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HomeMy WebLinkAbout15696 (22) CITY OF DIAMOND BA& --- --- DEPARTMENT OF COMMiJNITY&DEVELOPMENT 5ERVICES � . 21660 E.Copley Drive Suite 190 • (909)860-3193 Fax(909)861-3117 PRESS ��� BUQ.DIIVG PERMIT APPLICATION FIRMLY o� JOBSITE 237,3a �/�_ ' u!��J OATECATION �� UV NUMB R!,e��� r� M/C ADDRESS `r-"'"L� � ISSUE rC TYPE OCC APN LO�� TRACT DATE�,L� CONST. GROUP p OWNER �A-G�� "" ADDRESS ZONING SEfBACKS W CITY 21P TEL. REAR Rw ❑ � APPUCANT TEL. SIDE/SIDE STREET RW O CONTRAC G SIDE O ADDRES �Z � C(TY L ZIP TE PROPOSED USE � ARCHIENG/ . �L�'rv�I DESIGNEfi NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION S�,qpp�pEM O p I IIEREBY AFFlRN UNOER PENY.TV Of OE0.AIRY THA71 AA1 EXEMPT FROM TNE CONiMCTORS L4 Garage/Carport < ti1 CBISELAWFd1T1�EFO110'NMIOREASON(SEC.70.'f1.6BU51NE55ANDPROFESSIONSCODE:MIYCITVOR (/� C1 WLMYYM#dIREOUMIEBAVERYRiOCOHSTRl1CT.ALTEFLMPRDIlE.OEMOUSM.ORREPNRANYSTFiUC- W PBIVO�D6dC u� 7URE,P1110R TO RS 69UANCE,AL90 REGURES TNE MPLICl�N7 fOR SUCH PER41T TO FtLE A StGNEO w � lTATEAIENT THAT NE OR SNE IS LICENSED WNSUANT'f0 iHE CNONSIOHS OF THE CONiMC�0119 LF � CO�E GAW(CNAPTER Y(CAMMEHCINA VAT/1 SECTION 10D0)OF pM510N 7 OF THE B�MESS AND PRO� u' P��Pe fESSpNS tODE)OR TIUTNE OH SHE IS EXEMPT THEREF110Y AND THE BA5�3 FOR TXE ALLEOEO E%EMP• 7q//,/yiYyqLA7qNOF$ECTqN7W1.68YANYAFPIILMfTFONAPERMRSU&IECTSTMEMPL�7T10 Z Re-Raof F ACMLPENKTVOFNOTMORETUWiNEMUNOREDDOl1llAS(t600)} / . � OA�ROMMEROfTHEPROPERIY.OR►1YE41PlOYEE3WtTV1WA0ESA3THEIR50LE�DMPENSATpN, C) �mmerclal . YALL DO TME WOPo(AND THE STRUCTURE IS N�T IN7E�ED OR OFFEREO FOq SALE(SEG 70U.BU56 J NESS AND iROFE5S10NS GOOE:'RIE COMTMCTOR9 110EN9E UW DOES NOT AOPLY TO AN OYMER OF N ViqPEFTIYN11q0U1LDSOi1MPiqVE37NERE0N.AND1M�000E8511Ci1WORKH�IASELFIXiHERSELFOR = � THROIXiNMISORHEHOMMEMPLOYEE3,VR0YDEDiHATSUtNNIPROVEMEMSARENOTMEN0E00R m _ - OFG9IED PoN SALE 6 HOWEVE0.iHE BULDNOOitMPROVEYENT LS SOID WRYINONEYEAR OF COMPLE• �TqN,7HE OYMERBUILDER MIN.L MAYE TNE 8�1NDEN OF FROVINO TW�T NE OR SHE DID NOT BUID Oi1 �APROVEFORTNEWIRPOSEOF9ALEl ' � _ . . � ❑I,A40MMEROFTMEFROPEiRY,NAE%CLUSNELYCOMMCTINOWR}1lICENSEDCONTMCT0f13 TO WHSTAUCf T/1E VqOJECT(SEC.7D41.BUSNlESS AND CROFESSIONS CODE:THE CONTMCTOR5 LI• V81U8tIW1 ADJ.AREA � CENSEN'NOOESNOTAPPLYTOANOYMEROFAVROPER'TYNR�OBUILDSORMPi10VESiHENEON,AND v�000rrta�crscoAwcHvaa�crsrnnucarra�croncs�ucENsmvunw�wrron�Econrr�c pUANTIN DESCRIPTION FEE . � tor+s uca�se uw.�. ❑i,u,�Ex¢Mvr u�n sec, e.a v.a FOA rrus�sor� U oU L S t? 0 U ��" pATE OVYlIER �s[ � � �` UCENSED CONTRACTORS DECLARATION w Z.�O L ¢ IIIEREBYIIFFIWAUNDENVENALTYOFVE0.1URYlYIATI�WIICENSEDUNOERGRON510N50FCFLIPTER ur �r . s �(CONEIENCYKiWITNSEM10N7000lOFDM5i0H�OFTNEBU51NE55ANOFROFES510N3CO0E.�ND X MY LICENSE 6 N FIRl FORCE AND EFFELT. �0 �/ � UCENSE«ASS �IC.N�. � / _ � , H J f � o�����22 ���� _ —y � WORKERS'COMPENSATION DECLARATI N �� � IHEREBYAFFlRMUNDERPENALTYOFPERIUMONEOFTNEiOLLOWwOD6 U � � _IWWEIV/OWILIMAMTARl�LEHfIFICATEOFCONSEHTTOSEWN EfOR P10ER5 � COMPENSATqN,ASPROVIDEDBY8ECT10Nf70oOF7HEUe0R EFORTHEPERiORMANCE OF THE WOW(FOq YMICN TFIIS PERMIT L415511ED. G O �IFIAVEAlAWILLMARlfAP7M10RKER5COMPENSATqNMSURANGE,�S YSECT 77000F111ElABq10DDE,FORTIIEPERWRMANCEOFiHEWORKiOR iCMTMISiE TIS � ISSUED.MYY/ORKERS'COMFEHSATqNWSUMNCECMRIERDND NUMBER CONS RUCTION > CARRIER ^-s�� � PLA REVIEW � POLICYlNIIBER �' � CTRIC A• � ���rqigE�s�rIDpFnfp6swrsfaq oq PLUMBING +�R W ICERTIFYTHATWiNEPEPFORMANCEOFTHE1N�fUCFORYMIGM RMIT MECHANICAL ■'�� � 91W1HOTEMPLOYANYPERSONNANYMANNERSOASTOBECOMESUBJ o N WOHNE0.5'COYPENS�TIONLAWSOFGALIFORN1IMlDACREETFUTWISMOUlDB e INSPECTIONFEE S SU&IECiTOTHEN�MiKERS'COMPENSATIONPROVISIONSOFSECTIONf70oOF EUBOR ISSUANCE COOE,1 SHALl FOt1TNATH COMPLY WITH ROV�SIONS -{ 0 2 . �..�I�, DATE: ^� AVPLICANT: SMIP �r� D�` B WARNIN0.FAILVIIET08ECUREWORNERS'COMPfN5AT10NCOVE A6EISIINLAWFUL,AN SM.LLLBE ENERGYPlC {{{ ' � � Sl9JECTANE4VLOYFHTOCRA/INALGENALTIESANDCMLFWESUVTOONEMUNDREOJ OVSMIO ENERGYPERMIT � _A�1T7� DOLLARS�f100.000).WADORIONTOTMECOSTOFCpAPENSATION.O/VM6ESASPRQYIDEOFORM TTT�( rcfif� �� ¢ SECfION�70lOFTIELABORCODE,WTEREST,/NDATTOfWEY9FFES. RETENTIONFEE: fllJll/ liti� (WL ' CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IMEREBYAGFIRMUtmERPENIITYOFVEMIRYTNATINEREISACONSTRUCf10NLENDINaMEHCY Z LpR TME PERFORMANCE OF THE WORK FOR WIACH TMIS PEflMIT IS ISSUEO(SEC.JOv7.CIV.G�. W �Z LENDERSlwAE � � LENDERSADORESS , ^ � ICEHTIFYiMATIMAVEREMT1/15APPl1CAiqNANDSTAfETHATTIEIBOVE�NFOiU1�T10NISCORRECT. TOTAL FEES O � , � IAOREETOCOMP�YWRH/LLCRYANDCOUIJTYORDINMICESAN�ST�TEUWSPELIITNOT06UILDINO , ' CONSTfR1CTqN,AND NEREBYAUf1fONRE REFRESENTATIVES OFTHIS�Y TO EMEfl UPON TIIE S� ABOYE�MEMqNEOYROVERIYFORWSPECTIONPUN005ES. COMMENTS - m �����7 G��e.� �, � PE E NAME Q_�� � y 610 NfiEOFPE TfE �TE � RECPT.N0. PA1D BY VAUDATION HITE—Depertment Copy.YELLOW---Finana CopY.P�NK—Asaesnor Capy,GOLDENROD—File Copy,GREEN—Applicent's Copy _.. . -. .. .. _ . _. • ..vV.ww�a�iY�r-�w �_:. • . ;'N;`��v�Y,.{'.�1�>. .�14•-•,�•I�tr�"•``\' �«.r„fi„ ��.).:,..Mla� � ..��^�� . . . „ .�n..t.�r.;:6r(�,•:°S• �� ->,✓�;Y'.`;�.�. .,�,.7...• .. '(7":,..`i", , . i' � `" '� CITY OF DIAII�OND,BAR � i, . - , _ . .. . � - �= ~`,' `i � :. .r, :� � : It�SPECT10f�1:RECORD �; . �.� .,.. `��.t�; „ . ; -- ;._�i � i .._._ _ ,._, t_ ' ��. - _ . ,. �, ,- . y, �� m � e .. s - ! � ' � ���.:.�_e� ?SET BACK ., �._ \ ' t . . fr�t I .� �1(, ., FLOORJO(ST \ _�;. _ � _ r. _�r-.�.',::--' • � . �. ..- ,� �, ., . i ;FTGS/FORMS/STEEt'="" --• , , . ' - �-- �l.,I "• __ FHA REQMTS. ... ` --- ... .. � -_ - -- - - - - -- - •- � �ELECTRlC GROUND __._.. __. :� . . ••,� ��_ �' I �� .. UNDER FLOOR DUCT-- - '. - ' - � - ' - --- -s;:, ; -. !GROUND PLUMBING • • UNDER FLOOR COPJDUIT �-- -- � ' ' ---"-= ` '"- ' "„ j '.; !SLABGRADE ----- � ' --- - - -- -- ' • FIREPLACE FOUNDATION �, rn I : !TEMP POWER ,.,-. --- -- - - _. . , -, : . , FIREPLACE$OND BEAM� - - - - - ---- - ,. � : , � �:, IWATER SERVICE . -• - - - - - - _ -' MID HT, 80ND BEAM. � ' ` �:.'�•;:; ,,� ' ';�;. , � _ ,� .,� I r !ROQE�SHEATF�ING�_..�--- \\�` � I•.+. _ �� 8 FL BOND BEAM�- '�` ,��- � _ _- _ .,_ , ; . - • , , ;•, - � .:, IFRAMING..NEN'C(LPATI�N --'' ' - - . '� `�� - FINAL' ND`BEAM�-;:�` , ' •., � -- •1' �". :, ` ` _ �. I i ..�_,. (ROOFCOVER � � � � PRE-GRADING - " ' � . . - - - - , � � _. . . . . . ; iROUGH HEATING -- - - - -- `- � - - � BENCHING. _ - _ - ---- - - �T:•� ; . :ROUGH ELECTRIC_- : . � _ ' ' r ' 'ROUGH GRADING . - -- ---- -- - -- ------j - !ROUGH PLUMBING- � - - ------- __ " '� '�:" � . .: FINISH GRADING � ,--.: �SHOWERITUB TEST ! - ------ r--� ' `;'• - ` POOL ELECTRIC -• ; i ,.. � .' -. , . iEXT:LATH/SIDING-- -- ' POOL FENCING ' � ' • , ' , . _ - - - -- ._; . . . ._. � � . ;WALL-tNSULATi�N- -, -- , - - - � � . - -- -- - - POOL'FINAL . . _ . :; j � jCE1LtNG WSULATION --- - -- - -- ' ----- OFF S{TE IMPS. _ , ; , _ - .•. � _, ' ;DRYWACCNAILING - ---`- _ DEDICATIONS . . - � .. : ; . � �SEWER - - - - ----- -- -- - _ _. FINAL ENG. � - . I ; ; ;SEPTIC TANK ; �'-ol , LANDSCAPE/IRRIG. ' ' � i ISEEP PITlLL._ . _ . . . - - ON SlTE IMPS. . � - � � ; �GAS A!R TEST � , • � ; FINAL ZONING ' , `.' ' I _': _ ._. . - �- - - :F}NAL •�7ST. �•�-% �-'.' ,--''' '"' - '_ �` FIRE DEP7. FINAL � , .r� - . � : � -- _ . - - - � _ !F1M�1{� '"��'1NG _ _ �..) .`_ -=.:-.,�..;.�_ �•, �'._:-- _ ' HEALTH DEPT. FINAL - _ - ---- - - . , F3N�L EGECTRI '_ , �-•'-� ; •.,,�.. . �_., , G-`�=� . . , .. '. '- . _ l DEV.FEES PAlD -- -- - -.. _ ..- - --- � - ------- -- =f=1N�4 PLUMBING'--= � " - , ENERGY .,�• ._.Y• �� -- - . , .- , . . „ ��- . . . . � - .- _-' -- - ��" "''�-'v ' � � -� -_. - • . -�- �i . . _ � _ ; ---- -- -- -- --- - - -- - ---- -- � 1 � ; � 'iR�k.�..':�E'�671� d.'d"C�, . � _ '��. . ,. r.:i���te•� . � . ' _' '_"'—'__''' �2c0.�: ..jS:�� � � � !COMMENTS _ ._�___-"�_-----_:.._�:...._�.� v/ i��I�,�;`.. �_`- ---_ -_-';, -', =- - , , . . , • ; �.r , , � � �r,i �. •� .. �.. � � _, � . - • _ ---- '"1-,'' � ---- •-- - --- - - - - - - •,. I --- --- -- —f--- . ; -- - -- �------ - -- _ - �. • � , ± .. � i • ----- � � . '-- i � �_ ��t��� - - -- - ' 1'� r c_. - - ' _- _ . - � - -_.. �. - - — ..� � I 1"r (\ _�`.. , . ...._. _,_ _ � ` ti` , „ . . . . , �_ � � � -_- - - - ��� � . • _..__ __ __. _ ' ___ + A,'., ' ' ; _-}�j_�_r,, . ./ ' , I ` l : i . _� ' L'.�� T ;�;i .�_. '.`- ' . , I i .✓\ -� ..` �� ; + -_ . � - - �� ..�!l; ' , . , ; I ' - , \ - \ - i. -' .1_ _ . � , . , ;S�PTIC TANK SlZE . _ �• ,l: :_ ,... ,, .. � i � ; . • � , , , ,,. . . . , � . � , •'� � � r . . . ,, ; � - �SEEP PIT/U SIZE ' ' ' � � - i � , __ _. _ - - - - - - - --- � � ' ; . . .�.. �. ,.. _.� I � � �1. � -- . . - - - _ - � . � _ ' •,: -- - - � � � � � _. ., . ��'. . � i - ; �- - - - _ - --- --- .._ � � , - - - -- - - --- , , , _ � - - -_-- - _ - � - i �;i�� � - ' -: ' �,. , - - ; -- _ . . -----._ -- -- _---;--- -_--� C: • , . i �` • .� - - - - . � , . . - .. , , . 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