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HomeMy WebLinkAbout16071 �_. _ ,._.._ _ , . , _. ..._ __.,_. ...-_�_� . _. ___ �. _ . - ._ .-.�.a. .. _. _1� CITY OF DIAMOND BAI� ��P��� DEPARTMENT OF COMMUNITY�DEVELOPMENT SERVICES l�-'�a O�C�"7 � , 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRESS ` "''%y�'��' BUII;DIN PERMITAPPLICATION FIRMLY _. - o DDRESS s'� �� � ��?"{ � �G��✓�, � DATEICATION � �''�� � NU B R `� "� �/C � APN LOT \TRA.C�+T, ISSUE TYPE OCC p OWNER �1�.'��1� t J -��r`�l DA7E CONST. GROUP p ADDRESS '��—�y� ZOMNG SETBACKS � CITY ZIP TEL. REART RW O APPUCANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACT R SIDE ❑ ADDRESS l�c- ' i4 u.... p � �- PROPOSED USE �.*+D✓�t CD C A i'� 1�t-T'Ts�}--L �.. CITY �C/ ZIP EL. �� 'SH !e✓ � � c;37+��+'►L C�'<ti wo ARCH/ENG! z DESIGNER � ADDRESS NO.DWEL NO. NO. = CITY ZI TEL. UNITS� STORIES .-� BEDROOMS � <n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADDlREM O p I HEREBV AFFlRM UNDER PENALTY OP PERJUHY THAT I AM EXEMPT FROM THE CONTRqCTORS LI- Garege/Carport W CENSEUWFORTNEFOLLOWiN4REA50N(SEC.7o31.58USINESSIWOPROfE5510NSCODE:ANYCIT'OR (n C�� COUNTI'WHICHREQUIRESA�ERMITTOCONSTRUCLALTER,IMPROVE.OEMOLISH,ORFEPAIPANYSTRUG Z TUHE,VRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPUCANT FO4 SUCH PERMIT TO FILE A SIGNED W PetiO/DeGk u� STATEMENT THAT HE OR SNE IS LICENSE�PU0.Sl1ANT TO THE PqOVISIONS OF'f}IE CONTRACTORS Li- w � CENSE LAW(CHAPiER o(COMMENdN�WITN SECTION 7000)OF DWISION 30F THE BUSINESS AND PRO- � PooVSpa � FESSIONSCOD�ORTHATHEORSHEISE%EMpT7HEREFPOMANOTHEBASISFORTHEAILEGEDEXEMP- (� � TION.'NYVIOI.ATIONOFSECTIONT031.58VANVAPPLICAMFORAPERMITSU&lECTSTHEAPPLICANTTO Z Re-Root 'i►_ � A CML VENALN OF N07MORE THAN FIYE HUNDRED DOLLARS(SSoo).): DI,MSOWNEROFTHEPROPERIY,ORMVEUPIOYEE5WI7MWAGESASTHEIPSOLECAMPENSATION, � COmITI0fCi81 � WILL DO THE WORK,ANO THE STRUCTURE IS NOT INTENDED OR OFFEHED FOR SALE�SEC.7044,BUSI- J � NESS AND PfiOFESSIdJS COOE:THE CANTRACTOFS LICENSE LAW DOES NOi APPLY TO AN OWNER OF = PROPERTY WFIO BUIIAS OR IMPROVES THEREON.ANO WHO DOES SUCH WORK NIMSELF OA HERSELF OR � THROUl3HHISORHEROWNEMPLOYEES,PROVIDEOTHATSUCHIMPROVEMENTSAREN�TINYENDEDOR m � L�1 OFFERED FOR SAIE IF,HOWEVER TME BUII[NNG OR IMPROVEMEN715 SOID WITHIN ONE VEAR OFCOMPLE- Z TION,THE OWNER-BUILDER WILL HAVE THE BUROEN OF PROVIN�TFIA7 HE OR SHE DID NOT BUIL�OR � IMPHOVEFORTHEPURPOSEOFSALE�. - W ❑I,ASOWfiEROf1HEPAOPEiCfY,AMEXCLUSNELYCONTRACTMGWITHLICENSEDCONTRACTORS Q TO CONSTRUGT T77E PqP1ECT(SEC.�ON,BUSINE55 PND PFOFESSIONS CADE:TNE CONTMCTORS L6 V3IU8IIDf1 _ADJ.AREA W CENSE lAW DOES NOTAPPLYTOAN ONNER OFA PROPER7Y WHO BUILOS OR IMPROVES THEREON,AN� � WFiOCdNTRACTSFORSIiCHPR0.IECTSWITHACONTflACTOR�S�LICENSEDPURSUANTTOTHECONTRAP QUANTITY DESCRIPTION FEE Y TORSUCF.NSELAWJ. _ ¢ ❑1 M/E%EA1PTl1N0ER SF_G B.8 P.C.FOR THIS FEASON Q � U � —_ .------- -- [G DATE _ OWNER _ U Z W g LICENSED CONTRACTORS DECLARATION W � 1 HEREBYAFFIRN UNDER PENPITV OF PERJURY TNAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � G(COMMENCINq WITH SECTIOtd 7000)OF DIVISION 30F THE BUSINESS ANb PROFESSIONS CADF,ANO Z MV UCENSE IS IN FULL FORCEhND EFfEC.T. L1J ^1 j rj R] � UCENSE C1A55 � ,� LIC.N0. ` � d� j V �ATE _ _..��___ CONTRACTOR � .._ _ � W � 1MOFKERS'COMPENgATION DECLAflATION ¢ � i HEREBV AFFIRA4 UNDER PENALTV OF PFFiJUpV ONE OF 7HE FOLLOWING DCCLARA710NS: Z � ,IH0.YEANDWI!.LAIAINTAINACERTIfICATEOFCONSENTTOSELF�INS�FEFORWOFiKEfiS' _ — COMPENSATION,AS PROVIDEO BY SECTION 370o OF 7HE LAE30R CODE,FOR THE PERFORMANCE W O OF 7HE WORK FOR WHICH TNIS DERMIT IS ISSUEO. � � _IIIAVEAN6WILLMAINTAINWOHKERS'COMPENSATIONINSl1RANCE,ASREIXIIRE08Y5ECTION ('\ '~4 37000Y"THFL9BOHCODE,FOqTNEPEqWRMANCEOFTHEWORKFORWHICHTHISPEFM1T15 � � � Q ISSUED.IM WORKERS'COMVENSATlON INSUP.ANCE CARRIERANU PULICY NUMBF.NAflE: CONSTRUCTION ��` I�'�,�_ j� .� PLAN REVIEW x� CARRtEH � ��� z Pa�crnun+sER L _�y��?'��� EI.ECTRIC a Q (fHlSSECTMAYNF.3INOTBE00Mi'I.ETEDCFTHEPERKJTISFORONEHUKMEDDOlLARS(S10o)ORLESS�. PLUMBING � � Z \, I CERTIFY THAT RJ THF PER�-0RMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL _ ���P� t�i 4�_��^�� (� \� iHALL NOT EMPLOYANY PERSQN IN ANY MANNER 50 AS TO BECOME SUBJECTTO7HE " , ,,,m � WORNERS'COMVENSATIONLAWS CALIFORNIA,ANDAGREETHATIFISHOl1LOBECOME INSPECTIONFEE •. A�. Z� '��d � SUBJ CTTOTHEWORNERS'COM7 710NPROVISIONS SECTION37000FTHELABOR "b �^� . – _ �� COD IS.ALLFORTHWITHCOMPIYWI'i sEaaovisiotis. ISSiJANCE � � c<�y U.rl F1".,` rt. '� .�V O ��� APPLICANT. �y,_ - SMIP _ �.�_-. •• p OATE: _ � WARNING:FA�L RE TO SECURE WORKERS'COMPENSA710N CAVERAGE IS UNLAWFUL.AND SHALL BE ENERGY PIC �—y SUflIECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESl1PTOONEHl1NORE�THOUSAN� ENERGYPERMIT DQLLARS(S10o.000).IN ADDITION TOTHE COST OF COMPENSATION,DAMAGES AS PROVIOE�FOR IN � SECTION37oeOfhIELABORCODE,INTEREST,ANCATTOflNEV'SFEES. RETENTIONFEE: OCONSTRUCTlON LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFlRM UNDER PENALTV OF PERJURV THAT THERE IS ACONSTRUCTION LENOING AGENCY FOR THE PERFORMANCE OF THE WORK FOR\YHICH THIS GERMIT IS ISSUEO(SEC.3a W,CIV.C.). Z W � LENDER'S NAME F— LENDER'SA�ORESS g W I CERTIFY TMAT I HAVE READ THIS APPLICATION AND STATE 7HAT THE A80VE INFORMATION IS CORRECL TOTAL FEES � �,� � � 1 AGREETO CAMPLY WI7H ALL CITV AND COUNTY OFOINANCES AND STATE LAWS RELATING TO BUII�ING � CONSTPUCTION,AND HEREBY AUTHORIZE REOqESENTATIVES OFTHIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONE�PROPENT'FOA INSPECTION PURPOSES. Q COMMENTS_ J � � PE'q TTEE (PRINT)� Q �n ,,,�..__. '`�"� P � SIGNATUREOfPERMITTE DTE = REGPT.NO. 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