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HomeMy WebLinkAbout12295 (14) .�--', CITY OF DIAMOND BA�' - DEPARTMENT f�F COIv�MUN,IT'Y dc DEVELQPMENT SERVICES ai�o s.c�uy nr;��s�c��4o PRESS �,:.,, � svII,nnvG i���iAra�r.icA�oN :_ . FIRMI.Y oJOBSITE �/ DA7E�_�" NU B R �/G ADDRESS ,� '�,j�''TI�+�°'C� � rv � L f.� ` $ . ISSUE TYPE aCC APN LOT jRA T DATE CONST, GROUP � OWNER AQDRESS r i " ZOMNG SEi"BACKS CITY� - � �---ZI EL. PR�NT AW O APPL CAN TEL. REAR O SI�FISIQE STREET RW D CpNTRACTOR__�/—��_ PROP SlOE C7 g ADDRESS '�^� �� �P .�.E� OSED USE ARCH/ENG/ - ' D�SI(3NER NO.OWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS CI7Y ZIP TEL. _ _: � OESCRIPTION Sd.FL FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER�ECLARATION SFWAUO(REM f HEREBY AFFYW UNDEH PEWLL7V OF PEFUURY 7FIAT 1 AM E%EMPT FROAI 7HE fANI'RACTONS�LL (}��p,9yf+(��prt CENSEUWFOR7ilEWLIOMfMJCiqEA60MISEC.7W1.6BUBINE3SANDiRpFE5510NNSC00EN1YqTVOR (n COIXAYNHK�XREOUIRESAPEHMITTOCONSTRUCT,ALTEqIMPROVE,DEMOLI9H2ORREPAIRANVBTRUC' �w P9fi0/D6dC iUqE,pqpR TO ITB ISSUIWCE,AI,50 P�UIRES iH6 APPLICANT FOR 61/Qf PEPMIT i0 FIIE A eIGNEO BTATBAEM TWR ME Ofi BME 18 LICENSED PURBUMI?TO THE PR4IYFSION9 4R THE CONTPAC?9R3 tF � � CENSE tAN'iCFUPTER P(COMMENCWO WITN BECTION 7pa01(�F OW�SION f OF 7HE 8U91NE39 FNO PqQ � '�'L' PO � fE8810N8 CODEIOR TNAT ME Oi1 SNE 16 EXEMPT7MEREFROM ANO il1E BA918 FOH TFIEAI.I.EOEp EXEAIP• . TpN.NWVIO�ATpNOF6ECT10N7�1.89YANYAPPLiCMRFORAPERMIT6UB1ECT6THEAPPUCANTTO �,'��' Re-Roal � � �CMIPEN+VLTYOFIVOTMDiRETiANF1VENUH�REDDQLtAR3(StloO)�k . �..... , ., ❑i,A60WNEROFhIEPROPEflTY.OFMYEMPLOYEBBWITHWAdE5A9TMEIR80LEC4M7EN8ATIbN. . �('J (;pmmqfCl91 N7Ll 04 TNE YYOFtlC,AN�1HE STFRICTURE IB NOt INiENOED Wi OFFEREO FOR BALE(SEQ Tol4,9USI- ,J Ln pqppEpryyYIpEBU1LpeOFlMPROYEe'�INETREON,ANDIMi000Ee�CHWORKHIMSELFORHER8 LFpR �-.^� . . � THFIOUGH HIS OR HER ONM EMPLM'EE9,PROVIDm THAT SUCH IMpROVFMENTB ARE NOT INTENpE�OA � � pFFEqW FOR9ILE IF,NOWEYER YME BUILDINa ORIYPPOVEMENT I980LD NITIMNONE YEAROFGOMPL6 . �TqN,THE GWNERBUIIDEfl 1MLL FA�VE TFE WR�EN OF PPONNO 7HAT ME 00.SH6 DW HO?BUIID QR �APIWYEFORTHEWHPOSFOFShLE4 . � .� � ❑4�OWNEXOFTNEVROPERfY.AMIXC4U61VElYCONTRACTiNOWITfiL1G@NSEDCQNTRACTORS � . . . TOOpNS7RUC1'TME PROJEM(SEG MM.BUBINE68 MA PROFES610NS CODE:'�ME CD�RRACTOR&U- � 148{I011 ADJ.AREA � � C9l364AWDOEHNOTMPLVTOANOYMIEROFAPqOPEATYWHO0ULD50RIMPROVE8lHEREON,AND '� � yYFpCON'fMCT8FpR8WiPRO.lECT6YNTFlAOONTMCTORI81l�EN8E0PURSUANT?OTMECON7MC� ('�UANTITY DESCRIPTION FEE � 'lOHS UCENSE UW,j. � " ❑IAM E%E1APf UNDER SEO. B.�P.C.FOR TH19 REASON �� .�• T a = pe,TE r "' om+ER . � , � UCENSED CpNTRACTOFS QEC4.ARATION � � ' "`,i + ;r�; � � ' � INEREBYAFFIRMIfiqERPENALTYOFPEFWRYT1fAT1AMLICEN5E0UND&RPROVISIONBOFCHAPTEI4� '�Z , ..���.. ��COMNENCWO WITFI9ECTIDN toou�OF OM610N!OF THE 6t151NE5S AND PROFESSIINJ9 CODE.AND MY LICENSE IS IN Fl1LL PORCE AND EI'FEC7'. � 0 UCENSE CUSS UC.NO. � . . . � , � �DATE � COMfiACTOR WORKERS COMPENSATION DECIARAT�ON � +,,�,�} -..i4 � IMEREBYAFFlRMUNOERPENALTYOFi�M1RYQNEOfTHEPoILOWIN6pECLAMTqNB: ' . � .' y � . � �_IFIAVEANDWN,LMAMTAINACEHTIFlCATEOFCONSENf708ELFIN&UREFpHMfORKENS' � COMCENSA710N,AS PNOVIOEU BV BECTION 7/oa OF�11E LABOR f:ODE,FOR 7NE PERFORMANCE C� OF iME WpqK FOR WHN71 TF11S PERMR IS 199UW. Z � __I HAYE AND NILL MAW'�AIN WOi1KER5 COMPENSATION INSURIUJCE,AS REWIqED BY SECTION /} ql' Q 8700 pF'fHE tABOR CnDE,WR THE PERF'ORMANQE OF TMf WOHK FOR WHICH THIS PERMIT IS ���� � 6SUEO.NVWORKERS'COMPENSAI�ONINSUAANCEC/�RRIERµDPOIICYMUMB�RARE: CONSTRUCTION � ..'4�,. GARIER PLAN REVIEW � ,Qs, pOt.ICYNUMBER EIECTRIC � �d: Irwss[enor+�taraeoo�.si.Er�oF7ti+erEra.rr�st�a►��natvopuMs(s+oo)a��ss1 GLUMBINd I t � � ICEqTIFYTHATNTIIEPEFiORMANCEOFTHEVlORKFORWMICHTHISPER611T1&ISSUE0.1 ' MECHANICAL � � 6HALLNOT EMPLOY ANY PERSON IN ANY MANNER SO A9 i0 BECOME 6U9JECT TO THE � N NC)RKERS'COMVFNSATIONtAY050FCAL�FOHN10.ANDAliREETHATi18NOULOBECOME INSPECTIONFBE � � BUB.�GTTD THE MIOFI(ERS'COMPENSA710N Pfi0YI510NSOF BECTION37o0 Of TME UBOR � � - . cOoe,�arwy Form�wm�con�v�r wiTM nwsE vri�nswNs. ISSUANCE � O $MIP � pI1TE; APRICANT: � . � WAqNINO:FAriURET08EGUREWOHKER9'COMPEN9ATION�VERAOEISUNLAWNI.AND9HALLtE ENEfiGVP/C � BUBJECT AN EMPLOVER TD CAIMINAL PENALTtES M1D Clvll FlNEe UP 70 ONE Ml1NDRE0 THOUSNVD �,NERQY PERMIT WLLARS(f 70o,a00),W AOOITION TO THE COSi pF CqMPENSATION,OPA1ApE5 AS PROVI�ED FOR Ml � �J,-� SECTION97080FTHElAEORCODE,HTER6ST,ANDATTORNkYBFEES. R��NTIONFEE: 1�I1�, � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �''`y —�..� � IHEREBYAFFIiiMUNQERPENALTlOFPEfWHYiMR7'HEREI$AWNSTRUCTIONI,ENDM10ApENCY , FOR TNE PERFORMANCE OF THE WORN FOi1 wMICH TMIS PERMIT IS 185UED(SEC.J097.GM.CJ. � LENfIER'S W�ME 5 � IENOEii'SADORE93 . � IGERTiFYTHATIHMEREAOTHISMPL1CAYlONAND8TA7E7HAThiE+180VEMFOMAATpNIBCORRECT. TOTAL FEES � � . . � 4 I AGiREE TO COMOLY WITH NLl CRY I�ND COUNTY ORD WwCES N�O STATE tAWS WELATWO TO BUILDINO . , CONSTRUGTION,M1D NFtiEBY MY�lWNIZE R�RESENTASIVES OF TWS COIINTY TO ENTER WON 1HE . . . � S� ABpvE-MENraMEontiOGERT'WRNisaEcrla+wRaosEs. COMMEN7S ' �� � �_a� �/e�G-.�J�:Y"�._�C�Y�-� i . Q � E ..• _ . . �, � . � I� , .. , � ,. . -'_ . � � � �. , . , . . ' I �j P 1TtEE - ,� �. DA7E ... /1 �I A � RECPT.NO,,,_„ P/UD BY VALIDATION WMITE—DepeiUnent Copy,YELLOW—Fhenca Capy,PINK—Asasaaor Copy,GOLDENROD--FNe Gopy,f3REEN--ApplkeM'a Copy ;�; � u ' . . ., . .. i., . , . ..� . ' � . . . r.; . , :�c , , n.. . . .. '�.o. . , „ ,� , ,,.. CITI' �F DIAMONQ BAR ` � _ ° '` II�SR�CT14f��RECC)aD ' . _ � . � ,� , . , . . • � � • � - SET BACK k.,:�. � ! � -.: • ��;.,. ..r._.` ELOOR JOtS7� �k. - ,. -;�ti5� . �, t "...:. , ., ,,.�w FTGS/FQRMS/STEEI. ' �HA REQMTS EL.ECTRIC GFiOUND UND�Ei'F° Uk�.DI� T:.-." ,,- ,�:� _,,�, ,�r� GROUND PLUMBING UNDER F�CJQF4,CORlp��T, ��•.•` ~�`; �`'�.. - SL:AB GRADE _ FIREPL C�.Fb{J�?A�l'IUIV�' ' ,� .� � -',�:':�.� ."` ; TEMP POWER _ FIREPLACE E�p D+BEAhli= _•> . .-�,' `� �;.�' ` ._ -.: .�, WA,TER SERVECE _ __ , - MID HT. BOND BEAM i `�.�� ' t3l}��#-�ATF�1 G L ' :`� , . 8 Ff.BOND BEAM FRAMINGNENTILIATIQN FINAL BOND BEAM ROOF COVEfl PRE-GRADWG ROUGH HEA'fING - BENCHING ROUGH�L�C7RIC ROUGH GRADING ROUGH PLUMBING �INISH GRADlNG SHOWEWT'UB TEST POOI ELECTRIC EXT.LATH/SIDING � � ��: POOL FENCING WAL�INSULRTION POOL FINAL ' CEIL(NG INSUI.ATION OFF StT�IMPS. DRYWAI..�NAILlNG DEDtCATIpNS ; SEWER F1NAL ENG. SEPTlC TANK ; .. . LANpSCAPEJIRRIG. SEEP PIT/l..L. • ON S1TE IMPS. G1�S AIR TEST, ; ,., .: . � o. .-, .._ , FINAL 20NING ' FlNAC CON9T. �'�'_ ` ` y FIRE aEPT. FINAL FINA NEA71 ,G ... ::�. Y ` ' ` HEALTH DEPT. FiNAL _ : �;, •; "`':-_ .. , ., . FENAL ELECTpIC ' ' - % , ' � DEV, FEES PAID FWAL PU11v1BING `',�:,� r< � �� *., � ENERGY ..,��. . , ..: , .... , ,. ._ . ..,;�,;,.. __�,.. ,, ',a' � } � i� i { t COMMENTS �UIL- ^ , . 4 '... ' . .�\ 1. ' ' . , ' SEPTIC TANK SIZE ,, -. SEEP PITJU SIZE�,,:��--� '-�,�^ �, � ,, te '011 � � y '� ..�,�::...�e.d.:.,�..�... . . .. . .. � - 4 Cw, � �,, . . . Y . a . .f'.� � .. � . !a.` � .A . . . . ' �, .� .\� , - "'."^s i. ".,.. �. '"... . '. � � � ... . . /�/ /�Jq../ .,y •. .J�, .� , L • . �/ � �f� 'N."� .. ��V���'�.- ,�