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HomeMy WebLinkAbout14433 (19) _ . .__._ . . _..-- -- a� �� . CITY OF DIAMOND SAR ��� � -- -�� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drivc Suite 190 � (909)860-3195Fax(909)861-3117 . PRESS �'�'� BUII.DING PERMIT APPLICATION - FIRMLY } JOBSITE �. t- APPLICATION�a �l PERMR L/(,�`.�2 P/C o ADDRESS � DATE �� NUMBER /JJ x � ISSUE TYPE OCC APN LOT TR CT� DATE CONST. GROUP � OWNEfl —l�-���-��('x.l� �� � ADDRESS �� ' L. 20NING SEfBACKS Z CffY � 1^ZIP��17(n �CTEL�I� � q�RT RW O� g APPLICANT \/c�Ivr�e_ Mr� �lYlr`� TEF1 SIDE/SIDESTREEf RW O � CONTRACTOR ' SIDE ❑ � ADDRESS ^ ' PROPOSED USE CI'TY.�h ��4 ZIP Z TEL9�"f �-' � ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. ADORESS UNfiS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-9UILDER DECLARATION SFR/ADDlREM O p 1 NEREBY AFFIRM UImER PEHALiY OF PERIURY THAT 1 AA1 EXE4PT FROM TFIE CONTMCTORS LI• Ger9gBfC9fpOn - � W CEHSEI/iWFORTHEFOlLOw1NURFASON(SEC.7at1.SBUSNESSANDPIqFE55lON5CD0E:ANYqTYOR � (n ' ""� 'COlN1i7W111CNREG11RE3�►lW+NTiOCd�l11KJCLKTER�PROVE.DEAKKJ51{ORREPNHANV6TRUC- ..- - w Patio/Deck . - — " -- - - -- 7URE PfiIOH 70 RS IS,RIANCE.lLSO REOUWES TME APPUCANi FOR SUCH PEHMR TO FlLE A 6iGNED w � ET�TEYENT iHAT HE OR SME IS L�CENSED PUHSUANi TO THE DROVISIONS OF THE C��UCTORS ll� � (�NSE UW(Q1A7TER Y�GpdMENCIN�MATH SECf10N 7000)OF DMSiON]OF THE BUS�NESS A40 PR0• u' PooVSpa FE59�DN5 ODDE)ON T/U7 HE OR 511E IS EXEUPT TNEREFROM�ND TME BASIS FOR TNF ALLEOED E%EMP. TqN.N1YYpL�iIONOFSEGTqH7071.681'MlYAPPL1CANiFOR�GE��TSUBIEGTSTHEMPtIGNiTO Z Re•Rool � ACMLVEN�LTYOFNOTMORLTWJiNEM1NOREDDOUM51H�lk � OI.ti50M'NEROFTHEFROPEN7Y,OFIAVEMPLOYEESWITHW�GESASTMEIqSOtEC01A0EN5A710N, 0 COrtlmBft111 � YALL 00 THE WORK.AND THE STRUC7URE IS NOT IN7ENDE0 OR OiFEREO FOR SALE(SEG 7M�,BU54 J dESgANp PtpFESSiON4 OOOE:THE OONiMCTORS IICEHSE LAW DOES HOi MPIY TO AN OWNER OF N PROPERiYWNOBUlD30RM1PROVESTHEREON,ANDWMODOES5UQIWORKNIMSEIFORHERSEIFOR = , (t TNRIXJONNSORHENOwNEMPLOYEES,PROVOE�TMA7&JCHMPROVEIAEMSAqENOTN7ENDEDOR m ►� � OFFFXE➢FOR SALE IF.NOWEYEfi T7E BU4DPIOOR N1PfiWEMIXT IS SOID WfINN ONETEM OF Ct)MPLE •TqH,T1E OWNEH-BNIDER VnLL M�VE TNE BUFiDEN OF ppOVINO 1/N7 NE OR 6NE qD NOT BNID OH MYROYE FORTME PUPPOSE OF b�lE1 `u ' OIhSOVN�EROFTHEVROFEHTV,M1EXClUSNEIYCOMRACiVJOMTTHLICENSEOtO�.TMCTOR3 � TO CONSTRUCTTME VR0.7ECT(SEG 7ou,WSINESS AND PROFE4410N5 CODE:7HE CONTMCTOR9 LI• V21Udti0fl ADJ.AREA Cil CENSEUWDOESNOTMVLYTOANOYVNEROFAiROPERTYNTqBUILDSORNIf'POVE9TMEREON.AND � YFqCOHTMGT3FORSUp1FRQ1ECT3YnTH�CpRMCTOi1(5)UCENSE�CUFiSVANTMTHEWNTMG pUANTITY DESCRIPTION FEE - � 70RSUCENSEWY�. . O 1 AN EXEYPT UNDER SEC. &t P.C.FOR T1115 REASON U V"' DATE � " OMMEH � � � U UCENSED CONTRACTORS DECLARATION W � INEREBYAFFIRMUAERPENKTYOFFERAIRYTUi1/AILKENSE�U Vlsly?IySQ(i1MpTE � ��oo�w�eNCNa v�nn�sEcrarr�oaol oF omsro��oF n+e euswEss NU f 4Kil+C�ooe X W LICENSE IS N FUII FORCE AND EFFEGT. y,�J LLJ n 0 IICENSE CUSS f��q!��L�C.NO � �j DATE�2��I! / CONTMCTO � a6 WORKERS'COMPENSATION DECLARATION ¢ � U N IHER[HYAFFlRA1lAf0ERPENALTYOFPE0.NMON[OFiHEiOLLOW�NCDECIAMTqNS. � Z Q O �IMAVEANOYnLLW1RfTANACEHTIFlG7EDFCDNSEHTTOSELF•RISUREFORWORNERS' Z � CWPENSATqN,ASPROY�DEDBYSECTION77WOFTHEUB�RCOOE.FOR7MEPERFOMIANCE � �U Oi TIE WORK FOR YMICH TV11U VER4!T IS ISSUE�. � G IIMVEANDWILLW7+TA11JN'CiUCERS'COMPENSATqNWSURANCF,ASRE0U1RFA8 TIDN O 77000FTMELABORCt7�E.FOHTHEPERFORMNiCEDfTME1NOWCFORWMIqi 5 6AMiT ___ _ � ISSUED.MYWORNER5C0'.�PENSA WSURANCEWiH1ER/NOPOIICY E C �UC ION ] CARRIER G� Fl IEW � va�crrnwecA � '� E I 0 (nsucrnNrumeoTe[tt�t�FnocnEVEa�wrsroaor.�Hrnnmoo R+oo�a��¢ssl BING Z ICER7IFYTHAiNTH[PERFORMMlCEOFiHEWONKFORWHICHTH15PERMITISLSSUED,I MECHANICAL (.�' S1uLLLNOTEMPLOYANYYERSdVNM1YMANNERSOAST08ECCAIESUBJECTTOTH[ N IMJRKERS'CCMCENSATI0NUV50FCAL60RNI.�ANDAGREETHATKISMOULDBECOME INSPECTIONFEE S 6U&IEGTTOTIIEMGRKEA3'COMPENSATqNPROV15�ON50FSECT10N77ooOFiMEUBOA �- CppE,ISHALLFOiiTMWIiNfA4VLYMA�EPROV151DN5. ISSUANCE �l T�'1 � A' SMIP p �ATE:12�/-� APRICMlT:�� ��������CW� . WARNING:fALURE TO SECURE WOFKERS CAMVENSATqN COVERAGE IS UNUwFUI.ANO 51VLLL BE ENERGY P/C � StAIECiiUIEMPLDYEFTOCRIMWAIPENALTIESiWDCmLFwESUPTOONEHUNDREDT�0U5AN� ENERGYPERMIT ��r ��� DClWiS(�IOO,Oaoj,N/�DOITIOH TO iHE COST Of COMPENSATqN,O��ES AS PROVDED FOR W � SECfpN770tOFT1ElA00HCODE,MEREST,�NOATfORNE1'SFEES. RE7ENTIONFEE: 1 pW_, CONSTRUCTION LENDINGAGENCY pRE•ALT FEE: Y OF nTAMn'UTl T2 A� o BIJIL.DTN�� �. � IHEREBVALFlNAIUNOEACENALTVOFDE0.NPVTHAT7HEPEISIICONSTRUCTIONLENOPrfiAGENCY T �T ��TT�=T'l/ - Z FORTHE PEFFONAANCE OF iNE WORK FOR VA11CH 1Hi5 PERMIT IS ISSUED�SEC.foa7,CN.C.} W � LENDER'S NAME � LENDERS/DDRESS /) /' � ICERTIFYiIUTIHMEREADTMISAPPl1GTqN11ND5iATETUTTIE��'EINFORNATIDNISLORRECT. TOTAL FEES JS��{/ � IAGREE TO COMPLV WrtM ALLCm'µD COl1NTY OpDwANCES ANO ST�TE UWS RELATwG TO BuIDINd CONSTRIICTION,AND NEREBY AUf1fOH�2E REPRESENiATIVES Of T1i15 COUNTY TO ENTER UPON TNE e/ � ABOVE-MEHiqN W VROCERTY iOR INSVECTION 7UNPOSES COMMENTS � \ C��. � m PE EE NAME(PRIHn��� . _ , �^ v� r .�.// .4 �� 7 � � , n o�Te � RECPT.N0. PA1D BY VALIDATION WHITE-Depertment Copy.YELLOW-Financo Copy,F�NK-Aseesaa Copy,GOLDENROP-File Copy,GREEN-Applicanfs Copy � . , . • •. . .. �; . �• . ,: . �' �A �OND.BAR_,. . .-- . .. . , . . . . ; � ��� . ,. � �. ,. _ .; . INSPECTIOh!:RECQRD � . : � . : � : �. . �!M►'�-��!=�;wlhl.���� '���1'� '�►����.����;��� l��}-7�-id�.�Ia�i�i� + . qr.4;e�;��i�.=� �,M►�.��.%��.c4`�oa--.. .����. . _ ., .... .� ._.. _ . . ._... ......_.w., .,�.., .. , . ,,...�.�..., , :SET BACf: . ' `� � . �� � ` � ' FLOOR JOIST;�� � , - • � � .�;� !FTGSiFORt.1SlSTEEL ._ .....: . _ . _� .. . � �- FHA REQ'�iTS__; _ _ - `-�- . . _ .' _. . '. _ . , , � ---- _ . ' '" - UWDER FLOOR DUCT , _ jELECTRlCGROUND ..... --. --. : � . - �' •. , . :GROUND PLUPsBING UNDER FLOOR CdP�I�UIT - -• ' ' " —' " ' � �SLAB GRADE . -- -- � -- -- r- � FIREPL'ACE'FOt1NDATION .• • � , r � . . � � ` ,� iTEMP POWER -- --.. . .. . - - I ;, ... _ FIREPLACE�BOND BEAh1 �' .�.. ,�_�,. t _- �:� : , _. . , :• � ... 1Vb'ATER SERVICE - - � __ . _ MID HT.BOND BEAP.",� .'•. : = - �:_- ,,. • � • � -;• ; .ROOF SHEATHING (.8 FT. BOND BEAh4. , ' - � �- • . ' ' � . ;. ;. . � ._ . , _. . .. _... ... ... . � , , iFHAh11tJG.NENTILtA'fION I � -- - -� -- � FIN�L BOND BEAM ;, � ,. AOUF COVFR .c;.' < PRE-GRADING - - � -- - -- ' ' _._ � . �ROUGH HEl:71PJu - -�' - �ENCHING � �ROUGN E��'CTRlC___ . . "" ' � ' .� ROUGH GRADING � � I � ROUGH PLUMQING- - - --�- � - - -- ��' . FINISH GRADING �, . SHOWER/TUBT[ST - -- = -- - - , - POOL�ELECTRIC ; = IE�?:k�iTH/c1�ING _ - - - - POOL•FEPlCiPJG i�":ItiLL iNSUU1TiON - - _ . . _ .._. . _ . _..... . POOL FIPJAL ! 'CclLt�dG (NSULF,TION� - � � � � � OFF SITE IPJIPS_ . ' . i _ :DRY1�rJAL.L NAILiNG �EDICATIONS . � ' � : �SEWER. .. - - _ _. .. FINAL�ENG. " _�— !, iSEPTIC TANK LANDSCAPE/f�RIG. � ;SEEP.PIT/LL. • ON SITE Itv�F'S. . ;GAS AIR TEST � � � 'FINAL.,ZO�dItJa '' ' j = _. .. _ .. _. _ --_ --- :F1Nl1LC0ivST._.:- - - -- � - . . . . �IRE DE�i. FINAL � ; 'Fi;`ALHEATlf��3 ............. .. ...... _. . ��• ._ .—i,• HEAL7HDtPT.'F�N�'�L'�.. . _ •. � , - --; � ".�; --+— --- �' CLECTRIC- , DEV. FCcS PAID�— iriNAl .— .. _ - -- . _ :I — � _. .. ..... . . ;f=i":h�-PLUtJ�9,t�;G_ . . -- - - • ( C� � EI'drRGY. , . :: "�- --....__.... ..__.._ _..... � ---- .. . ,.; •. � . (' � �� ��� ,, . - . � , �-� .__�_.�I I � _ _ �.. _ . ___ _. _ __ __ __ ___ . . . .�G +� �S K�:i;!''�Q.•-- � �wi-•'.��.,,�`� ��ba'�:r�� .,. � .. 1 . . ' . . , . -. ._. .. , ._. ....._ _.. . _... . .. . . _ . _.. . . . , - . ' '__. _ .. .. _ . . � . . . . . . . 1 , ��.'1� i�)- . 1. . .._ �, . . � . .. __. , ' . 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