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Home My WebLink About15242 (19) �� CITY OF DIAMOND BAB . DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE�X�I�� 21660 E.Copley Drive Suite 190 - � ��>s6a3i9sF��86i-3ii� OCT 2 5 2002 PRESS `��'� BUII.DING PERMTT APPLICATION FIRMLY } JOBSITE Z G�6 }� /C��f�� ' DATEICATION �� a NUMBEFC/ �#/C o ADDRESS c.� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP °C OWNER IZ /L/G l/f' 'T�- O o ADDRESS 'LfJ 7d- /C;6 /'% i'L ZONING SEfBACKS "' CITY -- i✓� ZIP jr�7i-1 TEL. �7�F�4 a FRONT RW ❑ � APPLICANT TEL. 9drf REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR �'� i✓G SIDE ❑ ADDRESS 7 // (/7` rcI J � CITY ZIP S�Z�/TEL. /� PROPOSED USE 6 � oARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. ' N . DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION I � OWNER-BUILDER DECLARATION SFR/ADD/REM O 0 I HEREBY AFFlRM UNDER 7ENKTV OF PEI�IURY THA7 I MI E%EMPT FHOM THE CONTRACTORS LI- Gflf89B/C8lPOR W CENSEUWWRTHEFOLLOWINOREASqJ�SECJ031.5BUSINESSANDPROFESSIONSCODE:ANYCINOR (n ' U COUHTYWHICHREOUIRESAPEHMRTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORFiEPA1RANV57RUG W P8I10/DBCk � 7URE,PRqR TO ITS ISSUANCE,ALSO REOUIRES 7HE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w STATEMENT THAT HE OR SHE IS LICENSE�PURSUANT TO hiE PROVISIONS OF THE CONTMCTORS LI- � CENSE UW(CHAPTER Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOVSpB FESSpNS CODE)OR 7}1AT HE OR SHE IS E%EMPT THEREfROM AND THE BASIS FOR THE ALLEOED EXEMP- TION.ANYVIOUTIONOFSECTION7031.SBYANYAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof � ACIVIL VENAL7Y OF NOT MORE THAN FIVE HUNDRED DOLURS(S5a0).): � ❑I,ASONRIEROFTHEPROPERTV,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COR1rt10fC121 � NALL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7oN,BUSI- J I � NESS AND 7ROFESSIONS CODE:THE CONTRACTOFS UCENSE UW DOES NOT MPLY TO AN OWNER OF � �. PRDPEHTY NRq BUILDS OR IMPfiOVES THEREON,AND NMO DOES SUCH WORK HIMSELF OR HERSEIF OR Q iHROUGH HIS OR HER ONM EMPLOYEES,PROVIUED THAT SUd1 IMPROVEMENTS ARE NOT INTENDED OR m � QOFFEREDFbRSALEIF,HOWEVER7HEBUILUINOORIMPROVEMENTISSOLDWI7HINONEVEAROFCOMPLE- Z ��TION,THE OWNER�BUILDER WILL HAVE hiE BURDEN OF PROVIN4 THA7 HE OR SHE DI�NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOWNEROFTHEPROPEHTV,AMEXCLUSIVELVCONTRACTINOWRHLICENSEDCONTRACTOPS � TO CONSTRUCT THE PRQIECT(SEC.70�1,BUSINESS AND PROFESSIONS CODE:THE CANTRACTORS LI- V81U8�1Of1 ADJ.AREA W CENSEUWDOESNDTAPPLYTOANOWNEROFAPROPERTYNM1iOBUIIDSORIMPROVEShiEHEON,ANO � WIIOCONTMCTSFORSUCNPROJECTSVATHACOHTRACTOR(S)LICENSEDPURSUANTTOTMECONTMC� QUANTITY DESCRIPTION FEE . � TORS LICENSE UW.). Q ❑1 AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON � I 3 ¢ � OATE OMMER V Z w � LICENSED CONTRACTORS DECLARATION W � I MEflEBV AFFIRM UNDER PENALTY OF PERIURV THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER � � Y(COMMENCINO WITH SECTION 1000)OF DIVISION 3 OF TNE BUSINESS ANO PROFESSIONS CADE.M1D Z �� MY LICENSE IS IN FULL FORCE AND EFFECT. ,y� m � LJCENSE CLASS /��`�C UC.NO. ' • /" j � V DATE ��%"C�� CONTRACTOR �- W � WOFKERS'COMPENSATION DECLARATION -� � a N I HEREBV AFFlRM UNDER PENALTV OF VERIURY ONE OF THE FOLLOWING DECIAfiATIONS: � � . N Q . � _I HAVE AND NlILL MAINTAIN A CERTIFICATE OF CONSEM TO SELF-INSURE FOR WORKERS' _ �' � COMPEHSATION,AS PROVIOED BV SECTION 370o OF 7HE 11BOR CADE,FOR THE PERFORMANCE U Q � OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � _I HAVE AND WILL MA�NTAIN WORKERS'COMPENSA710N INSURANCE,AS REOUIRED BV SECTION <� � Q 3700 OF THE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PEfiM1T IS ISSUED.MY WOg/�S'COMPENSATION INS RANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION � jCARRIER G_�j"�l PLAN REVIEW � POLICY NUAIBER .Za�-s rY � ELECTRIC 0 (TF45SECTqNNC-�NOTBEOOMWLETEDOF7VEPERMT6Fi�ROMEHUtJHEDDOLLlJLS(f100)O(iLFSS) PLUMBING W Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOH WHICH THIS PERMIT IS ISSUED,I MECHANICAL (,rJ SHALL NOT EMPLOY ANY PERSON IN ANV MANNEP SO AS TO BECOME SUBJECT TO TFiE � WORKERS'COMPENSATIONUWSOFCALIFORNI0.N�DAGREETHATIFISHOULDBECOME INSPECTIONFEE = SU&IECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION37000FTHELABOR CODE,I SHALL FORTHWITH COMPLV WITH TH ROVI ON . ISSUANCE 0 T(�i p DATE:� �/~ "'V APPLICANT: � SMIP *' w ENERGY P/C _'�II 1 � �nnn J WARNINO:FAILURE 70 SECURE WORKERS'COMPENSATION CAVERAGE IS UN WFUL,AND SHALL BE pv�� SU6JECT AN EMPLOYER 70 CRIMINAL PENAL71E5 AND CIVIL FINES UP TO ONE HUNDFED THOUSAND ENERGY PERMIT i�p� }�7'7� p7�y DOLURS(5100.000),IN ADD�TION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN Dl�yltl101tl L B�'9AC J SECTION 37oe OF THE LABOR CODE,IN7ERE5T,AND ATTORNEV'S FEES. RETENTION FEE: 7��T OCONSTRUCTION LENDING AGENCY PRE-ALT FEE 1LJilyG AND SAF�,� � I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS ACONSTRUCTION LENDING AGENCY n- FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMI7 IS ISSUED(SEC.30G7,CIV.C.). ' - Z W � LENDER'S NAME F_- LENDER'SADDRESS � I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFOHMATpN IS CORRECT. TOTAL FE ES � I � � I AGREE TO CAMPLV WITH ALL CfTV ANO CAUNTY ORDINANCES AND STATE UWS REUTING TO BUILDING � � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS CWNTV TO ENTER UPON THE � Z ABOVE-MENTIONED PROPERTV FOH INSPECTION PURPOSES. COMMENTS �� 0 A � T �j _` � , ¢ PEHMITTE RINT) /�� f h / � n � � A (/� 1 � SIGNA7UREOFPERMITTEE DATE r� �� = RECPT.NO. PAID BY VALIDATION ~ WHITE-0epertment Capy,YELLOW�inence Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy .. .. � . . , . . . . . . , . . . . . ,.F,w ti'4°��" . ... . . . . .;y �r. _ . . .. . . . . ,,w , , n.. • ' 0./��11 �� L'iltlb0�YC1� IID�� f�S@�f��`V'O�U� ff�C��fRi� �'... : � �r�N� .. UUVCN L'�, �, � � 1 . , o � o � ,<<5�"� (n1� g_� n p c �.� � � �. .s�� . , . , ,•:. �.. . , ��°°� �� ,�� ,�� .�. � .�� ._ �_...: . � � 'SET BACK . +, . . FLOOR,.101ST . FTGS/FORMS/STEEL • j ' FHA REC�MTS _ ELECTRIC GROUND ' UNDER FLOOR DUCT _.__.__.._-- GROUND PLUMBING UNDER FLO,OR CUf��U1T ' SLAB GRADE � FIREPLACE FOUNDATION _ __ __ TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MIQ HT. BOND BEAM � j R04F SHEATNING � � 8 F-1'. BOND BEAM ' FRAMIiVGNENTILIATION FINAL BOND BEAPvI ROUF C4VF_R PRE—GRADING ' ROUGH HEATiNG BENCHING R�UGH EL�CTRIC ROUGH GRADING ' ROUGH P1.UMBING FINISH �RADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATIOiV POOL FINAL CEILING IPlSULATION OFF SITE IMPS. DRYWAL.L iVAIUNG DEDICATIONS SEWER FINAL ENG. � ---_ — SEPTIC TANK LANDSCAPE/IRRIG. � � SEEP PIT/L.L. ON SITE iMPS. GAS AIR TEST FINAL ZONING FINAt_C�NST. FIRE DEPT. FINAL FIN��HEATING HEALTH DEPT. FINAL '�•l�Vt1s_ ELECTRIC DEV. FEES PAID �_��-��,!I�,L P�UMBINC ENERGY � _ .. �.___-- �.. __..__ � �( C�G t�OO��o'� � k `.., t i.0ii/iNiENTS - — - G,�N � �.-/�—�°f,v ��- }��..:.--�-C-��---:.�-�� -�4—L ----.. � � � ��'�� :,�. ----------- � -� � �r,� � � . �,, SEPTIC TAf�K SIZE ... -. .. � , ,. ,>,-t;;..,.�;y-,�<-' ;.c SEEP PIT/U SIZE�..��;; .-ti,.� . .,. , — . . �'., �� _ �� __ -----� � : � — � . �:� � _ � . � �..__..�. c