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HomeMy WebLinkAbout17800 (449) __ . �.,...�--�.. . , - _�� - CITYOFDIAMONDBAR ' i • ' J�n � �J.� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � V �(,V� . � 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRESS '���'� BUII.DING APPLICATION FIRMLY Q ADDRESS � ,w APPLICATIO J 'dj "�1 �L PERMtT 17�6� P/C p DATE v NUMBERI p c� ISSUE a TYPE OCC APN L0 RACT DATE vI �CONST. " GROUP � OWNER � p ADDRESS ZONING SETBACKS � CITI' ZIP TEL � FRONT RW O APPUCANT ��, REAR ❑ � SIDE/SIDE STREEf RW O CONTRACTOR � SIDE p � CIDTDRESS ZIP ?TEL • f PROPOSEDUSE '� � ARCH/ENG/ _ DESIGNER NO.DWEL. NO. NO. = C�D�DRESS ZIP ,�L UNITS � STORIES Z BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANA4UATION Q OWNER-BUILDER DECLARATION � SFR/ADD/REM O 8 1 NEREBV AFFlRIA UNDER FEHALiY OF PE0.R1M TMT I M1 E%EMPT FROM iHE CONTMCTORS U• .GefHg6JC81pOR -.. � � CENSEUWFONTHEWLLOWNCiREA,rONI5EG70.71.6BU51NE551WOPROFE55lON5CO�E:IWYpTYOR (n � COIMTYWHi01REOlMESAPEHMRTOCONSTRUCT.AITER�P��.DEA�OlJ51lORRE0NRM1Y5TRUC• W patidDOCk � IURE.PRIDR TO fT9 SSUMILE.K3O REWIRES THE APPLIGNT FOH SUCH iERM1T TO FlLE A SICNED BTA7El1ENT THAT HE OR SV/E IS LICENSFD PU0.5UANT TO TME PRDVISIONS OF 7HE COHfMCTORS LL � .CFNSELAW(d7APTEfl�(OpAMENCWOYATHSECTI0f77000)OFDIVISqN�OFTHEBUSMESSMI�PRO� � PooVSpa � � � iE55qNS COOE70R T/NT ME OR SHE 19 EXEMPT TMEREFROM 1WD T1E BASiS FOR 7NE ILLLEGED E%EM7• TION.ANYVIOLAiIONOFSECTIONT07t.6BVANVAPCLICA7fTiOfiAVEiWITSUBIEC757HEAPDLICANTTO Z p�q�} , F, A C1V1L FENALTY OF NOT 410RE iHAN FNE HUNDHED DOUAitS RSao).): � OLASOhN1EROFTHEGROPERTY.ORMYEIAPLOYEE5N7TMWACESASiHEIR50lECOMPEN5AT10N, � COrt1m6fClel � � . YALL DO THE M/Oi1K AND THE STRUCTURE tS NOT IHTENDED DR OFFERE�fOR SALE(SEC.7W,BUSI-� J y NE5$AND PqOFE5510N3 COOE:TME COHTMCTOKS UCENSE UW DOES NOTAPPLV TO AN OWNER OF ? . OROVEIITY W110 BULDS Oi1 W CROVES iHEREON,AND VR10 DOES SUCH WORK Id115ELF Ofl HERSELF OR (� iLYlOUdIHt90RHER0IVNEMPIAYEES,PROV10EDTMTSUCFIMPROYEMENTSARENOTINTENDEDOR m � OOFFFAmHDRSALEIF,/qWEVEqiHEBULDINOORIMPiqVEMQdTI550tLYrtfNNDHEYEAROFCOMPLE• � �710N,7HE OM7�ER�8U0.DER VnLL MAVE TNE BURDEN OF DROVwO TIUT NE OH SHE OD NOT Bt11LD OR . MPNOYE fOR TME PURP0.5E OF SALE�. � W 04ASON'NEROFTMEVROPEfIf1:IWE%CUISNELYCONTMCTPIOWfTHUCENSEDCONTFiAC70R3 � TO CONSTRUCT THE P{iO.IECT(SEC.70a1,BUSINESS NA V0.0iE5510N5 CODE TFIE CONTiUCTOF4 LJ• V01U8f1011 ADJ.AREA � � � CENSE UN�DDES NOT/NPLYTOAN ONNER OF A iHOPENTY YA10 BUILDS OR IMPFi�VE9 iHEREON.AND WIqCONTRACT9FORSlICHON6IECTSM/ITNA00NTiUCfOR(S)LICENSEOYURSUMI�TOTMECON7MG QUANTIN DESCRIPTION FEE � tOR.4UCENSEUW.} � OIAMIXEMPTUNDERSEG 8.8P.C.iORiHISRFASON Q 3 � ►L �OATE OWNER V .. �.,_ , �.�2'., . � W UCENSED CONTAACTORS OECLARATION W � IHEREBYAFFIRYUNOERVENALTYOfPE0.R1RY7TUTIMIUCENSEDUNDEHifiOVISIDN50FCHAPTEH Vr • � 0(C0IMAENCW�WI7HSECTIDN70Do10FDMS10N�OFTHEBUS�NESSANDDROFES5�WJ5C00E,AND Z W LIGENSE iS MI fLLL F M1D EFFECT. m . 0 LICENSE CUS � LIC.NO. � � ��G� j .. . �j DATE CONTRACTOfl O a W � WORKERS'COMPENSATION DECUIRATION U ��� / Gw RT � IH[REB VWUNDENPENN.7YOfPEiWRYONEOFTHEiOILOWiNODECI.AMTIDNS: � � Z � � �r ""� � IHA WiLLAUMTNNACERTtFIClUEOFCONSENTTOSELF-INSUREFORYIORKERS' _ � ENSATpN,A3 FROVIOEO BYSEC710N TooOFTHE LABOR COOE FOR TME PERFORFUNCE U TNE NVfiK FOR WHICHTHIS VERMR IS I55UED. � ? r O � I HAVE AND VALL MAMNN WORKEHS OOA�PENSATqN MSUMNCE,AS REOUIRED BY SEC710N ,, 4 �7000F iHE L/BOR CQOE FOR iHE PERFORMANCE OF WORK FOR WMiCN THIS PEf1MR IS ISSUED.MVWORKEr��p��/r��SATaR�WSUMN R�ERA POLI�yy/6L10._E�FA[R�E: CONSTRUCTION � c�aaiEa y/ / �.�- –�l�— PLAN REVIEW � va�crm�eEA ELECTRIC _ , 0 (I14s5[cna�N�wiBEO�.REtIDOFiFE��iMi6loRaaEV�lDiiED00UMSR+�IORLF55} PLUMBING Z ICEFiIFYT17ATNTHEPENFORM�IJCEOFTHEYpi1KFORWHIdiT11S0ERMRISI55UE0.1 MECHANICAL " � �' ^ U' SIULLN07 EMPLOY FNY VERSON N ANY MANNER 50 AS TO BECOME SUBJEGi TO TNE � 1M�PoCERS'COiAPFNSATIONUWSOFGL�FOANI�IWDAGREET1UTIfISHOULDBECauE INSPECTIONFEE S SUBJECTTO7NEWORKEHS'COMVENS I RO °iONS FSE iON77o00FTHElABOR ISSUANCE _� COOE,}6w�t.l�F ORTMYITH COMPLY 1 T/KJSE V 5. � / I/ J�� SMIP � p MTE:_y i��1�f�APPLICA . . � . � �� ENERGYPlC WARNINO: URETOSECVRENORKERS'C06�PE S�TIDN E1IAGEISUNUWFUL.MlOSHALLBE � � StAJECTµEMPLOYERTDCqIMINALPENAL7IESANOdVILFWESUPTOONEMUNOREOTMOUSANO � ENERGYPERMIT � ' DOL1Aq5(il D0.000).IN A�q710N TO h1E COST OF COMPENSATION.DAMAGE3 AS PROVIOED FOfi IN J SECTION770eOFTNEUEOHCOOE,WTEHEST,/NDATfORNEVSFEES. � RETENTIONFEE: � ^� SCONSTRUCTION LENDINO AGENCY PRE-ALT FEE: ' � 1 HERE9YAFFlRM Ul�Eli PFNALTYOF PE0.JURV iHATTHERE IS A CONSTRUC710N LENOPq AGFJ�lCY � FORTNE PERFORMANCE OF ME W RK FOR WHIGI7MI5 iERMIT IS ISSUEO�SEG]oi7,CN.C.� . .� IENDElYS NMIE _����// . . .. .. � C IFNDEIYSAD�RE55 � ICERTIFYf1URIHAVEREADT/1SMil1CAT10NMlDST�TETHATTMEABOVENFOPIAAiqNISCDRRECT. TOTAL FEES � � � � �.�'— W IAGflEET0006�PLYWfT11ALLCRYAN000UN7VOibWANCESANDSTATEUWSREUTIN�TOBULDINf] ' � CONSTRl1CTION,M!D NEREBYPlJf1�OR1ZE REGPESEMATIVES OF iH15 LOUN1'/TO EHTEfl UPON TNE . �. . � ABDYE Hf%k1ED0ii0PERTYFOfiINSPECiIONPURPOSES. COMMENTS � � � � m PEfWi EHM�[�P � � �. .N . . � . . .... . . . . ._ . � � � REOF EE � � . � . . . RECPT:NO. PA1D BY VAI.IDATION WHITE--Oepertment Copy,YELLOIM14--Financa Copy,PINK—Aseessa Copy,GOLOENRO�Ie Copy,OREEN—Applicant's Gopy . , .... � . . , ... ..�� � . .. �� , . . . , . �.. . . . , . "' �- , . . • .. . � . � , . r�, . .. ,. . . � . ... . � . . CITY OF DIAMOND,BAR � �_: :_ _� • � ��� � INSPECTiON'RECORD�_ � � � � ' s ` � • ' • � • • � • SETBACK - ;, ' � �• �`�1 FLOOR.�OIS�.�.r,�•,. ` ..,� ` �� .` �f. - FfGS/FORMS/STEEL - FHA REQMTS - - ELECTRIC GROUND - �_ � ' ; - UNDER FLOOR DUCT— •..:,;, ,_;•, ,.:,�," •,� `�� � GROUND PLUMBING UNDER FLOOR COMDUIT �� �-;.��%"•: '=` `; SLAB GRADE �� - " ��:• FIREPLACE FOUNDATION ' , '� � ' TEMP POWER - - FIREPLACE BOND BEAM . - _ _�_ _ _ _ . WATER SERVICE - . -__ _-_ _ _. - - MID HT.$ONR-$EA . • , .r.. �.,., ,.,,; `.` ; . ROOF SHEAT INCa t ' - =, ►.' �.�; - - � 8 F,T.BQND BEAM�,� ,. ' -'r;�.•.�:i� r.. FRAMINGNENTILIATION � � ' FINAL BOND BEAM - ROOF COVER � } PRE-GRADING � ROUGH HEATING - - - BENCHING - ' •- ROUGH ELECTRfC - - - ROUGH GRADING • ROUGH PLUMBfNG - � �- "- "- FINISH GRADING � SHOWER/TUB TEST - - POOL ELECTRlC . ' EXT.LATH/SIDING � POOL FENCING ' WALL INSULATION POOL FINAL : CEILING INSULATION OFF SITE IMPS. -; DRYWALL NAILWG DEDICATIONS SEWER FINAL ENG. SEPTIC TANK_ .. LANDSCAPE/IRRIG. SEEP PIT/L.L. -- : - _ ON SITE tMPS. . � GAS AIR TEST FlNAL ZONING FINAl:CONST. -- - - FIRE DEPT. FINAL , F1NAL HEATING �-`� HEALTH DEP7. FINAL FINAL ELECTRIC -" . DEV.'FEES PAID ; - FINAL PLUMBING ENERGY ' �� ♦ f` e . �,..- .. � . �n j � �� - - 1 � . I ` . . i ..,, �y_ . .._,. . ..`.,:. . l�}..1`I t... �. . \ � � , . . . COMMENTS' � �: i ,.; . ,: � . .ti�• :,�-, 1: � � _ __ ;- . . - . i __ ._ . . ... , __ . f : ,,_._, �.. . • s , .� - ' C . . n � -- y , , � _ � .,, -•� ,, ;� � , _ - , r._ � ` . ---__ ,.,� � •, .,� - �__\ � � • , SEPTIC TANK SIZE SEEP PIT/U SIZE ; ; ` ,' ' i `\ _ _ _. , � , _.. ; _ _ _ ' � � � � — - � :, . '�,..;.`', :,1 . .. _ , , �-�, . ,.. , `._� � , � . .. �.