Loading...
HomeMy WebLinkAbout10358 CTfY OF DIAM�I3U BAR � COMMUNITY bEVELOPMENf DEPARTMENT 21660 E.Coptey Drive Snite 190 • PRESS � (909)860-3195 Fax t�9)861-3117 �'�'+ BUII..DING PERMIT APPLICATION F1RM LY oJOBSITE ��.,{�A�� ,�}��,,� APPLICATION PEHMIT P!C ADDRESS�IO�� �W7�LC/ "`�^'�� ` DATE o�. NUMBER , M � ISSUE TYPE OCC APN LOT TRACT pATE CONSL GROUP g OWNER ZONING SETBACKS � ADDRE CITY ZIP � TEL. FRONT RW ❑ APPLICANT TEL. REAR O � SIDE/SIDE STREET RW O CONTRACTOR SIDE O � ADDRESS • • • PROPOSED USE � � � an tuot.,�,+,r/�F9'I��— Te � ARCHJENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. FACTOH PSF ADJ.AREANALUATION � � ONMER-BI:ILDER DECLARATION SFq/ADO/REAd O p f HEREBY AFFIRM UNDER PENALTY OF►EiWRY iNAT I AY pfEMPT FRON TNE OONTMCfORS L4 GefiQ02atpOR CENSEIAWFORTHEfOILOWCIOREA60NI8EC.7a91.6BU51NESSINUPROFESSION9CO�E:XJYpTYOR (n Cq1MYWNIpIREpUIRESAPEfWITTO00N9TAUCT.KTE0.�PROVE.DEMOLISF40HREWURANYlTRUF `W Pl�10/OBd( TURE,PRIOR 1D ITS 18SUANCE,AL50 REOUIRES TNE MPLICAM FON M�H PEMII7 TO FlLE A SIONEU BTATF4IENT TMA7ME OFt BHE!B UCENSEO PURSUAMi 70 711E PiiOVI510N5 OF TN6 CONiAACYOfib-LF . CENSE tAW ICNAP7ER�(CONMRICINC WI1TI 6EC710N 7000)OF�IWSIOf�I s OF 7NE WSINESS AnD Pf� LL' POO�ISP9 FESSIONS COOE)dt THAT ME OR SHE IS EXEMPT7MEREFROM ANO TFiE BASIS FORTME M.LEOED E%EIAP• TqN.ANYVIOLATIONOFSECTION7031.6BYANYAPVLJCANTFORAPE1tl11TiUBJECT81t1EM%.ICAMTTO Z qa-qool � !1 pVIL PENALTY OP NOT MORE TMMI FNE iNAJDREO DOLlARS q6001.)� . � OIASOWNEROfTHEVROPER7Y.ORMYEMPLOYEEBWITHWl1(1ESASiHE1RSOLECOMPENSJITION, 0 (�`qpmBfCl81 - WILL 00 7HE IMONK M1D TME 6TitUGTURE IS NOT INTEN�EO OR OFFEREO FOR B�LE(SEC.70M BU66 J NESS MIO PROFE55 WNS CODE:THE COMi�IGTORS LICENSE LAri DOES NOT MPLY TO AN OVYNER� y VpppEp7yW�qp{Jpp$pqNIPROVESiMEREON,ANDNMO00E55UCMYVOIINMMSELFOfiMERSELFOq = Q iV1110lkHNI50HNEROY/NBAPIAYEES.PROV1UEDiNATBUCH�MVqOVEMENTBl1RENOTINTENOEDOR m . . OFFERED FOR S�LLE i,NO�NEVER 7ME Bl11LdNG OR MPROVEMEM IS SOIDNATMINONEYfMOF00NPLE• TIDN,INE OWNER-811H.DER WILL iUVE 1HE BUR�EN OP PItDYWO TMAT NE OR SHE d0 NOT BULD OR pMFtOVE FOR TIE PURPOSE OF SALE� - q l ASONMER OF THE PROPERTY./M EXCLU61VElY CONTAACTINO WITN LICENSE�CONfMCTORS [C TO CONSTiIUGT TME PRQIECT(EEG 70�1,BU91NES5 AND PAOFES�ONS CODE 1t1E CONfMCTOP6 U� VB1Uellal I.DJ•AREA - = CENSEUWDOESNO7AVPlYTOIJIOWNERDFAPROPERTYWFIOBVILD90RNAPAOVESTHEREON.AND �;_ wi+ocor�rn�crsFoasucHanwecrsMnn+�oonrn,�cron�s>��nseoPunaff�vrrron+ecorrtw�c OUANI'ITY OE5CRIPTION FEE � TORS LICENSE IAW.� O I1JAE%EMPt UNDER 6EC. B.�P.C.FOR THIS REASON � �'+' DATE ONMER � � � � LICENSED CONTRACTORS DECIARATION ' � I MEREBYAFFlRM UNDER PENALT/OF iERIl1RY TIAT IAY�ICENSED UNDER PROYISIONB�CHAPiEH � � �(COM�IENCM70 MAM 8EC710N 7o0D)OF OMEION 90i TME WSINESSAND►ROFE9310N3 COUE,AND - 7G YY LICENSE IS N Fl1LL fOHCE AND EFFECL � - LL! � 0 UCENSE CLASS t1C.NO. � � p�7E CONTMCTOR . � `WORKERS'COMPENSATION DECLARATION '�',�J" I � � 1 NEAEBY AFFlRM UNDER PENALTY OF PERNIRV ONE OF 771E FOLLDWING�E0.IUUTIDN6: � - �' a C] _I HAVE AND WILL NAINTMI A CERTIfICATE OF CdNBEM 70 BEIFINSURE FOR WDf1KER5' _ - CqiPEN5A71DN.ASifiOVIDEDBY8ECT1ON�70oOFTIffU1BORCODEPORI'NEVERFOiWANCE U 4 OF THE WORK WR WM�Qi iN13 PERMR IB ISSU�. . . � � _I MAVE AND N1LL MAWTAIN WORNERS'CO4PENSATION WSURMICE.AS PE�UIRED 8Y SECTION QQ 9700 OF THE LABOH CODE.FOR THE PERFORMANCE OF THE W'O(iK FOR WHICH TWS PERIAIT iS � ISSUE0.MY WORKERS'CONPBdSAT10N INSURANCE CARRIER AND POLIGY NUMBER ME: CONSTRUCTION � c�wtEa PLAN REVIEW � POLICYNUYBER E (7I� �nass[cnon�r�areFan.s�'r�aF�e�n.�r�swr�a��u�moottu+s�+m1a+�? P� _'..''y � ICERTIFYtF1ATRITHEPERFOAMANCEOFTMEWORKFORWMiCMiH�SPERMITKI53UED,1 MECHANICAL �J' S7/ALL NOT EMPLOY ANY OERSON IN ANY MANNER SO AS TU BECdME SUBJECf TO TNE . . � WORKERS'COMPENSATIONUWSOFCAI.�FORNIA�DA6REETMATffISHOULDBECOAJE INSPECTIONFEE � gUgIECT7pTHEWpRKEpS'OOMPENSATpNOROY1S10N30F8ECT10N97000FTHElABOR .._, _ ' COOE.�ISHALL�FORTMWITMCOMPLYWITH��/gs E isaHs. ISSUANCE "�'�� p OATE:yQ� APPLICMIT:�•�- SMIP �`.. ��'P� ; �' � WMNINO:FALURET08EWREWONKERS'OOMPEN6ATIONCOVERAOEISUNWWFUL,ANDSHALLBE ENERGYP/C SVB.lECfM/EMPLOYER70CRUAINAL�BlALTIESAN�CN4.FWESUP700NEMUNDRmTF1DU6AN0 ENER6YPERMIT DOtL.Ms Ii10D.000�IN AODITION TO TNE COST OF CONPENSATION.DAMA�ES AS PROYIDED PDR M1 J BECTIDN�7Ot OF 7HE LA00R WDE.NTEAEBT,AND ATTOFlNEYS FEES. � - RETENTION FEE: 4=4��1 f 1 •E . . Q � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: 1 NEREBYAGFIqM UiDER PENAL7YOF PERNNY TMATTMERE IB A CONSTRUGTION LENDMlfi AOENGY fOR TlIE�RPDRMAl1CF OF iHE WORK WR WHICN T111S PERMIT IB ISSUm(SEC.70a7.qY.C.j. � -. � l@IDER9 NAME . . � LENOEA'BIDDPE55 � ICERTIFY7NATINAVERF.JIDTNISAPGLICATIONANDBTATETliATi17EABOVEINFO1WATqNIBCORRECT. TOTAL FEES - . ��,J� - 1►diiREE TO COYPLY WITH ALL CITY ANO COUMY WiD�NM10E8 AND STATE LAWS PEURNO TO BULDINO - CONSTqUCTl�1,MID MEiiEBv�1Ii110R12E REPRESENTATIVES OF THIS COUNTM 70 FN7ER UPON T}E - - . S� ABOVF�IENTIONWVIiOVEATYiORINSPECiIOHPURPO3E5. (�'QMMENT$ �,�,� � ►ERMITTEE NAME RwNTI � . . � ��. ��a�� - y lIaNATUREOFPEi1MRTEE � OATE - ' � FECPT.NO. AID BY VAUDATtON WH�7E—Oepamn�m Copy.YELLOW�inar�ce Copy.PINK—Aaseua Capy.OOtDENROD—F�Is Capy,OIiEEN—ApqlrJnCa Copy .. _ .. , . . . � . •.'�` �s . ._ m:,k: z i.-i.;?=L.? r . '�✓:?..��. . . .. ...�,.,c�-�r�': _ir,.k.., _. . -. ._. - . . -, ,_ �- - - CITY OF�!/�1�6QhtI3 BAR"`- ,,�, , ' 1RESPECTI0t�1 REC��Q � __... �_ � � r � • � ; �_ . ���� .� . e � - s - ____�.. . _-----_ _ _ �.._....._ SET BACK _ _. _ FLOOR JOIST ____ .. ._ _ _..._ __ FTGS/FORMS/STEEL ' - FHA�CEQMTS ' ..- -�.� .., � , ti .�_. _.. - ELECTRIC GROUND � . UN�ER FLOOR DUCT � �.,-;.�:�_ ; :. � - _. . - GROUND Pl.IiMBING ' _ _ UI�i�ER t��7�i�MbUIT �-- •� .' J j+:. �..`;,« `,<:-�J.•. _ � _ SLAB GRADE ` - - - _ _ ` ' , FI�EPLACE F�UNDATI�N - - _'' ,• �� �- _ _ . I TEMP POWER -- ., - � FiREPLAGE BOND BEAM _ „�. 'i. " ,� , � ; '� WA7�Ki`S�fiV � `:.�, 1 •�• �.._ :� `._ ,:, ; MID NL Ba�U$ , .•��..' � .�, � +t . . . _ _ : _ . , .• ... , " ,. ROOF SHEATHWG ' � "' � I 8 FT.BOND BEAM `' � FRAMINGNENTiLiATION � �INA�.BOND BEAM -" - ; � -. ROOFCOVER - _._ i PRF-GRADING . � ROUGH HEATING - , �ENGHING � flOUGH ELECTRIC - ; ROUGH GRADING ROUGH PLUM8ING � . ; FINISH GRADING � ' SHOWER/TUB TEST " -- P(�OI:ELEGTRIC ' ' EXT:LATH7SIDING __j __ _ � PObL FENCING ' ` WALL INSULATION PO�L FINAL ' CEILWG INSULATION OF�SITE 1MPS. . DRYWRLL NAILING � , DE�ICATIONS • SEWER__ _ , I.; FINAL ENG. - --�-- - SEPTIC TANK. _ � ! I LANDSGAPE/IRRtG. SEEP PtT/Ll. j ' ' DN SITE IMPS. ; GAS AIR TEST , � F!P[AL ZOMNG i —-- -- � �_:�. -FINAL CONST. - - � � FtRE DEPT.FINAL ! FINAL HEA�ING __ - - i • HEALTH DEPT.FINAL ' � _ FtNAL ELECTRIC ; DEV. FEES PAID ; � FINAL PLUMBING ..__ _ j � rI, , . • .,.;s` - ENERGY ; -- -� ,, _ ,f:, � �;. � �;c�r-"��e�i�:�xa�� -�*:'�-�_� �� _ _ _ _ .. - COMMENTS � . _ - -- , . -� - , . . .� . _ ;, ,_ ;:_. , ,. _,. SEPTIC TANK SIZE S��P PITlU SIZE __ _ _ . _ � ._ ._ C�`�. ..� .�.1�