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HomeMy WebLinkAbout17315 �` C1TY OF DIAMOND IIAR i DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 2182i E.Copley Drive '"� (909)860-3195 Fax(909)861-3I17 EXPIRED PREss ��'�:�'� BUILDINGPERMITAPPLICATION FIRMLY � JOBSITE `� APPLICAT ON PERMfT / o ADDRESS ��S �I�LtJ R.AQ7S Y�� DATE��1�Ol NUMBER I� S N c� ISSUE TYPE OCC APN LOT T,R�CT DATE CONST. GROUP p OWNER Il�l a � ADD SS s ZONING SETBACKS gCITY ZIP `f t7(.�TEL. -o� Z FRONT RW O APPLICANT TEL. REAR O � SIDEJSIDE STREET RW � CONTRACTOR I SIDE O oADDRESS Ci" S� 1 CffY C�-�f.�af ZIP `�1711 TEL.� PROPOSEDUSE o ARCI-VENGI � OESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES 2- BEDROOMS� � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFFi/ADDiAEM O p 1 HEREBV AFFlRM 11NDER VENALTY DF 7E0.NRY TIUT 1 AM E%EMPL FROM TME CqdTMCTORS lL Garaga/Carport W CENSEUWFORhiEFOILOWWOREA50N(SEG70.7t.6BUSMESSANOPPOFE5510NSCODE:/uJVCITVOR (n U COUNiYYMIp1PEWIHESAPEHIAITTOGONSTRUCT,/�LTERP�PROVE.DEIA0IJ5H.ORREPAtHANYS7RU4 W P8110/DBCk TURE,pRIOR TO RS ISSUANCE ALSO R[IXIIRES THE A7PlICANT FOR SUCN PERIAIT TO FILE A SIGNED W STAIEMENT THAT HE OR SHE IS LICENSED PURSUANT M THE PROVISIONS OF THF CONTMCTORS LI- � CENSE LAW(CHAPiER Y(COMMENpN(3 WITH SECTION 7000)OF DMSqN 70F TME BU51NE55 AND PR0- �'�' POOVSPB FES5IDNS COO�OR TNATHE OR SHE IS E%EAIPT TMEREFROM ANO THE BASIS FOR THE ALLEOED EXEMP• /� }�pr.l,/,M/yWU�TK)NOFSECT�ON70�I.SBVANVMVLICANTFORAPERUITSV&IECTSTNEAPPLICANTTO Z Re-Roof p(7OD � ACMLPENALTYOFNOTMORETWWFIYEMUNDREDOOLURS(Ssoo).)' � ❑�ASOVMEqOFTHEPRODERTY,ORMYE4PLOYEESWIT/WAGESASTHEIRSOLECOMVEN5AT10N, � COR1TBfC101 Z Will DO TNE WORK,M1D iHE STRUCTUAE IS NOT INTENDED OP OFFEPED FOR SALE r3EG)OU,BU51� J � NESS AND iROFE5510N5 CO�E:THE CONTNACTORS LICENSE UW DOES NOT ACPIY TO AN OYlNER OF � PqpPEfiTY Nhq BUILDS OR MVi70VES TMEREON,/VJD N'Ii0 DOES SUCJI WOFK HIAASELFOR HERSEIF OR Q THROIMHH150RHEflOWNEMPLOVEES.PROVIOEDTHAT5Up11MPROVEMENTSARENOTNTENOEDOR m W OFFEfiEDFORSALEIF.HON'EYER7NE6U�O�NGORRdPROYEMFNTIS50lDW171�MONEYEAROFCOMPLE• Z TION.THE OWNER�BUILDER VALL HAVE TME&/RDEN OF PROVINO TXAT HE OR SNE DIO NOT BUILD OR � MIPROVE FOH i1tE PURPOSE OF gALE} O 4 AS OWNER OF iHE PROPERTY.AM E7c0.U51VELY CONTRACTPlG WIiM LICENSED CONTMCTORS Q TO CONSTRUCT THE PR0.IECT(SEG 701�.BUSINESS AND PROFESSIONS CODE:TNE CONTMCTORS LI• V3I118S10� AOJ.AREA W GENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERNYrtiOBVRDSOfi1MPROVESTHEftEON,ANO � N71000MMCTSFORSUp/VR0.1ECT5W�THACONiMC70R(S�LICENSEOPURSUANTTOTMECONTMG QUANT(TY DESCRIPTION FEE Y TORSUCENSEUW). ¢ O IAAI EXEI.�PT lINOER SEG B.d V.C.FOR THiS REA50N U � rcr LL DATE ' � OVINER r W � � IICENSED CONTRACTORS DECLARATION W � IHEREBYAFFIRMUNDERPENILLTYOFVEfUURYTMATIAMIICENSEDUNDERVROVi510N50FLHAPiEN � p� i�CdAA1ENCINOWRNSECT�ON7oao)OFOMSIONJOF7HEBUSINESSAN�PROFESSIONSCODE.�N� z LL� MY L�CENSE IS M FUIL iORCE AND EFFECT. m � � � � UCENSE CUSS LIC.NO. � , __ . ., .V DATE CONTRACTOR 0. W � WORKERS'COMPENSAT�ON DECLARATION Q � U � IHERE6YAFFIqMUNDERVEN�ITYOFVEPJURYONEOFTHEFOLIOYANGDECUMT10N5: � Z Q G _IMAVEANDWILLMAINTAINACEATIFICATEOFCONSEMTOSELF-INSUREFORWOHKERS' _ � CqAPENSATqN,ASVROYIOWBYSECTON97ODOFTHELABORCOOE,FORTHEVERFORMANCE W OF ME WORK FOR WHICN 7HI5 iERMR IS ISSUED. .� O !�I MAVE AND VIILL MAINTAIN WORKERS'COMPENSATKKJ INSUMNCE,AS REOUIRED BY SECTqN � J7o00F TNE LABOR COOE FOiI THE oERFORMANCE OF ME WORK FOR WHICH TMIS iERM1715 ISSUED.MYYVORKERS'COMPENSA710NINSURANCECARPoERANDPOI�CYNUM8ER1lRE: CONSTRUCTION � ¢ _ "_ ' ' _ CARRIEF PLAN REVIEW 0 POLICYNUMDER ELECTRIC � "`����� (^�� p (nessEcnonNEmNoteeca.s�tmoFt�vur.�rsw�or+e�amoawsR+m�oa�ssl PLUMBING W MECHANICAI � Z ICERTIFYTFIA7NTHEPERFOi1MMlCEOFTHEriDRKFORWHIdi7HI5PERMIT15155UED,l (f} SWLLLNOTEMVLOYANYFEHSDNNANYMANNERSOASiOBECAMESU&IECTTOTHE � MqRKEFS'COMPENSATIONUN50FCAUFORNi.�ANDAaREETHATIFISYIOULOBECOME INSPECTIONFEE S SUBlECT TO TME WORKERS'COMFENSATqN VROV151oNS OF SECi10N 3)Do Of TME UBOR COOE,I SHALL fORTFM9TH COMPLY WITH THOSE iROVIS�ONS. ISSUANCE ��r 0 �....i_..' — . '.... 0 �ATE: AFRICANT. SMIP �-__._._........ _._. ... W ENERGY P/C WAflNINC:F�4URE TO SEGIIRE WOR1(E(iS'OO�dPEN5AT10N LOVEMGE IS UNUWFUL.AND S WLLL BE �y SU&IECTANEMCLOYERTOCRIMMAIPENALTIESANDCMLFMESUVTOONEHUNOREDTMWSAN� ENERC,YPERMIT OOLURS�f�Oo,OW).W ADDITION TO iNE COST OF COMPENSATION.DAMACES AS GROVNEO iOR W J SECTION]7oe0i7HEUBORCOUE.N7ERE5T,ANDATTOfwEv5FEE5. RETENTIONFEE: � � CONSTFUCTION LEND�NG ACaENCY PRE•ALT FEE: � INEAEBYAFFIRMUNOERVENALTYOFPERJURYTHATTHEREISACONSTNUCT�ONLENDINCIICENCY z FOR THE PERFORMANCE OF THE WORK FOR WHICi17M15 PERMIT IS ISSUEO(SEF 7ov1,C�`/.G). W � LENOER'S NAME � LENDER'SADDRE55 I w ,�o /\ WICERTIFYTHATIHAYEREAOTMISAPPLICATIONANOSTATETHAifHEABOVEINFORMATqNISCORRECT. TOTAL FEES � IA6REETOCOAAPLYMATHILLLCRVANDCWNTYORD�NANCESIINOSTATEUN�SREUTIN6TOBVILDING �� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATNES OF THIS COUNT'TO ENTEN UDON iHE Z ABOVE-MENiqNEDiROPERTlFORINSPECTIONVURPOSES. COMMENTS O � � � m V RMI E VWlfn N - - � 31 C iU O � EE ATE � RECPT.NO. � PAID BY VAUDATION WNITE—OeDariment Copy,YELLOW—Financa Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy �",i.l�.�r�.�� • � ••�-��. .r. rl�:.�. �.-. .�-.;. .. . . . .... Y� . . , ....1'",.. .— � ' ...�.r. ... ..� c.r.r. .i.i. . r -.� .. .ar.. .. , ..._ . . � >. YN%'� . ..�. i.� ... . . � � . .{.���.Y.: .�.. .Y�' 1 .. � '. .�i! i i� ��' ��d4rt�l���� Qi��l i���r��.�c�sor�� ����r� � -`ua- ._f r ���_______. , ��,��,��_ ._�___.M� ._ _.T_� ________�___�___. _�_ ,..��_ � ' . � ' aF , � i� .� .�� y � __ y ._ � _ I�!-"�.,�c ..i� ►b i�,�_h:[ . , �� ..��at E�.i'1--4�� �C��a►l erW��': �I��.���:�����:u.��.� � ,...__.___�.__ __�.._._� _ ._,__.._. -_. _.__. _ __. _ _ ._._. ._____�.__..__ �___ _........ ... ..._._-- -------------_.__.-- - ._._. SET BACK � ; � FLOOR,101ST _ ' � FTGSlFORP�IS'STEEL � � FHA RE�ft1TS ELECTRIC GROUND �— � j � UND�R FLOOR DUCT GROUNd PLUM6ING I ; UNDER FLOOR CU��IDUIT I SLAB GRADE � ` I FIREPLACE FOUNDATIOP! TEMP P�WER FIREPLACE E30ND BEAM � _ WATER SEFaViCE �__ ,'r� MID H7. F30ND BEAPf _ ' � RO�F SHEATHING •. /il�r�/u f [`._/�z�C.(it 8 FT. BOUD BEAM . FRAMINGNENTILIATION FINAL 60ND E3EAti�1 ROOF COVER PRE-GRADING I AOUGH HEATING BENCHIfJG ROUGH ELECTRIC ROUGH GR.4DING F70UGH PLUMBING FINISH GRADI�dG SHOWER/TUB TEST I PQOL ELECTRIC EXT. LE1TH/SI�ING I PO�L FENCING WALL INSULATION POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILIP�G � DEDICATIONS � SEWER � FINAL ENG. SEPTIC TANK • LANDSCAPFJIRRIG. SEEP PIT/L.L. ON SITE IP,APS. ' GAS AIR TEST ( FItJAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT.�FIf,IAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY � ��,����� �,�;-�;���,�. , COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE —, t�� �J,� ,�� ^ I � � ;:. ; ,.,