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HomeMy WebLinkAbout10737 � - --- - -- _ i . . . _--- --.�_._. .. _.. . . ._..-- ---.. __. .... .__ - -- . . ....-- , . - CITY OF DIAMOND HAR COMMUNITY DEVELOPMENT DEPARTMENT .,•C . 21660 E.Copley Drive Suite 190 PRESS (909)660-3195 Faa(909)861-3117 �'M'� BUILDING PERMITAPPLICATION FIRMLY � DDRI 55 �a 3�" k I�C7 LA K�. DATE CATIO�� I 5-�� NUMBE D v N� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNE�-� KUO � ADDflESS �a 1- ^�V L 1CfL ZONING SETBACKS � 'P�' CITY__D- A�- ZIP q/��S TEL. ,-3 C�/ FRONT RW ❑ g APPLICANT �Q✓TL� TEL. REAR p � SIDE/SIDE STREEf RW O • CONTRACTQR % /E w SIDE ❑ ADDR S`SSI�-- �EiiN�✓/L�w �N � CRY �`l^l'� ZIP��_ TEL U tt PROPOSED USE T U SL�A � �1�+1{11�i'C' �`�0�, Ly�.r,o o ARCH/ENG/ /Y t a � � ,-p.t . 3 � � r� a � DESIGNEFi NO.DWEL '.NO. NO. . . a ADDRESS UNITS � `J �'STORIES � BEDROOMS N CITY^ ZIP TEL � rn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-B�ILDER DECLARATION SFR/AO�/REM O 1 HEREOY AFFIRY 11NDER PEWLLTY OF PERIURY THAT I W E%EMPT FROM THE tDHTRACiORS L4 G9fBflB/CafpOR � W CENSfUWFORTNEfd10WIN�REA50H(SEC70.11.6BUSWESSAH07ROFESSIONSCODE:ANYGTYOR (n U COUNT/W111pIqEWIRESAPERMITTOCONSTRUCT,ALTERMVROVE,DEUOLI4�ORRERVRANMSTRUC- W P8110/DBtk � TURE,PRqR TO 1T5 ISSUANCE,�LSO f1EWIRE3 TME APPLICANT FOR SLICl1 OERA117 TO RLE JI SIGNED W STATEMENT T/UTHE OR SME IS LICENSEO RIRSUM7T TO THE iROV15qN5 OF TNE CONTMCTORS L4 � CENSE Uw(C1U1iTER Y(COYYENGM(i WITM 5ECT10N 7o0a�OF DIYISqN 7 0F THE BU51NE55 ANU FRP u" POOVSPO ' FESSIONS COOE)�N iIUT HE OR SHE IS IXEMPT iHEREFpOG AND THE BA515 FOR THE ALLEGED EXEMP• N TqN.ANYVqIATqNOFSECilON70.71.6BYANVAOPUCANTFOR�PERAIITSUBJECT57NEAPPLICANTTO Z F�6•ROOI � A CNLL 7ENALTY OF�qT YORE THAN FNE 1M1INOHED DOlLAHS(fsao).): � 04��'NEROFTHEPfqPER7Y,ORYVfMPIOvfE51NTNWACESA57HEIR50LECOMCEN5A7qN, O �mmerciet � NnLt DO THE WORK AND THE STRUCTUfiE IS NOT IMENDED Oii OFFERED fOR SALE(5EC.7a�,BU56 J N HESS IWD VROFESSqNS COOE:THE CONTMCTOiLS LICENSE Uw OOES NO7 A7PLY TO�41 ONMER OF = VROVERTT YI11D BUM1OS OR MVROVES TIIEREON,AND WMO WES SUpI KORK HIYSELF OR HERSELF OR ' � iHROUGHN50i1NfROWNEMPLOYEES.PRONDEOTHATSUCIIMPROVE4ENTSARENOiNTF1�4WEDOR m ,. w OfFEREDFORSALEF,NOWEVERTMEBULpNQORWPROVEMENfISSOIDWRHiNONEYEAROFCO4PLE• 0 T10N,T11E OwNER-BURDER VnLL 11�VE ME BURDEN OF VROVWa THAT HE OR SME D�D HDT BNID Oq Z MVROVE FOH iHE RIRPOSE OF SALEJ. = OlA50M/NEROFTMEPROPERTI;ANEXCLUSNEIYCONTRACTW6YATHlICENSEDCONTMCTOR9 W -)'�_ � TO CONSTRUCT THE VRO.IECT(SEG 7Car,BUSINE55 AND Fi10FES5iON5 COOE:TME COHTMCTORS ll• VeNi�lOfl P�-�` AQI.AREA L11 CFNSEUWOOESNO7APPLYTOFNOWNEROFAPROFERTYWF108UttDSORMPipVESTHEREON,ANO f N'IqCAMMCTSFORSUCNFRO.lECT5YY17MACON7MCTOR(5)LICENSEDVURSUANTTOiHEGONiMP pUAMITY OESCFUPTION FEE � TOR$IJCENSE UW.I� � O IAA1 E%f1IPT UNDER SEC. B.t V.G iOR THIS RE�SqJ � � V , li.. ¢ OATE OWNER � , �¢ IICENSED CONTRACTORS DECLARA710N w CC IHEREBVAFFIRMUNDERPEIULTYOfPE1WRYT//ATIAMUCfHSEDUNOCRPf10VI5qNSOFCHAPTER � p. �(COYMEHCIN�WRlI SECTqN 7000)OF DMSION 70FTHE&151NE55 AND PROFE5510NS COOE,AND Z X 6(Y UCENSE IS ql FULt FORGE AND EFFECT. m � IICENSE CU55 C� LIC•NO. � 1��� J � o�re �I 1 S 1 carrrucr«+� a w � WORKERS'COMPENSATION DECLAHATION � � IMEREBYAFFlRIAUNDERPEN.LLTYOFVE0.IURYONEOFTHEFOUAlNNOOEClAMT10N5: Z • . � � � _INAVEANDWiLLMAWTAINACERTIFICATEOFCONSEMTOSELfaNSUREFORYIOqNERS' _ COMPENS�TqN.ASVROYiDED8Y5ECTIONl7000FTHELIBOHCODE,FORTHEPERPDRM.WCE W OF 1HE WORK FOR NMIC111MI5 GERYIT IS ISSUED. � G W _IMAVEANOWILLIMWTAtNWOHI(EPSCOMVENSA710NMSURMrCE,ASREOUIREDBY5ECT10N � �7000FTHEVBORCOOE,iORTHEPERFORMANGEOFTHEWOPHFORNR1IdITHISPERA11T15 O ISSUED.►�YWONKERS'COMPENS�T �NSURANC�eu+aicauuovaicr�t�uaeau�e: CONSTRUCTION �� j uawEn s�A'�'�- �'� PLAN REVIEW � POLICYMIMBER �� � ELECTRIC 0 f�sEcroa�mr�oreEmr.aFrIDOFncvEaMrsroaorFMiror�oawsR+�f��'ss1 PLUMBING Z I CERTIFY iHAT M THE FEFFOR4ANCE OF iHE WORN FOR WHICH THIS VERGIT I5 tSSUED,1 MECHANICAL ('} SMALLNOTEMPLOY/VJYPERSONN�M'MINNERSOASTOBECO4ESUBIELTTO7ME • ^ (n YVOHI(ERSGOMPENSATIONLAYYSOFCKIFOqN11�AN011GREETMATIFI5N0Ul�8ECOYE INSPECTIONFEE �� �'� S SUBJECTTOTHEWORKENS'CdAPENSATpNPNOVI iON50FSECTqN�7000FTHEUBOR � •. �}�1 caoe.is/uuvoanann�couv�rvnn,�p`p'sE v�s�q/_�s.�^ ISSUANCE � ^� 4+.Y h�C.�-G SMIP p DATE:�L�,.l1_ APPLICANT: � ENERGYPIC C+Pf1 S C � 7 WARNtNO:FAIURE TO SECURE WORKERS'COMPENS�TION COVERAGE IS UMAWFl1L.A!A SNALL BE �T �y SU&IECTANEMPLOVERTOCWu1NALPENALTE5IWOCIVILFNESUPTOCNEMUN�REDiHOU5AH0 v`-��� D�LLMS(f10o,000).N/DDITION TO ME COST OF WIAPENSATqN,D�MMSES AS GROVDED FOq IN ENERGY PERMIT ¢ EEGTION�70eOFh1EUBORCOOE.NTERE57,ANDATfOiWEYSFEE4. aETENTIONFEE: � � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � INEREBYAFFIR4UNOERiENALiYOF0ERIURYTI7ATTNEREISACONSTflUCT10NLENOHOAGENCY Z fOR TME VERFORMANCE OF TME WORK FOR WMICH iN15 PEiW IT IS ISSUE�(SEG 7oa7,tfV.G} . W � LENDER'SNM1E C lENOER'ShDORE55 � � TOTAL FEES � � ICERTIFYTHA71lI�VEREADTMSADVLICATIONlWDSTATETWITIHEABOVENiORIAATqNISCORRECT. W IAGREEiOLOAIOlYN7THALLCITYANDCOUNTYdiDINM10E5ANOSTATEUWSREUTINOTOBUILDIN6 CONS7RUCTIOf{AND HEREBYAUTMORIZE REPNESEMATIVES OFTF115 COUNTV TO EN7ER UPON THE � I� 2 S� ABOVEJIENTqNEDPROPERTYFORIHSPECTIONPURPOSES. �,/ O ��7 o n COMMENTS �. �O►J t'/L,P v:'� m PERMITTE RIT) R ) � � ����� 1 ���! 1 ( 'y fqNATl1REOFVERMITTEE DA7E ' � RECPT.N0. PAID BY VALIDATIO � WHITE—Depanmenl Copy.YELLOW—Finan�e Copy.PINK—Asseasa Copy,GOLDENROD—Flb Copy,GREEN—Appllcant's Copy ..y..�.,,.., ...,.:....., ,,,:.-,��.., . . „ ,_ .. .. ..,..: . . . . . v•y..� •{ . . ::. „6'.�,.�.. �r��w:.�. .:7...:.„.� .-4:•; -,i-:,.,�.n: . .��.� .e:•�. . , .•,..�:n, . .���Yi•':...`M::`i(. , r �r'ya.'.�'-Y+• ',�.,•� . . . . . . . . ��b���� . . . 1� '!1Y..ts' e .Y���. . i.. crr�� oF oiA�ror�� a�� r� ��� ��� � � '�T.� "C. .i. . . ';';' r"r'.�.� :�' , .,�..- � . I��ISPEGTION REC�RC1,� '�' :�,:. . , :- �� � , �•. . � � . , ��i.. ._�.:•f •i�.�,...�!'. .�."J.it.i�: ��. . l��-���c��t�`I _ ��.��'-t�t1� ��'(��-�i�.=.����:�: . :�. �_�'�E-�.F.��i`'F'��►!M --='•�- --�2:�e�� _i�:_:�yr��'a'a�i����. -- � ,._ ,�...� �_ �_ ._._.._� ._ . _ ._ � __ _... __ ...�.... • - - -._ �.,._ � .- . _ _ ,.,. . . -- SET BACK�,.._ .., .. : . ; �- � ---- -. ... ._. -FLOQR JOIST- ---- -------- ---- - -- ---- -------- ---.� ._ - - ---- —-- --- -- ._._ -- FfGS/FOpDAS/STEEt-- - -. ,. . . _� ----.._...... _._._. .... ._I. .FHAREQ'Y1TS.-.....------ ---- • ---�- -._... . . .. - ---- -- - ,.� � . - ELECTRIC GROUND . . '•UNDER FLOOR DUCT .;•r, ;,� �;�•.l., _: � ,�, � � , � . ! -: _ _ ,. , - . . � r�•. .�\_��.. �_c• (J � , � . GROUND PLUP.1BI�dG ' ' � -- � �- UNJER�-L�OF�GC7,�(DUIT - - , -:; �- '����' ! ` Sl.1�B GRADE-- - - ... �'� ---- ----- - __ ... .�` ,. 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SEPTICTA�JK_ __ ...... .._ .__ :•._ ' ,� , < , ,- � . �I.LANDSCAF'E/IRRIG. : . . �� ; . _SEEP_PIT/L:L:-;------ ... - ----- - - - -- -- ON S�TE IMPS. � � . .; ,-; : - '--- - - -. .. . . ._ GAS AIR TEST.' --. --- ----- � �• - FINAI:ZONING _ - ' ' �_ ' - - - _ . . � FlR� UEPT. FIPJAL � . �� _. __ ...__. _.. _.._.__._ . _ _' FINAL-CONST.�-�------ -- - 2� j� - - _ /��� FINAI-HEATING - ---- - -- -- --- - -- , - HEALI Ft DEPT. FIPJI',L - . - .- -- --- ---.. 1----; c . �-- -.. ; , ,. .. . , ---�.- =-= --'— ' F(NALELECTRIC.... ..-- - -------. .._. - ;---..._.. � DEl'. FEES P,�.ID . . .-.� „ � . .. ; ......,.; . ; . -- _�_;..-.-----------•---- --------- FINACPLUPABING�-- -- -.. --- - - -- -.._.. .. . - . - , - -�-- �- ENE'FiGY .. . , , . .. ,,.� � .. , ; i . - - ..—�— ---�-.i���1�-� 1'� -' _ • . . ! _ -- ---- ' =----; =�---rt- � _ ��.1',^�r:r i.A.L`�._.�.� _�—_..d_ " .. .� ` •( i�.-- "- I � . . . . ._... . � .. � . . , � . _.___—..._..'_"___1..__ '_'_._...'. ..... .._ _....._.._.__ ..... ._....__'._ ' -'-• ' • i ..I '. '�.i � � , I .` , ..:�-.� . - COMMENTS- --. _ - , . , ._ ,, - - - ._. , i � ��� . . -- -- ------ ---- -�- - - --- - --- -- --- - - --- -- ---- --- .' . . • . . . . ; . , ` i • i -- -----------... ----------._ ..-- -- -... -- - ---- - ----------.. ...... ._ ----- -- , '' _, .\ --- I � : . : • � . - . ,. ': � ; - „ _ � ------- ' _'_ . _ ... �. y .. . _ ._.. "'...__—'_''__ _ . 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