HomeMy WebLinkAbout11440 �
CTI'Y OF DIAMOND$AR
COMMUIVTfY DEVELOPMENT DEPARTMENT '
.,,.� . 2I660 E.Copley Drive Suite 19(! PRESS
(909)86Q3195 Fax(909)861-3117
'^�"� BUILDING PERMIT APPLICATION FIRMLY
� JOBSITE APPLICATION PERMIT /Il.,�� F/C ''�
o ADDflESS � � DATE r NUMBER It
� ISSUE TYPE OCC
APN LOT TRACT DATE CONST. GROUP
p OWNER
p ADDRES ZONING SETBACKS
� CITY ZIP TEL. _ R�RT RW a
APPLIC NT TEL. SIDElSIDE STREEf RW ❑
� CONTRACTOR SIDE ❑
g ADDRESS
PROPOSED USE
CITY ZIP TEL.
o ARCWENGI
z� DESIGNER N0.DWEL. NO. NO.
a AODRESS UNITS STORIES BEDROOMS
� CITY IP TEL.
� DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUA710N
�
p� OWNER-BL'II.�ER�ECLARATION SFR/ADD/REM
�
p I HEREBY AFFIRM 11NDER PENALTY OF PEiWRY TW�T I M1 EXEMM FAOA1 THE CONTRICTORS lt� QefeqeMelpOh
W CENSEUWFORT/IEFOLLOWINOREASON(SEC.70J7.�6US�NESSANDPROFESSIONSCOOE:ANYCITYOR (n
� COUN7YWHIpIREOUIqES�PERMITTOCONSTRUCT.AITER,IMPROVE,DEMOLISH.OtiHEP111RANYS7PAIG W petio/Deck
W NRE,PRIOR M 1T9 ISSUANCE,ALSO REOVIRES 7FIE MPL�CANT FOR SUQI PERMIT TO FILE A SIGNED
� ST�TEMEfVr THI�T ME OR SHE IS LICENSEO PURSUMIT TO THE VflOVISIONS OF TME CON7MCTORS U•
c CENSEUW�CHAPT6R9(COIAMENCINGWITHBECTION70D��OFOINSI�N]OFTHEBUSMESS�NDPHG � POQ�.P�
`,jfE8810PlSCODE)ORiHATHEORSHEISE%EMP77HEREFROMAN�THEOASISFORTHEAILEGEDEXEMP�
V TION.ANYYIOUTqNOFSECTKKi7097.59YANYAPPLICANTFOR�PERMIT9U&IECTBTHEAPPLICMlTiO Z Re-Roof
� A CIVIL PENALTY OF NOT MORE THAN FNE NUNDRED DOLIAFiS(t500)J: �
� OI.ASOWNEROFTHEPNOPEFiTY,ORMYEMPLOYEESWI7HWAOE5A5THEIflSOLECOMPENSATION, COmmBfClHI
WILL DO 7HE YYORK,ANO 7HE STRl1CTlIRE IS NOT INTENOED OR OFFERED FOR 6ALE ISEC.7041.8U51•
NE35 NJD PROFESSIONS CADE:THE CONTMCfORS LICENSE LAw pOEB ND7 MOLY TO AN WVNER OF
� PFIOPERTYMTqBUILD50RIMPROYESTHEREON.ANDNM1iODOE83UGHWOAKHIMSELFORMERSELFOR �
2 7NROUGH MIS OR NEF OWM EMtPLOYEES.PROVIDED TFIAT S�1CH WCROVEMEN76ARE NDT WTENDE�OR CO
QOfFEREDFORSALEIF,VqWEVEFi,7HE8UILDINOORIMPROVEMENTtSSOIDWITHINONEYEAROFCAIAPLE-
Z TION,THE OWNER�BUILDER WILL HAYE TFIE 9UROEIV OF PNOVIfiG TNAT NE OR BNE DID NOT BURD OR
� IMPROVEFORI}IEPURPOSEOFBALER
❑L�OWNEROF THE PROPERT;AM E%CLUSIVELY CONTMCTING WITH LICENBED CONTMCTORS
� TO CON57RUCT TNE PR0.IECT(9EC.7Wa,BUSINE55 AND PNOFESSIONS CODE:TNE C�ITMCTORS LF VBWltl011 ADJ.AREA
W CENSELAWDDESNOTAPPLY70ANONMEAOFAPROPERiYWHOBUItDSORIMPpOVE5T/EFlEON,hNO
� WFIOCONTRAC�SFORSUCNPROlECf5WI7HACONTMGTOAIS�LICENSEDPUpSUANTTOTfECC�NNTRAG Qurwnrr DESCRIP710N FEE
Y 7oRSLICENSELAW.�.
0 ❑I IJA EXEMP7 UNOER SEC. B.8 P.G FOR 7HIS REASON U �
3 � - _ /r
LL DATE OWNER
Z V
� LICEN5E0 CONTpACTORS OECLARATION � �
�
IHEREBYAFFIHMUNOERPENAL7YOFPERIURYTHA7IAMLICENSEDUNDER►ROVISqNeOFCMAP7ER �
p. O�COAIAAENCING W17H SECTION 7000)OF OMSION 7 0F TiE BUSINESS MID ViIOFES510N5 CODE,AND Z
�X� MY LICENSE IS IN FUl FORCE AND EFFECT.
� UCENSE CU U LIC.NO. ���� j
��ij.� DATE CONTMCTOFl �
= WORKERS'CAMVENSATION�ECLARATION a
� IHEREBYAFFIRMUNDERPENILLTYOFPERIVRVONEOFIHEFOLLOWINUDECLAMTpNS: Z
4
� _�IHAVE�NDWILLMNN�AINACERTIFICATEOFCONSENTTtlSELFJNSUFEFORWORKERS' _
� CAMPENSATION,/SPROVMEDBYSECTION57000FTMEUBOHCODE,FORTFIEPERFORAMNCE W
OF THE WORK FOR WHICM THIS PERMIT 18133UED. �
C
W _�IHAVEANDWILL4AIMAINWORKERS'COMPENSATIONINSURANCE,ABREW�REDBY8EC710N
O 87ooOFlHEU1BORCODE,FORTMEPENFOfiMN'10EOFiT1EWORKFORW11IqiTHISPEFiM1T15
ISSUE�.MY WORKE 3'COMPENSAiqN INJSURyyy`...���CE RIER AND VOLICY NUMBEN ARE: CONSTRUC�ON
� GRHIEF �Z .� �'�� PLANREVIEW �
� POLICYNUMBER Y �7 O
� ��l ^ G' ELECTRIC �� /3.�
v R�usaEcnodNe�r.ureeoa.�reooFnfaFm`rrswnoneFur�nad.wvsRimion�ss? PLUMBING
Z I CERTIFY TiAT IN THE VERFORMANCE Of THE WONK FOq WHICH THI6 PENMIT IS ISSUEO,I MECHANICAL
'U SHALLNO7 EMPLOYANY PERSON INANY MnNNER 50A5 TO BECOME SUBJECTTOTHE '
� WORKERS'CpdPENSATqNUW50FCAI.IFOiW1A�N�ACiPEETHA7IFISHWIDBECOME INSPECTIONFEE
� 6UBJECTTOiNEWORNERS'fAA1PEN5�TONPflOVISION50P5ECTqNJ7000FTNEUDOfl � �p
CODE,I FOHiNW�7H CdAPLY WI7HT�E PROVISIONS. �SSUANGE
p DA7E:'��J� APPLICANT: .LZ/��L-.-C-'i�G�`"�"� SMIP r'
W � ENERGY P/C
� WARNINO�FML.RE 70 SEC�RE WOfiKERS'COAIPENSATION COVERAGE IS UNLAWFUL.ANOBHALL BE
�y SU&IECTMIEMPLOYFRTOCRIMINALPENALTIESAN�CIVILFWESUP700NENUNDNEDTqUSAND ENERGYPERMIT
� DOlUR3lilao.oDO).WlIDDITIONTOTNECOSTOFCOAIPENSA710N,OAMAOE5115PROVIDEOFORIN
� SECTION 7708 OF THE U180N COOE.M7TERE5T,AND A7T00.NE`PS FEES. RETENTION FEE: R�
CONSTRUCTION LENDING AGENCY PRE•ALT FEE:
� 1 HFREBY AFFIHM UNGER PENALIV OF OERIURV THAT 7NERE�S A CONSTRUCTION IENDINO MENCV
FOR THE PERFORMANCE OFTHE WOPK FOR WHldi THIS PEFMIT IS ISSUED(SEG 9007,CIY.C.�.
� LENOERSNaA/E 7N�A"{�
� LENDER'SMDRESS O
ICERT�FYiMATIHAVEHEADh115MPLICATIONlJIDSTATETHATTiEA00VEINFORMATIONI9CORREC7. TOTAL FEES �
I AOREE TO COMPLY YATFI NlL CRY ANO COUMY OROINANCES MID 6TATE lAWS RELA7�NQ TO BULLDINO A
� CONSTRUCTION,AND NEREBY AUTHORIZE REPRESEMATIVES OF THIS Cd1NT'TO EMEH UPON TNE 1�__/1,1 p���� ���
Z ABOVE•YEMIONEDGROVERTVFORINSPECTIONpUHPOSES. V[� ,(J� J
COMMENTS rc �
9 � ���L,�
_
m P i
Q �
y �
� 8 EE E
� RECPT.NO. PAIO BY VALIDATION
WHITE—Depertment Copy,VELLOW--Finance Copy,PINK—Aasesaor Copy,GOLDENRO�—File Gopy,GREEN—AppllcanPs Copy
, , ..; .. .
. . . . ,...K... . . .�..,,�.. ... ,, , , , ,. �, . . . ... . ,
+. . , .. � . . ... .
CITY OF QIAM01�9D�BA►R� ' �
INSPECTIOI�! RECORD. ' _
• ! i , � ' . � i � . � .
SET BACK � FLOOR JOiST - �
FTGS/F'ORMS/STEEL _ '_' �FHA REQMTS � '
ELECTRIC GROUND • UNDER FLOOR DUCT `• • •
GROUND PLUMBING UNpER F�OOR CO�IDUIT .'
SLAB GRADE FIREPL.A�E�FOUNDATION �� " '
TEMP P�WER • FIREPLACE B�ND BEAM
WATER SERVlCE � MID HT. BOND BEAM
ROOF SHEATHING F j 8 FT. BOND BEAM �
FFiAMINGNEN7ILIATIOtV I �INAL BOND BEAM �, - ' .
RC)OF COVER I PRE-GRADING . �.I �
RC?UGN HEATING • BENCtiING
ROUGH ELECTRIC ' ROUGH GRADING
FiOUGH PLUM8ING FINISH GRADING
SHOWER/TUB TEST P�OL ELECTRIC
EXT.LATH/SIDWG i POOL FENCENG '
WALL INSULATION POOL FINAL
CEtI.ING iNSULATION ( ; ! OFF 51TE iMPS.
DRYWALL NAILING ; DEDICATIONS
SEWER ; FINAL ENG. i
BEPTIC TANK i LANDSCAPEIIRRIG. �
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST • � � - ` FINAL ZONING i
FINAL.C(?NST, - - �'FfRE DEPT. FINAL
FINA�HEATING � � ,-_,. fiEALTH DEPT. FINAL ,;
FINAL ELECTRIC ��4 'DEV. FEES PAID
FIlUAL PLUMBl1VG ENERGY .
�~ _ I ' „
, � "�'r � � ,. � ,
_ , '
COMiV1ENTS . . ... .. . .. .. . . . .. . ...
. � .:r.«
. , � r ^ � , .
.+ � .
f�� .. . ��f - . - .
, .. .
_ . _ . � .. . _
5EPT1C TANK SlZE � - '
SE�P PITlU SI�� -- . , ,.. -, , ., ._......... ....._. .. .