Loading...
HomeMy WebLinkAbout15405 � . �� CITY OF DIAMOND BAB � DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES � ' 21660 E.Coplcy Drive suiu 190 (909)860-3193 Fax(909)8G1-3117 PRESS ��^^�'�� BUII,DING PERMIT APPLICATION FIRMLY � JOBSITE � Z 1�, `N APPLICATIO PERMR P/C o ADDRESS �a55 � Sr7ijJVNO/l//.1J/V/c DATE NUMBER S O � � ISSUE TYPE OCC � APN LOT T AC DATE CONST. GRQUP � OWNER _ ADDRE S ZONING SETBACKS �'A CITY ' ZI TEL. REART RW ❑ APPUCANT TEL. SI�E/SIDE STREET RW O r� CONTRACTOR SIDE ❑ g ADDRESS PROPOSED USE CITY ZIP TEL 8 ARCWENG! � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS � STORIES BEOROOMS CITY 21P TEL. � OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION Q OWNER-BUILDER DECLARATION SFRlADDIREM O � 1 MEAEBY/fFlRY tNDER PEN111TY OF PEI�AIRY THAT 1 AIA EXEMPT FROM iHE CONfFUCTORS LI- QefBgB/C:BIpOA CENSELAWFOR7MEFOLLD4VNOREA90NISEC.709t.6BUSP1E39ANDPROFESSqNSCODE:ANYCITYOR (n 1'LlilliYWWCHRE011KE5APENARTOCONSTRUCT.ALTERIGPROYE.DEMOLI3H2ORREPAIRMIYSTRUC. `W pe1f0/D9Ck 1tMiE,YpqR TO ITS 65U4NCE.ALSO NE4U�NE6 THE A7PLICANT F00.BUCH PERMIT TO FlLE A SIGNED � 6T�lTEMENT 7XAT ME OR 8HE IS 110ENSED MIRSUANT TO 7NE FROVISIONS OF TNE CONTR�CfORS U- CQiSE LAW(CHAPTER i(COAIMENCWO N7TH BECTION 7000)OF DIVISION�OF THE BU91NE53 AN�PRO• � PooVSPe F£BSqNu CO�Q OR TIMT HE ON 8HE IS IXEMM TIEREFfWM{MID hIE BASIS FOR THE/�LLEOED 6%EMP- TqN,ANY VqLATION OF BECTION 70.91.6 BY ANY APPLIGtlT FOA A PERMR 8t16JECT6 THE MPLICAN7 TO Z Re-Raof � ACML PEWLL7Y OF NOT MWRE iHAN FIVE MUNDRED DOLLARS(i5nDIJ: _ 04�uOriNERUF7MEPf10PEFTY.ONMYEMPLOYEESWIT/1WAOESASTFIEIR90lEODMPEN3ATIDN, � CORIRIB1CI81 MLL 00 TME WORK MIO THE 87tiUCTURE I6 NOT IN7ENDED OF OFFEHED FOH SALE(SEL.7Wa,BUSb J NESS Alm PROFESSIONS CODE:111E CONiHAC70RS LICENSE LAW OOES MOT 11PPLV TO/W OYYNER OF j � VROPERTYWFiOBULD80RIMPROMESTiEREON,ANDWIi000ESlUCFiWORNHIMSELFORNERSELFOR � i}wpUGH WS OR HER OWN EMP:AYEES.VRONDED T11AT 6UCM IMPROVEMENTSARE NOT NTENOED OH m OFFEpEO iORBALE IF./I�YMEVER7NE BULDMOOFt IMVIWVEMFM IB SOLD WITIIINONE YEAR OFCOY%.E� 710N.TIiE OIM�ER�BUILDEii WILL NAYE TNE BURDEN OF PRDV WO 7HAT HE OR SHE OID NOT BURD OR MVIiOVE PCATME PURPOSE OF SALE} � 04�+`��EflOFTHEPiqPER7V.AGE%CLUSNELVOOHTRAC71NfiWI7HL7CEN5EDCOHI'RACTORS � TO OONGTRUCTTYIE►ROJECT{9EC.7os1.BUSINESS AND PROFE9610N8 CODE:IHE CONfMC70RS LI- V8hl9dOf1 ADJ.AREA GENSE UW DOES NDi APPLYTO AN OVrtiEH OF A PROOERTY WFID BUMS OR IAIPROVES TFIEREON.AND WiqCONiRACfSFOReUd1iR0UEGT5WI7HACONTRACTOR(S)LICENSmPUH9UANT11D7HECONTqAG OUANTI DESCRIPTION FEE � IOFiS LICENSE UW.�. ❑I AM EXEMPT IRDER SEG B.8 P.G FOR THI5 NEASON � LL pATE 01MIEP � � � LICENSED CONTHACTORS DECLARATION W � 1 NEREBV AFFIRM UNOER PENALTY OF PERIURY THlR 1l1M UCENSED UNDER GROVISIONS OF CHAPTEP � � �(CONMENCWG YlITT/SECTION 700D)OF DIVISION�OFTHE BU91NE98 ANO PROFESSIONS CWE,AND MY UCENSE 161N FUIL W RCE AND EFFECT. � m � ► � ��y �� ��.Ne. � 3 A- � o�te corrraneToa a = WORKERS'COMPENSATION EC N� � � 1 MEREB'�I�FFlRM IMDER PENAL7V OF PERIURY ONE OF iHE FO WINfi DECLARATIONS: � C!� Q � _IMAVEANDNnLLIMNTNNACEiiTIFICATEOFCONSENTTOSELF•INSUREFOHWORKEFiS' _ OOIIPpISATqN,AS OqOV1DFD 6V SECTON f700 OF TME LABOR CODE,FOR TNE PER WRYANCE W OFiHEN'OHK FOR WHIG/THIS PERMIT IB I6SUED. � 0 �I HAVE AND MALL 1M�NTAIN YVORKERS'CAMPENSAlION INSURANCE,AS REQUIRED BV SECTION O 97a0 OF 1HE LABOR CdDE.PoH THE PERWRMANCE OF THE WORN FOR YIMICH THIS PERIAIT IS ISSUED.IAY WOqK 'CDMPENSATION INSU(UNCE CARRIER AND POLICY NUMBERARE: CO TRUC � � � CMFlIER PLAN RE � POUCVNJYBER �.1 , ,O ELECTRIC 0 �nu;sEcrp�ar�nwrgEaonn�E�moFn+Eppr.rr�s�pne�ppatats�xiaqaqt�x,ry. PLUMBING Z 1 CEiifIFY THl1T W h1E PERFORMANCE OF TIE WORK FOR WHICN iH15 PERMIT IS ISSUED,I MECHANICAL � SHALL NOT EMPLOY ANY PERSON N ANY MANNER 50 AS TO BECOME SUBJECT TO TFIE vj WOPKERS'COMPENSATiONUw50FCAlIFdiN10.ANDA�REETHATIFI6HOUlDBEGDME �N CTIONF S SUBJECTMTHEVNORKERS'COGPENSATqNOROVISIONSOFBECTION�7oDOFTHELABOR CODE.I SFULLL�ORiTMATM CAMPLY WITH TFIOSE PqOVI510N5. o sMi J p pATE: APRICANT: WAiiNIN�:FALURE TD SECURE MNRKERS'COMPENSATqN COVERAGE IS UNUMfFUL.AND SWLLLBE ENERGY P/C � SUB.IECTANEMPLOVERTOCHIMWALPENAITIESMI�CNILFWESUPTOdYEHUPDREDTMOUSAN� ENERaYPERMIT OOLLARS(t100,OW�,W ADDff10N TO TNE CO3T OF CAMPENSATION,DAAIAOES�5 PROV[lE0 FOR IN � BECTION i�000f h1E LABOR CODE,WTEPE6T,ANDATfONNEYS FEES. RETENTION FEE: d CONSTRUCTION LENDINQ AGENCY PRE-ALT FEE: fiL 1 HEpEHV AFFlIIM UNDEP PENALTV OF PE0.IUHY THAT THERE IS A CONSTRUCTIqJ LENOMO AGENCY u- FORiF1EVERFOiIAUWCEOFT WORKfO WHIdiTNISOERMITI6155UW(SEC.]OW.dV.CJ. � LENDERS NMAE � � LENOERSAODRE33 � I CERTIFY TNT 1 FUVE READ TMIS APPLICATION AND STATE TUT T1E ABOVE INGORMAiqN IS CORRECT. TOTAL FE ES �/ � 1 MiREE 70 COM�LY VATH 11LL CIT'AN�COUNTY ORUINMICES AND STATE UlW3 RElAT1N0 TO BULLA WO . CONSTRUCTION.ANDNEREBVMlTM�RREREPRESENfATIVE50FTH15CO�1�'TOENTERUPONTHE S�i ABOVEMENiqNED VROPERTY FOR INSPECTION Vl19ip3E5. � / COMMENTS 9 N U�� - � vErwmEe ir+r> u> -- � pN TE — HECPL NO. •� PAID BY VALI�ATION WHITE-0eDehment Copy,YELLOW—Fnanw Copy,PINK—Aaseasor Copy,GOLDE-NROD—File Copy,GREEN—Applfcant's Copy ,.�. ... ,... .. .... _ .__.............. ... ...... .... .. . ....�._. .-�..�.�:-. . .'.� :� .. . .� , . r . . . . . v ' � .. � .� ... �}.. �� . �. . ' . CITY �JF DlAltl��l'�D B�eR � � IRlSPECTIQf�[ RECOF�D , • s � e _ "s ` ��'��:� � �`�(l�,������.������ " , , SET BACK � ' ' .. >.�-�:a--,.r;....�,-�.,- ;a _ � .. ------- � --- �------�.-- I I FLOOR JOIST . . ----------i-----------1.__---- ---------•-----� FTGS/FORMS/STEEL ' . �. FFiA REQMTS t I E _ �`_-_ ��_ �_�_� _��_�__.�______...__`�_"�.._.__._._I . ,......_.._._F.,..__.__'_.'_...___"._".........�_. ELECTRIG GROUND , '. UNDER FLOOR DUCT J � ---- ---- ------ - ----- ----------------- .... _ .. GFiOUND �'LUMBING UNDER FLOQR CD�IDUiT �._.._ --,--..__._ ...---------------•---- . ._.._ -----• —-�-- — ----- --— -- - -- - - - - - �-- --- ------ ._.. ;_ ....-- --- --- --- -- -.....-----• -- SLAB GRA[3E ____ FIREP�ACE FOUNDATIOtv ' ----------------------�----....._._..------� -------__--------.....--• -�---.. TEMP f'OWER FIREP�ACE BONQ BEAM ; __ _ � � ---- --- ---- --- WATER SERVICE __ ___� �___ MI� H7. BOND BEAM � , ----- �--:-'.._ � -----------�—.__._.._._„ ---...---- .T_.,-------------.._.....__._.._....� ROOF SHEATHING ^ I 8 F-i'. pOND BEAM � I ' � __.—�_ _�.--- ---____._._._._f.=------------- _ _ . .._.... FRAMINGNENTILiATtC�N i FINAL BOND BEAM �' I � , .. -- --_ ��__— __ — � r-�--- ------------- ------ - ---._... -�-- - ------�--_- . ..__., ROOF C�VFR i ( PRE-GRADING � � - -___�_ � _� .___—_T__._.._ RUUGH HEATING ' -----`--- -----•-----..__.....-- - _ � BENCHING _ � ---•----.._.�--------. .._._------ ---..... RQUGFi E�EGTRIC � I RC)UGH GRADiNG ; { � — -- ------ �..�------ ROUGH PLUMBING I � ' ------------- ,---------._.._._.—.--- FINfSH GRADING � SHOWERlTUB TEST `� _—..^_�— _ � ` _ _.��I I POOL ELECTRIC � .—_____._.._--�----------,-----...- ---- ----�----- --- ' 'EXT_LATH/SIDING _ I � POOL FENCING—._------� ------�------------_.__------_..---.---- . .I WALL INSULATION � �! Y POOL FINAL `t. �--^----•-------�--- .� ----•- � --T'-� �. � - - ----. -_---�-------i----------i--___�_--------------�---- . ..__ ' CEILING INSU�ATI�N f � OFF SITE IMPS. i ' ------- � � --- ��.�-----------------------r--.._._ _ DRYWAE..Ll�lAlLING � __.. _._... . ..... . .......----,- ( DEDlCATIONS _—� —� � ' SEWER { • ------,- ---.—.__.________r.------I---•------...._ _------..-----__...._..-------._. .: ----_^ �� + FINAL EhG. ' , SEPTIC TANlf � �_� ...------------------r---__.._ _..... ........... .. .. .........--�----------. � � , I LAl1tDSCAPE/IRRIG_ � ' — -�------.._.---_.—.------------------- - - - - - - -- SE�P PIT,L.L. ,�_� ; � ' . ' ' C1N SlTE 1�,1PS. t---- ----- ------ - ------ � __.._ _` ;--------------� -----....--------._.----...--- - � GA5 A�R TEST ; � —;— f{NAL ZONIl+JC --------------� ------------------------ ------ � ._ _ _ _`__..—,------ --_ _,... FlNP,�CONSi. �, " �1q� _ ! , Flf��C�EPT. FPtVAL - _.. . ._..... _. ._ ' ... .-.. ....... ... . .. __� _—�-.1,� !'1L..�-----.�.� _. _._ • ----�-------- -- _-- ' E=lItiF,L HEATING I : '� .' i _ � t-!EALTH D��'T. FIN1�L _�__.-------- --4---=--�---�--___--- ---,----...__._���--�._�.----......__...--- ----------- � -- � F11VF�L�ECTRIC ' ' ; DEU'. FEES FAID - - - - ---.� ----._ . s__...---------- --� �----------------------------------_._..--------_... .... _ , E_;,•��:L PIUMBEf�G -------- � � E�VERGY • ; , . . �_.__�._....----�---- �..��r:� _�.�__ � ' _ ' . __--_------- ...-�--------�--•-- ry_--- ---..__....-- -;--. ... ...... .... .........-�---- - • �."",-.� rt'y '_'__'-.. 6 "' ', "'__�� �'r + �I�'4� �q!''F,���'� ,-• ...- ..,. ry. .__'__.... .... ......._....__."" _ .. . . ...... � . ' .. ' � _�...�� � • . , �� � �. .%'�W ' - zµ. � s,�� . N � � i . �e«��� '', , ' �..". � , --- ��- ._.��----.�, ,md,.... , �.: . � . ,_—__.. �. + __. ... ..______.... ._._.__... . . .._ . � � CUA/i�1tiENTS - ._____--- ---- — --------------------------.__-.__;__..._�...--=LL__ -------- - - , - ------- -----------___.--- ------ ---------- -------- _--- -�----- � ; . ._ ...._.. .. ._.._ . .. , s�P�ric T�ra�siz� SEEP PfT/U S{ZE � -- -_ ��_--------------------�-- .. ..----- .. _.....- ----- � , ___— __--------------____...�__.----------._._...._._..-- . .............. .-- -.. ._..-�---... _.. _. ,. -. . � - --- ----- _____------.....�_..._...._......__._.__. , . - - - - ---�-�- - - ;