Loading...
HomeMy WebLinkAbout13676 (29) crrY oF ni,aMoxn sAx EXPIRED - - — DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES �, . ' 216b0 E.Copley Ihive Suite 190 N O V 2 2 1000 PRESS (909)860-3195 Fax(909)861-3117 � ^�'��� BUILDING PERMIT APPLICATION FlRMLY � JOBSITE ['6o rD ` C !, APPLICATION �f � (� PERMR !C � o ADDRESS J 7��" T DATE_ NUMBER # � APN LOT�_ ACT ISSUE TYPE OCC � DATE CONST. GROUP OWNER ' e ADDRESS O k'r.�f,� G-�l. ZONING SETBACKS � CffY -+d P TEL. REAR RW ❑ APPLICANT ' �" TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR �`'^' ►" "+ w S' SIDE ❑ g ADDRESS �� .� CITY TLo,�+�-� 1J.Pc ZIP`ilT�• TE . Z� S- �'j0 PFiOPOSED USE 'Pm=�ib �s''c"• � ARCHIENCi/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS yV' CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATqN SFRlADD/REM O I IIEREBY AFFlRM UNDER PENALT'OF PERJURV T1MT 1 MA E%EMPT FROM TNE CON7MCTORS LI- G8f8QB/C91p011 CEHSEUWWATNEFOLIOWN�REA40N(SEC.iW1.68U51NESSAN�PROFE5510N500DE:/NYCITVOR (n OOUNTYNRqCHREOl1RE8AGERMRTOCONStRUCT,ALTERIMPROVE.OEMOLI51i.OHREMIflNJY37RUG W � . TtIRE PRIOH TO ITS 188UM7CE.ALEO tiEWIRES TFIE LPPl1CMfT FOR SUCFI PERMIT TO FRE A SIQNED W SiA7EMEM THAT ME OR SHE 19 UCENSED PURSUANT TO TIE VRONSIONS OF'filE CONTFUCTOIiS ll- G'ENSE UW(�7ER 0�COMMENCINO YYITI BECl10N 7W%OF UIVISION 9 OF TME BU91NE53 AN�PRO• � PcoYSPe FESSIONS OOD�OR THATIE Oli SHE IS D(EYPT 1NEREFROM AND TNE BA513 FOR THE ALLEaED EXEMP- TION.ANVVqLATIONOFlECTION7091.6BYANYMPLICAN7FOqA7ERMRSUBJEC75TMEAPPLICM�TTO Z Re-Roof � ACML PENALTY OF NOT AIORE 1HAN FNE HUNDRED COLLARS(t500�J: � 04���ERUFh1EPpOPERIY,ORMVEMPIOYEEBWITHWAGESASTHEIRSOLECOMPEN5AT10N, Q C0111fl'IBfCI9I ' MIILL 00 TNE WORIC,AN�7NE STf1UCTURE IS NOT MITENDEG OR OFFERED FOR SALE(SEC.TOM.W81- J NESS ANO PROFESSIONS COOE:TNE GONTMCTOHS LIGEN9E LAW DOES NOT APPLY TO AN OWNER OF � PIiOPEFlfYMIFIOBULDSORILIPROVES7MEREON,ANDYAIODDESBUCHWOqKHIMSELFORHERSELFOR = � TMAOUGH/NS OR MEF OVYN EMPIOYEES.PROVIDED TINT BUCN MPROVEMENTSARE NOT WTENDED OR � OFFERm FORSAI.E IF.IIOMfEVER1NE BUILDINOOii MIPHOYEMENf IS SOLD WrtT9N ONE YEAROFCOMPLE- TION,hIE OWNER�UILDER WILL FIAVE THE BURDEN Oi PqOWJLi 7HAT HE OH SHE OI�NOT 9111LD OR YPqOVE FOqT11E PURPOSE OF SALE} W OI.ASDWRIEROFTMEPROPERiV,AMEXCLUSRlELY00NTMCTNOWIfXLICENSEDCONfMCTOAB � TOOONSTRUCTTIE PADJECT(8E0.70N,BU91NE55 AND VROFESSIONS CODE:THE CONTMCTpRS tl- VBIIIAlIIX1 ApJ.AREA GB13E LI1W DOE9 NOTMPLYTO AN OIMiEH OFAGROPEflTY WFq BUIL0.40R IMPHOYESTiEREON,MI� WFq00NTRACTBFORSUCIIPROJECf5YY17T1ACOHTRACTOFNS�UCENSEDPURSUMrtTO7HECONTMG QUANTITY DESCRIPTION FEE � 70R5 UCENSE UW.). � �IAM EXEUPT UNDEH 9EC. 8.!P.C.FOR THIS REl1SON � U � � OATE OWNER V �d LICENSED CONTRACTORS OECLARATION W ¢ I NEHEBYAFFWM UNOER PEWILTY OF PEMIRY 1HAT I M1 LICENSED UNOER FROVISIONS OF CHAPiER � s �(00►IYENCqWWRHSECT10N7000)OFDNISIDN30FTHEBUSINESSANDPROFESSIONSCOOE.AND Z �C W►ICENSE IS IN FULL FORCE AND EFFECT. � � uc�sEcus G'Z uc.No. �/SS S" ? o�rE�P '� conTrjncTOA��,�a,-�-'�-�}-�'�""'� a � WORKERS'CAMPENSATION DECLARAT10K 1 1�2d- � �� cJ N I HEREBY AFFIRM UN�ER iENAL7Y OF VERJURY ONE OF THE FOUAYNNG OECLARATIONS: Z � _IliAVEMIDWILLMAINTAINACERfIFICATEOFCON5EIRTOSELFdNSUREFONWOIU(ERS' _ Od1PB15ATION,AS VROVIDE�BY SECTION I700 OF THE LABOR CODE.FOH THE PERFORMIINCE (� p OF 7XE WORI(FOR MMN71 TMS DERIAtT IS ISSUEO. �•� F�yj I FIAVEAND WILL MANITAIN WORKERS'OOMPENSATION INSUMNCE,AS RE�UIREU BY SECTION � Q � 97000FTNE IABOR COOE,FOR THE PERPDRMANC.E OF 1HE WORK FOR WHipi TNIS PERMITIS ^ LSSII�.AMWORKFAS' PENSATIONINSLIRANCE RRIERAlOPOLICYNUMBERARE: CONSTRUCTION L Q � CARqIER � � PLAN REVIEW � ooucrriuuaEn f d-7�40 l - � �—� ELECTRIC � (ns8Ecf10rartlE�rlo7eEaa.�lEfmoF7HEVEwNiswRONeMIR�aEoOauis(i�ao�aqLFss� PLUMBING Z I CERT�YIHAT IN 7HE PERFORMANCE OF TNE WORN FOR WHICM 1HI5 PERMIT LS ISSUED.I MECHANICAL 6HALL NOT EMPLOY ANV PERSON IH ANY MNMJER 80 AS TO BECOME SUBJECT TO THE � WOi1KER5'COMPENSA710NUWSOFCALIFOqNIA,NIDA�qEETHATIF1811oULD0ECOME INSPECTIONFEE ,__� 8U8JECT TO TFIE WORKERS'COMVENSATpN PHOVISpNS OF 9ECTqN�70o OF THE UBOH O �,i sww.cor+rHwin+coMa�r Mnrn Tra�swws. ISSUANCE • p DAiE: APPLICnNT: SMIP � WARNf :FALURE TO SECUHE WOFYfERS' 'N9AipN CO ruoe is uNuw , o sru��ee�� ENERGY P/C • � SUBJEGTIWEMPLOYENIOCRIMIN/�LYENALT ANDCIVILF SUPTOONEMUJO THOlISAND ENERGYPERMIT DQLARS(il W,UW�N AODITION TO TIiE CD OF COMPEN TION,DMU1�E5115 P IDED FOR IN � SCCTqN770lOFTHEUBORCOOE,INTEREST,ANDATTOR EYSFEES. R IONFEE: a CONSTRUCTION LENDING AGENCY pq .A � � I HEREBV AFFlRM UNDER VENALT!OF PEHJURY TW1T 7HERE IS A CONSTRUCTION LENDING IIGENCY � Z FOR 7ME PERFOIiMANCE OF TIIE WORN WR WH1p1 TMIS VERMIT I5155UE0(SEG.7uY7,GY.GF W � IENDER'3 w�ME F- LENOEN'9AUDRE55 � IGEHTIFYTHATINMEXEADTHISIIPPLICNTIONANDSTAiE11MTiNEABOVEIKOHMATIONI500RRECT. TOTAL FEES � � IAGREETOCOM7LYIMITHJLLLCT'ANDCOUNTYOROWANCESANOSTATEUNSREIJ�TINaIOBUILpNG � CONSTRUCTIOlL 11ND HEHEBYAUTHOHRE REPt1E5ENTATNES OF THIS COUNTY�O ENfER UPON THE A90VE•MENTIOHEO PNOPERTY FOR INSPECTION PUNPOSES. COMMENTS � .�l O�1 Jti v� �`'�t^'. � PERMITTEE a � n � . ��.. � �l( ` (n Sq REOFiERMfTTEE OI1TE � RECPT.NO. AID 8Y VALIDATION YVFiI pertment Copy.YELLOYWflnence Copy,PINK—A�sessor Copy,CaOLDENROD--File Copy,GflEEN—ApplicanCs Copy � . . .. . :.. ,. . ,.. . , � .._ . . . _ Y ��c � � . ... � . � � . � . . C1TY OF DIt�N[QhlD B�,R � Ih;aPEGTICJP.E RECORD ��; . x .� ��::� . -� -� . ����»� �.��, �k��►�'� �. � "''�.. . � - �.., . ' � ►. ... # `'��'�_ ,�'�������_ .^,... �.: . , S��f BR`,C t;� � . � ' ' FIOOR JGIST �__ _ _--�-�--� . - __ _ � _-- � �__--------------- ---y fiTG���C'�it��1S!�T rCL �b�_ � � � FHA REQMTS I � ___.__. _�_ ...- �--------- ----.�__-..-�-- - ----._ .____..._-- --�-------------------- ----._}_..._-- -- ..;--- _ _ ._-- ELECTI�:lC`G�{?tJ�JD I UtvDER FLOQR DUCT" i i -------__.__...._..._._._._.._.._.....,...-------<-----...._ _...---..._... --- -�--- --�---------------�...-----____._.__.;_____ �.---..�....------- Gf'C7UCS��F'i...L�F.r:3l��� UNdER FLOOR CCJM1lDUlT ; � ` ..........._.........._........_.............._...._..-----:.._.______� __..-- -------- ---------------._...__---._.__...r------__._.�._� _._..---_-----......__...__...._____....-- , SI�A,r�GFi4[)w, i FIREPLACE FOUIVDATlQN � -------------- ---_ _ �------- ---— .___. _-- ---------- ------ ._...- ---....._ _ --._. _..------ _ .._ _ _....,__. T�:.i�:i' F't?tNhF; FIREP�ACE BONfJ BEAM , _ �---- _ ... ---_- --- ---- ---- --�--- ----- L�V�a3cN SFi�JIC'F � MID HT. BOND BEAM ._._,.�------.--- .__...--:---.. ----------, .. -----�----- ----------- ------------------- -�--._. � F�:J�,'�' ` I�i.�r�(I-�1�1.°'.� ; ' • B Ff.BQND E�EAh1 �_..--.-'---' —'—.—.-'.._..._.—.� .- --' ----`----L---'-----'....'--'-. '__�'-.._'--�_.,._'—_—..T. �.FRla,h�!€�!(:!s�%cM1lTff_U�,TIQIV i FlNA��OND BEAM ' — - _ ___ .._ -- _ _ _------- __ __ __ - _ -- F {�'.`1�r CJJC R : PRE-GRADING ---- r-- -- � _T___..--•------. --____.�__.__. � �_ _ FT'7'.�lG}i t-�'':cTli�?G � _ BEIVCHING ---- -- - - - - - �.-------__..__.___-..__.__; ____ __ __ __ ___ .__�. � t�^U�F-I �L�U'l-RIC � ROU�N GRADIfJG _.._......_-----...__...____---.-_._.__r----.__.._--- .._.__�._.—�.--- - ---_.__------____— .----------------I----------�------____......._...� 5��.)�lCI-� '"'��'tS�33NG ! FINlSH GRADING � ---.1 -• --- ------•-----.__---- --- - - ----- -- ---;- -- --r-------------- SFt�u'JEF�fT U�TEST � POOL ELECTRIC I : ,_. . _ . _....�-- -----,------ ---- - --r...---------- -•------------- -------------�--•---- ------------ -- - I FX?, 1�9�i-?;�iC�i�3�� j • ` � POOL FENCING I i � ..._..........__..__.._._..__'_"'_'_..,..__.....__......_��_._' _"_,._—'_ _ 1'—�._._.�_"'�_.M.._.."_'__."'__...� i V�='!'�s,l�l9�I;a':J�ATiCh� � POOL FI�JAL -------- I ... _ — ��- -----------•------._._�.___._-----._ ...___----------........_...... �_.-�------......_.._.------- --------�__.__._-- Cr_i't.lt�:{'� i�3=t1Li2'i'iOfd i OFF SITE IMf'5. � _.--------..._.._..____.._..._.__..__-------l--- — -- ---- -------___ �_.._._.._......---.._.....�.-_...._....._...-------._.._._...__.._._.___.�___a .G F;_i(t�"J=�E%!� i�`F+f l_E t�J G._..._..__._��___- D E D I CATI ON S � � ; -----__--- ------------- -_ _ - + _.._._.._.-----------� ���'r��t ; FlNAL ENC. _.__ ______I �� E_ __----- ---. �_. -- ---.. 'r-----' --'-" �WFi"F`", ij^NK------- ___..---- -- LANDSCAi�E%IRRIG. , � , i ; E ---�--- — ----- -._-_�_.__.,-�----__----;.�_ _._-------- -- _ ._.__ , 4 �cr �-"�T�`�.L. ; . . CN Sli"E IMPS. � _.) � ., ._ _ _..---...._----------- ------ ----- ---- -------- - --- _------ f � �� �r t�cT � j F1M1lAL�C�dI;�J,r, � I � - -- ----__.-----_.-:._._..�---__. -------� •�.__.--------------------- -- , .---..�.__ _ . .. ..--------- _.. �- - -----i �t;'�. :.J��'•4 r. � FBFiE�SFP�. FINAt_ � _. _ i � _ _ ._----- —__._----------i----- _---— - -- -- ----- ------- _ --- - f :,- ' t�F,iIPvG � ; � H�ALT�N aEPT. FlDJAL .�---- --___---_.__ _.---------------------___.__..,---- . _---------E------ - � y- C � � �(,TF,3; I � � DEV r EES PAlD _ . ._._.___�.�__-- ---_----•--------- ---.. __ _. __ .__ :.- -------- �-------------� --- ____ � ^i, ' ''i_U�e {` a ----�----------�--� E h]•L•R GY - ---------- .._ __ __... . .._.._._.. _._. . -- ---- _ _ __ . � I -----�------ � __._.__._ _.. _._-----�--. _ _ � � � .,. _�. _ __._..--- � �..� �x �� �.r'.: . - - ---._.______.-------�__._..--- a-.,. ;�:._ . . � ,... .....-------�-------- --------__.. ._._! E � , �� ..� ; r. � � . �r �•......�i'�:'�fs,_..IR i ______._. _..---'------------..._____...___,___--------`------._...........__._._._..--- — __._�_._._.__ __...._______ �_._,..._..........,_...._...._._.._._...._....._,.._.._......_...._--___�_..___......-----..---------- � I �._______�----- ___...,_ , -----------__�._._._._.._..._�__-------------...... ....._.... ._..__....._...__.._.._----..._.___ . � _.—_.._.._.,.�._.___.�_.— ._.-----------�----.-----•--------------,_..__.__...--------....._.......----- ---I � . ' . ;-----_ ��—�_ _. ._�—__ �_.._---- _ � _ _ _.. I �---- _.._._._... .---------------•-----------------------_---•-------...,,___..__..----- —,._..,.._ ._____ . _ _.._. . __...-- --------- —-...... .- � ---...i E 1 i ' i"'_.�.. _.._ '— __' _""' �`_ _"'�...__...__._,._,,.�_._.._.._"__'_—""_"__'_'_�_._....___................_...__"__i � . � �.'_'._...._... '"'...._.._..'_"__""'"_..__'___'_'"'__'"__'._».'__"""""_�_'__ '—"" _'_._ ........._ ........_.__._ . . ........... ................._. __.. . .... ...._. .. I �...'_" . .... .....,.. .....,,,._...... ... . ..._._.�_�.""""'....___._,—._..—._—___' _._..._' "__'_'—'__.__`_' _. � ' _.._ ..._.___ ___'_"__ ___._____ ' . .__.__.__ ._'______ _.—..__._._ _. . ? �'�r�Tlt:T1�fi�J� uEZ� -------�— - - , r c� r.-.� �a�`^-,`i) �1Z�' ..__...._._.. �._.__------------- . -----.._ _.. _.__...._ _........ �.3�[_1 �E ..__..._'.".._�._.... . .... . C ..... . • ; j ...,. .� � ,......_'._._.�._.�"""._.__.�.:�-.___ '.._.._.�._'__"..__"«'_'_' . , .. .__.'___'__'_— _ ._ "_'._ Y . 1 � u 1 � a I ` € .i � � I .._.._._._""___"'._"__"'__'_'..__'__�..,._'__.. _..." _"_"'"_ _'_" "_ .._...._....... .._.."_'.... ..__._...."_"'_""..E 3 � a 3 � ...�.._"____.�.___._._.�._...�..�..__...��.�..._.__.,..�_.�.�.......�______._._"___...___...._... _..._........__"___ . .� "—"___..."_"'.__—_______'.__� e ? � .. ' _. _— —..�___"_'"__ .. .. .... . . . _ .._ _ . ..._ ... .... ._. . _._ . � .: _._._..�� _'"'__�'_"'__. '_..._.�."____'_"' _'_`�'__...."'_"__'...._�...._'__ __'"'_" _'_'_.... ._... _ .. _.......... ..._.�....__ _ _"_" : � � t _ .�_�_�._.��...� .__"_�.��_�_"____'_____"__.._.�......._...._ . . .. ..._"_.....""__......_....__......_....._..'"___...._.._�.....�..�3 ' ' .�� � . � .. � ` , _.. � � i � . .. . . �.. . . _�.��.� ..�.�._r.__.�__—_—_'___—_ _—_______ ._:.._'___.... _._.___" __._"_"..__. ...__ ...____—__ ...___._5 � . . . .�.����� �a��.m�iM�� .