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HomeMy WebLinkAbout11451 (5) -���----. CffY OF DIAA90ND BAR ` �' -•� � � COhiMUNITY DEVELOPMENT DEPARTMEN'I' P�� 3 <' �<,.� 21660 E.Copley Drive Suite 190 .; „ � (909)8643195 Fax(909)861-3117 PR ESS "~' BUILDING PERh1IT APPLICATION �, , i'•�\ ,,_�`� r :-- � '.: FIRMLY � JOBSITE '� ��;� ' APPUCATION (�/� PERMIT P/C p�j ,- o ADDRESS � DATE�j��NUMBER � `O ���� c� . . ISSUE � TYPE OCC ' � APN LOT TRACT ' DATE CONST. GROUP ' p OWNER � � � "' ADDRESS ZONING , SETBACKS•, . ,` � �' � . . oC1TY ZIP TEL. FRONT • . .� ', ' , ' RW - ❑ Z APPLICANT• ' TE�� _ SID SIDE STREET' - • S' RW O Q CONTFACTOR �� IC � SIDE " O Q ADDRESS ' .PROPOSED USE- ' � � - � � 'CITY��_�Q.�-`ZIP��JZ�7TEL: — - _. , � ..ARCH/ENG/ : � - ,�: �, _ _, - . _; • 1 '�— z DESIGNER��S.�i�JIW�f�Lr(3ri/I ` -- � — - a ADDRESS NO.DWEL.; NO. . . ' 'NO. UNITS �' STORIES � BEDROOMS � CITY ZIP TEL$��� �� � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � _. .. .OWNER-BCILDER DECLARATION - SFR/ADD/REM � � - O .. p 1 HEREBY AFFIHM UNDER PENALTY OF PERAI(iY THAT I N.1 EXEMPT FHOM M[COMMCTORS LI- - Ga290/C�rt .' �• ' � W CENSEUWFORTHEFOLLOWINCREASON(SEC.70.71.58USINESSANDvqOFESSIONSCOOE:ANYLIttOR (n � U CpUNTYWHICHREOUIRESAPERMITTOCONSTRUC'f.ALTER�PPOVE.DEMOLISN.ORRECAIRANYSTRUC� w patiolDeck" � � � • Z TURE.CRIOR i0I73 ISSUANCE.AL50 REOUIRES THE AP7LICANT FOR SUCM PERMIT TO FILE�SIGNE� ' � L STATEM[NT THAT HE OR SHE IS 110EN5ED PURSUANT TO THE oRON510N5 OF TNE CONTHACTORS W� � � - �, i � � � _ � ` CENSE lAW(CW�PiEH 9 1CDMMENCWC WITH SEGiION 70o010F DM510N 7 0F THE 8U51NE55 AND PR0•� � P��Pa � ' FESSIONS COOE)OR Tw1T HE OR SHF IS IXE�APT THEREFROAI IND TNE BA515 FOR 7HE ALLEG[D EXEMP• � V TION.ANYVqUTbNOFSEC'T�ON7071.SBYANYAPPIIGNTFOHAVEPMITSUBJECTSTiEAPPLIGWTTO Z Re-Roof" ' ��� � '• �� �` �\ ' � � � A CIVIL CENALTY OF NOT MORE iHAN FNE HIINDRED DOLURS If500).): , , � 04�SdJ•NLROFTHE7ROPERTY,ORNYEM�LOYEESNfTHWAGfSASiNEIRSOLECOIAFENSATqN, Q � l•�_,�� . . N'ILL DO THE WORK ANO iME STRUCTURE IS NOT IMENDED Oa OFFERED FOR SALE(SEC.7a�.BU56 J Commerclat.,_ �� � . -\� � NE55 AND PROFESSIONS CO�E:THE CONT{UCTORS LICENSE UW DOES NO7 APPLY TO AN OWNER OF • � � PROPERTYNR108URDSOqMPAOVESiHEREON,ANDWHODOE55UCHWONNHIA/SELFORHERSELFOR � - - 1 ���' �� � � ' . wTMROUGH HIS OA HER OWN EMPIOYEES,GROV:DEO THAT SUCH IMPROYEMEMS M[NOT PlTENDED OR m . �`�. . � Oi'FEREDfORSALE.IF,FqWEVERTMEOUILDINGORIMPROVEMEMIS50lDWI7MNONEYfAROFCOMPLE- ��� Z �TION.TT1E GtttdER�BULDEA WILL HAVE TME BURDEN OF iROVIN�TMAT HE OFl SME D�D NOT BUM OR pAPROVE fOR iME PURPOSE OF SALE). - �•� • . w ❑I.ASOWNEROFiNEPHOPERTY,AMEXClUSNEIYCONTMCTINGWI7MLICENSEDCONTMCTORS � _ , .. . (= TO CONS7RUCT THE PRQIECT(SEG 70�1 BUSINESS AND PROFESSIpNS COOE:TME CONTMCTOqS LI- V81U8ti011 ADJ.AREA W CENSEUWDOESNOTMPLY70NIdM1[ROFA7p07ERTYWFIDBURDSORMIVROVESTHEREON,AND � WHOCONTMCTSFORSUCHPRQIECTSWtTMACANTRACTOR(5)LICENSEDWRSUMRTOTHECONTMP Q�JANTIN . �ESCRIPTION � �.,1 � � . FEE _. . . Y TORSUCENSEUWJ.. ._ . ._.. . . . . . , . . � .. , . . , . � ❑IAId EXEUPT UNDEA SEC. B.6�.G FO�7H�5 REASON U - � � � _ ' . � ' ... - - , . �. 1 ' � .. � , DATE OWNER V . __ . . . _ _. .. W ' � . ._ . LICENSED CONTRACTORS DECLARATION � . W ' � � IHEREBVAFFlRMUNOEqDENALTYOfVE0.NMT1uTIAA1LICEN5E0UN0EHPfiOVISIONSOFCHAP7ER �r . , p„ y�COM!AENCiNGVIrtHSECTiON70oo)OFDMSKKd7OFTHEBUSINE55ANDPROFESSpNSCODE,MlU Z X 61Y LICENSE IS W FULL FORCE/JJD EFFECT. m , ' LLI ��jy .`����s . � IICENSE CUSS �^�+ LIC.NO. �'' � 1f1 �y J r �- I DATE W �d--CONTRACTOR_ T 4- w —i� V ,�—V'���. . i' : � .._ . . [� � WORKERS'COMPENSATION DC-CLARATION Q � U � IHERE9YAFFIRAIUNDERFENILLTYOFVERIURYONEOFTMEWLWN�NGDECLANA7pN5: • � � Z Q O �IHAVEAN�wiLL�INTAINACERTIFICATEOFCONSENTTOSELF�NSUREFORWORNERS = � COMPENS�7iON,ASPiqviDEDB�SECTON97o00FTHEUBORCOOE,FORTHEPERFORMANCE W OFTHEWORKFOqWHICHTHISGERMITISISSUE�. , . . , � _ C w �IHMEANDNiLLL1AAINTIIINWORKERS'COMPENSAibNINSURANCE.�SREWIRED8Y5ECT10P1 Q a70oOFTHELABORCODE,FORTHEiERFOPMANCEOFTHEWORNiORWHICHTHiSPERMI*IS /I�� ISSUED.MVWORKENS'COMPENSAiqNINSl1RAN�CAPRIFRAN�VG�Yt�A��EFARE: � CONSTRUCT10N � -�? .. ._.�. _—CAHWFR vS ��~ _ PLAN FtEVIEW Z POLICYNU1.10ER � ELECTRIC _ Q � - � � (IVc55ECf�OraHEmNOTeE�.1aF�mOFTEPEMYfBF2xi0NE1++�mD�l1NaE6+a1�1F551 - PLUMBING .. t�A w MECHANICAL _�.:V'� Z 1 CERTIFV TMA7 W iHE VERFORMnNLE OF THE WOHN FOR WHiCN TM�S VENAIT IS�SSUED,1 (9 . - 511ALLNOiENPIOVINYPERSONINANYMANNEH50A5TOBECOMESU&IECTTOTHE . _ _ .. . _ � WORKERS'COMPENS�iIONIAWSOFCALIFORNIqANOACREETMATIF15HpU�pBECOME INSPECTIONFEE - - SUBJECTTOTMEWOflKERS'CAMPENSA710NPROVISIONSOFSECTIDN�7000FTHEUBOR COOE.1 SHA�FORTNWITH COMD�Y WI7H THOSE PROVISiONS. /�^ ^ ISSUANCE O –����" , ' `� �iC���.�'� �-' // SMIP . . _. . �� YJ� p DATE: APPLICANT: f��— J � �� ENERGY P!C � WMNIN(3:fARURE TO SECURE WORNEPS'fA1APENSATiON COVEIUGE IS UNUWFUI.AN�SNALL BE LL SU&1ECTANEMPIOYERTOCRIMWALPENAlT1[SM7DCNILFWESUPTOONEMINDR[DiMOU5AN0 EN[RGYPERMIT �� DOLLARS(f loo,000�N/�DDITION TO 7HE CQSi OF COUPENSATiON,OAAIAGES AS FHOVIOED FOR IN l� ¢ SECTION77oeOfiHELADORCODE,WTEREST,/WDATTORNEYSFEES. � �- RETENTIONFEE: � � � � - 1 `7_� nw_. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � � � � � . . . . �Y � INER[BYAFFIRMUNDERPENALTYOFiERNRYTMATTHEREISACONSTRUCTIONLEN0INGACENCY /i. �- FOA THE FEHFONdAIICE OL TME WORK FOR WHICN IS PERMi�IS ISSUE�(SEC.]aa7.CIV.G). 7�� . W ,� ��� � LENDEfY'SNAME - F= LENOERSAODFiE55 . W ICERT�FYT/uTIHAVEREADTM151�ODLICATIONANDSTATETHATTMEABOYEWFORMATION15fARREGT. TOTAL FEES yy � • , ��, IAGR[ETOCOMPIYWITMALLCRYANDCOUNTYORDWANCESA�'DSTATEU'�'SNEIATWGTOBUILDING (J G� D , CONSTRUCTION,AN�XER[BY AUTHORIZE REPRESENTAT.NES OF THIS CAUNTY TO EMER UPON THE /� � ZABOVE-MENilONEO DRO�EPTY iOR INSPEGTION�URPOSES.�• � � �- � COMMENTS Z{_� � � � �.o �o R}-IL�P :_ `: . m i PERMI7TE NAME Ili[) . :�_ L : • .._� . . . .. .. . ¢ � `� � N � -L ���- � �+� � SIGNA7URE OF PERNITfEE- � � �� � OATE�..� • � � .. . �• � . �� . .• ..� •. �.,. � �`'. �' RECPL NO. PAID BY VALIDATI . - - � `wMiTE—Oepartment Gopy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy.GREEN—Appticanfs Copy . . �; t_.; .c, ,��� CITY.OF DIAMOt�D BAR . :` . ',..': ' " ... = \` INSPECTION�RECORD � ' " � ... _ s�fi ��� �.- - . . . .. � � . . � - . � � . . � . - • � � . � . SET BACK ' � FLOOR JOIST ! � 9 y' jia,,,�j'y .,� . FTGSlFORMS/STEEL -Zj- S' _ �paJr' FHA REQMTS ELECTRIC GROUND y-al-'j� l�. UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CO�IDUIT " SLAB GRADE - ' -Z '�JS� FIREPLACE F.OUNDATION 5���`` •��- �. TEMP POWER FIREPLACE BOND�BEAM- ` '' ' � ', ;', ' .�=• �._. . WATER•SER ICE � . 6 �i 8 � crR� 'Iy �� - � ROOF�SHE�4THING j� � --, - �' _ �� - �rac�� ,'i�lG'.' rY � ^��-- FRAMINGNENTILI ION -3u•-9� � FINAL�BOND BEAM � ' ` ROOF COVER � - - PRE-GRAbING'-::'�' � ' ���' �`. �� � �.�•. � ROUGH HEATING -3b- o�i�yi_�' I'� BENCHING ROUGH ELECTRIC �jU f� ' '� �'' ROUGH GRADING ROUGH PLUMBING ' -` ;7'� - FINISH GRADING • " ' SHOWER/TUB TEST =jp � POOL ELECTRIC EXT.LATH/SIDING 7 7-` f' . �-� � POOL'FENCING WALL INSULATION .. •yf1 � POOL FINAL • � � CEILING INSULATION `�-� �,r.,� OFF S17E IMPS. DRYWALL NAILING . ' �J�/�J��' �.� DEDICATIONS ' SEWER_. ... . ._ �•-ZZ-yfl , .,� FINAL'ENG. • • SEPTIC TANK __ ' ' '; ti ` ' LANDSCAPE/IRRIG. ��, ON SITE IMPS. • GAS AIR TEST• -•- - L u y FINAL'ZONING '' ' - • FINAL CONST.-�-- --- - - • -- - FIRE DEPT.FINAL FINAL HEATING - - � - HEALTH DEPT.FINAL . : . - - - - -� FINAL ELECTRIC � , �'.' f;� DEV. FEES PAID FINAL PLUMBING ""' ' ' ENERGY �. ��I i !! - c: _ � • � • • . . , .1 _ i - , - . .. - - � - -- _. —.._ _ . -._ ' _ � COMMENTS - � ' ; �, � ':�.• _\ , _ _ . . _ _ . ; _/ � � , .� _ ` �' ^r\,s�. ' �, � . � •.�!, �):, , — ;j. . )�, � . ... .. .. . ' '� ;{j . � ' ,, i .. � �-1 J —�. l-�. .. .�l,lJ . . ,`; ��, , , . . 1'. � � . .. ... . . . _ � . . � . . -. ,� \,. � _ ;;. ., �� . - - - _ � r _�.' `i �...',. �.; . . •J�.1 �..�:, • . � .i�� 1 7 � !, � t-• , ' • , . . , . SEPTIC'TANK SIZE � -� SEEP.PIT/U SIZE � - � � . , . -��`f •;, . i.i��� . .. -'` •;. - 1 �;\ :1�`1 ' � - i - ' -��- - � � �Z L 7 �; '� � c,�� , ; � ,,.�:b.;�o -,��^. . ; ;. , _ � ; � � Q � � �,� Z ' � , � `�;.�`�.}', � �, ` ;`��- -- y-- � ' - - ,' ' ` ' - - -�. � ..� _ _ . �. S ��_v ,�b_�_.�