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HomeMy WebLinkAbout17719 (1110) �� CITY OF DIAMOND HAR � i DEPARTMENT OF COIvIIvtUNfTY&DEVELOPMENT SERVICES � 21825 E.Copley Drive "� (909)860-3I95 Fax(909)861-3117 PRESS �`-� � BUILDING PERMTT APPLICATION � FIRMLY o ODR'ESS�✓U D U/¢LLe-�I ���� �/� Z,J^ � DATE �'� 1-` 'NUMBER I 1 q��_ >- APPLICATION IT P/C $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP °C OWNER •I•�• V�lL@y UlS� L•L�C O o ADDRESS 1 ut� 1 ZONING SETBACKS gCIN l��u ZIP � r TEL. REAR RW ❑ APPLICANT TEL. SIDE/SIDESTREET RW ❑ � CONTRACTOR N Of +}'* � SIDE ❑ ADDRESS � % 5 �s•rk � CITY_P�tW T'I►�- ZIP ^V TEL.7/ � ?Z !y PROPOSED USE o ARCH/ENG/ � DESIGNER NO.DWEL NO. NO. a ADDRESS � CIN 21P TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q ONMER-BUILDER DECLARATION SFRlADD/REM O p I HEREBY AFFlFUI UNOER 7ENALTY OF PERAIRY THAT 1 AAA EJ(EMPT LRD4 TXE CONTRACTOiiS LI- Gdfe B/Ce1p01I W CFNSEUWFORTHEFOLLOWWOREASON(SEG7077.68USMESSANDFpOFESSI0NSO0DEINVC�TVOR (J� g V COUNTYWHIp/REWIRESAPERM�TTOCON5TiR1CT,ALTER�PROVE,DEMOl15N,ORqEFAIqANYSTRUC• W patio/Dedc � TURE,PRIOR TO IT3 ISSUANCE.AL:A REOUIRES THE APPUCANT FOq SUqi FERMIT TO flLE A SIGNED w � STATENEM THAT HE OR SHE IS 110EN5ED PURSUANT TO TNE PNOVISIONS OF iHE CONiMCTORS LI• � � CENSE UW(GIAPTER Y(COMMENCW�N77H SECTION 7000)DF DIVISION 7 OFTHE BUSINESS M!D PR0. PooVSpa � fE55pN5COD�Oq7HATHEOR5HE13EXEMPi7HEREFROMANDTHEBA515FORTHElLLLEOEDE%EMP• C7 TION.ANVVIOIATIONOF5ECT10N7W1.6BYANYAPPLICANTFORAPERMIiSUBIECT3TMEAPPLICANTTO z qe-Roo1 A CML OEN/LTY OF NOT►qRE THAN FIVE HUNDREO DOLURS(f5oo�.} 0 OI,ASO4MEROfTHEPROPfRTV,ORGVEMPLOYEESWITHWAGESASTMEIRSOLECOMPENSATION, O �mmereial � Z WILL DO TNE WOHK,AND iHE 6TRUCTURE IS NOT IMENDED OR OFFEREO FOR SALE(SEC.70a�.BUSI• J � � NESS AND PROFESSIONS CODE:THE COMMCTORS LICENSE lAW DOES NOT�PPLY i0 AN OWNER OF � ►ROPERTY NR10 BUI�DS ON MGROVES 7HEHEON,AND WMO DOES SUQ1 WORK NIMSELF OR MERSELFOR � TMHOUGHMISORMERONTIEMPLOTEES.VNOVIDED7MRTSUCMMAVROVEMENTSARENOTNTENDEDOR m � OFFEREDiOR5ALE1F,110WEVER111EBU1LDINQORI1dPROVEMENTISSOLDWITHINONEYEAROFCpAPLE- Z TION,TIiE OWNEH�BUILDER WILL HAVE TME BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR = MIVRdJE FOR THE PURPOSE OF SALE�. � W ❑4�-40wNEROFTHE�ROPERTY,AME%CLUSNEL�CONTMCTINGYJiTHLtCENSEDCONTMGiORS Q TO CONSTRUCTTHE PHOJECT(SEG 70a�,BUSINE55 ANU PROFESSIONS CODE:THE CONiMCTORSIb VdIUBtiOf1 ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPEHTYNR100UILDSORIMPROVESTNENEON,AND � N?fOCONTMCTSiORSUCHPRQIECTSWITHIICAMMCTOR(S�IICENSEDPURSUANTTOTHECONTMG QUANTITY DESCRIPTION �E � TORS UCENSE UW.). 0 ❑IAM E%EA1PT UNDER SEC. B.t PC.FORTNiS REiISON Q � U ZDATE OWNER U . : . . . �Q LICENSED CONTRACTORS DECLARATION W 2 INEREBYAFFIRMUNDERPENALTYOFPE0.RIRVTHATIAMIK;ENSEDVNDERVROVISIONSOFCHAPTER V. p. 0(COMMENCINCiWITMSECTION)00010FDMSION]OFiNE8l151NES5ANDPROFE5SqN5CODE,ANO Z X UCENSE CUSS` Fy�� EFFECT. [., LLL � � y LIC.NO. � `��� � WDATE �'���D_�CONTRACTO d � WORKERS'COMPENSATION D CLARATIO Q � i/�� G� V Y�'� � � IHEREBVAFFIRMUNDER►ENALTYOFiERNMONEOF7MEFOLLOWIN�DECLMATqNS: Z a ��L,� � 1 C �,�, � 71 v i V � _IlUVEANDWILIMAINTAINACERTIFICATEOFCONSENTTOSELFaNSUREFORWOHKERS' _ COMPENSATION,ASPROVIDEDBYSECTION77ooOF7HELA80RCODE,FOpTHEPERFORMUJCE �U Q OFTHEWORKFORWHICHTMISOERMITISISSUED. � _I IUVE AND WILL MAINTAM WORKERS'COAIPENSATION MSUiUNCE,AS REOUIREO BV SELTION Q 77000FTHEUBORCOOE,FORTHEVERFORUANCEOFTHEWORKFOqVMIGHTH15VERM1i1S LSSUED.A(YWORKER.�Sry'CO�MPENSATIONWSURANCECAi1RtERANOPOLICYHUMBERME: CONSTRUCTION SI /11 � ��� ] CMRIER � �,�, PLAN REVIEW � POLCYNUMBEF ���'� ELECTRIC � (1115SECTri1NEmNOTBE00MPlETEDOF7HEDERAff6PoROh'E141�DREDDdURS(ftOD�OqLE55} PLUM8ING Z I GERTIFY THAT M THE PEHFORMANCE OF TME WORK FOR WHICFI THIS PERMIT�S ISSUED,I MECHANICAL v C7 SHALLNOT EMPLOVANY fER50N IN ANY MANNER SOAS TO BECOME SUBJECTTO THE (n WORKERS'COMPENSA710NLAWSOFGALIFORMAANDAGREETNATIFISFqULDBECOME INSPECTIONFEE SUBJECT TO THE WOfiNERS'COMPENSATION PqONSqNS OF SECTION 7700 OF THE UBOR s CODE,I SHALL FONhMATH COMPLY WIiH THOSE PROVISIONS. ISSUANCE � O p DATE: 11vPLICANT: SMIP � ENERGY P/C WMNINU:FA4URE TO SECURE WOHI(ERS'COMPENSATION COVERAGE IS UNUWFUL AND SHALL BE �y SUBJECTANEMPL�YEHTOCNIMWALPENALTIESANOdVILFWESl1PTOONENUNOREDTHOUSAND ENERGYPERMIT DOLLARS(f 10D,000),IN/�DDITION TOTHE COSTOF�qAPENSATqN,DM/AOES AS OROVIDED FOR IN - ¢ SECTION 770e OF THE UBOR WDE,INTEHEST,ANDATfORNEYS FEES. RETENTION FEE: pCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFIRMUNDEROENALTYOFPERJURVTMATTIIEREISACONSiRUCT10NLEN01N(iACENCY � Z FOR TNE VERf-0RAIMICE OF TME WORK FOR WNICH MIS PERAIIT IS ISSVED(SEC.ioa7,CIV.C.). W � LENDEH'S NAME F'� LENDEi{SADORE55 w ICER7IFYTHATIFUVEPEADTHISAPPLICATIONMIDSTATETNATTHEABOVEINFORMATqNISCOqRECL TOTAL FEES 3 � � IAGREETOCAMPLYN77HALLCITYANDCOUNTYORdNANCESANO3TATEUW3REUTIN�TOBURDING � CONSiRUCTION,ANDMEREBVAUTFIORIZEREPRESENTATIVE50FTHI5COUNTYTOENTEflUPONTME Z ABOV� TqNEOYROPERTYF RINSiECTIONPURPO5E5. COMMENTS � c�Y�( ��{,T' �a l� _ m PE ITiEE E PRI � ¢ �i�7'��— � � S� N HEOFPERMi7� DA7E � FECPT.NO. PA�D BY . VALIDATION WHITE—Depanmenl Copy,YELIOW—Finance Copy,PINK—Assassor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy . :r .. , . -.. , . -.-, ........-..-r,,. .<, .-• �-"....n�-l-:'a�iaR•.c,, �7rr�.�^�.^^ . , :,y,.,.r..P ..Y„� ,.;,...., �-• , �- .--�r..., __... ..._._.. ...... CIT`f (�F DIAf�0�1D B�R � INSPEC�ION RECORD il����`���'�. ._._...,J���t���. ���i������4 a';:�, . , �f►��.�:����io�A.� . �0�'�1:d� � til:;�.���'�? Q:,�=�. SET BACK � � i_,_. :�_..�...._;._...__..,...._�._._ FLOOR JOIST�� ,_.�__ ___.I�........_ __._; F�`T'GS/FORAt1Sl5TEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CUhIDUIT • � SLAB GRADE � FIREPLACE FOUNDATION � TEMP POWER i FiREPLACE BOND BEAM WATER SERVICE I MID HT.E30ND BEAM ' � ROOF SHEATHING � � 8 FT. BONd BEAM FRAMINGNENTILIATION ( � FINAL BOND BEAM ROOF COVER I I �I PRE-GRADING � ROUGH HEATING ! �ENCHING � ROUGH ELECTRIC ' ROUGH GRADING ROUGH PLUPJIBING � � FINISH GRADING � SHOWERIT'UB TEST ' ' � POOL EI.ECTRIC EXT.LATHISIDING , j ; POOL FENCING � WALL IP�SULATiON ' � � POOL FINAL CEILING INSULATiON OFF SITE IMPS. DRYWALL NAILING DEDICATIOPdS SEWER ; j FIP�AL ENG. SEPTIC TANK { ( i LANDSCAPE/IRRIG. � SEEP PIT/L.L. I j � ON SITE IMPS. GAS AIR TEST : I FINAL ZONING � FINAL CONST. ! � ' FIRE DEPT, FINAL � FINAL HEATING � /�� " ; HEALTH DEPT. FINAL � FINAL ELECTRIC : � ' '; DEV. FEES PAID ' FINAL PLUMBING ; � i ENERGY I i j � i l� C.i':ti���it�[ [= � � �.�.�_____ — -- ' •.., COMMENTS � ' � � � � . , ,, SEPTIC TANK SIZE ' SEEP PIT/U SIZE ��� .� " � .' :. �� �wr� �j�, . i i � � � . � � . ��_ .�y , ; , , , , ' ' r �...r_. _�_.Y._r.`r...1 I � 1