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HomeMy WebLinkAbout14804 (29) R CITY OF DIAMOND DAR �-- --- DEPARTMENT OF COMMUATITY&DEVELOPMENT SERVICES :,� . 216b0 E.Copley Drive Suite 190 (909)660-3195 Fax(909)861-3117 PRESS '��»'' �Uu.nnvc r��[rr�ir�c��ox FiRMLY oJOBSITE I Tj rj t �Y r y�� L-(J . DATE�� �V t/uNUMBER r U G *� 44_ " Q ADDRESS 1 � APN LOT TRACT DA EE -i �^I � C� ONST.�_ GROUP �Z p OWNER �V(��(� ADDRESS ZONING SETBACKS CITY ZIP TEL. FRONT � � ❑ APPLICANT TEL. R�R � SIDFJSIDE STREET RW ❑ CONTRACTOR � SIDE ❑ pt ADDRESS L PROPOSED USE ��N- bt.� o CITY ZIP 0 TEL. ` D P� ARCWENG/ � DEStGNER NO.DWEL NO.: NO. ADDRE55 UNITS STDRIES BEDROOMS � CITY ZIP TEL. v� DESCRIPTION S�.Ff. FACTaR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLARATION gFq��pp�qEM O I HER�Y AFFIRM UNGER PENALTV OF PERlURY THAT I AM EXEMPT FHOM 7HE COMRAC'fOR3 L4 G9f8A9/C81pOR GENSEIAWWRTNEiOLLOVVMOREA50NfSEC.70Jt.68U51NES5ANOPROFE95qNSCODE:MJYCITYOR (A OOIX�ITtYN#CIiREOUNiESAPERMITTO00NSiRUCT.ALTER�MPRDVE,DEMOL131i3OqREPA1RANtS1RUC• W Ppt10NBGk TURE PRIDR 10 IT8�SSUANCE,ALSO REOUIRES 7HE MPl1CANf FOR SUCH PEiiMR TO FLL.E A 91GNED W iTATEAIENf 7HAT ME p9 6HE IS LICENSEp PURSUMIT'+TO 7HE PFpY1SION5 OF 7HE CONiAAC'fORS W CEN9E LAN/(dIMiEN L�Od1YENCNO WITi SECTION�foOo)OF�IVISION 3 OF TNE B�SMES3 M70�RO• � PooVSpa � D �' FESSIONSCODE)ORYMATHEORBHEISIXEMPTIIFEREFROMANDTNEBAS�SFORiXEAlLE0E�E1lEMP- � TIDN.ANYVIOUlTI0NOF6ECTION7081,6BYANYAPPLMJJ�fifOAAPERMIT8UBJECiBTHEAPP�ICMITTO Z RaRoof � A CMl PENl�LTY OF NOT MOi1E TlIAN FNE HUlARm DOLLAFlS p3o0j.): .' 04�4��EROFTNEVROPERTY,Oi1NYEMPLOVEESWIT}iWAOESA9TIEIRSOLEOpAPENSATqN, COrtIfIlBfp81 riILL DO 7HE YYOIIK,MO TIIE BTAUCiURE IS NOT IHTENDED OF OFFEIEO FOR SALE[SEC.taK BUSb �J NE55 AND PROFESSIONS(.VDE:T11E OONiMCTORS LICENSE LAW�OES NOTAPPLY TO IN OWNEH OF •.T � 7ROpER�YWFiOBU1lD80R61PROVEBTNEREON,MIDWFqDOESSUCHWORNNMtSELFORHERSEIFOR = 7NROUOXHSORNEROIMIEAIPLOYEES.GROVIOEDiHATiIICFILIPROVEYEN�SMENOTMTENOEDOH L� OFFERm iOR8ht6.IF.NDMIEVERTME BIAlfING OR WPROVENENT IB SOID WITMR70NE VEAR OF GOMPLE� TqN,7ME OWNER$IALDER M7LL HIWE TME BUROEN OF VROVINO TMAT HF OR SFIE�IO NOF�W OR IMPfYDYE PoIi7HE PURPOBE OF BALE). . . . O l�OYYNER OF TIE PFpPERIY,AN EXCLU8IVELY ODNTRACTIN�WfTll LICENSED CONTRACTOR$ i0 CONSTRUGT hIE PFIO.IECi(SEC.1oM,6U81NE89 AND PROFE38pNS CODE:TME CONTRACTOqS LI. V91U8�W11 r'" � ADJ.AHE/1 � CQ19E Ulri DOES NOTMPLY TOAN OWPER OF A PROPEHiY WTp BUM109 OR IMPRWES iHEREaN,M!D YIRfOCONTMCf8FOX8UC1iVROJECf9WIlHACONfMCIOR(5)LICENS�PUFSUANfTOTt1E00WTMG QUM1T DESCRIPTION F� � 7d14 LICENBE UW.�. ' � �, DIAAIIXEI.WTUMERSEC. B.IV.C.FORTHISREASON � � U � DATE OWNER U L\�1 , W LICENSED CONTRACTORS DECLARATION W I MEREBY AFFIRY IIiDER PENAL7Y OF iEiWRY TIUT 1 J1M LICENSm UNDER OROVISqNS OF pIMTER � O ��OOLIYFNCMIOWIT115EMpN7000�OFOMSION90FTHE8USINESSANDPROFE5Sl0 SCODE,AND Z MY IICENSE IS N Flll.l FORCE AFA EFFFCT. ": w-.." �.� ' tc. .I.'r�� � � �}O � LICENSE CUSS '�. LIC.NO. ; .; . . �J �q DATE �"' O�-6�C CONTRI.CfOR 1/� s ' a (D ��— � WORKERS'COMPENSATION�ECIARATiON . � U 0. t � I NEREBY 11fFIRM 11NDER PEN�L7Y OF PERtt1RY ONE OF TXE FOLIAWING DEClAMT10N5: Z � � �IMAVEAHDWILL11A1NTAINACERTIFICATEOFCONSENTTOSE1FaNelIPEFORWORNERB' � CpAPENSATpN.ASPROVIDEOBYSECT10N7)OOOFTNELABORCOD6.FORhIEPERFpRMIWCE W Q OF TFE WORK FOR WHICH TM9 PERMIT IS 198UEG. � _t MAVE MID WILL MAINfAIN YYOfiKERS CaM7EN5ATION 111SURANCE,AS REOUIRED BY BECTION � l7ooOF7HElABORCOOEFORTHEPEAfURMANCEOFTHEWORKPORWHICHlHI3PER1AITfS '�f �� ISSUm.IAV WORKERS' PENSAT/ION+IN.�SUR ARRIER AND POLICY NUMBER ME: CONSTRUCTIDN � 4 S� \ � GARRIER '�C_.t-� PLAN REVIEW � POL�YNUMBEp b��k ELECTRIC �i !w � ���— d Q (iMssEcndutFIDrrneEmYREiIDOFnEaEw.RBfd+oNelar�DREnoauAR56+�1�LE551 PLUMBING •�Z' �Q 2 ICERTIFYTWITINTHEPERFORMANCEDFT/EWORNPoRWIi1diTFIISPERMR19155UED,1 MECHANICAL � � SWLLINOiEMPWYANYPER50NINANYMIWNERSOMSTOBECOMEBUBJECTTOTl7E (n WORKERS'COMPEfi511TqNLAWSOFGKIfORN10.�NOAOREETXATIFI6HWlDBECOME INSPEC110NFEE R �� �nnn � 8U&IECTTOTHEYYORNERS'COMPEN3ATIONPROVISIONSOFSECTpN�7a00F1HEUBOR �/�r'� OODE,I HNiFORTHYVITICOMPLYWITMTI EGROVISIONS. ISSUANCE W Q �,�:�� a a APPIICANT. K � SMIP ��)/� A'T OnND7�wB��an� . � WMNINO:FMLURETOSECUREW'ORKERSCOMPEN9ATIONCOVERAOEIS NLAWFU4µDSHA1LBE ENERGYP/C ����+�l.T�yvD1Al+I^�� Q� SIIB.tECTANEMPLOYEHTOCRIMINALVENALTIESANDCIYRFWE3UPTOONEHUNDREDTHOUSAND ENERGYPERMIT Y OOLLAfL4({10U.000�,MI ADDI710N f0 TNE COST OF OOMPENSRTIDN,DAMAOES A9 PRON�EO POR IN .�_ � BECTpN970eOFTlIEUBORCODE,IIffEREST,ANDATTOHNEY'8FEE5. RETENTION FEE: CONSTRUCTION LEN�ING AGENCY PRE•, T�F�E� J� � I HERE9Y AFFIf W UNDEiI PENALTV OF PERNAY 7FL1T TNERE IS A CONS7RL1C710N LENDINO AOENCY '�'�"' FOR TME PERFOHMANCE OF TNE NfOHK W R WHICJI TNIS PE WJIT IS ISSUED(SEC.9007,CIV C.�. � � LEN�ERSNMAE � LENDEA'311�DRES3 � ICERfIFYTNATIXAVEi1EMT115APPLICATIONANDBTAIETNAiT11EABOVEMFORIAATIONISODRRECT. TOTAL FEES �Q ( � � � IAOHEETOCOMRYWRHN.LCRVi41DCOUNTYOR0INANCESANDSTATEUWSREL�TWfiiOBULDINO /� 1 � ���yw� �]� OONSiRUCTpl1,ANDNEREBYM,IfIqpIZEREPpESEHTATIVESOFTWSCWNTYTOEMERUPONTHE .6 1 �� r � it �BOHE-MEMqNEDOROPERTYFORINSPEC710NVUR BES� L'QMMENTS %� v�� '^� \A' ���,, Q���� ��! � PERMITTEENMIE�VWHn N -� ,�'�a'"�a� y 6qNANHEOFPERMITTEE �� DATE 3r RECPT.NO. PIJD B • VALIDATO F WHITE-0epaRmenl Copy,YELLOW�inance Copy,PINK�acessar Copy.GOLDENROD-File Copy,OftEEN-,Rpplbant's Copy . .., ... . .. .. .. . .. . .., . . ... ' . . . ,. . � , . . ... .. � . , • � �n.. .. .,. . r .. � ... � ., CtTY OF DI/�I`�iOND BAR � IMSPECTiON RECOF�d E. � , . �, . . � e , . � . SET BAGK � ' FLOOR JOIST � h-fGS/FORMS/STEEL � FHA REQMTS ELECTRIC GROUND " UNDER FLOOR DUGT . GROUND PLUMBtNG j UNDER FLOQR CO�IDUIT � SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLRCE BOND BEAM • WATER SERVICE MtD HT. BOND BEAM � ' ROOF SHEATHING - S FT.BOND BEAM � • FRAMINGNEN7ILIATION FIfVAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGFi PLUMBING FINISH GRADING SHOWERlTU6l"EST � PClOL ELECTRIC "� EXT.�.ATH/51DING � ' POOL FENCING `�( yCb WALL INSU�ITION POOL FfNAL ' ' CElIING INSUtATION OFF SITE IMPS. ^� DRYWALL NAILING DEDICATfONS •y. SEWER FINAL ENG. ----.�� � SEPTIC 7ANK LANDSCAPE/IRFIiG. � SEEP PIT/l..L. ON SiTE iMPS. � --W-�— �[ GAS AIR TEST • FINAL ZONING ` � FINRL CfJNST.. � � ' FIRE DEPT. FINAL I � I_._� • -FINAL HEATING ' • � HEALTH DEPT. FINAL � ' � FiNA�ELECTRIC i ! � DEV, F�ES PAID � FINAL PLUMBING I � ENEFiGY I ( __� � � , i oo'R. /ktJW-Vw • .. !q—b"'�� • � I �_. � � �_ _ ��—� _. r .._�..—a ..___--�-------..._..._._.T___._.___.�_ ,�_—�__�.__i.__.^_---- - ` COMMENTS �- � `ti�f�U �L��7 j��r�z � Ldv�-� �o r�5 L� �_�! . � l 's __���?v-�l __ �i.—,_f�d7i' +�.�—�-`f12,�,-�'"�—�L�/h �� � � f �. __ �� _�_ � .k. ' ___� '.' 1 f ..�`;. . :� 1 . f% �_ -.,,_ . , .v • • :ty.� : ,�: . � .. ' i : '� _ ,�..' ,..1. . . . . ..� . SEPTiG TANK SIZE � SEEP PIT/U SIZE .. . ������. �j r�'.