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HomeMy WebLinkAbout12662 (14) � CTTY OF DIAMOND BAI� DEPARTMENT OF COMMUTTITY&DEVELOPMBNT SERVICES �� 21660 E.Copley Drive Suite l90 (909)8603195 Farz(909)Sb1-3117 PRESS �.�M'. $UILDING PERMIT AAPLICAT[ON FIRMtI� � °o'Ess�32s� 3��-Ci /�J�G �, /�j�. DATECATION j��1� .r�D NUMBER �l ��. �lC � � � APN LOT TRACT D TEE I I`I��-1� TM�� �C CONST. GROUP j °C OWNEFI �fJ ,�1} 1�- I � ZONING SETBACKS o ADDRESS t ti��- � CITY —�� ZIP TEL. R�RT RW p APPLICANT L TEL. � SIDE/SlDE STREET RW ❑ CONTRACTOR SIDE ❑ � aC ADDRESS i 4' m�"� PROPOSED USE � �' r 7 o CITY �j.�'i A � ZIP � T fc`� `7�06+� (� � ARCH/ENG/ �� � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS � STORIES ��2" BEDROOMS � CITY ZIP TEL v� <n DESCRIPTION SQ.FT. FACTOR PSF ApJ.AREANALUATION Q OWNER-BUILDER OECLARATION SFR/ADD/REM O p 1 HEREBV AFFINM IMDER PENALTI OF PERAIRY TH�T 1 AM IXEMPT FfiOM THE CONIARCTORS LI- GerBge✓CdR70R µ! CRAEUWFOqTHE�OLLOWINOREASON(SEC.7031.5BUSINESSANDPHOFESSIONSCODE:ANYCITVOq (f� ZCOUMYVA11GifiEOUIRESIIPERMffiOCONSTAUCT,ALTERIM7ROVE,DEMOLISH,ORREPAIRANY57FiUG W Patio/Deck �" TURE,PWdi TO ITS ISSUANCE,�150 REd/1HE3 THE MMICAM FOR 3UCF7 PERMIT TO FILE A SIGNED w STAiEYENT TfMT HE Oii SNE IS LICENSEO PURSUMlT TO 7NE PPOVISIONS OF THE CpRW�(:TORS L6 tiC � � CENSE UW�pi�PTEH Y(COh�MENGYNO N17H SECTION 7000)OF DIVISION 9 0F THE BUSM/ESS FND PRP u- PooUSpa � FESSIONSCOD�ORiWUHEOFlSHEISE%EMIPTTHEi7EFROMANDTHE8A515FORTHEALLEGEDE%EYP� C7 T10N.ANVVKKATKNiOFSECT10N7o91.68YANYAPPLICANTFOHAPERMITSUBJECTS7HEAPPLICANTTO Z qe-Roof � ^J��L�D � A CIVII PEW�LiY OF NOT AADRE THAN FiVE HUNORED OOLLARS(i500I.): � ❑4��MMENCFTFIEPPOPERiV,ORMYEMPLOVEESWITMWAGESASTHEIRSOLECOl1PEWSATlCN, � COM1IIT18fC181 - MA1100 i1/E WOpI(/NO THE STRUCNRE IS NOT IMENDEO OR OFfERED WR SALE(SEC.7qM,BUSI- J � lIESS ANO PNOfESSIONS OODE:THE CONfMCTORS LICENSE UW�OES NOT AVPLY TO APl OWH�R OF � PIi07EJiTY Wllf)BU0.DS OR IYPiiOVES THEREON,NJD YMO DOES Sl1CM�YORK HIMSELF OR NF95ELF Oq (� T�WOYOH VNS OR HER OL1M EMVLOYEES,PF�YIDEO THAT SUCH IMPROVEMEM9 ARE NOT INTENDED Op m ��d OFFEREDWRSALE.IF,fIQYIEYEiLTHEBUttDINGORb1af�VEA1ENfiSSOLDWfTHINONFVEI.ROFCqIPLE Z TK1N,THE OMMER�BUIIDEfl YALL NAVE THE 9URDEN OF PROVINO THAY ME Oq SHE�ID NOT BU�ID OR = WPfRWEFOH7HEPURPO5EOF5ALE). yJ ❑1,�90YYNEq OF THE PHO?EF71;AM EXCLUSIVELY CONTflACTINO WRFi LICENSEO COMA�CTORS ¢ TO COnLSTRUCT THE PROJECT(SEC.70u,BUSMESS AND Pi�FESSIONS CODE:7HE CONS.W�CTORS LI� V8I118t1Of1 ADJ.AREA W GEf6EWVDpESNOTAPPLYTOANOWNEROFAPROPERTYWF108UILD50RIMPROVESTHEREON,AtA Z W1IDCONTiUCTSFORSUCHPflQ1ECTSWITHACONTMCTOR(5)�ICENSEDPIJ{iSUAHTTOTHECONTRRG pUAMTITY pESCRIPTiOM FEE ' � mns ucEeacE uw.�. ❑I AM p(FMPT UN�Efl SEC. B,6 P.C.iOR THIS REASON U 1�.. ¢ wre om+eA V �' �s[ LICENSED CONTRACTORS DECLARATION W S �NE11�`//iFFIPM4M�ERPENALTYOFPERJURVTHATIAMLICENSEDUNDEAPRO�SiONSOFCHAPTER � � s(CUIYIENCRKI V/ITH SECTION�aoo)OF OMS�ON 3 0F THE BUSINESS AND PROFE55!ONS CODE,AN� Z � MYIIGENSE IS W FULI FORGE ANO EFFECT. � RC3 m � ���,ss �7 ���.No. �-S'�s 3 � �j L1ATE �I'�1' � CONTRACTOR� �.�.- - d � WORKERS'COMPENSATtON DECLARATION � Q � IHEREBYAFFIRMUNDERpENALTYOF7E0.M1/RYONEOFTiEFOLLOWINODECUMTIONS: v N Q � _IHAVEANDWILLMAMT�INACEqTIFICATEOFCONSEMTOSELFdNSUREFOHWORKERS' _ ppypEygAT10N,A3PROVIDE08Y5ECT10N77ooOFTHELABOqCOOE,FORIHEPERFORMpNCE 'U OFTNE WORK FOR WHICN THIS PERI�IR IS ISSUED. � � W �_IHAVEANDWILLMAINTAINWORKERSCWIPENSATWNINSURANCE,ASREWIRFABVSECTION p 9)da OF THE UBOR fX�DE FON TME PERFORMANCE OF THE WORK WN WHICH TNIS PERMIT 15 �7.2� ISSUm.MYN'ORKERS'COM�P�`s ATKKi1N5URANCECMR1EqhNDPOLIC)YNUMBERARE: CONSTRUCTIO � ��^�R'������ �AT y � PLAN REVIEW CRRRIER Q � ppLICYNUlABER � �� �/ ELECTRIC Rwssecrarir�rvoTeEmr.rtermoFn�a�rarrsax+a�r�nmoauas(s�amai�ssl PLUM01N0 ��'I 8 I CERTIFV THAT INTHE PERWRMANCE OF TNE WORK FOR WHICH THIS PERMIT IS ISSUE�,1 MECHANICAL SHALL N0T EMPLOY ANY PEPSON iN iVJY MANNER SOA5 TO BECOME SU&IECT TO THE y WORNER5 LOMOENSAiION UWS OF CALIFORNIA, AGREE TNAT IF I SFbULO BECOME INSPECTION FEE '�� � SUBJEC�TOTHEWORKERS'COMPENSATIONPpO 30FSECTION3�o00FTHEUBOR caoE,i sHut wrtn+vnn�cotim�v win�nasE �isu SSUANC /�OP�q p OATE:qC' APPLICANT. IP �SV '� � ENERGY P/C J W/�flNl :FIILURE TO SECURE WORKERS'COMPENS 1 LOVEflAGE IS UNUIWFUL,AND SHALL BE � SU&IECTFNEMPLOVERTOCRiMINKPENAITIE5AN0 Li1NESUPTOONEHUNOREDTHOUSAND ENERGYPERMIT OOLU�RS K����1.�NADDIiION TOTHE COST OF COMPENSATION,DI1MpGE5 AS PHOVIDED FOR IN � SECTION 37oe OF THE IABOR ODDE,MTEREST,ANDIITTORNEV'&FEES. RETENTION FEE: 0. CONSTRUCTION LEND�NG AGENCY PRE-ALT FEE: O � INEPEBVAFFIRAIUNDERPENALTYOFPERNRY7HATTHEHEiSACON5TRl1C710NLEN�INf3AGE�V ` Z iOR THE PERFORMANCE OF THE WOPK FOR WHICH 7HI5 PERMIT IS ISSUED(SEC.3oB7,CIV.C.�. W � LENDER'SIUME 1� LEN�EWSA�UNE55 � 1 GERTIFY THAT 1 HAVE F�AD TM�S APPLICATKKJ AND STATE 71iAT 7HE ABOVE BJFORMATqN I5 COflflECT. TOT G C11'r L SA� /� IdGRE�TOCOAAPLVWITHALLCfTYMACIXINTYORDINMlCE5ANOSTATEUNSREUTINOTOBLNLDING � �/r( CON5TRUCTION,M1U HEREBYAUT)pflRE REPHESENTATIVES OF THIS COUNTV TO ENTER UPON THE {� z /�BOVE�LIEMIONEO DPOPERN WP INSPEC7qN PUFPOSES. COMMENTS � t � 4 S P� �c1/c?Y'Lr.A�a � aPER4RTEE NAME(PRl f/'� Cn �/�// � �� � 910NATUHEOiPE � DATE � RECPT.NO. PAID BY VALIOA710N WHITE—�De�7ertment Copy,YELLOW--Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicont's Copy CtT'Y C?F [�I�llllit3l�� �l�Ft � i 1�1�F�'�C'�'tflf�l R�G���3 i � � + ' +� • • � A ^ • • � SET BACK ', + i FLOOR JOIST �__�___ _--_ _.._� - , FTCa�IF{?RP�ISJST�EL �-�, s 'I FHA RECIMTS 4' �L�GTRIC GRC}UND ' UNDER FLQC7R C�UCT •� CaRt7U1�C�PLUiv1BlNG � � U(sDER F�OOr�CCJPiDUIT ��`T�- . SLA�CaFd�ADE � FIREPLACE FOUNDATIOtd T�t�P Pt)WEFi ! � FIREPLACE 80Nfl S�RM _ "` _ ----- � 41tf�TER S�RVIC� ( MID H7.BON[7 BEfiCvI ' _ , � AUt�F SHEATHIN'� i. I~-�,5-'p�j �c� � 8 Fi�. a�N�QEAM - - � FPA��'�1N atVENTiLIATIC1Rt � . FINAL BC}ND BEAM �oo�=cav��___ � � _j1=,�$_ _._ - 13 ���-G�aa�r�� - - €�C3UGH FiEHo ING BEN�HING �QUGH�i.ECTt�IC ; RDtJGH GRAC7lNG { FiOU�H PLUF,PBIi�CL� { I �lNISH GRADING SHOU`JERIT'U�TEST ; POCiL E�ECTRlC ---- EXT. t.ATH/SIDING � pOOC.FENCiNC; - W,41.1.1t��iJl.f�TlC}N � � POOL FINRL � � ,�_ C�:ii�3hvG I�SU�ATIOhd �� O�F SET�l��i'S. ! ; Dr�YVodt��.L N.AlL1NG � D�DlCA7lOPJ5 _.._ S�V��EF� Fi�JAL ENG. - —�-- - � 5�P`tIC 1"r"�P3K � .,. . , . LAhIDSCF�PEr'iFiRIG. �' � SE�N F'{T1L.L.. �----__.��_:_�__ � O�1 S1TE i�tli'S. mm_ �--�-- __.LL_ � �a�S�BR T�aT Ff��AL Zdh!{P3G �� � €=1���c�n�s�. ���t-"�11�=.9$ /�t 1 i �������-r. ��rv�L - �� �' ! FE�VAL hi�,�T1�JG � i i � HE�ILTH D�PT.�I�VAL �� � I - __�.__..— ^_.____.. �I�tF�L ELFCTRIC ��DEV. r�ES PtaID ' ����;��.��u�r��Era� I ..�___..._ I� �����Y — �. �, - � , . � " �i� . :�. _ � CC�r�itvi�;�TS �- - _ —_. --_�-�-�---�--- ..—�� S�PTIG T�h[�C 5l�E ____--- � SEEi'PlT/l1 SlZE . _ ---���t�'��--� y -- - � :;;��a �� ,��•,, + .ii: �`,, , , _ � �:�'.:'1;; .., ,+• i.: . . . .�__