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HomeMy WebLinkAbout12834 (14) . ► ��_ CITY OF DIAMOND HAR �� �o� DEPARTMENT OF COMMETNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-311T PRES$ ��'�'� BUQ.DING PERNIIT APPLICATION FlRMLY � JOBSITE �i7- AP��-��Q(��.a.t�� DATE CATI�N'Z�l�- NUMBEF�.� �f/C a ADDRESS f tSSUE 11(pE OCC APN LOT TRACT' DATE CONST. GROUP � OWNER ' ADD SS ZONING SETBACKS C ZI L. FRONT RW ❑ APPt CANT REAR p SIDE/SIQE STREET RW ❑ CONTRACT SIDE p � CITY ZI��tQj�TEL. / PROPOSED USE L � AfiCWE G/ /b"1�"� DESIGNEfi �`� NO.DWEL. NO. NO. � CDDRESS ZIP TEL. UNITS STOR�ES BEDROOMS � DESCRIPTION SQ.FT. 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W OI.I�SONMEROFTHEiROPERf1',AMEXCLUSNBYCONTMCTWONATMLICEN3EOCONTRACTOqS � 7'O CONSTiR1C7 7/iE PqOJECT(9EC.704l.BUSINESS AND►ROFESSIONS COOF:THE CONTRAC70qS U- V81�9tiafl ADJ.AREA CENSE LAW�OES NOTAPPLV TOAN OWNER OF A PROPER7Y WFp BUR�S OR MIPqOVF9 hiEREON,AN� � WFrOCOMiU1Ci'BFORBUCHPflOJ£CTSWITIACON�iUCTOR(9�LICENSEDPURSUANTTO7HECOIVTRAF QVANTITY DESCRIPTION FEE 100.5 UCENSE IAW.�. � ❑I MIIXEMPf UNOEH 8EG B.8 P.C.FOR TNIS HEASON Q 3 v �c 1� LL DA7E OMMER � � UCENSED CONTRACTORS DECLARATION W � � � I MEREBY 11fFIRM UNDER PEWLLTY OF PERIURY T11�7 I Mt LICENSE�UNDER PROVISIONS OF CHAPTER � ' � ��COIIMENC►�OWfRISECT TOOO�OFDNISIDN90FTHEBUSINESSANDVROFESSpNSCODE,AN� Z LV ���SE IS RI FLLL FO NU EFFECT, m 0�..� LICENSEC S' � UC.NO.,,,,�i' j t> UATE CONTMCTO � a SJ � WORKERS'COMPENSATION DECLARATION � � IXEREBYIIFFIR4UNDERDENALTYOFVER.NIRYONEOFTHEFOLLOWINODECLAMTIONS: Z � _I NAVE AND NALI MAINTAM A CEIRIFICIITE OF CONSEM 70 SELF•INSURE FOR WORKERS' _ COMPENSATION,ASPROVIDEDBY9ECTION77000FTHELABORODOE,FOflhiEVERFORMANCE U Q OF THE WOfiN FOR NRIICN THI9 PERMIT IB ISSUEO. � Q �I HAVE AND NALL MAINTAPI WORKEN9'COMPENSATION INSUMNCE,AS REOUIqED 8Y BECTION 8700 OF TME IABOR CODE,PoR TIIE PER WHMANGE OF TME riOHK FDR WHICH iF115 PERMIT IS ISSUED.MYVNDPo(ERS'COMP TIONINSURANCE DPOLqICY�NUMBERARE: CONSlAl1CTION � CMHIER �\��� ����V . .. . PLAN W .�. . -�- � raicYNur�BER ?� ` -� ELECTRIC � � � �[J/ � f�SECfIONNE�NOTBE00Mt7.E1mOF7/EPEFMfI6FORONEI4ADRm00ll/Ji5(itoolOHLF55} BING W Z ICER7IFYTHATM7FIEPERFOFMANCEOFTHEWC]HKFORWHICN7HISPERUITISISSUED,I MECHANICAL II� � n .An.. (� SHALL NOT EMPLOY ANV PERSdJ IN ANV MANNER 60 AS TO BECOME SUBJECT TO TME V � � �y 9� (� WORNERS'CdAPENSATqNLAW50FCALIFORNtA,MlOAGREETNATIFISNOUIDBECOME INSPECTIONFEE S BUBIECT TO TME Wl7HKERS'COMPEN511TION PROVISIONS OF SECTpN 8700 OF THE UBOfl cooE i aHInu�,wnr�,�mrn cornr�v Nnni nqse rnovis�aas. SSUA �� --�—�=�-L ��p�'C��` -�-r'--� g C',�?';�;Tr� oRh: �w�ici,Nr: WARNIN�:FAILURETOSEWREWORKERS'COMPENSATIONCOVERAGEISUNUWFUL,ANDSFI/,LLBE ENERGYP/C ("'y BUBJECTAN EMPLOYER TO CRIMINN.PENALTIES AND CIVLL FINES UP TOONE HUNDRED THOUSAND ENERGV PERMIT ¢ DOU.ARS({t0D,000),IN AUDRION 70THE GOSTOF GOMPENSATION,DAMAdES AS PROVIOE�FOq W SECTpN 87oe OF iHE U1BOR CODE,NTEREST,AND AT�ORNEYS FEE3. RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IMEREBYIIFFIRMUlmERPENJLLiYOFPERJURYT/4lT7HERE15AWN5TRUCTIONIENDINQAOENCY FOR 7NE PERFORMlWCE OF7/1E M'ORK FOR YVYIICH TMIS GERMIT IS ISSUED�SEG 30Y7,CIV.C.). � � �ENDENS W1ME � LENDEPSA�DRE55 W� ��(7_��'�//y/�^J J ICERTIFYTHATIMIWEpERDT119APPLIGT10NMlOSTATE7HATiMEA90VEINFORM�T10NI5CORRECT. TOTAL FEES �� 2.'I � /'C/ � IAQREETOCOMRYWI7HALLCRYIWOCOUNiYORDINANCESANOS7ATEUWSREUTIN6TOBULLDING ;/v � CONSiNUC710N,ANDHEREBYMfrHORIZEREPRESENTATIYESOFiWSCOUN7Yi0ENTERUPON7HE hBOVEMEMIDNE�PHOVERT`/FOR INSPECTION PURPOSES. � COMMENTS � �ie/z 1 i n� �'7C• m E (P Q � Bq -OFVERMITTEE WTE RECPT.NO. PAID BY VALIDATION WHITE—Departmen�Capy,YELLOW�Inance Copy,PINK—Rssessa Copy,GOLDENHOD--File Copy.GREEN--App�icenPs C ��-I�-� (�1� p.�.- 4'�(,,.�.. {�-Q.��J,t��.) �an,c��.e �e e� y�.o Z �5 3���t o k ��I . ----.. ...------...---- . _ � � � CITY OF DIAHJtOND �AR IIVSPECI'iOIV REGOf�D - . � , , . � . . � , , . � . SET BACK � � F�OOR J�IST :� '• ' , . � FfGS/FORMS(STEEL FHA REQMTS �- � ELECTRIC GF30UND UNDER FLOOR.DU�T �' � • � - .. . . _ . _ . . __ . --- GROUND PLUMBING UNDER FLOOR.CC�MpIlIT_.. .'. . _. �,.` . . , .. . . _ �. _` � SLAB GRADE FIREPLf1GE�F0l1NDATIQN --- -:=' ' •- - - - - •�•�- �- � TEMP POWER FIREPLACE B�ND BEAIVI WATER SEpVICE -- MID MT. BONb BEAM. � � - �• - '�• i•- �'' ROC�F SHEATHIN� ' - �- �- -- •- • 8 Fr. BOND BEAM�• - - --�.— � . . . _ � FRAMINGNENTILlATION� FINAL BOND BEAM R�OF C�VER PRE-GRADING I ROUGN HEATiNG BENCH{NG ROUGH ELECTF3IC �r2 I� ROUGH GRADING RaUGH PIUMBING FINISH GRADING SHOWEWTUB TEST POOL ELECTRlC EXT. LATH/SIDING POOL FENCING � WALL INSULATION � POOL FINAL CElLING INSULATION OFF SITE IMPS. DRYWAIL NAILINC� DEDICA710NS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. ^ �C�+;S RIR TEST FINAI ZONING ; FINRl.GOEd�sT.• �- - -�•� �- - - -- - ' • •FIRE DEPT. FINAL � �11dAL'k�RTING � � '- �� -i HEALTH DEPT. FINAL �� F1NAL ECECI'RIC 5.-Z,Z., - DEV. FEES PAID FINAL PLUMBING ( ENERGY ; � ' -- ; � . P � T S _ " .' .. COMI�!lENTS - - ��u t�.�� � . . _ -. - ... . �. ���i; : . ., - - - - - �. �.;` : � , . - . _ :, ;�,-.: , � . SEPTIC TAN!<SIZE SEEP P!T!U SIZE -' '"--�' i, — ;, i, I. , .--;; --..