Loading...
HomeMy WebLinkAbout14094 (29) CITY OF DIAMOND BAx � ` ---��----- DEPARTMENT OF COMMUNITY dc DEVELOPMENT SBRVICES �1 , 21660 E.Copley Drive Suite 190 (909)866�3195 Fax(909)861-3117 PRESS �'^�'� � BiTII.DING PERMIT APPLICATION FIRMLY � DDRESS'�'r � ���1'G c � �'e`� � DATE CAT10�� ,�,� ,.,� NUMBER Q APr/C 1�1�. `l � APN LOT TRACT �SSUE�-F'�� �—TypE OCC �ATE CONST. GROUP p OWNER �/A/l " ADDRESS ZONING SETBACKS CITY ZIP TEl FRONT RW ❑ APPUCANT _ �`M i� � TE�, , �� REAR p SIDE/SIDE STREEf RW p CONTRACTOR �- ? 51DE p ADDRESS g CITy Z�p r�,"�..r._ y.E�, PROPOSED USE r 0 B ARCWENG/ ���� � DESIGNER NO.DWEL. NO. N , ADDRESS UNITS ST�DRIES BEDROOMS � CITY Z1P TEL. � OwNER•BUILDER DECuw�TtoN DESCRIPTION Sa.FI: FACTOR PSF A0.1.AREANALUATION � SFRJADD/REM I NEREBY AFFlRM UNDER PENALTY OF PERAIHY TNA7 I AA1 EXEMPT FROM TME CONTMCTORS U• GBfSQBJCBfpOM �NSEUWFOitiH[FOl1.OWPJCRF�ISON(SEC.7031.6BUSMESSNIOVROFESSION900�E:ANYCITYOH (n CWNiYMh#CHREOl1tHESA►ERMRiGCONS7RUCT,ALTERM�PROYE.DEMOLISH.ONREPAIRANYSTRUC- W PBUO/DBCIC 7URE.►qqit TO ITS ISS�MICE,AL90 REWIRES TNE APPLICMIT FOR SUCH PENMIT TO FILE A SIONED W RA7EMENf iXAT NE OR 6HE IS UCENSED PURSUANT 70 iHE VROVISIONS OF THE CONTMCI'ORS ll- CENSE UW(Q1APfER i(COMMFNCWO WI7X BECTION 700010F DIVISION 30F THE BUSINESS ANO PN0- LL' POOVSpB fE3310N5 C00�OR7VMT HE OR SME IB E7fEMPT 1HEXEFNdA AN�TNE B�SIS FOR iHE ALLEOED OfEMP- C7 710N.ANYVIOlAT10NOFSECTION7R91.lBVANYACPUCMlTFORAPERMITSUBJECTSTNEAPPIJCANTTO Z Re-Roof � ACML PENAL7Y OF NOT UOf1E 7FU1N FNE NUNDRED DOLIARS({600�.�: � OI,ASOMMEROFTHEPROPERTV,ORAIYEMP�OYEESWiTHWM1ESA9TNEIR30LECOMPENSATqN, CORIf118lCI81 � - WILL 00 7ME WORK,AND TiE STHUCTUpE IS NOT MTEH�ED OR OFFERED FOR SALE ISEG.7041,BU54 � NESS AND PIIOFESSIONS OODE:7HE CONTMG7OR5 LICENSE 4AW OOES NO7 APPL�TO AN OWNER OF � PROPERrYNTqBU4DSDRMP110VESThIEREON,/WOYRppOE53UCHIMOFtKNIMSELFORHENSELFOR = � TNROUGHMSORMEROYVNpA�LOVEES,PROVIDE07HATSUdiIMPR�VEMENT6AREN0TINTENDEDDN Ln OFFERW NRSALE IF.IqWEYE0.TIE BULLDIN(i OHMIPROVEMENT IS 50LDMIITHIN ONE YEhROFCOMPLE- iION.TXE OWNEiLBIHLOER NIILL NAVE iHE BUROEN OF PROVWO THAT ME OR SHE DID NOT BUIID DR MGi10VE WR TME iURP06C OF&LLE). y,� 04�OVTIEROFh1EPf10PER7Y.M1EXClU6NELVCONTRACTNJfIW1TML10EN5EDCOMMCTORS � TO CONSTiWC7 h1E PA0.IECT(9EC.70M,BUSINESS AND PipFE5910N3 CADE T1E CONTRACTORS LI• VflIU0II0R ADJ_AREA CENSE LAW OOES NOTAiPLY TO AN OWNEPI OF A PpOPERTY WMO BUUDS OR IMPRDYES TMEREON.ANO WF�OOONTMCTSFORSUUIPROJEC78WI7NACON�RACTOR�S)LICENSEDPURSUAHTTOiMECONfMG pUANTITY DESCRIPTION FEE � TORS tICENSE LAW.�. ❑IAUEXE►tPTUNDERSEC. 8.87.C.FORTNISREASON � V � DATF OWNER � LICENSED CONTRACTORS DECLARATION � � IIIEREBYAFF�RMUNDEHPENALTYOFPEi�1URYTNATIAMLICENSEDUNDERPROVI51pJ50FCHAPTER � �ICOAIMENpN(i WITH BECTqN 7000)OF OIVIS 80FTNE BUSINE53 AND PHOFESSIONS CoOE,�NO Z MY LIC915E 6 M!R1LL FOHCE AN�EFFEC7. � m � LICENSE CUSS . C.NO._�/D�L-C� ? � as� — � corirwacr�� a � WORKERS'COMPENSAl10N DECLAFIATION Q yIHEREBYAFFlRMUNDEHiEhLLLTYOFPEPJURYIXIEOFTFIEFOLLOWINODECLARA710N3: Z � _IINVEIW�WILLMAINTAINACEfITIFICATEOFCON5ENT705ftF•INSUREFORWORI(ERS' _ OOIAPEN6ATION.ASPFlOVIOE�BVSECTON970UDFTHEU90RCODE,FORTHECERWRM W OFTME MIOi1K FOF VMICM TNIS PERMIT 181SSUE0. � . !� AP(�! _I NAVE NiD WILL IWNTNN WONICERS'CAMPENSATION INSl1RANCE,/S REOUIRED BY 9ECTION � � 97000F lHE LABDR COOE,WR TNE VEflFORMANCE OF THE WORK FOR WHiCH THIS VE R i5 �, v 7 1_-I v 193UE0.NY WORKERS'COAIPENSATION INSURANCE C#RRIER Mq POLICY NUMBERANE� CONSTRUCTI "'•�y'` v�j?::� cI' CARRIER �IT����i ` ' f�' � � — ruw Rewew I�;UI�-�r=,:;-r�x_';. :',�.,..�:"''" � pa�cr Nuueen s C/!1 2 1 n�"7 ELECTRIC � lnsss�nr��rureEao�T�aFTr�v�w�r�swnar�E�naFooau/�K� ) �ssi PLUMBING � I CERTIFY TMAT IN THE PERf01WANCE OF TXE WqRK FOR WHICH TNIS OEAMIT IS ISSl1ED.1 MECHANICAL SNALL IqT EMPLOY!�M!PEHSON N ANY WWNER 50115 TO BECOME SU&IECI'TO THE � NpqKERS'COMPENSATION l,hWS OF CALIFORNIA,AND AQREE MAT IF 19NOULD BEGOME INSPECTION FEE S BUBJECTTOT7EWOAKER9'COMVENSATqNPROVI510N50FSECTpN77000FT11El/1BOR �t�-- 00o i sw�u wRnmin�caar�r unrN nio E PflOVI51ONS ISSUANCE v!.�( � DATE: APPLICANP. �1►a. � � SMIP WARNI :FAIL E M SECUHE WORKERS'COMPENSATION COYERAl3E IS UNIAWFIR,ANU SHALL BE ENERGY PJC �y SUlJE TANE PLOYERTOCPIMINALPEN/LL�IESANDCMLFINESUPTOONEHUNDREDTMOUSANO ENERGYPERMIT DOLL1lR91i�ao.Wo�,N ADDITION TO1HE CO57 OF COIAPENSATION,DAMA4E5 AS GROVIDE�FOp IN J BECTION370lOF1HELABORCODE.IN7EREST.ANDIITTORNEYSFEEB. ¢ REfENTION FEE: OCONSTRl1CTION LENDING AOENCY PRE-ALT FEE: � 1 HEREBV AFFIHN UNDER PENALT'OF PERJURY TMAT THERE IS A CONSTRIICTION IENDW��OENCY Z FOR TqE PERFOqMpNCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIY.C.�. I.LJ � LENDER'SNAME �S LEN�ER'SADDRESS W 1 CERTIFY hUT I MAVE REAO TXIS APP�ICqTqN AND STATE iHAT T1E ABOVE IHFOHMATIDN IS CORRECL TOTAL FEES � 1 AOREE�O COMFLY WITH KL CIT'AW COUM'Y ORDINANCES MW STATE UW5 RELATINO TO BUILDINO � CON5TRUCTqN,ANDHEREBYI1UT/qqREHEPRESEN7ATIVE50FiHISCOUNTYTOENTEHUPONTFIE ABOYE�MENTIONED PROPERTY FOR INSPECTION PURPOSES. COMMENTS � �� Uc S S' �L/'/ /�'i _ � VEWAITTEEN.�AlEJQR�. � � � � �� / � 81fiNA7UREOFPERMITTEE 1"E � R[CPT.NO. PAID BY VALIDATION WHI7E-0epartment Copy.YELLOW—Fhanoe Copy,PINK—Asseuor Copy,pOLDENR00--File Copy,GFlEEN—Applicant's Copy �'— — , --- ----- ..�._`�""�." CITY OF DI�a,I�IC►ND �A,R �. . 1lV��E�TI4J��' k�EC(.��D . ; .,. .,a,: ,�� . y . . . • �... .. � .�� . � ���.��'� : . �� � � � `�' E ' I►�k-.�' .� t� � � �� -�� �'��� ..�... . �. ... .� . ¢ .: �.. � ,.::..� .,:,e.�„� � f � . T : •nm�?-m em-...aEa�+mr a< . . �Y-a.�...n. . 6.. . "Y .... ,SEl�QRGK ; • � FLQCJf's.JC71ST . a�-. ��,�, _— _ _._ _ --- --_ ._..____, _ _ . •FTt3S'( OFiPJIfi��,TE`El � Ft3A HEG2'�7TS _ � � . i .-- _.. � •--- ------ --- - ---------�-.__.. -- -----_�.. .,. ---- __ _._ . .._ _... Ei.ECT�RlC'G�30;JPJD � � GN�EE� FLC3J�i CItJCT ..�.v . . __ ..._.. '__ '.._,,__ .+'__ "'_...__.���.,.___ _ ... _ . ... _ . _ ._ . .. y GF�C)Ui���P��Jt 7�?I^1C,_- _— --_� ----- - --------- UNC)ER FLOC}R Cv� �'11T � _ _. { __ ,., _ _._ r _ _____-4_�_.� ..�. .. si_ai�����e 1 Fi���s�s�c� �c�)��,a�t ic��v � f --- -----------___.__---�------------;--_.._._ V___ ,. .__ __--- ----_..._ .. .�-- ---_�_.__ � _ __ _.. ;€^P11F' f�JWER i � FIF�EPL:}10E B�AID f'3�:r'1M � "' � _. . . . . ! ----_ _ � . ___..�— ..—.�---- � � WAT�R�Efi�VICr � I_ MIC)�i�. BOND BEfrl�f - ----� _._.�.__..___., _ ....._..,_ _..."_ "_'_.._....._. ,...__'"'_'_t'_.__'_"'_"_"'_"�"___" .7 .4...._,. ' ' '—_"."� _"__`—_—___._._"._._—.... � �. • ; t F30C}�SFi��TNINCa ' ' � i � - I 6 f�T �OlVU BEAM ' ; -. �--- _ � . __ �. --- ---.-- .--- ' t_�RA�"1`J,.r�a?�1FNTfLf�T�UN� I ' � � �1`�AL BQNC�B�=AM � .----...___ _ _ __ .�_-; ------ --,--?-- --- -�,.. -------- - ------- ;_ _ ___ ___ _.. � F�:)C) (.� l�E � ` -- ---=-- �� �� __ __ __- ---!- P�E-GRADENG �..__ .__�_.-._.__ ' • ! � �_� -----____-__�__ � � R;,,'�{�s�H 71Nt-� � SEf�lCHING ---._�__.�._�.__..._. __� __ . _ _--,..m�____ ___,_ _____^._,_._�.. --____.__----,._.�-- ROJ�a a ELt r E FiIC I I I RC)UGH GRADiNG -- _ ____.__ _ ____ _ . ___----- __ ___- -...---._..----- _�_.T� _�.------------------ _.-_-� Ri; .a4 �± ;�';U�1BING � FIR!!SH G�ADING � -�____.. - ----- ----------r-----___. ___�-____�.__.__-- r l.It t �T 3 ,�"'UB T�SI� � i POUL ELECTRI(: _ _ �_.� —___ _ . r _ __.. .-----r_.... — -- --------------•-----------.___ � r.��. L�a�#� �!QINC'� ; � P�OL.FENCINU , _.. -- ------. ..__,.----._ .,-- ----�--- --- --------------- ---r-_�_..___�__.�_----�------- -- ' ��:?L� (r!-�,3�ATiClP� � � ! fU�L FINAL I + � �—_�T---- ---I--_ --. -- - —_._------- ---�— .�'t i � 3f' tiLRTlC31�� � C)�r S!�E IA.�PS. ; __ - -- ---- ----_-___.___--_ _ ---_ ...-- ------ ��.,f r`1D_t t_�,��1LI�r ; , C�E:7ICATlO�1S .�. .--- '_ _ ------ �--- _ ___ - --` -_ �__ �..-------� - - _ - -- -�� - ------ ------ -�_ �._ I . _. ...i �: �� ��r��,��.�. , -- -- .. ----- --_---------____.__ _---- -----�----------- x } ... ___._ --- _ -- ----�-------�I . �FahEti ' LR��lCJaC�lPE�lRRIG. ' � _`� - ---___ �� :�.._._--- --�-----__._—___- --. ----- �L__ � -,�.�... ; � Ctv SI l�: Ih�lf'S. � • ( ..._._....�_---_..._.�...._.._.-----_______------___W,��_,._.__..�-------__---------.__�_:_�..---__-:._�.---_....�_,_��-_:.__. ' ;::`�T � , I ; FINfgL�C:�'l�dC� t _�___�_ __ __ _ _.. 1 I ^lST�. :v� :`•��---�-���,�_y,l:✓' ' I Flr�tr ['�[PT FiNAL ----- _..._ -- _ _ ---- `___.._.._.._---__-__.__._.. _.�--=--_..�._.__ ...F.... _- -- -- - -- _. _ ...... _......--- - _...___._ _. . :: t�.r§l�l!`vG , � H �,l.l"hi [)Fn wfhJ�L r __.. __ . __._..,.__._—..__--------.._.,....---------._ ... ... _---_ __.._._.__..., ._- --------._-_. ,_....__ ___...-- --__..._- ..., . .. t..[..�CT'F3,s:.; � . ! C)�V. �'E�S PAlD _� .�---- __.____ . _ _ ---_-_--- 1'LU',��l;�i:", ' ENEFi��Y - _._ _...____ _ . ____ _ _ .---�-- -- - -- _ _. _ - ---...._------- __..------ ------..._.------ , I . ��, ,�� �.�� .,,.. .. „��--------___ _- _--------_.. ._ I . ?� d lt:r�. � � , _ � , .. ......_.__.�.....---.__.��_1__...._.----- � __._...._.._---.�.._..___..I._..,.�:. . -r. .. _ �.' . . .. .... .,. .. .....--'-—-."-- . ... ._.— - , ._. ___ ..._.__....— --` 1 . � _e. .�,i � .. . , �.. ?..>�`.��'�`s:'a�J3�i'i ��7 � i � .._._.........._..__.,..__.._.�.______..._...._—.__.__. _�._.__..._,�_...._.__......_...._...._�_'_'__._...._'_'__._-__'__._'.'..'__._..,,_._'_.__'._'_.�____,.__��_.......: � ........"_'..."'__'_'_.._..-,._—'_'..__�.___�"_._._._--___._.'._"._��.__... . . ._ . .� ... _'.._"'_"_'_.._ . ......._..__'. . _....'.'_'._..."."". .. .. .....,'."'..__._. ...._...._.. �__...., � � _. _.. .___.�._.—_.._.___.__._____.____..._._.___'____..___._—___T'.�'_.'_.,_�___'.'_'_.�,__"...'�_._.._..........._'_ . ,. ..._.__.� � � ...._....... „'.'_". ._ _ . .. - � ,.......__.. _.......,_'_. '. .._. "_'.._..._ ._... ._.___._ ._ ................ _. .. ., �_�..._..._..___.___...__'... . ._......._..'_.""'__"'._._.._.'_'_ . . � '_."__"_— "_ '_. _ __ i '__ —.._-..._.._-_ � t �"__...,....._�'"'""__'._.._., """_'..�.__"'_.._'__._.__..._"_.�__.__v.'__.,.'�"__ ' .. . .. _ .....,.. .._. ...._. ,. . � � ..—�__._.._...._..._ ..............._. ...........,.. ....._......_. .. .; � � . t , . '� ._' ___'__.«'_____ .______...'___'—_._.__'________..._"__ '_____'_. ..__.__'— ___'__..._ _�.__..__..._. _..�..__ '. � _' .. __.__" _—...._......___._ ._.___._..�._.�__ ___.�__._ ___.__� �����i��,�`r'{ ��L.� ___._....._._ j SFEPF'97'1J SI�'E: -------- ---- -�--------.___-----------..�.�-----_ .----- ------ ._..... __......_ .. _....._..-.. .... ............ _ .__..... ----; , � .y --._..---------. ......__ ...._. . ..---_.__ ...__._ ._...,_.____-__._.__�_..- -- - .. -- . ..__._�._.... ...--�----- ______ . I . --------------...__ __._.. _._......_ ---------.._.----_ _--___ � �. _., --__.___ .._.---._._._ _... ___ _...-t � _�...___.-�._....----- ....__ ----.__.. _._.__.. .._.---.___.._._ . � __..._ __.__._..._.__ . .,.. _..... , __ ..._.. _�.._..,-------......__._ - - ....._ . '.. __""_..__.._.'_.__'...._..._ _. .... 1_ .. _ . .. . .. .. . .. ... ... .. . . ... . ..... : ( � . 1 . ` . .. . . _.... _..��..,__ ., . ....'" ' "'""_' .....�.__...�"" .. .. . . . . ... . . . . �