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HomeMy WebLinkAbout14183 (17) �� 1 l� �"��'i,q � CITY OF DIAMOND BAII � �C `C'Q DEPARTMENT OF COMMU23ITY&DBVSLOPMENT SERVICES I� (909)860-3 9,SFe�c(V909)61-3117 ��pOp PRESS BUII.DING PERMIT APPI.ICATION FIRMLY' � JOBSITE j� APPLICATION PERMIT P(C 0 ADDRESS Z 2�Z Z- t..71 r �S c� -� � � Dq7� i(� �2���9�1 NUMBER #� � ISSUE TYPE OCC APN LOT TRACT DATE �n�z�s I 91 coNST GaOUP g owsvER—�lk s v o ADDRESS �� ZONING SETBACKS W CITY ZIP TE �00 7Y�'/� FRONT RW ❑ � APPLICANT xi �-�r TEL.7/N 115 b'i4�1 REAR ❑ � SIOE/SIDE STREET RW D CONTRACTOR C nv�a� 1�t 1�` S v � SIDE ❑ g ADDRESS 20'7 S S ,A ..� �'� CITY Fv� � Z4P Z9 831 TEL& N K`'l"'� PROPOSED USE ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS /` - UNRS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAtUATfOh Q OWNER-BUILDER DECUIRATION SFR/ADDlREM O Q 1 HEHFBY AFF1N1 tMDER DENALiV OF PERAli1Y THAT 1 AM EXEMPT FAOY THE CONTMCTORS I.I- Gg�eqJCeIPOI� € � C9lSEU1WWq7V�Fq10V/MpREASON(SEC.7031.68USMlESSANDPiqFE55�ONSCODEM1VCIiYOq (n COUMYWHICNpEOUWESAPEfMR7OCON5ifR1CT,KTEi4914ROVE.�B10Li5H.OFiNEPA1RANY5TflUC- W Patio/Derk 7UNE.PRbR TO ITS L4RIlANCE,AL50 REIXlIflE3 7NE AFWLICINT fOfl SUCH PEflLNT 70 flLE A SIGp1Ep W � STA7FI�M i}UT HE OR SHE 45 UCEHSEO PURSUANT TO TiE PROVISIONS OF THE CONTRACT00.9 U- � CENSE WY(q{AV7Eq 1(COMNENCIN9 W17N SECT%1N toeo)Of DIVISION 30F THE BUS�NESS AND PHO- LL PooUSpa FESSpN3 OODEJ OR THAT ME 0115HE IS E%EMPTTHEi�FftOM AND iHE BASiS WA 7HEALLE6ED EXENP- TqN.NiYYqLAtqNOFSECTN:N7071.58YAM'APPLiGNTiORAPERYITSI�JECTSTHEAVVLICANTTD z R8-ROOf � ACN�L CENAI.7Y OF NOT MORE TMAN GNE HUtmPEO OOLURS(Ssaol.): � ❑I,/LSOMINEROFTHEPROPERTKORYYE4PlAYEESMrtIHWAGE5A5ME1q50lELUMPEN5AT10N, � CORITBfCi81 WILL DD iF1E MK1Po(MW TNE STR4CNRE IS NOT�NTEN4ED OR OFFEPEO FOR SALE(SEC.70M,BUS4 J IESS AIO PFOFE88qN8 COOE:TNE GONTHIICTOR3 LICENSE LAW DOES NOT AVPLY TO AN OWNFR OF j � PqOP�ifY1MiOBU1l0.50RYPRDVE6THEREON.MDW610U0ESSUpINORNNqISELFOqHfi0.SELFOq (t 7f�1011pH W5 pp FIEq pWH EAWLOVEES,PitOVIOED THAT SUCH MA7qOVEA1ENT5.4RE NOT INTENDED bR m � OFFEAEDFORS/LEIF.HOWEVE0.IME&�91NCiORWPS10VE14ftffIS50�DWRTMriONE1'FJWOFCOIdPIE TqN,THE ON7iERAUMER MLL IUYE TNE BUFDEN OF PROVIN6 THAT HE OR SME DID NbT BUILD Ofl YPAbVE FOR TNE PURPO6EOF SAI�. �y ❑I,A40YYNEROFTEPROPEicTY.ANE7(0.U.SIVELYCONTRACTWON'ITMUCENSEDCONfMCTORS � TO CONSTNUCT 7NE PqO.1ECT(SEC.70M,&15�NE55 A/R7 PROfESS10N5 CODE:THE CONiRACTORS U- V81W110f1 ADJ.AREA �FNSE uW pfJES NUTTMPI.Y TOAN OWNER OF A PROPERTY W1iD PUM1D5 OH MIPI#7VE5 7HEHEON,ANO vMowHrw�crsconsua+ar�ecrswnn+��nrra�croa�s)ur,�HSEnwasuarrroniecorirw�c QUANTITY DESCRIP710N FEE � mr+a umaE uw�. �j ❑IAN EXE4PTUImER 8EQ B.1 P.F FORTH�S REASON R'� C G.� V ��Q Q OU }l T✓ �,. /k� 48� v�o RT LL p/�7E OMNEP � ��S� (�(�/� ! G� LICENSED CONTRACTORS DECIARATION °�j (� �1�{�B`(µf{HIAUNQEqpEW�,�`/pFp6p,M1RY7HATIAE1lCEN5EDUNDERPPOYISION50FCMAPTER S �(COIYI€NGq WITX SECTION 7000)Of OMSION]OF TME BUSINESS M1D PROFE5510N5 CODE.MD ?C W UCENSE t5 M FULL FOliGEANO EFFECT. �� LM•ENSEt fxA53 C�LU UC.N0. �V O �� � DATE i�_��C��CONTRACTOR ���` �' WORKERS'COMPENSATION DECLARATION 4 � IHEREBYAFFlPNIMDENPENAIiYOFPEFWRYN.'EOfTHE�OLLOWINODEIXARATIONS: U ` Z a � I MAVEAND WILL MAMTAM A CEHfIFlCATE OF CON3ENT TO SELF-INSUPE FOR VIORKERS' _ �—CO4PENSATION,�5 PWJVIDED BY SECTO%37W Of THE LABOR CODE.FOR iHE PENFORMMICE W pF 7ME yyppK Fpq Wrylp1 THIS PEFM�719 193UEO. � i HAVE AND WILL NANTNN WORIfEFS ODMPENSATION IN9URANCE,/�5 REOUIRED BY SECTION � ��m Oi iME 1 he0il COOE FORtHE pERF04VMNCE OF T14E WORN iOR WHICH 7H75 PERUA715 Q ISSum.MY VIO(tl(ERS'COMPENSATqN IN9URANCE CAPR�ER AND POLICV NUMBER�.RE: CONSTRUCTION � cuuaER C/� I C U Y�I� _ �+ PLAN REVIEW � P01.K:YMIAIBER � q�� 1 � �Z�� � ELECTRIC � (INsSEctnina�WoiBEOCl�iIEi�QFhEPERlA(6COli0NEH.1FOFl�00tLAStS�mYORlES6� PLUMBING s . L.� Z ICERTIFYT7u7W7HEPFRFORMMICEOFTHEMIORKFORWHICHTHISPERMITISI5SUE0,l MECH�INICAL ` �•���.�i � ,J � � SWLLLNOTEIAPLOYANVPER50NINANYMM�NERSOASTOBECOUE5U8JECTTOTHE � WORKEA5WMvENS�ipNLAWSOFCALIFOPNIA,ANOAGREETNAiIFI5HIX11.�BECDNE �NSPECTIONFEE /� S S1�.14C�TOh1EWORKFRS'CdAPEN4AT10NPiiDVI5KlN50F5ECTION]]OOOiTiELABOR ISSUANCE nrT � n '���� �/� cooe. swuFoaT�n+nn+ca��vwirnnasEvaovisias. , O SMIP p o�h: b Z C1 APR�CAM: �� O�n , W i`". ^ R q ENERGY P/C �J � WAMIMO: ALURETOSEWREWOflKER3'CWPENSAiIONCOVERA0EI5UNLAWFULAND3HALL8E - .�,,., , � $U&IECTANEMPIOYERTOCRHAINN.VENILiIESANOCMLFME3UPTOONEHUNOREDhKK19AND ENERGVPEALAIT � �nIN�AAJ�_S.1'�TT�.• pOLLI.RS(f1a0.am�.W I�DITION TO TNE COST OF COMPENSATqN,DAN�GES AS PROVIDED FOR IN y�T"'«+'Ti'—'— ' J 3ECi1dN310eOfTMEUBOHWDE.INTERE5T,M1DATfORNEYSfEES. RETENTIONFEE: � CONSTFUCTION LENDING AGENCY PRE-ALT FEE: � IHEFE9VAFFlHMl1N0EHPEN�LTYOFPEfVURYTHATTHEREISACONSTFAICTIONLENDINOAGENCY FOfl TNE iEHFORIIANCE OF iHE WORK FOR WHICH THIS PERMiTIS ISSUEO(SEC.30A7,CIV.C.�. Z W � LENOEWS W1ME � IfNDER'SADUAE53 °w�` ��R E�;,;��,;,,��m„o�„roAOT���"osT"�°E WSREUTMIGTOB�LDMG TOTAL FEES �q� � CON57RUCTION,ANOMEPE6YAUiH�N�ZEPEPRESEMATNESOFTHISCOUNT'TOENTEHU70NTHE /90VE�MEMVNIED PilOPEF1IY FOR M15PECT'AN PURPOSES. COMMENTS j1/ r'1'� � 1�t�'1/1�1� QPERMf(TEENWE(PRNfi) �, � c�--�— /a�Z�f T S n / Q � Sb EOFPERMITTEE Dt7E � RECPT.NO. PAtD BY YALIDATtON � WHITE—Department Copy.YELLOW--Finanu Copy,PINK—Asaeasa Copy,GOLDENROD—File Copy,GREEN—Applir.ant's Copy � . ��i ����� fl'x � s—e� \ � k W 5�.a6 @�"`',§A R-o 3"";..a �^p }� � �r' ~- a.. �-.p $ a'4�,i 8� �"�'�.,...����a <.z� ) 1 � - ► f,� ,§` ..�. 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