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Home My WebLink About13833 (22) _ CITY OF DIAMOND BAx � � �p�--- DEPARTMENT.OF COMMUNTTY d'c DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3193 Fax(909)861-3117 � PRESS :.''^".�. BUII.DING PERMIT AP'PLICATION FIRMLY o� JOBSITE C� APPLICATION PERMR � PIC ADDRESS pATE NUMBER/� 1� � APN OT T T iSSUE 7yPE �C g � �A7E CaNST. GROUP OWNER ' � ADD S ZONING SETBACKS C� Z� TE� FRONT qyy � APPLIC NT T REAR p SIDE/SIDE STREET qyy ❑ CONTRACT SIOE � ADDR � CRy TE� PROPOSED USE � ARC G/ /f,...,,/��iy �, . � DES►GNER ��'Y, �`�-� NO.DWEL. NO. NO. ADDRESS UNITS STORlES BEDROOMS � CtTY ZIP TEL y QESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUIIDER DECIARATION SFR/ADD/pEM O 1 iIEREBY AFFlRM UNDER GENALTV OF PEfWRY TWH I N.1 EXEMPT FROM TH6 CONTqACTORS LI- G2fe B/C8 R CENSEUWFOR7MEfqlOWINOqEASON�9EG7091.69U51NES3AN�VROFE5510NSCODE:ANYCITYOR (n 9 � COl1/fIYMMItl/REOlARE5A0FJWITTOCONSTpUCT,pLTER�MPFiOVE,DEMOLISF1,OpHEPA1RANVSTRUC- W petiolDeck 7URE.►i110R TO R5169liANCE,AL30 REOUFES 7HE APPLICANT FOR&1G11 PERMIT TO FILE A BIONED BTATEYENT TWQ ME OR BHE IB UCENSEO PURSUANT TO THE PROVISIONS OF THE OONTRACTORS LI• - pENSE UW�qiMTEq f(COGIMENCINO VATH BECTION 1000)OF DIVLS�OH 7 Of TME 9USINESS M!D PRO- LL POOVSp9 FE8510N9COOE)ORh1A711EOR8MEISE%EMPT7TIEREFROMANDTNEBIISISFqiTNEALLEGEOEXEMP- (ry Tqfd.ANYVI0LAT10NOF8ECT10N7071bBY/WYAPPLICANTFORIIPERMITSUBJECTSTHEAPPLICMITTO Z Re-Roof � � 11 GVIL PENALiY OFNOT MORE TIIMI FNE NUNDRED OOlU1RS(tGO0J.1: :. p OlILSOWNEROFTHEPROPERTY,ORMYEMPIAYEESNATNWAGESASiHEIP50lECOMPENSA7iON, COfnrt19rd81 .- Z WILL DO THE WON(,AND THE STRl1CTlIqE IS NO7IMENOED OR OFFENED.fOR SAIE(SEC.7DN,BI151- � � NFSS M!0 PNOFESSIONS CODE:TNE CON7qACTOP3 LICENSE�.AW DOES NOT APPLY TO AN OWNER OF ? VHOPERTV NIliO W 6DS OR 14PqOVES iHEREON,ANO MM110 OOE6 9UCF1 WOFiK HIMSELF OR HEFiSELF OR � iMAOUGHHISORHEROWNEMPLOYEES.PFqN�EDTHATSUCFIIMPROVEMENTSAHENOTIMEN�E�OR m OFFENED PORBALE�F,FpYVEVERTME BUIL0111OOq MPROI¢MEM IS Spl�WITHIN ONE YEAROF COMPLE TqN.THE OMrt1ER-0UIIDER YnLL MhVE 7NE BUitDEN OF PROVINa TF7AT H6 OR SHE 01�Iq7 6UIlD OR MPNDYE POR TIfE PUqpOSE OF 8lILE). uJ ❑4ASOWNEqOGTHEPROPEqfY,AMEf(CIUSRfELYODHTMCTMOWITFILICENBE�CaNTRACTORS � TO CODlSTRUCT 7HE PROJECT�SEC.1W4,BUSINE55 AN�PXOFESSIONS�E THE CONTqACTORS U• V81UHtlOf1 /�J,pFj� C@7SE UW OOES NOi MPLYM Ml OVYNEH OF A PROPERTV 1Ni0 BUILDS OH IYPqOVES TH£REON,AND YMIUCONTRACTBFdiBUCNPNOJECTSWIT!ACONiMCTOR�3)LICENSE�PURSUANTTOT/fECONfRA0. pUANTITY D SCRIPTION FEE � TORS LICENSE UW.). . , O I AM EJ(EANT UNDEH SEG. B.8 P.C.FOR TMIS REASIXJ U ) . � �' v� � � ji t� lf��• DATE OMMER F- �6 LICENSED CONTRACTORS DECU4RATION W . . . �, � 1/1EREBYAFFiWUNOERPENALTY'OFPERIUMT/ATIAMLICENSE�UNDERGflOVI510N50FCMAVTER � �(COAIMENCYN31NIh13ECTIONT00D�OFD1YISqN90FTNEBUSINESSAN�iROFE59qN5CO0E,AND Z MY IICENSE IS NV FULL /NfJ EFFECT. � IACENS lAS LIC.NO, r' , i ti! �J - � V DATE � CONTMCTOR a LL � WORKERS'COMPENSATION DECLARATION � � IHEREBYAFFiUAUWERPEIULTYOFPERAIRYONEOFTHEFOLLOWINatlECUM7bN5� Z � _I MAVE AND WILL YAIMAM A CEiiTIFICATE OF CONSEM TO SELF-INSUFE FOR WORKERS' a C04PENSATION,AS PROVIDED BY BEGTION 57ao OF T/E LIiBOR COOE.FOH 7HE VEHFORM�NCE `U Q OF TME WOHK FDR WHICH TFIIS PERMIT IS ISSUED. � � _�ilAVEANO WILL MAIMfAN WOFlKERS'COMPENSATION INSUMNCE,AS REOUIRED BV SECTION Q 370o OFTNE LABOR ODOE,PoRTHE PERFORMANCE OF iHE WORK Wq MRIICH 7M15 PENMR IS � .SSUED.MYYYOHKERS'COMPENSIITION INSURANCE CARRIER AN�POLICY NUMBEHME: CONSTAUCTION � . . . . . .. ... . .. . PLAN V1EW .. . CARRIER � � .. . .... .... ....... . ... ... � POLICYNUMBEH LECTRI � (M1tl6sECTqNNFIDNOTBEO�M6LEfEDOFhEPERAArtSiOaONEMlrql��dUFtSR�oo)piLE55F BING �t'"";.� , � ICERTIFYiHATMITFIEPERFIXiMANCEOFTHEWqiKFORWHICHTFIISPERMIT1515EUE0,l MECHANICAL SHALL NOT EMPLOY ANY VERSON IN ANY MMINER 50 AS TO BECOAIE SUBJECT TO THE (n YNDRKENS'COMPENSATIONLAWSOFCALIFORNI�ANDAGHEETHA7IFISFqULOgECOA./E INSPECT�ONFEE �J�yj�(]Q S 6UBJECT TO THE WOFlKERS'COLIVENSATION PROVISIONS OF 6ECfION 370D OF 7HE UBOR J U L ��—T'"�� T!� COOE,1 SHALL FORTHWITH COMPLY WITNTH09E PROVISIONS. SUANC � pOnTE: APPLicaNi: SMIP CTI Orf�,'T I�IA71�1FifJN �� J WMNINO:FAILURE TO SECIIRE WORKERS'C01.IVENSATION COVERAGE 18 UN.AWFU4�M1D SHIILL 6E ENERGY P/C � LDx�`�C7 1"'L1��D � SU6IECTAN9APLOVERTOCAIMINALVEN/LLTIESANOCIVILFINESUPTOONEMMDREO7HWSMID ENERGYPERMIT WOOLLARS(f t00,000J,IN ADDRION TO 1HE COST OF COMPENSATION,DAAIAQES AS PROVIOED FOR IN SECTION370eOFTHELhBORCODE,INTEREST,NJOATTORNEY'6FEE5. RETENTIONFEE: � CONSTRUCTION LEN�INOAGENCY PRE•ALT FEE: �C IHEREBYAFFIRMUNDEHPENALTVOFPERJl1RYTFUITTHEREISACONSTRUCTIONLENDINf3A0ENCY �zi FORTXE PERFORMNICE OF iHE NfORK PDR WHldi 7H15 PERMIT IS ISSUEO(SEC.]Op,CIV.C.). W � LENDERSN�WE �S LENOEH'SIIOORE53 /� �.y '+ I CERTIFV TFIAT 1lMVE REM hi18 APPLICATIONAND STATE TMATTHEABOVE NFORMATqN IS CORRECT. TOTAL FEES ^_l�/'O/ � I ACIREE TO COMPLV WRM ALL CRY AND COUNTV OROINMICE3 AND STATE LAWS XELhTNYO TO BUIL�IN6 �L„J f � CONSTRlICT10N,ANDMEREBYM1T110RIZEREPRESENTATIVE50F7HISGDIM'fYTOENTEHUPONTHE ABDVE�1ENfqNED PNOPERTY FOR INSPECTqN VURPOSES. COMMENTS 9,�. .��2-l�vtL ��/2!�° ..L,.,� � PERMITTEEN � ' � N (n NATI E DATE - � RECPT.NO. PAID BY ' VALIDATION � WHfTE—�Oepertrnent Copy,YELLOW--Finance Capy,PINK—Assessa Copy,GOLDENRQD—Rle Copy,GREEN—,Applicanl's Copy - .. � , , CITY �F DIi4(t�OND k�AF� , INSPEGTIt�H! RECORD � � � e c � • � . . � � , . � . SET BACK ' FLOOR JOIST'•. !, _ . :,� FTGS/FORMS/STEEL � FHA REQMTS " , ' E�ECTRIC GaOUND � UNDER FLDOR,DUCT� — '' � � ,, :, �•.* o . , . --.,----.. GROUND PLUMBING UNDER FL�pR CU�IDUIT • , SLAB GRADE FIREPLACE FQUNDATION ��' --•- �'`-' - '• '� TEMP POWER I FIREPLAG�gbND BEAM - WATER SERVICE a � MID HT.BOND BEAtJI - - �- '� E•a ' � :'_.... . � ROOF SHEATHING ' '�- � • • - -- � S FL BOND BEAM - � ' ' � � ' FRAMINGNENTILIATION FINAL BONQ BEAM� ROOF COVER � PRE-GRA�ING ROUGH HEATING BENCHING ROU�H ELECTRiC '1-'�'j' R�UGH GRADING ROUGH PLUMBING 1 FINISH GRADINC SHOWER/7UB TEST � P�OL ELECTRlC EXT.LATH/SIDING � P�OL FENCING WALL INSULATION PO�L FINAL CEILING INSULATION OFF 51TE IMPS. DRYWALL NAI�IiVG DEDICATIONS � SEWER FINAL EP1G. SEPTIC TANK . LANQSCAPE/IRRIG. � l SEEP PIT/1..L. ON SITE IMPS. � •GAS-AIR•,7EST •,� � FINAL ZONING �INAL GO�VST ` '" ` ' ` � ` - • � FIRE QEPT. FINAL I 'FINA�'I"-I RTING ' • ,� HEALTH DEPT. FINA� �� _� FINAL'EL�ECTRIC �� _�f � . ( DEV. FEES PAID ! _ FINAL PLUMBING ' 1 ENERGY _.,.�____.,_ � _�_. _�.�....,..— i � , �1 � _ ..._._.._ —_ . CC}MMENTS , , . .a.:�t .., � . -- �-- SEPTIC TAN3t SIZE ' SEEP P{T/U SIZE � �y�P � IP� !� ��,5` — — �� ,, C ,a,, .r� ' i�, ', '� � _ `\ _.��___� ti�� , 'ti .� _. . . ..