Loading...
HomeMy WebLinkAbout14775 (17) �� CITY OF DIAMOND BAF. DEPARTI�,3ENT OF COMNIUNITY&DEVELOPMENT SERVICES � _a '.� 21660 E.Copley Drive Suite 190 :� � (909)86d-3195 Fax(909)84L3117 PRE.S.S , BUILDIN,G PERIGITT A��YCATION ',, T FIRMLY ` , , ': . ..,,�;� . .. . .... � � JOBSITE y"` " � APPUCATION PERMIT � /C � f� o ADDRESS �" r�. � DATE NUMBER � # �s`f - $ ISSUE TYPE OCC APN LOT TiiACT pATE CpNST. GRpUP p OWNE�(����� " ADDRESS Z- ZONING SETBACKS �°L CITY � ZIP l 7rwr� EL._.l -�_+u� REART RW O APPLICANT �t+?rJ"`�+ �c..m�-,B.T' l'���"1�:�t,/ SIDFJSIDE STREET RW ❑ � CONTRAC70R 6 -� ; �r SIDE ❑ p� ADDRESS `'� PROPOSED USE1� d' "' o CITY :r.. ZIP L. .2� �y 7.. � wo ARCH/ENG/ aDESIGNER ' ADDRESS -� NO.DWEL. NO. ,� � CITY ZIP TEL. c5S'" � UNITS STORIES _�_BEDROOMS y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BIIILDER DECLARATION� . � SFR/ADD/REM O 1 HEREBY AFflRM UNDER PENAL7V OF PERJURV TNAT I AM EXEMPT FFlOM THE CONTRACtOH§LI- Gefa<Je/CefpCR CENSEUWWRTHEf-0L.LOYJIN6i�ASON�5EC.7031.58�51NESSANOPROFE5510NSCODE:ANVGITYOR (/� , C.� COUN7YWHICHREOUIRE9APERMITTOCONSTRUC7ALTERIMPROVE,�EMOLISH,ORAEPAIFtANV�SYf1UC- W PaSIOJL)f3Ck Z TURE,FRIOR TO RS IS3UAFfCE,ALSD REOUIRES THE APP�ICANT FON SUCH PERMIT 70 FILE A 516NED W STATEMENT 7HAT HE OR SHE IS LIGENSED PURSUANT T6 THE PROVISION3 OF THE bONTRACTdFi3 Lb W � CENSE LAW(CHAPTEq 9(COMMENCINO WIT4 SECTION 7oCo)OF�NISbN 3 OG THE BU$INESS AND�PRO- �'L' PooUSpa FE59pN5OD0�ORTHATHEOR5HEISEXEAIPTTHEREFROMANDTFIE8A513FORTHEALLEGEDE7(EMP- (� 710N.ANYVbLATkJNOFSECTION7a91.6BYANVAPPLICANT�FORAPERMITSUBJECTS7NEAPPC�C'AYJ1'To Z Re-Roof � A CMI,PENALTY OF NOT MORE THAN FNE HUNDRE�DOLL4R5(S5W).�:� �-�� � ❑I,ASOWNEROFTHfiPROPE0.TY,ORMYEMPLOVEESWITNWAGESASTHEYRSOLECOMP�N5ATI0N, O Commarcial - NALL p0 THE WOAK,AND TF�STHIICTURE IS NOT INTENDED Op OFiEAED FOq SALE(SEC.704`I,`�USI- J � NESS AND PROFESSIONS CODE:hIE CONTRACTORS LICENSE LAW�OES NOT APPLV TO AN OWN6R'OF j PROPERTY WIiO BUM:DS OR IAlPROVES THEREON,ANO WHO pOES SUCN WbRK HIMSELF OqlIERSEI.�OR � THtWU0HH180RNEFiGLVN�ERIPCOVEES,PROVIOEDTHAYS`UCHIMPROVEfAENTSARENOiINTEND�EDOR m Q ,OFFERFAFORSALEIFF104YEVERIMEBUILAIN�ORIMPNOVEINENYISShL�WITHINONEYEAROFC4lA,PlE- z TIDN,THE OWNER-BUILDER WILL HAVE hiE�BURDEN OF PqOVING THAT FIE OR SHE DID NOT BUICb OR = IMPFlOVEFORTHEPUHPOSEOFSALEI. . ���" O I,AS ONMER OF THE PpOPEFlTI;PM EXCLUSIVEIY CONTRACTING WITH LICENSED WNTkAL"1"bFiS Q TO CONSTflUCT Ti[PRQIECT(SEC.7P14,BUSMESS AND PROFES$I(SIVS C6bE:THE CbNiflACTDaS LI• V8I118�IOP1 ADJ.AREA LLI CENSEUWDOESNOTAPPLVTOANONMEROFAPROPERNWI�IOBUILOSORIMPROVESTHEqpdN,ANO WFKICOMRACTS FOR Sllpl PROJECTS WRH ACONTRAC70q(S�LICENS�PURSUANT TO`fHE CONTRAG roRSUcer+seuw.�. � �,:• QUANTI – DESCRIPTION FEE - � J 0 �I AM E%EMPTUNDEfi3�C. 8.e P.C.FOR THIS REASON Q '"� � U . .. .._. . 6d- � DATE oNRJER U W � LICENSED CONTRACTARS DECLARATION `'' W I HEREBYAFFIRM INiDER PENALN OF PERJURY 7HAT1 AM LICENSEO UNOER PROVISIONS OF CHAPTER � d B(COMMENdNO WI7H SECT�ON 7000)OFDIVISION 30FTHE BUSINESS AND PROFESSIONS CADE.AND Z X. MY LICENSE IS IN FULI PORCE AND EFFECT. m N � �� ����� � � � LICENSE CLASS LIC.NO. U �ATE ��^�..�"'G�7 COMRACI'OR; �- W � WORKERS'COMPENSATION DECLARATION Q � IHEHEBYAFFIRMUPIDERPENALNOFPERJURYONEOFTHEfOLlO'MNGDECLARATIONS: �� Z' � ,�IHAYEAN�WIlL1AAPJTAINACERTIFICATEOFCONSENT70SELF�INSIJREFORWORKERS' _ COMPENSATpN,q5PFiOYIDEDBYSEC?ION37aoOFh1ELA80RCODE,FORTHEPERFOPMANCE W OF THE WORK FOR WHICH THIS PERMI7IS ISSUED. � 4 � _IFIAVEANDWILLMAIMAINWORKERS'COMPENSATIONINSURANCE,ASREOUIqEDBYSECTiON I ' /N Q 37000FTHELABORCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICH7HISPERMITIS / I 0 ISSUED.MY YJORKERS'ODMPENSATI�OAN INSURANCE ARRIER AhD POLICV NUMBER ARE: I CON5TRUCTION �e' - j CARRIER_��T��C' Y^y'U.�"✓� ' PLANREVIEW - � POLICYMIMBER �l�_'3��' ELECTRIC � (IF95SECfIbeaNE�NOTBE�I.Ef�OFTHEPEFd�NTiSFORONEliUN�REVDJI.tAiLS(Sto�)ORLESS�. PLUMBING W Z 1 CER7IFYTHAT IN hIE PERFORMANCE OF iHE WQRK FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL (J �SHALLNOTEMPLOVPNYPERSONINANVMANNERSOASTOBECAMESUBJECTTOiHE Uj WOflKERS'COMPENSATIONUWSOFCAL�FORNIA�'DAGPEETHATIFI6HOU4�BECOME INSPEC710NFEE SU&IECTTOTHEYlORKE0.5'COMPENSATIONPr70VIS10 F N3700OFTHELAB � `•^) OCODE,I3HALCFOflTHWYTFiC4MPLYWITHTH PRO so . ISSUANCE _ _�i7 Q OATE:�G���'APPI:ICANT: , .~._�___ SMIP I J !P J WPANING FAILURE 70 SECURE WO 'COMPENSA710N CAVERAGE IS UNLAWFUL,ANO SHALL BE ENERGY P/C � SU&IECTAN EMPLOYER TO CRMINAL PENAL7IES ANO qVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS({10D,000),IN ADDITION TO7HE CQSTOFCOMPENSATION.DAMAGES AS PROVIOED FOR IN ,�y �q�y g*p 8� ¢ SECTIDN37080FTHEU160flCODE,INTEPEST,ANDATTORNEV'SFEES. RETENTIONFEE: 1-�����+���'d�l.�'NV�a�+` OCONSTRUCTION LENDING AGENCY PRE-AlT F E. � d � 1 HEREBV AFFIRM UNDER PENALTY OF PEPJUflY THATTHERE IS ACONSTpUCTIDN LENDING AGENCY FOR'IHE PERFORMANCE OF TME WORK FOR W Hlqi THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). Z W � LENDER'S NAME F— LEN�ER'SADDRESS ` ,Iy � I A6R E TO COMP VVNAhI ql:CIT'ANO COU�NTYuO�WAANCES A�STAT�E LAW RELATING TO BUILO NG TC�TA L FE ES �,���P R 6L' � CANSTRUCTION,ANDHEFE9YAUTHORREflEPRESENTATNESOFTHISCOUN?VTOEN7ERUPONTHE Z ABOVE�MENTIONEDPROPEHTYFOFINSPECTIONPURPOSES. COMMENTS _ ..��r'�°'/ �-�. ,�, ¢ PERAAITTEE Np41E(PRI ' �] l� - `�° •I"• S PEOFPERM OATE RECPT.NO. PAID BY VALIDATION WHITE-0epertrn�t Gopy,YELLOW—Financa Copy,PINK—Assessor Capy.GOLDENROD--File Copy,GREEN--Applicant's Capy � ��� �� ��� �,������:�� � ��������� ������ ,. .;. ��`r M�� , �_� � ��� � ., :�:;�., ��:r�� �. _.. .:s � .. ..,.;tn, A��..:. . . . .. . � . .. .... .... ., . ' _ . r 4 A,� :t, }r � �"���� _�.�s .x'w. xa���,...� t�"a����'�� .��g:, ��, ' � . u� ��.� ��'""��.�" � �" ._ _ � �'� , ��, �� � c� ��� , �r� ` � � &,�� �.� �:� � � � � � � � �.� ��''��� � � � �a� x.��� � ���� x��_ _�� ���%,� � ,. �S ���� ., �.s =�a � a,��T',�;a 9': :� � ` , �' � , z-i r�,��� . r� ."�' . �. _.. _ . ... _I ,.,. ., .��___ � . .� .0 , .�.y�.k _..,,_ �� � . i �� _.�-_. . ..�..,- .�..��.. � 1 � �' . d ��.� � € €.. � . I . , . ... t : �.(-�1�' Y� �a`��I,`5 ... . � 3..... .. . � 9 " � E �� �, .. ;. 1_......_ .. . ....�: ...,...___ .._. ! ?"'� $ (' s�y�� t t r ,'�es�. ... 4 .. . �S E:,J�°���'"�''t �:-" 6"'°�f.L �i { - .. '- } .. .. - . . . e........_ �:. ��:�:,.. .. __.._....,..rk I { — [_ . j g s :�""y € � �� € 3adi �' t . _ � � �,i"? ;�� �, � -. , . : .. ___..� .�.._ w__._... ....�._-_____..._. �... � ' ' � �� t� � ;�tk'� �.;. Y�' � >.-�. ...._. . � .._ �i �i ��r` C"�,e�:,£47 sr��E�a°�° .'. .._ ._ , ....... ... ' 3 __.� ._ _..�.�.. �� F� _.. -""--- . _ ...._ --. T .� _... __ � . � 'a�. ✓ ;�� �e-t � 3 . . .. � :.'_ ..'. � ,:;is��,t�ts.�".�s. a-;��+t°�'^' M�-.��'� t .x:� v.. . ";"w""'".`""""""t ._' __ .__..,... �....._�.._____....... � . � ...._ � ..�_._�..._..,..._.,...�...,____m . �___W_ .... ,......_.. ._,.__.__._�._..... ._ � ___ _ _ � .."r'� � � b`�1 C � . .. i�t?f a�"9 >"r`;B�E :.Y �,.i'F- �. ... , i ... _�... .... �✓.. _._... `�- q r �? ,. � -�i� .? i`"` �i4�`€€z{� ��� �-•.�(���._ p+�x�� ,.t�✓'� � ;:� � {� :i 4� �.o�4.I3 r'-�F .4�� . . � .___...�.... _.__ -..._._ _--�_ _ . � � _, _ m .._. .� ,.' �°'�.✓-.¢i' .,,.._ __.^��. �.��..:__.....v... ..�..: ___.....__ I ;::E_ Q-s 6..C..,�rS�'k..ams..�_.'�x'ra--r€�.,� , .-<;... . � � ✓ �' . � • K��.�..".s...,.�a,'� 3 ° �:...✓.,:� � . . . � 6 y .._ ._. ., ... ... . ._.�. . .p � w � a�� E ' �.i � � € � _ ��� � 1��.___ . _� ,. _ ..� I.� m.w_...__ ,_ _ , �._�.�� �.. _ --- --� ?at�}a.,r ;�..;�_�+1 � _ � �,t y y, . . � . �� � W � .. � ..._.. ... . .., a i j��. t ....._ . . ._ ._�_...,.�.. _,_ ._... ._�_.._.�. �: .—�.._. .. ,. ._ .... ...�� _ e_ _ . ..........___ .. . �- -.;' p a`�"-t �':6 ""' s.� . , � .���. ° �� .. �. .," . � - �_._—.r. . ` _ . �. .__.. .�.. �__ � �... .._`�„ " ' .. E � �� � �� � � ""::i: ... � � , .� .iw.i 4 .� �.._. ....._._.....r__..._ ...._._.�W...�..._ � . __..... __...,. .. . __. ._... ......._._._.... . .�...........s ��............ ...._..._.__ ...._..�......:...:.�.,,. _..._S_............. � r,g y .� ... _ _ . � �...`„ . y i� [ { [ � . J s 4' i �'-.. €' . .. . . '' _ ... i ���` s€"�t E„: x'�k..,�5 ( _---- . ..... ...�... �...._. -._....�.... '. t ...........�...�..` _.�_._WM.�.n,.. �_,....,_._...� d '._ . .. . . . ... . . , � : � , � � t � s�J ` �r' .-Rs�' _�._ � ____.�� � _� _ ___ �.., � __�e___�_ � __ , _ _ ..�. c ....d\ C.Fq�k. .� . . . . .. . . . . ' S�.}Y` �;'}:^p�,i �.�q�,. . . I .. : ._._ ... ... .._..,�...>..............._.._ .l.._.e._-.. ».__.,�:.......__.............� ¢ ......... .."': . - ."'..�_..._,...... .. .m�._.� ��.. ._ g ..._... ....,. ._ .... . . y`* �.h�i L ��.. � i - � . - � e'.�k��.._,.,��� �� �f �.� . � � ._. :f F ._ .. . i ..� _ _._. _._..-..-. ___....__.._____ —.-_._._ y .� ... . — _ ..._ _ _" � -, �.i � ,3� z� t �,. . �..�� `% �a � A� i. 1 � ._ ....._ .., ___ �___ . �___ ___._. __ _ , ___;. �� � ai i '�.: � h,&,�d ,..4 : � . � � �" {s '.t)r"''�:i�d ' � . ::' �.� � y ... ._....,.........e...,_...,...���d:m...r..�_....:..r '_.,_,...��.....�.. _:-_:_....._,.....: .,:�..:_.,._..�.:.�..:..:._:...... ....... .....-,_....�.........._,_..._-.-......,....,.. � '� i . �� .._.....�.... ..._...w...�.__. .. ..�,,. 1 (.'.1?y§P>-a�..:'�.k�':9.. .. . , f -., .... �.�,.....�.._.._�.�... ._..e.... � ' 7f �' Pi . ' . , € .. . . .�, �.; P _... .:' -.a..:.. ..:..:..:......... ......::._�.._ .,....�.. _,...._:::.... ^�«.:.._..� �_ ...._................_ �� ._._.__'_.___.,.,.�. _.?,.,.......M.,..... __».....,..._ ...._-t :.'��.,. & � �. §n. .. .... . ' . ,..; o . �..} :.. .� S �^7 ":.'a � 4_._ � .,Y � `°.3€' d'"� �% ..... ...,..y � _ t ..... �....,,._ .�,.,�..'_.�,�.._t ".v^ �.! f;"��,� t_..........�...._ . -._._.,.....m,.. i._...e..-_...._-........:: _�,�..„. __� � � 4 3 2 ........... ..............-r-....._..,...,... ..,...-a«..+ ....�....�. __«'--- .... . .�....... . ...:.....,...�.. < ..................... �.. � .. �74. 3 x..' ' i � ��� 'tk -..�s. � lYb.:t 1 ' � ..�' .__ . _ ... / ...._� . .. l�,, �j' _." i g� � �€� � � ',. R . . �i�—'�� �l7 ��(.�yf�--/7 ! I..d / 3 � g�€l�� .. . _ . _ . � . .__.,.... ..... _.,..... . ... L.^' -..�, , _... _ _ . .. _... , ...�..� ._..._.. .�.. ..._ . .,.._ _......_ _'_r. .._ __ y ._� ._. �.�� �„'.,� � .,s . .. . . ._ i t t ,.,7t i . g ,i.„ ... . . .� P .s, .._._ . ..._.._..._..,a. .__ ..........._........ _�.._.._......_�....w...... .._.,....U_.,. _ . . _._ �_..._' ___ . _,.. ........._. > �^ ..�.,.,. �.._ ...,_. :_,w��..-...:._. _..:.._._._"" __d i .'�. S i L�� §�:-. . . .... ' - E 6s� ': 3"'t .. �,'t :Yj .. �,,. _ . . .... � � � � .` .g�� . �... ... . _..,..�. . .. . ... . ....._. _ .. . ....m, .:� .;��..._:... ._... .._... .. ..... ._.. . �eI #�...5 , . d��t��� � ..� �"' ,C"' :. � .. .. 9 i ................,..,...._ . ._.e_,_ ._.....�...�,�.,__.�.............e..v..._____. ...... .,........._..._.....� -__. � __ _ _. � E --� � + _ _._ - - �,. ���s��.��� _ ___ ... _._ ____ ,. ,� ����� �� �� ���� � � �-____.. _. _._ ,_ _..,_.. _ ___._._4.__�.w.. ba:.....���_�w.___._�.�_.__..��� ��'� ��_� � � __. i_._ x , � � , _ __ — ...- _ __� .E � _ �---._:_ ,�,,._�. _. - �.; �. , .� ... , ' �� °�4t��;�?w"'�,� ��r ; .._ . . � ._�.__..._ .w._ .. ._._ .._ ,..v _._� _ .... ' �; ....� ,......___. .___.......� _„...�mm. _ _. .._._ . . .._._� . ._ .___��_.�_.. _...__._...�__._____....._.._ i _, . ._�..___ __..x_.� _� .�_ ._... .._� # , __^�._ ....�. ¢ .._ _.. _ �___.___. _. ___ ._ �____ __ .__.�.. _ �__ __ �,_ �.:�_ _�_ _� _��________WW_ _ —. _ �m _ _: � _.__�_ e � _ � a .,_ i � �..____.. �__ _ ' ._ .:__.__ t � _ _ _._____.____..__ .� W._ ..... ,_._ _�.._ �_.,_._,_. .._...._._ �,,�..�.w..___ __. ...__.___.�_.__._�._._�w______. . _ ____ . ��; � ,. .. . � . '� � � � ., � � '� s � .__.._.._...._._.u_.„„...._....._......._._....._...._.�..,� ._........._._._._.....___._._.._.__.__ ___w_.�:W _ .....�:.�:� ,_..._..,..� __._......:...�..._.._...�......�..�.__._., ._.....,..�,._W_......_.µ_.__r...w.ua.,_._...__..__..........._.,..,m... _.._._..__...�_.. � � . ��._..,�.. .. . - . ¢ . . . . .. .. . �� � . ; . . . . ;... . : . . ... ,_�.- �....�..._ .._.. _...__....�.. ' . . . .. . . . . . , . � ..........._.....__.._...__..... ,......_..._.�._._.....�._..�.._._....._,.....ee.._,e�._.__.,__.�..�....�......__...�... _. .__..__ . . .. ,..�._ ....�.w.. _..�......,...,..,�._._.__..__,. ....__.....,... ___..,,..,.. � � .. . . .. . .. , . . .., . ' __.......�..... .......� 8 � . .. ,y^y.y.� .. .. . ._. . � : .. . . . . . . . . , 1 _._,.._..,..__._�_... _....._ �'.._� ..�.--.._ ...___ ._ �._._. N.A:. .__..:_.:._.__..... ___._._._.__..._..,.__......_.�..........�.,.._�..�_.,.,,....�_.........�._.,.... ' .._. _.��__....^_. ....A; r. � . . . . . .„y� .. .. .. .. ...... . � , +� .......,�........._.......,.__ .. .._« .� .....�...._. -.m ...e....�_„_�.._..,....___......�........ _. .._ � - . . . _...._.. ., ._..«,.; .......... ..... .. .�m._, . " ....' .. , , ... f '< � .. �' ; . - . . . ' � M : .. �. n._ �. _.� ti.......... .-r:.«................._.....«...,.....,...._R. .........e... ..�t «...<....-. ..........___..,..........._.�.-« :....�.<,m_......._....e._...........�............_ .�... . .�.' . . .:.. . . E 2 F. 7�'S ._.....u...�w+.._....,:.....+_... ......�.�._..�....�_..... ...,,..-e....._......_........-.�.,:�.,.:,.,,..V._...�# � �� . ' .r�. .. ....... .... . �. ..., .: . . .... . ... . . ... " . .. , . 1a �-r a � . i �.,<Y k _.„��, .E x.3Jia..a;` -L� �- Sr �i3....i...�.w^ r s.. .,.. ..� .. . . . . . � -`' S.'y s».^6 t��C a �i ` ._. ....� . � .LL:tl �.,,�." �. ...�:. .�._._.. . .., �� .. .u.. _. i m .�"',.�.-"'a r.a r ,�'�- � �-�. � ��..� � � . i ;�'i \ : ,��`, '�' "`�.: ���� .. � ��,� _...___m.._......_._........_.._... �....-�'�_�a:�,—_....._....:_�,..v�_:.��_�_t____h::,-.�..._. .�.:'. . � ..'�`_ ..>..., .. �� � .�r.�':�� � � ' �.` ,:� : � a� , ._ ._� .__. .. . . _ ........_m . _ _..__ ._..._ ._ _..._._.._ ____._ ;. ��,�;��� h�.��'� � , . i � � ��§�{ '�� :�'`���� .. � _ ._........ . .._________, _ �___.. .. _ ...:...—.____ __._. _ u ._:__ ._ _ ___ r �� � � ������ . , ; � M_.._ � �,. ��° � � ____��.__.. _a �_,_ P � � A _. � ���,� � : m� � � _ ....__....����_a� ___.__ ._��.._.... ..._ _ __. ' � a � , � k { _. , '.��:a� ��:a �,�� �a , � ..._.�...__......_.. _,_� d.d�, __ __._.:..__..._.._._.M _.�.,, __.. ....,... W...m ._ ..._ _ ....._.._� .�. , -.� . �� . .. �� .... . . � . .. ' 3 .:: � . � . . ,.._ �:. ��- �> .�.�,��;.�a,'��� .. :..• ; .., �-.. ;. . ..� _..__p;.. .__�---___.. . ..__. . , . .-.. . , . .. . .__ _ �.�....... .,�... ,...m._.. _...r.__..,.. ....... . .... .. ,. .. .. .� ....._ :-- .. _ . . . . . . .. . .. .. . E .. .. . . . . � :.,.:.,M:�,.....-.....�:�4,:..M....,...<.: :-.�m.; .. -�«�.,.,�».�,.;�..�:��„ma. �..�,�,�».,».��,.;��,� ...�..:».d..,�,...,.,,_�,..�..;;�.;.�.,�-..�.�:.,:.