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Home My WebLink About12698 ---J('�-- • CITY OF DIAh10ND BAR '�^ COMMUNITY DEVELOPMENf DEPARTMENT j� ��...w 21660 E.Copley Drive Suitc 190 , - / PRESS (909)860-3195 Fax(909)861-3117 - " '""' BUILDING PERh1[TAPPLICATION , FIRMLY ¢ ADDR'ESS��Z 'll�}� I�'``��'�-i— �I�-IV� APPLICATION ��l'L PERMIT �1J f_A P/C o DATE_ NUMBER�_ # � A P N L O T T R A C T ISSUE TYPE OCC DATE CONST. GROUP p OWNER u � ADDR SS ZONING SEfBACKS 0 � Z CITY ZIP D � TEL �0 FRONT RW ❑ � APPLICANT TEL. � REAR ❑ �� SIDE/SIDE STREET RW p CONTRACTOR �G.G _ G D SIDE ❑ ADDRESS � CITY ZIP TEL PROPOSED USE��Qi(� A�DP D • w ARCH/ENG/ �/ J� z DESIGNER • ��.�1 1*�' a ADDRESS S � NO.DWEL. :NO.. NO. �, �l�m� UNITS STORIES � BEDROOMS � CITY ZIP TEL. v� cn DESCRIPTION SQ.FT. FACTOR PSF ' ADJ.AREANALUATION p� - OWNER-BI:ILDER DECLARATION . SFR/ADD/FiEM O . . 1 MEREBV�FFIRIA UNDER DENAItt OF OERAIHV THAT I AM E%E1APT FRdJ THE CONTMC70RS LI• GafBQelC0ryOf1 � W CENSEUWFORTNEFOILOWINGREA50N(SEC7071.SBUSINESSMDPROfESSIONSCODEANYGTYOR (n U CWNTYWHIpiRE0U1RESAPERMITTOCONSTRUCT,ALTER�PROVE.DEMOl15H2ORREPAIRANYSTRUG W S Z TUFE,VRIOR i0 RS ISSVANCE.AL50 R[OUIRES THE APOLIGNT FOR SUpi GERMIT TO FILE A SIGN[D Pa;io/Dedc '� + U � ` STATEMENT 7HA7 ME OR SME IS LICENSED PURSUMIT TO TME PflW1510f15 OF THE GQiTMC70R5 LF W CENSEUw(CHM7EH9�COMMENCINGWI7HSECiqN7000)OFDIVISION70FTHEBUSINESSANOFHO- � POOVSPB � FESSIONSCADE)ORTHATHEOHSHEISE%EMPTTMEREFROMNJDTHE80.515FORTHEALLEGEDEXEM7. (� _ V TION.JINVVIOUTIDNOFSECTION70�I.SBVANYAPPLICANTFOR�DERIAITSUfl1ECTS7HEAPP�ICANTiO z Ra-Root � � ' � A CIVIL OENALTY OF NOT MORE TMMJ FNE MUNDRED DOLLARS(f500�.�: � Z04A50'NNEROFTNEPHOPERiV,ORMYEMPLOYEESWITHWACESASTMEIfl50LECAMPENSATIOH, 0 CORIIT18fC18I NALL DO THE WORK�ND TME STRUCTURE IS NO71N7ENDED OH OFFERED FOR SAIE(SEC.70t�.BU51• J � NE55 ANO PROiE5510N5 COOE:TME CONTRACTOf15 IICENSE UW OOES NOT AVPL�TO AN OWNER OF � 1 �7 n� ` , VqOPERTYYVNOBUILO50HWPROYE57HEfiEON,AN0VYF10DOE55UCMWORNHIMSEIFORHERSELFOR � a••�� Q THROVGHHISOflNEROWNEMPLOYEES.PROVIDE�7HATSUCHW7pOVEMENTSMEkOTNlTENDEDOR m , OOFFEREDFORSALE.IF,HOWEVER7F7EBULDINGORIMPROVEIAENTISSOLDNnTHINONEYEAROFCqAPLE• � � ' Z TION,iHE ONTJER�BUILDER WILL HAVE THE BURDGN OF PROViNC THAT HE OR SNE Ci�NOT BUILp Oq � IMPROVEFORTHEPURPOSEOFSALE). � w OIASOWNEROFTHEPROPER7Y,AME%CIUSNELVCON7MCTWGWITHLICENSEDCONTMCTOPS Q N CONSTRIJGT THE PROJECT(SE4 7a1,BUSiNE55 AND 7ROFESSIONS COOE:TNE CON7MCiORS LI- ValUB�lOf1 ADJ.AREA - W GENSEUWDOESNOiMPLYTOANOWNEROFAPROFERT/NhqBUILO50R4NPROVESTHEREON,AND � VrtqCONTMCTSFOHSUCHVRQIELTSYATHACONTRACTOR(51lICENSEDPURSUANTTOTHECONTMC• QUANTIN DESCRIPTIQN FEE . � 70RSLICENSEUW). � O 1 AM E%EMPT UNDER SEC. B.d P.G FOR THIS REASON Q � U , LL ¢ DATE OWNEF U . , , Z . . . �Q' LICENSED CONTqACTORS DECLAFATION w , 2 IHER[BYAFFIRMUNOERPENALTYOFFEFWRYTHATIAAILICENSEDUNDERPHOViS10N50FCHAPTEH � d Y(COMMENCWGWiTHS'eCT10N7o0o�OFD�VI510N70FT11EBU51NE55AN�PROFE55iONSCODE,AND Z X MV LICENSE IS N Fi1Ll FORCE AND EiFECT. m . u� �7198 2 � � LICENSE CU55 �,_LIC.NO. j ^ --f=- -�ASF -ONTRACTOR �S7` � � _�.. � _ '_. . ... . . � � WORKERS'COMPENSATION DECIARATION a NI HEREBY AFFGiM UNO[H PENALTY OF PERA1Rv ONE OF 7HE FOLLOw:NG DECUMTIONS: Z � �IHAVEANUWILLMAINTAINACER�IFICATEOFCONSENTTOSELF�INSUREFORWORKERS' _ Q CD4PENSATION.AS GRONOED BY SECTION 970o OF iHE LIBOR COOE,FOR THE VEHFORA1u10E 'U _Q � OF THE WORK FOR WNICH THIS PERMIT IS ISSUED. � � 1 H�VE M1D WILL M�1N7A:N WOPJ(ERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION O 1700 OF THE LADOR CODE,FOR THE GERFORAIANCE OF THE WOPK FOR WHICH 7HI5 OERYIT IS ��I1 ISSUED.MVWD�KgRS'COMPENS'1TqNINSURIWCECARRIER NDPq.ICYNUMOERME: CONSTRUCTION '� ' .1/ > CARR7ER (:�L1�ORN��U�JM^O.�- r�I-71D1'J PLANREVIEW ��,� _, r2-aC/ Z POLICYNUMDER �1'�" ELECTRIC _ � � Q � (M1aSSECf'ONN�NJiB[f1JMPLETfOCFh[PEW.R6PDRONEWrDREDOq1I1LSQtOqOqLE55) PLUMBING Z ICERTIFYTHA7INTHEPERFORMANCEOFh1EWOPKFOHWHIpITNISPERUITI5155UED,l MECHANICAL C7 SMALL NO7 EMPLOYANY VERSON PJ MlY MANNEH SOAS TO BECOME Sll&IECf TO THE � �/7 WORKERS'COMPENSATIONU�/SOFCALIFORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE Sl19JECT TO T1E WORKERS'COAIPENSATION PRONSIONS OF SECTION�70o OF TNE UBOR �j . CAOE.ISWLLLFORTHwI7HCOMPLY1MTHiHOSEPROV15lON5. ISSUANCE 0 p DATE: APPLICANT: SMIP � WARNING:FAILURETOSEWREWORNERS'C0IAPENSATqNCOVEqAGE1SUNLAWFULANDSNA(LBE ENERGYPlC r]I'�+�r��4 6UNEG7 AN EMPLOYER TO CR;MINAL PENALTIES AND CIVIL FwES UP TO ONE HUN�RED THOUSI�ND �.1 1 1 DOlUf3S�i100,000�,INADDITIONTOTHECOSTOFCOMPENSATION,DAMACESASPRONDEDFORIN ENERGYPERMIT � ��Lfi3[I�i r�`'i,i'�I3�'?'tf'�T'7. J SECTqN77oeOFTMEIABORCOOE,INTEREST,�NDAiTORNEY5FEE5. RET TIONFEE: �.� � CONSTRUCTIONLENDINGAGENCY PRE• LTFEE: �~ � INEREBYAFFIRMUNDEflVENJLLTlOFPEfUURYTHATTMERE15ACON5TRUCiiONtEN�INC�GENCV � _ FORTXE FERFORMANCE OF THE WORK FOR WHICH THIS PERMITIS ISSUEO(SEC.9097,CIV.C.�. W '�/7.-//r��'�� LENDER'SNAME ��/`�� F- LENDERSnDORE55 � W ICEIiTIFYT11AiIHAYEREADh11SAPPLICATqNMIDSTATETHATTHEABOVEWFORMA7qNISCORRECT. TOTAL FEES � IAGREETOCOAIPLYWITMALLCI7YANDCDUNTYOROINANCESANDSiATEUwSPELATWGTOBIJILDII:G ' � CONSTRUCTION,MIDNEREBVAUTHORIZEREVRESENTATIVESOFTMISCOUNTVTOEMERUPONTHE ABOVE�MEMIONEDVROPEflTYFORINSPECTqNPURPO5E5. . COMMENTS _ �'��-�aRo G-��r.� m PE i E N [(PRIN�) I� � � . Q � � .�:NANRE F D RMlfl E DATE . � � RECPT.NO.�_PfJD BY VALIDATION _ WHITE—Depanment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENFiOD—Filo Copy,GREEN—ApplicanPs Copy ' . .... ., . �... . . . , i ,..�. . • . .,__ ..... .. � . 1. .�.. _ ��5�. . . . .:r� �h .. .. � �l.., i.. . . . ..��f�,.. . , .�, .�•..i . ,r. .�.. . .. CITY OF DIAMOND BIAR",` `�� ,;� � � , , , ,: . . � � � INSPECTION RECORD � - � - . - o e � - o - ��• �� o � o � � . SET BACK ' � FLOO.R JOIST . _ � � . - - -- � FTGSlFORMSlSTEEL _. FHA REQMTS ;. :==..•�- , ' - `� I ELECTRIC GROUND • UN�ER FLOOR DUCT•; :__ � : • " � '. GROUND PLUMBING � UNDER�FLbOR CO�IDUIT = ' . '.' , - � SLAB GRADE ' FIREPLACE FOl1NDATION ' ' ' " ' " • TE�AP POWER � - � FIREPLACE BOND BEAM�' • � �' ' '•_ �� '- -� ' ' � WATER SERVICE ''' = ' ' ' '- � - - � •• • '� 'MID HT.BOND BEAM � � ' ' � " ' ' i ROOF SHEATHING � 8 FT.BOND BEAti1 ,.: , � � • ' FRAMINGNENTILIATION 2� �r < FINAL BOND BEAM ' • " ROOF COVER - --- --- - --- PRE-GRADING ' ' ',� � ; _ ROUGH HEATING- - " - � � - BENCHING - - ROUGH ELECTRIC " � ROUGH GRADING � ROUGH P,LUMBING -- �• � FINISH GRADING' . i ; SHOWERIfU6 TEST POOL ELECTRIC EXT.LATH/SIDING POOI.FENCING ' , WALL INSULATION POOL FINAL � -. CEILING INSULATION -• � ' '' �. �" ;OFF SITE IMPS. : � DRYWALL.NAILING � �� DEDICATIONS ' ; SEVVER ..- -- . �-'. --- -.... .. _ _ . FINAI ENG. ; SEPTIC TANK .. .- -.. � . .. . LANDSCAPE/1RRIG. . SEEP PIT/L.L. - �-�- - . ON SITE IMPS. ' GAS AIR TEST: - - - FINAL ZONING � �INAL CONST. -- -- - q- "-" FIRE DEPT.FINA� `^ ..' I „ FiNAL HEA7ING - HEALTH DEPT.FINAL - ' FINAL ELECTRIC - DEV.FEES PAID . . FINAL PLUMBING ENERGY -- � .. � - , _... . - -•- ..- -_- -.— __ - ,- _ :,e�- • _ � `s - -.. ..._. , _ , COMMENTS � � . , .„ , , . _ , _ .... .._ , , �-, � , �` ' _.. . _ . , . , ' ' . , i�, -,- . -- - , � _ -' _ - . �, . � . , , . . .__ __ ' . .. ..�A.At4�y. . _ - ' . . . . . , . . • �,., :.: . -- . , . I ,,.... „„ , .:t;�.; . . .. : ,�.. , . i .1.1 . ..,i: , ! �i r .� � -- i, - ��' :P. ':�� .. =I,'S t'1!! ' � � , . . ; . . . � . ..,.. . � SEPTIC TANK SIZE � ' � . . - - - � 6EEP PIT/U SIZE , . , , � , • , � � _ � , <�:. ;. _� •`, c,'...; , _ __i • . . "; _. r \ I . �:�, .I. . . ' � , . . �,� . . ' � , .. , � • , . . .. _. .. . .. .. . �. . . ..: �� __. .. _. � 1 .