Loading...
HomeMy WebLinkAbout13942 (7) ,_._ - - � � � '` _,...r� __ CITY OF DIAMOND BAIi fixP� '- '"`.'" � __. �.. - DEPARTMENT OF COMMIJNITY&D E PMENT SERVICES ��D ' 21660 E.Copley Dcive Suite]90 (909)860-3195Fau(909)861-3117 �Cr Q 3 1pQp J PRESS ��'�'�� BUQ.DING PERMIT APPLICATION F�RMLY o'� JOBSITE APPUCATIO-__�-.L—�PERMIT� �- P/C�9�q o ADDRESS � DATE NUMBE �1 $ ISSUE TYPE OCC APN LOT TRA T DATE CONST. GROUP g OWNER ADDRESS ZONING SETBACKS w CITY ZIP�f��TEL REAR RW p APPUCANT � � SIDFJSIDE STREET RW p CONTAACTOR SIDE ❑ g ADDR�ESS CITY ,,Tr- ZIp�,�TEL � PROPOSED USE ,G P. � ARCWENG! , DESIGNER E' ^' ` �� ADDRESS NO.DWEL. N . N0. N CfTY�9-- ZIP TEL UNITS STORIES BEDROOMS y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O eI HEREBV AiRRM U�OER VENAL7Y OF VEiLA1NV TUT I AM E%E1ACT Fq01A THE COMMCTOPS U- Gd18pB/CBtpOrt CENSEUWFORiMEWLLOwwUREA50N(SE4)o]I.6WSMESSM�OiROFE55KKI5000E/NVCrtYOR (n -OOIMiYN►YClIREQIARES�VEWRTOCONSTRUCLALTER�pAOVE,DEAqUSH,ORREC�URANYbTRUF LLf pgtiOlDO[k � � TUI1E;PHOI4 TO R8 IBBUANCE.�L50 REWIRE$IHEAPP�Mi�NT FQR SUCM p,FR41R TO FlLE A SIGHED W 6TATFYEM 7HAT HE OR SHE LS UCENSED PU0.5UANT TO 7NE VHOVISIONS OF THE LONTRACfORS LI.� CEWEUW(QUPTER�(OOMMENdHOWiiN5ECf10N70o0)OFDIVISIDN]OFTHEBUSIHESSANDPR0. � PooUSpa FES9qNSGODE)ORiMATMEORSHEISE%EMPTiHEREFFiOMIWp�THE8A51SFORTHEALLEGEDEXEMP- C7 TIDN.NlYVIOlAT10NOFSFCTIOHT071.68VANYMPtIGANTFORAVERMITSUBJECTSiHEMPL�CANTTO Z Re•Rao( � 11CIVfLVENALT'lOFNOiAqRET14NF1YElAXIDREDDOIURSIf500I.Y. � � ❑I,ASqN1fqOFiNEVROPERtt,OR�1YEMFLOYEESVYITIIWACESASTNEIRSOLECOMPENSATqN, O CORIrt18fGldl - � Wk1DD THE MGi1K,N�A iNE STRUCTUfiE LS NOT IMENOED OR OFFERED FOR SAIE(SEG Toa�,&I51• J . NEbB MID PROFE5510N3 COOE:THE CONfMMORS LICENSE UW�OES NOT I.VVLY TO AN OWNER OF = � /FqPEqfYYF10BUILDSpiWipVESTHEREON,ANDVAIODOESSUC}IN'ORKMIMSELFORHERSELFOR ¢ 7NROUGHMISOqHEqOWNEYPIOYEES,CNOVIDEOTHATSUCMYPROVEMEMSAitENOTMENOmOR m �� OFFERE�PoRSILEIf,iIOWEVER7NEBUlDN0011WPROVEMEHTISSOLDN7THINONEYEIIROFCOMPLE � T10N,THE OYMER�&1M1DEN WRL HAYE T11E BUROEN OF PROYWO TMAT ME ON 6ME DID NOT BUIID OR MPiqVEFOR7HEPURPOSEOFS�LE1 � � ❑LA^+�M�MEROFTMEPROCERfY,JJAE%CLUSNELYCONTMCTiMVrtTMLICENSEDCOHTMCTORS TO OONSTfR�CT THE PROJECT(SEC 70N.BU9ME59 AND OqpFE5510NS CODE:TME COMMCTOHS U- V8IU8SIW1 ADJ.AREA CEM4E UW OOES NDT MPLY TO/JI OWNEH Oi A PPOFERTY YJ1q BU6DS OH W PROVES TMEREON,MiD NFIOCONfMCfSFdISUqIDROJECTSWIT/A00NTMCfOR(S�LICENSEDYUHSUANTTOTHECONTMG pUANTITY ESCRIPTION FEE � TdiSUCENSEUW.F /' O I AG F%EM7T UNOER SE0. B.1 P.G FOR TMIS R[ASON Q (C U lt.. F D�TF OYMIER V � LICENSED CONTRACTORS DECLARATION W � INEREBYAFF11WI11DERPENALTYDFiERA1FIYTHATIAMLICEN5E0UN0EHiflOV1510NSOFCMMTER Vr �(OOAMENCWO YATH SECTIOH 1D001�DMSION]OFTHE WSINESSANO PROFESSIONS CODE,MlD MY LK�NSE R N ML FOR�ANO EFFECL m � ����5 ��.No. Q 131 j � a.� eorrrancma �}��,� a. - � WORKERS'COMPENSATIONDECLAFl TIONCC��r_�' 4 ' � . , • . N ^ ��� � � IHERE8V11FiliWUNDER7ENALtYOFVERNMCNIEOFTIIEFOLLOMnNGDECLAMT10N5.{� Z � _IHAVEAND1MLlW�iN1NNACERTIFICATEOFC�ONSENT70SELFMSUREFORWOPKERS' 2 � T COYPENSA710N.ASVRDVIOEOBYSECTION77ooOFTNEUBOHCOOE,FOitTNEVERFORMANCE U d OF TNE WORK FOR WHiCH TH1,4 FEN.��i IS ISSUED. � _IIUVEANDMALLMAIMAINYlORI(ERSCOMVENSATqNINSURIWCE.ASREWIREDeYSECTIDN /� ` �O � 37aoOFTHEUBORCOOE,FORTHEDERWRUANCEOFTNEWORK�ORWHIO1THi4VEtWR15 `7, , � ISSUED.MYWOPICERS'C041PENSATqNIN5U1WiCECARRiERANDPOLICYNUMqEflARE: CONSTRUCTION � awwea PLAN REVIEW � c � ��'��R ELECTRiC � (M65ECIICNrL�rqiBECd.RE�tEDocnEpp�i6roqaNEVLeDRmDatAfs(Staq0a�E55y PLUMBING Z ICERTIFYtHATNTHEPERFOiWM10EOFiFIEWORKFORINHICHTHISPERM�T15455UED,l MECHANICAL � SHALLNOTEMPLOYANVVERSONNANYUANNERSOASTOBECOUE5UBIECTTOTHE � N'OPoCERSCdAPEN5�T10NUW50FCALIFORN�iI�N�AGREE7NATIFISHOIIOBECOME INSPECTIONFEE S SUBJ'cGTTOTXEN/OftKERS'CO�APENSATIONiflON51� OOFTMEVBOR coo swu n+ca,+a�rwin� � ISSUANCE � � SMIP � p OATE: MPLICA , W ENERGY P/C WAqMtq:FALURE TO SECURE WDflKERS COMPENSA qN COVEMGE IS UNUWFUL,ANO SHALL BE �y SUflIECTANEYPIOYERTOCRIMlULPENALTIESMIOCMLFNESUPTOONENUNDREDTNOU5�N0 ENERGYPERMIT � DOLWLS(5100.OW),N/�DDrtIONTOTHE COSTOF COMVENSATqN,DAAIACES AS PROVIDED FOi31N � SECTIDN770lOFiHELIEOROODE.NTEREST.MIDATTORNEV5FEE5. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY `P,A�-Al :� � IHEREBYIFFW4UNOERDENALTVOFDEqlURVTHATTNEREISACONSTRl1CT10NLENDINOAGENq Y Z iOR iF1E PERiOR1AANCE OF TME WORK iOR WMiCN TM�S PERMIT IS ISSVED(SEC.70V7,pV.G). , W � IENDER'S NAA1E � LENDERSADORESS rJ+y � ICEHTIFYTNATINAYEqFJ1DTHI5AVPLICATqNN1D57ATETHATT1E/�BOVEWFORMATqNISCORRECT. TOTALFEES / / �, �O � IAfiREFT000IADLYN7T11/LLIGTY/�NOCOUNTYORD�NANCESANDSTATEUINSNELATWOTOBUSWNO r � � CONSTRUCTION.ANDNEPEBYIIUTHORIZEREPRESENTATIVE50FT115COVNTYMENTERU00NiME ABpVE.YENT1]NED OiIOVERTY iOR WSPECfqN Vl1HPOSES. � � � Co�ENT$ ��� r _ ,rv��.q/r'/!(��eccn�577�-��i:a� ^.-� - - � m VEfU1fTT �P . Q O � � REOFPE _ AfE - . � RECFT.NO. �J PAID BY VA[1DAT10N WHITE—OepartmentCopy,YELLOW—Finenea Copy,PINK—Assessor Copy,GOLDENROD—iite Copy,GREEN—ApplitanYs Copy ... .. ., . .. .. , , . . . . . . . .. .... r ., i , r . . , . , .. • .� , . . . .. _ ,� � .:�J...i ..�� d .�, ., .r:�'� a.� , ., �,�,� �`� �� 1AIViUf�,iD,BAR " ` � ` (���1��-'�`• r._,-� .. ., , � 1� S .TIOhI RECOF3D �. � ,� . � . ` -• _ .• , �,. ,� � ���� r r, i�� _ _ ,. - �..�.�......,,.-� ��r���-`��=;.���9��N .�v� ��'�'�.M� '.1��������'�.]� f►��-y...� ��`"����11�r�� irip���'= �t�`�.'i:���''�o��l :SET�BACK �, :�, ��� - --.- _ FLOOR,JOI��.._.._..._..,._..,.�.. ...,.,�..�.... ��.a�....�...�..� ._....,.. _ �FTGS/FO ' . ,. . . ,. . . _ . , . . ._ .- -- - RP�1S/STEEL _ , . :�,-' -- � , �� •.,��_ _ FHA RE�MTS _ .-.._...- : ;�, • � . . , _ -�... ,, .. � - _ _ _ --= _ _ ;ELECTRIC GROLIND. .. . _ . � - - -- ---- ---.__ _ �UNDER FLOOR 4}UCT ' , ` •. , - '''' . - i -- _..._. IGROUND PLUMBING UNDER FLOOR Gtit�u'��IT; `" ' ' " "' :`� "�``; ' • ' . . , . �__._� ::, _. iSLAB GRADE - ,: - --- -- - -_ _-- _ r. . � FIREPL�dE'F'QUNDATIOfV�� :. .�- " ` �• . _ __t. • ; . ; � ' ----- - -- � , , ;,--�-- ,TEMP POWER - - �" - FIREPLAC�I�ON�BEAM`,;..; }.•,;. \!,'.� �. :_.� _ _ �... ;.: . , , 'WATER SERVICE - - -'-- __ , MID'NT�BOND.6EAP,h�':':\ .t ��. ;�_ �., .(` .,. ; ,� . .:, � . 'ROOF SHCATHING t�,,-rl ' .'� _��:.�'� :�>�'t=-\"� S FT.B�ND� �1M .- ��•. ��.- (. .,n�+,•. L ."L�� �, � , � _. - ?FRAh11NGNENTIl.IATION - - - - -- FIhJAL'BO D�EAM �' `` � 1� �-� . ` ;� `ROOFCOVF_R _ . PRE-GRAd1N'G,..:_....,.� >> >„�1�, �,� , �._ _. . . . ,. _ .-, . � . . .. ,,, , • . .. ,. . _ . .. !ROUGH HcATING - - - ; -- -- - BENCHf[;1G"��- \�; .-�r• - � -1t, � , f ; 'ROUGH ELECTRIC !_._ _ ; :=-_ ' -: ROUGH GRADING _ . _ - - - -- --�___; -.. •ROUGH PLUMBlNG -- - --- - - � --- -- FIN�SH GRADING I c: �SNGWtR.RUB TEST -._ _._. __.. �._..-- :__ POOL ELECTRIC ' , , ` 'EXT.L4r H/SIDING - '--- -- - - - -- -; - - POOL FENCING R . ' . r � ',1��VALL INSUtATiON - . __ .-- -- 1 __ _. .. ---- - - POOL FINAL � • ; jCEiL2NG I�lSULATION - ----- - - ..____ . , ----- ._ OFF SITE IMPS. . , _ �DRYLVAL.L PJAIUNG � - _. _. ._ ._ -.- - - DEDICATI�NS :. �SEUeER_._... - --. _. --- FINAL•ENG. ; ;_ �SEPTICTANK , ,,, L'ANDSCAPE/IRRIG. i 'SEcP?IT/LL ,, L � ON SITE IMPS. ;G:;.SfJnTEST ' _ . v FINAL'Z�NING ' . ` , -- , . ; _. '�F;,*�� _t;ONST._' _ . _ 1_ :�'.rti��, .-,:.t�, =� '., FIREDEPT. FINAL ,. ; .: --- HEALTH DEPT. FINAL � �'• if7�`:i_:..NEATING - - - - - -_ .. ._ __ .. _ _ ,. +- � ELECTRIC - _ __ DEV. FEES PAID � � . ._ _ _ _ . _ _ . , .. .. ._. i:. .".-PLUM8ING - -- - _ . _ ENERGY � s _ - _ _ -- . _ _ . i ; . .... �. __ _ ___ . _ . - --- -- - ..-»--.�, � �:� 1.::'" � eta���t_.�._..,.4..�_i i, i _ ,._.__ - �. 11 -- -- -- � —._ _ _- - - -... _ ._ ._ . =j����_i.,��_;;-`�•,• � \l\ ..L ; ._. � -- . -. . _- . ._ _ .- --.- ' :�t.t:"�\ >,>, - �'\ :�C,LirliNiENTS���L(���_�_.� � I . � � -� �• i � - � � i . � ... ._ . . _. - - - -- - , i �- I E , , - - - __ __ --- ,_ � � _ � ' � � , ; � . -� - ., � � � i - . �� � . , i ... . . . ... . . . . .. . . . . � � , . . . . � . . �. i � ' . . . � - ' -' � � . . � � . _ .. __ . . . _ . . . � -���� �. .,`,�'��\ . . � . . � - -- . . . � _... .,.,��.. ����� �...����.� . r�•\ � , .. . - � - � � � i .._.__� . . . . . ' . .. ; ' ' �_.-— __--"'.— -_' • ' i SEPTIC TANK SIZE : ` ' _ , , � ' . ..: " , ,. , : . � , ;SEEP PI7/U SIZE: . - _ - - i __ ;���_�._..i - . - t, � ' � - . - -- - i -. , � , _ _ �� - ; - ___ _ ; , : ; I - — _ � _ __ _ __ ; ;,s��r ��, �, � - . , , � . _ _ - - -r .- � , , i . �`-- _. �� ' -- -- = - - . . _ `: . � �..,���:��_r.;-_ .,:� � .� ;t��. . .`,s� �'`,' ,1 . _�.. , _ .. ;--- � 1,��. .:� �,� ;�` � ������ _ _.._..-- � ._....... - - ; _ _ -- �: