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HomeMy WebLinkAbout15754 Jl,� CITY OF DIAMOND BA� ,�(�J � DEPARTMBNT OF COMMUNTfY&DEVELOPMENT SERVICES L/ _ � 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)851-311T PRESS sUu.nzrtc rEx�r nr�.icn�[oN FlRMLY o AJ�p1ESS 1 "`1 \� Y DATE CATION p J� t�- � v NUMBER� � l � Ip C I _ $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GRQUP � p OWNER j p ADDRESS ZONING SETBACKS � Z CITY 21P4 TE• Z R�RT RW O� v APPLICANT DA c..t�n+ra LSTEL. a�� �) SIDE/SIDESTREET RW ❑ � a� CON7AACTOA 'Y1�CtC�Ot� SIDE ❑ qC ADDR SS �• ( wCITY ZIP � TE �l0 �J I PROPOSEDUSE ARCWENG/ DESiGNER NO.DWEL. NO. NO. � C�ESS Z�Q TEL. UNITS STORIES BEDROOMS <n tn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADDIREM O � Q 1 MEREBY AFFlRM UNDEP PENi1LiY OF PERIURY TNAT I AM EXENPT FRW THE CONTMCTORS U• Gef8Q9/Ci1POR LLl !�?LSEWVFORTVffFOILOMfM10pEASON(SEC.70.A7.68USINESSINDPROFESSIONSCODEANYCITYOR (A COWTYW/K:HHEOU�HGSAPENYRiOCOM�STHUC'i.ALTERIMPPOVE.DEIXIL!SI'40FREPAIRANYSTRUC Ll.I PBIIWDBCI( � iUR�P'RpN TO RS 138U11NCE,ILSO 11EUVIHES TME APPLICANT FOR SUCM PERNIT TO FlLE A SIONED W � STA7EYENT THAT NE Oq SHE IS IICENSED Pl/R5UAN7 7D 7HE VROVISIONS OF TIE CONTMCTORS LI. � CENSE UW(CHAPTEfl i(COWIENCItN3 WIT1 SECTION 7o0D)OF DIV6IDN 3 OF THE BUSINE55 AND PRb � POOUSPB FESSIONSCOOE)ORTN�TMEORSF1Et5EXEYVTTHEREFRONANDTMEB�515FOHTNEALLE0E0EXEYP• (� � TION.ANYVIOLATIONOFSECTIOM7IXi1.6BYANYAPPLIGWTFORAPEP417Sl�lECT3THEAPPLICANTTO Z Rg.Rpp{ ACML PENAL7Y OF NOT MORE THAN FNE HUNOR W DOIURS(S6ro).): � O 04�3UMMEROFTHEPROPERTY.ORMYEMPLOYEESNflTMWRGE5i15T/EiR50LECOMPEt6SRTIWI, 0 Commereiai - Z W1100 THE WOWC AND TME STFiIICTURE�5 NOT IMEI�ED 011 OFiERED FOii SALE(SEC.7ou,pUSb J N698 AND PAOFGSSIONS CODE:7HE CONTMCTOHS LICEAlSE LAW DOES NOT APPIY TO AN OWNEq OF � PqpiEfl�YNa108URD30RdMROVESTHEREON,ANDqIpDOE55Up1MADRKMMSELFORNERBELFOfl � Q TTqOlR3H HIS OR MER ONM EMPLOYEES.PROVI�D iMAT BUCN IMPROVEMENiS ARE NOT NlTENDED OR LI) OORHiEOi�iSN.EIF,HONIEVERTMEBUILpNGOF1Y7qOVEYEM4SSOlDWITHINONEYEAROFCOMRE Z TKN.TH�OWN6R�6UIl.pEH YYILL IMVE THE BURDEN OF PROVINO THAT HE�i 8HE D�D NOT BURD Oq � lWflOVEPoRTNEPUAPOSEOFSALE� W DI.A40WlIER�THEPi1qPFHiV,M1E%QUSNELVCONTR�CTM6WITHLICENSEOCONTFLICTOHS } � r0 CONSTFIUCTTYIE PHDJECT(SEC.7a1,BUSINESS MIO PROFESSIONS CoOE THE CONiMCTORS U� VelUetlW1 ADJ.AREA CEl�E UW DOE8 NOTAPPLY TO AN OWqER OFA PROPERiYNTlO BUMDS OR IMPROVES 1HEHEON,AND WIIDOONTPACTSFORSUCHDi�ECT5N7T/ACONTRACTORlS)LICFNSEDPUR91MfTTOT1ECONfRAC QUANTITY DESCRIPTION FEE � tOf18 UCFN6E LAW.�. 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B.BP.CWR7HISREASON Q � U ti ¢ DATE OMMER U � � LICEN5ED CONTRACTOFiS DECLARATION W � I MEfI[$Y AFFWM UNOEIi PENALTV OF PERIUAY THAT 1 Mi LICENSED UNDER PROVISIOHS OF CHAP7ER � C � •�COtIiEHCRXiWtT115ECf10N7000)OFOMSpN70FTHEBUSINE55IwOVPOFE5510N5CD0E,�N0 Z 1AY IICENBE IS M FlAL FORCE Ml�EFFECT. � m 0 IICENSE ��LIC.NO. �!� � V oate �_/�—0 J carraocToa C�' _ a � WORKERS'COMPENSATION DECUIRATION Q � � IHEPEBYAFLIRMUNDERPENALTYOFVERRIHYONEOFTHEFOLLOWINGDECLhRATKKJ5: Z Q _INAVEANOWILLWINTAMACEHf1FlCATEOFWNSENTTOSELF-INSUflEFORNORKERS' _ COYPEtL4lTpN,A9 PROVIDED BY SECTION 3T00 OF TiE LA90R CODE,FOR THE PERFORMANCE U QOF 7HE NiORK FON WHICH 1HI8 PERMI7 IS ISSUED. � � _IMAVEMIOWILLMAINTA6iN�OFKEFtS'WYPENSATIONINSUMNCE.ASPEWIRWBYSECTpN , � 37oa OF THf U80R CODE,FOR iHE PER�OR4ANCE OF THE M/ORK�R WHlql THIS PERMIT IS � ISSUED.WYN'OAKE S'CONPENSATIONINSURANC CAFiRIEHM1DPOlICVM1MBERME CONSTRUCTION � CARRIEA PLAN REVIEW � ����R � �� ELECTRIC � (INQSECI�ONN€E�NDiBEOJ1�ilETmOFTF1EPEMAfSPORONEFA�iNi�0011N1StS100)Of1tESS? UM1�p @INGj� s w Z I CERTIF1'7HAT M THE PERFORMANCE OF Tl1E WORK FOR WHldl THIS PERMIT IS ISSUED.I MECHANICAL � SlULL NOT EMPIOY M7'I PERSON W ANY MANNER SO RS To BECAME SUBlECT TO THE `}";�.:t '�"y'?* � � WOtdKERS'COMPENSATIONLAWSOFCALIFORNIAANOAGREETHATIFISHOULOBECOME �NSPECTIONFEE S 6UBJECTTOhIEWDRKFRS'COMPENSATIONDRONSIONSOFSECTION37ooOFTHEIABOR isww,ro�lncor�r�rvn naseerwhsans. I5SUANCE i ,, � �/�-v d �C����-===C�.v``s��� SMIP ��.� � DATE: APPLICANT. ' WARMNfI;FMURE TO SECURE WOfiKEH3'COMPENSATION COVERAOE IS UNUW�L,AND SHALL BE ENERGY P/C ��:: I_ r) �, � SUBIECTANEMPLOYERTOCRiM4dhLPENALTIESANDGNIIFINESUP700NEMUNDflED7HW15AND ENEHGYPERMIT F'`:;A A���'g,T���yf� '�, r DOt1AR5(ttm,Om),1NADDI710NTOh1ECO5TOFWMFENSATpN.DAMAGE5A5VROVI�EDFORM 'YT�R�^�j�T-���� r �.+ ��� J SECTIDNJ70EOFiHEIABORCODE,MITEREST,ANDATTORNEY5FEE5. � RETENTION FEE: g �.�.r�4+.1 T":C;'�'� d CONSTRUCTION LEND�NG AGENCY ���`���,���� PRE•AlT FEE: O � � IHEREBV�FFIIiMUNDEHOENALTYOFPERRIRYTHATTHEREISACONSTHUCTIONIEN�PIOAdENCY Z FOR THE PERFORMANCE OF THE WORK FOR WHId1 THIS PERMIT IS ISSUED(SEC.30D'!,CIV.C.�. W � IENDER'3 NAME � LENDER'SADDFE55 � y�O � ICERTIFYTHATIHAVEREAUTi15APPLICATIONANDSTATETHAT7HE�IBOVEINFORMA710NISCORRECT. TOTAL FEES W IAOREETOCOMPIYWITHI1LCfTVANDCOUN7YOR01NANCESANDSTIITELAWSREUTIN(3TOBU%AINQ CONSTl1UCTION,AND HEREBY AUTiqRIZE REVRESENTATIVES OF THIS COUN7Y TO EMER UPON 7HE � APOVE-M E�PROPERiY FOq INSPECTqN VURPO5E5. COMMENTS O �� � � _ ���r. 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