HomeMy WebLinkAbout11276 (5) EXPIRED
t ; -' � - CITY OF DIAMOND SAR
' COMMUNITY DEVELOPMENT DEPARTMENT NOV 2 0 2006
, � 21660 E.Copley Drive Suite 190 ' PRESS
(909)860-3195 Fax(909)861-3117
SUILDING PERMITAPPLTCATION FIRMLY
o ADDR'E5S ��7Y� �' R�� �I�IJ� APPUCATION �,�I�-� PERMIT J /.ZT p/C D�
pATE � NUMBER � S
ISSUE q TYPE �— OCC
� APN LOT TRACT DATE 2-' I�' I� CONST. GROUP
p OWNER �J�SC/t ,��uB�L
" ADDRESS�07�/G E= Rt1Lt L,w A„�� ZONING SETBACKS
Z CITY Z P Qt�S'YEL. R�R RW �
S APPLICANT TEL � �� '=Z[�
SIDE/SIDE S7REET RW ❑
� CONTRACTOR SIDE ❑
ADDRESS ' qOP�SEDUSE �/�✓� 7' p E
� cin ziP��( TE o? 7��~7� �nc�r
o ARCH/ENG/
� DESIGNER NO.DWEL. NO. NO.
nW. ADDRESS UNITS STORIES BEDROOMS
� CITY ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREFWALUATION
� OWNER-BI:ILDEA DECIARATION SFRIADD/REM
p 1 HEREBV AFFIRM 11N0ER PENAL7Y OF VERJURY THAT I AM E%EMPT FROM THE CONTRACTORS U� G9189e�Cary01t
W CENSEUWFOqTHEFOLLOWINCREhSON�5EC.7IXl1.SBUSINESSN`1�PiiOFESSIONSCODE:AN�CITYOR (n
U COUNTYWHICl1REOVIRESAPERMITTOCONSTFiUCTALTER,IMPROVE.DEMOUSH,ORREPAIRANY9TRlK� W Patio/Deck �
4 TURE,PRIOR TO RS ISSUIINCE,AL50 REOUIRES THE�PPLICANf FOR 5UCH PEPAAIT TO FILE A SIGNEO W
� STATEMEN7 THA7 HE Ofl SHE IS LJCENSEO PURSUANT TO THE PRWI910N$OF hIE CONTRACTOR6�I- -
� GENSE LAW ICNAPTER Y(COMMENCINC WI7H SECTIDN 1000)OF D�VISION 3 OF THE BUSINE55 AN�PRO� � PDOVSDB
FE6SIONSCADE)ORi}uTHEORSHEISE%EMPTTHEREFROAIANDTHEBASISFORTHEKLEOEOEXEMP� �
TION.MIVVqLATIONOF3ECTION7031.68YANVAPPIICANTFORAPERMITSU&IEC76THEAPP4�CNlTTO Z Re-Raaf
r ACIVIL 7ENALTY OF NOT MORE TNAN FIVE HUNDRED DOLURS IL`�).): .
� ❑1,11SOWNEROFTMEPROPERTY,ORMVEMIPLOVEESWITHWAGESASTHEIRSOLECOMPENSATqN, 0 (�`pmm8f�ld�
Z WRl DO THE WORN,MID TME STRUGTURE IS NOT INTENDED OR OFFERED WR SALE(SEC.70��,6USb J
� NE55 AN�PROFESSIONS COOE THE CONTRACTOFS UCENSE LA�N DOES NOT APPLY Tp AN QWNER OF
PROPERTY WHO BUIL�OR IMPROVES THEREIXJ,AND WHQ qOES SUCH WORKHIMSFLFOq HEFSELFOR
[= TFiROUGHH150RHEA�WNEMPLOYEES,PRDVIDEDiHAT3UCMIMPROYEMENTSAREHOTINTENDEDOR . �
QOFFEREOFORSALE.IF,HONfEVER,THE&11LONOORIMPROYEMENiISSOLDWITHINONEYEAROFCOMPLE� �
Z TION,THE ONMER-BUILDER WILL HAYE THE&1RDEN OF PROVING THAT HE OH SHE DID NOT BUILO OR
= IMPROVE FOfl THE PUHPOSE OF SALE). '
n I,aS oWNER OF TNE PROPERTY.AM EXCWSNELY CONTMC7ING WI7H LICENSED CONTRACTDRS
� TO CONSTRUCT THE PRWECT(SEC.704{,BUSINESS ANO PROFESSIONS CO�E:TME CONiRACTOqS U� VgIU81iOR ADJ.AREA
W CENSEU�NDDESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUILDSORIMPHOYE9THEREON:ANO
� WHOCAN7RACTSFORSl1CHPR0.1ECT5WITHACANTFpCTOR(5)LICENSEDPURSUAN7707HECAN7RRG QUANTITY oEscRiPnoN FEE
� TORS LICENSE Uw.). '�
� ❑I AM E%EIApf UNOER SEC. B.6 P.Q FORTHIS RE1150N U� Q'(rVU . 7 O
� �N7E OWNEF �
Z W
� LICENSE�CONTRACTORS DECLARATION � � �j
� � I HEREBY AFF6iM UNDER PENALTY OF PERJUR`/TNl1T 1 AM LICENSED UNDER PHOVISIONS OF CHAPTEq �
� 9(COMWENCINCWIT}iSECT10N7000�OFDIVISiON90FTHEBIISME55ANOPqOfESSIONSCOOE.AND z
X MV LICENSE IS IN FULL FORCE AN�EFFECT. m
lL Q �]/�
� UCENSE CLASS .(J LIC.NO. L���✓"� �
F-�- J
V DATE �IFi �'9 g CONTRACTOF���,s a
W .���
� WORKEFS'COMPENSATION DECLARATION . /� U �„_,� � �-'
� I HEREBY AFFIRM UNDER PENALTV OF PERIURV ONEOFTHE FOLLAWING OECLAfiATll��,�/"` z ,
i� � Q
� _I HAVE ANO WILL MAINTAIN ACERTIFICATE OF CONSENT TO SELF•INSUNE FOR�1A7qNERS' _
COMPENSATION,ASFROVIOEDBY6ECTION37000FTHELABORCOOE,FORIHEPERFO�NCE U
4 OF THE WORK FOR WHICH TH�S PERMIT IS ISSUE�. �
W
�1 W1VE PNO WILL MAINTAIN WORKERS'OOMPENSATION INSURANCE,AS REOVIRED BY 5EGTION
Q �700 OF THE LABOR CO�E.FOR THE PERFORMANCE OF THE WORK FOq WHICH THIS PERMITIS ��
ISSUED.MY YVORKEHS'COMPENSATION INSUMNCE CARWER AND POLIGY NUMBERARE: CANSTHUCTION
Q
�j GARRIER PLAN REVIEW ✓
Z POLICV MIMBER ELECTAIC • 7�
d
Q (IHISSECfIONNE�NOTBE00APLETEDOFTIEPEPoNTI6FORaNEHIR�OREDOCILPfiS(i1W)ORLESS) PLUMBING �
Z 1 CEFTIFY TMAT IN THE PERFORMANCE OF TNE WOfiN FOR WN�CM TNIS PERMiT IS ISSUEO.I MECHANICAL � � �3 �
(} SNALL NOT EMPLAY ANV VERSON IN ANY MANNEF SO AS TO BECAME Sl1BJEG7 TO THE
� WOPKERS'COMPENSATIONLAWSOFCALIFORNIA,AN�AGNEETHATIFISNOULDBECOMF INSPECTIONFEE t
SU&IECTTD THE WORKEflS'COMPENSATION 7ROVISIONS OF SECTqN 770u OF TNE IABOR ISSUANCE �✓ 'Q�
DODE,I SHALL FORTHWITH COMPLV WIT�M�TNOSE PROYISIONS.
p DATE:�/S'QS APPL�NT:I�� ��` L/l�����. SMIP +S�
� ENERGV P/C �
� WARNING:FAILURE TO SECUHE WORKERS'COAIPENSATION CAVENAGE IS UNUWFUL,AND SHALL BE �/� ,�\
� SU&IEGTANEMPLOVEA70CRIMINALPENALTIESANDCIVILfINESUPTODNEHUNDREDTHWSAND ENERGYPERMIT ��7.��
�OLLARS If100,000),IN ADOITION TO TME COSi OF GOMPENSRTION,OFMAGESAS PROVIDEO FON IN
� 6ECTION 3708 OF hIE UBOR CODE.INTEREST,ANDATTORNEYS FEES. ' RETENTION FEE: •
� CONS7RUCTION LENDING AGENCY PRE-ALT FEE:
O
� I HEREBY AiFIRM UNOEA PENAL7Y OF PEqJURY THAT iHERE IS A CONSTRl1CT10N LENDING 11GENCY
�- FOR THE VERFOAMANGE OF THE WORK WR WHICH THIS PERMIT IS ISSUFD(SEC.30Y7,CIY.C.). ' *• ,
Z
W
� LENOER'SNAME �
4_,- LENDER'SAUDRESS O� .
a ILEfiTIFVTNATIHAVEPEADTHISAPVLICATIONANDSTATETNATTHEA90VEWFORMATIONISCARRECT. TOTAL FEES �
� IAf3REETOCOMPIYWIT'HALLCITYANDCOUNTVORDINANCES/WD6TATELAWSNEUITINCT09VIL�INC �
� CIXJSTNUCTION,ANO NEREBYJIUTHOFIZE REPRESENTATIVES OF iH15 CWNTV TO ENTER UPON THE ,
Z 11BOYE��IENTIONED 7NOVENTY FOR INSPFCTION PURPOSES. COMMENTS
� �OL LSA/ ��.�.c k�N S
m PERMITTEE NAME P INT) . �
� '
N
� '91 WR FPFR EE �� . . OATE, . '
� , � : ' �A �._•:• ��.��' RECPT.NO. PAIDBY YALIDATION;
ITE epaRmenl Copy,YELLOW—Flnenee Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
CITY OF DIAMOMVD BAR , .
INSPECTI�N RECORD
• � � � E - • e E � e -
SET BACK ��,, , FLOOR J�IST
FTGS/FORMS/STEEL ' ' ' FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT �
GROUND PLUMBING UNaER FLOOR COI�IDUIT �- - � � - •
SLAB GRADE FIREP�L'A'�E�OUNtDA'�ION ""' �
TEMP POWER FIREPLACE BOND BEAM ' � • '
WATER SEflVICE � � • • MID HT. BOND$EAM � � � � „
ROOF SNEATHlNG 8 FT. BOND BEAM
FRAMINGNENTILIATION tI'-30�`�� '�� FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRfC �-�• $ Ti�13r ROUGH GRADING +
ROUGH PLUMBING FINISH GRADING
SHOWER/'f'UB TEST POOL ELECTRIC
EXT.LATH/SIDIIVG POOL FEIVCING
WALL INSULATION -3v�['E "' P� POOL FINAL
CEILING INSULATION • . OFF SITE IMPS.
DRYWALL NAILIIVG � DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK • LANDSCAPElIRRIG.
SEEP PITIL.L. ON SITE IMPS.
GAS R'IR TEST '' ' ` ' •� FINAL ZONING
FINAL CUNST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINRL
FINA�ELECTRIC DEV. FEES PAID .
FINRL PLUMBING � ENERGY
, , � . t
• � � . . -
COMNlENTS
.. � � �
• : -._�,
, _ . .:..� . . ,. ..� . . . � . . , . . , ._ , .
�� � _. ---
SEPTIC TANK SIZE
SEEP PITIU SIZE . '•S•;� ' ,�t=�
�.�
/✓ � �� �j�
, . � t� � '—'",��' �' �c''�i— ��—�j U �