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HomeMy WebLinkAbout16335 (20) �,� CITY OF DIA OND BAR � DEPARTI��`NT OF COMMt)TTITY&DEVELOPMENT SERVICES 21660 E.�C6pley Drive Suite 190 BUII.DING PERMT�APPLICATION PRESS ''"', FIR 4 ADDRESS �2�r ���/�� ��l`-� APPUCATION� /� PERMIT p/� o DATE �� NUMBER �1 $ ISSUE TyPE p�C APN LOT-�7�— TRACT p�E O CONST. GROUP g OWNEq�I. ¢Gt� 7"r/s-�, i"' ✓W7tT ( = o ADDRESS ��� —�• G"r"Vzr "� ;� (3 �Z ING SETBACKS � CITY LO+ AN6Y-�Z ZIP �TEL +C3�('c '''_72� FRONT Ryy p APPLICANT ' .:41 AFG;b �e.� , TE�,_ REAR p � � SIDE/SIDE STAEET RW p CONTRACTOR SIDE p ADDRESS � C(TY ZIP TEL PROPOSED USE � ARCH/ENG/ ` DESIGNER NO.DWEL NO. NO. ADDRESS � C(TY ZIP TEL UNITS STORIES BEOROOMS cn N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECUiiATION SFR/ADD/REM O B1 HEREBY AFFIRIA IM�ER iEN1LLTY OF iE1WRY THAT I MI E%EMPT FROA1 THE CONTMCTORS L4 Geraga/Carport � CENSEUWFORTHEFOLLOWINOREASON(SEC.7D71.6BUSWESSANDVROiESS10N500�E:ANYCRYOR (� COUHiVNHIGIREOUIKESAVERMRTOCONSTRUCf.ILLTER0�17AOVE,DElAOl15H2OqHEDA1qANY5TRUP W Patio/Deck TURE.PRqR TO R8 ISSUANCE,ILSO iIEWIRES h1E APiIICANT FOR SUCH PERIAIT TO FILF A SICNED W � STATEUENi 7HAT HE Oil SHE IS UCENSED PU0.5UAHT TO THE VRONSIdJS DF TNE CONTMCTORS ll- GENSE UW�qUVTEH 0(COMMENCNO Wf7H SECTION 7000)OF DN45WN]Oi TH[WSINESS AND PRO� LL- PooVSpa FE5510NSCOOE)ORT/UTHEOqSHEISIXEMPfTHE11EFROMANDTMEBA515FOR7HEALlEGEDEXEMP• C7 TqN.ANYVIOLATI0NOF5ECT10N7W1.6BYANVAPCLICMlTiORAVERMITS'JBJECTSTHEMVIICJWTTO Z RaRoof � A CIVIL iENALTY Of NOT MOHE RIAN FNE MINDRED DOLURS(i50D).1: � 04IlSOWNEHOFiHEPROPEFTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMVENSATqN, � (`,pmmB�Ciel - MALL 00 THE WOiiIC,AND TNE STIUCTURE 6 NOT IMElqEO OR OFfERE�FOR SALE(SEC.70u,BUSti J � NE59 AND iROFE5510N3 CODE THE CONTMCTORS LICENSE tAW DOES NOT APPLY TO AN OWNER OF PROPERfYYRIOBUIDSORMPROVESTHEREON.AH0YR10OOE95l1CHWORNNIYSE�FORHERSEIFOR � �� T}OiOUGHHISORMEROKNEYttOYEES,DlqNOEDTHIITSU1711MPROVEAIENTSMENOTINTENDEDON m OFFERm fORSALE IF,IqWEYER 1ME BUlqNf30H W PROVEIAENT IS SOLD WITHN Q4E YEAF OFCOMPLE- TION.THE OWNER�BUItDER WILL HAVE TME BURDEN OF PROVPl4 hUT HE OR SHE DO HOT BUIID OR MPROVEFORTHEPURPOSEOFSAIF). W 04�OWIiENOFT1EiROVERT'/,AYE%0.USIVEtYCOHTMCTWOVrtfHL10EN5EDCONTMCTORS � TO CONSTRUGT TT7E YROJECT ISEG 70N.BUSINE55 AND PROFESSIONS WDE:THE CONTRACTORS ll• V8IIl0�l0I1 ADJ.AREA GENSE Uw DOES NOTMPLY TOAN ONTIER OFA YROPERiY WHD BU0.DS OH W PRDVES TMEREON.AND YNOCONTRACTS FON SUpi PHOJECTSMAiH A CONfRACTOR(SI UCENSED 7URSUIlrt T07HE WNTMG E � OUANTITY DESCRIPTION � Td13�E UW.} , I AA1 O!E{A7T UJDEF SEC B.a P.F FOR THIS REASON J 3 �,,�cccC � , �= DATE ONMER � � LICENSEDCONTHACTORSDECIARATION, W \ � � IMERE9YAGFIRMUNDERVEHALTYOFPE0.NRVTNATIA/ILICENSEDUN0Ef1FPOVISIONSOFCHAPTER � s �(CDYIIENCINOVATNSECTqN70oo)OF�MSqN]OFTMEBUSIHESSANDDROFESSIONSCODE,MlO Z � ��L W lICQ15E IS N FLLL FORCE AND EFFECL m � uc�se cuss LIC.NO. j '--...�"j DATE eorrrFucron � a -- - - --� W , � ;' : . . WORKEFiS'COMPENSATION DECLAHATION - , ¢ - N �HER[BVAFFlRMUNDERPENALTYOFCE0.NMONEOFTIEFOLLOWW�OECURATIONS: Z . � _IWWEANDNnUMAiNTAlNACERTIFICATEOFCONSENTTOSELFMISUREFORWORNERS' _ - • • i CqAPEN5IR10N,A3CRDV10EDBV3ECT10Na7DDOFT1ElABOi7tODE,FOqT11EVERFORAIANCE W Q OFMEWORKFORNM1CHhI�SVEiU/IT19155UE0. � �IlUVEANUWILLMAMAINYIORKERS'COMPENSATqNWSUMNCE,ASREOUIREDBYSECTION 1�� , + 4 J7000FiHELA80RW0EiORTNEPERFORMMICEOFTHEWOFiKFOFYAIIpiTHI5PERIAITIS �A � LSSUED.W WDP.KEAS'COYPENS�TpN W5l1MNCE GRRIERAND VOLICV NUTABERARE: CONSTRUCTION �Y Q � cuuucn PLlW REVIEW � POLiCYNUABER ELECTRIC _ � � � (n�s[cria+n�norse�TmaFirfr�Tswr+a�Fu�a¢noalusR+aMaA�ss; PLUMBING Z ICERTIFYTHATWTMEiERFCRIAANCEOFTIEWORKFORWHICHTHISPERMITISISSUED,I MECHANICAL � 6XALL NOT EMPLOV ANY VERSON N ANV RUNNER SOAS TO BECOME SUBJECTTO THE • ' N YJORKERS'COAIPENSATiONLAWSOFGtIIFORNiA�NDACREfTNATIFISHOULDBECOME INSPECTIONFEE S SUBJECf TO THE WOPXERS'CO�PENSATKKI GflOV15lON50F SECTiON 170o OFTHE UBOR COOE,I 6MALC FORTHWiTH GOMPLV M'IM THOSE PROVISIONS. ISSUANCE � p DATE APPLICANT. SMIP � ENERGY P!C WAANIN6:F�ILURE TO SEWRE WORNERS'QOA�PENS�TqN COVEMGE IS UNUWFUL,AND SHAUBE � ^UL/ECTANEMPLAYERTOCRAIWALPENALTIE9ANOCMLFWE9UPTOONENUNDR[Dl}qU3AN0 ENERGYPERMIT DOILAAS(i I OO,OoO�,IN ADORION TO THE COST OF COMPENSATqN.DM1�OE5 Il5 PROVIOED FOR IN ¢ SECf10N77000FiH[UBORCOOE,MlEREST,NIDATiORNEY5FEE5. RETENTIONFEE: OCONSTRUCTION LENDINGAGENCY PRE-ALT FEE: � IHEREBVAFFIRMUNOERPEHALTYOFPEIWRYTHATTHEREISACONSTRUCTIONLENDIN�AOENCY Z FOR iHE PERiOFMANCE OF 7HE WOiiK FON WMlpl THI$FERMiT IS ISSUED(SEF7ovT,CIV.C.�. W � LENDERSNUIE C IENDERSADORE55 W� TOTAL FEES 1 CERTIFYiHAT I/UYE RE PLICATION pN0 STATE THATTHE ABOVE NFORMATqN IS CORRECT. ♦ � IAGREETOCOGPLYNI ALl NOCOVNTVOROINANCESAND9TATELAMM'RELATWOTOBUIl01N0 /� CONSTFl1CT10N,ANDM FEBVA RREREPPESENTAiNE50FTHI5COUNTYTOENTEHUPONTHE �/. I� Lw� � }.y� , � �BWEdAEM10nEOV PEHTYiORI PECTIONVURPoSES. 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BOND BEAM � -- ' .FRAM!NGNcNTILIP310N - �, -- FINAL BOND BEAM �, • ' �ROOF COVFR � V I - PRE-GRADING , . �ROUGH HEATING - ' � - BENCHING ROUGH ELECTRIC _. .. � ' � ROUGH GRADING RGUGH PLUtiSBlNG - • FINISH GRADING � SHOLVER;'fUBTEST -- - -- POOLELECTRIC ;E1:T.-LkTFi�SIDING -� • - POOLFEnCING • � ;�°lALL-1NSULFITIO'J ; " - POOL FINAL '�G_iLtiQu 1i•JSUI:F,TION " - OFF SITE IMPS. i�R�'LrJALL NP,iLi�JG ;' - DEDICATIdNS S�by'cR ���, FINAL ENG. ��. SEPTICTANK ! ' LANDSCAPFJIRRIG. ,SCG° P1T/C:L. '` ` � j ; ON SITE If�1?S. �__ -- � 4,G�.S�.1R TE�T � ( o �;' '',�„ � ' FINAL ZOFJIPJG ;FI"JAL.�.'��dST. i� + � i, � FIRE DEPT. FINAL FIN�},L HEF,TI�;G s. ,' � �' �' { '. � / HEALTH DEPT. FINAL " -- -`` '�_'•''' �LECTRIC, �' � , ! �_� �� DEV. FFES FAID� � � ��.;.,_ � - :�'I,PLU��'9iNG ��. 1 ,^ ' ' ENERGY . � , -•- -- ,_ _ ..,i r , , , , , li . . ._,. _ ..�.�.._.... . .. , , .. ; � ....,n.�..,�,��.-�,....�„ -.--•— � _ i I� , �i;Y,. .J��:t�,� � , , , s: . , � . , ... 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