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HomeMy WebLinkAbout14214 ,�� CITY OF DIAMOND BAbt (� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,` _ Zi�o E.cop►�y na�e s�c�i90 �,�.•-- PRESS (909)860-3193 Faa(909)861-3117 �'f BUII.DING PERNIIT APPLIC.A.TTON FIRMLY � JOBSITE .y /�r��I � APPLICATIOt� `� PERMIT � P/C o ADDRESS L.�(�� O�IL 1J DATE NUMBER v � x $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER p ADD SS G ZONING SETBACKS � CITY G��'� a FRONT q�f1/ ❑ APPLICANT R�R Q � SIDElSIQE STREET RW O CONTRACTOR SIDE p ADD ESS ( � CfTY Z�p O(p TE7. (p� �'�c� PROPOSED USE � ARCFUENG! �7 DESIGNER t I I.A NO.DWEL. NO. NO. = CITY E���7 ZIP ��, UNffS STORIES BEDROOMS lq tn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAI.UATION � OWNER-Bl11lDER DECLARATION �q/qDDlREM O p I XER�V AFFFM UNDEii PEN.LLTV OF VE/iA1NY THAT�MI EXEMPT fROM 7HE CONTRACTORS LI- ��/Carport Lil CENSEUWFORTNEFOLLOWMIOREAfiONf5EC.7031.5BUSWE88AN�Pf�FESSIONSCODE:ANYCIT'/OR (n S7 COIMT`!W!#LIiXEQU1qE5APERMRTOCONSIAUCT.ALTERNPROVE.�EM10��Sh7�ONREPAIqMlVSTAUC• W Z TURE,PNdi TO ITu 13,4UANCE.ALSD REQUIRES THE APPLICAHf FpR SUCH PfiRiAR TO RLE A SIGf�D p��roe� � 3T1TEltENT THAT HE OR 3HE i5 LICENSEU PU0.SUANT TO THE VROVISIONS OF THE CONTRP.CTOFS U- W CENSE LW/(CHAPiEq i(COMMENGWf3 WIiH SEGTION 70W)OF DM510N 3 0F THE BUSIkESS AND Pfl0- � P�US�18 FESSIONSCAOEjOqTHATMEOR5HE15E%EMPTTHEREFPq.lAN�771EBA515FORTHEALtEGEDEXEYP. � TqN,M/YVlOLATKXfOF5EC1�WiTo91.68YANYAPPLIC.WiFORAPEflM175U&1EC757HEAPPLIGNTTO z �-Rpp} � ACNILPENKTVOFNpTNORETHNIFNEHUNOREDDOLUR&�f5D0).j: � ❑I,ILSONTIEROFTHEPNOPEqTY,OqMVEMPLOVEESWITHWMESISTHE1qSOLECOMPEN5AT10N, COfI11f�e�Ci8I - NALL DO THE VYOW(AND�HE STRUCTURE IS NOT INTENOEO OR OFFERED FOR SPLE{SEC.704t.BU31- � � NESS ND PROFESSIplS OODE:THE CONTRACTORS LICENSE LAW DOES NOT AOFLV TO A!1 ONI�IER QF � Pt10PERfY NDq&/0.,DS ON IYPROVE9 THEREON,M1D WNO WES SUCM WORK HIMSELF OR HER&ELF OA � TNHOUGH VM4 Op HEq ONM EI.IPt.0YEE3,PRONDED 1HAT 6Upi IMPRpYEMEMS AFE HOT INTENDED Oq m W OR�fiEO�Ofi5N.E1FFILMNEV€I�11�BURDINGORMAPROVEN@RISSOL�WfiHINONEYEAROFCOYFL6 ZTqN.1F�OWNER�111LDER WILL HAYE 7HE BUHDEN OF PROV�NO TNAT HE OR SHE WD HOT BU�LD CW � YPNOVE FOq 7F�PUFPOSE OF SALE). (1J ❑4�30WNEROFTHEPflOPEHTV.AME%CWSNELYCONTRACT�MOWIIHUCENSEOCANfMCTORS � TO CONSTPUCT iHE PPOIECT(SEC.70M,BUSINESS M1D PROFESSIONS COOE:THE CONfMCTORS 1,l- VBIUAt�W1 ADJ.AREA CEtiSE WY DOE3 NOT�PPIY TOAN OVMER OFA PROPERTI'WHD BUILDS OH IMGflOVE3 TMEREON.AND � NhqCONTRACTSFORBUCNPPQIECTSWI7H�CONTMCTai(S)LICENSEOPURSUMIfTOTHECONTRA6 pUANTITY �ESCRIPTION �E � iOflSIJCENSE LAW.�. ❑1 AM OCEMPT UNDER SEC. B.8 P.C.FOR THIS REPSON Q 1 � � U � � DA7E ONMEFl � + � LICENSED CONTRACTORS DECLAFATION W � � IHEREBYAFFIIWUNpERPEN�ITYOFVER1URVTTiATI�MLICENSEDUNDERPFroYISbNSOFCHAPTER � S Y�COitlENCNOWIT115ECT10N)oao)OFDMSION30FTHEBUSMESSANDPROFESSiWJ5C06E,AN0 Z � ���� MY LICENSE IS M FULL PoRCE NID EFFELL m 01� LICENSE CLASS� • �,LIC.N0.�_���� j � pqTE��--�'�•a�cotJTRAC70R a WORKEFlS'COMPENSATION OECLARATICN Q � I HEAEBY AFFIqM UNpER VENKTY OF PEFiIURY ONE OFrt1E WiLOWINC OECL+.MTIONS: Z O __IHWEMIOWILLMAR7TMVACER�IFIGATE�FCONSENTTOSEIF��NSUREFORYAHKERS' _ Z WMOENSATqN,ASPFOVIDED8Y3ECT10N97a00FTHEtA80HCODE,FORTHEPERFORMANCE U t OF THE WOqiC FOp WHICH 7HIS PEFlMIT S ISSUED. � � � 1 HAVE MrD WILLMAIMTAIN WOIiKEPS'WMPENSATION INSUMNGE,p5 REOU�RED BY SECTION U 9700OF THE LAfiOR COOE,PoR TY`c DERFORMANCE OF THE WOHK FOH WHICH THIS PERMIi IS � ISSUEO.MVY�o�RS'`CqAP SATKXJ I�j�e�n_r+CE CARqi ANO DOtJCV NUMBERARE: CONS1FiUCT1ON ' � CARRtER \�'F/,a�P ``-+ �� PLAN REVIEW � POIICY Nt11A8ER ELECTRIC � � �� 0 in�esEcnonr��rio7eem�EtIDOFnfa�isfoAa�M�ra+mmunasR�ro)oA�ss7 PLUMBMG w ICEH'fIFYTUTINTIIEFERFOPMANCEOFTHEWOqKiORNMICHTHISPERMITISI55UED.1 MECHANICAL � � SHAIL NOT EMPLOY ANY PERSON M ANY MRNNER 50 AS TO BECOME 3UBJECT TO THE � NqRKER5COMPENSATpNIAWSOFCALIF0ANIA,MAAGFEETHATIFiSHOULDBECOEIE INSPECTIONFEE SU&IECT TO THE M/ORKERS'COMPENSATqN PROVISIONSOF SECTION 3]oa Of TNE IABOR s LODE.ISMALLFORTHVATHCOAAPLYWITHTHOSEPROVISIOHS. ISSUANCE �"T- _� � � � SMIP p OA?E: APPLICAM: � WARNINO:FAILURETOSECUAEMqRKERs'COMPENSATIONCOVERAGEISUNVWFU4+�SHRILBE ENERGYP/C �y SUBJECTANEMPLOYERTOCPo1AWAlPENALTIESANOCIVILFINESUPTOIXJEHUNDREDTHIXISAN� ENERCaYPERMIT Y� DOLLARS(5100,Oo0),W ADDI7ION TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED fOR IN ¢ SECTION»otOfiHELA60RCO�E,MITEREST,MAl1TTORNEY'SFEES. RETENTIONFEE: ����PPT ?q,R(l��T1S��� CONSTRUCTION LENDING AGENCY .� ��4�r� d PRE-ALT FEE: O .. t a ��s . ... h � 1 HEREBYAFFIRM UN�E(1 PEN�LTV OF PE0.1UqV TNAT THEFE IS A CONSTRUCT�ON LENOING AGENCV FOH THE PERFORM�OF THE WORK FON WHICM THi3 PERMIT IS ISSUED(SEC.3oe�,pV.C.). WY � LENOER3 NM1E w���'�� -ld�� � �NDER'9IDDRE55 w �CERTIFYTHAifNAVEREADTH�SAPVLICA'lIONANDSTAT�THATTHEABOVEMFORIAATIONISCORRECT. TOTAL FEES � � d IAGREETOWMVLYWfIH/LLCRYANDCOUNTYORDINANLESANDSTATEUWSREUTINGTOBU0.0MG � CONSTAUCTION,ANOHEREBYAUTHORREREPHESENTATIVESOFTNISCOUNTVTOENTERUPONTHE A�VE-MENTIONED PROPERTY GOH INSPECTION PUPVO�SES. 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