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- � CTCY OF DIAblOND BAR COMMUNITY DEVELOPb1EN7'DEPARTMENT 216fi0 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3I17 PRESS '"" BUILDING PERMIT APPLICATION FIRMLY Q DORESS N� O . C � , � APPUCATION fOB7� _ � � i PERMIT p/C � � o DATE � � NUMBER N � ISSUE � TMPE OCC � APN LOT TR CT DATE CONST. GROUP p OWNER p ADDRESS Y• ZONING SETBACKS � CITY ' LZI � TEL. FFONT RW ❑ APPUCANT TEL. REAR � � SIDEJSIDE STREET Ryy p CONTRACTOR S1DE � o ADDRESS CITY ZIP TEL PROPOSED USE Q ARCH/ENG/ �I � DESIGNER ADDRESS � J. - ,� NO.DWEL. ' - , ' NO. . . h0. N CITY ZIP�'� TEL _ UNITS STORIES BEDROOMS N DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION p� OWNER•BI;ILDER DECLARATION p SFR/ADD/REM p i HERE9Y AFFIAJA UND£A PENILTy OF iERAfItY TNA71 AAf EXEAIP7 iROM ME CANTMC70fi5 U� GefH B/•GBfppf( � CENSEUWFONTMEFOL�OWWGR[ASqN�SEG70]1.SBUSPlESSANDPROFE451ONSCOOF:ANYqTYpq (n 9 ' ' COUN7YWHILHpEW�RESAiERMITTOCONS7RUGT,ILLiERMPqpVE.DEMOlISM.ORRCPAIRANr57RUC• W PaliO/DBCk TURE.VRqq TO R51554ANCE.�L50 REWIRES TME APPLICAM FOq SUCH PEHMiT TO FlLE A SIGNEp W � S7A7EMENT THAT HE OR SHE IS UCENSED PURSUANT TO iME PROVISi0N5 OF TME CONTMCTORS L4 � CENS[Uw(CNAPTER O I�MENCWC WITN SECTION 7000�OF DIVLSqN f Oi 7HE BUSiNE55�ND iRD � PooVSpa � FESSqNSCODE�ORT11A7HEORSNEISE%EMPTTMEAEFPAMANOTHFBASiSFORTHE/�LlfCE0ERE4�P• (� V TION.ANYVIOLATIONOFSECTION70]1.6BYANYMPLICMJTFdiAFERMITSV&1[LTSTMEIIPPLICANTTO Z �p(jpp� � A CML GE�'AITY OF N07 AqRE THAN FIYE MUNDRFD�IXUAS(55�01.1 � ❑I.ASON'NEqOFTHEPRODERTY,ORMYEMPLOYEESVnTMW�GES�STMEiRSOIECOMPENSATpN, O Canmereial Z WiLL DO THE WOHK,AND THE STRUC7URE IS NOT INTENDED OR OFFERED FOiI SALE(SEC.70Ir,BU56 J � N[55 AND PqOFE55iON5 OOOE:TNE Uk1TNACiOlLS LICENSE UW DOES NOT APP�Y TO 1W OWhEH OF ? PROPERTY Nn10 BUILDS OR IAAPqW ES TNEREON.AND W/q DOES SUCHMqqN MIYS[lF OR XE0.5ELF O{t � W TMROUGHNISQHMERONMEA�PLOVEES.VROYIDEDTMA75l1G/uPROYEIAFNTSARENO7WTfNDE00R CL� 0 OFFEREOFOq5ALE1F,NOWEVERTMEBU0.WNGOHIMvqpyEMEMIS50LDWRHNONEYEAROFCOM0.E� • '� ,��''� , Z iiON,THE OWNER-BUILDER 1M411AVE TME BUNDEN OF VROYiNO TM�T MC OR SHE DiD NOT BUILD OR � tMPROYE fOR THE PURVOSE OF SAE1. , • • �yJ ❑1A50WNCROFiHEPROPFRTY.AAIEXCLUSNELYCpNiMCTINdNTTHLICENSE�CONTMG70q5 /` LL TO CANSTRUCT 7F1E VqQ1ECT ISEG.)ou.BUSINE55+WD PROFE5510N5 COOE:TNE CONTMCTORS LI� V21u�l1q1 �ADJ.AREA W CENSEUwDOESNOTAPPLVTOJWOWNEHOFAOqOPEnTYWNpBUI�OSORIAAOqOYESTMEHEON,µp � WHOCONTMCTSFORSUCHVR0.1[CTSWITNACONTMCTOR(S)LICENSEDPURSUANTTO7MECONTMG QUANTIN DESCRIPTION TOR5l10ENSE Uw). EE 0 OIAMEI(EAIDTUNDERSEC. 8.6V.C.fOR7Mi5qEASON d �y U LL" �ATE ONTJER F- �Q UCENSED CONTRACTORS DECLAAATION W 2 IMEREBV/10FI{UAUNDERPENAITYOFpEiWRYTHATIAMUCENSEDUNDERVROVI510N5DFCNA7iER � Ci �(COMMENCwOWRMSFCTiON7000)OiDMS�ONJOFTNE8u51NE5SIfYJPROFE5510NS00DE.AND Z X YYI�CEN5EI5MFUlLFONCE�NOEFFECT. m � UCENSE CUSS Vp UC.NO.y3 S v 1� � V DA7E b�� -l a CONTRACTOR A^1 _ NS T p''. � ��-���9� = OAKERS'COMPENSA710N D AATION � ¢ u� �J V � IHEREBYAFFIRAIUNDEHiENALTYOFVERJURYONEOFTMEfOLLO'MNGOEC1AM710NS; Z � �IIUVEAN�WILLWINTNNACERiIFI�ATEOFCONSEMTOSELFaNSURLFORNt�qNERS' ¢ _ � CONPENSATION,AS PROVIDE�BY SECTION 370o OF 71,F IABOR ODDE,FOR TNE VERfOM1ANCf U Q OF iHE WOfil(FOR Nn11CM THIS PERMIT IS ISSUEO. � W �IHAYEANOWILLMA�HfAMWOFL<Ef7S'CO�PENSATiONMSUMNCE.A5RE0UIRE0Bv5ECT10N Q 77000FTHElABORCOOE.FOqTMEVERFORMMICEOFTHEWOIiKFOFVM1/1p1iHISPEhM?IS LSSt/E�.4YNUiU(FRS'COAIPENSAiqNiNSUfUNCFCARq1EqMlOPOCICYMIM[IFRARE: CONSTRUCTJON ����� J �,�,,,,,.�.�/����� j CARqiER�]2�""��fN!,r�T1Il_� N PLAN REVIEW � oaiere�uunea�-��7_Q' (Z�• Z � EIECTRIC p In+ssEcror+r�tbr�oTeEm.s�ETEooFnea�ru*rawr�or+Eruan[�oa.w�s�s+a�a�tEss} PLUMBING w Z I CERTIFY TNAT W iHE PERFOFMANCE Of 111E M'ORK FOiI WHICH TMIS OEHAIIi LS LSSUE�,1 MECHANICAL C7 SHALLNOTEMPLOYANYPERSONNINVMANNERSOASTOBECOUESU&1ECTiOTNE (/) WOW(EHS'COtiPENSATqNUW50F�IFO�NiA�N��CREETMATIFIS/KK1�DBECOME INSPECTIONFEE S SUBJECTTOTI!EN'ORKEHS'WMFENSATIONVROVISIDNSOFSECTqN�7000FTHEU�BpR j _oO COOE,IS/ULIFORT//NITHCOMPLYWIM �sEvi+ohs�s. ISSUANCE � G- 0— Q o��:r i 9 AP�'LICANT. SMIP z.o 0 w � WAANiN6:FAILLIHE TO SECURE WORNERS' NSATION COYERAGE U wF114 ANO SMKL BE ENERGY PAC � �y, 6UBJECTANE�PIOYERTOCRIUWALVENAL �SMI�CNILFW[SUPT F UNDRED7/10USAND ENEFlGYPERMIT ^+. ]„ OQURS(fI0U,000),MlALpRiOf�TOTHECOSTOF��M/PENSATlON,0Al/AGc ASVROV�OEDFORW �l SECTqflnoeOF7HEUBOROODE,NTEREST,NAAT70RNEV'SFEES. � � � RETENTION FEE: %�_ ��;"`a .09 � CONSTRUCTION LENDING AGENCY � '�W�_�: PRE•AlT FEE: Q IMERCBVALFtliMl1NOEH7ENA1iYOLpEl17URYTNRTTHFRERSACONSTRLK710N�EN�MJCAGENCY FOR TM[iERFOfiMAVCE OF iHE WOi1K FOR WNICFI THIS PERAIIT IS ISSUED(SEG]oY7,CN.C.). � � � Il tn�,.. LENDER'S NA/AE �,. ' � LFNDEF'SIDORESS � w� TOTAL FEES ��8. 2S 1 CERTIFYT/Ui�HAVE pEM THIS MVUGITqN AND SiATE 1HAT 7ME ABOVE INFOHYhTqN IS OOFR[CT. � IAGREETOCOAIPLYWIT'N/�pTy/WpCIXJHTYOADWANCE51WD5TATEUW5REU7WGTOBNLDING � CONSTRUCT�ON,ANpHENEBYA11f110N�ZEREPR[SENTATNESOiTWSCWNTYTOENTERUPONTME ' ABOVE�YENTqNEO VROPERTV FOR INSPECTION PURP06E5. COMMENTS � J M � b �- CO ve n e�+ervnir+r> � � � --� � (n GJ+�TUHEOFGEiWITTEE �7E .-Z� / � RECPT.N0.�q99� PAID BY 25 VALIDATION rr WHITE-Department Copy,YELLOW-finance Copy,P�NK-Assessat Copy,GOLDENROP�iIn Copy,GREEN-Appllcrnt'e Copy , , ... , . 'rr�. ,•r• � .. .���`. . . .� ° . y'����<. . � � —r • . , � . . . .. � . . .. , .� � . . `�' Y,, w :.i,'�:.,�R..�s�:�J-..7,.��J, �:1�;�:, �.i . CIT�',OF �I/�id�OP�!!?� ��'�R ;:� , ' � . : If�!SPECTIOP�4 RECtaP� � � " - _--�-_--.:.�..:_�-.-;�..�...._._. _. ._.___. -��: 'I���.�I''=�;`��f�.l►�;l r ��°. �:VF�- I��k-��_�E:��!a]:t (���.�'��;c.;=F�Cc��f ,cy:���� li!�1:a��c'-���1 -- -------_--.._.....- =--�-�-----.,._.W_..._.__..._-___--- . � ---------_�.----• ------ =--�=--.-=-- -------.__: ._�_._._..__.__.-_.,.-:_:._W__,��. `.. SET BACK • I � - . I � FLOOR JOIST - � FTGS/FORI'.4S/STEEL • i� FHA REQ"�1TS - . - • ELECTRIC GROUND � � UPJDER FLOOR DUCT ,; , , . • • � GROI�ND PLUMBItvG ' - UNDER FLOQR CUAIDUIT ' _ ..; -• ''�. .;�:: :.. �� SLAB GRADE ' ' I FIREPL�CE FOU�•lDATION 1 ` TE�"P POL"JER - FIREPLACE BOND 6EAb1 • 4VATER SERVICE - - P.41D HT. BOND BEAh1 -• ROOF SHEATHiPaG -- 8 FT. BOND E3EA��1. ' • � , FRAP�1INGNENTILIATION i�f7 f�:�� _ FINAL BOND BEAh1 . . 1 . - , . . ; ; . ROOFCOVEFi .. .... . PRE-GHF.DlhG � �., ' ' . :. ; . . _ . . . . .. . , .... ROUG11 FiEA?�IFJG �� �7_I�7 - �E��CHING I , �RdUGH ELECTRIC � l �r�y � ROUGH GRADING . p�r � ROU3H PLUh'E31�JG - FINISH GRADING ' . . � SHOI^JEFi/TUEi TEST POOL ELECTRIC Eh'T.LATH,�SiD1NG � - - - POOL FEPdCIPlG V�JALL INSULATION � ' POOL FItJAL � CEILING INSULATION / ,/ � —�1 OFF SITE 1�.1PS. DRYI�'VALLNAILWG ���/�I�I /2,�� DEDICATIOtJS ' � • SEVJER � f ,����� FINAL EhG. � SEPTIC TAM;.:-.'• '�•-- ' �= ' •, -' �� LANDSCAPE/IRFiIG. _, _ SEEP PlT/L:L . _ ON SITE 1�;1PS. GAS�'.1R TEST- ..._._. - FINAL ZONING FI�JAL CONST. --- - ,�� � �;�,� FIRE DEPT. FINAL FINkL HcATING . _ . _ . . _ . _ . .. HEl',LTH DEPI�. FIFdA� Ft�1AL ELECTRIC � - � DEV. FEES PAID � � � i . FINr"�L PLUPABINu E�•lERGY - --,--- - l — - ...���-..r .-r,;.;�1� --------- -R ,a�..._ � f '�+' e,1. .J: � ' - j�'.�^_' ...� , ,_ ..., _ . :,•. ` , _. _. ��... . ..:. .�.�.�._... _..t:.�- - - �n , ,. �. _ . --._., _, _.. -- —,—� _. . _ .. . _ -.__�• �i COh4PJ1E�!TS � � - - -- - - - - . �, - • , � ;,'• :,. ' .�, . . , ` : i 1 � „- — �, --- ;-„ _ . `.� "'�•_ . -- �-� -- ' , • . l l'-��-•.��., .. T , , — - . t, . �,� , - . --- SEPTIC�TA�1K 51ZE ___+�;�_'� ' � SEEP PITIU SIZE --. , , . ._.`�, ,r� �'y:; , , � , _ . , _ � .. ;.�� � .� ; - _ � �.::� . , . � , ��►� . , . , - - . - . � :� � � � ��f i� � � _ � ... ,. ; _ - : - - _. -- -____-_._'-: , . . e .•.�. � .� „ �L� . .. �.\1 .C . � . ` � "�-,�r � - ... _ ; �� � , , � , ... _.. . .. . --.. . , . . .. _ . .. .. - - ..._._'__'_"_'___+..��.�..J .. �