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HomeMy WebLinkAbout11471 . . ----- - ___. _._ . -... .,r,,.�.�,., - . ----- _ _. �, I - ----�� --- CITY OF D1AhtOND BAR� � COb1MUNITY DEVELOPMENT DEPARTMENT .'�,..� . 2I560 E.Copley Drive Suitc 190 � , • (909)860-3195 Fax(909)861-3117 PRESS '""' BUILDING PERb1ITAPPLICATION FIRMLY � JOBSITE APPLICATION - � � PERMIT P/C �f o ADDRESS� � DATE NUMBER # �� $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � /OWNER O "" ADDRESS ZONING SETE3ACKS � � CIN � ZIP yl�-E�TEI. _L�� REAR RW p APPLICAN7 TEL. SIDE/SIDE STREET RW ❑ Z ¢ CONTRAC7Q �fi Vl� _ SIDE �❑ O ADDR SS 1 0 ROPOSED USE�� l_ I CITY ZIP I TELjG�) O-Oolb . �w ARCWENG/ ' z DESIGNER � w NO.DWEL. NO. NO. a ADDRESS UNITS STORIES ' BEDROOMS � CITY ZIP TEL. u� cn � - DESCRIPTION SQ:FT. -FACTOR PSF ADJ.AREANALUATION Q � OWNER-BI:ILDER OECLARATION . . . � � SFR/ADDlREM -� ��� - O . � p I HEHEBY AFFIRM UN�ER PENALTY OF PER..VqY THAT I AM E%EIAPT FROM 7HE CONtMCTORS LI-' Ga�ggJ`(��pR ' � W GENSEUwFORTHEFOLLOWINGREASON�5EC.70.91.58U5PlESSMlOPROFESSKKJSCODE:ANYCIiYOR (n �� �- U COUNTVWHid1FlEOUIFESAPERMITTOCONSTRUCT,ALTER�MFqOVE.DE�.PJLISH.ORREPA:RANVSTRUG W patio/peck . - - � W TURE,PR10R TO ITS ISSUANCE,AL50 REOUIH[5 THE APPLICANf fOR SVCH PERMIT TO FILE A 91GNE0 W _ STATEMEN7IWV HE OR SHE IS LICENSED PURSUANT TO THE PNOVISIOHS OF TME CANTMCTORS l4 ' � CENSEIAW(CHAPTER9I���ENCWQYATNSFCTqN7000�OFDIN510N70FTHEBU51NE5511KDPfl0- �' PooVSpa � 0 FESSIONSCODE�ORTMATNEORSMEISEXEMPTTHEREFROMANOTHEBRSISFOqTNEQLEGEOEXEMP- C7 V TION.�NVVIOIAiIONOFSECTION7031.6BVANVhVPLICANTFORA7ERAliT5U0JECi5THEAPPUCANTM • Z Ro-Roof . . A CIVIL FENALry OF NOT MORE THM!fNE HUNDRED DOLIMS(SSoo).�: O LAS O`MJER OF THE VROPERTY.OR MY EMPLOYEES WIlH YlAGES AS iHEIR SOLE COMPENSATqN, � Z Y71LL DOTHE M70RK.AN�THE STRUCTUfiG IS NOi INTENDED Oq OFFERED FO{i SALE(6EC.70a1,BU51- . � COIIlR1efC101 � ' ' � NESSANDPROFESSIONSCOOE:TMECONTRACTORSLiLENSEUWDOESNOTAPPL�TOANOWNEROF � , -pNOPERTYNR108UI1D50HIMPROVESTHEREON.ANDNTbDOESSUCHWOqKH1A15ELFpRHERSELFpp � . � [[ TNflOUGFIM50RHER0\VNEMPLOYEES.PROYIDEDTHATSUp11MPROVEMEM511RENOTINTENDEDOR m QOfFEHE0FOR5ALEIF,NOWEYERiME9UILDINOORIMPROVEMENTISSOIDWITMNONEYEAROFCOMPLE• � • . � Z TON,TH[OwNER�BVILD[R N'ILL HAVE TNE BURDEN OF VROVINO THAT HE OR SME DN NOT BURD OR = 11APROVE FOH TME PURPOSE OF SALE). : � � . ❑4��`h'NER OF THE DROPERTY.All1 IXCWSIYELY CONTMCTING Wf1H LICENSEO CONTMCTORS '7 � TO CONSTRUCT THE PRQIECT(SEG 70a<.BUSME55 MD PROFESSIpNS CODE:THE LONTMCTORS LL- '�/dII1a110f1 _ %(�i�. •�� pp�_AqEA � • W CENSEUWDOESNOTAVPLYTOIWOWNEflOFAPqOPERTYWFqBURDSORMVFOVESTHEflEON.AND . � WNOfANTMCTSFORSUCHGR0.1ECT5W11HACOMRACTOR�S)LICENSCDPURSUIwT70TNECONTMC- QUANTITY �DESCRIP IOV - '� FEE ' Y TORSUCENSEUw). � . ' � ❑1 h61 EXEMPT UNOER SEC. 8.8 7.G FOH THIS REASON a -,G � { � � L � DATE Ov�T1ER � F� O W . ¢ LICENSED CONTRACTORS DECLARATION W . OC IMEREOYAFFIHMUNOERGENALTYOFPERJURYTMATIMILICENSE�UI:DERPROVISIONSOFGHAVTER '. � - a, 9(COMMENCINGYAiMSECfqN700010FDIVI5iON70FTHE0USINESSANOPqOFE55qN5CO0E,AND Z ' � �� � � X uv�ICENSE IS W FL1LL FORCEAND FFFECT. .• . � IICENSE CIASS LIC.NO. �� `�� � . V DATE� � CONTRACiOR d W . � WORKERS'COMPENSATIONOECLARATION �t�� U � � IHER[BYAFFIRAIUNDER�ENALTYOFPEiWRYONEOFiNEFOLLOW!NGOECUfiAT1ON�I 1 � Z , � �IHAVEANDWILLMNNTAiN110EHTIFiCATEOFCON5ENT705ELf-INSUREFORWORNERS' 4 � � � � � � � COMPENSATION,115PROVIDEDBYSEG710N77ooOF7HELABOqO00EFORTMEPERFOHMANCE U .Q OF THE WORK FOR WHlql TNIS PEN.�I715ISSUED. � ' W �IHAVEANOWILLIAAINfAINWORKERS'COA!PENSATIONINSUMNCE,ASRECUIPEDBYSECTION Q J7DaOFTMEUtiOqCODE.FORTMEPERFORMANCEOFiHEWORKFDHN'HICHTHISVERMITIS � J ISSUED,MVWOfiKER5COA/PENSATIONINSUMNCECARRIERANDPOIICVNUMpERM[: " CONSTRUCTION i � j GRRIER PLAN REVIEN! �" o roucwr+uuoErs Z LECTRI ¢ . 0 (iM55ECf10NNEEDNOTBECCh4'LEfmOFhEPEPo.tt6FORQVEFA.WRCDOCUAlISlSIW10FiLE55} PLUMBIN� Z ICERTIFYiMATINTMEPERFOqMIWCEOFTHEN+ORKFORwMICM7MI5PERMITI5155UED.1 M.ECHANICAL C7 . SHALLNOTEMPLOYANYPERSONWANYMANNERSOASTOBECOMESUOJECTTOiHE WONfERS'COMPENSATIONUWSOFCALIFpiWIA,AND�GREE7NATIFISHWlDBECOME INSPECTIONFEE � N SUBJECTTOTHEWOPo(ERS'CWAPENSA710NPRONSIDNSOFSECibN77000FTHElA N r.t, • -rj _ CODE,ISFIN.LFORTIMIiTHCOMP�YWiTHTHOS vRrnnswns. ISSUANCE �� '� } �r O . .. _ p DATE:��� APPLICANT: SMIP L _ W � WARNING:FARURETOSECUREN+DRKEflS'CAMPENSATiONCOVERAGEISUNLAWFULAND5FUILBE ENERGYP/C . j�/�� �y SUBJECiANEMPL01ERiOCRIMIN�ILPENALTIESANOCNILFWESUPTOONEHUNDR[�THWSANO ENERGYPERMIT _pyy S f] iyY► DOlURS(ltoo,Doo�,p!ADpITION TO TNE COSTOFCOMPENSATqN,DAMACES�S iNOViDED FOR IN J SECTpN]70eOFTHL{.ADOFCOOE,rtiTEREST,ANDATfOfV�ET'SFEES. � . �11 �� �T-��`�� Q RETENTION FEE:' � -- • O CONSTRLICTION LENDING AGENCY PRE•ALT FEE: � � ' � • � IHEREBYAFFIpMUNDEHPENALTYOFPERJURVTHATTHEflE15ACON5TFUCfqNLENDWCAGENCY FOR TNE PERFpqMANCE OF iME WORK FOR WHI[]I TMIS PERIAIT IS ISSUEO(SEL.7007,CIV.C.). Z W � LENDER'S NM1E F-� LENOEH'SA�DRE55 � ICERTIFYTMATINAVEREADiMISAPVIICAT10NM105TATETH�TTHE�BOVEINFORMATqNISCORRCCT. TOTAL FEES � W IAGREE TO COAI7LY NiTH ALL CITY AND COUNiYORDWANCES AND S7ATE UN5 PEUTING TO BUROiNG - � CONS7NUCTION.AN�HEHEBYAUTHORIZEREPRLSENTAiIVESOFTHISCWNTYTOEN7ERUPOHTHE Z ABOVE-MEMTIONED VROPERTY fOR INSPECT�ON PURPOSES. ' 0 �- `�� ��O O � � COMMENTS � � 1 / � v m VERMITTE AME IPRINTI � . . . • . . d � � SIC Nr OFPEWAI DRTE � RECPT.N0. PAID BY VALIDATIO � WHITE—Dapartment CoDY.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENRO�File Copy,GFC-EN—Applicanfs Copy . . . . '1. .. '' ' ' . .. . . . .... . ' �. . . . . .- _ `. .. ' • � � _.. - .... . . . .0 j.�..•_• . .. , . . CITY.OF DIAMOIVD BAR . . .: �� ' , , . � � � INSPECTION REC�RD , , �. :� - . ,. -�. , .. � � . � • � � � � - • • � � . � . ... . _ SETBACK• •------------_�. .--------'------------..__._.. .FLOORdOIST. .. : _ - _ . _ .. • FTGS/FORMS/STEEL - FHA RE�MTS ' � - : ,: � • :, ELECTRIC GROUND UNDER FLOOR DUCT ' . . - - GROUND PLUMBING UNDER FLOOR CUNDUIT �' '� ' �.. • SLAB GRADE- ' FIFIEPLACE FOUNDATION - TEMP POWER ---- -� - FIREPLACE BOND BEAM . - '� � ' :� •� ' . ' . ; � WATER SERVICE-. � � � - MID HT:'BOND BEAM ••,• : = �S � ..' , ROOF SHEATHING �� � � � � e FT. BOND BEAM ' FRAMINGNENTILIATION FINAL:BOND BEAM - . ROOF COVER- - - - - PRE-GRADING � • ROUGH HEATING - ' - BENCHING ROUGH ELECTRIC -- - " " ROUGH GRAOING . , ROUGH PLUMBING � � - FINISH GRADING � SHOWERlfU6 TEST � POOL'ELECTRIC � EXT.LATH/SIDING POOL'FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ' SEWER .... .... . _ . FINAL:ENG. SEPTIC TANK =- - -- _ -�. � � � . `' L•ANDSCAPE/IRRIG. � S�EP P��E�L. . . ,. _ .. ..---.. :. ..•_ � ON SITE 11APS. , . G}1S'AIR TfST . �.. . ._._._ .,. . _ ._._.. . . � FINAL ZONING , • ., � FINAL CONST. -- - -- - --- -- - � � FIRE DEPT. FINAL - FINAL HEATING � � � � -� -- " HEALTH DEPT.FINAL - � ; . - FINAL ELECTRIC ,S" ` - - , DEV. FEES PAID . . . FINAL PLUMBING � ° ENERGY • - �. . . � • • . . . ., _ _ -- -- .... . - - - - • . _. ............ _.. .. ;.; , . , . � , . , � ; ' COMMENTS _.._ : ; �� ;: ... .... .. - � _ _ . _ .. _. . _ . . _ . . .. .. _._. . . , , . , , -. _� , . _ U� -�� � ' 1 ,�. . � . � � -� - ,.��;. _.. : ". _ . .. �: : ' .,,.. . , . ��s.� � ; �1;��;. , i , SEPTIC TANK SIZE - '� ' ' , ; - - -.-..; _. _ .. . _S�EP_PIT/U_SIZE - --------- -- --- -- ---- - - - � - -�- � ------ . . _. . ..._... . � . . . . . . , � i ^4 , . ; t , , ; , - . _ - ; � -_. . - , - � � � � � . . , ,