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HomeMy WebLinkAbout16762 (26) CITY OF DIAMOND B AR EX P I R E D J� - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERYICES Zi�o�.c���ynri��s�c�i90 JUN 19 2002 � (909)860-3195 Fax(909)861-3117 PRES$ ��+'�^�� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE APPLICAT PERMIT P/C o ADDRES �� DATE_ � NUMBER A c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER ��� �- ZONING SEfBACKS � CITY� TEL. FRONT RW ❑ APPLICANT T�i � REAR O � SIDFJSIDE STREEf RW O CONTRAC SIDE C] p� ADDFi SS ' 0 C�7'y u d PROPOSED USE � ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS � CfTY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECUTAATION SFR/ADD/REM O 1 HEREBY AFFlRM UNOER PENKTY OF PEitRlRY TiAT IAM EXEMFT FROU iHE tONTMCTOR5l4 Garape/Carport B CENSEUWFOR7MEWLLOWNORE/150N(SEC7W1.68USWESSANDiROFE5510N5CO0EANYCT'OR (n C� COUITYWFIICMREOUIRESA7ERMRTOCONSiAUCT.ALTERMPROYE,�EAqUSM.ORREPAIHANY5IRUG W PatiolDeck 6 '►i1RE,VRIOq i0 tTS ISSUAHCE,FLSO REOU�RES iHE AGPLICAMT FOR SUCH VERMIT TO FILE A S��NED . w .� bTATEMEHT 7HAT HE OR SHE IS UCENSED PURSUANT TO THE CROVISIONS OF iHE CONTMCTOR9 l4 � CENSE LAW(tlUP7ER 0(COYYENCWO W17H SECTION T000)OF DMSION 7 OFTHE BUSINESS M1D PRO• � POOUSpB iE55qNSCODE)ORiHATNEOR5ME15EXEMPTiHEREFR0IAANDTHEBAS15FORiHEILLLEDEDE%EMP• TqN,N1YVIOLATqNOFbECTWN70.71.68YANVAPPIICANTiORAPE1NAiTSUBJECTSiNEAPPLIUNTTO Z qa-Ropt � A CML iENALTY OF NOT MORE TH/�N FNE NUNOf1ED DOUMS(tsco}): ' O O�ASONMEROFTHEFROPENTl,ORMYEMPLOYEESVnTHWACESASTMEIi150LECOMPENSATqN, 0 �mmerclal � IMLL 001ME WORK AND TME STRUC7URE IS NOT INTENDED OR OFFEREO FOR SALE(SEC.7oN.BUS�• J ►ESS AND PROFESSqNS COOE:TME COf(TMCTORS LICENSE LAW DOES NOTAVPIY TO AN OWNER OF N iROPERTYNR10BV0.D50R#IFRO'VESTHEREON.FNONMODOESSUCNWORKHIMSELFORMERSELFOR = � TNROU6HIp50RHEROYMEMPLOYEES,VROVI�EDTHATSUCHWPROVEl1ENTSMENO7N7EN�EDOR m OFFEAED PoR ShLE F,NawEVER7HE BULDINOOR/APRO�FMEM lS SOID VnTMN ONE YEAA OFCOMVIE• TIDN.TNE OWNER-BULD[R WILL HAVE ME BUROEN OF VROVIN�THAT HE OR SME DID NOT BUILD OR = MAPROVEFORT//EPURPOSEOFSrLE� w plASOVMEROFTHEPROPERTY,AMEXCLUSNELYCONTMCTNGWRNIICENSEDCONTRACTORS [C 'N COHSTFRICT THE PRO.IECT(SE0.Tosl,BUSINE55 NA PPoOFf5510N5 CODE THE CONtMCTORS lt- ValUBibff ADJ.AREA iii CENSEU�NDOESNOTAFPLYTOANOWNEHOFACROFERTYNM1qBU0.D30AMPFiOVESTMEREON,AND z� vmoca+rw�erscoasua�vaaeers�nn+�eartw�eronest��o+seovunsuu+rron+eeor+ra�c pUAfVTIIY DESCRIPTION FEE � loasuc�seuw.�. O 1 AA1 fXEYPi UNOER SEC. B.l V.C.FOR TNIS PEASON � U � . �=' W7E OriNER U � J UCENSEO CONTRACTORS DECLARATION W � IHEREBYAFFlIiMUNDERPENALTYOFPERIURYTMATIAMUCENSEDUNDERiROV15lON50FCMAPTEH . s �(COA9AENCWONRiNSECTqN70o0)OFDMSION70FTME9USINESSANDVROFESSIONSCODE,ANO Z "� u� W UCENSE 6 N iVLL i�OHGE A�NDr EFFECL ���� / � O � �7 p,., UC S �v LIC.NO. J i� 'wrE coKrrucro a T � WORKERS'COMPENSATION DECLARATION a � INEREBYAFi�RNUNOERVENALTYOFCE0.AIRYONEOFTNEFOLLOWINGDECIARATIONS: � � Z a � _IHAVEMIOWILLMAINTANACERTIflCATEOFCONSEMTOSELFJNSUREFORWOfIKERS' _ � OOIAPENSATqN,A3PROVDEDBY6ECTION17000FTMEVBORLODE,fORiHEPERFORAIANCE W OF THE WORK FOfi WMqI THIS VEN.�IT IS ISSUED. � � �I MAVE AN01MLL AMMTAIN WONKERS'COAIPENSATION INSUMNCE.AS REOUIRED 8Y SECTION QQ i7ooOf7HEU80RWCE.iORTHEVERFORMANCEOFTHEWORKFORWHICHhdSPERMRIS ISSUEO.MYWORKERS'WMPENSA710NINSURANCEG1HRiERM10iOl�CYM11A8ERM[: CONSTFUCTION jCAMIER PLAN FiEVIEW � POLICYNUAeER ELECTRIC � � �resseeror�r+�mrqtgEon,st�ocnEva►.�rs �oa�[ss1 PLUMBING J_ ZICERTIFYTHATNTHEPEAFORMANCEOFTHE .FOR HIp1M -� SISSUE0,1 MECHANICAL (� SHAI,L NOT EM7LOY ANV VERSON W ANY MPflNE O BE �GT TO ME � WOPoCERSCAMVENSATIONUWSOFCALIFOii ,AN GREE7 SNa1lU8[COME INSPECTtONFEE S SuOJECTTO EVIOP)(EPSCOA�VENS�TIDN 10N5 �7000FTHElA80R , i /�7c,�-s �nT�coraairwm� �vqrnns s. ISSUANCE � /y/7 SMIP p DATEr_1(/ ,_,� APPLICANT: . w ENERGY P!C � WAANIN6:FA0. TOSECUREVIOfINERS' PENSATIONCOYEMC[ISUN .AN SMILLLBE SIAIECTANEIAPLOYERTOCRMWALPENALTIESANDGVILFINE5UPT00N ND -DTHWSAND ENERGYPERMIT OOLLAR5�S1oo,000).N/DDRIONTOTHECOSTOfCOA1PENSATpN.DAMAG SISPR ViDEDFORW _r.1 SECf10N77oeOF1NELA00RCO0E.INiERESi.ANDATTdiNEYSiEES RETENTIONFEE: �`��� � � � � Y� � a CONSTRUCTION LENDINGAGENC PRE-AlT FEE: - � � � � IMEREBYAFc�RA1UN�ERGENAITVOFPERJURYTHATTHEREISALONST{iUCT10NlENDINOAGENGY � � Z � GOH TNE V[RiOH11ANCE OF TNE WOFK FOR WHIGI THIS GERMIT IS ISSUED(SEC.JOV7.CIV.GJ. W � LENDERS W1ME � � LENDERSADORESS --� ,�1 � ICERTIFVTUi1HAVEREADMISAPFIICATqNANOSTATETTUTTNEABOVENFORIAATONISCORRECT, TOTALFEES r�� ��� �U d I AGREE TO COYPLY M1TH ALL CIiY ANO COUNTY ORDINANC[5 AND STATE UN5 HELATING TO BURDINC �� CONSTRUCTION,AFID HEREBv At1i/10RIZE 9EpRESENTATNES Of TMIS COlM1Y TO ENTEN UPON TME � F80VE EDVNOOERTVFORtNSPELYl04PUR70SE5. COMMENTS � � � �(! QvEwai�ea.v.�eryarrt� � � (n SKiNATUREOFVERAU TE . S RECPT.NO. PA1D BY � VALIDATION F— WHITE epa ment Copy,YELLOW—Finerxe Copy,P�NK—Asaessa Copy.GOLDENROD—Flla Copy,GREEN—ApplicanPs Copy �.' . . . ... „ ., .. •.C.' . �y�' . . �, .. .. ,� .. . .' . .. � i� ... � . �. . � .� , � , . � �. . �. • . • ... � , CITY OF DIANIOND BAf� . � .- . . . - ;- INSPECTION RECORD � . �I��+����c��'ts���l - '���P�:= �li!k-����'��� +r��l►�l-y:.1-r,?`:'p���`j� _,..'F���`�i'�.. ._��►�f-'�:,a�r�;�;��.._' r�.� :SET BACr ' � � , fLOOR:JDlST (� `� . � �� ,- , _�_ . � ..� ;FTCS/FORMS/STEEL ' . . _ ; ; ,;� FHA REQMTS _ . ' ` —= `ELECTRIG GROUNQ__ _ _ _. : ' ' l !.i UNDER FLOOR DUCT � � - — ... .--- `•GROUND PLUMBING � UNDER FLOOR CU''��UIT ' _:�. _ .,. , SLAB GRADE ---- ' ' - - - - � FIREPLACE FOUNDATION . ` • - , I .TEMP POWER � ; FIREPLAC�BOND BEAM. . , ` �-' —1 iWATER SEFV{CE MID H7. BOND BEAP,1 � ' - ' � , iROOF SHEATHING 8 FL BOND.BEAM - ! : iFRAPfIfRGNENTILIATION - - - FINAL BOND BEAM � � : ; IROUF COVF_R �' PRE-GRADING - - ROL'GH H�ATING' _ _ _ _ BENCHING __ . � ;ROU�aH.ELECTRIC_-: - ',. ' . ; , . ' � ROUGH GRADING _ _ ;ROU:_�!:.PLUMBING - ' -.-�-- - ----._ _-. ' FINISH GRADING ! �..__� ;SHC:��C:.RlTUB TEST- ' - --_ -- - .--- ___ i. _ POOL.ELECTRIC � '�XT. L=tii HiSIDING _ _ _. ___. :_ POOL�FENCING �lN�L�-1NSULATION _ . __ __ _ _ POOL FINAL <<Cr�IL�NG tf�J�ULATION + OFF SITE IMPS. `DRY'v'JI�LL NAILING _ _ DEDICATIONS : ` �j����%ER -- -- _ _ _ _ FINAL ENG: : . , , ��S�.f'-E�7ANK ! LANDSCAPE/IRRIG. , � �' "�""G �='+/L.L. _ _. _ ON SITE IMPS. o_r _ ,. . �� . � � ?I:;'�;�'�E'.T�ST i , , FINAL ZONING � ' � _ __ _ _ - I'_._��;' : .��idST,.-�--- - - - _ _ . FIRE DEPT. FINAL _ � ':;`__;:IEATING _ _-- __ _ __ HEALTH DEPT. FINAL _ � � . _ .- • - , .. ;I---::.,zLECTRI:; ❑EV. FEES PAID _ . _ . _. ...- —.-- , ;---- .. PLUh181NG . ;._. _, � • ; � ENERGY ' . • - ..�- . , -- .._ _.. _ ..._. • , _ } - - --- - - � -.,' � - -- . - .�9=. �j:.n.a� �tri� _..�.__ __.:.� ,, � �—�=-- . . ---- . . , . ---. .- - . _ _. -- -. __. . _ , , , ,,, . , i _, . . _ , , . , - _ __--._ .___. . _.. ._ ... - --- --- ;i"�!=``��'1MENTS , _ _ . ._ _ •, ; �---- - - __ ___ , � , _ . � , � _ � . __. __. _ � ; , _ . , _ i --_ _ _ -- _ � � ;- . . , , - ;SEPTIC TANK S1Z� . -` . ', � _ . ._.., .._ •-- ... s !SEEP PIT/U StZE - _ . . '. -_ _ ' ; _ �;�v�T - ^1 � � = � f' _jl;i; , : � j � _ , � _ _ . _. , , . - - _ . . _ , � 7 - __ __ _ . . .. . . _ _ _ ����� �I _ ; _ , _.. _ _ .a _ _ ; ' I , _ _ _ , _ __ , . _ , . . . .__ . . . � . _ ,� . , ., . . _ . � _.�.._. Y�.'�... -.�_, i __._.. .... --