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HomeMy WebLinkAbout15406 � �� � �� CITY OF DIAMOND S AB `� DEPARTMENT OF COMMUrTITY dc DEVELOPMENT SERVICES 21660 E.Copley Ihive Suite 190 (909)860-3193 Fez(909)861-3117 PRESS �"�"� � BUILDING PERMIT APPLICATiON FIRMLY o ADDRESS ���� �Z 3�5'�1f�N.t/D.V L�3iy,E' DAT6 CAn �/ NUMBER� 11/C � APN LOT TRACT �SSUE TYPE pCC DATE � CONST. GROUP p OWNER A�-- - ADDRESS 7 (� %T YONING SETBACKS CITY. UU ZIP r ' %TEL. REART RW p APPLICANT TEL. SIDEJSIQE STREET RW ❑ CONTRACTOR SIDE ❑ ADURESS � � CITY ZIP EL. � PROPOSED USE e AfiCHlENG/ DES�GNER NO.DWEL. NO. NO. � CIDnDrRESS ZIP TEL. UNITS_�,� STORIES BEDROOMS �n DESCFIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLARATION SFRlADD�REAA O p 1 HEREBV AFAfW WDER PENALTY OF VEMIRY 7HAT I NA E%EMPT FflOM THE CONTRACTORS L4 aare B/�.,afpOM �.3 CENSEIAWP�R7NEFOLLOM/ING11EA5ON(SEG)0.91.6BUSWESSAHOPROFESSIONSCODE:WYCINON (� � COUNTYWHIpi11E0UIRE5AVERAIRTOCONSTRUCT,AI.TERMPROVEDEMOL.ISH,ORPEPNRANYSTRUG W patlo/Deck tVHfi.PRqR TO RS 68UN7CE,ILLSD REOUIREB TME APiLICANf FOR BUCH PERMR TO FILE A 816NED W STA7EMENT iFNT HE OR&iE IS IJCENSED PURSUANT TO TiE PROVI910N5 OF THE OONTMCfOH9 U• CENSE LAW(CNAPTER Y(GOMMENCINO WI7H SECTION 7oa0�OF CIVISqN 9 Of TXE BUSINESS AND PRO � P�V$pe ' FESS10N5 CODE)OR TNJ1T NE OR SIfE IS D(EMP77HEREFROM ANO iME BASIS FOR TNE ALLEGEO QENP• 710N.NJYVIOURIONOFSECTION70.91.6BYANYAPPLICANiFORAVERMITSl18JECT6THEAPPLICANTTO Z p�q�� � ACML VENALTY OF IpT 1AOpE 7HAN FNE MUNDREO 00L1AR51i6u0),I: O DI.ASOMMEROFTXEPF4�PERTY.ORUYEMPLOYEESWITHWA6ESASTHEIRSOLECOMVENSATION, COmrt16�Cldl � Z N7LL 00 TME WOii1C,AND THE STWIC7URE IS NOT IMENDFD OR OFFERED FDR 811LE ISEG 7W�,BUSb � � MESSAND PROFESSqNS OODE:111E CONfMCTORS LICENSE UW DOES NOT MPLYTO AN OWNEa OF Pi10PERiYMh1OBU0.D80RYAPi10VE8TMEREON,ANDMAIODOE39Ud/WORKHMISELFORHEHSELFIXi � � 7Mfi0UGH WS OR HER OWN EMPLOVEES,PROYIDED TFN7 BUCN MPROYEMENT9 ME NOT INTENDED 011 C� OFF6iED fOqBALE IF 110WEVERiHE BUILDINa OR INPHOVFMEM►S SOLD WITIN ONE YF�1qOFO0MPLE iION.T1E OWNER-0UIIDER NALL 11�VE THE BURDEN OF VROYINO TW�7 NE OH�iE DID NOT BUILD OR MPROVE WR 1ME PURPOSE OF SALEG w ❑I,I�S OWNFNOF TFIE PiIOPERTY,AAl E%CLUSNELY CON�MCTINO WYTM�ICENSED COIITRACTORS (C TO OONSTRUCT TiIE VROUECT(SEG 70N.BUBMESS!WD PROFESSIONS CODE lHE CONiHACT00.S LF VeluBt{011 - ADJ.AREA � CENSELAWDOESMOTMPIYTOANONMEHOFAiROPERTYW/10B11KO50pWPROVE3TVIEREON.ANO FwHomKrn�crsronsuwonw¢craMnnucartwcroA�s>��ceNseowxisururrroniecor+ra�c QUA TY OESCRIPTION �E � lORSUCENSEIAW.�. ❑1 AM E%EMPT UNDER SEG B.i P.G FOR TFIIS REh50N Q U � � DATE OVMER V ��[ UCENSED CONTRACTORS DECLARATION W � i HEREBY AFFIHM W�OER PEHALTY OF PERJUM THAT I AM LICENSED UNDER PROYISIONS Of CHAPTER � •(COMMENCWfi NrtTl1 9ECTION 7000)OF OM510N J DF THE BU51NE55 AND PROFE53qN9 CODE,AnD Z YY IJCENSE IS N Fl1LL FORCE IWO EFFECT. � UCENSE CLAS UC.NO. � � DATE CONTMCi � � W r � WORKERS'COMPENSATION DEC TION � � I HEREBY AFFlRM UNDER PENILTYOF VERIURY dJE OFTHE FIX.LAWINO DECLAMTqNS: z � �IMAVEMI�WILLAMRITNNACEMIFIGITEOFCONSEMTOSELFINSUREFORWORKERS' _ � OOIAPEN6ATION,A9VROVIDEOBY8ECTON�70oOFT1ELABOHCODEFORTNEPERFORMFNCE W O OFTNE VYORC FOP WHIGiTXIS PERMR IS ISSUEO. � � _I iUVEAN�MfILL WINfAIN WORKERS'CONPENSATION INSURANCE,�5 REQUIRED BY 9ECfIDN Q �7000FiHElABORCOOE.FOAiHEPERFORIAANCEOFTHEWORKWf1WHICHTHISPERMITI6 \ ' � 155UED.MY WOFKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER AR[: CO TF�UCTION r-C'•Y �j CARRIER � POLICY NUMBER � _._._ ELECTRIC � (n�ssEcnonNE�wreEad.s�rmocn+Ev�war�swaa+e�mOc�uas�siw)aa�ss} PLUMBING � ICERTIFY iW�7 IN 7ME PEPFORMMIGE OF TNE wORK FOP WNIq1TNIS PERMIT 4418SUED.I MECHANICAL SWLLL NOT EMPIAY IWl'PEIISON W ANY MANNEN SO NS T0 9ECO0.1E SUBIECT TO THE � WORI(ERS'GOMPENSATION UWS OF CAl.IFOfiNIA,/iND AOREE TNAT IF I BHDULD BECOME FEE SUBJEC7 TO THE WORKERS'COA/PENSATION PROVISKK75 OF SECTIDN 97D0 OF THE UBOR D OOODE.ISH�LLPoHfNW1TNCqAPLVWITMTIqSEPROVI510N5. '_ p DA7E: APPLICANT. MIPy2_�,/ ��--- � WMNINO:FARURETOSECUREWORKERBCOMPENSATIONCOVERAGEISUNl11WFUL,ANDSHALLBE ENEFGVP/C � SUBJECTANEMPLOYERTOCRIMMIALPEN�LTIESANOCIVLFWESUPTOONEMUI�IDHEDTNWSAND ENERGYPERMIT r DOLLARS(f70o.oaa�.W ADOITION TOTHE COSTOi CDYDENSATION,�AMAOESAS PPOVIDED FOR IN � SECTIONl7M OF THE LABOR CODE.MITERES7,MA ATTORNEY'f FEE3. RETENTION FEE: OW,. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IMEREBYAFFIRA/UPLERPENALT/OFOE0.1UqYTUTTHERE15I.00N5TRUCTIONLENOINCiMiENCY FOR THE OERFDqMANCE OFTHE WORK PoR WHICH TNIS VERMR IS ISSUED(9EG 70v/,CN.G} � LENDER'S NAME�/�� S � LENDER'SADORESS � ICERTIFYTHATIFUVEREMTHISAPPUCATIONANDSTATETIU7THEABOVEINiORMATIONISCOqqECT. TOTAL FEES / �� d I AGREE TO COMPLV N7TH ALl CT'AND COUNTY ORDIW W CES AND BTATE U1WS i1EUTINO TO BULDINO � CON5TRVCTION.ANUHEREBYAUiF1DRREREPRESEMATWE30FTHI5COUNTVTOEHTERUPONTHE , ABOVE-MEMIONED iROVEqTY FOR WSPECTION PUHP09 . 9 COMMENTS � m PERMITiEE R �j f/� / O � SNi MITfEE DATE � RECPT.NO. PAIO BY VALIDATION WHITE-0epaAmeM Copy,YELLOW�Inance Copy,PINK—Assessar Capy,GOLDENROD—Flle Capy,GViEEN—ApplicenTs Copy ...:.�.,: ... ,.. ... ,; ., .:,:: .,,.. .. . .,...,:, , ,.v . � . .,. .... .. , .. .. .... .. , , , , � . . ,. . ;,,.. . x . . � .. . , . CITY OF DIAt�C?1`�t] BAR I«SPECTIO{`�! RECGIRD • • ,� � � � � '�.,���� R ��µ��s� �������,�.�� l��:.����%t<• ': '.m,�� .x .�:�..,.,.:. E,..�.. . , .. ,.,. . _ ,.,. a',..:,.�° . SET BACK ! '� FLOOR JOIST � � ' �—-----}------ ---------- ------- � FTGS/FORMSISTEEL ' FNAREQMTS � h r* i---1-�-_W��y`------v---�-------�-� _.�_..-- � -- __... -- — --------------�---------�-------� ----. . . ...._...---..__._ ...._.... _.. - -.. . ELECTRIC GROUND �, UNQER Fl_OGR DUCT � -- -----�--- ----- - -.. —__----...------------ ---- ---------'---------�- -------- • -- GROUND PLUMSING i UNI}ER FLOOR CU�IDUIT � ' ------------ -- ---- --- ------------------- -------------- _�___ ----------------� SLAB GRADE ; ___ _ �IREPLACE FaUNDATlON - - --- ---------- ----.-- -_...----�---- .__. _... _ _-- -- --- -- ! TEMP POWER FIREf'LACE BOND BE/�M , � � __ � ----- -- -- -------- --- -- WATER SERVICE---- -- --- ---- MID H�_BOND BEAM i --------,�-__-----------_ .---- -------...-- --- ---- ---- ROOF SNEATHING__ --_--_,�Y, 8�T'. SOND BEAM I . --r ----------+-------------.._...._�........--._-...---- --------..-•-._ ... FRAPAlNGNENTILtATION _, �-INAL BOND BEAM j . ' i •--- -- -- a-_--•---------------�----- -.._..._. .. ------- -� --- -- -. .......-........... .....__. ROOF COVFR I • PRr_GPADING^ � � �.---------------i----------.._.._._..___...._-------� ROUGH HEATING �_-- BENCHING ---�------------�-------------..__.... ..---�------� ROUGM ELECTRICA^_ � __ ROUGH GRADING ` ' ' , - — --------------._.,---.-----�----------- --- . ._._t ROUGFI PLUMBING �_�__� FlNIS!•i GRADWG -- ._._.__.�___._.----.-. -- � — — - •:-- ---- -- SHOWERlTUB TEST ' Pf�OL ELECTRIG � ; ' ----------_ -------- - --�----- -- - ------------ --;-----�----------------...--�-----.._:.._.,_ EXT. LATH/SInING . ' POOL FENCING � — - ---- -------���-----------<------------.__.__.__...�....__.._....._.. . -- WALL ItdSULATION � �v POOL FiNAL � �_ �_ -- ----- --..._._---._._._�_-----------�..----�--------�---__�_.____.. _.. -- - - -� GEILING IIVSUTAT'IQN ( QFF SfT�IMPS. ` ------------____.--� — .__ --�..-----...----..�,----------=----------- ....---�----...- ---... .........._.: --- --; DRYWAL.L NAI�ING � DEBICATIONS : ; ' —...__--- -- - ------ - ----------._______.--- i _----------..._,____._._......_ _.......-------. ..., SEWER ; � F1'VAL,ENG. , I ; --- ----_.__ �----- - ------------------------- --_--- - -- . - - - ---- -� SEPTIC TANK j ; lANC35CAPE/tRRI a. ; ; — � --- --_�._----•---.^_.__....------• -r__._.�..............._. _._..... SEEP PET!l..L. � i ON 5lT� IMPS. i . _ ----------__--r-- -�------------- ----- -- -- - --- - --- - GAS A!R TEST ' �=1NAL Z.Ot��1t�lG ------..�__- - ---�.�`.�__.__-......----�-------------._ ._.._. __ ._. .__........._., --�.-. -. ._-,- �. ..._....--------! 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