Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
12097 (13)
r CI'T"Y OF DIAMONI7 BAR ---- DEPARTMENT OF COMMUNITY&DEVE�,.OPMENT SERVICES �,,� w 21660 E.Copley Drive Suite 190 ' � ' � /° pRESS A� , (909)860-3195 Fax(909)861-3117 , B�S�I.bYPTG���T`T A��'�.�G'ATIOI�T ' � , .., . :' ,��� FIRMLY , ' . , .. � � � JOBSITE /� � � '�k �� ��,' � APPLICATION- PERMIT � /C o ADDRESS2Q7(2? ��� ST- DATE "` ��� NUMBE �� # � ^ � c� ISSUE TYPE` OCC APN LOT TRACT DATE CONST. GROUP p �WNER��(""4�L �_ PI _ LL- ----�-"- ZONING SETBACKS o AODRESS W CITY � 121P TElrp FRONT RW ❑ � APPLICA TE�(' REAR ❑ , ,� .. SIDE/SIDE STREET RW ❑ . , � CONTFfiACTOR SiDE ❑ � ADDRESS , OPOSED USE Q ClTY ZIP TEL. o ARCWENG/ r , � aDESIGNER °��'yy+(�/ - �NO.DWEL NO. NO. ADDRESS UNITS STORIES �_ BEDROOMS � CITY�,�„n_„�.�_ ZIP��y, E .`y7%� N DESCRIPTION SQ.FT. FACTbf�'PSF ADJ.AREANALUATION OOWNER-BUILDER D,ECIAFATION 5FRIADD/REM p I HEREBY AFFlRM UNDER PENALTY OF PERJURV THAT I AM EXEMPT fROM 7HE CONTRACTORS U� � Garage/Carport - W CENSELAWWR7HEFOLLOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCOOE:A�7VCITYOR U COUNT`lWHICHREdUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,�EMOlISH,ORREPAIRANVSTRUG SjJ P3110/DBCk WTURE,PRIOR TO ITS IS3UANCE,AlSO 0.EqUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A�SIGNED �W STATEMENi THAT HE OH SHE IS LICENSEU PURSUANT TO THE PROVISIONS OF THE CONTqdCTORS'U- � CENSE LAW(GHAPTER e(COMMENCING WfTH SECTiON 7oob)OF DIVISION 3 0F THE BUSINESS AND PR0- u" PooVSpa �- � �� FESSIONS CODE)OH 7HAT NE OR SHE IS EXEMPTTHEREFROM ANO THE BASIS FOfi THE ALLEG�D EXEMP• TIDN.ANVVKK.ATIONOFSECTION7037.5BYANYAP7LICANiFORAPEFMITSUBJECTSTHEAPpUCANTTO � Re-Raof � A CML PENQTY OF NOT MORE THAN FlVE HUNDHED DOLLARS(5500).): `" " ' � � ' .. � ❑I,ASONMEROFTHEPROPER'TKORMYEMPLOVEES,WITHWAGESASTHEIii50LECOMPENSATION, O COmmOfCial - WILI DO THE WORI(AND THE STRUCTUAE IS NOT IN7'EN�ED OR OFFERED FOR SAI.E(SEC.�o4d,Bi1S�- J NES£AND PROfESSiONS CO�E:THE CON7MCTORS LICENSE LAW DOES NOTAPPLY TO ANp WNER:OF � PROPEHTYWFiOBUl1ASORIMPROVESTHEPE�I,ANDIYHODOESSUCHWORKHiM&ELFORHEpSE.f-OR � � OC THfqUCU1HI50RHER�OWNEMPIOYE�S,PROVIDEOTHAT3UCHIMPROVEMENTSARENOTINTENDED'OR m � � .. Q ,OFFEREDWRSILLEIF,HOWEVER'�'MEBUILDINGORIMPROVEMENTISSOfDWITNINONEYEARO�FCO'M�L.E 'TION,THE OWNER$UTAER WIIL HAVE THE BUR�EN OF PROYINC Th1AT HE OR SHE 01�NOT 9UILD OF . j IMPFiOVE f-0RTHE PURPOSE OF SALES. � � . ..�. � ..�"`'.' � ' ❑I,AS ONMER OF TNE PROPERIY,AM ExCLUSIVEIY O�NTRAC7ING WITH IICENSED CONtRACTOFYS Q TO CONSTRUCT THE FRO,IECT(SEC.7044,-BUSINE55 AND PpOFESSIONS CODE YHE CON9'RAC`fORS LI- . V01Uati '�� ADJ.AREA W CEN6EUWDOESNOTAPPIYTOANONMEPOFAPROPEHIVWH08UILD50RIMPROVESTNE�iE�ON,AND ZYV110CAMMCTSFORSUCHPROJECTSWITHACONTRACTOR�S)UCENSEDPUPSUANTT0T1iE�CbNTf�AG QUANTITY DESCRIPTION FEE � TOHS UCENSE UWJ. ' � - ❑I MA IXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q ' � � ¢ �- '� -f`� i �i , � �' DATE OWNER �' 4" V ' W � LICENSED CONTRACTORS DECLARATION � W � 1 HEREBYl1FFIRM UNpER PENAITV OF PERJURV THA71 r1M UCENSED UNDFA PROV1510NS oF CHAP7ER '� � D�COMMENCWO WITIi SECTION 7000)OF ONiSiON 30F THE Bl1SINESS AN�PROFE55iONS CO�E,AND Z Xu, MY LICENSE IS IN FULI FOFCE AND EFFECT, m u� g � UCENSE CLASS UC.NO. ; J � V DATE CONTRACTOR � � � �-�� _� n- W � WORKERS'COMPENSATION pECLARATiON ¢ � IHEREBVAFFlRMUNDERPENALTVOFPEtYIURYONEOFTHEFOLLOWINGDECCARA710NS: U Cf? Q � ,iHAVEANDWILLMAINTAIN0.CERTIfICATEOFCANSENTTOSELF�iNSUREFOPWORKERS' _ CO�APENSATtON,AS PROV�OED BV SECTION 37o00F iHELABOR CODF.FQR THE PERFORMANCE W OF THE WOFK fOR WFIICH THIS PERMIT IS iSSUED. � � � _I HAVE ANp WILL MAINTAIN WORKEI:S'COMPENSATION INSUflANCE,AS flEDUIRED BY SECTION � 3700 OF THE LFl80R CODE.FOR THE PERFOFMANCE OF 7HE WORK FOR WHICH THIS PERMITIS ISSUED.MYWORKERS'COMPENSATIONINSUfiANCEC0.RRIERAN�POLICYNl1MBE{iARE�. CONSTRUCTION _.___� � � jqqpqiEp _. PLAN REVIEW t z POLICV FAJMBER ELECTRiC. ¢ Q (fHI5SEC11(MINE�NOTBE�LETEDOF7HEPEFlNV�ISFORONE10.lW17E�00lLAFlS�E1o�)ORlE55�. PLUMBING Z I CERTIFY 7tla71N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL �'� SHALL NOT EMPLOV ANY PEf190N 6V ANV MANNER SO AS TO DECAME SUBJECT TO THE (n WORKERS'COMPENSATIONLAWSOFCALIFOR4IA,ANDAGREETHATIF13HbULDBECOME INSPECTIONFEE _ � SU&1ECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION3�o90FTHElA80R /� � CADE,I SHAl1 FOFi7HWITH CAMPLY W1TM 7HO5E PROVISIONS. �SSUANCE �! � � SMIP � p DATE: APPLICANT: y C J WARNINGFAILt/RETOSECU�9EWORKERS'COMPENSA7IONCOVERAGEISUNLAWfUL,ANDSHALLBE ENERGYP/C �_4 �� ,.0 �y SU&IECTAN EMPIOVER TO CRIMINAL PENALTIES AN�CIVIL fINES UP TO ONE HUNDBEDTHOUSANO ENERGY PERMIT ��'�� 001.t.ARS(t7 00,000),IN AOOIiION TO7HE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN J SECTION 3�oe OF'IHE LABOR CODE,INTEPEST,AND ATTORNEV'S FEES. RETENTION FEE: � � pW.. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREHV AFFlRM UNDER PENALN OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV 5 FOR TIiE PEFiFOfiAAANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097.CIV.C.). Z V W . � LENDER'S NPME ___..__ � � - F_ IENDEfi'SAODRESS � y/ ¢ iCERTIF'/TNATIHAVEREADTHISAPPlICA710NANOSTATEIHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES ► � C � 1 A6i7EE TO COMPLV WITH ALL CITY AND COUNTY OROINANCES AND STATE lAWS RELATING TO BUILDING � CONSTRUCTION,ANDHERE8VAU7HORIZEREPFESENTATNESOFiHISCOUNTVTOENTERUPONTHE ZABOVE-MENTIONEDPROPERTYFORINSPECT�ONPURPOSES. COMMENTS o � �', ��� � ----p- Yl m ERMI {P 1 ' {p I� �V Q ' �'' (!! ����'�� � uj S NA REOFPERMI'fTEE DATE _ " ...- = RECPT.NO. PAID BY ��UALITjATION � � � WHITE—Department Copy,YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplicanPs Copy .. .� r - .... �;r:..• r; ... ,�, ; .... .,�.� la,: , y. � .: .,.:,.. . .:,..,: .. .,. �� .� „ .. � ,.�.;.. .. .��t� .. . . . � �a,,..u. .,. ... t..�.'�..,_.:. .xs�.:s:'F .� .. s re .>, ,� .. . . ,,. .,.,,�.. .,-,... ..,,. . . ..:��,� . , . . . .� . . . . . . ,..,. . , �! . .. ���� F : . . . .�.. :�..;::. . : .. .. . p y�q �. , ,.....�. , �... . . ..: , �. �;.-� .,. . I�.. .. "..a�9R�E� . ...� � . .. .... . .� �. ..:_.., .. _ . . _. ..: . � � . . .. �� _ �� �. . �.y w � � s .� s �.� �. .� � � . . ,: . ....�. -. ...� .. � .. : - ....�-� � � .„.a- .. . - � . �._. ._ .- . . � ��`�r5r*'�� � �—_. i.._F��3CJ���'��� a � i . _____ ____ ___ ;. ` � r-g`��' �����~a �"��`L ��.1( ?� ', i i i=€~?ta���3��i � ; ___r�� E .�_ ___ �� ����� ,-��*"���'� i i i.����C� r�.�:i��€��.3�"!`� � __�. . �, �___��_. �__.�� .�.. .��._.__��.m .��_�_, :�..�-a-,�._. � :��f� _"§!�� � t3 :��?iti�`� E � � ?.P����?�"'!C�'°C�;£�C?R'�I�;��' ,b_�t_—L ,�_>— �. ���_ }� ....,..... ..................._ < _ __ . ,.{._"..._ , q _ ..�4. _.m..... . �"�.r�cr..�'S""<�L.:�€'� ._� E _._ �59'$Y"'��..�c���s��t1�Y&!di���..J�'`���. � � � . . � ,� .. # 1 �"��E �'�..,����t-`�. � _ _.._.__-__-.,._. � �.gi� ��.����'f��:�� �3�A"�a� � . � �.__--. ..__ _ � .� .w.. _._ �..__.. __ _.— ' �=��"�r����d����,� ' � ( ; 1J���ST, ����Ei�.���� � 3 . , � � _ ; .-�— - �-..___�._. ---- f__ _._—___._,_----____: _.__..._ � _._____ --� ��C��'�si"���a�';-.ri°:�°-,L�2 �/ " ; � �11". c3��C��-S��[V� � R � __.� __�.Q_ _ _. _._ �_.__ ._.._. __�"� __ c-�;rg,��` �`af"-�?t�l�s;;"�t �'"�.�_L /��'_ , ._; �i-��o�.L�t��i.'s?:P�u� --�,��---� � ..___.._. r__...._e.w.._ Y_.�_..._` E _ • g�,=rr;°'�~s ��.���% j t , i�4�4�'�-t�F���.�l�l�"a � r � ___�-� 3 �.�t,�'�'�''"r�. � �{��� _��� F ,__..._ .. � ���.t�eC�i�t�� ;.� � P>.,J:. . 3...' ___'__. . . .� z �a a r, e -�"�#t' '- � t �� g a� r�rt r� � �-��? � E �� E�r ,a � � � F��a� �:s-5 �n�s�l�`Ea � _.�.�._ _.w __.._�_�_.� _ ._..� .__._ -- __.__� � ��,� �.. r-;���,i�e���� ; ���F����� `�'a�t�.�l�v� � �me �...�, .��:..�. ...� _..___ _..___._— �s.��;`,�t�;�t*',,�� �`, �s � i ._. � PC3C'e�c��C;�'�.-�s�� . _1 _ _ _..,�.�.�._�.._ ..�......,,,.�„ __....�..._.__ ._,T....�_ ..., _ .e_._._.._..._. � � �'�"�-� °-'�"` �'"° %"���� ''' �3�C��!�.�����?i�3t� `� -.i s. : _ ��� �. ._._�_ __.�____ �_ � , _,y ;._ ___-� _r_-__.___�e.wP....`._�.. �a� $ s��*v. �� ��I`�i � f I��.,1{M.:� C'sS� a.. .. I . �'.k�is..YC..� i::Ys �P`L,f� � _._ ._�}`q�" .„. ����$..� .,....,.. � .._�._�,.«_ ._._... ' R� ^el� d � � . . l.df "sb��§IYRb��ti7. � . „ '3'__.�.� ......e.._. �.w.l .. � _ �^ert"atrgs g �' _.�� �.[_" �" ' � �rR@ pt'r'✓°� St � � � i � �"i z�Sv-.�«..€.._ �€ < '� t,'J��� �a. ��e'�.r 3�v��s..�.,.....__._ � _..� �� �� �m%�� � .�_ ___.. ' ; � �g��e z�.�€_ � �����^� "�. .._8 ..�....:.. e�--'^. . .. .__.,. g g j*'^p?� m...__�n�:._..�.�....��..._ ..._............�_ _�..__.. �6"� d �.'§��i _.._......,.m..e.a.m � � ..�...... �w( :._1�L�J.....� 9..P5$`d�✓w.s6��"�"L .3��St'7�{.we �___�..r...w.'wY.�......._.._. ?...— .,.....�... �P._.__. . F�� @'g � &� p �y� ..�w�. ti3��C' H2�.�'II�°; .. ., . . '� � ,... .` # 5 � 4 � VI I �b �����t�s!�%— �. i ...� ......r......,�„�.»»--.—�L...�......._ ' i. � �_ �,�^`-�E� i '� { ,. __ � ! f�" .!��,i. �<'Evs'�'�"".,�' - {" �?�� +�.�m`��� .Q ._.e .�._____ --�.. .._ __' ������' 1:�;�t,. ����t.____..� __w_—�-....._--� � �PJ z q f�'.��._� _. ._ �� �w� ._�___. _ �4r , a s.�-�.F @;� ..�___-__E , ...e.n m � i �""�;�t�,L��.i������. r4i�it�;�.. � �� .-t�z$ s z a,. : :-�.�—�.—,..... . � �;��:�_ �" � �� M..�...___mm.. "�,.. __� .._�. .. _- � i��';�' !=�-`�`�$���°"� ---�.~~--..�. a�m __ ,�.�� � � j ,�.___ _rm� _ __ _�..�---���. w:����� �'�. _;���€i�:,n � � __r-__.�._.__.._.^_ .__� _�.�� ..,d _�,�^.�1.;��...;� -_.�_�__�_._.__. .A�� �:�°����� .�._.__ ' �---- -{ � � ' � �_ ' � _______ �: € � _._____.___,______._._ __ __ . , .�.r.__�__._.�.__.____ a.e.,�._._�_�_.�__.�_ ___� � � . � �� �.�� . .� , � ,�..s:t_�.._�._ _______._.��� _ . �. __�. __..__,. ,_ . . , __. _�...._,r _�_..,__. .. ,,, � '��.���������`�`� .. s ¢ �_�......�. ��__ ��__�� �.____m_..�.�__ . ; � ��.�__.� -- �___--_ —� , ���_�_____ ,.�...�.____ _____- _____. ___--__�_._____ .�:� �____.� __ ..��.�..� �______�_ _:� ��..___..�...�___.. __� . �..�.. ...__.�__.�� e._____ � �_.., _,,�.....�. �_ __�._.�._. __.� __� __�_. �. i .�. _ _ _ ____ _��...� � __. _ _ � ���r�����"��������� . �' �� �� _.__.�.._ � � ���� ���'P� ���°� ;�... __.._,_ �. ___ -__.�..�_ _ --~i ---�- . n _ ._ ...._._ , �r � .. { � . -- w-�; „,: . .w. � _..: �� � .....,�. �.� , ffi ��,�,r.� ; � � 4� �. � �____ __�_._ _ __ __ ___.___� __ � „e , �� , � ,.::....: , . � � �. ___.. __._ _�..�.� _�______�_._.. __ __.__..__--� A=: � :.' �t •� .. _�.� ____w__.._......_... _ _ i � � � a _".�.� := :, �.��__��.m.________...�.�..__ _.�.__ _....._ � .� ..,�_��_'—`��� � .. ���� � � � __.._ �_..�__ .__.�...� o._._ . � :: •:� � --� � �'� Z � — � _: .... _ � __ — _ __ _s .�._.�__ _.�._. �_..___. .� __ __. � �.._ .