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HomeMy WebLinkAbout17898 (17) CITY OF DIAMOND SAR / �� �� DEPAR'fIv�NT OF COMMUNTCY&DEVELOPMEM SERVICES O /C ,��� 21825 E.Copley Drive � (909)860-3195 Fax(909)86l•3117 PRESS "'%+�' BUILDWGPERRiITAPPLICATION FIRML.Y � JOBSITE .� 1 APPLICATION L--�.,,��1 PERMIT ' � P/C o ADDRESS��.��U N�_IJ� D� DATE � a'NUMBER p e.� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER rLIGN�YLD ADDRESS ZONING SETBACKS SCITY ZIP TEL��.���� REAR RW ❑ APPLICANT TEL. SIDEJSIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS � PROPOSED USE - l � CITY j A1 n 1�C-rYL� ZIP�1�9 TE �'11�] �M � �S o ARCH/ENG! � DESIGNER NO.DWEL NO. 1 NO. ADDRESS UNITS STORIES �+- BEDROOMS � CITY ZIP TEI.. � DESCRIPTION 5Q.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER OECLARATION SfR/ADDlREM O p 1 HEREBY AFFlRM UNDER PENALTY OF PEiLA1RY THAT IAM ExEMVT FROM TME CONTMCTORS LI• Ga�8Q9/C8Ip01t W CENSELI1WiOR1HEFOU.OWINOREASON(SEC.70.'f1.6BU5INE55AN00ROFES510NSCO0E:/WYCITYOR (n U CDINfTYWHICMpEOUIRES��ERIARTOCONSTRUGT,ALiERIMPROVE,DEMOUSM,ORREVAIflAN'lSTRUC• W P0I10/DBCk Z NRE,PRIOR TO fTS SSUANCE,/LL50 RFOUIRES THE ADDLICMI7 FOR SUCN VE WAIT TO FILE A SIGNE� � 6TA7EMENT iHAY ME OR SME IS LICENSEO PURSUANT TO THE PPOVi510N5 OF 7HE CONTMCTORS l6 W � CENSEUW(C1IMTERo(COAIMENCWOW17NSECTION70Do�OFDIViSION�OFTHE8U5ME5SMIDFRO• LL' Pool/Spa FESSIONSCOD�ORTHATNEORSHEISE%EMP7THEREFROMANDTHEBASISFORiMEALIEGEDE%EMP• C7 I� � TION.AN'fV101AT10NOF6EC'f10N7071.6BYANYAPPLIGNTFORAPERMITSU&1ECTSTHEAPPLICANTTO Z Re-Roof /-� A WIL PENALTY OF NOT MOfiE THMI FIVE NUNDRED DOLURS�f SOOIJ: � pI,ASOMME110FTHEPROPEFTtOR1AYEMPLOVEESWiHWA0ESA57HEIR50lEGOM0EN5ATqN, ❑ �mmercial - Z N1LL DO 7/1E WDRK ANO 7HE S7RUCTURE IS NOT INTEN�ED OR OFFERED FOR SALE ISEC.7DtL BU51• J NESS AND PROFESSIOHS COOE:THE CONTMCTORS UCENSE UW OOES NOTAPP�V TO AN OWNER OF � VROVERTVWHOBUILDSONMPROVESTHEREON.ANDWMOOOESSUGIWORKHIMSELFORMERSEIFOR = � THF10Up11HI50HHER01N1EMPLOVEES,PROV10E0THATSUCHMvqpVEMENT3ARENOTWiENOEDOR m W� OFFEREDPDRSALEff,11DWEVER,T1E8111L01NOONIMPROVEMENTRSIXDWITNINONEI'EAROFCOI.IPLE Z TION,THE OWNER�BNLDEH VALL HAVE TNE BVRDEN OF PRONNO THAT HE OR 6ME D�D NOi BUILD OR = r.IGqOVEFOi1THEPURPOSEOFS+LLE�. O I.�S OWNER OFTME PROPE117Y,AM E%GLUSNELY CONTMCTNQ WITH LICENSED COMRAC70R5 � TO CONSTRUCT THE VR6�ECT(SEG 70u,BUSINESS AND PHOFESSIONS CO�E:THE COHTMC70R5 U- V81U31i011 A�J.AFiEA W CENSEIAWDOESNOTAiVLYTOANOV�NEROFACROPERTYWHOBUM50flIMPROVESTMEREON,AND j.L WHOCONTMCTSiOR5Ud1VR0.1ECTSWITNACONTMCTOR(5)LICENSE�VUHSUANTTOTMEGONTMG QUANTITY DESCRIPTION FEE � TORS UCENSE Uw.). � O I�M E%EMPT IX10ER 3EG B.�P.C.FOR THIS REASON � � U u" WTE OWNER r Z w �¢ LICENSED CONTRACTORS DECLARATION W [� IMEREBYAFflRNUNOERPENA�TYOFiERJUfiYTHATIAMLICEN5E0UNDERPRON510N50FCHAPTER Ur p„ Y�COMIAENCiNaWITHSECTION7000)OFDIVISION70FTHEBUSINESSANDPROFESSIONSCODE,�NO Z X MY LICENSE IS N fULL FOPCE ANO EFFECL m L11 .�� 1 � LICENSE CLA S UC.NO. ��-'^o � J V DATE � coHraacToa d . w � WORKERS'COMPENSATION DECLARATION Q = U � INEREBYAFFIRMUNDERVENALTYOFPEiIIURYONEOFTMEFOLIOWIN60E0.AMtiON3: y Z a 0 �IIUVEAND'MILYA�NTAMACEf{i1FIGTEOFCANSENTTOSELF-INSUREFONWORKERS' _ � C0IAPENSATqN,ASiROVIDE08YSECTION47WOFTHEUBGiCADE,FORTHEPERFORMANCE W Of 7HE WOPoC FOR W WCH TH�S VER1AIi 19 ISSVED. � � W _IHAYEANDWILLMAINTAMWORKERS'GOMPENSATIONINSUMNCE,ASflEWIREDBVSECTION n � Q ]7000FTHEUBORCOOEFORTHEDERFOHMIWCEOFTHEWORKFORWHItl1T1115VERURIS . � �' ISSUEO.MYWORKERS'COMPENS�ATqN'IN'�SU�R/WCECARN�EflMlOPOLIL'IMIMBERAflE: CONSTRUCTION � CARRIER -�,TA'R= _-���+�.� PLANREVIEW � POLICYNUMBER �111'1rY��.,_�S ELECTRIC � -�..��- (rwssEcnor�n�meqrsEoa,a�naFn��warsFonwErax�onEnaw�nsls,m�a+�sst PLUMBING - Z ICERTIFYTHATINTHEPERFORMANCEOF11iEWOR1CFORWHIp17HISPERUtTISISSUED.I MECHANICAL '7 �� ��~ U' SHALL NOT EMPLOY ANY FEA�N N ANY MANNEH SO�5 TO BECOME SU&IECT TO THE � "�"'� N WORKEf15'COMPENSATIONI.AWSOFCAUfORN�AANDAGREETHATIFISMOUIDBECOMf INSPECTIONFEE S SUBJE TOTHEVNRKERS'COMVENS�TIONPf10VI5qN50F5ECi�DN]7ooOFMEUBOH ^ COO.1 S �ORT�M�TM COMPLY WI /i]F1�0SE PRDVISbNS. ISSUANCE � O']�.—APPIIGWT. J7 `�-] �- SMIP � p DATE: y W ENERGY P/C I T1�>_ � WARNI �iA1LU ETOSECUREWORKERS'C01dPEN5AT10NfAYERACEISUNUWNLANOSNALLBE SUB1E ANEMPI.OYERTOCRiMiNALPENALTIESANDCMLRNESUPTOONENUNDRE�TF10U5�N0 ENERGYPERM�T •�"�'"r-- DOIURS�5100.000),W/1001T10N TO iHE COST OF CpAPEN5ATI0N.DAMAGES AS PHOV�OED FOR IN � SECTpN�7oe Of iHE LABOR CODE,INTEREST,ANO ATTORNEYS FEES. RETENTION FEE: a CONSTRUCTION IEN�ING AGENCY pqE•ALT FEE: � INEREB��Fi1RAlUNDERCENALTYOFPERIURVTHATTHEREISACONSTRUCTIONLENOWOA6ENCY Z FOR ME YERFORMANCE OF THE WORK FOR WHIq1 THIS PENMITIS ISSUEP(SEC.f0o1,CIV.C.�. W �Z LENOER'S NN.IE 5 � LEN�ER'SAODHE55 � ICERTFYT/WTIHAVEREADTNiSAPPUGTIONANDSTATETYUTTNEABOVENiORMATIONISCOARECT. TOTAL FEES � f a� � W IAQREET000IAPLYN7THALLLfiY/WOCOUNTYORDINANCE51WO5TATEUWSRELATNaTpBUILDINO � � CONSTRUCTION,ANOHEREBYAUTHORREPEPRESENTATIVESOF7HISCOVNTVTOENTERUPONTIE Z ABOVE•NENiIONEDPpOVERTYiONINSPECTIDNPUNPO5E5. � COMMENTS � � tM _ m PEHMI E N '"!T) c4—n � / D�� (n S�U1 HE OF PE��TTEE DATE � �RECPT.NO. PAID BY s VAUDATION WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIDENROD--File Copy,GREEN—Applieanfa Copy � _�'4...���� ..l . .i'. . .'�,.. .... ..'t i � �1� �. .,�T'�.� . � . ..� . �� .� _.. .... ,.�. t. .f.'1 n.. .....�.. �.\...„.�r.:. . n�<• , - �F.. .. . . CITY OF DIAMOf�lD BAR INSPECTIOPJ RECO(�D : i�!�I'���I�.� -_ J�''����. i.z����'��.� -. . . ir�r.�����.t ����' _��`a�.i�� i��.���`�.�� __-___ __ _ _ __ _ _ _ --- _- SET BACK ' FLOOR JOIST .� FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND � UNDER FLOOR DUCT GFiOUND PLUMBING UNDER FLOOR CU�IDUIT � I SLAB GRADE I FIREPLACE FOUNDATION TEMP POWER I FIREPLACE BOND BEAM WATER SERVICE I MID HT.BOND BEAM R�OF SHEATHING _,5���% 8 Ff.BOND BEAM t � FRAMINGNENTILIATION / FINAL BOND BEAPA I ROOF COVER _�I�f� . ! PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING R�UGH PLUMBING � I FINISH GRADING SHOWEWTUB TEST j POOL ELECTRIC ' EXT.LATH/SIDING PODL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION I OFF SITE IMPS. DRYWALL NAILING � � DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPEIIRRIG. � SEEP PIT/L.L. ' ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. - FIRE DEPT. FINAL FINAL HEATING j HEALTH DEPT. FINAL FINAL ELECTRIC � � DEV. FEES PAID FINAL PLUMBING I ENERGY �`;¢�T ,�,� �tae+,� :� . I � . COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE _ ��� . ,�A�� .��; � � ; _ . ~�'' - - ...� " _ ,�