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HomeMy WebLinkAbout16587 i �\ CITY OF DIA1�tOND BAR � DEPARTMENT OF CO�TY R.DEVELOPMENT SERVICF:S � �s �� � � 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 ({i PRESS `%�A BUILDING PERMIT APPLICATION F� LY oN JOBSITE /O3� ���� APPLICATION PERMIT � P/C ADDRESS � � DATE � NUMBER It � ISSUE TYPE OCC APN LOT TRA T DATE_� CONST. GROUP p OWNER �k J���__����. " ADDRESS _� r . _ _�'j�. 6 yS ZONIPJG SETBACKS z CIN ZIP TEL���� FRONT RW ❑ p APPLICANT� y� r, REAR ❑ -�Dl�t �`��f� SIDFJSIDE STREET RW ❑ � CONTRACTOR � �QO SIDE ❑ Q C�N E�-��t%1 '"' �o�>- '��� PROPOSED USE w ARCwENG/ ,'e' ����� 7/� z DESIGNER��wT w NO.DWEL. �lO. NO. a A D D R E S S UNITS 6TORIES BEDROOMS � CIN ZIP TEL. � cn DESCRIPTIDN SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECIARATION SFR/ADD/FiEM � 1 NEREBV AL'FIRM UNOER PENPLT/OF PERIURY THAT�MA E%E/APT FROM TNE COMMCTORS L6 Gdf390/CB�pOf( W CENSEUwFORTHEFOLLOW�NCRE�50N(SEC.7a]�.SBUSINESSUJ�PROFE55�ON5CO0C:u:vCRYOR (n U �OUN7YWryICHREOUtRES11PERMRTOCONSTRUCT,ALTER�PROVE.DEMOLI$H2OHREPAIRANYSTpUG W TURE,PRqR TO ITS ISSUANCE,AL50 REOUIR[5 TME APPL�LANT FOA SULH PERMIT TO FILE A SIGNE'� w Patio/Deck � STATEMENT iHAT HE OH SHE IS UCENSEO PUfiSUANT TO THE PROVISIONS OF THE COMMCfO�iS LI• � OCENSEUW(LMAPTERY(COMMENdNGWITf/SECTION1000�OFDIVISION70FiHEBUSINESSAhDPRO POOVSpa FESSIONSCODE)ORTNATHEORSMEISE%EMPTiHEREFRJM�N�THEB11515FORTHEAIIEGEDE%EMP• (� V TION.ANYVIOU710NOFSECTION)07t.S8VANVAD7LICANTFORAPEHAIITSU&IECTSTHE�VP�ICA4TT0 Z 0-ROOI ApVILPENALTY OF NOT MOR'c TMAN FNE HVNDRED DOLURS(f5o0)�� ZOIASOWNEROFTHEPROPERTY,ORIAYEMPLOVEESWITHWAGCSASTHEIq50lECOMPENSATqN, 0 COfIIfI1BfCI0I YnLL DO THE WORK,AND TME STRUCiURE IS NOT INTENOED OR OFFERE�FOR SALE(SEG.7o�t BU51• J � NE55 M10 PROFESSIONS CODE:THE CDNTfUCTORS LICENSL UW DOES NOT APPLV TO M!OWNER OF � PROPERTY VhiO BU0.D5 OR IMPqOVES THEREON,AND YMO DOES SUCH WORK HIAISELF OR HERSELF OR � THROUGHMISORNERON?IEMPLOYEES.GROViDEDTHATSULH4dPROVEMEMSARENOTINTE�DEDOR m OOFFEREOFOqSALE.IF./10WEVEiL7HEBULDI�GORtYPROVEMEMI550lDWITHINONEYEA0.0FCAAIP�E� z TION,TME OWNER-BUILOER N"LL HAVE THE BURDEN OF VROYINC THA7 NE OR SHE DIO NO7 BUILD OR = UAPpOVE FOH THE GURPOSE OF SALE} O l AS O WNER OF hIE PROPE RTY.M1 EXQUSNELY tANTMCTING W�7H LICENSLD CON?RACTORS Q TO CANSTRUCT THE PROJECT(SEC.70N.BUS�NE55 NID PROFESSIONS COOE:iHE CONTRACTORS U� V01U8[IOf1 � � ADJ.ARE/1 W CENSEUWDOESNOTA�PLYTOANONMEROFAPflOPEH7YWHOBL'ILOSORIMPROVESTMER[ON,AND � N1qCANTRACTSiORSULHVR0.IECTSMATHACONTMCTOA�S)LKENSEDPURSUtiYTTOTHECONTfLIC� QUANTITY DESCRIPTIO�J FEE Y Toasucer+sEuw�. , � J � OIAMEXEMPTUNDEpSFC. B.tP.C.FORTHISREASON Q OO � U � � DA7E OwN[R V / O W �� F LICENSED CONTRACTORS DECLARATION W � 1 HEREBYAFFIRM UNDER PENALTY OF FERIURY THAT I MA LICENSED UNDER PROVISIONS OF CHAPTER � ) d i�COMMENCINOWI7H3ECTiONlooa)OiDMS�ON]OFTHEBUS:NESSANDPROFESSiDhSCODE,AVD Z ��. X YYUCENSEISclFULLFONCEANOEFFECT. , `� LICENSECUSS � LIC.NO. �/�/� � . V DATE '�I�b� COMRACTORl—�� a w — O�-�f�'f � WORKERS'COMPENSATION D[CUIRATION a � IHEREBYAFFlRAIUNDERDENALTVOFPERIURVONEOFTHEiOLLOWINGDECLAMT10N5: Z Q G �IM�VEMlOWI��MA7lTAINACERTIFICATEOFCpNSEMTOSELFdNSUREFORriORN[RS' _ � CpMPENSATON,ASVROV10EDBVSECTIONJ7000FTHELA00RCO0E,FORTHEVERFORMANCE U Q OFh1EWORXFORWHICHMISPERM:i151SS11FD. � � � � W r IMAVEANDWILLMAINTAINWORKERS'COMPENSATIONINSURANCE,ASRECU�REDBYSECTqN /�J Q V ]7000F THE LA90R CODE,FOR THE PENFORMANCE O THE WOHK FORNT1Ip7 THIS PERMtT IS �D� lSSUED.MYWOHK RS' Id ENSATIONINSURANLE RRIERAN�POLICYNUM'JERAAE: CONSTRUCTION ¢ � � CARFlIER- - " ' " "' - ' PLAN REVIEYV -' Z va�cruun�aea�`� ��_Q ELECTRIC ¢ � R3455ECIbNNEmNOTBECOM'LE7EDOFhfPERMf6FOH01JEHU7JrEDDOLLNl5S�m1IXiLE55} PLUMBING Z 1 CERTIFV TNAT N TXE PERFORMMICE OF TNE NUP1(FOR WHICH THIS DER4IT IS ISSUE�,I MECH I ` f�\� ('} SNALLNOT EMPLOV ANY PERSON IN ANY MANNER SOAS TO BECAME SU6JECT T07HE (n WOflKERS'COMFENSATIONLAWSOFCALIFORNIA,AN'JAGREEiMATIF15/1011LD8ECOME INSi�E IONFEE S SUB1ECiTOTMEWOFKERS'COMPENSATIONiR SqNS FSECTIO 77ao �ELAFfOR MAY � cooe.isxul RTMNITMCOM7LVW�iNTNO PR � �_� ISSUAN E O p DaTE:����� APPLICANT: /!J SMIP W ENERG � WARNING:FAIIURE TO SECURE YARNEHS'COMPENSATION COVEMGE IS UNUwFUL AND SHALLBL �y SUOJECTANEMPLOYERTOCRIIA:NALPENALTIESANDGVILFINESUPTOONENUhDRCOhqUSAND ENERG S —�' � � DOLURS�f�m.0an).R1 AODI710N 70 TME COST OF COMPENSATqN.UAAIAGES AS PNOYDED FOR IN � SECTpN37090FTHEUBORCOOE,wTENEST,ANDATTORNEv'SFEES. RETENTIONFEE: � a CONSTFlUCTION LENDING AGENCY PR[-ALT FEE: O � IHEREBVAFGIR4UND[RDENhLTYOFCE0.IURYTHATTMEFLI"�CONSTRUCTIONLENOINGAG[NCY �- FORTHEVERiOR1AANCEO�iHLWORNFORWHIC{HiHISPE .TISISSUE��SEC.7o91,CIVCJ. W t I' � LENDER'SNAME %� _ S C IENDERSADOPE55 � ICERTIFYTHATIHAYEREMiHISAPPLICATIONM105TATETMAiTHEABOVEINFGUAATqNISCORRECL TOTAL FEES O• �D � I AGREE TO CON�LY W:TN ALL CITV N1D CIXINTY OROINANCES AND STATE UWS PEUTINC TO BULDINC � CONSTRUCTION,Ah9MERE0YAUT1qRIZEPEr'RESEIRATIVESOFTMISCWNTYTOENTERUPONTHE Z 11BOVE�MCNTIONEDVROPEflT/FORINSPECTIONVURPOSES. COMMENTS � � ���m�� m �E „�, .,wE„ n /� - — ¢ � (n S C MI��_ , DAiE � FECPT.NO.�� PAID BY _. _VALIDATION WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Appicanl's Copy ��..�... w-....'_'�i '_ _.y �..� �.��...�v � .tY^'. .. � r ..�. .. ��...�. >� ,. .ra•�. .. . . .r,.,.7e�. , . ..T...-v.r>'�i �..a- . :C".kf... cLr;•a:.�'�?��ti .':r,•r.•.,•.t.'.'�d't-vY•'C`''. 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LATH/SIDING I POOL FENCING � b"JALL IPJSULATION � PQOL FINAL CEILING INSULATION �OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEVVER �� FUJAL ENG. SEPTICTANK . . . �-`•., LAPdDSCAPE/IRRIG. SEEP PIT/L.L. � ' ' OPJ SITE IPJIPS. GAS AIR TEST FINAL ZaPJING FINAL CONST. � ��'Z..:p(,� FIRE DEPT. FINAL FINAL HEATING ' � HEALTH DEPL FIfJAL � FINAL ELECTAIC � � • ' � ' DEV. FEES PAID FINALPLUMBING +. +��. • • ENERGY ���,�.:�t e�. E•Ic;e. . ._.. ��„�-'�__- . - - - _ �\. .._\� ; � . _ _ _ . CUMMENTS . . ', - • . , � � SEPTIC TANK SIZE SEEP PITIU SIZE I�C � , i ,,��y� :�; -�- � ' _ . .. . . . . . �. ` � . . , �., • . . � � ; . . . ._._�.._____. _.--------�----�-�