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HomeMy WebLinkAbout12188 � . � - � - — 1� _ CITY OF DIAMOND B AR'�'� � � ' � ' � DEPART?4ENT OF COMMUNITY&DEVELOPMENT SERVICES l �� . 21660 E.Copley Ihive Suite 190 . .` - . /�� (909)860-3195 Faa(909)861-3117 • PRE$$ • ����^��. . BUII.DINGPERMITAPPLICATION ' � FIRMLY � JOBSRE � APPLICATION �' .� � ERMR P/�O o ADDRESS �D•3 �I�KSPiQiIJG- ' DATE � UMBER N � _ ISSUE TYPE OCC ., . APN LOT ' TRACT - . DATE ' CONST. ' GROUP. � OWNER ' ' ' LL ADDRESS ' 6- ' ZONING SETBACKS ;• � � CITY � � ZIP TEL. , 1 FRONT'` RW ❑ � APPLICANT /2G����y,atlfsviii�at/ TEL?H�3S7'-1�21 ' SIDE/SIDESTREET RW O ' � CONTRACTO SIDE - ❑ � ADDRE S - PROPOSED USE� F S CIT`f ZIP.�J�2 . ^a �� � ARCH/ENGI . C• �,-, DESIGNER � � � " • NO.OWEL NO.• NO. � CrDnDrRESS � ` � �P T � UNITS STORIES;,� 1 BEDROOMS W r � DESCRIPTION SO.FT. " FACTOR PSF ADJ.AREANALUATION �n • � OWNEF-BUILDER DECLARATION � SFR/ADD/REM � O 1 NEREBY AFFlRM UHDER CENALTY OF iER.R7RY TFiAT I AM EXEM7T FROM THE CONTMCTORS lF� Garage/Cerpott _ ' ' - � CENSEUWFORTVIEiOLILIWWaREASON�5EG7m1.68USINESSANDPROFE5510NSCO0EMIYGTYOR (n G�OUHiYNYAGIREOUIRESAiER1ARTOCONSTPo.ICT,KIE0.�PF�DVE.DFMOlJ31/.OFiREPAIRANYS7AVC� � patio/Deck 71M1E PRqR TO RS 6&IANCE AlSO HEOUIRES 7HE MPLICJVdT FOR SUQ1 PERANT TO F0.E A SIONED� .�, BTATEYENT TNAT NE OFi 6HE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LL � CENSEUN�(CHAVTERO�COMNENCU70WI7MSECilON7W0)OFDMSION70FTHEBUSINESSANOPAAd LL P��Pa FESSION'300DEJ OR iW�7 NE OR SHE IS EXEMPT TME/7EFRCM ANOTHE BA515 FOR THE ALlEUEO E%EMP- TION.ANYVIOIATIDNOFSECf10NiW1.6BYANYMRICMlTFOR�VEHMRSUBJECTSi1�EMPLICAHTTO Z Re-pool �,O _ F A CML PENALTY OF NOT UORE THAN FNE MINDRED DOLURS(!60%.): _' . J . � �4�b�NEROF7HEVROVERiY.OHMYEMPLOYEE5W17HWAGESASTNEIRSOLECOMPEN5AT10N, O �mmerdal . � MALL pD TME NfORK,MA 7HE STIWCTURE 15 NOT ItfTEbfO 0R OfFEAFD iOR 4ALE(SEG 70u,BU51• J NESS AND pROFES510N3 CODE TME COKiMCTORS LIGENSE UW DOES NOTAPPLY TO AN OVMER OF N PpppEpTY1MiOBUILpgOqMPqOVE47NEREON,ANDVA1000E55UCHM'ONKMAISELFORHEHSELFOR � , -" � T1tl10U0HMISORlIEHOYMEMiLOYEES,P�DmiHATBUCHIMPROVEMENTSMENDTMENOEDOFi OFFERED POitSALE 6,F10M'E1�ER TME BULdNfIOHMVROYEMFNtISSOLD WRNN ONE YEAROF COMPLE- TION,TT�dWNERBULLDER MALL INVE TME BURDFN OF PROVINO THAT HE OR SHE DD N�T BUIID OR W DRWE FOR T1iE MiPOSE OF S11LE} w 04A90M�MEROFTHEPROPERTY,AMEXCLUSNEI.YCONTMCiNOWIT}ILICENSEDCOMMCTOftS �1/1 ' � TO COttSTfk1CT TNE PRO.IECf(SEC.7ou.B1151NE5S A!ID PROFESSIONS COOE THE CONiRACTOR3 lF V81U9110f1 L/[� AD,I.AREA� CENSE UNi OOES NOTAPPLY TOAN OWNER OF A PROPERiY W/q BUII,DS OR IAIPMVE3 TMEHEOH,AND -� NM1IOOONTMCTSFOqSUWVR61ECfSWIiM11CONTRACiOWS)LICENSEDPURSUANTTOTMECONTMG pUANTI7Y DESCRIPTION FEE � roas uc�uw.y ,.,) . _ _- _ - . OIMIEXE►1PTUNOER8EG B.1P.GFORTMISREASON a � u' DATE OWNER � �� � - . J LlCENSED CONTRACTORS DECLARATION W � �MEp[9yAFiliW111pEliPENALTYOFiE0.1lMYTHATIA�.�IICENSEDl1N�FRPRON510N50FCHAPTEfl V. . � f(COWENCMXiWfT115ECTION7000)OFOMSIDN�OFTMEBUSINESSM70VROFESSKNSCOOE,AND Z IIY LICENSE IS N Ml fORCE M1D EFFECT. m � G� Q � � UCENSE SS LIC.NO. - / ��+ r .J �j pA7E - "CONTMCTOR n- W � WOAKERS'COMPENSATION DECLARATION �l�1. Q � U . ._ � IHEREBYAFFIRMUNDERiEWLLTYOFVEIWRYONEOFTHEFOLLOWINaOECLARATqN. � Za � _IHAVEIW�WILLMANTAMhCERT6ICATEOFCONSEN�TOSELF�NSUREFOHWONNER3' S COYPENSATION,ASPROVIOEDpVSECTION77o00FTHElABORCODE.FORTHEVERFORMANCE � W " OF FORWNICHi1113VEHA1RL4IS5UE0. � 0 / IM+NEMIDW�LLM�ta1WORKERSLdAPENSATI0NIN5UtLWCE.ASREOUtREDB'ISECTION� 31! �/✓ 4 77000FTHELABORCOOEFOfiTMEVERFORMANGEOFTHEWORNiORYMIpiTHISFERMRIS � i55Um.MYWfORKfj15Fd.�PENSAT10Nl�,�A�(RANDPOLICYNUMBE;ANE:� CONSTRl1CT10N �F � �;; G PUN R�nEvv � CARRIEII Q � C� PqJCYHUMBER_�o-9.yQ7� ELECTRIC � � (nusEcnorrt.��wrOEoor.ctErmoanFaEa�+rs�apa�K+�vmu�R�mlai�ssl PLUMBING 8 �CERi1FYT/ATNTHEVER�OfiMANCEOFiHENK)RKFWIN?IId/THISPfRMiTI5IS5UED,1 MECHANICAL � (,'J SNALLNOTEMPLOYM7YPERSONINANYMANNERSOASTOBECOMESUBJEGTTOTrIE � 1WRKERS'CdAPEN5AT10NLAWSOFCMJFORNI.tANOAG IFISIpIA�BECOA/E INSPECTIONFEE S SU&1ECTTOTHEWONKER5Cd.�7EN5A7qNiROV15 FSECT NJ7000FTHElABOR - ' ' � caoE.i onnnvmica.�a�rwin� c � s. ISSUANCE �0 ��-� .SMIP . p OATE: APPLICANT.� � - . W ENEFOY%C - � WMNMp:FARURETO SECURE WOfYCEHS'COMPENSATqN COVERAOE IS UNUwFUI,/WD&ULLBE 6UB.IEGTANEMPLOVEHTOCRIM�N�LLPENALTESANDCMlFM1ESUPTOONEHNDREDTHOIISAN� EryERGYPERMiT ' DOU.MS(i100,000),IN/�DITION TO THE COST OF COMPENSATION,OAMAGES AS Pf10�DED FM IN � ¢ 6ECf10N97oeOFTMEU�RCOOE,w�aEstu+o�rrorwersvees. RETENTIONFEE: v � pw_ CONSTRUCTION LENOINL3 AGENCY PRE-ALT FEE: � . . I HEREBYAiFIRM UNDEH PENIITY OF iENViiV THAT THERE IS ACONSliNCT10N LENOW6/W ENCV FOq TME VERFORMMICE OFTHE WORK FOH WMIGT17M15 GERMiT IS ISSVED(SEG iw7.pV.G). � � � IEN�ERS WwE . . ' � IENDER'4ADDRES3 . � � ICERTIFYTHATIINVEREADiHIS�PPLICATqNANDSTATF7NATTIEABOVENIFOR!lATIDNISCORRECi TOTAL F ES � J � 0. 1 AOREE TO COMFIY M'f7H ALL Cff'/AHO COUNT!ORDINANCES+WO STATE UWS RELATN�TO BUILDINO n � J� �„{��/�� WNuTip1CT10N,ANDHEREBYAUi/10qI7EREPNESENUTIVE50F7HL5COUNiYTOENTERUDON7HE . . . i/'} �/J)- . �I U/�[.��! S� ABOYE•MEMIONE�PROPERTY FOfi 1N5PECTqN%/RPOSES. COMMENTS ���'J V J 7 � PERIA E(P ' d � r �y N .�y� TUPEOFPERMITTEE OATE ir' 1 � RECPT.NO. PAtD 8v_ __vwonnori � WHITE—Oapenment Copy.YELLOW—Finence Capy,PINK—Aseesaor Copy.GOLDENROD--File Copy.GREEN—AppicanYa Copy . . i. ... . . _ ., ._ . � . ... ,.._ , . ... . .� _ ,.�. , .... . ,. , . .. . . . „ .,. :,.. � .. , ..�.. .� CITY OF DIAMOND,BAR - --;:;;� �t�,;� . � c-�..�.-... .�: �INSPEC,TION'RECORD";,, .�.,,.:f�v, ��� ' � . . . i. .. ..., , � �ii1 ,r. .':,. ... � ,,:�.r � . _ ` _ ' C i m � � ' • � � � ' SETBACK. , , , , - , �� ,. ,�'� FLOORJOIST �':,�:'•'+? ��"•f�•� �•` -�-� • � � - FTGSIFORMS/STEEL , r:�� 'FHA REQMTS--- ---- — -- -- -- - - -- -- ---- - ------i �: ELECTRIC'GFiOUND -- - -_ .. `.� :_-_ ------ -: UNDER FLOOR DUCT - � •,_; �� �; ' �-� -- -- � . . , GROUND PLUMBING • _ ' UNDER FLOOR CO�IDUIT -"'��':'.�i',_;,''���• ~��'::'•'a� ' "', ! "- . ,.,. ,. ---�- - - - --- ' . ..t�,� r,i.���..,: t ..;,_� . SLi46 GRADE- -- - - . FIREPLACE FQUND TION -- -, -` • . .. � . � ti ,�' , TEMP P01NER-----t' -- ----- ,. r.�,:, • . :,� ,' FIREPLAG�E BOND BEAM ____. _', .._.,�.. ._,.,'"'-- --- - --� � � --- --- ------ .__. . . _. �• „ , „ , _MID HT.BOND BEAM �Y=,` ,'�;`�f.�-�•`'��F: ` � . : WATERSERVIC�===--- - ----•- ----------. .._ . . ' .�_ , ROOF�#��RTFit Gsa,, _ : -�;. - B�FT'.BANA BERM.ti,=,� � '� .�� � .j',�[� ..�,.j i � FAAMING/V�NTILIATION� �.�,;,_'�.�ti� ,�c� ti'ti � FINAL BOND BEAM .._ -�-, '. � ;�,�. ''� • " �� � - RQOF COVER;:"' PRE-GRADING � ... _. .�^r ;.�.��',, ,: � '�;; „ , � ;, -ROUGH HEATING ---- ' --- -- - - - - •- -BENCHIh�t�'''r-'w'���',1: - - � - :�`•-.�1� �:�� ,,..; , � , ROUGH ELECTRIC � ` � `-- -- � ''--� - � � ROUGH GRADING , � , • I ... ROUGH PLUMBING� - -- --- - -- - --, . . -- ---- -FINISH GRADING. :,. , . , , . :. �, „ , .�. ... ,. _ , ; SHOWERri'08TEST�; -� : POOL ELECTRIC. � � � � � . ,. . . � ; ----- -- ___. .. . .-- --_ � ; . , ... EXT.LATH/SIDING ; POOL FENCING ' ' ! - . WALL INSULATION ' �.l.t�:t,._ : POOL FINAL • - •- ! ;�-; CEILING INSULATION OFF SITE IMPS. � � � • � . 1 <: DRYWALL NAILING DEDICATIONS ' . . .' 1 �_ SEYVER— _ ----- ' � FINAL ENG. . . . ,. ,; . . . - :, , .. - -• ---- - - - ---� , . SEPTIC TANK- __ _-- --- --_- - •-- - .�,�. _ _. „ i', . LANDSCAPE/IRRIG. .. . .. . . ` •. , �.� , ., , .. SEEP PITlLL. -_=- - -- -� , - - -._: _ �� ON SITE IMPS. . . . , ; '; � � • GAS AIR TEST-�--� -� -' - FINAL ZONING ' � ' FINAL CONST. ; --- - - - - ' FIRE DEPT.FINAL' ' - - - - ' " ; �. -FINAL HEATING -- - -- - HEALTH DEPT. FINAL � ; .,' -- - - -- --- 'FINAL ELECTRIC - - - -- �� DEV.FEES PAID . , - . �. . , . ` FINAL PLUMBING ENERGY � � � � � . . � RC ��, • ' ' - ` -- �- . , . I , ., ,..,.. -.`__ .. .., - - . _. . , �, ��- - - ----- -• •- - , . ,.. -_. __ _ . COMMENTS - - , . r - ., . . ., , , .� : - — - - - '--- � - ' . ', ,,_ . •. . . , . , � • � . _ , . , - -- - - -- - � ; � _ - ;` , � ` ' - - -- - - '. l 4I � ; i ' � . • . -- ` - - - - - - • �- • ? � , - • 1 '� , , . ' � i ..� � •1 - - - ----. �t• ,�w o.,=(��S' __� i . ' � . , i . , , .� . . . . � . - . � . . . ----' -- '--� - - - -- - - -- - - - ' - . � � . . . . � . . . _ ..., . .. . ; . ' ,.,- . . . , � . I 1 t� .'_ . . __. .. . 1. _ . ' i i . . , - , .. "__ _ _ -. . �___ _ . _._ __ . _ . . , - . -i , ,. I � ]•. `\ �.'� , ;;_ ' ' ' '_'—�•---�. � i� � ' ' ,l.i _\'- �. - -- - __ � _ , t , , ~r� `_ � _. "_ E - SEPTIC tANK SIZE , - -. . , , . , . . ' ' ' , . . ' "" r . _ , , . . ; ,- SEEP PIT/U SIZE - . , � , � ,.�� ;. ; _ - - ---- i j f � - .,� - --- ,�� „ � , , , � : , . - - - . - � _. � � , . , , , -. �-_ . . . . _ _.__. , - - -- -- -- - _ . = -_ . _ . -.--�_L- . .' _�.r. • .- . . .-- I . " ' . ' ' C .i . � . ' .. ._ � . • '� i � , . , ' , � � � ,� . . , . ` ' "'. _' ' i . 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