HomeMy WebLinkAbout12569 (6) CITY OF DIAMOND BAx -- DEPARTMENT UF COMMiJNITY&DEVELOPMENT 5E V 21660 E.Coploy Drive Suite 190 � (909)860-3195 Fax(909)861-3117 �� PRESS `�'�� BUQ.DING PERMIT APPLIGATION FIRMLY o� JOBSITE ^^ APPLICATIONJ �i' PERM P/C ADDRESS ��� �c . DATE ` �'� • NUMBE�� � � ISSUE 7YPE OCC APN LOT TRACT pATE CONST. GROUP � OWNER AODRESS ZONING SEBACKS CITY � ZIP EL. FRONT RW O APPLICANT REAR ❑ 61DFJSIDE STREET RW ❑ CONTRACTOR SIDE ❑ �j CITY E6 7�• Z�p �E�, � �- PROPOSED USE u�. ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDRODMS CITY ZIP TEL. t� DESCRIPTION S4.F7: FACTOR PSF ADJ.AREANAlUA710N � ONMER-BVILDER DECLARATION SFFVADD/REM I NFAEBY AfRf1A UNUER VEWLLiY OF PEiW RY T}/AT 1 AM E7�MM FROM lNE CONTMCTpRS LI- G8f�9B/C�lPO�I C6HSE UlW FOX TFiE FOLLOWING REASON(SEC.70.91.!BU41NE55 AND PROFESSIONS COUE:M1YCI7YOR OOUNTYWIiICHREOUTAESAPERMRIOCODISTRUCT.ALTERNAPROVE.DEMOLIBH.ORREPNHANYB'fAUC- W P9t�ON9CI( TURE,�RIOR TO R8189UANCE,AL90 RE4UIRE3 TME MP�ICANT FOR BUCN PERAHT TO FIIE A 61aNED fTATfMENT T/AT NE OR BHE IS UCEHSED PURSUMfT M lHE PHOYISIqV9 OF 1FIE CONifiACfpRS ll- CENSE UW�GNPTFFI Y(L�LIMENCpHi YVfTN SECfIOM TOOD)OF DMSION 9 OF lXE BUSINESS ANO Pq6 � PooVSpe FESSIONSOODEIOR�WITFiEORSHEISFXEYPTTHEREFROAlIW07ME&ISIBFORhIEALLE6EDEXEMP- (� TpN.ANYVq1AT10NOF8ECTION70S1.6BYANYMPLICANTFORAPERMRBUBJECTBhiEAPPLICAM'TO � Re-Roof ACIVIL iFN/iLTf OF 1b7 MOHE 7HAN FNE NUNDREO OOLUUiS(f6oe�.�: �lASOWIJEROF7HEPROVERTY,ORMYEMPLOVEESVATHWAOESASTHEIR50lECOMPENSATION, COlIIrtl9rCffl� WILL DO THE YIORK,AND THE STRl1C7URE I6 NOT INTEND6D Op OFFERED FOH S�LE(6EC.7oN,W 51- � NES£ANC PROFESSIONS OODE:THE OONTMCTORS LICENSE lAW DOES NOT AVPLV M IW pWNER OF � PROPER7YYYFiOBULD50RMPAOVE37MEPEON,ANOWFI000E58UCHWORNMINSEtFORNERbELFOR = � iNROUONNiSORMEROWNEMPLOYEES,PRDYIDED1NIRiUp11NPROYEMENBMENOTNTENOEDOR m OFFERm fORBALE�F FIOWEVER�NE BUILDNOOR MPROVEMENT I93OLD WIT19N ONE YFJIROF COMPlE- 710N,THE OWNER�LIILDER WA1 N/�VE h1E BUFlDEN OF PROVINO THAT NE OR BHE DID NOT BUILD Ofi W PROVE FOR TFE PURPOSE Of SAL4 � ❑I,ASOWIYEpOFTNEPiqPERfY,AME7ICLUSIVELY00MMCTWOWITMl10EN5EDCONTRACTOR3 70 OONSfRUCf TNE PROJECT(EEC.7DM,BUSINESS AND PROfESSiONS ODDE:7HE CONTMCiORS LI, VelU9tIW1 ADJ.AREA CENSE lAW DOES NOTMPLY TOAN OWNER OF A PqOPERiY NRIO BUILD60R MdPROVES 1HEHEON,MIU w�000rnn�cT3►onsuc�PnwEcrsvnrruaoNrq�ctoR(91uc�seowR9Uunron+EconrtruG QUANTITY DESCRIPTION FEE � ror�s ucErue uw.�. ❑I MI DfE►IPT UNOER SEG B.�V.C.FOR TMIS REA90N � U � DI1TE OWNER U � LICENSED CONTRACTORS DECLARATION W INEREBVAFFIRM{lIDERPEIMLTYOFPERAli1YTW�iIAMLICEN5E0UN�ERPFpY13qN60FCHAP7ER � ) i(OOIAMENCINO YIrtfN SECTION 7000)OF DIV1810N 30F 1NE BUSINESS ANO PfiOFES510NS CODE,AND Z (� I � W LK;ENSE IS M FUl1 PoRCE AN�EFFECT. r� m ���Y 0 LICENSE CLA55 �J� LIC.NO.,���� ! S = v � o�tE t v—'!-M —S Y oonrrw,croa a WORKERS'COMPENSATION OECLARATION Q � INEREBYAFFIRMUNDERPE1UL7YOFPFRIURYONEOFTHEWLLAV1nNaDECLARATIONS: � � Z � _IlMVEJ1NOWILLMNNTAWACERPIFlCATEOFCONSEMTOfiELF•INSUREFORYYDRKERS' _ CqJPENSATION,AS VROVIDED BY SECTtlN 7700 OF TNE U90R CODE.FOR THE PERFORMANCE C� O �FTME WORK FORIMVIW TIIIS PEANIT IS ISSUEO. � V � _I HAVEANO YYILLMNNfAPI WORKEAS'COYPENSIRqN INSURANCE,AS REWIRED BY 6EC7101V 4Q 97W Of 1ME LABOR L'OOE,FOR 1FIE PEHFOfIMANCE OF 7HE riOFiR W R YlMlpi 7HI5 PENAl1T 18 ISSUEO.IAYNlORKERS'OOMPEN�SATIONINaSURlWCEGRRIERANOPOLICYNUMBERME: CONSTRUCTION � GRfiIER ���I L.4e�..�� �)(� Q `r � PLAN REVIEW � POI.ICY MIMBER ��.��� 7� T t � ��� � ELECTRIC 0 (Ms6EcrqNNE�raieEaa`PlE1IDOFnfPEPIXiI6R7aWEtNFntiED�a1AHS(Eta)oRtEss4 PLUMBING !bt � 1 CEHTIFY7FIAT N TME PEHFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSIIE�,I MECHANICAL SV4LLL NO7 Q17LOV ANY PERSON M ANY 1iANNER 50115 TO BECOME SUBJ£C7 TO THE (q YMORKERS'COMOENSATIONtAWSOFCALIFORNII�ANDAOREETHATIFISHOULO8E00ME INSPECTIONFEE S SUBJECTTO WOHKER6'COMPENSATKKi PROVISIONSOF SECTqH 97aa OF TNE UBOR ^� �� coo i arwi oamm�nr eanv�v win�nrose►rrovisans. ISSUANCE �� O � OA7E: C 1� APPLICANT: SMIP (� . WAfiNINf3:FNLURG TO SECURE WORKEFB'COMPEN6ATqN COVEM6E I6 UNLAWFUL,AND ENERGY P/C �__�_'��1� ry SUBJEC7AN EMMOYER M CRIMWAL PENALTIES ANU CIVI�FINE&UP 700HE HUNDHEDiHOUBANU ENERGY PERMIT (.I .y OOLLARS�i100,000�,INADDITIONTOTFIECOSTOFCOMPENSATION,DAMA6E5ASPROYIDEDFORN � BECTION 970/OF THE U1BOR COUE,IIVTEREST,ANOl17TDIiNEYB FEES. RETENTION FEE: �'� �'�- O CONSTRUCTION LENDING AGENCY PHE-AlT FEE: ln � � I HEREBYAFFIqM UNDER PEN�LTYOF PERIURY TMA7IHEHE IS ACONSTRUCTION LENDNNi AGEHCY 2 FOR iHE PERPoRMANCE OF THE WORK FOR WMICH iMIS iERMtT IS ISSUED�SEC.70Y7,GIV.Q�. W � LENDER'S NNAE � LENDER'SADDNESS � 1 GERTIFY hUT I NAVE READ T/IS MPLICATqN AfiD STATE TFMTTXE/�BOVE WFORMAlqN IS COHRECT. TOTAL FE ES � ` 1 AOREE TO LOMPLY WITX ALL GTY AND COUMY ORDINANCES PNU STATE lAW5 REUi1N0 A7 BUILDINO � CONSTRIICTION,MIDMEREBYAUTiqRREFEPRESQJTA7NE60FTHISCOUN7YTOQJTEqUPONTNE � ABOVE�MENTIONED iROPERTY POR INSPECTION PUR E5. � COMMENTS 6 PERGITTEE NAYE(P� �^� �� �' � � y OKiiW17UREOF ITTEE DAiE - � � RECPT.NO. PAID BY VALIDATION VYF11TE--0epartment Copy,YELLOW�Inenoe Copy,PINK—Assessa Copy,OOLDENROD—File Copy,GREEN—Applfcen!'s � �.� . , . , . , ., .. . . . , . . . . ,.. �, , . . ... . .. . . . CITY OF DI/�IVIOND BAR INSPECTIQhI REC�aD . � � � . . k. � 6 X • E • • ! � a . E . SET BACK ; ' . FLOOR JOI$T �',_.�..! i�:� 1,t•':l+-i` � � t,''���' FTGS/FORMS/STEEL FHA REQMTS } ELECTRIC GROUND UNDER FLOOR D GT :•. ,.. ,. � �_ +,,- , �r� _r�r GROUND PLUMBING UNDER_FLQ'�1FI CC3�RIQUIT;•` '��'!�'�.)! ". �'.z;.'�•�-' SLAB GRADE FIREPLA�E FDUN{7ATION �'`•� 1.� �' '"'J TEMP POWER FIREPLACE BC7ND BE�fJI""'' j WATER SERViCE MID HT.BOND E/�+t' �•-' -' ` i '' ' • . J.� ...� ROOF SNEATHING 8 FT. B�ND 6E M ' +.i :,.r, � ' -' ' - FRAMING.NENTILIATION FINAL BOND BEAM ROOF COVER ` PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING R(�UGH PLUMBING FINISH GRADING SHOWEPJTUB TEST �POOL ELECTRlC EXT.LATH/SIDING j PQQL FENCING WALI.INSULATION � POOL FINAL CEILING INSULATION i OFF SITE IMPS. DRYWALL NAILING j DEDICATIONS SEWER � FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PIT/l..L. ON S1TE IMPS, GAS A!R TEST ' � FINAL ZQNING FINAL CONST. � j FIRE DEPT. FINAL � ` � FINA!HEATfNG ) I HEALTH DEPT. FINAL ! FINAL ELECTRIC i QEV. FEES PAID � F�N,411..PlUM14BIN� ��`:r`" :__'_°P ' E •.:"--"t '-+ � � EtVERGY _.. � � I `,,.'1��•��� '• I i � ; � � — �,.r�T _.... �..__�_..._> �"' 1 � . COMMENTS -- ---�- , _ ,. -� -. . -- � �`�� � � - ` � t.,, .� :� ____r�:._� _�.__ ._ . �`r — t:�. •�. . , .. � ., ., ,�„r ._._._. _. _ _.._ , ' ; . � �.�;�r'. �.,•;� ..,�,� ___.___... SEPTiC TANK S�R,7.� ' � � r ` �f'r'�'�.fi4�lir i T";�'�-�����_ SEEP PIT/U SI . — :.,.,� .�;���»`�J�;' ,`� , .. - -, a,;,.-,,,`.� ..� ` ` , -�-si—___ + ` �� � �� .c , _ - `�=T , _.._..___... - 5 ` , ..� __ . 1