Loading...
HomeMy WebLinkAbout12655 (11) , ____ . .___._ _ _ , _:.� _�,..,m___.__,. ^,,T___ � ._ _ ` ��__�� CITY OF DTAMON�BAR.. , .:,.. „ -��:. ,. �,, . - . � DEPARTMENT OF COMMUNI'I'Y&DEVELOPMENT SERVICES \t.� '3 � Z 1660 E.Copley Drive Suite 190 �.-� �,,,, (909)860-3195 Fazc(909)861-3117 PRE$$ BITI�.�ING P��X'T`��Y�.IC"ATIO'N ' *� FIRMLY _ :�. ADDRESS �. .�a" .. ;.� i,,...��. .... ' ,.:v�.., k.,:�,. �,q y``',�,. -�NUMBER `::,���.,�� `"";"A„.: �" JOBSITE �' Q APPUCATION �� P�RMR P/���/ o DATE � o� : • . ISSUE ,.,/ TYPE v,,,� GR UP �_ � APN LO T ACT � � ' DATE ��-f-'�dr CONST. ��- p OWNER 1.+.il � p AODRESS r ��j ZONING SETBACKS W CITY + ZIP . '�' ` TEL`� .� -�� FRONT RW ❑ � APPLICANT ` TEL„� •' �r` REAR "` ❑ � � r SIDEJSIDE STRE�T RW O � CONTFiACTOR ""t^c 6'1.� °�`ti ` SIDE ❑ � ADDRESS /'2 y�e? ��, ��rS% � , � o CITY '��� '� ZIP � �` TEL .���" ��,� "' PROPOSED USE �s'! + , w ARC N� , � z DESIGNER '; ','' `` ` „ . . .. :. ..,:ii?:Q- w NO.DWEL. .NO: _ NO. _ � ADDRESS UNITS STORIES BEDROOMS = CITY ZIP TEL. � �n DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION / „, 0 SFR/ADDIHEM 'r 1 HEREBY AFFlRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- G8f99B/CetpOlt 3 W CENSEIAWWRTNEPOLLOWNGREA50N(SEC.7o31.56U$INESSI,ND�PROFESSICSNSC6DE:ANYCITYOR � COUNTYWHICH REOUIRESAPERMITTO CONSTRUCT,ALTER;IMPROVE,OEMOLiSH,OR HEPAIRANV STRUC- � W NRE.PRIOR TO ITS ASSUANCE,ALSO REOUIRES THE APPLICANT FOFi SUCH PERNI7 T6�KiCEA�SIGNE� W F'ati0/PBCk . . . , STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PRUVISIONS OP iHE CONTRAdTORS U• � CENSE UW(CHAPTER 0(COMMENCINO Wt7H SECTION l000)OF DIVISbN 30F THE BUSINESS AND PRO- V' POOUSpa . � FESSIONSCODE�ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISKOqTHEALIEQEdEXEMP- (� TION.ANYVIOLATIONOfSECTION7o97.68VANVAPPLICANTFORAPERMITSU&IECTSYHEAPPLIGANT76 7� R0-ROOf F ACMLPENALTYOFNOTMORETHANfIVEMUNDREDDOLLARS(t5o0).): � � '� --�- , � � ❑I,ASOWNEROFTHEPROPERT/,ORMYEMPLAYEESWITNWAGESASTHEIRSpLECAMPENSATION, � ComfIlBfCiB� '�� " - � WILL.00 THE WOPK,AND THE STRUCTURE IS NOT INTEND6D OR OFFERED FOR SALE"(SEC.704t,BUSI- J � NESS AND PfiOFESSIONS CW E:hIE CONTRACTORS UCENSE LAW�OES NOT APPLY TO AN OWNEq OF D PROAEATYVAiOel1RDSORIMPROVESTHEREON,ANDWHODOESSUCHWORKHIM5ELFORNERSEIFOq � : � �_ � ��" �6'��.�"� � THROUGHHISORHERONMEIAOCtlVEES,GROVIDEDTHATSUCH'l1�PROVEMEMSARENO7INTENOEDOp m ��,n . .. . .,. � OFFEREDFORSALEIF,HOWEVERTMEBUI��INC,ORIMPROVEMENTISSOLDWITHWONEI,`EAROFCOMPLE= Z TION,THE ER�BUILDER WILL HAVE THE BURD�t OF PNOVINO THAT HE OR SHE tlID NOT BUtLD OR - � IMP ' 9RTHEPURPQSEOFSALE�. .' - ' . � � ASOWNEHOFTHEPROPERTY.AMEXCLUSIVELV INGWITHLICENSED�CANTRACTbRS TO CONSTRUCTTNE PROJECT(SEC.7014,BUSINESS ANO PRO ION COOE:THE C6NTRACTORS U• ValUation / ADJ.AREA CENSEUWOOESNOTAPPLYTOANONMEROFAPFlOPER7YWH0 W ORIMPHDVESTHF_REON;ANO � 1NIOCONTRACTSFORSUCHPHOJECTSW�THACONTqACTOR(S�LICEN PU ANTTOTHECONTRAG QUANTITY DESCRIPTION FEE � TORS LICENSE LAW.I. , .. ❑IAM EXEMPT UNDE SEC. 'B.d .FOR THIS RE0.50N J .� & (.� _ _. . ,. :b,, tC ; : . � � OATE I OWNER F- � . . . . � ' . .� _. LICENSED CONTRACTO� LARATION � � IHEREBYAFFIHMUNDERPENALTYOFPERIURVTHA7IAMUCENSEDUNDERGPOVISIONSOFCHAPTEfl � ' " . . ,_ d, B�COMMENCIN6WRMSECTION7000)OFDIVISION30FTHEBUSINESSANDPROFESSIONSCAOE,AND Z �+� MY IICENSE IS IN FULL FORCEAND EFFECT. m oLICENSE CLASS L�G.NO. -. .-. . . :... .,...�,�:��.;, � V DATE CONTRAGTOR � " a W � WORKERS'COMPENSATION DECLARATION -� � - � IHEREBYAFFIRMUNDERPENALTYOFPE0.IURYONEOf7HEFOLLOWINGDECIARATItlNS:� � � z � � "t � _IHAVEANDWILLMAINTAINACERTIFlCATEOFCON3ENTTCSELF-INSUREFOfiWORKERS' x � �� � � � � Q COMPENSATION,AS PROVI�ED BYSEC710N 37000F hfE LABOR CODE,FOR THE PERFORMANCE W � OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � . . � - ' � �1 ilAVEANO WILL MAINTAIN WOPoCEflS'COMPENSATION INSURANCE,AS REqUIRE�8Y SECTqN , " .� . . ' . � Q 77000FTHELABORCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITIS / YJ°��/ � J ISSUED.MY WOHKEAS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION ♦ / CO Q ..... _......_'_'... . . .. . _ . . . . _._. � • / _ -. ], cAaaiEa � PLAN REVIEW Z PO�ICY NUM9ER_ — ELECTRtC / ��.� Q � (fFiISSEC(pNNE�NOTBE00MPLETmOFiHEP6UNiI5FORqYEHUrAFlEDDpLIARS(S1ao)ORLESS�. PLUMBING Z ICERTIFYTHATINTHEPERFORMANCEOF'TH ORNFOf{WHICHTH aEaMrtistssuEo.i� MECHANICAL �_C� � � SHALLNOT EMP�OYANY PERSON IN ANY MANN OAS j0 BECA UBJECTTO THE {n WORKER5 COMPENSATION LAWS OF CALIFOHNIA �{R TH I I SHOULD BECOME INSPECTION FEE � SUBJECTTO EWORKER5CAMPENSATIONPROVISIO � I 37ooOFTHELABOR �^I � WDE,ISH FORTHWITHCOMPLYWI7HTHOSEPROV 10 . ISSUANCE "� O p DATE: `� � � APPLICANT. .. ' SMIP � -� J WAANINQ:FAILUFl p SECURE WORKERS'COMPEN VERA E IS UNtA UL,AND SHALL BE ENEAGY P!C �r � SUBJECTANEMPLOYEPTOCRIMINALPENAlTE5ANDCMLFME5UP700NEHUNDREDTHOU5ANC1 ENERGYPEHMIT - • DOILARS(5100,000).IN ADDIT�ON TO THE COST OF COMPENSAT�ON,DAMAGES AS PROVIDE�FOR IN J SECTION37080FTHELABORCODE,INTENEST,ANDATTORNE'!'SFEES. � RETEN710N FEE: �. QCONS7RUC710N LENDING AGENCY PpE-ALT FEE: � IHEflEBYAFFIRMUNOEflPENALTYOFPERJURVTHATTHEREISACONSTRUCTIONIENDMGAGENCY FDii THE PERfORMANCE OF THE WORK FOH WHICH THIS PERMIT IS ISSUED�SEC.3087,CIV.C.). Z W �2 LENDER'S NAME � I-- LEN�EVi'SADORESS � r � ICEflTIFVTHATIHAYE 'RiIS�APPUCATI AN�STATETHATTMEABOVEINFORMATIONISCORRECT. IOTA� F /Q�'/� -/ � W I AGREETO COMP V WIT L CITY AN�CD OROINqNCES AN�STATE LAWS RELATINO TO BUIIAING n t� - � CONSTRUCTION, D HE EBY AUTHORRE PRESENT NES OFTHIS COUNTYTO ENTER UPON THE (,_�'� ��S/ � ' Z ABOVE-MEM'10 DP EHTVFbRiNSP TION`U ses. COMMENTS � � O � � m PEA RTE� (P INn \ . � .. � � . � •� EW � ! �a � G '- (n SIONATUREOFPERMITfEE OATE a �I ��� = RECPT.NO. ` PAID BY �VALIDATICSN��� ���� � WHITE--Deparlment Copy,YELLOW--Finance Capy.PINK—Assessor Ca GOLDENROP—File Co GREEN PY� PY. pWicanYs CoPy �� � � . ,. . , ...,. , . . . ,. ���� _�"���'�,:,� � ,:. � ,y . . , . . z _... � �, .. � , ,. . . 4 . .. � e � ��� � � � � � � � � � d ,. . , ; ���'raii�� : t�'�L� �€�a���� . r �'' �. i 4 �_._L �.__ __ __._.. �._._.���..�.. ` - �.. �: t~d�.-a��s-��rt?4���i��L ' � � t F4-����"£�,�`i�"�".' € `° E _ _.�_ _.� _-._� _- . ---x-: ^.__ . , :. ., ` � �;���`�r�i���-��?Lc�r��'a..v_a__ __i_ _.._ _ r-- G.k. �r��C��'��~?.t��F? ��.��';"____.___ -r-;-----��°-- ----_- ---�_� _ � �_ ��jt„?syt� � ° 7 i�.'�e�'�� � I t,���s�=i� �� � ���'��'11��3��" _. ___. ,. _ � ����.m..r � ����,� s�l � /"��. � . d'�� �,.rs:ae��'c.;�`L,���,n���� . . -- -�.� . . . w P � ✓ i �gS t�" i € t Ti R �_..�.� _ �_ mm ' -----'"...� """.�'_�'�r�"�"� ` �..w. - _...�v_____��. �i��.t� t��1*��� �? �_.� � �__�,_.� j�i,�'-r�r'-�.€ ��"�I�Ch����?�fi � _ �_____�._.._� a�3A�s���-�',���� � j � � �`G��l�. E���:�E�._�:,v��� � i ,.-�- __ � ____. e'�f � "t'��� ' �� �' ,��; �s �3C;���?�3c��v1 -. ��._ $..._.�.______ , , r�:.���-�`��� �`ir�'a��- ���.r� � �' i = m_._pm..,�....�._,.. _.,.. ..._.______ , ��=�.,���tg�l�_���"s�sr�s ;.����.. '�_.i�- . _ ___~ � i "rii�����9ti?.; �d=�ev�__ ; __ . y ..�.an_ � - -- ; -- , F�C"��" . �}� � �- � I E F'"n"� �^,-�i�����€��a�_ . � .e.' �� � € , s a � _�..�..._ � � �c��':as�-?��P��'a -�-�____..____..m.a��= �� ������� ���w�. � � ...� _ ]'^ ^* ...«„k y� �� �e p,j v"__�""�...`...._.�.. �.�...._. . �������..'a.¥..�.�€��83'....�..n ,. , .�.........._ . " Y �i$"<A�LAi7�""@ bn�i�:�17�d4.'�... -..m-�... . l �4 .s`� ..._..�.. g^� �`.�..-...-_...��nw r,� ,, ' � .. rv-�.._....,.�.....�y����[.{� q'�g " _____^^^�-,-.,^.._.�..,.�.._�.__. .---.—"'_-w 3 �'i�:.�`..D"�=w%� �§ ��.:�t�.�i�Ai% E '.' .. �... � . . � > ( ����VE t L�e��La83�L�..A t . . . 1 �.----.�•�m.«�..__-,. � f . .. .. „.�.4 E ..... . ' ......_ ... ....,...___...._.� �� _.. . _ � ._._.�... .�.-�---.-....,_.,.�.......,..� � � a�,�'"'�6'T.�(`�r'�:�.�a��,�` -. .-. �a�.•��:.?:I_�.�.s�d�[u E . . . € .....e_. a._ �-.�-.. _a�._____.._. .J._�____.._. - �� . �,�,"r,€�s�a ,�3�eit� � C�. �_ � � '�'°s :` � �^ �� € t .... �� � � x l � : ����t�°d.,,, G _ _____.._ _ . .�. _ _ - ,.._. _ '___ �. �..._. _.... . , .,. . „ �. , �_..� � . _r— . � 6�a��� 9°t��J�..�'alt�;n4 �+:., i ��.'��a.�"St1�`� . ,.. . . �. _ _� � � =.`�F''.�1�°�,a rZ�s S�_;��'t;wF°� ��� y ���-��3��l�P�. � . � —_ ^ _ ' ..._.�_.��E._..__.,____���..�� -.-.�. �.. ..�.............._. � �3�».« .�,.„.�»..„.,,,_. _.............. � C . "`a""�h'9�.: �.�'��.d �,�'�£.�,.._ � �•�t�-9� 1 �. ��--{t. L���S�'Y��:x.�3��v -q�--f- 1 .. � :�. ���'�:...'.i �.}' _.�.��... ' �je �t��.=cL. =�'�� E ,.�"""-r �..e...� � .._..:_ r — . T...,._----- -; —� . ��'�--j+ � �:� a�S�...¢�'s�d� ..,,..,. � � . i �I-e�4�e..l..�. �'.r���.:,C�'`sg�. � . ' . • ��§ . �. _ .._.._ . �_ � t � � ..___-_ �-__....,.: i __e �.� _ --�--y- __ __.. � i �„E�-o-.. �' 0� �. ' � ~ l I �`� � .e ����€��= �. ` ' _--____ � _ :.� _� �.�.�o,_.� �__.____ ... _ - --�� f ' £ ����`'`�-� E j �� �€��1 �'��� �v� .. ..�..�.._ �� _ m,. . � .�__ _��.�_ , _ � E w.'[i�j� :�+b.1�t'-�t � � � t I �IF-�:. ��-_�� � �"��'"�.- �, _ ... ; ..._..,,-s ��--_. � p._. _ . _ �-_.�.._...._ _.__ �.. � _...--� ....._..,.. . __...._ _.. � z»��.��-,; &��.�� ��''"_ ,€ $� �., � , �� � � E � I t��.. f`s��r.a� R"�3rr`��.L_ f � � - �: �.. ..�.�,..�. �' _._ j�,?-_�;�*�� ���� ;��� �'""�"'.' � 3 __ � �.)��u �'���' i �.�� ( .�_:-- "_. �� ..:�. E �_> _ �__ _..._ _�_____.� ___..,.. .�_� �._ �� ___...i . ( '£...F k A - 9 6�P` � ._........_... �.......... n i a :s�r ? �-°��;E�,�„��s�� � � � i. � ' [ °:.. v�%a.F°` � ---�-----� ._# � --�."�`"" , �hr -�' .�....�.._�.. .,..,._�...� _.�... , , . . � � . _.... ..� ._ .. e ... �„_„„ �.,' L � F � ; ,�...... ._y.... .�__ ____nn._._ _._r� _.__a__:____� _�____ v_v__�____. p m --�--W � -'_ i � , , � � � � � �� _.,.W _�_�_ ..�� ��"_..��,.�,..�_ _� .� _ _�.�.___ .� � : : _ _..._ - --__. __ ._ -�_._ - - - __._.._ _ t . I l ".i i- i § ��..��� ����"� ��� J..?r��...�.��'��.. /� ��.' __....___�_d_�___�__ _ _ � . � - ����, � � , n.� ,r r '� _ v.,, - ,. >, .. � �...��_�..___-___.�_��.��__��_._ �.,___ _. ,�----� �--__�__ � � � -� g . _____ _ ___ _ @ _��.....- �f��...............V�^=��'_. �... . ' . % £ �,- �., �_._�..,...... '' m.,..._.�-.... . . ...._.�.-..eri».��....«..A.m_.�.._�_�_....�____...w._...�........_...._._.......� �"m... .....�_..._._.......�._.��__..... C ......._...._ . { � . ' r .' �'�. . . . i � . , { ��.� . .._. «..,.........�_._.. :. e......_ ' .,�... . ... . 5 4«�.,-..:.w........,._.�«.�.,.e �..��.�..«.«:...�..e...�....,.............._.�. �....._ �_.__.........�u.......v..._ _�_�........�...�_.._____._..�_..._......_.«........_..-.._...... _ .......... ......,.,.—.........._.........r...rv„�W3 . .e.. . ... - 4 _ �.� . '.. ... . . � . �_....�.. •.,o.....__.__.�........ �m.m.... ..,.m�---_�.. .._._._.. .................�......_._.-......... ___...e _ ._...._......_..�,...�.__k ._. .�. .__. . '. .., � � '� ' ^. ':: � 9 � . . . . . _... . . .. . � � . . . . . .... ' .. __�� .: ... . „ �.-. � '- _. _....,._ . . .__,_ .. .. _ ' __ . .. � .' . _'"_ .. . 3 �._. .,. .;� .. ,`: . ..�, f 4 r� ; .:., . . .. .'. � . .. ! .. . � . . R..-._�...,..W...,_.�..W._...�._ .�.....�_wW_._ . ._.�..._..m.�-n..��..�..� .. . . . .. .... -�..........._..�..__ � . � ' � . . .. .. .�_� •m.�. 1 �•'� .��."s8":�`i�"v a«3��mm..._....,........__. ��� ��» . . .. . � ' ... ... . .. ... �.,,..._.._y � �� .�, m. . .. P � �..- y �q....,f , .._..,......_..__.,..«._....__.....,.W...............__..m..�, - , � . _.�.,� -_._—_ � -��_. � __.__..._.__.0 -�� :� - .i..,;>.�r� � �:8s��....._........____._____._...._ - �, � 3 . . . _: �' ��. j �_ r.. ' "__"____. '...._ _ _,,_____... � �' :�. ; __.,� - __. �..___;----� p� s _ _ s z�� ��i§ . �.- .. . .. g --� _,� : ��� . .._.�»........--.-..� :..>...:,.�... ......_.........__"'"'___..._�.._ _..._._...... _..�._ ... �,„� g .. , .. .. �.. � c �'� � ;�.. ' '.��-.i.. ... . ,.. . . ._ � �; . . � . . �', , . .. ���.� - . . ���� „ � .. �., ,.. � /� pJ ; � ;� . . -� .: ; ,...� .., � ,5: . .. .. ..�., ... �.:,:_. --�- -� / � �1%� .. ' .. _ �. ._,-__„___ /y�-� � _. .. _.......___,.._�.___.__:__�.....�._._'_�.�_________W_. � _ _ , ._ _._ .. d � . .:. . '�' 5�7��-76/ �r�.� 4 �: �:, �� ... ..,,. ..... _._»,..........�...,�.............�.._._.._....:�:..,.m.--___�_w. i+� _. ..�,�rr� -..... _ �..�.... �-....� � /���._�„�, _��0,�? C�� �j�.G 's; 9 __-°----- `-, .__...� ..,.�1. _�.. ' /y p-,�1-/�� � � .' ', . � . . - .. .,. k..�y� '^`�����T��/ � i`. � .. . .... . � . • S . .a ;. ' . _ ...«......�.m:.,..'.+..�'�__... ..," . . .. '.: . . . , ____....�.__-. ._ _._ . ._ .._.{