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HomeMy WebLinkAbout10422 (15) - , , . . .\ • " ' - - CITY OF DIAMOND EAR: ' � . • ' COMMUNITY DEVELOPMENT DEPARTMENT ' 216b0 E.Copley Drive 5uite 190 : � PR ESS � (909)860-3195 Fax(909)861-3117 ""'� BUILDING PERMIT APPLICATION FIRMLY o� J�BSRE ?�r 5� �lQ�YI�►?d '�ar �r G�I• APPLICATI N.' �PEflMIT �Q � A P/C ADDRESS DATE NUMBER ��' if $ ISSUE� TYPE OCC APN ' LOT TRACT DATE CONST. GROUP p OWNER �OI�l/1WlRl� �(- GL+'L�-UC�S LL AODRESS . t� �I Y ZONING SEfBACKS ' ' ' . . � cinr Dia�a,ct /3tiY ZIP u� TEL. " •� "��C" FROM ' RW ❑ � APPLICANT _/'n v/oS ASCt�TLfro 7EL.�9(eS�o3rrfl R�p � � SIDFJSIDE STREEf RW ❑ � CONTRACTOR s� �'�- �'� SIDE ❑ � ADDRESS � ' PROPOSEDUSE �� � •t� •T1 � CITY - ZIP 9nv,� TEL "S-O�'�� � ` o ARCFVENG/ � �I i � DESIGNER ti't- D{ � NO.DWEL , O. O. a ADDFESS /`D7�U f• - UNITS STORIES BEDROOMS � CITY ZIP /7 TEL._ !(! -0� N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER•BL:ILDER DECLARATION SFRlADD/REM O p 1 MEREBV AFFIFM UNDER PENALT'OF VERAIHV TFWT 1 AM E%EMOT FR01A THE COHiMCTORSIF G8r0Qelr8tDOR W CENSEUwFORiHEFOLLOWtNdREA30N(SEC.70.tt.68USINfSSIWOVROFESS�OfJSCODEANYCT'Oq (A U �OUNTYWi11p1REOl11RE5AVERMRTOCONSTRUCT,JLLTER�MPROVE,DEMOLISM,ORREFl11RANYSTRUG W P8I10/DBLI( w TURE.PWOR TO RS ISSUANCE./LSO REW�RES ME AGCLICANi iOR SUCH PEM11T TO FILE A SIGNEO W � � STA7EUENT TMAY ME OR SNE IS LICENSED WRSUM7T TO TIiE PROVIStONS OF 711[CONTRACiORS U• � CENSELAW�CHAPTER��COUYENdNUVnTH3ECTqN7000)OFDMSiON]OF7NEBUSiNESSIWOPRO- � POaVSpa _ FESSqNS LO�EI OH TMAT HE Ofi SHE IS E%EMPT TMEREFROM M1D TM[Bti515 iOR THE ALLEGED EXEMP• � TIDN.ANYVWLATqNOF5EMI0N7o71.60YANVAGPLICAI7TFORAVEfWITSU8JEtt57HEMPLIGNtTO Z RB-FlOO( � A CML VENALT'OF NOT F10RE THN1 f1VE IM1INORED DOLURS RSODj.): ' ZOlA50WNEqOFiNEPROCEf7T1;ORYVEMPLO`IEESNA7NWAOESASTHEIRSOLECOMPENSA7qN, O �mmerciat • � WILL00 iHE MIONC A1II]TNE S7RUCTUPE IS NOT WTEN�ED Ofi O�'FENCD FOR SALE ISEG 701�,BU56 J N NE53 AND PROFESSIONS CODE��TME CONTMCTORS LICENSE lAW DOES NOTAPPLY TO AN OWNER OF ? � VRODfRTY 1M10 BU0.DS Oil M1VFqVE51HEREON,AID N710 DOES SIK:H WORK HIMSELF OR NERSELF OR CC THAOUGHHISORHEROVMEMP�OYEEAVM`ADEDiNATSUCHiMVROVEMENTSARENOTHTENOEDOR m . , . Q OFiERE0�OR5ALE1F./1OWEVER7NEBULOPIGORYPROVE1AEHiLS50lDWRNNONEYEAHOFCOMPLE� � Z TION,TME OwNER�8UILDEH WILL HAVE THE BUHDEN OF PROVHD TMAT ME OR SME OD NDT BUIID OR � Nr7ROVE FOR THE VUROOSEOF S�LEL w ❑�A301MIEROfhIEPfiOPEH1Y,AAlEXGlU51VELYCONfRACTINaWfiNLIGENSE�CONTMMOR9 � TO GONSTRl1C71HE Pf�.IECT(SEC.7ou.BUSINE55 ANO VROiES510N5 CODE:INE CONTRACTORS U� VONeli0fl ADJ.AREA W CENSEUWDOE3NOTAPPLITOANOWHEROFAPRDPERTYN?qBUILD50RM7ROVESTXEREON.ANO � WHOCOMMCTSFORSUCNPRO.lECT31M7MAMNTRACTOR(5)IICENSEDPURSUANTTOTHECONTAAG QUANTITY DESCRIPTION FEE � � TORS UCEnSE UW). . . . _ . . _ � ❑IA/A El(EMP7 UNDER SEG. B.�V.4 FOR THIS REASON � � . � � � . DATE OWNER � . V ;� `. . Z w __� FQ � LICENSEDGONTRACTORSDECLAAATION ' W CL IHfFEBYAFiIR4UN0ERiENALttOFVERRIM'TH�TIAYLICFNSEDUNOEHPROVISIONSOFCMAPiER. Z ,,t,; �`�� p„ ��Cp1MENGWOWIMSECTqN70ooI�DIViSqNIOFTNEBU51NE9SANDVROFE55qN5tODE,ANO X ►IV LICENSE IS N FULI fORCE ANO EFif LT. y g W (f/C !J m �~ ���t.LL�� ' � UCENSE CLA55 �`J LIC.NO. 7�/•O C/ ' j V DATE ���0 9Sl cor,rnncTOF, �/3� Of"�f'S � � w � WORKERS'GOMPENSATION DECLARATION � • N IHEREBYAFiMMUNOERPENALNOF�E0.RIRYONEOF7HEiOLLOWINGDECIARATIONS: U y Z Q � __INAVEMAVALLMAINTNNAGEHTIFICAlEOFCONSEMTOSELF•WSUR[FORYA�AKERS' _ -` COMPENSA710N,ASPIiONOEDBY6ECT10N77ooOFTMEtA80RCO0E,FORTHEPEHFORMANCE W OF TNE WORK FOR YMIC11 TMIS iE0.YR IS ISSUED. � � Q �I HAYE MD 1MiLL LWNTAW WOPoCERS'COUPENSATION MSUMNCE,AS REOU0.ED BY SECTION 77aoOfTHEIABOHCOOE.FOR7HE7ERFORYANCEOF7HEWORKWqWMo171115FERNRlS - - - - -� � ISSUEO.YY W01i1(ERS'C17MPENSAiqN INSUAANCE C+�RN:EN M.'0 VOIIGY NUA/BER ME: CONSTRUCTION '� J j �pqi¢q , PU1N REVIEW. �1 o vaicrwueER ELECTfiIC 1� •I�. � (n+sSEcnor+N[�rnre[ms�erEnoFnFrw.�rsratar�wa�voai�tsR+�aH�[ssl PLUMBING Z I CEqTFYT/NT W TME PERFORMANCE OF 1HE WORK FOi1 WHIp/TMS CEWAR IS I55UED,1 MECHANICAL C7 SHALLNOT EMPLOYANY iER50N M FNY MANNER SO AS TO BECOME SUBJECT TO TME N � YX7Po(ERS'COIAPENSATIONLAWSOFCALIFON�IA,ANDAGqEETNATIFISNOULDBECOI.�E iNSPECTIONFEE - � - � SU6IECT TO7HE YVORNERS'COAIPENSATION YFOVIS�ONS OF SECTION 1TOo OF TNE UBOR ^ OCODEISHALLFORTTIWI7HCOMPLYNnT171q5EPROVIS�ONS. ISSUANCE � � p DATE: � d � APPLICANT: SMIP � � ENERGY P/C WMN�NO:F/I.UiE TO SECURE N�ORKEaS'CdAPENSATqN COVERAGE IS UNU'MFUL.MD 51/ALL BE LL 6UBJECTIiNEMPLOYERTOGtUMINA�GENALTIESMIDCMLFWESUPTOONEHUNDitEDTHDU5AN0 ENERGYPERMIT pOLLMS(ttao,0oo),N AD01T10N TO THE COST OF COMOENSATION,D�CfS AS iRONDED FOR IN � SECi�DNfTOlDFTHEL�BORCOOE,INTEREST.ANDATTORNEY'SFEES. ' RETENTIONFEE: a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O . � IIIEREBYAFFIRMUNDERGENAITYOFVERRIRYTIATTNEREISACON5Ti1l1CT10NlENDNCACENCY FOi1 iNE iERWHUANCE OF i11E W�Di1K FOR YYHIL1171115 YENMIT IS ISSUEO(SEG 7oW.CIV.G). . � LQ1DEiF9 NAME � 7 � � LENDER'9/DDRE55 � ItfRTIFYTMAiINAVEREADTHISMPLIGT10N1lDSTATETMAT7MEA90VE!lFOfWRTIONISCOMECL TOTAL FEES ' � IAGHEETOCOMPLYMfRMAILCRYANDCOIAlTYORDPIANCESANOSiAiEUwSREUTN6TO0U0.DIN6 CONSTRUCTiOµANDHEREBYAUf1qRIZEREV1iESENfATIVESOFTMISCOUNi`I70ENTEHUPON7HE • • . S� /�BWEi�ENTqNED/AOPERTYFOR�NS�ECTqNiURPOSEA COMMENTS � ar/cs A�S�' �c< � � m PERMITT E NM1E(vWNn • . . . � � �4 9 : � aw RE OF PE tT7EE �� RECPi.NO. � PAID BY � VAUDATION � . ... ..WHITE-0apanment Copy.YELLOW--finance Copy.PINK—Asnessor Copy,GOLDENROD—Fila Capy,GREEN—Mppk,anfs Copy . - .. ; , Y.r�:�.a:+,.. .. ...•;r,. . , _,"1. ...C.+. ;�.. �'t�. i�• ... . .. ..:a�.. . .. - � , .•!�. �—. � .. i ..� �e •+ , _, c�.. . ... . . -. , o ..., .,. :' - CITY,OF DIAMOtJD DAR "� ' �.`'..' ::,� ' � ' " _ . , ��. � . � .. . � . , � _ .. . ' ' , RdSPECTION REC�RD .:;`���,,:,:'� : � ,. . . � . ... .: . . . ,,. ���; , ,�,; ��. . . �I�F-y��c.��'I���h . o �1��'�. I ►� ���.' o �,,,,�. � ►y ����'?� i7i� �''c � � � `► �o�-v'�,j;�i;. ��� I F-��_ .�7.��� .�- ��: _f .��.��� 1��-`�� . . _ - - -��- ._�_ ._...____._ �.�._ __ .� __. _......._.._� — . ____._.._._.�.:_:_. --. . ,... :. �. ,..._. ... FLOOA JOIST.ly. --„ _, SET BACK= . ; • • ' � :t- •� - ----- - � - . _ _.._.__....._ . .=�_` FtGS/FORMS/STEEL -.. . .�.. , �..: . '._._....:�.: .- ---- 'FHA REQMTS -•`� ,:�-; � ���. :i �i - , ,'. . ,,: _ .__ .. ': f . ELECTRIC GROUND ( '.'� •i: UNDER FLOOR DU T.�� , ,;. 1 �c;., •, '� ,c -• • � I :- GROUND PLt1P�IBING ' ' ' i"" . "' +:� � � UNDER FCOOR CUf:IDUIT - ' '-' "' " -` ''" ' 1" , _ . � . i SLABGRADE__ _. ' ' ....._... ':-_.��r�.� - ��. ; FIREPUICE.FOUNDATION---:..::. • -- . ,.... .. . . - -._.. __ .. . . _.__ ..__...--- --� : TEMP POVVER. . . .:.: . ---. -.. -_- __. .._-_: : �... ... FIREPLACE BOND BEAM ' ' .• : � � • - .;a�.+��.�. , . � : !VUATER SERVICE�: .: .• ~_ _... '_. _ . . `_!. __ �. MID HT:�BOND BEAM - -- • - � . - • : ti, , i - ROOF SHEATHING,��� � -- �- � •• i � ' f3 FT.bOND BEAM ' � " FRAMINGNENTILIATION ,. � �' ' �' ' FINAI.BOND BEAM -- - � " � - ' " � ,. „ ROOFCOVER - . .. .. --- - - - - .. . . - PRE•GRAbING�'� ' _, �� �,... . , .. ,:,� • � ,.. - - - ROUGH HEATING � -1 ` - � BE�JCHING I �' ROUGHELECTRIC--, --- �-- �--- - -ROUGHGRADING . ' I - ROUGN PLUMBING ` - ; -"-' � FINISH GRADING � ' � ' ' ' ' SHOWEHlfUB TEST - - � � " -� : POOL ELECTRIC . ' ' '� ' ' EXT.LATH/SIDING - ---�- - -- ---� .- . POOL FENCING , _ . WALL INSULATION P�OL FINAL � • • i �; CEILING INSULATION OFF SITE IMPS: ' ' I � DRYWALL NAILING I DEDICATIONS SEWER i FINAL ENG. _ _.. _. . . - - -- SEPTICTANK :._ _. .. _ :_. _ .. . : �.: _ : .. '_.._ LANDSCAPE/IRRIG. ' SEEP PIT/L.L.. .__- ' '- . ON SITE IMPS. ' "" GAS AIR TEST - • -- FINAL ZONING • • ' •' ' � - _ ._.. ... _--. _ FINAL CONST.� - � (p„�� FIRE DEPT. FINAL - � FINAL HEATING -- � HEALTH DEPT.-RNAL--:,.-� - " - - -" - - -- ,. , FINAL ELECTRIC - - ��ffr�' � --'�-- - DEV.F=EES PAID . , . , � ; FINAL PLUMBING - � ENEFIGY , ,_ . ; • • , _ r ,'� � . � w i�� Ca ��I1'Cj:"+��C C�' , . . ;QQt--�-E-���, . � . ., � . � _ - --- . .. ..._ __... ... ... ... ... ....� . � , COMMENTS .._. . . � . ,. : . . � . ... � . � . ,. , , � ; . _.._. _ . ..-- _. _ _ _ . . , : , __ . _ . _. _ _. ._ . . . � � ' ' . � � _ , , „ __ , . . . . . . � .. . ...:.:. � � ; - - - .\, \, . . . , ' . . � .. - - _ ._ . . ..: c . _. .. _... _.. . , , . �. . _ . . . _.. . _ . .. ; � � , . .. � V _ ..__� . . ___ _. .. . .. . . ' I i �, . � . . . .. ' , . - . . . . �. � , . .'C . .. , 1 � ... . - -. . � i . -�1.� . .. _ .. . _ . . .. �`� �. . - ! `�, -- .. . --- . ._ _ . . - - - .. � � �, . . � . . ; . . : � . 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