Loading...
HomeMy WebLinkAbout12947 ^ _!�� CITY OF DIAMOND BAl� � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES w 21660 E.Copley Drive Suite 190 �;,,,; (909)860-3195 Fax(909)861-3117 PRESS Bun.Dnvc rii�itlVti7'a��L��A����f .,.., -- _ ,. .,.. . .. � FIRMLY o ADDRIESS I,.�f� H�J���tZ� ��- DATE CATION ��1� NUMB R � �/C Ci c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER ` � rM� . ::�. p ADDRESS I d'�t l� l C. ZONING SEfBACKS Z CITY N ZIP � . TEL. - REART RW ❑❑ g APPLICANT TEL. SIDE/SIQE STREET RW ❑ � CONTRACTOR_�, C-C,✓t)� ►1 SIDE ❑� � ADDRESS � CITY ZIP TEL. PROPOSED USE��'-. - .���e����1 �GJZ��'�.w��(C�'�'" o ARCH/ENG/ z DESIGNER NO.�WEL. S-' NO. NO. a ADDRESS UNITS "� STORIES BEDROOMS � CITY ZIP TEL. � rn DESGRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDEfl DIECUIRATION SFR/ADD/REM O I NEREBV AFFIRM UNDER PENALTY OF PERIURY iHA7 I AM E%EMPT FROM THE CONTRACTORS LI- G8(dQB/Cdf(IOfI W CENSELAWfOR7HEFOLLOWINOREASON(SEC.70.t1.6BU51NES5ANDPROFESSIONSCWE:ANVCITVOR (n U COUNTVWHICHREqUIRESAPERMITTOCONS7RUCT,N,7ER,IMPROVE,DEMOLISH,ORREPAIRANVSTRIJG W patio/Deck w TURE,PRIOR TO ITS ISSUANCE,AL50 REQUIRES THE APPLICMlT FOR SUCH PERMR TO FILE A SIONED W STATEMENT THAT IE OR SHE IS LICENSED PURSUANT TO THE PROYISIONS OF THE CONTRACTORS LI- � CENSE LAW(GiAPTER B(COMMENCINO W1TM SECTION 7000)OF DIVISION 3 OF THE BUSINESS nND PRo- � Po0USp8 FESSIDNSCODE)OHiHATMEOH5HEISEXEMPTTHFFtEFROMANOTHEBA515FORTHEALLEOEDEXB.4P• (� TION.ANYVIOLATIONOFSECTION7031.5BYANYAPPLICANTFOFlRPERMRSU&IECTSTHEAPPLICANTTO Z Re-Root �, �CML PENALTV OF NOT MORE THAN FNE HUNDRED�OLI.AFS(3500).): � ❑I.ASOWNEROFTHEPROPERTY.ORMVEMPLOYEESWITHWAdESASTHEIRSOIECAMPEN5AT10N. 0 Commercial �- WILL DO THE W(NiK,AND THE S7qUC7UHE IS NOT INTENDE�OR OFFEREO f-0R SALE(SEC.7o4a,BU51- _1 � NESS AN�GHOiE5S10NS CODE:THE CONTRACTOHS LICENSE LAW DOES NOTAPPLV TO AN OWNEfi OF � PHOPERTV MMO BUILDS OR IMPROVESTHEREON,M1D WHO DOES SUCH WORK HIMSELF OR HERSELF OR S THqOU(3HHISORHEROWNEMPLOYEES,PROVI�EDTHATSUCHIMPROVEMENTSARENOTINTENDEOOR m QOFFEREDFOR3KEiF,F10Y/EVERTMEBUILDINQORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPI,6 Z TION,iME OWNER�BUILDEP WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE OID NOT BUIIA OR = IMPRDVE F9HTME PURPOSE OF SALE�. W ❑I,ASONMEROFTHEPHOPERIY,AME%CLU5IVELYCONTR0.CTWGWfTHLICBJSEOCONTRACTORS � � TO CONSTRUCT THE PROJECT(SEC.)ON,BUSINESS AND PFOFESSIONS CODE:THE CONTRACTORS LI- ValuetiOn ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROVERTYWHOBUILDSORMPpOVESTHEREON,AND � WFiOCONTRACTSFOIiSUCHPRQIECTSWITHACONTRACTOR(5)LICBJSEDPURSUANTTOTHECONTRAG QUANTITY ESCR�PTION FEE � TORSIJCENSEWK�. O ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOP THIS pEA50 U � _ � DATE � OWNEfl � U � LICENSED CONTRACTORS DECLAR ON W J � 1 HEREBV AFFIRM UNDER PENALTV OF PEHJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTEF V. � � B(COMMENCINOWITHSECTION7o0o�OFDNISION30FTHE0l1SINESSAN�PNOFESSIONSCO�E,ANO z XjJ MY UCENSE IS W FULL fORCE AND EFFECT. m 11J � � LICENSE CLASS LIC.NO. � V DATE CONTRACTOR 0- W � WORKERS'COMPENSATION DECLARATION a � 1 HEREBV AFFlRM UNDEH PENALTV OF PERIURY ONE OF 7HE FOLLOWING DECLARATIONS: Z � _IHAVEANDWILLMAINTNNACERTIFICATEOFCONSENTTOSELF-INSUREFORWORNERS' _ COMPENSATfON,AS PROVIDED BY SECTION 370oOF THE LABOR CO�E,FORTHE PERFORMANCE W OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � W _I HAVEAND WILL MAINTAIN WORKERS'COMPENSATION INSUMNCE,AS REQUIRED BV SECTION I Q 37o00F THE LABOR[bDE,FOR THE PERFORMANCE Of THE WORK FOR WHICH THIS PERMIT IS ( ��� ��J 1 ISSUED.MY WORKERS'COMPENSATKKJ INSURANCE CARRIEB ANO POLICY NUMBER ARE CONSTRUCTION lfi a lr j CAHRIER PLAN REVIEW _ � �ICVNUMBER ELECTRIC 0 (IHssEc:fqNNE�N070ECOFRE7F.DOF'RIEPEPMTISFORa�EHutJ0aED0a11Jis�Slao)OaLEss� PLUMBING ZI CERTIFY TFIAT IN THE PEPf-0RMANCE OF THE WORK FOR WHICH THI5 PERMIT IS ISSUED,I MECHANICAL �' SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATIONUWSOFCALIFORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE S SU&IECTTO THE WORKERS'COMPENSATION PROVISIONSOF SECTION 37o00F THE LABOR ,,, COOE,I SHALL FORTHWITH CAMPLV WITH THOSE PROVISIONS. �SSUANCE � � � SMIP �. � p DATE: APPLICANT. J WARNINa:FAILUqETOSECUREWORKEFiS'COMPENSATIONCOVERAGEISUNtAWFUL,ANDSHALLBE ENERGYP/C �y, SU&IECTAN EMPIOVER 70 CRIMINAL VENALTtES AND CIVI�FINES UP TOONE HUNORED THOUSAND ENERGY PERMIT OOLUHS(f 7 00.0001.IN P�DITION TO THE COST OF COMPENSATION,DAMAGES AS PROYIOED FOR IN J SECTION37080FTH£L480FCOOE.INTEREST,ANDATTORNEV'SFEES. ( � RETENTION FEE:��'�V����,j�,�`;F������� QCONSTRUCTIONLENDWGAGENCY PRE-ALTFEE: �T��.��,�,� ,,��T�v,�.�.�''�� � I HEREBYAFFIRM UNDER PENALNOF PERJURY THA7 THERE IS A CONSTRUCTION LENDINO AGENCY FOR THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.CJ. Z W � LENOER'S NAME F_ LENDER'SADDHE55 ^ � /., W IAGREETOCOMPLYVWITHALLOITVAN�OOUN�ORDNAN ESA DSTATELAWSREUTM ITOBUII�ING TOTAL FEES J����U � CONSTRUCTION,ANDHEREBVAUlY1ORIZEREPRESINfATIYE50FTHISCOUNTYTOENTEHUPONINE � ���� - --�� �� ( Z ABOVEMENTKKJED PROPERTY f-0R INSPEC710N PURPQSES. COMMENTS o G ` �� � _ Q PE�ITTE�NAA1E(PRIMT) ' ``r I� / C/J �T � SKiNANRE OF PERMI OATE � = RECPT.NO. PAID BY VALID/C1SI03V ��� ~ WHITE—DepaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Capy , ..: .; ;.,.;, . ,._. , :..: ,,� ; � , . ,_ . .. t . . . k,. . . dat fh . � .. , „ �-'., .. , r� . � , , . �i�� � � �� , � � 4 � .. . „w ...... ._- .... . . , . ,:.. � ._. . , .. ... _....� : .-.. � ....,.. ... � . � ...... . .... � . .. .. _:... � : : �-• -.-�r:,... . .::.... ,... .._ _ .... .. .. .. ; .: .. . . ... �. � : � �� � �� � a� o � � g � is . . �� � .. .,� ... ...:. .4. � .:....:.. . � .... .. - ,� � .� .,.�:�. .. _ ..�. .:,,. .. � .... . .. . . _ .. ... .. . .. . . _ � . . � -..� , . ... s.. � ..- .. � a.� ,.. ,. e-fe�¢-� e^s a... f L"i�i G�#-r��, � �., � . � f 6.L'+�.+�.�LI��3� .� � , ' i... mm.. _...__.r..—�. ,. � �...._...._...,_..� ., '..:.�._.__... ~�'p�,�� �; ��}_,i��1 ? � ` i FF�iR f��(��9��_ i � Tw.� �� � �..___.. .....�..�_ __._...�._____ � _..__.__�_ _ _ _ �. �� _.._ �___._.._..... �����..t��� �"F'`� a��� ' ` '�J�1�3�r� ;=��.?��C?J+"`T � _� -q—�.�r-+ i�7 _ 3 pro .�_..i(__...�____ �_.� __._w._._ g;�p[}g.- _--,+--�--�---q-��-g--- g_-�_�_(_...,�� �._�_ �l.-.'::'Y°':.s�wJ"'3�. r Y.al�i.'a€�BC.I 1 I ..,...� L33V:JE.:.�:�"'1 1�i...aJLJt�?� >95�[JLd�^i � � .,...._ __.__.... ___ _.,._�,.a-�.._ .._ . _.. .�— .. .»_ _�_._. __........... � __...,..,.�.. ,m��,��"i�,�..�;��?;��- ' � ' • �1"?��'E,�d :�F'�l��i��t?`d£�3`3 �..:. _e'�� ,, ; s����� r+����r� `�.--�--�---,�.�����'�.,��� �3C'�(������t � __�_� �w___.__ ,_ �.�...____..__�-.� __.. � �r _ _._ .. ( ��______...��..__._ � L�d�?- �?ti?=�����: � i: � h/#IC'i}-I�. E���U �:vA�'i � �� _._�._ _�_ �';�",.�"'r F���`�'F?€���,^� `��� ' :'m ' a �f�. ����?�Sx:�;�� _. __.�.. _�. � __,., _ _ �_ �� �_�_`� __.______� _.�_. � _�_.,_���._._. _ � - • �._____�_�__.�___.�..e.._..___ ���t�t"���'� ��`I�?����� � _ �. J F€�IAL��3�d� �E�O�:I € �_� ___ � �a, �E� � _.—. ;....._�_._..--=---__ __.__ _� � ....� �.__ � a �;�'�t- .,,;�' � ; � ' _ i � f��iE-�r``i�;�l�J� � __ _�_._�._ _�'�.�. _�_.��..�____.. m���._ ___ .�._ -~~~�—_�__. �`�`7�°-�E����":�`�� i �s�N��-�i�1� 1 � ,,� �,��_"�.' __ __w�._.._._..�.. �______ ��i�,?!��3_i�`�T'��� I E � �{£�7��i}'"3�''1����s.�.'� —��-�—__- �--- �.._.... ..........._?-..._._...�e.�_ _�,� _ .—. � ---...---.____.�.__._..._ -�-- __� _ � ��'S�i-� �`' ��P�'��r�,�{� i I Fi�l��}-(u�A�6!�� . _._._ ___._.___, ._ .._.. � ��-?°�'�1�'�',�`�"i1t�T��?`._._��__ �...� m � i P�C`!.��.��:�"�EC� --...._� ��"=�=t-_' HA �,� � �,p� _ � _ _.�� _ ��'C�� i-E�,��;Nt� � �, �h p At`�� a,z 4 z d 4�� �� .. �...»..»-_ .__ ....�.............._ . ..,.__._.._—__'_-___. ..}.____�..___.,..,._� _. . ..,...__ ....... v..._.._e.....y.___._. �#��:L�..�B��F.`�s"�� ��d f�� .��"��i����lt�L � _..�............._.�.._._...� �„�-,7 �R y—p___-� �,'-g,/�;?,yy � -- �� t�t�����t� irJ���. _ m...__ �-- ..e..._____�._ __.�._ � 4„:.''�„;'£.€S\;�.. §&'�,."'.�-[�'i....r":t i�1iM .... :�... mr.`��.m_�._ ...w..� ( ____ __.._ . .. g� g g�e. f �-qg� ,a, tp�p�q�± ___ °�..J�•���a...�....1�'f. iL�i'.� #....`..._V€;.:�6�FPo.�iL,3W�ba3 - . �.._ ...-__�.. M.._�,..,..,,_ '_.__...._..__ �_. ... ._.__........_____.��. ....,..,,___'"__�_ �. _�....�._____. ' . �.�"a�?�'F�F�.v i ._.. .�.w,..�...._._.�...... � ___.�..�»_.,...�...�....-,. � . ?'"�a'i��.,.�:-'!�� . ._. , � -.._. -. „� � .�.,_.:_i_. �—a.�-G:=°"��„s ft�"tia5 I ; L��Y�`��6.a.�m'���Y'�'1osiCa� E " ���� �+�/�.�. .�.._.._.. i _ __�.. � i?�v �'��� �$�PS. -..._.. €___ __._ ..A.,�.� - �_______.�_- ---_ _;______�__�_ _W_W____ ._ � _�._._ w_____.__..i �.�o � _P�...._________.__ ���^�r� s�`�a � i E ^ �, .� ; �-E€��`n' �:::��[�a'� • _ .. � ! q7 ._. ..�.___}_____-ry/-,-, �_}"7y'J� .�.._.,.�.._,_ gp� g�°� _g^� e;�_..._ __�_._.__ w._ E ._.�. _ ..__�. __.__ _ t`l�s�"t� �.'��dw �� _ ��L `�-,.1��{l�_- _ __ �� 1 ! �t°'t�. Ld�'3' r��?�§�+;. � ( � . L.....,.f.pm-.�.d_ y�,�� /; p�jem..d.e..n._.__........... Y�.�"`'y..✓' ��"'� .�..,.... g^� ,q i_._.:---..-.........e.._...__ ........M.�___�_»"_ _........ . . __ - g�..�.,..._.p..y. y..�.�. ..�..... ._......._�.... _.e.,....______� ��tl�."S�,;3�:'a'6@^d�'?. € � � � ••_• 1 i °'7�'tti_f�-" ._�'`i'��S�. 1"''3�:A*.'._ . . � �.__.._...._«.__.��. �� �. . . ._-._.�»�._..a._._1--—'— ....._ a... .�.._.._.�.� ...._.�.. � - ._....___._...�,,.-,.. �......_.� �`r'.��x �� �.� �'�:� � �� ��.1�. ��t�;��'��� ; b�. _�� � ._____. ..___��.._____._,_._,.�....�_.�.. . .____W.__.__--- -----.�._ _.�_.. ._..�.__�.__ � ' � � �����a� F��.:�Rt��;���� � ' �����a`'° ! __. _ ._... .._._.#__�._.._ __._.__�._____....�__�. __.w. � __.___. ________._��________ ! ( ___._.� �,____..._ w , -.�__---_.�..�_ .. . .__�... ; ,. ; _.� _ ___.._.��m _.�_ �.�7..4e__.__�.___v_.�u_..�L . � _ .�-�N :�. , _____.�__.i_.� �_ _..._...... � ��:3������� �����_m�, �___.....�.___._�_._._.�.�.___-__,_...�.._..__�..�__..�.�_.�.____,�_.m._____ _ --_ ---� � rt__�...�__ --- .m� ___ -- _ --- . ------- _---___...-_� � �___a____,__.. _ �.._._._m�__._.� .�._.___��__ -------____ ______ � ____r__ ______ _--_- � ... �.._____..._.....______.____ __._..____— ----_.�P�___ �.�..___.�...__._.�.___..._______ _____.....__..___...._.W�.---:�__. ._....� � �r._�_......_..�.�.e. �...____m�.,. _..�._._._.__.�.___.. _.________.._..__._�.__.____._..�_____..__..__..._�___.._ _ � , — � ���.___.... �.m��a _._�_�. ._�.�. __��__._.�._._ _____ ____ — .__�_ _�_ _ _ - ---- _ __ _�___! � ,, ,- , .., . , ;.,. N. . � ��� ._..___��,.___..�_�s .,..........,......��- S � b ,_._.._,.__,_._v. ......_.....�._�....�_. .e. .�.v..d.�.�...«.._...... .+._............»,...,,..�,. ..�. �._.......�........_...._.._..>..__.,..._ �.........�.....,.-,.g .. . . , . , .. ' . . . i . . � � `"�__.�_... ........,. _.�. _ ....� ..._._....�. . . _"i� � ������r 'r�i�'� b i.�� � � �?n�.'.�i �� �i�t�� a:��r� , _ � ` ..�_ .. �._�_._ ... � �� ._... .� .__-_-�_ �:�'.-rv y � ... .:.�. . .,:�. . .:. . . . . :. ._.._.-,._.. _.v.w.._�..._..�.....__....w.....__._.�..,.... - .'_�____.....__. ....__._..,,_.�.._._.__.,�.._._ '_—� '� � �.:. �µ '... . � __»_�.. � .. � ��.: .: . . . . . � . : ' .......... . ...._..�...._.._.._._..�. .,....«_�.._><__•__ _—_______..___.......,..»_.._..._. ....... ._ ..�..._.._�_..__�.....___.....�: � { � ��'' �.3F.�. �� � '.. ... ..... .��. : R: . � -.:,: ....._..w.....................__.�...._.._ _��.....,,.......,..... . � ,. ._.__... .._._._.._.9 �, .....; , ��.�.. ..,,:..... � P �.:: . :. ...., .. �� . � � '..;y��' ...... ._�__. _.�...»,..p.�................_..,.._.._..._..___...__....�..._... -. '� ... . ._........_._.s_..._..,...._..__m_____...."'___"_ ..__"'_..___...-.�___.�_�_- .: .. ' - . .... � �.W�...�...LL..�_--'_'__.g ...._.. ....... . 9 �Sra : . ... � ` ._.......�..�.._..._._........_._._,..�»..__......_...__......_.............._�,_____n.__._.e.....»..,........,...... � . � .. r� ..______a,m_.�.___ ...,__.. �_,_._..._....__� " �. .i ". � :.. , . 4 .,i ' ...,.._...r.._._ �....._._............�-.. .._.v.... � . t 4 ;�.. �._......._.._ _..... � '.. . .. -... . ... . . . . ,. .� ..�...._..... ..�..... ___. ......_.. .� �r mm ..� . .. .:.. ....�_............. .. _...__ e_.....,.�.. ......�.. ...... .......... _�._ .. a...__..�