Loading...
HomeMy WebLinkAbout11740 PI,AN 4 SP1622 ---��---� CITY OF DIAr90ND BAR � COb4MUNITY DEVELOPh1ENT DEPARTMENT 21660 E.Coplcy Drivc Suite 190 . . P R E S S � � (909)860-3195 Fax(909)861-3117 ' ' ^^' BUILDING PERMIT APPLICATION FIRMLY } JOBSITE 1SZH EMERA�,D LANE APPLICATION S�28I9H 'PERMIT� �P/C " o ADDRESS • DATE NUMBE JI ISSUE TYPE OCC ' ' � APN LOT 3 TRACT 5222$ DATE CONST. GROUP ' o OWNER STANDARD PACIFIC ' "' ADDRESS 1565 W. I�LACE�RTHUR BT.VD ZONING SEfBACKS QCITY1'n9iCTe h��t�„FCA_ ZIP�,�,� TEq��y-�Fj$_4�nQ , REART RW O o APPLICANT 7EL. SIDEISIDE STREET RW ❑ � CONTRACTOR �nnn PT.11MRj,�j(.� TN(' SIDE ❑ � ADDRESS PROPOSED USE � cirr_tIVERSIDE ziP 25 3 7EU09-689-2 88 w ARCH/ENG! W DESIGNER NO.DWEL. NO. NO. n_ ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �ESCRIPTION SO.FT. FACTOR PSF ' ADJ.AREANALUATION � . � . . . OWNER-6CILDER DECLARATION _ � � SFRlADDlREM - � � � - O ' p 1 HEREBV AFFIFM UNDER PENALIY OF DfRJURY T/uT I AM ExEMPT FRON TME CON7RAC70R5 L4 GafO J0/CaI�OR � � W GENSEUWFORiHEiOLLOWMGREA50N(SEC.7W1.68US:NESSANDPROFESSIONSCODE:ANYCITYOR (n V COUNTYWHItliREOUIRESAPERMITTOCONSTNUCT.ALTEH.PAPROVE,DEMOLISH,OqREVA1RANY5TRUG W Patio/Deck " � • Z TUqE,PRIOH TO ITS ISSUANCE,AL50 REWIRES 7ME AOCUGN7 FOR SUdI PERM�T TO FILE A SiCNED W � � STATEMENT TFIAT XE OR SFIE IS LJCENSEO PUitSUANT TO THE GflOV15lON5 OF THE CONTRACTORS L4 � . . ' CENSE UW(d1APTER Y(COA1MEkCING WItH SECTION 7000)OF OMSION]OF THE BUSINE55 FNO PR6 POOVSPO O FESSpNSCODE)ORiHATHEOR5HEI5E%EMPTTHEFlEFROMANDiMEBASiSFORTHEALLECEDEXEMP- (� . V TION.ANYV�OUTIONOfS[CTION7WI.5BYANYAPPLICANTiORAPERMITSU&IECTSTFIEAPPUCANTTO Z qe-Rool � ACNIL�ENFLTV OF NOT IAORG THAN FIVE HUhDAED DOlURS�5500)): � ❑4ASOWNEROFTHEPROPERTY.ORMYEMPLOVEESWI7HWAGESASTHEIqSOLECOMPENSATION, � ('qmmBfClal Z YALL DO iHE WOflK,AND iHE S7RUCiURE IS NOi INTEN�ED OR OFFEFED FOR SALE(SEC.7oa�.BU56 �J NESS MD PROFESSIONS COOE:TNE CONTRACTORS UCENSE UW DOES NOT A7�LY TO AN OWNfN OF � PROPERiYWHOBULLD50HIMPROVESTHEREON.M'�Yrt�000E55UCHWORKHIMSEIFORHERSELFOR � � [C 7MRWCHHISORNEHONrtdEMCLOVEES.iRONDED7HAT5Up11MPROVEMEN7511RENOi1NTENDEDON m W OFFEREDFORSPLEIF,MOWEYERTMEBUILDINOORIMPROVLIAEMISSOIDWITMINONEYEAROGCq.IPLE• ' � ' 0 TION,THE OW4EF�BUILpER 1MLL HAYE THE BUROEN OF PROVINa THAT FIE OR SHE DiD NOT BVllp qi z WVROVEFORTHEDURPO5EOF5N.E� ' � ' = OLASOriNEROFTHEPiiOPERTY,AME%GLUSIVELVCONTMCTINGWITHLICENSEOCONTMCTORS W � 70 CONSTRUCT THE PR0.IELT ISE4 70�<.BUSINE55 AND VROFESSiONS CODE:TME CONTRACTOqS LI- V21UatiIX1 ADJ.AREA ' W CENSELAWDOESNO7RVPLY70ANOWNEHOFAVa07ERTYw110BU1L�50itN1VHOVESTHERE0N,M10 � YMOCONTMCTSFORSUCHPROIECTSWIiMACOMMCTOR(5)LICENSEDPURSUAMTOTMECONTMC- QUANTITY DESCRIPTION � � FEE . -- - Y TORSLICENSELAW.1. . � OIAMEXEMPTUNDERSEG. B.dP.C.fORiH15R[ASON J -- � 4 U _� . � . . _ . . u' OA7E OVMER � - � ' . . Q LICENSED CONTRACTORS DECLARATION W . � IHEHEBYAFFIRMUNDERPENALTVOFPERNRYTHA71An1lICENSEDUNDERPROVI5KKJ50FCHAPTER z 19 -FIXTURES � 154•HS � , � 9(COMM[NCINGWITHSECTIONTDOOIOFDNISION70FTHEBUSINESSIWJPPOFESSIONSCOOE,AND � p ►1YUCENSEISNFULLFORCEANDEFFECT. � 1 DISHWASHER �� �.'"• �, O�1S «� � UCENSECUSS C�6 � uc.No. 60� 4� � � 6 GAS OUTLETS 10.30 v oAr� 5/28/98 coriraacror�H02D PLUMBING d 41 1 WATER HEATER 8.15 , � WORKERS'COMPENSATION DECLARATION . d � IHENEBYAFFIRMUNOERPENAITYOFPEfWRYONEOFTMEiOLLOW:NGDECLAMTIONS: U . � z . . . 0 _INAVEANOMI�LIMAINTAINIIGERTIFIGATEOF�ISENTTOSELF�INSUREFOqWt�HKERS' Y � CqAPENSATION,ASPROV�DEDBV5EC710N]7ooOFTHEUBORCODE.FOqTMEDERFORMANCE w OFTHEWORKFORIYHICHTMISPERMITLSISSUED. _ .� , � w _IHAVEANDWILLMAINTAINWORKERS'COIr1PEN5ATKKJINSUflANCE,A5RE0UIRED8Y5ECTqN 4 �70oOFTMEIA➢ORCOOE.FOqTHEGERFORMANCEOFTHEWORKFORWHICHTH�SPERMITIS . Q ISSUEO.MYYNPXEflS'LOMPENSATIONINSURANGECMRIEflANOPOUCYNUMOERARL: CONSTRUCTION � �pq�Ep CAL—COMP PLAN REVIEW Z Pa�cYr+uMOER_T,T.70,7S���jj ELECTRIC ¢ ��nassEemar�mrroieeca.stErmoFnfrEw.erswnon�wwnEooau�vsa��l�t�ss4 .PLUMBING ._ �HL11S o w Z ICEATIFVTMATINTHEPERFORMANCEOF7NEWORKFORMnnCNiH�SDERMiTI5155UED.1 M[CHANICAL ' LJ SMALLNOiEMPLOYIWYPER50NWINYMANNCR50A5TOBEC0IAESU&IECTTOTME i � WOPo(ERS'COMPENSATqNUW50FCALIFORNIAMIDACREETHATIFISFqIhDBECOME INSPECTIONFEE SLIBJECT TO THE WORKERS'CAMPENSATION PRONSIONS OF SEC7qN 77000F TMF l'DOR � j CADE,1511ALLFOfl71NnTHCAMPLYWITHTHOSEPROV15�ON5. ISSUANCE • � SMIP � , 'p DATE: APPLICANT: , � � �i,..' .. �: �,� �. WAFNINC:FARUR[TOSECUREWORKERS'COM�ENSATbNCOVEMGE15UNLAWFULANDSVLLLLBE ENEFiGYPlC . ' � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANOCNILFINESUPTOONEHUNDflEDTMUSAND ENERGYPERMIT � DOLURS(5��.�).Nl�DDITpNTOTHECOSTOFCOMFENSATION,DPMAGESASPROVIDEDFORIN ' J SECf�ON]7GeOFTHEUBORGODE,IN7ER[ST,ANOATTOFiN[Y'SFEES. ' RETENTIONFEE: � � " � a CONSTRUCTION IENDING AGENCY PRE•ALT FEE: "' CL IHEREBYAFflRMUNDERVENALTYOFpERNRYIHATTHEREISACONSTPUCTION�NDWCAGENCV d FORTI+EPEHFOWAMlGEOF7MEWORKFOR np77Hi5PE ITISISSUED(SEC.7oY7,GIV.C.�. , . . Z . .. . . . _ . ._ .. . • W / ' � LENDEIYSNAIAE . F— IENDERSADDRE55 / � � � IGERTIFYTHAi1HAVE ADTHIS {+�I �710N �TerwarMe�sovewFoau�rior+iscon�ecT. TOTALFEES � ].9G��5 ' W IAGREETOCOM7LY iiilALlL /�N C�l1N INIWCESINDSTATEUWSREUTINGTOBUILDING '�� �" GOr:STHUCTiOµ NEREBY I$E F �NT�T!VESO�TMISCWNTYTOENTERUVONIME , Z A[10VEMENT10 OPi70PE o sP puqaos¢s. � COMMENTS � /�7� �+�-��+}�7� .. .m OIiL-��ilifii�Yi . . . ... .. _ . PE�/' EE NAu /�p Cn �.SZ/70 ��/ , N tG H iM 7E DATE �j�/�/)J� . � R[CPT��� PAID BY ��VAUDATION _ � � � -� WHITE—Department Copy.YELLOW—Financa Capy,PINK—Assessor Copy,GOLDENRO�FiID Copy.GREEN—AppliCanCs Copy � , . . . . , . , , . ... , . . „ .. , . . � , . , . .. . . . . _ , - • CITY.OF DIAMOr�D BAR " �.� �. ' ;• ; , ' . , -� � � INSPECTION RECORD , �' .. � .. . . .. . . �, ... � ,. , . . . . . � � , . � . � � , � . SET BACK ".� . �FLOOR JOIST - • FTGSlFORMSlSTEEL __.' .. 'FHA REGIMTS � ELECTRIC GROUND � • UNDER FLOOR DUCT- , GROUND PLUMBING - �c.�-. - UNDER�FLOOR CO�IDUIT . - SLAB GRADE -- - ' - ' ` '�`'��' � FIREPLACE FOUNDATION. TEMP POWER - - - • - - FIREPLACE BOND BEAM °' ' " � WATER SERVICE - MID HT.,BOND BEAM � , ROOF SHEATHING . 8 Ff. BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM - ROOF COVER - - - - - - � - � PRE-GRADING - - � ROUGH HEATING -. � ' ' BENCHING - �� ROUGH ELECTRIC - � - ROUGH GRADING . ROUGH PLUMBING �� l3 � � -� FINISH GRADING . ' SHOWER/TUB TEST - POOL ELECTRIC EXT.LATH/SIDING POOL FENCING , � ' � WALL INSULATION POOL FINAL � ` � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING. DEDICATIONS , - . SEWER. ._..._. . _. _. .. . : � FINAL ENG. SEPTICTANK ... � - ` ._ . LANDSCAPFJIRRIG. SEEP PIT/LL. ' - ' - 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 z � ENERGY , ., �. , , � � . . .. , - .. __ , . . _.. -- - ---- . . . --•i..------•--- -• _..__...... ._. _. . .. COMMENTS -- - ' � _ _ . _ -- . . � � : _. . - . _. _ _ _ _... � , .. � . - - � � . , .r,: . ,., - , _ � SEPTIC TANK SIZE ' , ; - � - .� - - - . SEEP PIT/U SIZE , . _ . i:.., : _ ' , _ _ . . _ . _ � . c � ' �} '. - . . . . , , , � ,