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HomeMy WebLinkAbout14810 ,��� CITY OF DIAMOND BAx � EXpIRED � DEPARTIVIENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 14U `�UN 1 / 2��2 PRESS W (909)860-3195 Fax(909)861-3117 �_:„;„�"�. ., ��1�.��1�1����'����.a�.��'g��v � FIRMLY � JOBSITE 2 APPLICATION 'I �nl PERMIT O P/C o ADDRESS ��D� �'iO�K'\� �.�-:N � N DATE �� NUMBER # c� ISSUE TYPE OCC APN LOT TRACT DATE �� CONST. GROUP � OWNER 1 t-L-IAM S O ADDRES i U� iM� r~'��`''4 �4 N�,v n! ZONING SETBACKS � CITY ZIP TEL. FRONT RW ❑ APPUCANT . TEL: REAR O SIDElSIDE STREET RW ❑ � CONTRACTOR J . SIDE ❑ o ADDRE I Li �- �- N` PROPOSED USE � - r�0 ��� �� L ' � / (� CITY ZIP TEL.� ��4(�'���. � - w ARCH/ENG/ •• �z DESIGNER NO.DWEL. �NO. O. a ADDRESS UNITS STORIES EDRO � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � . OWNEii-BUILDER DECLARATION SFR/ADD/REM O 0 1 HEREBY AFFIRM UNDER PENALTV OF PERIURY THA7 I AM EXEMPT FROM THE CONTMCTORS LI� GefdJB/CBfPOfI W CENSEUWPoRTHEFOLLOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANYCITYOR (n U COUHTYWHICHREWIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIHANVSTRUC- W Patio/Deck W TURE.PRIOR TO ITS ISSUANCE,AL50 RC-0UIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE A SIGNE� W g STATEMENT THAT HE OR SHE IS IJCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � CENSE lAW(CHAPTER Y(COMMENC�NO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO• u" POOVSPB FESSIONS CODE)OR iHAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALlEOED EXEMP- TION.ANYVIOLATIONOFSECTION7037.5BYANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof A CIVIL PENN.'fV OF NOT MORE THAN FNE HUNDRED DOWIRS(f500).): ❑I,ASOWNEROFTHEPROPERTI,ORMYEMPLOYEESWI7HWAGESASTHEIRSOLECAMPENSATION,. � � Commercial - VALL DO THE WORK,AND THE STRUCTURE IS NOT INTEN�6D OR OFFERED FOR SALE(SEC.70I4,BUSI- J � NE55 AND PROFESS�ONS CODE:THE CANTFUCTORS LICENSE UW DOES NOT APP�V TO AN OWNEH Of � � PROPERTYNRiOBUItD50RIMPROVESTHEREON,ANDWHODOESSUCHWORKHIMSE�LFORHERSELFOR m Q THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR GOFFEREDFORSALEIF,HOWEVEFLiHEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z TION,THE OWNER�Bl11tDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVEWRTHEPURPOSEOFSALE). W ❑I,ASOWNEROFTHEPROPERfV.AME%CLUSIVELVCONTRACTINGWRHLICENSEDCONTRAC70R5 � TO CANSTRUCT THE PRO.IECT(SEC.7UH,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- � VHIUeSIOfI ADJ.AREA - W CENSE LAW DOES NOTMPLYTOAN OWNER OF A PROPERTV WHO BUI�DS OR IMPROVES 7HEREON,AND . . � WVqCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(5)LICENSEDPURSUMlT70THECOHTRAG QUANTITY DESCRIPTION FEE � TORS IJCENSE UW.). 0 ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOR THIS REASON � � ¢ � DATE OVMER � � W � LICENSED CONTRACTORS DECLARATION W � 1 HEREBV AFFIRM UNDER PENALTY OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � Y(COMMENCINO Wlhi SECTION 7000)OF DIVISION 30F THE BUSINESS AND PROFESSIONS CODE,AN� Z AIY UCENSE IS IN NLL FORCE ANO EF�ECL m �L1J �p ` J�;�J � UCENSE CLASS � ` LIC.NO. � �� � V DATE v CONTRACTOR_ � W � WORKERS'COMPENSATION DECLARATION Q = U � I HEREBY AFFIRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DECURATIONS: � � Z Q � I HAVE AND WILL MAINTAIN A CERfIFICATE OF CONSENT TO SELF-INSURE FOR WORNERS' 2 � COMPENSATION,AS PROVIDED BV SECTION 3700 OF 7HE LABOR fADE,FOR THE PERFORMANCE W • OF 7HE WORK FOP WHICH 7HIS PERMIT IS ISSUED. . � � W _I HAVE ANO WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED BV SECTION 1 � /A^ Q 370o OF THE 1A80R CODE,FOR THE PERiORM CE OF THE ORK FOR WHICH THIS PERMIT IS / ,�y, �� ISSUED.MY WORKERS'COMPENSATION INSU.AN E CARR AND POLICY NUMBER ARE: CONSTRUCTION / v v � CARRIER N PLAN REVIEW � POUCVNUMBEF��/�� . ELECTRIC 0 (fHISSECfqNNE�NDTBEW�LETIDOFhEPEFA4fISFbRONEFNrDREDD011NiS(i100)ORLESS� PLUMBING W Z 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK fOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL ���y (} SHALL NOT EMPLOY ANY PERSON IN ANY MpNNEH SO AS TO BECAM BJECT TO THE � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE TH IF I HOUL�BECOME INSPECTION FEE S SUBJECTTO THE WORKERS'COMPENSATION PROVISIONS OF SE �ON 700 0F 7HE IAeOR CADE.ISHALL.FOFiZHWITHCOMP1.VWlh1T OSE OVISIONS. ISSUANCE � �yJ � /L ! � p DATE:_/ lll/ APRICANT. . SMIP � . W � J WARNING:FAILUR TO SECURE M/ORKERS'CAMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � LL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AN�CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT 1 DOLLARS(tloo,000),IN ADDITON TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: ` � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � Q I HEREBY AFFIfiM UNDER PENALN OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV d FOR THE PERWRMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30B7,CIV.C.). ' �� Z ' i W � LENDER'S NAME H LENDER'SADDRE55 � � ¢ ICERTIFYTMATIHAVEREADTHISAPPUCATIONANDSTATETHATTHEABOVEINFORMATIONISCARREC7. TOTAL FEES � O '� w I AGREE TO COMPLY WITH ALL CIN AND COUNTV ORDINANCES AND STATE UWS PELHTING TO BUILDING � � CONSTRUC710N,AND HEREBY AUTHORRE REPRESENTA7IVES OF THIS CWNTY TO ENTER UPON THE . ZABOVE-MENTIONED PROPERiY FOR INSPEC710N Pl vosEs. COMMENTS o ��,.��,S ti�� _ m PE EE RI i / I� � 1 . _ I C'/ V � r � ONATURE ,PERMIT7EE D iE " � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy . , . . - . . • ; , C�l'1( OF' DIAI�OIVD �e�,R l��PEC�'GO(�8 F���0�3� �4 jIU�J�JIT�l.St:/U,u�=(4U ri+���� kµ...�{1 :D ...Q o � � a� � � . � � e � � �SET�BACK . . - FLOOR JOIST• � � _ . '� FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND ' UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CO�IDUIT � SLAB GRADE FIREPLACE FOUNDATION ' TEMP POWER FIREPLACE BOND BEAM ' WATER SERVICE - • - MID HT. BOND BEAM � ' ' ROOF SHEATHING ' `I"1�2�t.� ' 8 FT. B�ND BEAM � � + • FRAMING/VENTILIATION FINAL�BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH RLUfVIBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRlC EXT. LATH/SIDING POOI FENCING WALL INSULATION ' � POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK � LANDSCAPE/IRRIG. SEEP PIT/L..L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINA�ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��-o re� � 4 � COiViiViEiVTS SEPTIC TAiVK SIZE � � SEEP PIT/U SIZE � � :� �:� . `[�. o. , . . 5 v � . ��'