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HomeMy WebLinkAbout15246 (17) J� CITY OF DIAMOND B AR � � DEPARTMENT OF.COMMUAIITY 8c DEVELOPMENT SERVICES > 216b0 E.Copley Drivo Suite 190 � �'^�'�y BUII.DING PERMTi'APPLICATION FIRM Y � DDR'ESS��,�i r�y�- C C o�d�;,r �� .y�J � DATE CATION '�I � � NUMB R 1� �� l $ ISSUE TYPE , OCC , � APN�_ LOT TRACT ' DATE CONST. GROUP p OWNER �� � " ' ' ��n�/ �r' � 5 i�S 71a � • ZONING SETBACKS � C N E[,�' 1N G I-ll�l S ZIP 41��� TEL._/�, .�i?I � FRONT RW ❑ APPLICANT TEL. REAR � � I SIOE/SIDE STAEEf RW � ❑ CONTRACTOR � � S • SIOE ❑ p� ADDRESS - • "' �' ' , � PROPOSEDUSE , • 9 � � - � CITY �?��+ n r.l t+ Rn�LZIP , TEL � 0 0 Pu ARCWENG/ � �;;� 1I�1 t � � DESIGNER N0.DWEL �'� NO. ADDRESS UNITS uTORIES BEDROOMS � CITY ZIP TEL cy_n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O 8 1 NEREBV AFFlRM WDER PFfULTV OF VEiWRV TUT I MI E%EMPT FRdA 7HE CONTMCTORS l4 ' GefepB/CefpOM � �-� � CENSEUWFORTHEfOIlOWINOREA.AN(SEG70.71.68USINESSANDYROFFSSIONSCODE:AHYqTYOR (n COIMTYMMf71RE0UWESAVF3WR7000NS7RUCT.ALtfR�PROVE.DEY0U5H.ONREPAIRANY57RUC, W patio/Deck � NRE.VRbR TO RS 139UANCE,/LSO R[WIRE9 THE MPLICMlT FOR SUpI PERMIT TO iLLE A SIONED � STATEYENT THAT HE OR SHE LS LICFNSED R10.5UANT 1D iHE PROVLSIONS OF 7HE Cd!liRACi0N3 l4 CENSEUW(CHAPTERYICOMMENCNOVrti}ISECTIONiOoo)OFOMS�ON70F1HEBUS�NE39�lOPRO• u" PooVSpa FESSIDNSCOOE�ORT/IAiNEONSHEI3EXEMVTTMEREFNOMANO7HE8A515i0R7HEAlLEGCDEXEMP• (� TICN.MIYVIOLATIONOFSECTION7D]7,6BYNIVAPVLM.lV(}FORAPEfWITSU&IECiSTHEAPPLICANT70 Z qo.q�� � ACMLiENALT/OFNOTAIORETHMJFNEMINDHEDDOlUfi51S5001.1: ' . O 04AS0'MlEROFiHEYROPER7V.ORMVEMPLOVEESWIiNWAGE5AS1HEIRSOLfCOMPENSATION, � COrtlrtf0tCL71 � - Z M7LL00 iHE WORK,/WO THE SiRUCTURE IS NOT MTENOED OR OFFERED FOH SFLE(SEG 70l�.BU51. J � NESS ANO OROFESSIONS OOOE:T11E CdJTMCTORS UCFNSE UW DOES NOT APPLY TO AN OWNEF OF = VROPEFtTY YV/10 BUR.DS OR MVROVESTMEREON.M�D WMO DOES SUp7 MIORK HIMSELF Op MERSEIF OR Q THROUGHHISORHERONrtlEMP�OVEES,P1qVDEDTHATSUGIYA7NOVEYENTSMENOTMENDEDOR m 0 OFFEHEDFORShLEtF.110WEVEith1E8UIlDPlQOqMPROVEMCM�550lDWITHMONEYEAROFCOMPLE•� � Z 'TqN,TME OWNEF�BUILOEH 1NiLL NAYF 7NE BUf7DEN OF pROVW6 THAT HE OR SNE DIO NOT BUILD Oq = MOfqVEFORTIEPURi'OSEOFSPLE} , W O�ASOWNEROFri1EVROPERT:AMfXCLUSNELYCONTRACTNaWRNLICENSEDCONTMCfOR3 2 TOOONSTRUCT THE PR4IECT�SEG 7aH,BUSINESS AND PROFESSIONS COOE:THE CONTMCTORS U• V8111a1IIX1 ADJ.AREA C� CENSEUWDOESNOTAP7LYTOANONRJEROFAPROVER7YVn10BUILDSORIIAPROVE97NER[ON.ANO NTiOWNTMCTSFOHSUd1FHDJECTS'Mh1ACONTMCTOR(S�LICCNSEDGURSUAYTTOTHECONTMG QUANTITY DESCRIPTIO4 FEE � TORSLJCENSEUW.�. _ . OIIWE%EY7TIM�FASEG B.�V.C.FOFiHI5RE�50N � U � C o�� ovmEa V � LICENSED CONTRACTORS DECLARATION -� . � w � IMEHEBYAFFIiWUNOERPENALTYOFPEiWRY7FUTIAMLICENSEDUNOERiROVI3iON50FCHAPTFR V. 0(COLWENCINOMTTHSECTION70oo1�ONISION7DF7MEBUSINE53AN0VROFE5510N5�DE,AND z W UCENSE IS N fUl FOi10EAND EFFEGL m � � UCENSECLASS IIC.NO. � ' � J � pATE CONTRACTOR a � WORKERS'COMPENSATION DECLAAATION a ���,��� t y � , � IHE0.CBVAFFIRMUNDERiEWLLTVOFVERIURYONEOFTHEFOLLOWwGDECUMilONS: - V _ \ +"^-- �. . .. •�, i co -- ' _.. . 2 :' .. -. . � . . :. ^ � - 1.." ._)_.; :. � �,-,. -� \ 1,••, i"� , • a . . ' . G �IHAVEMAMALLMAMAMACEIrt1FICATEOFCONSENTTOSELF-INSUREFORNOHNERS' � _ - � ' � ' " ' "`J ' . . . Z COMPENSATqN.ASGROVIDE08V9ECT10N77000FiHELABORC00E.FORiMEPERFaMWICE` U �r ��� Q OFTHE WORK FOR WHIp1 THIS PERMIT I3155UED. � � ', � -�_�i �, 0 _� . _I/UVE/WD MALL►WNTAW NlORKERS'COMPENSATICN INSURANCE,AS REWiRED BV SECTION O ]TOOOFTHEU�BOR000[,FORiHEPERFORMANCEOFTHEWORNiORYM1C11TlIISPERMITtS ISSUED.W YYOflKERS'LOE�VENS�TqN INSUfLVICE GXRIER ANO POLICY NUMpERARL: CONSTRUCTION /Q� � c�wwER PLAN REVIEW �A-�,L.�y._� ( • � POLICY M148ER ELECTRIC F`�- � (na5sccronNcmrareeoa.s�imoFntr[n�rsfonoweMra�ootl�risR����ss} PLUMBING Z ICENTIFYTMATHTHEPERFORMM'CEOFTNEWORKFOFYMICMTHISPERMITISISSUE0.1 MECHANICAL (} SFMIINOTE�PLOYANYPERSCklNFNVMINNEASOI�STOBECOMESUBJECTT07HE . (/) YqRKERS'COMVENS�TqNUW50FGLLIFOMlI/�MlD/�REETNATIFISHJUIOBECOIAE INSPECTIONFEE S SUB.IECTTOTHEWWiMERS'COA/PENSATIDNVqON5qN50FSECTI0Nf70oOFTNEUBOR cooE.i s+u�l wnnmirn ca�v�r vnrn nase vAowsar+s. ISSUANCE � � SMIP p DATE: � APPLICANT: ; � WARNINaFARURETOSLCUREVADPI(ERS'COIIPENSATIDNCOVENAGEISUNUWFUL.ilNDSHAllBE ENERGYPlC � 6V&IECTANEMPIOYERTOCRIMINALPENALT�ESM'OpVIliWE3UPTOONEMUNDR[DTFqUSAND ENERGYPERMIT pOlUR5(f 100.000).N ADDITION TO TV1E CO57 OF COMPENSATION,�AMAGES AS VROVI�ED fOR IN ��-F{--�{j{j J SECTqNi70lOfTN[UBORCODE,W7EPEST.ANOATTORNEYSFEES. RETENTIONFEE: ��L �L �f� LUU � OCONSTFiUCTIONLENDINGAGENCY pRE•ALTFEE: ��TV Il�'��e�� � IHEREBVAFFIRMUNOERPENAL7YOFPERRJRVTHATTHEREIS�CONSTRUCTIONLENDWOAGENCY RTTTT T FON 7NE PERFOFMANCE OF THE WORK FOR WH1C)1 iHI50ERM�T IS ISSUED(SEC.]Ov7,CN.C.). � � IENDERS NM1E � lEN0ER5ADORE55 � ICERTIFYTI/ATIf1AVEREADiHISA7PLICATIONANDSTATEi/N7TMEA80VEINFORAIAT%7NISCORAECT. TOTAL FEES � ///^''' �/� . � IAOREETOCda7LVMATHALLCfTYANDCOLM7YOR01NANCESANDSTATEUWSRELATWOTOBURDMd � � � . • �/ ` � COflSTq�C710N,AHDHEREBYAUiMOFQEREPRESENTATNE50FiHISCOUNTYTOENTERUPONTME n�� ,n u nA;n SL ABOVE�MEMqNED VHOOERT/fOR INSPECTION VURPp5E5. COMME S ��v w� �V V" � HO V � � / J � ¢ PERMI7TEE NAME(PRINf) ,��� . , _ �' �' C`' / �.�./.� /^ cn ������ . ,• c L�y/1L1 i� � N SIONATUH O VERMIT7EE DATE � RECPL N0. F'AID BY VALIDATION ' WHITE—Depertment Copy,YELLOW—Finanos Copy,PINK—AsaessarCopy.GOLDENROD—File Copy,GREEN—Applicant's Copy ' � � i , • • ... ,�.. �.� .., . . . , . v� � , .... ... .�.. i , t^ , , , .... , . . , .... . , . .. . . •„r.. � ....—.�-,�,ys,,.c�i 1�'r.,..i.,, :.. , . . CITY OF DIAM�ND,BAR ., , ; ..,. .,.�,... .-.-,r��;;:i,•:�.,�;IhISPECTION�RECORD � . r. .= ,�.. ., . , ,,,-,•ir� ,:.. ..... ��, . .�. � . . ' ��. � �r�� G'1 O�-.�.. . 1d + .._r.. �...�.w.�...��. « e • I'�(�•'"'"�-�-���--.0 � ..M.,.�....�..C�..�......,�.,�`r..„.�.....,�,.,.,,,,�"�,....�, ��N,.�.�...��,..�,.� ��;�1��i "�.l��a^!��J� ' n ���.�1�.� �_��� -r 7lA.�.r�_ .����n .� (SET BACK .,'t•, � 1 �; ,, i;. �• . FLOOR JOIST�� � '• T _•i. ;� .. . ., , ,.. .. }FTGS/FORMS/STEEL-.._. . ._:,,,. _.. __� • . ,- - - FHA REQMTS= "_. . . . ;. � _ ' :. . � .. ._ : _� , . .. -- . __... _ _... _ -...._ ... IELECTRIC GROUND___ _ ••�" _ ...._. UNDER FLOQR DUCT " � � _ - __ ' - " __.. . i• ; . � - . - -,-�--- IGROUND PLUME3ING • .•-,::, UNDER FLOOR�d�IDUIT , ,• ,-:• � --- '`� " ,. „ .. _ , . : . . - . _ ._( -�— ISLABGRADE--- _ . �� - _ - , I FIREPLACE•FOUNDATION �,' ,f, ,, ,�,r; .� �•.,;, •� ;,; , j ;,. ,, , . ��-- (TEMP POWER---- _ ,;:, ---- --. _ �� ; �� = � I FIREPLACE BOND BEAM� - . iWATER SERV{CE - --- • � MID HT. BOND BEAM ;�.." '� ' ' - - - -. - � ' •" F, , iROOF SHEATHING '• • `� 8 F-f.BOND BEAN1.-. - '-- �.. _ ..; . . _ . . . _ -.. . ; . _.. ._ . _ .. .. . iFRAP�IING,NENTILIATION . ' � : : , ` �' FINAUBOND B�AM� ' -� ' ,,., i �: , IROOF COVFR. , . ... � , . ., �. PRE-GRADING __ __ ..... ...... ��: , . IROLIGH HEATiNG` _..... _ _ .. _ . : - ._. . -- _... .. . • 'BENCHING _ __ - . _ . . ` , � ; . {ROUGH ELECTRIC_ ' _ =�% ' ' " ' � ; �;' � ROUGH GRADING � � - -� � ;ROUGH PLUMBING- �--�- �- - �' - ` . : -� FINISH GRADING � ' �' � �; 'SHaWEF�T'UB TEST •:. , 1 .+ ` . ', •• �, ; - . ' POOL'ELECTRIC . , : ; ;E��:L9THISIDING. ' _. ,. .... , . -__; .__ . . . . POOUFENCING ,` � , . . � , � ;' iV'JALL-INSULJ�TION'- j -'• , :. � ' -- __� . POOL FINAL , �. I -, !CEiLENG If•1SULAT(ON, - ., _ i --- --- - OFF SITE IMPS. ' ,; • ° E _, iDAYWALL PJAILiNG- . _ -- -i - ---- ; _ � DEDICA710NS . , �SF��ER � ---ti.. .- ---. .� ._ _ . .. . . .. ... � . ., . ,. „ , , � FINAL ENG. i �- ;SEPTIC TANK i I LANDSCAPE/IRRIG. ' .,.,' j -, SEE. PIT(L.L. _.. . _.. ; , � ON SITE IMPS. .. , . � ; IGt�S F,IF�TEST. ' - -._ _ `.. . , , � �. FINAL'�ZONING ' ' ; -., �FI��I,AI..CC)NST..__ __.__.__.__.. ._.._... � FIRE DEPT. FINAL _ : „ : i ; . . . ...--------- - ..- -- Irli_.�:�;HEATlNG.-._ .. . _ . ..--- --..---- . ..__. __ HEALTH DEPT. FINAL - _._ .... .. i -; rl;J�.:_ELECTRIC._.._... ... --.. . .. . . DEV. FEES PAID _ -:-,....__..------ ------i - ; __.__.. : ,i='�,�,L-PLUMBING . . -- _ . ,.. _._.; .. - - ENERGY..., , . 3 �'' � - -. . ��--------- ._...- --- ------ . - - , - - . _._ _.. .... ..;_ . , , ---- -- � �. � , . _..--- --- --. . . _.. _ _ _ . . �y�� �� . .. ... . "�1.�G ._;�:+.;��i.__.____ .... .. . . . .r ' - ��!� , _. � -.- ..r�-r�� .: " � -- — - . . _ _.._. . _ . _ �.. � i � I �. � 'COMMENTS '7 t� /40 - --. . . ; . .. . . : r�- � — .� , � ; ,. �_ _. _._ ----- l __ �� - _ 7 � cv ! /:l�'� o �1 ! r.� -;- k-C.-C_ ' � : _._ � � � -. . _ .._.. .- , --_ _.. _._ � ,. � � � �� � , � . . : . ' --- _ ' '' . .. . ��_; � .,1 . :�_�..t.. ,. � , I . • .. � i i . ..__. , ',�� , ��! 1� I , � � , „ . ' i , ,., ' � � .!' � I ;.. _._ ._ ... . � . i f \� ' � ' , . . � , I I ---. .... "� �y ,, � ! ! . . • ( � . � , ; _ � -. {SEPTIC TANK SIZi.�� s'. . .-j�It. , � , � , . . ,� ' ��� iSEEP PIT/U S}ZE � t� . ', � . . . - - -- - . ._ � � ... .��i1�:t_'..'l..,.:::��',�t .-t(-!.�,r _ ,. � . , i . � . � ., , , �f i�i i��.r:~`:',% ;'y;'t,,ic.s.�:.�� , ; . , , i .. ' . . _. ; _ ; i ; � . i � j i . :�• _ _ . .--. _. , _ j i , _. . � ' , � ` f;,': i � . .._ ... ... . _ ' i ,,����' i�I , , . i • . _ -- � • I � ' . , i�'�, _, ! . �1: 'ti} � : �.J 1� � � i ... . f . - - � t , . j � , � '. , ' i , i ... � '. ,. , .�� ,��..I ,r ;-, !i t . . . . ` _ . . � ;,. � �i��;y { � , .; '11 . �.; J ! � `,�� '� I.'.`, ' 1 � , � �� _,� __ . _,,�, . .._ _....... _r,.r c � }' � - , . .. . . � , . � . � � , • , � � . ��, � �� � � -