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HomeMy WebLinkAbout15617 ,� -� s _�� CITY OF DIAMOND BAB � DEPARTMENT OF COMMUIITITY&DEVELOPMENT SERVICES : � 21660 E.Copley Ihive 5uite 190 (9Q9)860-3195 Fax(9Q9)861-3117 PRESS � �'�� BUQ.DING PERMIr APPLICATTOIV FIRMF.Y � J08SITE � �"� APPLICATION h PERMIT P!C o ADDRESS � l DATE v NUMBER'� # c� ISSUE O r.\ NPE OCC APN �.OT TRACT DATE V'�� CONST. GROUP g OWNER " ADDRE ZONING SETBACKS Z CITY i ZIP TEL. l AEART RW O❑ � APPi1CANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRE / _ % CITY ZIP g/��d TEL. PROPOSED USE � i w ARCFUENG/ g DESIGNER NO.DWEL. MO. NO. k� AODRESS UNITS STORIES BEDROOMS �S CITY Z�P TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALWATION Q OWNER-BUILDER DECLARATION SFR/ADDlREM p I 1�V AFFlFi1 IMDER PENILLTY�PSRA/RV THA71 MI EXEMPT FROM TNE CONTMCTORS LF �jy�p9e/GafpOrt IJ,I CENSEWVFORTMEWLLOWM�6REASON(5EC.70.77.58USMIE33NIOPROFESS�ON9CODEANYCITYOq (n G� WUNiYYNRGiRE�UWESAPERYiTT000NS1RUCT.ALTE0.�PfbVE.DFJIDL�SH.ORHEPAJRANY57RUC- W Patio/Deck � TURG,PPIOR TO 1T3 ISSUANCE,ALSO REdJiRE4 THE APPLICMfT FOR SUCH PERMIT TO GILE A SI4NED W STATEMENT T}MT XE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF iHE COHTMCTORS LI- � CENSE UW(CHAP'TER Y(COAiYENCINO WITH 5ECfpN 7000)OF OMSpN 3 OF THE 6USINE55 RND Pq0- V- PooVSpa iESSqNSOOD�ORTHATHEOR9HE13EX£YM7HEREFAOIAAND'IHEB�SISFORTNEALLEQEDEXEMP- (� TION.ANYVIOLATqNOFBECTpN7oJ1.6BYANYNGLICANTFORAPERWTSUBJECTSTNEAPPLICANTTO Z (�-ROOf r ACMLPENILLTYOFNOTMDREiHANFIVEMUNOREDDOLURSif600)J: ^ ❑I,ASONMEROFTHEPROPERTY,ORMVEM7lOVEESWITNWAGESA3THEIRSOLEC061PEN5AT1dJ, � CpmmefCidl - � WIl1�D THE WOPK,AND 7HE STRUCTURE IS NOT IHTEt�ED OR OFFEHEO FOR SALE(SEC.7o1I,BU51- J � fN'e55 ANO PiqFES510NS CODE:THE CONlRACTQflS LICENSE LAW DOES NOT 11PPLY TO AN OWNEq OF � PROPEHfYMkq8U1LD5pRYPiqVESTHENFOl1,11NOW11ODOESSUCHWORKHIMSELFORHERSELFOR m � 151p0U0l1 HIS Ofl HERONM EMROYEES,PROVtDEO 7HAT SUCM IYPROYENENTS ANE NOT INfEN�EO OR � OFFHiWWRSKE.IF./10MIEYER,i/ffBlk�MdGOflq/PROVEYEMISSOLDWITMINONEYEIROFCONPLE- z TION,IHE ONMEq�BUNAFR 1MILL HAVE THE BURDEN OF PROVWO THAT HE OR SHE DID NOT BUIID QR � II/Pf#�V£FOR THE PURPO6E OF S�LE). W ❑I.ilSOY1NEROFTMEPROPEHTY,MIE%CLUSNELVCONfRACTM6Wff}+UCENSWCONTRACTOPS TO CONSTRIKT THE PRQIECT(SEC.70N.BUSiNESS Ml�P1i0iES5�ONS CODE THE CONTPAC70f15 LI- ValUatlOff� ADJ.AREA W CENSEtAWDOESNOTAVPLYTOANOWNEROFIIPROPEfR'lYVFIOBUHDSORMPPOVESTHEREON.AND - � ylWpCa{TRACTSFORSUqiPROJECTSMATHACONfRACTOR(9�LICENSEDPURSUANTTOTHECCMTMC TJ'�' DESCRIPTION FEE � TOR3LICEN3ELAW.). J ❑1 AN EXEMPTIR&�ER SEC. B.d P.Q FOR THIS REASON Q 3 � ¢ V' DATE OWNER V Z W LICENSED CONTRACTORS DECLARATION -� ; � w 3 IHEf�BY�FFlN4UN0EHPEN�LNOFOEfWRYTHATIAMLICENSEDUHOEFPROVI5lON50FCHAP7EF � � 0(OMWENCMN3WI7HSECTION7000)OFONISION�OFTHEBUSINESSANOPROFESSIONSCODE,ANO Z MY LICENSE IS BJ FULL FORGE AND EPFECT. A m � LICENSE CLA55�✓�LIC.NO.- v � � F ^� � DATE,�Q�-Z•-O Cl CON�MCTOR �f d � WORKEHS'COMPENSATION DECV+RATION Q � IHEREBYAFFIIiMUNDERVENALTYOFPER1Ui1YONEOFiMEfOLLOYANGDEClAMT10NS: U y Z Q I � _IiNYEM1DWILLMAMTAINACERTIFICATEOFCONSEMTOSELF-INSIIREFORWORKERS' _ p COLIPENS�TION.ASOROVIOEDBYSEC710N37000FTHELABORCOOE,FOflTHEPEHWRMANCE U S � pF THE WORK FOR WNldi h11S PEFMIT IS ISSUEU. W t � � _I HAVEAND WRl MNMAM WORKERS'COMVENSA:IaJ INSURANCE,AS RE�UIRED BV 3ECTION /�� Q� 37000F T/IE UB CODE,fORTHE PERFORMANCE OF 7HE WORK FOR WXIq17H13 PERMIT 13 � �Ep,A�yWp SATIONINSu �CECAAq1E�N//�OVOLICYNl1M8ERARE: CONSTRUCTION � �qq�Eq .� ��^^-Tf PLAN REVIEW � voucvt�En � ,� �9 ELECTRIC o �nas�cr��eioTeEmraRErfnaFn��f�swr+a�µx�000u,�ryiaoloA�ss? PLUMBING z I CENTIFV 7HAT MTHE VERfORMANCE OF 7HE WORK FOH wHlpi THIS PERMIT tS I55UED,1 MECHANICAL � t � # (�J SHKL NOT EMPIOV FNY PERSPN M ANY MANNER SO AS TO BECOME SUB.IECT TO THE �'' `'` ---� - � WORKERS'COMPENS�710NLAW90FCAl�iO tiANDAGREETHATIFIS BECOM INSPECTIQNFEE SUBJECTTOTHENtlRKERS'COM7ENSA SIONSOf5ECT10N3� TME ISSUANCE S COD 16HALL FORTNMl7T�1 CpAVLY SE NSiONS. ,; 0 /�'7 `�eC�. SMIP �;I� i ;.J `'.—Li.:i.:,� Q p DATE/ APPLICANT: - . J ENERGY PfC ^� �-��" J W1RNiNG:FAILURETOSECUREWORKERS PENSATIONWYEMGEISUNIAWFUL,ANDSHAILBE .�4 a a , _ �, ., „ � SU&IECTANEMPLOYERTOCRIMMALPENPLT�ESANUCIVILFINESUPTOONEMUNDREDTHOUSAND ENERGYPERMIT - - - - �OILARS(ii W,000),IN ADDITION TO THE COSTOF C061PENSATpN,OAMAGESAS PROVIDEO WR IN -- . . "' ' � SECTION 370e Of iNE LABOR COOE.MTEPEST,AND ATTORNEY u FEES. {��ENTION FEE: �§'`" i'a-"� '''-""•3::�'�_'.,A 1 � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AiFlFM UNUER PENALN OF PER.IUHY TMAT TMERE IS A Cd�lSTRUCTION LENDINa AOBICY iOR THE PERFORMANCEOF THEVJORN WR WHIp7 THIS PERMIT IS ISSUED(SEC.3097,GIV.C.). Z W � LENDER'S NAME F- LENDEH9PDDRE55 }}} WICERTIFY7M�TIHAVEREADTHI9APPLICATIONPIID&TATETiATTHEA90VE1NGORMAT10NI5COfiRECT. TOTAL FEES �� � � IAGREETOO�MOLYWITXALLCITYANOCWNTYORDINANLESANDSTATELAWSPEUTINOTO6UILDINd CONSTRUCTION,M70 HEREBV AUTHORIZE REPPESENTATIVES OF TNIS COUNN TO ENTER UPON THE S�. ABOVE-NENTIONEU PROPERTY FOH INSPECTION PURGOSES. COMMENTS d J � aEE N E(P M) 9 N O � y . EOFPERMI D TE = RECPT.NO. 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