Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink About13468 CTTY OF DIAMOND BAA � � DEPARTMENT OF.COMMUNITY dz DEVELOPMENT SERVICES � 21660 E.Copley 1]rive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS �'�' BUILDING PERMIT APPLICATION FIRMLY o ADDRESS_ l��7 �f I Vt.�' �-0.�� DATEICATION /2 q NUMB R � � N� g ISSUE TYPE OCC APN LOT TRACT � U DRTE � CONST. GROUP � OWNER � ADDRF„'SS v ZONING RO TCKS RW ❑ CITY 21P TEL. qEAR APPLICANT TEL. SIDElSIDE STREEf RW ❑ CONTRA OR D Il SIOE ❑ ADDRE S � CITY ZIP�� TEL. PROPOSED USE L � � ARCWENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION Q OWNER•BUILDER DECLARATION SFR/AOD/REM O 1 MEREBY AFFlRIA UlI�ER PENALTY OF IERJURY iMAT I M1 qfEMPT FtiOM TFIE CONTMCTORS 61- GefBQB/Ca1pOrt CENSE IAW FOR TYIE FOLLOWINO REASON(SEC.7031,68USINESS ANU PROFESSIONS COpE:J1NY CITV OR OOIMTYWHLCHRECWRE6APERMRNCONSIRUC7,ALTERWPqOVE,�EMOUSH,OqREMIRANYSTRUC• W pe1bNBCk IUHE�RION TO 1T8 ISSUANCE,AL80 REOUIRE9 THE APPLICANT FOR SUCN PERMIT TO Fllk A SKiNED sTATEMENT THAT NE OR!XE IS LICENSED PUi15UMlT TO 7HF PHOVISIONS OF 7HE CONTMClOR3 U• CENSEUIW(CWIVTER/(COMMENCWOMATNBECTIONIOW)OF�IVISION3OFTHEBUSINE55ANOPRO• � POOYSPB FESSqN5C00EJORTUITXEOR8HEI8pCEMPTiHEREFROMMDTMEBASISFORTHEALIEDEDE%EMP• (� T�ON.ANYVIOLATIONOFSFCtION7091.6BYANYAGPLIGNTiORAPEFlAIITSU&IECTSTHEAPPLICANTTD Z pe-Raof � A CMl iENALTY OF NOT MIORE TMIW FIVE NUNDHED DOLLARS(teoo�.). OI,ASONRJEROFhIEPROPERTV.ORMYEMFIOrEESNA151WA0E5A9THEIR30LECOMPENSATqN, GOIRrtIBfCl21 YYILL DO 7FIE WOPY(AND TNE BTRUCTURE IS NO7INTENDED OR OFFERED FOR BALE(SEC.70M,BUSI- � � MESS NIO PiWFESSION6 OODE:THE CONfMCTORS UCENSE LAW DOES NOT APPLV TO AN OYVNER OF ? ►fW VEHTY WFi�BUp„09 OR MIOROYEe THEREOV,AND WHOOOES 6 VCH VfOqKNIMSELF OR FIERSELF OR TNROUGH11150i1NEROWNEMPLOYEES,PROVIDED7HA7EUCHMPROVEMEPIBAFENOTINTENDE00R m OFFERW FORSKEIF,f10WEYERTMEBUILDINQ ORIMPFqVEMENTiSSOLO WITHM70NEYFAROFCOMRE- TqN,THE OWNEH�6ULL7ER YYILL NAVE 711E BURDEN OF PROVINO THAT HE OR 8HE DIO NOT BUIID qi 61PROVE FOR71iE WRPQSE OF SALE�. 0 4 AS ONMEROF THE GROPERIY,AY E7(CLUSNELV CONTRAC71N0 WITN IICENSED CONTRACTORS TO OONSTRUCTTNE PRO.IECT(6EC.7041,BU9INESS AND PROFESSIONS COuE:7HE COMRACTORS�I- �/eIU0IIW1 ADJ.AREA CENSE IANf OOE81qTAPVLV TO AN ONTIER OF APROPER7Y WFq BUILD6 OR IMPROVEe THEREON,AND � WFIOCON�RACTSFORSUp1GROJECT3WrtHA00NfRAC1UR(9)LICENBmPUR9UMITTOTHECONfRAG pUANT1TY DESCRIPTION �E � 7WiSUCENSEIAri.�. O I AM EXEMPT UNDER BEC. B.f P.C,FOft THIS REASON � U u' DATE OWNER U � IICENSED CONTRACTORS DECLARATION � INEREBYAFFIRMUMDEqPEN+LLT70fPEIUURYiHAT1ANLICENSEDUNDERVROVI510N50FCHAPTER � • � ��001.NIENCNJBWITNSECTpN70W)OFOIVISIONSOFTHE9USINESSANOPROFESSIONSCODE,AND Z G � � MY LICENSE 16 W FULL FORCE M!D EFFECT. m � �( �r � D � LICENSE CUSS ��W LIC.NO. � Z _ � � o�� 1'L. 4 a ca�rcnncroR a 'e t o WORKERS'COMPENSATION DECLARATION a D � I HEREBY AFFlRM UNDER PENlLLTV OF PERJIIRY ONE OFTHE FOLLOWINO DECUIRATIONS: Z � ��WIVEANDVYdLMAINTNNACERTIFlCATEOFCONSENTT06ELF-INSUflEFORWORKERS' _ OOMPENSIRION,A6 PROVIOEO BY SECTION 5700 OF iME UBOR OOOE.FOR THE PERFORMANCE W Oi illE NPDRK FOR YNiICN TNI6 PENAl1T IS ISSUE�. � � _�HAVE AND YYILL MAPIfNN WORKERS'OOMPENSATION INSURANCE,AS REWIREU BV SEGTqN ]7000FTFIE LABOfl CODE,FOR TNE PEHFORMANCE OF 7HE WORK WR WXICF7 THIS PERMR IS 0 ISSUED.MYWOqKE ' OMP IS�T/gµINSURANCECARHIERIWOPOLICYNUMBERME. CONSTRUCTION � �� "� PLAN REVIEW � roucv HuuBER, — b — ELECTRIC y 'F '' Q (niss[t�ta�n�rqreematE7IDOF7rerEw�i�sfaRoneruron�Dd�sR+roloqtF"�sl PLUMBING _T �i �iT•:.,� e�,��,,,,� C��L ICERTIFYTMTINTHEPERFORMANCEOF7HEWORKFORWHICHTHISPERMITISISSUE0.1 MECFIHNICAL A� �/'}�- SHALL NOT EMPLOY ANY PERSON IN ANY IAANNER SO0.5 70 BECOME Su9JEt7 TO THE � � .+. (p WORKENSCOMPENSATIONUWSOFCALIFORN1IAN��qEETNATIF19NOUL0BECOAIE INSPECTIONFEE • � �, .��%' .l.�.• SUBJECTTO7HEMADRKEA9'COYPENSATIONPROVISIONSOFSECTION370oOFTHElA80R p.� i�� '�' ..'✓ COOE.ISHN.LFORiHWITHCOAIPLYWITHTHO3EPqOVISIONS. ISSUANCE y..P'�1'.� � ;^`. '`� � DATE: MPLICANL SMIP ` � Y„ t`�: WMNINO�FAILUqETOSECUREM/OpKERS'COMPENSATqNCOVEHWEISUN.AWFVI,ANDSHALLBE ENERGYP/C �'r� Y (�y SUBJECTANEMPIOYERTOCqIMINALPENALTIESANOCMLFMESUPTOONEHUNDREOTHOUSAND , 1 �, DOLLMS(i100.000).M ADDITIDN TO THE COST OF COMPENSATqN,pAMAOES AS PROVIOED FOH IN ENERGY PERMIT ��L �+ J� SECTIDN97000FTIELABORCO�E,INTEREST,MI�ATTORNEY6FEES. RETENTIONFEE: V� OCONSTAUCTION LENDING AGENCY PRE•AL7 FEE: � 1 HEREBV AFFlRM UNOER PENlLLTY OF PEfUURY THATTHERE IS ACANSTRUCTION LENDINO AOENCY Z FORTHE PER�ORMANCE OF THE WORK FOR NM111CH 1HI3 PERMIT IS ISSUEO(SEC.JOW,CIY.C.�. W � LENDERS NAAIE C LENDER'SADORESS � ICERTIFYiHATIHAVEF1EADh719APPLICATIONMIDSTATETHATh1EABOVEINFORMAT10NI5CORRECT. TOTAL FEES {�Z(Q ( �� IAOREETOCOMPLYN7THALLGT'ANDCOIMTYON0INNICESAN�BTATElAWSREUTINOTOBULDINO � CONSTRUCTION,MI�MEREBY AUTFIORIZE HEPHESENTATIVES OF7}IIS�OUNTY TO EMER UPON THE ABOVE-MEMqNED YRDPEHT'!FOq INSPEGTION PURPOSES. COMMENTS � r ac� o a • r.n� • Q v� ruu� �rai v� z � � 91GNATVREOFPERMI 'E D � RECPT.NO. PAID BY " VALIDATION WHITE—Depahment Copy,YELLOW--Flnance Copy,PINK—Aasessw Copy, OtLENROD--File Capy,GREEN—ApplicenCs Copy � CITY C)F Dl�tU��ND B�R It�'SPECTi06+t �EC4RD .,� y y �.`. �.,... _.m,. ... . ._.,...�,_,_,,,.....�...,.. _ . .� wy.. . , .. `4 +��'�4..f��F�9��'�w,> ��.,f,�,�.'.r'' ��L^� w'.�:"A,. � ��r.• i' , � �s,... w� �-: �� , � ��``��g, . � _ _ , . ,. ... .._ . . . ... .. . . .,. � . , . 'v .._.r.�- � - .�-.,n.ewc��: ., ._ ..�.� ..;..,....r�,:..:+�..,.'.:.,. ::i. , . .., . . . .,. SET E3�GK I � � FLOOF�JOlST , � --..._...........-�-----...._..--..___..:.-----.__.___� _ _ � - --- -__ _ ---- �TGS;FORPv15'STEEL � FHA R�QP�iTS 1— - -- -- --.._ -- - ___'____"___"_"""_........"' "_""'_"'_" '__' _"_'..._"T_'__._.� ."__"___'_'___ ' _ —_.__ a ' ' _ ' ' , ._._ . . . ... _ .._ .."____ "� "_' "' ' '' _' ��cT��c c�oiar�o urv�E� �i�c�c:��oucx ----- i-------- - - - - ---- - ---- . . _ .. . � ----------.__ .___-_-�-- - �_--------------------------- -_------._ _--- - ----------- -- -------------- ---�------------�--- -..�.-•- ---- __________ ___ c��tour:n��urv�r�.�v� , 1 � urva�� Ftoo� cor E3,air , , . . � ---......_ .___._............ .-------_--------+ ._...__.___------�-��-------------�----____._.;......_�...----•--�----------�___----...- ------_. SLAB CRADF_---,_...---.___.__w-_.....------�--------_.._.�.----FIREP�_ACE_f"'�tJfJQATiON __.i .._....-----------� s . � --------- ------ -- T�.Mf' Pt?V`JFR - - ' .. _ � � FIREPLACE BONiJ E�Elk�vt �-- � ----_._...----._..._._,_._..._------ .. �_._._____ ... ---- -�-----___.�.. - -- ----------- VJATEE�SERVIC� � � ' NI;C; HT". E30ND BEl�tiq I --f I -- --- - --- ---------------------- �...__....____—..._------------;_�...-----....-._ - ---------------------- - „ {-----.....----------------� i . � ftr}C}r�S�-i=�-ATHIi�:G` � . , �, � ° �• � :' i � 8 hi. BOND BEfkM � � , . . .. . _ � ---.._.,�-- ------�--------•------___----__� ---..., ...,.- -------..__.._...-------•---------�-------------------- � _.^.._.__...___.�.------._..._-.__._ . YRA�r?i;�^fVENTILIATfC?N i------- � �-iNAL BOND 8=A�1 � ----__.. _�_......--------.._..-- ---�---------------------:...:... _..-�-•----------------------- __-_...-------- - ------------ ��C)FC:�Vt=R ( ' ' ; PRE-GRADING �. .._--_--- ---------�--------- - r --'--------------------- ��iUUG t-I r;3 A:T!NG ' �----- ----J_—.�-, BE Nc H i N G-------------!- � ---------------�---_.__.___ j --'---.�.--�__.__.__--�_.�-- --'---------...._._...---....T_._._ -f----_.....__.�_._._._._�-- ; ,ROL��a!-? ��t.�GiRIC__.,_.__1.-----------J_. ....-,--.--.--...------ � � FIC?L1GH GRADING � __ ..------------------- �_..--- ----------- - �::t;�;;'� �'i_t�Mf3�N{; ' I ' FINlSH G�F�DING � � : ��--;---��----- � .---.... --------.___—..._._._.__. _._ ----- ------------ •--------�-- ------- � ;�i-i�;'��li:�!iUB TEST I � � POt�L ELECTRIC , --J--_.___ ,. -- ------............._...._.,...---------:.------------------- -------!-- ---_.-_- __-__-.---....-- --------------------------- _._-•--------------._ �_:_. I.. ; F�X`l_ �Ri;-�-'�EDiPI.�'a : � ; PC3(3L FENCING � I • � .._......._.- --- -�---------_..._....-----•e-- -�----_...W_...._...-_----_� , ----..--.-._ �_.—...-----�------ -----------------........,_._._.. : ,..vA.�!�?�tE�l.�!ATIC7l� ! � ; PC;C�L FII�AL ' ....__�.... _ _.--�-------_..._......_.._.__.---------i--__._._---- -----�------.------_�_.__-------L-------'----�____.�.�_�_.._..----.. . : d C�I':_i"S� {t•;;'t;?ATIOi'? ' ! ' ! �FF SITE Ih1�'S. I -- - ----------- s-----;-;;-,-.. ---_- ----...---------------------------------...----,_..._---------- --�---------.,......._.�..---- --- - � s C�;i`�Fa1'.�.. �lP.f�iNG ° � ' ❑�I�ICfi�TIOI�S � ' � ___�.....-----•------------------ ..__.. . .........--- ---------__._._._....._...----_;__.___��.---- ----.-- ------ ---- —.______ ; -- . �_.__ ._ -.{-- '•. ;�:t�"i;i= -..._------,_.._..--------------___--- --- F'it�1�iL ENG. ' ---------- _ ._...............�---- ----.._...._._. � _ . - - - --_-�--...----------___----------- ----- ---_..._.. . . ,.�;�=�t��: � ��r�e:�c�r��rza�i�. ! �� i �...... , , ... . ... -----_____ -----------_____— _._._.�_�._—r -----___._..._........ . ,F�_-� ,,;.� �.�_ � � � � , ar�� 7r,s. ; -- ----; - --...__.�._--------�__---._..�_.__----�---_._—_...�_...__ -�------..__...-�--------------...------�-------------�--------------......--------a , �=s�r � : �=Er��t�zt�r�in�� ; � - , . _...._..--�------�__..__..__��.---------..._.------._._.._._.____._.._..._........_... ----�----- -; ....._...... . ---.-- -------- ----- ----�- ; : ,�;dS`f�. � ! �=1RE:�}EPT Fi"di#L --'-------- ---...__:_.._ .._.....--- -- .....__..__,_... �_ . _ .. ._.---•--_..._..__----- _ _... --- ------------- -? . ,� _ 4c.,�7lNG �--'.-----�---------- -------- HEAL?�-f DEF7'. �=1Nr'�L . ;: , , __.....--- ------'______---------------....--- -------- -----.............-------___----------------,--------------_...------ ----...�.----�-- --- ,.. _ 'r:�LE�,T��i: � � f�EV. FEES PAlD � � - -- - ----- �-------- . - ----_.—.__........___.W.__,___-------- .. �_ - : �. PL.Uh4E3fNCa ; 2. .� Ft�lER�Y � -•---- -- .._._._.........----- -----._. ... . _.._ _. . -�__�� - ._______ .___.__ _... ----_--._----------------...------------------------�--------- ---- - ---------LL----- . , ; _. -- --_-__._._---------------.____--�----------=------._---- .,.a.,,�..�,�:� ; w�_ ------------------------------._..- --.__._----, � 3 � � r�+�.... - .. � � a+ ,��W .+`"�� , ,,�..� ,r. � . , _._�...___�_� .a:*�:..,...,,,,,... .•.e ��:. � = e ,� _e.�_._.___�_._ < ..,..,...�... .. ...--'----'--.._.._..... .._�.....�_.�.�_......._......._____._.._�...�..�.�..�� __._�_'_.�_..___._._"__.._..... ..___j ,.rr�` :��i�� ', .�..�.__......__..__....__-----_ __-----._.._._._.—�..---.....w..------------- �._......... _..___._�-----------.�._....-------------__--------_.------------- ------------��.------------------------------------....._.,.- ---, � ----,._..----------•--..__.._.....--------------- ...�_...- --�------..._ _ ._,.,.. _._..-�----- —-- -------.._.__..._.._...- ------..._....___._--_-----__.... ._�_.__...�__--- ----. ..,. __._� - - ------ -----_,.__.._.__.�....�---- � . . �_,___..____.__._._---•--_._. . .-----....._---___....W....-------------------------�-----..._.....----------.._._... ----- - - --- ----- ----..._._. .._--. .._._- - - --- s � F � �� -- - � ---------_. ...----------.._....--- ------------------_.__.....-- -�-- - -. . .- ------ ----�----...._...--------- ........-- •-- - ---------_.�....- ----- ---� !_.�___�____.�_._-- — _.. ----------------,_.._...._.�-----....-----------_...-- --------._.._._..------....------ __-- -----------_._--------------....,. ._._ ! I �EPTiG T�eNK S!%4 .-----._._....._ � � SEEP P1TIU Sf?..i_ ._...._ —_.._._.'_____.._"____.'_�__."_"'._._._.._"_""'__"_"""""'___ ...,..._.._..__"_"_"'. . „'_""""""'__.............. ._....._"____I � 1 -- -. .. .-------..... , r ____.—__---_--_-------- -- _.._. .----.._..------_—__.__._.._....._.----------_.... . --- ..... ., �' !-- --------........_-----__._.. ------------------__...------....__._. _.. ....-�- --------.. i i �.__"..._..'___'......._._...."—"___'....'____"__...,.__�_..�.__'_'_'_"___"'_"_'__�,.......'_"_"..___—._... .._.. ...._.__._.____� ti �..�..__.___..._."_"_..�_"'�_'.__.._.. . """"'_'"_"""__'...._.__._ ___'__.'_"_'_ _'_"_' .._.....__ .. ..._._..,.""'_' """"""""" . � _ _"____.__._—_"__'__—__'_.. ,.._...__._.......""""__'—._..."'_'_' '__.."r"'_......_"""_'___ """'_'__' :. ._..f"'... _....'" , . . .. . . � • . ' ; � .._..._.._�_..__.�..___._._._..._....�_.._"' ""_"' _......_.._'�'_'______..-_ """"'" ' .......__�..._'"' ........,.� ._.�............_..__.._._._.__—.---. _�T_... - , : 1 : � _