Loading...
HomeMy WebLinkAbout1370 VALLEY VISTA (69) .�. , . � r !� CITY OF DIAMOND BA& DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES � . 21660 E.Copley Drive 5uiu 190 (909)86Q3193 Fax(909)861-3117 PRESS �"�'��� BUII.DING PERM�T APPLICATION FlRMLY o� JOBSITE „ O 14PPUCATION PERM p/C /�/'�� ADDRESS DATE NU ER 1t v v $ ISSUE E OCC APN LOT TRACT DATE NST. GROUP � OWNER ... � °� • � �t. ADDR S ZONING SE7HACKS CITY . �IP . . �EL. c' "J", FRONT RW ❑ APPUCANT TEL. . � REAR _ p � SIOElSIDE STR . RW ❑ CONTRACTO • �7(.`�i1de • SIDE p ADDRES � g Cm• Z�P ,• PROPOSED USE • 8 ARCFUENG/ � DESIGNER �'�� � � NO.DWEL. NO. NO. AD�RESS _ C��, Z�P � � � l UNITS STORIES BEDROOMS � U ER-BUILDER DECLARATION DESCflIPTI SQ.FT. FACTOR PSF ADJ.AREANALUATION g SFWADDJR � 1 MEREBY AFFliqI UNOER PENAL7Y OF PERMIY THAT I AM EXEMP7 FROM HE CONTMC70q5 t4 GHrfl e1C 11 CENSEIAWFORTHEFOILOWW6REA40N(8EG70Jt.fBU5WE55ANDPROFE55 SCODE:ANYGTYOH (n 9 CWNiYYNtlCH11EOlJIRESAPEWARTOCONSiRUGT,N,TEqMPROVE,OEMOU9i. REiAiRANVSTRUG W P8t10/D 7URE.YR�ON TO ITS 163UANCE,K50 NC-0UIRES TME APPLMdNF FOR SUCH PERM TO FILE A SIONED � BTATEMENT TYUT HE OR SNE IS LICENSED PURSUMlT TO THE PRDVISIONS OF THE RAC70R3 LI• CENSE LAW(WMTER Y(CqAMENCMlO WI7M fECT10N 7000)OF DIVISION 7 0F TME B NESS ANO PRO- � PDOUS FESSIONSOODE)ORTiATNEORSHE19k7fEMPTTHEREFqOMAN�THEBA313FORTHE EOEDE%EMP- (� TION.ANYVIDLATIONOFSECTION7081.6B�ANYAPPLICANTFORAPERMITSUBJECTSTN Pp��MTO Z R8- A CMl PENALTY OF NOT MORE 7NAN FNE FRAiDFED DOLWiS(i5a0��: �1ASOMMEROFTHEPROPERTY,DIIMYHMPLOVEESNN7HWACiESA57HE1N5OLE ENSATION, CO mBfCiel g WILL DO 7FIE YYON(AND ME BTRUCiURE IS NOT I!lrENDED OR OFFERED W R SILLE(eEC. BU31- � � NESS AND PiIOF'ESSIWYS COOE:TiE COMTRACTORS UCENSE UIW UOES!pT APPLY TO AN ER OF PiqVENiYNM1iOBU0.DSORMPR04EST1EREON,ANDYApDOESBUCHNpqNNIMSELFORHE LFOq � � TWIOINiHiq50R1iERONTIEAIPLOYEEB.VRONDEDTW�T8UCJ11YPROVEMENTSAREN�TMEN dp m � �� OFFERED POR6AI.E IF.NON�EVEi�TNE BUIdNA OR I4PpOVEMBIT p SOIp WIiXIN dVE YFAqOF TION.TME OWNER�ULLDER M/ILL WIVE T11E BUqDEN OF PROVINO THA7 NE OR SHE OID NOT BUIW MPROVE POR TME PURPOSE OF 6ALE). � ❑I,ABOWNEROF7}iEPROPERTY,AMEXCIUSIVEIYCONTRACTNOWrtHLICENSEDGplTMCTo TO CONSTRUC77HE►AOIECT(BEC.NM,BUSINE55 ANO PqDFE551pNS COOE:TI1E CONTRAC70R5 LI- V91118110f1 m ADJ.AREA CENSE lAW DOES NDIAVGLV TO AN OWNEH OF APROPERtt►iFlO BURDS OR MPHOVES THEREON,NO WHOOONTRACfSPofl8Uq1iROJECfSN7THA001lTRACfOfi(S�LICENSEDPURSUANT79TNECONTMCr pUANTITY DESCRIP710N �E � 70RS UCENSE UWJ. D I/W E7cEliPT UNpEH 9EC. B.i P.C.FOA iWS REASON � WTE 01NNER � � U LICENSED CONTRACTORS DECLARATION W � 1lIEREBYhPFWA UNOER VENALTV OF PEqJl1i1Y TNAT I AW LCENSED UN�ER PROVI510NS OF CHAPiER � �(0011A1ENCINCI N7TM SECTION 7000)OF DMSION 3 0F THE BUSINF59 AND PROFESSKKJS COOE.WJD Z Y�iLICENSE 14 N FUl FORCE AND EfFECT. �7 m `� LICENSE CLASS yB S I�/ IIC.NO. �I � � � � DATE �"��d^C+yC1 CONTRACTOR d WORKERS'COMPENSATION DECLARATION � I HEHEBY AFFIRM UNDER►ENA�TY OF FER1UtiY ONE OF THE FOLLON7N0 DECUMTIONS: V � Z � _I1IAVEA�WWILLMAMTAINACEKTIFlCATEOFOONSENTTOBELFINSUPEFORWORKERS' _ C04PENS�TION,AS PRDNUED BY BECTION 37oD OF TME LABOR COpE.PoR 1ME PERFORM CE W OF 7ME WONC FOfl WHIW T1/16 PERMIT IS ISSUED. � _IMAVEMOWILLA4lINTAINWOqKERS'COMPENSATIONINSURANCE,ASREIXIIREDBYSECT �/�•r1 „_ � �7000FTHELABOACO�E,fORTHEVERFORMMICEOFTHEWORKPoRWHICHTHISPEH IS J_/�� ///���ssssssUED.W YM]Po(ERS'COLIPENSATION INSURANCE GRAIER AND POLICY NUMBEF ARE: CONSTRUCTION (l l-1 �. / CARRIEH � O • �Q � � PLAN REVIEW ♦ � ` VOLICY NUMBER �I71�I���O/7��� � ELECTRIC p (1168E1.'roNIF�P�DT8E00MRE1IDOFTEP�ffBRMq€Hll�nliE�0a1.1Rsd+m) tESS� PLUMBING � I CEqTIFV TNA7 tlJTHE PERFORMANCE OF THE WOiiK PoR WHICHT}IIS PERMIT IS ISSUE ,1 MECHANICAL CFMLLNO7 FMPLOY ANY PEHSON W AHY MANNER EOAS TO BECOME Sl1BJECT TO T71E . (q 1WRKEli3'CpAPEN5AT10N UWS OF GALIFONNI/�AN0 110REE T11AT IF I SFqULO BE E INSPECTION FEE 5 BUBJBCTTOi}IEWORKERS'CpAPENSATqNPROW510N5OF5ECTION37000FTHE R cnoe.i sw�u w�rH cour�r Nnni nasE anovis�s. ISSUANCE � O A p �ATE: APPLICANF. SMIP (J � WAiWINCi:FAILURE TO SECURE VYORKERS'COMPENS�TION COVEMOE IS UNUYVFUL,AND 6 L BE ENERGY P/C �y 8UBJECTMIEMPLOYERTOCRIMINALPENAl71ESANDCMLFINE9UPTOONEHUNOREDTHOU 0 ENERGYPERMIT � r OpURS(i100,000�,M!ADUI710N TO THE COST OF COMPENSATION.DAMAOES AS PHOVIDEU R IN � BECTpN]70!OF hIE LABDR OOOE,INlEREST,AND ATTURNEYS FEE3. qE7'ENTION FEE: 0 CONSTRUCTION LENDINOAGENCY pqE.p � . � � INEREBYAFFIRAIUNDERPENALTYOFPERJURYTHATTNEREISACONSTRUCTIONLENDINOAO NCY Z FOR THE PER�ORMANCE OF 7}IE WORK FOR WHICH THIS PERMIT IS ISSUED ISEC.7067,CIV.C.1 [J7 � LENUERS IVM1E � � LENDERSADDRE35 /.� � 1 CERTIFY THAT I HINE REM Ti13 MPLICATqN AN�STATE 1H�TTHE ABOYE INFORMATpN IS CORRECT. TOTAL FE ES � / � I. � 1 ABREE TO COMPLY 1YI7H ALL CRY AND COUNTY OR�IWWCES ANO STATE UNfS RELITW6 TO BUILDINO ( � I^ CONSiHUCTqN,AND HEREBY AUTHORIZE RE7RESEMATNES OF iH15 COUNT'70 EHTER UPON THE , � ABOVE�IAENTIONEOPROPERTYFORINSPECfqNWRPOSES COMMENTS � .r4 L.4..i �. li/,t LC� � PERM__I��f�RIPIf) � �--.���-�'-� ��,� (n SIO U E OF PEqMI7TEE DATE � RECPT.NO. D BY VF�ADATION WHITE—DepaAment Copy,YELLOW�inanca Copy,PINK—Assessor Copy,t30LpENROD—File Copy,GpEEN—Applic�Pa Copy � . . �.- C1T`� QF D1�[��C}�[3 ��F� � , #����'��3'1&�!� F��Gt���' .. .. .. .., . . . ,. .. . ,.. .., _ ..�,. ....,. -- .:x,m.. .,�,.._ . ,. . -- .. .. . . - , . .: . .�T. � .�i:��:a:�='� � l�����.:� ���,��� la ��� � - '�"" � -�-� � � i ��� �. • � � � .. . _...,,...�. . �'�.�,... �. ,� s��-"f�'�: � j i'i:: A;•/r,�,: � � ( FLOO�'.1C11ST � • I . � � � . _ ._�_ ..._ . _. -- - ---...---.�_.. ._..._------ ._. .....- � --- .__... .--•- • • -- -- _ -----------__ _ -----•-------- -� - j -;,-,•r r.r;�ae.�.c-rF �: - --... � �e�... ._.... - ---"-- j -- i ; �', , i � ; : . . � ���� � 1 J , -- .' ' '-'- � -- --,_... _ _.. . . ..-----"-- � --- -` -'- --._. . , . ._. . '----" "_ -'-�--' "- - ----- • .=== � FC't l�,J€� � 1 ' U�vt EF� �t U )R C�.):,T ! ;.... ...,. _... . -- - - --- _ _ 1- - --- -__. - -� - - . _ _�__r.. ._ � ;"' ',a!!'�-:' ="; t'i.'t;'rir= --:........,__ t _-----...__. --•-----,......__.._I_j_l!ivl:+�:I� FL.(�C)F-`,C�3i�1CUi.':...- �----- ___-----;:--�---�---- ---------- ----- --- - --._., -----. .__.,.....,.,, . ---- t : k�:;;;==._::.- � : � ? ��iREF'_r-.C.E F�t.)'JC�RTIC�N• ' . `-. �," •.--.. . :._ . .. -- - ---....-----------------.....__..._ � .., __.._. � . ----- ---___.__----�-....._.__.._...�.� ..._.. --... . ._..._. . _ , _ :._.. _. ----......'-- _.__.._...__..._ i ..rt., ' i,"•tidr"5� , ! ��C���''�.�1C.��4/r�cJ��:.C1�J . ! . , . --..._..._""_ �.. . . _. ..__,.....__-"_' _'_'_'__._.... ____._'_____......... __._____ _.__.-__ __"__'_'_—_-_,_—___A___-.- ___— '_ "'__"_ '.���'�.#'F-�S�:s1'I;'F..: P�P�s�r..�ro. Ei�7"3�.3�!=;EA.PA• . ,�• . .. 3. � . �. _... . . __. _. .. . ----- -... ..._.._...._ ... ._....-----......--- - -- --.._-__... ------ - _..-�---- -- --------.._ .-- -------.._.__._... ,__..._ °;; '.:; '=,gT°�{!h.S^ ' P `'�I'. F��t4D E?E�,P�I , I . . , ,, � _ _._. . .. ._.._._.....__-- --_._...------�____._.------......_._..-------- - ......_.__.. �-- -..__. ,..---------- - -- ....- - -- - ---------. .__...----- ..t�: , rytt� �"a i i'_I{',l.:�d+ � . _t:i{'•� E3(_)'�+:�(��:F,�'_h • � . . _. . . . _..... .— ----_- -- ---- ...__ --------- -•-- -- •--- - - __ --- --- -..._..- - — ---------�- ------ ; . . i '.!' ; ' ',;:.".� I'i �; � �.3F.1::�(�F�F�4�'�i17 ' ' • . . _.. ......__._..._..._�"_.. _.._...""'.. _-..-..�.._'__..,_.._..'_"''__.__.._._..__,._:..._ ". .........._' ""_""'_"_""._... ._ ' '_'"'__' ' _" ..,._ _....._"'�_'_"...""_' [�.� ��::�.E..� „ . � . • , � . _ , ��;=�r.--�<<�~ : � , � a�_rac�!r��.; ; , . . - ---- -._._. _._._.._....___-----.. . ..- ----._..._...�._-----____t....__�_._.._._.._._._____._ _ _ ..�.--------- - __-.------�- - _ ._._�______ , � _ . � , � . ::,"•;.-,�-� �� ^[t��E,r.� � Fi�?i!C',i..� GRP,C�INC3'_._. _ ...___. � � . .. _ _� .i._. � ... _. .."". ..... . _, _..._..._ ......."'_"'"" __......'— q """_..............' _ "_"'..'"._....... .__._......_..... ..""`"'.......-_""....""_'"...."' __._ .._.._.._.._..._"_" ""'_"__'3 � ,�t ^ ...��. �)�'� i,ti� i'i..11l.1f:l�'��i � . � � � ���'v��ti:�`� �a�'���)��[.:n 3 . � . -- •� ,...,. . ti ' ! . . _ � .. ._-'-_.._.._...___..._.__. __...-�-.-'-.-'-'-'-.--'-•---- '-' -----_...�._-- -... _.__...__. .._ ._.__ _ _---"-"----- _.�--"'--,�,__�_..__.---'---- .. .. -'--- � - - '-._ .._..----'- ,. ":�.:,':',;•,-,i�; ;�::..;-r , . ' . h C�C`t. F!_�=Cl'RIC � �� . _....__.. ._,....�,--- -. .. - ------ --- - ---- __----- -- - ----------------___ �------------�------------.....----------- _.__ .. . : z;:.;;;�i,,l±'•!C� ; PCJi.ii_ FEivC:l�`.Ci ' _ .. ...... � - --_...._....-------... ..- -�----._.. ._..._.-----------�-------- ----• -- --- ---. ..._...._....-------------- -------�-------....---•._ ._.__; ,n.r.=t 4,,;``���._/4;�C.�r,,; � � E'�i,7'JL��1��1� . ' _.. ----- -,....--- _..._.._ __. ..___.�_...---._...._.._.------ --... - -----�------.....__....._.....__....__._._...---•----------------.._.._., .._.. ' '. � ?� �, i*, ^�; �.i jA`e,� .'_'� '� -•-. �s.G.�4,�..;_.,'''.�f��. . � . .. .. ... . .....__. .. ... '-'--"--"---'----'--....... .---._-.-'-_- ....-----"--...-----'-- . . , ----"'--'--., . . ..... .._._..._._ ._._-.'.---' --........._.. --- '�'"�'',` , E..'n;i._(",'-a. C?�=;7!!;;"'I;ahi:r . .. ..... . .. ..----. .....�..-�- ---- -----------.........---------.._._......._..___.__...�..-- --------- -------------_._.---......_... .-._..__ ---- _.._._._..._,....._.._..__.,.----_.__..__. �, V�f-. -F EPlr^-.L E_?v•:„�. ' _ . -� , _ _ . _. _..-------..,..-- ...-�--- - - --._..._,-------------.-�--------------.._ ___._..---........_..._---..._...----•----- --.. .... .........!. ....-- -------__ -___..._ ---' ,,.._..,... �. . .. ''E_ :i'PI':.. LF.h�'�'.f.,.R:t,}-�I�'1�2,G. _-__—._._.�-------- --.,--�- ----- --- -- -------__,.�_.__............__.._..------------�- ----._..._._�._._..----- . ..._._..- -- _.;.. . , , -, � T I A . ^.'�...�:..' i'�.::...�. '�'," �����` • �j�4 �1�1'�.' �iy.ry�'�, . ' . . .., . .. __...�.,........_...�_......._.... .,...�."'",.."_ _........"_'.,.�.__....;...._..._""'"'"_�......,_.�....�......_f. _.....�""�__�____"_"_�_.._.,..-.�__'___""_�."___`"__..,__"""___""",,.._�-. � . , . .;:�'E , r•'.i�'1',�..ir.'''��.•I~ . . • � _ .. __ ' _'_. ._....__........__. _"....'_""'""._...._..._ _... __........_._ _'_i._._._—'_"_.'_'_ ._ . _ .. .... _ '_"_... ...._...__' '"...__'_ __. ___. ._._ ._.. _ _ .. • . .. , . . -:; � ri���= r.��=f='�. F�idr,!.. . ..... ..._,__..... .- -............. .----- --......----.. .........- -------�- -- - - ------__.___._..... .._.. ._.. - -- --.. .. .. .. .....__.�,_ . .._,_ .._.ii?i. . I^ .._ . f:'�: r�i"fi�l. s . --- . ......_ ___._..,___--..__.._...--- ....._..._...__.....------.� ,.._ . _ . __. . ---. ....._ .......-- --------- -....-- -- ..__. .. ,.._.� ---- - � ,.. , . .i_.;i�;�C: ;:r:�.''J f ��=.=_� i'�,Eii . .. _........__._. _.. ..,. .____...__.....— - ----......_._-__——_.._..------- -- - - -.._ ._...._ ..-�------------------------------ --.._........ _.._.._ ... _.__ ....._._ . , p�.j �iz:.�a��.�., �=�oi':;-'��'�+ � ,...,: . ,.. _ ,,.. , .. . ..._ .._._......._.,._._.'_'"__..._.__._....._..._.._...."'_'..._.._ ..,,.._'..__""""...., ...._..." ""...'_"''.-� _ _ . __ ....__..___,..... _.._._..__..._....____....__..'_"'__'...._._.._."_"__'_ ' _ "'_'_'_'_ ' ""'.____`_._..'__.___._._..-..__...___ __ ' m,.,...-,; .. .:..,, r', . ... ...;�t � , .. „� , . . .. .._..._......_,...._.._"_"'_'.-.._._.__..__.'_"..___....._._.,__.___..._..._.._"_"_ �.��.... ._ .. .k,`w; . . . , .,.. ,..__._,.. . . ..._.""_. ..__...... ..... ... i "" { � r _��^� �.. ,�.. .1 � '.�: ' '� � � , . ...._.... ._ .. ..."_"..._._ _____.. ..._...... _' '............ .. _ '_""_' ..__.._... "'_._ .__...._._.._._.___...__... _.... ...__...._.__,... . ..'_..___......._.___.._._.__._ . _.. .__. __.. I _-�..__.__._.—__�_._--�-------_.------....----•-------�•----._._....- ---...__,_.. ' -��----- �--..__..... ....------� - -"---'-"--'-'-� --....... ._._._. . . .._---....---•" � . ...._._...-'--'--___...-------,_..�.______..---�.._..__�._----- -' -•----.__,.....,_..... .. ... ._...._._..�__..__..__.-------...,.__._"'----'--"_------...._..,__. . . , . . .. .. . .._.. ..., ..._._._.. .._..._...... . .,. _....--.'-_- -- . ._._----..._.....,....-- -' -' . ---: ,_._.._...._. . .. .., . ._ ._ ....._ ..._ .. ... . .._:__.. _ .._....___ ._.- ... .;.. .. � .._----......,.__�____...._..__.._�.__......,.....__._..__...._--_'-_--__.._..,,., -- '----.._....�--_--""--._.....,. � „ -"-'---..........--�--.......,..._..---'---"---' --.._.._._.----�.'-,_...-------- � . _ __.. ..-- ------ . ... ..---_. .._. . _. . . ..... . ---..._._.... ...... ..._ ---....... -- - ,.'r-j=...,F{„-Y","qf:t�{ i!L.CC _ .- -.. ...._ i : r;.;,..:w ��: •.,.;� C'^�7:` .'----..._.._...---._. .., .._......-'--'..__.._._--"-....._ ..'.---. .......- '--- .. .._ .... .--' "-' '-..... ..._....._ ._.-- � �- --'---' 'j . . , i. ''"-'' ' ' .""'_'... . . ... . .. ...... .... . . . j � ..___"""_'_'_.._._.._.._......... ...__._._.._. ..."'___... . .. ' ." ' _ _- __....._.._..__ , �� ... . ."' .................�_.__.._...._.._ __"'... ._' p 9• , � 5 - + , -.. ' � __."'_"..........._._ _....... _..'__._._,.,. .. _.___ .__ _ __.....�_ .""'. .. ._. ... _..., .... . . .." ' ' "_....'_'....._.__,... _...i . � . r; . . ; ..._...-,-_.......,.___...... _......_"'__'......, . _.._._..__.._..."_._.,_,..._'—,._""'_'.____"_"_'__'_'_�.__"�..—_ ..._..'._"_.__._.._. ".'_' , �# . � . . ' il' � I i �. ; . .. ��, I _..... . .. ... .. . .. . . .,. _. _ _ .. . ... ._.."'""__._ L .._..____._-..._"_'_'__''_ '__ _'___, ._..,._....'''_' ''... .._._ . , � . �� I . . .. . ,. F � �4 � _....._r...._.�_.._........__._.�.__....._..._ ..............."'....._ .__.__.__ .,..'_"'""'.,... _....._.....�...' """ ' ' _. . .'_..._"""'"'� � � , .� p 1 ...__'.._.._._...'.__.__.__��-.— —..._ ..__ _.. _ __ . ____.__ __' ._. . .__ _ _ _ .________.. .____. ___.__ _.....'__`__....._ . g � ' . . • � � � �. � , . <- . ....._..__..__.._.._`---.._..--.._.. .. ......__ , ,. _ ..._. ....... . __.....- - -�-- -'---�-- __,�___...._._._.......____ .....�____......_-•_---'----- t