET BACY ..,_...,._�1��... �.._..I.... ', ��__��^ I FLOOR JOIST,�,`,I,,..._,�.... .. �,_..�r. , �FTGS,�FORMS/STEEL .. .• • , . _ . , � ,':"-. _ �FHA RE�M 5 ' � --- _ '_ - � � . .. - . , ';ELEC7RIC GROUND � � ' ;',�' y'�=� I ��` � UNDER FLOOR DUCT ' � � ' ' ! ;. . - lGq�UND PLUM6ING : UNDER FLOOR CUP,!DUIT " ' ' ' ' � � �SLAB GRADE - - -- �•• ' _ -- - - - .. FIREPL CE�F.OUNDATfON � , ~' � ' - 'TEMP POWER ` _ _ _ ____ , ; ' FIREPLACE BONd BEAM : . .. : . ;,. � — - WATER SERVIGE - ---- - - , , MID HT.BOND BEAM : .' � : ; , ,c',. , �, - . : ,, �; ; �, , IROOF SHEATHING - F3�T.BOND BEAM. ' -�•• �--• - ` ' � ' _ , , - � _ ._. ,_ '_ ; ._— IFRAh11NGNENTiLIATIUN - - -- - � FINAC'�OND BEAM �� : jROOF C7VER c. � �;... PRE-GRADING - - _� : � �ROUGf-1 HEATING __ _. _ _ BENCHING , .. � `. - �ROUGI�ELEGTRIC-- .__ . : , . � _ : , � ROUGH GRADING __. . _ _ - ----- -_. . �ROUGN PLUM6WG - :- -- - --- FINISH GRADING I iSHOWER,/TUB iEST - - ' - POOL•ELECTRIC - : �EXT.lAThi,�SIDIAG--, - - ---- . _ __ _ _- PdOL FENCING ' , ; ;V�JALL tf�ISULATiON --- - --- - POOL�FINAL ; ,CEILirJG if�I�ULATf�N - - - - OFF SITE IMPS. " , � -- jPRYL^JALL NAILING . DEDICAi'IO�dS ` . iSEWCfl . ._._ _ _ _ _ FINAL ENG. {ctFTIC TAPiK LANDSCAPE/IRRIG. {:EEP FIT/L.L. ON SITE IMPS. ,GAS AIR TEST FINAL ZONItJG - __ `�FIP•1�,L CO�dST. -- _ _ _ , _ � FIRE DEPT. �irakt , �F:P1F�,L HcF,T1NG _ _ _ __ __ - � HEALTH DEPi�. FINAL � �_ !I;l�Jhi_ELECTRiC _ _ j � OEV. FEES �AID � ----- --- _ I.___ --« =— ``.==!',1`,tPLUMBING __ _ _. _ _ -- ENEP.GY ; � . � ' _�� , I -.,._.. --,--- „ - ___. _ _ . _ . . _ '�.'la_b,:.�-:�--r�`��`:�...._:._.. ,_:; y, . . , �— E: _ _ , ;cc,��r��EN�s _ � ; , _ __ , , ,� , �-_ - - _ , ; . , , ,_ _ _- - _.__ . ___ __ _ _ _ __ ; ; _ ' -.,', ``''� ��' � . ._ - . � :�...� - j��� _ , . . . .•,. . -- � ; i -'�'J •�, ' ' ;\ �, � � � i v i J .,. .,. � � ' _� 1 ' � ' � I �SEPTIC TANK SIZE , � . ;. ;SEEP PIT/U SIZE_ ' - — ; �. _�. ���, _- `� i - ,._ �.; � :. � _ , ; ; ' - .,j _ ` ,, _ , _ . _ - r�;� � � a_ ..� . . ., � — , � . .. . , _ . , _ _ _ - _ - : _ . .,< •.;', `,_ ,` .\' : y , I ._.�........., .; `�' r ` j_,� , j � . _ . . . L — � � _ .