Loading...
HomeMy WebLinkAbout12940 (5) CITY OF DIAMOI�ID BAR � � '� �� --�� - ' DEPARTMENT OF COMMUHITY&DEVELOPMENT SERVICE �c 21660 E.Coplcy Drive S►rite 190 �M�� � BUII.DING PERMIT APPLICATION � � FIRM Y � JOBSRE ^ ,-1 +- /`_� � APPLICATION ( �� - � PERMff p/ i o ADDRESS a��� wQ�✓' ��++"k— Qt'V� DATE NUMBE N c� ISSUE TYPE OCC APN LOT 5 TRACT DATE CONST. GROUP . p OWNER - � '�'lt � � ADDRESS 3yfia T�^/�evttQi Q •� ��,i,i�3Cl� ZONING SETBACKS , CITY 'TorYcuvo_` ZIP y��TEL• 3t0 3�IG-S�Aj FHONT RW O � APPLICANT nlAa111A- K��IC TEL._j�L__`f/S_,�,M3� REAR ❑ � _ _ SIDFJSIDE STREEf RW ❑ CONTRACTOR �Rf SpPi.0 �/STEvts _ _ SIDE O p� ADDRESS ���1'��+rN7t'- �i��'t .� o CITY ��-lc'x� ZIP �l/7� TEL.� f � j PROPOSED USE Tl l�r S�,ei�xc�2 5y sr�M s �p` o ARCH/ENG/ • , • � DESIGNER NO.OWEL. NO. NO. = CDDRESS ZIP �` UNITS STORIES BEDROOMS � DESCflIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � , Q . , OWNER-BUILDER DECUIRATION . SFRIADD/REM � � � � • O 1 MERE9Y AFFlAM UNDER PEN�LT'OF PfiWRV 7H�T I AM EZEMPT FHOu TME fY�NTRACTORS L4 GaragelCarport 8 CENSEIAWFOitiHEfOLLOWR10REll50NI5EG70]1.68USWESSANDDROFESSIONSCODEANYG7YOR (n ' � COUlI`lYMIWREdINiESAPERMRTOCONSTi1UCT.ALTER��E.DEWUSM.OfiREPAIRIWYSTRUG W Patio/Deck 7URE YRiOR TO RS bSVANCE.AL50 REOUIRES TME MP�iUV(T FOR SUCM►ERAIIT TO FLLE A 91GNED W � SiATEUEN[7HAT HE Oii SME LS LICENSED iURSUAt7T TO iNE PROVISIONS OF THE CdNiMCTORS Ll• � CENSE LAW(CMAPTER Y(COMMENCNO WITH SECTION 7000)OF DMSION 70F TME BUSiNESSAND PAo- � Poo�SPa FESSIONS COOE�Oii h1AT V1E OR SNE 19 E%EIAVT TMEREFROM AND iHE BASIS FOR THE ALLECEO E%EMP• TION.ANYVqIATIdrOF5EGT10NTWt.6BYANYI�PFLK:ANTFORAPEFAIITSU&lECTSTNEMPlICM77T0 Z Re•Roof � ACIVILGENN.TrOFNOT►pREiMANiIVEM1NDREDDOl1AR5p500).)� _ ^ p�IISOYR1EqOFiXEPi10PEHTY,01iMYEMPIAYEESW�TNWACESASTHEIpSOLECOMPENSAiION, Q �mmercfat � YNLLpO iHE V/0i1K AIA iHE ST�ICTURE 5 N�71ME1DED OR OFFEREO FOfi SALE(SEG 701�.BUSb J NESS MJ�iROFES510NS COOE:iNE CONiMCT00.S UCENSE UW DOES NO7APP�Y TO�N OWNER OF N ONOPERTYMIFtlBUI➢SOliMPROYESl11ERCON.IWDYAfO00E55UGIN'0/1KMIMSELFOflMERSELFOR � ' Q THq041011HI5ORHERONMEUPLOYEES,PROVIDEDTYUTSUdIWPNM'EMEMSAAENOiM7ENDEDOR m � ,OFFERmPDRSALEF.F101YEYERIMEBULLlMNOONIMPROVEMEHfI550lDWITMNONEYEAROFCOMPLE• ' Z TqN,THE ONT1E14BUlDER VALL HA/E TME BUHDEN OF VROVNO h1AT NE OR SME Di0 NOT fiullD OR = WPfiWEFOqT11EWRPO5EOf3A:EG ' W pI,hSMVMFpOF1HEVROPEFTI;AYE%CLl15NELYCOMMCTCJ6VAiNlILENSEDCONTRACfORS � TD CONSTRUCT THE iRO.IEGT(SEG 1oN.BUSiNE55 AND PROFESSIONS CODE:iHE CONfAACTOR5l4 Valuation � ADJ.AREA CENSE UW OOES NOTAPPIY TOAN dN�ER OF A PROVERTY MR1D BULDS Ofl MPROVES TNEflEON.ANO � N4qCONTRACTSFORSUd1iRQ7ECTSWITHAWNTRACfOR�S�LICENSEDPURSU/VlTTOiNECONTMG QUANTITY DESCRIPTION � - F'EE �� � TORS IICENSE UW} , ❑IAY IXEYPf UHOER SEC B.i P.G.FORTMIS REASON � 3 � � u" DATE OWNER � . � W � LICENSED CONTRACTORS DECLARATION —r � w IMEREBYAFFIimAUNDERiENALiYOFPERMiYTNT1AN�ICENSEDUNDERpROVI510N50FCNAPTER ' V. �.".,, , �� t "�`` ,, d •(CAWENCINONnTM5ECf10N70001�DM5ONDOFTMEBU51NE55ANOPROFE55�ON5CO�E.AND Z - X W LICEHSE IS H FULL FORGE AND EFFELL ` m �-.. ' � LICENSE CLASS `��`o LIC.NO. � 4�`�w - � v o�� �(``I�—corrtnaeTon Arf�: SP�w�yS a W � WORKEAS:COMPENSATIONDECLARA710N ��� a _ _ � IHEREBYAFFIRrAUNDERPENKTYOfiE1WMONEOFTHEFOILOMnNODEttAMTIONS. � V � Z a � _IHAVEMAWILL6WNTAC�ACERIIFlCATEOFGONSEHTTOSELF�NSUREFORWORKERS' S OOMPENSATION.ASCRO�DEDBYSECTON71000FTHELA80RCODE,FORTHEGERWRUANGE `U OF TME YIO�K FOR N711C11 iMl9 VERMfT IS ISSUED. � C �IH�VEANOMALL4MtTAtNWORKERSCOu7ENSAtqNINSURANCE.�SREOUREOBYSECTION ' I� 4 ]7o00FiMEL/�BORGOOE.FOR7HEPERPDRMANLEOFTMEWORKiORVmKHTHISPERMiT15 __ ISSUE0.MY WORKERS'C06�PENSATqN INSURANCE GRPIER AND COLICY NUYBERARE' CONSTRUCTION — ----� eu+aea �_ -c— -F4JVO -- I- — PLANREVIEW ���p — -- Z ro�ierHuwoen_� S '�y� � C (� � ELECTRIC ����1 Q t � (}HSSECipN/FIDNp7gEmR7EiEnaFnEVEfaArstaflor+EHf�ulE�oouAfts(StrolOrttEssl PLUMBING w MECHANICAL Z 1 CERTiFV THAT N iHE PERFOiiA1ANCE Of THE N10RN FOR WHICH THIS PERA/IT IS ISSUED.I (,'} SHALLNOTEMGLOYMIYiER50NINANYMANNER50A5TOBECOMESUBJECTTO7NE � WORKERS'CWPENSATidlUw50FCALIFORNIA.AN�ACREETMA71FI5HOUlDBECOME INSPECTIONFEE �l'�'� S SUBJECT TO T1EN'ORKERS COMPENSATION PiqV1510N5 OF SECTqN 770o OF TME UBOR L'� 1 COOE,I fOHTNNlITF1COMPLYWITM SEiRO`�SIONS. ISSUANCE O �/� p w7E: � � APPLICANT: L AAI fJ�Y N � SMiP � ENERGYPlC _�rn I�Q(]A WNWINO:fMURETOSECUfiEWOfYfERS'CddPENSATqNCOVERA0E15UMAWFUL.MIDSN1lLBE t �, i� �JJ, � SUIiJEGfANEMPLOYERTOCRIMINAI.PENALTIESM�DCNILFWESUPTOONENUN�RE07F10U5AND ENERGYPERMIT - DOUMS�f100.000�,W I�DDITqN i0 iXf COSTOF C011PENSATION,�AI.IACES AS PROYIOED FOR W Z��y OF rn a Mgp,�g� ¢ SECTIDN770lOFTHEUBONOOUE,N7ENEST.ANDATTORNEYSFEES. RETENTIONFEE: �{� d CONSTRUCTION IENDINGAGENCY PR�ALT : �"�+LDIIv(; A N7�v�1�'I`�� � -- � � � IHEREBYIIFiIiUlUNOENVENILLTYOFPE0.IURYTMATTHEREfS�CON57RUCTqNIFNDWOAOCNCY ,� � FORTHEPERFORMANCEOFTMEWORKPoHN�MId1TMISPERUITI5155UED(SEG]OuI,GV.4�. ����� � LENDERSNAME C LENDER9/�DDRE35 � � 1 CEHi1FY TMAT I HME READ T75 APRICATION AND STATE TMI1T 111E I�BOVE NFORNATION IS CORRECT. TOTAL FE ES � �� � . l � L W IAGI7EETOOOA�PLYNTTNALLC7P�IV+DCOUNTYORO�WNCESANDSTATEUWSREUTNGTOBUIDINC � � CpNSTpUCTION,ANO NEREBYAIJi//OFUZE REVFESENTATIYES OF iMIS CIXMLY TO ENTER UF`ON TME . . S� /DOVE�MEMIONEOpNOPERTVFOHINSPECTI�N7URVO5E5. GOMMENTS 9 . ... . . � m vEaui r u+e lvwr+n � l ` 1 • y 6�CHA7U PENAUTTEE DATE RECPT.NO. PAID BY ' VALIDATION ��' WHITE—Department Copy.YELLOW—Fnance Copy,PINK—Aseeesor Copy.GOLDENROD--File Gopy,GREEN—Applicanfs Copy � i `�� �` ..�� ��' _ CITY OF DIAMOND;BAR .�.�. :�,-r;�_: , .,_ . .` . .. .... � . . '�,�'�. '�=�.'. . .�' : 'INSPECTION REC�RD'. . .:� - � . ' � ...`>. . �.;: ; . � .. . ..;. � . . � _e � . , ! . � � , , � _ ; SET;BACK ' ; � ' ,.,� .. �y'I i FLOOR J015T •,C i , � - ,' ; . . , : • . : : �. . . . , . FTGS/FORMS/STEEL : , . FHA REQMTS - - .._.._ � _� ---- - - - �- - -- - - - � , - . • ELECTRIC GROUND_ -_- --_:... . .__ . - --_-__. UNDER FLOOR DUCT --- . .__. - � - GROUND PLUMBING � 'UNDER FLOOR COM1IDUIT:1 r:; ••� •• � �� - ' ' : i -' .. .. _ : .: � - ' • _; , . � - --� FIREPLACE FOUNDATION-�- �� SLAB GRADE -- ---- . ._ . ..__ . •_._� �_ • � , TEMP POWER -- - ' � - ' ' � � FIREPLACEBOND BEAM - -_'� � � � "- -- - - ' WATER SERVICE- � =�- - - - '- - � - MID HT.BOND BEAM_ .• , _ � ., .. .•. �_. .:.•.:_. .; , . ; ,,. ROOFSHEATHING� � '''` `� ' � � `��'� '� �- - � S FT.BOND BEAM '• • •� c • ' � FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER _.. �' PRE-GRADING � � � ROUGH HEATING - . ._..- -- -- - -,-- BENCHING ---- - � _. . . . . . . :. ; - ROUGN ELECTRIC -, �---� � -- -� �� �' - ROUGH GRADING • , , ' ROUGH PLUMBING ' --� ' � � ��-� --�� :'- FINISH GRADING • •, i ':. SHOWER/TUB TEST; � � POOL ELECTRIC - � . , . EXT.L.ATH/SIDING . �. POOL FENCING � "'• � � � WALL INSULATION ! i P�OL FINAL ' • CEILING INSULATION OFF SITE IMPS. ' ' • - DRYWALL NAILING . � � � DEDICATIONS � � _ _ FINAL ENG. - • � : SEWER--- - -- . . SEPTIC TANK- - . ----.. ' � - -- LANDSCAPE/IRRIG. : ' � SEEP PIT/L:L: -�- - - - - - = -- . ' ' '' ON SITE IMPS. . ` � . ; , GAS AIR TEST -- -� --- - - - FINAL ZONING ; . . FINAL CQNST. ---- - - - FIRE DEPT. FINAL ' • FINAL�HEATING � - ' �- -- - - HEALTH DEPT.FINAL • • FINAL ELECTRIC - � -� �DEV.FEES PAID � ' FINAL PLUMBING l��j ENERGY • � � �• � �; e � - i • . •, _ , .. �. �. . � COMMENTS - _ _ _ �'. , � - - - -,-- - - , , , --. .. ... - - . _ _. _ ...... _. _. -- -- ._ - - ' .. . . . - ��� � ' '�: 1 _ _ �- , . � . . � . . -. . . . .. . _ . L�� ', . ; � . _ ; ... , . . � ; i, i ... � ,�5�. � _,. �.;. �,����`:i _ � � - . �.� r . ... � , ' � , - .-. . ! � _ � � • _... . . . ..- -- � -- .. _ . . . . . , � __ ��� � _ � . . . ' , ! . ' , . ' � ' . -� - �- � ---- - - � - - - . ' � . ' , . , . . ; - -- � - � - --- -������� (. '.i'� ' • • ' , _ _ . . . . . ir � � . . � _SEPTIC TANK SI�E - • �Y�'_ . ... � ' , . . SEEP PIT/U SIZE� � ��. .. - .,s�._ ;,_ . . _ _ - .. •� f�' ' '� . .. _ .� (�.� '.�:,�; ! ! ; �,�1 ..'�.; ,_ , . .. _ ; , . , ,- . ' , i . - - - --- � � � ,� - . . ",_ .. , � ' - - - + �� .- -: . .- —, . ,+ . .� ,., . , - - - �. � , . .. . . _ , , �1 . . ' � . . . .