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�� CITY OF DIAM�ND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES Y� 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS . �`'*^� BUILDINGPERMITAPPLICATION ' FIRMLY � JOBSfiE 2�Q3� ��� �U'�..-f' APPUCATION PERMR P!C o ADDRESS � DATE NUMBER�Z M e� ISSUE � ��.G� TYPE OCC APN OT � TRACT .�� ' �G S�I'�" � � DATE CONST. GROUP p OWNER _ � n� rc��CiGi.f:C �'" ADDRESS ZONING SETBACKS Z CITY ZIP Z L TEL - ,/ FRONT RW ❑ g APPLICANT TEL REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR i • LL• SIDE ❑ � ADDRESS PROPOSED USE � CITY ��Y - ZIP��, TEL -D (� � ARCFUENGI • DESIGNER NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � p� OWNER-BUILDER DECLARATION SFRlADD/REM O Q I NEREBY AFFlfid UW ER PEN�LLTY OF VERIUFlY iNAT 111M EXE4r'T fROM TNE CONTMLTORS Ll• Getepe/C9rpOrt CLJ CENSEUWFd1THEFOl10wwOREA50N(SEG7o]�.6BUSv1E55ANDPROFE55bN5CODE:M1YqTYOR (n � � WINT'fMMKi1RE0U1qE311PEPMrt7000NSiRUCT,ALTERMPROYE,pEMOLI511,ORREPNRAM'STRUG - W �Pg(�p/DBCk TURE,PWOA 70 ITS ISSUANCE.ALSO REOUIRES THE 11PVLICAl1T fOR SUC11 GEiUIIT TO FlLE A SIGNEO W � 6TATEMENi iHAT ME OR SFIE IS UCENSED PVRSUAHi i0 THE GROVISqNS OF THE CONTMCTOIiS U• � CENSE U�M�dUFTER Y(CddM[NCNO WITH SCCTIDN 70D0)OF DIVLSION]�F TNE BUSINESS AND VRO• u" PooVSPa iESSqNS COO�OR THAi ME OR SHE IS EXEMPT TNEREFROM AND iM[BASIS FOR 1ME ALLEGED E%EMP� TION.MIVVplAi1JNOFSECT10N7o]7.6BYAHYAP7lICM1TFORAPERMITSU&IECTSIHEMPLICANT70 Z Re-Rool F A CML FENALiY OF HOT MORE 7HN7 FNE/NNORED DOl1AR5(f500).): � OL��NEROFTHEPROPER7Y.OFiYYEMPLOYEE51MiMWAGE5A5THE1RSOlEGOMPENSATqN, � CORIRIBfCI�I ' WILL DO THE WOi1K 1WD THE STFIUCTURE IS NOT IMENDED OR OFFEAED FOR SALE(SFG 7aa�,BUSb J � � NESSAND PiqFE5510NS COOE�.iHE CON�RACTOfISIICENSE Uw DOES NOT AFPLY TO N10wNEH OF . . � P110PENiYYM10BUlDSqIMPROVE57HEFEON.ANOVAI0DOE55UCHW'OqKHIYSELFOiiHERSELFOR = -'� . � TiY10U0HHI50RMEflONMEMVLOTEES,VROVIDEDTMATStJG1MPROVEMENTSARENOINTEN�EDOR m 1 , OfFEIiEU FOR SALE IF,F10N�EVE0.TME BUIDWOORIMPROVE11QfT IS SOID Wfh1IN ONEYEAA OFCOYRE• Z ��T70N,T/IE ONMER-0URDER YnLL NM/E T11E BURDEN OF PRdNNO iHA7 HE OR SHE DID NOT BUIID pii. . = IAIPNOVEiORT11EPUfIPO:EOF5ALE1. � W 04�OWNEROFiNEP110PEHfY,AMEXIUSNELYCOMMCTINON7THlICENSEDCONTMCTOR9 � TOCONSTRUC?7HE7RQIECT�SEC.7Wt,8U51NESSMAVRDFESSIONiCOl:E:THELONiMCTOR5L1- V81U0IiW1 ADJ.AREA CENSE UW DOES NOT MPLY TOAN OWNER OFA VROPER7Y NM1fO BUttDS OR 61PROVES TMEREON.ANO .Z� YY1/OCONTMCfSFON5UUIPRDJECfSMATHACONTMCTOFt(S�LICENSEDPURSWWTTOTHECONTMG pUANTITY DESCRIPTION FEE � TdL^.UCENSE UW.� OIMIIXE4PTUNDERSE0. B.1P.C.FORh115AEAiON U 2 u' DA7E ONMER U . Z W Y LICENSED CONTRACTORS DECURATION � � w INEHEBYAFFIRMUNOERPENAITYOFPER1UfiYTUT1AMlICE1:5EDUNDENVHON510N50FLHAPTER � � �(COA�MENCNO MATH SECTqN 7Doo1 OF OMSqN]OF THG BUSINESS�N'J 7ROFESS�ONS fACE,IUA Z �� MY LICENSE IS M FULL FORCE/7A EFFECL � ((y�/f' � LICEt15E CUSS LIC.NO. �� � � T J _ �'j �arE r�//��_coaraacTon ��i,. c�Zc a / � ' � WOFKERS'COMPENSATION DECLARATION Q N IHEREDVAFFIRMlAt1ERVENAITYOFFEiWRVONEOFMEFOLLAW7M,DECURAT10NS U N 2 ¢ � �IHAVEANDWILLAWNTAHACERTIi1CATfO�CONSEHiTOSELFdNSUREFORNqRKEHS' S � � Cd1PEN5AT10N,AS OROWEO 9Y SECTION 7700 OF TME LABd7 COOE.FORTME PERFONAANCE W � OFTIEWORKFORMMICHTMSPEiWITISI55VED. � O I NAVE ANO YALL MAIPR�W WORKERS'LOA�7ENSATION INSURANCE,AS RE W IRCD BY SECiION � 97DOOF7MEUBORCODE.fORTME7ER�ONMANCEOFTMEWORKFONNM111C11TMI57ERMiTIS --�-.� ISSUED.RIYNWU(ERS'/CJ`JMPENSTpNWSURANCE RR�ERM�ODOIICYNUMBERME: CONSTRUCTION . ._—.� CAANER 17D��G�l ��Je PLAN REVIEW " '-•--- - - � POLICYNUuoER A///�/� 1�/���%T-� E C o �sEernnr�wreeooe.s��nan+ErEwxrsrona,��oouksR+ooloa�ss� PLUMDING .�f rL�- 1 �. �ap �� 2+� Z ICERTIFTTMIIiRlTHEiENFOFMANC[OFTHEMfONNFORWMICHiF1ISPERlAITISISSU£D,I ME ANICALCjT �� � (3 $II/LLLNOT E4PL0Y ANY VERSON N ANY MMNER SOAS TO BECd.IE SUBlECTTO THE t l:1��"'�-'•`" ���T�� � NGfiKERS'CpAPENSATqNUW50fCALIFORrvIA,ANOAGRCE�TIFISHOUIDB[COA1E INSPECTIONFEEM � ` 1 � , - S SU&lECT70TMEWOiiKEAS'WM7ENSATIONPROVISqNSOF5EC71DN77000FiMEUBOR 1S AN 1'��ILL�1'i4� : - _ . . �7 �,`�� COOE,1 S11ALL FORTYM'ITH CdIPIY WIiH iHOSE PR/OVISIONS. p� b p DATE:_r—r�-9� APP�ICANT`. ��,i�G/7Q� A '� �II%1 SMIP W ENERGY P/C WARIJIN�:iAILURE TO SECURE WORIlERS'QDMPENSAiqN COVEMGE IS UNUwFUL,AND SHIlL BE � SUBJECTfNEMPLOVFRIOCAIMWALPENALTIESANOdNLFINESUVTOONENUNDHEDIHOUSAND ENEFjGYPERMIT DOLLARS(1100.00o).W 1�D01710N TO 7ME COSi OF GOMPENSA7qN,DMWGES Il4►ROVIDED FOR W � ¢ SECTION770EOFTHEUBORCODE,MlTEREST,ANDATTORNEY5FEE5. ' RETENTIONFEE: � nW. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: CL IHEREBYAFFINMUNOERVENALNOFFERM1IRYTHATTHEREISACONSTRUCTION�NDWGACENCY ' � �Z- fORTH[PERFORMANCE OF iN[WORK fOR WHIG17M15 VERMIT IS 155UED(5EG 1097,C1Y.G). W � IENDERSNAME ' � LENDER'SAD�HE55 � ICERTIFYTIUTIIUVEREADTHISAP7�ICAiIONANOSTA7ETHATiHE�80VE1NFOR1AATqNISCOIiRECi TOTAL FEES W IA6REETOCOMVLYYATMALLGiYANDCOl1MYOROWANCESANDSTATEUVlSREUTWOTOBULDINO � CONSTqUCfION.MIDMEREBVAUf1qRIZEREDRESENTATNE50iTM15COUNNTOENTERUPONTHE � � AOOVE-MEHTIONEDPAOGERiYFORINSPEttqNVURPO6E5. COMMENTS = cLftC�rc� �l �t� � oE�,�E� �� r—ii— � y SIGNA7URE OF P EE D�7E � RECPT.NO. PND BY � .�_VALIDATION WHITE—Depertment Copy.YELLOW—Finance CApy,PINK—Asaessor Copy,GOLDENROD—File Copy.GREEN—Applicant's Copy r . .. . . . � .. .. ... . .. � .. , • .,r �, � - i . . � '. • i�1� ' ..... . . , .,.. . . . .. . . ' �. � � .. . �. � . . CITY OF DIAtUiOND,.BAR ,, ,.; .., , . � :-., ,..��;°•,�::�:.:�. �. INSPECTION RECORD ; .'. �. ` , . , , . , , . .. . .. , ., . _ _ , . � __.._ ._.... � '�I�.�'i'a��n������ !�,t;.'��; I`�-���'�.._G.�r� 1►`E-�i��p.�i�,�►.R� +� �#'�=��_ _ �1`�-�����1���� , ara� , :, _r .�.. . . .. �.._....�..._..,.�..�.... -- - --— - - - --- -- .__ y�.,....x.........,, ..�.,.. _ ...., � ,. . � FLOOR JOIST •i - . � •� . _' � • " ' ;+ 'SET BACY .. � ,- ; T: , . iFTGS/FORP�IS'STE[L �-- .-- . ... __._.._ . _.-_ , __. FHAREaMTS .. _ _. __ ---, - __ - , _.. ... - - - - ... .. --- - ' � . ..:---- !ELECTRIC GROUNQ........ .... .. �" '" -- -.� ' - '_�J '� UNDER FLOOR DUCT � ' ' � 'GROUND PLUh481NG - • UNDER FLOOR CUh�DU1T� �' ' _� � ` � � ... � .. :SLABGRADE ... .__.._. .: � - ---... . .-- . - • FIREPL�ACE FOUNDATION . . . . ' �:�. _ I :-- , � �TEh7P POWER • � -� ' �. FIREPLACE BOPJD BEAh4� - --- ' ` ' �WATER SERVICE -- --- - -- - . � MID HT. BOND BEAt,A • �, . , , : . � ; _ , ; : IROOF SHEATHING " " 8 FT.BOND.BEAM " � � " ` � � • ..• • . .. __ _ . , ; � . . _ . _ . 'FRAh1iP�GNENTILIATI�N -- - - FINAL'BOND BEAM ' � � � � • • • � . i � � ,ROOF COVF_R .��•' ' ' PRE-GRADING - � _. ._. _. ��. . - - - __.. :ROUGH HcATINu . :----: _: ` .- _� BCNCHING , . . � . � ROUGH.E�ECTRIC .__ __.._ :"�� �� ' :_ _' '• ROUGH GflADING `,--� ` • 'ROUG!-i PLUMBIPJG -��-- - - - � FINISH GRADING ! � - ';SH�JYVEA.r{'UB TEST -- — - - — _ _...._ ._.. �:POOL'ELECTRIC , . EXT.LftiTFi?SIDING� --'- _ -- - . POOL FENCING . I - . I �1�M�LL tNSJLATION -- --- _ . . - POOL FINAL . . { % : �;i,�ILlNG li•:;:�ULATION, � " -- � - OFF 51TE IMPS, , - � � : ' '' � -.� �- - � DEDICATIONS� " � ,,� �.�`^^��1LL NAILING -�; ! • � . .. -- . ..--- ._._. ...._ — - �SE1hcR _ /,� � G� FINnL�ENG. i , ; ��5�^"'; �ANK � LANDSCAPE/IRRIG. ; - ��S�EP PiT/LL. ON SITE R�1PS. � rC.;S F�I>�TCST � FINAL ZONING - . .. __. . ., . F� �` ' �' _._. ._ FIRE DEPT. FINAL 'F�i���',t.�..�PJST, _._....__ ---�---- -- - - - .. !"!i:�.�_HEATING _- ----- .. _ HEALTH DEPT. FINAL . _ � .. �� , �.. ��.__ —. _ . DEV. FEES PAI�J -. .. - - - - . ;:��.:�,a_ELECTRIC ------.. ._. _ .. -� . , ,.. ----- ,. '.'..-PLUMBING..... --- - .. EWERGY .. . _ .... , __. ...... .- - . . . .--- - -----.. . , , ,,, . . , . ,. . ,. .. , .. 7 , _ _. _ _.__ -- - ---. . .._ . .. .LjT��n Gl" f1 ��.Yr.' " � F , _ �; _�._ :r.__�..::�_ ..__ - __. ..... .. _ ........ . ..-- -- - - �•;-- . , .. , . . . - � . _..._ • . . _ . . - . .. � . . _--- - .. ; .. - .:� i. � - --- - - _ 'CC�`JIMENTS ' - I.- -- - _--- _ _ _. ' , � ,. , , _ _. . �. .. . _. .- ---.._._. . , _ , . . , � _ , . � • . .� .. . . .,_. . ; -- - .. _.. _ - . . . . . . ,- L '- < ; � � � ;-._. ;-- . . ; _ . __ .... . . _ - _ , �� ; �. � ... _ . .. . - �, • � • . _ , . .. .. . � , ,; ;SEPTIC TANK SfZ� - ' . . . . .. ; � � . ,,. . . . . .... ;SEEP PIT/U SIZE � -- - � - _ _. _.. _.. ._. ...._..._. , � .. � . . � `.��.� ..,..._... - - -- .. . _ , j , . : � .. . . . .. _.... : ._. .... _ I _... ... _... _..._ _ _...... ... . . _ ... . . �lfa '`. � ' � .. . . . . , ' .. i 1 -. . ; . . : .__ ... . -... . . : . i `. . ._.. .._ � .. .._ ... _. ._.._.. . . . i l . � . � _ .. . , . . � � _.. �..,.1: .._�� ......_. .. `� - r—� .---- I �'� . �' � \ �`' 1 ' '.1 �