HomeMy WebLinkAbout17211 (26) �` CTTYOFDIAMONDBAR EXPIRE[?
� DEPARTMENT OF COIvIIvIUNITY 8c DEVELOPMENT SERVICES
x,�� 21625 E.Copley Drive
(909)860-3195Fax(909)861-3117 .JUN 18 2002 PRESS
"%�� BUILDINGPERMITAPPLICATION FIRMLY
a ADDRIESS�Z� G'(�C,'P �(V� D'�• DATEICATION (U �7I �I NUMBER�! p� .-
� ISSUE � 1-iI TYPE OCC .
APN LOT TRACT DATE � v CONST. GROUP
o OwNER Y�1acaria -�oYr+c�Z
LL' ADDRESS C o( h �• ZONING SETBACKS
� CfT`fDla►non a✓' ZIP �-q E O°� S =032 FRONT RW O
APPLICANT N1raCa� �omFz C�l TE . 0 S DE/SIDE STREET RW O
� CONTRACTOR SIDE O
� A�DRESS
� CITY ZIP TEL PROPOSED USE
oARCH/ENG/
� DESIGNER NO.DWEL NO. NO.
ADDflESS UNITS STORIES BEDROOMS
= CRY ZIP TEL.
N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION
�
Q ONRJER-BUILDER DECLAFlATION SFRlADD1REM
O
� I HEREBV�FFIRIA UNDER VENALTY OF PERIUHV THAT I AM ExEMPT FHOA1 THE CONTRACTORS l4 Gamge/Carport ' �
W CENSEIAWFORTHEFOLLOWINOREA50N(SEC.1071.68USINESSAN�DROFESSIONSCODE:ANYCITYOR (n
U COUHTVWHICHREOUIRESAVEHMRTOCONSTFUCi.ALTER�PROVE.OEMOLISM.ORREPAIRMlYSTRUG W Patiol�eck � �
�yTUflE.PRIOR N ITS ISSUANCE,Q50 REWIRES THE MPUCJJli FOR SUCH PENAIT TO FIIE A SICNED w
� STATEMENT 7HAT HE OR SHE IS LICENSED PURSU/W7 70 THE PROVISIONS OF iHE CONTMCTORS LI•
� CENSE LAN'(CNMTEf1 Y(CAAIMENCINQ WITH SECT�ON 7000)OFOIVISqN]OF THE BUSINESS AND ORO. � PooUSDa
FESSIONS CODE)OR 7MI�7 HE OR SHE�5 EXEMPTTMEREFROM AN�TME BA515 FOR THE/�LLEOED E%EMP•
V TqN./JJ`/VIOIATpNOFSECTION703�.68VANYAPPLICANTFORAPERIAITSU&lECT57HEAPV�ICANTTO Z Re•Roof
� ACMLPENAli70FNOTMOFiETMANFIVENUNDREODOLURS(f5oo).):
� 04ASONRJEROFTXEGROPERIY.ORMYEAIPLOVEESWI7HWAGES►STHEIPSOIECOM7EN5ATqN. 0 Commerciat
WILLDO TNE WORI(AND iHE STRUCTURE IS NOT INTENDED OR OFFERED FOR S�LE(SEG)ON.BU51- J
NESS AN�7ROFE5510N5 CODE:TNE CONTMCTORS LICENSE LAW DOES NOT AVPL�TO AN OWNER OF
� PROfERTY'MIOBVRDSORIMPROVESTHEREON,ANDW/iODOESSUCNW00.KMIM5ELFORNENSELFOR =
[L iHROLGMMI50FHEROWNEMPLOYEES,VROV10EDTMAT5Up11MPROVEMENTSARENOTMTENDEDOR m �
QOFFEREDFORSALEIF,NOWEVERTMEBUILCINOORIMCROVEIAENTISSOLDIMTMINONEYEAROFfAA7ME•
Z TION,THE OWNER�BURDER NnLL HAYE THE BURDEN OF PROVW6 TFUT NE OR SHE DID NDT BUILD OR
� WPROVEFORTHEGUPPOSEOFSALE}
w ❑I,ASOWNEROFTHEPROVERTY.AME%CLUSIVELVCONTRACTNGWITHUCENSEOCOMMCTORS .
W GEN9ENU�NDOE NOiAPPLYTOANOWNEROFIAFROPERTVWMOBUIIOSOR�IMVROVE�STNE�HEONRAND Valuation AOJ.AFEA
� N'/iOCONiMCTSFOHSUCHVR0.1ECT5Nn7HACONTMCTORlS1UCENSE0PUH5UANTTOiHECOMMG QUANTITY DESCRIPTION FEE
Y TORS UGENSE lAW�.
� O I I1A E%EMPT UNOER SEG B.6 V.G FOR THIS REASON �
�
� � C' f / � �(��1'�1/.f./'
w.e /O 5 O/ OWNER/�gCar a �or��'Z �
o "'
�Q UCENSEO CONTRACTORS OECLARATION �yj
� CC INEREBVAFFIRM�NpERPENALTVOFPERKIRYTHATIAMIICENSE0UN0ERPROVISIONSOFCHAPTER V.
p„ 9(COMMENCIN�WITHSECTION70oa�OFDNISION]OFTHEBUSINE5511NDPROFESSIONSCOOE.ANO Z
X MY UCENSE IS PI Ml fORCE AND EFFECT. m
LtJ �
� UCENSECUSS LIC.NO. J �
V OATE CONTMCTOR d
W
� WORKERS'COMPENSATION DECUIRATION —� �
U
� I NEREBYAFFlRM UNOER PENALttOf VERIURYONE OF THE fOLLOVnNO DECIAiUTI0N5:
�' a
� _IHAYEANDWiLL1MMTNNACERTIFIGTEOFCONSENTTOSELF-INSUREFORV.URKERS' S '
COMPENSATqN,ASPROVIDEDBVSEC710N�7oaOFTHEUBORCODE,FORTHEPERFORAIANCE W
OF TiE W�RK iOH Nh11CH THiS PERMiT IS ISSUED. �
Q
�I HAVE AND WILL 6WNT�IN WORKERS'COIAPENS�TION INSUNANCE.AS flE WIREU BV SECTpN
� 77ooOFiT1ELABORWOEFORTHEGERFORMNICEOFTHEWORNFOIiNMiCNTMtSPEpMITIS
ISSUED.MYWORNERS'COMOENSATqNINSURANCECARRIERANOPOLICYNUMBERARE: CONSTRUCTION
� PLAN REVIEW -
CARqIER
� POLICY NUMBEA ELECTRIC �' - --
Q '
Q (iHbSECil01�NEmNOTBEOd.QLEfEDOFMPEPo.i16FONONEM�fiFDDOlW1S61a0�ORlE55} PLUMBING
, � ICERTIFYTHATPITHEVERFORMANCEOFIHEWORKfORWwCHTHISPERMITI5155UED,1 MECHANICAL
(,'} SHALLNOTEMPLOVANVPENSONWANYMANNERSOASTOBECOAIESUBJECTTOTHE
� WORKERS'C0�.IPENSATqNLAW50FCAUFORNIAMlDAGREETHATIFIS�KKILDB[COME INSPECTIONFEE
SUBJECTTOTMEWORKEFS'CdAPENSATIONPROV15lONSOFSECTION77000FiMEL1BOR ISSUMICE
s COOE,ISHALLFORTIIV�ITMCddv�VW17MTMOSEPROVISIONS. ���
� ' SMIP
p OATE: APPLICANT:
� ENERGY P!C
WARNIN6:FA0.URE TO SECUflE WORKERS'COM7ENSA7qN CAVERAGE IS UNUWFUL.AN�SHALL BE
�y SV0.IECTANEMPLOVERTOCRIMINALPENJLLTIESM1DCMlFWESUPTOONEMUNOREDTHOl1SIWD ENERGYPERMI7 - �
pplLllpS�i100,000),INMDITONTOTMEC0.5iOFCAMPEN5AT10N.DAAIACESASPRONDEDFORIN ,L��
¢ 6ECTION710lOFTHEL�BOHCODE,MITEFEST,/iNDATTORNEY'SFEES. RETENTIONFEE:
pw., CONSTRUCTION LENDING AGENCY PRE-ALT FEE;
O
� IHEREBYALFlRMUN�ERPENALTYOFPERIURViMATTMEREISACONSTRUCTIONLENDIN6IGENCY
FOR THE GERFOflMANCE OF THE WONN FOR WMILH TMIS GEflMIT IS ISSUED(SEG�07,CIV.C.�.
2
W
� LENOEF1'S W1ME �
� LENOERSAODRE55 �/� (� ra.-� t,,�
� ICERTIFYTHATI/UVERE/�THISMPLICATIONANDSTATETHATTHEABOVEINFORMATqNISCARNECT. TOTAL FEES �y l,�/ • �/ V -
� IAOREEMCOMPLVWITHALLCITYANDCOVNTYOPDINANCfS/HDSTATEUWSNELATW6T08UILOINC
CONSTRUCTION,AND MEREBYAUf110PoZE REPRESENTATIVES OF THIS GOUNTY TO ENTER UGON THE
Z ABOVE-MENTIONED VROPERTY FOR INSVECTION PURPOSES. COMMENTS
_-� �ac�r�a ���
¢ PERMIT7EENAME(P
ln l\ // �
y sicr�r� F VERMITTEE DATE RECPT.NO. n PAID BY 'v� "� l VALIDATION � /�
� WHITE—Department Capy.YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Capy,Gfi[EN—Applicanfs Copy �
.:. .,-. :��;� -.,�,,,;•n��...�:r:�....�,.;...�.., ... _ ` . � . . . � .. . ..,.. .. ., - .� . ,. � . . .
_�i,''i1 r� ''h.i;�fii?ti1..:.i). .... .�-h��. •ya.�, .t-
� . .. , �, . .� � ... . . � . � . . . . - . ,
����i� Q� ���-1�'�QT\Q �'!r-i�i
ir�s�������or� �LCO�r�
_ _ =�: , � .�..., ���G= _., li�`S .-�e, Ccj��----.___._.I E-'i:�a it`9'[Q'li l � �y �:p�: (►��1:i�'��;�'m)�
�►��:a � E"� ,1�� . � y i ►� ' � r —,, j
.�_.___�.._-------. ---.:._ _ _.._... _ _.._._..___.. _._... .._..._.__. _.__-•__ _._..---...__ _ __.....__.. . _...._.___. .__�__,__._W. ___
SET BACK � � � ;; � � FLOOR JOIST �
FTGS/FORMS!STEEL �! � , I FHA RE��nTS _)
ELECTFiIC GROUND � 1 '� UNDER FLOOR DUCT r,
GROUND PLUP�181NG UNDER FLOOR CUi�IDUIT I '
SLAB GRADE I __ _ FIRE_�CE_FOUNDATION j
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT. E30ND BEAh1
ROOF SHEATHING 8 Ff. BOND BEAM '
FRAMINGNENTILIATION FINAL BOND BEAti4
ROOF COVER PRc-GRADING � '
ROUGH HEATING BENCHI�JG
ROUGH ELECTRIC F;OUGH GRADING
ROUGH PLUPJIBING FINISH GRADING
SH�WERFfUB TEST � POOL ELECTRIC
EXT. LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL �
CEILING INSULATION � OFF SITE IMPS.
DRYVVALL NAILIPJG DEDICATIONS
SEWER FIP4AL ENG.
SEPTIC TANK LANDSCAPE/IRRfG.
SEEP PIT/L.L. ON SITE 1�1PS.
GAS AIR TEST FINAL ZOP�ING
FINAL CONST. ! , - �!RE DEPT. FINAL
FINAL HEATING " HEALTH DEPT_.FINAL
FINAL ELECTFiIC DEV. FEES PAID
FINAL PLUMBING ENERGY
.t�.j rC a�" ix;t.--____�____.�
CUP,�MENTS
SEPTIC TANi<SIZE
SEEP PIT/U SIZE
�r� .
,�}f� -
�i � . , �