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HomeMy WebLinkAbout16351 (15) ---.------ � - �,� �C.c...---� �� G'f�s C.�n.� J� CITY OF DIAMOND BA& � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �e zi�oE.c�ieyna��s�c�i90 PRESS (909)864-3195 Fax(909)861-3117 ���'� BUII.DING PERMIT APPLICATION FIR Y � JOBSITE � ' APPUCATION PERMIT P/C o ADDRESS �' a � � � DATE NUMBER 11 � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER �- ADD SS � n 20NING SETBACKS �"' CITY a ZIP���TEL�a9 //1/ REAR RW ❑ APPUCANT �f�J�dF TEL SIDFJSIDESTREEf RW ❑ � CONTRACTOR SIDE ❑ g ADDRESS PROPOSED USE CITY 21P TEL a�i AFiCH/ENG/ DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AFiEANAUTATION � p� OWNER-BUILDER DECLAHATION SFR1A�0/REM O p I HENEBY AFF6W UNDER PENALTY OF PEHAIM THAT I/ul EXEMvi Fi00M TNE OCMMCTORS l4 Gefe90/C8ry0R � C1J CENSEUWFOfiTNEFOLLWYiNORFA�ON(SEGTW1.68USWESSANDVFOFESSIONSCOOE:ANYCITYOR (n C..) COUN[1'VMICi1qE0UWESAPERMR7000N5TRUGT,ALTER�7ROYE.DEMOU9H.ORREPNRMIYSTAUG W PatiO/DOCk � NRE.GRIOH 70 RS ISSUANCE I1L50 REQ11RE5 ME 11FPLiCANT FOR SUCH VERMIT TO i0.E A SIc3NED 6TATFMENT TIUT HE OR SHE 5 LICENSEO PURSUANT TO THE PROVIStONS OF THE CON7MCTOiiS L4 � CENSE UW(QUPTER i�COM4ENCINO WITH SECTION 70W)OF DNISION�OF THE BUSINESS ANO VRO� V"' POOVSpe FE5910N3 COD�OR THA7 HE OR SNE IS El(EYPT THEREFROM AND TNE BASIS iOR THEALLECED E%EMP• TION.ANYVIOLATiONOFSECT10N1o71.68YANYAVPLICANTFORAPERIAIT5U61ECTSiHEAPPLICANTTO Z Re-Root F A CML.PENALTY OF NOT MO(iE T/V�N FNE MINDRED DOlURS(f600).): � 04�30NMENOfiHEVROPER7Y,ORMYEMPLOYEESVATMWAGE5A5TiEIli50LECOMPENSATqN, 0 Cpmm0fC18I �- WILL p0 T1E MfOPoC M!D T1E STRUCTURE�5 NOT INTENDED Olt OFFERED fOR S/�lE(SEG)Ou,BU51• J NESS AID iROFE5510N3 W�E:TXE COHTMCTOR9 LICENSE UW DOES HOTAiPLY TO AN OWNER OF- y CROPEHTVMF10BUlD50RNIVRDVESiHEREON.M7D`M7000ESSUCMWONKMIMSELFORNERSELFOF = (� T/Y10UGH HIS OR HER OWN EMVLOYEES,VROVDED TUT SUpi IIAPROVEMEMS ARE NOT MENOE�OR m �1J OFGEFEDiOqSALE1F,110WEVER7NEBlALOP100RWPR0YElAENTI550lDWITHMONEYEAROFCqAPLE• � ��710N.7YIE OwNER�BU4DER 1NLL NAVE TNE BUROEN OF PROVW�THAT HE OR SNE DiD NOT&11LD OR FIPROVE FOR TIE OUi1PO5E OF 9AL.E} W �I,ASOWNEROFTHEPROPEHfY.AtAIXCLUSNGLYCONTiUCTM1�WiTHLICEN5E00�NTRACTOR3 � 70 GONSTAUCT iTE►RQIECT(SEG 70N.BUSINE53 AND PROFESSIONS CODE TNE CONTMCTORS LF VdIUBIlOf1 ADJ.AREA � GENSEUWDOESNOTMPLYTOANOWNERGFAPROPERTYYM08ULDSORWPiqVES7H[H[ON,AND YY1qCOHTMCTSFIXiSUCMiRQJECTSWITHACOHTMCiOR(5)LICENSEDGURSUANTTOiHEWNfRAG pUANTIIY • � DESCRIPTION '�:��:'�� FEE � � toas ucEr+sE uw.�. ,.J pIAAIIXEMPTUNDERSE0. B.tV.0.FORTHISREA50N Q � , . U � �=- o�� ovmEn �— � w � LICENSED CONTRACTORS O[CUIRATION W � . � IHERE9YAFiWMIMDERVENILLTYOFPEfWMTHAiIAMLICENSEDUNDERVROVI5�ON50FCMAPTEH � _ � , � � . � " s ��COMMENClK7NrtTH5ECT�ON70o0)OFDMSION]OF7HEBUSINESSANDPROFESSIOY.SCOGE.AND Z X W LICENSE IS M FLII fORCE/�HD EFGECT. m llJ � � � UCENSE C1A5� �' LIC.N0. J � wrE coNrancroa a W �I � WORKC-RS'COMPENSATION OECIARATION a � IHEREBYPFFIRMUNDERPENALTYOfVEiWMONEOFTHEFOLIA'MNGDFCLA.UTIONS: � N Q � _IFUYEANOWILLMAMTAINACERTIFlCATEOFCONSENTTOSELFNSUREiORWORKERS' 2 � � COIIDENSATqN,ASVROViDE08YSECTIONJ7o00FTHEUBORCODEFORTHEPERFORMM7CE w : OF T11E YlORK FOR WHICH iH�S PERMIT IS ISSUED. � � Q _I HAVE AND YNLL GW�+TAP!Y/OfMER4'COMPENSATION W SURANCE,AS REOUIRED BY SECTION . 97o00F iHE LA80R COOE.FOR iNE VERFORAIANCE OF THE WORK FORK'HiQ1 TMIS FERMiT IS � i55UED.MY WOi1KER5 COM7ENSAT.ON WSL'FUNCE GARIER AND POLICY Ml1A8ERME: CONSTRUCTION j ww�eR PLAN REVIEW � POLICYNUABER ELECTRIC �� � O . (�yss[C}bNf�NOTBEppkilEiFDOF1VEv[n,�iswftorrEtu�OflEu0a1/�ItsK��l��} PLUMfSING � W ICERTIFYTNATNTHEPERFORMANCEOFTHEN'OPiCFORWHiCHTNiSPEPUITISISSUED,i MECHANICAL �i SMALLNOT EMPLOYANV iER50f�IN N�'(MMINER SOAS TO BECOME SUEJECT 70 THE � ', WOPo(EHS COMiENSATIOH UWS OF GALIFORNIA,AN0 AGR T/UT IF I SMOULD BECOA�E INSPECTION FE S SUBJEGfTOTHEWORKERS'COMPENSATIONGRONSIONS SECTqN170oOFTHE ISSUANCE � COO iF„ SC�;OF�TINn7N COMPLY WIIH SE PROVIS 0 � ��� SMIP �pR n 4 ��nn1_ � p DAT€:�a j 1 APPLI � J ' ENEFiGY P1C WAf1NIN0:FALURETO5E�IREVNRI(ERS'COMPEN�TION ER� EIS M.AWFUL,ANDSIULLBE � SUB1ECfANEMPIOVEPTOCRIMPIALPENALTIES CMLFWESUPTOONEMUNDREDTHOUSAND ENERGYP[RMIT pp(LARS p10o.DOD�N/�D01710N TO THE COST OF COMPENSATION.DNMGES AS PROVIDED FOR IN R � SECT1DNl7oeOFTNELABOfiCOOEHTEREST.IWOATfORNEY5FEE5. RETENTIONFEE: +r d CONSTRUCTION LENDINO AGENCY PRE•ALT FEE � IHEREBYIiFFIR1AUN0ER7ENAlTYOF�ERM1IRYTHIITTMEPEISACONSTRUCTIONLENDINGAGENCY - � aZ- FOfi TNE PERFORMMICE OFTME WORK PoR Vrt11LH iHIS PEPMRIS ISSUED(SEG 7097.qV.Cl• � W I � LENDER'SNA41E � LEHOER'SADDRESS � ICERTIFYTHATINAVEREADTN�SMPLICATqNANDSTA7ETMA7iMEAeOVE RM�TION�SCORRECL TOTAL FEES . , � IAGREEtOWA��LYWITNALLCfiYAN WUNTNORDItUNCESANDSTATE SRELA7P1aT09U0.DiN6 � CONSTRUCTION.ANDHEREBYAU7N0 ZEREPRESEN7ATIVESOFTHIS TOEHTERUPONTNE Z I80VE#1ENTqNEO PROVERTV FOR II PECTION VUitPO5E5. COMMENTS o S/�r( SON m - ¢ PE RTEE (PWHT) � � � � s NREOFP mE¢ o�TE RECPT.NO. PAIDBY � VALJDATION � WMITE—Dopertment Gopy,YELLOW—Ffnarce Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplieanCs Copy . . „ , , ,-, , , , , ,� . . . . , . . _ . . . , � -. -_ -. . > .: - � �. � . CITY OF DIAN9�ND BAR _ .. . �-. .�� --� - "�� ItdSPECTIOR RECORD ;� : ; :.,� ,; ,. � _ _- , . . , , ��: . . -. _,.»�,�}�_ t E�'� _ .�.�..�!�� '_ �i� �' _,c�' � �• ,.� � ����j f�'�M ��...'��" r�IC��t^���il�l�'` �rlF � �. '� � � � �.,0 ��. .�� �'��.,�R�� iC'J�4 ►v :��'`�ir�' r � 'SET BACY ^,- ,;, � i -, ' , :��, 1 „ FLOOR JOIST- - ._�..._ .,.a.......d. .�. t.. „�. . � , � •-- � �FT GS/FORMS/STEEL__. :..�- , _ , _. _ ' •,� .-- ,FHA REQMTS:_ - _ .__ �,.-- - ' _V ` -- 1_ .. ��:- � � �ELECTRIC GROUND ___ ' " ' ' ` " UNDER FLOOR DUCT � - - •- -=-- iGROUND PLUMBING - UNDER FLOOR CdfdOUiT . - " ' ' � ; . � �.._ --__ � i FIREPLA'GE,FOUNQATION - • SLAB GRADE --- -- ' - - --- _ _ ___ _ , . ,; � . � ,. ---- iTEMP POWER--__ ,_- . _ - -_, .: _ . . FIREPLACE BOND BEAM - �: '.,. , . . -. :. 'WATER SERVICE- - - - - -- - -- - h11D HT. BOND BEAM ::�� • -,�� i . " �ROOF SHEATHING 8 FT.60ND BEAM - - - - ' - ' � i FRAMIt�1GNENTfLIRTION - - - - --�- FINAL BOND BEAM ; ,- � ; ;ROOF COVER �• �, - PRE-GRADING _ -- � ; ; ,ROUGH H�ATING _ _ ._ _. , .:,. ._ _ _ BENCHING.- _ _ - - _ _-- . ; i ROUGH ELECTRiC �--- . ��..' . , � _ ROUGH GRAD�NG - ., _ _ __ __ . _ _._ �-- • '. •ROUGH PLUMBING - -- - -- ---- ' - . --- - - FINISH GRADING - � : SF-IOWER/TUB TEST ' - - - - ' - - POOL ELECTRIC . � EXi':L4THlSIDING- - --- - - - - P�OL FENCING . WALL iNSULATi�N - _ _ _ __. POOL FINAL ., � CEII:iNGINSULATION -�-- - - - OFFSITEIMPS.. � � ;DRYWALCNAIL(NG -_ __ _ __. _, DEDICATIONS � . SEVJER __ ._ _ _ -- FINAL ENG. . ; .-- StPTIC TANK LANDSCAPE/IRRIG. SEEP P1T/L.L. . QN SITE IMPS.� 'GAS f�IR TEST � � ,;, :� , `'. •-'Z-'► .' FINAL ZQNING ' ,'FIPJAL CONST._ � FIRE DEPT. FINRL ;Fl��:�.LHEATING ___ _ ._ HEALTH DEPT. FINAL - . 'Fl^J�.L-ELECTRlC_ _--t � DEV. FEES PAID _ __ _._ ; . ��i=�i�LPLUMBING - � '�_. ,�_. ENERGY j - . , . . . . .. 1 -- -__ _ ___. __ _ . , I _..._ �_ • _. _-- _ __ __ _. __ .. . , .___�_._... � . "L��`.tF .C�) �I�(L_ � _.:�. �_�:z.�__._.._:.J�___. t ---------- . , . . _ � ' a , y , !COI'�IMENTS .: � ` . ._ . .. �,. .. <.. -� � ! ---- _ _ _ . ; i � � � � � _ � � . .. _ .. ; _ . . - , — ; _- . , _ - -:�-- . � ;r-;' ,�''��-r= ;='.: —_-----� � — ; ,. • ; � ... ., . . �,.� � , \ I I __.'_ ... . . . i ... , _ ' r� � i � . .\. . .. � ..,.. ' . - ... . __. . ' I SEPTIC TANK SIZE : .�f_!� ' i : j SEEP PITJU SIZE ` --� - � � ,,,,,.,,_,�.,�,,,�,__,,� ' � ' i : - � �� : j � _ , � . � _ ,�: _ � _ _ _ , _ _ ; . __ . _ . . _ - -- , � i : , �; . ., , _ _ ,����: ��' �- - , __ _ _ _ : : � , . - ' - � i_ _ . .. __. . , : _- -- - _ _ ' . : . � � � � -. , .. , _ . ---_ - - — . . , . .. .y .. . � -� . . . . .. . t , I-f �.._ ....._...,.....�.y..-_r�� � -.l -. _ . .. . _ . _ . ' . - . .