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CITY OF DIAMOND HAR / {--/ --- ---- DEPARTMBNT OF COMMUMTY&DEVELOPMENT SERVICES L� � 21660 E.Copley Drive Suitc 190 (904)86Q3195 Fax(909)861-3117 PRESS ��'��� BUILDING PERMIT APPLICATION FIRMLY o ADDR SS ISS� S/'�1�1'tI� ��N� DATECATION N�BER��x� ��� 1 ISSUE �,.�1 / _ _,O�� CaNST. ' GROUP � APN_ LOT T A T oL�lO � � OWNER D �� DATE ZONING SEiBACKS � CDDRESS � TEL. FRONT RW O APPLICAN _ TEL. REAR ❑ � SI�FISIQE STREEf RW ❑ CONTRACTOR SIOE ❑ ¢ ADDRESS PROPOSED USE W � CfTY ZIP TEL. P� ARCH/ENG/ � DESIGNER ��/ �� NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY P TEL. ��� N DESCRIPTION SQ.FT. FACTDR PSF ADJ.AflEANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O � I NENEBY AFqfiA 1�'IUEN PElUL?Y OF YERIURY TNAT I AA1 EXEMPT FROM TNE CONTRACi0R5 U� � Cy9199�'��rt � CENSE LAW FORTIE FIXLOWINO REASON(SEC,7IXf1.6 BUSINE98AND PNOFESSIONS CODE:IWY CITY OR OOUpfiYMhlMdl(iEOl11RE4AVEFU1fTTO00N5TRLICT,AL7ERd.1PFi�VE,OEMOLISH,ORREPAINiWY9iAUC� � P� 'Y TUR�/RIOR TO ITS ISBWNCE,AL50 REWIRES THE APPLICANT FOA SUCH PERMITTO FIIE A 61ONE0 C.. � bLVEMEN7 TiUT WE OR SHE IS LICENSEO iUIiSUAN7 7�1HE PNOVISIONS OF TME CONi1UC�OPS U• CEN9E lAW(CHAPTER i(COMMENCNO WITH 8EC710N 7000)OF DIV1910N!OF THE BUSINESB ANO PA0. � POOUSpB FESSIONS OOOE)��T XE OH SHE IB FJIENPT iHEREFROM AN�THE BA515 FORTFIE JILLEQED EIIEMF- T10N.ANYVqIAiIONOFSECTION70.9t.6BYANYMPLICFNTFOHACERMITeuBJE[.TB7HEAPPUCANTib z pe-Roof A CML iEN�LTY OF NOT FtORE TMAN FNE XUN�RED DOLLARS(7.�Oo1.1: 04��N�EROFTHEPqOPERTY,ORMVEMPLOYEE6WITHWAOESABTNEIiiSOLECOMPEN5AT10H, C�. . CammBfCial WILL DO 7NE NfOIYC MA 1HE STRUCTUqE 13!bT IN7EN�m OR OFiERFD iOR SALE(SEG 10a,B1151- ,.,1 y MESS MID PqOFESSpN9 OOOE:TNE CONTRACTOR9 L�CENSE lAW DOES NOT APPLY TO AN ONNER OF ? ��.!_ VROPENTY MIFIO 6U0.03OR NrVRDVE3 TMEREON,ANO NMO OOES 9UCX NK]RK HIMSELF Oii MEflSELF Ofi f � 1HHOVOHINSOitHEROWNElAPW1'EES,FROVIDWhiATBUCHIMPROVEMENTSMENOTRnBaDE00R � OFFEpED FOpBALE IF,IqWEYEi�THE BUIL�ING OR IYPNDVEMENT Ie SOIp WITNIN ONE YEAROFCOMPLE• TqN,71/E OWNER-BIIILDEH MIILL HAVE 1HE WRDEN OF PROVINa THAT ME OR BHE DID NOT BURD OR YPROVE FOR 7HE VUPPOSE OF SAlE1. W 04bO�NEROF7HEPROPERIY,AME%CLUBNELYCON7MCt1NOVA711LICEN9EDCONTRACTORS � Tp CpNSTRUCT 7FIE OpO.IECT(9EC.M4,BUSINESS ANO PROFESSIONS CODE:THE CONTflAC7t7RS LI- WIU811011 ADJ.AREA CENSE LAW DOES NOTAPPLY M AN OVMER OF A PROPEHiY YYFIO6UItDS OR IMPROVE9 7HEREON,Nb � N71000NiRACTSFORffi1CMPRQIECTSWI7HACONTMCTOR�S)LICENSEDPUp3UANTTOTHECONTqAG pUANTITY DESCRIPTION FEE � 7Wt5UCENSELAWJ• ❑IAM IXEMFT UNDER SEC. B.i P.C.FOR TH9 REABON � U �_ � DATE OWNER � LICENSED CONTRACTORS DECLARATION w � IXEREBYAFFlRMUfmERPENALiYOFiER1U1tY7TU1TIAMlACENSEDUNUERPROYISIONSOFqiAGTER � � i(GGWAENCWG NAh1 SECTION 7000)OF DMSION 70F7HE BU5INESS/�NO PHOFESSIONS CCOE,AN0 z �V MYLICENSE R NFUI.L WRCEANO EFFECT. � � �a� � ���.No. � bbS � � �� ����� � � ORKERS'COMPENSATpN DECLARATION � y1 XEXEBYAFFIRM UNOER PENALTY OF iERR1flY ONE OF THE POLIAWING UECUMTIONS: � Z � lIM�VEMAWILIWIMAINA(�HIIFlGTEOFCONSENTTDBELFaNSUREFONWONKERS' � COIR�ENSATpN,113PROVpEDBVBECTION97000FTHElABOflCOOE,FOR�FEPERFORMANCE w OF THE WOFN FOP WNIGI tNIS VERM�T B ISSUED. � � �IHAVEAN�WILLW11NfANWqiNERS'WLIPENSATqNINSUMNCE.A6REIX1IqEDBVBECTION 4 37o00F7MELABOROODE,WRTIEPERFORMANCEOFTHEWORKFOqNMICHhI15VEHMRIS � 65UED.M1' K 5'COAIPEN TIOq INSURANCE CMF�ER AND POLICY NUMBERME, CONSTRUCTION ��� � . .. .. ....�i`�-ti�- � CARRIER PLAN REVIEW I � ra�crNu�e�A����.��..��� ELEC7RIC t S�� C�71 W �sEcnoNr€�wreEca.v�7EooF7rerew.rtswnauenu�naEa�R��IOR�Ess1 PLUMBING �_��OMVy� Z ICERTIFY1HA71NTHEPERFORMANCEOF7NEWORKFOAINN�CNTHISPEiWITl5I5SUE0.1 MECHANICAL 1 �I 4[1 (,� SFNLL NOT EMPLOV ANY PERSON IN ANY MANNEH 90 A$TO BECOME SUBJECT TO TiE vj WORNE0.5'COLIGENSATIONUWSOFCALIFORNI0.ANOACREETM�TIFI6HOUlOBECOME INSPECTIONFEE $UBJECT TO TNE WONKERS'COMPEN9AiqN PFlO'JISIONS OF SE W '�OG OF TIIE UBOR - O E,IS LLFOH�HWITMCOMPL RNTHO� YISIOrr. ISSUANCE � �� SMIP p DATE:���_ MPIICM(T� L � `� � WARNINd: M.UflE TO S WflE MR7RKEfiS'COMPENSATION COVERAOE IS UNUWFUI.ANO SMAIL BE ENERGY P/C � �( �� 6UBJECTµEMPW`�ERTOCRIMIHAIPENALilESANDCNILFlNESUP700NEXUNDREDTHWSANO ENERGYPERMiT v r DOLLMS(i1 W.000].IN ADDITION TO n7E COST OF COMPENSRTION,DAMA�ES 115 PROVIDED FOfl IN ��/-� SECTION]IOBOFTHEUB�COOE,MlTEREST,ANDATTOqNEV'SFEES. qE7ENTIONFEE: =���P ,��(JV � CONSTRUCTION LENDING AGENCY PRE•ALT FE�II�.UT' i �L 1 HEREBYAFFlRM UNOER PENALT'OF PEflJI1RY THlIT TMERE IS ACIXiSTq�C7�aN IENDINOAUENCY �� FOR THE PERFOPMANCE OF TXE WORK FOR WHICH TNIS VERMIT IS ISSUEO(6EC.�OY�,CN.C.�. e] LENDEN'6 NAME � � �,, � LENDER'S1IDONE55 � ICERTIFYTNATIHIIVEREAUTNI9AGPLICATqNANDSTATETNAT7HEABOVEWFOIUAATIONISCDNRECi T�TAL FEES, ��0� �y �� �� � IAl3REE N OOAIPLV WITH N.l GRY NJD COUNTY ONDINANCE9 ANO STATE UWS REUTINO N BURDINO ^ t � CONSTRUCTION,ANDHEREBYAUTIbRREREPRESENYATIYE50FTHISCOUNTYTOENTEHUPONTNE / � A80VEJIEHTIONW PROPERIY insrEciwn ruqroses. COMMENTS � PE� NAA1E(PW� � � Q � � swru E PERAAITfEE �TE RECPT.NO. P/UDBY �� �L' VALIDAT{ON � WHITE—Depanment Copy,YELLOW�Inance Copy,PINK-1leaessor Copy,GOLDENROD—FileCopy,GREEN—ApplicenYs Copy CITY O� DIAIWOND BAR -.�� 11�iSPEGTION RECUf�t� ' s � � • r� - • a � � . � . SET BAGK, FLOOR JOIST..1�.I��- _; -� � i t..•"f.�.:,:• �:.',' FTGS/FORMSISTEEL .-yEp.�y, �, � FHA FiEQMTS t.. ELECTRIC GROUND . UNDER FLOO. DUC7'� ` ...�.��i'i•.''� .{; �.I: �• .x� :':'• . GROUND PLUMBING UNDER FL�QR CCjNtDUIT: '; ',' Y�,+9 � .'..: "'c ';-!:s SIAB GRADE FlF3EP�AC FOI�N�ATION � ` , .t .i,.: ::.,_�•,� ��` � TEMP POWER FIREPLA� B�(�D BEAM � �` ''=.'_.{�.- '."Y�— � .7'`. '� .!'� ..' ' � J � WATEi�SERVI MID HT. BOND BEAM ROOF SHEAT NG �'" ' '' '�`� 8 FT.BOND BEAM � � FRAMINGNEN71LIA710N �. FINAL BOND BEAM . � R�OF COVER ' PRE-GRADING �4!��' � AOUGH HEATING BENCHING S`, : �,�.'': � �. � ��:.; _ ,. :, _,` • ROUGH ELEC7RIC ti: :. r ROUGH GRADING � ROUGH PLUMBING �� FINiSH GRADING Sh{bWERlTUBTEST ,t• r;, ,; POOLELECTRIC � EXT. LATN/SIDING � ° POOL FENCING ' WALL INSULATION ; POOL FlNAL CEILING INSULATION OFF SI7E IMPS.. DRYWALL NAILING ,'�` �•I "%.��'� i DEDICATI�NS SEWER FiNAL ENG. SEPTIC TANK ,._ t �.,._ LANDSCAPE/iRRIG. SEEP PIT/L.L. - ' �+ " ON SITE IMPS. GRS AIR TEST FINAL ZON{NG � FiNAL CONST. ��Z� i FIRE DEPT. FINAL FINAL HEATING � j HEALTH DEPT. FINAL FINAL ELECTRIC � DEV.FEES PAID f FINAL PLUMBING ( ENERGY � . � ��- � �i '+ �� � ;:., �.:, , . ---t � ''S'-=�__ : r � � � �. . . .. . . . ..... . ..._,.. .. _.._.. . • . , CUMMENTS ' } ��• , .r;•; �:� , . . i c�, :� . � �� .. . , � . ., __.._s-�—.-_4_'_.._s.}v� �9 . t .� � �y . . . . ,� i�•3 �i 4, ;,, , � } '1 ' y' p. 1 . 4 • _ • ' ;tis.� � �� _ �a _-�---- � j-�„�`---- � � .. ` y ..J )s• SEPT4C`i'�lN3�SlZE . . :` -- SEEP PlTlU SIZE - — _ :,. - � ' t �, � �_ _ �� ��'�'�� � '.. . _ . J • •�, ,�-��..—__� ,,+ , . ..i '� �� 1 , �`� �;� „J . - ` - :r .. - 9 �