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HomeMy WebLinkAbout12415 (13) � CITY OF DIAMOND BAx -7' DEPARTMENT OF COMMUNTfY&DEiJELOPMENT SERVICES 21660 E.Copley lkive Suite 190 (909)660-3193 Fax(909)861-3117 PRESS "^�'��� BUO.DINGPERNIITAPPLICATION FIRMLY JOBSITE }{� /� �� APPLICATION J� PERMIT P/C o ADDRESS .���U(1vP�1I C_�ft.� DATE �"� NUMBER k � ISSUE TYPE OCC APN LOT Z TRACT �,�ZZ�� pq7E CONST. GFiOUP � OWNER ^ ADDR S 20NING SETBACKS CITY ZIP��jTEL�Jly�S�C/' R�RT RW ❑❑ APPLICANT ' T��• ��U� SIDElSIQE STREET RW ❑ CONTRACT SIDE ❑ g ADDAE S PAOPOSED USE CITY ZIP TEL. u� ARCHlENG/ Z(,3Z.-/'� � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL. v> DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 NEREBY AFFlftlA 11NDER VENAL7Y OF VEiWRV iHAi I/UA EXEMPT FROM THE CONTRACTORS Lb Gef89B/CeIpOR CENSEIAWFOR7NEFOLLOWINGREASON�SEC.7097.68U9NESSANDVROFES510NSCODE:ANYCITYOR �(n COUNTYWFAdiREOURESAPERMRTOfbNSiIqJCT,KTER�OROYE,DB�WLISH,ORREM�RMIYSTRUG W F78t10/�BCk il1RE,iilqit TO RS KSUANCE,AL30 REOUIFiF3 TF1E MRIGM(T FOF 5UG7 PERNIT TO FILE A 610YED BTATEMENf 7}NT ME OR SHE 13 LICENSEO PURSUANT 70 71iE PFpVISIONS OF THE CONTAACTp9S U• CENSE WN[CMIIPIEN�(COMMENqNO WITN SECTpN 7a00)OF DMSI�N 7 OF TiE BUSMES3 AND PRO• LL' ?ooV3Pa FESSqNS 000�OR TFMT XE OR SXE IS E%EMPT iHEHEfROM ANO THE BASIS FOR THE ALLEOED F%EMP• TqN.M1YVIOLATqNOFiECT10N7W1bBYANYAPPLICANTiORAPEFmA1TBUBJECT87HEAPPLIC+41TT0 Z pe-ppp� � Il CML/£NALTY OF NDT AIOFE TMI1N FNE Ml1NDNED DOLLMS(tGoo).)� � .. 04ASONRJEROFTNEPROPERT;ORMYEMPLOYEE3MAiNWAOE3113111EIR50LECOMDENSATpN, COfnmBlClel WILL 00 iHE WON(AN�THE 6TRUCTURE IS NOT INTENOED OR OFFERED FOR SKE(SEC.7ou.BUSI- � P1qP�WFpl�UILD80qwiP�qOVESTNEREONT,ANOWHODO SSU YIORKFIPA150.FOIINE SELFOR = TMfiOUOM 195 ORMER OYM pIPIOYEES,PHOVIDED i11A7 8UC11 NAPROVEMENfB ARE NOT INfENDED OFi m OFFEffEO FORSN.E 6 XOWEVER7NE BUILDIN(i ORMIPFWVEMENT 18 SO�q YYfTHM ONE YEAR Oi OOMPIE• TqN,THE pNrE148lNLDER Mf{LL HAVE TFIE BURDEN OF PROVINO THAT XE OR SHE�ID NOT BU0.D OR �IPHDVE FOR 711E PUHPOSE OF SALE). . O L��NT1ER OF 7HF PROVERTY,A1A EfCCLUSIVE�Y CONTR�CTINO YNTH LICENSE�COMRAC7WiS TO CONSTRUCT TiE Pf10JECT(SEC.7oM,BUSINESS AN�PqOFESSIONS CODE:TFIE CONiNAC10RS LI• V61U0tI0I1 ADJ.AREA CENSE UW DOES NOTMPLY MFN OWNEN OFA PNOPERTY WFp BUX.D9 OR NIPpOVEB TF�REON.MID WFIOOONrMCT8FOR8l1GiVROJECTSWITIACONTRACTOR(SJLtCENSEOPUR9UANTTOIHEODNTRAC- pUANTITY DESCRIPTION FEE � 1bR8 LICENSE LAYY.). �J OIMAEi�IAPTUWERSEC. B.iP.GFOR7HI5REASON Q U u7' WTE OWNER � . . 7� W f IICENSED CONTRACTORS DECLARATION W � IXEREBYIIFFlRMU�IDERPENALTYOFPERIURYTWITIAMUCENSEDUN�ERPRDVISpN80FCHAPTER � � •(Cq.M1ENCMK:WRNBECTqN700D�OFOIVISION70F7HFBU5INESSANDPROFESStONSCODE,AND Z MY 11f�NSE IS N FULL FOHCE AND EFFECT. m � SE CLASS �~�� LIC.NO. ��^_ �Q��� L j ~ �l �� NTFiACTOR /KU.Y� /4l�I'[' . '�'� WORKERS'COMPENSATION DECLARATION Q -� • .,�+ NIMEREBYAFFIq1AUNDERPENAL7YOFPERJURYONEOFIHEPoLLOWINODECLARA710N8: Z � 3'� - �— , ��' � _III�VEMIDN7LLMNNTMIACEfl11FIGATEOFCONSEMTOBELFINBUREFORWOAKERS' _ �1O /�r Q COYPENSATpN,1�SPqOVIDED9YSECiIONJ�ODOFTNEU160FiCODE,FOHTHEPERFORNANCE U � v`�� OF THE WORK FOR WHICH THIS VERI.pT IS ISSUED. � / � �r 1 HAVE AN�N7LL AMINTAW WDPo(EPS'COMPENSATpN IMSURANCE,AS REW IiIED BY SECTION � 7/00 OF TNE UBOH COOE,FOX iHE PERFOPhV WCE OF TFIE WORK PDR WMICM h115 PERMI718 � ISSUED.MYWORKERS'CONPENSATIONINSIIWVNCECAHRIERANUPOLICYNUMBER�RE: CONSTRUCTION � CMRIER 1 PLAN REVIEW � POLICYtIIYBER �,r �- �.c a E�E���� � (M58EGIIDNN�NDTBEOd.FlE1IDOF7FEPERMT6fORONEIiIR�OFiED0IX1AFt4(itOqORLE^u5} PLUMBiNO Z �CEFiTIF'I TM�IT W�TIE PERFORMANCE OF iHE WORK FOR WHlqi THIS PEHYIT IS ISSUED.I MECHANICAL L (� SHALLNOTEYPIAYANYPEil90NNANYMMINERSOAS .SUBJECTTOTNE y WORKERS'COMPENSATION LAWS OF N10.�ND FJ IF 1 SNIXILD BECOME INSPECTION FEE SUBJECTTO7HEWORICERS SATqN �4e F.MI N OFTME R s CODE,I 8 FOHTFIYnTM PLY 111�M PR � I� � �'� ISSUANCE f p SMIP p OATE: � 11P AN � WARNINO:FAIWRGTOSECUREWORKERS' E VERAOEISUNLAWFUL,AND6WLLlBE ENERGYP/C �y 8l1&IECTANEMPLOYERTDCRIMINALPE I I FINE6UPTOONEHUNDNEGTlqUSAND ENERGYPERMIT OOLLMSK�00�0001•INADDITION70THE OF ENSATqN,0AMA0ESASPHOVIDEOFORIN � SECTION77000FTHELABORCODE.NTEREST,MID�TTORNEY'SFEES. RETENTIONFEE: g. CONSTF7UCTION LENDING AGENCY PFiE-ALT FEE: I � 1 HEREBY AFFIfl1A UNDEN PENALTY OF VERIUM THAT THERE IS A OONSTHVCTION LENDPW IAENCY �.1 i FOR T£PERF011MANCE OF 7elE YYORK FOR NIGH THIS PERM1713 ISSUED�SEC.30a7,CIY.GI. � '_ � LBIDER'9 NAME __ _ � LENOER'Sf�WRE35 � ICERTIFYTUITIXAVEREIDTlMSMPLICATqNM105TATETMTTXEABOYEINFORMATpN19CORRECT. TOTAL FEES ' I S�� `�O d 1 MlREE TO CAMPLY WITN ALL qTY AND COIMTY ORDINANCES MIO STIITE lAW3 REUUMIO TO BUILDINp ' � CONSTRUCTION,ANOMEREBYAUTHORIIEREPRESENTATIVESOFRi1SCOUNiYTOENTERUPONTME � ABOVE•MEMIONED VROPERIY FOR INSPECfqN PURPOSES. COMMENT$ � - - Lor- ` vs Q PEfiM1TTE E�PW �n I �r �1 � n .r t � � SNi1MTURE OF DA � RECPT.NO. PND BY _ YALIDATION HITE—fleparlment Copy,YELLOW—Finance Copy,PINK—Aasessor Copy,OOLDENRO�FIIe Copy,aREEN—ApplicanTa Capy . .. . :..... .. ...::: ..,. . ., . . . . .. ....... .. .....: , , , . . . •� .. . ... .,,. .._ ,, , . . . . ., . .. . . . �� � -�. -..,_.. . ... , : , � CITY OF Dl�tl`,�OND BAR � INSPECTiON REC�aD �.,.,. � � � r E � • � � � • � � SET BACK FLOOR JOIST - -- . ' . • ` ' � Ff'GSlFORMSlSTEEL FHA REQMTS i ELECTRIC GROUND UNDER FLOQR DUGT - - - GROUND PLUMBING lJNDER FLOOR CUf�IDUIT_ :'• � : . SLAB GRADE FIREPLACE'FOUND/kTION - - • •• • -- � • TEMP POWER FIREPLACE BOND BEAM - - �- � WATER SEFIViCE MID HT. BOND BEAM' • � - - • ROOF SHEATHING 8 FT. BOND BEAM�.. � ' ' � � FRAMINGNENTI�IATION FINAL BOND BEAM ROOF C�VER - PRE-GRADING ROUGH HEATING L � BENCHING ' ROUGH ELECTRtC ROUGH GRADING ROUGH PLUMBfNG FINISH GRADING SH�WERfi'UB TEST ! PO(Ol.ELECTRIC . EXT.LATH/SIDING I POOC FENCING WALL INSULATION POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTJC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ; ON SITE IMPS. GAS AIR TEST. � FINAL ZONtNG flNAt CONST. j FIRE DEPT. FINAL FINAI HEATING f� HEAL7H DEPT. FINAL FINAL ELEC7RIC ; DEV. FEES PAID F1NAL PLUMBiNG ENERGY � � � � 4 - C�M1,�EENTS � � � _ ' - ._ . . - � _ i � ,. . _ .,.,. _. . `:. . . �__..T:��_ -_T.- .k , ..�: , SEPTIC ThNK SIZE SEEP PIT/U SIZE . - � � { -_ _-_ - �'� , �. y � a. . .,. ... .. � � '1 .� T �. , "�� 1 '. - . . .._ ..; . . : . .. . �� : .' „ '..... _ . • '\