Loading...
HomeMy WebLinkAbout13312 �� CITY OF DIAMOND BAB DEPARTMENT OE COMMiJNITY&DEVELOPMENT SERVICES EX P I R E D � 21660 E.Coplcy Drive Suite 190 (909)660-3193 Fex(909)661-3117 N Q V 01 Z000 PRESS �UII.DING PERMIT APPLICATION FIRMLY o ADDRIESS rW 1/v��! DAT�CATION Z, ' NUMBER' '���� 11� � ISSUE TYPE OCC APN LOT�_ TRACT OATE CONST. GROUP � OWNER MfM7 � ADDRESS � ZONING SETBACKS � CITY 21P��� TE 1- �' FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDEISIQE STREET RW ❑ CONTRACTOR • �K. SIDE ❑ � ADDRESS PROPOSED USE C(TY ZI 4rR►i� TEI� � ARCHlENO/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY 21P TEL. c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFWADDJREM O � 1 MEREBY AFFIRM UIIDER PENALTY OF PERIURY TU1T I AM E1(EMVT FHOM THE CON7MCTORS LI• Gef9gelCefpOfl CENSEUWFORTME�LLdMNOREASON(SEC.7031.6BUSINESSANOVflOFES510N5CODE:ANYCITVOR (n COUNi'lWM4{REOUIRESAPEiWRTOCONSTRUCi.ALTERMAPROVE,DEMOLISH.ORREMIqANVSTRl1C. L{J P81b/DBCk TURE,PRIOq TO 1T8 IBSUANCE,ALSO REWIRES THE APDLICANT fON 9UCH VERIMT TO FILE A SIONED W �TATEMENT THhT FIE OR 9ilE IS LICENSED PURSUMIT TO iHE GROVISIONS OF THE CON�RACTORS L4 � CENSE LAW(CFIAP7ER 0�COMAiENCMJO MATH BECTION 70W�OF DINSION 9 OFh1E BU61NES6 ANO PR0. � PooVSpa FE99qH90DDk�ORTMTHEOR6HEISIXEMPTTHEREFROMMOTHEBA513FORTHEMLEOEOEXEMP• (� 7qN.11NYVIOLATqryOF8EGT10N70.91.6BYANYAPPLIGNfiORAPERMR6U&IELTSTNEAPPIICANTTO Z Re-Roof �,�, AGML►ENN.TY OF NOT NORE iHAN F1VE XUNORED DOLLARS p5001.): � �I,JSOIMiEROFTHEPROPERTY,OflNYEMPLOYEESWITNWAC�E5A5TMEIRSOLECOMPENSATION, � Commercial � WM.L 001NE WOAN.AND TNE S7AUCTURE IS NOT IMENDED OR OFFFREO FOR SALE(SEC.70N,BU51• J y NES5IWD PROFESSIONS CODE:THE CONiMCTORS LICEN6E LAhV DOES NOT APPLV TO AN OWNER OF ? PflOPERTY WH08lILLASOR IYPROVEB iMEHEON,AND Wl10DOES BUCH WORKHIMSELFOR HERSELFOH Q iNqOUGHHI30RNEROWNEMPLDVEE3,Pi1DV10ED7HAT8UCH11APROVEYENTSAqEN071MEN�E�OH m OFFENm ibF SALE IF,NOWEVER7NE BULDINOOR IMPROVEMENT IB SOLD WRHIN ONE VEAROFCOAI%.E� TION,tNE OWNER-BUILDER NIILLN�VE TME WRDEN OF GROVWO THAT IIE OR 8NF DIO IqT BUIID qR IMPAOVE FOR THE PURPOSE OF BN.E). - O�ASONMEROFTHEPROPEHTY,MAE%CLV:IYEIYCONTMCTWOWITHLICENSEDCONTRACTOA9 TO CONSTRUCf TME tROJECT(SEC.7aM,BUSINE55 AND FfqFE5510N5 CODE.THE CaN7MCTOq9 LI• V81U911OI7 ADJ.AREA CENSE U1W DOES NO7�PPLY TO AN OMMER OF A PROPERTY WMD BURDS OR IMPROVES 1MEREON,M10 WHOCONffNC�SFOR8Uf.11PRO,lECT9WI7HACONTMCTOR(6�LICENSEOPURSUMR70TF!ECON7fUG pUANTITV DESCRIPTION FEE � IORSUCENSEIAW.�. ❑I AIA E%EYPT UNOEN SEC. B.i P.C.FOR THIS REASON � �..1'O '�"/ T 2 i �.�/l DATE OWNER V � LICENSED CONTFACTOFS DECUIRATION W A � �. 1 NERE9YIIFFIRM{M�ER PENALTY OF PERIURY hW71J1M UCENSED UN�ER PROYISIONS OF CHAP7EN � i(QDMMENCMIO YVIiN 9ECTpN 70W)OF DNISION 7 OF TME BUSINESSANO PROfESSIONS CODE,ANO W LICENSE 18 N FUIL FORCE AND EFFECT, �� LICENSE CLASS ��I D IIC.N0. S��'I � , � QA►TE_�� CONTWICTOR„�lj�(��G`�o�-�� ..-' V" � WORKERS'COMPENSATION DECLAR�� � � N I HER�Y AFFlRM UNOER PENALTY Of PE0.RIRY ONE OF THE FOLLOWING DECIARATIONS: � � _IHAVEANDWILLMAIHTAINACERTIFICATEOFOONSEN7T06ELF-INSUREFORWORNERS' ODMPENSATIDN,AS PROVIDED BY SECTION 37voOF 7HE LABOR CO�E,FORTiE PERFORMANCE OF TME YYORK FON YMICH THIS PERMIT IS ISSUED. � _I NAVE AfD MALL L1AINfAIN WORIfERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION 9700 OF TFIE IABOR OODE.FOH THE PERFOFAINlCE OF THE WORK FOR WHICH THIS PEFiM1T IS � .LSSUED.AfY WC)FlKERS'OOMPENSATqN INSU E CAFRIER AND POIICY NUMBEfl ME: CONSTRUCTION �j CARF§ER SfA�Fi � I . PLAN REVIEW � PacY nuwBER___�j r�r� Q CTRIC � ( 1 /��r I —o � fTMssEc���wrs[mn��naFn+e�warswaa+ew�oamooivaisK+oo�oa�Essl PLUMBING ' � z 1 CERiIFYTHAT IN h1E PERfORMMJCE OF ME YN7RK FOR WHICH THI9 PERMIT IS ISSUED.I MECHANICAL � � SFIALL NOT ENPLOY ANY VEflSON Ml MIY MANNEFl SO AS TO BECOME SUBJEGi TO THE (n NC7FU(ERS'CAMPENSATqNUW50FCI�UFOFlNU,hNDM3REETHATIFISHOUTABECOME INSPECTIONFEE _ � 5 SUBJECTIO THE VYORI(ERS'CONPENShTpN 9ROYISIONS�SECTION 7�OOOF THE IABOR y COOE,ISHALLFORTHWITHCAIIPLYWITH1H05�3 IS ISSUu'10E � �• O �� � �� /� � c p OATE:__��./LV�1_- APPLICANT: C/XJ�iI/� ��ii SMIP � ��,�� ;.�•`f q'. , � 7�.��j ENEAGYP/C •+�' �••• WARNIN[i AILURET08ECUREWOHKEHS'CAMPENSATpNCOVERAOEISI1NlAWFl1L,MJOSMAL�BE � BUBJECTMIEMPWYERTOCHIMPIKPENALTIESANUCIVILFINESUPTOONEMUNDNEDTFpUSANO ENER6VPERMIT ���...�^�'�� OOLLMS(!f 00,000),W MOITION TO THE COSTOF COMPENSATpN,�AMAOES AS PqOYIDED WR IN 4`��f'r ¢ 8ECTION 37W OF THE LABOR ODDE.MITEREST,AND ATTORNEV'S FEES. RETENTION FEE: �.V"" OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IMEREBYAFFIpMUNOERPENALTYOFPERIURYTHATTHEREISACONSTRUCTIONLENDINOAOENCY WR THE PERFORMWICE OF7T7E YVOFlK Wfl WNICH TMIS PEflMR IS ISSUED�SEC.J097,CN.C.). � � LENOEN'3 NMAE C LENOER9ADURE53 ^ �y � ICERTIfY711AT111AVEREADTHISAPPLIGITIONANDSTATEhMT7HEABOVEINFORMATpNISCORRECT. TOTAL FEES C. ��V d I AIiREE TO CONPLY YMTN N.L GTY AND W VFITY ORDINMICES ANO ST�TE UWS RELIITINO TO BU0.�INa � CONSTAUG710N.1WOMEREBYM7rNORREREPqESENTATIVE50F1HI5COl1NTYlOEMENUPONTME ABOVE�IAEHfIONED PROPERTY FOR INSPECTqN PURPOSE9. COMMENT5 � C�LU�1���t '�.�L� m PEMARTEEWWE(PRI p � � ���.�5% �/1�� '�i��9,� � � BqNATURE OF EE � RECPT.NO. PAID BY VALIDATION WHITE—Deparlmenl Copy,YELLOW�inanca Copy,PINk—Asaessor Copy,GOLDENROD—�le Copy,GREEN—ApplicanYs Copy CIT�P' 4F DI/�f�Qt�iD► E�i4i� ���;�'�::: `' �. It�SPEC�'10�! F;ECt71�L� ,,... � ' ���.q�`�i�€,a�}'��., �•�� .��• p.�•:�. `"'.�� � �i�`�� ���,�r��,�5. .:-,�:�.«,�, .� � �".• _�� ��'.•��'�A�...m... R [ __ �n..±,:�..-_ SET f3l`,CK .. .# .• ---i- I FL.00F;JOISI, � •; .�; � .` " ' ----•------------------ ------._....- ---- ----------- ---- - - - � '- _ .. ;FTGS!F-0#�MSlSTEEI. 3 � � FHA R�Qt•ATS tj _� ' - - -------- -- - -- � ---- ------ - - - _.._. .-- -- -- � =; ----�_�..---' ---------------- --� ---------- ---�- � '«"_.'__'..__..,.,...'.�_"'___""_'__.___'r__ .,_.____..t"._"'.'_'. ' I _ ""' _'._'_'_'_"__ . . . . .. . 'E�EC-fC�IC,GROIIND � � �C UfdDEf3 FLOQF� C1JCT �-- ----------�,�- - --__----_ - -.-..�--�-------- -__-- ------- -----�-- =�-�-- - - - ------ - .. �r4�0UND P!._UF�9E:ii?V� i �----------- �T UNDEF; Ft_OOF�CGi��;.Jt�" 1.., 4` :''� ;�} ::i � ...,.---._v_... ---�- ---------- ----..._,.----- a- ---------------- " --_ --—, �- - , - - ------�-- - ----�-------- ---------- ,...�_ St_AF3��AL�� yI 1 'r=lREF'i._A�E;F�OL.�L'�A�IC�N �• , .� . Z-�`'�,,;s n ,.t ••1 Z i,.. _ ^-=.'',-i'�_.. .:� _____...-_....___.------------- -------�-`-- _ -...-------�------�------�-----._,......._ ... -------- +� --' -,_,..--- � ----=__ .�:--. : _ . _..� _ --- FIREF:_�c��orar�r3���� ' : ,�r����r�Yv�=�_---------- �;--------- WA7ER SFRVICE � � h�i�f: NT. F30ND QEAtt" x „ti .-�-• ,;1� -) - -- -------�----------.....,._... ......-- --- ----- - -..._..----,.�...-�------- - -- -- - - - -------------- ---....., ---- - -------_.__.-�---,--,-_-.�--,_.. ...... � . .t;�. ? .,.,, , v, A - , t-� , . � _ . a,. 5 i �t '�• ��oc�s�����rF�ira� � � � ��. gouo�E�n� . • , � t .- , , -------- -----..._..--- --...---- ------------- -------------___._.___.---- �-------- t r�----------.�.�.�.----,---� �. .�r�----:�-- _��:�'.:;.:�.::�--------:----., u�.__��„t,tir_--3---------- -�--------- I ' �lNAL BC�ND f�EAM � - i . __.a.... --------------------------._...-- - ---•-- ----. -------------- - � :�F.,J �-R - - ------------------- � PF�r�-GRADING � ; ,E; .� --._.__.,..__.___----------- ----_._ _�._� �._M�-_:..._...------------- -----------{---....._. _.._.�. -----------_._----_.__..---= •a Q:�::�!-� �-I"!�,"�ING ...._. �. BENGHINC� , .�... � _------------..._..,---._.._............. ._._..___.. - - -----_.-_----- - ---'t ----.. _�._--•----___.�.-- --:_ ��";;?x!t �.��C i R!C • ROUG�j GRADIfVG � : ---- - --..._..._.----- ----------t-. ._.._._.._____.------ ___._._---------...------------------ ------------------- - ; -t -----.__---- i3�1:.',3� r,! �rv���ntr r�r�isF� GRADING "= ----..., ..:_ . ___.........._..---------- --------------_.........---__.__...�..-----.. _._..... .._-____.-___ —_._ ---•---..._..----------------- ° ;:��;��`r;:=.r�;�UB l'EST �O(�L�F_LECTAlC ' . . . ------...--------. _..__..._...._....---�.. _..- - ------------ -----_......---------__.-_---- ------�-- _.--------------�------__.: ? -:.;;;�. k.A1�'-,.�I�}��JG PCiO��FEPdC�NG j , �.. -. . . _...._.. .`.____.__'_.".._.�._.._'._._...._.._...__ __.._�__—.��._.�.___ __�_�...._._—__—'_'___'__..___ �.��..�.�_�__.__ .___�_'_�.�_�___._..._..___.E `;:"i�l+.. ±*��:.��ATi(.�^; PUO�FINAL . x.4._.,. ..._ .....___"'__.�..._�.___'._______��___ _��_�_.__,..�._'____ ._'_. .�..._ �.___._�.__..._._..�___.__�—��.�'__.__._.._'�_._"_�___.__....�'�'__"....�._.._.........__'_..� ';��tt.'€:Ca i�.;.':'Jt_F�T1Ot�' I 4FF S1TE IP�1PS. '. � �;- �. . ._ ;; �..... - --------- --- ------ ------------------ -- -� -•------. ....-------------•�---...-----...--------- - -._. _...- -- ---------- . . ._._.... �-- �7',•'�• ;,' ; P.rF;�IPlC'a I O�UICATiOIVS � :__.__...... ..._. __.....__...-•----W...-�--------- --------_.......------�---- -- -- ------�.__._._.----- ---___------ -------...---..._._-------------- , .._,.._.,.. ,.,., ' ;:.._•,.:r.,; � F1PlE�L�I'��. • i _._ _. . . ..._"_"" '.... _ ...._... ......_........._............._...�__.._.�.n.._......._,_..'_".._,__.__'__".__..___._�_."q" ___._.�__..__.....""_._____"_"..'_______"'_�.�__'"__'___........_"'_'._.,�._._... �,_ '_________'—E � ��:: �. ::;�"Ahl�; i i •:1�N[3;�CRPE(IRRIG. '---._.�_.._--- -y{�� [ [� k p n�'+ ' --------- ------------ ` � � . ... . , ^, e� e � IV 7�1'C F!'�f"�7 f ..._..."_'________,__""'__-- �. , __.. , .,_...' . .,L._. I '�.t '� .. _.__ ---...... ----�--......_---______--___---------- — ---- --�-__---------- -------------�------- ----�___.----�- --- - ---�- � _E ` : . . �:::ST � F.=P7AL Z'uP�IN a ; ... _.._------._.__--- — ----�----__._...___� _. . . ..---._..._ -------------..._.. ..._ �__,_......--- _ -__ - --- --....._._.. ....------- �' � ' " ::i,'dST°. �'•.` �,,= itJ\�� i F[RE:DFP�i: FiNA� � .i_ ' ' _..w.T------ �--- � . ` ---_____._v__�_._.n_...... '�, , .' I�AT+i�i� �,�-- . ;�� •� '.� .t,�;,�.�,-� ..HC"e?Li H DEPT. FIPJAL �--------'-�------------------- .. .-- --_................__....------ � ... . ...-..,--_.. _..._._--_:------ ----- ---- .•-- ---•-• - _.....--------_._...___,-------------�---------------..... ....._.__...--- - -,-.::_- _.___.�. .r..1_ . _. . .. ..----- - -. : � �, � . C�...��.r�{'�i�� , ';'. . ; �,..11 y �:: ���J, r-E�� �,Q��J i . : _..�.,.._.-._....... __..__._.._ _._-►--.__. - ' � il-"._'....�- .- ' '-'_'--'...,_'-"---___.. ._�..___._.._..—'—•----'---• --'-,.__._... _.... . .----- f'Lt1P�1EiINt� ' . �'-'�----___. _. �.•.� EP•4�RGY ' ! � :^ • _ . " _....---- ---__--�— -��----•------- ----- �- -�---------------------_____- � --- , - , -1-6 v �� ------ -- -� _ ---- -- -- , , -• --------� ---------- -,w---=.._..__ �------_�_- �__ ,_,. .��:,",.:,„..,..-�....�,,,. .. ..,.------------ �-----...--- - •- -. ..- - --- - - �: � , _. . , l �,,:;._�€g«� s� �a��c�-�+' 'i\ -- �, �..,.. . ,,, � .._. .. .w�.,. � � �------�-----------------_,_..-- -----.__..._..-�--•--r:-------�-- ......,a a. -p"',.-�+ ..� .._.....-�--------�---��--�----------�--�- - -- � - � � � ,. � .. .� . � . 1 � . . �r. : ;1�Efi�,TS _ __ ._-----------=-------..—._ ____ . ... __ _ .....__.... .........�... �. : ; � ; : ,. � . , ,; , , ;...�� . . ;. ; _ 9 ,.� , t o-�, �_+. � ��:,. _______ �._......---_�._.L-F��:.._____..:,_�.�_._.�-t---...._ �..�.._.�___. �.., . - ;!� , ;f i �.._..._ ..... ,.........._.._._..._._.,....__..._...----..._--�---------' ---...------.__£:.._._...-'- -- ----- -' . j ' � � — ---_'____..—.—.._.__._....----------------- ------_..- -----.... .._.. . �._ _, ---------•-----'---'-"_'-_'--_'---'----'--'..___�.-'-'-'.._---"---� ------ ---' � t,Y���� '�`'.,t',�. _ �3 �._.__...._.�__...�_'_..__._..-__'_—'__'.._..__..'.—'_—�"-"_._'_'__.-"_""'...._...__.._....__...,"-"___'__ "".__'_ .-~__" '_`5 -.. .�_. '.._._._.. ....._.. . _ .. �, .tr,. i t- ------ __ _.�---,._�_�_.,___.___.,._._-...._.._..___—_-------_...------�---------•------------.__......,.-----.,.. � # , . - ------•--...--------------�----------'---_—__�___.-------.�__..,_-•-_.._....... .-- � ------ ----�--------- ----- . .._.... �_______...�.M.._ , a; ,---�-. i P:'� . . , . --��__-------_—__------------._----------�--------..,.._.__.._.___..__.,_�...---....._.......---......_._------------------------._..._...._...... ..,.. .'• �SEPTiC TAI�!h 5��.:,: ___�._.—.._.. i . - - --- - iSEEP (�lTOU S1ZC� ----_....---- - ----------•�----------__�.__... . ......____...._.-------------- - ------ .__ __-___ -------.............. ..... . i � � , .___..._.__....�._......._._.____...--------- ------------------------..._....----._.._.__-------- - ------------ . __.___. i i ! ---..__--------_.-------------�------------- -...._.__.__...___.._.......... ... . ..........._.._ . . . _.... ._..... ......- ---...-- ---- - z � ..__.._......._...__.__------._.........--- _---�--- -----------_.__------____---------...._....._-----..._------------.... ... . .....�-------• t ------------- —---- --------- -----.--- --- -------- --�-... . __... . .._... ....... _ _...._.... . ..---._...._..--- -� i ' � , � T ——-----._..._ . . . -.._. ............__,_........_.._-- --.._... ._..� -- - .�:-- _._.-- + � ' , -- --.__. - �. ._.___�.---.......___---------------.._____.......-- ------ ..- . . �_ `...�._. . . <..\�, `., ��i. � � ._�._...�.__....___.__—=------------- - - -.. --- . ..- � ----- -�-- ,. � .�. �� � ;�� , . . � . • �, _, �...-------;---=•ti-�- -- .. ....