Loading...
HomeMy WebLinkAbout11557 CITY OF DIAMOND BAbt -- ' DEPARTMENT QF COMMUNITY&DEVEL.QPMENT SERVICE� � � 216b0 E.Copley Drive Suite 190 , (909)$60-3195 Fax(909)861-3117 PRES$ �.u�,n�v�r��rr�riacn�TTON FIRMlY � JOBSITE ���lJ�l a,`�b��,,.� � pATE1CATION �, ��,�� NUMBER�C �� #� o AODRESS � / w-r✓�c. � c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER ���-IY1E � �'r� " AODRESS �.��-17 R.u��Q,��j, � ZONlNG SETBACKS Z CITY O� �A 2 ZIP �L. REAAT RW Q g APPLICANT TEL SIDEJSIDE STREET RW ❑ � CONTRACT S �3, �' SIDE ❑ ¢ ADDRE � _ PROPOSED USE e- OO� G � � CI7Y ZIP_� TEL. bl � �, w ARCWENG! z DESIGNER NO.DWEI. NO. NO. � ADDRESS UNITS STQRIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION Q OVYNER-BUI�DER D5CURATION SFRlADWHEM O Q I HEREBY AFFlPM IKtlDER PENNLiY OF PERRIRY THAT I AM E%EMPT FflOM iHE CONTMCTOPS L4 GaragelCa�port � CEISEUW/FOqTHEFd10M11MORE�ISa!(SEG7m1.5BUSINESSANDPflOFE5510NSO0DE:�NYCITVOR (/� . OOINliYNkqGiRFOVWESAPERYRTDWNSTRUCT.ALTEF4NPROVE.DEMOLJSH.ORflERMRANVSTRUC- W P8t10lU8Ck W TUPE,PR011 TD IT$ISBUANCE,ALSO HE�UN#ES THE MPLIC�NT FOH SUCH iEIWlTTO FILE A SIGNED � STATBAEHi TNAT HE OR SHE IS LICEN5E�PURSUANT TO TNE PROVISIONS OF THE CONiFiACTOF3S L4 c�uw faur�e 9 coouuErx�rx3 wnn�sEcraN�aw�)oF oiv�siow a oF n�E euswEss�o aao- �- PooUSpa FESSIOl15 CLtOE)di TWR NE OR SHE IS E%EMPT THEREFRON AND THE&1515 FOR THE ALIEGED EXFJlP- TqN.y/YVqLATqNOFSECT10N7A71.68YMiYAPPLICANTFORAPERWTSUBJECTSTHEAPPLICMITTO � RB-RODi ,� �j � �GV4.Pd�lAITYOFNDTYWFEiHANf'NEHUNDREDUOII/.AS�fS�i�$ , � 04��M�MEROFTHEPRDPERTY,ORMYEMPLOYEESMATHNWUESASTHEIRSOLECOAIPEWATqN, O (`,pmRlB(CIBI WILL DO 7HE WDBK,AND TME STPoICNiIE IS MOT INTEt�ED OR OFFERED Wfl SALE�SEC.70µBUSI- J 3 1XSg Nt1 PADF6CSION3 CODE:THE COHTMCTOIW UCENSE L11W DOES NOT AVPLV TO AN OYMER OF � i � p�ppEp7y yy�p&/R p¢pq q,1P11DVES THEREdJ,AND WFIO DOES SUCii WOHK HILLSELFOR HERSELF OP E � iMN01K1M W8�ONN MEA OWN BJPIOYEES.PRONDED TNAT 511CH NIPROVEMENTS ARE NOT IARENOED OR � W ,OFFGRFDibNShlElF,iION�EVERTMEBURDINO0i1HIVMVEMENTIS50Lt1WITHINONEVEAROFCOAIPLE- � 710N.iNE�YMl�R�BVNDER W41.HAYE THE BURDEM OF GflOVIN[3 TIiAT ME OR SHE DIO NOT BURD ON YPf10YE FON 7!ff PUflPOSE OF 511LE� �y OI.ASONMEPOF7MEPRDPEfiTY,A4EXCLUSIVAY�OMPACTRiONrtTMLICENSEDCOMWICTORS �. ryJ (= TO OONSTIAICT THE PRQIECT(SFC.7w4,BUSINE53 A!A PROFESS10M5 CODE THE CONTAACTOAS U- VelUetlOfl I �C� ADJ.AREA W CFl6ElAWDOESNOTAPPLYiDIWOWMEROFAPROPERTYWIK)BUIDSORIMPAOYE87HEHEGl,MID � NMpCONTMCTSFON5tJf51P1iOJECTSWRNACOHTR11CfOR(5)LICENSEDPURSUANT70THECOHTRAG QUANTITV DESCRIPTION FEE � mRs uc�uw.). ❑I AM EIfEMPT UNDEN SEC. B.l P.G FOR THIS REASOH U � � LL DATE ONT�ER U , Z W � � LICENSED CONTRACTORS DECLARA710N � W tZ IHERE81'AfFlAMUNDEHPENALNOFPEM1NAYhI�T�AMLICENSEDUNDERPROVISKKJSOFCNAPTER � � 0(OOIMENGIO YYITH SECTKIp 7v00)OF DMSiON 3 OF iHE BUSINESS ANU PROFESSIONS CODE,AN� Z X MY IICENSE IS IN FUl1 FURCE AND EFFECL m LLI A 7 � 0 �µ� r LIC.NO._�s � J V DATE�Z . CONTRAGTOR a � WORKERS'CQMPENSATION DECLARATION ,�� '� Q � � U N IHEREBVAFFIRWUNOENPENILT(OFPERRIRYONEOfTHE�OLLOWIN(iDECLARATIONS: N � � __IHAVEANDWILLAIAMTAINACERf��CATEOFCOPISEMTOSELF-INSUREFORNOFlKERS' Y tOYPET/3ATION,ASPROVIDW8V5ECT10N37a00FTHEUI@OfiLODE,FOATHEVERFORFAANCE U � OF THE WORK FOH WHIU7 TM�S PERMIT IS ISSUED. � w I MAVE M70 M/ILL M111MAIN WORKERS'COMPENS�TI�!�NSURAt10E.AS HEdUIRED BY SECTION Q 97ao0iTHEUBORCODE.FORTNEPEP.FORIAANCEOFTHEWORKFORWHICHTHISPERM1T15 �$$UEp,11VWOBKER5COMPENSAT INSUR/WCECMRIERANDPOLILWNUA�fRARE: CONSTRUCTION I - � � CARRIER � �'�'� � PLANREVIEW � I�`� I'�.`��� � po�aY r�+sER ' � ELECTRIC d �, Q RygSECfqry�pq7�ppl,qEfEDpF7VEpEiAUisfOpoNEFUt�f�DDal/�Sgt �oaLESs} PLUMBING W ICERTIFV THAT MiHE PERFOMAMlCE OFTHE WONK iON WHIQV T/IS PERMIT IS ISSlJEO,I MECHANICAL f' .. � � SMRLLNOTEMPIOYMfYPER50NINMIVMANNER50AST08ECOMESII&IECTTOTHE �S:: i ,v � N WOPKEHS'COMPENSATION UWS OF CALIFORNIq AND RGREE THAT IF I SHWLO BECOME INSPECTION FEE -" ' J ; � SL�JECTTOTHEWORKEPS'COMPENSATIDHPROVISICENSOFSEC710N37000FTHEUBOR cap isr� wmr�Nnrxcow�r�rwm�n+osePrwhsior+s.� ISSUANCE F � ��� ��6- � ��r I W D^7E: 1 � APRICANT: v'�%�" SI�}!P WARNINQ:FA0.URETOSECVREWORKERS'COA/PENSATIONCOVERAGEISUNLAWFIR.ANOSHALLBE ENERGYP/C � LL SU&IEC7MlEMPLOYERTOCfi�MINAIPENALTIESANDCMLFWESUPTOONEHUNOREDhI0U5AND ENERGYPERMIT i � DOLlAfiS(tt0o.aoo�.iNADDITIONTOTHECOSTOFCOMPENSATION.DAMRGES/SPROYIDEDPoflIN � SECTIDN370aOFTMELABOHCODE,MTEPEST,ANDATTORNEV'SFEES. RETENTIONFEE: W CONSTRUCTION LENDING AGENCY PHE-ALT FEE: d ' � 1lIENEBY AFF�RM UNOER DENALTY OF PERIUNY TNATTHERE IS A WNSTRUCTION LENDING AGENCY FOR7HE PERFORMhNCE OF TiE WOHK WN WN�CH 7HlS PEP41T IS ISSUED(SEC.3o9�,CIV.C.). Z W � LENDER'S NAME t-- LENDER'SMDRESS �I a ICERTiFVTWVIHAVEREAU7H15MGLICATIONM105T�TEiHATTHEA90VEINFOPAUTIONISCORRECT. TOTAL FEES � '� � IAGREETOCOMPLVVAh1ALLCT'ANOCIXINTYORDINANCESANOSTATEUWSRELATINOTOBUILD�NG CONSTpUC'(pry,AND HEREBY AUT}10R2E iIEPNESENTATNES OF h11S COUNTY TO EMER UVON TNE , S� �6pyE NT�qNEDP�PERTYGOHINSPECTIONPUFPO5E5. COMMENTS I � ��`_ 6/•� I•'O�� � � PERYIT�EE SE(p NT) �F / (y �� (n i SIOMATIFE OF PENYITTEE D�TE � = RECPT.NO. PAID BY � Y/�IDATiOW r � �— yVH�7E—pepartmerrt Copy,YELLOW--Finarxe Copy,P1NK—Asseseor Copy,GOLDENROD—File C�y,6HEEN—Applirant's Capy � CITY �F t�lA1V1�NL'3 BAF� 1N�PEC'1'tC3(V �i��C)!�� i �,�c � � + '�� ,� t s � r i s��r aAc� � F�ooR,�a�s-r � FTt�S/�tJF�N1S{STEEL I ��i FHA REQMTS , EL�CTRIC GROURIC� ; UNDER FLQOR DUCT � (al�t}UtVD PLUiviBiNG UNDER FLOQR CURiDUlT . SL�$t"aFd;apE FIREPLACE FOUNDATiON � TEMP Pi.?4",t�R ��—�— FIREPLACE BOND BEAM WAT�R S�RVICE - tv�ID HT. BC7ND€3EAM • - - - � ��C�F S�A�`HIi�Ea -.- �lZ-`1 ��Rs. 8 F?.Bt3�D BEAM � FRA��IINC�IV�NTiI�Et�TION � FiNAL BdND BEAM � �iC70F CC}�tER I `" PRE-GRADENG �sf?UG�H�r�Tii�7G B�NCHING i FtUiJtaH E:LECTR9C � F�OUGH GF3ADING � �SC)UGN PLU�fBIPJU FINISH GRADING BHOt�tE1�/TUB T�ST � POOL ELECTRIC EXT. U'�Tt�/51C31t�G P(�C3L.FENClNG � — � � W�LL tiUSU(ATIC7rd PQOL�INAL GEI�ING IP9S�1l.�tT{QtV C7FF SITE If�1PS. � (�}�YV��LL�VAILI�vC; DEDICATIC7NS � � B�VJER � � FICVAL ENCz. ; S�F'T€C TP�3��e � LANDSCAPEIiRR{G. ! � S�EP�'ii'1L.L. � , . Ohl SITE 11�1PS. ___._.�_i. C�r�S AIR T��T � FINAL�ONiPVG Ft�3�L CCl3tiST. �S _ ' FI�iE��PT. FIPJAL � FIivA� NEATlCvC � HEALTH DEPT'. FINAI. ; FINr1�El.�CTRIC i DEV. FEES PAID _.._ � FI�I�L 1'��:h,�CPdG � � E�IERGY r � CC����;�i�f�ST� , _ _ � _ .._. . - - -, � i f ( . ; i ��PT�C T�t��{51�� SEEi'PiTI� SiZE _`� i