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HomeMy WebLinkAbout10460 (5) CTI'Y OF DIAMOlVD BAR COMMUNTTY DEVELOPMENT DEPARTMENT .;,,� 21660 E_Copley�rive Suite I90 PRESS (909)560-3195 Fax(909)861-3117 "^"'� BUILDING PERMTTAPPLICATION FIRMLY � JOBSRE �{�_ aA L L'��� �� . APPLiCAT10N � �'J � PERMIT�6 - PlC � AODRESS �� DATE v NUMBE N � ISSUE NPE OCC APN LOT TRACT DATE CONST. GROUP °C OWNE� ��� O � ADD � LF'i 20NING SETBACKS Z CITY ��0� ZIP TEI.S - C3 F,+ FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET AW ❑ CONTRAC (�1S � SIDE ❑ � CI7Y � ZIP TE b 'j- Z PROPOSED USE �� �� ��� w ARCWENG/ � DESIGNER AODRESS N�.D1NEL. NO. NO. UNITS STORIES BEDROOMS � CfTY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATtON � Q OWNER-BI:IIDER DECLARATION $Fq/qpp/qEM O 0 I XEREBY�FFIRM UNDER PEWLLTV OF PERJURY THAT I IUA EXEMPT FRO/.l TNE COMMC7OA5 lF ���a�K W CENSEUM�FORTf1EFq10WiNC3flEASON�5EG7o3t.5BU5MESSNIDPROFESSIONSCODF_��1HVCRVOq (n U CAUPRYNMipiREWNtESAAEHNITTOCONSiHUCT,ALTFR,MAPROVE,OEMOLI51/.ORNEMIRMIVSTRUC� W P8ti0/DBCI( W NHE,PIWR TO ITS IS3UANCE.ALSO REWIiIES THE MPLICRM FOR SUQi PE(m11T TO Fl�E A 516NE0 � STATE4ENT THAY HE OR SHE IS LiCENSEO PURSUMIT TO TNE PROVISIONS OF TNE CONTMCTORS LI� � � CENSE UW�CHADTER 9(COYYENCIN4 WRH SECTION 7000)�DINSIOM J OF iHE BUSINESS AND PRO- LL P�SPa FES.S�DNSCODE)OfiTNATHEOR5HEISE%EMP�THEREFPOAIANDTME&<SISFORTHEAILE(iED6XFJAp- C7 V 710M.ANYYWlATIOMOFSECTIpN7071.5BYANYAPPLICANTFORADERMITSUBJECTS7HEAPPLIC+WTTO ' � pg-pq7f F 11CNIL PEWILTY OF N0T 4bNE TVWI FNE NUNDRED D�LUF75(i50�).�: � � OI,ASONMEROFTHEPRa0ER7Y,ORYYENPLOVEESWITNWAGE515TiE1RSOLECONPENSATION. (',pmry�0fCl2.l VlILL UO iNE WORK,ANO TNE STtiUCTURE I&NOT INTENDED OR OiFERED FOR SALE(SEC.70M,BUSI- J fiE55 M!O PROFESSIONS CODE:THE CONTMCTORS LICENSE lAW DOES NOT APPLV TO AN ONMER Of � VRDPEfifYNRWBUILD50RNAPROVESTHEREON,A'AYMODOESSUCNWOPKNI4SEI.FaiMENSELFOR = � THpOUGHH150RHEROWNEV7lOYEES,PRONDEDTHl1TSl1(7ilYPHOVE11EN75AAEnbTAITENOEDOA m QOFFGREDFORSKE.If,IiOWEVERTMEBUILpNGORiWPqOVEYENTISSOLDWR}4NONEYEMiOFCONPLE• z TIOfrt,TNE OM'NER�eU0.UER NOl.L MAYE 7ME BUPDEN OF PROVINO THAT ME OR SNE OID NOT BUIID OR � NIPNOVEFQPTIEWPPOSEOFSALE�. W ❑I,ABOWNEROFTHEPROPERTY,AMEXCLUSIVELYCOMMCi1NGWITHLICENSE�CONTPACTOqS (= TO CONSTRUGT THE PROJECT(SEC.70N,BUSiNESS AAW PROFESSIONS fDDE�TFE CONTfUCTOR6 LF V81118t10f1 NDJ.AREA W CENSE lAW DOES NOT APPLY TO AN OWNEF OF A PROPEHTY WHO BUtt➢S OR�IIPFOVES RIEREON.AND S WlpCadJTfUCT3FOR3t1CHPPOJECTSWITHAGONTMCTOR(5)LICENSEDPURSUANTTOT}1ECONTR�G QUANTITY DESCRlPT10N FEE F- TORS LICENSE LAW.�. � ❑1 FM EXEMPT tNlDER SEC. 8.a V.C.FOq THIS qEASON 6 � 2 � DATE OWNER V � W � LICENSED CONTRACTORS DECLARATION �j � �XENEBY�FFMW UNOER PEMILTY OF PERIURY TMA71 Ah!LICENSED UNDER Pi�VI510N5 OF CHAPTFH � d s�CO1r1ENCMIGWITHSECTtON�o00)OFDMSKKV90FTNEBUSINESS�NDPROfE3310NSCODE,AND Z �X MY ULENSE IS A1 Fl1LL iORCE M!D EFfECT. m � � llCENSECtA55 �+-'7 UC.NO.� ' _ J ~ DA7E__��J -l. / CONTRACTOR r ' �- U w � WORKEHS'CONPENSATMJNDECLARATION ���-�`� 4 � V � 1 HEREBY 11FF�p►1 UlAER PENPLTY OG PERRIRY ONE oG THE GOLLOWiNG�pAR�T10N5: Z 6 O _I HiWE A/Y)WLL W�NTAR1 A CERTIfICATE OF CONSENT TA SELFMSURE FOR 1K7RKER5' S Q CCM�IpENSATI0N,A5PPONDEOBVSEGnON9]aoOFTMELABOPCODE,FORTMEPER�OiWANCE W pFT�#Wpq1(fpq WHIC11 TNI4➢ERAl1T IS ISSUED. � � W V I NAYEAH�VALI WINT+ID1 NiONKEFS'COMPENS�TIDN INSUMNCE,AS REQUINED B�gECTqN Q 3Ta00f TNE LABOR COOE,FOq 711E VER WRMANCE OF THE WORK PoH WHICH THIS FERM�i�5 (• �� S ISSUED.MY RS'mMPENS�TKK�i INSURrANCE CAHR�ER AND POLICV NUMBFR ME: CONSTRUCTION � � GRR�ER ��� T u�� PLAN REVIEW J S� I � POIICV NUMPER " ELECTRIC . . Q �S��qNf�pp7gE(AMPLEf�pF7lEpEpMffLSiOqp�lEM�pp,Wt9�f7ao)oqLP53} PLUMBING z 1 CEq71FYTWIT W TME PERGORIMNC I PERMIT IS ISSUE0,1 IJECHANiCAL (,'J SMI.LLNOTEMPLOYMlYPEfl50Nl ANYNANNE E tiB.�ECTTOTHE � WORKERS'COM7EN3ilTION UWS F CAIIFORNi A E T IF SHOUID BECOME INSPECTION FEE � � SUBJECT TO THE WOFI(ERS'CO�PFNSATION D 5 O S G�qN Ta0 0F THE UtBOH ���� � /�-p E i sr+uL Fo rH cou v w�n�nas n is ox. I ANCE '– O (,�n � p OATE:`v'J�'�J I� APRIC . . � ENEPG I` - � WAIMIRNi:FALUqET�SEWREWOFKEA500MPEN5�T iNCOVEAA0EI5uNlAWfUL.M�DSHALL9E � SUBIECTANENPLOYFRTOCNWM�LPEN4LT�ESANDCMIFINESUPTOONEMUAREDhIOUSAND ENERGYPERMIT DOLURS(f10D.00o),IN ADDITION TOTHE COST OF COYPEN9ATION,OAM�GES AS PROV�DED FOR IN J SECfqN 9�OE Of THE UBOR CODE.INTEflEST,AND�TTORNEI^S FEES. 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