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HomeMy WebLinkAbout17020 (36) CITY OF DIAMOW BAR �� � DF.PARTMENT OF CO�vIMUNT[Y 8 DEVELOPMENT SERViCES �/�� ��` 21825 E.Copley Drive v (909)860-3I95 Fax(909)861-3117 PRESS ��-�� BUILDINGPERMITAPPLICATION FI MLY o DDRESS 3� � � DATECATION '� `� 1 U' NUMBER ��v /��-/ x� J' � DA EE 2 TYPE OCC APN LOT TRACT p OWNE�G"f'n�R fj� * �! �r P,<+L CONST. GROUP o ADDRESS� ZONING SETE3ACKS FRONT z CITY � ZI �r�(,STEI.r�1Dt 5�38-177� RW ❑ � APPLICANT TEL. REAR p ¢� SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ o C rDRESS ZIP TEL. PROPOSED USE���� D 6Q ' �J LQ o ARCH/ENG/ �� �' 'L z DESIGNER a ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS u� cn DESCRIPTION SO.FT FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/AD0/REM O 1 MEREBV AFFIRM UNDER PENALTY OF VEfW RY TXAT I/JA E%EMPT FPOM THE CONiMCTORS LI- Gaf098/CBryOR W �GENSEUWFORTHEFOLLOWINGREASON(SEC.70.71.SBUSINESSANOVROFESSIONSLODE:MIYCITYON (n C� COUNfYWHIp1RE0UIRE5APERA/ITTOCONSTRUCLALTERII/FROVE,DEIJOLISM,ORREC�iqANV57AUC• W patio/peck w fURE.PRIOR TO RS ISSUANCE,AL50 REOUIRES TNE APCLICANT FOR SUCFI OEW/IT TO F4F 11 SiGNED w � STATEIAENT THAT HE OR SME IS LICEI:SEO GURSUANT TO TME CROVISIW:S OF THE CONTMCTORS LI- � � CENSE UW(CHAP7ER Y(COMMC4pNO WITH SECTION 7000)OF DIVISION]OF THE BUSINE53 AND PRO• POOUSPd � FESSqNSCODE)ORTHATHEOR3�IEISE%CMPTTnER[FROMArv�T7E8�SI5FORTHEALLEGEDE%EMP- C7 V TqN.NtYVIOLATIONOFSECTION70]1.SBYANI/AVPLI�ANTfOR�PERMITSU&IEGTSTHEAVP�ICAYTTO Z Re-Root 11 CML GENALTY OF NOT MOFE TW W FNE XUNDREO DOLUHS(5500).1: � OlA50WNEROFTHEPROPER7Y,ORMYEMPLOVEESNnTHWAGCSASTHEli150LECOMPCNSATION. 0 COmmBrCi2� Z W:LL DO TME WORN,AND TH[STRUCNRE IS NOT INTENDE�OR OFFERED fOR SALE(SEG 70��,BUSi� J � NE55 AND DROFESSIdJS CODE:THE CONTMCTORS LICENSE UW DOES NOT APPIY 70 AN OWNER OF j PROPERTY W/q BUqDS OR IMPROVES THCREON,AND WHO DOES SUCH WOFK HiMSELF OR HERSELF OR Q iHROUGHHISORHEROVMEMPLOYEES.VROVIOEDTHAT5UG11MPROVE4ENT5ARENOTINTENDEDOR LYI W OfFERCDFOi15ALEIF,MOWEVERTNEBUILDINGOR0.IPROVEMEML550lDWITMINONEYEAROF�pMPLE- � T10N,TME OWNER�BUILDER WILL HAVE TME BURDEN OF PROY:NG TMAT ME OR SNE D��NOT BUI�pq Z MPROY[FOR THE VURPOSE OF SALE4 = Olti^OWNEROFTHEGROVEq7Y.AME%ClU51YELYCONTRALTWGWITNLICENSEDCONTMCTOiLS W Q TO CONSTRUCT 7HE iR01CCT(SCG 70t�.BUSMESS ANO PROFESSIONS CODE:TME CqlTRACTORS U- VBIUB1iOR ADJ.AqEA W CENSEUWDOESNOiAPV�VTO/WOwNEROFAPHOOEHT'NAqBU'LDSO�IMPROVESTHEREON.AND � W/10CAMRACTSFOASUG7PRO.lECfSVl�TMACONTRACTOR(5)UCENSED uAswwrTorH[conTruo- pUANTITY DESCRIPTION FEE Y 70RSUCENSEUw�. � ❑I I�M E%EMPT UNDER SEC. B.a V.C. H THIS HEASON Q � U z �° ��'27-° � � LICENS TRACTORS DEC TION w w IHEREBY�FFIRMUNDEHPENALTYOFVERNRYiMA71AMUGENSEDUNOERPROVI5qN50FL1UP7ER � � O�WIAMENCv1UWITHSECTqN70aolOFDMSION�OFTHEBUSINE55ANDPROfES5qN5C00E,MlD Z �� YYLKENSEISPlFULLFORCEANDEiFECT. m � UCENSECLASS UC.NO, � V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION a � IHEREBVAFFIRMUNOERPENALTVOFpEiWRYONEOFTHEFOLLOw:NCOECLAFLl7qN5: Z � _IHMEANDMALLMAINTAINACERTIFIGTEOFCONSENTTOSELFdNSUREFORWORNERS' _ � COMPENSATION.AS GHOVIDED BY SECT�ON 7)OOOF THE LABOR CODE.FOR THE VERFORMMlCE w Q OF THE WORN iOR WHIC11 THIS PERA11115155UED. � � _IMAVEANDIMLLMNNTAINWORKERS'LOMPENSATIONINSUMNCE,Il5RE0UIqEDBYSECTION ///''��� ^ 0 3T00 OF THE U(30R CODE.FOR THE PERFORMAtiCE OF THE WORK FON W WCM THIS PERMIT IS v(G, , I'�� J ISSUED.►IYWORKERS'WIAPENSATIONINSURANCEUAFICqANDPOLICwNUA18ERAAE: CONSTRUCTION � CI � GRieER PLAN REVIEW Z voucrr+uMe[a ELECTRIC Q � (MSSECIpNNEmN0TBE001.U�EfEDOFTEPEf+/.RBir(ip:[H.JrLNI[DOq1AR5(ft00)OR1E554 PLUM�ING Z ICERTIFVTNATINiHEPERFORMRNC[OFTHEWDRNFORWHICH1Hi5PEiWITI5155UE�,l AIECHANICAL (.'J SHML NOT EMGLOYANV PEfiSON IN ANY M/WNER SO AS TO BECOME SUBJECT TD iHE (/� WORKERS'COMPENSATIONUWSOFCA�IFORNIA,hND�GREET1uTIFIS110VLDBECOME INSPECTIONFEE S SU0.IECTTOTHEWOfiNERS'COMVENSATIONVROVIS�ONSOFSECTqN77000FTMEUBOH CODE,1 SMALL FORTIM'iTH COMPLY N1TH TNOSC PROVIS�ONS. ISSUANCE � SMIP • I (] p DATE: APPIICANT: � ENERGY P/C WAANING fAI�UPETO SECURE WORKERS'OOMPENSATqN COVERAGE IS UNUWFUL,AND SNALL BE �y„ SUAJECTFNEMPLOYERTOLR;M:WU.�ENALTIESA':DGIVILFINESUPTOONEHUNDRCDTqUSAND ENERGYPERMIT DOl1AR5(f f m.0oo).IN��ITIQN TO TME COST OF COMPENSATION.DAMAC[5 AS PROVIDED fOfi IN ¢ SECT10N770eOFTHEUBORCOOF.NTENEST,ANDATTORNEY5FEE5. F{ETENTIONFEE: �O � CONSTAUCTION LENDING AGENCY PRE•ALT FEE: O � 1 NEAC9VACFIfi4 UNDEH OENALiY OF PEiLIUHY TMAT iMER[IS A CONSTRUCTION LENDING AGENCY FORTME PERFOfU.1ANCf OFTHL WORK FOR WMidi TMIS PEN4ITIS ISSUED(SEC.7097,CN C.). Z W � LENDER'S N41E y 1'� LENDEflS�DORE55 W� TOTAL FEES (2���(`j . I CERTIFV THAT I NAVE HEAD TMIS APPLICATION AND STATE TNAT TXEABOVE WFORM�TqN IS CORRECT. � IAGREEIOLOMF�YWITMALLCITYANDCWNTYOfL�1NANCESANDSTATEUK'SREUTWCTOBUILOING � CONSTRUCTION,AhOHEREBYAUTFIORI2EREPRESENlATIVE50FiHISCWNTYTOENTERUPONTHE Z AOOVE�MEHTIONED PROPERTY FOH WSPECTiON PL'RPOSES. COMMENTS � i C�' /L l�/� � �1`�' � V NAGE(PH ¢ ` b8�^'�7-O � S�Oru�uREOF .M�tTEE DAiE � \ R[CPT.h0. PAID 6Y VALIDATION ( WFiITE—Department CopY.YELLOW—Finance Copy.PINK—Asoessor Copy,GOLDENR06—File Copy.GREEN—Appl�eanCs Copy C�-i�'t' v�F Gi,�:f.�O���G ��E�l=� }'� � , r ti fo r. ���«F�L.l✓ � {lJii`. r'tli_.t•�i1 itl � ....�-._._.....���_.__...�......,_-....�_.___.,-..._'__"__.. __.__'""'__'--._..'_'�—_""_'" ` _""^'..'__"..._"'��_' '.�.� _ .-.�- -��_.��-�..'..��....�.. �I,�E+`�i'��+.C;r���l�� r��'�... _ �1��=5��-r� [�r'��.. ��'�:'1:1=!['� !;(C.J►'� It�i' �l`�`�r'�:.C:'���:�.►d ... _ _ , . ... . .. .. ... . . ...-----._...._._..._._...__..______.,.._ _ _. ....... ._ . ..... . .. . .......... . _. ..---,..__.._------------�— -- --� � FLOOi�J0;5� , i SET BF,CK I i �-'--- - -�---- ------- - •--.. ----•�-------�- - -•--- -- ----� - ---- --�— FTGS!FOR��15!STEEL � � '. I ; FH;'� REQ'."TS ------�--------------- ------------------ - -- ---� ELECTRIC GROUND t; ; UP1�ER FLG�� D'JCT � I GROU�;D PLU�,451t•dG -- I----- ---- UF:DEFi FLO�R CU��fD'JIT --�--- � -- �—_.....-- -------..-1 •------ ---------- - -- SLP.B GRADE I __I � � FIf�EPLf�CC�F��U?dDr�TIOiJ '-- —i- _ TEP.1P POLVER I __, � _.. �_� i_IREPLACE �O�yD E�cAPr1 _l_ , _ 4VATER S�RVICE I I � I I t:"!D HT. F?7^dD Ei�At." ___�- I __ ROOF SNEATHING �j'�! a( � � i I F F�T• 5�f4D 8=��.? � /—— — ----- - ---- - �------- FRAP."IPdG;NENTILIATION I_ __ ___,I_. �/ � I I F-1NAL�?OI�� �EAf." _ _� _ __ ROOFCOVER I��/ol I�/Yu`-� _ � � �'g�-G�F�Dlt•:u I_ _ --,------- i ROUGH HEATIfJG � I i b����������C ROUGH ELEC7RIC I ' fi�UGH G�F;Dl��.G � l-�------------ ROUGH PLUt:'Gl��,a _ � ! �, f-1?.ISH iaRi,DIiJG � � ___ SHO`."JER,�TU�3 TCS i � I f'O�L ELEC i RIC -1 -- � '----- ----- EXT. 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