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HomeMy WebLinkAbout13711 i. . CITYOFDIAMONDBAR ' EXPIRED �� - DEPARTMENT OF COMMUMTY 8t DEVELOPMENT SERVICES 2i�o E.c�i�Y nr;��s�c�i90 0 C T 18 1000 (909)860-3195 Fea(909)861-3117 ' � PRESS ����^� BUILDING PERMIT APPLICATTON FIRMLY y JOBStTE ..,� APPLICATION�' 2.L r`L� PERMR I �-,�I I P/C o ADpRESS - DATE -1 NUMBER,l,✓� l �f � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GHOUP p OWNER ����.t>f p i tt�...� -a � ADDRESS L . ' ZONING SEfBACKS � CIN • ZIPf TEL..��i�P�15� q�RT RW ❑ APPLICANT TE�• SIDFJSIDE STREET RW O � CONTRACTOR ����P �'" � SIDE ❑ g ADDRESS � ' ' _ PROPOSED USE CITY r���%--�+ ' ZIP 7 TE Si ARCH/ENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SO.Ff. FACTOR PSF ADJ.AFEANALUATION O - OWNER•BUILDER DECLAFiATION SFR/A00lREM QQ I MEREHY AFFlfYI UNDER VENALtt OF FEtWFiY TW�T I N.�D(EMPT FROM TME COHfRACTORS LM GampalCarpoR -� - W CENS6UWFORTHEFOILOWtlJCPFl50N(SEC70.71.6BUSINESSANO7NOFESSIONSCODE:ANVdTYOR (n ST ca�nrrrwrna���s�v�wRtocorrsrwcT,ALTEiLWVAOVE.DEIAOL�SM.ORREPAIRANYSTfiUC• W -PatiolDedc - � IURE,iR10R TO R9 ISSUANCE A150 REWIRES iHE MPLICANT FOR SUp/VERAIIT TO FRE A SIONED - W BTATEMENT iHAT HE OR SHE IS LICENSED PURSUANT TO iHE OIpV1510N3 OF THE�!lTRACTOA9 U•� � CENSEUW�Q/A➢TERi(COMMENGNOYIITHSE�aN7oo010FDM510N70FTMEBU5INESSANDiRO- �' PooVSPa FESSqNS COD�ON THA7 HE OR SHE IS ExEMPT THEfiEiHOM AND iHE BASIS FOR THE ALLEOE�EJ(EMP� TqN.ANYV10lA71ONOFSECTqN1o71.S8VANYMPLIGANTFORAPERIAITSUBIECTSiHEhPPLICANTTO Z Re-Roof � , � ACMLPEN�LiYOFNOTMORETMANFIVEMUNOREDDOILARS(t5oo�.k ' � OI�aN'NEFOFTHEPRODEpT7.OR1AVE4vLOYEESWITHwA(iESASiHEIRSOIECOMPENSATIdJ, 0 �mmercial - M/ILL DO THE WOq(,ANO iHE 8iRUCNRE IS NOT INTENDED pR OFFEREO FOR SALE(SEG 70N.BU51• J � NE54ANDPI10FE5510NSCOOEiHECONiRACTORSLICENSELAWOOESNO7AVPLYTOMIOWNEROF � � PROPERT`/YM1ABUILDSOR�dPHOVE47HEREOH.I�NDMAI0DOE45lKHWORKHIYSELFOHNE0.5ELFOR m (= TMROUGHIaSORMERO'M7EANLWEES,PR�YIDEDTI7ATBUCHWPROVEMENTSMENOTMENOEDOR � � OFFEREDFORSALE611OWEVE0.7ME8l1LDIN4OR�IVROVEMEHiI550LOWITHMONEYEAHOFCOMRE• z TqN,THE OWNER�eUILDER WILL N��E T1E BUFDEN OF PROVNO TFWT HE OR 51rE DiD NOT BUIID OR. � � MiROYEFDRTTIEPUHPOSEDFSALE} . O 1+�4 OMINER OF 1HE GROPE�:�EXCU15NE1-Y CONTRACTNQ MATN LICENSED CONTMCIDR3 TO ODNSTRUCT h1E PROIECT(SE0.fWr.BUSINC55 AND PROFESSIONS CODE:7HE CONTMCTOqS U- 'VylUdfbn ADJ.AREA CH�ISE UW DOES NOTMPIY TOAN OYMER OFA7FlOPEftTY WMO BUlDS OH IMPHOVES THEflECN,AND W1qCOMH11tt9FORSUpIPR0.1ECT3WR51ACOHiRACTOR(51LICENSEDOURSUMITiOTHEWNTMG QUANTITY DESCAIPTION FEE �� � ra�s ucEnse ww.p O I AM EXEAIM UNDEh SE4 B.t P.C.FOR THIS REASON U 3 � � pATE OVMER �"' . W � UCENSED CONTRACTORS DECLAHATION W � 1HEREBVAFFMYUNDERPENA:TVOFPERAIRVTNATIAMLICENSE�UNDERPNOVISiONSOFCHAPTER Vr � ��COMMENCY10WIiM5ECTqN7ao0)OFDMSiWl�OFTHEBUSPIESSANDPROFESSION3GODE,AND Z W LICENSE IS N NLL FORCE AND EFFECL m � LICENSE CUSS(��� LIC.N0. I J �j DATE �%�Z.��'�r CONTR/lGTO � n• W � WORI�RS'COMPENSATIONDECLAAATION `-31 Z ¢ � INEREHYAFFlRMUNDERPENALTYOfPER1URYONEOFTHEFOLLOWwODECUMTIONS: U y / Z 0 LI/IAYEANDWM1LMAMTAPIACEHTIFlCATEOFCONSENiTOSELFdNSUREFORNqRNERS' S - � CdAaEN3AT�ON.ASPROV10ED8YSEC710NT/ooOFTHELABOHCODEFORTHEPEHFORMANCE W Of TIE WOPX FOR N711GI INIS 7ERAIIT�5�SSVE�. .� � �IMAVEAtlDWM11MANTM7YVOHKERS'COMPENSATIONINSUMNCE,ASREOUIPEDB�SECTION QQ 770oOFT1EUBOqCOOE,FORIHEDERFORI/ANCEOFTHEW01iKFORWHICMiHISPERM1T15 . {SSVE0.AKYARNEFS'Cd��PEN3ATqNWSURAl/CEGARIEH�l1DPOLICYNUMOER�E CONSTRUCT�ON � CARRIER � PLAN HEVIEW � POLICV MIAIBER�rL` �� EI.EC.TRI(�. � (f�gEQp1NEIDNpTpEC�qLETIDpFnEpEpMftSPoqoNEraM%YDDatAfs(Stao)OaL6S�. PLUMBIN�G__�._,_ 1 Z ICEqTIFYTHAiNTMEPERFORMM7CEOF7MEWORKiOHW111GIT115PEMAIT�5155UED,1 MECHANICAL +^�'� (;} SNALINOTEMDLOYIWYPEASONNMlYWN4ENSOAST09ECAMeSUBJECTTOiHE '�, S� . � � WORKER5'CO�dPENSATI0NUW50FGLLIFORNItiANOACREE7HATIFISHOUlDBE0�IAE INSPECTIONFEE SUBJECTTO iNE W�DRICERS'COMPENS�TqN PROVISIONS OF SECTqN�70o OF T11p UBON / coo�,isriui.Famrmn�cor.�c�rwitHnios rrro�sious. ISSUANCE � ,�7. f� �3'""'Y'� SMIP 1!IR1 n C� AP1f1(1 ----- - - W CATE:�� � APPLICANT: � � '--r' , ENERGY P!C ��"��V�V � WARNINC3:fAILURETOSECUREN�ORKERSCOMDENSATIONCOVERAGELSUNLAN'RR..ANDSMALLBE � � SUBJE��NEMPLOYERTOCflIMRULPENALT7E9�NDGYILFMESUPTOONEHUNDRE0T10U6AN0 ENERGYPERMIT C'T�.r�F�j� 1�,�`�i:J�J �fi•�� OOLlARS(!f o0.000),M ADDRION i0 iHE C06TOF COMrENSAT�ON.0AMR0ES AS PROYIDEO FOH IN - �^�� � 8ECT10N]7oe OFTIE LABOn CODE.N7EREST,ANDATTORNEY'S FEEA RETENTION FEE: Fi�i e! S'��,.": f�.Y•i!;.:';".i��=� '' ii CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREeVAFFIMIUNOFRFENALNOFPEiWRYTNATTNEREISACONSTRUCTIONLFNDINciAGENCY � Z FOR TME PERFOfUW10E OF TNE WORK FOR VMiCIi TH�S PERMIT IS ISSVED(SEG�Oa7,pV.G). W � IENDER'SNAME � LENDE�+S�RE55 � ���E o�.,��T"�"K p��«�T��osT�"�Wg°A"u�o��� TOTAL FEES � . � CONSTRUCTION,ANONEREBVAUTMOR2EREDRESENTATIVE50FiHISCOUN7YTOENTEHUPONTHE � • � ABpYE�MENTIONEDPROPERTYFOHINSP CTqNPUHPOSES. COMMENTS � � � �� � �,� / � VERIAITTEE E � (,� '¢ N — y 61G OF ER EE oATE � RECPT.N0. PAID BY VAIJDATION WMITE-0epartment Copy.YELLOW—Finence Copy,PINK—Asseua Copy,GOLOENROD—File Copy,GREEN—Applicant's Copy . ' ' ...- , , .,. . .. � . , . � r , . . .t. , .. .x . , n... ,, l'.r:' �ci_... � , �.. .r.... �'rl . . h rJ`.i�3�,;;� CITY OF DIAMOND,BAR , , ,,., , . .�: ,. :. .. _ . .':� � i j�0 C' ._. '': .`."1- =1NSPECTIONaRECORD '�'., . , :' � . � �,�1�_'j � _ .! ! . _ .. , ; .-. . , .� � '. �:- _ �� �r►���;�����r��� � ��.���� ����-��' �.—,��=� •�i��������w��r�� . ���,���� m:r►� �;����:��r� .. .....s,.�.�. �. _.�r._.�.......�.�.�.� _ ��_�_� � iSET BACK I I\c �—, � �'. ��, I , .I c� FLOOR JOIST � c_ . � � � . : . , . ., .. _ , , _ . , �.. ' I FTGS/FORMS/ST E '- - • ... _ ' .. . ; ._ ,FNA REQMTS:: _ _ . •, .. - - - - - ' ; --- IELECTRIC GROUND___ __ _ _.-- _" - - -_ . --. - -- --. UNDER FLOOR DUGT �- ' - ' � !GROUND PLUMBING � UNDER FLOaR CCJ'�:�?UIT�"� '`,`- " ' ' '-� ' - � �,. -, •. . . . , . . . . .. ISLABGRADE-- -- �� ` - ----- -- �- '� ' FIREPLAGE�FOUNDATION'•,- ��' . —. � � . ---__...._._ _.. .. -- - - - -- �TEMP POWER� �.: FIREP[ACE BOND BEAM' - ' ' ' ' ' ' � , ,., ._., �,: � WATER SERVICE- - - -- ------ -- - - --- - -. �_.. MID HT. BOND BEA�.1 :,�.' '`, � �. �,. . . _,� - . - , ,., , IROOF SHEATHING _ - - - '-.:� : S Ff.BONb BEAM '-_-' - ��� - - __ _ ,, � . � . ,. , � •. 'FRAh.11RG,NENTIUATION --- ---- - FINAL'BOND BEAM ' 'ROOF C�VFR . � PRE-GRADING --- -- - -- - ' ! :' ' -- - ;ROL'GN NcATING _ .-.: _ _ . _� . --- - -- - - : :: .. .. 'BENCHING ._. , ., � IRQJ�µEZECTFiIC __L__ :_ :;:�._•_ ' -:: :� ' � � :; .� : - ROUGH GRADING --- - - - --- -- - -- ------ z IROUC7�-PLllMBING -�-- �- - - - ----' --- � " " FINISH GRADING � � !SHG4���R.rf'UB TEST-; -- -------- ; - _ _ _! - '--- POOL ELECTRIC , : ; �_-- E�XT.-Lit'HrSlDfNG—� POOL'FENCING . . , ' i - -------- ---.._ _�._..__.._.._. ��^lA�t-tNSULATION- -J-- --_ --- � -- - I--- - OFF SITE•IMPS. ,. . , POOL FINAL , J, � � -- --- -- �-- -- � --- -- -- , ��CriLtNG1r:�ULATION�--- ; ' —_ - - "- "-- - DEDICATIONS ` iDRY•IJALCNAILING -�- - - , � - �:.c�^!ER - -- --� - - - - - - - - FINAL ENG. ,.. , - �17E:P�IC l"ANK � � LANDSCAPE/IRRIG. - �iSLEP LiTILL. - - � . ,:.; ON SITE.IMPS. • . �� : ;;, --i.��;�ST ' , ' FINALZONING ` ' _ i li�t_l __.:�:�NST. '- ---_ - - - - - _ .- FIRE DEPT. FINAL� _ , , � I �- � � � . _ - - i ii_1_.;..,�-IEATING----- _i . _ HEALTH DEPT. FINAL - - - _ -- � -� - - _... ;�_j�._._cLECTR4L---- ----- -- - -- -;� . DEV.FEES PAID � '���:i--i-- _ _ -- :- \^� ! -�;'�PL �1BIN� --._ - - -� - - - ENERGY . I � (_ _ . __�..__ -- --- - • . , • ! _ --- ------- - - -- - -- • - - � -- � -- i I ..._. � _. _ -�_--- � --__ — - i�-- -�- - --- - --- - - - - —- --'._. .._ - - - ��r: , � . .__ . - �� e ..,tc,����"�` _..._...._ ' • : - � , _. , ". r�.� �.: : . . __ � -•-- -- . ` ti\ " ._" __ ' _' _ __. .___" "_.___. _. . _.__ _ ._ __. _ _ . .. .I , �.'� ''` _ � . , ," "_ , , _ ;`�.�4��v�NiENTS � � r-- ., i .; . _ , , ,. - . , . . , i � „ 1 I , t--- --- - ---- - - - - , - - -- - _ . _... -- — . .. � „ �-- ---- - � ' r , � , � i I .. , ; '•.� � , . �. ,. , . , , �..� - . . 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