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HomeMy WebLinkAbout12175 (13) � CITY OF DIAMOND BAA ��P� ��� ��p/ --� DEPAR'flb[ENT OF COMMUNITY&.DEVELOPI,4IENT SERVICES O RFQ ��; 21660 E.Capley Drive Suite 190 Cj�t � � (909)860-3195 Fax(949}661-3117 3 PRESS BLIII.DIN�PF•RNI1�'APPI,ICATIUN ��Q� FIRMLY N JOBSITE APPLICATION PERMIT � /C o ADDRESS �� i ���''�t `�`��` � DATE NUMBER y ' f � c� ISSUE TYPE OCC APN IOT�_ TRACT DATE CONST, GROUP g OWNER '�.`�'W �k` P��}�QI 11�CT " ADDRESS ZONING SETBACKS W CITY � •w� :� C�y.•f ZIP TEL. FRONT RW ❑ � APPLICANT TEL. R� � SIDFJSIDE STREET RW ❑ CONTRACTOR i 42�Z- �'�.�,�-ti �! ' SIOE O � ADDRESS ii����,. � :�`�:d.�'�f��t2G a=s);- _ ,., . � .-- PROPOSED USE CITY _<�ra.:���i ZIP�iL TEI, ��Ch t-�iz�S w ARCWEN� DESIGNER NO.�WEL. NO. NO. ADDRESS �ry�S STORIES BEDRODMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q ONMER•BUILDER DECLARATION SFp/ADDIREM O � I IiR�Y�FFI�A tNlDER PENAL7Y OG PERJUiiY i7iAT I AN EIffYPT FROM T/1E COMR�CfORS LI- ���L.B�rt C�1iSElAy1�Wq71�fOLLOWMmpE.I.ONl5EC.7o3t.58USINE56NiDPROFES510R15C00E:ANYCITVOq (n OOIMRYNIWaiR60U�Pib�PENdfTTOOQNBTNVCLALTEIiWVROYE.OEMOlI4H.ORf1F9YRANV5T9UC• Ll1 PatiolDeck 711pE,iryWi TO Ii$IS&JANCE,ALSO q[Gllqi�S 7NE MALICANT FON SUCH PEiNFT TO FILE A SIQHED � � STA191EM h1AT NE OR SHE IS UCFN6ED PURSUANT TO THE PROVIS1oNS OF TFIE CONIMCTOAS L1- Ll POOIlS j f�NBE Wv(GUPTER a(CqWE+�cRq W�iH SECTaN 7aoo)OF omsnll a�'ME 9usu9Es5 ANo aao- Pe ( fES8pM60�0ElORTHA�HEORSMEt5EXE4PTTNEAEFROMAN�7NEBASISFf]HSMEPLLEOE�EMHJP- (� � TION.AM'VqL�T10NOF5ECfIpJ7091.6BVANYAPPLIGNTFORAPERYITSUBJECT5h1EAPPLICANTTO z {�q-R00} � F 11CNi.PENAITV OF NDT YONE iN�N FNE HUNDRE�DOL.LAflS(tfi001J: � ❑LA80YIMEROFTNEPRDPEiMOflMYEMPLOYEEBWITHWAGE3A3THE1N90lEGWMENSATION. O �ommerciaY y�y pp}}1E N'OW(,Mq THE STqUCT11pE IS NOT INTEND6D OR OFFEPED FOR SALE(SEC.7WA,&/5I- J NESS AIO P1�E58bN3 CO�E:TNE CONiRACTORS�ICENSE UW DOES NOT�PPLV TO�JI py/NER Of y pqppERryypqg�Il�gpp�Npppyf5711FqEpN,ANDYµlO00ESSUCt11WRKHYISELFORHE0.4ELFOR � � �FqplWilyy9pqllEpOWNE/iPLO`/SES.PAOVIDEDTXATSIX:NNWNDYFYENTSARENOTINTFPIDEDOH m � O�EREDPOpSILE1F,HOINEVERh7EWM.pNGORMPROVEMENTIS50lDWRHWONEVEAflOiWMPLE TION,iHE OWNER-BUILOER NpLL If�YE iHE BUflD6d OF PROVINO hIAT HE OA SHE D1D NOT BUILO Ofl YIPNOAIE FOR Tt1E PUHPOSE OF SALEI. ❑I.AB�OF TNE PNOPERTY,A4 ExCLUS�YELY WNiMCTRHl WIM UC�NSEO C(1NTMC70R8 ro ca�rnucr n�rRo�cT�sEc.�a4.eusiuess um aao�svows coo�n+X c«+rw�croas u- vaivation ADJ.AREA � CENSELAWDOESNOTMPIYTOANOWNEflOfAPROPER7VW1i09URD50FMPHOV 9�TT1EH60N.�� YMOCONfMCfBFOR3UCHGRO.)ECTSW�TMACOMTMCT011(5)LICEN8C-0PURSUI�MYpTT�E�ONT pUANTI7Y DESCRIPTION FEE � Ta�ucaisE uw). �/ _ ( r� � ❑I/iM EXEYPT UAEH SEC. B.4 P.C.FOR TH45 RE/SINJ � � b .x.`1'+n+�- \. � t,-` U Q . LL OATE OwNEa V � W LICENSED CONTRACTORS DECLARATiON � � w �ilERE9yAFFINIIIMDEflPENAl7VOFPEiWRY�1/ATIA4LtCEN5E0UNDEFPRONS10N50FCHAVTER � (� y(CO►91BdCY/OW1iH$6CTqN7000)OFOMS�ON30FTNEPUSINESSANOPROFESSIONSCOOE,AND z X MY I.ICENSE IS M FUIL FDRCE AN�EFFECL m W o uc�aafis)s TC�4 LIC.NO. J��J�{«'rL''i . j � (M7E 1=�'{^��!'� CONiRACTOR �:1�i's r�.�-�"t(�i/� a WORKERS'COMPENSATION DECLPRATION -� N IHEREBYAFflPMIMDERPENALTYOFPERAIRVONEaFiHEFOLLOWINGOECUMTIONS: �� N z � „_�WyEµpyylL�µVry7i,�ACEHTIFlG7EOF�NSENTTOSELFdNSUPEFORNORK S' S ppypENy�7qN,�g VROVIDEO eY SEC710N lloo OF 7ME UfiOR CODE,FOR iHE PER�ORMANCE W OF TH6 WOFK FOR WHICFI h115 PERMIT 13 IS3L1E0. O W _�F{/�VEAND WILL M4RifI.M WORIlEi15'COMVENSATION INSUMNCE.AS REOUIflED BY SECTION Q 9)OOOF 7HE LABOR CODE.FON TNE PERibRYANCE OF THE WORK f-0fi WHlpi THIS PERMR IS �'SUED.MY WOPo(ERS'Cq�7EMSI.TION INSUNANCE GARq1ER M!D POI.ICV NUNB£RARE: CONSTRUCTION � CARRIEH PLAN HEV�EW � POL�YNJF6ER ELECTRIC r �Q ����or��,�oFn�rw�ersraaa+�M�rnamooi�a�s�ao�oa�ssl P�UMBING � I CERTIFY TIUR BlTHE PERFdWANCE Of THE WOPo(FOR WHipi THIS PERMIT IS ISSUED,I MECHANICAL (,�J SIULINOTEM7lOYANYPEP50NIN�NYMRNNER50AST08ECOMESU&IECiTOTHE INSPECTIONFEE � yypql(ERS'Cq1VENSATONWN30FCALIFORN�AµDAGREETHATIFI51qU.DBECOME S St�JECT7OTNEWORI(ER5COMPENSATpNPROVI510N50F5ECTI0N37000fTHEUBOR �SSUANCE �/ CODE.I SHALL fOR'MMATN COYPLV W17H THOSE PROYISIONS. O ;t ..yw.11,a- ..,.�t-fy-�='�'! SMlP 0 DATE: +�^=.�`' � APRICAM: . w ENERGY P/C � W/JtllW6:FALURE TO 3EGURE WONKERS COMPENSATION COVERMiE IS UNU`NFIR.ANO SHJSL BE � SV6IECTANEYPLOYERTOCfl1YMIN,PENAlTIE5MI0CMLFINESUPTOONEHUNDREDTNOUSAND ENERGVPEFIMIT )„ DOLURS�f100,000),INADDITONTOINECAbTOFCOMPENSATION,DPMAGESASPROVIDEOFOHW I � SELTpN 9708 OF THE UBOR CODE.MTEREST,IWD ATTORNEY5 FEES. RETENTION FEE: CONSTRUCTION LENDING AGENCY PRE-ALT FEE � 1 HEREBYAFFlRN UNDEH PENAL7Y OF PEFUURY THAT THERE IS A CONSTRUCTION LENDING AOENCY FORiHE PERFORMANCE Of THE WOF1K iOR WHICFI7HIS PERUIT IS ISSUED(SEC.9aB7.CIV.C.). � � � LENDER'S NAME � LENDEH'SADURE55 a ICERTIF1'THATIHAVEREI1DT11i5APPlIGTIONMIDST�TETHATTIEABOVEINWRAlAT10NISCORPECT. TOTAL FEES � 1 MaREE TO COMPIY WlfFi ALLCI7Y M1U CWNTV ORDINMICES AND STATE UV✓5 RELATINO TO BUILDINO � CONSTRUCTION.ANDNEREBVAUfHOR�2Efi6PRES6NTATNE50FTHI5CWNTYTOEMEflUPONTHE /1qOyE1AENTIONEO PROPERTY FOR INSPECTiON VURP�ES. COMMENTS � 7 r I�4+r0� ��vt��\���� � OE{nI1TTEENNAE,v(p�Wn �—�1'�.'...> lJ�'� 1�(J .. f/� �.. /�.V .. "�_d-m.-7'T�i.! DhTE � 91[iN�NPEOF VERMfTTFE RECPT.NO. PWD BY MN.IMT�ON � WHiTE—Oeoartmertt Capy,YELLOMY—F'u+anee C�+{y.PlNK—A�ensa Capy,GOlC�1�WQQ-F+Is Copy,GREEfV—ApplicanYs Copy � J�' ��'���� ' �. ..� :� - ��,�a�� ��►� � ��„•y.%,? t�'�>`�' �;�i. lN3P�CTtrO�'V �ECCtfitD i t, � Y � . j i � ?J 4 ,� , ; - ..+..,. � o I s�-r�Acx y �tooft,�oisT • ' • �. �.���'�;T, f=TGS1�ORiv1S/STE�L ' 7�". f i I \ � ; FHA REQ�v1TS ELE�CTR(C GRCIUPJD � UNDER FLOOR Dt1CT G(�t�UND PLUM3lNG UNDER�LOOR CGPIDUIT — -- SLr�B GRADE FIREPLACE FOUNDATION TEhriP P{JWER FiREPLACE BdND BEAM WAT�R SERVICE M1D HT. BOND BEAM - � t RC70F SNE}t�Hlt�s` �,,' .'; , � ; ` 8 Fi'.BC7ND BEAM FF�A�INGIV��JTILIATION� ' , . FINAL 8{}ND BEAM �-^ � RC}C7F CC}VER PRE-GRADING RQUGH HEAT(NG B�NCHING RCtUta}�i ELECTE�IC F�OUGH G�tADING ROUIaN P�U��BlNG FINISN GRADlNG ; SHOL"JERITUBTEST PC7Dl ELECTRIC -i----_._ EXT.tATHlSI(J1i�G , POC}L�ENClNG 4'VO1Ll�i{�SUL�Tdt�h! ( PC}C)L FINA� _�___ � C�ILI�"G I�dSULFtTIQ1�i O�F SITE ItvSPS. 1i � DRYWALL IVAiLiP�G QEDiCATIC}NS � S�V`�R �( FINA�.ENG. �� �� S�PTtC�`AtvK � � LANDSCAPECIRi�iC�., �-_..____. � ��E�P PiT!'�.L C3hi SITE 1tv1PS. --� � t"a%ti�rnl��"�ST �,�. { Fl�dFiL ZC7NIiti�'a �-- � - ~ F{�1tiAL:C�i�ST. j � , FlRE DEPT.F1NP,L �_ ( F1rii�L NEAI'dr�� , HEAL'TH DEP7. F6�IAL ; J i F[RiAL�LECTRIG 1 � �^ �EV. ��ES PAIL� ' ; �i;��L#'LU���31N� i ( I EtwEFiGY ___��___.__�_..__ F - ----� -j — +- � � • • ' � ; ....._._._ - ,: � __—� � C�$'v�(Vi��'3T� i _ � � '_ • � ; � , , � ;.;:..: �� ';. , :;:. - -- __ SE�TIC T���3�:SI�E .�;,;.__..,_�-; r . �.� � S��i' PITtI!S6���. ._, . �:----i.`+,.!— �, ---- '��� 1 , � _.�_-- —^._...._.......... .. ..;.,.._. . !. � _._..�. 9 —_�._._ i