HomeMy WebLinkAbout13103 (29) _�� � CITY OF DIAMOND BA& �
DEPARTMENT OF COMMUNITY 8c DBVELOPMENT SERVICES
�; 21660 E.Copley Drive 5uite 140
(904)860-3195 Fax(909)861-3117 PRESS
���^���� BUII.DING P'ERMIT APYLICATION FIRMLY
oJOBSITE APPLICATION PERMIT �� P!C
nnoRess ,L SA � ,�phire Lane DATE 03/12/99 NUMBER �
� APN LOT TRACT 32GOO �SSUE ��n TYPE OCC
� OWNER �n�3r aCl 1C DATE '�_ CONST. GROUP
u" ADDpESS 1565 W MacArt Lr 81vd ZONING sErsacKs
CITY ZIP�b TEL.]��$�1�,3Q. FRONT RW p
APPLICANT TEL. REAR p
SIDE/SIQE STAEET RW O
CONTRACTOP
• • SIDE O
� ADDRESS b res V2I1 pROPOSED USE
CITY �2i vPrci[3P ZIP � 3 TELA(19-Fi8A-�l�R
� ARCHIENG/
DESIGNER ND.DWEL. NO. NO.
ADDRESS UNITS STORIES BEDROOMS
� CfTY ZIP TEL.
� DEBCRIPTION SQ.FT. FACTOR PSF ADJ.AREMIALUATION
u�
Q OWNER-BUILDER DECLARATION SFR/ADD�AEM
O
I MENEBY AFFlRM U�IDER VENAITY OF PEq.R11iY TNAT I Md EXEMPT FqOM THE OCNTRRCTORS LI� (;818g8ICaI�OfI ' '
CENSELAWFORTHFFOILdM�NOREA90N(9EC.7o71.6BU541ES5JWDPiIOFESSbN5CO0E:MIYCITfOR (n
pOUNSYWHICHqEOUIilESAPERMffTOCON3TRUCLKTER�vROVE,DEMOl15H.OHNEPAIRANYe7RUC• �J,I patio/Deck
IURE PRIOR TO RS IBSW�MCE,ALSO NECURES TNE MPLlCANT FOR 8�PERNIT TO FILE 1181ONE0�� w
BTIREYEM THAT ME OR iHE IS UCENSED PURSVANT TO THE VNOVI&ONS OF THE CCNfMCTONS L4
CENSE LAW(OIMTEN i(COMMENCWQ WITH SECT�ON 7�)aF DIVISION]OF 7NE OUSINE55 ANO PR6 � PooUSps
FESSIONS OOGE)OR THATHE Ofl SHE IS EXEMPT THEREFROM AND TME BA51S FOR TNE I1l.LE0ED E%E1M7•�
TpN.ANVVIOLATIONOFBECTI0NTW1.6BYANYAPPUCAHTFORAPERMITSU&IECTSTHEAPPLIGAfff70 Z qe-Raoi
� �GIVIL�ENhLiYOFNOTMOREh1ANFIVEHUNONED00LUR3(i+oD).k
�I,ASOWNEROFTIIEPHOPERT/,diMVE7.IPLOYEESWITHWAGE5AS7MEINSOLEGOMPENSAiqN,: Q (�'pmmg�Ci91
WLL DO 7f1E WOIU(AND TME STRUGTURE 6 NOT MTEN�E�OR OFFERED FOR SPLE(SEC.7W1,BU61-. .J
NESS A!�PNOFESSIdlB OODE 7NE CONTRACTORS LICENSE LAri OOES NDT APPL�TO MI OWNER OF� �
� PROPERTYYMFiOBV0.D50RtAPqOVE87NEREON,ANDMMODOESSUCHWORKHIMSELFOHHERSELFON
� iFfROUaHICSdiNEROHMBAPl.0YEE4,OROVIDE�TNATBUWIYOpOVE4EM3ARENO7M7EN0E�OH m
OFFEREDFOq311LE f,Ip1VEYEf6TiE BULDIN�OR MIPROYEMENT 18 SOLDN7THIN ONEYFAR OFCOMPLE
?ION.THF OWNEMUIIDER WILL NAVF TME BUROEN OF PROVINO THAT HE OR CHE DID NOT HUIID OR
MPROVE FOR7NE NFP06E OF SALEI.
W ❑4��'NNEROF1HEMiOPEIifY,AME%CLUSNELYCONTMCTMOVMhILiCEN4EDCOMqACTORS
pC TO Cf7NSTqt1Cf 7NE PqO,IECT�SEC.7o4t.BUSINESS ANO PROFESSIqVS COOE:7ME CONTRACTOPiS 4� Va1U9110n ADJ.AREA
� CENSEIANlDOESNOTMPLYTOANOWNEROFAPqOPENT'VMDBUILDSORIIAPFlOVES7HEREON,MA
Y N7iOdONTRIUCfSFOR3UCNVRCLECfSV/1TM11CONfMCTOR(S�L�CEN6EDPUR6UAN770THEOOHiMP pUANTITY DESCRIPTIpN FEE
�" PORS I1CR15E LAW.J. �J
� ❑I AM EXEMPT UNDER SEC. B.i P.C.FOR TMIS PEASON Q
V
�=" UAtE OWNER �
� LICENSED CONTRACTORS DECLARATION �
� INEREBYAFFIRYUIDERVENALTYOFPENNJNYTIMTIAMLICENSEDUNDEflPflONSIONSOFCMAPTEfl (�r 19 Fixtures 07
•(D01AM[NCYNi YV17H SEC7 WN 7on0)OF ONISIDN 9 0F THE BUSINESS AND PROFESSIONS CODE,AND .�
LIY UCENSE IS Rl fUl FORCEAND EFFECT. m 1 D i shwa her
o „��E0.135 C36 „�.No. 260324 � b Gas Outlets 13 7
�, a„� 03/�— oo�aoTOR Hood PlumbinQ, 1 Water Heater
WOFiKER3'COMPENSATION DECLARATION Q
� I HEHEBV AFFIqM UNDEN PENAL7V OF PERNIRY MIECFTHE FOLLONANO DECLAMTIDNS: Z
4
� �IMIWEMIDWILLMMNTANACERTIFICATEOFCONSEMTOSELF•INSUREFORWORKERS' T
OOMPENSATION,ASPROVI�EDBYBECTIONl7000FTHELA60RC�DE.FORTHEVERFORMANCE W
OF TNE WOfiK FOR WXICH TV119 PERMIT R ISSllEO. �
G
�1 HAYE ANO YVILL MAIPlMP7 W�DRKER3'COMPENSA710N MSUMNCE,A4 NC-0UIRE�BY BECTqN
4O 3700 OF TNE LABOR OODE.FON TNE PERRORMANCE OF TME WORK FOfl WHICH TNIS PERMIT IS
� ISSUED.MY WORKERS'COMPENSATION INSUqANCE CARRIER AND POLICY NUMB€N ME: CONSTRIJCTION
y �,.,,R,ER CSL�COmi] PI.AN REVIEW
� POUCYNUMBER jqjQ7�1'I F,�7L�6+ ELECTRIC
� massEcnoNx�rnraem.wtEreoaFnf�r�sraRane�ooaw�sR��ora�ssl PLUMBING
Z ICEHTIFY TUT IN THE PERFORMMICE OF TiE WOWC FOH WHICH 7HI5 PE�M11T IS�SSUEO,I MECHANICAL
(� SHALLNOTE6IPLOYANYVERSONWANYMIWNERSOASiOBECOMESU&IECTTOTME t,'.� '
� WOf§CEiiS'COMPENSATqNLAW50FGALI�ORN�A�NIDA�REETHATIFISIqIADBECOME INSPECTIONFEE
S &1BIECTTOTHEYIDRKEFS'CdAPENSATIONPROVISIONSOFEECTKIN]7oDOFTMEUBON
CODE.1 SNALL iOflTMMhI COMPLY WIM hiOSE PROVISI�NS. ISSUANCE
0 SMIP
p DATE: APPLICANP. — .
� WMNINO:FAM1URETO SECURE MIORKEHS'Cl.)AIPEN3ATpN COVERAGE IS UNIAWFUL,AND SHALLBE ENERGY P/C y��Q � —S�.AR
611B1ECTANEMPLOYEHTDCWMINALPENALTIESANDCIVILFNVESUPTOONEXUfY1REDTFi0U9AND E�RGYPERMIT �� �d• T _- —
DOILARS�i100,000),N MDITION TO iHE GOST OF COMPENSATqN,DAMAGES AS PROVIDE�PoR M „-�"^`�d;��
J SECTIDN 370s OF TME UBOR CODE.NTEREST,AN�AT'fOPNE'f3 FEES. RETENTION FEE: v ��� �
OCONSTpUCTION LENDING AGENCY PRE-ALT FEE: --C������t�-1
� IHEREBY/�FFIHMIIPOEHPEWLLTYOFPERIVRY7NATMEREI9ACONSTRUCTIONLENOIHClIQENCV Y�' �
Z WFl THE PER W RMNiCE OF 7HE WORK FOR WHICH TNIS VERM'T IS ISSUEO(SEC.]OW.G7V.C.�.
CU
� l@1DER'6NAME _ __ _ _
C LEPDERSADDRE5S
� �cEnriFr rw�r i nns CATION NJO E hUT TNEABOYE W FONM�ATqN IS OORHECT. TOTAL FEES �2 Fj 7.(O
IAGFE:T�COMPL TH ML D OOIMiY ANCESAND ST�TE lAM/S PEIATINp M BUILOINO
CONSTiWCT10N, DHEREBY ' IZEREP 7ATNESOFTHISOOUMVTQEMERUPON7ME
S� ABOVE•MENi c0 RiOPER R E RPOSES. COMMENTS
9
a PE ENAWE
�
� p E p OA E
� , RECPT.NO. � PAID BY VALIDATION
VYHITE—Dape�trnent Copy,YELLOW—Flnance Capy.PINK--�sseaeor Copy.GOLDENROD—File Copy.GREEN—ApWiconYs Capy
�.���w�..�..��r�rr...v.�..r+.� --
CITY OF DIAN90ND F�AR
� INSPEC�'iOtV REC�J�iD
. � E � � . . � � � � ■
SET BACK . � FLOOR JOIST
FTGS/FORC�ASJSTEEL FHA REQMTS
ELEGTRiC GROUN� - ` UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CO�IDUIT
SLAB GRADE ~ FIREPLACE FQUNDATION ' �
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT. BOND BEAM
ROOF SHEATHING 8 FT. BONp BEAM
FRAMINGNENTILIATION FINAL BOND BEAM
ROOF COVER I pRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGN PLUMBING �-3 ' FINISH GRADING
SHOWERffUB TEST POOL ELECTRIC
EXT. LATH/SIDING --�--` j � P�OL FENCING '
WAtI INSULATION POOL FINAL
CEILING INSULATION i OFF SETE IMPS.
DRYWALL NAILING ` DEDICATIONS
SEWER � --��V FINAI.ENG.
SEPTICTANK ---�— � � LANDSCAPE/IRRIG. _.�_ __y__
SEEP PITlL.L. � ON SITE IMPS. , � _
GAS AIR TEST j F{NAL ZUNING �`� _
F�I�AI.COIVSi'. �����n.�y � FIRE DEPT. FiNAL i ; vi_
FIIVAL HEATiNG T�- ��~ij HEALTH DEPT. FINAL '
FINAL ELECTRIC I DEV. FEES PAID � ; �
FINAL PLUMBING � i ENERGY �
I ' ` j �
� � . � l..�_I_ �_..___._
COf�I{MENTS
R
SEPTIC TRNK SIZE ^
SEEP PIT/U SIZE -� �
,. — —
�
; � •