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--- _... — - --- -- -�- -- .._ - - --....�--- ---- - �- - - _ � - CTTY OF DIAMOND DAR COMMUNTfY DEVELOPMENT DEPARTh1ENT � 21660 E.Coplcy Drive Suite 190 PRESS Y (909)660�3195 Fax(909)861-3117 '�^'� BUILDING PERMITAPPLICATION FIRMLY � JOBSITE ���I � APPLICATION PERMIT � P/C o ADDRESS DATE NUMBER.1�� M � ISSUE TYPE OCC APN L T T T DATE CONST. GFOUP p OWNER u�� a , � ADDRES 1 ' ZONING SETBACKS � CITY :. ZIP L FRONT RW ❑ g APPLIC TEL. REAR ❑ � SIDEISIDE STREET RW O CONTRACTOR '�� SIDE ❑ � ADDRE S . _ � CITY ZIP �TELI� ' PROPOSED USE oARC NG/ � DESIGNER NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY 21P TEL. N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BI;ILDER DECLARATION SFWADD/REM O p I NEREBY�FFIRM UNDER PENALTY OF GERIURY iHAT I MI EXEIAPT FROM THE CONf1UCTORS U• GB�B90.�C91pOR W GENSEUwFORT11EFOlLOWWOREASONISEG7mf.68U5WE5SANOPROFE5510N50D0E:ANYGiY00. (� U COUN7VNMipIREOUTAESAPERMITTOCONSTRUCT,A1.iERMP�E,DEI.�OLISHORRE741RINYSTRUC• W P8I10/DBCk w TURE.PRqR 70 RS ISSUANCE.ALSO REWIRES TMElIPPL�CANT FOR SUC11 VEiN11T i0 FlLEASIGNED W � 6TATEMENT 1N�f ME Oq 5/1E I6 LICENSEO►URSUANT 70 THE PPOVISIONS OF THE CONTMCiOi35 LI• � LENSE UW(CMAP7ER Y(COMYENCN6 w1TT7 SECTqN 7000)OF Drv15qN�OF TY�E BUSMIE55 AND PRD� �' Poo�SPa . FESSIDNS CODE)OR THAT HE OR SME IS EXEMPTTMEREFROM ANO TN[BASIS FOR THE A1IEGED E%E�+P• TqN.IIM'VqIATIONOFSECTI0N70�t.6BYAM'APPLICANTiORAVERMIT5UFi1ECTSTHEMMICANTiO Z RB-ROOf � ACMLVErL1L7YOFNOTYORETHANFNEHUNDREDDOLURS�3500).): � DI��EROFTHEPROPERT/,ORYYEAIPLOVEESMnTNWAGESAShIEIRSOLEfbM7EN5AT10N, 0 (`,pmm6fCl21 WILL DO iHE WORK AN�THE STRUC7URE IS NOT INTENDED Ofi OFFENED FOR SA1E(SEC.7oN,BUSb J � NE55 AND iROFE5510N5 CODE:T1E CONTHACTOH9 UCENSE UW DOES NOTAFPLY TO AN OWNER Of j . PROPEfiTY WNO BUILDS OR MDROVES TMEREON,AND MMO DOES SUCN NqRK HIMSEIF Ofi MERSELF OR � THROIkHWSORNEROWNEMPLOYEES,GfqNDE�il1AT5UCMMPROVEMENTSARENOTNTENDEDOR, m . � OFFENEDFORSILLE,IF.IIONlEVERTNEBURD�NGORIGPfiOVEYENTISSOLDMA7HtNONEYEAROFCOMPLE• Z TDN,TNE OwNER�BULOER WiLL MAVE TNE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � MvitOVEFORTMEOURPOSEOFSAI.E7. W OI�OM'NEROFTHEPROPERTY,MIE%ClUSNELYCOMRACTIlMWITHLICENSEDCONTMCTORS (r TO CONSTRUCT TME FROJECT(SEC.70N.BUSINE55 FND PROFESSIONS CODE:TME CONTRACTORS LI- V2IUBIICf1 A0.1.AREA W CENSEUwDOESNOTM�LY70ANOWNEROFAPROPER7YWrqBUttD50R1A1PROVESTIERE0f1.AND � NTqCOMMCTSFOfISUCMPROJ[CfSWITHACONTMCTOfl(5)LILENSEOVURSUANTTO7MECONTMG ou�wnTv DESCRIPTIO • FEE TORS IICCNSE UW�. t - 0 O I IU�E%EIAPi UNOER SEC. B.t i.G FORTMiS REASON U ' uv LL' DATE ONMER � • Z V � W 4 LICENSED CONTRACTORS DECLARATION .. W oC I HEREBV AFFIRII UNDER PENALTV OF VERRIRV T1UT IIU7 LICENSED UNDER VROV15lON5 OF CMAPTfR � � ♦ � �(COYMENCwO W1T1i 5ECT10N 7oao1�ONISION 70F TNE 8U51NE55 ANO PROFEBSiONS CODG IN0 Z V YYt�CEN5E15N1FULLFOfi EANDEiFECT. � m LLI � UCENSE CLASS LIC.NO. � J - V DATE CONTRACTOR a W ,� � WORKERS'COMPENSATIONDECLAF2ATION ��N`� a �. S � I HEREBY I�iFIRA1 UNDER VENALTV OF FE0.R1H'/ONE OF TME FOLLOWiN�DECLARATIONS:�(/(��� V � � () Z � Q ••.G �INAVEMAW�LLMAMTIUNACERTiFICATEOFWNSENTTOSELf�NSUNEFORY10f>XERS' _ '� COMPENSAiION,AS PROVIDED BY SECTION]7000F TNE UBOR COOE,FOH THE VERFORMANCE U , Q OF THE WORK LOR WHICH TMIS PER417l5ISSUED. � C _I XME AND YALL�uNTMN WORKCRS'COMPENSATION INSUMNCE.AS REGVIRED BY SECTIDN O ]7000F THE IABOR COOE,F THE PERFORM�VlCE OF TME WORK FOR WHlpl iH15 PERMITIS ISSUEO.L11'MARN PENS .iONWSU ARRIER ILYNUABEHME: CONSTAUCTION Q � CMRIER PLAN REVIEW 0 oo��crr�ur�e�a • ELECTRIC 0 (11iS5EC110Nr1E� NMRE7mOFTEPER��T6PoRUElu�ORED R+�IOH PLUMBING �r Yf � 1 � � . Z ICERTIfYTMA7WTHEPERFORM�VlCEOF7HEMUHNFORW11IdITMiSPERUITt5155UED,1 MECHANICAL (,'} SHALLNOTEMttOYAN'fPER50NWANYMANNER50A4TOBECdAE5UB.1ECiTOTHE N NORKERSCOu�ENSATiONUW50FCAL�FORNi,�iv1DAGREETMATIFISnOUIDBELOME INSPECTIONFEE S SUBJECTTOTHEN'OpKERS'CO►IPENSATqNVROVI5qN5DF5ECTqtr770oOFTHELABOR FEg-�-�-�� cooe,i sw�u roar�n�couv�r vnn�nasE vaovtsaHs. ISSUANGE �J � � � �v � SMIP p DATE: APPLICANT: � ENERGY P/C WAIWINn iA1LURE TO SECURE WORKERS COM7ENSATqN COVERAOE IS UNUWFUL ANO SMALL BE �y SUBJERAHf4�LOYERTOCRNdiNALOENALTifSANOCMLGNESUPTOONEHl1NOREDTIK7U5M1� ENERGYPEFMIT DOILAFtS(ttao.000).IV 11DDITION TO THE COSTOF CdJPEN5A7qN,DAMACES AS PROViDED FOq Nl � SECT10Nn000fTXElABORCOOE,NTEREST.ANDA7TORNEY5FEE5. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IMEREBYAFFlRIAUHDERVEN/�LNOFPERJURYTHATiHERE15ACONSTRUCTIONIENDiNCACENCY �Z FOR iHE PERFOR�IANCE OF THE WORK fOH Mmidl THi4 PERMrt IS ISSUED(SEC.7oa7,pV.G). W � LEHDER'S NAME � IENDER'4/DORE55 �7 �/'� � ICERTIFYTHATIHAVEREADTHISAPPlIGT10NlYJOSTATETNATTMEA80YEWFOHAUTqNISCOfiRECL TOTAL FEES J � �`� W IAGREETOWMPLYWfiHIILLCRYANDCOUNTYORJW�UICESMMJST�TEUWSREUTIN4TOW4DIN0 � CONSTRUCfiON.At�MEHE8YUR110RIZEREPHESENUTNESOFTMSWIMTYTOENTERUPONTHE � MENTIOriEO FOR INSPE aa vunaos[s. COMMENTS � i ' � �� � m VERMITTE (P . . . � � N y SNiMA7U E OATE � • RECPT.NO. 7 PAID BY � VALIDATION . E ep�Nnent Copy,YELLOW—Fin�nca Copy,PINK—AssossaCopy,GOLDENROD—Fita Copy,GREEN—ApplksnCa Copy _. . . . . , .. .. . . .. .. , .. . .... .. :.... :... .,: . . .. . , . . . . . . . . .,., ., _.._„� .� �. :.. .. - . :> �.-:�;;�,: , , .. ,. , � . � CITY.;OF.DIA«i0��!� �AR ��,`;.'.` .... . ' .. . : � INSPECTIO�� REC�L'�D . •:' ;� ',; , . � I►��-�i:.�_a.c�.�lo�►�f �;1t�!: .I►�F-���.c,;��+1C� � �►�F-�'�����'.C�!►ye ��_�'�'-�, . � ��►�1i.a��e'•rs���3 � ----- - .-r.:� �.1:-:—._ .... ._... ---._�..__._._..___. __._._._..---_-- �_ ._. . SET BACK� , ...i _..._....,. _`_ _ .; .\; _' } ' �r FLOOR JOIST _ ..-- — . _ .._�-__,... -- -- ��. •.. , _�- - , : FTGS/FORPAS/STEEL- � • ; FHA REQ„�TS � � � ' - - ` ' - - - ' ' ' _ _ ELECTRIC GROUND � � I .UfJDER FLOOR pUCT. , . � ' � � i • �' I - GROUND PLUP.IBING � ' ': UPdDER FLOOR CU�dDUIT � _ _ __.._ :'�.> ' �• SL/1B GRADE ' 1 FIREPLf10E FOUtJDATIQ�d..=__. _ _ � '�' ' � � � TE�.1P POVVER . . . _ .... - FIREPLACE BOPJD BEAM�. � ,..:� .� . _ ' ' - WATER SERVICE - . ZI7 fB ��� ' I P�11D HT:BOND E3EAM• �, ' ROOF SHEATHING � � � F3 FT.BOND BEA��1 • , ! � FRAP,AINGNENTILIATION � � �'f'INAL BOND BEAF;1 -� - - -- - . ROOF COVER ... - --.. . - . . PRF-GRADING - ' ' I ` I . � �. � < �—�1. _.... - _ . _ . . . ROUGH HEATRJG - = - - - BE�JCHING ' ROtJGH ELECTRIC �� - -- - - ROUGH GRADING ROUGH PLU��IBING � � - - � FINISH GRADING . ' ' SHOV'JEFVfU6TEST. � �� - " � -- , � POOL ELECTRIC , EXT. LATH/SIDING - - - � �--- - POOL FEN..ING .. � . � WALL INSULATION ..J POOL FINAL : . �� . • ' CEILING INSULATION OFF SITE IP;1PS ' ' , DRYWALL NAILING � DEDICATIOWS SEWER . . .... ' . . _ _ FINAL EPJG. SEPTIC TANK � LANDSCAPE/1RRIG. � '� , ' SEEP P!T/L.L. ' . ' � ON SITE IP,APS. � GAS AIR TEST - - ' • � . ---• �- • FINAL ZONING • - • FINAL CONST. : ' ; • �. -,: ;.-- -- FtRE UEPT. FI�JAL - � � .; FINAL HEATING -- -- .• � _ . . : _ HEALTH DEPT. FI�JF,L �. - --- -- '_ . FINAL ELECTRIC �" . • . �"�-.' � DEV. FEES PAID , , , � FINAL PLUh1BING _I; z>�6 --� _ E�.ERGY �Y 1 ' • - I ;- � , /i.i 1� � . . , _ , , • � _ � ._ .. ._ . I . - _ , , . ----i l j=�!?_C1:'(:�:;C �''.�...-._.�.s .s�...wr ._ ._ � ' , _ .� . . � ..._ � . .. . . ... .. .. _.. • .�. • ,. . . . . . . COMMENTS , , . . ..,_. . , . � � _ .. . _ . . .. . . . . . i . .. . .. i ;. , .. - `., A,:,� i `. ,_�— __; , - �. .... . �� �� , . �`. .... ;=�y _.-� •� `.; ,'.�� r���� . . '�. ----- ' . .. . �-'�� i;�� �•.I�_��� . . ' � ' _ ��� \ _... , . . , • � � , , _ SEPTIC TANK SIZE � � � , , _.... ....... .. .... ... ....----.. .. _ _ . SEEP PITIU SIZE _ i ;� . . ` . � .^ � .. . . . .'�� . . _ I j I . .. __ ___ - � � • - -- --.. _ .. . .. -- - -- � . i���� _ , � . . __ __. . � , ; . . . . _. __ . . . ... . I , . . -+ - .�r�,�� - , . � , - ` , < < �� •, \ ���; ! I _ _ - • . , - , . , , ,� . ._ • ----.. . _. . ._. . . . . .