Loading...
HomeMy WebLinkAbout15795 (39) . _ . - ���,._.d:��� -. . . ��. �� CITY OFDIAMOND BAR DEPARTMENT OF COMMUNITY d�DEVELOPMENT SERVICES � 21660 E.Copley Lhive Suite 190 . (909)86a3195 Fax(909)861-3117 PRESS • �'��^� BUII.DING PERMIT APPLICATION � FIRMLY i � JOBSITE .l, (� APPLICATION � PERMIT P/C o ADDRESS�1�-1 C�'����-� �A\�S �r� DATE� � � NUMBE �d? N � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER "" ADDRESS • 11 � PL2.(�- S ' ZONING SEfBACKS "' CfTY)tAMoN�(�4P ZIP «V� TEL Cq " FRONT RW ❑ � APPUCANT A0.�n u1 A � _ TELt}�k�E�.''..SSu3 REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR M M�-C.F�RA'�(�C.K SIDE ❑ a ADDRESS t10 r• La Atn�►A �t' � pROPOSED USE TI O'�it�ST�n.lE> •. 3O ,� f'�'ci.�T - 1�1C0� � CfTY An�fl N��r�l ZIP�i21�U7 TE �141 b30-SSH3 � f�?�VG _ � oF w�'T� '�'�rnr�s;� � DESIGNER =�At7 H30F�f ADDRESS NO.DWEL. NO. NO. � UNITS STORIES BEDROOMS � CRY ZIP TEL DESCRIPTIaN SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECUIRATION SFR/ADD/REM O p I HEREBY�fFCW UNDER PENAITV OF PERIURY THAT 1 AM IXEAIPT FROM TNE CONTMCTORS W Gdtegkl/COfpOIt �J CENSEUWFOqiHEFOLIOM�NOHEAaON(SEC.7W7.68US�NESSAN07ROFESSIONSOWE:ANYLITYOR (n U WU1(ryMHICHpEOUTAESAVERAIRTOCONSTRLICT,ALTE0.M7ROVE,0Eu0U5H2ORPEPA1qANY57RUG W pBt1�ID0Ck Z TURE PNOR TO R5155UM10E ILL50 REWIitES TME 11PPLKAtfi FOH SUC11 iERMlTTO FlLE A SIGNED L S7AiEMEM 7NAT HE OR SHE IS UCENSED WIRSUMfT TO 7HE VHOVISIONS OF TNE CONTRACTORS U• � CENSE UW(CMA77FR Y(LCMMENLINO M9T113ECT10N Tooa)OF OIVISION]OF THE BUS�NESSAND VRO- � P��Pa FESSIONS COOE)OR THAT HE OR SNE IS EXE�JPT T11ERE�RdI►ND TNE BASIS FOR iNE ALLEOED E%EYD- 710N.ANYVIOIATqNOF9ECT10N7071.6BYANVAPPl1CANTFORAPERMiTSUBlECTSTHEMPLIC�NTTO Z B•R001� r ACMLOENAITYOFNOTMOREl7UNFNEHUNOREODOlU0.S{isao�_k � 04�DWNEROfTHEp�10PER7Y,ORAfYEMCLOYEESYnTMWACEStiSTNEIqSOLECOMPENSATqN, CpmmBfG31 � MALL DO THE WORK,AND THE STRUCTUHE IS NOT MITENOEO OF OFFEREO FOR SAIE�SEG 70/1.BU51• J HE59 AND PiqFE9510NS COOE:THE ODNTMLTOFS lIC£NSE UW OOES NOTAPCLYTO/W ONMER OF y i1100ERfYMR10BUlASORIMVRDVESiHEREON.MA1M10DOE55UGHW�RKMiMSELFOfIMERSELFON = � MNOUdIHISORHERO�NlEYPLOYEES,PRWOEOTHATSUCHMPROVEMENTSARENOTRITENOEDOR Ln OFiEAED FOR SALE IF.NWYENER iME BNLDPNiOR iMPROVEYENT ISSOlDK7TMW ON[YEM OF COMVLE• Z iION,iNE OwNER-BUIIDER Wi{.L FNVE TME BVROEN Of iROVIN�11uT HE OR SHE DID NOT BUILD OR = MPfqYE FOR T/1E PURPOSE OF 9ALE► W 04��WMEHOFiHEVROPEHiY,IWEIICLUSNELYCOMRACTtNON7THLICENSEDCd1TMCTORS � � TO CONSiAUCT iME VR0.IECT(SEG 7W�.BUSiNE53 AND PROFE5510N3 COOE:THE CIXiTMCTORS U• VelU8Si0r1 ADJ.AREA CENSE Uw OOE9 NOTADVLY TO AN 01M�ER OFA VNOPER'TY YN10 BUMS OR MPqOVES iHEREON,MD � NFqODNTRAGTSFORSUGIFRO.lECf5W1iHACONTMCTOR(5)IICEN9E0PUR5U�HTTOTHEWNTM6 pUANTITY DESGRIPTION FEE � T00.5110EN5EUw.� OIIWIXEYO7UNDERSEG B.IG.C.FOqTHI5REA50N U � F OA7E ONTIER V � W LJCENSED CONTRACTORS DECLARATION -� � w 1 MEREBYIIFFIRM UNOER PENALTY OF iER1URY 71NT IAM UCENSED UNDER VROYISqNS OF p1APTER � s •�C04YENCH0IHRTISERqN7000)OFOMSION]OFTHEBUSINESSAN�VROFESSIONSCOOE.IWD Z X W LIGENSE 6 N ML FORCEAND EFFECT. m IiJ f^t� 0 LICENSECLASS {", �� LIC.NO. v"�� � J V OIRE IIT�� corrrnacTon�� �C�n+�RtK � �s'2✓� ~ a WORKERS'COMPENSATION DECLARATION N IMEq[BY11FfUWUNOERDENALTYOFiE0.1UNYONEOFTHEFOLLDWING�ECUfUT10N5: U (� Z d G _I HAVE AND NALL YAMTAIN A CEWT�FICATE OF CONSENT TO SELHNSUHE FOR VANKERS' 2 Z L17MPENSIRION,ASYROVIDE06YSECTION77000FTHEUBORCODE,FORi/1EPERiORMNJCE U �� OF T1E WOiiK FOR VAf1G17N15 PERu1T IS ISSVED. � � �I H�NE M�0 WiLL M��MIORKERS'COMCENSATqN INSURANCE,A9 HEWIRED BY SECiION I�� O �7o00F THE LIBOR COOE,FOH iNE FERFONAANCE OF T1E WORK iOR WHICH 1H15 PERA1?IS ISSUE0.W NONCERS'C04PEr,�t y710N INSURANCE CARq1ER M1D POLICY NUMOER AflE: ONSTRUCTION � �qa[q A1�AI A �Gl.1R{V C— PLAN REVIEW �'�� ,�` � POUCYNUI.IBER 4 1 A �1\��(pg � ' ELECTRIC y p (iF65ECipNNCmNOTBEQAqEIIDOFTEPEfiMf6fORONEH.fOfiED00 R+�la+�ssl PLUMBING W MECHANICAL �y U � ',1 ` Z 1 CERTIFYTIAT N TME PERFORMANCE OF ME YIOAK FOR WMiCII TMS PENAfT�5155UED,1 (J ShW1NOTEMPLOVAN'/PFRSONINANYM�NNENSOA:TOBECOAIESU&IECTTOTHE {�T �• i�;A�R� wi y N'ORI(ER5CpAFEN5AT10NUW50FCALIFOiWIA,ANDAGREEiMATIFI5N0U100[COYE INSPECTIONFEE S SUBJECTTOTHEWOAKE0.S'COMPENSATqNPRONSqNSOF5ECT10N77ooOFTMEUIBOR J __ � .- V•Y CODE.ISMALLFOR711WIiHCOMPLYWI nasn� ernrnns�a+s. • ISSUANCE i�r r w..-. �,. .-r� , � p 11 '�' ' � � SMIP p DATE: O � APPL�� r � ENERGY P!C WARNINO:iA0.A1RE TO SECURE VAPXENS'COMPENSATION COVERAOE IS UNUWFUL MID SHALL BE �"y EVBJECTANEMP�OYERTOCWMP/ALPENALT�ESINDCMLFN[SUPTOONEMJNOREOTNOVSAND ENERGYPERMIT pOLLAliS(St0o.0o0).N A001710N TO TF1E COS70F COMPENSATION,DAM11GE5 AS PROY�DED FOH IN � 6ECTI�177oeOFTHELABORCOOE,NTEREST,MAATTOF�NEYSFEES. RETENIIONFEE: pW., CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBVAFFliUAUlDERPENALTYOFPEM1RYi1uTTNERE15�CON5TRUCTpNIENDw6AG[NCY Zn- FOR iME OERfORMANCE OF iNE WORK FOR WMICH TMIS DERMIi IS ISSUE�(SEG 90Y7,qY.G�. � � W � LEFIDENS NM�E � IENOER'SAD�RESS 1 � ICEHTIFYTNATIHAVEREAD7MISAV%JGA7qNAND3TAlETW�TlMEABOVEWFOiWATqNISWRRECT. TOTAL FEES � �� � 7 W IAONEETf)CWA7LVN7T/.LLLCITVANDWUNTYORDINANCESAI�STATEUWSREUTNCTOBULOINO � CONSTRULi10N,IWDHEREBYWMORIZEREVRESENTATNE50FM15COVNTYTOEMFRUPONiNE S� �BOVE•►�EMIONED VROCER7V FOR WSPECTIDN PURP0.5E5. COMMENTS � '��� UJ • ���l_ (�� � PEIiM17iEE E(PRI� � � I I V V ' . ll 20 N sic aEaw EF � r�- """ 1 ` RECPT.NO. PAID BY VALIDAT70N ' � VYHI7E—Depertment Copy.YELLOW—Fnance Copy,PINK—Aeseasar Copy,GOLDENROD—Filo Copy,GREEN—ApplfcanCs Copy ,.� , ... �• •47 " .... '. ... .. �,,. . .'r. . . . .. _ . _. _....i_�s < ., r.� .�c., ...� .r� .v�.o-•,.a;._.�t. .., y:,w�,7�t - CITY �F DIAMOfdD BAR , . ,. ... � � .. ; ��i��lSI�ECTION RECORQ . �. � .. � � . • � � ._ � ►� ���s:��1�l,,�*� *�� �`���_�' ��- -� ��C��.��.��► . i ` �4 '-!�._��..:...���'�._.. .,.�,-�,.o SET BACY. .. . , •= i � ( - " • 1' I 1 , � FLOOR JOIST,�,-. � �, .•�.J ...', . .. . ; _ . , . � . .. . ' `FfGS/FORD,AS/STEEL � � _ - J� � � � � FHA REQMTS ' ' � ELECTRIC GROUNQ _ � • � UNDER FLOOR DUCT - - - - ' - -- � GROUND PLUMBING UNDER FLOOR Cd�IDUIT. , ' "� ��� � ' SLAB GRADE � • FIREPLACE FOUNDATION "' �, .•. � � , ,.. , ' � �TEMP POWER - � - FIREPL�bCE BO�JD BEAM - - '��� • • � ' �� - ! WATER SERVICE- � -- • ' MID H7.BOND BEAh1 - '•�i: •, : '�' , •� i - � , .ROOF SHEATHING •.. : 1'Z.Z'Gp_f � 8 FT.BOND BEAM� ' ; ' ' '' : : � ,; • ':• i ; � �, .FRAMINGNENTILIATION ' ` ' ' ' FINAL`BOND BEAM ' � � � i � : .ROOF COVER - � PRE-GRADING -- ' -ROUGH HcATING - - BENCHING � ,ROUGH ELECTRIC ' " ' _ ....�' ROUGH GRADING - � � 'ROUGF{PLU1�481NG ----- - - FINISH GRADING � ,SHOVVER/TUBTEST �- � � PObL ELECTRIC �EXT.lATH/SIDING - � - 1 POOL FENCING � . , - :WALL INSULATION- - � ,P,OOL FINAL � ' �CEILING 1i�SULATiON ' �- - 'OFF SITE IMPS. � = - . ' ' �• �DRYV'JALL NAILING - � DEDICATIONS � - 'SEWER--- � - FINP,L'EPJG. � ;SEPTIC TANK LANDSCAPE/IRRIG. ;SEE?_PIT/L.L. � ON SITE IMPS. .. �G�,S AIR TEST FINAL ZONI�JG iFINqL C�NST. �'Z$ ..(,d �� FIRE DEPT. FINAL _ F1N�tL H�ATING ��� HEAtTH DEPT. FIfJkL ' 'FI+•JF,L ELECTRIC - C ' • DEV. FEES PAID - - !f�1h1AL PLUM3iNG ENERGY " _... --. . _ . __ . ._ _ I. � - �: - . - � �q��-.�,� �,�;.l��._ ..�is:,.�a._�.�.�.aacr.�-Y;. .�..�....�. ' . ._ .. . .. ...._. . . . -. .. . . �11��:i� , ,�� , �. _. . _ , ' •1 � � _- 1 . �co�nr,nENTs . ;, ' .�� , . , ; . . _ � .. r :, ; . , _, : ,, � _ . .. � . . . . , . .. _ , , i : ; .� ' �_ � , ,. . -- ; -- • .__ �- .� . � - SEPTIC TANK SIZE � ` � � ' ' SEEP PIT/U SIZE - . - - .. . :�. . ;���,�'�'' . , , , '� . . . . . � , . _ . . . ...: ; :,�}� . .,_ . - - . . � - , . - . � � � ' .M � � . . .. , � l -• . . . ' . � " / 1 , .. .... ... .._ ��i - ��� . ,1• � „ I _ � 1-� � '�' �.��;'"�� , � � '� � � I � . ��.) I �•. " ' 1� __ � ,. . .. � . _ �uw. ..._....�"_"" � � �