Loading...
HomeMy WebLinkAbout12386 ��__ CITY OF DIAMOND BAB � DEPARTMENT OF COMM[JrTITY&DEYELOPMENT SERVICES � . 21660 E.Copley Drive Staite 190 (909)660-3195 Fax(909)661-311'7 PRESS ��*�� BUILDING PERMIT APPLICATION FIRMLY o �DR�E55 1��� a���� ��'1'v T APPUCATION � " PERMIT `7_� P/C DATE NUMBER r' N � APN_ _, LOT � TRACT Z- DATE � ONST. GROUP S OWNER � ADDRESS ZONING SETBACKS •-, � CITY ZIP Z 1 TEC.�� REART ' �' ' , RW ❑� APPIICANT - TEL. � SIDE/SIQE STREET RW � CONTRACTOR L SIDE ❑ � ADDRESS ; PROPOSED USE �'v' CfTY ZIP TEL. +P+ ARCHlENG/ � DESIGNER NO.pWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.Fl: FACTOR PSF AW.AREANALUATION � OWNER•BUILDER DECLARRTION &FR/ADD/REM O � 1 MENEBY AFFiVA UNDER PENALTY OF PEiWRV THAT I AM IXEMPT FROlA THE OONTRACTORS ll- G8f8QBIC81pOfI CQ19EU1WFOR7HEFOLLOWINOREA.AN(SEC.TP71.6BU31NESSAN�PROFESSIONSCODE:MMGTYOH (n COINJfYWHqiREOUIRESAPERMRTDO01i57AUCT,ALTEfLIMPibYE,�EMOlJSM,ORREPAIRANYSTAUC• W (�pli0/DBCk � . NRE,PRIOR TO ITS ISSUANCE.AL80 RE�UAES THE I�PPLICANT FOH SUQI PERMIT TO FIIEA SNiNE� W STATEMENT 7}il.T HE OR SME IS LICENSED PURSUAN7l0 THE PROVISIONS OF THE OONTMCI�OFIS ll• CENSE LAW(�Php o I�MENGNCi WITN SECTpN 700D)OF DNISpN 7 OF TME BUSINE59 AND FRO- . � pQO�P� ' '� ' N FESSIONS CODE)Oil TW\?ME OR SNE 16 EXEMPT 7HEREFROM AN�1HE BA513 FOR THE ALLEOE�EXENP• TION.ANYVIDU1710NDFSECT1qV7D]1b8YANYAPPLICANTFORAPERAIITSUBJECT3THEAPPLIGWTTO Z pB-ROOI ' . .. � 11CMlPENALTYOFNOTMORETHANfNEHUNDREDDOLLARS@6ao).g OLASONMEROFTHEPROPERMORMYEMPLOYEESW17HWAOESAShIEIHSOLE00MPEN5ATIDN, COT(I�61Ci81 WILL DO 71iE YlORK,AND TNE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(6EC.7M�,BL151- O NE55 MIO PfqFE5510NS CODE:T/1E CONTHIICTOR3 LICENSE LAw DOES NOT APPLY Ta AN OWHER OF � VROPERTYWHOBUILDSORWPROVESTIEREON,ANDWHODOESSUCHNPOHKNIMSELFORHERSELFOR � � ' � iNROUGHNISORNEXOWNBdPLOYEES.PROVIDEDi}UTWCHIMPROVEMENTBMENOTINTENDEDOR m . . OFFEiIm ibR SJLLE IF,XOWEVE0.��11LOIN0 ORNIPROVEMEM IS SqDMATMIN ONE YEAH OF COMPIb 7pN,ME OWNEF�BUILDER WILL HAVE TME BURUEN OF PRONNO THA7 HE Oq fHE DIO NOT BUIID OR MPRDVE FOH7HE PURPOSE OF S/�LF). ' �y,� OIASOMMEROFTHEPFIOVERTY,l4AEXCLUSNEIYCONTMCTNONRTILICENSE�COMRACT01iS � TO CON9TRUCT TF1E Pf10JECT(9EC.70ss,BU91NE59 FND PROFE9510N5 CODE:THE CONTRACTORS�I• �/81U91ip1 . ADJ.AREA CENSE lAW DOEB NOTMPLY TO N7 OWNEfl OF A PROPERTY YVFp 8UMD5 OR IMYROVE!lNEREON,MID YYFIOODNTRACTBFORSUCHMiWECTSWITMAC0117MCTOR(E)LICENSEDPURSUANTTOTNECONTRAG Q�JANTITY DESCRIPTION FEE � tORS LICENSE UW.�. ❑I M,1 Ef(EMPT UNDEP 6EG 6.�D.C.FOR THIS REASON U DATE OMMER U � J �_ LICENSED CONTRACTORS DECLARATION W � 1 XEiIEBYAFFIMI UNDER VENAL7V OF PERJIXiY TH11T I AM LICENSED UNDER PRONSIONS OF CHAPTER � Y(OOYMENCNW WITX SECTION 7000)OF OMSION 9 OF 7HE BL151NESS ANO PROFESSIONS CODE,AN� Z MV LICENSE 16 N LULL FOHCE AND EFFECL m � LICENSE LIC.NO.��M ��7���jf�� j � DA7E �v CONTRACTOp )1 U 1'TA 1.01LJJ 6. WORKERS'COMPENSATION DECLARATION � � 1 NEREBY AFFlRM UNDER PENAL7Y OF►ERM1IRY ONE OF THE FOLLAwINO DECLAHATqN9: Z � _I WIVE MID IMLL IMINTIIIN ACERTIFICATE OF CONSEM TO SELF�INSURE FOR WDRKERS' _ QDIAPENSATqN.IS PROVIDEO BV SEC710N T7ooOFiHE L/�BOR COOE.FOq iXE PER�ORMANCE W OF THE WORK FOR WHICH THIS PERMIT IB 166UEG. � � .�IHAVEANUYVILLMNNTIIPIYVORKERS'f.UMPENSATIONIHSUIUWCE,A5REWIRE�9YSEGTION Q 970U OF 7NE LABOR CODE,Fdi 7HE PERWHMANCE OF 7HE WORN W R WHICH iH15 PEHMIT IS �J ISSUE0.tfYWORKER3'OOAIPEN,B/A�TIONINSUR4NCECARHIERANDPOLICVNUMBERME�. CONSTRUCTION �� �7 3 r v > , —'p�� �l�S� $ � CMRIER ��M'� PLAN REVIEW �� � � POLICVNUMBER ,` Z ��7> ELECTRIC `S(w�e d0 (IH6SEC110NNEIDNO7BEOp.iLEfmOF11EPEFiMfSR�fiOrEM1WREDD0IUAS�StmloRl6s} pIUMBING �D �LQO}► � ICEMIFY7HATINTHEPERWfWAWCEOFTNEWORKFORWHICHiHISPERMITISISSUE0,1 MECHANICAL _T,�D! Ol1 � SNALL NOT EMPLOY ANY PEHSON IN NJY MANNEA SO AS TO OECAME SU&IECT TO TI1E � N'ORKERS'COMPENSATIONIAWSOfCALIFORNItiANOAGFiEETHATIFIBHOUL�BECOME INSPECTIONFEE S SUBJECTTO TFIE WORKERS'GOhIPENSATqN Pf10Y15pN50F SECTpN�7 OF THE LABOR ,/� ,I S FORfFIWITI COMVLY YNTI TFiQSE PRO . S. ISSUANCE � v � L SMIP 1 '0 pLLLLLL{{{ wrE: 7� APaucaNr. _ � WARNINO:FAIWRETO6ECUREWORKERS'COlAVENSATIONCOVEHAOEISUNUWFU�,ANDSMIILL9E ENERC�YP/C I SUBJECTANEMPLOYENTOCRIMIWY.PENALTIESPNDCIVILFWESUPTOdNENUNOREOTNOUSMA ENERGYPERMIT � }, DOLLIINS({100,0o0�.INA0DITIONTOTHECDSTOFCOMPEN5AT10N,DAFUOESASPROVIDEDFOHIN �``'' � SECTION370lOFTIIEU190faCO0E.INTEREST,ANDATTORNEYSFEES. ({�EfYTIONFEE: ' �D I� CONSTRUCTION IENDING AGENCY PRE-ALT FEE: - IHER[BYAFFIRMUNDERPENALiYOFPERJURYTHATTHEREIBACONSTRUCTIONLENDIN0A0ENCY ��o�� S� FOR THE PERFOAMANCE OFTHE WORK FOH WHICH iNIS PERMIT IS ISSUED ISEC.]aD7,pV.FI. � ✓ LENDERS NAME � IENDEH'SADDNE83 w /� ICERT�FYiNATIHAVEREMT1115M7LICATIONAN�STATETNATTHEA80VE1NFORMATqNISCORRECT. TOTAL FEES ��I-S�/� ����� �( � 1 Al3REE TO COLIPLY WITX ALL CRY ANO COUNTY ORDINANCES ANO ST�TE LAWS REUiWO TO BUILDINO � � CONSTRIlCTION,ANDHEREBYAUi/10flIZEREVRESQJTATIVESOFTHISCOIJNTYTOENTERUPONTNE IBOVE�MEMIONED VROVERTY FOR INSVECTqN PUpP03E5. COMAAENTS � oU�iLtl t�u � � PEHMRTEENAM PWHT) �.e . N V � � BqNANREOF wii7E D�iE pECPT.NO. PAID 6Y VALIDATION � YYFiITE--Dapertment Copy.YELLOW—Finence Copy,PINK--Assessa Copy.OOLDENROD--File Capy,GREEN�–�ApplicanYa Copy GITY OF DIAItlEONQ B/4R ' INSPECTI4f+! RECC?RD ' � s e � � 6 - � e , • . ; � . SEf BACK FLOOR JOIST � .. �.r i_,! ',.'+r t; }':` ..= •:�: f c j • Ff'GSIFDRMS/STEEL 'Q � FHA REQMTS ELECTRIG GR�UND '�� UNDER FLOOR�I:XCT> r ; � �V � ! ��.. . 6 ' /.� - . � � _ ... . . .� GROUND PLUMBING UNDER FtOOFi.�Uf�IDUtT.� i;. � :.; : �,,: :� ; SLAB GRADE z FIREPLA�E�FbUI�DA'fiON' =.' �'' "''�-' ��� � " TEMP POWER FIREPLACE BOND BEAM � � � ' Y ' '` WATER SERVICE /4 ss MID HT. BOND BEAM • - • -- • • ROOF SFfEATHI� � � � S' 8 Ff.BOND BEAM FRAPAINt'aNENTILIATION Z FINAL BOND BEAM ROOF COVER PRE-GRADING , ROUGH HEATkNG 7� BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBiNG � " ` FINISH GRADING . SHOWERITUB TEST af POOL ELECTRIC EXT. LATH/SIDING Z /i POOL FENCING � WALL INSULATION POOL FINAL � CEILING INSULATION OFF SETE IMPS. DRYWALL NAILING a �3 :+ ;; � -; DEDICATIONS SEWER - - FINA�ENG. � SEPTIC TAN}C _ ., �_ LANI}SCAPElIARIG. j SEEP PIT/L.L. ' � ' ` ON S1TE IMPS. —��— GAS AIR TEST FINAI ZC)NING ' FINAL CONST. �- - FIRE DEPT. FINAL � FINAL HEATING HEALTH DEPT. FINAL � FINAL ELECTRlC DEV. FEES PAID FINAL PLUMBlNG ENERGY � � � --- , --- ------- caM�Ec�-rs �',' . ,`��;i,� ti —.:—. ` ---� , .,, �r . ; � ` _. .---------_ . . �.. — __ +i 'i� t ti � _,:.+._���.-��J3 ` � �. . ,•` . . � .-._ . , `; .. ' , i, ,,�'• Sfl?l"f�TAN:�C SIZE _ SEEP PIT/U 81ZE., , — F.1�o i:r-E-5-__ -__— ! i _ 11 j , , , . ., , + . ` it - � . � ; . ,