Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
13436 (27)
��`�' � � ^ � CTTY OF DIAMOND BAI� ' ,� DEPARTMENT OF COMMUI�TITY&DEVELOPMENT SERVICES �'"" ,� 21660 E.Copley Drive Suite 190 (909)860-3195 F�(909)861-3117 PRES$ 9�', BUILDIN�EERMIT APPLICATION FFRMLY --- QJOBSITE —lk�+�r '! ���„�-g� ��� r DATEICATION NUMBERI � � �/C a ADDRESS �� E�i'S T° APN LOTI ACT / D TEE��� I�� CONST: GROUP � OWNER � � � o AD�S ZONING SETBACKS w CI � ZI TEL. FRONT Ryy ❑ � APPLPCAN'f 'TEL • REAR � � SIDFJSIDE STREET RW ❑ � CONTRACT R c __ 1(y `,. SIDE ❑ w ARCWE '� , II ZI r���TEL. � ! PROFOSED USE ` �'-��t—L�.,.,�,�L-°' � ���� :z DESIGNER cn UNIT WEL. NO. NO. a ADDRESS _ S STORIES BEDROOMS w NO.D ' � CITY I ZIP TEL. , � , DESCRIPTION SQ.FL , FAGTOR PSF ADJ.AREANALUATIQN ;�. .: .. OWNER-BUILDER DECLARATION . .. S6R/ADD/REM � �' �� � �� O . p . 1 HEREBY AFFIRM UNDEfl NENALTY OF PERIURY THAT I AM IXEMPT PROM THE CONTRACTORS LI- Ga�dJe/C81pof[ � � . � W��. CENSELAWiORTHF.FOLLOWINGREA50NlSECJo3t58USWESSAN�PROFESSbNSCODE'MIYCINOR (/� � _ _ COl1NiYNh11CHREWIRESAPEFidn17TOCONSTHUCT,ALTER�ti1PflOVE,DEMOLISH,ORREPAIRANVSTqUC- � ' �� '��,TURE,PRIOH TO ITS ISSUANCE,�'qLSO F7EW IRES THE APPLICANT fOR 6UCH PERMIT�TO fiILE A SIGNED� W Patio(Deck � : . � STAIEMENT THAT HE OH SHE I51 UCENSED PURSl1ANT TO.THE PROVISIONS OF THE CONTRACTORS LI- ��'' CENSE LAW(CHAPTER 9(CAMME,�NCING WITH SECTION 7Wo)OF DIVISION 30F THE BUSINESS AND PRO- � � POOUSPB � � ' ' FESSIONSCOOEjORTHASMEOIj5HE1SFJ(EMPTTHEREFROMAN�THEBASISFOftTHEALLEGED�XEMP- �(�. . ;V , 710N./WYVIOLATIONOFSECTION7�I.SBYANYAPPLICANTFORAPERMITSU&IECTSTHEAPRLICANTTO � .Z Re-ROOf � � 'ACIVILPENALTYOFNOTMOfiE1HANFIVEHUNDREDDOLLARS(5500):): � .� ❑I,A504YNEROFTHEPROFERTV,OqMVEMPLOVEESWI7HWAGESASTHEIRSOLECObtPENSATI6N, �0 COlfiRl2fCIdI �� � ,�'�,."WILL DO THE WORK,M1D THE STAUC7URE.IS NOT.INTENDED.09.OFF�RED FOR SALE(SEC.7044,qUSI- J � ' � ��NESS ANO PROFESSIONS CODEJ:I'fNE CANTRRCTOHS LJCENSE LAW�OES NOT APPLY TD AN.OWNER OF � �. '�PROPENTYVNiOBUIL�SORIiy/P�OVESTHEREON,ANDWHQDOE53UGHWORKHIMSELFOfiHERSELFOR � �� '.THRIXIGHHISORHEROWNEMP OYEES,PROVIDED7HATSUCHIMPHOVEMENTSAREMOTINTENpmOR �m � . .,Q. I,OFFEREOF9RSALEIF,HOWEVEFj,IHEBUILDINGORIMPROVEMENTISSOLDWITHIMONEYEAROPCOMPLE- � .,Z ��'TION,THE OWNER•BUf�ER WI1.4 HAVE THE BUPDEN 6F�PROVING THAT HE OR SHEDID NOT OIJIL�DR , � ; ._ �,;IMPROYEWiiTHEPURPO5E6F,5ALE). � �� , - � . , , . ,,;W�,'�. ❑I,ASOWNEROFTHEPROpERiY,AMIXCLUSIVE�YCONTRACTINGWRHLICENSEDCONTRACTORS . � '.,��. '�.TO CONSTRUCT THE PRQIECT(SEC.7o49,6USINE6S AND PHOFES&IONS bOCSE:�THE CONYRACTORS LI-' V81U8tI0f1 � ADJ.AREA �� � � W� ��,CENSELAW�OESNOTAPPLVTQ',ANOWNEAOFAPflOPERTYWHO8U1LD5oRIMPROVESTHEREON,AND �'_� I�WFIOCONTRAGTSiORSUCHPRdlECTSWITHACONTRACTOR(S)LIGENSEDPURSUANTTOTHECONTRAG ' FEE � � � ',mAs uceNse uw.'. � � QUANTISY DESCRIPTION � - � ���; '',, ❑I AM EXEMPTUNDER SEC. 9.8 P.C.FOR THIS�R£ASON Q ? � � � , :i�,�',,. ' � � �. � ��� . �' � �ATE � OINNER '� �' � _ . . _ ,_ .�. ��, � LICENSIED CONTRACTORS DECLARRTION �,;� ' � -.. � IF-0EREBYAfFIRMUNDERPENAL[YOFPERJURVTHATIAMLICENSE�l1N0ERPROVI510N50FCHAPTER � '. "� p_' ,�.9(COMMENCINOWITHSEC710N7o00�OFDIVISION30FTHE.8USME55ANDPROFE5510N9CODE,ANO ,Z � � � �' L`i KY LICEPISE IS IN FULL F E AND EFFECT. Fr � �✓Jy�dSJ ,y O LICENSE LASS LIQ NO _:���j� . - �!'.�'.�.� L'�'DA � CONTR4CTOR �� ��� � - , ld.l � WORK�RS'COPAPENSATfQN DECLARATION Q �����1 HEREBYpFFIRM UNDER PENAL7,�1'OF pERIURY ONEOF THE FOLLOWMG DECLAHATIONS: Z � - � � . � _IHAVEANDWILLMAINTANACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' a . CAMPEN9ATION,ASPftO�IDEDBY3ECTION97000FTHELABORLODE,FOflTHEPERFORMANCE W Q OFTHc'WORK FOR WHIG�7 THIS PERMIT IS ISSUED. g Q�' "�I HAVEAN�lMLLMAINTAW WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION , 37000FTHELABORCOD.FORTHEPERFORMANCEOF7HEWORKFORWHICHTHISYERMIT15 � J ISSUED.MY WORK MPENSATION INS E CAflRIER AND POLICY NUMBEflARE: CONSTRU rTION j cnaRisa PLAN VIEW � Pa_ICY NUMBER ELECTRIC e (IHISSECTIQNNEHINOTB COMlE7EDOFTiEPERMP(43FORONEHUPDREDDOLUWS(57W)ORLE55} PLUMBING � - p � � ICERTlFYTHATiNTHEP�FIFORMAPJCEOFTHEWORKFORWHICHTFiISPERMfTISISSUED.I MECHANICAL . ^^�">l I' CS SHALLNOTEMPLOYANYIFERSONINANYMANNERSDASTOBECOMESl18JECTTOTHE -' ��� I (yy WORKERS'COMPENSATI�1NiAWSOFCALIFOqNIA,ANDAGREETHATIFISHOULDBECOM'c INSPECTIONFEE ?:a�I�y'""'��� � SY7&IECTTOTHEWORK RS'COMPENSATIONPROVISIONSOFSECTION370oOF7HELABOR .� � � CA�E,lSHALLFORTHWi�'HCOMPLYWIT�H NOSEPROVISIONS. s"°` ISSUAPJC � Q �^�p��p �.re'_ � � �.�.,�fp°. � � DATE: '� �' - PPLICAPlTd }f"N7 �,�I� �L`_� �i � '4�l T��. . ENERGYP/C ,�i` w� � -�. r'.;�'..;,.c�.. WARNWG:FAILURETOSECURE RKERS'COMPENSATIONCOVERAGEISUNLAWFU4I+NDSHALLBE yi � SUBJECTANEMPLOYEflTOCRI 1NALPENALTIESANDCNILFINESUPTOONEHUNORE�THOUSAND. ENERGVPERMIT ��..;""" � ,fr:�3 {�` g su� `�^'� JUOLLARS(S1o0,00a),INAODITIO TDTHECOSTOFCOMPEMSATION,OAMAGESASPROVIDEDFORIN SEC?ION 3708 OF THE LPBOR E,INTEREST,AND ATTORNEI"5 FEES. - �p�" V`°' ' �. RETENTION FEE: �'--.�,w�, .. ��� C NSTRUCTION LENDING AGENCY PFiE-ALT FEE: � ���� � - i . � IHEREBYAFFIRtdUNDERPENAL OFPERJURYTHATTHERE�,ISACONSTRUCTIONLEN�INGAGENCY ' ' FORTHEPEFWRMANCEOFTH WORKFORWHICHTHISPERMITISISSUE�(SEC.30W,CN.CJ. � . � � ' LZ11 ' �, . . . . � � � LENDER'S NAME �i ' ' . � , � I'�, LENDER'SAODRESS � ryy ��'�, ICER71FY7HA71HAVEREADTHIS,�APPLICA710NANDSTATETHATTHEABOVEINFOfiMATIONISCARRECT. TOTAL�EES yJ��� ���, I AGREE 70 COMPLY WITH AILq AND COUNTY ORDINANCESAN�STATE LAWS RELATING ia 9UILOING ' � ' � � �u'"� � �, CONSTRUCTION,AND HEREBY P.THORIZE REPRESENTATIVES OF THIS COUNTYTO ENTER UPON THE - . . � ', ABOVE�AIE��Y1 ED PRDPERTY H INSPECTION PURPOSES. COMMENTS �� ' . � ��'�f�,� I � � , . � �� "`''� PER E N ) - �:��� f!9 �d-°� P! . . , — . ��, GNA7URE � RMIITEE i DATE � - � ��� � RECPT.N0. PAIDBY .VALIDATION � � ~ ' � � � � - '. WHITE—De eatmen[Co YELL,OW—Finance Co -PINK—Assessor Co GOL[3ENROD—File Co GREEN— - P PX PX PY� PY� AyplicanPsCopy� , . . -..� .., ;... .. ,,.-.:,. . . . -. � .,t � . . . . , , _......... .._...�... _ _.__ ........ . . ��,��� � ; .� �d 1�� ����� �� :�� � . ,. � � ' ���` ". � � °' �. ' .�: .: . aa mr`,... ���,�' ,,�-.'� � , .. � 'u`. � �-h � .,. � � � � � r � � .-_ r. �.�� , . � �u�.� �a'��.{ ". . , �� . � �'?4.�{�r"�i �;d''� ::,, .� .4'� �:�.;�, :. ,. � . .,,� ., . . � i. - �v .�"""1��3`P""a^"��."`�5t'€�P�°,�?F�g. ( i _ i`i'€F-6�iFC;��,a 9p"a _ �� € _____.� �L��= �'�,� � �'�,s'�� ____�___ ._.__�..� � � '�s,���.����€.��'����; � � �� � � ___ - a ��- ' f �.a��,"„€�!�.��'� �'iL�t^sI=S�� � € � !����,����'s��,f k��� -"���.._�..� � � --�—__.__ _--�'--------�_. - ____�� ._..,..y � ��s�d�=3�G�..�3��. � Y'� ?gp�"1 ���i����"4'7`� i� � , a � � .�..._.. ��3�'"���,.1'�,Fa.s� �W i S }_'"+_ m �... _._.'W'� �--,_..., e. �.._«._.......,�.....�._r�;,___.-........ _.,..�.._ .p�,� �p......... .._ ! ._...._•__ 5 _.;-��t�l..'S L�4n'4�p^'������ � ! � � i a'i���e_r"'�6.e�" 1.:,#�l���z-=+��.�; $ � , ' i qg ��€^qggp�� p�, g�gp . - -"'-� �, ---'� � '"34g�.r������all.�.�... ��.�..�.�..��, ,-.--�.--��..: ',� � �pytfLF&��f. &iL 9'i�.^�L"Z'tfid� � .'� {_�' . . . .. . � � .W...,... �� -.,.-•--- 3 x 4�.. � r-g=i�Bs�'"' ...�s S � ...,_.��.____'.� �� 3�:Sl..J��4����."`�`°��_ _ � �� k _.� t �.. ;.�a� , � ' '�'s. ,� , .-.-�- � y S}-, � . . . x � Es d.,,��e$�R.7:s!�p�:E��...ff�n��sC.J>�.I� 4 �.�'m�€..:��.�3_`�".�'��l°d � s & ���^.��.J���,'.��}'1��_ _..���. ., _�_;:�''�i� �`r�.i'z,��.'�3'�;�.`��,�. . � -" . y,� � ��;.�..'-$�:�.a� [T��; .�4_.. .__�__�_��..�.�.._. ���`"�����v����e � � �_,._____ �¢g`�,[g . � 1 e�`' %} ,> . �^y g p^ �y q.�...� _� ._...,a.........,�...__ .: k„ i � z^?�m���.3� E R �.� 1 ,�'�:.'":......_,». } � b`� E,I Y � �c..Yl La1�'.�;n9"`yiE��'�iin ' ' i -...�� ^'_ I � �p. ""ti �lqQ"" � ... . . , .. �,..,......�€ (4 5 .v�,......, w......... _.., � ��`e����?"s , ..��5:����v� 1 _._�._____� ..w—s � : ,�_<�1�s...�5�e_s,4�:� � �._._______ -_ _� ��-����,a,-�;: (��-��-:;`��.�.��_..�....�__._.�� � ��C�� �-:���i�(C:•�..� j �.._.�. _.� 3.;�� �.b��s;-�,��.s";�°S§�i.,i: � . ��� I ���"LJaJ�»Y'G�'�L�+t7?78,� m��� €, � .. { � �#�`i} s��}���..a-8�1`a��°+� ��:�.._..�.._� .� �._. � �C���g r����,�. .�... _—_�__ A. ��f?�a€��^��, � s��i'��_.__ � � ________ _�a� t�������r��c:� _ �..�_. � --.—� �� r,_.__ � ._._-�._ �...:. � ; ; .���.�,{ ,���.s��'�� i=:��� 2 ; � ����;,�y; � .�____�,�..�__._.._�_�_�. �,_.__-_ _-__. ._�.�_��. � { �""��°��' � t =�'a�,1 �"�� g„ _��pg�_t_.______.__._.,�_��_ .__ �� _�t� ___ _ ._____��._�,,,�,_� �4�-''t�['�fl�� �;�;�§a�S'�s 0 I �-.......�.�..�._ � �s'"��•{.dl„+�€" i :�s n a.? . .�...._ ' , � ._..,!.;A.....,......._.�..»...m..._-...` a - ,„; ' .......�.... 3 �6 fry .«...i,.e.„�_ .-. y •w.-��p"� S..x.�T.�n"�'}j. a._. ........�.. ..,.. { {J Y'"y , „brfr_`.-„--- ...,..,.�.. .... ....._ , S ' - �_..i : �. ' _....�..__.�..�.���. ____ , `t ��,;�.a�,�°�a'�d��i�::, .�� _�_._..m.�. s _.��_�� � '=:4�%i�;�..�'_'�*°y��.�.i..t� � ._......_._.._ � � � . . � � �, = tt�, _ �.,.. �� �... � � � ? , �,��� �,',��°a"� � " . �� ���8'� 5.��� ���� .� �_ � � � :�, r ,._.�._,..�.__�______ � 3 _ �. ..�m. r.._.� ....._,.�. i`� - ��� kr^p`-�Yt��.�"'E"�'$� W� �� E � � `____��"R.�n a���:'r �t t��'�S.d n_3.. � . � �� ......._ .v____" � __.w..r.....,. � �. ___ '_ . . _ _�.... . g�g . .. ..�._ � . .. , - r—"'_..._ .._._. ...,__'__.�— � ���o k�,�_...R:..k.",».��......_�c'at���p �µ-�� ,,,,......m.,..�.....,..._.._. �"�.,'�� F�„�"" e"'s+''bP�..; ..�.._ .�:,.._...� ' ,_- ..... � ��€6"&N`L.9""z�..b.��S��P@��.,:�..,�..m,a ...._.�.,.m�,....W3 ,..... ....�,.,,........ ������._..«�..���� . �����P�, �� ���, .�� .. �� � q � � �3 � � � ' .� . . j-......W_....._..._.�._... - " _._"_..�.m._..._.. � . . ._............_.�� j .�__...v.'t ;��. $ .8 "£ �.��.�-.�..+m�..............�........ L.�..... r.e...�.�..d..w..,....�_.,..�.,.,....�.., ��. ���.� � � � ......-....,.,..,. } � ._ ., . . _ .. ..�.._...�--.........»..... ...� . . -.�..w...........h ..___.... -___. . _.:.._.._.__.... _ " '. . , ._.. .. . . , : , . . . . . , . . . . . . . . . . 7 g �� ,� ' . ' �.,, 9 '�.,a^�b 91��v'�.�.�3��:+�x �. .. , � ._.,....�...._..n__._......................v.._...-»_._..-._.._,......._.�..._........,......._......,,_._..�...m._.._.�:_.._......_.........._..____���...._o...,.....�.��_�.�___....._._...�.T_.._.._._._.........�',-.�.._..�1 ( ��x�..._...v.................................__....�.�.� .�..y......�...��.�...�,..................._._� _,.. w.�.._.....�..._....._._..�..��,._,..._.�._�.,.µ. _.,.� _...� � g t . . � '� . . . ... . ,. . .. . � �__�.____�_........_...._.._.._.�........._..._.__...�_..a..._...._ _......,_�... �_.___ �.__..,�..�_�..�;�,.�._.��..._.__. ,._.__..._�.e....__....____"_"_...�...:.._��....8. � - � . ,. ' . . . _ _ , ._ . 1 �-a-.... .. ,--�.........,.,__. ..�.m,..,.:....._.._�..._....,___.m....._....�..._..._._._ , .. ...,,.,..... ._�...w........,_.�.......«...._,�. -._....__.._._,.._.eti._..-......_..._.�.-.-.._.--..,�.;..,..�....; ��»-�_._.,,.,,�-..._._._........_.�....,.,,.�.�_.�.»�...-........._,......_ ..�.T.��....._........... , .,....,...._.,. ........, ,....»....... __. w�,.�.�«..�...� 6..... _.w,_.....�..�._._._. .__.. ._...,,.�._,..,�...................-.__._..,.. _..„ ......,......,..., �.,v.» .�,..�...� _.._.. .._..�._ ...... � �� , . . . . . '. . - ' �- . . . �.„„�-..»..................m.�.... .w.,..,.._._.,�.�.. .».....v �. .... . . � ' . . ."""'"'."f',_�,".�:'"' .. . � . .. - '�, . � � . & ....... .�_...............�. ._.�_..w............-..._.__..r ._..,_,.��..._..._._,.. ���=`�""^ �rt�9��F����'� m� �_._ _��_____. ___�_..__ _�__ _ .� �� � ��W���1��"�t4� Sw�.��._«...............�.--...m....- . . . ..,. m.�,... ...,..,.._.�. . ,.,....�. �_.,....a....._...._.v,.�,..._.....ti � i � . -� �, ��, , ;�_,; Y__...._ __ ���.._ . --- � --_ _ � �� �___..__.�.� _ ___._.. , __,_._ �. _.w_._.�..__.___..___ _.__..__ ; � �� .. .,�.�.� ' � �, " _ :: � � �� � � ��._._�___...� ��� .— � _--_,__..__�_. _-- �..�_ _.____---._____�� ._.... � . . .,,, ,.. � ; ,. . � , �..,_ �.____._.�._._._�v�,._�.�_.�__.___...,_�...m. � � � � � �.m�� _. . �� � � � �.� .�_._.... �. .�.. �.__. � ______.._ , � # � � `;. ,1 , , �. � , .;.„._.. r ��... �,_.�____�._._...,..�..____�:..�__ __—� . ---___.�_ � "_.�.....�.,._..�,.__ �.�,.....�.,o�.__,,�......__,�_.z.�.,�.,� _�.._ ..�_.,.,�_..__.�..,.�.nn.���,n,�m _ __�__.�a,���,....���.,.a