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HomeMy WebLinkAbout11728 (5) - - •- - - -- -�•-= - --�- —. � �-- - , - . - ---- ---------- - --- ----.. ... _ PLAN SP1622 ---��-�-� CITY OF DIAMOND$AR " " � COLiMUNITY DEVELOPMENT DEPARTMENT / � 21660 E.Copley Drive Suitc 190 - • . (909)860�3195 Fax(909)861-3I17'' ' PRESS ""' BUILDIIVGPERMITAPPLICATION . - ' FIRMLY � � JOBSITE � * ' APPLICATION.� ,,'t•.' PERMIT P/C ; o ADDRESS iSOl EMERALD LANE� �' � � oAre � 5 28 NUMBER k � ISSUE TYPE OCC APN LOT 41 TRACT 5222$ DATE CONST. GROUP p OWNER STr1t7DARll PACIFIC � o ADDRESS�S65 W. MACARTHUR BT.VD ZONING SETBACKS gCITY COSTA T4F.SA ZIP,g�� TEL]1 G—(i,fj�L}3,,00 FRONT RW ❑ APPLICANT "TEL.' REAR ❑ � SIDEISIDE STREET RW ❑ oCONTRACTOR HOOD PLUMBING, INC sioe ❑ ADDRESS 62��CREST AVENUE � PL1Jr1�3ING — PLAN 2 Cm' RIVERSIDE z�P,9�530 7EL909-689-2488 PROPOSED USE o ARCFVENG/ • �z DESIGNER NO.DWEL. NO. . . NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY 21P TEL. � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� - OWNER-BCILDER DECLARATION . . SFWADDlREM O � p 1 HEREBV AFFIPM UNDER PENALN OF PERJURY THA71 AM EXEMPT FROA1 THE CONTMCTORS L4 G8f0gB/Ca�pOrt � W GENSEUWFORiT7EFOLLOW:NGflEA50N(SEG7031.6BUSINESSANDPROFESSIONSCOpE.M1YGIT1'OF (n ' U Cp�K}yW{�IC11pEW�RESAVERAlIT7000N5TRUCT,ALTER.F�PROVE,DEIAOLISH,ORRFDAIRANYSTRUC . w TUHE,PRIOF TO ITS ISSUANCE.A:50 HEOUIRES TME A7PL�LANT FOR SIKH PERMR TO FILE A SIGNE� W Pa!io/peck ' � � � STATENENT THpT HE OR SHE LS LICENSED PURSl1ANT 70 THE PROVISIONS OF TME CONTRALT00.5 ll S CENSE UW(CHAPTER i(CO�.�MENCINQ YA7N SECTION 7000)OF DIVISION 7 OF THE BUSI�C55 FN'J GRO• V" P�USpa - .. FESSIONSOODE)ORIHATHEORSHEISE7fEMPTiHEHEFHOMA�DTHEBASISFORh1EALLEG[DE%EMP• (� � TION.ANYNOLIITIONOFSECTION7091.SBYANVAPp�kpMFORAPERMITSUBJECT5hiE11PPLIGWTTO Z Re-Rool ' ACML VENALTY OF NOT MORE 7HRN FIVE HUNDRED DOlURS�SSOD).): Z ❑tASOWNEROF7HEPROPERTY,0i7uYEA1PLOVEESYnTNWAGE5A57HEIRSOLECOMPENSA7qN, O COrt1RI0fCi81 � W:LL 00 TML WORK.Ml�TME STRUCTURE IS NOT IMENOED OR OFFERED FOH SALE(SEG 7oN,BU51� J � NESS AND PROFESSIONS CODE:TME COMMCTORS UCCNSE UW OOES NOT APPLV 10 AN OWN[R OF � - PROPERTY WFtO BUILDS OR IMPRpVES THEREON,�ND MMO DOES SUp1 WORK HIMSELF OR HEHSELF OF CC THf10UCHHISORMEROWNEMi+�OYEES,PROVIDEDTNATSUCHWVROVEMENTSARENOTINTEN'JEOOR m w OfFEREDFORSALE.IFi10WEVERTMEBUILDINGORIMPROVEMEN7155qDWIT1INONEYEI�ROFLOMPIE� � � TION.7HE OWNER�BUiLDER WIIJ_HAVE TME BUROEN OF VR01lINQ TNAT HE OF SHE�ID NOT BUiID OR Z IMPROVEFORTHEPURFOSEOFgp�E). � _ .OI.ASON^.:EROFTHEGROPEN7Y,AMEXCLUSIVELYCOMMCTWGNAiHLICENSEDCONTMCTORS W Q TO CANSTRUCT T1E PRO.IECT(SEC.)0��,BUS:NESS AND PROFESSIONS CODE:TME CONTMCTORS ll� ValU2tiIX1 ADJ.AREA� � � � W �NSEU'MOOESNOTAPV�YTOANOWNEROF�PROPERTYNM1q8UM1D50RIMVROVf3THEREON.ANO � � NTiOCONTMCTSFORSUCHPROJECTSWITHACCMRMCTOR(S�UCENSEDPURSUAMTOTHECONTMP OUANTIIY DESCRIPTION FEE Y TORS UGENSE UW.). . � � O IAM E%EMP7 UNDER SEC. B.8 P.G FORiHlS PEASON J � � O . . V � � ��" DATE ONMER U . .. 7 W � LICENSED CONTRACTORS DECLARATION w IHEREBYAFFIRMVNDERPEN11iYOFPERJURVTHATIAMIICENSEDUNOERPROVISIONSOFCHAPTFR � 17 FIXTtJRES � 138�55 U.. ofCO�MENCWGWrtHSECTiON7o0o10FDNi510N70F7HE8U5:NE551�NDiROFE5510N5CODE.MID z � W uYLICENSEISINFU.I.FORCEANDEFFfCT. CL� � y DISH�7ASHER �� �� � 8.IS � LICENSEGUSS C36 uc.r,o. 9f,(1�71� � 6 GAS OUTLETS 10.30 F' onre 5/�$.�9$ coNrancToa�jQQD PLUMBING a w 1 41ATER HEATER 8.15 � WORKERS'COMPENSATION OECLARATION Q � � N INEREBYAiFIPMUNDERPENALT/OFPERIUMONEOFTNEFOLLOWINGOECUMTqNS: Z . � _IHAVEANDW:ILMAINTAINACE�iTIFICATEOFCONSENTTOSELFiN51iFlEFORM/ORKERS' _ " CWAFENSATION,AS Fi1WIDED BV SECTON]70o OF THE LABOH CODE.fOq h1E GERFORYANLE w � Q OFTHEWORKFORWHICMTHISPERMITISISSUED. � W �IHAVEANOW4LMAINTAINWORKENS'C01�7DfN5AT10NINSUILWCE,A5HE0UIREDBVSECTION .Q �70oOF7HELACORCOOE,FORTMEGERFORMANCEOFTH[WON(FORWMICM7HISPERMIi15 4SSUEO.MVWORKERS'�OMPENSATIONINSURANCECARRIERANDPOIICYNUI.IBERARE: �CONSTRUCTION ' � CARRIER CAL—COMP PUIN REVIEW . � Pa�cYnureOER_�,�g���j�f+6 ELECTRIC _ �� ' . � . ..� . Z - Q u�j�:', . r'•:i Y�A. 0 (iN6SECf10NNEmlqTpE00fdlFIEDOF7VEPERMT6fORONEHJ�REDDOLLARSR��%�LESS} PLUMBING . .. w MECHANICAL ' � •� Z ICERTIFYTHATNTHEPERFONAANCEOFTHEWORKFOHNMICHTHISVEiWITISI55UED,1 ('} SYULINOTEMPIOYANYPER50NIN�NYMAt�NER50A5TO8E0�1.7E5UBJECTTOTHE N WOHNERS'COMPENSATIONU�'/SOFCALIFORN10.ANDAGREETNATIFISHWLDBECOA�E INSPECTIONFEE � �� � � SVBJECTTOTHEWORNERS'COM7ENSATIONGROYISIONSOFSECTqN�7000F7t1[�/�gOR � � _ COOE,ISHALLFORTHWITHCdA7LYWI7NiHO5ECROVISIONS. _ ISSUANCE � SMIP p OATE: APPLICANT: � . � WARNINC:FAI�URE T0 5[CURE WOAKERS'COMPENSATqN COVERAGE 15 UNLAWFUL.AN�SNALLBE ENERGY P!C� �y SU0.IECTMlEMROVERTOCH:MINALVENALTIESANDCIVILFINESUPTOONEMUNOREDTHOUSANO ENEHGYPERMIT DOLIAR.a(i100,000),IN/iODITKKJ TO TNE CO57 OF WIAPENSATqN,D/JAACES AS PROVIOED FOR IN . � SECTqN77DBOF7HEUUO�iCODE.IN7ERE5T,ANDATfOfiNEY5FEE5. � RETENTIONFEE: � � - -- o _CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYALFIRAIUNDER7EN:1�7YOFVE0.RIRYTNATTMEREISACONSTRUCTIONLENOWCAGENCY � ' ' FOR THE CERFORAIANCE OF TME WOHK F /WNI 1Hi5 PERMIT IS ISSVED(SEC.3oY7,�IV.C.�. ' w - . � LENOER'SNAME ' � �-- LENDER'SADDRE55 � � � �' � TOTAL FEES 180.15 � ¢ 1 CFRTIFV iMAT I HAVE P� TMIS AO�ICA7101y� �ETHATME�BOVE INFORMATION IS CORRECT. w IACREETOCOMVLY AILCI DCOUIy O I ANCESJWDSTATEUY75AELATING708UILDING' ' - � CONSiRUCT1ON.AND EREBY HORIZER 7 E A7IVESOFTNISLOUNTYTOENTERUPONTHE ' Z /�BOVE-MfNTIpryE ROPER FORINSPE POSES. ' o j �� COh1MENTS � G '� OOD m PERMITf N � ' - . . . . � . � ' ' �X�gX8XH5/28/ 8 �/' (n SIGIUiUR F iREE DATE t�(.�'�+(- � RECPT.N0. � J v�'' PAI� VALIDATI � � WHITE—Departmen[Copy,YELLOW—Finance Gapy,PINK—Assessar Copy,GOLDENROD—File Copy.GREEN—Applicant's Copy . . ' . . ' ' , . . _ . . ' . :'� �, ' , . . . . . • � ' , . ' 1 i � r CITY OF DIAMOIvD BAR � .' - ' INSPECTION RECORD � . � -:� � . � � . . � . � � , � . SET BACK • . FLOOR JOIST - - FTGS/FORMS/STEEL - FHA REOMTS � ' - - - ELECTRIC GROUND �• UNDER FLOOR DUCT GROUND PLUMBING • UNDER FLOOR CU�IDUIT �- ' ' SLAB GRADE ' " FIREPLACE FOUNDATION _. - ' ' TEMP POWER - - - FIREPLACE BOND BEAM �< WATER SERVICE - -� �- �- � MID HT.BOND BEAM, � � • � ROOF SHEATHING 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM - - -- ROOF COVER - -- - PRE-GRADING � � � ROUGH HEATING -- � - - BENCHING ROUGH ELECTRIC - - ' � ROUGH GRADING ROUGH PLUMBING ff � � FINISH GRADING SHOWERlTUB TEST � POQL ELECTRIC EXT,LATH/SIDING ' POOL FENCING . , ;, WALL INSULATION POOL FINAL � • CEILING INSULATION 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.- - - -- FIRE DEPT.FINAL FINAL HEATING - - - - HEALTH DEPT. FINAL - .: FINAL ELECTRIC - - . DEV.FEES PAID FINAL PLUMBING -�' �.. ENERGY .. .. .. ..._ . . - a • , . , . . ... . _ . . , . ,.. COMMENTS - _ ._ . � .,-M''�aa.: �.� • —, . • . �� ; � � , . . ... �• ,.Y:f . � f;� . . SEPTIC TANK SIZE - � ' - - SEEP PIT/U SIZE �. • _. . - .. ,. ''�• . '�,: .. ,. ' `