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HomeMy WebLinkAbout13138 - -... - - -. .�. . . ..._.._ ...�-----�- - -- - - --- , ` � CITY OF DIAMOND HA - - / - - DEPARTMENT OF COMMUNITY&DEVELOPMENT:� �aa � PormitRoso�acos 21660 E.Copley Drive Suiu 140 9a���� PRESS � � (909)860-3195 Faz(909)861-3117 Faz 949�44S-gg24 �����'� BUILDING PERMTI'APPLICATION '�_______ FIRMLY JOBSITE �y�` APPUCATIO PERMIT (/� P! o ADDRESS d � v„�/ �s DATE �7 - NUMBER/���a if � � ISSUE TYPE �CC APN L T TFiACT DATE CONST. GROUP g OWNER � � � L "" ADDRESS � t70 ZONING SEfBACKS "' CIN r ZIP f TE � � d O REAR RW O APPLICA T �� � - TEL SIDE/SIDE STREET flW ❑ CONTRACTOR J�'�/O�t/ L SIDE ❑ g ADDR SS 2 2- o Gi/ / '. t�y — l83 Z CfTY �= IP �TELJ �d/� PROPOSED USE �8 DESIGNER �2^���r'C���f-21'C�� J � _ ADDRESS � NO.DWEL PlO. NO. � C�TM J�I ��/Yl Z�P�E - �-,�/� UNITS uTORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONRJER•BUILDER DECIAAATION SFR/ADD/REM O ' I HEREBV A�i1RM UNDER iENALT/OF PEfWRY THAT I/JA EXEM7T FR01A 7HE CONTRACTORS U• GaregBIC2�pOh S CENSEUWFORiHEiOl10WN4NEASON(SEC.70.7t.68U51NESSANOPROFES510NSCODE:ANYGTYOR (n �u COUN7YMMIGIREOUNESAVERA/?TCICONSTRUC'i,ALTE0.�PROVE.0E1dOL15H,0i1REPAIFANVSTRUG W Pd��BG�( . � b TURE PN�OH TO RS iSSUANGE,ALSO REGUIRES THE APPLICAlfT FOR SUp/PEPlA1T TO fILE A S16NED � W � ETATEMEM THAT HE OFi SHE IS L�CENSED WRSUANT TO TNE PfiOVISION3 OF THE CONTMCTORS L4 � CEHSE UW�CMAVTER v(COMMENCNO WITN SECTIDN 70oa)OF DMSION a OF THE BUSINESS ANO PRO � PooVSpa fESSIDN3 COOE)OR THATHE OR SME IS E%EMPT TMEREFRqA ANU 7ME&Li15 FOR 7ME ALLEOED EXEMP• TION.ANVVIOUTIONOFSECTION7W1.60YIiM'APPLICANTFORAPERAIITSUBJECTSiHEAPVl1CANTTO Z Re-Roo1 �,,,,, A CML VENALTY OF NOT AIORE THAN iNE HUNDRED DOUARS(f S00),I: � , � OIIISOVMEROFTHEPROOfRTV.ORAIYEAIDLOVEESWITMWAGESASTHEIRSOLECOYPENSATION, � COrt1RlafCial � Y/ILL00 THE WOR1(AND THE SiRUCl11RE IS NOT R7TENDED OR OFFEHEO FOR S�LE(SEG 7oa�.BUS4 J NESS AND FROFESSIONS COOE:iNE CONTMCTOiiS LICENSE UW DOES NOT MPLY TO AN OWNER DF N PROPEfffYNT10BU0.DSORIMPflOVE57HEREON,ANOVA70DOE55Up/NVitKNIM3ELFORHERSELFpq = � TiWOWHH90RHEROY.TJEMPLOYEES,VROYUE0T/1ATSUCMW7ROVEMENTS�RENOTINTEN0E00R m OFFEAEO fOR 3/LE IF.FIOWEVEfl T1iE BU�lDN60R MPROVFYCNi IS SOID WfTMNONE YEMOF COMPLE• '1tlN,TME OWNER�BUILDER WILL HAVE iHE BUfiDEN OF PROVPIO THAT HE OR SME DID NOT BUILD OR M1P110VE iORT1E VURPOSE OF SALEI. ���1 W Ot���EROFTHEDROPERTV.AIAIXCLUSNEIYCONTAACTR1aWRHlIC[NSEDCONTMCTORS CL TO ODNSTRUCT TN[PROJECT(9EG 7oa�,BUSINE54 AND VROFESSWNS CODE:TIE CONTMCTORS Ll- Ve1t10ti0 _ _ �9J.AREA 111 CENSEUriDOESNOTMPLYTOANOYMEROFAPAOPEH7YWNOBUtl.OSORNIPROVE3THER[ON,AND � WIqOONTMCTSFOq5Up1PR0.1ECi5WRH�CONfRACTORIS)LICENSEDPURSUANfTOTHLCONTMG pUANTITY . DESCRIPT�O FEE � TORSl10ENSEUW.). _ � .... �(' OIAAIOtE1.10TUNDERSEG B.IP.GFORTHI5RLA50N U OO �+� � ¢ � Y !O c� �=' DATE ONMER � � W �� C .. �6 UCENSED CONTRACTORS DECLARATION w D • CC IHEFEBYAFF6WUNDEFPEIW.TYOFVE0.1UIiYTHATIAl1lICENSEDUNOEAPROYIS10N50FGFiAVTER � 1�� O ' � ►(COMYENCNOVATHSECT�ON700o)OFOMSION70FTHEBUSINESSANOVPOFESSiONSC00E,AND Z W UCENSE IS N FLII FORCE M!D EFFECT. ' � � � r] v 0 UCENSE CL/l S � LIC.NO. � � J O� t.� DATE � � t CONTAACTOR � d . LTJ � WORKERS'COMPENSATION DECLARATION Q • � N �HEREBYhFFlRM UNDEH PEHAITY Of iER1URY ON[OF7HE fOLLOWING D[0.AM71ON5: , Z � . `' �/ /'y Q�� N G �INAVEANDWILIiMMTA1NAtERTIFICATfOFCONSENTTOSElFaNSUREFORVlORKERS' -� .- _ � ' ; 2 . .. /I�y��� � � '� � •,,CONPEN9ATION.A9VHOViDCD8Y5ECT10N77ooOFTHELABOfiG00E,FORTHEPERFOMW�CE U � � HO .. QQ OF TIIE WORK FOR WIIK:II THI9 VERMIT IS ISSUED. � �� � . P' J �Fj �NAVEANDYALL6WMARIWORI(ERS'COMPENSATIONWSURANCE,ASREOUIREDBVSECTION� -�-�_ �� �✓ ' " . Q � ]70o0fTHEl�80RCGDE,FO(ITIEPERFORMANCEOFiH[WORKFORWMICNTHISPERMRIS � . � � • �ISSVED.tlYWORKE�RS'CO'MP!ENSATIONINSUHArKECARfUERIWDP0.IGYNUMeERAHE:'..� ,CONSTRUCTION ��� � � . .. � CARWER ���, � • ' .� . • PLANREVIEVY '' ; ' > Zvaicrra»eeea,ZO� ��v=�2 , - 'ELECTRIC. . , ,T� . Q —�c��v. . o (twssccrn+�IDrqreEca.n�rtvoFnFvtwniswr�a+e�ro�+moou�rsR+m�a��ss? PLUMBING �� _ Z �ICE0.TIFYTHATNIH[GFRFOR/AIWCEOFTHEWDRKFORWHN�NTHISPEIWITRISSUED.1 MECHANICAL ` �_ (} SwLLI NOT EMVLOV ANY PERSON N ANY MANNER 50 AS TO 9ECAIAE SUaIECT TO iHE � WORKERSCWAPENSATIONUWSOFGLIFOfV111�/WDAGREEiHATIFISHIX1lDBECOIAE INSPECTIONFEE S SUBJECTTOTHEYARKERS'COMPENSATqNPRONSIONSOFSECTI0Na1ooOFiNEUBOR �SSUANCE �q - ClJO I SMALL RTMWI7NCOMPLY WITH`� SIONS. ' �11 � 1 I � �- V// 0 o�h:7���1��vai�rrr. k-cr�— snniP —$�iI�INC'-1��TSS�A�FE'T J .,o v � ENERGY P/C � ::_ WAFW MQ FM.UHE TO SECUFlE YIqiKERS'COMPENSAiION COVERAOE IS UNUW FU4 M�ID SHALL BE � SUBJECT/JI EMPlOY[N TO CRIYINAL PEWLLTIES M10 GNII iNES UP 700NE MUNDRED T'KK13AN0 ENERGY PERMIT ����i ` '� OOLUflS(t100.0001.M7 ADDI710N TO THE COST OF COM7ENSATqN,DAMIICES AS VROYIDED FOft IN J SECTIONJ?oeOFTHEUeOHCODE.INTEREST,ANDATTORNEV'SFEES. � FIETENTIONFEE: � • Q � CONSTRUCTION LENDING AGENCY PREALT FEE: O � INEREBYAFFIRMUNDERPENrI.iYOFPEfWRVTHATTHEREISACONSTilUCT10NLENDINOAGENCV aZ FOR TME PEFFORMMICE OF iNE WORK FOR NA/ICH TM5 VERA�IT I51S5U[D ISEG JOV7,pY.C.1. W r u wp- � � IEHOER'S NM/E � � '(�y�_ � lENOER'SADDRE53 � /� � , � ICERTIFYTHATIMAV[REIDTH�SAPPLIGTIONAN�STATETUTTHEABOYENFORMATqNISCOfiRECT. TOTAL FEES C�l`� 7- � �D � IAGREETOWb�PIVWfT11AlLCRYIwDCOUNTYORDINANCESANOSTATEUwSREUTM10T0&11LDIN0 1 1 CONSTRUCTION,AND H[RE6V AUTHORRE REPRESEMATNES OF TUS COUNTY TO EMER UPON iNE S� ABOVE�MEHTIONEDPPOFERTYFOfiviSPECTIONMIRPO5E5. �, COMMENTS ' � �o� �� ¢ VERIARTEE KT) �O� � � Q N � aw eo RMIiTEE � i RECPT.N0. � PAID OY VALIDATION WHITE—Departmant Copy,YELLOW—Finance Copy.PINK�0.ssessa Copy,GOLDENROP—Filo Copy.GREEN—ApplicanYs Copy \ . . ' . . . , . , _ ,;; , �.. ., , . . . . . . . .:� . . ., � , , � . . . \1 CITY OF DIANiOND BAR �1 � ��"� ItJSPECTION RECORD .... ._._.._..�...�,_ ..,_._.�._. , �, ,� „ _.. .. . _ _ . .�. � :� :�Ii�E��i ���`K��'���I ,:..:.;..�'�'��.�'� '.�.s�-���.c��';�,��� - ����1���-�.,�r�a�,�.��1��.,...:.. �"a�'����� M,'�►�-�����..'���E� . �S�T�BACK.�� . FLOOR JOIST. .�~�� T � ~ � F`fGSlFORt�1S/STEEL. � • � FHA REQMTS ' _...._. : ` � ELECTRIC GROUND UNDER 6LOOR DUCT � � GI�OUND PLUMSING � � UNDER FLOOR COPdDUIT� ' � . " SLAB GRADE FIREPLACE FOUNDATION '� TEt�1P POWER FIREPLACE BOPID�BEAM • ' � ' WATER SERVICE MID HT. BOND BEAM ' � • ( ROOFSHEATHING `• �- • ' 8 FC. �OND�BEAM - ' � -- -- FRAMING.NENTILIA'fION � - — FINAL BOND BEAM � � '�— y ROOF COVER ' PRE-GRA�ING - - • - -- - � ;ROUGH HEA7iNG BENGHING °, J • • � . ." . • ROUGH ELECTRIC ' � � ' ROUGH GRAD�NG - ROUGH PLUMBlNG FINISH GRADING SHOWER/TUB TEST ' ' POOL ELECTRIC EXT.L�',TH/SfDING - POOL FENCING V'J�LL 1NSULATION - POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYIIVF.LL NAfLING - DEDICAT(OP�S SEWER FINAL ENG. SEPTICT6INK -:;,`•,:"� •Ll�NDSCAPE/IRRlG. SEEP PITlL.L. - • =_����='-" ���'�"" OtJ SITF IMPS. _� ._. .. GAS AIR TEST �, � FINAL ZONING F;h'AL�ONST. �oQ` � f f - '� 'yi FIRE DEPT. FINAL � 1' ��. - .. F;NAL HEATING _ �..�! :���•,', -�` v:�.-=:'.�'.',1- '�--. HEALTH DEPT. FINAL � Fi'Jf1L FLECTRIC - ' • ' - • DEV FEES PAID - -- ;=f^1l�L PWh181NG � • �� - � ' ENERGY - - i •v.m�,�a.-....�..+sr .;r•-�• ' � + , . .... .. . . 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