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HomeMy WebLinkAbout15180 c_ � � „ C1TY OF DIAMOND BA& a ' -� " --- DEPARTMENT OF COMMLIHITY dt DEVELOPMENT SERVICES � 21660 E.Caplcy Drivo Suite 190 e , " (909)860-3195 Faz(909)861-3117 PRE$`$� "'^"� BUILDING PERMTT APPLICATION FlRMLY � DDRESS10�7 �L�EG AII� DI�N/o�� �j"q/Z, >- APPLICATION ,r PERMff ' Q p/C o DATE ' � NUMBER �u� A ��' � APN LOT � ISSUE TYPE . q� �_ TRACT� DATE �C p OWNER _�0/UNt A�\w.C.I SJ��I_�, CONST. GROUP p ADDRESS '" L /3�JC 20NING ETBACKS "' ciTv '��►,w.d.'�.ir ZIP �il739 TEL � � FRONT pyy ❑ •' ; r— APPUCANT '"�'c� S TE�, ' - REAR 0.,, SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ' 0. � ADDRESS , C� ZIP TEL PAOPOSED USE � ARCWENG/ . '' ' DESIGNER� •� � ADDR S s' J n, t NO.DWEL. - -NO. N0. � • N Cm, Z�P s. .�L UNITS � STORIES y�__BEDROOMS � _ tt � DESCpIPTION SQ.Fi. FACT R PSF ADJ.AREANAL ATION O OWNER-BUIIDER DECLAHATION SFR/ADO�AEM � , � t NEREBV AFFlqM UNpER PENALTY pF PERIURV THAT 1 AY E%EYaT FRDM THE CONTRACTOqS U- G9te e CFMSEMWFORiMEfOLLOWNI3REALON(SfC.70]1.6BUSNESSANDPROFESSIONSCOOE;M7YqTYOq (� �m'�rt COUIITYMFOCHREOUIRE9AVERMRTOCONSTRUGT,/LTERMAGHOYEDEMOLISH,ORREP,VRANYS7RU0. W patb/Deck 1L1RE.Y1WR TO RS I55UN10E,ILSO REWIRES TNE APPLICAM FOR SUG1 iERMR TO FlLE A SiONED � � ' - ' . 4TATE#AENT THAT HE OR$HE IS UCENSED YUqSUANT TO iHE FROYISIONS OF THE CONTMCTORS LI- CENSE UW(dUVTFR�(COA/MENpNO W17H SECTION 7000)OF DIVISIDN 1 OF TXE BUSINESS/sq PRO- �- PooVSpa ' , � FE59tlNSCOOk�DqT/MTHEORSHEISEXEYPTTHEREFROMANp7MEBA513iDRTHEILLLE0EDE71EMP. (� � TDN.NrvVIRATqNOFSECT�ONimt.6BYANYMFIIGV�TFOqAVERMiTSUBJECTSTHEMPLICAIlTTO Z Re-Aoof � F„ ACIV�K.f ENFLTYOFNOTMORE7HANiNEHWDfYEDDOLU0.51s6ao1�Y • • � �1A801MlEqOFTHEPROPENT:ONYYFUPLOYEESWI7HWAaE5A5T1tFIR50lfC0A/OENSA7Ckl, � Cq�mOfClal , riILL DO 7ME Y✓OWf,AND THE 8TRUCTUqE IS NOT INTENDED Otl OFFERED fOR SALE(SEG 70N,BU51- J � NEb9 NIO►ROFESSIONS�DE TME CONTMCTORS IICENSE LAW OOES NOT�PPLY TO AN OWNER OF . � -... . � � iROPEH1l'�M�OBU4D90RMPiqVESTMEHFON,ANO1NIpppE55Up/Mpi1KHIlISELFONHE0.5ELFOq � ' � TMf10VOHMI80RF1EROWNEYPLOYEES,iROVIDm1TU1TSUGIMPROyEMEMSARENOTMEtmEDOq CL� � OFFENED FOR SME IF,HOWEVERTHElUItNfq ORiMPROVEMBrt IS SOID WITMN ONEYFAAOFCOMRE• 'TqN.TNE OWNER�lURDER WILL W1VE THE OUROEN OF pqOVINO T/Ui HE OR 6HE DID NOT BUILD Oq W AOVE FOR THE PURPQSE OF SALEI O l AS OYMER OF 7HE PROiERi`/.AM IXCIUSNEIY WHTMCTINO 141TN IICEHSED COHiMCfOR� TO CONSTRUCT T1E OHOJECT(SEG)Ou,BUSINE59 ANO VpOfE5410NS COOE:THE CONTMCTORS U• VallldilOfl qp�,qqEq �' � tB15EUWDOEHHOTAPVLYTOANOMNEROFACROVERTYNM1qBUILDgORWPROVfSiHEREON.AND N'11000HTMCTSFOR6t1GtPROJECT$YRfl1A001dTMCTpR(SJLfCEN5EDM1R5UANTtt7T}IECOHiMC. p�q�Ty ESCRIPTION fEE � tORSLICEt15EUW). . , �1 AM E)CEMPf UNOEH SEC. �a� &l G.C.LOR THIS REASON s[ ' ���� 1 U LL" OATE �O OWNER F I '�. {°l t�.. O. � V • ,. UCENSEDCONTRACTORSDECLARATION ` W � INEAEBYAiflM1UqERPENKTYOFPERRINYTNA7IAMUCENSEDUNDEROqOVt5lOM30Fd14PTEH � �(OOAMENGNOWITHSECTIOH7oaolOFDN1510N70FT1EBUSINESSANDPRJFESSIONSCODE,AND Z � 1 YY LICENSE S N FULL FOfiCE ANO EFFECL m f �►.,. UCENSE CUSS UC.NO. � . �� WTE CONTMCTOq a lL � WORKERS'COMPENSATION DECLAHATION � � I MEHEB�AFFIfiM UIOEP VENALtYOF 0ERIURY ONE OFTHE FOUDWINO DECU1MT10H5: V � 2 � �_IHAVEANDYnLL►WMANACERfIFICATEOFCOHSENTiOfElNNSUREfONWDRKEHS' a ' - _r . . , CpAPEHSATqN,A4Vp0VIpEOBV9ECT10NJ7o00FTHEWBOqCODE,FORTHEPERFOMIMICE U ' Q OFTf1E WORK FOR VMId1 TMIS PERAaT IS ISSUED. u1 , � r _I INYE AHD V/ILL WMAIN VfORKERS COMPENSA7qN INSURANCE,A4 REOUIRED BY SEGTqN Q f7uoOFTNEIAeORCOOEiONTHEVERFOM1A1lCEOFTNEWORKPoRWHip11H�5VERM�715 , / ` ISSUED.MYNqRKERg'CqIPENSATqNINSUqANCECAHRIERANDPOLICYNUAIBERME: CONSTRUCTION jCARPoER PUW REVIEW , . � POLICYNUMBER ` � � . ' . . . ELECTRiC p (nasSECf�t�IDwTeE�n.viErIDOFTEVEw.�raPor+a+E�ro�oa.W�sRioniotaLEssf PLUMBIN� v � tat � ICEHTIFYTHA7NTIEPERFOtWANCEOFMENqR1(FORWHICHTHISOERMITISISSUE0,1 MECHANICAL .i 6Wll.L NOT EMPLOV M/Y OfR50N N 41Y MANNER SOAS TO BECOIAE SUBJECT TO THE (n NOAKERS'COM�ENSAtqN UN5 OF GLLIFpRNt.�µD AGREE iNAT f 1 SH[XAD BELUME INSPEC710N FEE � SUBJECTTOMEWORKERS'CdAPENSATqNPROV151DN50FSECTK1N170oOFTMEtA60R 000E.�swut Form�wirH ca�v�r vnn�n�ose vnowsaHs. ISSUANCE � p DA7E: APPLICAM: SMIP lil � WMNiNO:FMURET04ECUREWONKERS'MIAPENSA710NCOVERAOE45UNUWFUL,IJiOSHALLBE ENERGYP/C _ � � iUBJERANEMPIOYERTOCRMINALPENALTESANOCMLiMIESUVTOONEMINDREOTIWSMlO ENERGYPEAMIT JOOl1AR5�tIOJ,000),N AOORION TO THE COSi OF CpAPFNSAipN,OAMROES AS OHOVIpEO iOR IN SECTpH�70lOFiMELABORG9DE,INTFRESLl�NOATTOqNEYSFEEA o[ RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: 1 � IMENEBYAiFlRMUNOEHVENALTYOGPERNRViHATTHERE15A00N5TRUCTIONLEHOWOACENCY Z FOfi iME PERFORMANCE OF 7NE WORK FOR WMlpi iM15 PERMITIS ISSUED(SEC.9o97,dV.C.). W � LEN�ER'SNAAIE �SZ IENDER'9ADORE55 �/ � ICEHTIFYT1UT11UVEREADTMSMFLICAiIONANDJTATETUfT1EABOVENFOAMAT10NI5GYNWECT. • TOTAL FEES // / � � IAOREETOCOMKYWITIIILLLCrtY/WDtOUHTYORDINMICESANDSTATEUwSRFUTMxiTOBULLDWO � � f � , I� � � COHSTRUCTqN,MIDNEREBYAUf//ONZEREPRE5E17TA7NESOFTHISCOUNTYTOEHIERUDONTHE /90VE•MENTIDNEO iROVERTY FOR NSPECTqN OVRPOSES. COMMENTS � �l-1N L SpCr � e _ m VERM E wr+n � s O� y SIOH OG E EE pA7E `t� RECPT.NO. PAID BY VALIDATION WH�TE—DePaRment Copy.YELLOW--fharca Copy,PINK—Ase�ssor Copy,GOI,DENR06—Flle Copy,pREEN—ApplicenCs Copy / . , CITY OF DIAMOND,BAR . ' ' . . r� . r. _. , ', ��,.; :� INSPECTIOf��REC�RD ... • . . �., . ��:. . � _ . ���!%i��t;.���`d���,�.�,� ��?'.��i�P= iji�.����t�o��� �d►�.E-`i::����it���i d�° •� e ��j�� ;��s�e,i�m �: I _ ..._._ �,���,�� .___�....�.�.,...._....,......._... __ -Y��. ���. �� ;SET'BACK.� ,:. , � g ,_� � � �..; :; FLOOR JOIST .. � �. . _ �� ` ._.w..� - ,.�.,_. .. 'FTGS/FORMS/STEEL - ' Jl�l��. . �` - � 'FNA REQDATS ' _: : ?. „ . . _ ., _ iELECTRIC GROUND.___ _ � ' - _ -- _ ,, , � UNDER FLOOR GUCT � •_ ;: --- � �-- - - !GROUND PLUMBING - � UNDER FLOOR CU'��^UIT` ' " - , . ' ' � ': � � '; • - -- --- � ,�_. , � . - _ . _ .. TEMP POWER � - �, --- FIREPLACEFOI)'�DATI0�1 . i ' - ; � �SLAB GRADE- -- � ' - --- , f i . ,. . • , � � - - - -- -- - FIREPLACE BOND SEAM ' - - � • - � . , , . , , .. , 'WATER SERVICE - - - ' - � - � MID HT. BOND BEAA" ROOF SHEATHING f , ���D� �_ - ,:8 FT. BOND BEAM --- - - - -- � - . . . � ;FRAM1i�G,NENTtUATiON r 2-y-Cb � -- - FINAL'BOND BEAM � - - ' ` • �ROQF.COVF_R .�_. - -�( , -•"---._, .� PRE-GRADING- - - - ' � i: _ _. . , . ROI:GW H-ATING - - - ` - - -� BENCHING �. �, .�• . _ . � r. , : :q�u•�!� E�ECTRIC__ _ . _ . • "� '� , ' � ROUGH GRADING -- -- - _ - - - - --- _. . ; .RO;�.'�!� PI.UMBICJG. -`�l 2� --� �� �� : - - FINISW GRADING E ; ' �.SNCY'_�:,UB TES •�,: . t -� -- 1 - - - -" POOLELECTRIC � . � --�_---- L I , ��fi.L=�;4-�;SlDIN�--�:-;�� ' --- POOL FENCING ` '' ' !;'t^;ALi IlVS:)+�� N- ;- ', - --- POOL FINAL ,. ;'�'�il��aG_tr�:� tflTl''JP�; �if ; — - - - OFF SITE IMPS. - � ° , � :.~ �Df++'�'T'�J*v�r��';�� :i, ,��27..a( •- •.- DEDICATIONS , � . t��;c4':fEh ,�, j.r'���= •-�.; - - _ FWAL'ENG. . - '-=--� �..lCI *` . ., � ���`!v TANK ' r ti LANDSCAPE/IRRIG:' • I , ������._.n Y,T;LL. , . .. _ �, � ,. ., ON SITE IMPS:• ;. ; -- -,s,i,: '"�ST •• � ' � FINAUZONING . . -- -•:. . ..__ - � ; �-�=;� ,..� �:.NST�:._--- ; , . ;: FIRE DEPT. FINAL �_�_..:=_-- - � GL� - . : .�' -� � , j_'.!::_:_:iGAT1NG__ __ � ._ � HEALTH DEPT. FiNAL - �- � � �' �_._..cLECTRIC - � � __ -- - DEV. FEES PAID _ _ . _ __._ - - - --.--- ' - '.-PLUh1BING �GZ - _ � ENERGY � � , � i-SH'�.y�--(� . .-- �Z�6 - -- - � _ _ _ . - . , � ..�..,--�,-..-.._.._... i - - f c r r c.� r �.. . - _ � _. _.. ... __. _ �_' . _ . . ._ � _ ..� ..1....._ .!S:�;T..T.�:'.... . ........... ... - __. _ � � _ "'"" __ __ . . .. . .. _ �__" " _ ' ' ____ __ " _ . . . ._� _ , ' `�����MENTS - - - - i...- �q� � : ' �� ,� q . � --- ---- -- -- - � ! 'Z.1—CU�..(� ' 1 ' f}�-��O - - - - - �i } � '�-:�� Nr—r— '� f -- _ ; � ! -�6'�(�-(Q�1c.=;bRYw'-A�—����-uoY ��d24� ! - � - � � , ; . , -, . _ _ — ; i . . �� , , . , . , � , ; . � � - -- - - • = - - ' i � , , , i . _ . � • . _ � _ _. - -- - , . � ' ; � , , ' _ _ - - i 'S�PT,I�TANK S4c� - � � , , , — � .. � _.. ' . , ,' ISEEP�PIT/U SiZE , � - ---- ,- - _ --- - :, � ,r..t�_...., ..._._._...�__..._. - . , . � . . .. _ .;��� _ _ -I - - -- --- � � — � . , _ " . _ ; ; , . . � ± .. , - - - ; _ . _� ; � � --- - __. . . , � i : � . . , - -> _ � , , ., ---, , .. , _ � ,._ �,y���. , �� -__ •. • `. � �� :�-., _ ,;c_�' � � __ -- - - _ . - - ; : . __ , � � , , , , , , � , - --- -- ' _'" . � i . , __ , .. ,� . .. -- -- i � • - ; _ _.. ... , - ! . . — . --- � ' I �.� ' ' ( ' - �`. �� -- - . ' . . .s -.. .... _ .. , . -- -- --� - - ' - . ' --.. _._...._.�_..__._.___ . _. . �� --- � . � . . . . . � _� . . � . � - ' ..r '� _ . - - - .. . -