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HomeMy WebLinkAbout11123 -----:-.:.r— �---- -- _..... CTTY OF DIAMOND SAR � COMMUNITY D�VELOPMENT DEPARTMENT .,..0 21660 E.Copley Drivc Suite 190 (909)860-3195 Fax{9p9)861-3117 PRESS '""' BUILDING PERM[TAPPLICATION FIRMLY � JOBSITE ��f t,I�.p �/f APpLICATION PERMIT / P/C A ADDRESS 3`�� S o � ( v DATE�_�/9� NUM9ER I//Z� � g issue TYPE occ APN LOT T T DATE CONST. GROUP p OWNER G 1 ..Q C7 Q ADDRESS O '� A ZONING SETBACKS �LL' CITY ZIP 4 TEL. ^ �� REART RW ❑ APPLICANT ����''��L.� SIDE/SIDE STREET RW ❑ z � CONTRACTOR S� SIDE ❑ p� ADDRESS ��+- PROPOSED USE � QV� o CITY ZIP � TEL.�� • w ARCWENGJ rnD�, Z DESIGNER �k� �� S�� NO.DWEL. NO. NO. � ADDRESS '" �— UNITS STORIES BEDFOOMS = CITY L/¢ CIL. ZIP TEL. - � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BI:ILpER DECLARATION SFqlADDlREM ' O 1 NEREBY AFFIRM 11NDER PEHALTY OF PEFJURY THAT I AM E%EM7T FROM iHE CONTRACTOR9 LI� �..e� W CENSELAWFOHiHEFOLLOWMGREA50N(SEC.ln71.69USINESSAN�PROFESSIONSCODEANVCITYOR � GeragelCarport' • • • � � U COUNTYWHICHREOUIRE511PERMITTOCONSTRUCT,ALTER,IMPROVE.OEMOUSH,ORREPAIqANYSTRUC- � patio7Deck Z TURE.PRIOR TO IT5 ISSUANCE,AL50 RE�UIRES THE APPLICFNT FOR SUC11 GERMIT TO FRE A SIGNEO W STATEMENT THAT ME OR SHE IS UCENSED CURSUANT TO 7HE PROVISIONS OF THE CDNTRACTONS LI• "w � CENSE UW(CNAPTEA 0�CAMMENCING WIiH SECTWN 7000)OF UIVISION 7 OF THE 9USINESSANO PRO- u- PoollSpa � FE5SIONSOO�E)OR'�MATXEOflSHEISE%EMPTTHEREfROM11NDTMEB�SISFURTHEAlLE0E0E%EMP• ,(� ipN.ANV VIOLIRION OF SECTION 7031.5 BVMIY 0.PPUCANT FON A PERMIT SU61ECT5 TNE APPLICANT TO Z Re-Roof �CIVIL PENALTV OF NOT MORE THAN FNE HUNDRE�DOLURS(75a0).): � ❑I.ASOWNEROFTF7EPROPEflTY,ORMVEMPLOYEESWITHWAGE50.5THEIR50LED�MPENSATION, Gp�R161C18I Z WILI DO 1ME WORK,AND THE STRUCTURE IS NOT INTENDEO OR OFFEFEU FOR SALE(3EC.701�,BUSI- Q � NESS AND PROFESSIONS CODE:THE CONTRACTORS IJCENSE LAW DOES NOT�PPLV TO/J'101MNER OF ? PROGERTY WHO&11LDS OR IMPRO�ES THEREON.ANO NMQ DOES SUCH WORK HIMSEIF OR HEqSEIFOR � THiIOUGNHI50RHEFONMEMPLO�EES,PROVIDEOTNATSUCHIMPROVEMENTSAREN07WTFNDEDOq m QOFFEREOFORSALE.IFMOWEYEfl,THEBUILDINGORIMPROVEMENTISSOIDWITHINONEYE0.ROFfAMP�E- Z TION,iHE OWhEREUILDER WILL HAYE THE BURDEN OF PqOYING THAT HE OR SHE DID NOT BUILD Op � IMPROVE FOR TNE PURPOSE OF SALE). w ❑I.ASONRJEROFTHEPHOPERT:AME%CWSIVELYCONTMCTINGWITHLICENSEDGONI'liACTORS � TO CONSTRUCT THE PROJECT(SEC.7o4a,BUSINESS ANO VROFESSIONS CODE:TME CON7f1ACTDRS LI- V81118�i0n ADJ.AREA W CENSE UW OOES NOTAPP�V TO AN OWNER OF A PqOPERTY WNO BUILDS OR IMPpOVES RIEHEON,PND � NM110CpNiMCTSFOflSUCHPROJECTSWITHACONTRACTOq�S)LICENSEDPURSVANTTOTHEGOfiTRRC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.J. � LIAMEXEMPTUNOERSEC. B.iP.C.FOqTHISREASON Q N�M� /�� �t � // Lf [ 2 u" DATE ONMER U Z t� � Qe� LICENSED CONTRACTORS DECLARATION W CC IHEREBYAFFlRMUNDERPENALiYOFVERIURYTHATIAMUCEN5E0UNDERPROVISION90iCHAPTER � , d O f��ENCINO WIh7 SECTION 700Dj OF ONISIDN J OFTHE BUS�NESSAND PROFESSIONS CWE,ANO Z X NY LICENSE IS W FULL FOFCEAND EFFEM. m � . LLI �.{ `� � LICENSE CUSS LIC.NO.� ✓� ✓ � V DATE�1� CON7RACT0� �'F '�_�__._,e...�rJ � W � WORKERS'COMPENSATION DECLARATION Q � I MEREB FIRM UNDEH PENALTY OF PERIURY ONE OF THE FOLLOWIVG DECLARATqNS: Z � 1 HAVE AND WILL MAINiAIN A CERTIFIGATE OF CONSENT TO SELFdNSUHE FOR WOqKERS' _ Q COMPENSATION,AS PROViDED BY 3EC710N 370o OF THE LABOH CODE.FOR TNE DERFORMMICE W Q O fi1E WORK FOR WIiICl7 THIS PEFMI7 IS ISSUED. � I HAVE AN�WILL MAINTAIN WORKERS'COMPEN9ATION INSUflANCE,A9 RE�UIflEO BV SECTION dQ 97000F 1TiE UBOR CO�E,FOH THE PERFORMANCE�F iNE WONK FOR WHICX THIS PERMIT I5 ISSUED.MY WDRKERS COMPENSATION INSU CE CARRIEH AND PoLICY NUMBE ARE: CONSTRUCT7ON 6 y �pqqiEq S�� �K�"' pLAN REVIEW Z POIICYNUMBER_ � �_Z�:_ ELEGTRIC � 4 Q (fMISSECTqNNEmNOTBECOMREfEDOF7HEP6iMfI6PORONEY1lK+DFlEDDOl1ARSp100)OR1E551. PLUMB�NG �. Z 1 CERTIFY THAT IN TNE PERFORMANCE OF THE WOHN FOR WHICH THIS�ERMIT IS ISS�ED.I MECHANICAL �Y� C7 SHALL NOT EMPLOYANY PEfl50N IN ANY MANNER SOAS TO BECDME SVBJECT TO TNE !�_ N WORKEAS'COA/PENSATIONL4WSOFCALIfORNIA,ANOAGREETMATIFI BECOME INSPECTIONFEE S SUBJECTTOTFIEWORKERS'COMPENSATIONPflOV1910NSOFSECT 7ooOF HEL COOE.IS F HWITHCOMPLYWI7HT EVROVI IONS. �SSUANCE �, I� p OATE:��APPLICANT: SMIP ( � � ENERGY P/C W�RNINO:FAI�URE TO SECUflE MVORKEflS'COMPENSATION CAYERAGE I U .ANO SNAIL BE �y SU&IECTANEMP�0YEF7TOCRIMINALPENALTIESANDCINLFINESUPTOONENUNDREDTHOU5AND ENERGYPERMIT DOLURS(i1 W,000�,IN ADOIiION TO THE COST OF COMOENSATION.DAMAOES AS PROYIDED FOR IN � SECTIDN370BOfTHELABOHCO�E,INTEREST,ANDATfORNEY'SFEES. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFIRMUNUERPENALTYDFPERIURVTHATTXEREISACANSTRUCTIONIENDNOAGENCY FOR TNE PERFORMANCE OF THE WORK FOR WHICH THIS PENMR�S ISSUED(SEC.9oe7.CIV.4�. Z W � LENDER'S NRME F- LENDER'S RDDRE53 w� TOTAL FEES � 3`1, o� IGERTIFYTHATIMINEREAOTHISRPPLICAipNANOSTATETNRTTNERBOVEWFORM�T10N15COFqECT. � IAGREE T[1 COMPIY WITN ALL CITY AND COUNTV ORDWANCES AND STATE LAWS RELATINO TO BUIIDING � CONSTHUCTION,AHD HEREBYAUTHORIZE REPRESENTAT!YES OF TNIS COUNTY TO ENiER UFON THE Z ABOYE�MENTIONE�PROVERTYFORINSVEC.rIONPl1NPO5E5. o _�l. �- /2 COMMENTS _ —« ¢ PERMITTEE NAME�PRINT) �^ �� � � � -SION J PE i DATE = RECPT.NO. PAID BY ,D�_VALI�ATION ~ WHITE--Oepartment Copy,YEILOW--Finence Copy,FINK—Aeaessor Copy,GOLDENROD—File Copy.GREEN—ApplicanYa Copy , � , . � � � .. .....�. e , ., . ,,. . � ' ...i . - . .. ._ - . . . �. � . . . .. ' .i .. . . . • .� , .. . .,. .. .. . . .� . ., ' ' -- . CITY OF DIAMOI'�Q B�►R IN�PECTI�N RECORD • � � � ' � " ,!� �.� � ' ' � ' SET BACK uu� � � � FLOOR JOIST � t-- FfGS/FORMSlSTEEI ` ^ FHA REQMTS ELECTRIC GROUND �' � � UNDER FLOOR[3UCT � GROUND PLUMBIN�� ; UNDER FLOOR COhIDUIT SLAB GRADE � � FIREPL'ACE F'UUNDATION ' t __ 7EMP POWER �� FIREPLACE BOND B�AM ' � WATER SERVlCE � MID HT.. gOND BEAM Ti ' • ROOF SHEATHING _-�-.—_ 8 FT. BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM I � RUOF CaVER PRE-GRADING � � ROUGH HEATIlVG BENCNING ROUGH ELECTRIC � �_ _ ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERIfUB TEST POOL ELECTRIC EXT.LATH/SIDING i POOL FENCING � WALL 1NSU�ATION � E POOL FINAL � i ' CEILiNG INSULATION , OFF SITE IMPS. i DR'YWALL NAILING ' DEDICATIONS � SEWER � ; �INAL ENG. SEPTIC TANK � � LANDSCAPEIIRRIG. i SEEP PITIL.L. ; _ � ON SITE IMPS. GAS AIR TEST ' � FINAL ZONING j � FiNAC COl�ST. FIRE DEPT. FINAL ; FINAL HEATING � HEALTH DEPT. FINAL � • FINAL ELECTRIC � ' ; DEV. FEES PAID FINAL PLUMBiNG ENERGY � � . . � -- ----- ' --- �••, qr O COMMENTS ' �,� ~ r� ,. , .� . SEPTIC TANK SIZE SEEP PIT/U SIZE � I - � �