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HomeMy WebLinkAbout13852 (1089) �,�_ CITY OF DIAMOND BAB ,�`- i DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES 21650 E.Copley Drive Suitc 190 , (909)860-3193 Fax(909)861-3117 PRESS �'�^'� � BUII.DING PERMIT APPLICATION FIRMLY ��,.�, JOBSITE + . y' APPLICATION �'2 n _Q UpERMIT � �I 5�p/C o ADDRESS r �I� I//,Jn�6� u.1 ra nn onTe -w �NUMBE s'� $ ISSUE TYpE p�C APN LOT T RA-CT DATE CONST. GROUP � +OWNER 4�1G�Gc � ADDRESS1 j1(Z_�Q-l�1 _� 'v��al10 ZONING SETBACKS ciTv D��A�w..M� �ct� ZIP� TEL.T(�4-1..!oo FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDFJSIDE STREET RW O CONTHACTOR SIDE p � CDDRESS �� TEL./_,�}-2�h^8/� PROP05ED USE.rD• u� ARCHlENG/ � ADDR S3 NO.DWEL. NO. �b. p, � CITY ZIP TEL. UNITS STORIES BEDROOMS N � OWNER-BUILDER DECUIRATION DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � SFR/ADDIREM O I MEHEBY AFFIRU UNDER PENALTY DF PERIURV THAT I MA EXEMPT FROA1 THE CONfRACft7R5 LI� Gef9 B/CeryoR CENSEIAWiORT1EFOLlAN11NOREASON(SEC.7031.6BUSINESSANDPqOFESS10N5CODE:ANYCITYOR (n g OOlNJ7YW1#OiREOUIRE5A0ElU/1TTO00N5TRUCT,ALTERnAPRDVE,DFMOUSH,OHREPAIRANYSTAVC- W P8110/DBCk 7UNE.PRION TO IT9IWUANCE,AL80 NECUWES TME APPlIC1WT FOR BUCH PEFVAIT 70 FIIE A SqNED w STATEMEHT 7HAT FE OR BHE IB LICENSED PURSUANf TO iHE PpOVI510N5 OF THE CONTMCTORS U• CENSE U1W(CHMTER Y(COAIYENCW O Y/tTH SECTION 700D)OF ptVISION 3 QF 7HE BUSINE55 ANO PRO- � POO�$�7d fESSqNS CODE)Oli THATME OR BHE IS EXEMPT i/1EREFHOM ANO T1E B�515 FOR TNEALLEOED E%EM0. TION.ANY VIOLATqN OF 6ECTION 7D31.6 8v ANY APPLICANT FOR�PERMR 6U&IECT37HE APVL�CINi T0 Z p�q�f � A CML PENAL7Y OF NOT MOqE 7NAN FNE XUNDR�DOLLMS(t�D1J: o O4�WYNEROF7liEGROPERTY.OFIUYEMPLOYEESWIhIWAGE5A5THEIRSOLECOMPEN5A7lON, COrt7f11BrGial � L MN100 THE NfON(MO THE BTRUCTURE IS HOT MENDEO OH OFFEREO FOR SALE(SEC.70u,BL/51- � NESS Ai70 PlqFE5310N5 OODE:THE CONTRACTOHS UCENSE Uw OOES HOT APPLv TO AN OMMER OF � PROPEiiTVMHiOBUM.DSORNIPROVEBiHEREa1J,AN�W{IODOESSUGIYlORKHIMSELFORHERSELFOR � (L THAOUGHICSORHEROWNpAPIAYEES,VROV10EDh1AT9UCiiMAPpOVENENTBARENOTINTENDFAOR m ��•� OFFEREDWR&LLEIF,FqWEVER7MElUlDINOORIMPROYEMCM1650LDWffMNONEYEAROFCOMPLE- � TION,iXE OWNEHiU1LDER WILL INVE TFIE Bl1RDEN OF PRaYNJc3 TFIAT HE OR SNE OIO NOT BUILO OR MPNDVE PoR TNE NfiPOSE OF SALE). W �4ASOMMEROF7HEPROPEiiIY,AME%CLUSIVELYCOH�RACTINOWfTHLICENSE�COMRACTORS � TO CONSTitl1C'f 7NE GRO.IECT(SEC.7oµBUSINESS AN�PHOFES510N5 CODE:7ME CONTRACTORS ll• yg��gpp� ��,qR� CENSE tAW DOES NOTAVPLV TOAN pNTIER OF A PROPERTV W/q BUILD6 OR IAAPROVES 7HEREON,NA MM1�OCONfNACT8FOR8UCHPqp1ECfSVY11MA00NTMCTOR�B�LICENSEDPUR6UlMMTHECONTM0. pUANTITY DESCFlIPTION FEE � IORS IMdAE UW.} O I AM E%EMPT IMDER SEC. &8 P.C.FOR TMIS RFJ15pJ Q U V' DATE ONMER U � LICENSED CONTRACTORS DECLARATION W � I HEREBVAFFpW UN�ER PENK7Y OF VERNRY THA71 M1 UCENSEU uNDER PROVIS�ONS 0F CFIAP7ER � � 9(OOMMENCWOWfiT45ECTpN700o)OFDMSION90FTHEBUSINESS/JlDPROFESSIONSGODE.AND Z �� M'/LICENSEISWFULLWRf�MlDEfFECT. m ��.... LICENSE CUSS ! �_LIC.ND. �� � �G� j t> DATE CONTRACTOR � S � WORKERS'COMPENSATION DECUIRATION Q yI HEREBV AFFIRM IJNOER GENN.TY OF DERIUHY ONE OF THE FOLIAWING�ECtAMTIONS: Z � �IHAVEANDWILLIMINTNNACERTIFICATEOFCIXJSEMTOSELF•INSUREFOHWOHKERS' a � COGPQISATpN,ASPHOVIDmB'lSEC'f10N770DOFTNELABONCODE,FDRTHEPERWRANNCE �U O �F T1E WORK FOR WNICM T115 VERMR IS ISSUED. � 1 NAVE AND WILLMWNTAIN WOWCERS CqdPEN5A710N INSURANCE,IIS REQUIRED BV SEC''ION /// Q 9700 OFTFiE LABOH CODE,FOR THE PERFORMANCE OF TME WORK FOp Y/MICHTMIS PERMIT IS ��� `�� � ISSUm.MYYIORNERS'COMPEN9ATION INSURMICE CANRIER AND POLICY NUMBER ARE: CONSTRUCTION � cutfuER � PLAN REVIEW P� voucr�e (.v�j — �Z_/b/��� h � � ELECTRIC Z �v ► (niesEcnor+r�nr+araEao�maFnfaE�r,+rsca+or+eMxo�000 a+ao�ora�ss�. PLUMBING 8Z I CER7IFYTXAT NJ THE PERFORMANCE OF 7HE YVORK FDR WHIpi TW5 PERNI71515SUED,l � MECHANICAL 6NALL NOi EMPLOY MlY VERSON IN ANY MRNNEN 50 AS TO BECOME StJBJECT TO THE (q WORKEAS'COMPENS�TIONUWSOFCALIFORNIAANOAGREETMATIFISMIXILDBECDME INSPECTIONFEE � S 61181ECTTOTHEYVORKERS'COAIPENS PRONSIONSOFSECTpN7l0o0iTHEUBON CODE SN qTHW17HCOMPLYWI EPROVISION � ISSUANCE � � 0 p �A7E: Q - APPL�cANT: SMIP � ENEiiGY P/C / WARNIN�:FMLURE TO SECl1RE WORKERS' PENS N COVEPAGE IS WFV�AND SHALL BE � SU&IECT AN EAWLOVER TO CRIMINAL PE IES Ml FINES UP 10 E NUNORED THdJSANU ENERGY PERMIT DOILARS(f I OD,0o0),IN AODITION TO THE, ST OF PENSATION,� GES AS PROVIDED FOR IN � 9ECTqN9T000FT17ELAEORCWE,IN esr, o�rronNersFees. RETENTIDNFEE: pCONSTRUCTION LENDINQ AGENCY PRE•ALT FEE: � 1 MEFi�YAFFIRM UNDER VEN/LLTY OF PER.IUpY THFT TNERE IS ACONSTpUCT10N LENDINO AOENCY FOR ME PERFOHMANCE OF TiE WORK FOR WHICFi THIS PEFMIT IS ISSUED(SEC.90A,CIV.C.). z w � �cNoeaswu�E � LENOERSAOORE55 � ICERTIFVTXATIHAVEPEADT115MPLICATpNAND6TATETHATTHEABOVEINFORMAT10N19CORqECT. TOTAL FEES � � � I AOREE TO CO/.IPLY WITH Ni CRYAN�COUNTV DROINANCES AH�STATE UWS REUi1N0 TO BU4UIN0 � CONSTRUCTION.AND MEREBY AUiHORIZE pEPRESENTATIVES OF h115 COUNTY TO ENTEH UPON 7HE 11BOVEddEM%NIED VNOPEHTY FOH W SPEGTION RIRPOSES. '(AMMENTS � P E E(PRNq � � fn / � E OF P EE DAT � RECPT.NO. PAID BY YALIDATION ITE—Departmsnt Copy,YELLOW-�Inence Copy,PINK—Asaessor Copy,QOIDENROD—Flle Copy,GREEN-11ppIIceM's Copy .+n..i.�...�------ --- --..—__. . . . . . . , � , . CITY OF DIA�OND BAR INSPECTfC3f� RECC3RD E E � s - . a � , . � . SET BAGK FLOOR JOIST ' - Fi'GSlFORM5/STEEL FHA REaMTS J. ELECTRIC GROUND� UNDER FLOOR DUCT GROUND PLUMSlNG UNDER FLOQR CUI��UIT SLAB GRADE FIREPLACE FCIUNDATION TEMP P�WER FIREPLACE BOND BEAM WATEA SERVICE MID HT. BOND BEAM • ROOF SHEATHING 8 FT.BOtdD BEAM FRAt�iliNGNERlTILIATION � FINAl.BOND BEAM ROOFCOVER ��`L-2Z e�, t+I� PRE-GRAD{NG FIOUGH HEATING BEfVCHING ROUGH ELECTRIC I i RQUGH GRADING flOUGH PLUMBiNG FINiSH GRADING SHDWER(fU8 TEST � , POOL ELECTRlC EXT.IATH/SIDING j POOL FENCING �� WALL INSULATION POOI.FINAL CEILING INSULATION OFF SITE IMPS. DRYWA�L NAILING � DEDICATIONS SEWER ; FINAL ENG. '� ` SEPTIC TANK ; . � LANDSCAPE/IRRIG. i SEEP PITlL.L. � , ON SITE IMPS. GA5 AIR TEST ; ; FINAL.ZONING � � FINAL CONST. B� $•-� -- ! ; FIRE DEPT. FINAL i� FINAL HEATItVG i ' ' HEALTH DEPT_ FINAL ; ; � �� FINAL ELECTRIC ' ' DEV. FEES PAID G � FINAL PLUMBING i ENERGY i ; y , � � i .� O � � _ COMMENTS SEPTIC TANK SIZE SEEP P1T/U SIZE -- --