The URL can be used to link to this page

Home My WebLink About16960 (19) - , _ _ __ —, �i'T�'O�'YyIAMOND�AR �- Yy --�`°`--- D�PATZ'I`�r1T OF COR�IUNITY Rc I9EV�LO�MEIeiT SER�I[CES � 21325 E.Caapley Drive ^ (904)860-3195 Fax(909)861-311 i PRESS �~:.yr>'�' s��,a��Ear��r a��icATior� FIRMLY � JOBSITE J APPLICATION (��(. o C� PERMIT P!C o ADDRESS_ �r Z� ��-rr a �-Q-- pATE U ��"� NUMBER � �# � ISSUE TYPE OCC APN LOT TRACT DA7E CONST. GROUP °C OWNER�G.v':1 ESn p �.h p ADDRESS 21 2 I ' G�'1.�r r ti /�t�I�, ZONING SETBACKS z CITY � 'Yly��y�� ZIP�6fTEL. 5°��/- f Z FRONT RW ❑ S APPLICANT sn.�,,.c Wo,�L. L 7R7- 6 S REAR ❑ SIDEJSIDE STREET RW ❑ � CONTRACTOR � SIDE �v � ❑�_ oCDDRESS I ZIP TEL. PROPOSED USE n a ARCH/ENG/ iz DESIGNER — NO.DWEL. NQ. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY � ZIP TEL. � 'i �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OINNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBY AFFIRM UNDER P�dALTY OF PERJUFY THAT I AM EXEMPT FROM THE CONiRACTORS LI- G8f8]8/CBfPOR W CENSELAWFORTHEFOLIAWING EASON(SEC.7o31.5BU51NE55ANDPROFESSIDNSCODE:ANVpTYOR (n CJ COUNTYWHICHREOUIflESAP�FMTTOCONSTPUGT,ALTEH,IMPPOVE,�fMOLISH,ORRCPAIRHNYSiRUC- LIJ pa9ic/Deck w TU(iE,PRIOR TO ITS ISSUANCE,A 50 REQUIRES THE APPLICAN7 FOR SUCH PERMITTO FILEASIGNED W �� STATEMENT THAT HE OR SHE IS ICENSE�PURSURNT 70 THE PROVISIONS OF THE CONiRACTORS LI- � CENSE LAW(CHAPTER 9(COMME�CING Wfhl SECTION 7000)OF DMSION 3 0F 7HE BUSMESS AN�PRO- � Pool/Spa FESSIONSCODE)ORTHATHEOR HEISE%EMPT7HEFEFROMANOTHEBASISFOfiTHEALLEGEDEXEMP- (� r �' � TION.ANYVIOLATIDNOFSECTION 031.5BYANYf}PPIICANTFORAPERMITSUBJECTSTHEAPPLICANTiO Z Re-Roof 3�00 J � ACNIL PENALN OF NOT MORE T AN FIVE HUNORED DOLUIRS(5500).J: 0� ❑I,ASOWNEROFTHEPHOP�RTY,ORMYEMPLOYE-ESWITH-WAGESASTHEIRSOLECOMPENSATION, � CORIf41@fC18I ` Z.� WILL DO THE WORK,AND THE STRUCTURE IS NO,T INTENDED OR OFFERED FOR SALE(SEC.7044,BJSI- J NE55 ANO PAOFESSIONS CODE:THE CONTRACTORS LICENSE LAW�OES NOTAPPLY TO AN OWNER OF . � PROPERTYWH06UILDSORjMPROVESTHEflEDN,ANI7WH�DOES5l1CHWONI(HIMSELFORHFASELFOR � �" THROUGHHISORHERONRJEMPL�pVEES,PROVIDEOTHATSUCHIMPROVEMENTSARENOTINTENDE00R m QOFFERmFORSALEIF,HOWEVER,�}{EOUILOINGQRIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z.,; TION,THE OWNEft-BWLOER�.WILLf{pYETHE BUApEN OF PflOVIN�-HAT HE OR SHE DID NOT BUILD OR _� IMPROVE FORTHE PURPOSE OF SALE). . ❑I,ASOWNEROFTHEPFIO ERiY,AMEXCLUSNELYCONiRACTINGWITHLICENSE�CONiRACTOHS , �� TO CANSTRUCT iHE PPOJECT(S�C.7o4d,BUSINESS AN�FROFESSIONS CO�E�.THE CONTiiACTORS LI- VellldtlOfl ADJ.AREA �;� CENSELAWDOESNOTAPPLYTO NOWNEROFI4PROPERNWHOBUIL�SORIMPROVESiHEREON,FND . WHOCONTRACTSFORSUCHFRO�ECTSWITHACONTRACTOR(5)LICENSE�PUFSUANTTOTHECONTRAG QUANTIfY DESCRIPTION FEE Y. TORS LICENSE LAW.). i, Q� - �'I AM E%EMPT UNDER SF_C,�i 8.&P.C.FORTHIS REASON � LL'. DATE p - I�� O J II OWNER 0.y..� L�S .1.�- U W d LICEN�ED CONTRACTORS DECLARATION W ��. 1 HEfiEBYAFFIRM UNDEF PENqLTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � p_, 9(COMMENCINGWITHSECTION7QOo)OFDIVISION30FiHEBU5INESSANDPROFE5510N5CODE,AND z Xw MY LICENSE IS IN FULL fORCEANb EFFECL m d. LIGENSE CLASS ' LIC.NO. j � V DATE �� CONTRACTOR d W � WORK�RS'COMPENSATION DECLARATION a � U � I HEREBYAFFIRM UNDER PENALT�OF PER.NRY ONE OFTHE FOLLOWING DECLAFATIONS: Z z� _IHAVEANDWILLMAINTAINACERTiFlCATEOFCONSENTTOSELF-INSUREFORWORKERS' _ ' COMPENSATION,AS PFOvIDED BY SEC710N 370o OF hIE LA30R CODE.FORTHE PERWRMANCE U Q OF iHE WORK FOP WHICH THIS PERMIT IS ISSUED. � � � W' _IHAVEANDWILLMAMTAI�JWORKERS'COMPENSATIONINSUFANCE,ASflE4VIREDBY5EC710N EEE �" Q I 370oOFTHELABORCODF�,FORTHEPERFORMANCEOFTHEWORKFORWHICHiHISPEf1MITIS � �p 1 ISSUED.MV WOFKEAS'CQMPENSATION INSl1RANCE CARNIERAND POLICV NUMBERARE: CONS7AUCTION u J j� caaFiEa ' PLAN REVIEW Z� poucvNurnsEa ' ELECTRIC ¢ i �� QFIISSECiIONNE�NOTBF�OJMPLEfEDOFTi'�EPERMITISFORONEHUNDREDDOLLARS($100)ORLESS). PWMBING Z� i CEATIFYTHAT IN THE P F,IRFORMANCE OF THE WORK FOR WHICHTHIS PERMIi IS ISSUED,I MECHANICAL ('}' SHALLNOTEMPLOYANYpERSONINANYMANNEfiSOASTOBECOMESUBJECTTOTHE � WORKERS'COMPENSATIbNLAW50FCPLIFORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE = SUBJECTTOTHEWORNE�iS'COMPENSATIONPROVISIONSOFSECT:ON37000FTHELA60R ��j=`�"'"'=.-�'vr�;�.;,. "'. CO�E,ISHALLFOfliHWItHCOMPLYWITHi}iOSEPROVIS!ONS. ISSUANCE �.G<% {'. I I �"`t �. � � ' SMIP �� . . .. ' �_..�,...- "1('�'0 �ATE: dPPLICANT: fp � � �� OWARNINGfAILURETOSECURE�ORKERS'COA9PENSATIONCOVERAGEIStiNi?N1FUL,ANDSHALLBE ENERGYP/C ; ��i �� SUBJECTANEMPLOYEHTOCRIMNALPENALTIESANDCIVILFINESIiPTOONEHUNDRE�THOUSAND ENERGYPERMI� i . OOUARS(51a0,oao�,W ADDITION O THE COSTOF COMPENSATION,�AMAG=S AS PROVI�ED FOR IN J' SECTION3]OB OFTHE LABOR CO,E,INTEREST,ANDATTORNEY'S FEES. � Q RETENTION FE :..� � _ � C NSTRUCTION LENDING AGENCY PRE-ALT FEE .-�-'��^-- � O J ' � IHEREBYAFFIRMUNDERPENALI�VOFPERJURY7HATTHEREISACONSTFiUCTIONLENDINGAGENCY FOF THE PERFOflMANCE OF THEIi WORK FOR WHICH THIS PERMIT IS ISSVED(SEC.3091,CIV.C.). Z. W S� LENDER'S NAME � � LENDER'SAD�HE55 , � ��d �„� � 1 CERTIFY THAT I HAVE REA�THIS APPLICATIONAND STATE iHAT THE ABOVE INFORMATION IS CORRECT. TOTAL�E ES � �, IAGflEETOCOMPLVW!THALLqTYANDCOWTVOR�iNANCESANOSTATELAWSRELATINGTOBUILDiNG � CONSTRUGTION,AND HEREBV AWTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE z, ABOVE-MENTIONED PROPER7Y POH INSPECTION PURPOSES. COMMENTS � �. VY�1 �'�, � I � PERMITT N � (PRINT) � . _ /f�'� - -.__._-_ Uj SIGNATUR PERMITTEE i �ATE $ '� RECPT.NO. PAID BV VALIDATION ~ �� WHITE-De adment Copy,YELLOW-Finance Co PINK-Assessor Co GOLDENRO�File Co GREEN-A Iic2nYs Co P PX PY. PY, PP PY cr,;: ,.�.- ,'::. .,..� .. . .-':�. 'i.�� , . .�k� . :�� ,?F�:�t4 9'� �k�, � ... _ �'_•' b . -.W = .�.�,'�� .:;-�,.�.- . � # '.li 1 6 pl�'a M .. ..v e c ,.... . . I�`.= x B �l ' ( �u. y,. ."'y E � .. .. ra m... .s ' g'"_ '^�°�q,"��a.,- k t� �,� .��°81' i � :. s � � p-+�•��" Y a y � � ,, � *� g �,: �, �.:n.� � �,'j:.,# s p �" � �� y � ��; "�' s x :�.a '� : �Sr��`�. '��iet�s"�� .*,ha�� 4 � � �€€_s.� � ;�;,�� :� 5 � „�: � � �:.� ; "� �. ��. § � § ;�c p � -�_ � � � aC� �' � ,�m� � � ai �."��,�:.�� :��.�"s.�°s':�: �.��..A�:��.,�.IX. '�.�°' _'x'�.� �.. �:;�: �a�...::'�.'i �; s..,':'.�� '�,a ;'?':a �.. '�,..�.»� � �..�'�:.��_ `*,i �" . �. ��;` ,.s a �x�._R� 3'�»'a` � s� a-a �" ,�.. �`� �� '�� _ a �.s� „�.�. .'^'��',��s�,'= , � 3 '"��.. _e .,...: �.,i� � � ..� __.___, .._.._........._ _ ....__..._..._..._...._....,.__ .......—__. _. ..�..� ...... _ . ..._...�.......--_.. . _ ,._ ......_............,..,,_ --"...... .._............�.._...,.....� 1 =`^. .._�,� ,. ° ,; � �. � .; , �-i� r .e at E ... ,s_. � f T .� _ i._ _ ' _ ___ __ _ __;_..___.__ .._ ..__...__ ..._....___._._,_..__.__ ,_ _ _. _...._._._.__. _._.._.__,_._--._, ._...... �� ,... ; __ �.. _�_ _., ; 'a.r �4..�� @.�9��a` � ;R°!x �x... I > ��,; . ., , � � .....�___....__._.�_, __.._._�__;._ __...,___._ __.�._....._. .______._w__ ._ _.. __----._ ..... _ ._...____ _._ __ _ _ _ . _. , ... , � , „ � ��t,.�i.` ��` � t�;�' :, � , ' � ;� _ -�. �:': � � ; % - _ _ _ � „ :_ ._._ __ __..__._.__..._ __.. '5�..(.,L E"`3 k'i.f3- : . _�_. �'�;^ q,... �.r", p S ;',. � .._.. „_.�._.. . ._._..._:.........rv,.._..._........R._..._._.._.... ...._._............__..._.._..._ "._ ..._ „ _..._A .......__�_........._.... __.................._.�.._.........,._....._...._...�..�....,.. .-, _ .., I..... .. . „.; I�.1';3 ti'� s v a � ; i !-� � £ ' `� t i ; _ _._ _.w ._ ____..__ r _._..._ _ _ _ __ x '�_�:��'� � �� ' ; � � � % F .� 9 � _ _ .... � L �a'i':.� .�j�� g i'..... .�"� -.-.f� . --y�. _.. . i ,� y € f. "° € i . € _._...._ ..._ .....,,_ f. S / y��' — '�.. F..��}�...t„,_.'F-�,. . ___�._ .......,,.........�_.._ "__..,.....___,�. ..._. _. .._._ ._.._... _ ,......_.. .._.____'__ : V @ ta�.",d� � 'o��v d i c...t-a � �$ ��r f j i ��° � '� � r i��... � �F �°� a ��:�s � O� _ _ _. � _. ___ 4 _ "y � ___ g __ ; _.�_ a.__ ._�w_. _.�.__._�__.__�. j __ _ _________. .w. �_ .. _____.._ . .. __._____ --- i �1..'�1_st��m�€�.a.s°�y � �'�� .4_ .._._. . .� � _�, m. rv�_.,_._,...._,..__�___._.._.,___-_____ __._�._ �.._,,.__ _ m....__._..., ___...._. _._.__ ._.._...,__._ .,..._._..,__ ... � 3- _ _�. ,,.�=�a "� �'��.'�e a e';' � 'wI. . v; --� { , E u. � . : � , ��a�� M r:,.� >._.___-_ _.._._..__� _ _ -------._, .___ _........�_ _ .--_ __ . _.__.___.._____ _.. �_. — ._. �___ ___, � _._..._______ __; � �"�.��,�..�'�`i..€�. 9,.�`,1r a�i�dS. 4 � . , �i;��'�� _��,��_:'.,, 4 . € � �� J,..._ i._...._�.�.__....._.._._,.__..__...�....,._._.m, . :.., .._ .� . �_._.,__ ..._.�_.................... M . . .,....,,........�_� ........_.._..__...... _.�_�._._,,,........._._�_...._..._...._ . � &' �r �'rR.�� ..__.; ( i P .."i,. � �` ��ix..:,� .�... , . ....E..._..,.........^.e___ . . . . .. ...� . . .. . . . ... . . ..... ...3..,..... .... ........_.... _...... .......... ..__: �"{" � � E:. 3'A�t�;p.. _ i .:. � .J 4„ � t. .».........................«...._....,.... _....,_�.�..,.,.....�..._�_ry..._......,.......,.,,._.....____:....,.,....,........�,�......,m.�._.v.................. ' .... ..._.�._�_........_....e,_._....................__......�_..... ....__..«..........._......�__._..,.... � �1 .........«____...,.. ._�.............� �5 .4 g( i--•^ � f �'°§�0 ..3 . �F � " : : a -. . � ._ ._ � .. ..._ . .��_....... ,...,.. ..._ ... . � . . ., . .... t°�`'rf �& �::; i .�-P '*� �s € � . . "�'��. ,� . , ._... ___ ._.... . . _� ._....._...,..._.._...I � :�.ane f, ��:.m.�,�' °L e,..P �'��._..._. 4....__.�__.......� _.�.-..�.�.............,......_..��..__.»..��. �� , i€'� ,..«_° �� ____ . ,....� .._ . . . . ..,,.....�._._._ .,._.t ^,^^.r . , ......__..,... _'"'�.�._�.._...._.......... _..�.____.................._........._.�.._"",».�.._..... p _.�','_ ;r ,.�._.,....�..-,...�......._.._.__..__._.__.Y �.. _...�.�..._...._.�..,._....._.........,._�._...r .§...,.k. 5 .;a;°r. a . . E :.,I�'A P� k $''1�4� �x"� 3;' ( � —_.—_ ...............5..., _..�._—..__—_�._._..�_s.._..... _�,.....,..........�f .__ .� .. ..._ _4____ _..,......... _ _ _._..._.."._ � i . .. . �!... .,�,._ ..._.. � >� `� � �'. i � . I t �.t ; � d� '` � _._..m_..__._.,._ . � �� _.. _ � � �. �. €--_________. . _ ._�; � N �� ,.. ____..____ _�. _ _�......�___. �.�.._.__.._ _..__ . _____..w._.__.____... ___..__ � �:.s. .. .��,� __�.�._. ...� — � � ��.._ ,.. 'a. .��;_ . �: � � g`�� m � �_._._„�.__. ; �_,_._._..�_ .__ .__ .__� ___._.....,�___,.._,. __, � s :It�s'�`t� .,.e a':.�d,'i.:� s..,. ...._..,,...i_.._._�._._.,......_.. ._�.v...._...e,.._._.__:r�.,.....,.........,.,.............. i � ''.�s:,F. e l _Jd.. k ��.''..;;�`�... 3 f i .. y � ' ..�. ,_...,.,,�........__.___ �'.,. .!. �._...__.._. . ...._...._.�__ � __i__�_ _ ......._.__�_.�._"_— ,_.._................ .._._.._... ..._...,..__.—___—"__..__... ....._......_...--"� a�:�'��-r�.�" . �'��"`'��L ' j ' s '� � �A .........._...�� [ ,_ . .._.�..�..._..._F..,,....__...��.,... .. .._... ........._.......�.�._...f .. ... �� . .. _ . _ .r ....... v.,..... �_.�- _'_".... _.._.,. �. � y9'�.,��.:'3 ie,>si'"aa �'�:a.v � � E 1�i'al: �i . � �: i��,.., ..�,.._ ...... ................. _�.,_.. , ...._�.� . .. ...._. ._.... . �..s _. . . .. . _,.,.,_. �.� _ € I i i-- � .� _. ..:_._.�- :,..- .._,.�.. ...,.... ..�.._ ..... a ._,..m.. .....�.�... .. � ' � :x e�"`.�a�a �a"=.* � .� ��.� .._..,.. __ _._ ... � ' � a �S„,� � ,.,�a"� ' e a 9'�n��.� �a ;_._..�......._ .........__— _.____._ ��._ .._.-- € '_...._._ ._ �._ ,_._. �# �.= �°�,� e�ar �"�;uk�:�.�o-xi,�u:��;�.��.,,�- .._.__ .__,_.____ __._.. _E � , _, . ...__. . _ ..N � , _ _ _ . _ � ��1 y o^> � . a"p '? � :�:a . M � "�.>..d ..xi,.�u�a ..,`� � - .�.....,.,__..m..._w.w...�..,.......M.__.,....._.,.,e.,..__.�..__....._....._.......__.........__.�.--,...F..n.�.......................m...___._....._.......,......,.......�,.�..._.......-. .._........__....._,............................�....._�.._._....._..,__.....�.. _.._..__.__.___,.,.........,,,.,...............,,.,.� � � . �.��...,,...._.._,,,...._ ..._.__......_........__,_,..�_____......_._........_......___�.........m...___.a...�,�_._..._._......,,,.:.........,,...... _..._._..�....._.:......,,,........�..�______....._�._._.._�..........,_._........._._.�.�_._.......,.,............,_..,...,,..�'_'__......�..t � 2-._..m._�.r.__.m...__.._...�. _�_....._........_._._.._'—"_�_ __�..��...__....,_�._ .w__�_.,—�........._...,._._.. . s �_.._._ ._ _."_.__..._......... .._.._.— —: { ............................. _....._.._......,..... «.......«.. .,._..___.......... ...._�._.._..�..._...... ..y.....,..._._.,.e.,P.�-..m.._.�_.__._......_....�.___._._.,.. __..._......_..........,...... .._....,...,.....................«.. .. ... .. �._ . . .......,...,._...... .. 3 ; � y , . , .. ..............................._.,........._..._.v..e,_._.�..,.....�.._v..... �._....__...............,..._._........._.....,...._........�_�'� �.,....,...,..�...,.g�,..n..a,«.v...«...................................==�..a,,..,..«..a..,.....,......,......,.........._...�....�....,..._._.......,_....,.........,.............,.__._.�_�_._.......,__.�......___,..... ,,.....,...............,..-..._._.....».,..a..�:,..e.................................m.v.__.,_m ,... -a ' $ V � . . _.....�....._.___.._.�.._.....�.__..,........__.,...._ . . . .._ . _............... ..w.., ..� ....._..._ .__._..W..._�..,..........,.............._...... . _"_____.... 'u. „� " 1 � t 7�, � B' � � _.___,,..._..... .. .m;, ______._.__.�__..�._____.____.__--�.__ .__._�_.�_ __.__�.___..e_._. ___. __.___ n�.��..`' a's,��e. d. g.n _.___.._ ___._...._.___. _ � ��a.��d�`.�� a�Ra�� M. . : �'��n� k��,� �� e�.� _._ . _ ._...— . _ .___. . _ . .�.. . � � t� r ��a� a $�� . . _.. ------- __. r�x�� # � �* � g �' ��yy��e�� __,_..�_... ._,_..._e_.. ___.,,...w. �, ..___..__�_ _..__._______._____..____..__...�..________�_._. � �� , _...... . � �� , ��"� � ��k i �e.�..._.._...�___w_._._ � �"�� c�� .__.�__..� ._._._..M_._____._a.� n__.� �_.___..___..�_._.m._ ..�. �m ..�.....�_.__._...._._._____.__ --; �� af9�€��a�� „��r�`��r^��,�� ___._._.__ __�. _____ _,._.._.___.___._ �� ___ _....__ _._ _ ._._ ._._.._. __�._____._._____._ ; �� . _� � � � �� C ' �� s �� s� � �„�� ,��w �z �� _ _ _ _� . � _ _ ___ _ _— _._ _ ,a� a� '� +�' �a�� r�� .. �a �' a k�'��s'� '4�-'� "�"v �° � - 3 � �. �� '�'"a�6"• �f��aM�$s�,�`�,��'"��'Ma;$��'¢�.�'m�s�g��'[ .,,,,...,.._,..........._�..._....,,e._...�..,_..., ....,._.,. . . ._ .�.... . ..�................._.._........._�..__�___._..._.__._._,_. .. .._. ._. j t,�9��'�a�a �a�� &�.�4��m..�a �a��'�`7 � i� �� . la�%,�`��;��.��"a��,� _._._..._...,___...M._�� _... ._______._.� _____.�_..�___.��_._..._�._ _�_W __.___.___.�_ . �..�.�,,�.,. ,�,_:..,e�,:..�..��s,��,�.,,:_::.,,,�>,,.:�,,��......,:�.,.�.,.�,,��,_, ,<„��.MI...:.. ,...,..:.�...��...�...,,..,...:. �,...,.�,,r�.�,�,,�...e�.�..��,.e,,�,�:m�,.:.:m�... .._.KKne,�