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HomeMy WebLinkAbout12174 (6) � CITY OF DIAMOND BA& `�,/ DEPARTMENT OF COMM[JNITY&DEVELOPMENT SERVICES � . 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 � / PRESS �'�'� BUII..DING PERMIT APPLICATION . FIRMLY � JOBSITE � APPLICATION /�PERMIT � � P/C � ADDRESS L p DATE NUMBER � � ISSUE TYPE p(;C APN LOT TRACT DATE CONST. GROUP � OWNE�•IC ��r�C• � ADD SS ZONING SETBACKS C ZIP TEL. FAONT RW ❑ APPLICANT TEL. REAR p SIDE/SIQE STREET FiW ❑ CONTRACTOR L 1/ 51DE ❑ ADDRESS ^ g CITY ZIP TEL. —f PROPOSED USE � ARCFUENG! � DESIGNER 1�DA! L A G Lf �1'Q� �r NO.DWEL. NO. NO. ADDRESS ??`'L /t/• YL c GL�___S _ UNITS 3TORIES BEDROOMS � CITY "' ZIP TEL. .� tn DESCRIPTION SG1.Ff. FACTOR PSF ADJ.ARE/WALUATION Q OWNER-BUILDER DIECLARATION SFR/AD�/REM O I NER�V AFFlRU UN�ER PENALTY OF PE0.RJRY THA7 I Ald E7(EMPT FROA1 THE CONTMClORS L4 48n98K.•af�0� CElISEUWFORTFIEPOLLdMNOREASdJ(SEC.7mf.6BU51NE8SANOPROFESSIONSCOOEANYCRYOR (n COIMRYYNNCFIRE0UIRESAGEN►11TTOCONSTAUCf,A1,TER,IMPROVE,OEMOLISH,ORREWUHANVSTqI1F W patlo/Deck TURE,WiIOR TO IT8 WBUANCE,AL60 REOUTAE8 7HE MPLMJWf FOR SUCFi PERMIT TO FILE A BIONED � 6TIITEMENT 7HAT HE OR BHE IS IJCENSED W1fiSUNJT T07HE PH0111810NS OF 7HE CONTRACTpRg LF CENSE UW(p111PrER�(OOAIMENCINO N7i718EGTION 7000)OF DMSpN 7 OF TFIE BUSINE55 MA PRO � POOVS�7fi F655qN5C00k�OR7MATHEOR8HE18IXEMPTTMEREFAOMA1mTNE0AS18FORTXEALLE�EDEXBAP• (ry TION.MIYYIOL�TIONOF8ECf10N7W1.6BYM1YMPlICAMfFORAPERAIRSU&IECTSTNEMPLICANTiO Z Re-Roof � A CML IENALTY OF NOT YIOp[iMAN FNE MUNDRm DOtIARS(fs001J: . OI,/LSOMIHEROFTHEPROPEICfY.ORMYEMPIOYEESNATNWA0E3AST11EIRSOLECOMPENSATIOW, (�"pmm9fGl81 1AIR100 THE WOIIK,AM THE BTiR1CTi1RE IS NOT INTQIDED OR OFFEf�O fOR SALE(SEC.70u,BUSI- � � N6S5 ANU PROFESSIONS CODE:711E CON7RACTORS UCEN6E LAW DOES NO7 APPIV TO AN OriMER OF ? PROPEIRY NiliO BUILGB OR RIPFiDVES iHEREOH,AND NMOOOES SUdI W'ORK HIMSELF OR HERSELF OR TFWOUfY1WSORHERO1MiEMPI.OVEE9,PROVWWTUT8UG/MPpOVENEMBARENOTIMENDE00R m OFFERm FORSALE F lqWEYER7MElUlDiNOOHN MdPROVEIAEM B SOLD WffHNi OIVE YEAR OF WMRE TpN,711E qMNE WBULDER YALL iMVE TNE BUROEN OF GflOVINO TIMT HE OR BNE 010 NO7 BUIID OR tAPHDYE FOR7NE PURPOSE OF 811LE� O t ASOWNER OF THE PROPEFRY.AM E7(CLUSIVELYCONTMCTIN6 NrtTM LICENSE�OONTRACTORS TO CONSiNUCT T11E PNOIECT(SEC.foY,BU31NE33 AND W WFESSIONS CODE fHE CONTRAC10R5 lF VelUetiOrl ADJ,AREA CENSE LAW DOES NOTAPPLY TOAN OYMIER OFA PROPERIYYNIO BURDS OR IMVROVEB 7HEREON,MA MM1IOCONTRACT6FOR8UCNPROJECT6N7TIACON�MCTOP�9)IICENSEUPUR6WlMTOTHECONfRAG pUANTIT1f DESCRIPTION � FEE � 70FIS LICEN6E IAW.�. ❑I AM E%fA1PT UNDER SEG &8 P.C.FOR 7MI5 NEASqJ � U u.. F DATE ONMER � Z � UCENSED CANTRACTORS DECLARATION � • , I NEREBYAfFqAt IMDER PENALTY OF PEiUURY TIMT I MI LIGENSED UNOER PROVI910N5 OP CHAPTER � � �(OOMMENGYq W17X eECT10N taao)OF DMSION e OF TF1E BUSINESS AND WiOFESSION6 CODE.ANU Z � MY LICENSE IS N FULL FORCE AND EFFECT. � � LICENSE C1A38 LIC.NO._�1 G� � � �,.� � �j oa� — conn+ncTofl a i � WORKERS'COMPENSATION DECLARATION � � IMEREBYAFFlitlAIMDEi1PENALTYOFPE0.tt1RYONEOFTHEFOLLDWINODECLARA7qNS Z Ca �I IIbE/ND VNLL NANTNN A CERTIFICATE OF CON9ENTM BELFdNBURE FOR MIORKERS' _ 6 OONPENSATWN.ASGROVIDEDBYSECTIONS7o00FTNEL�801iCO�EFORTMEPERFORMMICE W � OF iHE WORK FOR NMICN iX15 PEflMR IS ISSUED. � _I HAVE AND WILL MAIMAM WOAl1�HS'COMPENSATION MSURANCE,Il3 AEOUIRED BY SECTION / �/ O97ao OF THE LABOR OODE,FOR 711E PERFORMANCE OF 7ME YYORK FOR WMiqi 7HIS PERMR IS ��J.O /'t J ISSUED.MYVNO ERS'COMPENSAT INSURANCECARRtER�POLICYNUMBERARE: CONSTRUCTION % i�� Q CMRIER O � PLAN FiEVIEW � ? � POLICYNUM6ER � ^ ELECTRIC �_��T (n1159Ec110Nr+E�Ho7BEaaMRE7mOFnEVEw.n'6iORaNeiMqAEUoouktsM�l�LEss1 PLUMBING ��. � � I CERTIFYTHAT M 7HE PERFOfOAANCE OF THE WORN WR WHICH THIS PERMIT IS ISSUED,I MECHANICAL _7'. �`L SHKL NOT EMVLOY ANY PER6dV N ANY I/MINER 80 AS TO BECOME SUBJECT TO THE y WORNERS'LO�IVENSATIONUWSOFGLIFORNIAANDAGREETHAT6ISHDIAUBEC0IAE INSPECTIONFEE S SU&IECTTO TiE Wl7ilKEliS'001d7EN3iCfqN PROVISIONS OF SECTqN 170G OF 7ME UBOH A-�J� coo�.isw�uwm�nicor�ri.rwininaseaaoviswws. ISSUANCE !J� O � p�7E; App�ICANT: SMIP WARNINCi:iA1LURE TO SEWRE WORKERS'COMPENSATION COVERAGE IS UNLWlFU.,AND 6HALLBE ENERGY P/C S BIRJECTl1N EMPLOYER TOCRMIINAL PENALTIESAND CNII FINEe UF TOdJE HUNDRED 7NOU6AND ENERGY PERMIT DOl1AAS(itao.om),MI ADp71GN TO hiE COS'f OF COMPENS�TION,DAMAOES!19 PROVIDED FOR IN � SECilON37000FTHEL�BORfI�DE,NTEREST,ANDATTORNETSFEE3. RETENTIONFEE: 4 CONSTRUC170N LENDING A6ENCY � PRE-ALT FEE: y� I HEHE9YAFFIRAI UNUER P�NAG7Y OF PFRJUfiY TWR 7H�H�18 AGON3TRUGTION�NpWO A4ENCY u• FOP 1XE VEHFOAAANCE OF TME WOAN FOR WMICH TNS PERMIT IS ISSUED(6EG]OY7,CIV.G.J. � � LENDEitSNANE �S LENDER'9ADORE33 W ICEHTIiYT1A NEMTHISAPPUC�TIONMIDSTl1TET1111TTHEABOVEWFWIMIITIONISGORPECT. TOTALFEES � �, . � I AOREE lD Y WITX Ni GRY ANO OOUN7Y ORDINMIGESAND 8TATE LAMS REUTINO Tp BUILDINO � � CONSTAUCT ,ANDXEREBYAUTIIONZEREPRESENiATrvESOF1HI5001M7Y7DEMERUPONTHE �������$~j i _ � �� � ABOVE-MEM EO PROPEHTY FON INSPECTION PURP08E5. ! � COMMENTS /lYT-4 m r h�� `� VEfWRTEENMIE(PRINn � _ Q1's) 1��0' � 81ONATUREOFPERAIITTEE D E � RECPT.NO. PND BY YAUDATION WHITE—Department Copy,YELLOW—Finance Copy,PtNK—Assesaar Copy,GOLDENROO—Fila Copy,GREEN—Applicant'a Copy CITY OF DIAI4AONQ BAR �`� IIVSPECTIOI�! RECOFiD • � , . - . ! � . . � . SET BACK FLOOR J01ST � t • � FTGS/FORMS/STEEL ' FHA REQMTS ' ELECTRIC GROUND UNDER FLOOR dUCT ' ' . � GRQUND PLUMBING UNDER FLOOR CU�iDU1T � SLAB GRADE FIREPLE4CE FOUND7�TI�N �� •• -� `� =� � ' TEMP POWER � � FIREPLACE BOND BEAM WATER SERVFGE MI�HT. 80PtD BEAM • - - R�OF 8!-IEATHING . : �' . ` . _ S Ff. B�NQ BEAW! --• . -- - - - • . FRAMINGN�NTII�IATION. FINAL BON BEAM � ROOF COVER PRE-GRADING • � '� I i ROUGH HEATING BENCWIN6.. ..• -. , �- _.:.?: r_'•: ROUGH ELECTRIC ROUGH GRADING � ROUGH PLUMBING FINISH GFtADING SHOWER/TUB TEST � POOL ELECTRIC EXT. LATH/SIDING � PQOL FENCING WALL INSULATION ; � PO�L FiNAL . CEILING INSULATION ! ' i OF�SITE IMPS. � DRYWALL NAILING � DEUICATIONS ; SEWER i ':, j FINAL ENG. , SEPTIC TANK i LANDSCAPE/IRRIG. SEEP PITIL.L. � -. ' ; ON SITE IMPS. � GA5 AIR TEST i � � ; FINAL ZC}NING FINAL CONST. ' � FIRE.DEPT. FINAL FINAL HEATING � � HEAI.TH DEPT. FINAL FINAL ELECTRIC I j DEV. FEES PAID � FINAL PLUMBING � .. i E_�NERGY� - , `. � , 4 � , e � . --_.�_..__� _ ___' ._ �_.�_ �.�..- ...�.�....�S . . - . .. ._.. _ � COMMENTS 1;�` ' ' ' ' _ . , . _ . , . . , , --�-t-�.�_-.._.':� - _ � SEPTIC TAN�C SIZE � SEEP PIT/U 51ZE — ---� °� - + - ` � , ,. — t ',\ � 1� , . /fi-rf�����