HomeMy WebLinkAbout11786 (5) P/� Z
CITY OF DIAMOND BA8
�- -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21660 E.Capley Drive Suiu 190 ��
(909)660-3193 Fax(909)661-3117 " ' � ; PRE$$
�'���� BUII.DING PERNIIT APPLICAT[ON FlRMLY
o DD ESS 1 S�7� ��� C�CI� DATE CATION _�MBER ` �7v � R� �`��
� fSSUE _� ` 7YPE C
A P N L O T T R A C T D A T E � `�. C O N S T. G R O U P
� OWNER
ADDRESS w YONING ' SETBACKS
8 CITY +'a ZIP TEL. � (9 FRONT . , RW ❑
APPLICANT �TEL. SiDE/SIQE STREET RW ❑
CONTRACTOR SIDE ❑
g ADDRESS PROPOSED USE �„��" � �' 2-PJ�•
CITY ZIP TEL
P� AHCHlENGI .
� DESIGNER NO.DWEL. NO. NO.
ADDRESS UNITS L ' STORIES � BEDROOMS
CITY ZIP TEL.
y DESCRIPTI�N SQ.FT. FACTOR PSF ADJ.AREANALUATION
v�
� OWNER•BUILDER DF_CLARATqN SFRlADWREM
� �8��c.�, ,r
I IIEREBY AFFlRM UNDER PENlLLTY OF PERRINY THl1T t AM E%EMPT fROM 7HE CONTMCTORS U-
CENSEUNYFORiF1E10LLOW�NaREA90N(SEG7031.6BUSINESSANDPi10FES510N3CODE:ANYqTYOp (n
COIA�ITYMMCMREWIRESAPERMRTO00N87RUCf.ALTER,WPROVE,OEMOUSM,ORREWUHANYBTRUF `W P8t10/DOCk . 7 . .
TMIE�RIOH 10 R9189UANCE,ALSO REW IRES 1TiE APPLICANT FOR 6UCY1 VERMIT TO FILE�BION W " �
STATEAIENT THAT ME OR SHE IB LICENSEO NHL+ILWT TO iNE PRDNSIONS OF iNE CONTMCTORS IJ• . .
CENSE UW(CHMTEF Y(COMMENdNCi WrtH SECTION 7000)OF DIV6qN�OF TIIE BUSINE33 AND PRO- LL POOVSpB .
FESSIONSOOD�d{THAT ME OR SHE 16 E7fEA1P7 iNEREFROM AND T1E BASIS FOR 7HE ALlE0E0 E%EA1P�
TpN.ANYVpI/ITIONOFBECTION7o77.68YANVMPLICANTFORAPERMIT6UBJECT6THEMPLICANiTO Z Re-Rao} �
� ACMtPENAL7VCFNOTMOF1EiNANFNFNUNDHEDDIXIJ�R3(ir.ao}$ � , .,
04R+`�EROF7NEPROPERTY,DRMYHMPL01'EESNnTMWAOESAS7HEWSOLECOMPENSATpN, CORIRIBfCi81
MALI DD TME WORK,MA TNE STRUCfUNE 151iOT�MTEP�DED Ofi OFFERED iOR SRIE(SEG Ja4�,BU61-
NESS AND iqOFE9310N8 OOOE THE CONfRACTORS LICENSE LAW OOES NOTAPPLY 70 IVi OWNER OF j
� GFOVENTYMM1iOBULD50R�dPHOVE57NEHEON.ANDNM1lO00E86UCHVfOHKHIAASELFORHERSEIFOR � �
� 1{IROUGHWSORMEROMMEMPIAVEES;GibVIDEDTF1ATil1CYlYPHOVEaIENTSARENOTMTEN�EDOR m
OFFbRFD FOHSALE 6 FqNI€VER,7HE BUILWNfi ORtldPROVEAlENT158q.D PNTMN ONE VFMOFCOMPLE•
'TqN,THE OWNEH-BUILDER YJILL W WE hIE BUROEN OF PROVMI6 TiAT ME OR WE 01�NOT BUILD OR
MPROYE FOR7NE PURP08E OF OALE}
� ❑4��ER OF ME PROPERiY,AM E7(GLUSIYELY COHTMCTNO NATN lN7EN9ED CONTRAC70RS
TO CONSTRUCT 7l1E Pf�JECT(SEC.ia4.BWINES9 AND PHOFESSIOHS CODE THE CONTRACTORS LI- V91U9d01� ADJ.AREA
CENSE IAW WES NOTAPPL7T0 AN OVYNEH OF A PNOPEHTY WIiO W ILDS OR IMPROVE9 THEREON.MD
YYF9DCONTRACT6Pofl8UCMPRD.lECTBWITHA00HTMCTOP�S�LICENBEDPURSUFNT70THECONTRAG QLJANTITY �E$CNIPTI�N FEE
� 1OR4�ICEN6E IAWa.
� O 1 AY IXEIAPT UNDER SEC. B.�P.G FOq 7FN5 NEA6ON �
U �
� pATE OWNER � � •
U
� LICENSED CONTRACTORS DECLARATION �
� I NEHEBY 11fFIM11kIDER PENALTV OF PE0.IUHV 1HAT I AM LICENSEO UNDER PROVISIONS Of CHMTER �. � , �
O(�AMENGII�W WIi1�SECTION 700G)CF DN16qN 9 0F THE BU51NE5S AND PROFE6510NS CODE,M10 Z
W UCENSE 481N FUIl FOi�E AND EFFECT, m
� LICENSE LIC.NO. ����+ �
� pATE CONTiUCTOR C �
WORKERS'COMPENSATION OECLARATION �
� IHEREBYAFFIRMUNDERPENALiYOFPEfiIURYOMEOFYNEFOLlAN1iNaDECLARATIONS: V
V! a
� _IIIAVEANDVNLLMA�NTMIACEiRIFlCATEOF00NSEMTOSELF•INSl1REFORWORKEHS' 2
CdAPEN5A710N,ASPROVIDm6Y8ECTION77000FTHEUBOROODE,FOHTHEVERFORMANCE W
OF TME WORK FOR NTIICFI iTItS PERMIT IS 18SUm. �
� �1 HAVE AND WILL UAINTAPI WOPoCER5 C0IAPENS�TION MSUNANCE.AS REOUIq W BY SECTION r�
6n 97000F THE LABOH CODE,f-0N TNE PERFORMANCE OF THE WOpN iOR WHICH h11S VERMIT IS � /�1 1/, � 5'O
13SUEO.MYWORKER9'COMGB�ISMIONINSUWWCEGFlIUERANDPDLICYMIMBERME�, CONSTRUCTION r i� w
� CMRIER �" PIJW REVIEW �� •
� ���� 3� ELECTRIC
Q �Sg�crprr��rplgEm�aErmocnfpEw.rrrerx�toneKrnnmoa�u+ax�ao>ontFss} PLUMBING
� I CERTIFY lIM7 N1 TME PENFORMANCE OP 7NE WOi4(FOR WNICH iHIS PEFtlNT 18198UE0,1 MECHANICAL
BFMLL NOT EMPIOY ANY PERSON IN ANY NPNNER 50115 TO BECOME SUBIECT TO TXE
vj WORKERS'COMPENSATqNIAWSOFCALIFORNIA,ANOAOREETHA71F18NOULOBECOME INSPECTIONFEE
BUBJECT TO 7HE WORKERS'COMPENSATION VROVISIONSOF SECTION 9700OP TME UBOR
� OODE.I ALL RTHWITFiCOMPLYWI7)i7T105EVROVISq1 �`. /n/ �$$V/Wr.E ��� _
�ATE:_V�� APPLICANT: ���7/)/' SMIP ���1 O
� WAflNIHO:FNLURE TOSECURE WC7RKEHS'COMPENSATION COVEHAOE IS UNLAWFUL AND SFULLBE ENERGY P/C
BUBJECTANEIAPLOYEH7OCi1iMW11LPENALTIEBMDCMLFMIESUPTOONEMWOREDTHOU5MID FNERGYPERMIT � � � f
}, OOltAR3(lloo,a00J,WA001T10NT07'NECOSTOFCOMVENSATION.OAAUGESASVNON�EDFORIN
� BECTION]70G OF iHE LABOfl CODE,1lREREST,ANO AITONNEY'8 FEES. RETENTION FEE: �OO
CONSTFUCT'ION LENDING AGENCY PRE-ALT FEE:
O
� INEREBYAFFIi1MUNDERGENALTYOFPE0.1URY7HATTXEREI6ACONSTiUCTIqJLEN�INOAOENCV
FORTHEPENWMINNCEOFTHEWOFKFARYy/1ICHTIIISCERYITISISSUED�SEC.90W,CIY.G�.
� LH10ER'S NA1AE !V/I T
� LENDER'SAOORESS
ICERTIFYTIATIM�VEREADTHISAPVIJCATqNANDSTATEliUTTHEABOVE WFORMATIONISCORRECL TOTAL FEES ����I �`r �s
1 ACiREE TO COMPIY NAT7 qLL CIfY MA COUMY ORWNlW CES AND STATE UYIS NELATMO 10 BUpAWO
CONSTiWC�ION,AND HEREBY/11IfFIDRIZE qEPKSEMATNES OF THIS COUNT/TO ENfEK UPON TFE
ABOVE•MEMqNED PHOPERTY FOR INSP GTqN Pl1RP08E8. COMMENTS
� �,,.�� �i�-c u PP
� VERu�Ti (�'�� � • / �/ ,fj t�[ �
cn � l U
y 31ONATUqEOFPERMITTEE �ATE
� RECPT.NO. PAID BY � VALIDATION
WHITE--0epartrnanl Capy,VELLOW—Fhante Capy.PINK—Assassa Capy,flOLOENROD—F{le Copy,6REEN—ApplicenCs Copy
� � � � CITY OF DlAlhtllOND BAR -
It�ESPECTION� RECC3aD �
v.- d' �t�l .�fc...,_.. � .. � .
• � E . • � - • �, � . . E .
SET BACK, ' ,'�� 1 �'��. -�1�5( ' 3 4._ �LpOR JOIST' `.,, . . ,,.` ,t.,;.�,,`., ,�,�, ` ,,�. -�:.,� .
FTGS/FORlC�IS/STEEL '7-Z'l.g a' ' FHA REQMTS:: , ; �
ELECTRIC GROUND -27 d' �i,.,�"' UNDER FLOOR'DUCT" `�, , , ; , „�,,,, •,
:.: s •
, .
GROUND PLUMBING I-?- fl _ UNDER FLOCQR GUl�Fpl}ITi..;:� _'� ` ' '
SLAB GRADE -2�y FIREPLAOE��O'�![?A1"ION"l=- =' ` ,--•'`"• ' �� '. , ,
TEMP POWER � FIREPLACE BOND BEAM - •
WATER SERVICE , ./�G'.� t - � ,'�-= / MID HT. BOND BEAM ` � " ' J �
ROQF SHEA�'HING"'`�' j%I' �'� 8 FT. BOND BEAM ,
FRAMiNGNENTILIATIOIV ! O FINAL BOND BEAM
ROOF COVER � PRE-GRADING j
ROUGH HEATWG Q • BENCHiNG
ROUGH ELECTRIC RDUGH GRADING
, ,. -
ROUGN PLUM8ING FINISH GRADiNG
SHOWERlTUB TEST // O POOL ELECTRlC
EXT.LATH/SIDING L � POOL FENCING
WALL kNSULATION POOL F1NAL
CEILING INSULATION I OFF SITE tMPS.
DRYWALL NAfLING p 1 � DEDICATIONS
SEWEA i i FINAL ENG. . .
SEPTICTANK -. _ ,. s . � LANDSCAPE/IRRIG.
SEEP PlT/L..L ' t � • j ON SITE IMPS. --- .— �
GAS A{R TEST Z � y � FINAL ZONING
FINAL CONST. � � ; FIRE DFPT. FINAL ` _ '
FINAL HEATING ; I ' i HEALTH DEPT. FINAL � i
FfNAL ELECTRIC ' ; ; DEV. FEES PA1D I � �
FINAL PLUMEiWG � I � ENERGY j
� ,��4-2 � �' �
I +�" �' � s ;� �
GOl1llMEIVTS .
` ➢ " � 1 ..
� -, ,
. P� • ' s , . . .
__i.`�-L��.___ �5 "_' '
�,j . `,t �-----
''t 4 �=k� .. . -�__ ,�.':•: _.
�a _ ,
SEP.ZIC TANK SIZE`��T_.-, ..,..- .-:
SEER PIT/U 51ZE r: ' r-�` , '. �_._____.__.
.:,.�..; ___..,....
� • w
j
�k .. . .. . . . .
. .. � � 1 l �` � t .
.. ' . [ �_ , ':;_ , �� . , � . , . ... ., , �-
\