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HomeMy WebLinkAbout15237 (30) CITY OF DIAMOND HAR ' � - �� - DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 P R E$$ ��>�� BUQ.DING PERMIT APPLICATION FIRMLY o� JOBSITE �IQ 2 �� �r��d� A� � DATECATION 1 � NUMB R`�� 7t/C ADDRESS- / ✓ � ISSUE� TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNEfl LL' ADDRESS_1� �4- � I►^L ZONING SETBACKS Z CITY L' ZIP TEL �O-� / I R�RT RW ❑p g APPLICANT�� _✓�/ ��C TEL SIDElSIDE STREET RW O � CONTRACTO L� C SIDE ❑ g ADDRE�S �� C �P�1 ZIP TEL PROPOSED USE P�+ ARCH/ENG/ � DESIGNER NO.DWEL � NO. NO. ADDRESS UNRS STORIES� BEDROOMS � CITY ZIP TEL. � OESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADD/REM O � p I NEREBY/FFlRM UNDER VEIULTV OF OERA1pY THAi 1 W EXEMVT FN04 iHE�lf11ACTORS L4 Garage/CarpoR [L CENSEUWWFTMEFOLLGWOdUAEA50NI5EC.76]1.6WSP7E93ANDPROFE3510NSCOOEANYCRYOR - (n � COUIlTYWHIGIRFOUTAESAVERMITTOCONSTRUCT,ALTE0.MCROVE,DEMOU511.ORREPAiRANVSTAUG W PatiolDaGc � IURE PN�OH tt7 Ii3 RSUMICE AL50 REOUIRES 7ME APPLIGNT FOH SUCM PE WAI7 TO FiLE A SiGNED W � ETATENENT TNA7 HE Ofl S11E IS 110EN5E0 VURSUANT TO THE CROVISIONS OF THE CDNTMCTORS U- � CENSE UW(QUVTER 0(COAIMENQN�W1TM SEGiqN 7000)OF DMSqN 7 OF TME BUSINE55 AND PRO- u' POOVSPB FE59ION5 OOOE)OR ilut HE O(15ME IS EXEMPT TIEPEFRdA AND iHE BASIS FOH THE ALLE�ED EXENP- TqH.ANYVIOL�i1DNOFSECf10N7W1.6BYANYAPMIGU1TFIXiAPEflMIi5U61EGT5TMEMVLICMl�TO � Z RaRool � ACIV4GENALTYOFNOTMOREi1W�iT/EHUNDREODOlWi51f5o01.} � OI�SOVMEROFTHEDROPEqTY.ORMYEYPLOYEE5WfT11WAGESAilHEIq50LECOAIPEN5AT10N, 0 L`pmm0fCl2I - NN.L DO THE WORK,AND THE STRUCTURE IS NOT IHTENDED OF OFFERED FOR SALE ISEC.tW1,BUSI• J NF55 AND pROFESS10N5 OOOE:THE COHiPACTONS UCENSE U'A DOES NOT AVPLV TO AN OWNER OF N ►iqPERTYYVNOBURD90RM1iROVESiMENEON.INDM�IODOESSUpIWORKHIMSELFORMERSELFOR � Q iHROUGMW50RHEROWNEA1vLOYEFS,VROViOEDTUTSUCN�.1vROVE4fM5ARLNOTMENDfDdi m � O�FEREDWRSKEIF./qWEVEilTMEBUCDN100RIMPROVEMDlTISSOlDWI7WNONEYEMOFCOMRE- Z 'TIDH,TME OWNER-BUttDCR WILL HAVE THE BURDEN OF VpOVWa iNAT ME OR SHE OiD NOT BUIID Oii = MCROVEFORTMEPUflPO5EOf9ALE1 W OtA40wNEROFTHEPROPEATY.AMfXQUSNEIYCONTRACTWON7;11UC£NS�CONTMCTORS � 70 CONSTRUCf iHE iRDIECT REG 70M.BUSINC55 MIO FROFESSIONS CODE:THE CONTMCTORS LI- VD�u8ti0n ADJ.AREA CENSE UW DOES NOTMPLY TO AN ONMER OF A PROPERTY WMO BUM1DS OR r.1PROVES THE RCON.AND � YYFIOCONTMCTSFDRSUCHVR61ECf51MTHACOHfMCTOR�51lICENSEDPURSUANTTOTHECONTMO OUANTITY DGSCRIPTION FEE � To�tSUCENSEUw.} O��M E%EMPTUNpEfl SEG B.f V.G FORTHiS REASON Q 3 Q -... // . � �,' . u" DATE � OYMER �" • � , U " ' �� � LICENSED CONTRACTORS DECURATION W � INEKBYI1FiYWUPIDERPENFLTYOFpEfWRY7HATIFMIICENSEDUNOEHVROVi5KK150fCMADTE� Vr . � f(CCrwENCNO Mrti}i SECTqN 70oa)OF DMS10N 7 OF iHE BUS:NESS AND PROFESS!ONS CODE,ANO Z W lKENSE IS N M.L FORCEAND EFFECT. LLI / �/� �' � 0 LICENSECUSS� LIC.NO, j � DATE �'1^� I"�DO Z CONTRACTOfl � = WORKERS'COMPENSATION DC-CLAFiATION / � — / Oc,( / S �l — � INEREBYAFFIRAIUNDERPEN,LLTYOFFE0.)URYd+EOFTNEFIXL01MN00EClAHA � 5: � C � _INAVEANOWiLLNANTNHACEHTIFICATEOFLONSENTTOSEIF�lASUREF Eq� � CWPENSATqN,lSVRONDEDBVSECTION77000FTHEUBORCODE,FOR MANCE OF TME WORK FOfl WHip1 iH�S VERM�T IS ISSUED. � G ' Q �IHAVEAN0IYRLWMA�NWONfER5GDMPENSA7�ONINSURANCE,ASPEO iREDBYSE 77000�TNEU90HCODE.FORTMEPERWRM�NCEOFTHEMVRRFON iM15 �TI � ISSUE0.MY WDRKFAS'COM7ENSATION W SUNANCE G�AWCR FN�POIICY N MC: �i0r1$�f1UC�1�N > uwqiEa PIAN REVIEVJ � POLICYHUMCER ELECTRIC 0 (n�ssEcnor+r+[IDNorBeoor.aFrFDOFnEvtaMisR�aa+EM.+o�noo�WtsR�rolrn�ss} PLUMBING Z ICER77FYTIURWINEPERFORYANCEOFMEY10iIXiOHMM11ICJITXISVERM1T6I55UE�,l MECHANICAL � r� (7 SMILLL NOT ENPLOYMIY PE��N N ANY MANNER SOAS TO BECOraE SUBJECT 707ME � WOPoCEPS'WUPENSATqNUwSOFCALIFORNIA,ANDAGREETMATFISNOUL�BECONE INSPECTIONFEE SUBlECTTO iHE WORKERS COMPENSATION iRON510N3OF SELTq ]70o Oi 7HE rj 7cooe,isNutro�n+vnn�cana�rvn�no�nsLn s. ISSUANCE � p DATE:/f/ APPLICAM. SMIP � � � (� �/� /� � � WARNINa:FAdUflETOSCCUPEWOflKER5COMVENSATIONCOVERAGE15UM11 ANDSM�LLBE ENERGYP/C ��1__ 1_'S /11�11 - SU&IECT/w EMROYEii TO CN4wAl OEwLLiIE3 AND CML FINES UP TO ONE NUNOiiED T1qU5AND o L Tv�Z V r'i ENERGY PER�Ij DCILMS(SIQ0,000),N 11DDITON 70 iHE CQST OF L9MPENSATpN.�AIMGES AS PflOY1DED FOq W F ll1A� ¢ SEC7qN77oeOfTT�ELABORCODE,NTEREST,IwUATTOIWEY5FEE5. - RETENTIONPCe' a CONSTRUCTIONLENDINGAGENCY pRE-ALTFE�BCIII..DI1Vr AND SAFET'X � � 0 � IHEREBVAFFIRAIUNDERVENKTYOFGF0.A1RV7HATTMEREISACONSTFUCfIONLENDW6ACENCY Z FOR711E PERFOPMAl/CE OF TNE WORK FOF N7'7CM TMiS PERAIIT IS ISSUED(SEC.70G7,CN.G�. W � IENDEHS WWE � lENOEH'SAOORE55 . � ILERTIFI'THA71MnVEREAD7�l^a11PPliCATqNANO5TA7ETUTiMEABOVEINFORYA7pNI5CORnECL TOTAL FEES � � w 1ACREETOCOAIPLYWITMKLCT'ANDCOUNTYONDIWWCESANOS7�7EUN5REU7N0TOBUILDINO � a' ODNSTPUCTqN.ANDNEREBYMrtFqRIZEREVR[SENTATrvE50FT17i5tOVNTYTOEHTEHUPoNTHE � � Z AOOVE�MEMqNED7ROPERTY OR�KSPECT nuavos[s. COMMENTS � � ��e a..! �� � r wwe(o � '�1 � �� � NA EOFV iUll iEE DATE • � RECPT.NO. �PA1D BY VAL1DA110N , NhiITE-0epaRment Copy,YELLOW--Finance Copy.PINK—Assassor Copy,GOLDENRO�File Copy.GREEN—ApplicanCa Copy . �,i � .. ....�........ .�.. ....,,,�...............r.-..... ., . . c ��- , . ,�vM.;• , - ..s�, _.. ,_ .,. �....... . _. ..... . . ... . . . ._....,,�r. .�.. . ,..ra o.. ... . ...,. .��. . . , l' CITY OF DIAMOND,BAR .;,;,.,.:; .,. .. � . , , � •,",`%-; : ::INSPECTIOf� RE00RD .. .-. • . ... , . . . , . . .. �� --.. � . _ . . . . _ . . �- ��►'.f���a���'�1c,��:t �.�i�.C�-��' �.I�.E-�;���,-�i,�i' -��.���t�,�.-�to1.►�uf� �i�.�':,��1�=� �(�`.�-7;��c�'1��� .�: -- -- ------- r..::.m...:.:....._.._...._ ,,,.�n .�._ ;SET BACK ' � -i ., .. � � � : j j I �. , ,. FLOOR'JpIST �i. � • �I r" • , . .. j FTGSlFORP:IS/STEEL-- ... •. • � _. ... • _ ' � ..... .. - -- --�_.. ,. . � :.... - FNA REQ!�1T5 �....... -- _.. — , : . �� � , �---•---. . . _ 'ELECTRIC�ROUND . ... _._ ' .: ' �- i .' ; !- ; -_ �UNDER FLObR DUCT - - ' ' - ..- ' -� �GROUND PLUMBING UNDER FLOOR CU�dDUiT;,' � •'�� '� �,=-' - ' !SLAB GRADE- - ._..... •,; __ .._.. _ . ..... . ._..,��, :: ' FIREP CE�FOUNDATION � � ' � .,....i �..._ � ., , .... ,. . �: — ;TEMP POWER -- - --�;- -- ...__..._ _. _,... __ :_. : FIREFLACE BOND BEAM '" ' - , : , �WATER SERVICE- -- - - - - _ - . MID HT. BOND�BEAM '�. . .. � ' - � . •ROOF SHEATHING • • = . 'I.II F1',�OND BEAM i ;:- ' ' - -- " ' - ,. , .. . . . . . . �.. .. FR.4MIhfC'a,NENTIL1ATiON --- - - FINRL 60ND BEAti9 � � � • •• � r i ROOF COVER ': PRE-GRADING - ' ' I.ROUGH HEATING -_._. _ . ��J�i.� -T_.__.._ .. . BENCHING � , f ; ' •,.; �,RQUGHELECTFiIC_.�--- - ���f ' . . ' •- ROUGHGRADWG - _..._....--.-----.� , , GR011G)-I.F'LUMBING ; -- - - FINISH GRADING �SHOVJERlT'U6 TEST �--- --- � - :-- ---- � - � PObL ELECTRIC '� !EXT.Lf,THISIDING - --' -- -- --._._. :- --- _ _. - POOL'FENCWG _ ' ,. . , � iUJALL-twSULA'�ION . : _.. .-- � - -- - - �- � POOL FINAL � i CEILIPJG tNSULATION, -- -- - --- .......... .... ... .... OFF SITE IMPS. . , ' `: �DRYVJALL PJAILING_ ;. ... ...---- --. . _._...--. -. ---.. .- - D�DICATIDNS . ... ; � ., ;SEWER ._.. _ _. ...... .. .. . . .. FINALENG. , : .,, . � ;SEPTIC TANK LANDSCAPE/1RRIG. iS�EP PiT/LL. _ . ON SITE IMPS. • • iGASkI�._tEST , ; . ; FINAL•ZONING ' -. _._. --- ' ;F�1"i�,t_rONST.- -_- ---- --. ' FIRE DEPT.FIPdAL . _ ;Fl;ti:�.�_HEATING. _ _._. - I _._ _. .' _ HEALTH DEPT. FINAL _ � � , �-- f�.I� D� . ' ��I11 .. .. _ .. . .._ . ..���ELECTAIC --. / _ - DEV. FEcS PAID - --' ------ . , ��:=•�!n.L PLUh,ABING- ----.. _._._ .. . .... _ _ _..: .... ENERGY ,. , j :. .__.._..-- - ,�._. . ._.. ... ._. . --. . ... , , ;,..._--=- , - -- -��-- - ---... ._ _...- -- - .. .---- , _ �,�� _ i.�_ _c�::��: FL �l ��_ _ , �' . � -��r.�._:.: ts•s:.ata—_:_._ 11""'__ ___._.. _. . _ _.... _ .._._ _ .... - _.. """'_"_ . . .� . ._.- ., . ". _ . ,. . � . � _. _ _ �COfVIMENTS�:i - , _.. . - _ - .; � � ; , h ` _ . . ., �-�,.__ ..� .� _..-' --- -. --• . ', ,�..:. -; . _;� , I t' _ . _ �� �'-`��... h. .._._ ..'_'_._____-' '.._... . ......, .._ ... ._. ... . . �.. . .\ .' �, . , ./ \�. , . . ' i . . ' � . . i r .. . i. � . I 1�/ � . . . .. . . I _ . .. . ....... .. .. . . . . .. . ' ' ' ' . . . . , . � _. I `." • . � �� �''- '- - ' . . . � . ,,.. , , -�- - - �' - - ._. _ .W..'.a.� .. i �� _ _.... . , . - � . _� . ��. � .. � ... . , , ' ji ��Si�� :' ���;. ' :� . . _ � . . 'SEPTICTANKSlZE � - . ' ' ! , �� ... _. . . -�-=��``�)l 1'i C r l -r 'r��'' - /! =. � �;.. . ;SEEP P►T/tJ SIZE ....."�r'1r Cit/'!3 �:?'.�'it�.`(;.1', � . .._ . - . _ .... _ .._. 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