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HomeMy WebLinkAbout15722 (23) CITY OF DIAMOND BA& �� -- DEPARTMENT OF COMM[]NITY d�DEVELOPMENT SERVICES � � 21660 E.Copley Drive 3uite 190 (909)860-3195 Fax(909)661-3117 PRESS BUQ.DING PERMIT APPLICAITON , FIRMI, � ADDRESS (� � DATE CATION /'�.3�..- ��NE MB R `✓���i��r v� V � APN LOT ACT DA EE � �� CONST. GROUP � OWNER SCfM ADD SS ZONING SEBACKS � CfTY � ZIP TEL. R�R Rw O APPLICANT � TEL. � SIDE/SIDE STREET RW D CONTRACTOR ""� G � SIDE ❑ g ADDR S 1 - CITY � . ZIP ej TEL • � PROPOSED USE - �'C� � ��U"`I� Is ARCH/ENGJ DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS CITY ZIP TEL � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLAFATION � SFWA��/REAA 1 NEREBY AFFliW UNDE0.PENhL7Y OF PEN.RIRY 7HAT I N1 EXENPT FACYI TYiE CONfRAC70N5 L6 G8f8pB/�i8fp011� v� CBI3EUWFOR iOILOWING11EA80N(8FC.70.97.6BU8 9AN�PROFESSIONSCODE:MA'CITYOR (/) COUNTYN711CMpE ESAPERMRTOOONS7pI1CT,ALTER PHOVE,DEMOUSH,DRREPAIRANY97HUC. W P8110IDeCk 'lI1RE►RIOR TO RS IS E.7iL80 REGUR1Eg TME APP CANi FOR BUCH PERMIi TO FlLf A 910NED 6TATE►IENT TXAT NE OR E IS 4CENSED PUR6UMR TNE VPOVl410NS OF THE CONTRACTOR3 U• C915E lAW(Q111PiEfi� ENCINO M77H SECT OOD)OF OMSION J OF h1E BUSINESS AND PRO � �USp6 F SSIONSOODE)ORTFIATNE HEISE%EMPi EFR04ANDTFIEBRSISFORTHE/�LLEOmE7fENP� ANYVIOL�TIONOFSECTION 1.6BYANY LIC�NITFOpAiERMIYSUBJEG75TNEAPPLIGHITO Z Re-Raof F CML PENhLTY OF NOT MOR6 MUN m OdURS(t5oo�.�: � ❑I,A60WNEHOfTHEPFpiER'TY. MPLOYEEfiNlI7/1W�fiESASTMEINSOIECOMPENSATqN, � r�mmerciel � LL DD 7ME MfOi1K ANO 1NE 67AUCTUR IIiTENDm OA OiFEREO iOR 6ALE(S6C.y0u,BUSI- J 55 AND PROFESSIONS OOOE:7ME M S�10ENSE tAW DOES NOT APPLY TO M!OWNER OF � � EHfYW1i0lUqD80NIMPROVE REON, WHOOOE56UCHNORKHIMSEiFORMEReELFOR � � ' IObOi1NEROWNFA�L ES,iHOVID TSUCMNAPROYEMENTSMENOTWTENDEOOq m FORDALEFHOWEYE FBUlDIH00R1Af M9RISSOLDM/1Ti1M10NEYFAROFCOMPLE- Tvi,7NE OWNER#UIDER IfAVE THE BUHDEH huR NE OR&1E DID NOT BUrtD OR tdPHOVE FOR?HE PURPOBE MLE�. W ❑I,LSOMMENOF7FIEVFqPERfV,ANEXCLU3IYELYCONTRACTMI(iWfIHLICENSEDODNfR11CTOR3 � to oa+srnucr n�vaa�cr fsea ra�,OUSME8S AND PROFE3810N5 OOOE:7HE CONTRACM118 ll' Y8h18fI0r1 ADJ.AREA CENSE lAW OOES NOTAPPLYTD�PI OYMER OF�GpOPEMT'WF106U0.DS aq MPNOVE9 THEPEpJ,ANO wwcarrn�crawnaucHPra.�ctswnni�ooqrn�eron(s���ceroseowrsw✓+rton�ecanrrua pUpNTITY DESCRIPTION FEE � TURS UCENSE UW.} ' O I AI�GXpAPT UNDER BEC. B.�O.C.PDR THIS REASON � � ,� � ! 3- DATE CMYNER � W UCENSED CONTRACTORS DECLARA710N W �� � �HER[BYAFFIRYUI�AERPEW�L7YOFPERJURYT1iATIM1lICENSE�UNDER�ROViSIONSOFCF4�PTER � ' � s �(CONYENCWO YIIIIH SECTqN 7000)OF DIVISqN]OF THE BUSINESS AND iROFE55qN9 GODE,M10 Z X W LICENSE IB W FULI � 1W0 EFFECT. i� � UCENSECUSS � I G C L � 1-� /1 l �� � � DATE�V'��"��7 GONTFACTO�L�'•� 2�') a � WORKERS'COMPENSATION DECLARATION Q y IHEREBYAFF6MAUNDERPENALTYOFPEMJMONEOFTHEWlLOW1NODECLAMTIONS: V t/� Q � _IFIAVEANDMM.LMANlTNNACEI1iIFIGTEOFCONSENTTOBELFaNSUREFOF1riORKER3' _ COAPENSATION.A6 PROVIDED BY SECTON a700 OF T11E UBOR CODE.FOR THE PENi'ORMANCE �U Q Tff WORN iOfi W WCH 7NI5 PENMR IS ISSl1EV. � Q �HAVE AND WILL MAMTAW WORKERS'OOMPENSA710N INSUMNCE,Il4 REOUIREO BY SECTpN � l7000F TNE IABOR OO�E.FOR THE PERFORMANCE OF lY1E WORK PDR NMICX iH15 PERMR IS � lSSUm.WYNORK 001APt`N TIIXIINSU NCE RIERANDPOLICYNUMBEFlARE: CONSTRUCT�ON � ? �qaFq �P.0 1��r,.�� PtAN REVIEW � � PO�ILW MIYBER _'rf ILX,�i, - — — ELECTRIC o�7 m�s�r€�rroree��oFnEr¢anrr�sr�raue�ooaunsR+oM��Rs1 PLUMBING Z 1 CENTIFYTMAT IN i11E PERFOpMANCE OF THE WORK FOR WHICN iH6 PERMIT IS I65llE�,I MECHANICAL �' Sl1ALL NOT EMPLAYANY�ER90N�NANY MIANNER SOA9 TO BECOME SUBJECT TO7HE y WORNERS'CdAPENSATIONlAN50FCAL�FONNI.�ANDAOREETHATi16HD11LOBEC0IIE INSPECTIONFEE Bl18JECTTOTMEriORKERS'COMPENSATIONPROVISIONSOf ECTIOH37000FTHEUBOR s Ca0E,I8NALLFORM1MATHCOMPLYMnT/tMOSEPHOXIS . ISSUANCE S � -�w�3I-� APPLIC � � '~"J^ SMIP � OATE: WARNIIVO:FM.URETDSECUNEWORKENS'GOG/PFNSATIONCOVEHAGEI8UPLAWFUL.MID6MALLBE ENERGYP/C �y ffi1BJECTANEMPIAYEHTOCRIMIWILPENALTIESANDCMLFINESUP700NEHUNDRm�MDUSANO �ERGYPERMIT OQUfl5(i100.000).W AUDITION TO THE COST OF GOMPENSA710N,OAM�OES MS PFOVIDED FOR IN J BECTpN 970!OF THE L�BOF O�DE.INTEREST,AND�TfORNE1"S FEES. qE7ENTION FEE: SCONSTRUCTION LEN�ING AGENCV P E• LT FEE� � 1 HEREBYAFFlHFJ UNDEp 7ENALiY OF PERIURY THATTNERE IS A OONSTqUCTION LENOMO AfiENCY FORTF£PERFOfiMANCE OF iHE WORK FOR WHICH TNIS pERMIT IS ISSUEO(SEC.]W],CIV,C.�. �i -�� � � LENDER'S NANE � LEH�ER'SADDNESS � ICEfl71FViNA71HMEHE�DT7ISAPPLICA770NAND8Tl1TET41T7}iEABOVEINFOqMR710NI5CORRECT. TOTAL FEES • d IA(iREETOCOMPLYWfiNALLCm'�NOCOIINTYOR0INANCE5AN�3Tl1TElAWSRELAiMIOTbBU1L01NO /'� CONSTRUCTION.IWOHEHEBYAUT110RIZEREPRESEMAiIYESOFTHISOOUNTYMENTEqUPONTNE �/�-1�1 � l(r( � ABOVE•MEMqN�VpOPERTVWRINSPE IONPUfiPOSES. COMN�ENTS U v v � � ` � � � QPE iT7EENA1AEfVi�iM1 `� _ '-'� � � 810PU OFPERMfTfEE DATE � RECPL NO. PAID BY - VqL1�/4T10N WHITE—Depenment Copy,YELLOW—Finenco Copy.PINK—Assasaa Copy,GOLDENROD--FIIe Capy,GREEN—AppllcanYs Copy .^,�, _ \ .. .....j .. r,..;�.'i..;. .A...'a.•C r�•v' �.4. ..'(: �Y ' . , ,''Jnv,a.We-.�P"..� ..Y X...��� . . . , .. .� ' . . �i�! . '. � 'I .. � . � �� i. � ` ' .. �.�' .. ..i ' ' _, ... .. ,. . .. � . CITY OF DIARlI�t�lD EPAR INSPECTIt�N RECOE�D � �' �" �' � e . � s r • a e = . �. �u�t..., SET BACK �� � j ' Ft_�OR J�IST - --r--- ----- ����� - �-. .-_— _ �_:.---- -------- -� FfiGSI�ORMSlSTEEL � ' FHA REQtVITS � ------_._.----.._._,�.�.�_ �.----_.___..��_-- —�--------------�----�._---•-- ELECTRIC C�ROUIVD � , ' � � UNDEN F�OUR DUCT __i __i_.` ---------- ----, ------- ---- -^._.____._---._...-- -- -�-- -.�---- �GROUND QL.UIL181'VG I i ' UNDER FLOOR CUMpUIT ' . -�----+----- i � � ��_- -- �-r--------- --- -------r-------------� - ---- •SLAB GRADE---___�_�-�--- ; ! FIREPiACE FOUNDATION I _.___�____^_. --- --- - _�_.---------- ___-�- - ---=----..__..._......_.� TEMP POWER � ---- ------ �!�FIREPLACE BQND BEAM ( _..__..___; WATER SERVICE �ju i~ ; I MiD H7.k30ND BEAh9 � ! ROOF SHEATHING -� _-------__��..�__. I J.8..FT. BOND BEAM � --..__� --.----------------� l._. �._._.--------._.._—._-----_._-- _�., ��.___-------- � - — , --_. FRAMINGlVENTi�.iAT10N �� �'j__ i f FINAL BOND BEAM ; __----- .----� � L-� _ -�---- --- ��- -- -- flOOF CnVER i � PRE_GFiADWG I � —}--�--__ _--------t ROUGH HEA7ING ! BENGH{NG ' -- - � ROUGH ELECTRIL' ��-'3p-[� _ ROUCH GRADING I � ~ � � �--------- _.----------- -------�-- � ROUGH FLUMBIEVG � ; I fiINISH GRAflING ' i `_� �_..__.._...._.� �_._. SNOWERtI"JB TEST 4 � I r POOL ELECTRIC y; � � EXT.IATN/SIDING � _ ' POOL FENCING , - �---•-^---- j —_-- -•-- ------ -- T ----- —-- WALL ItVSULATIOFJ ; POOL FINAL � -- ------ -----+- - - OFF S17E IMPS, � --- �__..__------• ...---- -a '�'__-__=��_ Y----�� � .---------- ---- ------_---�-_------- -------- --___.s CcIL1NG tP�dSULAT(ON DRYWAL.L tVAlLING i ; ( i DEDICATiONS ' �," �_.`.________._�__. :_ _�_ �_.�._-_r. ____ ._�____..�_----�---.----------._..__,_. . _�_� SEWER ; i ; FINr1L ENG. , ' I _.----------- �-:------�---._.._�_. _�___-�---__.---------{-__...-------_.__..__-----�---- SEPTICTANK � � ! LANDSCF��'E/IRRiG. '' i i � GAS A!�R�TfEST -"----- -___;___._—_ - �-=----�.,j ;�INAL 2��111+lG �____,1.__----------------....._.; �.___._._.._- -�-------- --�-= ------------.__..___._.._�.----------- ------.._._._------�--_....-----..__..-- ` Fl��AL C�tdST. ( .�' ' FIRE DEP�. F�NAL � :�.�SI�G32�__.1 � ----.___-----—_. ------------ -------------`,_______--�-------.._��._.__—� --- ....__ - - -� FIh;AL H�ATii�1G 3 , . ' ; j HEALThI UEP�. 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