Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
16695 (37)
�'"� crrY oF ni�orm B�x � -�� i DEPARTMEM OF CO:�fMUNITY d,DEVELOPMENT SERVICES \ c� R���y ,� 21825 E.Copley Drive (909)860-3195 Fax(909)861-31(7 PRESS ��-�� BUILDINC PER11iIT APPLICATION FIRMLY y�,�, JOE3SITE ) APPLICATIO PERMIT P/C o ADDRESS_/Z33�. �����0�S4'2�LvI� DATE�Zf � NUME3ER� �� JI � $ issue TYPE occ APN LOT TRACT DATE CONST. GROUP p OWNER (C L����¢_QSE�[�. /� ADDRESS/�33�,J_D1�.tt�tiJ�_PyQ2 LU ZO�ING SETBACKS Z CITY�tAMJ�l ZIPq?��=T��� FRONT RW ❑ � APPLICANT _.�C��1� TE 3(J,I.?S3��J REAR p z SIDEJSIOE STREEf RW ❑ m CONTRACTOR�I �}//�S � SIDE ❑ � ADDRESS���+ LEw!Aw�+�/ o CIN CLPLU�/' C�lr'S' ZIP��2TEL. �Z��^T�g PROPOSED USE o ARCWENG/ z DESIGNER w NO.DWEL. NO. a ADDRESS NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAFATION p SFR/ADD/REM p 1 HERE6Y AFFIRM UNDER VENILLTY OF PERAIRY THAT I AM E%EMPT FROIA T/lE CCNTRACTO�ii LI� G7lf0 J9/C21pDR W CENSEUWFORiHEFOLLOVIINGRU50N(SEC.70]1.5BJSIYCSSANJ7ROFESSiON5CO0E:0.YYCITYOR (n C-� GOVNh'WMICFIREOUIRESAPERMITT�CONSTRUCT,ALTEf�IMPROVE.OEMOLI5Fi.0ARE7A:RANY$TqUC. W W iURE,VRIOR 70 RS SSUANCE.A150 RC�UIRES TME APPLKAHf FOR SUCH VERMIi TO FILE�SIGNED w Fatio/Deck ` STATEM[NT THAT H[OR SHE IS LICENSCD VURSJIU�T TO THE PfiOV.51qJ5 OF TMC CONTRALTORS lb � CENSE lAW(tlUDTER Y(COAIAICNCING YnTM 5[CTqN 7DD7�OF DIVIS!ON 30FTHE�VSINESS A4'J PRO� � POOIIS�� O fE5510N5CO0E)ORTHATHEORSNEISE%EMPTTH[FEFROAIFNDTHEBASSFORTNEALLEGEDEXEM�. (� V TION.ANVVIDLATqNOFSECTION70]t.SBY/WYAPPLICANTFORAPEfiMITSU&lECTSMEAPP�ICAIiTTp Z qe•Focl 11 CIYIL VENALTY OF NOT MORE THAN FNE HUNORED DOIUAS(fSM)p � ❑I,A50'M�EflOFTM[PflOPERN,Oi1MY[M�LOYEESWITVIWAGESASTNEIlISOLECOMPCNSATqK, O Commercial Z N"LL DO 7ME WORN,FND THE STRUCTURL IS NOT INTENG[D OR OFFERFD iOR SAE ISEC.7M�,BU56 J N NE55 M70 CROFESSIONS�OE:TNE COH'RACTORS UCCNS[UW�OES NCTACPIY 70�W Owh[R OF CROPE�ITYWHOBU4DSORIMPiIOVESTNCREON.A�DWMO�OE55UCHWORKH:MSCLFOqHERSELCOR = CC THNOUGHHISORHENOWYEMPLOYEES,DROV:OEDTHATSUCHMPROVC�_NTSARLNOTN'FNDCOOF m OOFFEREDFORSALEIF,FqWEVERTMEBULD�NGOf11MPROVEAIFNTISSCIDN�THINp.EYEAROfCOM�LE• Z T10N,THE OWNER BUILDEf7 wILLlUVE THE BURDCY OF PqOVIN�THAT HE OR SHF.DI'J NOT BUIID Ofl � IMPROVEFORTNEVURPOSEOFSALE). �yJ ❑4ASONMCqOFiHEPROPERTY,MIE%CLUSIVFLYCONTMLTINGN9THLICENSEDLONTRACTORS Q TO CONSTRVGT TME PRWECf(SEC.70t1,9USiNE55 AND PROFESSIONS CO�E:THF.CONTRACTORS ll� V31112fi0P7 A�J.AREA W CENSEUWDOESNOTAPP�YTOANONTIENOFAPROPEHTYWHOB:IIlD50Ri1JGROVE57HEP.EON,AI:D � NAqCONTMCTSFOHSUp1DRQIECTSWITHACONTRACTORiS�LICENSEDGIlRSUAYTTOTHECON'RAC� QUANTITY DESCRIPTION FEE Y roasucenseuw�. � O I A1.1 E%EA�PT UN�JER SEC. B.{P.G FOR THIS RE�SON d ?� U � � OATE OwNER F- . O W � �Q LICENSED CONTRACTORS DECLARATION W � CC INEREBY�FFIRMUuOERPENALTYOFPERJUMTMATIA1aUCENSEDUN�CRPROVI5iON50FCHAPTEH V, p. 9�COMMCNCINCWITHSECTqN7D00)OFDi�1510N�OFTH[BUSIN[SSAN�PfiOFE5510NSCODE,AVD Z X MY UCENSE IS W FULL fORL AhD EFFELT. � LL 4A�-^ � IICENSE CL1�S� � LIC.NO.� / �I v � V DATE�(��� CONTMCTOR����f��� a W ( � WORKERS'COMPENSATION�ECLAfiATION q C�!Bru �`- � I HEREBV�FFIRM UNOER 7ENALTY OF GERJUfiY ONE OF THE�OLLOW:NG DCCLARATIONS. Z � � �IHAVEMlDWIILMAiNTAi4ACERTIFICATEOFCpN5EN7TO5ELF�INSUREFORKCPK[RS' _ � �f�l��J«^ � COMPENSATION,AS PRONDED BY SECTION J1000F Tl1E U60R COO[.FOR 7NE PERFOfiMnNCE U J��r J•' Q OF THE WORK FOR WHIp17H15 PERM:T IS ISSUCD. � � �_INAVEMIDMALLMAINTA!NWOiiNCRS'COI.�OFNSATqNINSUMNCE,ASPCWIREDBVSECTION Q ]�OOOFTHELAHOFCODE,FORTHEPERFORMANCECFTHEWORKFORWH'd1TM15PER`AITIS ISSUED.MVWOliKEfiS'C01dPEN5ATIONINSU NLELARRIERIW�POIICYNUM9ERME' CONSTRUCTION juan,Ep 5��� `�/F--�'W1�� PLAN REVIEW Z vo��cwr�u"'oER—{—�/—���-Q� ELECTRIC ¢ � �rassEcna+r+[mwreem�.+r�crIDocn�vEram�rrnar:[�[ooa:ansry�a�oniess� PLUMDING Z ICCRTIFYTHATINTHEPERFOHMANCEOFTH[WORKFOAWNiCMTH15PFfiNITI5155U[D.I MECHANICAL U' SH�LLNOTEMPLOYANVPERSONWANYMANNEASOA5T09ECOMESU6JECTTOTHE ��-a (q WORNERS'COA.IVEN51TIdJLAW50CCAlIGORNI� •"1�GREET 'IFISHOlfLOBECOUE I��S�ECTION C4.L.� / �^��� S SV&IECTT07NEWORKERS'COMPENSATIOYPR ..:; N OF f .qN31000FiMEU00R 1� ��r !, eooe i sruu ATM'ATN COMP�Y WITM TFp .P ;',�O ISSUnNCE O 7 � p DATE:�/G�.1/ APPLICANT. SM111P Ju�—'C�n^ J WARNINC:fAiLURETOSECVFEWORKERS'COMPENSATNXICOVERAGEISUNUN'FIA,AnDSHI�y�BE ENEfiGYP � �� ���U � SUBJ[CTANEMiKOYERTOCR�M:NALPENAL71E5A1:DLM:fl�ESUVTOONc'HUNDREDTHOUSAND ENERGYPE �- Y DOlURS(f1o0.000),IN nDDITION TO ih1E COST OF COMPENSATqN,O�AG[5 AS iROYtCEO FOR IN �r: J� SEG71DN77DBaFTHEU60fiCO0E,INTEREST,AN�l1TTORNEY'SFEES. RETENTIO oCONSTRUCTION LENDING AGENCY PRE•ALT FEE: ' � IHEREDY�FFIRMUNDERVENALTYOFPERlURY711�TTMEREISACONSTAUCT10NlE1:DINGAGENCV FOR iHE FERFORMIWGE OF 7H[WORN FOR WI uG1 THiS PE RMIT IS ISSUED(SEC,7os1,CIV CJ. Z W � LENDEffSNAM- y F- LENDER'SADDRE55 � TOTAL FEES �e� •S O .. ¢ 1 CERTIFY THAT 1 HAVE READ TMIS I.PPLICA7KK1 M!D STATE TMAT TME AROVE NFOfiMATION IS LORREC7. W IAGFEETOCOMVLYVIITHALICRVANOCWNTYORD'N/YCESANDSTATEUWSREUTIhGTOBUIIDINu � CONSTRUCTION.ANDHEREOYAUTMOi7IZER'cVRESENT�TIVESOFTHISCWNtti0EN7ERUPONTME � A�OVE�YCNTIDNEOVROPERTVFORINSPECTIONPURPOSES L COMMENTS � Cl.�l4n�-0 3'. GEw�1 m ¢ PERMITTEENANE(P �T) �� � � .� ZS 1 = SIGNATUR[OFP HMITT _ UAiE FlECPT.NO. ` . ' PAID 6Y R VALIDATION F Y/HITE—De artment Co YELLOW—Finance Co PINK—Assessor Co GOLDENROD—file Co GFEEN— p py. py. py. py, ApplieanCs Copy . .. .,. -[...., .......... ._ ... _ ' " • ' . - . , r,_'�'.. . .... ' . ... .. . ., .. .. , . � . . " n �. ^r .-�[ p�f("' .1� r' _f , ��..i � . ».. s131,1�;..'I . .r ..:d .�'. ��r.��U._.. �-�.�.-. is�._ . � . �r�-. �;�L.�. . :�� --_---( ------/ —+--------- _.__. .__. __._.� l —---- II1I�li��� �1e.11�: C�F��,, � .._ I11�'-����..�. -(•.�.' .._.... .....-' �1'E�1. ' f, ����'.,.....-`•---'-----'t�_..�-..._._...--�l�r�: ��.�fi � ��:C 'T • -.. ... -..•:'.. . . . . _ . ._--- - •- 5ET Bl;CF: • I : FLC_)_i J015--- - ' -----------�--- ..---- ----.....--- - '--- -- . - - ------- ---�---- --------------- FTGS'r=0R��1S;STEEL � ! � , f 11;, F,E_C'"T.: ; � � : r c� � - '—_ '_____'_—-'_'-_______"__"-' '_._._..."'—__—'___...._--__'___".._"_'_'____—.. _"__ ELECTRIC GROUi1D i ; i ', l�1��1:P ��CJr�, DUCT ° ' - - --._.._..------•--._....__...._ .._... .--•------__ ------------------- -.. . .._..-- ,--- - -- -- . GROU?JD PLU.'.�31iJG ' ; : 'J;1:?:�R FLO�ii;CJ_•'�:il'_.__ -------- ----- .-------------_----- _ _... --- -..... ---- - ----�-- ----------�---------------•-------�- - � - S!A�GRAD� � ! ^IR��L.,.C� F�iU_7"_i ICl`: � -- - --- ------------- -- --- -- ...- -------- ' � — TEF:iP POLVER � i_lil�_i'�_,CE E��_JI) i��=:;�. --I ----- i-- -------- ; � , -' —- - - -- ------ ---- ..- — ---- _. �'JATER SERVICc � � i �.'!D HT. �O"1:? E�E%�"" i : - •-------'I�----- ----------i-�- -.._._..--------- -----• - --- ------- --- -------- ------�--- f300F SH��iTHIWG I � ; F f-i�. EO:'.7 I3E:��.' � ` ---------------- -._...-� ------- ------------- ----: - ' ----------- ---- FR���11t�G'VE�dTILIATiOPJ � I � � f=1f:A!_E;:i�:C E.E�,�.1 ! � • - - --- _... - --------- �------ -------• - ---�-----•------------ -----��- ROOF COVER --i-- I j , f'fi=�-G"ii.J":.a '-- ---- -- ------ - FOUGH H�ATIi•1G � '1/���r:� I tr.`'`�7- ------�-� E=i�:CHiiJU - -----�_ -- i- ->r—:--�-�._.�.-.- - .-r-- - f�OUGH ELEC7RIC � '' � I ' f;�UGFi G�%�DiiJ� � i -----�---- 1 ;------------------------'— - ---1-- �----------- RJUGH PLU?.9�31NG � � ---- � , Fi:•:ISH G�i%,i];�_� � � __ _ St�iOl"JEf7;'TUB TEST � l 1 F'OOL ELECTFiIC I EXT. l�'�TN/SIDING I I POOL FENCIPJ; I ti"JALL INSULATION 1 � POOL FIPdAL � CEILIPJG INSUL.ATION 1 I O�F SITE I�r"PS. I DRl'l.^lALL NAILING � � DEDICATIO�dS � SEWER � FIPdAL ENG. I SEPTIC TANK _ LA�JDSCAPE/IRRIG. I SEEP PIT/L.L. � OiJ SITE IP.1PS. � GAS AIR TEST FINF,L ZOtJi�;G FINAL CONST. � I I FIRc DEPT. FIi�AL I f l= FINAL HEATING ��/p;Q! �� _.. . HEALTH DEf'T. FINF,L FINAL ELECTRIC S '~ � y � DEV. FEES PAID FINAL PLUI�1BING � ENERGY � � � ' • "_�".__� '"I��� 'N'"_�__,_I`_R... .__.. . . . _ . . c�n�nnEr�Ts � SEPTIC TANK SIZE SEEP PIT/U SIZE �_`r 4� .���� �� i � , � . . --— _--- —=---- --__—� :