Loading...
HomeMy WebLinkAbout13285 (17) _ ._..._....._.._ . _. _.._ ._. _.. .._- ---: _ _---- - ---- ___ . . — _----- — ,— `. ---�� - C[TY OF DIAM1tOtiD BAR • •: � � '_ 1; � I I C01�4:�tUh1ITY DEVELOPhtENT DEYARTb1Eh"f / a.�.'-...c� `� 2i66o e.coriry n�����s��ce i� .. �'.// PRESS � (909)860-3195 Fax(909)R61-3117 ' ' . / "^" BUILDING PHRh1ITAPPLICAT10\' FIRMLY a ADDRESS�CJ��IrJ� ��Ol 1 � DATECATION•��/�1�11 • NU p R��1d� �lC � ISSUE TYPE OCC APN LOT �n� TF�AC�_ DATE����� CONST. GROUP p OWNER _bit-tJ� "' ADDRESS��� ZONIPJG SETBACKS � CIN ZIP TEL. FRONT RW G o APPLICANT TEL. S DE/SIDE STREET RW ❑ m CONTRACTOR�L.,, SIDE •❑ � ADDRESS��-�-� 1—�, - ��i+L.�L1��LY��' �_ �` ��/ PROPOSED �_ o A WENGP "�I�4�S[� ZIP[]�/.�3 7EL.'z"���'ri . -- .. . � �[y� J' . �z DESIGNER � NO.DYlEL. NO. NO. o'_ ADDRESS UNITS STORIES BEDROOti9S � CIN ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � ON�NER•E3CILDER�ECLARATION � � � SFFi/ADD�A�A! - �� � O � 1 HERE6V AFFIRM UNDER PENALTY OF VERIURY THAT 1 M7 E%EA!?T FROM THC CCNTRACTOAS L6 Gafy9B/CBIpOR � � W CENSEUWFOFiTMEFOLLO'WII:GflEA50N(SEC.7071.SBUSINESSAN�PROFESSIDNSCCDE:ANYQTYOR (n ' ' U COUMVWt71CHRE0UtRE5APERMITTOLONSTRUCT,ALTER,14f�RCVE.DCMJLISH,ORR[PAiqANYSTRUG � W Pd1i0/DOCk � . w TI�aE ORIOR 70 ITS ISSUAYCE.Q50 HEOl11RE5 TH[APPLICAIfT FDF SU01 VEFMIT TO FILE A fIGNCD W STATEA�ENT THAT HC OF SHE L UCEM1SED DUFSUANT TO TNE PRONSIONS O:TH[CO�TaACi0R5 L4 $ CENSE lAW(CHAPTER Y(CG.�MiNCINC WITH SECTION 70CC)OF CIVISiON]OF TH[�W^INESS AAD PItO � POOVSP3 FESSIONSGOOE�ORTHATMEORSMEISE%CMPTTMEREFROMAN�THEBASISFORTHEALIECEDEXENP� C7 � TION.ANYVqUTpNOfSECTION7071.58YAYYAPPLICANTFO�iAGERMITSU&1[GTSTMEA7PLICANTTO ' Z Re-Ro:f � A CINL�ENALTY OF NOT MORE iHAN FIYE HUNORED DOLURS(i5oo�): � ❑4�50`MJEROFTHEpROPe'RTY.ORMVEMP�OVEESWITHWAGf5a5TMFIRSOLECANPENSAiqN, ❑ CommerC:el � � � � VALLDO TNE WORK,AN'J TME STRJCTURE�5 NOT INTENDEDOF OFFERED iOR SAiE(SEG 701�.BU51• J NE55 M!D PROFESSIOhS COD[:TNE CONTRACTORS UCENSE LAW DO[S NOT APPLY TO Av DKM[a OF � � PROPERTYWNOBUILDSOAIM�FlOYESTHEREON,ANDNHODOESSUCMWORKNiMSELFORHEA5CLF00. � Q TMRWGMHISORMEROWNEMPLOYEES,PROVIDQDTHATSULHIMPROYEAIENTSARENOTWTEN�EDO� m W OFFERE�FOflSALE.IF,MOWEVERTMEBUILDINGORiMPROVENENTI550lDWITHINONEYEAROFCON7lE-� ' • � � TION,TH[OW!:ER�BUIL�ER WILL HAVE hl[BUR�EN OF PROV'NG THAT HE OR SME DiD KOT BU'�l0 Ofl Z tlAGROVE FOR THE PURPOSE OF SALE1. � � _ �OI.ASO�LNEROFTHECROPEiiTY.AME%CLUSIVFLYCANTFlACTWGW.THLICCNSEDCOIdTMLTCRS � TO CONSTRUCT THE VRQIECT(SEG To�a,BUSINF:SS 0.Yp VqO�E5510N5 CODE.TH[CONTMCTOAS U• V�I110:i0l1 ADJ.AREA W CENSEUWDOESNOTA7PLYTOANOWNCROFAPROPEf7TYYMOCUILO50RMPROVGSTMERfON.A4D � KTIOCONTMCTSFORSUpiCR0.1ECTSWITHACONTFlACTOR�S)LICCNSEDPURSUAMTOTH[CO!:TRAG .OVi�NTITY DESCRIPTIO�J � FEE . Y TORSLIGENSEUW.�. � ❑IAAIEXEMPTUNDCRSFC. B.BP.C.FOR7HISRCA50Y U ' � - . . . .... LL . ' 2 �ATE Ol4"ILR U � Z . W . . . .. . . . _ . . � LICENSED CONTRACTORS DECLARATION W � I NER[Bv AFLiR�A UNDEF PENALTV OF�ERtt1RV THAT I/J.1 LICENSED UNDER PROVIS:ONS Df CNAPTER V. � ` p_ 0(COIAAI[NCINGYJlTHSECTION7000)OFDMSKKJ70FTH[BUS'NESSAVDOtiOFE55;O�SCOCC,AND ` ' �/ X YYLiCENS[ISINFULLFORCEMIDEFFECi. / • - � LICENS[CU�1S5^L-�l�-`��IC.NO.�� • �� �n� j �� . V DATE��L�/�� CONTFlACTOiI���jr7��,rr v d W ����.ta ��. — � N10RKERS'CONPENSATION D[CLARATION Q � IHEREDYAFi1RMUNDERPENALTYOFVERNRYONEOFTHEFOLLOWINGCECLARATIONS: � . Q � _IHAVEANDWILLMAINTA:NACERTI�ICATEOFCONSiNTTOSELF-IkSUf1EFOAWOPNCRS' _ COMPENSAT�ON,A57ROVIDEOBYSEC7iON37o00FTHElABORGODE,�ORTHEPERFORM0.aCE W OF THE WORK FOR WHICH THIS PER�IIT IS ISSUEO. Q j . w _IHAVEANDVnIL�Al4TA'NWORKEfl$'COM^ENSATqNINSVRPNCC,ASRE0U1�ED8YSiCT:ON Q 37000F TH[LAOOR COOF.,FOR TME PERFORMANC[OF TME WORK FOR WNICH THIS PERMIT IS ' � ISSUED.MYWORKER PENS T!ONINSU !��CECARR:EAAhDPOLICYNL'MCERAP.c': COYSTRUCTION � Q N ._. . � CARNIEP ,1 1� ��7N{�Evl[tiV Z POLICYNUM�EN � . .. T•• � '_j � ���-�, ELECTR�C ��x� / Q 0 (flu55ECT10NNEmN7T6'cCLMIEfEDOFTfPCw.�TISFDRON[fR.►IX�CDORIJI�'l5�Si0o)OfilES.,�'} PLUP.IESING . _ ���5_ _ � Z ICERTIFYTHATPliHEPERFORI.IPNCEOFTMEVlORKFORWN'p/TH15PE�7uITISISSUCD,1 MECHAYICAL ����SAn (,'} SWLLLNOTEMPLOYAYYPERSONWANYMAn1:ER50A5TOBECO17L5VDJ[CTTOTME ��U4 (/� WORKERS'LOMPENSIITIONLAWSOFGAIIFORNIAAY�AGREETHATIFISMOtADBCCOAIE IPJSPECTIONFEE� J��� � $U&1LGTTOTHEWORKERS'COIfVEN5ATIONPROVI510NSOF5ECTION77000FTNEUCOR T � 7 `�+ � OCOOE.ISHALLFORTMVITHCOMPLVW�TNTHOSEDRONSION;. ISSUANCE r ,�>/'� {Z _�� f�J�� W DATE: APPLICAYT, 51�11P CI 7 Y O� �t��.A`�'�:'T'Y � WARKINCFAiLUH[705ECUREWORKER�C061PEYSA7IONCOVERAG[ISUNU'NFUL.ANDSHALLE[ �� ENEFGY j:�JILDIi�1��•.: }-� LL SIAJECTANEMPLOYERTOLRIM:NALVENALTICSANDCNiLFiNESUPTOONEMUN�RCDTHOUSANU ENERGYPERMiT DOLLARS(5100.ODO�.IN ADDITON TO TXE COST OF CDL1PE45A',pN.DAMRGES AS PROVICEO FOR IN � SECTION]IOBOF7HELA00fiCODE.WTEREST,ANDATTORNEY'SFEES. " �� � RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRLALT FEE: - � � � - O Q IHCRCBYAFFIRMUI:DEAPENALTYOFP[0.1VfiVTHATTHER[ISACONSTRUCTIONLCh'OIr:CACChCY ' " Q � �-- FOR THC PLRFORM/WCE OFTHE WORK FOR WHIGHTH�S PEFiMIf IS 155UED(SEC.7C9�,CIV.L.). � , � ' - Z - � LENDER'S NAME � n y i - -". 1-- IENDER'SAODRESS S � ICERT�FYTMATIHAVEREADTHISAPF'LICATIONAN'J5T0.1ETHATTMEABOVEI�FOAMATqNISCORHECT. TOTAL FEES ' W 111GFEETOCAMPLYYJITi71LL�L1TYMDCOUNTYOR�INAI:CE5AND5TATElAWSFEUTINGTOEU�Dl1lG � � CON57RUCTION,AKDMEREOYAU7NOFIZ'rR[PF[SENTATIVESOFTHiSCOUNTYTOENTERI:PONTHE Z IIOOVE�MENTp�iED PR07ERTY iyy��91NSP CTiON PURPOSCS. . ' . Q // _ _ � � �,//�' COMMENTS J � 1r1� � vV1 \ � �—F�'L . ' " Q PERMIT7EE NAME(PRi' � / � � �'[�il.!/ � Si •' YF� i DATE � j � RECP7 NO.� _ _PAID OY _ _ _VALIDATION_ __ � WHITE—Oepenment Copy.VELLOW—Fnance Copy.PINK—Assessor Copy.GOLDENROD—Fiie Copy,GREE7v—Applicanl's Copy � � . � . . . ..... , �..... .. . .. .� . .. . . A' .��.��. 'I.. ..��l. � . ♦.,5.....�. .�-{• . . .�.. ,..4�.. , �... .,.��.. .. CITY OF DIAl1AOND BAR 1NSPECTION RECORD . ' • + ' ' � ' • � ' • � � SET BACK ���•. � � , FLOOR JOIST � FTGS/FORMS/STEEL ' � `� � FHA REQMTS � - ' � � ELECTRIC GROUND UNDER FLOOR DUCT � � � � � • � GROUND PLUMBING UNDER FLOOR CONDUIT • SLAB GRADE FIREPLACE FOUNDATION TEMP POWER . � • r� 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 FINISH GRADING SHOWER/fUB 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 LANDSCAPE/IRRIG. SEEP PIT/LL. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. - FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL•EL"ECTRI,C ,(; .,_ � , , , , , �� ' r.: DEV.FEES PAID FINAL PL.UMBING�� ( ` z � ENERGY '( � . �~ ' � �• _ ., _ . _ • • C�MMENTS t' , F j ; i; � .�1� ,', l``1 � ` \ � � i;` , . l:�' ; <. i �'_'�- `;=�= ' SEPTIC TANK SIZE SEEP�PiI"/U�SIZE , _ . �C, . ...� � � � � \ . . . -- 'l '��j�� � ';_`.`: � _ `; � =�`.