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HomeMy WebLinkAbout10948 (5) �_.._. . ._ . .. . . _... . ; _ -�-��� ---, CITY OF DIAb10ND BAR. . � COMMUNfI'Y DGVELOPMENT DEPARTMENT � ��,.� 21660 E.Copley Drive Suite 190 PRESS - (909)860-3195 Fax(909)861-3117 'TM' BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE ,�Qr/ ,a�GDl+_ / C���/�s f • APPLICATION i !� PERMIT P!C � ADDRESS � r 6T" ""7' DATE NUMBER� i1 �7 3 � APN LOT RACT ISSUE TYPE OCC DATE CONST. GROUP p OWNER IV _�,�1`Ct�/ p ADDR�SS � L _ ZONING SETE3ACKS z CITY x ZIP +TEl FRONT RW ❑ p APPLICANT TEL. SID SIDE STREET RW ❑ � CONTRACTOR� U - /a� SIDE - ❑ � ADDRES `' ' L ClAllit/ �U�r �/�i � CIN ZIP�r�J1jTE . /y �/ � � PROPOSED USE� w ARCH/ENG/ ��� �L z DESIGNER a ADDRESS � NO.DWEL. !� . NO. UNITS STORIES BEDROOMS � CITY ZIP TEL. ' � cn DESCRIPTION SO.FT. FACTOR PSF � ADJ.AREANALUATION p� OWNER•BL'ILDER DECLARATION _ 0 SFFi/ADD,'REM 1 HEREBY AFFIRM UNOER PElULTY OF OERAIRV iMAT 1 AM EXEAIPT iROAI THE CONTRACTORS LI-� G2f09@/C31pOfl"- - � \1 W CENSEUwFOFlTHEidlOwiNGREA50N(SEC.703t.5BU5iNESSANDPROFES510N5CODE.ANVCIttOR (n � U �OUNTYWNICHREOUIRESAPEflMITTOCONSTRUCT,ALTER�MPROVE,OEMOLISH,ORREPhIflANYSTRUC-: w W TURE.PRIOH TO RS ISSWwCE.Q50 REOUIRES T7E APPUCANT FOR SUp7 PER�nT TO flLE A SiGNED - W P21i01DBCk - .Lr ST�lEMENT THAT HE OH SHE IS LICENSED PURSUANT TO TME 7qOYISIONS OF TH[C011THI1CTOR5 l4 • � ` CENSE UW ICN�DTER 9(COMMENdNG WITH SECTION 7W0�OF DIV15qN 7 0F THE 8U51N[SS AND PRO• POOUSp� FESSIONSCDOE)ORiHATHEORSHEISE%EIAPiTHEREFROMMDTHEBASISFDRTHE�lLE6E0E%EMP- � VTION.ANYVql11TqNOFSECTION70J1.5BVANYACPLICA.N7FORA0ERAlITSUBJFCTSTHEAPPLN'AN7T0 Z Re-Rool A GNL PENALTY OF NOT MORE TMAN FNE HU:DRED DOLLARS(t50C�.�: ❑I,ASONT7EROFTHEPROPERTY,ORMYEMPLOYEESWITHWAC[SASTHEIRSOLECOM7EN54TqN, Q ' Z Commercial WiLL 00 THE WORK,AND THE STRUCTURE IS NO71NiENDED OR OFFERED FOR SALE(SEC.70u.BUSI- J � NESSA."IDGHOFESSIONSCODE:THECONTFAC�ORSUCENSEUWDOESNOTP7PLYT0 ANOWNEROF � . . 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DA EF r1�T11 ISHOULDBECOME INSPECTIONFEE � � � S SUBJE TiO7MEWORKERS'C0IAPENSA710NPR0 > OF.,ECT ]7000FTH[ 7 CODE SHA FORTHWITHLOMPLVWI7HTH05 ' .S:ON' I ISSUANCE I � � p DATE:, APPLICAM: SMIP • , � WARNIN�:FAM1URETOSECUREWORNERS'COMFENSA710NCAV nGEISUNUwFULANDSNALLe[ ENERGYPIC �� � SUBJECTANEMP�OYERTOCRIMINALPENALTIESMlOdVI�FW SUPTOONEMUNDRED1HOl151W� ENERGYPERMIT DOLLARS(f 100,000),W hD01TION TO TNE COST OF COMPENSA7pN,DAMAGES AS PROV�DED FOR IN � SECTKKJ770EOFTHEUBORCOOE,P7TEREST,ANDATTORNEY'SFEES. � RETENTIONFEE: q� � OCONSTRUCTION LENDING AGENCY PFiE•ALT FEE: /� /� �� ' � IHEFCBYAFFIRMUNDERPENALTYOFPERNRVTHATTHEREISACON57RUCTIONLENOiNCACCNCY �'�7� � .( FORTMEPERFORMANCEOFTMEWORKFORWNICHTMISPERMITISISSUED(SEC.�oB7,tIY.C.), �� �� Z � w � IENDERSNAME H �¢r+oeas+�or+ess � ' � TOTAL FEES � ICENTIFYTMATIH�VEREADTHISAPPLICATIONAN'JSTATETHnTTHEABOVEMFORMATqNISCORREC2 • W IAGREETOfAMCLYWI7NALLCRYANDCOUNTYORDINANCESMOSTATEUWSRELATWGTOUVI�D�NC " � fANSiRUCT10N,AND HEREOYAUTHORIZE REPRESEMATIVES OF THIS CWNTY TO ENTER UPON THE ' � ABOVE�MENTqNEDPROVERTYFORINSPECTIONPURPOSES. � Z �'' - � COh1MENTS � � �/`3 `��� ��� . m PEfiMIT7EEN �Nn . . . ¢ . � // �� � � iuN EHMIiiEE � OATE — � RECPT.NO. �PID 6Y _VALIDATION � WHITE-0epartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fiie Copy,GftE N—Applicant's Copy ` . .. ' .. . . . . i . . .. . ,... �.. w.� . .. ..., `•�.'ti,�- . . ��- ♦ • ' ,i . ' . , r a . `�'1. . . , . , .,... ....:1.�1,n!. . � . � CITY OF DIAMO�ND BAR '; � . , " INSPECTIUN RECORD � � ., � . Q � . . � . l , � , , 1���� � `�� T. SEf BACK FLOOR JOIST -- ' FTGSIFORMSISTEEL FHA REQMTS . :,� . , , . �, _. . - ELEGTRIC GROUND UNDER FLOOR DUCT � :..�.,-� �,� • ��j�;�•-'- • GROUND PLUMBING UNDER`FLOOR•COPIDUIT •� � :`;'•; � ' . � `"��.� �'•�•�'�;=�•�� • SLAB GRADE • FIREPLACE FOUNDATION _ r . " " t, TEMP POWER •,, . FIREPLACE BOND BEAM` ���` �•'�`�• `�`� � '' = �"�• ' WAfiER SERVICE� ' ', ... . . __ � � � MID HT:.BONQ 6EAM.� ;-.�•. . .. . ' ' ••'��=:�_i,�� ROOF SHEATHING ' � � � � � �� �.•� r 8 FT. BOND BEAM � ' . FRAMINGNENTILIATION ' " ' '� ',' '- ��1`� FINAL BOND BEAM � ROOF COVER - PRE-GRADING �� , ROUGH HEATING - • BENCHING - � � � ROUGH ELECTRIC � // 22,� ROUGH GRADING . ROUGH PLUMBING . FINISH GRADING SHOWERrfUB TEST � � - POOL ELECTRIG� ' EXT.LATHJSIDING P:OOL FENCING i. . WALL INSULATION POOL FINAL ' - CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS � SEWER FINAL ENG. • SEPTIC TANK . _ • ''='���: LANDSCAPE/IRRIG. • SEEP P!T/LL. : . .. � ., j ON SITE I,vIPS. GA5 AIR TEST • � � �-. '•��� : ��•� % - FINAL ZONING � FINAL CONST,- ;� - � - FIRE DEPT. FINAL . FINAL HEATING � HEALTH DEPT.FINAL - -- , FINAL ELECTRIC � DEV. FEES PAID , FINAL PLUMBING ENERGY . � ,`\ �.r ��.__) ' ' ;) , � , 6 �, fy'6� • _ � '. .., �� �,' . � . _ , .. � , _. , -COMMENTS �= �•` � � � � /.�si S's�cc,��/�,.� �-4 L c� �� �/l��.N�.,. rCC .�n.,v-zi.�C/-' .. `.1� . , o,�� . lrf2v/r� �-`� . �.1 -- 1r 'J- � , V \ . ' , • ., . � . �i: , ,` �'1 �� �. .� . � ' .� �',,�..\.,•\ ..��., . . I . . ,1 _ . . � " ' 1 l � \ , ._'� . � . .`,J ' � , . ' -� . � . , . . .. , �, � _ � ,ti. ;`� `t ,.� �� �.�'��t..+ .. SEPTIC TANK SIZE - - - - ----- SEEP PIT/U SIZE �r�h� :• � �i�,,; , : . , �_.- �`, . ) �:� _.� � , ��\� , , _ , •��� . 1 `� '•. . � � , �;: ` . . , � � .;: . ._ . , ._ - . , �