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HomeMy WebLinkAbout10596 (5) -�-___ ._�-. . .i_ ..,.__ .__..___. _._._-------------..._.._____.._., -- - — - �� . .�; V , 9.,- ' . CITY OF DIAMOND HAR EX PI R ED COMMUNITY DEVELOPMENT DEPARTMENT .,.� . 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 O C T 2`J 1000 PRESS �''"', BUILDINGPERMITAPPLICATION FIRMLY o A'�DBDRESS � � � N OATECATION �'� ��NUMB R/a��� �� M $ ISSUE TYPE OCC APN—r�—� LOT TRACT DATE CONST. GROUP � OWNER c=�y A�i�►e-vD �YR AODRESS ZONING SETHACKS � CITY ZIP TEL FRONT RW ❑ APPLICANT TEL ' A�fl � SIDE/SIDE STREET RW ❑ CONTRACTO �, SIDE ' ❑ � AD � I� � Npu c� o Z �✓ PRaPOSED USE /tN r��'� � � CI ZIP L. ' /7' N _ �v � � ARCH/ENG/ /� _/ �/ DESIGNER L T a AODRESS NO.DWEL NO. NO. � CITY ZIP TEL UNITS STORIES - BEDROOMS cn �n �ESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q . . OWNER-BCIIDER DECLARATION - � SFFi/A��/REM � � � O p I HEREBV AFFlRM UNDER VENALTY OF PE0.IURV THAT I MI EXEAJPT FNOM iHE CONTMCTORS Ll- G8l8Q�Cary01t - � � W CENSEUWFOi1TMEFOUOWIN6REA50N(SEG7a11.68U51NE55ANDiROFE55qN5G00E:ANYGiYOR (n U COUNryWNIp1pEOUIRESAVERYRTOCONSTpUCi,ALTER�DROVE.pEMOL15l1,ORREMIRANYSTAUC• W PatiWDeck . . � 7Uf1E,PRIOR TO RS SSUANCE,ALSO REW I(7E5 iHE MPLICMIT FOR SUCH PERMIT TO fl�E 11 SIGNED W . ------� -6TATEMENT THA7 HE q1 SNE IS LICEN9ED PVfl9UlWf i0 TNE IHOYISIONS OF TME CONTMC70R3 LF� � � CE118E UW(CHAPTER 0(WMMENCt/0 WITH SECTION 7mo)OF qVISIDN 1 Of THE&JSN/ESS AW VpO. POOVSpB f ESSIGV3 CO�E)OR TMAT HE OR SHE IS EXEMVT iNEREFROAI AND T11E BASIS FOq THE ALLEOED EXEW- TION.MIYVIOLATIONOFSECT10N7071.68YAN`fAPPLIGVlTiORAVEWA175UBJECT57HEMPLIGANTTO - Z RB-R001 �„_ A CML PENALTY OF NOT MORE TW�N FNE HUNORED OOLUiiS(f5oo).g � OI�MVNEROFTHEVROPEFTV,Oi1MYEMPLOYEESMIiTMWADE5ASIHEIRSOLECOMVEN5AT10N, � �mmereiet � � � WILL DO TNE WORK ANO THE STNICTIIRE IS NOT IN7ENDE0 dl OFFER[0 FON 6ALE(SEG 7ou,8U51. � � NE55 M/O PpOFE55iONS COOE:TiE COMRACTORS LICENSE UW DOES NOT APPLY TO AH OMMEf1 OF j � � �f//�/Gr/ � �/`�/ iROPERTYYVNO BURDS OR MPROVES THEREON.ANDYHq OOES SUpi WORN HIMSEIF pR MER50.F ON � 7FIqOUONHISOqHERONNEMPLOYEES.VRONDEOTHATSUdIMPROVE/AEMSARENOTNTEHDEDOR m . � � OFFENEDFOR311LE.IF,MD'A�EVERTMEBULDINOORMGROVEMENTISSqDWfTMINONEYEAROfCOMPLE• . . . Z 710N.TNE OWHER�BUILDEN WILL HAYE THE BUROEN OF iROVNO THA7 ME Oii SNE UD NOT BUIID OR � IA1PiqVEFORTHEOURPOSEOFSALf} . � . . O I.AS OWNER OF T/1E PROPERTY,AM p(CLUSNELY CONTMCENO WRH LICENSEO CONTMCTOiiS Q M CONSiNUCT THE ORD.IECT(SE4 7W�.BUSINESS AND PROFESSIONS CODE TNE CONTMCTO0.S L4 VelUellOfl ADJ.AREA � W CENSEUWOOESNOTMPLYTOANOWNEROFAPROPER7VIMIOBUILDSORIMPROVESTHEREON,AND �- W/qLONTMCT9FOR5UCMvqWECTSN77HAWHfMCTOf1(S)UCENSEDPVIiSUANfTOTHEtONfMG QUANTITY DESCRIPTION FEE � TORSLICENSEUW.). p O I MI EXEMPT UNOER SEC. 8.�P.G FOfI i/tl5 REASON ' U - � µ' DATE OWNER M� z W �.Q LICENSED CONTRACTORS DECLAAATION W � IL INEREBYAFFlRAIUN�ERVENµTYOFiER1URY7WlT1AMlICEN5E0UN0EHPROVISqNSOFCHAPTER� Ur . � . (y �(OOMMENdNa WITH SECTION 70�)OF OMSION�OF THE 8�151HESS ANU PROFESSIONS OODE,Mq Z X MY LICENSE IS N FUILFORCEANO EFFECL � m oLICENSECU55 C•2 �.No.13 3 q�i 7 �J U WTE � CONTRACTOR . . . a , W � WORKER5 COMPENSATION DECLAAATION � � IMEREBVAFFIHMUNOERPENAL7YOFPEiWRYONEOFTHEFOUDV✓NCiUfCUMTIONS: Z � � �,IMAVE�VIDWRL►/AMITIUNACERTIFICATEOFCONSEIlTTOSELFlNSUREFORNqAI(ERS' _ . COMPEN9AilON,ASVROVIDEDBYSECTON77ooOFTMELABORtOOE,FORIIfEPERPoRMAHCE W OF THE WDRK FOR NMICH THIS PERMIT IS ISSUED. � � w _�INAVEMIDWILLMAMAINWORKERSCOMOENSA7qNIN5ViWlCE,ASREOUIqEDBVSECT10N Q ]7ooOFTNELABORCODE.FORTMEPERPoRMMlCEOiTMEWOWCPDRMMICNTHISPEfWITiS � - ISSUED.IAVWORKERS'COMPENSATIONWSU0.ANCECMHIERANDCOUCYNVYBERME: CONSTRUCTION . _ _�. _.._- c�awea __ PLAN HEVIEW . � va�cY�+uuefR ELECTRIC p (nassectrx+r�ra7Beao�oai� roaor+efuor�noat�na�s�rolop�ssy PLUMBING � I CERTIfYTHAT NTr1E PERFORMANCE O NE FGi WF4d1 TNiS iERYi SUEO,I MECHANICAL . C7 SMALI,NOTEMPLOYMIYVERSONN MANNE ASTOBEC01AE5 07ME y WORKERSCOYVEN5A7qNUW50F IFORNI /NpAGREETMAi1F BECOME INSPECTIONFEE � - � ' SUBJEGTTOTHEY+OR1(ERS'COMP SATiON► VISIONSOFSE 1ooOFiHEUBOR rj is utcoan+vnn�eoua Nnn� eonovis�s. /� ISSUANCE � � SMIP DATE: APPLICA � � • ENERGY P/C WARNiNO:LALURETOSECUREMKI RS'COAIVENSATIDNCOVEM6EISUNUWFIA.ANOSHALLBE �y SUBJECTANEYROYERTOCRIM PEfULT1E5FNDGVILFNESUPTOONEF1UnOqEDi/WUSAND ENERGYPERMIT OOLURS(1100,000).NADD O TME COST Of COMPENSA7ION,OAYAGES Il5 iROVIpEO FOR IN ¢ 8ECT10N]70eOFTHELABOR E,N7EREST,ANOA7TORNEY'SFEES. � RETENTIONFEE: - ' " W CONSTRUCTION LENDING AGENCY � PFiE-ALT FEE ¢ IHEREBYAFCIRMLHDERiENALTYOFOEiUURYtHATTHERE15AWN5TRUCTIONLENDWQA6ENCY ' ' Zu• FORiHEPERFORMANCEOFTYfEWOliKWRWHICMiH15iERMITI5155UE0(5EC.10a7,dV.C.). ; W _ . . .. . ' . � _ � LEIWER9WWE - . � IFNDEH'SADDRESS � TOTAL FEES W I CEf1TIfY T/NT 1 EAD TNIS APPLICATION ANO STATE 7HAT iHE ABOVE WFORMATION IS GDRRECT. � 1 AGREE TO YA H ALL CITY AN�COUNTY ONOPUNCES�ND STATE UWS RELATING TO BU0.DINQ , . , _ S� CONSTR AND REBY AUT//ORIZE REOF ATNES OF THIS COUMY TO ENTER UPON THE e/��-�/L��' �/ �/�� . ABOVE ED ERT'FON�NSPE E5. COMMENTS �r` " ��"vGT�i�--{� . � .. ` C��y � ,q�-- 5 —� ¢ vear�m� E roarm � � ! N O �- N E OF E ITTEE AT � . . / RECPT.N0. PAtD BY VALIDATION WHtTE—Oap�Nnent Copy.YELLOW—FNanea Copy,PINK�Asassfor Copy,GOLDENRO�N Coqr,6REEN—AppllanYa Copy .nl �':�.�.1.�.s .. :,t'w ... .i. .?' , • ., : � - 1 . , . . . � . � . ...Y.. ...i -• _ •.i. � . .. , i .. . � .. , . ..'3� .... � .r ' .�F �.. ( • Q�AI��� CITY vF DIA��GOND GA.R ::,' ,, . � ." . , , . � . . . . . � -. INSPECTIO(�E f�ECQRD ;�. , , ' � � `�-- �,,,rr ,:; c. ;��,;; ,. :. . . . . . .. . . i ,;�: . :" , � . • i . 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FINAL- - - --- - - FINAL-HEATING _- -- - �- ----- -- ----- --j- • - - - HEALTH DEPT.-FINAL�,-�. ,-. --- _- - - -- - - . � ;�, � , , .. . � FINAL EIECTRIC - -- - -- --- --- --- _. _ --,--- ---- DEV. FEES PAID- , ,, , ,, , , ,,,, ,, , , � FINAL PLUMBING �-- ._. . __-- -- --- - - --•, --- -- EPJ�AGY 1; ..� .- t, � ; .. . -�"` ,_.�� �'' , � �c�, : r � ;��r;r - - ,.,. -- - -`- ` �`'- -- ° . _ -- - ' � , , .,.�.� �.. ,. _ ,. , .,. - - - -- -- -- - - — __—- - ---a - -- - ; 1 ' COMMENTS _ , . �� ' -.� ,, ; . ,.�, ,•�, „ ., . , , ., , . . . , - - - - -- - - - . ,-. _- . ; „ , . _ ,l ; , , , , . ..,� --�-- -�- - ----- ------ - --- ._.----- , � j ,_', . . -- - - , _ : _._ . - -- - -- --- -- -.__ ._._,_ ...-.---1 . , . i ; ,, �„ •.�� � r , - - - -: --- . �. ., i ; . .. . .. _ . ., , . ._ ..- - - --- - - -- - -- . . _ ._ . _ ... -- -- - � . � . � � . �, � � I � - - - - - - - - ------ . _ . �_. __. „ ,. .. 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