HomeMy WebLinkAbout14765 (19) ---__.__.. � . CITY OF DIAMOND BA� � �• � -� — DEPART1rIENT OF COMMUMTY&DEVELOPMENT SERVICES � , 21660 E.Copley Ihive Suite 190 (909)8Ga3195 Faz(909)851-3117 PRESS ������ BiJII.DING PERMIT APPLICATI�N FIRMLY Q ADDRESS � - APPUCATION PERMIT r S P/C o DATE_� NUMBER 11 � ISSIJE /s Q TYPE OCC APN OT TRA T DATE ' v�-� CONST. GROUP g OWNER I` A. -A � � ADDRESS ZONING SETBACKS CITY ZIP TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ 610FJSIDE STREET RW ❑ CONTRACTOR 51DE ❑ p� ADDRES3 PROPOSED USE � CITY ZIP TEL � ARCFUENG! "� _.., DESIGNER NO.DWEL NO. O. AODRESS UNITS STORIES BEDROpMS � CfiY ZIP TEL. DESCRIPTION Sa.FT. FACTQR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFFVADO/REM O 1 MEREBY AFFlRM UNDER PEN�17Y OF PERAXiY TMAT I MI FXEMM FFOM THE COMfRACTORS U- GefegelCHt�70R CENSf1AWFOpTHEFOLIOWINOREASON�SEC.70.7f,8BU61NE6SANDPROFE5610NSCODE:ANYGTYOR (n CatM�YYMRCHRE0UIRESAFEt1NRTOCONSiRUCT,ALTERIMPROVEDEMOL!9H2ORREPAIRANYBTAUC- W Pat10/DBCk 7UIE,►RpR TO RS iBBUANCE,ILLSO REOUIRES TNE MPLICAM PoR BUCM iERMR TO F0.E A f10NED W STATFAIEHT TNAT NE OR BHE IS LICENSED PURSUM1f 70 T1E VipVISIIXi3 OF 7ME C�f�RAC10R8 l4 CENSE UW([?IMTER Y 1COMMENCINa WI7H lECTION 70W)OF DIVISpN 3 OFTHE WSMES511N0 PRO � PnOVSp9 FESSIONS COOE7 ORTUIT ME OR&HE IS IXEMFT TNEREFHOM MD TFIE BA319 FOR TNEALLEOm EXEIAP- - / TqN.ANVVIOlAT10NOFSECTION7o9f.6BYANVAPpLICANTFORAPERYR8UBJECTSTHEAPP�ICANTiO Z Re-Roof V � AGWILPEW�L7YOFNOTIAOFETNANFNFHUNDNm00lLAR5(tSao�J: p1,A60NIHEROFh1EPROPERTV,ORYVEMPIAYEE8MIITHWAOESA9THEIR80LECOMPENSATION, (�`pmmgfClfll NALL DO T!E WOIUf,MD TH6 STRUCTURE IS NOT NfTEND6D OR OFFEREO FOR,.N.E(SEC.7ou,BIISL J NESS NIO PROFEOSIONS GUDE:TME CONTMCTORS UCENSE LAW DOES NOT MPLY TO AN OIMNER OF � PiIOPERTYYViqBULDSORMIPROYESiNEREON,/W�YYNODOE5Sl1C7iYYORKNIMSELFORHERSELFOH � � TMi0U0NXI50RMEflONMEMPIAYEES,PROVI�E07NATeUG711MPROVEMENT6ARENOTNifEN0E00R m OFFERm POH&LLE IF,HONYEVERII�E NALDNOOR�APROVEMENT IS SqD WITitlN ONE YEAROF COMPLE- TqN.THE ONTiEfl�BUtDER VALLli�YE TFIE BURDEN OF PROVNI�THAT HE OR BHE�IO NOT BWID OR MPROVE FOR TFIE PURPOSE OF W.E). O 4��EA OF TNE PRDPEfifY,AM IXCLUSIVELYCONfMCTINO WITH LICENSED CON7AACTORS � TO OON6711UCT 1HE PIiOJECT(8E0.7oN,BUSINESS AND PXOFE981ON3 CODE:tFIE OONTRAC70R5 LI- V81U9�101� AQI.AREA CENSE UW DDEB NOTAPPlYTO MI OYVNER OF A PROOERTY NM1IO BUILD6 OR MPiqVEe 7HEREON,N10 WIWCOMRACTSPoR8UG1►ROJEGTSWITHACONTRACfOR(e)L1CQa8EDPUR3UMIT707MECONiMG QUA DESCRIPTION FEE � TOq,s UCENSE IAriJ. • O I AM IXEMPT UNDEN SEC._ 8.l P.C.FOq TFXS REASON � U lL ¢ DATE ONMER ' V � UCENSED CONTRACTOHS DECLARATION � � I HEREBY 11FFIiW UN�ER PENALTV OF PEFLIURY 1X�T 1 AM LICEHSED UN�ER PNOVI91ONS OF CNAPTER � � �(COMMENCINO MAiH SECTqN 700n)aF OMSION 8 OF THE BUSINESS AND PROFESSqNS CODE,M1D Z W UCENSE 16 N FULL FORCE AN�EFFECT. m � LICEHSE CUSS LIC.N�. 3 H � DATE CONTRACTOR a = WORKERS'COMPENSATION DECLARATION � � IHEREBYAFFlRMUNDERPEN�LTVOFPEiWRYONEOFiHEFOLLOWINODECLARATIONS: V y a � _IlMVEANDIMLLMAINTNN�CERTIFlCATEOFOONSENTTOSELF•INSUREFOR4VOHKER3' _ CdIPEN5AT10N.AS PROVIDED BY BECTpN 9700 OF TNE LABOFi CO�E,POR THE PEHFORMANCE W OF TiE WORK WN WMICi1 TNIS VEAYI7IC ISSUE�. � c �I IIAVE AND WILL MNMAN W011KER3'COMPENSATqN INSURANCE.A9 REQUIRED BY SECfKKi ///^ ///��� ///���''''''� Q970D OF 7XE IJIBOR COUE,FOR iF1E PERFORMMlCE OF TNE WORN W R YMFIICH THIS PERMIT IS �� � 63UE0.1IYWORKERS'COAIPENSATqNWSUWWCECARRIENANDPOIICYNUMBERME�, CONSTRUCTION � CMRIER PLAN REVIEW Q COLICVMAABER ELECTRIC G 6 0 (MssEC1qNNFIDraiBEaOAPtE7WaFTEPEfi�4�sFORauEtU1DRED0ouAfslilaqaaLEss�. PLUMBING � I CERTIFY TW�7 B17HE PERFORIIANCE OFTHE N10(1K FOR WHICH THIS PERYIT IS ISSUE�,1 MECHANICAL �7 SHALL NO7 EMPIOY ANv PER50N M1 ANY MANNER SO AS TO BECOME 8UBIECT TO THE � VNORKERS'COMPENSATqN UWS OF CALIFORN1IAND A6REE TMAT IF 1 SHOULC BECOME INSPECTION FEE � SUBJECTTOTHEWOPo(ERS'0061PENSATqNPRON510NSOF5ECT10N97000FTHElABOR caoe,i sHw,wRrrrvmr co�+r�r wirn Trrose rAorsroNs. ISSUANCE p MTE: APaUcnNT. SMIP � � ENERGY P/C f`iTV!l�ni A����B� � WARNINO:FNLUHETO6ECUREWORKERS'000.1PENSATIONCOVEHAGEISUNLAWFIR,ANOSH�LLBE (��y SUBJEGTANEMROYERTOCRIMINALPBiALTIESMlDCMLFN�UPTOONE1d1NDREDTHOUSAID ENERGYPERMIT _IIfTf't'r�r�r/� •1. �}�J } OOLWIS(3100,0OO�,WADDIiIONTOTNEGOSTOFCOMPEN5AT10N,DAMA0E5A5PROVIDEDFOflIN 7��J�DII�-���'�'A�TI �.J SECTpNS70lOFTHELA80RCODE.INTEREST,ANO�7TORNEY'SFEE5. RETENTIONFEE: � }S'_' CONSTRUCTION LENDIN(3 AGENCY PRE-ALT FEE: O gIHFREBYAFFIRMUNOERPENPL7YOFPERIURYTHAT7HEREISAOONSTRUGTIONLENOMI�MENCY FOfl TNE PER W RMNICE OF iHE WORN FOH WHN77 7MIS YEtiMl716 ISSUED�SEG 9087,GIV.G�. � LENOEN'S f/A1AE LENDER'S AOORESS ICEfiTIFYTNIITIXAVEREAUTMISAPPl1G1T10NNYOSTATETW�TTMEABOYE9VFORMATqNISCORRECT. TOTAL FEES � I AUREE TO COMPLY WITH ALL pTY M1D COUNfY ORDINANCES MID STA7E lAW3 FELA71N0 TO BU0.�ING OONSTRUCTqN.MW MER�YAIlfNORRE HE7RESENTATIVES OF iH15 COUNiV TO EMERUPON iHE � A90VE�AIEMIONED OROPEFliY FOR qY3PECT10N PURP65ES. �/ COMMENTS � PEr' j E�w / � = 3 zQ I - y R E AiE , ) � RECPT.NO. v _PAID BY _ VALIDAT70N WHITE—Department Capy,VELLOW--Ftr�ence Copy,PINK—Aswasa Copy,OOLDENROD—File Copy,CiREEN—ApplicanYs Capy , crrv oF �i�r,�or�o g�►r� IRDS�ECTIOF,V RECOf�D � ` " ! :��" � d , . r . . a� E , , � . SET BACK � ' ' FLOOR JO1ST; • ' ' ' • FTGS/FORMS/STEEL �^ , -� .' + FHA REQMTS -. ,", � - ELECTRIC GROUND � ' UNDER FLOOR DUCT � GROUND PLUMBING __ UNDER FLOOR CUMDUIT � � SLAB GRRDE FIREPLACE F�UNDATION• � � ' � • TEMP POWER � FIF�EPLACE BOND BEAM WATEFI SERVICE MiD HT. BOND BEAM - F��QF SHEI�iTi-II�ICS -�2,''`t'�j �. � ' 8 F7.B�ND BEAM �F�MINGN�NTILEATION .'- : ` I FINAL BaND BEAM ROOF COVER � ' ' PRE-GRADING ROUGH NEATING BENCHING ` ROUGH ELECTRIC ROUGH GRADING RQUGH PLUMBI[VG � � FINISH GRADING 5Ht7WEFt(TUB TEST POOL ELECTR!C EXT.Lf1TH/SIDlNG P60L FENCING WALL INSULEiTIQN � • POOL FINAL � � � GEILING lNSULATION OFF SITE IMPS. ^ DRYWALL NAILING DEpiCATIONS � SEWER�---Vv�� - FINAL ENG. SEPTlC TANK � �• �k LANDSCAPE/lRRIG. _ _ SEEP PIT/L,.L. • ` '� ;�� UN SITE IMPS. GAS AIFi TEST � FINAL 7_OPJlNG FINAL CCJ�lS7. �(-� i FIRE OE�T, FENAL• t FINAL FiEATING � _ __� HEALTH DEP.�;�ItVQL _ . , •-- --- -- FiNAt ELECTRIC � DEV. FEES PAID� ' � FIlVAL PLUMBING � 1 � � EPJERGY -- ----- , �.-- -- --- -- . __�_ � _._�__.�_ --__ _- L---� �°'� � � '' --�------- _ GOMi�IENT� __ �� --�-s�-�,_��,, — , i.,,���;� �, . -- :u.. �� r.�,,p. --- -- ---- - •i�`..�;i_'�/`t:. .•.rr� .;(•� ., . _. , SEPTICTANK SI��". :+�r � .�_ ` � `: � '�; SEEP PIT/U 51ZE - --- � - ------.�_.-.__ , .. �.. - �... � ---- ------� .. � • , �,: — � . � . - —�