Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
16745
^, � � CITY OF DIANfO1�ID BAR �-- DEPARTMEAdT OF COMMtJNTI'Y&DEVELOPMENT SERVICES __ � , I .. 2 t 825 E.Copley I?rive � (909)860-3195 Fax(909)861-3117 PRESS '�`'%9���' BUILDING�ER1dIIT PLICATION FIR LY � JOB5ITE `�' � � � APPLICATION -�4y �j PERMIT �j(� P/C o ADDRESS � � DATE �� NUMBER � 9 J' # o� ISSUE TYPE OCC � APN LOT TRACT DATE Q CONST. GROUP p OWNER �� �.Lr�� LL AD�RES �" ZONING SETBACKS Z CfTY " P TEL.�'' FRON7 RW ❑ a APPLI ANT _� '� TEL. , �"p- S�E/SIDE STREE7 RW ❑ � CONTRACTOR /"+I E"� � SIDE ❑ ' ADDRESS" � '� � tl PROPOSEDUSE � n�. � , � CITY " �ZIP „TEL . ��' --� �y�y w ARCH/ENGI ' ,� �� w A DRESS NO.DWEL. NO. NO: � � CITY ZIP TEL. UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION N OOWNER-BUILOER DECLARATION SFR/ADD/REM � I HEREBY AFFIRM UNDER PFNALTy OF PERJURY THA7 I AM EXEMP7 FROM THE CONTflACTORS LI- Gdi'a90/Cd�pO�[ W CENSELAWFORTHEFOLIOWMG'',flEA50N(SEC.7D31.5BUSINESSANDPROFE3510NSCODE:ANYCITYOfl (n U� COUNTVWHICHREQUIflESAOEfU.1iTTOCOtdSTRUCT,ALTER,IMPHOVE,DEMOLISH,ORREPAIRANY57RUC- W pdt10/OBCk w. TURE,PRIOR TO ITS ISSl1ANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNE� W STAiEMENT THAi HE OR SHE IS LICfiNSED PURSUANi TO 7HE PFOVISIONS OF THE CONiRACT035 LI- i �' CENSELAW(CHAPTER9(COMMENCWGWITHSECTION'/00�)OF�IVISION30FTHE0USINESSANDPRO- V' POOUS(7& FESSION3CODE�ORTHA7HEORSfiEISEXEMPTTHEREFROMAN�THEBASISFOflTHEALLEGEDEXEMP- (� �, ���, TION.ANVVIOLATIONOFSECTION�7D37.6BYANYAPPIICANTFORAPERAdITSU9JECi5THEAPPLICANT70 Z Re-ROOf ' � � A qVIL PENALNOF NOT MOflE TIIAN FIVE HUNORED DOLLARS�ESOU�.): � ❑I,ASOWNEROF7HEPROP�R7V.bRMVEMPLOVEESWITNiNAGESASTHEIFSOLECOMPENSATION, � COrtIR18lCifll Z�1���WILL�O THE WORK,NND THE STRUCTURE IS NOT INTENDED'OF OFFERED FOR SALE(SEC.7oa4,BU51- J N'i; '�NESS AN�PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � ' � PFOPERTYWHOBUILOSORIAAPROVESTHEREON,ANDWHODOESSUCHWORKHIMSELFOPHERSELFOR ' �,��� �'THflOUGHHISORHEAOWNEMPLOVEES,PROVIDEDTHATSUCHiMPROVEMENTSARENOTINTENOEDOR � � W''�„ OFFEREOFORSALEIF,HDWEVER,THEBUILDINGORIMPROVEMENTISSOLDWITHINONE7E4ROFCOMPLE- =i TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE OID NOT BIIIL�OR ' IMPROVEFORTHEPURPOSEOF$ALE)., 71,A50WNER OFTHE PROP,ERTY,'AM EXCLUSIVELYCANTRACTING'NITH LICENSED CONiRACTORS Q��'�' TO CONSTqUCT THE PROJEC7(S�C.]064,BUSINESS AND PROFESSIONS CODE:THE CO�TRACTOflS LI- V21UetI0f1 - ADJ.AREA � '�. W�, CENSELAWDOESNOTAPPLYTOANOWNEFOFAPROPERTYWHOBUIL�SOftIM7ROVE57HEREON,AND - ~ � ��� WHOCONTRACTSFORSUCHPRO.]ECTSWITHACONTRACTOR(S�LICENSE�Pl1RSUANTTOTHECDNTRAC- QUANTITY DESCRIPTION FEE � ' � TORSLICENSELAWJ. . IO ��AM EXFMPT UN�Eft SEC.''. _ B.d P.G.FORTHIS REASON Q � � U I � � DATE ' OWNER U W �� LICENSED CCNTRACTORS DECLARATION W � � � �¢ CC I HEREBY AFFIRM UNDER PENALTj'OF PERJURV THAT I AM LICENSE�UNDER PROVISIONS OF CHAP7ER � . ' �. ; [L 9�COMMENCINGWI745ECTION70oo)OFDIVISION3DFTHEBUSINESSANDPROFES3IIXJSCODE,AND Z , �X MY LICENSE IS IN FULL FORCEANO EFFECT. ey /�y , ' � � �J��+� � ' ' . I r UCENSECL4S5 ��G LIC.NO. . � � �� � a � i V DATE CONTRACTOR � . W re �� �� WORKE'RS'COMPENSA710N DECLARATION -r � � U ' � I HEREBYAFFIRM UhAER PENALN OF PERJURV ONE OF THE FOLLOWING DECL4RATIONS: z ' � I�' �� _IHAVEANOWILLMAAVTAINAGEF3TIFICATEOFCDNSENTTOSELF�INSUPEFORWOFKERS' _ COMPENSATION,ASPFOVIDEDBYSEGTION37000FTHELABORCODE,FORTHEPERFORMANCE U a OFTHE WORK FOR WHICFI THIS PERMIT IS ISSUED, � � W ,IHAYEANOWILLMAINTAINWORKEPS'COMPENSATIONINSUPANCE,ASREQUIREDBYSECTION � 37000FTHEL4BORCODE�FORTHEPERFORMANCEOFTHEWORKFORWMCHTHISPERMI7IS ISSUED.MV WORK RS'C�dqMPcNSATION INSII E CARRIER ANO POLICY NUM9ERARE: CONSTRUCTION � ��� j op,qpiEq �/t)Yl� ` 6�t,I� " PLAN REVIEW , �I � POLICYNUMBER l I �s�. �•�m� ELECTRIC _ q (�MSSECTIONNEmNOTBE�,COMPCEfE�OF7}iEPERMfTISFORONEHUNDRE000LWRS(StOJ�ORLESSJ. PLUMBING i � Z I CEFTIFY TNAT IN THE PERFORMANCE OF TH2 K'ORK FOR WHICH THIS PERMIT IS ISS'JED,I MECHANICAL . ' (� SHALL NOT EMPLOYANY F�ERSON IN ANV MANNER SO AS TO BECOME SUBJECT TO THE � WORKERS'COMPFTIS/iIONLAW50FC1LIFOflNIA,ANDAGREETHATIFISHOULD6ECOME INSPECTIONFEE SUOJ[CTTOTHEYlORKERS'COM1iPENSATIONPRO SIONSOFSECTION3]JaOFTHEL4BOR I .S"��. COOE,IS ALlFO THWITHCOMPLVWIiHTH05 flOVISIONS. M1SSUANCE .� � �' � ' � �' �� - SMIP ' p �ATE: ' APPLICANT: ,. . � W � ENERGY P/C �' J WARNING:FAILURE O SECURE WORKER9'COMPENSATION COVERAGE IS UNL4WFUL,AND SHALLBE � SUBJECTANEMPLOVERTOC.4IMINALPENAL7IESANOCIVILFINESl1PTOONEHUNOREDTHOl15AN� ENERGYPERMIT OOLLAFS(510o.oao),IN ADDITION TO THE COST OF COMPENSATION,�AMA6E5 AS PROVIOED FOR IN I� J SEC71ON370BOFTHE�.LAHORCOD�,INTEREST,AN�ATTORNEY'SFEES. RETENTIONFEE: � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: �� lHEfiEBYAFFIRMUNDEPPENALTNOF?ERJURYTHATTHEREISACONSTFUCTIONLEN�INGAGENCY � a- FORTHEPERFORMANCEOFTHE�IJORKFOftWHICHTHISPEftMl715ISSUEO(SEC.309],CIY.C.). Z' I W '.i �� LENDER'SNAME F,��, LEN�Efl'SADDRESS j �'')�, �� I GERTIFY THAT I FiAVE READ THIS APPLICATION AND STATE THATTHEABOVE WFORMATION IS CORRECT. TOTAL FE ES ��I!J' , ,?0"tl q W� IqGREETOCOM?LYWITHALLCITI'ANDCOIJNTYORDINANCESANDSTATELAWSRELATINGTOBUIL`JING �S C./' V � CONSTRUCTION,ANDHEREBYAUTHORIZEREPRES�NTATNESOFTHISCOUNTVTOENTERUPONTHE Z A6nVE�MENTIONF3]PfiOPE(1TY FOR INSPECTION PURPOSES. COMMENTS � � � ¢� PE .E(VPINT) � . (n t 9' - uj .SIGNA P MITTEE , �AiE t = RECPT.N0.� �I�. PAID 8Y VALIDATION ~ � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy ,�._ ,.,. .. , ��.�r �,:>, �,�, �.;,. .. _ _ . '' a � `'h �� = , . �.� „ . �, �'. . ` � , �. y��,'�kz`� �a�-; sx r �a a � � ; a; '��. s �,�r � 1 �!� � a ', x ' r ;� � '� : d" .�' � C m°.�d 1 � p� �., , 3 � x �: ,, x s � �"."i� , � �: �'� a'. � � � . m .:. � � � � �� � �F % �; �*�i�a x�� � �� 9. z �" � Y� e :���.a �. y��� i� � � i � §�a d ',� � Y � . s t � '�, � .# � � ���S u �. � x . *�:�.v a" �:�. s ;� .�n*+ „ � � . .-_ �'r_ � °a.- _,,�, a.„�.a ,;���:� . �' . a ., e � . 4 .� � .� �` �i. # *�-^�+:.�t,_��. ,� '.�u§_`� . E t,#..�E E.f / r''a.a.r .». u £„ >_ ._ ... .' ...E.,. �a 3" 'h..'.w. .. . . .. . _ __ ' .._.- ... . i. .. . . ....... . .._. ...... ._... .... .. ..... . ... _.___.... . . .—. s � @� �" (�:���f �.=. ' i . ,�.�.. _._ _..._. � .. _ ._ ._...._. . ._...... .._. _.,. . .... _... . ._... _........,,..._.....__._..�._,._._�_._..... � .__..�. .._.._.._ ...... � ...4.�`-�! ' 9� `• j y1.�" Ei .. .. ! ...._�� C < � � � � ._._ .....,.. _s..___..._......._ .,..._....._..._ .._...._........... __."-___..._ . ...... .,_ _.._ . ._..,..__�.__.......... .......__.._.._..__.,._...�._...._._.�.�....._... ...... � i : �!'� �' € . t . .. , � ;.. 6,}t� y. ' E� E i �,d.� t . I � '� . i . . 3 ._ �_ —. ...__._._ ,.__...,.._.__.,.....W',_ v.__...,.__...............____.._.._,_.. _._ ....... .... . �._.. .-..._ .._._......,........ _....,_.._._ ....._......_._ ._..._...__._.." _ y . _ ,._.. � ',.P ' : . . . � .,,,' i ^}'. �..', h .,. , P �.::...w €d �x.,. ,� . .., .. i a l:€ ,: y ,,g .. , .. ;.._....,.,..,_.._..... .__......,,..._.._�_......_�.............._.:.___..__......_........._;......_... ._..._....._...,...... ...,......_..v. q.. _ ..._ .,....;...._._ _.._..,...,.. __..,.,...._.. _._ ..._...._..._�_„�....,._._ .M-..........._.._..�.,_.�..._._._...__..._._....,._....._.....I. .,..,m ��� ,:.;q.^r k-.: .� ' ' i � d:�.�4 ' :! € '::,• €' . ;-.....�...........__.....�__-.,,._...._.....:.,.,...._.u...a.._.__................_._..,__._. _:, _.._...�...._._._..........,.......-..,,...._.._.....__I r_.__.............,. _.__.....-........::,...._ .. ..,.._... ._._.............. .,._...._.._......,...........,,......_.. _._........,..,........_..�.. � �y��j �4 '�9 . ' t �t. �� � � "�.. .. c e:;II e, � '� � . .. . .M ,, r 6 ... ._. . ....... ....._..... �.__.._._.._............,......,.,..__.�_._._�.._.._ ._. �. . � � d ,_,_ ._ _. _ _ ......__ u. . _., � s � `� i s"� $ �: ;. "; .. ' 3 ` � . � r � � ' __� __.__� �..__._ ...__ z `i � C . �� � ery �'�i�� ���� �� _ ____ __._ _..� _.... ___ , _�_..__ _- ! � � ' _l�.-- ��--4 __._ E _ _ �__ _. — -_. _ _._ ---._.�.___..___�_d.. _._t __ �m _._ _ , � � r�L`'�.�.?" "�� t ����..a � ..W._ ,a _'.._. . . .._. ... ,.._ _..._.. ..._..�..,-"..._._.._. E , � "�.:Y� i 0 , .� S..;�. . .. . . ... . � .4 ........�.. � �..��....,§ J 4. .. ... . . .. . ... ...._�. _..... .._._...............__......._..,M......_..,-......__....... _..�...._................,,,.._...«_,.. .,..,. _...� ..,._ �...........»..___..._ ..................__....._.�_ _..._. �� .. ,: ��I�11€. � � . ' i � -� :IY�"t ..,_._._�._..._..__.._ ..,.:._____ ..._. ...,..,.__._.. ....,..._..._.._.. ._.... . .,...,.______..._. .�. ._._�........__.__..... .._._...,.........�_._........ ..._...._....... .... a �,:r.t �'•.g � E € „ d :;:.n �fe.;� . ,, u � .. _._��.._...._...........__........___. ._...__.......... _.:' ..... _..:.___.___...........,, u___.._,....._......_ . ..._..— _.__..___.._—_.__._._,...___.._._.__.__..� �..__. ._. ..._.. _. , _�_..............�.�... , � � I g i �'�,d.� 1 ° .,I_ L 9 �.. E .. . . � �. . , ..,��i � � _.. . �. .,. _;_......_..___.__ _......,_....,_.._.�..__....._.._..._._............_ ..._ _..�.. ...._.._:.�...... ......._.._.....,....� ............_..,.......�......_. .._........._w._..___.._._�__.��.__......,,... s _""� . ...,, . . " .. �:y# . �3 ; #; J�9 � � � ,,. F � # . ` � �-..... '..:.. � ......_..,_._._.__.�. t...__.........�..�.._.._.,�................_._..__._._ ..... ._ .............. ......_......._ _............,......._..�... ...,..,_..._...... _....,_..._......_...._....__,. � ���'a ."t s 7 �z'��� ^.�r�,.�.� - _ � ``�i'� � �; + .. .:--. .? ___ .._._. ..._ ., _ . .._ . _ _.. _...........__,�__. .. ...� _ � � : �, i �e"� �x - `.a -�� ��:�. .. , .. .: . ..��� .__..._..,..._...,___._,.......,..._.... _. _.._._.. _._..__.._...._....,.._..�........_._......_,...�.__��..3 � � ..��«������w�r mmm��w..M ��.mm�m�.. , i � �� . . �x.':? r..,�",i� _� .�w.� ., µ.���.� � . � ; ._,.. _ ....._.._..._...... ___..._..___........,.,..__.,._�_.._._..._._ _ ..,.....�,.... y � ..w......._...�_' ...y_._�_...... _ ._._......._........__......._�..........._.�...._� '�� -.i...; � �.., ' � � :: .... 3 1 :°�..i i 3; a �`:��, .. ._� � i .._ ...._.....__,..._...�.._...�....,,..__._._ . . . .�(___. ,. . ��._. _.,......._.. .___......,.........._.W. _ _._.._...._ ._ __._.,..____�____..._ W ...k.v _..t. . .. . __ .. .. . � � .a. ��,,.�. .. _ � � � ".W � 3 : ' '.:. � +..��,.i 7 ,,, k�..'7. � ' .., �. �i ,..v..�..................�_.y....,.._ ,..._....-....._...................�_T..�:......-, ....,....__,....., ..�... ' m ___................,..,...., . _......_..........._.._.. ._...__...._.. __.....__�._.,_ �i s .._ .....,� ...,.. _._.� ..._�.._.. --�._ I4 _ ..�r�..�.. ..� �- .. I € ,�a"e,� .�,.)d.�; `,.,.. � 5 :; . ._ . ,.,_.... ��- .m- ._. _�__, .. .. . .. . . . .:.....;., �,- .... . . ...._.... ; �, � � . . . . ..�m .. . . . '' t� '� �.,s,� ,� { a- . . ,� C�w� :,,, � � @ .: . - �._ _�F/_......,... �._ a____,�_ � ' . ��� .�..e„ ,,.. H�,_...�................._��'� _ .._........�._._.__._........._„_,_... __ ...� ..__....._.._ _ ._.._..._,.....,..__.. ._..._.__......__...,._�._. �� .._.... _.��, _ .�°i.�*i= ,�.�,:�"4. . �.� j � . . „�;M, . -..,1,..,i .,. , .'3�, _,.. � .. _..—. ._ _. ..__,___��_.._' " _._—..........__�.._._ . . ......_. _____..�....�..,,_.._ _....-...._ _.___ .— _ .._.....__ _ . .�._ ._ i —}._._._ . h`.b�t,,�'.8�,� , ,.a:�. j . . .. .'- ...._ _.g ^ `"-��6m.; E . i .6-....__ ..... ....... ......._.«:.......__...,........_.... ...:.._........_...,..._»,..,T......... ............._.._. _ �__..�....,,............___._m.,,__.__...,..............E..,.....,.____..........,....,..... _._._......._,............�_...�........�_ '� �i'. A.£-Y,;�.{..... a:'µ ....€i.�. � .._y...._ r - � . .�. �.: . _ ',: � "x.«.._..�....F.........:..............._..«�_...............,....__.e._....._...i_.......,............,..e...... _i......_....-._,._.,.._....�..,..........,,,... ..--...._«._._... ......,,............_e..�....._......:.. ..,.................�.._,.._..,.,............_...�.� _-�z._....... ........._.....,m.......--l.�_............,........_.._...��._..,....,......____�... _ E � .............._. .... . . _. .. __ . . .. ...... _._ . . . , .... ..�.. ... . ....... �� 4�,,.3, 'ti' # _ .._.,.._ ,_,_.—� ' � �``�'����r.��`µ � `��.,�-# s ��" ;�^ .w�� ���-� ° � i ,�;":...a.._._,.,.__......,......,.._._.,_.,,.,..._..:a......._,�.;:-....�_..__,_..,.,, .. _ _..._.__ .._.�. ._:.._•___;�..;...._.._�:-�-8�.;�.- ...+'�..—��..�..:�«ra„r� �.:..:r....�...,k .�� . . . . .._...:Y=_ _._.._._._...__..._..___..�.�.,.....___._.....__... _..._...............� . . °�.:7` � ��o-ry;�k �'� R '�.,,,. ¢s�1::• H��� , .' __._..._...,..�_..w_._...._.._..w.._ __..._.___ .................__._ .�..._....__.._._.�__ :.._ _,...._;...._......_..,�..__..._._. ...........__.._._ __.,........._.._ ._,._,_...._.�_.�._.,.. __.__._.__.._...... __.__.....__._.—€ g k .�. ... . . ..._._._.__._.............—y. �,...:.,.......m...................�...,,.�...._.._�>.-.-..._.......__...._. _...._........_.___._�.. _......_...._.,..._ _ ._.,_._..�......__.__..._._...._,... _....... _ .._...__......_._.___.,........_. � � �._..._._._......_..,..._.._.........,....�..._..........,...___�....m...,_.._..........._�_...»..............._�_�....__...............____.�._,....._.,.,..........e.._.._.�..__......._ _,.._..,._...,,.......... . . .. ' I. . . ' ..�._.__�_....._.._..,«...,,...__.�..-.....,.,__,�_...................4..._........,.«._........._��.....,,..�._.�.....,....,.__ �e„..............�.,�_..r......._.,...-............«.�......,..,,......_........_.m...........,,...�_..............._.__.._..__._._...,...,.,,....,_..�....,....,,.._._...___..._...._..._._.........._._....__......................,,..._:.�_._. g .._.......,...,.._.�....._........,..,_�.�,........,,_...__. .�.�......__..__-......_._........_.,,...�!' � £ � ���..,:....,,....._._.........._.,m.......,..».._..m._......,..........._...�-............__.._,.,..__�._,.........��............................�_....�...........,..�._.._�_.._........_...,.�..m........_<.�._................_._..._�.., _..........._._.....___..._..,._.....,.��_......._......_��...,,..._..._. ._......__..........,.,_�._..� . � € j � '�.rv_.�..«.«......__.�,.m..��..._.......:.__..».....................__.<_..__.........._..._.. ...,....._.......__ ri,....._..._.......... ,._.....,,...,.,�....:....._�__�..-. .__..:...«..........._._.......,....,...._�..._..__....._._._...._..,r.....a..._...........,.....,._v.......,,........�._.s�.......�__._...r____.__....«.......�. Y k � ._.. _...... ...m ....,......._...................�.�...._..._.........,,.«-,.._.__.__..4.m_.....e..........,._.�_..........,......._.._....�.e.... '.__.._..�. ...:......,.,.........�_ �: .,.._.__.........._._._�..............._,,,.__...._.......,.......��...._.....���.._........�_.__.........__.�.,............_.. � .. � �. ..W. ... ,.am� �� . .�.<t� . . ,.��., __ _.�.._ 3 _. , ,'m ,,,4 i�r g aT - _._____._.........,.....__.._.._._._._�__....___................_.._._._........._,_.�..�._:..____..._..._..-_-_....__..�. . ,. � „ '3n a �� "E� k��.�� _...e..�._._,......,...__._.._..n,_._.__..,.._..�_................,...._�......,...___....� .. ._.:..__............._,_.�_._._.._w.......�__..�._...,....._........,,,__..._..._.__........_�.._..,.... ���"��t � ��.�) �� � "��� �k,�"., . . .._......_,_ ��������'���'��� "���,��€ � �r �.i a � (������ '���*��:�! ���+���:��� ������.n� .�._...o._.e...,_.�_,........_._�_._.__...,�_u.�._._..._....._..�., ..�__..._.....,._._�_.._..__..µ...._.__..._._.__..._. �._�._,_�—._. __._�..m_.�.._._.....m.m.._...._._�._.�......v��_�. �������I���������� ���������'�� ��'c "��"�.t���.;?''�s*a, �a'&��, � . _... ..._. 1 � �'',,�� � t ;�� � �� ���� ��.�� `'+. � �a���� ��,�� ��� r����� "����"� 3 � � �.__,�,.�� � � <����'� �� �� �� ��`�.��� � � z. ___.__.__, _____ ..�..__:.._ ___._...._._,._,..:_.___.____ .�.._�.._...__._._---__ ....__ � _. __.___ , � h � � � �,�� �:'�e� a r'""e'���.�� 3�" �.�^r��'.�? � . ' �� g +�:���,������4�a,�ar���m���'� � �g:�.. ___...._........._...._,____.�...._.,_......:_�.._...._._..__....__..__,_...._......._.._...._...._......_...._.__�....._...,......._......�_........_.._�._._...,,_.�.,...._.___._. � i � t�' �� �"� � ��'. �,�� ��� ��� � - .. �__....,_._..,,....� �i � �����a ���g s��'��� ��� �t�m� �M��� � .__ _...._........._....__..........__.__..� ...e._.__......m,.._a_�._._.._...._._,.__.__._..................�..�...__.........,.._,__._._......._....�.,,......._...__._.__ ___,.........,__._.�..._ � .� � ��� ��. � �� �, � � . . .._._...... .. ...._ ������� ����� �� �����,, � �� � . �`.�.�a.��:���.s���'��p��:�.a»:c�-�a;:� _....,.... . .