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HomeMy WebLinkAbout11629 (5) -- . .- —------......._._ .. -- - ._.... _.. _ ... .. -- --� - --__._...._.. . ...--------�--- - - --- - --� -�- � - ��-- • CITY OF DIAb90ND BAR � � COMMUNITY DEVELOPMENT DEPARTh1ENT , si '�.,,� 21660 E.Coplcy Drive Suite 190 � . ' � PRESS (909)860-3195 Fax(909)861-3I l7 ' '�^' BUILDING PERhtIT APPLICATIO�! FI R M LY o ADDRIESS S'Z'� N D/��h'�"���I ��' r7��7, DATEICATION J� 30 ��� NUMB R � �/C�- ��`f� 1 $ ISSUE � TYPE OCC ' APN LOT TRACT DATE CONST. GROUP p OWNER p ADD ESS 'Si�,.�,^t hI• /�1�nLw�/� �A%Z �Y . ZONING SETBACKS z CITY A tW ZIP TEL. FRONT RW O APPLICANT' � TEL. �� Qc7'� REAR ❑ o 1�-�-- SIDE/SIDE STREET FiW ❑ � CONTRACTOR � S SIDE • ❑ � ADDRESS .�� �� � - {y {y� � CITY r r" ZIP�I� TEL. � PROPOSED USE o ARCH/EN�/t`{�t�vL A,.�CS� �z DESIGNER �Y ' /Vf ' o1J. AODRESS � C�- _ NO.DWEL. NO. NO.. � CITY O�.h4p►L�� _ ZIP TEL � _�S� UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. ' ' FACTOR PSF ADJ.AREANALUATION � . . . OWNER-BCIL�ER DECLARATION � -SFFVADD;'REM � � • � - O p I HEREBV AFFIRM UNDER PENALTY OF PEILURY THAT 1 AA1 E%EkPT FROM THB CONTRACTOAS lL � Garage/Caryorl W CENSELAWFORTMEFOLLON/INGqEA50N�5EC.70.71.5BU5INE55ANOPROFE5510N5CO0E:ANYCITYOR U COUNTYYh/1CHREIX11PE5APERMITTOCONSTRUCT.AITERIMPFOVE,DEMOUSM.ORqEPA:R1WT51RUC• � W PatlaDeck � Z TURE.PRIOq TO IT$ISSVANCE.�LSO ACWIHES THE APVLKAM FOR SUCH 7ERMIT TO FlLE A SIGNEO W � ' W SiATEMENT TN�T NE OR SME IS LICENSEO VURSUANT TO THE PROVISIONS OF THE CONTRACTOR^u Lb � CENSE UW(GNAPTER Y�COM/AENCING WITH SECTpN 70W)OF D�VISION 9 0F THE BUSINESS AND PR0• � PooVSpa � � FESSIONSCODE�ORIHATHEORSHEISE%EMPTTHEREFROMANDiHEBASiSFORTHEALLECEDE%EUP• . � V TION.ANYVIOLATqNOFSEC'T�ON7071.SBYANVAPPLICANTFOAADERMITSUBJECTSTM[MPLIGWTTO Z Re-Roo1 �„� A CN�L DENALiY OF NOT MORE THA4�NE HUNORED OOLURS(5500).J: ' O wI.ASONNEROFTHEPROPERTY.ORMYEAIi'LOVEESWITHWAGESA5IHEIRSCLbCO/APENSATION, 0 ��mercial � . • � �Z WILL DO TME WORK.AN�THE STRUCNRE IS NOT INiENOED OR OFFEHEO FOR SALE(SEC.7al BU51• J NESSPNO PROFESSIONS CODE:TXE CONTMCTORS UCENSE LAW DOES NOT AOFLV TO/N OWI:[N OF � PROPERTYWFIOBURDSONIMPROVESTHEREON.ANDVrti000E55UCHWORKHIlAS[IFORH[RSELFOR m � CC TXROUCHHISORNEROV�INEMPLOYEES.VROVIDEDiHATSUCNIMPROVEMENTSARLNOTINTEN�EDOR w OFFEREDFORS/LE.IF,NOWEVERIMEBUILDINQORIAIDfiOVEIACMIS50LDWRMNOI:EYEAROFCOM7LE - � TqN.iHE OWNER�BUIIDER WILL HAVE TNE BURDEN OF PROVWG THAT IIE OR SNE D�D NOT OUILD OR . Z W PROVE FOR TNE DURPOSE OF SALE). • = 04�lSOVMEROFTHEPROPERTY,AMEXCLU5IVELYCONTMCTWGWRHLICEN'aEOCONTMCTORS Q TO CONS7RUCT iME PRQ1ECf�SEG 7aL BUSINE55 AND PflOFE55lON5 GODE:7ME GOMMCTOfl3 U• ValUallOfl d � AD.I.AREA W CENSELAWDOESNOTAiOLYTOIWOWNEROFAGROPENTYWM06UILDSORIIAPROVE57MEREON.AN� � 'WFqCONTMCTSFORSUCH7RQ1ECiSWITHACONTRACTOR�S)LICENSE�PURSUNJTTOTHECONTMG ouaririTv DESCRIPTION � FEE . � . - Y TORS 110ENSE UW.I. . CL J , � . ... . 0 ❑IAM E%EMPT UNDEA SEC. B.d p.C,FOR THIS RGISON U � ' � LL DATE OYM _ V . . . . Z W � LICENSED CONTRACTORS DECLARATION , W ' � I HEREBYAFFIRM{1NpER PEN�LTYOF PERIURV TYUT IAM LICENSED UNDER PRONSIONS Of CHAPiER V. , d. 9(C061MENGING WITH SECTION 7ooa)DF DMSION]OFTME BUSINE55 N1D PROFESSiONS CODE.ANO Z w A1v L�CENSE IS W ML FOPCE ANO EFFECT. . m . O � �.-, LIGENSE LUSS LIC.NO. J _. ._� DATE CONTRACTOR � a W , � WORKERS'COMPENSATION�ECLARATION 4 � = U � IHEFEBY11fFIRMUNDERFENALTYOFGERNRYONEOF7MEFOLIAWMGDELLAMTqNS: � . � Z Q � _INAYEAND4VILLMNNT�MACERTIFICATEOFCONSEHfTOSELF�INSUFEFORWOAKERS' S � , � � COMPENSATION,ASPROVIDEDBYSECTKK177o00FTHEU00RCODE,FORiHEPERFORAIANCE �U , OF iHE WORK FOR WHICH TMIS PEXAIIT IS ISSUED. � , , ., � � ' w _IMaYEANDWILLMAINTAMW01iKER5'LOMPENSATIONINSUMNCE,ASREOUIREDBYSECTON • Q 77oDOFTHEUDORCODE,PofiTH[PERFONAANCEOFiHEWORKFORWNICHiHISPERMITIS �3 2.� J ISSUE�.MYWOPICERS'CO�dPENSATIONINSUftANCEGRR:ERANDPOUCYNUMOER�fiE. CONSTRUCT�ON �� � j c�eaiEA . . _. , PLAN REVIEW �� ... _ . � POLICYNUMO[R ELECTRIC Z Q � (n+�ssEcnor�r¢mr+orsem.vtFrmcFnEVEwwrs�or+or+EHua�000tuns6+cela+�ssz PLUMOING Z ICEFTIFYTHATINiHLPERFORMRNCEOFTHEWORNFORWHICHTNISVERMITI5155UED,l MECHANICAL � . . U� 511ALLNOTEIAPLOYAN'IVERSONNANYMANNERSOASTOBECOMESUDJECTTOiNE � WORKERS'COMiENSATqNUW50FCALIFOqN10.�NDAGREETH�iIf15110ULD8ECOML INSPECTIONFEE � SU6IECT TO THE WORNERS'COMPENSATION PflOVI510N5 OF SECT�ON 7700 OF THE UOOR ., .S . COOE.ISHALLFORiMWITHCOMPLYWITHTHOSEPROV1510N5. . . _ .._ ISSUANCE _ ��_ ._' � � SMIP `' /�/� �r7+-- ; p DATE: APPLICAM: � --T'f�TTT^�J� / � WARNINC;FARURETOSECUREWORKEFIS'COA�PENSATpNCOVER�CEISUNIANTUL.ANOSHALLBE ENERGYP/C� { 7 � �y SUB.�ECi1WEMPlOYERTOCRIIAwALYENAlTIESIWDdVILFWESUPTOONEHUNDREDTIWU5�h1� ENERGYPERMIT ' DOLURS(St 00.000).NI ADDITION i01HE C0.S7 OF COAIPENSATION.�AMAGES AS PROV�DED FOR IN � SEC'f10N0708OFTHEIABORCODE,WTEFEST,MIDATiWiNEY'SFEES. � � RETENTIONFEE: - - � Q pW., CONSTRUCTION LENDING AGENCY PRE•ALT FEE: ' � ' O � IHEREBVAFFIAMUNOERPENALTYOFPERIURYTHATTHEREISACONSTRUCTIONLENDiNCACENCV ' ' � FOfl TME PERfOFU.IlWGE OF THE WORK FOR WHILN TMIS PERIA�T IS ISSUED(SEL.]09�,CIV.GJ. . , Z W � LENOER'S NAME � S F— LENOERSADDPE55 � � � ICERTIFYh1qTIMAVEREADTMISAPPL�TIONANDSTATETHAYTMEABOYEWFORMATIONISCORRECT. TOTAL FEES � W IAGREETOCdAOIYWITHALLGRYANDCWNTYORDINANCE5ANO5TATEU�NSREUTWGTO8UIL0iNG - � � n' CONSTRUCTION,ANOHEREBV�UTiK)Ii�IEFEPRESENTATIVE50FTHISCOUN7YTOENifRUPONTHE ' Z ABOYE�MENTIONEDVROPERTYFOqIN57ECT URPOSES. . COMMENTS ,= U�:�� ��S m pE ITTEE N/J�E(ONM), 4 u> �' N , ATVREOFPEAUITiEE . DATE . ' ' � -- RECPT.N0. PA'D BY � VALIDATION �� � -� � � � � WHITE—DepaM1ment Copy.VELLOW—Finance Copy.PINK—Assessor Copy.GOLDENFIOD—File Copy,GREEN—Applfcant's Copy . "' .., . .�!, �-� . � . . �' ' ' � . � .� � � . � � � � �.. .. _ ' . . • CITY.OF DIAMOi�D BAR ' ' . � . ,. . INSPECTION RECORD ; � � • � � , • - • � � • - SEl'BACK ' FLOOR JOIST - � FTGS/FORMSlSTEEL >29 r� � FHA REQMTS- ELECTRIC GROUND � UNDER FLODR DUCT . ; � . . GROUND PLUMBING UNDER FL�OR CO�IDUIT ' SLAB GRADE FIREPLAL`E FOUNDATION " `'�" �' ' • -'�� TEMP POWER:� . ��. -, � FIREPLACE BOND BEAN� ' -• – - WATER SERVICE ' t \� � � �' ' MID HT.BOND BEAM � � -� � - ROOF SHEATHING 8 FT.BOND BEAM ' FRAMINGNENTILIATION �z l8 '��� FINAL BOND BEAM � . ROOF COVER PRE-GRADING ��� " `� � ��. .�.' ,� • ROUGH HEATING - BENCHING ' ROUGH ELECTRIC - - - ROUGH GRADING. ROUGH PLUMBING � � FINISH GRADING SHOWERlfUB TEST POOL ELECTRIC - EXT.LATH/SIDING - POOL FENCING WALL INSULATION POOL�FINAL CEILING INSULATION .7 Z OFF SITE IMPS. � DRYWALL NAILING ' DEDICATIONS SEWER FINAL ENG. SEPTIC TANK_ _. _ . _ . LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST - - - FINAL ZONING FINAL CONST. - D 7 FIRE DEPT.FINAL;: ! • - FINAL:HEATING � - � HEALTH DEPT.FINAL . - FINAL ELEC7RIC - - � DEV.FEES PAID ' FINAL PLUMBING ENERGY - - - ---- — _—_..._. ... _..._ � s _ ... . . . ' - - . .. - - -,-• -------._�..... . . ...... . ._ _ . . COMMENTS � 9 ;.. � , . � . � --- � " . � �.. . _ _ .__ . . ,�x, . . . . -�� � � � � � . ... . � •�`l ' � ��:�' .- . . � �' :.` ,'` ' _ 1 . .� ' . . . � , . . � .. 1 ` , • -�� i' , . - t 1 . ... � � . . � �!1 i' �,.� ' . - � . SEPTIC TANK SIZE . ' - SEEP PIT/U SIZE , , . . . � . . 5 ;/ 1 � �/ _ - . 1 ,\ , i i � �, `C� � . :_. . � ' '.... � _. . ' . . . � � 8 _