The URL can be used to link to this page

Home My WebLink About13351 (14) ��_ CITY OF DIAMOND BAB � DEPARTMENT OF COMMUNITY 8�DEVELOPMENT SERVICES � � 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS .... sU�[.Dtr1�G _ L1[CA'MON ' , ; ,.a ,.�. .. FIRMLY ..,r. ,. > . PERMIT�ll' �—� _ .... , , _. o� JOBSITE +'y�` Q f�/�+� t' �'1 Y APPLICATION p C ��_C��NUMBE�� #!C ADDRESS �( I� G/ 'T I�'��G�l�S� DATE �l � � ISSUE 1YPE OCC APN LOT TRACT DATE CONST. GROUP °C OWNER 0 ZONING SETBACKS `p ADDR S � ' ` �' FRONT RW ❑ � CIIY ZI _ TE . REAR ❑ APPLICANT TE . SIDFJSIaE STREET RW ❑ � CONTRACTOR SIDE ❑ Q ADDRESS pROPOSED USE � CIIY ZiP TEL. o ARCWENGJ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CI'll'Y ZIP TEL. � — DESCRIPTION SQ.FT. FACTOR PSF ApJ.AREANALUATION � OOWNER-BUILDER DECLARATION SFR/ADOlREM 0 I HEHEBY AFFlRM UNDER PENALTY OF PEfLtURY THAT I AM EXEMPT FROM THE CONTRACTORS U- Gar2g0/Carpo�t W CENSELAWFORTHEfOLI.OWINGHEASON(SEG703L58t1SME5SANDPROFESSIONSCADE:ANVCITVOR (� U COUNTYWHICHRECUIfiESAPENMITTOCONSTRUCT,AITER,IMPROVE,DEMOL(SH,ORREPAIRANVSTRUC- W pgI10/DBCK WIl1HE,PRbR TO RS IS8VANCE,ALSO RC-0UIRES THE APPLICANt FOR SUCH PERMIT TO FILEA SIGNED � STA7EMENT THhT HE OR SNE IS UCENSEO PURSUANT TD THE PIiOVI510NS OF THE CONTRACTORS LI- � CENSE LAW(CFIAP7ER B(COMMENCING WITH 3ECTION 7000)OF DIVISION 9 OF THE�BUSINES5�AND PPO• �'�' POOUSpa — FESSpNSCODE)ORTHATHEORSNEISEXEMPTTHEREFROMAN�THEBAS�SFORiHEALlEOEDEXENIP- —� TION.ANVVqLATIONOFSECTION7031.50YANYAPPUCANTfORRPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof � ACINLPENALTYOFMOT,MORETHANFIVEHUNDREDDOLURS(S�s�IJ: � � � ❑I,ASOWNEROFTHEPHOPEHN,ORMVEMPLOVEESWITHWAGESASTHEIHSOLECAA9PENSATION, ❑ Corf�roBfCi81 -' WILR DO THE WORK,AND THE$TRUCTURE IS NOT IN7ENDED OR OFFERFD FOR SAI.E(SEG 70d4,BUSI- J � NESS ANO PROFESSIONS CODE:THE CONTPAC70RS LICENSE LAW OOES NOTAPPLV TO AN OWNER OF = PROPER7YNMOBUILDSORIMPROVES7HEREON,ANDYYIIOOOESSUCHWbFKHIMSELFORHERSELFOR m � hiROUGHWSORMEflOWNEMPLOYEES,PROVIOEDTHATSUGHIFAPROVEMENTSARENOTINTENDE00R Llsl OFFERFA FORSALE IF,HONkVER TME 6UILDING Ofl IMPROVEMENT IS SOLD`N17HIN ONE VEAROP COMP�E• zTKKJ,THE OWNER�BUILDEF WILL HAVE 7HE eUHDEN OF PROVINq 7HAT RE OR SNE DI�NOT BUIiD'OR = IMPR6VEFORT}IEPURPOSEOFS/J.E). Vy ❑I,ASOWNEPOFTHEPROVERT;AAAERCLUSIVELYCONTRACTINGWITHLICENSEDfAN'fRACTORS �[ TO n.^ONSTRUCT THE PROJECT(SEC.704d,BUSINESS AND PflOFESSIONS COCE:THE CONTRACTOFiS l.l� V8IU0110f1 ADJ.AREA LLi� CENSELAWDOESNOTAPPLYTOANOWlNEROFAPROPERTYWHOBUILDSOHUdPROVESTHEREON,ANO � WFk)CONTPACTSFORSUCHPROJECTSWITHACONTRACTOR(S)LICENSEDPlIRSUANT70THECONTRAC- QUANTITY DESCRIPTION FEE 70R5 LICENSE LAW.J. O ❑I AM EXEMPT UNDER S�C. B.8 P.C.FORTHIS REASON � �'=' DATE OVYNER '�� ,. �� , ;'^-«��"� � _ Z � LlCENSFD CONTRACTOHS DECIARATION � I HF.REBYRfFIRM UNDER PENAI.iY OF PEFJUF7Y THAT 1 AM LICENSED UNDEN PflOVI510N5 OF CHAPTER � B(C:OMMENCINO WITN SECTqN 7000)OF DIVI510N 3 OF iHE BUSINESS AND PROFESSIONS CObE.AND � MY UCENSE IS IN FULL FORC�AND EFFECT. <�7 o UCENSE CLASST i LIC.NO.!�� `- U DATE `3 •� �� CONTRAGTOR_T�(J1 J� t�_,r I �q /� yp q {L � l Y��V �T � WORitERS'COfdPEtdSATiON DECLARATIOPI Q ° � � � � � IF4ERE8YAFFIRMUNDERPENAI.?tlUFPERJURYONEOFTHEFOLIOWINGOECURAt10N5: �Z ^� ',J' . � � ¢ F" � __IHAVEpNOIMLLMAIIVTAiNACERTIFiCATEOFGONSENTTOSEIF-INSUPEFORWORKERS' �_ /'�L �� COMPEMSATION,ASPRO`JIDEDBYSEC77DNa7ooOFTNEIABORCODE,FORTHEPERFORMANCE �1U �✓'� • OF TNE WORK FOR Wb11CH THIS PERMIT IS ISSUm. j� o �� - L ° W I NAVE ANl)WiLL MAlMAIN WOiiKERS'COMPENSATION IN:AIRANCE,AS REDUIRED 6Y 5[CTIOk � �37000FTHE 11180R CODE,FOR THE PERWRMANCE OF THE WORK FOR WMICH THIS PERMIT IS _ � ISSUED.MV WORKE 'CO PFJVSA71 N ItdSURA C CAR I AND POLICY NUMBER hRE: , CONSTRUCTION —' .�7"°"�'i� ��_ _ _ ---- __ _ �_ ___ _ __ __ _ ._ j cAaAiER � PLAN REVIEW _ _ __.._ _.—_ Z aa.�cYNUMBEa / < S��I� . ELECTRIG ¢ � (iH55ECT10tJNE�NOTBEOCV.PLE�'EDOFTiEPERIM65FORONEMUh[NiEDG�UlWS(&1oo)ORLESS) PLUMB��''1E1'• - � �'e .� ICEPTIFYTHA71MiNEPEFFORMANCEOFTHEN/ORKFORN'HICHTHISPERMITISISSUEQ.I .P�'I�ECHANIC (,�J SHALLNOTEMPLOYANYPERSONINANVMANNERSOASTOBECOMESl18JECTTOTHE '"""� '��'t"- i;Sa.,�, � WORKERS'COMP�NSATION tAWS OF CALIFORN10.AND AGREE THAT IF 1 SHOULO BECOME INSPECTION FEE -i��'" �� SUBJEC77 TNEWORKERS'COMPENSATI M�RO`JISIO 90FSECTION37POOFiHELA80R �SSUANCE � ' " ��a�-'""4.��Y-�� 4' COD IS FO THWITHCOMPIYNA � P ISIONS. ) �� . ��.� p DATE: '✓4'��APPLICANT +� __,___.___ SMIP 4.k ,y' T+� 1.1! .r+' q!';, n C��/ 3 p..y. WARNING:FAILUR�TOSECUREWORKERS'COMPENSATIONCOVEfiAGEISUNL4WFUL,AND$HALLBE ENERGYPlC ,}.,,.�'b� �y, J SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AI�CNIL FINE^u UP TOONE HUN�RED THOUSAND �� ` �"�;� u_. ENERGY PERMIT .^ "�+ ,:�y DOI.LARS(;100,000),INAODITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDf-0RIN �� .� � SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTOHNEY'S FEES. RETENTION FEE: ,;;,y �`�,,^��ya,.'��P"�� OCONSTRUCTIONLENAINGAGENCY PRE-ALTFEE ��'�-� 's',� � IHERE9YAFFIRMUNDERPENALNOFPERJl11iVTHATTHEREIS0.CON5TRUCTION�ENDIN�AGENCY �a� r FOR THE PER W RMANCE OF TNE WORK FOR WHICH THIS P£RMIT IS ISSUED(SEC.3D97,CIV.C.). Z W ___'____— �2 LENDER'S NAME � F— LENDER'SADDRESS � �CERTIF/TMATIHAVEflEAOTHiSAPPLICA7bNANDSTATETHRTTHEA90VEINFORMA710NI5CARRECT. TOTAL FEGS 6 W 1 AGREE TO COMPIV WITH ALL CIN AND COUNTV ORDINANCESAND STATE LAWS RELATING TO BUILDING � CONSTRUCTION,PNDHEREBVAUTHOHIZEAEPRESENTATIVESOFYNISCOU4TVTOENTERUPONhIE Z A60VE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. COMMENTS � � c� � Q -- m �a//� } — ¢ PERIAITlE P TI �j ✓G)�� _ Cn [ � SIGNATU PEFMITTEE � DATE = REGPT.NO. PAID BY �VALIDATION ~ WHITE—De arlm�t Co YELLOW—Finance C p py, opy,PINK—Assassor Copy,GOLAENROD—Fle Copy,GREEN—Appiicant's Copy �`�.�,"� �� ` �� "�� '�� "��w ��,� �� a+�� a�,. #�"'�z��d g' ��a� �r ��a'�x�� .��: 'F� �'�' "� �'.�;.: ��.'�::� r � � �� :��'�� .:�� 3� � �,�� .�se� �� '' � ': �'�� '�� ° � � � � ..: � � � � � �� . � _ � �R �� ,�+,�s,��:s;� �;; ��=`,�"�t�'��-�' �,. �.:.�.��.'�,e5��°r..� n ._��a�`� :�.:-�,�:. +� '��'�a`• ,�� a'�a��`a� �::. .°�s � � � ,.: , . ,.. : . ... ._. _ ,.., . .:��_ .�. .�a. ..� �'. _ ��.., � . . , � ��.J� , �:�€� � . � w.E�� '�� ,� .�. . _ .... . a. __� _. .._..._. ..._,...... . .__,�., ........ .p . �.... � ..�e r xs.� § i .. . ' . .. " . "`.` ... . E �� - ... ' . , y # .V ' ` ..>.;e "1.. ..... .. ,__.._ .. i _.....,.. .._.._.... ._..........�............._... ...._.. � _' '.�_.�_ �.._ . .__ ___' ,_..-..�."_ ._ 4 �.: t� �`t ,7'x � c?� ° � � €u'� 1'� ) _. _ � � _ __._ , _ i . ...° 4�.. "`�� ....._�.. ._.�....._. � . . -.dv°di a• �� .I :. .��, �' :-'t�_� ..... ,,.... �.. .._ _....._... _........_..._. ..._..._.___ :._. �._ � . ..:e , .:. �xa�,..:. ' ' � . :-.., a - . . -�-.- __ __.�.._..._�_ .._. � :.. !�t:"�$..,::. ' , .., ?. "k,.; �,'� Y"".';.s:a °itft 7.$. :�,., ' . „ „ . , , � -� ; - _ . . : � L«3 � v,� ...... ..._._..............�._.r...._. ...._.. . . ._ .. _._ ..._ - � _ . � . �._...... .......�.. ... . „ '�.:'��' -.;.T �e ' ' . .. . : . .. "; y� � �-ti� r'��;3'k� s t :�hn , � j :. �. _�.._.�.._._._.._...._.__._.. . f � � _.,„„ ,,. „.,..e ...». € -F�..._..,..___.,_��_.,...___.._.... �_ �....._.._....... ....u... _...._..........._. ..M.�........____..-.._...._... _I � .,� k ;r� ...� � .. C... ! , p� �-� ....,� i'b L?.: �*„y tt : i .. � ..�.. ..'.:., ................_ ..,_.._.._..__.,.......,......_..�._..,... ..____.-,._.__...��.----._........_..,._....��_._..,........_.�..d__1.. .._.._........_..._._._..._...,.._._._......_�...................__._....._..._}_...._....__�.. .... ......_.._......._.......__.___"'.-,,.,...__...._.__..,....�.. _i !-F.�' '::. i"»1 ';e..� ! � , � K3� � >...,& �{,'s r^'j1 R L . ' i . -.,... . : ' ......�........_....�_._...._...............�i....:'._ ....._.....�r.........,..... �...�.'..:..r..........................�...,,_....,..'_..._. .......,__...__.._� ,_ __.... ..........._..._—_.�........_.......,.............._....,.._...t` w . '". �:"�' l b .'..'4¢ `a,P -' t,'k"I t"�-p' .. . . p § .._ ._ ....:..m .__.._... �........ .........._............L....._..r.-_. ._......_.._�,...........___._ r_.._:_. '.'.: ..,._................._._._ .. . � ' .__.___ _.__._....._ : � ,�._.�,._.....�..�....,...__......�..�_ .-_.....,_.._ a ,' , ax j � I ��',�,z� �°a , � � _ � " . . ._ ...E.. _ _..,. . . .... _.___ . � _......_..._.... . . .._,. _ . . .... d. ,.__ .�. ..-k : ,€ :'� � f 3 �j� � � W�� ` � `'� .��.. . _.____._ ._.�_.___ ____ _.._____ --_ t _ .�. _.�:_�_l_ �:._ � ..__.,.� Sa. �4�"...F_,. �.�; '€ .�___ � a, x-,�a� i '.' :.�_'.. �.._.._.__�..___�... ..__..__. . _......_i.�.:.n.._.__ _.._..._ � I .�<... . `:�?r ��,;:s , F ..............._...._......._...�._,.... .._.... .....___. ..._ _ , �......_._.,...�,.._.,._...__._.......�.a .. `�'y zx; ( ` :'�� • E `�-`t4(8 :^E t � �r• _._._...._ .. ,.. ._........_..._.�_ .. ._¢ eN t M.. .. ,,.. . - , �- ._..... . E , r .T i�„_ m_.___ -_ . .. . _a- � ................._.._.._"__._........____..�....._ .___._„ .._._ —__ .....i�r...,.P.e.,.....«,_.. �- ....,... ..»... _M.�..�.. .,... _ ..___".,.., ..�__.... _ «. ._..._.�„. • � ; g F � ., _...»._ . �3� t �i €'> �' . 3 3 ' 7 � l��. ��_�'...k_....._.r�f.a € _� ' b __.. .... ...... ......i....,._.._............_ . .�„„........_....... ..„,.s.._.....................__._�,.,...p ..,..� ..�� _ -.._ ................. ._........�......... ....._.. .__.,».�..e...__.......�...�._ _...,,.._�1 �... � _ 3 g � ` i."��..i�,.�f::.>.'� �,�,;.�� _ � i ._.. .. . ... �.w.,... ..�..... _...n_� .�� . _._. _..,.. _ . ....�...__......_...�. ._._..._.....�.�......._., �za ,.a ` a� "� :� ..�,.. .��. . . . , . �a . : '•�✓ ��.1� ' � . ._ __ .... ._._ . ....._.._...._..._ ....__"'_.�:._._ __. . . { . . _.�._ _ __....._____�.._.�.,___.__.. .._.._._...... ' _. _-�. _. ��.............m.,�»...5-. ..... _____�.�.-..,...�..._,,._..._� +,. . .i.,,, s4p t '£.. . I i� � J{";`�"dY "3<'.'. . ..... {.. � ,..�......._....� . . .._�_.................�_�.._ :..._.. .«_..p ___ .........,..�........._ ...__..'..... ......__._._.._ ..e.i_.._...... ...__._......_ ..._._....._........��. 3.: & :, �� £. ::- ! ( �_4."a : [ � � . .t'� � d.. G.s€�'." �. � .. r . _ ,...__..._........ .... ...::..__�_.........�..,.......,.__._.�.....,............._..____.a.._..__..-,. .... _ _....._...._,_..._........._......_� �_....._.�w......... ....... � . ... ,...,_.... .. �:�.P._...._..__�.__�._.....�......._£ E, ; ! �s ? r. f; i .�. .. ..._..__....... .........i....._.__._._..._.,.... [-._,.�.w..___�.........-........_.......,,,.._...._....... .._..._. .._ _._.___..__._. . _ __._..._._ .._.........._._._.._._r...._..._. .. . � � s" ;:� ..,x..2�� ' `V . .E.. e , .. ...,. C4 8 1 . . . � a 3 ' ' .,.._.�.. ......__..._.. �..._........�....._._.,._. .._,.<......_.......................................,..,..�_......._.......,_.....i..............,......_....,,,...,.........,..... ..r....e_.. ....,.....,,_.,_... .. .....:.».P_ .._..._.._.......�....�.�__.._w....,...,.__�......._........�.._�.._._..�....... . e'�`� , M..5.... . .. . . ...�., .�4 Y:.�€L�1�4%�` . . .. � .. .a.....__...,. . �..._.....:e....�.... ;..:«....__._........a...............w......,._...,.,.._......,. .... ._.. .,... ...........,..._ ..... ' ' .. .� . .. ,.........� .......;_,.......,...........�....._ .�...� . �.,........:......y �._.............._..._.........,._......_._,M.........e.. .:.. €i �:�. 4 ', ; :.�1� .t'� ' ?.,�. : f. . . . ...� . .��___._"__-___.__...,....�_. ::..�_ ....�.,_��.._._._;... ..__..._..._.._....._._._..�._w-,,.,..: - � _ _. - . , �._.._.� .�...__. ___.._._..�.,.....___.,........„_...n....__ _ .,.,�_. . P _�.: 'z}.,��-r- � 3 .}-� ^. '^ €a, n� —_ _ �._..__..._....__ .._._.__...x -. .52 � ,... � _ ' �..:__ .._ . .. ..... ...........� . .. ........ �4,: F �, ........ • � .,._, �.m j .. � 1 � ________ s_4�__��._'�__w � � R _ �r__ ..__. _ _____�__��_ _.__�__ _.___.___,w�__._ � �. ; ._.� �a� # � t_ a � � �. . � t.. , : u �d _.___�___�_. .. _� :_____ ._ . ___ ._____ _ .,_: ____�___._� ___.____�_�.____�.__-- � , , , ,� , , ��... ; _._ __.____ ___ _ .; a� � .� ______�___ �.__ .___ ___,__.._��__.�._______�..____ �..__: . _.___:_ _�_.�� _..��m� . . _m__ _.� P__�Y.. __..�� ._ _. : . _ ___.� ._.�� -�� §�� _._ _ ___ _ ____ ... .. � .. .__-_-_-_._- - ..�_..._w�_..__._._.... .. ...._...____�.��s""�� >:;��,�.� ��°�c��"'��.. _.._.. . _.._ „ !�• . ! . ,.. � _ _ _ , . , . , ; � ---_. _ __ ._� __ __ _ _ _ - — — -. _ a � .�� _�-, _ . . ��.� ��:�M.ff :`� , "_� �_ ; +. , , � � , _.. e__..___��____._..�w��w ._ �__ w�., . � �,„;.._.___�..._�_ ..____.�_______ . ..___ __�,� __ _ __________ �..._� � ._ _ _� �___�__ . ..______�.___.__�__�._.__._____. _...�-, . ._ _ � _..... ._. __ ._..:_..__.. _ ._... ___.._w._.�. .__ _ ..__.....___M�...._. .. __.. ._.P.__._ __.__.._.._. ._ .. _.___.. _w_ ..._.. _...._. __---_.____._.___. ._. .. !�`a � , ..a:ma� � _ _ __ _._�_. ...._.... , . ,� : .:. ,..,.m.._.._��__..._..... . ._. ....__.._..�_.._..___ .........._. _......w.�.____.._ .. ..._ __� . ......._.__. __..___.__._....__. .._ __._.....___ _._� .. z' Y.. e'" :..m § r:" s ��... .......__ . - �"f � +al� ��"S�`e��'�`?�g�'� . ..... _.. . . .. ... ... . ....... . . . .... . .. ... .,. .�.. . ... .. ...... . . _ . ..._ ��.� � � �-.�� _ � ___ _ _� . _... __..._. _._____.__� . �._.w___.___.__ . ��s� �� . a. �� .�� „��;�� w. _. .... _ _ _.._.._ .� __.��. __w..�. � �,__.,_._ � ,� � � � �k� �� '" �a�"��k"�. �� n �� __ — _ . � ��'��.� ��? �� _ � �,�� ,�� _ .._.. _ . �� .�� ;��,�� ._ ... _. _�,. _.... ._ �x-�� , ��' � f � .. � '��*�� ,�.,�''°��a��_�� . _.."__e..�w�_..�.._.M...� _.� � __ _.�.._._.._.. .. .___�wa�_.___.__....��..__..._ .._r ._,....__._ ______�. ._._�......._�Y�... .�_.. ..� t..,__..___ �...._....._�._.__._..�.__. ....._...___...._.._.._�M..Aa�.._.�,_......��.,_..,-��.e.,.._____m._..w