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HomeMy WebLinkAbout14563 (34) t CITY OF DIAMOND BAFt � , � --- DEPARTI��[ENT OF COMMUNTfY&DEV LOPMENT SERVICES EXPI RED � 21660 E.Copley Drive Suite 190 . (909)860-3195Fax(909)861-3117 OCT 0 3 2000 PRESS "�'�.� BUII,DING PERMTr APPLICATION FIRMLY � ADDRESS �7�� S EH TIC C�! Q� pA�CATION �-�' - o V NUMB R � �/C 0 � ISSUE TYPE pCC APN-�LOT TRACT DATE CONST. GROUP g OWNER � ![ED .�A�� B ADDRESS ZONING SETBACKS CITY ZIP TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ 51DEfSIDE STREET RW ❑ CON7AACTOR SIDE ❑ ADDRESS g CITY ZIP EL. - PROPOSED USE e ���N� .�c�gg � DESIGNER NO.DWEL NO. NO. ADDRESS UN1TS STORIES BEDROaMS CI7Y ZIP TEL. c� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION 5FRIAD�fREM O 1 HENEBY AFFlRM UHDER PENILLTY OF PERIURY TFIAT 1 AM EI(EMPT FRDM TTIE OONTRACTORS LI- G9f6gB/CHIpOR CENSEUWfOR711EPOLL.OMIINGREA50N(SEC.7W738USINESSANDPROFE3510NSOODE:ANYqTYOR (n muvnwr+�+nEanrtEs�PEwnRioc�srnucr.ur�twPr�,00.wusr�,on�aaR�wYsrnuc- W Pata/Deck TURE,�RpA 101T8183UANCE.PL90 IIEOUIRES THE APPl1CANT FOR BUQI PERMIT TO FILE A 810N W W STATFIIEM TIUR ME WI SHE IS 110ENSm PUR5UANT TO T11E PROVISIdJ9 OF TiIE O01lfMCTORS!1- CENSE lAW(dUGTEG 0(CdAMENCINO YrtTN BECTION 7000)OF W VIFqN 9 OF TNE BUSINESS AND PRO- � ��PO FESSION500��Oil TiUT ME DR SNE IS EJ(EMPT TMEREFROM AND TNE BA515 WR iHE ALLEOE�EXEMP- TION.ANY VIOIAiION OF SEC710N 7W1.6 BVANY APPLICAN7 FOR A PERMIT BUB.IECTS THE MP4�CANT 7D Z Re�Raof A CML iENALTY OF NDT MORE TIAN FNE/MJDRED DOIURS(i000).): OL���EROFTIEiROPENT'/,ORMYEMPIAYEESWITNWAOESASTHEIRSOLECOMP6N3FTIDN, COTTBfC181 � NIILL 00 TYE WORK AND TIE SiRUCfURE i5 NOT IMENOED DR OFFERED FOR SlLLE(SEC.7Ml,6US1� � � NESS AND YROFES910NS CODE:iHE CONTRACTORS LICENSE LAW�OES NOT AVPLV TO M/OVMNEH OF � PR07EH(YWlIOWIDSORNIPROVESTHERFON.ANONMODOESSUCHWORNMMSELFORHER3ELFOR � TIAOUGH WS OR MER OKN EYPLOVEES,iRONOED 7MIR 6UCN WPROVEMENTSARE NO7 W7ENDEDOi1 LL1 OFFERm POFIBAI-E IF,HONIEVER7NE BULDINOOR WOpOVEWENT 18 SqD WR/pN IXJE YEAR OF O]IAPIE- TION.THE OWNER�BUMEH VIILL NAVE 7HE WRDEN OF PROVINO TNAT HE OH 6HE DID NOT 9UIlD OR .. MPROYEfORiNEPURP0.9EOFSALE). - � O 4 R4 C'NNEROF T!¢PROPERIY,MA EXCLU8IVELYCON�RACTING WRH LICEI�SED CONTMCTORS TOOONSTRUC�TME iRO.tEC7(8EG 1oN.BUSINESSAND PHOFESSIONS OOOE:TNE OIX�ITRNCTOftS ll- V91US110fl ADJ.AREA CENSE LAW ODES NOTAPPLY70 AN OWNER OF A PflOPEHTY NR10 9UXD8 ON MPROYE37HEREON,AND WIq00MfRACfSPoRSUCHVRO.IECTSN7THA00NTMCTOR(9)LICENBEDPURSUNIT70TMECONTRAC. QUANTITY DESCRIPTION �E � 7dlS LICFNSE UW.). �I AAA IXEIdP'T UNDER BEC. B.t P.C.FOR THIS REABON � U � DATE OWNEH r � W s[ UCENSED CONTRACTORS DECUIRATION W � II#i1E8YAFFRtlAUNOERPEWLLTYOFPERJURYlHA71AMLICENSEDUNDERPAOV510N90FCHMiER � �(COYYENCNOWITHBECTqN700DJOFDMS1ONeOFTHEBU61NE86ANDPROFESSIONSCOOE,ANU Z MY UCENSE 18 W FIAl FORCE AND EFFECT. �� � � � LICENSE 5 LIC.NO. � u � DATE � CONTRACTOR ,WORKERS'COMPENSATION DECLARATION �3 � NI HE Y AFFIRY UNDER VENK7Y OF PEiWRY ONE OF TME FOILOWING UECLAMTqN3: � Z � �IMAVEANDWILLMNNTNNACERTIFlCATiOFCONSENTTOSELF�NSUREFORWORKERS' _ CdAPFNeA7qN,AB PFqVIOm BY BECTON s70o OF THE LA80R CODE,FOR iHE PERFORMANCE �U TNE YYOflK FOR WHIQ1 iXB iEAMiT IS 185UED. � � _NAVE AND WILLMnMlfAIN WOPoCER3'COMPENSATION INSUMNCE,AS REWIRED BY SEC710N Qi700 OFTHE IABONCOOE,FORTNE PERFORMANCE OFTHE WORK PDq 1VHICFIh115 PERMIT IS � ISSUED.MYNO OOMPEN9AT INSURMIG^ECARRIEHAND UMBE1 E: 1, CONSTRUCTION � CARRIER����:1/ ��R�►��C1� T v PLAN REVIEW � vpacr r�u�eEn I��v0_� _C.d �� ELECTRIC � �7 (11ffisEcnoNNFIDNo78Eaobfl.EfIDOF7VEPEnAiI6Polia+EfMAFmDotlMs(L+a�oRLESsy PLUMBING R p� 1 � 1 CER�IFYTWIT IN THE PERFORMANCE OF iHE YYORN FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �i'�' �!'■ SHALL NOT EMPIOY ANY VERSON IN ANV MpNNER SO AS TO BEOOME BUBJECT N lNE �"�� y WDRKERS'COMPENSI1TqNUW30FC�LIFORNIA.AN�AGREETHAiIFIBHOULOBECOME INSPECTIONFEE � BUBJECTTOTHEWORKERS'COMPENSAT PRONSIONSOFSECT70N770DOF1MELFBOq OODE,I BHALL F'OR'M1IWITI COMPLY W�JSE PR01y610N4 ISSUANCE � DA7E: I. 3�PPLICANT: 'l 1 J[ �/ SMIP —7,� 1r w ��c� ENERGY P/C `�,�i�rY/lr� WMNINO:FAILURE TO SECURE WORKERS'OOMPENSATION WYERA(1E 45 UNLAWFlIL,AND 6NALLBE ' • � SUBJECTANfiMPIAVERTOCRIMPIALPE1ML71ESANDCNILfINESUPTOONEXUHDFEDiV10USAND } �� L_,..(" p♦ � DOlL�q5�t1a0,aW),INADOITONTOiF1ECASTOFCOMPENSRT10N,0AMACESASPROVIDFAFOqW ENERGYPERMIT Bl��,iT� �/F\f[l�!��') � SEC710N 77De OF T1E UBOR CODE,N7EFiE3T,AND ATTORNEVS FEES. RETEN7ION FEE: �� v U,.�."�,t• .���.... ...� ��Li.,:_ O CONSTRUCTIONLENDINGAGENCY PRE•ALTFEE: yn� � I HEREBY IIFFIRM UNDER PENILLTY OF PERIURY lHA7 THERE IS A CONSTRUCTION IENDING AOENCY FOR THE PERWRMMlCE OF TNE YYORK PoR YVHIGI THIS 7ERMIT IS ISSUED�6EQ 90P7,CIY.Q�. � � LENDER'SNAME � LENDER'SADUHE55 � ICERTIFYTUTIXAVEREADT1119MFLICATIONANDSTIITETIATTIEABOVENFOIMATpNISCOqpECT. TOTAL FEES � . � I/UiFEETOCO11P1�N77HALLC�fYANOCOUNTYORDINANCESANOSTAiELAWSHEIATINGTOBURDING � � CON51'RUCfION,ANDHER�YAUfHOWZEREPRESENT�T1VE50FTHISCOUNTIIDENTERUPONTHE ABOVE-MENTIONED PROPER'TV WN INSPECTION PUNPOSES. COMMENTS � GE RT N11E1E(P . �, 1• �- � NA OFP qWTf OATE ' � rr RECPT.NO. PAID BY VALIDATION - F WHITE--Depertment Copy,YELLOW—finenw PINK—Aasesaa Copy. Capy,GOLDENROD--Fila Copy,OqEEN—ApplksnCs Gop�t m�..�.���o.r�.�..� — -- --��- + �� .__ . ._.. _ .. _� _.. _ ....... .... ;1 � �MOND BAR �.'�-;e'_��,-'1';•.�' +�n . �� I�S jGTION RECOI�D ._.,: Jr ' . � . �'_::,; � r'r F �� �, I -�,��^�' ,. �.. .,, � ' -T I I � �,t ..,,..... �.- � b , i � �, � .�� �_.�I � - SET BACK ... , � ; � . FLOOR JQIS�T '��..�z�.:,'�- .-� -, C" C: �� .�'�'�;-.�--- --------�..__._......_.._.._._._.-'--- _...-- - -- , ,.. - FTGSiFQRMS/STEEL � f MA REC2MTS 4ELECTRIC GROUND � T UNDER FLOOR DUCT - - � ���.,�•• GROUN�Pi_UMBING UNDER LO�R CUf�IDUIT �i `r �+ li(1",.�`",ti:�.: �5E�lB GRADE ----_-.�.� FIREPL� � �f�OtJFlDF1TIUN.�y. TEMP POWER - ^ FIREPLACE BOND BEAM .. • ___..__.._....._�—_� �—__-- --- - WATER SERVIGE - _ � MiD HT.Bf31�tD���AM'.'`� ' �� ` t , �;�,t:�. ;` _ ROOF SHEATH{NG— - --� � i 8 FT.BOP10��E t�. _- � �. ,.;F,'- � .• , . .., �1, c� FRAMiN�/VENTILIATIQN � i ' FINAL;$t3NCJ••BEAM___ ___ _ RQOF COVER T----��--�— ; i PRE-GRADING . ROUGH HEATWG i I ; BENCHING � fiOUGN ELECTRIC __-�-�; ROUGH GRADING AOtJGN PLUMBINC3 ��-I I ; FINISH GRADING SHUINERITUB TEST -� ��-POOL ELECTRIC � —�...�� EXT. LATHlSfD1NG I � I : pOOL F�NCING WALL INSUTATiC1N � 1 � ; POOL FlhIAL .—,._�_.___. - - - CElLING iNSULATION � ; OFF SITE IMPS. � DRYWALI_NAlLlPdG ' � DEDICATIONS ; �._..---.�......._...._..------+------- �...� �- -- SEWEA I � i : FINAL ENG. -��_—�_-� 5EPT1C TARlK ' j. � ; � j LANDSCAPE/IRRIG � SEEP PIT/L..L. ��� ---- �� ON SITE IMPS. — GA5 AIR TEST �� � ,._._ _� � i i FINAL 7_ONING—��---- -- FINAL COiVST. � I FIRE DEPT. FINAL � ", , ; : ---�----- -- -----.._._..--------j------ FINAL NEATINCa i ! ! � HEALTH DEPL FINAL � —�--�--- FiNAt ELECTR�C� �A� ---�-- -� � i DEV. 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