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HomeMy WebLinkAbout15586 (22) � QC � CITY OF DIAMOND BAQ / r' - --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES /� � 21660 E.Copley Drive 5uite 190 (909)860-3193 Fax(909)861-3117 PRESS `�°� BiJILDING PERMIT APPLICATION FIRMLY , y JOBSITE / APPLICATION PERMIT �j p/C � ADDRESS � �3 r�S � �t C�Vu��J Gt� DATE�,�,� �� NUMBER�w � 1► � APN LOT TRACT q n' � DA E F IL-7 x�CONST. GROUP OWNER � �� ADDRF�,SS �3 irn5 2 � �i r ZONING SETBACKS W CITY���� ZIP 7 TEL. � ' '� FRONT RW ❑ APPLICANT � F� �+ ��' TEL. - REAR ❑ SIDE/SIQE STREET RW O CONTRACTOR 'E'`� h�` ln a I' � SIDE ❑ ADDRESS "?� � CITY A-' ZIP TEL. ''��" �j' �OPOSEDUSE '«�` kG� �C� .t � �� c. � ARCWEN DESIGNER NO.DWEL NO. NO. ADORESS UNITS STORlES .�_BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION d OWNER-BUILDER OECLARATION SFR/ADD/REM O 1 XEREBY AFFHW UNDER PENAL7Y OF PERNRY TFNT I MI E%EMP7 FROM THE ODNTRACTORS Lh Garage/Carport CENSEtAWFORTiEFOLLOIMNOREASON(SEC.70.71.6BU9�NESSANDPROFESSIONSCODE:ANVqTYON (n COUMiYWHIdIREOUIFtESAVFRMRTCICON6TRUCT,AL7E0.1MPROVE.OQ10LI6H.ONREPAIRANY5TTilIG �Ll P8tIO1DOCk TURE PRIOR TO RS 169UANCE.AL80 REOUIRES THE MPLMANT FOR SW/VENAIT TO FlLE�SIONED W iTATEMEM TM1R NE OR 81iE IS LK�NSED MIRSUANf TO TNE PROVISIONS OF TIIE CONTqNCTOqS LI• CENSfi LAW�CHAP7ER Y(COAIMENC4J0 WITN BECTION 70ooJ OF�MSION 9 OF THE BUSINE65 JW�PRO- V' POOU$p9 iE69qN5 COOE)OR THAT HE OR 9HE IS EXEMPT 11ffHEFRdM AND 7HE BASIS FOR THE ALLEOED E7CEMP• /� TION.ANYYIOLATIONOFiECTION7W1.lSVN/YAPiLIGANTFORAPEIiMITBUBJECT5i11EMPLICAHTTO Z Re-Roo1 �,/ � A GVIL�ENAL7Y OF NOT MORE 1XM!FNE NUNDRED DOLWiS R�DI� . OL�150YMNEROFTIEP1qPERTY,ORYVEYPIAYEESWITHWMiE9ASTHEIRSOLECOMPENSATION, � COrtITBrCiel WILL DO iHE WOqK.AND THE STRUCiURE IS NOT INTEIA6D OR OFfERED FOR SALE(SEC.tau,puSi. J y NESS ANO P110FE9SION5 COOE:TME CONiHACTORS LICEN6E LMY OOES 10T APPLY TO AN dVNER Of j �ROOERTV INFIO 9UII.DBOR MPROVE87MEREOµAND WNO DOES SUCH N�ORK HIMSELF OF HFFISELF OR TMIqUOM NIS di MER ONM EYPLOYEES.PROVIDED THAT BUCM MVROVEMENT6 ME NOT NTFlAEp Op m OFFERm FORBN.E IF HDNIEVER T1E SULDINOOiI WMIOVE4IENT13 SOID WITFIINONEYEAROF C04P1E- TION,7HE ONMER�UIIDER WILL HAVE THE BUt1DEN OR PROVWG hIAT ME OR lFIE DID NOT BINtD ON MIPROVE FOR 7NE Pl1NP06E OF SME). ❑4115 OYMER OF TNE PFIOPERTY,MI EX0.W NELY CONiMCfINO WI7M LIGENSED CONfRACTOp! TOCONSTRUCr iHE PRQIECT(SEG 704�,BU9INESS IW0 PROFESSIONS COOE:TNE QOfiTRACTpRS tJ• VeluBtlOf1 ADJ.AREA CENSE lAW DOES NOTMPLY TO AN OWIJER OF A PROPERTY Wip BURD60H NIPRONE9 MEREOl1 WD MIFtlCONTNACT6FON9UCHPR0.IECTBWITNACONfRACTOR�S�LICENSEDPURSUAN7TOTME00NTRAC. qUANTIIY DESCRIPTION roas ucEr+sE uw.�. FEE � O1AAIEXEIAPTU1iDENSEC. B.6P.C.FORTHIBNEASOH � ' U �=" DATE OWNER � � U LICflNSED CONTRACTORS DECIARATION W � IFIEREBYAFFIRMUNDERPEWVLTYOFPERIUPYTHA7IAMLICEN9EDUNDERPHOYISIONSOFCHAPTER � ��COMMENCY�ICi WITH SEC7qN Ma0)OF DNISION 30FTHE BUSIqESB AN�PHOFESSIONS OODE,IWD Z MY LIGENSE 16 N FULL FORCE EFFECf. 5 Y 5 � o ��EQ�ss � hl r���.�. � � wh j"'1-1—nn coNrn��ei+oA f-111 4�'.1�l r^n.-•{a<r,��, 3' = WORKERS'COMPENSATON DECUMTION � NIMEREOYAFFlRMIN�DERPENALTYOFVEiUURVONEOFTNEFOLLOWINO�ECLAFiAT10N9: Z G �1lIAVEANDWILLMNMAPlACEHI'IflCATEOFCONSENTTO6ELHNSWEFORNORKER9' _ �� OpIPENSATION,A9GROV�EDBYSFCTIONJ7000F7HELABORCODE.FORTHEPERFORNANCE W OFiNE WOiSf FOR 1NHIG1 TMIS iERA11T 18193UE0. � _I FIAVE ANO WILLYAINfAN WOpKERS'OOMPENSATIDN INSUHANCE,AS REOutRED BY BECTION (y� � a7oDOF THE LABOR CODE,FORiHE GERFOIIMANCE OF THE WORIf PoRriF1ICF1 TiNB PERMIT IS z ISSUEO.AIY FAS'�OMPEN9Af I SUNANCEGRRIERANDP0.ICYNUMBEHME: GONSTRUCTION 9[j_� � CARNIER f ��� (/ �" _ PLANREVIEW � P0.ICYNUMBER ` v� E�F,pI,�',��(;�.7 Lil�it(��i-F� msa�cnwr��wreemr.r�hooFn+Ev�a,n�sr�oear+e�an�ooa�w�sa�ao�oa�ss� P��Q�c�7i',��}p` - i�t�a � a":'.,. ._'� ,ti 1 CERTIFY THAT W THE PENFqiMANCE OF THE WORK FOR WHICH THIS iER1A1T IS ISSUED.I MECHANICA� � SIUl.LNOT EMPIOYANV PERSON M1ANY N/WNER BOAS TO BECOAIE 6U&IECT TO iHE f', � (q WOAKERS'COAAPENSATION 1AN19 OF CALIFORNIA,ANU AOREE h1AT IF 1 SHOULD BECOME INSPECTION�E-�G BUB.IECTTOTVIEWORKERS'COAIPFNSATqNPRO SIONSOF6 77000FTN R��--�� ^.�Fom�mnn�cor.r�rNnn��v ��i �� ISSUANCE �� DA7E: �� APPIICANT: _a, . SMIP WARNINO:FAILURE TO SECURE WORKEHS CONPENSATION COVERAGE IS UNIMNFUL,ANO SHALLBE ENERGY P/C � �C 1 � BUBJEC7ANEN%AVERTOCRIMWALPENAL7IESANDCMLFME9UPTOONEHUWREOh10UBMID ENERGYPERMIT JDOLLAf1S(i/00.000),W AO�ITON TO TIE COST OF CAMPFNSATION,DAMAOES AS PIIOVIDED FOR IN BECTIONi1MOFiNEL�BORCOOE,INTEREST,ANDAT70RNEY'SFEES. AE7ENTIONFEE: q� CONSTRUCTION LENDING AGENCY 0 PRE-ALT FEE: � 1 HEREBV AFFIRM UlCER PENALTY OF PERJURY THAT THERE IB 11 CONSTRUCTION IENDINfi MENCY 2 FOR THE PERFORMMICE OF iHE 1NORK PoR WMICH TNIS PERMIT IS ISSUED(SEG 70Y7,CIK C.} W � LENUER'S NAME �S IEH�ER'SA�DRESS ,/� W 1 CERTIFY THAT 1 MI1YE pEAD MIS APPIJCIITqN AND STATE h1�T 1NE ABOVE WFORMATqN IS OORRECT. TOTAL FEES � / l �� � 1 ACiREE Tb COM7l1 MATX ALL CIT'NV�COUNTY ORDINlWCES AW STA7E UWS FEUTMIfi TO BU0.AIN0 .r V� � CdNSTRUCTION,ANOXEREBYAU71qpIZEREPRESENTATIVE50FTHISCOIMlYTOENTERUPONTHE ABOVEYENTIONED PROPERTY INSPECTION PURPOSES. COMMENTS 9 -t(�'� !�J+L�'f3 � iEi41t1TEENAAI ,.'l �.'/ /� ln � �... �BZ/ � BqNATIREOFPE EE �TE � RECPT.NO. PAID BY VALtDAT10N YVHITE—flepanment Copy,YELLOW--Fnenca Gopy,PINK—Aseeesar Copy,GOLD D--Ffle Copy.GREEN—Applicanl'e Copy :M..,,: . . ,,. , ..,�..:,;.i:,�.v.' .+. „ '.r.�/rae.. . . •.r"V'� . .. . . .. � , . .e,... .. „r• �.i . . .. ...... . . . .. 1. � �- . .. CITY OF DIAI`+f10hlD BAR � INSPECTIO�! F�ECORD � "` . �i , . . . y�.��-.,;1<�' ..�..,. >.. .� ��,�.� � � � �- • E � r '��• �'�>`<-: �W^.C�C'V-,<+ r.w ..�4 a 4:-a . . � SET BACK --�---- 1------ -��--- I FLOOR JOIST � ---�--.�_� __�n_�.--�--------..__�..._. .tl -- ------ FTGS/FORh4SfSTEEL � � , FHA REG�MTS ---�---------�----� --- --- _--. �__�.,---.............�----------�------- ..._. 'ELECTRlC GROUND ' � � � • • UN�ER FLOOR pUCT I ' ----__�_�— --- ----�— ---- -- , -- ---�-------_.�:--------- • --- � GROUNi?PLUM3ING , UNDER FLOOR CO�IDUIT I ' " - - — -}- - - --------------------... :...-- SLAB GRADE I FIREPLACE FOUiVDATiON _ I .___ ______• __ _: _ _ TENIP POWEft ^� FIREPLACE BOND BEAM � ' __ _ _ WATER SEFtVICE � M1D HT. BOND BEAM � �ROOF SN�ATHING _u 2� � 8�f. 80ND BEAM � i . � --- �--•--._�--=---- ___�--___.._._�_`_ F AMIN NENTiLlA tON � - FINAL BdND BEAM ! R G T (i — t �- ----- ----- •--- -------. ------ -�--------__._.� ROUF CC)VER t I PRE-GRADING � ;ROUGH HEAi ING __�-`--� � BENCHING�� — � ----._. ._.. _ -_. .___ _._� .._.. ROUGH ELECTR{C � ROUGH GRADING : __ _..—__._..__—_._ �--- -----� ----- ---�-------- - - ............._._..... RQUGN PWMF3ING I � _^ I FINISH GRADING i -------.-- I ----^---�•--- .--- ��.__—�� — _ -- �SHOWERITUB TEST � � POOL ELECTRIC • , ---.__"._____--- -- -------- ' -----�-------------------�----� EXT. 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FINFiL ' . �----=--- •- - �--,----=--------------------------------------._.... _..._ ..-- -....-----.....� ` FINP.L��[cAT1NG I NEALT�-! DFPT. FINAL � - � ' -----.__._._.._____------------------_...._.__...__..,.._...... _...---- ; ----------___--_ �.----�----------------- FifJt�L ELECTRIC ' 1 ; � DEV. �FES FAID ; { ----+------- ' �___,._�.� _ -�--------- ------------------___---_----- ---- - . , !_3!,iAL PLUMSiNG ; Ef•�FRGY , � . ; � , , - -----...-------- ------...------ ------ ......---_- --� S.__ �.'.��.—.���.�.�.�__ ___—_Y_�_ �__._�.�._�_.�_.__'.�..`_.___���_________�__. 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