HomeMy WebLinkAbout12241 CITY OF DIAMOND BA8
-� — DEPARTMENT OF COMMUNITY 8c DEVEIAPMENT SERVICE
� � 21660 E.Copky Ihive Suite 190 -
(909)86Q3143 Fax(909)861-3117 PRESS
���� BUII.DING PERMIT APPLICATION FIRMLY
y JOBSITE APPLICATION PERMIT PJC
' o ADDRESS � DATE NUMBER Z Z�� IF
� ISSUF.G+ TYPE OCC
APN OT TRACT DATE 7 CONST. GROUP
�j WNER ` �
/�DDRESS ZONING SETBACKS
�Ijy Q1�OJC_�,/L�C ZIP � TE " � REART qW p
�APPLiCANT '��� SIpE/SImE STREET RW p
� CONTRACTO o- SIDE ❑
ADDRESS �
g CITY �,E�I�(A�_►a ZIP TEL � PROPOSED USE
� ARCFUENG/
DESIGNER NO.�WEL. NO. NO.
ADDRESS UNITS STORIES BEDROOMS
� CITY ZIP TEL.
N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
Q ONMER-BUILDER DECURATION SFR/ADD/REM
O
I MEREBY AFFlRM UNDEF PEWIL7Y OF PERJURV 7HJlT 1 AM EXEMPT FROM TME COHfRACTORB L4 QeB9B/C81�Wrt
CENSELAWFOR7/1EFOlLON7NOREA.40N(SEC.7Wt.68U91NE39ANDPf1OFE9SpN500DE:ANYdTYOq (n
OOIN�lTtNMIpIflEOURESAVERMRTOCONSTRUCT�N.TERMPROVE.D�L131LORREPAINAM'BTPUG W P8t10/DBCk
TURE,PNpi l�ITB 65UANCE.ALSO REIXJIRES 7HE APPLICANT FOR StK�H PERAIIT TO FlLE A SIONE�
6TATEMENT 7HAT ME OR SHE LS LICENSEO PURSUANT TO 7NE VHWISIONS OF THE COMRACTORS LI•
CENSE LAW(CFIAFIER i IC�IMENCING WITFI BECTION 700D)OF DIYISpN 7 OF THE BUSINESS AND PRb � PoOVSpB
FESSIONSCODE)ORTHATHEOR3NEISIXEMMTHEREFROIAANDTNEBASISFORiHEALLE�EOE%ENP. (�
TqN.M1YVI0�.ATIqiOFSECT10N7Mf.6BVANYAGPUCANTfORAVENAITSUB.lECT57HEAP7lICANTTO � p�p�
� ACML PEN�LTI OF NOT MOiIE 7f7AN fNE MINDRED OqAJ�AB(i600�.):
04��NIEROFTFIEVIqPERT;ORMVEMPLOYEESWIT/VMOESASMEIRSOIECOMPENSATqN,; O COf11RIB�C�81
MIILL 00 TNE MIORIC hND 7NE BTRUC7UNE IS NOT�NTE�ED OII OFFERE�FOR SI1.E(SEC.704t,B1131� J
qESS AND►HOFFSSIONS OODE:illE CWYTR�CTORS LICENSE UW DOES NOT AiP�Y TO AN OWNER Of ;
� PipPER1'fMAiOlUILDSOREIVROVESTMEREON,MDMlr1000E5SUCHWORI(HIMSELFORHERSEIFOR
7Hf10U0H HS OR HER OWN EIAPLOYEES,CNOVID�TW�T SUCH tAPROVEMENT9 ARE NOT WTENOED OH � ..
OFFEREDPOH&LLE IF,110WEVE0.7ME BIIILDING OR W PROYELIEMIB SOLON77HIN dVEYEAROFCOMPL6
710N,TME OWNER�UIIDEN MfILL MAVE 1NE BURDEN OF PRDVINO THAT HE OR SHE OI�NOT BUILO OR
�.IPROVE Fqt 7HE PURP08E OF SALE).
O L AS OWNER OF ME 7ROPERTY.AM EXCLUBNEIY OOMMCTINO WIIH IICENSm CONTMCTOR9
TO CONSTRUCT fM[PpOJECT @EC.70M,BUSiNE39 AND PROFE5910N9 OODE:7HE CONif1ACTpp6 LF V91UetlOfl ADJ.AREA
CEhlSE U1W DOE8 NOTMGLY TON/OWNER OFA PROPERTY YAiO BUN.090R IMPROVES THEHEON,ANO
YYFqODN71NCfOFOREUf71VRWECf8WIT1A00NTRRCTOR(9)UCEN9EOPUHSUNltTOTNE00N7RAG QUANTITY DESCRIPTION FEE
� ions uc�uw.�.
❑1 A►1 EII�►1VT IMJ�ER BEC. B.A P.C.FOR iNIS REA60N U -^'�.I
V" pIRE O1�MER �
� � W
ddd UCENSED CONTRACTORS DECLARATION W
� 1 NEREBY AFFIRN UNDER PENALTY OF PEiUURY TliAT IAM LICENSEO UN�ER PRONSIONS OF CF�APTEH Vr . � ,
•(COMYENCWOWITNSECTqN70m�OFDMSI0N90fTHE&15WESSANDPHOFES510NSCOOE.AND z
W UCENSE 6 N FULL PDRCE AND EFFECT. m
0 LICENSE S3 G LIC.NO. �
H
DATE CONTRACTOR
WORKERS'COMPENSATION DECLARATION q
NINEREBYAFFIRAAIRIDERPENALT'OF►EiUURYONEOFTHEFOLLOWWODECLAM710N5: Z
� _1 MAVE ANO VALLNJIINTNN A CEiiTIFICATE OF CONSEM TO BELF-INSURE FOR NpRNERS' _
OOAAPENSATION,ASPROVI�EDBVlECTIONf7ooOFT11EUBORCODE.FONTHEVERFORMANCE IU
OF TFIE WOqK FOR VAilpl THIB PERMIT 16166UED. �
G
�I HAVE/W�WILLLNIMAIN WOIiKER3'001APENSATION INSUMNCE.IlS flEOUIREDBV SECTIOIY
QO 97000F hIE LABOR CODE PoR 7HE PERFORMMICE OF 7}IE WORK FOR WHIGi TNIS PERMIT IS
� ISSUED.MY WOFKERS'COMVENSATION INSURANCE CARRIERANO GOLICY NUABEHME� CONSTRUCTION
� GIRPoER����i PLAN REVIEW
� POLICY NUMBER� " F ELE IC
0 (IH68EC�ONNE�NOTBEOD+FLETEDOFhEPEiN1i6RxON IAl�DI7ED0011AR4R��%OHL�SI LUMBING ��
z ICERTIFV TFiAT N il/E PERFORMANCE Of 7HE WOPoC FOR WHICH THIS PFRAl1T IS ISSUED.1 MECHANICAL
(y7 8H1LLL NOT EMPLOY MIY PEPuON M ANY MANNER SO AS 70 BECOME SUBJEC7 TO THE
� WORKERS'COMPENSATION LAWS OF CALIFONNIA,AND AaHEE THAT IF I BHOULO BECONE INSPECTION FEE
SUB.IEC7 TO THE WORKERS'LVMPENSATqN PROYISIONS OF SECTqN J700 OF TXE IABOR �.p��
�j CODE,I SHALL W TH CdAPI 1 TNOSE PROVISIONS. � ��`'"r—
0
� �,�:a ���,M: � SMIP
WMNIN�:FALUR TOSECUREWOfil�fl9'COMPENSATIONCOVE ISUNLAWFUL,ANDSFULL9E ENERGYP/C
� SUBJECiANENPLAYERTOC1iIMWALPErML71ESANDqVILFMIEB ONEFN�AREOTNOUSAND ENERGYPERMIT
� OOLLMS(f100.000I.W ADDITION TO THE COST OF COMPENSATION,DAMAOES AS PNOVIDE�FOR IN
.�J SECTION97alOFiHELABORCODE,INTEH6T,ANDATTORNE'/'8FEES ({{ETENTIONFEE:
�
a CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
O
(�L 1 HEREBY AFFlIIAI UNDER PENALN OF PERIUflY THAT TMERE IS�CONSTRUCTION LENDINO AOENCY
z FOR THE PEH WHMANCE OF TME VfORK FOR WHICH 7HI3 PERMR IS ISSUED(SEC.�097,CIV.C.}
W
� IENDER'6 NAME
� IENDER'B A17ORE&S
ICERTIFYTUTIi4WEREAD7NRAPPLIGTIONAND8TA7ETHAT7HEABOVE�NFORMATpNISOORpECL TOTAL FEES /� / _ J
� 111OHEE TO OOMPLY WITI ALL CRY AND COUNTY ORDIIUNCES AND 8TATE UWS RELATINO TO BUIL�IEIO 7 �r�r T�
� OIXi6TRUCTWl1,AN�FIEREHYAUTHORIZEAECqESEMATNE50FTHI500UNTYTOENI'ERUPONiHE 'T
ABOVEadEM10NED GROVERTY Fdi INSPECTIDN PURP09E5. (�MMENTS
9
� rt7EE (Pa R t V
� '
y &ONA REOFPERMIITEE DATE
� RECPT.NO. PAID BY VALIDATION
WHITE--Oepartrnenl Capy,YELLOW—Flnanoa Copy.PINK—Asseasa Capy,60LDENROD--FlIe Copy,GREEN—AppllcenPe Copy
CITI� OF DI�tN60ND BAR ;
� � � tI�LSPECTiON�RECOR[3 � � • �
� � � . s . . e � , . � .
SEf BACK �•,� ' '• FLOOR JOIST i } ;�, ' ;� •
FTGS/FORMS/STEEL -�� . `,�---, FHA REQMTS •
ELFCTRIC GROUND � ' � ' UNDER FLOOR DUCT -- . � ;�`
GROUND PLUMBING � t1NDER FLOOP�G(�JAIql7tT.. { ,: h.+, ' , �� � •�l._:�, ",
SLAB GRADE FIREPLA�E�(?UI�DATION' �' '• �=� r �� '.• " ''. �",
TEMP POWER FIREPI'_ACE BOND BEAM . ''.
WATER SERVICE MID HT. BOND$EAM"" ='�"- ' ` � � ' � �� `
ROOF SHEATHING 8 Fi'.B NA BEAM'., ��, � �.. , �. �; - �� .
FRAMINGNENTIi�IATI(�N FINAL BdND BEAM
ROOF COVER . � PRE-GRADING
ROUGFI HEATING BENCHING
RUUGH ELECTRIC RQUGH GRADING
FtDUGN PLUMBit�iG ` FINISH GRADING
SHDWERffUB TEST PQOL E�ECTRIC
EXT. LATH/SIDING POOL FENCING
WALL WSULATION POOL FINAL
CEfLING INSULATION �FF SITE IMPS.
DRYWALL NAI�ING ' DEDICATIONS
SEWER y ' (a FINAL ENG.
SEPTIC TANK LANDSCAPE/IRRIG.
SEEP PIT/L..L. taN SITE IMPS.
GAS AiR TEST, FINAL ZONING
FINAL CONST. "=''• � =°:_:� �' - ` - � ; FIRE DEPT. FINAL
FINAL HEATING� i HEA T� H DEPT. FINAL
F1NAL E�ECTRIC i DEV..FEES PAID i �
FINAL PLUIvISING f�� -•_ ; ENERGY
� �": • A� -_ � �
" f . - • 4 `•. ,. . �,�+ . • , ��
\
COMh,RE{�TS � �
— —�
�
. _� % ,. .. . ... , r, � -
i`
•-_� t � , . � �, t
------�
�
-•- - - . ... ��
.._....- • i ; ,. r,_' .�' �
.� .
SEPTiC TANK SIZE
SEEP PIT/U SIZE ---�-------� ------. ___..�--- ____.�
,� 4'•'� _ �.___
��'.�.
. � � ' . ..• � �•�,. � 1�t1�,- �
�acraw�w�Mwi•'w A '1 " � ' �
~ t •
_... . n �� . ��T� ��� i . . ' �l r ♦ . . . ' IT � __
•k � � ` �r� 1