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HomeMy WebLinkAbout15245 - 1370 VALLEY VISTA DR �_ CITY OF DIAMOND BAB � DEPARTMENT OF COMMUNITY d�DEVELOPMENT SERVICES � 21660 E.Copley Drive Suitc 190 (909)86Q3195 Faz(909)861-31 l7 PRESS ���'��� BUdDING PERMIT APPLICATION FIRMLY � JOBSITE ��r' , APPLICATION PERMIT, /C ADDRESS ! ��U V���G V�� G�, �1 DATE 7-«f-C�O NUMBER � S � APN LOT TRACT O TEE �' CONST. GROUP �j OWNEFi e ADDRESS -�i'v� �'R✓ ZONING SETBACKS � A UCANT GGr. �IP Y�- TEL. `r- ' �� � REART RW ❑ f�J9n—�i S5�►'L TEL.�vrr-M�' . ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR Lo�.-��`p �r- SIDE ❑ � ADDRESS � � � CITY �/"�✓'��,e. ZIP�� TEL PROPOSED USE � ARCFUENG/ DESiGNER 5����MtJk k -S i SS0..✓� � NO.DWEL. NO. NO. ADDRESS �1���ta v P �� ►1NITS STORI�5 ' BEDROOMS y CITY/i�c.s.�,.. Cc��..s�y�,,..ZIP KI'S T�STEL.��-,�/� . � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUIIDEfi DECLARATION SFRlADD/REM O e I NEREBY AFFlRM UNDEN PENALTY OF PEIWRY THAT 1 Nd E%EMPT FNOM hE CONiRACTOq3 LI• Gflf998/C91p011 � CENSEUWFOqTHEfOLLAWINGRFi�90N(SEC.70.9/.6lUSINES6ANDPHOFESSIONSOOOE:ANYGT'OH (n WIIMYWMCMI�OlMiE91lPERMR70CIX�5TRUCT,AI,TER,IMPfqYE.OEMOLJSH.OflREPAIRANYSIRUC- W P���O�BC�f NIIE.PRIOR 7D ITS ISSUANCE,K50 qEW11RES THE MPI.ICMlT FOR BUCH PERMIT TO FILE A 516NE0 6TATE►fENT TiAT NE OR BHE 19 LICENSED PUilSUM1T TO TiE PfpN510N9 OF 111E CONTRACTORS LI• � CENSE UW(GUPTER Y(Cd1YENCINO YNTH BECTION 7aoo)OF DIYI910N 3 OF THE BU61NE53 AND PPO• � PooUSpa FESSIONS CODE)ORTfUT NE OR 8HE IS EJLFMPT 7HEREFROMAND 3HE BASIS iOR 7HE ALLEGED EXEMP- TION.ANYVIOLATIONOFBECTqN10.77.6BYANVAPGLICANTFORAPEPMIT6UBJECT67NEAPPIICANTTO Z Re-Roof � ACML PENALTY OF NOT IIORE THM!FNE HUNORED DOLURS({500).): o OLhSONRiENOFTHEYROPERTY,ORMYEMPtAYEESWITNWA0ESA5THEIRSOIECOMPEN9AT10N, Q �mmerciel Z WILL DO TME WORK,ANO THE STRl1CTUftE IS NOT INTENOED OH OFFEREO FOfl SALE(SEC.TOM,BUSI- J NESS MW PIpFESSION9 COOE:TNE OONTMCfOflS UCENSE UW DOES N�T APPLY TD AN OWNER OF = � iROPERTYN410BUlDSORMAPROVEBTHEREdJ,ANDM7iODOE95UCHWOHKNIIASELFORHERSELFOp � THIid1OMWSORNEROWIJEAIPLAYEE5,PR041DEDTNATBUCHMIPROVEMENTS�HENDTNTENDEOOR � OOFiERE�FORSALEIF,MOWEVER11�E9UILDINOOR�APROVEMEN718SOLDWrtHINONEYF.AROFCOYPLE- � TION,7ME OWNER�BUILDER WILL MAVE 1HE WRDEN Of PROVNO 1HAT HE 00.SNE DID NOT BUIID OR MAPROVE FOR TiE VUIiPD..E OF 8ALE7. W 04R3W�T'EROFTHEPROPERTY,AMEXCLUSNELYCOHIMCTINOWffHLICENSEOCONTRACTOR$ � TO CON5TIIUCT iNE PRO.IECi(SEG.7044,BUSINE53 AND PflOFES510NS CODE:SHE WNTMGTOR9 LI• VAIIIi�IOII ADJ.AREA � CEpSEUW�OESNOTMPIYTOfNOWNEROFAPNOPEHTYNlNOBUILD30RWPROYESTIIEPEON,ANO WFq00NTR,tCT8FOR6UCHWWJECTBWITNACONfRACTOR151LICENSEDPURSUANTTOTHECONiM6 QUANTITY DESCRIPTION FEE � TOIiS LICENSE UW.1. , _ ' . ❑1 AM EX9APT UIJDER 8EC. B.l P.C.POR THIS REASON Q U LL' OATE OWNER � 2 �� UCENSED CONTHACTORS DECLARATiON W � IMEREBYAFFUtlJUNDERPENALTYOFPERIURYTNATIAMIICENSEDUNDERPROVI510N90FCNAPTER � s ��COMIJENCNCiMATHlECTIDNTOOO�OFOMSION90FTMEBUSINESSANDVROFESSIONSCODE.ilNO Z V� YYI�CENSEISNJFULLFORCEANDEFFEC7, — � UCENSE CUSS � �1� UC.NO. ��' ` � � DATE r "D�/ CONTRACTOR d WORKERS'COMPENSATION DE RA N �/J( 1 � � w � V v � 1 NEREBYPFFIMI UNDER PENALiY OF PENUifY ONE OF TFIE LAriIN � RATIONS: l -r, O _IlUYEANDWILLIAANTAINACENTIFICATEOFCONSEN TOSELFINSUREFORWORKE S' _ � COAAPENSATION,/S PROVIDm BV SECTION a7ao OF �LABOR CODE,FOR 1HE PER OF THE MlOPK FOR WH7CH Ti19 PERMIT 19189UE�. � Q �iHAVEANDIVILLMAINTAINWORKERS'COMPENSATIONINSURIINCE,ASR IREOBYSECT 87000F TME UBOR OODE FOR TNE OER WFMANCE OF TNE WOPoC FO ICH TNIS PENM IS � I65UED.MY WOAICERS' PENSATION INSUflANCE CARRIERAND NUMBER e ' NSTAUCTION � WIRRIER ��✓� LAN REVIEW Q POLICYHUMEER_�/� - U ELECTRIC d p �ssEcnorrruE�rrmeEmMat-rEnoF7�vepxr�sroaa�Mmnnm �m 4 PLUMBING Z 1 CERTIFY hUi N THE PEPfORMANCE OF THE WOHK FOR WHICH tHiS PERM?IS ISSU ,1 MECHANICAL (�' S7NLLNOTEMPLOVANYYERSONINMffMANNER60ASTOBECOMESUBJECTTOTNE (n WORKERS'CQ/PENSATIONLAWSOFCALIFORWAAN0110REETHATIFISHOULOBE07ME INSPECTIONFEE SIIBJEC7l0 TNE WORKERS'OOIAPENS�TION PROVISIONS OF SECTION 7700OF THE UBOR CODE,I BNALL FOR71iWITN COMPLV WI7H THOSE PROVISIONS. ISSURNCE ll�� 1 � f � w�: �"I�f�Cl��r�ic,�Hr. ti ,�_ SMIP `7II��_ � WAqNINCi:FARUflE TO SECUfiE YVORKERS' PENSIRION OJVERAGE IS UNLAWFUL,Ml�SNIILL BE ENERGY PfC �I � �fR> LL SUBlECTANEMPLOYERTOCRIMINALPENAL ESANOCIVILFWESUPTOONEHUN�REDTHOUSAND ENERGYPERMI�u��T]�TG DOLLARS It100.000),N ADDITON T07HE COST OF COMPENSATqN,DNAAOES AS PROVIOED FOR IN sw1 � SECTqN370eOFT1ELABORCO�E,N/TEREST,IWDATTORNEV'SFEES. RETENTIONFEE: � CONSTRUCTION LENDINaAGENCY PRE•AlT FEE: � IHERE6YAFFIRMUNDERVENAITVOFPERJUi1YTHATTHEREI3ACONSTHUCTIONIENDINOAOENCY FORTME VER�ORMANCE OF iNE WORK FOR WHICH h115 PERAAIT IS ISSUEO(SEC.7DY7,CIV.CJ. � � LENDER'S NAME � LENDERSMORESS ' O W ICEfiTIFYiW1TIHAVEREADIHISAPPLICATIONM103TATETHATTHEl180VEINFORMATIONISCOHRECT. TOTAL FEES d 1 AOREE M COG7LY WITH ALL CRY AND COl1NTY OR�INANCES MIU SiATE LANS RELA7FK3 TO BUIL�INO � OONSTRUCiION,IWOMEREBYAU7F10RQEREPRESENTATIVESOFTHISCOUNNTDEM(ERUPONiNE ABOVE�lAENTqNm PqOPEHTY FOR INSPECTqN PURPOSES. 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