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HomeMy WebLinkAbout13731 (16) � __. . .. - --- - --- �/ . �.�' ' --1�..__.._ CITY OF DIAMOND BAB DEPARTMENT OF COMMUNITY dz DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)860-3195Fax(909)861-3117 PRESS �"�' BUII.DING PERMIT APPZ.ICATION FlRMLY � ADDRIESS`��1" � � APPUCATIOly�3o �Q NUMBERS���� X� DATE f5 � ISSUE--�—T—TYpE OCC APN l0T TRAC DATE CONST. GROUP p OWNER p ADD ESS ` ZONING SETHACKS � CITY � ,�� ZIP TEL. FRONT pW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW O CONTRACTOR _ C, �� SIDE ❑ g ADDRESS.,�.(� PROPOSED USE CITY 7.�� IP� TEL/��i,�� 8 ARCH%EN6f � T DESIGNER NO.DWEL. NO. NO. � CITY E� ZIP TEL. UNITS STnRIES BEDROOMS u� tn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARA110N SFR/AD�hiEM O p I I/EREBY AFFlNM UlNER FENALTY OF PEIWRY 7HAT I MI E7(EMPT F110M TNE OONTRACTOqS U• Gefege/CBrpOr1 0 CENSEUWFORTHEFOLLAWWGXEASON�SEC.7IXi1.5BU5WESSMIDPROFES510N5CODE:ANYCRYON (J) C) COUNTYWHIp1pE011IpEBAiERA1RiOCONSTRUC7,ALTERWPA0YE.0EMdJSN,�NpEPAtRANYS7Rl1C. W Z R/RE PNO(i i0 RS ISSU/UJCE.AL90 qEOUIRE3 iHE MPLICANT FOR SUd/PERMIT TO i1LE A SIGNED PdiIOIDBCk �� ETATEMENT TUT HE Olt S/E 19 LICENSED PURSUANT TO 1HE PRWIISIONS OF THE ODMTMCTOq3 lJ- LL � CENSEUIW�CMAPTERY(CpdMENCWGWRNBECTION10D0)OF�IYISION�OFTHEBUSINESSAN�PRO- POOUSP9 fESS1ONSO00E)ORTHATHEOf18ME19E%EMPTiHEREFHddAND7HEBA5ISFORTMEALLE0E0EXOAP• (ry iION.MIYYIOLATI0NOF8ECTIONf031.OBYIWYMPIICANTFORAPERMIT8U9.lECTSTHEMVLICNiTTO Z Re-Root 1,,, J�CMLPENAL7YOFNOTMOREiWWi1VEHUNDREDDOLUR5�i5oo).1: � ❑1,11501MIEROfTlIEPROPEHT�',ORMYEMPLOYEESWITHWAOESASTHEIRSOLECOM7EN5ATION, Q COmm9fCiel - WILL DO iXE WORK AND TME 6THUCTURE IS NOT INfENDED OR OFFERED FDR SFLE(SEC.704�,pU51• J NESS AND PAOFESSIONS CODE:T1E CONiMCTORS LICENSE UW OOES NOT AVPLV TO AN OWNER OF = � iNOPER�YN'FI�BU0.DSORMAPIIOVESTHEREOH.ANOWHOOOESSUCH\MORKNIMSELFIXiHERSELFON Q 7MMUAHMI6dINEH0INNEMOLAVEES,PROVID�THATSUCHIMPqOVEMENTSAqENOTINTENOFDOR � �� OFF6iEDFOR6A-fi.�F./10WEVE0.7M66UldNCiORIMPpDVEMB/TISfOLDNTIHINONEVFAROFC0IJPLE- Z TqN,TME OWNEiL8U1LDER N7LL NAVE 7NE BURDEN OF PROVINO TNAT ME OR SHE DID NO'f B1111D ON � MPi10VE FOR THE PURPOSE OF 6ALE�. W ❑4ti:OMMEROFTfE7ilOPERfY.AME%CLUSNELYCOMpACTINaMRT1iLICENSEDCON�MCTOR3 CC 7�G�DN5TAUCT TME PROJECT(9EC.7aI,BUSINE35 AN�PROFESSIONS GOOE:77iE OON7RRGTOqS ll- V81U8�1011 ADJ.AREA LLJ CENSENWOOESNOTAPVLYTOMIOWNEROFAPHOPER7Y'MIDBUMDSORIMPpOVE3T11EREON,NID � W11�WNTMCTBF�flSUC/1PROJECTSWITHACONfMCTOR(5)LICENSEOWRSUANTTOTHECONTRAG ounr�rirv DESCRIPTION �E � 70R5 UCENSE IAW.), ❑I MI EXEAIPTUNOENBEC. B.1 P.C.FOR THIS REASON � �� w .( U � � DA7E ONMER � L LICENSED CONTRACTORS DECLARATION � � I/IEREBYAFFIRNIIWERPENAL7YOFPERIURV717ATIMAIICEN5E0UNDEHPROVI510N50FCHAPTER � � 1 � � •(COAWENCINOMITNSECTION7000�OFDIVISqN90FiHEBUSINESSANDPROFESSiONSCOOE,IW� z � O W UCENSE IS N FUIL WHCEAND EFFECT. � � � � � [/� l � LICENSE C SS � LIC.NO. T � /1 , z' DATE _CONTflACTOR C�� � �� i lL d� WORKERS'COMPENSATION DECURATION �`�� . � I MEREBV AFFIIW IAiDEN DENAI.iY OF PER1UitY dJE OF THE FOLL0IMNG DECLAMTIONS: Ir'`1 Z ' ` � d � _IHAVEANDMALLMANTNNACER'TIFlCATEOFOON6ENTT08ELFaNSUREFORWORNERS' _ CO/.�ENSATION,ASPROVIDEUlYSECTION]7000FTMElI90PCODE.FORTHEPERFORMANCE 'U Q OF TFIE WOFK FOfI YVHICM t}II6 PERM�T 191SSUE�. � � _IMINEANDWILLY/JNfA1NNfORKEFS'COY7ENSATIONINSURANCE,ASREd11REOBYSECTqN 6 97ooOFT1EtABORCODE,FORTHE FFORMANCEOFTHEWOPKFOAWHIpiTXISPERMITI5 65UED.MY RK 5'COIAPENSAT NSURANCE CARRIER ANO POLICY NUMBER ARE: CONSTRUCTION � G1RqIER � _ . �� PLAN REVIEW � °°��cr e�uMBER ELECTRIC � � (mss[�ctnr�r�IDNo7eEm�E7IDavn�rEanur�sronar�tawa[omu�asR�m)aa��ss1 PIUMBING � Z 1 CERlIFV hUT W THE PERFORMMICE OF THE WORK FOR WFi1CH THIS PERMIT IS ISSUE�,I MECHANICAL () BHALLNOTEMPLAYANYFERSONINANYMANJERSOASTOBECOMESU&IECTTOhiE (n YYORKERS'CqAPENSATqN LAWS OF CALIFOPNIA,MI�AGREE TII�T IF I SFKKILD BECOIdE INSPECTION FEE S SUB.IECTTOMEWOfiKENS'COLIPENS�TqNPHOVISION50F5ECTION77o00FTHEUBOR caoE,I sHu1 FomNNnnl cOMvlr wtnl se r Vlsarrs. ISSUANCE r � /', SMIP p DATE:C�a/�`�4Q--- AVPIICAM: ' � �a�( rT WMNIN i:FAIWHE T6 SEGURE Ml011KER3'GOM ENS�TION VERA(lE NLAWFUL,MID BMAL�BE ENEFlGY P1C r'y SUBJE NiEMPLOYERTOCRIMW/LL.PENALTIESANDqVILFINE5l1PTOONEHUNOREDTHWSl1N0 ENERGYPERMIT OOLIARS Ii100.000�,M AD�InON TO TNE COS70F COMPENSA7pN,OMIAGES AS PAOVIDEO FOR IN ¢ SEcraN a7oe oF n1E LABOA coOE,titEaEsi,u�o n77onNErs FEEs. RETENTI ON FEE: O CONSTFlUCTION LEND�NG AGENCY PRE-ALT FEE: .�/ � IHEREBYAFFIRMUNDERPENALTYOFPEFUURYTMATTHERE1511CONSTRVCTIONLEND�NOAOENCY PoR iHE PERfORMANCE OF TNE WORK FOR WHICMTHIS VERMITIS ISSUED(SEG 3DW,CIK C.). � � LENDERS NAA1E � LENDER'SADORESS � I CERTIFV iHAT I FNVE REA�THIS APPLICATION M7D STATE THAT THE ABOVE MFORMATqN IS GDRHECT. TOTAL FE ES {�O � IACIREETOCOMMYN7THALLCIiYANDCWNTVOflDIPWIGESANOSTATElAWSPEIATIN4TOBU0.DIN0 � CONSTHI)CTION,ANDNEREBYAUf110RIZEflEPRESENTATIVE50Fh115COlMTYTOENTEHUPONTHE ABOVE•MENfqNED PqOPERT'!WH INSPECTqN VURPOSES. COMMENTS G J � m PERMR7EE N -(Pql � � y 810NAiURE YRT OAT � RECPT.NO. AID BY VALIDATION WHITE—DepaNnent Capy,YE W–finanoa Capy,PoNK—Assesaor Copy,GOLDENROO–file Copy,GHEEN—Applicant's Copy . . . . . . . ' . . . •� ' . • . . . � � � � �., �., �• � ' .F . . • . . , . ' . f.. . ' � .. . .. CITY OF DIAMUI'rED B�R . II'�ESRECTiC?I`� FiECG1R[� � ��-r� - - �,+° :�.x.,.�.,.�+ �..,.�,� ,�. .:�:..�..s...�,_.,,....:, �.�.. ,�„ , �� � � � � • s � w ,� ���,.� � � ; �'' �����1e�Mw�L:�.'�� ... .¢.b � �.,��M . , .. . _ , - _.�__:�-----. . . ,. ;_ � SET BACK ( . ; � FLOOR JOlST --- - � --- --...---- ----------�--� ` . _ -,-----�- - ---.. . . FTGSlFORNISlSTEEL - � ' �� FHA REQMTS ' � � --------------- ----- ---._._._._�.r--- ---�_....---------- --------------- ---._.... ELECTF�IC GROt1ND � U�dGER FLOOR DUCT ' _--------�---------- -- - _ t•------:----_�--;-�.._�------._. . -- -------------------- - `-----.�_. _.— _ _ - - ------ . GROUND PL�Uh•�BING , __ UNDFP, FLOOR CC7htt�lUlT ' -----------___.__. --�------ ----------�----. .. SL.Af3 GRAQE � __'___�___�___ FIREPLACE FOUNDATI�N __ __ _ ___ E --- _.-- -- ----- _ _LL ----- - . -------- ---�-------' �—_T - ' - ---�..._------ ---•-- TEMP P�WEf� � � ' I � F?REPLACE BON�J BEAM �...--------__....-_.__._ ! --- -----__I WATER SERVICE ��_�_ . _ I MID HT. 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