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Home My WebLink About17322 (25) . � _�� CITY OF DIAMOND BAbt � �• i DEPARTMENT OF COMMiJNITY&.DEVEL:OPMENT SERVICES i 21660 E.Copley Drive Suite 190 �/��l� �� . �� pRESS (909)860-3195 Faz(909)861-3117 ��C ��'TM'�W � • BUII.DING PERMIT APPLICATION FIRMLY N JOBSITE �(� �� Ci DATE CATION � NUMB R 1��`�#/� ' � o ADDRESS � APN LOT ACT .',TZZp�J DATE NST. � GROUP I ISSUE , �\_-�`�j�yPE • OCC p OWNER v �c.- a u o ADDRE S D � S ZONING SEfBACKS • .i w CITY �� ZIP Z Z TEL. FRONT � ' ' qyy ❑ � APPLICANT TEL. REAR ' ❑ � SIDE/SIDE STREEf RW ❑� CONTRACTOR SIDE ❑ ADDRESS ' � CITY ZIP TEL. PROPOSED USE I �i ARCH/ENG/ `'� �^ � DESIGNER , � /✓T�S/C/�_ �� NO.DWEL. NO. NO. ADDRESS l�.�h �'t.cJ'l�iVL�'C��.t�TJt�/L_ �S2 UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION S�.FT. FACTOR PSF ADJ.AR ANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM � O U,J CENSE LAW�FOqTHE FOLLqYINO REASON(SEC.703RS BUSINESSAND PPRO ESSIONS COD:E arY mOq Gefega/CerpoR V COIFlTYNTIICHREIXIIRESAPEAMITTOCONSTRUCT,AL7ER,fMPROVE,DEMOLISH,ORREPNRM/YSTRUF � � TURE.PRqR TO ITS 193UANCE,AL50 REWIRE9 THE MPLICANT FOR SUCH PERMIT TO FlLE A SIONED w Patb/Deck � STA7EMENT THA7 HE OR SHE IS LICENSED WRSUANT 70 THE P{iOVI510NS OF THE COMMC70RS LI� � CENSE UW(CHAPTER Y(COMMENGNCi WITH SECTION 7000)OF DIVISION J OF THE BUSINESS AND PR0. PaoVSpa FE5910NS COD�OR THAT HE OR SHE IS E%EMPT THEREFROM AND THE BASIS f-0R THEALLEOED E%EMP- (� TqN.ANVVqU�T10NOFSECTION7031.6BYANYMPLICANTFORAPERMITSU&IECTSTHEMPLICANTTO Z Re-Roof � A CML FENALTY OF NOT AqRE THAN FNE HUNDRED OOLURS({600).�: . � O4�SW�MEROFTHEPROPERTV,ORMVE�IPLOYEESWI7HWAOESAS711EIRSOLECOMPENSATqN, COmmBfCl81 � � - WILL DO THE WORI(AND hIE STRUCTURE IS NO7INTENDED OR OFFERED fOR SALE(SEC.70a/,BUSI- �J � � NESS MA PROFESSIONS CODE:THE CONTRACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF � . , � PHOVERTY NM1ID BUp.DS OR IMPHOVES THEREON,AND WFq DOES SUCN WORK HIMSEIF OR HERSELf OR / � iHROUGHWSORHERONRlEIIVLOVEES,PROVIDED7HATSUp/1MPqOVEMENTSARENOTIflrENDEDOR m OFFERED FOR SALE IF,/iOWEVER TNE BUILDINOOR MPROVEMEHT 19 SOLD WITHIN ONE VEAR OF COMPLE- � �--�TIDN,T1iE OWNER�BUIIDER N7LL HAVE 7HE BURDEN OF PROVINO THAT HE OH SHE OID NOT BUILD OR � _VPROVEFORTNEPUHPOSEOFSALEJ. �yJ ❑1,A90NTIER OF THE PROPEHTI',AM IXq.USNELV CONTMCTINO NrtTH LICENSED CONTRACTORS , ¢ TO�7NSTHUCT TNE PRO.IECT_(SEC.7oH,BUSINESS AND PROFE5910N5 CODE:THE CONTMCTORS LI- VBIUBIlOf1 ADJ.AREA . W CENSi;AWDOESNOTAPPLYTOAHOMMEROFAPROPERiVWFpBUILDSORfMPROVE37HEREON,AND � . � WFIOCQ'JiRACTS�OHSUCH7ROJECTSWITIACONTRACTOR(S)LICENSEDPURSUMlTTOTHECONTRAG pUANTITY DESCRIPTION • loav uco+se uw.�. FEE . � �I W IXDAPT UNDER SEC. B.a P.C,f-0R THIS REASON Q (�' � � 1 � � V ' ! - ¢ � OA7E � OWNER F– �� F LICENSED CONTRACTORS DECLAAATION w f � 1 HEREBY AFFIRM UHDER PENALT'OF PERIURY TFIAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � ' � Y(COA/AIENCNO WI7H SECTION 7000)OF DMSpN 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z ' �j� MYIICENSE IS IN FULL�FORCE D EFFECT. m l J. �� LICENSE CLASS LIC.NO. J j . ' � � V DAiE ' '� CONTRACTOR a LLJ � � � � WORKERS'COMPENSATION DECLARATION � � � , I � , l �- � 1 HER V AFFIRM UNDER PENALTY OF.VERIUpY ONE OFTHE FOLIOWINO DECLAMTIDNS: � Q /1 T i ) /(^�� 17 L/ �J � I HAVE AND WILL MAINT�IN A CEHTIFlCATE OF CONSENT TO SELF•INSURE FOR WOHKERS' ' COMPENSATION,AS PROVtDED BV SECTION 3700 OF THE UBOR CODE,FOR THE PEqWRMANCE U Q F THE WOqK FOR N7/1CN THIS PERMIT 19 155UED. � I HAVE AND WILL MNNTAW WORKER$'COMPENSATION INSURANCE,AS REOUIRED BY SECTION Q �7000F THE LABOR COOE,FOR THE PERFORM/V10E OF THE WORK WR WHIq1 hIIS pERMR IS - ISSUED.MV �!''COMPENSAyON INSU CE CA RIER�ICV NUMBE/R�sp��E,: CONSTRUCTION � c�wwER � /�`� w PLAN REVIEVJ Z � �aICVNUMBER ` . ELECTRIC � _ Q �C/�� / eeoor.�rFDOFn�aEw,�rsro�+a+EHurnt�ooa.v�as�sim�oq�ss� PLUMBING w - }� � Z I CERTIFV TMAT W h7E PERFORMANCE OF THE WORN FOR WMlpi THIS PERMR IS ISSUED.I MECHANICAL t l� G�' SHALL NOT EMPLOV ANV PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE (/) WORKERS'COMPENSATION UWS OF CALIFORNIA,AND AOREE TMAT IF I SHOULD BECOME INSPECTION FEE S SUBJECTTOTHEM/ORNERS'COMVENSATIONPHOVISIONSOFSECTq 7000FTHEUBOP cooE,i�n+�v�rNn��vi� ISSUANCE O � O ` p DA7E: APPL�CANT. U �'C/�S �SMIP \ � WARNINO:FAILURE 70 SECURE WORKERS'CAMPENSATION COVERAOE IS UNUWFUL,AND SHALL BE ENERGY P/C � C / �`�,/\ � SV6IECTANEMPLOVER70CRIMINALPENALTIESANDCMLFINESUP70ONEHUNDREDTFKK15M1D ENERGYPERMIT v � DOLURS(f100,000),W ADDIiION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED FOR IN • J $ECTqN J70!OF TiE UBOR COOE,INTEREST,AND AROpNE1"S FEES. ' I ¢ REfENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � I HEHEBV AFFIRM UNDER PENALT/OF PERIURV THAT THEFE IS A CONSTRUCTION LENDING AGENCY - ' - / FOR THE PERFO OF THE WORN FOR p7 IS PERMIT IS ISSU D(SEC.30G7,CIV.CJ. Z �il�� U�r�� w � LENDERS NAME � � , ' � 1–� LENDERSADDRE55 � I CERTIFV THAT I HAVE READ THI9 APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECL TOTAL FE ES . , � 1 A(iREE TO CAMPLV WITH ALL CfTV M!D CAUNTY ORDINANCES AND STATE UWS REUTWO TO BUILDINO . , � CONSTRUCTION,AND HEREBV AUTHORI REPRESENTATIVES OF 7HIS COUN7V TO EMER UPON THE ' � � � � Z /�BOVE-MENTIONED PROPERTV FOR I ECTqN PURPOSES. COMMENTS_- '��I' J� � ��s . � , � PEfU/ EE NAME(PRl ' /^/ � � .. � � �'—�V ��/ . � � ' � TUFEOFPE EE DA7E RECPT.NO. PAIDBY VALIDAl10N / � WHITE—DepeAment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—ApplicanYs Copy � CITY OF �8��D �� iP�9SPECl'90� �ECOIf��D � • Q 'K `� h': � 1 '.�e s" o � �y � o � .ym n `.�.�'�� `t;,��!,(VR',AVyp�d�,$'�_11-��t�,.w VVv�1� SET BACK � FLOORJOIST FTGS/FORMS/S7EEL FHA REQMTS. � ELECTRIC GROUND UNDER FLOOR DUCT �. � GROUND PLUMBING UNDER FLOOR CU�IQUIT SLAB GRADE FIREPLRGE FOUNDATION . , . TEMP POW R FlREPLACE BOND BEAM - �WATER SERVICE MID HT. BOND BEAM ' • , , , F�OOF SI-IEATHING �.' 8 FT. B�ND BEAM � . FRAMINGNENTfLIATION FiNAL BOND BEAM ROOF COVF_R PRE-GRADING • ROUGH HEATING `��[-c� BENGHING • , ROUGH ELECTRIC ROUGH GRADING ROLJGH,PLUNiBING- . � FINISH GRADING SHUWERrfUB�T�ST ' • POOL ELECTRIC EXT'. LATH/SIDING POOL FENCING WALL INSULATION .. Z POOL FINAL � CEILING {NSULATION �- , - OFF SITE IMPS. , DRYWALL.NAIUNG =i3 �oL ,�. QEDICATIONS � . � SEWEFi FINAL ENG. __�� SEP71C TANK LA�IDSCAPE/lRRIG. 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