HomeMy WebLinkAbout16919 y ' �� ! DEPARTMENT OFC OMMUNITY 8c DEVELAPMENT SERVICES EXPI RED �' 'r 21825 E.Copley Drive ," (909)860.3195Fa�c(909)861-3117 JUN 191002 PRESS `'�:� BUILDING PERMIT APPLICATION FIRMLY o DDR'ESS��� pr{.radbyr• � DiaMond �qr APPLICATI NG Q PERMIT r q q P/C DATE � NUMBER � r k c� ISSUE TYPE OCC � APN LOT�_ TRACT DATE CONST. GROUP � OWNER O 0 o ADDRE�SS ZONING SETBACKS gCITY r ZIP TEL. $�j� FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDElSIDE STREEf RW ❑ � CONTRACT • • C O C �C� nG• SIDE ❑ ADDRESS 0 0 � CITY ZIP q TEL. � ' � PROPOSED USE (.C3 I� oARCHIENG/ z� DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER�ECLARATION SFRfADD/FEM O p 1 MEREBY AFiIRM UNDER VENALTY OF PERh1RY THAT 1 AM EXEMPT FROM TNE COfJTMCTORS L4 G32g8JC8fpOfl W CENSEUWFORTHEFOLLOWIN6REASON(SEC.7071.68USMESSAN'JPROFESSIONSCODGANYpTYOR (f� U COVNTYNMIpIREW�RESAPERIAITTOCONSTRUCT,QTEN.IMPROVE.DFMOLISH,OflRE7A1HANY57RUG W PatiolDeck Z TURE FRIOR TO RS ISSUMICE.ALSO NEDUIRES THE MPliCM1T FOR SUCH PERMIT TO FILE A SIGNED w STATEIAENT THAT HE OR SHE LS LICENSEO Ct10.SUANT i0 THE VROVISIONS OF h1E CONTRACTORS L4 W � CENSE UW(CHAPTER Y(COMIAENCIN6 WI1H SECT�ON 70D0)OF DIVISIDN 70F THE BUSINE55 ANO PRO. � PooVSpa FESSpN5CO0E�ORTNATHEORSHEISf%EMPTMEREFRdAAND711EBA51SFORTHEALIEG[DEXEMP• � � TION.ANYVIOUTIONOFSECTION7W1.58VANVAPP�ICANTFORAPERMITSU&1ECTSiNEAPPLICANTiO Z Re-Root A CML VENALT'OF NOT MORE TF1AN FIVE INNDREO DOIURS(SSoo).�: � ❑LASOWNEROFTMEPROPERTV.ORMYEMGLOVEESWITMWAGESASTHEiq50LECOMPENSATqN, � C01fl1I10fCl2I - Z WILLDO THE WORI(./WO TME STRUCTURE IS NOT INTENDED OR OFFEFED FOR SALE�SEC.70�I.BU56 J � NE55 AND PROFESSIONS CODE:THE CON7MC70R5 UCENSE Uw DOES NOT AVPIY TO AN OWNER DF � YROVEqiY Yh108U0.0S OR IMPROVES TMEREON,/JJD WHO DOES SUCH WOHK HIMSELFOR MERSELF OR Q TNROUGHHiSORHEROWNEMPLOYEES.VRWIDE07HATSUCHIMPROVEMENTSARENOTIHTENOEDOR m � OFFEREDFOHSALEIF,HOWEVER111EBULDINGORIA/PiYOVEMEML550lDN'RHiNONEYFAROFCOMPIE- Z TION,T1E OWNERAUILDER WILL HAVE T1/[BURDEN OF FROVIN�THAT HE OR SNE 01�NOT BllILO OFl = p.1vqOVEFOFTNEPURPO5EOF5ALE4 �y,� ❑4/U^OWNEROFTHEPROPERTV,/�ME%CLUSIVELVCOMMCTINQWITHL�CENSEDCONTRACTORS Q TO CONSTRUCT THE FRO.IECT(SEG 70Ia,BUSMCSS IWO PROFESSIONS CODE:T1E CONTRACTOFlS U- V0IU0tlOf1 ADJ.AREA W �ENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUILDSOqM7ROVE5TMEREON,AND � YRqCOMMGTSFOR5Uq1iROJECTSYAiMAGONTMCTOR(5)LICENSEDFURSUANTTOTHEGONTRAG QUANTITY DESCRIPTION FEE Y TOR$LICENSE UW.). � ❑I IUA EXEMPT UNDER SEC. B.a P.C.FOR THiS fiEASDN � � � � / . LL DATE OWNER F" U �Q LICENSED CONTRACTOAS DECLARATION w CC IHEREBYAFFIMIUNOERPENALttOFPEfWRVTHATIAMLICENSEDUNDFflDROV15lON50FCMAPTER � d f(COMMENpN(3WITHSECTION7o00)OFDIVISION�OFTHEBUSINE55ANOPNOFE551ON5CODE,IW� Z IdY LICENSE IS N fULL FORCE AND EfFECT. m o g���IG�}aNIG ���.No. �'obb26 n� � � UCENSE�S�I�I LONTRACTOFl OI O�V � � d V DATE W n � WORKERS'COMPENSATION DECLARATION �'1C• a N IHEREBVAFFIRMl1NDERPENALTYOFPERJURYONEOFTHEFOLLOWIN�DECUMTqNS: U f� Q 0 �IHAYEANOWILLMNNTAINACERiIFICATEOFCONSENTT06ElF-INSUi7EFORWORKERS' _ 'Td- COMPENSATION,AS GROVIOED BY SECTION T00 OF THE�ABOR LODE,FOR THE FERFOFMANCE W OF THE WORK FOR WHICM THIS VERMI7IS ISSUED. � 0 � IHAVE�NDWILLIAAIMAINWORKERS'CAMCENSATIONMSUiLWCE,A5RE0UIqEDBVSECTKNJ yQ Q 37000FTH[IABOflCOOE,FORT}1EPERFORMANCEOFTMEWORKFOHWHICHTNISVERM�TIS ��. ! ISSUED.MY WO��R�KE/RjS�'GOMP�EiN(S�ATIO^N tNSURANCE CARRIER AND POLICY NUMOER ARE: CONSTRUCT�ON � GRRIER �+���Q � vhy PLAN REVIEW Z POLICYNUMBER I3� N"g.�. 1�'61 ELECTRIC d � (fH6SECfiIXJNEmNOTBE�.�LETEDOFTE7EST.R6fOq0ALHl,ORED�Ol1A0.5pi00)ORlE55) PLUMBING _—_ .___��_.�___ . ,_ W z 1 CERTIfYTMAT IN TME PERFORMANCE OF 7ME WORK FOR WMICH MIS PERM?1 � EO,1 MECHANICAL � '""'���'\'\ I I I ��� (.'} S/ULLNOTEMPLOYANYPERSONPIANVM�NNEfl50AST08EGOMES cG N WORNERS'COMPENSATqNLAWS KC�T�iS/' .ANDAGR .THATF MOUI BE AE INSf'ECTION FEE _ S SUBJECT TO THE VJORNERS'COMPENSATqN PfiO SIONS O SE 10 7700 0F THE i30P n � EISHALLiORTNWIMCOMPLYWIT 1NOSEP O 510�i. ISSUANCE � O pDATE: �� O' APPLICM7T: _ SMIP I � ENERGY PIC � WARNING:FAILURE TO SECURE Wl7RKER5' ^ .,ATION CAVERAGE IS UNUWFUt,AND SHAL� E � SU&IECTMIEMPLOVERTOCR1AlINALPENKTIESANOCNILFWESUPTOONEHUNDREDTHDUSA o ENERC�YPERMIT L '-- —_'—� OOILARS(floo.000).WAbDITIONTOTHECOSTOFCOMPENSIRION,DAMACESASGROVIOEDFOR 4 � SECTqN3]0lOFTNELABORCODE,WTEREST,ANDATTORNEV5FEE5. RETENTIONFEE: � � ---- � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBVAFFIRMUNDERPENALTYDFVERJURYTlUTiNEREISACONSTRUGTIq1LEN0iNGAGENCY nZ- FORTHEPERFOW.IANCEOFTHEWORKfORWHid/TMSPERMIiI5155UED(SEG009l,CIV.G). W � IENDER'SNAAIE {� LENDER'S IDDRESS " � TOTAL FEES � 7 7`� W I LERTIFY THAT I HAVE RE/W THIS APPLICATION AND STATE TMAT TMEABOVE MFOWA�TpN IS CORRECT. � IACHEETOCOMFLVWITNALLGITVMlDCOUNTYORDINANLESANDSTATEUNSREUTINGTOBU0.DIN6 � CONSTRUCiION.MIDHEREBV�UiFqRREREPRESEMAT1VE50FTHI5CWNTYTOENTERUPONTHE Z ABOVE�MENTIONEDORO�ERTVFORINSPECTqNPURVOSES. COMMENTS � h� _ m �ERAIIT7E �AE(PRI T) a _ _��6 0 � (/) SIGN TUREOF E OATE � RECPT.NO. PAID BY - VALIDATION WHITE riment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—FilaCopy,GREEN—ApplicanCs Copy � _ -. v . r� .< .. , .�-.... , _._. , . . . . ... ...r . �,1' �� r.. . ....ii�.�h.. ..�.1.5��,-�i'.+�r. . .Y.`. ' � �. . � � ' -.... �.-..r . f.v . •']:�. i � . .. . . . . . ciz�� OF DIAPJ�QND ��'�R ` 1`dSi=CCTl�P�± 6�EC06?D ' � -- -- - . _. - _ — _ - _ ___. Il�l�'��-!�.f�rl�)�I �l�fi�'� �I►`1-'�.a�c I'��.� f��!�-`l�?_ cr'r(c`1►�& �k+4�'= 1►��7�I=c`^F`e��l. _...___�_�_.__�___..____ _... __.. _._. ....�----- __-- .___.__...__.___. ...._-- _-.---------—.._ .�_ __.____ ___.___4� - • - _ SET BACK I � I FLOOR JOISTi�• ; • , � � FTGS/FORP�AS'STEEL � . I FHA REQMTS � ELECTRIC GROUND � ' � UNDER FLOOR DUCT � GROUND PLUiv1BiNG U�JDER FLOOR COMDUIT '•; SLAB GRADE FIREPL' G���FOUNbATION ' " � ' ' TEMP POWER ( FIREPLACE BONp BEAM WATER SERVICE I _� MID HT. BOND BEAP� ' � � . ROOF SHEATHING 8 FT. BOND BEAP�i � ' '' ,. . , FFiAMINGNENTILIATION FINAL EiOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING � WALL INSULATION POOL FINAL I CEILING INSULATION OFF SITE IMPS. j DRYWALL NAILING �EDICATIONS SEWER FINAL ENG. SEPTIC TANK � LANDSCAPE/IRRIG. SEEP PIT/L.L. � OPJ SITE IMPS. GAS AIR TEST FINAL ZONIPJG FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY i�C�CP, C�` �'1C%C _ I I . , .,f`•-i_a.s_.�. .... � CUMMENTS � �, � SEPTIC TANK SIZE SEEP PIT/U SIZE ,'q� r�`� - , i ,` � ; , , ,\