Loading...
HomeMy WebLinkAbout16638 (39) , _._ .__.__L "'__. .__..._ .__ _.___.... _.. __ . . . ' // � ���e��_�' � � /' � _ . ._ . , . ( +,/ C..!- -�--- CTTY OF I7IAMOND BAR ` r --- � � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES �"' - 21825 E.Coptey Drive (409)860-3195 Fax(909)861-3117 j RESS '`"%vri{'�� BiTILDING PERMIT APPLICATION F�RML�( �� J06SITE �� f �` � � � APPLICATION PERMIT P/C `�� ADDRESS_ DATE �✓S��l NUMBER � # � �C/ �� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER '�. � LL ADDR S t �C"'G ZONING SETBACKS Z CITY� ��'L ZIP �/?6STEL.�J��or�G,�i� FRONT RW C p APPLICANT , Ee,�/TA�/S�C.Ta y 7EL.��i�Q$��]� g DElSIDE STREET RW ❑C Z 'I � CONTRACTOR G If/� O✓.fiT//�W �OG t SIDE ❑ , � ADDRESS a�. � �� PROPOSED USE � � � CITY Fs�dP� ZIP 9r�62.TEL. 3' Q ARCH/ENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS = CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION , p� ON/NER-BUILDER DECLARATION . SFR/ADD/flEM O ' '�I � I HEREBY AFFIRM UNDER PENALTV OF PERJURV iHAT I AM EXEMPT FROM THE CONTRACiOflS LI- � Gfll89@/CflfP�R W CENSEIAWFORTHEFOLLOWING'�,RE450N�SEC.7031.SBUSINESSAN'JPqOFE55iONSCO�E',ANYCITYOR I C�'� COUNTYWHICHREQUIPESAPERh41TTOG�NSTflUCT,ALTER,IMPROVE.DEMOLISH,ORREPAIRANYSTRUG W Patio/Deck � ' �� Tl1RE,PRIOR.TO ITS ISSl1ANCE,ALSO REQIJIRES THE APPLICANT FOR SUCH PERMITTO FlLEA SIGNE� w STATEMENT THAT HE OR SHE IS LICENSED PURSUAM TO THE PAOVISIONS OF iHE CONTRACTORS LI� w � ,CENSE LAW(CHAPTER 9�COMME�CING WITH SECTION 7o00)OF DIVISION 3 Of iHE BUSINESS AN�PRD- V" PooUSpa � �.FESSIONSCODE)ORTHAiHEOR,HEISEXEMPi7HEREFROMANDTHEBA515FORiHEALLEGEDEXEMP� ��� �TION.ANVVIOLATIONOFSECTION7a31.5BVANVAPPLICANTFORAPERMIiSUBJEC75iHEAPPLICANTiO Z Re-Roof �,-F�.,��'�A CIVIL PENALTY OF N�i MORE T�IAN FIVE HUNORE�DOLL4R5(ESoo).): O ,��, � ❑I,ASOWNEROFTHEPROPERTY,pRMYEMVLOYEESVlITH:WAGESASTHEIRSOLECOMPENSATION, COff]f11BfCldl � � .WILL�DO iHE WORK,ANO THE STRUCTUflE�5 NOT INTENDED OP OFFERED FOR SALE(SEC.7o44,BU51� J ��,;'�NESS AND PFOFESSIONS CODE:THE CONTRACTORS LICENSE lAW DOES NOT APPLY i0 AN OWNER OF j "�PROPEflTYWFIOBUIL�50RiMP STNEREON,AN�WHO�OESSUCHWORKHIMSELFORHEHSEIFOfl ��',i THFiOUGHHISORHEROWNEMPLOYEES,PPOVIDFDTHATSUCHIMPROVEMENTSAFENOTINrENDE�OR m ' '' ';0�,'�'�OFFEFiE�FORSALEIF,HOWEVER';TFiE9UIL➢:NGORIMPROVEMENTISSOL�WIiHINONEYEAR�FCOMPLE- '� �, ,TION;THE OWNER-BUILDEfl WILL'�HAVE THE BURDEN OF PPOVING THAT HE OR SHE DID NOT BUILD OR ;'.IMPHOVEFORTHEPURPOSEOfSALEJ.��, ❑1,AS OWNEROFTHE PROPERTY,�AM EXCLUSIVELYCOMRRCTINO WI7H LICENSED CONTFACTORS ', '�',. ",TO CONSTftUCT THE PROJECT(S�C.70AC.Bl1SINE55 AND PROFESSIONS CO�E:THE CONTRACTORS LI- VdI1J3tI0f7 � ADJ.AREA � W��. ;GENSEUW�OESNOiAPPLYTDANOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND '� !,WHOCONTRACTSFORSUCHPRO:IECTS',WITHACONTRACTOR�S�LICENSEDPUqSUANTTOTHECONTRAC- QUANTITY ESCRIPTION � FEE ;Y�.,'TOFS LICEN5E LAW.j. '�, ' �' �� ❑I AM EXEMPT UNDEF SEC.�I 8.8 P.C.FOR THIS REASON Q � � U tT, � DATE ' OWNER U W ���'� � LICENSED CONTRACTORS DECLARATION �W � '��.'. .IHEREBYAFFIRMUNDERPENALT�'OFPERJURYTHATlAMLICENSEDUNDERPROVISIONSOFCHAPTER '�� .,./ • . 1 \ p���,,9�COMMeNCINOWITHSECTION7Wo)OFOIVISION30FTHEDUSINcSSAN�PROf-ESSIONSCODE,AND � T � �.� X�� MY LICENSE IS IN FUL�FOflCE AND EFFE`Ci. � 1�� ` � � LICENSE CLASS .�9�_II�� LIC.ND. ������ �'j n/4 �* � ~�� DA7E � /�`�?8 �. GONTRACTOR � � �- '`S`- J W � WORKSRS'COMPENSATION DECLARATION a � IHEREBVAFFIRM UNDER PENALTY Of PERJURV ONE OFTHE FOLLOWMG DECLARATIONS: Z Z� �IHAVEANDWILLMAINTAINACEiiTIFICATEOFCONSENTTOSELFINSUREFORWOPKERS' _ CAMPENSATION,ASPROVI�EDBVSECTION37ooOF7HELABORCODE,FORTHEPERFORMANCE U ¢ THE WORK FOR WHICH THIS PERMIT IS ISSUED, � � Q i � 1 HAVE AND WILLMAINTAIN WOqKERS'COMPENSATION INSUFANCE,AS REOUIRED BY SECTION �y� ^py Q 3700OFTHELAfiORCOOE.FORYHEPERFORMANCEOFiHEWORKFORWHICHYHISPERMITIS e�L_ `� ISSUED.MYWORKERS' MPEt�SATIONINSURAN.CCyG�ARRIERANDPOLICYNlFA6ERAflE: CONSTRUCTION 7� cAaRieR ��Tt, E� P'v PLAN REVIEW e� Z POLICYNUMBER '7�_����s,_O� ELECTRIC . `� ¢ d (�HISSECTIONNEmNOT9EWMREfEDOfiHEPERMfTiSFORIXJEFRINDREDWIlAfl5ry700JORLE55). PLUMBING `� Z ICERTIFYTHA7INTHEPERFORA�ANCEOFTHEWORKFORWHICHTHISPE ,I MECHANICAL _ („)" SHALLNOTEMPLOYANYP,ERSONINANYMANNERSOASiOBECOMESUB CTTOTHE i �j WORKERS'COMPENSATIONLAWS�FCALIFO ���AGREEiHATIFIS LDBECO INSPECTIONFEE � r; SUBJECTTOiHEWORKEF�5COMPENSA PROVIS�NSOFSECiI oo T BOR � �Q�\ � COOE,�SHALLFORTHWITM COMPLV H THOSE PROVISIONS. �SSUANCE ��v c' +�► sMia �_ �'L� `p�� DATE: '� 7�O � qRPLICANT. j.'�i ENERGY P/C � WARNING:FAILURETOSECUREWDRKERS'WMPENSA C YERAGEISUNLAWFUL,ANO ALLBE �y SU&IECTANEMPLOYEflTOCRIMINALPE'NALTIESANDqVIL '� OUSAND ENERGYPERMIT �OLLARS(Stoo.000),INA�DITION70TH�COSTOFCOMPENSATION,DAMAGESASPROVIDEOFORIN � �� J SECTION 3]OB OF THE LABOfl CODE,INT flEST,AN0 ATTORNEYS fEES. RETENTION FEE: � i � o�_., CONSTR�UCTION LENDING AGENCY PRE-ALT FEE: ' � I HEPEBV AFFIRM UN�ER PENALTY�OF PERJURV THAT THERE IS A CONSTRUCiION LENDING AGENCV .i� FOR THE PERFOflMANCE OF iHE`IJOFK FOR WHICH THIS PERMIT IS ISSVED(SEC.309],GIV.G.). Z 4J � LENpEWSNAME s F-- LENDEfl'SAD�RESS � ICERTIFYTHATIHAVEREA�iHISAPPLI�ATiONAND5TA7ETHATTHEABOVEINFORMATiONISCAPflECT. TOTAL FE � ///��� W IAGREETOCOMPLYWITHAL'.C;TYAN�CAUNTYORDINANCESANDSTATELAWSRELATINGTOBl11L�ING [[[��� � � CONSTRUCTION.AND HEflEHKAUTHORI�E REPflESENTATIVES OFTHIS COUNTY TO ENTER UPON THE �� ��'�� I � ABOVE-MENTIONEO PflOPERTY FO)i INS?ECTION PUR70SE5. COMMENTS - _ ��� '., � � �E�i/ m MITTEE AME(PRINT) � '� �`7�/ � SIGNATUREOF M DATE ' � � RECPT.NO. PAID BY VALIDATI6N � ~ � HITE—De artment Co YELLOW—Finance C r � , p py, opy,PINK—Assessor Copy.GOLDENROD--File Copy,GREEN—ApplicanYs Copy ����1 , `.' a „ ''�, ` a E � "' � ¢: � .� , , , , '^�a� .x , •�`�4 � - � y � 3 F "'t � '� � �,���.� 'i r, ��:i r.. } ��� ' ¥ 6 �b�a� ;�s�c . re � . � �- ,� � ,9 s ��,„r`r ., � � �s,� + �°�, ?+* ,t *.:,�` � ' §�.;. �y#" A t�:..�s.��a T a � , ^r p�, � _ � € �.d #,. � � � € �: r � (M, � � . �ry '�t§�. w �.: � #.r��..z_� ��.���-�' {5�e�",,,.. � �a .,.._. j�� � ;.".��,��' �` �._ � 4 �.�` * �r ��:. � ,.. ...�.. . .:? .�.5 x. � e rA� . r�'a,`�a'„ t�.,ry�.�' �:::^ ¢ �_....__,_�:'_rE � __......,...�_-_, __'.�'""'� .U..1 _.._., _"".". .._...,.._...'. .,_......_ '._x .�.... ...��. ..._......�.w _ .... .._ ._.,._ .,... ... ._.. ._.. ... _� �.. .. ..._...._ . y......_. _ __..._...... ,.._._.__.__...____.�....._ _._�........,..�.�.� � " �E€.::: �P�,� � �� `,.'.d. � � �: . .��_._. _._..._. _.._ __.._. _:. � __ _ _ q __. _ � �. ° � � � { .. f �t� - � i 3 i� - � I t�.,s ��4�".J d.�5 'a h�E9� [-„ � ,._. ��._." _.9- ....._. . __... _ ._...,. ___ _ _ ..,= .. .._....___,._........ .. .. ._. . .._.._..._ ._.._...__.._...._,,. � r �ii�. F�.3,"r:€. ^" , . 3 �-� ,� �; _°.�.._�"� s I p . _. „ _:... ......___...__.. -,-.__....,.,....—.__..._ ..i.__..___... .._...,..........._.._._...._...._... _..._ _ ._ ._.., _._. .._..._ ._.__...... ._.__._.__ _ .. �.. �' i� '�,i 7 :.. ..r�" � '� ( .,,".;.:_ ....-,. _... ,,___-' . ........ . .... . . ....... ... . _ . ...... ._ ._.,,........_ _s..__ .._......,,... .................._......__..._,......... .. __....... -:, ..,, ___ ...�,. � ,« �� � - .....,........._., . �.� � ; � s ' I.....�:.�.�..—.__._.....�".....4_....._:...... .�........................�_......f........,....._>._.�....._.........._. ....�.,_..,.._,_._... ........��_.�...«,.....,..`... .:rv . - � ..... ... .. ....... .. . . . ..v. ,_ , _ .m � � �.,_ '�,.m-', �' a';.� : f"" a � � . . „ _�_.__ ........ .._ :- _...._ m._ . _.._. _ . ._..__. .___..._. _... . _ _.._.__ � .. ___..w. _�.. 1^—._._._..._..__._........_.__. ___._........... __ ,.w, . p I � _ �- . ' g p. .€� �. Y `.'!"B fs....�i,� �i Er s�._��' .; � 4�u^ b ns.•� k — � _ j 1. w�. �.. i _�m..J .._._ . . _�_.. ... ..__ ._. .<._ .__.._"_ ��..,�,....._.. ... _..__._...,. ..._.._.. I _.. ..___ � .. . ._. . ....... __.... .__.. ...._.. ............._,�_.._......_....._......_...,..___...._...... � g"'1Y. "fi..r � �...& .... . tt� k Y �',� .. _..-. ..�:.._.__,.__.....__._,,..+�._. .,__.........,..._................_.....,.... ... _._ ...:......_........._..._..._.�_.. . __.._,_.._...._.........,.. . ...._._........,,...__,____.' __._"._. r � t-¢�!_ � "" � e�Ji � `". . i� �� :...� ��� : �. ..... _..::_ .. ...a.....�._. ............__.__.,, .,�.,........_..__............._.._..�...._.____,._....... ....:_. ..._ .... __....._�..... ..._._...................._ .,..._,_. ....�........r:_._,........._.....,,,.....,.. _� � �",a'..$ �J� '' .g'.p ' 1 ' . .� y .. - ... ..� �.„......-,..._.e...,,._................ ..._....__�.........._'....,__. _....w......__...,r__.'_'.........__..._.._..._... .._........_ ..� .,_. ._....._ ._.._.�.._.. ___..._..........___........_.. _ .......;...._.,_ , . . .,. `: ..,. .__.__..,...__ _ _........................_.�_.__........_......,...,..,.._ zG °�.1d'�!u°�'�: I, -'�' ; T{k -- _ _._.:_ . ... _._._. __ �._.._ ___. �_.._._��__, ... �, w. i '�:�: P `.�8 -..�i � F.... `"' � ,� � � � � � 7..� �` fi � "'.. .. _ ._. .... . .. ..... ._ .. __. .. ,..� . ...,.�... .............. �! � .q y _. 1 r , L.r� i� 3 1. E �. . � �� � �" i!�. "� � .. � Rr�,V.l ... ..._.... 3 ➢ � ��& ` .,,. .. ..., t� 1 .. ..__ ,._.. �" __.:..__........_........_.— '._...._................_..,.__..._._...........__.._.,........� � 3 �. _ ..... �/�`' � .. ,........_..._., .p.��- �_���._ _ .r��..rv,�.� w_ ���..w v�: . 's=,�t',�. � dt' i✓`�' , ��m. � .: .�, , ` � _ _. _ __._ _.__..__..._. � ...,._ ..._.__._...____.. .__ _ ____._..____ __ � ___.._ _._.....__�._.___....�_��. i���.� ��,�. � �;�.! . � � _=� ,�,���; �. ........ . ......... ... ... ..... � . ., .......... ... .._ , .......... u........,.. „__. ....._ . ........_ .. .. .. .._.......,...,,___...... �'�. -- r � �v� f � .' '� � 6'��_ .. � � � ..:. ..,. ._ ..._.... .._,......., u. 3._ �,,,,..__.__........... ...........__�__..._...,�,,,....._ � ,.. _ ...._ _._.. ........ ..._................_..M....,._..........,.....__._--.. . ":.„1�."�,. :'�j € .:.: ,�'..; £ ... �e.�' .:� 3 {9,1. � �,, ; .'. ._._—..�.e................... .....»,.......,,...�..�...r=........,,w....,_....__.�..v�....._.... .....:�.._....�_..,,..,,. '..:........._.,...,...W,.�_�.:.......,,.._._..t�� � ........._.. . .......__._ ..__ .. ,.._...__..... . 3..�' �'3 �e : 'i � 3.2 £ . w# } . . . _ ......� //��` ......,..{. j .ry �-�.,^«. ._ . . . $ .. . .. . ... .'_� . ,.....,.. . b �,''�/,.�� � g � �1G'�.A/1� )f J . ,. �� .. f'. ... € ...._�__.......,.._.�_. .........._.._w. _. �3 i:'yt�, ` .?'..� ��,..fl {��/ . ....I i; ,� ._ . . ..... .... . ..... _� .._ ____� w._ .._,_.,L,..__. _..Y� ._ ,.__..._� ._... _..._ ._ . .._.___ ____M...._. _ ._.___.__.__.____.__� .,. _;�� � ="..t.,,:L I n...,. . . �',;: . , .._ ,_ ? . ... '` , �' �".�`.��.�. ! . . .f,, g . .� ..... ,; .� ._ ._._._ .A._i_. - --- —_.� __�.__ --._ ...__.___ _ ._ __..._...._..__ .:...,.........._..��._......___._._......�..____._.. t , ._..___ "'a € :"a , + ., n -.: : � .. . . �� i�a + ,..�4:':. .3 ,..... ; : w��5:.;. •.�.. .� `� [ � � _...... ... ..a... . . ...... . . . . ..-_.. . ... . ..._._ .. . .. . . .. ......__ ... ... .....___.. . . ', i. p �'., t 3 .. :; §.' ,.. .. ,, � T...............__.p...................__..,............_._.�.__.� ................�....Yn.._....,......M.......... _..v..a.�,.....1......,...�_._........__..... ..._............._.......,,_.�. .._ n. _........_.. .......,,.__._._...... .�.__ _............,,._......____._..........__._..._.._ ... ......._.., ' � 1 � q .-.._.,.. __ ._A.... .�._ __.. ....w .? ............� . ....... , . ye _..._ . ._.m.. . ... �. . ...... . I ' � � .� 3 � 7� a � � �, � �' � a ._; € � �� � -.'�..`�-m.��Ara±a�!�^'�,��' ,S� .�..._�'� '� m i & ,ri.' � .^... �."^, i . . � .„-.. :a:." � �.��.,,....__.....,_._.a...__...,.._._.....__._........w..�....�,..._._..__ _......._.__....w....._..._,..._....��..........._ - '�: ;_e.u.,._,._._................__._.......e..._.___..�_._....,......._..._........,._....._._....._._. _......_,...__........_---_�_. ..._....._....___.. .._ _.__._._._._ --- .._.�......_____......... ...._,............__......_.,.__.._.._......._._.... �__._._.__. ., ......._._._n.__.........__.__,......_......'_---".. i � . # �..._,_d. _ _. .__...._._...�________._.. _ .._.�-- _.._ __--_ _ ____._. ._____....._.� ___�. __.. ._._.._ _,, ._ _. _____._. _._____._._.___..__ _......�__�...,..�..._i � ,' � m_.______._._ W.. .... _.__�_._.._. .__. .�.__v __„_.. .�__. ..____.__._____._____y +�,w.._...__.n.._.... _____. .�_�_.__._____,___�'.. .._.._._____,�___._. .�__._� . i ,, „__�,,__._�., .�___._..�.___,___ _�_._.m._�__ _ .....___. . .,._._.....,._ _...__. .w._.___. ,_.__.__._�.__.._.. .., _._..__.,__�_.___...____._.____,...._ _____...,.,....�_" ____ t z '�, i.....,......,._ _..'......................_-.._.._...._..�...,...,._,__.....___,..W._..._.._......,..,._....___......_..�._...__._.........,........_...�...............�.._.: ._a"�_"` ; } ._ .,........_.._.._.............._._....__._..._,..�,.�._._..._..._...__�.m........._.�.....,_._�...............__. ._.____....,...�.�., �. � ti __..____._,._..__._____.__._'__,_ ......_._.._.�._......_........_.____.._._ _.. .._..__._._.........,.,........._..,..,.....-._.._�_....._... ..............._.__....._..__.�.... k . . . .._ . .. .. __...._.__......_____,_,._._.._„__�_....._ _ _.....__._—__—""_'_'_, � ��M�,_�m.�.�.wri_h��a ..�.�e..._..���.._�..w��.�.�. ' � . '�. ' '1 �__..,........... .._.....,.._._._..,..__._,_...,.,�.......__..................._�_.�..�...._.__�.......,.,.,,._�.._.e_..._............_._._......,,.......__._..,,..._..........____._............. . ':. ,._...,_.,.._. ._._...........,,..._..._.............�._..._...�....,.....w_..�......._�._..._._____.�.�.,,,.—� } ......,. . !.x's . „m:.,;.�..�'.� . , '. � »., I ' � __.._....._._..,.,...._.... � � *:» . _.. .,.. . � , ti a€ ._....�__�....._..........,.....�..�......_..__,_._.._............. _,�..,_..__._._.....;............__._�..............._ _.......�.......W__.__..�___.... ............. . 3: _ �,.,.,..: . ! _. .....�.... . , . . &a« � � �'�'" � � E k � �� � y: � �, _...�............_............,,.,..._._._.-...,... ..........__....__...�.,.. ..�......_.......v.._._...._........ ..,,.__._.__..,.....�_.... ... __,__........._.��..._._.._____...,.......__......................v_._.,._.___...__.._ t � �'r`���&�'��k���' ���'��� ���"��a�: . . . .._�..� € � a ���,� �� �f�, �e��� e��%��" �a} . � . ...._....-..__.....__.._...__._..._...�......�.�.,_..�.._...____`._ � � � �� � ������a������ ��������,x' . � �:����� ������"�������'V�`� ���i _ �. � ,. _ __ _ .a �; a a ��r .,��«,.' ��",: .,,.__...____........_...._._......_._v_...,�......_,m...._....._ � x'.,�� s., .. .. _. e��'�::�w'���� �',' �a �„�; �,��4�'�'� ......_.._......._.........,.,.,._..._.._......,..,,..._,i...... _ ..�.._.m....:...,..._ ....._._ ,_................_._.._........�._.,..-__�.. _�...... � a :a', �.�"� �':°%"�. � {'.�-����'�kt _._.....__ _ ,._.,_"�' __"______.....,..._._,._._..____.._,_......_._. .._�.__..._'_ ._.__..._._._'—_.___ _....—_ ..—: .R ..._ .__.. ..___.. ._._._......._ _, .._..__ � € ��r';�r �- ���� ��s m����c��=a �:�6 � .. � i I'���,'"�a"� �:��� �t"��.�4��7���� � , ��������Po���",8����;�����������€ . .�.___._,_�._� ._� _.._�.__ ._...._..__. _ _._�_:_j..__ _ . ._____...____�_.____-. �_.__--_.-._—_ __.__�__..__�_._� y ��� �� � t�"�q 5 �"� � ���s������� � �`� ��� � � i i� �a"� a= x� �:q I , l ���> � �� a� s..�s,����� . � � � � � � � w �� �°i� '�,��,� ��d^"� d° �".� � .., x ..x� �8�s��'�..,:"d".',.°`„'' � ��..-'�a+l. ,. � _......._.__....._..,..,....�.._.,......._..._..�.,..�._;_-�-.<......_...�.m............._._._,....,..... .._:_..._...................,._ � .......,.._ .�..::.:.,a..,a.�.,,=.,a.,.,..�.,,n. .,..-.::..,.n....,.,..,, ..,..-....::a,..e., .....s.�.......W t._-....._..,.......-w..._..t..... ...... «.:...... ... .�m...'..M.. ..,... .�.«F.._..�...�� .....,.,........:............_.._ _.....�._...e...,.,..............-..�-...a... ...,........_._......... :......»........_ .n -.t ......,_ . ..: �J�>