Loading...
HomeMy WebLinkAbout13405 (27) 3I . 2 Y� CITY OF DIAMOND BAE EXP�RED Z ► - ---, DEPARTMENT OF COMMUNTTY d'c DEVELOPMENT SERVICES {, � ~ . � . ' 2t�o E.c�tcynrive s�c�t90 ��� 21 pQ�a PRESS (909)860-3195 Fax(909)861-3117 �`•�M'� BUII.DING PERMIT APPLICATION FIRMLY o� JOBSITE L T!i, DA�CATIQN/ I:�; '•.C�.9 NUMB R/��O�r 7f� ADDRESS /�d� `� � APN LOT TR CT DA EE �� / /• ONST. GRDUP � OWNER �C�� W ADDRESS ����P_ ZONING RONTCKS RW ❑ � CITY 2IP T L. REA#�i ❑ APPUCANT SIDFJSIDE STREET RW ❑ CONTRACTOR SIDE O � ADDRESS �� - CITY - IP O TE j� PROPOSED USE GCf �'1 S � DESIGNER I�/L�t �rg + ADDR -� 1 q� NQ.DWEL. NO. NO. CRY Z�p �/F��'1-/� UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONTIER-BUIIDER pECLARA710N SFR/ADD�iEM O 1 HEHEBY AFFlRM U�IDER PEWLL7Y OF PEIWRV iMAT I AM E%EMP7 FRaM 7XE CON7MCTONS Lb . G8f8gB/CfllpOR CENSEIAWFOR7lIEFOLLOWINaRFJ150N(SEC.70.91.6BUSINESS/WOPNOFESSIONSCOpE:ANYCITYOR (n OOIp�}YWNIGIqEq11RE6APERMRTOCON6TAUCT.ALTER.YAPROVE.DEMOUSH.ORREPNRlENYSiRUG- W PB110/DBCk TURE,/RION i0IT8.RSSIIANCE.�I.SO RE¢UIRES 1NE APPLICANT WR 8UGH PENMIi TO FlLE A SIGNEO BTAT9AEM hUd NE OR 5HE IB Ll4EN6ED PUR6UANT'�O THE PROV1610NS OF THE CONTRACTOi18 U- CEN9E lAW(CXAPfFJi Y(LOMMENCINO WfTH SECTION 7000)OF OMSION 90F T1E BUSINESSAND PRD� LL POOUSpB D FESSqNSCOOE)ORTiATMEOH6HE15EXEMPTTHEREFAOMAND7HEBASIBFORTHEAllEOEDEXEMP- (' TI�N.NiYVqLAT10NOF6ECT10N7W7.6BYANYAYPLIGN(TFOR�PEflMITSU&IECTS7}1EAPPLICMITTD Z qe•Roof � ACMLVENAL7YOFNOTMOfiElF1M1FNEHUNORE�00LUR5(ib�l�)� ' � ❑I,ASOWNEROFTHEPHOPERTY,OHNYEMPLOYEESWI7NWAOESASTNEIRSOLECOMPENSATION. C� :COTI119�C13� N7LL DO 1'NE WORI(AND THE STRUC7URE IS NOT INTEN�m OP OFFEREO fOR SALE(8EG 7044,BU51- J NE55 A!ID PiqFE55�ONS COOE:7HE CONTRACTORS LICENSE UW DOES HOT APPLY R]MI OWPIEfl OF = . � PiqPERTYMAqOUILDSONRIPipYE57}IEREON,ANDWHODOE59UCHWOPNHIMSELFOAHERSELFOp � THROWHHISORNEqONMBdCLOVEES,PHOV10EO7XATSU0111IPNOVEMEM5I�RENOTWTElIDEOOR CO OFFEilEO PGt SALE IF,HOWEYEF�iHE Bi11L01N0 ORNAPPOVEMENT IS 601D NATNINONEYFhR OFOOMPLE 710N,ME OWNER6UROER WILL M0.VE T11E 9UROEN OF PROVING iNAT ME OR SHE D��NOT 6URD pR RIPiqVE FOH THE PURP'OSE OF BALE�. O 1.JLS OWNER OF TME VROPER71:AM EXCLUSIVELY CONfRACTING MAhI UCENSED CO�.RRACTORS �/� � TOOONSTRUGT TXE PpQIECT(BEG.70M,lUSINESS AND PROFES8qN5 CODE:TNE CONiNAC70R3 Lh 9h1etf0I1 r'�!ADJ.AFIFA CENSE LAW DOES NDTAPPLY TO AN OWNER OF 11PROPEATV WFq BUILDS OR W PHOVES THEREON,MID � VfFq00NTRACfSWRbUd1PRO.lECT8WIh7ACONTMCTOHf3)L�CENSEDPURSUMlTMTHEWN7MU 'QUANTITY ESCRIPTION FEE � TOqS UCENSE UW.�. I � O 1 AY 6XEEIPT UNDfR SEC. B.i P.C.FOi1 THIS RFASON Q • ` � � � .•� DATE OWNER U � LICENSED CONTRACTORS DECLARATION � � W 1 MEREBYAFFIRAI VFNER VENALN OF PE0.IURY THl,T IAM LICENSED UNDER PROYIS�ONS OF pIAVTEH Z Q L. �(COMMENCMIO YYI7T1 SECT�ON 7oao1�DIYIS�ON]OF THE BUSINE35AND VROFESSIONS CADE,AN� 't' MY tJCENSE 16 M FULL FORCE AND EFFECT. � ` � ��►/y � C.- 0 UCENSE CUISS �S LIC.ND. �J ' � � �,� � DATE �' GONTMCTOR �- . WORKEHS'COMPENSATION DECLARATIO �� � 4 �j t �, � INEqEBYAFFIfUIUNDERVEWLTVOFVERIURYONEOiTHEFOLL�N[70EC1A�.•IONS: z � 4 � _IHAVEANDWILLIM�NTANlACERTIFICATEOFCONSENTT06ELF-IN6UREFORWORK 5' _ OO/APENSAiIDN,AS CibVWED 8V SEC7lON 3700 OF TNE UBOfi CAOE.FOq TNE PEFFORMANCE W OF TIE WOWC FOR WHICH TMIS PERMIT 19 ISSUED. � O _I HAVE AN�WILL YAIAIfA1N WORKEAS'COMPENSATION INSURANCE,AS flEOUIREO 8Y SECTION /� �j Q 97000FTNE�FDRTFIEPERFORMANGEOFTHEWORKfOflriMICHTHISPERMRIS ` •��L� 168UED.MVVpPo( OOY ENSATIONINSURANCECARRiER POLICYWMBERApE: CONSTRUCTION ��— � CAqRIEH 0^' �r � • PLAN HEVIEW � Pq.iCv tNMBER C 2 ELECTFIC � � � (nissEcfloNnE�rq7BEmMlErEoaciNEv6�NrlSwnadENlRPf1[000uNsRirol PLUMBING .n� .�O W "\�� z 1 CERTIFYTHIIT M7HE PERFORMANCE Of T7E WO FOF WHICH THIS PERMR IS ISSIIED.I MECHANICAL :'� G. '��� (� SHAl1N0TElAPLOYANVPE/ISdJMANVMANNE OASTOBECOMESU&IECTTOTHE ���_ � WORKERS'OOAIPENSATqN lAW9 OF CALIFO D M3REE Y If I SHOIAD BECAME INSPECTION FEE 6118JECTTtliiIEWORKERS'COMPENSAT ISIONSDF 'TION370oOF7HELABOR �,>�- �'"j cooe,i srinu,roanmrtn con+r�r �n ISSUANCE -�j 1� �'J _ p0�7E:��Pa�. SMIP � �� ���y1.�.a � � � WAHNINO:FALUF�TO SECURE WORKEAS'CdAPEN5ATIDN CAVERAGE IS UNUWFLL,ANO SHALL 8E ENERGY P�C ���y L �y SUBJECTANEMPLOYEFiTOCRIMNALPENALTIESANDCMLFlNESUPNONEHUNDREDTHOUSAND ENERGYPERMIT l}iY� � OOLLARS(l100,000�,NJ AOORION f0 h1E COST OF COMPENSATION,DAMAOES AS DROVI�ED FOR IN J SECTqN aT0!OF iHE LABOR CODE,91TERE5T,M10�TTORNEY'S FEES. RETENTION FEE: Q d CONSTRUCTIONLENDINGAGENCY - T EE: O � 1 HEHEBV AFFIRM UNDEfl PENALTV OF PERIURY THATTHERE IS ACONSTRUCTION LENDINC AOENCY FOR TME PEHFORMANCE OF iHE WOW(POR MMICH TMIS PEMIIT 15195UED(SEQ i0B7.CIY.C.�. Z yy � LENDERS NMAE -y.�- C LENOER'SAODRE53 � ICERTIFYlN11TIHAVEREADh115MPLICATpNANDSTATEhMTTHEABOVEINFORI,IATIONI50DRRECT. TOTAL FEES � IA(iREETOCOMPLYN7TNALLCRYMIOCOUNTYOPDIN.M10E511NO5TATELAWSREUTNaT08UILqNG � CON:TRIICTION,ANDHEflEBVAUTFIDRREREPRESENTATIVE50FTiISCOUNT'lOENTERUP'DNTHE �VE•4ENTIONED VROPENTY FOR INSPECfION PURPO5E3. COMMENTS Gz � 3". � � -� m PERMITTEE NA1J 1 . c�n �j/-2 J -� (J) UREOFPERMITTEE ' DA7E � RECPT.NO. P/UD BY � VALIDATION WHITE—Depertment Copy,YELLONf—Finanoe Capy,PINK—Aasessor Copy.GOIDENROD—File CopK GRE N—ApplicanYs Capy - GI"�'Y OF dlt�,�.�OND ��R ,. t , � It�tSf�ECT"10{�! F�ECC.�RL3 � _ ,... .� � � ..;�r�.. r -=���- �, � � -� '"' �wr�.,.,,�- r '�'�.,'�x.- � � :- -- . �•'"�• =C�>��. ! • �-� �!�`�. 6.' �i1�� ����,��'. �I��:� <.. ,>3�.� . ,M�, ����r . _�.EfBI�GKtL ��}�,;�-J,K .�I_��..:.._ ��------(I FLOC3�i`l�Qf�T _------_ M _ ____ � '_,.....___�-___,. ._k_ _ _ _ , , _�__�,._ _� `�Tf..S��-C)f�t,ri5,'STEE1 �/� { . �___, � I Ff�AHEQt�ATc-------___ ..--f�y-----.. . � _..._ _...._ ..----...... _ ......{ ----- ____ __ _....__ _ _, .._.---r.���____..--- ,ELEC�f�!G GF�ntJIVD � • `� ` i UNDER FLc�:)f� C)UC1' .,__._ ..__.__ __ _ � -; �.----------._ 1 _._. _---� _... ----' _— -•-- . C�ROUt�C)f'�Ut�1G'i��{t:s � � I � UNDEE�FLOt)�CC� � JIT , � __.._..------�-- __—_------------� -- _-----------�_i._._--------_ __ -------. _ �--- ; �--- - �;:--------- --.__ .._ SLAB GFIAL7F_ � ' ' '._FIREF'i_ACE E=C�t_EtSL)EeT�CN � '. � - --- -- - _ ._ -.G.--- _ - ------ . ----___ ------ a_..._ ___.- _._---- ---_ _.._. .. TEMP f"QWE�t i i __ �IREPLACE BORlD BERti4 �� I • . __ _ - _ , _ _ _ WAfiER�Ef�VirE ; MID HT 60Np�EAP.� � , __----- -._--.__.__�_..__- --- � Fi�C7� S4-[�'ATF{ING _ .- � . I B F� BO D BERI�! . - - - _,. .. ___ _ _ _� .____-- ---- __..___� ..-----_..---- ...-- �-�--� _.�----- --- -- --..�_ _ _ r-__..__` ....�.» _.,�. :� ; � FFiAA,"I(y��i%Et�TELIPTIQN I i �=INAL.BC�ND E�Ffltvl � � �_._.._. , ----.._.__._ _..�.---,_..___._. ..----------- + --- _...�_..-- ---._----.__._...._. _,..___.�._.----- •--------_ -� ---• -- ! R:3C1r .:.C;r'u¢"�R I I i F'RE URADING �---^'._ _ � � _ �----- _..� -;�._,� _.,�__.----____-_..__.r._�___---_---T---_._��..,---��---__..----.,__._ ? � ROv�rt-'�"/�TiNG _� �j BENCN11lIG ,��• ��_-- �--- .�-•----- -- -- --�i _ _ .. _ �._�__. _ ` I��., , ' ''`_'1MSING ��_---------� --- ------_-____—_j.�. FiNISN iaRAUING_...�� i------- -1- - _ -- .-! 1 F�C�U E 1 a.,fRIC _i _ _ _ _ ___ _' ROUGH GRAL}iNG__ _ _ � ; ;.,r'�s.';e_e•.'s UB TEST � r I � �OOL ELEGTRIC ---'.___.�_�.--- --- � ._,_ ___.__--_ ------- --------- � � _ . . _.._ ._ � - Y-------�- p - X � � ,a�Dll�1� _---I. � POOL FENCING -�,�-�-1- ' -----,-- �- - _ . _ _,�..,__ .__�_--------- .--- -- I t;���t€ 1�3`�11`J�TIO� , � PJOL FINI�L � I �_ �F~ � __ _ _.._ ----...---....-�_------�--- -- -._..-- �----_------. _r....______�-_ __._._---------...__. o _^,!:",'�._;r��'-�li•;'�;�t11,T1CR4 ! ; ; OFf`SITE IMPS. ; ; i - -- -.�, ---- -__�__ .. ,--_. ��_, r p �t' 1.3JAPi 1�lCx � Q�DiCATIONS . _, ' _ -�------j ��. - --- ___ - - - t - --.___. t F(?�JAL ENG � � __ ----- --•------_____...--- i. .--------- ---._.-------- ,_ ._.. __ ,.--- f.... __. .. -- ..,.�------ :: 'AN�< � ; ! l.ANC35C�i�'E�If�f?IG. � i _.____. _d :: - �- _._� �.. .-----�---------------i---,___ _..._�._._-____._._._ . .. � ':� �.L. � i ' • ; : {7"C SEl'�fbl1PS. � , -------•------._._____�-----_.�'-- - -•-- -- - �T � �- �i E'ih!'�F ZOtJ'AJ � � � . .___.__--------- - - - ._ __.. ._ _... _. ---- -y� .__ .... efitiiJ�[. ; . . : , . � I ����CIE�� �{���. - i . . . ... _ ...�, _..._.,.__.� .. �.'_--.._ _ _'....- _'.__ . ._ ... _ _ ..._�_... ..._._ . . ... ,.......- .. ;; �¢_�f��C ; • � I I N�AIT�-i i7EPT �=ira�,�. . _ . �-___.._l _._-__ --__--- � _._ __---- -- ._. ; t t r•CTR r i � . , ;, ... � , C)EV f-EES Pr11D --�--__._�..__...___,_-________. W._�--..__�.-. ;,_.__.._ -----.---.._...---- --•-�--------.._._-----------.. �'LUfv'Bti�t� ' ` F'J F�G`� ' � ; -_..__- - -------- ' ' � �_--_� ._- __ ,. --- ___ � a� � . �-..w� � ,.,�_�'� __ _....._.___ .;^� k'�X`y A�u'"qST•"m ..w..�.,.,- ____—__...� i � _ �:.. � i i�lR �at!^'� �. � ��..._____�_---._�______.__!_______----_1__.----.____ _�___1_� . f.�� . _ ...---,�__. ----___. . . ,, , , . . �. .: . . ; , �:'� ,�;`���;�T� ���t;�-;-£�--- -- __ __...._.____.__. ' , .__�_.�_. .----------��-----�------------. _ � 1 . , i – --_—.__.._---. . .__�__ _.., .__ .__ -----__..__-- ----_ ' .__._ __ _____ -------.-.--,�_ .. __ .�_._ , , ------- w------�-•--.� __.._------_----___. ... _.... __ � . . �-- �— --•------ -------------- —.._. __._ _ . _.-----_____ _...------- , , i � . � , , , . , � ---_ __---..------ -- –_ _ _�__—_ ___ _ , , , , Y ,. �_. _.._.�-•--�..._—_.�..._. _____`—_"___._. ._____—..____ '__'' —_"_..�"__t._.'_Y...._f._' .` i • �� . 7 � . . _..._"�. • ._._._._''"_'_"_"_."'_..�..._.._.'_"._...__"".....�.._. _.._�" "'_ . . _.�.,.. .. _ . . . _.__._ . .. .._ . , . T__"' ."'_' ....... .......... _._..... .� �. _ ___.__.._....__..,_—.�..._...�....r�..._�__.___..__..—_._...'__'__ "___"'..�_...__"'___._'___'_._._�_..T..��_.�._...�"'_�_- � , �.__""'"'_T"""'!__"""'_._..__,._.__.__"..."__"._.._.._...., ..'""._.�."'"'"...'"""__..__...._.._.__._.._-�.�-..._...' . ..,....__'-'_ , '" ........._. .._.._._.._._..._�......__... _._....._....._..__._.�._._,.. � f � _�.___v._�.— ._._.,___ .. .___... . ___._ .._.__.__—'_'_____.._.�..—. ______— _._____-.._.._.—____. .___._.. .._'_......__.. SEPTii,T�NK S!.. �...------ _ _, _ _ SF_EP Pi'�`ftJ SIZ.� .---- ----- _._._.__._.----...____..__�_�_.._._._. _.._ ---------- --. . ........ ----...__ __.._. _.._.... ._. � E � , ` a h .� -- --_ ---.._.__._._..._---__---------_.. ___. _ .... --- � I 4 I i� ... ... _:: � �- ��� � � i - ----._.--- .._._�:� � i.._---_.,----- __— E�i ki I "�. I. r �� � 7 � � i I L : . ------__ _. ..._.__. ....__—,.._.._.. ----__.._ _-----�__._. ...--- --� --�'. ----- --,. � .r-- -;....--- - , ------- + `._' )� __.___--__._..._.._ ----._._ 4 � ---.._._._--- ---- __.._._.. .---.�..w__....---------------------__.,---__._..—,_._ 3 : =: --_ __--- � __.__._—_. _ ___--_._ _..__...._..._ .._...__ _... __....... __. _�_._ . .._.__. _...... { . � � ,. ...._ ._ � �... '�-�.,r -.. , _. _�....���,�,� .. 4 � � . 7 ��� � ��f t�'i�'� _ . _____._._._-�---_�-.�. _ ___- --- - - � - - ��.: _ � , r I �r� �: , • , �::,� � ..... .. � ...:.__ __._____ r .------ -- ------__ ... _ ... _�, .. _..... . _.... . _� _ . . _.. _ � . ,. .�. r �