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HomeMy WebLinkAbout13135 (16) � c �� D PARTMEIVT OF C MMUNITY 8c DEVE E `�p/��O 21660 E.Copley Drive S uite 190 �l n�� '�� (909)860-3195 Fax(909)861-3117 1Q��R ESS ������ BUILDING PERMTT APPLICATION IRMLY � JOBSITE �/ r �^-� � � � APPLICATION PERMIT J�� P/C a ADDRE5S2 bZ�C �"'GI+rLJ�rl. n' DATE NUMBER� S � ISSUE �����Q. NPE OCC APN LOT TflACT �ATE � CONST. GROUP °C OWNER r o ADO SS �r .h. ZONING SETBACKS � CI � ZIP TEL — FRONT RW ❑ APPLICANT TEL REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDRES PROPOSED US t a CfTY ZIP a►�d 1 TEL. � r � ARCFVENG/ � • DESIGNER NO.DWEL O. ADDRESS UNITS � STORIES �BEDROOMS � CITY ZIP TEL y DESCRIPTION S�.Ff. FACTOR PSF AOJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 HEREBY AFFVW UNDEH PFN.LLTY OF FEfLIURY TIUT 1 AM IXEIAVt FRdA 7NE CONiRACTORS Lb G8f89B/COIpOf1 [ai CEMSEUWFORiMEFOLLOMANl1RFASON(SEC.7al7.6BU5WE55lWOPROFESSIONSCODE:ANYCITVOR (n . . C� .00UNTYMMGIPiG11REiACCRMRTOCONSTFiUCT.ALTEfiIYPROVE.DEMOUSH.CRRCPNRrM'STRUG� .. W Patio/Deck�--._. . ........... .._—._.--.-- •--..- -.— . � TlA1E.%iqR 70 R9 R9UANCE.AL50 REOUIRES T11E MPlIG4lT FOR SUp17EiWlT TO FILE A SiGNED W STATFAIEM 711AT NE OR SME IS LICENSED PURSUANT TO iHE FROY1510N5 OF TME CONTMCTORS U• � CENSE UW(61MTER Y(COMMENCINCi N7M SECTION 1000)OF DMSqN 70F THE BUSiNESS ANO PRb � PoaVSPe FE65qNS COO�OR TNATHE Oit SHE IS EXEMPT THEHEFROM AND 7NE B.ISIS FOR iNE ALLE�E'�EXEMP• TIDN.ANNV�OIATqNOFSECT10N7o71.68YANVMVLIGINTFORAVERAIITSUBJECTSTHEAPDLIGN7T0 Z Re-Roof F ACIVILPENFLTIOFNOTLqFET1ANFIVEMINO(iEDDOIURS�fsoo).): � O11�40MINEROF7HE0ilOPERTY.OfiMYEMPtAYEESNATNWACESASTHE�R50lECOMPENSATqN, � �mmerclat . - MIILL 00 TME WOiK M10 TNE STRUCTURE S NOT IMENDED OR OFFEREO iOR SALE ISEG 70w,BUSI- J NESS AND PNOfES510N8 OODE 7HE COHTRACTORS LICENSE UW OOES NOTAPPLY TO AN OwNER OF � Pf10PENTYYRqBULDSORMPROVESTHEREON.AN0VR10DOE55UCHWl�fiKHIYSEIFORNERSELFOR � � � T11q0U0HH130RHERONRIEYVLAYEES,Ci10VIDEDTUTSUtlIMPROYEMEMS�RENOTINTENDmOR m L�1 ,OFFERmfORSALE1F,IqWEVER7MEBULDIN60RIMP110VElABfTISSOIDWITHNqJ[YE�ROFCdAOLE• Z �iION,THE OYNIEF48UILDER W1LLlNVE TNE BURDEN OF VROMND THAi HE Oii SME DD NOT BUtLD OA � MPiqVE FORTTIE WRPOSE OF SALE} � 04��WMEHOFi)1EPROPEHi`/,AMEXCLUSIVELYLOHTRAGT7NOri7ML�LENSEDCONTMCTOR3 TO CONSTRUCT iT1E ifpJECT(SEG 70N.BUSINE55 MA PPOFESSIONS WOE:TNE WNiM�TORS U• V0N8�1Of1 AQI.AREA CENSE UW DOES NOTMPLY TO AN ONNEH OFA GROPERTY NMO BUMDS OR MPFqVE3 iH[REON,I�lA � IM1qCONTMCTSFOqSUd10RD.lECTSN'17HACONTMCTOR(S�IICENSmPURSUANTTOTNECOHTMG ouarmrr DESCRIPTION FEE � TORSLICENSEUw.1. O I AM EXEYPT UNDER SEG B.i P.C.FOR THIS R[ASON Q 3 � � � DATE ONrt:ER � UCENSED CONTRACTORS DECLAAATION W J � W IMEHEBYAfFYWUN�ERPENALTYOfFEiiR1RYTHAT1AWlICENSEDUNOERPROVISqN50FCNAPTER Vr t�COL�1ENpFqWRM5ECf10N70o�)OFOMS�ON]OFTT�EBUSINESSANOPROFESSIONSGODE.AVD Z MY UC£NSE 6 N Ml iORCE AND EFFECT, m . � �� 110ENSE C S LIC.NO, � � J z' pATE CONTRACTOR � � a .. SJ r � WORKERS'COMPENSATION DECLARATION ' � N IHER[BVI1iFIRMUNOERPENALTYOFPERAIRYONEOFTHEFOLIAYlINGOECUMTIONS: U • � � Z Q � _INAVEMDNALLLWNTANACERTIFlGITEOFCONSENT705ElFaNSUREFORNORKENS' _ � COYPENSATION.AS ViC�VIOE�BY SECTION 77000F THE LABOR CODE FORTIE PERFORMANCE W OF THE WORK LOR NMICH THIS PENM�T IS ISSUEO. � � 1 WIVE AND WILLMARRAW WOflKENS'COL�PENSATION INSURANCE,/l5 REOUIRED BY SECTION �,, /� ��—yy�'� Q ]7ao OF THE U1BOR COOE.FOR T1E PERFOfUAANCE OF THE MlORK FOR WMIp1 iH15 PERuIT IS �'/ / 1. ti/ � � ISSUED.MYWOFNERS PENS WS CECARRIERANODOLICVMIAABERME: � CONSTRUCTION f-f'l ��_,L � uwwen .1 PIAN REVIEW ----- ,-—-----,.. --- —-._._ .._.. � va�cv►n�eEA - � ELECTRIC � (MSSECIlON1�E�Pa78Em.s�LEtEDOFnEVE�MtsiY�HONE (i+ F:SSI PLUMBING Z ICERTIFYIMATNiNEPERFOfiMANLEOFTh'ENON<fORWHICHTMSFEAMITt5i55UED,l MECHANICAL CJ SMALLNOTEMPLOYINVYERSONW�HYYANNERSOASTOBECOMESUBJECTTOTNE � WOPo(ERS'COMPEHSATpNUWSOFGLLIfOiiNIti�NOACREETWITIFlSHOIADBECOME INSPECTIONFEE S S1161ECTT0 THE VYORKERS'COM7ENSATqN PROVISIONS OF SELTKIN�7000F 7HE LIBOR 00o i s aoanNnn�cwvtr r s¢vA �s�or+^. ISSUANCE � �r ���. � �C.S t_/ SMIP � p DATE:��t�Lj�E>/-l� APPLICANT: Q/ '� v . � � � ENERGY P/C WARNIN6.iAILURE TO SECURE WORKE0.5'Od.1PENSAT/]N COVERAGE IS UNIAWFUL ANO 51ULL BE � 6UBJECTANEMPLOYERMCRN.IiNN.VENALTiESANDCMLfu.ESUVTOONEM1NONEDTK%1SIND ENERGYPERMIT � OOl1AFl5(f 700,000).N ADOfiION TD THE COST OF COMPENSATION.DMUCES AS VPOVIDED FOR W ¢ SECTIONi7000F7T1EU100RCODE,NTEREST,ANDAiTORNEY5FEE5. RETEMTIONFEE: � �� --f� a CONSTRUC710N LENDING AGENCY pREALT FEE: r.�� ��1 J � O �'�,�• � IHEREBYAFFlRMUNDERPENALT/OFPERNRYiHAiTHEREISACONSTRUC'TIONLENOWCACENCY S�� ' Z FOR TME PERFORMANCE OF T1[WdiN FOR WHICH MIS PEHMIT IS ISSUED(SEC.s0Y'�,CIV.G�. � W � LENOER'SNMIE A C LENOER'SAODRESS � ICERTIF111WTIINVEREIIDTMISMPLICATIONANDSTATETHATTICPBOVEINFORAIATqNISLORRCCT. TOTAL FEES p„ I AGREE TO COMPLY WI7H 1LLL GRY AND COl1NTY ORDPUNCES/ND SiATE tAwS RMTINO TO BVILDiNO CONSTRUCTION.AFID NEREBY AUTHOHRE REPRESENTA7NE5 OF iH15 COIMTY TO ENTER UPON iNE Z - rrrwNE vroaERivwalt+sPECiancuArOSES. COMMENTS � J � m PERMI WWE W � � �a� '�s�.�r 3/?3 �� N SqNA U OF GERMiTTEE DATE � RECPT.NO. PAID BY VALIDATION WHITE-Depertment Copy,YELLOW-finence Copy,PINK�Hsaessor Copy,GOLDENROD--File Copy,GREEN-Appicent's Copy . � .� � i...._ .... _ •w.. w�..u`:hr�>l:r n . .. � a�. .. �.:{�. . . . . . ,�1. �t'. � ...,. .. . . . -'�'?�� . .��k� - _��a'� •"'vi-.: .Y... . r • � ' � . r,r,�Ca i�� CI 1F DIAM�P�D,6AR . . ��'� �•• . i � ECTION RECORD : .:� � � �R� `i � . ,' . . .�s�, s� . • . . ll�vC��7'��'%��Fl���!. . �I�1'�A'�f� '��1..:��C ���� I���F,�.�.�FQ.��1����rT1'.^: � . IC�^�r1��YP��_h�R. ' .... . ....:...+. _ _ ___ ' ....��-. — ...�...�w...�� ... �.a�.. .. .... SET BACK . -- . � - j , FLOOR JOIST� � —;•� ;, , �- � ... • • � • �. .. .� ,.. _. �, . ; FTGS/FORP�4S/STEEL " • FHA REQMTS � ` � 'ELECTRIC GROUND _ __ _ . •t. �. ._ • UNDER FLOOR DUCT ,.,,, - ; .. GROUND PLUP�IBING UNDER FLOOR CO�IDUIT� � " � �'";. ,��" ' ' _. �SLABGRADE- - -- .- - - FIREPLf1C F�{JNDATIOPd?:;:{..i�- �_.._�.• 'i t � ,•.'i :' � _... . �TEPAP P01�h'ER � _ .: FIREPLACE�B'�t�D8EAh4 . `•�J._�. :.:..��1. � - , ; : 'V��ATER SERVICE - - _ MID HT. BOND BEAM , ._ .y:- / - _I:"•�_� . � • ' + 'ROOF�SI-�EE1TH1"JG ;. .e�.n a� � � '� . •��, . >,•�.=�_ _���,:� �/ ..-:� �..�, �_. , ; � 1 �~ t .,�'r,'� 8 FT. BON BEAM��,r, �, ..�, : ,� I �� . i =. •FRl1PAIhJaNEN� •(:.f� T10, �.''^ : .•.'• ,�;_1 � :'r`�"� FINAL BOND BEAM�� ' , -- `� . , 'ROOF COVER ., l .._.. � :... _� i ':l ( � � PRE•GRADING . ; _.. . , ROUGH HEA7ING ` ' 1 BENCHING 'ROUGN ELECTRIC. .. : ' -.. `: - . � ` ROUGH GRADING - -- — __ ._ 1 �ROUGH PLUMBING - - - . FINISH GRADING SHOVVERITUB TEST '- - POOL ELECTRIC i .E�T. LATHlSID1N� - POOL�FENCING � . �1,'�'ALL INSUL.EITION - POOL�FINAL , , CcILtNG INSULF,TION - - �FF SITE IMPS. . � • i - � DRYIVAL.I.NAILIiJG- � �- � DEDICATIONS . ; :, SEI�N�R . . - - - FINAL'E�dG. - � SEPTIC TANK LANDSCAPE/IRRIG. , �SEEP PIT/L.L. • ---��;J-. ON SITE iMPS. , '. ' GAS AIR TEST � FINAL ZQPdING . -, �1�JAL CONST. _ FIRE DEPT.FINAL _ i ; , FiNAL_HEAT1CdG _ .. _ HEALTH DEPT.FINAL - -- ' FlPlAL ELECTRIC --- - � _ DEV. FEES PAID ___� - ----- ri^JAL PLUt�1BIF,IG � � ENERGY ' _- . . -- - _.-- - . . I . . �,;,,,;-��,_•.,+,.�-.r----^-�--�-m . _ �:J. I::_� 'f. _ t� � i .-c�1c���l.asc:.� a=r_:� .. -'_ . . I . .._ . .. ._ . . . . . . . _"__. .1'f l?r•7l ��•—�.�i �.i . . _ . ,�� ��` ����. . . , ;CO��1�JiENTS � � ` r;`: ; . — �;� . . . . , , . � . � ' •_ , . .-� ; . ' � . � . , l�' � 1� � L J �-� � . .� ' � � -- •� -•^� '1 i . , \; _ �.- , . - _� _ _ ... , � � . -- ' . '- � ' �^ � ' •. i � t ` � � . . . . . 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