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HomeMy WebLinkAbout12037 (11) CTTY OF DIAMOND B � � ��� ( � AR Q� "�- " i DEPARTMENT OF COMM[JNITY&DBVELOPMENT SERVICES � 216b0 E.Coplcy prive Suiu 190 (909)8G0-3195 Fax(909)861-3117 � PRESS "�^'� BUII.DING PERMIT APPLICATION � FlRMLY o D�RESS-_ I S( Q I��b�/ (..ONY'� APPLICATION1f�-�J�� PERMIT �P/C # DATE-_ ( v NUMBE X OCC � APN T TRACT pATE CONST. GROUP � OWNER - C B ADDRESS . r- NY' ZONING SETBACKS FRONT � CITY S�IZt GS ZIP �.t� TEL ` d RW ❑ APPLICAMf _� tEL ��'/ SID SIQE STREET RW ❑ � CONTRACTOR '�_L�']P.rl'}r � • SIDE p ADDRESS Q? /Fz.�.� g CITY �r S;ior� (/ia�u ZIP,�ZT TE �'� -d�(O PROPOSED USE � ARCFUENG/ �— DESiGNER NO.DWEL. NO. NO. ADDRESS UNITS STDRIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFWADD/REM O 1 MENEBY AFFIRU UNDEA PENALTY OF PERAIM THA7 I MA D(EMPT FROA/THE OIXJTRACTORS U- Oe�9���rt f�NSEUWFOR7FIEFOILOWINGREA50N(SEC.7m7.68USINE88ANDPiqFE5510N3CO�E:MIYCITVOR (n COUHNWFiIOiREGUIRESAOERMRTOCONSTiIUCT.ALTER�PROVE,DEMOlJ91i3OqREPNRANVSIAUC• W patb/Dedc TURE.PRIOR TO ITS ISSUANCE.AL50 HEGU WES TNE APPL1CINf PDR BUCN PERWIIT TO illE A 61GNE0 W 6SATFAAEM 1NAT HE OR BME IS UCENSEO VUfiSUM17 70 TFIE PpOY1510NS OF THE CONTMCTORS tl- CEMSE LAW�CFNPiEp i(CONMENCINO M/ITH BECTION 700D)OF�MSION 9 OF 7NE BUSINESS MYJ Pp0. � f�00U$pB FESSIONS CODE)OR TINT ME OR SHE IS EXEIiM THEAEFROM AND THE&ISIS FOR iHEAILEOEO E%EM0. TqN.ANYVIOLATIDNOF5ECT10N7o7t.6BYANYAPPLICANTFORIIPERMR6VBJECTBTHEAPPUCAMTiO z Re.Rooi � ACML�ENALTYOFND7MORETNANFNFMUNDREDDOLWiSp600j.J: OI,ABONMEROFIHEPFqPERTY,OqMYEMPLOVEE9WIhIWA(1ESASTNEIRSOLECOMFENSATION, CORIIIIBICIBI YY11 DO TIE MIOAIC AND iHE BTRUCTURE 19 NOT INTEND60 OH PFFEREU FOR SALE(SEC.7ou,8U31- � NE93 IIN�PROFESSIONB GODE:TME CONTRACTORS 110EN5E LAW OOES NOT APPIY TO AN OYYNEN OF � PROPEfRYriipBULDSORYPfi0YES7/iEREON,ANUMApDOESSUqIWOqKHIMSELFORHERSELFOR � iXA0U6111&SIXiMERONMEMPIAYEES,VR04OEDT1AT5UCHWPpOVENENTBARENOTINTENDE00R m OFFE(iED iORSJ1LE IF,FIONIEVER7ME BUILDWOOR IMPROVEMENf 6 SOLD WITXIN ONE YFAR OFCOMPLE. � TpN.THE OWNERBUILDER M7LL W1VE THE BURDEN OF GpOVNNi hUT ME OR 6NE OIO NOT BUILD pR 141PROVE PDRiNE iURPQSE OFlAL�. O 1,AS OWNER OF iHE PROPENfY,AM E7(CLUSNELY COMRACTINO WITN LICENSED CONTR4�TOqS TD CONSTRUCT 7NE PROJECT(SEC.7041,BU6INESS AND PROFE5910NS CODE:THE CaH�RAC10R3 ll• V81UBSfOf1 ADJ.AREA CENSE UW DOES NOTMP�Y TOAN OYYNER OFA PROPERT'WHO BUMDS OW IMPROYE9 TF1EREpV.MID � WFIOCONTRACf6PoH8UpiiRWECf8WIT1ACqRMCTOR(5)UCENS�PIlR6UANTTOTFIEGONfRAG QUANi1TY DESCRIPTION � noas ucase uw�. FEE O I MI EXEAI7T VI�OER 8EG B.l P.C.iOR THIS qEASON �� U LL DATE OYMNEH � F� V � [ LICENSED CONTRACTORS DECLAHATION W LL IIIEREBYAFFFtlItINOERPEWLLTYOFPEFWRYTNATIAMUCENSEDUNDEfl7ROV6S10NSOFCHAViER Z ` � �(OOUYENCNO YAhi SECTqN 7000)OF DMSION 7 OF THE BUSINESS�NO PqOFESSIONS COOE,AND �� IAY LICENSE IS N FULL PORCE AND EFFECT. m � ��SE�S_�-u�.�. 6� 7�-1 � � o�tE coriraacroa� /�/� ���/t�'�` a WORKERS'COMPENSATION DECLARATION �'�- � U y IHEREBYAFFHAIUIDERPEWLLTYOFPEIWRYONEDFTHEFOLLOWINODECLMA710N5: Z � _111AVEANDWILLMAIMAINACERfIFIGTEOFCONSENTTOSELF-INSUFEFORWORKERS' _ COMPENSATION.ASPRONDEDBYBECTION77a00FtHELABORCOOE,FORTHEPERFORMANCE W Q OF 7/1E Y/ORK FOR NM1IICN 1NI8 P6pMlT IB I&SUEO. � � �IHIWEANDWILLMMNf�NWOW(ERS'fAMPENSATIONMSUWWCE,ASREWIRE0BY9ECTpN Q 7700 OF THE IABOR OOOE.FOR TFIE PERFORMANCE OF 7HE WORK FOfl WHIOi THIS PERMI719 LSSLIED.W WDRI RS'°�PENSATq7N—I_N3Uq�CE CARRIEH ANO POLICY NUMBER ME: CONSTRUCTION � CARRIER ��Qt CK�'IG �LS• PLAN REVIEW � PoLICYNUTABEH �1_�(� �[ C U ELECTRIC � (nfssEcrnNr�lHoreeaO.siETmaFnfPERMR16FOaoMeMlronEnOaWwsM1�aolaFltFssl PLUMBING z 1 CEN7IFY TNAT NITHE GERFORAIANCF OF THE WORK FOR WNICFI TNIS PERMIT IS IS6UE0,I MECHANICAL 6HALLNOT EMPLOYANY►ERSON INANY MANNER 80AS TO BECOME 9 EGTT07HE � YYORI(ERS'COMPENSATIONUWSOFGAIJWflN10.�NDAOREETMATI BHOVIDBECqME INSPECTIONFEE � SUBJECTTOIHE YVORKEN5 COMPENSATqN PqOVI510N50F SE 17TOD OF iHE UBOR COOE,16 TICONPLYWI THOSEPflWI510N5. ISSUANCE � OAT��APPLICAN: SMIP WARNINO:FAM1UR[TOSEWREWORKERS'COMGEN90.TIONGOVER�GEISVIiAWFUL,AND5NALL9E ENERGYP/C � 8U&1EGTANBAPLOYERTOGRIMMULYENALTIESMIOCIVILFMlE6l1PTOONEiUNDREOTHOUBMA ENERGYPERMIT� � �0.UR5�1oo,OW),IN ADDRION TO h1E COST OF COMPENSATION.DAMAGES AS PROVIOED FOR IN � SECTION 370!OF THE UBOR CODE,M7EREST.IWDATTORNEYB FEES. � RETENTION FEE: ��� O CONSTRUCTION LENDINOAGENCY PRE•ALT FEE: � IHEREBYAFFlRMUNUEHPENl1L7YOFPERJURYTHATTHEREISACOHSTRUCTIONLENDINpAOENCY FORTHE PERFOFMANCE OF THE NlORK FOR WHICH THIS PERMIT IS ISSUEO(SEC.�OY7,CIV.C.). b � �noEas wv+E � LENUERSM1DORES5 � 14ER71FY1HA71H/1VEREA�THISAPPLICATIONANUSTATETHATTIEABOVENfOR1AATqNISCORRECT. TOTAL FEES (�� /J v a, I AUREE TO COMPLY YVITN QI.Cf1Y AN�COUNTY OROINANCES ANO STATE LAWS NELATIN�70 BU&DINO J Y � � CONSTRUCTION.IND HEREBV AURIDRIZF RFPRESENTATIVE4 OFTHIS CdMTYTO ENTER UPON THE ABOVE•MENf10NE�PROPERIV FOR INSPEC710N PURPOSES. COMMENTS � + � � ��,� � PERAARTEENAME�PRI � �J�1��''� � 7r�--F-'�� (n BqNAIUR F PEAUITTEE TE � RECPI:NO. PAID BY VALIDATION VYFIITE—Departrnenl Copy.YELLOW--Finence Copy,PINK—Mseaea Copy.GOIDENRO�FlIe Copy,GREEN . —�Pd��'s CcPY , ..,. .: , , .. . , : . , : ,.- ,. ,.. . ..,.: _ „ . CITY OF DIrRFJIONQ BAR ' Il�ESPECTI�N RECOI�D • i � ' 6 ' • i � � • i . SET BACK � . FLODR JOIST ' FTGS/FORMSlSTE�L FHA REOMTS ELECTRtC GROUND . UNDER FLOOR OUCT GROUND PLUMBING � UNDER FLOOR COM'DUIT . � SLAB GRADE FIREPLACE KOl1NDATIDN � � } • • TEMP POWER FIREPLACE�ON[7.BEAM , --,, -WATER SEFIVICE Mip HT. BOND BEAM � ' ' ' � ROOF SHEATHING I 8 F7.BOND BEAM • � � ,r. FRAMlNGNENTILI/�V'�ION ( FINAL BOND BEAM ROOF COVER ' PRE-GRADING ROUGH HEATflVG BENCHING � � ROUGH ELECTRIC ROUGH GRADING ROUGH Pl,iIMBING FINISH GRApING SHOWERIfUB TEST P�OL ELECTRlC EXT.LATH/SIDING I PQOL FENCING WALL INSULATION j POOL FINAL CEILiNG INSJLATlON ' � OFF SITE IMPS. DRYWALL IVAILING DEDICATIONS '� SEWER.�-._ � FINAI.ENG. SEPTIC TANK ! � LANDSCAPE/IRRIG. SEEP PIT/1..L. � i ON SITE IMPS. GAS AIR TEST � I FINAI.ZQNING FiNAL C�NST. ( � FIRE DEPT. FINAL � FINAL HEATING i HEALTH DEPT. FINAL �-� FINAL ELEC7RIC ; DEV. FEES PAID i FINAL PLUMBING-'• ' j ': ENERGY �-�i � ' ! f � i � r � � -i_�..,_, � Y-- � . .. . . . . .., .. . .. ... . . _ . . COMM�NTS . . . .�. SEPTIC TAN�SIZE SEEP PiT/U SIZE ;?�' --. �.�;, -• - � � .. � . __ � i , ;; ':f�� � - , ' •�