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�; __ ----_ _ -- - . _. . : __------ .. _.._. ._.____.._.._, .._ ----__..._-._ - - . ._ �..�.�.. .:,...-..�, -__.�-,._..�..�-_.,.__ ------ - CITYOFDIAMONDBAR ` ' EXPIRED i COMMUNITY DEVELOPMENT DEPARTMENT 21660 E.Copley Drive Suite 190 I A y �1!� PRESS � (909)860-3195 Fax(909)861•3I17 � ' \ "" ' " ' ' M/;R 1 � 1�fU1 '^�" BUILDING PERMITAPPLICATION FIRMLY � JOBSITE � .. , " ' APPUCATION ? : ; PERMR' P/C�� � 0 ADDRESS . � O f7 S :. p�//4�''�1?1�/D I3�'R ,I.3C(/Q :. DATE'. . ,r NUMBER I��� „p � ; � ` ISSUE / TYPE OCC APN LOT 7RACT � DATE (�'Z-�� °C OWNER "S f/�-dI�2 T ' CONST. rGROUP � ' • �. 'ZONING SEfBACKS � ' � AODRESS � �o_ D//1 MCND /9 R - L vV. ' gCITYD/An�oni!? J3A� ZIP�7�.�TEL. REAR Rw ❑ ' APPLICANT TEL. SIOFJSIDE STREET RW ❑ _� CONTAACTO A R� O�t/�L v M!3/^/G /'�I�.O%/t/L�'/ SIDE ❑ - � ADDRESS d � N z � � �� PROPOSED USE o cirr.f L ,�il .4 yC- ZIP� TE /�7-U/Sl�I _ w ARCWENG! ���'� � �� DESIGNER ADDRESS NO.DWEL. NO. NO. • , = C� Z�P �L UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. 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OWNER•BCILDER�ECLAHAT�ON � � �SfRJADD/REM � � - � � � ' �� -� '� O p I HEREBY AFFItiM UNDEP PEN/LLTY OF PERIURY THAT 1 AM EXEMPT FROM THE CONTMCTORS�4 � GefB�B�ClfpOR � � � W GENSEUWGORTMEiOLL01MNGRE.ISd�ISEG7a7t.68USNES5M10PHOFESSIONSCODE:ANYGTYOR (n � COUNTYNM1IIGIREOURESACEfUAfTTOCONS7PUCf,ALTERMPROVE0ElA0U5H.ORREPAIpAN1/BTqUC• W .P81101DBCk � . � � � . �� W iURE.FRqR TO RS�SSUANCE,/�LSO REIX11HE9 iHE APPLICMIi FOR SUdi PERMIT TO fRE A S�GNED w � 6TATEMEHT THAT HE OR SHE IS LICENSEO PURSUANT TO 7HE PiqVI510N5 OF iME CONTHACTORS LF , . . , . � CENSEUW(GMAPTERY(COMAIENCW6YAiH5ECT10N7700)OFDMSIONiOFTHEBU5INESSANDVF0. � LL' P��SPa � fESSiONSCOD�ORTHATMEORSHEISE7fE4PTTHEHEFROMANOiMEB�SISiOiiTMEALLE0E0EYEMP• _ TpN.ANYypLAT10NOFSECf10N70J1.6BYANYAPPLKANTFONAPERA1173UBJECT9i11EAPPLICANTTO Z Raqool �- 'A pNL PENALTV OF NOT AIONf 71�M1 iNE HUNORED DOLUUiS(l5uol.I: ' . . . . . � ❑I,ASOY�MEROFTHEVROPERTY.ORMYEMP�OYEESWIMWAOESASTHEIRSOLECOMPENSATIOfI, 0 COflIrt1BfCI81 Z WILL OO THE WOFK,AND THE 8TRUCTURE i5 NOT WTENOEO 011 OFFEREO iOR SALE(SEC.701�,BU54 J NE54 AND PRDFESSIONS DODE:711E CONTMCTORS LICENSE UN'DOES HOTAVPLY M AN ONRIEN OF - . � � � PROiERTYYAqBUIDSORIM�ROVE9THEREON.ANOWNODOE55UCHN'OPKHIMSFLFORHERSELfOR � ' � �THHOUCJIMISOiiNEROWNE47LOVEE5,PH01n�EOlMAi5Up1WPqOVEMEtl�SMENOTHfEq�EDOH � m � . � � 0 OFFEREOFOPS�LEIiHO'NEVEF�THEBULDW�ORIMFROVE4EMISSOIDWITItlNONEYEAROFCOMPIE• � Z TION,T11E OWNER-BUiIDER YV�LL MAVE TNE BU��DEN OF iROVINO 71UT NE Oq SNE UID NOT BURD 011 . = 11.IPROYE FOP THE iURPOSE OF EN.E4 ', � : O 1 il4 ON'NER OF TME iPAPERTY,AM E%CLUSNEIY CON7MCTiN6 VATM LICENSED CONTMC70RS. � TO CDNSTRUCT TME PRQIECT(SEG 7W�.BUSINESS AND iROFE53KKIS CODE:ME CONTMCTORS L�•�: V81U8110f1 ADJ.AREA W CENSEUWDDESNOTMPLY70ANONMEROFAVROPERTYWIqBUILD90RIMOROVE4THERE0N.11ND � �� YVHOCOHTRACTSFOHSUCNPRptECTS1MTMACON7MGiDR(5)UCENSED►UHSUM7iTO7HECONTMG. QUANTITY DESCRIPTION � ' � � �� FEE � � TORS LICENSE UW.�. '.. ' �,J . . . . .. . _ . . � O I AA1 E%EMPT UNDfR SER 6.�P.C.FOR iH15 PE0.50N � Q � .. .. � . V . . ... .. LL WTE OWNER � .' � . G' 7 .Gv� . . . . O � � UCENSEDCONTRACTORSDECLARATION y�j ,�.� � �q �,F'Lpt✓ l/i4Le! � IHEREBYAFFIRYUNOERPENALTYOFiEiWRY7HATIAMLICENSEDUNDERVROV15id1SOfC/1AVTEA � • � � p„ •(CC�A�ENCWON7TNSEttqN7o0o�OFDMSION]OFTHEBUSINESSMI�VRDFESSIONSOODE,ANO Z O�L IZ/S � � X L/Y IICENSE IS IN ML FORCE AND EFFECL ' [a L� l�� C/�L�/L S� ui , � UCENSE CIASS �^��'� LIC.NO. ��� � � o�� 6 -�-s��� �o��� ! � ♦ � U 2 i w R �-+ F L It �iZ J1 �..i1- � WORKERS'COMPENSATION DECUIRATION t U L S/1J�:'� � IHEREBYAFiIN1AUNDERPENALTYOFDERJUi1YONEOFTNEiOLLAN7NUDEL7AMilONS: cn q / /� ���-�G _IHAYEANOWtLLLURITNNACERTIFIGTEOFCON5EMT04EtF-INSUREFORWOR�(ERS' S / Gti Tr?� �r�.r�.�• � COMOENSATION.ASVROVIDEDBYSECtI�N77ooOFTHEUIBORCOOE,FOHiHEPERFORMN/CE U Q OF TME WORK FOR WHipl iH15 GERMIT IS ISSUEO. � T�2 a o f'Jz�.� ���s... o _ _ - W �IIUVEANDNALLWIMAWWOqKERS'CdAPENS�TIONINSURANCE�4NEWIRE�BYSECTION 0 i7oo OF TNE LABOA COOE.FOR TME PERFORMANCE OF TNE WORK f-0R WMIUI i1113 PERMIT IS ISSVED.MYWORKERS'COAtPENSATIONINSUMNCECARRIERANDPOt�CYM1IABERARE: CONSTAUC7ION � CARiUER iv/o�/�3�-6 � • . PLAN REVIEW 7 � POLICY NUTABER GA L��'�..�u �'JV OFi�r,/t/i T� . ..EL6C7R� . .. _� . .`. . � . (nasEcrcNrEmNoreECOARE'tFDCFn+EPErMrsrnnoNElllrt7REooaWtsd��or1LE55} LUM . ` � Z, ICERTIFY iMAT W THE OERFORIA.WCE OF TME WORK FOR WHICH THIS VEfUAR 61SSUED,I MECFIANICAL C7 SMALLNOTEMPLOYANI'PERSONNANYMMINER90ASTOBECOMESUBJECTTOTHE ,_ _, , _ �J � NVqKER5COMPENSAT10NUw50FGWFORNIAANDA�AEETNATIFI5HIXILDBECOUE � fEE� � � � � � S SUBJECTTOTNEWORKERS'COMPENSATIDNGRONSIONSOFSECT�ONa7ooOFiHELABOH CWE,IS/W1fORTNW�THCpAPLY SEPRON510N5�.,�/�.��y) r ISSUAN ,r_Oa � 6 - � 1) 'vE�.�1Iv//���__ '�__ SMIP p OATE: �- �, APPLICANT. W � � ENERGK P/G� WARMN6:iM.URETOSECUNEM�ONCERS'COUPENS�TqNCOVERA6EISUMAWFlILMSSSWLLLBE � �� r� � � � SUBJEGTANEMPLOYERTOCRMWALPENALTIESMIOUVILFINESUPTOONEMXIDREDi110USAND OOLURS(tlaO,oDo),N ADdT10N TO THE COST OF COMVENSATION,OAMAGES AS GHOVDED FOR N � 6ECTIDN]70e OF 7NE LABO/i COOE,RITERE3T.M1D�TTOHNEI'S fEES. � 'RE'T�E TION FEE: � � � � � � - '� Q _ oCONSTRUCTION LENDING AGENCY PRE•ALT1�FE� {�0� � ' � 1 MEREBYAFFlNA UNDER PENALTYOF PERJURY THATTHERE 15 A CONSTRUCTION LfNOM10 A�ENCV i�(�.� / � _ _ _ __ _ iOR TNE iERFOR/AANCE OF 7NE WdiK fOP WIUpI iHIS PERMIT IS ISSUEO ISEG 70Y7.pV.FI. ., . . � � .. .. . . . � � IENDfA'4 NAA1E � � . � LENDER'3 iIODRE39 .. . . . .. _ _ .. . . . ... . . . . � 'IAOREETOCO�.�LYWITNALLCT'ANDCOUNTYµON01NANCE5ANO5TA�EUWSREU NOTOBIMDEN6 TOTAL FEES � � .2 (�Zy yJ � _'�.�.� � CONSTRUCTION,ANOHEHEBVAUTFqRIZERfPRE5EMA1NE50FTHISCOUNTYTOEMERUPONTHE � � � � � � �� � Z ABOYEMEMIONEDYROPERT/FORWSPECTpNPUFPO5E5. . � � � COMMENTS � D��v,a Ln 1/1��,=G�M�-i, 4 PE�(� �[N�IWE�IPa���f////�/..���/^ . __ - _ . .._ . . . . . ._. . � .. �. ln ��^.�'cJ'A�(/��/l.i/ i...�'�.� 6-3��'�i'7 � EHiNAtUREOFPERAIITYEE � DAiE - . - . . .��� . . _. _. . . � RECPT.NO. o L PAID BY � �� VALIDATI � . - - . .WNITE—Oepartrnen[Copy.YELLOW—Finence Copy.PINK—A�sessor Cop/.GOIDENROO--FIIa Copy.OREEN—AppllcenCa Copy�� ��. ,,..,. . ..... _..... . " ��+ . . . , . �....- ..r�,��:�,, .••�"• ,.�,, ,{'.� R��m':>'.�.•,y,+.�,;y�, .r,r--• .'�,a., "'J`:Y .?c ..'''Y . , '7r.y,, ' � . CITY OF DIANIOND•BAR ',. � � ��rr� ,, � `, 'r.:::".-/ ��.-_'� c�:.7.,: ,.i_�.l��,1 ' i.i � �'��t.i.) 'l�._t._�:•�.' , .',. . INSPECTION RE,CORD, '�; ','�'.,,`',',<':; ! �': ',' .. �'o: �,t_ i t! ;' � , ;t �.��'r�.����.� -� , � �����9� �.��'rT Q o(� ..;�i. ; ;' � ° _°��� ,���f.� '�►,�`��i�,,_��.�� ��' SET BACK `.__ -- __ - - ...„'�Y, --- -, - _- ---,_ �:FLOOR J015T -- - -� --- - ---,�.-._ i _ , FTGS/FORMS/STEEI-- -• - �, .� __ _�.� _ �_- .s� FHA REQMTS.._._ .. . _._ .. -- ------ - .... -- . .. ,,, � --- -,� ., � :, ELECTRIC GROUND �:�a�::r::s: r UND�R FLOOR DUCT� • . ,,•� ,.� , ;:-,�; � ;" � GROUND PLUMBING" ' --_______- .._ __ _ . ;' � UNDER FLOOR CU(�IDUIT '' ` '. ' .�..' '' r I ='.� -- � ''-- ' v,i� SLAB GRADE. _ ___ ';�:� _ r= . �" r,- ,�, ; FIREPLACE FOUNDA710N- - - -_:� ._ _ - �-- � : _�_"__'__J `: TEMP POWER - .� .-- .._ � --�_. �-!_-_- _ _•- : -FIREPL`ACE BOND BEAM-`.' ' ','' .., , :� ', , . _ n �. ;.: � "; WATER SERVICE- - --- .__ �.__-- --__.._.__ _ :�!'•-,.� ; MID HT.,BOND BEAM; . _; � . ._. , .. ._ -�� -� , � , , ,. ,.. . , i _, . , �.��.• ,;,,;..•. ROOFSHEATHING-- " - -- ------- 8 FT�.BOND BEAM ' � � : FRAMINGNENTILIATION `_'_ '-``. ' `FINAL BOND BEAM _. -- - "- - ._ --------- ------ --- �_." ' ' ,,., � .. ROOF COVER - --- - ------ -- __- —--.- --- -.: .. PRE-GRADING-_ -� ,r. ; � � __ -'_:' . - '� -- -- --- �ROUGNNEAT(NG -•__ ' '' '',`,•._ _- �'-" -.� :':__ = .BENCHING __ - - - - ---- _ --...____ _, ,,. -ROtJGH ELECTRIC--'• --- ----- --------- ._ _ f�OUGH GRADING ., . ,� ROCIGH PCUMBiNG_,_ _ ------- -------- --- - : FINISH GRADING , :'' ` '' ';y , � , , � ,_ . ,,.. �w , , �. ,. SHOWERlfU6 TEST— -- -----___--------- „ , �POOL ELECTRIC ,, ,,• , � .::, � � ,;;. �:,-.; ,..,� �EXT.�CATH/SIDING_. ._- ------- ------ ------__ PDOL FENCING , ' ' , ,., ,.. � , � �� WALL INSULATION � ,....;, . POOL FINAL � ` .. .. �, ,_ . c� - CEILING INSULATION OFF SITE'IMPS' � � " ' �' ' =� ., ��_ ., - DRYWALL NAILING DEDICATIONS �' „ � '- . �;'� ;'' � .'� SEWER--- - -- -- -. . _ _ _FINAL ENG. , , _,, � � � --- -- -- -- - , ,. , SE.P_TICTANK : :�---- -- __''. `' _ _.__ . ..:__ ,_-�_'--�� LANDSCAPEIIRRIG ',:::, : : � ; .� � , � . .SEEP.RIT/L-L-;_-_ _--__ - - • , '_ _ON SITE IMPS. , ,._ . . , _ _ _ _ _ _ _ ._. . _ �� . GAS AIR TEST;--- ------ - -__.. .-- --_.----_ _ �_ -- - -FINAL ZONING : � _ : �,;;,,,. .. , FINAL-CONST:�:- --- - - ----_-,------ ---- '--_ - -� � FIAE DEPT.FINAL _ _. _ - -- � ,.: FINAL HEATING- ____..__ 1.--: .-- ",:� c i ,_ _ HEALTH DEPT. FINAL-r:� n i-_ - --- � --- _- � ----,_---- ---- - n r. -FINAL ELECTRIC._' __ _ --__ _":_. ,:,,- : ----. �.I DEV:FEES PAID ,.. , . . �. , ...,. �_„�,�•: �.�; �, FINAC PCUMBING - - - - -. - � _, - - ` . � ENERGY , . . ,. �,:. � .-, � . �: ' - � _. .'`�_ :� _ � , . _ �, ; ; �, . ,, , / , . __ .. � _ . . , , . _.. � � I r.a � R�c� �lo _ �� �. � _ • �. ; � _. . . , --- _ __ _.. . _ -- -- -- - -- -_ _ __ , COMMENTS- _. . • ,, ,. , _, � . . „ , , • , �, :, . r ,. ,, ,;_, , ; _. _ _.._-- __'—_—. — _ . _ '------- - . , . � r• ,� _.�___._.�..__""""___ _ .. _._. ._.. . __ _.__ ._ ._' '_ _._ _..___' _ "_ .� . . .� ".'��� � ...-s ., , ,. . � . . . �s_ {� .."___....'_'._" '._ _ . .. _._. .__"" . ..__.__._ . . .. . . . , . . . _. ._ .. .. . .... . .,.. .,-. ,. ' � �i , �i . . ♦ . .__'_ __ .—__ '_ '.� __.. . _ _"" " ' .'_'.'_"_ '_"'_'_ ' . .__ .__..."_ .__' .._.. .__"'- _'_._ � '. :. ._. .1_.. ,., , , ' f'' :1' � � .. .......i` " . . ...a.._t ._ .. _ . . � ��. i i .. , ��. .' ' 'r ._._ .._.._ .. "._'_'_ . -...__.'___ -_ . ._ . �.--.-_ . . � �' �� \ C. � ' -- - -- ... �. ---. ..� , _ . - - --. .. . __. _. .. _ ._. ____... ---- -- - - .._ . . � _ �. .. l � .. . . .. �• � . , . . . �.i, . . . " . � . _ , �: s . ...�. . ����'•,. ,.... . , . �i�. _.. __� _. .._-_ _ .--- --- -- --- --- ---. . '+•.��, o, � t�' _. �� •. �� ., .. . \,'_ . � '_\ � ' "' ' " . - . , . , , --�---.__. .- - -.__ .. ___. _ .._ _ _ .. _ _ . . . _ --- ` ., .._ . ._ . ..,. � �.�i ", .:i�. ._. . " � � . ._ .,�! � , . . �... ..-... .. ,,.. , . , ., ,. �,-.: � � � ._ —. �i, `.,,. .. '�� .. . ,;� �. ,.,... . . �. :�._ r. ... . . , .. SEP7ICTANK S1ZE __. -- _ _.. _ __._ , � . .� , __.__ ._.._ ---- -__- - - - - -- - - _ _ t�r�;1r :: , r r, � ,. SEEP PITN SIZE - ---- - - ---- �-., ., - � - ---- .-- -- - - - - -_ _� .., y �; . � ,.. , ' "` ' , _ : ,, , _ - ;:�t. � � �:, �,'.� � ..,. , _____.__ .� � . - --- _ 1.l�.�`�_.'_ � � , - - - - -_ _ . _ .__ _ ,� ,�,. 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