Loading...
HomeMy WebLinkAbout13831 (22) J� CITY�F DIAMOND BAIt � f�� DEPARTMENT OF GOMMUNITY&DEVELOPMENT SERVICES �z1 21660 E.Copley Dtive Suite 19D �j PRESS � (909)8603195 Fax(909)861-3117 � FIR M LY ���MM+� BUII.DING PERMIT APPLICATION �� JOBSI7E � , APPLICATION � � PERMI7 J ��� P/C ADDRESS I � DATE NUMBER��,�eC1J�L_ � � ISSUE TYPE OCC APN_�� LOT CT DATE CONST. GROUP � OWNER � ADD _ ZONING 3ETBACKS CfTY ZIP TEL FRONT RW ❑ APPLICANT T REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACT R � � SIDE ❑ g ADDR b PROPOSED USE L o CITY ZIR�"�fEL. � ARCHlE G/ DESIGNEA NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF AW.AREANALUATION ¢ OWNER-BUILDER DECLARATION �q/qpQ/F{EM � f� � O I XEFiEHY AFFlRM UVDER PEW47Y OF PEf W RY THAT I AM EXEMP7 FROM 7HE CONTRACTORS LI- GAti9��T�rt CBJ..ELAWiONiHEWLLOYYINf1REASON(SEC.7097.6BUSINESSANDPpDFESSIONS00DEANYqTVpR (n WUNfYWHK71REQ11RE5APERMfrTOOONSTRUCT,ALTFRIMPROVE,DEMOU`.+N,OpREPAIFANYSTRUC• � W P9t10/DBdc IURE,PFION TO 1T8 IS6UANCE.At40 REWIREg'�ME AVPUCMIT F�R SUCfI PEWAT TO FI�E A SIaNED W 8T11TELIEM TW�T ME OR SHE IS LICENSED PlAiSUANT TO TME PROV4510N5 OF THE CONiRAC70R5 LI- � CENSE lAW(CHAPTER Y(�MENCWO YNTN SECTION 7000)OF DM510N 90F7HE BU5NE95 FNO P110- � PaoVSpa FES5IONS CODEJ OR THATME OR SNE�8 EXEMPT 7MEREFROM ANO TF1E EA519 FORTiE�LLNlEp E%ENV- 710N.MIYVIOLATIONOF6ECTION7091.6BYANY�PPUCANTFOi1APERMIT3UBJECiSTHE�PPI�CAMTO Z Re-Raol � ACNILPENK7YOFNOTMORE7WWFIVEMVI�OREDDOLLAR.4p5WIJ: _ OI.ABOVJNEROfhIEPROPEHTY,ORMYEMPLOVEESWITHWAC3ESASTHE1R50LECOMCENSATION, O COf11r11BfG181 NIILL OO i11E YYOFiC MID TME STRUCiURE IS NOT INTENO£D Ofl OFFEREO FOR 9ALE(SEC.70M,BU51- J NESSAND►AOFE951ON9 OODE:THE CONTMCTORS 610ENSE LAW DOES NOi APPIY TO AN OYVNER OF� � � iROPERf1'1MN09URUSORMPROYESTMENEqV.MAMMO00E56UCHYNORKHIMSEIFORNERSELFOR � 1HROUOIIMShcHER04lM8Y10.0YEE3.PIqV10EDTNATSUCHIMPROVEMEMBMENOTM'6NDEDOR m OFFENm FLRSIILE FlIOWEYER ME BUIIDIfY4OR IMPROVEIAENT 6 SOID VATNN ONE YEAR OPGOMP�E• 710N,7HE OWNER�UItDER WILL lUNE TFIE 6UHDEN OF PiIOVINO iHAT NE OR 6HE DID NOT BUILD pR YPfiOVE FOR 1HE NHP06E OF SALE1. � ' � O4��MVNEROFIHEPROPERTY,AIAE%CLUSIVELYCDNTRACYINOW17HLICENSEDCONfRACTOpS TO CONSTRUCf 7}E PR6IECT(8EC.TUM.BUSINESS ANO PF�OFESSIONS CODE:TiE CONSRIIC7UR54�- VeIUBt10f1 ADJ.AREA CENSE U'M DOES NOTMPLY TO AN ONMER OF A PROPERTYYMYiO BUMS OR IMPqOVE4 TNEREON.AND WIi000NTMLT5FOR8UC11PHOJECTSWIIHAGOHTMCTOR(S)�ICEN9EDPUH9UANTTOTMECONTMP� Q pQfj'�7Y DESCRIPTION FEE � T00.S 110EN8E tAW.�. � . ❑1 AM�MPT UNDER SEQ 6.8 P.C.FOR THIS F#ASON U � � � (1 a i DATE ONMER JS � �". V LICENSED CONTRACTORS DECLARATION � { ! � �MEREBY 11FFMIM UNDER PENhLT'OF PERIURV TMAT IMA IICENSED UNDER PHOVISIONS OF CHMTEF � � � •�COWIENCW6WRMSECT 7000)OFOMSION70FTNEBUSINE95ANDVROFESSIONSCODE,AND Z !�f FIY LICENSE IS Nl F11LL M1D EFFECT. m LLI � UCENSE SS LIC.NO. /� _ . � ~ • � � � DATE � CONTMCTOR = WORKERS'COMPENSATION�ECLARATION � � IHEREBVAFFIRMUNDERPENAL7'YOFPERRIHYONEOFTHEFOLIAWIN6DECLARATIONS: U y Q � _IHAVEANDWILLMAINTAMACERTIFlCATEOFCONSENT703E1F-INSVHEFORVYORNERS' S CpAPENSATION,A4 PROVIDED BV SEC710N 870o OFTHE U60R COOE.FOH TNE PERFORMANCE - �U OF iHE NIORK FOR WHICH THIS PERMR IS ISSUED. � � 1 HAVE MID WILL MAINiAM WORKEHS'COMPENSATION RJSI/fUWCE,AS REOLIIREO 9Y SECTION O970DOFTNELAUOROODE.FOFh1EGEPFORMANGEOFTHEWORKFOHYVFI1diTHISPERMRIS � ISSUE�.MYWOflK PEN�qNINSUP�RANDPOL�CYNUMBERME CONSTNUCTION � C�RRIEA I T P�L�A�N__�REVI�EW 0 POLICYNEIMBER -- -- ry��H��; ] T— ���— �-�•• � (M1iSSEcnoNN�1�pTBE00�.REtmOF71EP6VATISRKiONEHl1�0aED0aLlRsKtO�OqlBS1 PLUMBING �V"� w MECHANICAL Z I CERTIFY TW�T W TIE PERFORMMICE OF THE N'ORK FOR YNilpl THIS PERMIT IS ISSUE�,1 (' SMALLNOiEMPlAYM/YPENSdVMANVMJWNER50A5T08ECOME5l1BJECTTUTHE Uj WORKEqS'COrdPENSATIDNlAW90iCAL�FORNIAµDAGREETHATIFISHOUlDBE00NE INSP FEE SUBJECTT07HEYYORKERS'CAMPEN5ATIDNPRONSIONSOF6ECTION7lfI00 TNEUBOF ' u / /� �� E.1 SHI1LL FORTHYVITI CdAPLY WITH THOSE FF10VI910NS. ^ �I�T Cr� � �'�. ' SMIP Y OF DIA.Ivic..itvU t�� 0 pATE:�� APRICANT: �.� W ENERGY P/C �JC1 �iT�Lh...•+���. � WMNINO:FAILUHE TO SECUREYlORNERS'COIAPENSATION CAVERAGE IS 11M.AWFU�Ml�SH�LL BE BU&IECTMIEMPLOYERTOCR�MINALPENALTIESANDCINLFINESUVTOONEHUNDREDTHOUSIWD ENERGYPEFMIT� Y OOLLARS(f100.000�INADDITIONTOTHECOSTOFCOMPENSATION,DAM�GESASPHOV10EDWRIN � SECTpN9MlOF7HELABOFiCODE,WTEREST,MID�TTORNEY'SFEES. HETENT�ON FEE: CONSTRUCTION LEN�ING AGENCY PRE-ALT FEE: � IHEREBYAFFIqMUN�ERPENALTYDFVE0.tt1HYTHATTHEHEISACONSTpUCT10NLFNOWCA6ENCY FORTHE PERFORMANCE OF 711E WORIf FOR WMICH TMIS PERMIT IS ISSUEO(SEC.3097,CIV.C.�. 2 W � LENDER'S NAME FS– LEHDEF'SlLL7�RE�'a4 � `� 1 CERTIF'!1NAT I HM�E REM THIS APPLIGVTIONAND STATE TiAT THE��E NfORMATION IS ODMECT. TOTAL F E ES ' d I AGREE TO CO►IPLY WITN ALL CRY ANO COUNTY ORDINANCES M1D STATE lAWS REUlT1NG TO BUILOINO COH.STRUCTION.AND HEREBY AUfFpRIZE REPRESENTATIVES OF RIIS COUNTY TO ENTER UPON THE � ABOYE�M ED PRJPEfiT`!FOfi INSPECTIDN PURPOSES. COMMENTS � _���C/�_�`�t-- ��� /�� veaMmee y /2 9 ' � rutua rtEe o�rE � RECPT.NO. PAID BY .VALIDA YVHITE—DepeArnent Copy,YEILOW�inence Copy,PINN—l0.ssssaa Copy.GOIDENROD--File Copy,GREEN—Applicant's Copy � ;�_ �, CITY OF DI/�MOND BAR " IN�PECTi(�N RECOF�D . � � . s - • � � . . � . SET BACK . ' FL.00R`JQ161`f__�. .�A� 1`•' , �.��, `: �� i:`�, FfGS/FORMSISTEEL FHA RE(aMTS.... �, - � , ELECTRIC GROUND ! UNDER FC QR.DUCT. ;�:: .; ,. � ;. " �� • ,=r � � UNDER FLO.pR.CpMDUlT ,, ' • ��y�Y. ' GROUND PLUMBING - � • ---- SLAB GRADE FIREPLACE FC}UN�DATION`' •=�'-' j``_` � ' �' ^ TEMP POWER � FIREPLA��B�RD$ AM WATER SERVICE , - MID NT. BOND BE�FM : ` ` �•, r . ,`�,_`�'���� •.\ , ROOF SHEATHING ..• • , ,' ` � - —_ 8 FT.BOND'�EAM � _'- ._ � ,' • • , , � : '�� ;� FRAMINGNENTILIATION FINAL BOND BEAM ' : _ � ROOF COVER PRE-GRAC7ING AOUGH HEATING BENCHING ROUGH ELECTRIC �`1`i' ROUGH GRADING � ROUGH PLUM8ING ` ! ' FINISH GRADING SHOWERtfUB TEST � POOL ELECTRlC EXT.WTH/51DING POOL FENCING WALL INSULATION I POOL FlNAI� CEILING INSULATION j OFF SITE IMPS. _ DRYWALL NAILlNG i OEDICATIONS SEWER � FINAL ENG. SEPTIC TANK ' LANDSCAPE/IRRIG. __ _�_ SEEP PITIL..L. , ON SITE IMPS. GAS AIR TEST _ � � -- -.� : FINAL ZONElVG _ � FfP1Al.�CONST:� •. ; j . , , . • 'i.,., -f FIRE DEPT. FINAL ! ! FI1�3k�t HEATING ' �"r`' ; ' ;``'� , HEALTH DEPT. FINAL � �— FINAL'ELECTRIC ; (1-3•5�I J � ' DEV. FEES PA�D � —�— � FINAL PLUMBING ; I ; ENERGY !_ t � i t , .. I j `l .\ . ': --I�j-^ ----- I � � Q 1 _ COMMENTS �_ .� . i '. ' ,_.. . . '. __..�.'� _��:'____�- _ , . .. ....,� �. - • � � ... .�� . _ .. . . _._,. � - � . . y� � . . 1, ./ - .`. "_.�� } ... ,. � . ..�. SEPTiC TAN�G SIZE SEEP PIT/U S(ZE Y�� �, R,. q;, -- — i, i . �- . ., . \ r. .._: . ;.` ' _,. ; � .. . ..._..+ .�'. "'1. 1���\.1'_ � \ \ .,,-., ." _ . " . -.