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HomeMy WebLinkAbout13981 (17) � � � CITY OF DIAMQND BA8 �/ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �-�''� 2166(1 E.Copley Drive Swte 190 1 -�� PRESS ���j BUII.DINGS�PFR�M�ITAPPLICATION FIRMLY �� JOBSITE L,/ y— l �_,.,� APPLICATION � �PERMIT j'� C? P! -�� ADDRES�� / • �i DATE � NUMBEA J Lg # $ ISSUE TYPE OCC APN LOT RACT DATE _CONST. GROUP g OWNER �+" ADDRE ZONING SETHACKS Z CITY IP /q 765� T[L. � REART RW ❑ g APPLICANT TEL. SIDEISIDE STREEf RW ❑ � CONTRACTOR �'� SIDE ❑ � C��S � Z��� } T � � PROPOSED USE � . L� '� ` � �� � ARCWENG/ � � DESIGNER NO.DWEL. � � O. / NO. ADDRESS UNITS �� �TORIES __,C_—BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.ARErWALUATION � OWNER-BUILDER DECLARATION SFR/ADDIREM O p 1 MEREBY AFFIp►111NDER PEN�1lT'OF PERJURY THAT 1 M1 EXEMM fROM THE CCNfTPACTORS LI- ��gg/CH1P0/! � CElSENWFOqTHEFO1.lOWAJOpEA90N(SEC.7a31.56US�NESSANOPFOFESS�lSCOOE:ANVC�TYOR (f� COIN(fyyllilCNt�WIRFSAP6AWTTOCORISTRUCT.ALTERINPROYE,DENOLISH,ORREPA1RNdY5TRUG 'W patia7Deolc IURE,Pqpfi TO RS VSSUNJCE.AL50 REW IPES TME APPLICANT FOH SUdI PERNIT TO FILE A SIGNEO STATE4EHT THAT HE OH SNE IS IICENSED PURSUANT TO 7NE VflON510N5 OF THE CONTMCTORS ll� � CENBE WM(GHAPTER 9(COYYEMCIN9 VJIT{SECTIOM 1000)OF DNI510M 3 OF THE BUS�NE55 AND PRO- � POOVSFe FESSqNSCODE)ORTHATHEORSHEISEXEYPTTHERFFROMANOTHEBASISFORTHEALLE6EOE%EYP• (!j # TION,MIYYIOLATK7NOFSECTIqN7W1.68YANYAVPLICANTFOR�PEIiMITSU&IECTSTHEAPPLIGtMTTO Z Re-Roof ; � ACMI PEN+LL7N�F NOT MORE TW�N fNE HUNDRED DOLURS(t5oo).)� 1 � ❑A/S�WNEROF7MEPf�PERT',ORMYEYPLOYEESWITHWqGE5A5THEIfl50LECOMPENSATION, O COR1mBfCiel ' � M7LL00 THE WOPI(,�ND THE STPUCTURE IS NOT INTEN�ED OR OFFERED FOR SALE(SEC.70U,BU51� J 3 IESS AlRI VNOFESSIOt�LS CO�E:THE COMTMCT�iS LCEN6E UW DOES NOT APPLY TO AN QMNIEfl Oi � PqOPEqryNFpBU16�ORNAPROVESTHENEON.ANOWliODQESSUCHWORKH�M6ELFORNERSELiOR = (t i5tli0UGHHISORHEROWNEM�LOYEES,PROVIDE�TNA�SUCHIMPROVEIilENTSARENOTMTENOE00A m Q .OFFEREDFORSiIEIF,liDWEYER�BUIL0Y1GOF1MdPRO�F.MRdiIS50LDWITHINONEYE4ROFCOYPLE z TION,TFff OWAIEA-9NLDER 1MLL HINE TNE WROEN Of GROVIN/3 THA7 HE OR SNE DID NOT BUILD OR = MIPKIYEFORTHEPUA.POSEOFSALE). �y,� OI.ASOYYNEROFTNEPAOPERiY,AMEXttUSNELYCONTMRMdWITNUCENSEDCONTR�CTOR4 (� TO COMSTMICTTHE PFiOJECT(SEC.70M,BU51NE55 M10 PROFESSIONS CODE:1 HE CONTMCTORS LI- VeWetiOft � ADJ.AREA W CENSElAWD0E5NOtAPPLYiOANOWNEROFAPflOPERTYWHO&111-DBORIMPROVESTNEREON,AHD � WHOWM'MCTSPoqSUCNPR0.IECTSWITHACDHiMCfOA{S)LICFNSEDPURSUANTTDTHECONTRAC QUANTITY DESCRIPTION FEE � 717H5 LICE1i5E LA1Y.1. ^ ❑I AM EXENP!UN�Efl SEC. 0.8 P.C.f-0R T`IIS REASOtJ � S � LL' pATE ONHER F' � U W � � UCENSED CONTRACTOFS DECLIARATIOPJ W � �HEREBVAFFIRM UM1ER PENAITY OF PERJUFn'THAT tAIA IICEN5E0 UNDER GROYSIONS OG CHAPTER V. � �(Cq9IENC�NO WITH SECTIDN 7WU)OF OIYISION 3 0F THE BUSINESS AND PPOFE55!ONS CODE,AND Z X W LICFNSE I5 W FtA1.FCPCE AND EFFECT. � UCENSE CLASS llc.NO. � � � _ � �j DATE ` CONTPACT �� a � WORKERS'COMPENSAT!ON DECLARATIC'd � -� � Q � IMEREBVAFFIRMUNOERPENALTYOFPERNHYONEOF7HcWUAWINGDECLAR0.TIONS: U � Z � _�YNVENqWh.LMA1NTAINACERT�FlCATEOFCON5ENT70SELF-INSUREFORVlORNERS' _ CdAPENSATION.�S PROVI�ED 8Y SECTION 3'0o OF THE UBOR CODE,FORTHE PERW flMANCE �U Of iHE Y70RK f-0R WHICN�HIS PEflMIT IS ISSUEO. � 0 � �1 HNVE AND WILL MAINT/IN WOA(ERS'C0IAPENSATION�NSURANCE.AS REIXIIRED BV SFCTION �� ` Q 37000F THE 90R CCAE.FOR THE PERfORMANCE OF THE WORK WH WHICHTHIS PEflMIT IS � ISSUEO.MY ENSATION�t{.SUP.ANCE CA{�t IER M70 POLICY NUMBER ARG CONSTRUCTIQN � CAflRIE �r�.�-,/' PLAN REVIEW � � VOL!CVMIMPER � ELECTRIC 0 (n�sseerbur�IDNoreea�ErEvrsn��rsranaraet�ux�om.uw^aim)oa�Ess1 PLUMBIMG w Z ICERTIFY THAT IN THE PERfORMANCE OF?HE YlOHK FOR WN�CH THIS PERAl1T IS ISSt1ED,I MECHANICAL ,y,- � � (� SMAILNOTEMPLPYANVGERSONMANY1AaNNE�50AST09ECOMFSUBJECTTOTHE INSPECTIONFEE �i r"-`-u � WORKEflS'COMPENSATIONUWSOFGA�IFORNIqANDAGREEThUTIFISHWlDBEGOME S SUBJECTTOiHEWONI(Ef15'fAMPENSATIONPFlOVISIONSOFSfCTION370oOFTHELABOR �SSUANCE CODE,I SHILL FORTHWITH COMPLY WI7H 1HOSE PFlOVISIONS. � SMIP �'�t'? . r�y?'s a p DAiE: APRiCAM: , , � ENERGY P/C �- �� �y WARNING:FAILLIRE TO SECUflE WORKERS'COMPENSATION COYER/GE IS UNLAWFUI,AND SHALL BE r (� _ �y, SV&IECTAHEMP�OYENTOCRIMINAIPENALTIESANDCIVILFINESUPTOONENUNDREDTMWSMID ENERGYPERMIT t�'V�L�;: •�';�`i/<'rn DOLURS(f100.000).INADDITIONT07HE COST OF COMPEN511TION,DMAAOE5�5 PNOVIOED FOR M 7� —�� -- J SECTION 770!OF TME U60F CO�E,INTEPEST,MIO ATTORNEY'S FEES -- �L+ilj(`�J '�''�I~�'' ¢ ( RETENTION F�E: r' �"•.,,.�.' OCANSTRUCTIONLENDINGAGENCV P E-A FE E/ 2 � I HEREBV/�FFIRM UNDER PENALT'I OF PEHJURY THAT TNERE I&ACDNSTRUCTION LENDINO AGENCY �� � � FOR THE PERFORMANCE OFTHE W�RK iON WHICN THIS PEFMIT IS ISSUE�(SEC.3oB�,pV.C.). �`,y�R' �•`b � LENDE�i'S NAME N LENDER'3AS7DHE53 '/'7^ W10ERTIFY7HATIHAVEPEADTHISAPPLICATIONANDSTA7ETHATTHEABOVEINFOA�ATqNISCORRECT. TOTAL FEES l �J � Q IAGREE7000MPLV`M7HALLCRY�NDCWNT7oROIwWCE5ANO5TA7EUW5PEU1TINa70BUILDING � CONSTRUGTION,AND MEREBY�UTT70fiIZE REPRESENTATIYES OF THIS COUNTYTO ENTER UPON THE Z ABOYE-MEMqNED PqOPERTY FOR INSVECTION GURFOSES. COMMENTS O J � m PE E ME(VflINT�(� � � ¢ ��� , � � SIGN _GF PERMITfE� --�TE RECPL NO. 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