Loading...
HomeMy WebLinkAbout11434 C1TY OF DIANIOND BAR ' COMMUNffY DEVELOPMENT DEPARTMENT ;...0 21660 E.Copley Dme Suite 190 (909)860-3195 Fax(909)861-3117 PRE.SS ."""� BUILDiNGPERMITAPPLICATION FIRMLY ' Q DDRESS �� r `0 �/lO�-��L�I.N DATECATION 3 Zy � PERMR J � P1C -� / /�� NUMBER 1 I Y� A� I � APN LOT TRACT ISSUE •--••` ., pyp :TYpE•• ,' � OCC DATE • �'L—!p�' CONST �• � GROUP °C OWNER _r N L�N , T�D p ADDRESS ^� ZONING_ SETBACKS ..;i� ,' -`;;'! .'-: �"' CITY DIMIO�U9 �fl� ZIP �17bSTEL " 7 - --REAR` • � . e ._�` .,' RW ❑ APPUCANT TEL, - . ; ` ❑ 3 SIOE/SIDE STREET •''-'� c-�� pW ❑ a� CONTRACT R A? Cl1S SIDE � p � ADDRESS O " � � � CITY_LL/LhiUA ZIP,�,t,s TEL `7f Z•2/I.S PROPOSEOUSE L�I 1U �- S A o ARCWENG/ n- " � ADDR SS ROi� Lf�Ci4�12— YVOI �JC tJC��R�V4 NO.DWEL NO. NO. • ,. ? �� Z�P 7— UNITS STORIES BEDROOMS � �— �L— N DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARE/1NALUATION p� OWNER-BI:ILDER DECLMATION SFAlADD/REM O i r+�aEer�mw umEa o�n oF rEaAmv nut�w excuvr rnora n+E corrtn,�croas u Geraga+�Carport W CEHSEUWFqiTHEFOLLOWIN6REA30N(SEG7m1.bBU5WE551u�OPROFES5lON3C00EANYp7YOq (n � C2 COI.NftWHIQiREOU1HE3A�ER�MiOCONSTRUCT,AITERMGtqVE.DEUOl19LORRE7AIRINY3iqUG w LLI �onaa ro rts asuN+cE uso aEoumEe n+e�rr��wr Fon suw vEaurt to��s�cr+eo w PalidDeck � STATEMEM THA7 HE OR 3lIE iS UCENSED iVHSUNfT TO 7ME PROVISIONS OF 7NE Q7fTRACTOR3 LI- SJ O � CENBE UW(G/MTEN f 1[pMUENCNO WfTH SECTqN 7000)Of DMSION]OF TNE BI/5tt�E55 J1M1 iR0. � PooVSpa FESS�ONSCOOE�ORTHATHEORSMEI4E%EMPTTNEREiR�MIJ1pTHEBA51gFORTMEALLEGEDEXEMG- (� T�ON.NIYVIOIATqNOFSECTqN70�1.6BYM1YAiPL1C�MFOqAPERA11T5U61ECTSTHEMVLIGWTTO Z p�qpp� � A GV0.PENALTY Of NOi MORE TNMI FlVE HIMDRED DOl11lR3 f25001 k � ,' �OI��M�NENNOilMEVR0VEq7Y,ONMYE4PLOVEFSVn7HWA6E3A3THFIRSOLECWAPENSATpN, (`,pmmBtGisl - . � 'MLL D�7NE MIONC MA THE STRUCMIE IS HOT x/TElAEO OR OfFERED FOq SµE(SEG 7W,BUSti O � NE53 M7D PROfE5510N9 COOE TME CON7MCTOR.7 UCENSE UW DOES NOT APPIV TO IW ONMEq OF j GROVEHTY WVIO BUtD9 OR IY7ROVE3 THEREdl,IND Mnq pOES SUC11 N9RK MUSEIFOq MENSEIF Oq 2 ?HROUCNltlSORNEROVIHE11GlOYEE9.PROYlOEOTHATSUCHYVROVEMEMSARENOTMENDEDOR C� Q OiFEREDFORSALEIF,FqM�EVERIHEBU1.URqOF�Mvfip�'E�EMISSOIDWRMNONEYFAROFCOYPLE- . ... Z T�ON.THE OMMEREURDER WILL NAVE THE BUqDEN OF OROVRM 1M4T HE Oq SHE DD NO(BVII.D Oq � MVAOVE FOR TME PURPOSE OF SPLE} �J O L�5 OWNEROF iHE PROPERfV,JJJ E%LIUSNEIY COHfMGTNp N7TN LICENSEp CONTqACTpqS 2 ro ca�sTaucr n�rr�aeer tsEa�ou.eusn�ess�rm vno�ssior+s moe�n+e mnrn�crons u- Valuat • ADJ.AREA W CENSElAWD0E4NOTA7PLYTOANOVMEqOFAPROPERTYWFpeUMSORIAIPROVESTTIEHEOt{ANO � ro�as��H EUW�3UCHiiqJECTSVnT1ACdrtRACTOR(SjLICENSEDPURSUMlTiOTMECONiMG �UAN7ITY �ESCRIPTION �E � O IAIA EXEAIPT UNDER SEC. 8.i V.G fON THIS REASON Q 1 • "(/� - 3 � LL" DATE OWNER � 1�-� 2 U - � UCENSED CONTRACTORS DECI.ARATION W � e• � • ��n¢eru�au u�en rEwun oc vcaum nur i w i�r+sm u�roen eWo�nsarrs oc auv�n p, s(CpwEUC�+O vntM SEC7id7 f00M OF OMSION]OF TFfE BUSnaE55µ0 PROFESSqr�9 COOE AhD z . - a . " i`S- � W LILEMSE IS N FU.L FORCE AND EFFECT. m �' • I f � �E�, S G 3 �,�.,�. �t i ; d � o�� � cartruera� A!`f C�tl s�/ a ` s ^^ , i ' � WORKERS'COMPENSATtON DECLARAiION � � �p_�00 ,f Lp --_ ._. _ p -- - - --c=i� _ -- -- _ . ..._._ __........ ... . . . ..._ _.__ --- __ - .._ U � INEREBYI�FirtWUNDERiENAITYOFGERRIHYONEOiTHEFOLLOWY700ECUMTIDNS Z . . , � _INAVEMDW0.1►IMYTAMACERTIFIGITEOFCONSEHTTOSaF-MSUREFOHMOPo(EPS COUPENSATION,/S CIpVpED BV SECTONl7oD OF iHE UeDq COOE,fOq T/E VEqFORMANCE U Q Oi THE NOFK FOR WHICM TInS PERMIT IS ISSUED. � �W �NAVE Mr0 WRL MARRAIN WORKER4'O�MPEN3ATION MSUtWKE,A3 REOUIRED BY SECTION ]700 OF TNE4BOR COOE FOq THE PERFOR►IM10E Of THE N'OPo(PoR NTfKH 7iN4 VEPYRI9 /j Rsum.i.n couPEwsAraN msuru�una�R u�o roucr r�n�eeq u�e CONSTAUCTION !1 n ��lr..O� � unaien �TA7� FwVO PUWREVIEW `.�� Z vaicrM,.reEn /4y40� — h7 eLEcra�c _ - '�. �° �C 0 (naSEcnowrE�woiBEoo�.f�ErEnoFn�r�RrBrnaa+E�t+rntD0alMSM�7ioRtBs1 PLUMBiNG _ 7�y. .S W Z iccnrarnuTr+n+Ec�r+�eovn+Ewvn�cca{w++�n+isv�rwrtrs�ssuEp,� MECHANICAL � (,p ; (9 SHALLHOTE1APlOYANVPEHSONNANYMIwNERSOA3TO8ECOMESU&JECTTOTME (n MOMER4COUGENSAiqNUW50iGLIFORMA�NDAGREETMATIF151qULDBECOYE INSPECTIONFEE - � SUBJECTTO TME VK)RKERS'COUPENSATION VROVISqN4 OF SECTION 770o OF THE UBOR � cm�, suut roanrvnn+couvtr�/yy►(�,nq,se rr�(�s,i/aa' � ISSUANCE � �.0 0 � p O�tE:lw� APPilCAN7;"�!K`"` - �/� SMIP � � ENERGY P/C WARNRI@ FALURETO SENRE NtlRKER3'COudEN4ATION COVERAGE�5 UM�Y V F U L,IWD SHILL1 BE � SUBJECTAN EMROYER TO CHMMA�PENAlTIES M!D CMl FINES UP TOONE MXARED TlqUSnNp ENERGY PERMIT DOUAtIS(f t00,0001 INADD1710N TO THE CO4T Oi CdA0EN4ATI0N,DAt1ACE3 AS OROVIDED iqi M � sceTion»aoFn+euea+cooE.rrtcnesTa+o�Troro+ererces. RETENTIONFEE: �� 4 CONSTRUCTION LENDINO AGENCY PRE•ALT FEE � O � �NEREBYAFFIRYUNDERPENALiVOCOEiWMTNATTMERE15�CONSTiiUGTIONIENDRIOACENC/ � � FOHIHEFEHiCRMAHCEOFTHENGN(FORNTiIp/iN15VERMITISI55VED(SEG]oi7.CN.Gj. , ... � IENDER9 WVAE- f' � 1-� 'LEIAERS ADORES$'' `. � 'ICERTIiVTUTINMEREA�iHISAPPLICATIONANDSTATETUTTHEABOVENFOWAATqN1$CORpECT. TOTALFEES �� � �� �9S oS ` 4 1 AOREE TO COAIPLY N1�/1 KL CITY ANO OOUNTY ORD WANCES Mq S7ATE U�'15 REUTHO TO BUIp�NO ,,� CONS7lWCT10N,ANOMEREBY�UT/qqtZEREPRESENfATNE$pFTHIg00UNTyTpEMERUPONTNE , AlOVEd1EHTqNEO iMCERTY FON P15PECtION PURPOSE4 . 0 • � COMMENTS -� , t c.� D: V'�4-at G�C. , m �, �; c rv �`:r ��.; �l��� � � �� �4�� `;� ; 3 2Y ��P �y � NAEOFPENWTTEE DATE RECPT.NO. PAIOBY "U VALIDATION Nh11TE—DepaRmant Copy,YELLOW--Finance Copy,pINK—Ausssor Copy,GOLDENROD—fikCopy,6REEN—�typllc�nCa Copy . _. ` ; I I Oi .n � �n -n _ .a -imOc> r � vi � � � � � s� � � tnG� m � cn _ ; ' � � ��'m f�i1 � i, � I � Z Z z Z D m m m � m D S O O O D A O D m � 9 m � � � �^� ��fn� � � ' D D D D (l� Rl fU � � r . O G C C O D O m � � O n � W �fl .. ' f �'O-I � � • ��,i �r r r r n 'o n � � Z ��� m S 2 2 � � � 31 � L�'z "'� �t n �i- -- . � . v c�. ,' , �. i�--,m- m O � -� '-� r � � � v rn x O GZi = ln o � o A � n �}; + I�-I I C n - icmazmr9 � zc = � rrmc� mm - d � nD .T1 i V' � . � D'�' � � .n � Z Z m c m A � r G� � . � `u, GZ . ! z 5' -i �' cn r � a � � O w ? � � � '-n = c � R' c � u; . � ^1�' 1 � ; . ;� ._I�Im� ! -i . ._� . � � L, --I �.. � � O � N Z � � I '� � � I Z Z m ��� , ` /', . � a '� � � ,m i � �'' � z � -�+ � � , -�i i � � � � � + � �I'��i �i !i1 � - � i � i � �! i i � p .. � _ ; � . , . , i ��. . , �i . , � � ' i . .�. d � . i - P I)} � � � � � � Z �'� � =��� p. � � � ; ���� 7 �' � - i � � �i ' i r � i i r i o Ili . - i i I i 11 I i � : r'I�`'T.' �� �l - � �; ��: i i � � i j, ; .i�v � � I ���� i: �� , r ,'i '_s. '�.a ;+� � i I -Sj� �; ..a - uK � ��� u i �I i I�� i I 1 � bc ��_ i c. I i i ' I'i �i ` i i i' i i � i h �. , I � � � � I . I �� J I-� - Ii ' tv - ,� � ;� � �. � i I �r � � I . :�:I � � • �� � . i :i- �. _ � __ _ ,� � _ , �� � i 3�r��� n . „ � � �' — I t - ,. - „ .: � -�} , , , � p , � J- _ _ � I �� I I I I � I I� '�_� ' ' '� _ , _ .[� : �- .�� �!_ ( rs'I:O - ?- ; _ - �= ` — � , �.� __- __I __ '.I �;- �.�.T O T.T 'fl Q �f' 'it � fJ ��� � T.D I W � T7 O� � 'fl T C C �'t�T ._ , �� � '� � � . � 0 �. _ ��. . `� 1 y � ( �'_:_ �„' ' "o m m � D Z Z D O � D --'�C:fn 7J��Z -.3J 37.Z Z =�� .. (� �, i ' D ._-' � - _. ,. �- n < vI� � Z p T O O O 2�� Z m ��� � m O CJ D O T✓ ' - '-- - �--� i —� - ��--� � ' -'.J7 � � c � � r (n r r r U' ��G7 � � � 2�'mo U�fr1 FR ?J O � ��-S .. - - - - ---� . ii . � - . f-- �- � �t -i p � � [n C� 2 S � 1 r t� � ]7 �rt D - I , C�'+, .� m S m �`+ m (� m � 'i � ' r � Z D p��� ai D y Ti �'O � 1�, _ ��5 Q � i � m' � O z m z � -� � i i ' - ;J��.., cn � -� z � � G� � s � n n n A c� ❑ z]`o o'm m p p � � -� . �' --� �• � � I , . . ,i;; � � � zvm ' .z � -i � D Z �`mzm -nQ'Ocr � � n:p � � ;:i { � ., I T-;' ,: j o Ty � � 9 �' cn � n � z �.�al n m � � � o � ' 7G p i � � � - "'` -� } j. Z �i L� � � � '�f� ym 4'�'p C-C �I =i �'� �^ � i` �' ( � � j 7,m � � � �� .'� I �i � �I�, .'i I � - D O C � r _ . � � '� � 4 .. �\�. ' - - , ��� . . ,��I `�ji_ , �� :I � ; � � �� �: �- ���� _ ,� �� � � � {� ' �- �Vi i � � �t�l'�i ;1 ������ �: �d i�,v^�� � �' - � � ��� : ..� � � � �_ ,I �; ' ��� �� � � ,�. � �� .+ `I\ "� -�t � � � ' i � �i � `�� � �. �' � � V I � _ ,I �� ' ;� I � � .r �� � ,.; ', � I�`_ � _l� -1 "1 � � - � - - < � - - � 1 - ,,, , � � � c � , , - _ , I I �, iI .I' � � � a� I �.`v "� � _ - I � " � _ � � �- I � .�.,� � a _ ' - ' ,�: i ` � ! ��" � ' -��� � � , �' . _ ! I�: � � � ; ` � � i i � � k� �, _ � � � ��:�-W;� �i ' - ' - - / ' I , „ �; � �����I-at �- � - - �� - - �- � -- �- ��, , - ���; 1 �:�;��� _ , _ �.- � - . . - -� � I _� -t�- ��- �, ,