Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
13388 (17)
_ _._..^_ _______. .._ _�...____._.�_ .._�_ ----. ,��,�---- __ -- _ ,�" - �-----�--=�`.�.:.':�`. CITY OF DIAMOND BAx !�n -----��— DEPARTMENT OF COMMUDTITY&DEVELOPMENT SERVICES � � . 21660 E.Copley Drive 5uite 190 (909)860-3195 Fa�c(909)861-3117 PR ESS ����'��°� BUILDI1�jG PERMTT APPLICATION ` `� ` FIRMLY ...... , . ,, ,r_ ¢ DDSITSS � � � APPLICATION �y� c�p PERMIT I�?�Qo P/C�if {� o DATE ��-� /'�,/C� NUMBER `✓-iU4 # L ��I � � ISSUE TYPE OCC APN ),,�,,�LO�T,�. _ TRA T � �_CI���S DATE CONS7 GROUP °C OWNER �=��y i' O p ADDRESS_�� ��/ ��/ � ZONING SETBACKS �w CITY � ZIP . ^ TEL���L_�`�`—'�"`�-� FRONT RW � APPUCANT ~ TEL. REAR -� z� SI�E/SIDESTREET RW O � CONTRACTOR � SIDE ADDRESS �13J/���`� b p/?"e C.+�--� " C��t��`"'�, � CITY � ZIP TEL. PROPOSED USE �1 �n. ,. ;� z DESIGNER ���� O~–�l.�LC A`rI�A C'–�ZC3� � . � w NO.DWEL. NO. NO. � ADORESS `�2 ��'�--�� --�rkS"��r'� UNITS � STORIES � � CITY/L'e�/�7%'2-T �� ZIP Z �� TEL�P� "Gs��.,�<7�' BEDROOMS � � DESCRIPTION SQ:FT. FACfOR FSF ADJ.AREANALUATI�N Q OWNER-BUILDER DECLARATION � SFR/AD�/REM � 1 HEREBY AFPIRM UN�ER PENALTY OF PERIUNY THA7 I AM ExEMPT FROM THE CONTRACTORS LI- F-',- ,�1«• � W CENSELAWWRTHEFOLLON7NGREASON(SEC.70J7.5BUSINESSANOPROFESSIONSCODE:ANYCITVOR � GaragelCarport . CS COUNTYWHICHREWIRESAPERMITTOCONSTRUCT,ALTER,IMPRDVE,DEMOLISH,ORREPAIRANYSTi7UG W TURE.PRIOR TO ITS�SSUANCE.ALSO RE�UIRES THE APPLICANT FOR SUCH PERlAIT TO FILE A SIGNED W PaBD/DBCk . , � STATEMENT THA7 HE OR SHE IS LICENSED PURSUAN7 TO THE PROVISIONS OF THE CONTRAC70RS LI- CENSE LAW(CHAVTER 9(COMAIENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooVSpa � �� FESSION&COUE�ORIi1ATHEORSHEISEXEMPTTHEREfROMAND7HEB�5ISFORTHEALLEOE�EXEMP- � V TION.ANYVIOLATIDNOFSECTION7091.5BYIWYAPPLICANTFORAPERMRSU&IEC75THEAPPUCANTTO Z Re•Root � ACML PENALTY OF NOT MORE h1AN FNE HUNDHED DOLLARS(SSoo�J: � �I,ASOWNEROFTHEPflOPERN.OPIAYEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSATION, � Commercial - Wlll DO THE WORK,ANU THE STRUCTUflE IS NOT INTENDED OR OFFERED FOR SALE(SECJ044.BUSI- J y NESS NNO PF�FESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOTAPPLY 70 AN OWNEF oF j . PROPERTY WHO Bl11LD5 OR IAIPROVES THEREON,AND NMO OOES SUCH WORK HIMSELF oR HERSELF OR WTNROUGHHISORHERONMEMPLOVEES,PROVIOEDTHATSUCHIMPROVEMENTSARENOTIN7ENDEDOR m 0 OGFEREDPDNSALEIF,HOWEVERTNEBUIIDINGOFIMPROVEIAENTISSOLDWITHINONEVEAROFCAMPLE- z TpN,THE ONMER�BUILDER WILL HAYE 7HE BURDEN OF PROVINa THAT HE OR SHE DID NOT BUILO OR = IMPROVE FORTiE PURPOSE OF 3A1�. O I,AS OWNER OF THE PROPERfY,AM E7(CLUSIVELY CONTRRCTING W ITH UCENSED CONTRACTORS /� Q TO CONSTRUCT THE PRQIECT(SEC.7W4,BUSINE55 ANO PROFESSpNS CODE:THE CONTRACTORS LI- VB�UetlOf7 14'� ��'� ADJ.AREA W CENSEUWDOESNOTAPPIYTOANONRJEHOFAPR4PERT'WHOBUILDSORIMPROVESTHEflEON,AND � WHOCONTMCTSFORSUCHPROJECTSWITkACONTRACTOR(5)LICENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE . � TORS UCEtSE UW.). O ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � � �� '�J.`�j � � I, r" � DATE r� '7.• Gj ONMEfi � � � O W � LICENSED CONTRACTORS DECLARATION w j . � I HEqEBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM LICENSEO UNDER PROVISIONS OF CHAPTER °r' /► � 9(COMMENCINO WITH SECTION 7o0D)OF DIVISION 3 Of THE BUSINESS AND PROFESSIONS CODE,AND Z � I �7 ry' � � ��� MV 410ENSE�S IN FULL FORCE AND EFFECT. m p UCENSE CLASS LIC.NO, j V DATE CONTRACTpR d . W � WOFKEAS'COMPENSATION DECLARATION ` Q .. � �? � I HEREBY RFFIRM UNDEH PENAITY OF DERIURY ONE OFTHE FOLLOWING DECLARATIONS: Z � _IHAVEANDWILLMAWTAINACERTIFYCATEOFCONSENTTOSELF�N$UREFORWORKERS' .� ' 2 .,;:t�� � _ . - . _ COMPENSATION,AS PROVIOED BY SECTION 9�0o OF THE LABOfi COOE,FOR THE PER�`ORI.L4NCE� U� Q OF iHE WORK FOR WHICH THIS PF.RMIT�S�SSUED, � � � W _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION Q 3700 OFTHE 1A00R CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS � �� �,�I D ISSUED.MYVVORKERS'COMPENSATIONINSURANCECARRIERPNDPOLICVNUMBEHARE: CONSTRUCTION L � jcnARiea PLAN REVIEW � 0 S �`^� � POLICVNUMBER E�.ECTRIC � t •O V Z Q � (THISSECfIONNE�NOTBEOJh�LETEDOFTHEPEfYMISFORONEHUWREDODLIARS(510010RLESS). PLUMBING � W ��L Z I CERTIiV THAT M hiE PERFORMANCE OF THE WD(il(FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL —[2� U ('3� SHALL NOT EMPLOY ANV PERSON IN ANY MANNER SO AS TO BECpME SU9JECT TO THE (/j WOflKEFiS'COMPENSATION L4WS OF CALIFORNIA,ANDAGREE THAT IF I SHOULD BEWME INSPECTIOM FEE SV&IECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION37o00FTHElABOR '4�, �j CODE,I SHALL FORTHWITHCOMPLV WITH THOSE PROV510N5. ISSUANCE �"ua.7�' (', .ry ��}r^ � SMIP �� "%'��— a��lJ� DATE: APPLICAM; _ W ENERGY P/C '' � .. . !3:�� � WAFNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHAIL BE "}. � SU&IECTPNEMPLOVERTOCRIMINRLPENALTIESANDqVILFWESUPTOONEHUNDREDTHOUSAN� ENERGYPERMIT �`��"�ny� " OOLLARS(5700.UC0J.IN ACIDITION TO THE COST OF COMPENShTION,DAMAGES qS PROVIDE�FOR IN ,,� /� ¢ SECTION37a80FTHELABORCODE,INTEREST,ANDATTORNEV'SfEES. RETENTIONFEE: ��f`�� ,y�4^��`� '�LJ l'_ � CONSTRUl;T10N LENDING AGENCY PRE-ALT FEE r � 1 NEREBYAFFlRM UNDER PENALTV OF PEPJURY THAT THERE IS A CONSTflUGTION LENDMG AGENCY � �"`��T � � FOR TME PERFORMANCE OF THE WOFlI(FOR WHIGH'HIS PERMIT IS ISSUEO(SEC.309�,CIV.G.). Z W � LENOER'S NAME - - ' � I� F— IENDER'SAODRESS � TOTAL FEES � I CERTIFYTHAT I HAHE READ THIS APPLICATKKJ AND STATETHAT THEABOVE INFORMATION IS COftRECT. � I AGREE TO COMCLV WRM ALL qTYAND COUNTY ORDINANCESAND STATE LAWS RELATING TO BUILDING � CANSTflUCT10N,ANDFIEREBYAUTHORIZEREPRESENTATIYE50FTHI5CWNTYTOENTERUPONTHE Z 0.BOVE-MENTIONEO PROPERTY FOR INSPECTKKi Pl1RPO5E5. COMMENTS 0 }� I� � � C� i2� �S d`�t ✓1 �'�,,T m PERMITTE NAME(PflINT) �/�/ � �A.7h�/ �R. ___ _ � � NATUREOFPERMITfEE �� DATE - = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy - -.. _ _... �� D ��� � T� .. � �. , . � � � � � � : , � � �` � ib ° � _ �:. .� ::_ , �,�_�.�� � � .. w . , .� �, ,_ �€��`�,��}: � r>.r, ` � � FL�r�F�':4���T t . mY �._„t.._�,..w. _.�p ___ _ ._.�_�._ �.. _�. .� _,..� t=T"'�-T�'���,v�� ��"�"�� � � .,�«� ` �=�#���C��i�`� . � ____.__,.�__.�I-:_._ __._ . �..-���-�:W_._�. .�.�_._ � _._�..xL_._.r�.____,__.___�_`_.,._._�__� � �? ��-° �s�< � a +�'� �� � �Ce��"�6� Fi�i.^�S D�1�� i � _�_ � _ _ __��_ _______.._.� _._..�..__�,�,.. . --,_ �. �,._.��_._ , � � .�c,r�'t"�`�x tw':[�`��§�'���_i ; : L1��s:��E� FLC��?�d�..C13�9�U1�" _ I . _._ _.__. __ _ ___._ __ . _ • �` ..—.__._ .._� ���.t�.�3��` ega� a �_� j �"IFi��i._r��� 6=C�'�1i�'i�,`-t�"1C��� . .__ .___..._. ¢.^g°g pyg n _____ � k gm g�•�P'4�-y 3_`i a`t�P�'v � � E d i R3.,..P"im:k�C%7)p^�E �3[^ ��p I ""__.._. _...._.�.�.__.�..».».,........... =...k t' 1"' t � .. �.._._.___ �._. _ �t__�_____" L.?7`t�_�:.36�.�i§'I �...�_.....w_____..T—,.._�.___ __�.�,............._..._......__ ��.��`�� �`±�.����� 1 ' � € �I1�'t-�'�', �!��1�`3 F?��1�1� � I _ _ -- ..�_�m._ ,w. _� — ...��___...___ _._.. _____ _ �.da-��,�.cz;r#�°�`�l��i�` __�_��. �_ 3�`t°. �?�`t�'��E3��h� _A ---�--- _ ._`�" � �;_.�.__.____.... _.. _____.__ � ___ _--- ____ ______� �""?�a�F�ai§l'::��1��1�bi_Pr�7d�'C�a � Z����G�r� _ � � I � �I��,L S��C7 t3E=faTu[ i � ..� _ �.____ �__ .__ ____.__ ____ ____ m_ e���r ����� � �'Fi�«�=�,�r��i� ! � � _�_______�.�_�_ w-,_._ .��__._� ° w__._. _.._�.�,... r����� }-?. r� ���� ' t } _ __ ��.___.� :� ��M w i ��,�$af"�P3��,3..._�.. ___...._�.._____.�_____� , � _.�. �. {�/ y� � g'ys'qt ���( p`gR -_-.. ._.�.a.,.... �(';f"'�t Ey�.&..a C' �'"�"Tg'a p'� g I�G 7i (/� C"�`?7'ag^ �4� ..__.,. ._.v.,..._ _, _ ' :�b�..JV��. Le� b �'e 3—I�S,9 �. . . 1 Y"1l.Jt��!""€ 'i.BE't`43J36 i�� g�c ._. . __. ..._ :. ...._.._ [ __..... ..... r.�..._.._ .......�_.......__.......„... z��s,.��'i'� ��.S.P�tlE.�a�i1�� �Y�..'�w3��� ' (.. ..�;�'�s�i�`�`i C:..at�'C-�4"L�e+�E.:�._ _.� �_ _ .. ..._.� g�g���g¢� �g^ pq .._._ � m,.. �. _w.� W-��......�.._�,._....__..............._..-___.W...'_ __�.g 7 �'eq�^g�. _____�___�..._�.-,___._ e3i'J�b���f 8�..x:'J��.�e�i ) ��r •• � i tl''a�.��'��i��"Cs�P"1`i,+ ° i ` 3 _ __ ______.___.3 .�._ ��..... _. ________ .. � � .. �� _._�__.__ _______�_____._____ ___„ �_, �'?�� �����-�'�' �a1R�� 3 2,'Z-�r � E P�;�L �Et��f`e?C� � - ___� ____�.� �;�_.. _�.V.�� _� .__..�.... __..�.__ ����� �. "° G�t�� *��4 �,_�� ' I P�::1� ��a�� _._ ___ ,_._�______.�.. , ° _._____ __. _ _�_.__ -- ---_._ _t �a�f� ��°��� `v�����_f'"b� � �' � { ��� �����t��€��, � r ; _.�,'4 p$ /^ .�._�;. _ __.______._,_._@'qp'' p�`�`tl,a'�,R,��4 .___e_� ._ �. _ � ___.W.._.__ �ikx����P� ?....'V�A 3.nt3'..P S �;���t - - ` @.AG��..�?��fl' €9L.1#lla3 ..�.. _..... .y� �}-------- � re'�..,�a��`,,s ......... . � _ -__�_'�__...— .._..._.._......_......._�--���t�i.A��a%a. __. ._...� ._ .__..... .. �.._ ___,._..�.�& � �'"` - .�._.,._. .�� .�...�._ _...._.�__.w.v..,.e..m...�...__"_-�-�-- ,�._._. _._._..._..........,_._..._.._..... _.__... _......_..._..._._....,.....,_ __ ...„._____m � `Yv"�i'� s��.a kr°���t ; ' _ , ' _ j �.a�Rd�y..C�`s�.s�� aa�".P_�.c Y4� �--- -.—,..—_.._..�....�..______. __�m_._.,_ �{ ._'___......�n'._.ti"�'�'`�_ � " �,���i°°�.�>l��... i � ' � i�,F1� �a'.t����iSa���......... .____....,`—'. ..__.�...........�. _._._.....�.__.__._____._�_ .............: p�a p-��e.^t �. -'-q---`�„ e ;^ ~--i._..�_._..�_._._._._._,.._._.,m._,....,._.,..._._._—: �P'`;°°^a"s�S�i"+ 's E::"..�:7 8 .�........,.<�- ...��:/.'. �,_i .,.....,..,.�.....-.m..«�.__......._..._. . � �814�?iL...a°.L �Sf3�&1-a _`__._ �W_�__X_...__:..��.._ '_..._.� _"_._.__.....�w_..._m...............,...�........._...,,....: E �� gp� c� "t .______ r��p a-� € y �,`�`5°2� '�`t„.1�aG,��� .�.___..�.. �� Vr g`V r1 I i i-�!`.r �`l��4"`�' �f���'a«. i � d �� �iv�a�..�'��.���'i� ��:1}� v ��i€ _ , ___. ����-�_�;��'!`-4 Ca��a. rf"-!��'�L . .._a._. .....�.� _..._.__._.__�.— �.� ��t���.� . �_ _�.._����...44�.._..1._�V`lr� __ _.. �� � [�3� _- `b _..._� __ . __.� ._,___ �° ry ���_� _...� b:`4' i�� rv. �__._� �__�,�Y��.�..__m�____.�..._o-� � � �. � g �� ; , _ _ � ' _.___-__ � � ������,; � ;--.���.; € __.�_. _ ..... �.____ _— �������. ( � � ' ___ p � . _..a__ � ��.�, �. _�.. �..»m..«m.m�._ � 3 - . . ... , .X{. .......,.._......,.. ._.......�__ l � :. "'._....._ ._____ ____"_ f� a � � �......-.�-_ ...�_....,�.,.,«......J�,..�....,....�.........�..._.. . . ...� �.�. _ � ,. ._. ,. „..:, .^�"� ; __.�. . .' ..... . _.... " � 1 �______ ..l , . , �..,� - _ __ _ , �,��'���'�� � �_____ ___ ____ ___ __ _______. ___ � __�________ ____ �____ ��__�__� ....__.. �_.l_�e��._��-._.�[�-�..._._�[_�'t_ !�#4T _��rs��__t_. .F _________________.�.____ w�_._____e,�� ._.�� � �,_;��; ��. .��(?��-!.�._����.�?.._��p+s�_�____� ____----____----_..__--_--_____��.��..__�.._._� �_______.,___�.n� � , , .. . , - , .____ ..�____ �..___.��._._ __.__ .� _._.�_ �_ � ,_... ._..r..e....'_.._.._.........A.e._._w....._......v._�.____�...,. __f . .. .. ' ' ' �. ♦ . . . � �VH _''S, v�..........._ __. _____ ^'_—._._....�__...—.�_.._.�_�,...................�._'.._............�.._.m_ yyy � `._.�..._._..__.._.a._......._...._. ,� ¢�;....W....M.„ ._.e,�.�.�a..«....r ._.....�� ..,.......,...... .._�..�.._.._�_j [ � � '�`� ......_.»..m.�—... .. «-..�....._ �_. __..... .e..............__._._...._—.--__.__.__� B — '�-..._.......�_::�......� ..........._� .�.................«.m.�.e...._. _....s � ��:.#"����i tr"�a��s�����.." .. _____ ___._ _._..� _ ___. _ a � ���'� �;�I;e �1�� ----__....._.._.._:___�._____�_�__.._._..._ _�� i � ,.:�.�,., �..�.w....__�.__�.am__ � __n_�_........__.._�____. s , . � ; � •. : _�.____ __._._�.. ____,..__._�._. ___.__..._P_..__. _------------- -- -_v__- ----� � _ � _� ' .::. : . .:�, � :, � ______._..__..� ___._._ �,�,_.d_._ .__..�_.__�_,.,_. _.�_.._.�__�_..__._____. __ _._.t � <.� .;. , � ,.. ...�_�_�_.._.. m��.__.v.w.� _.____mmm.____..__ �__._�____�_..___..._� _._..�---___ _______._, .......� ¢ � � � .e [ � �,__--- ________�... --_.__-___ � �,, � ____ .v_.�._..�__. h.: ,. � , �- ; � � .: , „ ___._ __.______,._._ _. __>....,p_.__ �.....�__,_...____,.��,. ___�__.__� _____.__.___._.__.{ � . �� � � ; . i . � _.._ ___�ee..w ___�. ..��.. .__..YY..wm .___...e�__________ _____..._..___ _.______�__. ..._ € r ��.�� � __.�.��..___._. .�_ ..e ¥ __� _. � � � , ,..:. yx � _ � �,: � � _—______ _m___ �::,::_...,...�.._.�..a.,. _____�..�._�..._.�...__._.. e __.._ ,