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HomeMy WebLinkAbout11300 - _ . . .... _ __- - ---- __- - --- ----- - - --------- � ._.------� ----- ------ --- - - -- CITY OF DIAb10ND BAR . COMMUNITY DEVELOPMENT DEPARTMENT � '�-:.� 21660 E.Copley Drive Suite 190 PRESS (909)86Q3195 Fax(909)861-3117 , �""' BUILDING PERMIT APPLICATION FIRMLY o DDRESS ��oCl �G1����n II _ DATECATION Z ZL� � NUMBER � M,C ISSUE TYPE OCC � APN LOT TRACT � DATE CONST. GROUP p OWNER � "-' ADDR S ZONING SEfE3ACKS � z CITY P���TEL. - �' FRONT RW ❑ o APPLICANT � TEL. - - SI�SIDE STREET RW O mCONTRAC70R����` C .P/ SIOE ❑ � ADDRESS - � CITY ZIP TEL. ' PROPOSED USE o ARCH/ENG/ . . . iz OESIGNER NO.DWEL P�O. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q - -OWNER•BCILDERDECLARATION SFP/ADD/REM � � � - O p I HERLBY AFFIRM UNOER VENALTY OF VERJURY THA7 I AM E%EMPT FROM TME GONTMCTORS LI-' GardgB/C81pOR � " W CENSEUwFORTHEFq.LOWINCp[ASON(SEC.70.71.SBUSINESSIU:DPROFESSIONSCOOE:ANYqTYOR (n � ZCOUNTVWNI67qE0UIRE5RPEHIAITTOCON57RUCf,ALTEf�IMVFOVE.UEMOlISH,OfiREPA1NMfY57FUG ' W patiolDedc � NRE.PRqR TO RS ISSUANCE.A150 REOUIRES THE APPLICMI�FOR SUCH 7EHMIT TO FllE A SIGNED W STATEIIENT TNAT NE OR SHE IS UCENSEO PURSUANT TO iHE GROVISIONS OF TME CONiRACTORS L4 W � CENSEUW�GI�PTERY(CAMMENCINGYYITMSELilON7000�OF01VI510N70fTFIE8U51NE55ANDPRO- u' PDOVSPB � . FE5510NSCODE�ORTw1TNEORSHEISEXE�PT7N[REFPOMANDTNEBASISFORTNE/�LLE�fDEXE4P- (7 � .V TION.ANVYKKATIONOFSECTION707�.68YN1YMPLICANTFORIICERMITSU&lEGTSTMEIIPPIICANTTO Z Re-Roof A pVIL PENPLTY OF NOT MORE TFUN FIVE HUNORED DOLURS(f So7).): Z ❑I,ASONTlEROFTHEPflOPEHTY.ORMYEMPLOYEESWiTMWAGE5A5THEIR50LECOMPENSATION, ' � COfRrt1BfC10I WILL 00 THE WORK.�11D THE STRUCNRE IS NOT IMENDED OR OFFERED FOq SALE(SEG 70N,BUSF J � NE55 AND VHOLESSIONS COOE:THE CANTRACTORS LICENSE UN�OOES NOTI7P�Y TO AN OWN[N OF � PfiOPERtt WHO BURDS OR R+IPROVES iHEAEON,AND NMOOOES SUCH WORK HIMSELFOR NERSELF 011 ' � CL T1IROUCHHISORHERONTIE�PLOYEES,iRONDED7HATSUCHWPROYEUENTSARENOTMENDEC00. m W OFFEREDFORSALEff,MOWEYERTMEBNLdNGOHMPROVEMEN71550LDYATHINONEYEAROFCpMPLE- ' z T�ON.T11E OwNER�BUItDER WILL HAVE TNE BURDEN OF PRONNQ THAT NE Oq SHE DID NOT BUID Ofi � IMPHOVEFORTMEPURPOSEOFSALE� � W 04ASOWNEROFTHEPROPERTV,AMEXCLUSNELVCOMMCTWCWITHLICENSEDCON7PACTORS , Ti� � TO CONSTRVCT THE PROJECT(SEG 7D1l.6USINE55 Ml0 PHOFESSIONS CODE:THE LOMMCTORS L4 V3IU01i0f1 ADJ.AREA � - W CENSEUWDOESNOTAPP�YTOANOWNEPOFAPROPERTYNRIOBURDSORIMPFiOVESTHEREON,AND ' -� WFIOCOMRACTSFOFSUCHPROJEC75MATHACONTHACiOR(5)LICENSEDPUHSUANTTOTHECONTMG OUANTITY ' OESCRIPTION FEE � X TORS LICENSE UW.j. ¢ ❑I AM E%EMP7 UNDER SEG. 8.6 P.G FOR iN15 REASON U � � � DATE OWNEH � Z � � LICENSED CONTRACTORS DECLARATION W � IXEREBV�FFIqA1UNDERPENAITYOFGERIURVTNATIAAILICEN5EDUI:DERCqON510N50FCHAPTER �O„ 9(COMMENqNGMniHSECT10N70vo)OFO�VISi0N70FTH[BUS�NESSANDPfO�FES5qN5CODE,MID Z t �L X MY LICENSE IS W FULL FOP /w0 EFFECT. � _ 0 LICENSE CUS LIC.NO. 0 � V DA7E CONTRACTOR d W. � � -�� ' ��- �� "" WOflKERS'COMPENSATION DECLARATION • � �� a - � � � �� � � -- _ , . . NIMEREBYAFFINMUNDERiENALT'OFPERNR�ONEOF7HEFOLLOWINOD[CIMATpNS: `�] ,�c �; Z �_ � �--� ;:�; , '"" . 1. . .) . ♦ .� ... . .t . � ¢ ' � _IHAVEMAWIL�MAiNTUNACERTIFICAiEOFCONSENTTOSELFJNSUqEiORWDqKERS' _ � . COMPENSATION,ASPROVIDEDBVSELTON77ooOF7HElABORCODE,FORiMEPERFORMANCE W � � Q /9FiNEWOiLCFORN7iICHTHtSPERMITISI55UED. � w - IHAYEANDWILLMIUNTAINWOflKERS'CAMPEN511TIONINSUFiANCE.ASPEOUIRED6Y5ECfION Q __ 37000FiHEUBORLODE,FONiNEGERFORMANCEOFTNEYJORKiORNT11d17HI5PEflM1T15 J ISSUED.MYWOflv RS'CO AjIONIN5UILWCECARRIE nPOUtvMIMeEaME: CONSTRUCTION , j GRRIER � �' PLAN REVIEW onoucrNuuo�n ' Ey��^!�- . ¢ /,,,�, 0 (MSSECIIONNEmNDT8E00M%.ETmOF71EPFFAtt6PORONEFR�17FlE00011AR51S10%OftlE551 _YLUMBI . I Z I CERTIFV T/UT W 7ME VERFORMANCE OF 7HE WORK FOR WHiCH THIS PERAIIT lSISSUE�,I MECHANICAL U' . SHALLNOT EMPLOYANY GEfl50N QiM1Y MANNER SOA4 70 BECOMC SU0.1ECi TO TME (n WORKERS'COM7ENSATIONUN�SOFGLLIFORNI�ANDAGREETHATIF15110ULDBECOME INSPECTIONFEE - SU&lECTTOTMEWORKERS'COMPENS�T PROYISICNSOFSECT�ON77ooOFTHEU80R �7 CODE,1 SH FOA 7H G0IAPLV WIT �OSE PqOV�51 ` ISSUANCE �� I!/� 0 p�� � p DATE:���APPLILANT: �1 �� SMIP J WARNINC:fARURETOSECUHEWON(ERS'C0IAPENS�TqNCOVERAGEISUNUWFUL..IMDSHk�BE ENERGYP/C • � SV0.IEGTANEMPLOYERTOCRIMINPLPENALTIESANOGINLFINESUPTOONENUNOREDT110US,WD ENERGYPERMIT � DOIUitS(f�00,000).W ADDITION TO THE COST OF COMPENSA710N.DAMIIGES 1�S VROVIDED FOq IN � SECTION]7080FTHElA90RCODE,INTEREST,ANDATfORNEY5FEE5. ' � RETENTIONFEE: � �o CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � IHEREBYAFFIRMUNDERPENALTYOFPERM1IHYTl1ATiHEREISACONSTRUCTIONLENDINGAGENC/ � FOR THE PERFORIAANCE OF THE WONC FOR NM1IICM THIS FERAIiT IS ISSUED(SEC.70o7,GV.C.). Z W � LENDfR'SNMIE F— LENDER'SAOORESS � � w� TOTAL FEES � ICERTIFVTN�TINAVEREADTHISAPPUCATIDNANDSTATETMATTHEhBOVENFORMATIONISCORRECL • , � IAGREETOCOMPLYWITHALLCfTYANDCOUNiYORDiNANCE5AND5TATEUWSREUTINGTOBUILDINC � fAN57HUCTION,M!D HENEBY AUTliORRE REPRESENT�T!VES OF TXIS COUNTY TO EMER UPON THE ' � ABOYE�MENTqN 0 iROPERTY F�PECTION P � � � � � COMMENTS � L m PERMITTEEN (PRINT) � � � � ¢ 2_2 � �� y SIGNANREOFPERMITIEE OATE � RECPT.N0. � FAID BY VALIDATIO � WHITE-Deparlment Copy,YELLOW-Finance Copy,PINK-Assessor Copy,GOLDENR06-File Copy,GREEN-Applicant's Copy ... ... . . -. . _ .. ,- .. , - . . . .. .. �. ' .... �.'." P�r.:•.��. .-� . .. . . . " ' . . . . �.. .. • .... i 1. . .• • , ... _ � ,� +, CITY OF.DIAMOtVD BAR: '. ` ; ",-: ' . • � - � � �'� �� `' INSPECTION RECORD ''� . - . ,. ,-: ::-'_, ; - , , , , �� , . ,. . �,. �. Ja • e � '�c�,j�o ; �.1��..�.'����,,� a �. e ' s ,: ' . _ _ , SET BACK � - •� , � �,FLOOR JOISTt -�. .. . . - ._ - - F�'GSlFORMSlSTEEL ' ' - - FHA REQMTS� ' - • ' �- •- - � ELECTRIC GROUND • UNDER FLOOR DUCT � �.' ' - . . . GROUND PLUMBING � - - - --- � - UNDER FLOOR�CURIDUIT��_�..; _ ; . '�� . . . '•• _i � __... . . SLE18 GRADE - - - ' _ _ - ' ' FIREPLACE'FOUNDATION . •-=� . •..- , , -.: � . . . _ _... TEMP POWER - � = =- - - •� - = •- FIREPLACE BOND BEAM ' � " .. , . ,. �_ � WATER SERViCE ��•'•' � : � � : • � ' MID HT. BOND BEAM �- - � ' ROOF SHEATHING � ' 8 Fi:BOND BEAM � : . FRAMINGNENTILIATION _.. � ' ' ' .FINAL BOND BEAM - - - -� ROOr COVER- ._.._.. .. . ....- -�--- - -:--- PRE-GRADING ..; ;�;� ._. ROUGH HEATING . _ • : - - = ' _: ' ' -'- BENCHWG -- ROUGH ELECTRIC , - � � -= - ROUGH GRADING ., � . ROUGN PLUMBING ' - - - --- ; " --- �-. FINISH GRADING ' ' ' , .. SHOWEFllrUB TEST �� -- -" � - -- - POOL`ELECTRIC •: � • � EXT.LATH/SI�ING - ` - . . . POOL FENCING . I - WALL INSULATION POOL FINAL � : . CEILING INSULATION OFF SITE IMPS. . � , DRYWALL NAILING ! DEDICATIONS SEV'JER ---. --- .. __i. .. ....... _.. _ .__. FINAL ENG. � ;,: •� ' SEPTIC TANK_-_-_.: _. _ .LANDSCAPE/IRRIG. ; SEEP PITlL:L. ...._...._. ' --; ON SITE IMPS. � -� ' FINAL ZONiNG ' ; : GAS AIR TEST•- - �-- - - - - -- -.. FINALCONST: ` - ----- - - - - - - - -FIRE�EPT.FINAL - � � _. , , FINAL HEATING -�- - ---� - --- - - -- -- -- • HEALTH DEPT.FINAL� . .. - - -- - � - - -------- - FINAL•ELECTRIC - j � ,.,--i . - - �1 DEV. FEES PAID , 1 . FINALPLUMBING p g -� ENERGY ,. � ' . � ,1. . �_,i � -. :T:�S�''c'r2.E a ' - • , • . . '-.. . . . ., .` . . . .. . . ... : �.... _.. .. . .. . .. . , ._..... ... ......._.. ._ . ,',�:-- � . . . . . ._.. _. _. .. - - -- -� � � �- � � , COMMENTS _-S� ,L�2 � � /�7� . 7�-z� — Zz—� � � ; � � • . ; , - - -_... _ _ , . , - - . ._ ..-- -� -. . , . � - , . ; . .. . ; ,, , . , . ; � : i (` � ' ' ... . i, �; . � _ ., . . . .. .. - - - � — - ... , . . . . i I ._ . _ . •-• . .:i . ,_ _ , , . • � . , I i . . . .. . ... _. .. . ... . � � .. - ' � . . .. . .. �. - .. . . j _:� .. . ' . . . 5 `.7 _ . . . .. i . . . � . . , \] �1 � � � � i � . � j . . . .. . . ..._..�' _. . ' � : . . . ��� ' ._'� i . �".1 . . . . 1•_i.� � ' . 1 , _ . . ,. '. y _.�� . . .. - . . ; . . . . ... � � - SEPTIC TANK SIZE -- ' ' ' ' ' � ' ' • -- -- --- - - .._ . __. _ , . -�. _ . . � ; , .,. • SEEP PIT/U SIZE- - -� - , , _ � , i _ _ � , , . I ,�. .. . .. � ... � . _. ... . ' _ _ __- '__._. _..._ . _. _ .. . _ � ���� � . . I _. � ; '�1 ,.1 ',, �. �-',t ' � .� r . � I . . 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