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HomeMy WebLinkAbout12679 (13) CITY OF DIAMOND BAA - --- DEPARTMENT OF CrOMMUNITY 8c DEVELOPMENT SERVIC / � . 21660 E.Copley Drive 5uicc 190 (909)660-3]95 Fax(909)861-3117 PRESS � BU�.DING PERMIT APPLICATION FIRMLY oDD ESS a�lO� N✓�I�l�� �C7/'u""�-�'� /`�✓` DATE'CATIOhi 1 I-��'-q,�NUMB R � M� � iSSUE TYPE OCC APN LOT TRAOT_.�_ DATE CONST. GROUP S OWNER �11�I__—��'A��r-�� p ADDRESS�.Q,S NN�NE� �.A• ZONING SETBACKS CITY ZIP�� TEL. �� ��.5��] �ONT RW ❑ APPUCANT _. -=-._��TEL'��4-1 Z-►E-4 REAR p 51DFJSIDE STREET RW ❑ CONTRACTQR _- /M 31DE ❑ � ADDRESS _ PROPOSED USE CITY - ZIP •�fEL � ARCWENG! DESI�NER NO.DWEL. NO. NO. ADDRESS UN{TS S70RIES BEDROOMS �y CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q ONMER-BUILDER DECLARATION SFRJApDIREM O p 1 MEfIFBY AFFYW IJNDER PENALT/OF VERJURY TMA71 MI E7�MPT FROM iHE CONTMC7�DRS l4 ��9�erpoh 0 f�MSEUWFORTHEiOLLOW�NGHEASON�SEC.7o37.6BU&INESSANOPROF6SSIONSCODE:ANVCI7YOR (/� ZpOIWT'YYFIIGIREOUIqESAPERMRTOC�157itt1Cf.A1.TE0.MPROYE.DEMOL18H.ORREPNRANYBTRUC- W PHd0I�6Ck lUitE,PqqR TO RS 193UMICE,ALSD REW IRES 7HE APVLIChPlf FOft BUCH PENMIT iD FllE!1&ONED �� BTATEMEHT THAT HE OR 9HE 16 110EN5ED PURSUANf TO 1ME PNOVI610N6 OF iNE CWf�FUC70ilB U- w CENSE lAW(QIAPTER�(CQAMENCMlG WI7Y1 SECTqN)000)�OIVISION 30F TNE BUSINESS i1ND PFq- u' P�VSDe FESSIONS COOE)ORhNTME OR SME IS E%EMGTTYIEREFNdA AND TNE BASIS FOR THE ALLEOm EIfEMV- TqN.ANYVIOLATqNOF8ECT10N70�1.68YANYMPLKANTFOqAPERMITBU&IECTSTMEAPPLICNRTO z Re•Roo1 � �tlVILVFNALT'OFNO'TYOAETMNFNEHUNDREDUOLLMSIiG00).r ' OtA50MMEROFTHEVROPEHT`�ONMVEI�PLOYEESW�TMWAOESA9THEIRBOLECOMPENSATpN, O COITmB�del NALL DO TYIE WOi1K,M1D TME STNUCNRE IS NDT�MENDED OR OFFERED FOR SALE ISEC.704s,&151- J NE53 AND PoiOFES510NS CO�E:TME CONfRACTORS LICENSE UW�OES NOT APPLY TD AN ON7YEq OF N plWVEpTYNkpBUADSQIYPROVEBiHEREON,ANDW11000E68UCHNKIRKHINSELFORFiERSELFOR � ¢ iWqUGH IHS OR MEH OWN EMPLO`�EE3,PRDY�OW TMi SUCN IMIPROVEMEMS ME NOT NTENOED OR m 0 OFF6REDPONBALEIfiipVYEYE0.INEBULDINOORIMPROYEIIENTISSOI�MAT/qNONEYEAROFCOA1PlE- � 110N.TFIE OWNEM111LDER WILL HAYE h1E BUMEN OF iROV1NU TMA7 HE Oq 3HE OID NOT BUILD pR W PROVE FOfI THE PURPOSE OF 9ALE} W ❑I,ASO�NIEROFh1EPRO0E(�AME%G-USIVELYCOMRl1CTMIUWRFiLICENSEDCOMiUCfORS � TO CONSTNUCi 1ME PRDJECT(sEG'1W4,BUSINE9S NA PROFE5910NS OODE:iF1E OONTFACTORS U• V91Wtlq1 ADJ.AREA CENSE lAW OOES NOTMPLYTOAN OWNER OFAPROPERTY WH06VILOS OFi WPROVES iHEFlEON,ANO WIiOCONTAACTBWRBUCM►RO.IEC1'SWITHACUNTRAMOH�S)LICENSEDPURSUMI7TOTHECONTMG OUANTITV DESCRIPTION FEE � IORS LICENSE IAW.). O I AM E%BAPT UHDEN SEC. B.l P.C.FOq 7NIS REASON � U �=' pATE ONMER � � � IICENSED CONTRACTORS DECLAFiATION � 1HEREBVAFFlNMUNDEIiPENALTYOFPERIURYiMAT1JIMLICENSEDUNOERPFiOVI5qN5OFCHA7TER Z , � s /(00\WENCMVOMIITM8ECTIDN70aD)OfDMSI0N90F7MEBUSNE55ANDPiIOFESSIONSCAOE,AND ��L MYUCBJSE IB M FULL AND EFFECT. � � u d UCENSE CLASS� LIC.NO. � �J :: pI,TE � CONTMCfOH �=_ a a' = WORKERS'COMPENSATION DECLAHATION � � 1 MEREBTAFfIRM UNDER PENALTY OF PEIWRYONEOFTHE FOILOVlINO DECIAMTqN9: U `" a G 111AVEANOWILLMIAMTAINAGEqT1FICATEOFCON,4EM708E�FdN9UREFORW01iKERS' 2 � SATqN,A3 PiiOVIOW BY SECTON]Too OF THE IABOR CODE,FOR THE PERFORAIANCE W E WORK POR Yh11C1f ilil5 PEi1MR IS ISSUEO. � � 1 NAVEAND WILL MANlTNN WORKER500MPENSATION M9UFW�CE,FS RECUIRED BY SECTION Q s�oo OF THE UBOH COOE,FON TNE PERFORMANCE Of TNE WORK FOR WHldi THI9 PERMIT IS � 189UED.MY WORKERS'COMPENSATION IN9 M10E CARRIER AND POLICY NUMBER ARE: CONSTRUCTON 7, GRRIER � _ PLAN REVIEW � vaucrr�u�.eER � �- ' p ELECTRIC 0 �ssEcr�rkIDNoreem�rmoFn�pEwurswna+e�ooaw+s(c�au)a+�rssl PWMBING — _ � Z ICEFITIFY TW�T IN h1E PERFORMANCE Of THE WORK FOR MMlq1 THIS PERNIT IS ISSUED.I MECHANICAL SMALL NOT EMPtAY AN'(VERSON IN 1WY MIWNER SO AS 70 BECaL1E SUBJECTTO7HE � WOi1KER5'COMPENSATIONU1W90FCALIFORN10.µDAGREETMA71FI6HOULDBECOME �NSPECTIONFEE � SlIBJECTTOIHEVlORNERS'CdMPENSATIONVPOV191ON90FSECTION77000FTHELABOR eop�,i swe.�wnnMnn�coMa�v hnn�nasE vaansroNs. ISSUANCE p ��:��p��M: SMIP � WAiWINO:FULUR[TO8ECUREWORNEqS'C06�PENSATIONCOVERAIiEISUlIAWFVL,ANOSNALIBE ENERGVPlC C $UB.IECTANEMPLOYER'roCR�MINKPENALTIESANDCINLFINESUPTOONENUNDREDTFKK/5AN0 ENER�YPERMITi] pOLU0.5(f 100,000).W hDDITION TO TNE COST OF OOMPENSATqN,OAMIIGES AS PROVIDED iOR IM jJ � BECTqN97000FT7EU00RCODE,WTEREST.�NDATTORNEY'SFEES. R�ENTIONFEE: � CONSTRUCTION LENDIN(3 AGENCY PHE-AlT FEE: � IHEREBVAFFlRMUNDERPFNAL7VOFPERIURYTFIATiHEREISACONSTRl1CTIONLENDINOAfiENCV a FOR i}IE PERFOflMANCE�F THE N�OFK FOR WHlpl THIS PERMIT IS ISSUED(SEC.9oG7,CI4.C.�. W � IENDER'S NM�E � LENOER'SADDRF53 � ICERTIFYTUTIWWEREADiNISMPLIGTpNANDSTATETHA7hIEA90`/EWFON1AATqN19CORRECT. TOTAL FEES � �J' S` d 1 A(iREE TO LUTAPL�N7TH�L1,CRY ANO WIMTI'ORDINMIC.5 ANO S7�TE UWS RELATINO TO BVRDINO CONSTRUCTION,MIDNEREBVAUTVK%iRERECRESEMAT OFIHISCOUNiYTOENfERUPON7HE � . S�' �eove�rner�r�on�vnovennwnx+srEerpr+waros . CAMMENTS � PEIUII7TEE E(PWHn �� �/ � pJ BKiN11iUHE0 PERMfiTEE D E � . RECPT.NO. PAI�6Y VALIDATION WHITE-0epartment Copy,YELLOVM—Finence Cqry.PINK—Assessar Copy,OOLOENROD—Fila Capy,GREEN—ApplicenYs Oopy ��w�....�-.��.w.e..�.....� —_._... , ,,. ,.;::.: ,. ,� CITY OF DI�OMOND BAR , .. . INSPECTION RECOi�D � � � , � . . � � , . � . SET BACK ' FLOOR.JOIST :' '�.. �',�'� .' '� ',�� ;`,,, , " ` FTGS(FORMS/STEEL FHA REflMTS T E�ECTRIC GROUND UNDER FLOOR DUCT ' ,� � GROUNDPLUMBING UNDER�F�OORCCyt�tQ�11T � . ' �':,, : • � SLAB GRADE FIREPLA�E-FOI�NDATION-' � .�`� �<: TEMP POWER FIREPLACE BOI�fD`BEAM �� � ' WATER SERVICE MID HT. BOND BEA .;� ` ` ' '.`� l J!. ROOF SHEATHING S�T.BONp SEAM�..•�: s : . � " � ' FRAMINGNENTI�IATION FINAL BOND BEAM ROOF COVER PRE-GRADING �, ROUGH NEATING � BENCHING ROUGH ELECTRIC ROUGH GRADING R�UGH PLUMBING FINISH GRADING SHOWER/TllB TEST POOL ELECTRIC EXT.LATHlSIDiNG POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � �EDICATI�NS SEWER V FINAL ENG. T • SEPTlC TANK LANDSCAPE/IRRIG. 5EEP PIT/L.L. ON 51TE iMPS. GRS AIR TEST ' ; FlNAL ZON{NG � FINAL CONST. � FtRE QEPT. FINAL � �FINAL HEATING i ; HEAL7H DEPT. FINAL FINAC ELECTRIC ( ; DEV. FEES PAID FI1�AL'PLUMBING --....''•: � •}7 � .. � i ENERGY � �,�...: . ' • j;.'•-� .. 1 • � .. ,. r . � �� . CONfMENTS — , , � _. � .. _ . . - : - . . ,-- - � � c , �4;�,* i. �7 i i'� . : ,.. re'. .t.4`1F �il :iaJ.•e:{ '1'{'� . .... . _._ , r � — SEPTICTANKSIZ�'r;r:s�.,�:- '�,'•'.:;'ti• i�.`�t. ,F�. SEEP PIT(U SIZE .G �� . - ' ; , , ., , . . _.. .. ,. ' • _f . , , ��� ..\ � . � ; 1 . ... � �t