Loading...
HomeMy WebLinkAbout12390 (14) �� CITY OF DIAMOND BAx i DEPARTMENT OF COMMLJAiITY&DEVELOPMENT SERVICES � � . 21660 E.Copley Drive 5uitc 190 (909)860-3195 Fax(909)861-3117 PRESS � '�^°��� BUII.DING PERMIT APPLICATION FIRMLY < DDR SS �S J 1 �JAP�I[.0 f��+�' > APPLICATION/O � 1��� PERMIT '�J�Q np/C p DATE J NUMBER L"��Uk � APN LOT TRA T O ISSUE-� _ TYpE . � . ppp DATE ' CONST. GROUP � OWNER A 1 I _ ADDRE� i ZONING SETBACKS • RW ❑ � CITY IP TEL FRONT APPLICANT TEL REAR �' '� ❑ SIDEISIDE STREET Ryy ❑ CONTRACTOR � � �'� SIDE ' p ADDRESS g CITY ZIP TEL PROPOSED USE � S � ARCH/ENG/ , � � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL rn , DESCRIPTION S4.Fi: FACTOFi PSF ADJ.AREANALUATION Q OWNER-BUIIDER DECLARATION SFR/ADD/REM O7 O I HEREBY AFFliqA UNDER PENAL7Y OF PERIURY THA71 A1d EXEAIM FqdA THE CONfRACTOHS LI. GefBQB/Gi�ft b -, � CENS[IAWPON7MEFOLLOWINOREASON�SEC.7091.6BU9WES3ANDPROFE5SqN5CODE:ANYCITYOq (n COUNfYYN#CMREOURESAPEi1MRlOCONSTRUCT,ILLTE0.IMPROVE,DEMOLISH,ORNEMiRANVSTRUG W iURE,PAqR 10 RS 165UANCE,ALSO REOl11RES hiE/�CPLICANT FOR BUCH PERMIT TO FlLE A BIaNED W " � - " BTATEMENT TNT HE OR 9HE IS LICEN9EO PUR9UANf N TFIE PROVISIONS OF THE CONTRACTOR9 LI• CENSE LMN(pUPTEA i(COMMENCINO YPITN SECTqN 7oGo)OF DNISqN!OF TME BUSMIESS ANO PRO• V' PaOVSpB � " ' � � FESSION5COD�ORTMl1TNEORSHEISE7�MP7THEREFROMANDTNEBASISFORTNEALLEOEDE%EMP• (� TION.�N`lVIOLATpNOFBECTI0N7097.6BVANYAPFLICA!lfFORAVERMITSU&IECTSIHEAPPIICANTIO Z RB-ROOf ' � 11CML/ENALTYOFNDT►IOFETWINFNEHUNDNEDDOlUR3(l5ooJ.). � . . ., OLASOWNEROFTVIEPROPERTV,ORFAYfMPLOYEESWITHWA0ESA37HE1H60lECOMPENSATION, 0 Gommerclai YALL 00 7HE NfORI(,ANO TFIE 6TRUCNRE IS NOT INTENDED Oli OFFERED FOR S�LE(6EC.7W�,BU51- J NESS AND PAOFESSION6 COUE:TNE CONiMCTOR9 LICENSE UW DOES NOT MPLY TO AN ONMEH OF � PROPEHTYW110BURD80RMPROYESTNEREON,AN�NMODOESSUGIWORKIUMSELFORHERSELFOR = Q 111ROUGHHISORNEROWNBAPIDYEES,PROYIDWT17AT6Up71MPROVEMENT3MENOTMTEN0E0OR m � OFFENWPDR9�LEIF,HOWEYER���D�N�ORWPROVEMENTISBOLDWITMNONEYEAROFCOMPLE- iION,T11E OWNER�BUILDER WILL HAVE TME BURDEN OF PRONNG THAT HE OR SNE DID NOT 9UILD OR N1PFpVE FOR 7ME PURP06E DF SILEI. � . � 0►A40YYNEHOFTHEPROPEHTY,AME7(CLUSNELVCOMTiUCTINGNATHLiCENSEDCOMtiACTOtiS TO CONS7RUCT 7HE PqO,IECT fSEC.7w�,BUSINESS AN�VROFESSIONS CODE:THE CaNTRACTORS U- V81�91i0i1 AQI.AREA CENSE LAW ODES NOTAPPLY TO AN OVMER OF A PHOPERTY WFIO BUILCS DA NAPHOVE9 THEAEON.AND NMOOONiNACT9FOR8UGIDROJECTBWIMACONfRACTOR(S)IICENSEDPURSUAMTOTHEGONTMG pUANTITY DE5CRIPTION FEE � TMt,L10ENSEIAW.�. ❑I AM EIIEMP7 UNDEH BEC. 8.�P.C.FOq THIS REASON � U W j DATE OWNEH F- � � LICENSED CONTRACTORS DECLARATION W � I FIEREBYIIFFIWA UNDER PENALTY OF PEIWRY 11UT IMI LICENSE�UNDER PPOYI510N5 OF CHAPTER � � �(COYMENCMIGWRHSECTIDN70W)OFDIVISION70FTHEBUSPIESSANOPROFESS�ONSCAOE,MID Z LLV ��ENSE IS W ML FORCE AND EFFECT. m � UCENSE CLASS LIC.NO. � • �F/ jJ � DATE CONTRACTOR O. WORKERS'COMPENSATION DECLARATION� Q � IMEREBYIFFIRMUNDERPENALTYOFOERJURYONEOFTHEFOLLOWINGOECURATIONS: Z � _IHAVEANDYYILLMAINTAN�CEfifIFICA7EOFCONSENTTO3ELF•INSUREiORN/ORKEHS' _ OOMPENSA7qN,A9PRONDEDBYBECTION?JOOOFTNELABORCOOE,FONTHEPERFORMANCE U Q Of T!I[WOAN FOR WHNYi TYtlS PERMIT IB tSSUEU. � I HAVE MA NALL MWMAW WORKER9'COMPEN3ATqN INSUPANCE,AS REOUIREO BY SECTqN ����' Q 7000FTNELABORWUE.FORTHEPERFORMANCEOFTNEWORKWHNMICH7HISPERMITIS �/.-�/ �--.��r7�, ���� � ISSUEO.MYM'ORKERS'COMPENSA710NINSUFiANCECARRIERAN�POLiCYNUMBEFAHE: CONSTRUCTION •�+�V�/� VJ � CARRIER PLAN REVIEW � PaucYNUMeER ,e_ � ELECTRIC f SOrVL) � (nwss[ctnr+r��nareeoa�renaFnEeen.ors�a+e�urnaEooaw+s�sim�aA�ss} PLUMBING I S� D.d/D Z I CERTIFYTHAT IN 7HE PERFORMANCE OF THE WORN FOR WHICX THIS CEH1AI71515SUED,I MECHANICAL � 7�y/�/D C� SMhLL NOT EMPLOY INY PERSON W ANY MRNNER 50 AS 70 BECOME SUBJECT TO iHE (ry WORKERS'COMPENSATqNUWSOFCALIFORNIAM�DAaqEETHATIFISIIDULDBECOME INSPECTIONFEE � SV&1ECT TO T}iE WORKERS'OOIAPENS�TIqJ PROYISIONS OF SECTqN Y700 Of TME 1A80H �,�u FortrMmrn ooMm.r win�rr�se�vispys. / �� ISSUANCE �� p DATE: APPLICMIT: �G -.� e�i� SMIP b t — � WARNINO:FALURE TO SECUHE WORKERS'COMPENSATqN CAVERAGE IS UNUWFUL,AND SHALLBE ENERGY P/C ` ? � 6UBJECTAN EMPLOYER TO CRIMINK PENALTIE9 AND CIVIL FINES UP TOONE XUNDRED 7FKK15AN0 ENERGY PERMIT 'J� �� y DOluR5lftOD,OaDJ,IN ADDRION TOh1E COSTOF fAMPENSATpN,�AMAQES AS PROVqED FOR W r SEC7IDN]7oe OF THE LABOR CODE.WTEREST,AND ATTORNEV'S FEES. � �� ���uuu RETEN710N FEE: � � CONSTRUCTION LENDING AGENCY PRE-AlT FEE: �'��:'�� �'� � a, i 1 MEREBY AFFIRM UNDER PENALTY OF VERIURY TH�T THERE IS ll GON5TRUCTION IENDINO ApENCY �„J,,,`� FOR iNE PERFORMANCE OF THE WORK FOR WMICH THIS PERMIT IS ISSUED�&EG 90Y7,CIV.G�. J � V' � LENDER'SNAME . 1— LENDER'SADDRE55 � ICERTIFYTWITIHIWEREADTHI9AiPLIC�TqNM1D5TATEiHAT711E/�90VEMFORM�TIONI5O�RflECT. TOTAL FEES Z���/��3 D �' � IAOREETOWLIPLYYA7lIALLCIT'ANOCOUNTYOFDINANCESANOSTATEUWSREUITW6TOBUILDINO � � CONSTRUCTION,ANDMEREBYALRIqRIZEREPRESENTATIYESOFiNISCOUNTYR7ENTERUPpNTHE ABOVENENftJNEOPNOPERTYFO SPECTpNPUqPOSES. � /� � � �`� COMMENTS s� '�v�=� � � PEqMITTEENAY PRI tD �� ' n ` � N 810NATUREOF ERA/ITTEE pAiE � RECPT.NO. PAID BY VAUDATION WFIITE—Dapartrnent Copy,TELLOW—Finence Copy,PINK—Assassor Copy,GOLDEN O�File Copy,GREEN—ApplicenPs Copy .' \ . . . .. . . - • . . . , . CITY OF DIAIld�C?ND BAR ' INSPECTION RECOf�D ' � . � � , , � . @ � . . � . SET BACK FLOOFi JOIST .�,; , +. .;, :: ,;.. - ; ` . , , •' � ; FTGS/FORMSlSTEEL rD � � FHA REQMTS •�3,, , — ELECTRIC GROUND � _ UNDER FLOOR UCT � . ',; ....•� . GROUND PLUM8ING UNDER FLQOR;C'UMpUl7 - .! � ; �., '�; , SLAB GRADE Q� �IAEPLACE�FOkJPIDATION' • - �� � TEMP POWER FIflEPLACE BdND BEAM ' ' �" ' - ' ' WATER SEF3VICE , 9 MID HT. BOND BEAM � ROOF SHEATHING�� ' L rT � ^ 8 FL 80ND BEAM FRAMINGNEIVTILIATIt3N / L j FINAL BOND BEAM � ROOF COVER PRE-GRADING ROUGFi HEATING =, BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMSIfVG •.. � .'� FINISH GRADING SHOWER/TU87EST r� •; �` �,.�..._., POOLELECTRlC EXT.LATH/StDING f PO�L FEfVCING WAIL 1N5ULATlON POOL FINAL -�� CEIUNG INSULA710N � QFF SITE IMPS. - DRYWALL NAILING �- ,�f ; ' �+ 'k;, , : DEDICATIONS -- SEWER �/i j FINAL ENG. � SEPTkC TANK r =-- � � LANDSCAPEIIRRIG. , �i SEEP PIT/L.L. . s ' � - � , ON SITE 1MP5. GAS AIR TEST. ( j FINAL ZONING � FINAL CONST, i • ? � i ; FtRE DEPT. FINAL —�---� �- FINAL HEATING ; ! HEALTH DEPT. FINAL � FINAL ELECTRIC � i�j DEV. FEES PAID ! - FIIJAL PLUMBINC., � � ENERGY — � � — ----- i ' !� • � �� + ; , . _._ _.' ... . � - . , . ..:i._,_.�r� � - COMMENTS ;�,:�;�:r:,� � , , i �:; ;.1-# .s , � i , � � l.l� �, i� • - • � . --.i-'",_...".�- . ..�. .. . .__, . . ' - . . �.A_.i._:Y..'�'� � •'---------- ' � � �- _ .� ` y t •. , •1�, 1 � t . .� ` .. �•-----�-=-, . � `---.._._ S�P�i TANK SIZE - - SEEP PiT/U SIZE ----_.-- ij - y � � - ���, .... . � 'j w_' ,. - ' , , ., � . . � �• . . . , - � ��T-� .. . , . ' .!_. • ^_