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�� CITY OF DIAMOND BAIt � /`°�� � -J� --- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suitc 190 (909)860-3195 Fax(909)861-3117 , PRE$S �^��'�� BUII.DINGPERMITAPPLICATION , FIRMLY � JOBSffE � �1D APPUCATION `D �/� PERMIT L�/ ��9 P/C o ADDRESS P1 DATE NUMBEfl � N � ISSUE TYPE OCC APN LOT T C DATE CONST. GROUP � OWNER �" ADD �SS ZONING SEfBACKS "' CI ' Z �' TEL FRONT RW ❑ � APPLICANT T , REAR ❑ � � SIDEJSIDE STAEET RW O CONTRACT R ' SIDE ❑ � ADDR PROPOSED USE - s CITY ZI � TE� � ARCWE G/ • �� DESIGNER NO.DWEL. NO. NO. ADDRESS , UNRS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADD,'REM O 1 NERE9Y AfFlI#1 UIDEA PEN�LTY OF PERAlR'/THAT I AY EXEMPT Ff10M TME CON7MCTOH9 LI• .Ger090/C81pOR 8 CENSEUWFORiHEFOIlOWINOREASONI5EC.70.1f.6BU5R1E5SUJDVf10FE551dJ5CO0E:W�'CI7VOR (n "'- ' '� 'COIA(TTMIIIIGIpEWWESAPERMITTOCONSTRUCT.N.TERMPA0YE,0EMOU5H.ORREPNRM7'ISTRUC• W patio/�eck � 7tIRE.PRqR TO R9 ISSUANCE/LLSO REOUIFES iHE APVLICAHT FOR SUCH PERuIT TO FIIE A SIGNED W � ST�TEMENT T1A7 ME OR SHE IS LICENSED PURSUMlT TO 7HE pROVISIONS OF THE COMMCTORS LI- � CENSE UW(dUPTfN�ICDYYENdNO Mn7H SECTION 70001 OF DINSqN 1 OF THE BUSINESS A,W VRO- LL' POOVSpe fESSqN$COO�OR iFNT HE Ofl SHE 19 EXEMPT THEREFRdA ANO THE&�515 FO{I TME/Y.LEOCD E%EA/P- 7qN.AHVyq�AT10NOFSECTION70.11.6BYANYAPPLICJNTFIXiADERMIiSUBJECT57MEMPLICAt1TT0 Z Re•Roo( � A CML PENALiY OF NOT MORE TUN FNE NUNORED D�LUNS(is0o).} J � OLASONMEROFiHEFROPERTY.ORMYEMPLOYEESYnTHW,47CSASTI�CIR50LECOMVENSATqN, 0 COmmOfGdl . . 1MLL DO 7H[riORK.ANO THE STRUC7UHE IS NOT MTENDED OR OFFERED FOR SALE(SFG 7a�,BUSI- J NESS NW PROFESSIONS CODE:7HE WNiFACTOR5l10EN5E UW DOES NOT ACPLY i0 AN ONTIER OF �� iROPERTVWIqBUlDSd1lYPiqVE57HEREOH,fNDNM1�ODOE55UC71WORKHINSELFORNERSELFOq m � 7HROUGHNISONMEHOYMEMPIOYEES.PROVDEDTW�iSUCHWVROVE4ENT9MENOTMEHDEDOR OFFFRmFOR SALE IF,IIOWEYER iNE BU4DW oOR YvpDVE4EM tS SOlDN7iHINONE YEAROF COMPLE- Z �T70N.TME OWNER�BNLDER WILL IUVE 7NE BURDEN OF YROVWO THAi ME OR SHE DIO NOT BWID Oq = MDROVE FOR iNE N1R�OSE OF 9ALE1. W OL�dVMEPOFTHEPFqPERTY.MIE%CLUSNLlY00NTMCTNOW111�1�^£NSEDLON'11ACTOR3 � TO CDNSTRl1CTTHE PiqJECi(SEC.10M.&RiINE45 AND VROFESSIONS COCE iNE CONTiUCTORSIF Valuauon ADJ.AREA CENSE UW DOES NOTMPLY TO AN OwNER OFA PROPFR7Y W1q OULD40R IUPROVES iHEREON.ANO � YIIqCOHTMCTSFOfISUGIPROJECfSYATNACONTMCTOR(5)LICENSEOPURSUANfTOTMECOHiMG pUANTI7Y DESCRIPTIO� FEE � TOliSlKENSEUW.). OIAME%EYPTUNDERSEC. B.1P.C.FOR7NISHEIISON U . ' � u u � n �- �TE OWI:ER � in � � '"1 ... - , UCENSED CONTRACTORS DECLAAATION w � I NEREBYAFiIRY UNOER PENALTT OF VEiWM T11AT 1µLICENSED INDER PROVISqNS OF CFiAPTER � . s �(CpAAENCDq NnTH SECT 7000)OF ONISqN 70�TNE Bu51NE55AND 7flOFE5510NS CCOE.AND Z x MY LIGENSE IS N iULL IND EFFECL m W � 0 LICENS ' UC.NO. J � pATE COHTRACTOA �� _ a W � WORKERS'COMPENSATION DECLARATION 4 N IMEREBYAFFiWUNDERVENALTYOFPERtt1RYONEOFTNEFOLLAwINODECURA7�ON5: U N a G �IHAVEAHD1NqlNAM1TAINA[ERTIFIGTEOFCONSEN7iOSELHNSUAEFOF1MOfiKERS' 2 CpMPENSATI0N,A5PROViDEOBYSECTONl7000FTMELABORCODE,FORTNEVERFON.IANCE U Q OFi/1EWORKFORWHICFITMISPER1ItT14155UE0. � � �IHAYEANON�LLMAINfANWOPo(ERS'COMPENSATqNINSURANCE.ASRGWIREDBYSCCTION Q ]70o OF iHE UBOA CODE,FOR THE iERFORMANCE OF 7ME WORK FOR MMICM TMIS PEPMI7IS _ FSUFD.MYIW�MPEHSA7qNIN5U CARPoERMAPOL�CYNUMBERME: CONSTRUCTION _ _ .._� .—__GwPoEA � P W r�^—. � pp�K,^(PAIYB[R � � LEC � (ili65EC110N1CmN0TBE00ARETmO�hE�EFMT6LbRONEHl11lRmD11A1t5fitaDl0RLF7S1. PLUMHING q ( Z ICEHTIFYiw�TWiHEPERFORIAANGEOFTHEM�0i1NFORYVHIGiTHiS�ERMITI5155UED,1 MECHANICAL ��-n ` `� �"`�` (i SHALL NOT EMI'LOY ANY GERSON M ANY MINNER 50 AS 70 BECOME SUBJECf TO iHE - _ , VJ WORKEHS'CpdPENSATqNUW50FCALiFOaNII�ANO�GFEET1uTIFISNOUIDBECdAE INSPECTIONFEE �'/' S SUBJECTTDTMGYVOfiKERS'COL�PEHSATIONiNOVISqN50FSECT10N770oOFTHEUBOR SUANC ,� J ' ��J[� c�oo�e.i/srwtFoa�vnn�coua�rwrtw EPRo��s�«,s. CI'I'Y •. ._. . . � —[—.Q +�����Cl= � �UILI�;��:� �_...,_... , o�.�. p DATE: � APRICA` - - . w ENEfiGY P/C � � WARNM�:FALURE TO SECURE N'ORKERS d.MIPENSATpN COVEMCE IS UNUWFU�,AND SM�1L BE SUBJECTM7Eu7LOYERTOCRu.1WN.VENAL7iE5ANOLTALFiNESUPTOONEMUNOREDTHWSAND ENERGYPERMIT DOIlARS(it0a,W01.W ADDIiION TO THE C057 OF COMPENSA710N.D111MCES AS PROVI�ED F01Y W J EECTIfN177a Of TIELAB0f1 CO�E.NTERESL ANDAiTORNEYS FEES. � RETENTION FEE: � a CONSTRUCTION LENOING AGENCY PRE-ALT FEE: � IHERE9VAFFIIWUNOEROENALTYOFCERAIRVTHATTHERE6ACONSTRUCTIONLENOPM.AGENGY - �Z- FOHTMEPERFORMMICEOFTHCWORKFORN'HICHiH15VERMITI5155UEO�5EC.1oW,CN.C.). W � LENOER'S NM1E C LENDER'SFOORE55 � ICERTIiVT1UTIHAVEPEADiH�SAPPUG1TqNANOSTAiEiHATT1E/�BOYE�NFORM�TqNISCORR[CT. TOTAL FEES � ,% � � � 1 ACREE TO CCMPLV WIT1 ALL CT'N�D COUNTV ORDMIWCES MI7 STATE UN5 RM1Nf7 TO Bl1d�M� CONSTRUCTION./N�NEREBYAlfIlqiV2E RCPRESEHTATNES OF TIuS COUNTY TO ENTER UPON TME S�. ABOVE�MENTIONED7ROVER7YFO�PISPECTION7URPOSES. COMMENTS � � ����I/s��.� . ���= m GERMI7TEE Rlt(i) �p� � �//T l f n �/�r - �� � N ioruTua EE � k RECPT.NO. •l PAID BY � �VALIDATION ~ WHITE—Oepertment Copy,YELLOW—Finence Copy.PINK—Atsessa Capy.GOLDENROD—File Copy.GFEEN—Applicant's Copy � .' . . . .. . �.:�. ':1 •' '•: .. .:........ . • - . � � . � ' .r. , (' ' . . .. " . .. •`, `Tv .• , � � . . .� . • . .. . . .1.• .� , 1 . r_'_ � h,� CITY OF DIAMOND,BAR . , . . U•, .,, , . ,. . , . � ��;����� �:�:�:�. ItdSPECTIOt�!•RECORD - .F:��.•_�� . , -• �.:� i.,l,1i!�ca���'����►�� �'�'�.�� �L`�.���1���_ ��f►`���_��_�tc;���� . �.������ �� ;������;� ; ..,� - - - - ..�......_... �.... :�:'�_.,...� �, .. :SET BACK �. � � � �.. - � , • FLO�R JOIST� , � � � � ��, 1���',�c� � iFTGS/FOR",AS;STEEL---� --�"_ . ..: - .._ ... _... . FHA R��S�� ,-J` ;� � _ , . . . . — f. IELECTRIC GROUNQ .._ _ . '� "' UNDER'�LOO DUCT:�=�.�' , � � • - t'f• . " • -- --- ... _, _ • . -,�-'--:--;-r�'�, ,,., � r� ,`._�i,i;i . --- — �GROUND PLUM6ING • •• UNDER FLObR C�`f�JIT����; . . •:�i� . --r,.�—., -. SLAB GRADE- - -- ` _...-..__._ .... . . ._. _ � . FIREPLACE FOUT�DATION -�.' �'��.'�' l�., _��; , , , �\ _ ,TEh4P POWER ---� ---., . . .._ � : ' FIREPLA�E.BOiVD B�f:�1 .- - ,.: ;:-i :=- �VJATER SERVICE -- -�r- � MID HT.BOND�'BEAt�4...-':�'.�- �! i�,'���� `i"C .: " '�: i ; --. ---,�,.: _" ��, �`� � _� \,��=i• ��.` ,�. I �ROOF SHEATHING � I�� �.1���l \ .. + -�-� \ 8 FT.BOND 6EAh1 � _ . �.. .� . . ,... . •_., _. .. _._......`.r' , •.., �FRAP.IINGNENTILIATION ---- � - - - FINAL BOND,BEAtJI,-,c . .. . ;ROOFCOVFR "" "-" - ' PRE-GRADING ��� - � . !ROUGH HCA7ING . _. . "_ ".. _ - �. ..._ _ BENCHING . , i `- ROUaFi EC:LCTRIC._.__' . . _ _ .�"• . _' .. _� � � ROUGH GRADING - � � 'ROUG!-i PLUP�161NG . .._ - --- ._ ' . .. . ---.._.' . FINISH GRADING � �. �SHO�Vc=.RruB TEST , ..-..._..__ . .. _.. - . - - -. POOL!ELECTRIC �. � � , - CXT.L:.�,i HiSIDING _ POOL'FENCING i ': t^JA.L!1N5ULATiON ; --- ------ --- - ' --- - . POOL'FINAL ' � : :C�tL1t�Ja t('•:SUL�i 10fJ ---� . - . . --- _. OFF SITE IMPS. . ., ° ; ... DRYLVALL-NAILING� , - � � � ; - DEDICATIONS � � ' ;:`, ;vG��E� - -- - . ... .; - ; FINAL'EPdG. , ' •' . ' _ 1'SEPTIi.TANK � LANDSCAPE/IRRIG. i'S��•?_PiTIL.L ON SITE IMPS. � ��:•'•.S f•,I�S i.tST � � � FINAL'ZONING . i = i;i�:��°.,�':3�I�T- - � ,-�-� �;<.; �)\'� `r=1RE DEPT. FINAL • � . �. 'Ft::•��.NE/;TING __. . .-- - 1t4' n; '� " `� --_ HEALTH DEPT. FINAL - _ _. ._._. i '-._ ... . �_..i..__...�.`_ �' .��• � . \�-.. • . ... � � DEV. FEES PAID - �; . ..EL�CTRI(, -- - _ __.. . . - - -. ....---.. �'� -- . ' ".. PLUh181NG -- - ENERGY . . .. �.... ..... . _ _... � - - - . ;. - -..... _ . _ _ _ . .o�c-�r e . :rTe a� . . �. _.� � _.�r.__ .:.���-�.�b.Y : ..._ �� �; --. . . .... . . ... .. . .. _ ... . _ � �; � ; _�i�;,;��,, , - � c -'� , �� . .. � �� � �:,Q:��IMENTS _ . ., - i�. . � . � . ��;J,;� ��`�i� - c. �. �� _ . � - ..` . , . .�.�r.� . ;._, .. , , . _ _ .� �' ,+ y ' I : . , i 1 . _ I , `J , \<.�_ . . . " " ' . .. C.._.f___�� , _i �. � , � —,._/,1��', \1�11•�1'.._,/ "' ,J'.) ���� , . � � � �SEPTIC TANK SfZE ' ' � � ! :: , - 'SEEP PIT/U SIZE -.. �:'. . _..._. . . .. ... ; ,.. _ T ;�Y.E.. : -_._._.� . . ' I ' . . . .. , . . , . . -- - , , , __._ ...._ i ; _ - — . - - � i : • . . , - - - �Il�'� , � ;-�' . , . . . -- : . _. ;, , . . . . .. . ..... . ... .-. -- .. . . � . �,J`\ , _�.���'�\ 1t.���-'�.i-, ....�L��`��\`�._ , .. . , �� • � - • � . �. .• '-� . 1 i_ . ... .. . . .. .... .. .... _ ... � � � �.� � � . � . ��. _.. . . . . _. ' .\.• •�.,,`'�; _. _ 5_'-'- •-- ::�', . , � . . . . . / . ,