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HomeMy WebLinkAboutNo Permit Number CITY OF DIAMO ��� �� ND BAR --- — DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 21660 E.Copley Ihi�e Suito 190 � (909)860-3195 Fax(909)861-3117 ��� PRESS '�'� BUQ.DING PERMIT ApPLICATION FIRMLY o ADDRESS��, �r Y ��/.L_-l�-� DATECATIOfJ� �--I��� NUMB R � ✓v #� l, $ ISSUE TYPE ppC APN LOT RACT DATE CONST. GROUP g OWNER B ADD S V ZONING SEBACKS � C , Z� ' FRONT Ryy p APPi1CANT � �� SIDE/SIDE STREET RW ❑ � CONTRA O 51DE p ADD � CfTY ZI TEL. - PROPOSED USE � ARCH/ENCa/ � � DESIGNER NO.OWEL. NO. NO. ADDRESS v� UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTI�N S4.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER pECLARATION SFR/ADD/REM O I MEREBY AFFlfW WDER PENALTV OF GE0.IURY TNAT I LLI EXEMPT FROM 1HE CONiRACTDRS L6 G81'8gB/C8ry0R CEIASEUIWFOR7XEFOLLOWINC�REASON�9EG7W1.68USINESSAHDPROFESSqNSCODE:/�NYCITYOR (n COUJTYWNIp/RFOUIiiESAPERMtTTOCONS7RUCT,ALTEiLIMPROVE,OEMOUSH.ORFEPNRAN'19TRUP W P8t10/DeCk IURF,PRIOR TO IT8 16SUANCE,ALSO REGUIRES TF/E MPLICANT FOR SUCH YER/AIT TO FILE A SIONEU W BTATE►IEM 1TIAT HE OR 8HE IS UCENSEO IURSUANT TO THE Pt�ASIONS OF n1E OON�qACTORS U• GENSE LAW(G111PTEH 9(WMMENCINa WITN SECTION 7a00)OF DIVISpN i Of 7NE 9USINESSAND PRO• V' PooVSpa FESSpNSGO�E)DRTHAiNEOR8FIEISEXEMPTTHEREFROMANDIHEBA4ISFORiHEALLEOEDEXEMP- (ry TION.ANYVIOU1TqNOFSECTI0N7W1.6BYANYAGP�ICANTFORAPERM1T81J61ECTSTHEIIPPLICANTTO Z Re-Rool � 1lCMLPENKTYOFNOTMORE7HANFlVEXIINDRED00UM51=6o0�.�• . - OLL4DN�NEFOFiHEPROPERTY,ORA/YEMPIAVEESWITHWApESASiHEIRSOLECOMPENWTqN, (`,pmme�Cl91 M�M.L 00 7ME WORK,Ml�TME STRUC7URE IS NOT INTENOED OR OFFERE�FOR 6ALE(SEC.7�.BUSI• nJ � NE8S AND PAOFEBSIONS CODE:THE CONfMCTORS IICENSE LAW DOE9 MOT APPLv TO AN pWNEH OF j PROPER7Y WF10 BUILDS OR MAPFqYES THEREOh4 AND YIRq DOES SUCN NpRK NMSELF DR HERSELP OR ¢ TNAOU6MMSORIEAONMENPIOYEES,PROVIDEDTNATBUCHIMIPqqVEMENfSMENOT�INTENpmOR � 0 OFFERmFOR811LEIF,110WEVERTMEBULOPIOORMPqOV[MEM189QDWfTHINONEVEAROFCqMPLE- � TqN,iNE OYfNEN-WILDER N7LL HAVE TME WFDEN OF PNOVNd 7HAT NE OR 8HE DID 110T BI11LD OR MPROVE Po6i 7f1E%1RP0.SE OF BALD. � ❑I,ASONMEROF7HEPROVERTY,AME%CLUSIVELYQOMMCTWOWIT1iUCENSEDODMMCT0115 r0 CONSTRUCf TIE PRQIECT(eEC.la4,BUSIHESS AND GROFE3310NS CODE:7HE CONiAACTORS LI- VBIU9SIOn Ap,�,qqEq CENSE UW DOES NOTAPPLY TOAN OWNER OF A PROPERIY M110 BUMS OR IMPRpyE3 THEREON,Atdl WFiOCONTRACT6FORSUCHPHOlECTBNATiACONTMCTOFI�B�LICENeEDPUi18UANTTOTMECONTRAG pUANTtTV DESCRIPTION FEE _I 10R5LK:ENSELAW.�. : �i y� O I IM E%EMPf UIOER SEC. B.i P.C.FOR TNIS REASON � r _ U � LL DATE OWNER F � � �r � U LICENSED COPfTRACTORS DECLARATION W � I MEREBY IIFFIRM UNDER PENALTY OF PERJURI'TN�T I 11M LICENSEO UNDER PROVISIONS OF CHAPTER � � ��WIINENCNOWITXSECr10N9000�OFDNISqN90FTHE8USINESSANDiROFE5510NSCODE,AND z MY LICENSE IS M FULL FO -AND EFFECT. /• m � LICENSE S �IC.NO. � j � n�� — ' ' carrtRacto ' a WORKERS'COMPENSATION DECLARATION � � I NEREBYIIFFIRAJ UNDER PENAL7V OF PERHIFIV ONEOF THE FOLLOWINO DECLAMTIONS: Z � � _INAVEMI�NALLMNNTAINACEqTIFICATEOF00NSENT7U8ELFiNSUREFORWORKEF5' a2 COMPENSA710N,ASVROVIDEDBYSECilONS7000FTHELABORCWE,FOR7HEGERPDRMANCE W OF THE WORN FOR WHI[]f TNIS PERMIT IS ISSUED. � � �1 HA1/E MO WILLIMINiNN WORKER3'COAIPENSATION INSUHANCE,AS REOUIRED BY BECTION � O 970o OF TI1E 1A80R CODE,FOR ME PERFOIM,INCE oF TFE WORK FOR WMICH THIS PEFU11715 ISSUED.W WOFiK�yG�QpMPEN6ATqN INSURAN GGRRIER M1D POLICYHl1M9ERARE: CONSTAUC7ION � CARHIER �_ PLAN HEVIEW � POLICYNUMBER ELECTRIC o [nassEerarir+e�wreem.r�moF'nEnEra:�rsaxia+ertxn��000tu�sg+oo�aa�ss} PLUMB w Z� I CER7IFYTHAT IN 7HE PERFORMANCE OF THE WORN FOR WHICN 7HI5 VERMIT IS ISSUEO.I MECHANICAL _ SHALI NOT EMPLOY ANV PERSON W ANY MANNER SO AS TO BECOME SUBJECT TO THE (p WOitlfERS'COMPENSATqNUW50FCALIFORNI�M10A0REETHATIFISFKKILDBECOME INSPECTIONFEE �L1xs.«.. SUBJECT Tq iHE WORKERS'COIAPENSRTION PROVIS10N5 OF SECTION 3700 OF THE UeOR ' coo�,i stuu cartrHvnm oaew.r vn rasE vaov,��syi�aas. SSUANCE p �AlE: APPLICANIC��1 i ��n P _� 'Y`"' �4 ENERGY P/C � WMNINO:FAILURE TO SECUflE WOFiKERS'COMPENSATION COVERAOE IS UNUWFUL,AND 8W1LL BE �y SUBJECTANEMPLOVERTOCRIMINALPEN/LilE9ANDCNILFINESUPTOONEHUNDREOTI10l13AN0 ENERGYPERMI� JDOLLARS(f10o,000),IN AUDITION TO iHE GOSTOf CqAPEN511TIDN,DAM�6E5 AS PROVIDED f'OR IN 8ECTION970EOFTHEUBORCODE,NTEREST,ANDATTORNEY'SFEES. F1ElENTIONFEEn O CONSTRUCTION LENDING AGENCY t� � � PRE-AlT FEE: � IYIEREBYAFFIRMUNDERYENALIYOFPERIURYTIRTTFIEREI9ACONSTRVCTIONIENDINQAOENCY FOR TME iEFFORMlWCE OFTIE WORK FOfi YVHICH TMIS VERMI715155UEU�SEG 30Y7,GY.G). � � LENDEIYS W1ME , � LENDEiYSA00RE55 d� ICEfli7FYiMATIXAVEflEMTl113APPlIGT10NANOSTATETNTTMEA80VEINFORMIRIONI50DqRECT. TOTAL FEES IA[iflEFF000IARYWITN/LLLCITYNIDCOIMTTORDIHANCESANObTATEUNSRELA7WOTO8URDING ,/� OONSiHUCf10K AND MEREBY AUTqRIZE RFPRESEN7ATIVES DF 7lUS COUNTY TO EHfER UPON THE -`��'����- IiBOVHAEMpNED VRO�ERTYFOH M13PECilON W/RPOSES. COMMENTS � ���1f 1;` 1?�f.c?C'� Q DERYITTE qlNn &ONA ITTEE p�TE RECPT,NO. PAI�BY YAUDATION WHfTE—Departmenl Copy,YECLOW�inance Copy,PINK—,Aasessor Copy,pOLDENROD--File Copy,aREEN—Applicent's Copy .. . ... „.. ..,.. . .,. ,....... . ... ... , , , . . . .. ,. „ � . , � ... . . � ` CITY OF DI/�MOND BAR � � � II�lSPECTIOfV RECORD � � E � . � . . e � , • � - SET BACK ' ' ' FL�OR JOIST--�,, ' '' ' ` � •,� FTGS/FORMS/STEEL FHA�i�(�MTS �, � EI.ECTRIC GROUND ' UNDER FtOOf3 E3lJCT' � °�"-• . ,_r. � � - —._. . . . _. . . . .... . _ GROUND PLUMBING UNDER"��OQR C��IDU4T._.,+�, _,_ _`.. " _ � SLABGRADE FIREPL'A��FdC1F+iDATIF�N =_ �� ° . r�-. ' . . ... _ _ ` , TEMP POWER FIREPLACE B�ND BEAM -- -- WATER SERVICE ' MID HT. BOND'•BEAM, ��� -- • - i -��. -• i . , - - . e FT'. BOND'.BEAM ;.. ' • -. :_.. ... . .: , . . . _,.., ,'� ROOF SHEATHING � FRAMINGNENTILIATION FINAL BO.t�iD BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGM ELEGTFiIC /GO /r�. ` ROUGH GRADING ROUGH PLUMBING � i FINISH GRADING SHOWERR'UB TEST � POOL ELECTRfC _ EXT. LATH/SIDING POOL FENCING WALL fNSULATION � POOL FINAL CEILING lNSUTATION � OFF SITE IMPS. DRYWALL NRILING ' DEDICATIONS SEWER FINAL ElVG. SEPTIC 7ANK � LANDSCAPEIIRRIG. _ SEEP PIT/L.,L. I � ON 51TE IMPS. ' ` G/kS A�R TEST --i �, , • • .� FINAL ZONiNG �INAL-CONST: -- ' • - �� �FIRE OEPT. FINAL t FINAL HEATlNG � ' ` � � ..��� j HEALTH DEPT. F1NAL � ; __ FINAL ELECTRIC � � ' � ' � � DEV. FEES PAID � FfNAL PLUMBIIVG � � j ENERGY ;._ � ; _ _ ' �"" � !� � •, � � � _. .. ._�. CONEMENTS � - . � t_ _ ,� 'r- , ` . .. . . l; . .. .� _... .. . , , . _. SEPTIC TANK SIZ�;zP,t';C�.'�'':'M;:�t.—s�!!�'�.''.1'l.:. !T^j'T,�-y E l� �jT_i!i 1 `q f�r. SEEP PIT/U SIZE ` `�� , e � s ,___ . , ,. _... . . . . ._ . __. '..��.. �