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HomeMy WebLinkAbout11890 � _ CITY OP DIAMOND BA& i DEPARTMENT UF COMML)NITY 8c DEVELOPMENT SERVICES �, . 21660 E.Co�pley Drive Suitc 190 (909)860-3193 Fax(909)861-3117 ' PRESS �'M"� � BUII.DING PERMIT APPLICATION FlRMLY r JOBSITE �//7 S APPLICATION . `Z. PERMIT P/C o ADDRESS f 7 //�/��A/� DATE NUMBER i� � ISSUE TYPE pCC APN lOT TRACT OATE CONST. GROUP � OWNER �/ A(._ �J �D� ADDR � /���` ZONING SETBACKS � CITY P TEL. 8�+0-0�� REART � ❑ APPLICANT TEL.��'ES4/� SIDEISIDE STREET RW ❑ CONTRACTOR SIDE p ADDRESS � CITY ZIP q/7ib TEL��d�6¢/1] PROPOSED USE - G �' � ARCWENG/ . - Z DESIGNER NO.DWEI., NO. 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W P8f10/DBCk TURE.PRIOR 70 ITS 189UANCE,►180 RE9UIRES THE APPLIC�NT WR eULli PEFlMI7 TO FILE A BN3NE0 • W BiATEMENT 7fiAT FE OR BHE IB 4CENSED PUftSUANi TO TIiE PROYISIONS OF THE CONTMClOR9 Ll• C�HSE LAW(CFNPTER Y(COMMENCW0INITH SECTqN 70aD)OF OIVISION 7 0F 7ME Bt131NE55 ANO Pq0. • � I�ODV5p8 FESSIONSCODE)diTtNTNEOfiBHE1SE%EYP77H97EFAOMAND111E6t415FORiHEALLEOEDE%EMD- . � TpN.AN'lVqLATqHOF8[CTION7W1.69VANYMPLIG1NTiOR�PERMITSUBJECT87HEAPPIICAN7TO Z Re-Roof � �CIV0.�ENN�V.TYOFNOTMIORETNMIFNEMUNDREUDOLLARSli60C1.1: .. 04A60WNEROFTiEPA0PER7V,ORMYEMPLOYEESWIhIWMlE9ASTHEIR90LECOMVENSATION, COR1rtIB1Cl91 WLL DO THE WOiIK,AND TiE 9TRlICNRE IS NOT IMFNDEU OR OFFEAEO FOR 61LLE(SEG.70�1,BU51- . � NESE AND VROFESSIONS CODE:THE CONiRACTORS UCENSE LAW�OES NO7APPLY 70 AN OWNER OF � PROPERTYWM09ULD60RIMPHOVE37)iEfiEOl1,ANDMfF10D0ES3UCFiWOFlKH1613ELFpRHERSELiOR = � i}it0U0HHI50RFIEROWNEMPLOYEES.VNOYlOEDTHATBUCHIMPROVEMENfBARENOTINTENOE�OR ' m OFFERm FGF&LLE iF,110WGVER7ME BINLCWGOR WPROYEMENT L4 SOLD Wrt1tlN ONE VfAROF CONPLE- TION,THE ONNEP�UILDER VALL NAVE THE BURDEN OF PROV W�THAT HE OR 8HE DIO NOT BUIID OR YPiqVE FOR TNE PUpPOSE OF lALE} � OL�60NMEROFTHEPHOPEHTY,NAIXCLU3IYELYCONTMCTNOWITIiLICENSEDWNTRAL70R5 TO CONSTRUCT 7ME PI�JEGT(SEC.7oN,BUSINE55 AND i110FE5510N5 CODE:THE CONfAACTORS 4�- V8h1811011 ADJ.AREA GENSE IAW OOE9 NOTMPLYTO AN OYYN[R OF A PROPERTY MVIq BUILpS OP IM7flOVE9 THEHEON,MA NMOCOHTRACf6WN8UCHPRO.IECTSWI7HA00NTRACTOR�9�LICENSEDPURSUANTTOMECON(RAG OUANTI'TY DESCRIPTION FEE � iORS LICEN6E IAW.). . .. , , O I A1A EIfE1JPT U1DER SEC B.i P.C.iOR THIS REASON , � U �= �ATE OWNER U � LICENSED CONTRACTORS DECIARATION W � 1 NEREBY AFFlFtlI t1NDEA PENALTY OF PE0.IURY Ti4T I MI IICENSED UNOER PR041SION8 OF CHAPTEq � � � �(00►O.IENCMIO WITN 6ECTION 7000)OF�M510N 30FTNE BUSINE55 RND PROFESSKKJS CODE,AND Z .MY LICENS613 N FULL FORCE ANG EFFECT. m � L10EN5E CUSS G"3g LIC.NO.�j � � on ,�-.�Cj- 9ES coNrFucToa � a WORKERS'COMPENSATION DECLARATION ���r � � 1 MEREBY AFFlRAI UNOER PENN.T'OF PERHIRY ONE OF THE PoLLOWIN(i DECURATIONS: Z � _INAVEANDWILLIMMI7AINACERfIFIGTEOFCONSENTTOSELF•INSUREFONWORKERS' _ CdAPENSATqN.AS PROVIDED BV SECTION 3'70o OF THE LABOR CODE,FOR 1HE PERFORM4NCE �U Q iHE WDFiK FOfl NMIGI TMS PEflMR IS ISSUEO. � I HAVE M1D WILL NAIMNN WOHI(EI:3 OOLIVENSATION II.KURANCE,AS HEOl11RE0 Bv$ECTION Q 970DOF7HELA80RCODE,POHTMEVFRPDRAMNCEOiTHEWORKFORWNICHTHI6PERM1T15 ISSU�.MV WORNERS'OOM EN9ATION INSURANC (�RRIEH AND POIICY NUMBER ARE: CONSTRUCTION � � CARRIER �,59 T� � PLAN REVIEW g ��M�A�_a000�4� ELECTRIC 0 (11i65El.'IqNNEIDND7eEaoh�lEiIDOF7FEaE0.Nf6fOROMEH.1�oREo Rtao7oqtas} PLUFABING Z I CERTIFV TIMT IN TlIE PERfORMANCE OF T1E WORK FOR WMlpi TMS RMR IS ISSUED,I MECHANICAL (y 6WQ1 NOi EMPLOY ANY PEfl50N IN ANY MANNER SO/S TO BECOM CT TD THE � WONKERs'WMPENS�TpNIAM/eOFCALIFORNIAAN�AOREET SF10UL�BECOME INSPECTIONFEE S BUBJECTT07HEYYORKERS'COMPENS�7qNPR0 SOFS 77000iTHEU�BOR � cooe,is�uuwan�nn�coMa�vwm�nas sionis ISSUANCE � 6�'� p DATE: APPLICANT: SMIP � WMNItKi:F/JLURE TO SECURE YfORKER3' PENSATION RAOE IS UNLA4YFl/l.ANO SHALL BE ENERGY P/C �y SUBJECTANEAPLOYENTOCRIMINALPE 71ESAN�CIVI Sl1PTOONEHUNDREDTFIOUSPND �ry,�ERGYPERMIT O�LUR4(f 100,000),IN ADOITION TO THE COST OF CqAP. ATION,DAMi1GES AS PRONDED FOR IN J BECTpNY/DeOFTHEUBOROODE,IHTEREST,ANDA NErsFEEs. qETE1JTIDNFEE: _��__�'998 4 CONSTRUCTION LEN�ING AGENCY PRE-ALT FEE: O � 1 HEREBYAFFIitlA UNOER VENALTV OF PERIURY THlR TFIERE 18 ACONSTRUCTION LENDINO AOENCY Z FOq TXE VERFORM.WCE OF THE WORK FOR WH1CH 7HI8 PERMIT IS 1SSUED(SEC.bY7,CIV.CJ. W � IENDER'SNMIE !� LENDEH'SADDRE33 � ICERTIFYTUi11i�VERFJ1pTF{IgAPPLICATqNANDBTATE THEABOVENFORIAATIdVISCOPqECT. T�TP.L FEES � '� �W IAOREETOCOMPLYWITHNiCT'NlOCOIMTYOHDI SNI�STATEUW9RELIITINOTOBUILDW� ///��� ' CONSiRUCTqN,MqHEREBY lZENEPRESENT SOFTHISCOUNTY70ENTERVPONTFIE � J� �� � � � �BOVEdA EDPROPERTY NS ECTIONPUN SES. N � COMMENTS �� Q GEHMITTE � � EOFPE ITfEE DA7E � RECPT.NO. PAID BY VALIDATION WHITE—Dspertment Copy,YELLOW—Finance Coqr,PINK—Aasesaor Copy,GOLDENROD--Fila Copy,GFiEEN—ApplicBnCs Copy �..�.�.«�.���.�.e..�..�.,.r__,_ _...._.. • ' � , . .. . . .�,e.� � x. . .i � ,.. _.. �fi� , , . � � �� • . i ._ .. .. .. .. i� .�+'.a ' � . . . .� . . �y • s � CITI� OF DI/ANtOND BAR ' INSPECTIOhf RECORD A s � i � � r • � � � � � . SEf BACK FLOOR JOIST l � ,,t.• • . �• � ,....,. �. � FfGS/FORMS/STEEL FHA REQMTS � ELECTRIC GRaUND UNDER FLOOR DUCT _ �, �•._ � ; "-; -+-=--F - GROUND P�UMBING UNDER FLUOR CU�IDUlT ;� • • • � __ __ SLAB GRADE FIRE�'LA �FO�JNRATI�N . . ; '�°��� ' -• - • TEMP P(�WER FIREPLA���OtVD BEAM ' �` J � _ WATER SERViCE MID HT. BOh}Q��AM ''� ._-�- .'' ' - •;'�'. � � � RO FF6N�A.T.NlNG� �-.� � 7 --- . S FT. BOND BEAM _ -- .-. • -, - -. FRAMINGrNEt�TIL1ATiQN : * � • FINAL BOND BEAM ROOF C�VER =J� �' PRE-GRADING ROUGH HEATING BENCHIIVG _ ROUGH ELEC7RIC ROUGH GRADING FIOUGH PLUMBtNU FINISH GRaDING I SHOWER(fUB TEST POOL ELECTRIC • _ EXT.LATH/SIDINC POOL FENCING � WALL INSULATION • POOC.FINAL CEILING fNSULATIOfV I OFF SITE IMPS. DRYWALL NAILING � bED1CATIONS SEWER .� ~I ; FINAL ENG. SEPTIC TANK i � LANQSCAPEJIRRIG. � ' _ SEEP PIT/1_.L. i �� • ' ON SITE IMPS. � GAS AIR TEST ; � FINA�.ZUNING ; �� FlNAL CONST. ;`f���- � � ( FIRE DEPT. FIIVAL --_—� _ � FINAL HEATING ' ; HEA[.7H DEPT. FINAL ( � DEV, FEES PAID ` F1NAL ELECTRlC � � , ; � FINAL PLUMBING � ; ENERGY � � ' ' --- —� i � � ----� . - . 1 _ ._,. . . . .:�— . �•:,` ' � COMMENTS . � � � � - -- --- --� , —_ . ' _--- ---- � — --- — ; ' � et-.��i .���•; _ . � _ � ,-;�r , .— .— • 'r, , � . , . . —_ SEPTICTANKSIZE �.�;'_:� c� (�ii4: — SEEP PIT/U SIZE , ►C 1�f�Ki[i -ltJ i 11;1 ----- a2 CI � � ..... . � —._�