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HomeMy WebLinkAbout16295 (20) �.� �� CITY OF DIAMOND B AR I DEPARTMENT OF COMMiJTiITY&DEVELOPMENT SERVICES 21660 E.Copley Lhive Suite 190 � •(909)860-3195 Fax(909)661-3117 PRE$$ •�'�^� BUII..DING PERMIT APPLICATION I FIRM Y y JOBSITE /)(( � C APPUCATION PERMIT /C o ADDRESS v ' � � � �J�• DATE NUMBER �� il g _ ISSUE /L,/ � O IYPE OCC : APN LOT TRACT DATE �A CONST. GROUP � OWNER o ADDRESS ZONING SEfBACKS w CITY ZIP TEL REAR Rw p � APPUCANT TEL SIDFJSIDE STREET RW D CONTRACTQ�R ( � . SIDE p ¢ ADDR SS o CfTY ' ZIP�� TEL. PROPOSED USE ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. = CD;RESS Z'P �L UNITS STORIES BEDROOMS cn tn DESCRIPTION S0.FT. FACTOR PSF AW.AREANALUATION � OWNEF-BUILDER DECLARATION � SFR/ADDlREM � O p t HEREBY AFFIHM ER►ENKTY OF iEiWRY THAT 1 A/J E%EMVT F MC7W1S ll• Gef89e/CeryOR � � � � � � � L1J CENSfUWFORTHEFdl NFhSONISEG70.71.6BUSINE55MlOG IONSCOOE:ANYp1VOR (n y COUHTYWFiICMREGUqESA RTOCONSTRULT,ALTEq,WPRO i.aus+.onaern�nuarstauc�� W �PatlaDeck Z TUAE,OR�OR TO ITS ISSWJICE, REOUIRES Tl1E MVL OR SUp/iERUIT TO FILE 11 SIONEO � ETATEMEM 7WR NG OR SME IS U E�PURSUANi TO ROV4510N9 OF THE CONfMC10N91F � � CENSE Uw(CHAPTER 0(CdAMENCINO SERION T OFDMSKKJ 7 OF iHE BUSINESS AND PRO� � POOUSpO - � � iESSqNSO00E1aRTMAT/1EORSMLI5E7l E OMAN�iME&lSISFORTHEALLEDEOEXEAIP• TqN.ANYVI0LAT10NOFbECTION70]t.68YAMYA FORAPEiWiTSUBJfCTSTHE�PPLICANTTO Z pe-Rool '„� ApVLLiENALTYOFNOTAIORETHANiNEIiUND D If50U).k . O OI,ASON?7EROFTNEPROPEqTY,ORM PLOYEES THWAOESASiHE�RSOIECOMPENSATqN, CpmmBftiel � - - ' Z MALL001ME WORK ANO THE STR4CTUR NOT NTENOED OFFERED iOR SALE(SEG 7W�.B1151� � N NESS AND pROFE5510N5 GOOE:THE 7MCTOH4 UCENSE U OES NOT A➢PlY TO AN 01NNER OF ? , iROOERTYYI110BURDSORYP EqEON.ANDW1/D00ESS M/ORKHIIASELFORNERSEIFOR ' � iNF10V6111MSORNERO'MI EES.FROYIOEOiHATBUCHIMPROV NTSMENOTNTENOEDOF m OFTEREOfORSALEG, iNEBUIlDIN00RMPROVEMEtlT44501DW ONEYEAHOFCOMPLE. TION,THE OMrt+EhBURDE LL HAVE ME BUMEN OF PROVINO TFNT HE OR DD NOT BVILD Oit W PpOVE FOH TME M1R E OF EAL�. � O4ti40N71ER HEii!OPERTY,IIMEX[LUSNE�YCOHTRACTWOYnTFILICENSED MGTOR3 TO GONSTRUCT VRO,IECT(SEC.70u,BUSINESS MID PiqiESSIONS OOOE:THE CONTRACTORS LL VgIUdlI0f1 AQI.AREq CENSEUW NOTMPLYiOANOriNEROFA►ROPERTYWFqBUILD50RMPppy[STHEREON,ANO vnacoHr TSFORSUCHCRDIFCTSYATN�NNfMCTOR(S)UCENSEDPURSUANTTOTMECOMMC pUANT1TY DESCRIPTtON.' FEE � TOqS UCENSE UW.�. �' EXpAPT UNDER SEG 8.i i.C.FOR 7H15 PEASON 4 U tt.. � DATE OWNEq V � LICENSED CONTRACTORS DECIARATION � � W IHEREBYAFFIfU1UlIDERVENALTYOFiERA1RYTHAT11UAlICENSEDUNOERPROVIS!'.INSOFCNAPTEA V. � Y(COMMENCINO N7iH SECTqN 7000�OF OM510H J OF iHE BUSINE59lU+O PROFES510N5 CODE,AND Z � - - � � W UCENSE IS N RAL FORCE AN�EFFECL m t �+ I � . f .7 �F� UCENSE C � LIC.NO. � � /� � n` U DATE � 0 CONTMCTOR . `� d /L6 � �� � = WORKERS'COMP[NSATION DEC A I N � . � IHEREBVAFFlWAUNDERVENALtYOFiERtt112YONEOFT1EiOLLAWMG�ECUMTiONS: Z � �IFNVEANDWiLl1MMTNNACERTIFICATEOFCONSENTTOSEIF-INSUREFORVlONKER:' _ . , CDI/VEN311710N,ASORONDEDBVSECTION]7000F711EWBOFCOOE.FQ9THEPERGORIAANCE �U O OF TNE wOPo(FOR VMICN TMIS PERMR 45�SSUEO. � � �INAYEAHDNtLLMNNTAMWORKEAS'COAIPENSATIONINSUMNCE,ASHEWIREDBYSECTpN Q J7ooOF7HEUBORCODE,FOR7HEiEHFORIAANCEOFiHEWON<FORWNId/TM15PERM1T15 � ISSUE�.4VWOilKEFL^COMPENSATIONWSU�W/CECARHIERMIDPOLICYNUMBERME: CONSTRUCTION ? CARPoER PLAN REVIEW � PCIICYMIMO[R ELECTRIC � � � �nassecror+nEmwre[oa.siEroovnevEwRrsFoaor+ctuorE�oo�wuli�cola+tFss1 PLUMBING Z ICER�IFYTHATN7HEFERFOPMANCEOFTHEVAfMFORWHIpITXISPERMITbISSUED.1 MECHANICAL 511ALLNOiEMPIOYANYPERSCNNANYMANN[RS TOBECOMESUBIECTTOTHE (�/� MORKERS'CAMPENS�TqNUW50FCAlIFORM 0 qEET IFI BECOME INSPECTIONF _ H S SUB.IECTTOTH MqqkEqS'COAIPENSATIDN ,VI' lSOF � OFTHEUBOR moe sH�u rrtHvnTHcouv�vvnn� 5 visp ISSUANCE O p DATE: � APPLICANT: SMIP 4+ � ENERGY P!C m WMNINO:FNLURE T09ECUHE WOflKERS'COMPENSAT N COVERAOE IS UNLAWFVL,MN SHALLB[ � SUBJELTANE4P�OVERTOCRIA�INAI.PENALTIESANDCNILFMlESUVTOONEHUNDREDTFqU5AN0 ENERGYPER T OOLURS(S7o0,000),W ADDITIONTOTHE CASTOF COMVENSATION,DAMAGE9 AS PROVIDEO fOR IN �� SECf1�N770lOFiNEUBORCOOE,INT£REST,ANDATTOqNEY3FEE5. {��ENTIONFE � OCONSTRUCTION LENOINGAGENCY PRE-ALT FEE: � � � INEHEBYAiFIRMUNDERPENALTlOFPE0.RlRYTHATiHEFE15AWN5TRUCTION�ENDINGAGENCY � FOq iME OERFONAI.WCE OF iME WOi1N FOR Mn11CH TNIS DEiWiT IS ISSUEO(SEC.�001,CIV.CJ. . � � LENDER'SWWE � ' � IENDER'SADDRESS � 1 CERTIFY THAT I NAVE PEAD 7H15�7Vt1G7�ON AND STATE TNAT T1E ABOVE W FONAA7IDN IS COMECT. TOTAL FEES . . �� ��� p_, IA6REETOCOIA%,YN7THALLCRYANDCOUHTYORDINNICESANDSTATEUwSPELATIN6TOBULDING . . � Cd1STRUCT NDMEREBVAUTNORIIEHEDRESEMATNESOFTHISCOUMYTOENTERUPONTNE � � . ', Z ABOVE�YE 0 PROGE F PECiION WRYOSE COMMENTS ' � %�,P.r.�.� _ m PERMITTE ' (PRI � . � � �-CJ d /1l!-� , N SNi LLREOF �TTEE OATE � RECPT.NO. � PAID BY �r + VALIDATION ' � WHITE—DepeM1ment Capy,YELLOW--Flnance Co{+y,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Capy CITY OF DIAN90ND,-BAR , .. f ,:., �� .��I��SPECTIO�? RECORD ` . : .,. � � , . .. .. .,., . . ' �c.��.� � D ,�. .�. ... _. �. _ (� `1' � le;'+ � � �� r ife��-�;��e �����' :� r�: . :��. _r_.. ._ :� ..._ _ .�Y_ _ .... _.. ._. _ ;SET BACK � ' .' , . � : ,� . ��t�: ' FLOOR JOIST ; • ' _ . , • . .. ti' ._; _ ,FHA REQMTS . _ � , .: I. \ � ---- ,FTGS/FORMS/STEEt ,. !ELECTRlC'GROUND . _ < � .: ' '' � ` �' � -- UNDER FLOOR DUCT - � , � :� , !GROUND PLUMBING UNDER FLOOR Cd�IDU1T - � � '� � "' ' "'` FIREPLACE FOUNDATI�N ' �^ `SLAB GRADE --_ _- ' ' --. _ , . . -� ----- � FIREPLACE BOND BEAM' ' ' �TEMP POWER _ �WATER SERVICE - --- - . --__ - . MID H�: BOND BEAM. � , , ,. ; ;�. _ . . ,:� i R00F SHEATHING _ _8 FT. BOND EE1M � ' - ' � " � � _ .. . .. , 'FRAMINGNENTILIATION - - - FINAL BOND BEAM � � ' ' iA00F COVER �.'' PRE-GRADING - - " . _. � . iROUGH HEASING __ BENCHING � iROl1GH ELEGTRIC . ' - , � : ' . ROUGH GRADING _ _ ----__, � . � jROL1GH PLUMBING -- - -- � - - - - - FINISH GRADING % ' iSHOWERFl"UB TEST ;-- --------- i _ - ' - POQL ELECTRIC. � , � , �EX'f. lATHlSIDING - � - - ---- ; - _ �_ .. __. ._ POOL�FENCING ; ;WALLINSULATION-- _ ---- - - - POOL�FINAL - ?CE1LfNG(iJSULATION -- - OFF SITE IMPS. ' 'DRYWALLNAILING. - _ _ DEDICATtQNS - .- � � : iSEWEA _ _ FINAL'[NG. . . - �SEPTICTANK LANDSCAPE/IRRIG. i � 'SEE°P!TlLL._ ON SITE IMPS. . I G.AS.AIR TEST ' ��-�(-o( ' FINAL ZON!NG ' ; _ !FItvAL_CONST. ,'. .. _ ___ FIRE DEPT.FINAL -• � jFl^:AL HEATING ____ . . _ __.__- - _ . HEALTH DEPT. F(NAL _ _ _ _ , lt=I�JC,L ELECTRIC -- - - -. -_ _ _ . _: --- DEV. FEES PAID __ _ _ ___ _- !i=t'�IP,LPLUMBiNG __ . _ ENERGY. . ` ' _ - ' ,' - - �.. . .� _�, f ra..T.�.s.,-n,,� ^ E•� .._ '�_. ` ._. . . L _ , '�� ' _ �s:s _i , ` � � . � (.. _ _ _. __ _ . ;:'� �,I;i)`:� .� �� ' ` �IC01JiPJfENTS _ �� . , i : _ . ! , _ , , , ... _. — -- � . ____ _._ _ , � : � ; ; � , � , . _ , �, i - � � . _ � i , _� _ i � .. __ ���---;'- i � � _J t�~-i—`-'---� . � . . � + . � `- '_S�, � ' � ' _ — _ . . _. _._ . ..rr�rf, - -�l � � C � . - - ---- . . _. � . .. .. _ . - '/:�;�i � : . . , i ; . . ` - . � , .� � � -- ,SEP�IC TANK SIZE � - -- J .. � � " . ._ � � � ;SEEP PIT/U SIZE __ _ - _ -`./ � - - ' � ��- � � i ,� ���. , 7 _ • . , _ ;j . �ae +� �.. ; _ ;! ' �.•+'�.� -- _ _ _ i , - ,� -- _ - , - - _ _ , i t;�� ` ��'�I - . , . , .� � ' ; , . � � � : , . ., , � � : � �.,4 . . � � , � � , � , I ,�r�- � � -. I _ __ . . _ - � • � � �� \ - ` i ..�:. ��.� �.� �`� - � � ' �''-- --- ' �. � • � . �-;. ,� . _ . .