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HomeMy WebLinkAbout15523 (661) �i J� •��;'�� _ C1TY OF DIAM�ND BAR � / �" DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES r�/ � 21660 E.Copley Drivc Suite 190 � (909)860-3195 Faa(909)861-3117 PRESS �'��� BUILDING PERMIT APPLICATION . FIRMLY � JOBSITE /�Q I�C / E����N G j-�, APPLICATION� � O PERMIT � P� o A�DRESS 6 DATE NUMBEF X � ISSUE /�� TYPE OCC APN LOT TRACT DATE �t/ CONST. GROUP � OWNER EE _ :#- LEW 7— ADDRESS IiIC-��-S� -�N� ✓ ZONING SETBACKS Z CRY,T�Jp�''�bv D F,+1� ZIP�S TEL.P�.S9�'EY>' FRONT RW ❑ g APPLICANT TEL. REAR O � SIDFJSIDE STREET FW ❑ CONTRACTOR � E��► . Mo�D D� rJ .- SIDE O ADDR SS � " PROPOSED USE ��� I��K� � !"� g CITI( ZIP�Z TE .� ' ' � � — / ' �, � ARCHlENG/ - .�.�p�¢ _ , - ' DESIGNER NO.DWEL. `�""- ' N . ADDRESS UNITS STORIES BE�ROOMS � C(TY ZIP TEL N DESCRIPTION Sa.FT. FACTOR PSF ADJ.AqEANALUATION � Q ONRJER-BUILDEA DECLARATION SFWADD/REM O Q I NEREBY AFFlRM U110ER PENALN OF PERIURV TW�T I M.�EXEUPI FROA7 TNE CONfRAC70i15 L4 GefepB/CefpOR W CENSEUWFON7MEiOLLOW710NF�50N(5EG70.11.69USMESSANDVHOFESSIONSOOOE:ANVCf1YOR (n � CAMi7YMaOfREOtME5A7ERYR7000N5TRUGLALTF0.MPF0�VE,DEMOUSH,OflREPASi/NYSTRUG W patlo/peck� TVNE MqR N RS 199UN�CE.K50 REOU�RES TNE APFUGWT fOR SUpi PERAIIT TO LILE A SIGNE� � STA7EMOiT TU7 NE OH SHE IS LICENSEO VURSUMlT TO THE VROVISIONS OF TNE CONiNACTOR9 LL � CENSEUW(PUPTFRO�COMIJCNQNONaYMSECTION7000)OFDMSION70FTHEBUSiNES5MIDPPA- � PooVSpa FES51ON5 COOE)OH i/1AT XE OR SHE IS EXEMPT iHEREFROM IINDTME BA515 FOR TME ALLEOED EXEMP- TqN.11N'lVpIATIONOFSECT10N70.71.6BVANYAPPUCIMFORIIPERMITSUBJECiBTNEADMIChNiTO Z Re-Raol � AGVILVFNII�NOFNOTMORE�II�NEMINOREODOLUASIf500).k ' � OL�aMMEROFTMEPfiOVENTY.ORM'/EMPLOYEESWiT11WAGE5A5TNE�R50LELOMVENSATqN, 0 �mmertW� 1MLL DO TME Yk7fUC.IWD iHE STIp1CTURE�S NOT IHTENDE�Oi1 OFFERED FOR SFLE(SEC.7u�.BU51- J NESS IWD PROFESSIONS CODE:IME COHiMCTONS LICENSE LAW OOES NOT ADP�V TO AN OWNER OF N pNOPEqTYNNOBUAD3diMPROVESTMEHEON,AN0YN10DOE55UG1W0(iK19M5ElFOflMERSEIFOR m Q 71WOtXY/NISORMEROVMEMPLAYEES.VRONDEDTUTSIkNIMOROYEMENTSMENOTtllTFNDEDOFi � ,OFFFREDFORSALE.IF,/qWEYER7HEBUlqN00R14Pf10VElAENTISSqD`MTHNOHEYFAHOFCOMPLE- � TqN,THE OWNER-BURDfR WILL HAVE THE BURDEN OF VROVWO TMAT NE OR SME DO NOT BUILD Ofi W YRpyE fpq iNE R/RPOSE OF 3lLLE). W ❑IASOWNEROFTNEPROPERi1;ANDlCLUSNELYCOMMCTNGNRiML�C[NSEDCON7MCfORS BTO COH5711UGT THE PHOJECT(SEG 7ou,BUSINE55 AND iROFESS101J5 CODE TME CONTMC7ORS U- V8�u0t1011 AQI.AREA CFNBE UW OOES NOTA➢VLY TO AN OWNER OFA PROVEfltt WHO BULOS OR W VROVE9 iNER[OK MID � WlpCONfMCTSiOR5Ud17NOJECT51Y7T1ACONTMCTOR(3)LICENSEDPURSUNiTTONECONTMG pUAMfTY DESCRIPTION FEE � TdLUCENSEUW.). OIwEXEYPTUAEHSEC. B IP.C.FORiHISREA50N U K LL' DA1E oNt+ER V � UCENSED CONTRACTORS DECLAAATION -� � w IMEREBYAFFlRMUAEHPENALTYOFPEiUURVTUTIAMLICENSEDUNDERVRONSqNSOFCFUC7ER U. � 0(COAMF7'7CIH�YATMSECTION7000)OFOMSION70F7HEBl151NE95AN�PROFE551ON5CO0E,AN0 Z W UCENSE IS N FULI FOfiCEAND EFFECL m 0 LICENSECUSS c 39 UC.NO. - � J � w� 4 -.S-O� _ cornancra�� � - a � WORKERS'COMPENSATION DECLARATtON �( � �` -� � U � IMEREBYAFFlRMUNOERiENALTYOFGERRIRYWEOFTHEFOLLON�N�DECLAMTIONS: � Z ¢ 0 �INAVENIDV�LLWNTAINACERTIFIGTEOFCONSEMiO6ELFINSUREFORwORKERS' S � COMPENSATpN,/l3PROVDEDBYSfC710N77ooOF1HEU80qCOD[,FORTHEVENFOPlAM10E �U OF TIE WOPX iOR YYN1Q17HIS VEfW�T IS ISSUED. � 0 Q �1 HAVE�wO M'iLLYAMAIN WOFLCERS'COMPENSA7qN INSURANCE.AS REOVIHED BY SECTqN ]IooOFTMELABo/i000E.FORTHEPERFORAIANLEOFTMEWORKFORWFIICMTHISPERM:TIS J31,C9 b � ISSUEO.MYYMORI(EAS'GOL�PENSAiIONIN5UIWKEGRWERAN�POIICYNUMOERME: CONSTpUCTION � uaaEn ' S%�I�17� �l N 17 PLAN REVIE4V � POLIC�NJYBER � � � a° ELECTRIC ^R • � �Lx�n � (M55ECfIpNNE�N7fBE�.f;EfIDOFMPEiMf6FORCNEF4fORE R�a�la+tcss� PLUMBING � 2 ICERTIfYTHATNTMEPERFORNANCEOfiHEWORNFORwNKFiTMISPEN.nTISIS5UE0,1 MECHANICAL (� 5�411NOTEMPLOYANYPERSONNMIYMANNERSOASTDBECdAESUBIECTTOTNE � WONCERS'COVPENSA7nNlAwSOGCJV.rtofWiA o"�GREEiluT1F15NOU4DBEOW.�E INSPECTIONFEE SUBJEGTTOT1EMtlRKERS'Cd.�vENSAT PRO SIOHSU SECTION77000FTHElABOR ISSUANCE U � I Qcao�,�sruuvor�nm�nrcouv�rwm� OSEI OViSKK+ I wre: -�-�� �ar��rrr: , - . .• SMIP CjTY nF I)iAh�Tl�'.Jn P..4T�. ` lc(7 ' . w u T A T[� 7'+� � WARNIHO:i.UWRETO5EQIREWIXiKERS'COMPENSATqNWVEMGEISUNUWFULN�DSMALLBE ENERGYP/C +�U�•1�T��r/•T�yLI'\i�'� � SIl&IECiANEMPLOYERTOCRIMINALFENALf1ESMlDCMLFNESUPTOONEHUNDREDTHOUSMU ENERGYPERMIT . 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PAIb BY VALIDATION WHITE-DepaM1ment Copy,YELLOW-fnance Copy,PINK-Aawasar Copy.GOLDENROD-FiieCopy,GREEN-Applicanl's Copy --- ---- '� I `, .. �... .. , , s . ... • . � - . � , , , . - . � ,. . . , .. .... . ,�• � ,. CITY OF DlAMOND,BAR , � . , . -- � � " : ':ItdSPECTlON�REC(7RD :: � ... . � ~ `" t ;.,-�.................. �,���:�1���� �,....�..:�...._,- ���rr�=:����. �_�__� �t�.E-���-����.� a �.�� r.►� ra�����.� _ 6 i � .�._...��. iS�T BACK . - - •� , i� �� f. :I �- - + FLOOR JOIST ', ., ' , ' �,•. ' . . �FTGS/FORMS/STEEL" '. . .. ' . `, -.; FHA REQIATS . , . , -- .- ' ..� ;ELECTRIC GROUND_ .._ • ` •�'!� I I . UNDER FLO�R DUCT � ' - • � • �GR�UND PLUMBING UNDER FLOOR CUrlDUIT �� � � • . ' SLAB GRADE- -- -- � - -- - -- - - FIREPLAC�E FOUNDATION • • • . �TEMP POWER ---� - �-. , � � �, = • FIREPLACE 80ND BEAM ---- ��� '• �� WATER SERV�CE -�- - - - . . : MID HT. BOND BEAM� ' � . . - .. . j ' 'ROOF SHEATHING '1 Q� _ ' • 8 FT.BOND BEAM - -• - - - �� - ! = FRAMINGNENTILIATION � ' :' � ' � ' � FINAL'BOND BEAM . !ROOF COVER�.'. �; � ' ' ' ' � PRE-GRAb1NG - - � ;ROUGH HEATING - - " � BENCHING • . 'ROUGH ELECTRIC __`. " � " ' . ' ROUGN GRADING �ROUGH PLtI(vIBiNG- • --- - ' •-- � FINISH GRADING � :.,- :SHOb'VEFUTUB TEST -- --- ---- - -• -- - • � . POOUELEC7RIC 'E?CT.-l.ATH151D1NG �- - �� - - •- POOLFENCING i :_ ,1h'ALL INSt1LATION - -- --- POOL FINAL � :CEILiNG iNSULATION - � � " � � -- OFF SITE IMPS. � . �DRYWALLPdAiLiNG� - " ! - � " DEDICATIONS '. SEWER -" - -� - - FINAL EPJG. " SEPTIC TANK LANDSCAPE/IRRIG. ' , � SEEP PIT/L.L. '� -'-% ��' O�!51TE IMPS. , ,GAS AIR TEST FI�JAL ZOM�^JG - _ FINAL COWST. ' � -f3-(;�;_�� Fln^[DEPT. FINAL � . .. _ _ ' �.FIhAL HEATING ._ _ _ . � . __ HEALTH DEPT. FINAL - ' ;F(tJAL ELECTRIC - - - - DEV. 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