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HomeMy WebLinkAbout14732 (32) CITY OF DIAMOND BA� � -- —� DEPARTMENT OF COMMUIVITY&DEV�LOPMENT SERVICES �� � . 216b0 E.Copley Lhi�e Stdte 19Q (909)860�3195 Fax(909)861-3117 PRESS '"�'�f� BUII..DING PERNIIT APPLICATION FIRMLY y�,�, JOBSITE APPLICATION PERMIT �L��I'�'�1 P/C o ADDRESS ` 2 G� DATE ' � NUIy1BER 11 lJ0'� s ISSUE � APN LOT TRACT DATE� f C�NST. . � GROUP � OWNER � '� ' ADDRESSY [L 20NING SETBACKS � APPLICnA��� ZIP�[�r TEL FRONT qyy o REAR SIDE/SIQESTREEi RW O CONTRACTOR C � �i� � SIDE p ADDRESS r� � CITY IP��TEL PROPOSED USE��Tlc9_ CU U r� � ARCFUENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL u� DESCRIPTION SQ.Fl: FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECURATION SFR/ADD/REM I MEREBY AFFlRM UNDER PENALIY OF PEiLIURY TNAT I AM EXEMPT fROM 7HF CONTMC70RS LI- GBfYdB/CBfpOR CENSELIIWPoR7lIEFIXLOWINGREA60N�SEC.7081.68USINE6SM/DPROFESSqN9CODE:ANYCITYOR (n OWMYWliCNMEOLIWESAPFAMrtTO00HS7qUGT,KTERMIPHOVE.OEMOLI9N,ORREiNRANY9TRUC• W P8f10IDedC IURE,PRIOR TO R'8 ISSUANCQ AL80 i{EWIRES hIE APPLM.AH�FOP SUCII PERMR TO fILE A810NED W BTATEMENT 7W1T ME OR SHE IS LICENSEU PURSUANf TO THF PROVISIONS OF THE CONTiIACTORB U• CENSE UW(CHAPTER i(001AMENCINO WRH SECTION 7000)OF DIVISpN 7 OF TFIE BU3INESS AND PRO- � POOII$p8 FE&41DNSOODQOFtTMATMEORSNEISEI�MPT7MEREFROMMIDTMEBASISFOqTMEALLEOEDE%EAIC• (� TON.ANYVIOLATIONOFBECTION7001.68YANVAPPLICANTFORAPERMITBUBJECTBTHEAPPLIGNTTO Z RaRod IICML KrHAL7Y OF NOT MOFE TIUN PNE HUNDRED DOLCMS pcoo).): CL/a01M1EROFTMEPROPEIiTV,ORMYEMFLOYEESW1iHWA0E9A91HEIq80LECOMPEN3ATIOM, CORIR1CfCl81 W�LL DO 7ME WONG ANG 7HE BTqUCTURE IS NDT IMEf1GED OH OFFERED FOR SKE(SEG 7Wa,BllSf� � � �� NESS MIO PiqFES510N8 CODE:ME COHTWICTOR3 LICENSE U1M OOES NOT MPLY TO AN OWNEH OF � PROPER�YNrt10BU0.�90(i11APi10YESiNEREOM,ANDWiqpOESBUCHW�ORKMIMSELFORHERSELFOR � � TNROUGH HS IXi HER OWN pAPLDYEE8,PROVIDED THAT BUqf MmNOVEMINTS ME NOT MENDED OH m OFFERED FORSKE F.FqM16YEqiHE BUILDINO DR W PROVEMEM 19 BOLD WRNtN qJEYEAR OiCOYPLE• TION,TNE dWPEf1sl11LOER N11LL HAVE THE BUFDEN OF PROVINO iNAT HE OR SHE DID NOT eUIID OR R1PiqVE FOq 7ME PURPOSE OF SALEF �y 061lSOMMEROFTFiEPROPERTY,A41EXq.U6NELYCOMFLlC71N0NATHLICEN5EDO0NTRACfOR9 � TO CONSiRUCT 7HE P110.1ECT(BEC.TOM.9USINESS MIO PROFE991ON3 OODE:TiE CONfRACTORb ll- V81Uiildl ADJ.AREA CEN9E U1W DOES NOTMPLY TO iV7 OY/NER OF A PROPER7Y M71D oUXDB Op MPXOVES MEREON,ANO MAqCOMMCT9FOHSUGIPRO.lECT9YA7HACONfRACTOfi(S)LICENSEDPVRSUANT70THECON7MG QUANTITY DESCRIPTION � mAs uco+sE uw.p FEE O I AM E7�MPf UWDER 8EG B.l O.C.FOq THIS REASON � U u- o�re awNen � � W UCENSED CDNTRACTORS DECLARATION -+ � W I XEREBY IIFFIRII IMDER PENALTY OF PERJURI 1HAT I AM IICENSED UNDER PH01lISIONS OF CMMTEq � ��ODIIAIENCMO WRH SECTION 700n�OF DM510N aOF THE BU5WE93AN�PR�FESSIONS COOE,MID Z � W LICENSE IS IN FULL fORCE AND EFFECT. � 7• 3 uc.No. S�-�0�� � � uc�cuss_ � � o�tE carrancToa � a WORKERS'CORAPENSATION DECURATION � � INEREBY11FFlqWUNDERPEWLLT'OFPERIURYOHEOFTl1EPoLLAWINO�ECU1M7qNS: Z � _IXAVEANDMALLMAINTANACERTIfIGTEOFCONSEMTOBELF•INSUREFORWORKERS' 2 OOYPENSATION,ASPpOVIDEDBYBECilON97aoOFTHELABOfiCOOE.FORTHEVERFORMANCE �U Q OF THE WOqN FOR NMICII THIS PERMIT 16188VE0. � _I HME MO WILLMAIMAPI YVORKENS'COMPENSATION INSURANCE,AS REOUIRE�BY BECTION �O Q 9700 OF THE LABOR CODE.FOR iNE PERFORMANCE OF THE riOHN FOR MMICH iH15 iERM1715 0 ISSUED.WWORKERS'Cdl N INSURAN IEF ICYMIMBERAAE: CONSTRUCTION � � GRRIER ��'J�� ��� PLAN REVIEW _ � POUCVNUMBER- . 1��p��� ELECTRIC � f�BEC11wNE�N078E00MFlP�mOFiHEPEwAR6R7RONEHlDREOOalLAa8R1ao1dtLESSS PLUMBINO W � I CER7IFV THAT N TNE PFRFORMMICE OF THE WORN f-0R WHICH THIS PERMI715 ISSUED,I MECHANICAL SHALL NOT QAPLOY ANY PERSON IN ANY MMINER 50 AS TO BECOME SI�JECT TO TME (q WORNENS'GpAPENSATqNUW50FGLLIFOflNItiMlDAQREE7NATIFIS/pUIDBECOME INSPECTIONFEE S SUBJECT THE ERS'OOMPENS�TION PROVISIONS OF SECT 700 pF 7NE LABOR coo�,i ui n+vnmooMri.rwininasEr wswt�s. ISSUANCE O � DA7E A AppUCANT. � SMIP � WMNINO: ILURE TO SEq1flE WORKERS'COMPENSATION COVEFAOE IS I/N 4 AND SNALL BE ENERGY P/C � SU&IECT AN EMPLOYER i0 CRIMINAL PENAL71E9 WJD CINI FINES UP TO NDPEO hKK15AND ENEROY PERMIT CITY OF DIAM } DOLURSIi100,OW),WApDRIONTp7HECO5TOFCOMPENSATIDN.D ASPROYIDEDFORN7 7}{� �r/� ��T � SECTIDNe)0lOFTNElA80Rn7DE,NTEqEST,AN�ATTORNEY3FE . RETENTIONFEE: _ _BlJll���[IVl7 t11�IDS [� CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMEREBVKFIfiMUNDERPENALTYOFPERIURYh1ATTHEREISACONSTRUCTqNLENDINpA(iENCY fOR 7HE PERPoRMlWCE OF TIE WORK FOR YVMICH THIS DERMIT 1915SUED I5EC.90v7.GY.GI. � � LENOER'S W1ME � . � LENDER'SACORESS � I CERTIFY THAT 1 MAYE HEAD TFII9 APPLICATION AND 9TATE TFIiV 7HE ABOVE INFORMATION IS ODRNECT. ,� d IAOREETOOOMRYWRHALLCRYAN�OOt1NNORDNANCESANDSTATEUWSREIAiWONBU0.DINO TO EES �. �'�j,� CONSiHUCT10N.AND NER�Y�41T110qIZE REORESEHf11TIVE3 Oi THIS COVNiY TO ENTEq UVONTNE S�. �B04E.MEPfTqNEDGROCERTYFORMSPECT�ONPURPD6E5. C � � �� m PERMITfEE Ef�INn Q N (/� MONA7UREOFPE E � RECPT.NO. PIUD BY VAUpATI _ HITE—Departmant Copy,YELLOW—Finance Copy,PINK—Assessor Copy,60LDENRO�Ie Copy,pREEN—ApplicenYs Copyr � , . . . . . ., . . .., , - , , :, -. . , . , . . CITY OF DI�aIV�C�hIQ �L�►R � ' irasP�c�-oor� R�co�Q � .�..a.�� ..� �... � _. �:.� _ __, �� � t � i - ■ ! t , .. � � � SFT BACK. FLOOR JOIST ��� FTGSiFQRMS/STEEL � ��� FHA REQMTS ._..._.___����_- --- ------ —�—_.__^._. - - �-- ELECTRIC GROUND - UNDER FLOOR DUCT � ----------------- __._...—_._:_.. _ w GROUP�E� PLUMBING _1 � UNbER FLOOR CUt�IDUIT � _ __ �_ SLAB G!�AC3E � � �' � FIREPLACE FOUNDATION • . . . � TEtu1P POWER ,�__ , ' i FIREPLACE BOND BEAM J . ___.—�-- WRTER SE�VICE __�___� MID HT. BOND BEAM - -- - ~ __..+.----------- - -- ROOF SHEATHING• _ ', , I 8 FL BONq BEAM . . _ . -- —�— .��_� FRAMINGNEN�TlLIATfON � � FINAL B�ND BEAM I � ROOF COVER _�.-- — "— � PRE-GRADING -- ------'- ---___.___._ —_.-,.__.__--�-----.�_—� ROUGH HERTING � BENCHING � ; ROEJGH ELECTRIC � - � � ROUGH GRADING ; �� ROUGH PLUME311VG �I __�� � � FINISH GRRDING _�_� ' -----_j___._ _.. � SNOWER!TUB TEST i � POOL ELECTRIC ( �� EXT. LATHlSIDING — I j j POOL FENCING �-----T-- WAI.L INSULATiC7N tV� � � � ' POOL FINAL �--------- ---�_.�.��.___�,^_ , CEEI_ING INSULATION I QFF SITE IMPS. ___�__ _� D�?YWA�L IVAILiNG I I DEQICATIONS , � � ---_�_._�.---...___---_ � �_.___-- -------r-- ------� — �._---- SEWER fi^ � , FINAL ENG. i ._._�_� .:,...._ r._ .. SEPTf�TANK ; � , ; LANDSCAPE/lRRIG � ----�-----------`__~--�_. _�. � __�__ _- --- __�._.._._---- —�.�—.__._._. ! SEEP PITJ�.L. i j � Ot�;SIT�IMPS. -�i ....______ —. __.. ;._..�_.____�--- — _.y, GAS AIR TEST j FINAL ZOP;lNG i��� �� ; �__`.�_ _ __ --i--._._._ �{--_._.._.----__�_._..___�. � _._:._._____�__._,._-----; FIf�AL CONST. � �S � ; i FIRE DEPT. FINAL •. �— _ --t----_.----�_.__._.�—__� FINRL H�A71"�IG � �I � � HEALTH DEPT. FINAL � C_,____.----.-....._ ; � FlNAL ELECTRiC� I ' ����� pEV. FEEW PAID i'- ! � ; F1NAL PLlIR4Eii�Ca � .___i —____�:---- _ ' ENERGY --------- ���_-------- ----------� �� --_ ----_ .__.�� _�— .�� � ��,� ��� �.—_.�__,�—_.____~_� COi��MENTS,.._._ � __..._. � - � -- �---- �' '_.—� - _ — .�.� _....� - _ .._.._. _� --- ; — ---- —_�__.__._�_____---__._.__..__---,--- ` __ - � �� 5:� j7�9.h . �' _'_'_..._.' --"___—..� . ' . � +�fi•n 1:�� + ^' �'' . . ..... .. ., ^I/^�1 � .. . . —. . _ . —" _. .__""�_ !f'•'I�`�'J:�..'�Jzr t.i_r.j�_���_ •. _ _.. SEP-i'1G�"A!V}C�(Z�:.�_^ r�� _,�c�;nr�r�rr�i.; SEEP PIT/U SIZE _ � -- -- — _._.__�. 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