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HomeMy WebLinkAbout17003 (448) .•�� CITYOFDIAMONDDAR EXPIRED ,i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 E.Copley Drivc '"� (909)860-3I95Fax(909)861-3117 �UN I.H ZOOZ PRESS `'-��` BUILDING PERMTT APPLICATION FIRMLY � JOBSITE �� ,]�� ���� ��� L APPUCAT PERMIT P/C o ADDRESS_ '7 DATE �I NUMBER DO p $ ISSUE TYPE OCC APN LOT-�- TRACT DATE CONST. GROUP p OWNER _.���1�G IJJI�/� ; p ADDR S L � ZONING SEiBACKS $ CITY 11P '-T �� - O � FRONT RW O APPLICANT TE . - �'i" REAR ❑ � - ~ SIDE/SIDE STREET RW ❑ � CONTRACT R �- /� ! SIDE p ADDRFSS � CITY : ��•1�1 _ZIP �� TE Z -" 1Z PROPOSED USE oARCH/ENG/ DESIGNER �a7 NO.DWEL NO. .L NO. = CnDRESS Z�P TEL UNITS � STORIES BEDROOMS � cn DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION - p� OWNER-BUILDER DECUIRATION • SFRlADD/HEM O p I HEREBV AFflRM UNDER PENALTY OF VE0.IURY THAT I AA1 IXEMPT fROM THE[ONTRACTORS L4 Garega/CarpoA W CENSEUWFORTHEFOLLOWW�RFASON(SEC.7W1.58USINESSANOFROFESSIONSCOOEMIYCI7`/OR (n C.� COUNTYWMCHREIX1UiESAVERMITTOCONSTRUCT,ALTER�PAOVE.DEA10LI5H2OqREPAIRANYSTRUC- W P8�10/DBCk � TURE,PRIOR TO ITS ISSUMICE.ALSO REOUIRES THE APPLIGWT FOA SUCH PERMIT TO fllE A S16NED W � 6TATEMEM TIAT HE OR SME IS IICENSED PURSUANT TO THE PRONSION$OF THE CONTMGTOR9 LF � .� CENSEUW(qUP7ERi(C0IAMENCINQVA7MSECTqN7000)OFOIVISiONDOFTHEBU51NE5SMDPRU POOUSP3 � FESSqNSGODE�ORTMATMEOR5ME15E%EMPTTMEREFROMAHUTME9ASISFONTHEALLEGEDE7fEMP- (� TpN.ANYYIOIAiIONOFSECTI0N703t.68VANVACPLIGIMFORAPERMitSUBJECTSTHEMPLICANTTO Z R0•R001 � A pNL VEN�LTY OF NOT MORE THAN FIVE HUNDFED DOLURS(i50D)): � ❑I.ASOWNEROFTHEPROPERTY,OqWVEMttOVEESNnTHWAGESASTHEIRSOLfCOIAPEN5A7qN, � CpmmOfClel �� Z NnLL 00 THE WOP1C M1D iHE S7RUCTURE S NOT IMENOE�OR OFFERED FOR SALE(SE0.70��,BUSI- ,J � NESS AND GROFESSIONS COOE:TME CANTMCTORS IICENSE UW DOES NOi A7PLV TO AH OWNER OF ? VqOPERTY VA70 BUMS OR MVROVES THEflEON,ANO WMO DOE3 SUqI WORK HIMSEIF OR MEflSELF OR WTHi10UGHNISOliMERONRIEMPLOYEES,PROVIDEDiW�TSUCMM7ROVEMENTS�RENOTPITENDEDOH m � OFFEREDFORSALEIF,110WEVERTNEBU0.�IN�ORIMPROVEMENTISSOIDWITHINONEYEAROFCOMPLE- Z TpN,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVINa THAT HE OR SHE DiD NOT BUILD OR = IMGROVE FOR THE PURPOSE OF S�LEI. W O I.AS OWNER OF THE VROPENTY,AM EXCIUSNELV CONTMCTIN�N1TH LICENSED COMRACTORS Q TO[ONSTRUCT THE PR0.IECT(SEC.70u,BUSINE55 AND iROFESSIONS COOE:THE CON7MCTOR3 U- V01UeliOfl D AOJ.AREA W CENSEUWOOESNOTAPPLYTOINONR.IEROFAPHOPERTYWHOBUILDSORMPROVESTNEREON,AND , � NTqCONTMCTSFORSUCHPRQIECTSWITHACONTRACTOR�S�IICENSEDVURSUANT70THECANiMG QUANTITY DESCRIPTION FEE Y TORS LICENSE UW.). . 0 OIAMFJ(EMPTUNDERSEC. B.iV.C.FORTHISREA50N 4 GF � SW I �C` � � � '� G 11./ �/yy LL' DATE OWNER � r /" L fS.LC) o W '2. E 7 ti� r �i F UCENSED CONTRACTORS DECLARATION W � � IHEREBYAFFIRMUNOERPENILLTYOFPERRIHYTT/ATIAMLICENSEDUNDERPROYISIONSOfCHAPTER V. � 4. Y(COMMENCINOWRHSECTION7000)OFOMSIONiOFiNE8U51NE5SANDPROFES5lON5CODE.AND Z MY I�CENSE IS IN FULL FORCEAND EFFECT. � UCENSE CUSS ` ~��I UC.NO. `7 /D I. J� � � � � 7 'U DATE c7��L�^ O I. .. CONTfiACTOR. . . . . a � LL � Z.� . . . . � WORKERS'COMPENSATION DECLARATION ¢ � - � IMERfBYAFFIRMUNDERPENALTYOFPERIUMONEOFiHEFOLIOWwGDECLARATI0N5: Z � _IMhVEM1DW4LMAMTNNACERTIFIGITEOFCONSEMTOSEIF•MSUREFORWORNERS' _ COMPENSATpN,A3pROVIDEOBYSECTON]7000fTHEUBORCOOE,FOqTMEPERWRMANCE W Q OFTHEWORKFORNMICHTNISVERMITISISSUEO. � � �IFUVEANDWILLMAINfAINWORKERS'COMVENSATpNINSUqANCE,ASREWIREDBYSEGTIDN � J7000FiHELABORCODE,FORTMEPERFORMANCEOFTNEWOPoCFORWHIp1THI5iERMRIS �j �j J ISSUED.MY WORKER,�S'CO,�M�PENS�ATION INSU�N.CE�1CARRiEq,,`Nm Vq.ICY NUMBERME: CONSTRUCTION _ I�J•� j CMRIER �+7'.t1Z-' �V�-�-+ PUW REVIEW � CQICYNl11AAFR Z.�u s-rs �ar,tr nrx�1 ��(T_ ELECTRIC p (MssECfbt+NEEDNOTBEOJI.RETE�OP7FEVERMTBFOt+a+EHI►�DIiEnOaNitsR+ro)ontEs51 PLUMBING Z 10ERTIFVTHATINiHEPERFORMUJCEOFTHEWORKFORWHiCHTXISPERMITISISSUED,I MECHANICAL _ ��-�� �� �i I ���`' C3 514LLLNOi EMPLOYANY VER50N W ANY M NER SOAS TO BECOME SUBJECT TO THE -�- A ' w- Uj WORKERS'COMPENSATpNUMf50FCALIF 1^ANDAGREETHATIFISHOULDlE ME INSPECTIONFEE i� SUBJECTTOTMEWORKERS'COMPENSATq P ONSOFSECT N77oo0FTN BOR O C�OJOE�,I�SWLLLiORTMMTM fAMPLY WIiH SE V VISIONS. I$SUANCE A l l f; 2. � 7n n� p DATE:.b^ L���VPLICANT: SMIP ll,I � ENERGY P!C T;2�1_ �,� WARNIN6;FAILURE TO SECURE WOflKERS'COMPENSATION COVERAGE IS UNUWFUL,MID SHALL BE � SVBJECTIWEMPLOYER70GHnAIwLL.7ENKT1E5ANDCMLFWESUPTOONEMINDRED7T10USM70 ENERGYPERMIT � DOlLM51f i00.000).W ADDIiqN TOTHE CAST Of CAMPENSA7qN,DAMAGES AS PHOVIDEO FOR IN - SECTqN770lOFTHELABORCO�E,INTENESLANDATTORNEYSFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � � � IHEREBYAFFlRMUNDEHVEN/�LTYOFPEfUURVTHATTHEREIS�CONSiRUCT10NLENDIN0Af3ENCY iOR THE iERFORMANCE OF THE WORK FOR WHId1 TH�S VERMR IS ISSUEO(SEC.9097,CN G�. Z w � LENDER5 NAME � lENOER'SADDRESS W ICEfiTIFYTHATIHMEqEADTfIS�PPLICATIONANDSTATETUTTHEABOVEWFORMATIONLSCARpECT. TOTAL FEES /�v �O d IAGHEETOCdAPLVWITNAl1CfTVANDCOUNTYO{iDINANCESANOSTATEUWSREUTWCTOBUILDINO / ���� � CON57RUCTIdJ,MIDXEREBVAIlnqRIZEPEPRESENTATNE50FTMISCWNTY70EMERUPONTHE Z ABOVE�IAENTIONEDPROPEATYFOHINSPECTIONPURPOSES. COMMENTS � �r. ��i i_ m iERMiTT .NAME( R!n Q N y SIGNATUR F D RMITTEE OATE � RECPL NO. LD � PAID BY C � VAUDATION VJHITE-Department Copy,YELLOW-Finance Copy,PINK-Aasessor Copy,GOLDENROD-File Copy,GREEN-Applicant'a Copy �. .._ , ._. . _ ... . ,_.. . .i,.�. . , � r. ..i,�,. -�......,k��� :r.,:. ...... :.��It .,.. �•�'r:1, �• +. .., . �rpS'.. . ... , -1'�" -.'t"'•`' ^ .. ,• -. . •:T_ �—' -- .,c CITY OF DfAfJiOt�D BAR IfilSC=EC310N RECOt�D � � ,�. � ,� ��., � _. �.. �.. _,____ �l��K��� �ii C�i�- ---_. s�y_��-� ��C►�3��a a��� ��:�����t������ ��'��� - ���'��:��.�` SET BACK ' � � V � � FLODR JOIST�, 1 ; , �, � FTGS/FORMS/STEEL � �� FHA REQMTS ELECTRIC GR�UND � UN�ER FLOOR DUCT • • . GROUND PLUMBING UNQER FLOOR CU�IDUIT� ; �• ' SLAB GRADE FIREPLACE�FOUNDATION •�' � ' ' • '� ' � ` TEMP POWER- I I FIREPLACE BOND BEAM ' • ' " WATER SERVICE � PJIID HT. BOND BEAM � � � ' ROOFSHEATHING ''l$-U( � � , 8 FT.BOND,BEAM- � ' � � FRAMINGNENTILIATIOPJ ( I FINAL BOND BEAPJI ROOF COVER ' i PRE-GRADING • � j ROUGN HEATING i BENCHING i ROUGH ELECTRIC � ' ROUGH GRADING j ROUGH PLUMBING � � FINISH GRADING SHOWER/TUB TEST POOL ELEC7RIC EXT.LATH/SIDING ; POOL FENCING � WALL INSULATION i POOL FINAL CEILING INSULATION I OFF SITE IMPS. DpYWALL NAILING i DEDICATIONS SEWER ; � FIrJAL ENG. SEPTICTANK { ; � LANDSCAPE/IRRIG. � SEEP PIT/L.L. I ' ON SITE iMPS. GAS AIR TEST ; j ; FINAL ZONING � FINAL CONST. � !' ' ` � � �IRE DEPT.FINA'_ � FINAL HEATING � _ ! '. ' HEALTH DEPT. FINAL � FINAL ELECTRIC � - ! DEV. FEES PAID ; FINAL PLUMBING j I ENERGY � � i I t � ; I i i;�� .�c�,•.�� e, . , -�"'. � ._._. . _ � COMMENTS � '� � � , , , . � . }_ . . ; , i , SEPTIC TANK SIZE SEEP PITIU SIZE ------, I.l�!� _ 1 � 1'}�� � ;=1 ..� _ _� i - . . _ _, , . . � , , , � . , . i . , � -- - '�:._..�._.._.__� , ,, , . . .._ _