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HomeMy WebLinkAbout12727 (14) CITY OF DIAMOND BAB EXPIRED - � DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES � ` 2�6�oE.c��y���s����o NOV 22 1000 PRESS '�"`' sva anvcs��iri�ritcAzzoN FiRMLY o ADDRESS �3� S �`�'/// N�r �a_`� F-v OATECATION h 'D�"�(j' NUMB R � a �!C /d 15-- � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � ADDR R S �Z? ,'-�at � ZONINQ SETBACKS � CI7Y���KR_— ZIP q�!�TEL.���"g�'n�p FRONT RW ❑ � APPUCANT TEL. REAR ❑ SIDE/SIQESTREET RW ❑ CONTRACTOR '�✓ G- CO SIpE C ADDREaSS '�NT�� PROPOSED USE � CITY ���� ZIP f 'L TEL.,7/Y^7�5'� o ARCH/ENG/ . DESIGNER�� �'� NO.DWEL. NO. �] NQ. ADDRESS UNITS STORIES c�_BEDROOMS � CI7Y ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARE/WALUATION y Q OWNER•BUILDER DECLARATION g�q/qpp/qEM O 1 FEREBY AFFlR41 UNDER PEtULTY OF PERIVRY THAT I AM E%ENPT FROM THE OONTMC70R3 LI- G0f89BlG8ryOR CENSEUWFOR7HEFOLLOIMN�qEASON(SEC.7031.68USINESSANDPROFESSIONSCOOE:ANYGttOq (n COVNTYWHICHREOUIRE9APERMRTOOONSiRUCT,ALTER�NPR04E,DEMOl1SH,ORRERURANY3TIIUG w ps�proeck TUpF,PRIOR TO RB ISSUANCE.AL90 REW11NE5 711E AVPLICANT FOR BUOi PERMITTO FIIE A SIONEO STATEMENT TMAT HE OR SME 19 UCEHSED PURSUANT TO iHE PROVW^IONS OF THE CONTMCTOHS ll- CENSE LAW(CHAPTBR Y(COMIAENCNO WITH SECTION 70D0)OF ptyISION 3 0F lHE BUSINESS AN�PRO• � PODUSPB FESSIONS ODDE1 OR TUTME OR SXE 16 EXEMPT T/IEREFRQM AND TIE BA919 FON 7HE ALLEGEO E%EMF- TqNANYVIOLATqNOFBECTION7091.6BYANVAPPLIGWTFORAOEHMI75U8JECTSTHEAPPLICANiTO z Re-Rooi � 11pNL►EWiL770FNOTYOREINANFIVEHUNDRED00LWiSftb�01J� - 04�3�wNEROFTIEPROPERTY.ORMVEMPIAVEESWITMWAGESASMEIRSOLECOAIPEN5AT10N, � Cammerclal Will00 TNE WORC MIO iHE STHUI:TURE IS NOT INTENDED OR OFFEREO fOfi SALE(sEC.70N,BU51- J IESS AND PRDFE95WN3 OODE:1HE COHTRAC7'ORS LICEN6E U1W DOES NOT APPLv TO AN pYVNER OF y PiqVERTYNM1lO8U4.�SDRMPNOYESTFIEREON,ANOWN000E85Up1WORl(HIMSELFORH�PBELFOR � � [L TIIqOUGHW9011HERCM1NIEMPLOYEES.FRON�EO7F1AiSUCHWPROVEMENfSMENOTIN7ENDE00R m �� OFFEREDY�RBILEf110WENERTME6UILD�NOOXIMVROVEMENTIS5IXDWITNMONEYEAROFCp1APLE TpN,TME OWNER�UILOFR WILL NAVE T!E BUR�EN OF PROVING TH�7 HE OH SHE pl�NOT BUILD OR NdPPOVE fOR 1TIE►URPOSE OF SALEI. . W OI,ASOWNEROFT/1EYHOPENT�:AMEXCLUB CONTRACTINOWIhILICENSEDCONTRACTdRS � TO CONSTRUCT TFIE PH6IEGT(SEG 70N.y�S '�0 E591ON3 CODE:7HE CONTRACTOPS L4 V8�U8fId1 ADJ.AREA CENSELAWOOESNOTAPiLYTOANOMR� A O 'RN SORIMPipVESMEREON,AN� WNO001lfRACT8FOR5UCHPRQIECT9 )LICEN5EDPIIRSUANT7OiHEWNTMO QUANTITY DESCRIPTION FEE � iOR.4 LICEN6E IAwJ. � ❑I AM E%ENP�UNDER SEC. B.i V.C.FOR TW 9 NEASOry � U ¢ �= �A7E OM�NER � � W LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIR4 UNDER PENALTY OF PERAINY TN�T IAM LICENSED UNOER PROVI510NS OF CHAPTER � Y(COMA/ENdNO WIiH SECiqN TooO)OF OIVIS�ON 7 OF THE BUSMESS ANO OROFESSIONS CODE,�ND Z W L�CENSF IS W Ft1LL FOR AND EFFECT. m 0 LICENSE CUSS � LIC.NO. Z L Z a � o,i� coriirucroa h� � a � WORKERS'COMPENSATION DECLARATION � --� � 1 HENEBV AFfiRM U�IER PENALTV OF PERAIN'/ONEOFTIE FOLLOWING DECUMTION : �� � U y Z Q 0 __IMAYEMIDN7LLMAINTAINACERfIFlCATEOFGONSENTTO6ELF-INSUREFORWORNER6' � COMPENSATION,ASPROVIDEDBYSECTION3faoOFiNEUBOPCOOE.FORTYiEPERFbRMANCE Q OFTHENIDiiKFORWMIGliT1115PERMIT131SSUED. � � I HAVEAND ViILL MAIMAM WORIfERS'COMPENSATION MSUMNCE.AS HEd11HE09V SECTION %]J) � QQ 7000FTMELIBOROWE,FORINEYERFOqMANCEOFTNEWORKFORWHIGHTNISPERMRl9 Y� ISSUED.MVNfO KERS'COMPENSATIONINSURANCECARRIEf7AN�POIICYNUMBERAFE�. CDNSTRUCTION !J � ��pp�Ep c- PLAN REVtEW � PoLICV NUMBEq + � TO � ELECTRIC „ (IMssEcfIONHE�NoiBEaa�PLE7FnoFTlfFER1NfSPoRONeMHYiEDDOLIARSR�0u1«+L�SI , PLUMBING P��.■ 8 ICEHTIFVTHATINTHEPERFORAAANCEOF7HEWONKFORWNIdi7HI5PERMITI5155UED.1 MECHANICAL (� SFIALL NOT EMPIOYANY PERSON IN ANY MMINER SO AS TO pE E SUBJECT TO THE � WORKERS'COMPENSATqNIAWSOFCALIPDRNI�ANOAGREE7 ATIFISNWLOBECOI�E INSPECTIONFEE � SUBJECTTOTHEWORKERS'GOMPENSAT P OYISIO OF :.TION77000FTNElA80R `n) cooE.�sy in+ca+n�v win� n ISSUANCE �R S�_/�>..V- � DATE: Z � � APPLICANT: SMIP �v�-a+�'.��.._py_-��/� ������/( �� � WARNINO�FA0.URE TO SECURE WORKERS' PENSATION COVER�OE I&UNLAWFUL,�ND SNALLBE ENEHGV P/C ��_-' '�"•'��+OND BUB.IECTIWEMPLOYERTOCRIMINALPENAL SANDGVIIFINESUPTOONEHUN�REDTHOUSAND ENERGYPERMIT ANDSAFFTy DOLU�RS�{100.000).tJl1UOITION TO iHE CO T OF OOMPENSATqN.DAMl�GES AS PROVIDEU FOR IN ¢ SECTION3To00Fl1fELA00RCODE.INTEHE3LANDAiTORNEYSFEE3. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IXEREBYAFFIRMUNOERPENALTYOFP RIU UT EREISA STRLICTIONIENDINGA�ENCY FOR THE PEHFONdANCE OF TME WO FO H T ISSUED(SEC.�Ov7,C�V.Q�. � LENDER5 NAME � � LENDER'SADDNESS � TOTAL FEES W ICERTIFYTNATIIUYEREADTHIS�PPLICATqNANDBTATEhNTTHEABCVENlFONAATqNISCOHRECT. 1 AOREE TO COMPLY WITN�LL CT'MID COUN7V DRDIN�W CES AN�STATE UWS REUITINO Tb Bl10.DING �� CONSTFUCTION.M1D NEREBY AVTIpRIZE REPflESENTATIYES OF 1}i13 COUNTY TG EMEfl UPON iHE ��E[��i�Jf S� ABOVE-ME1R10NED PHOPERIY FOR PECfIOM�URPOSES.� CQMMENTS� " " r 1 9 r�„/`� "�� v�1J � . m PEpMITTEENAM �PW CA � y SN3NATUREOF ERMITTEF OATE , � RECPT.N . PAID BY • _ AIIDATION YVHITE-0epertment Copy.YELLOW—Fiiance Copy,PtNK—Ilssessor Copy,G �N OD--Fila Copy,GREE �can s Copy ...:.�.._..... . .�.. ... ,:.�.,.�.��.: :. ;j. _. ._ .............""."'"_. _ _..._..__.._ . � CITY O� DI/�MOND BAR > � IRISPECTiON 'RECORD � � . � - e � , . � . SET BACK � � F�OOR JQIS,T.)� .� ' `� � ,� � �'\ .� ,,.� � . FTGS/FOR„�SISTEEL FHA REflMTS ELECTRIC GROUND UNDER FLOOR DUCT , ,� . GROUND PLUMBING UNDER FLOOR CU(�DUiT °, • i} " - � `'� , SlA6 GRADE FIREPLAC�E FOUNQRTiON ` ��` '• � '�3 TEMP POWER FIREPLACE B�ND BEAM WATER SERVICE � MID HT.SOND BEAM � - "' ` � R(�OF SHEATHING Q-/4- 8 FT. BONO BERM •• i � �.:;� FRAMINGNENTILIATION FINAL BOND BEAM , ROOF COVER PRE-GRADWG `"� ' " '�. RatJGH HEATING BENCHING ROUGN EL�CTRIC � ROUGH GRADING ROUGH PLUMBING FINISH GRADING � S}iOWER/TUB TEST POOL ELEC7RlC EXT.�,4TH/SIDING POOL FENCING WALL INSULATION ' POOL FiNAL CEILING INSULATION ! j OFF SITE IMPS. DRYWALL NAILING DEDICA710NS SEWER ; FiNAL ENG. � SEPTIC TANK � LANDSCAPFJIRRIG. SEEP PIT/LL. ON 51TE iMPS. --. " r GAS AIR TEST � FINAL 7_ONING FtNAL CONST. I ; FIRE DEPT. FINAL � � FINAL HEA7ING �� ': HEALTH DEPT. FINAL i ' FINAL ELECTRIC � -��-+ DEV.FEES PAID FINAL PLUMBING ENERGY i � � � �. � �� COMMENTS ' � j , _ .. . . ; t .. - � �� . ����'e`1 --- ----- ,._, ._ — -, , :� ., ... �.: ,-- ---- .. . _ �r��'. ..... . - 1 i �.«�r�i t''r1.i�iS�.' l�. ... . .- �'• •..�.�1.f�r; !s, SEPTiG T�NK SfzE SEEP PIT/U SIZE , ,�'. i ;� , `-. ; . �—�—�--- _ _..__._.. . � :��. . . _ , . ;�