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HomeMy WebLinkAbout15824 CITY OF DIAMOND BAI� �/ �?'�`-" `c --�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��-- d��-/� 21660 E.Copley Ihive Suite 190 �''12:/ ° -W PRESS .�,.� ,' „-»�••,, (909)860-3195 Fax(909)861-3117 . � BUII.DIIVG PERMIT APPLIGAIION FIRMLryY r....._ . DATECATIp . PEMBER., ,� .... .. #�,_. .. >�.._.w,.,..r.,.. . . , o DDR'ES L /!���� NU ! �l�p C c� ISSUE TYPE OCC APN L T TRR T _ DATE CONST. GROUP g OWNER � � ADDR ZONING SETBACKS Z CITY . l" T FRONT RW ❑ v APPUCANT TEL REAR ❑ � SIDE/SIQE STREET RW ❑ CON7RACT '' n GC7���� SIDE ❑ ¢ ADDRESS �" ���-, �_ �-�� �, pROPpSED USE o CITY_ ZIP TEL. 'J'/ !�— � ARCH/ENG� DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � QOWNER-BUILDER DECLARATION SFR/ADD/REM p I HEREBY�fFIRM UNDER CENALTY OF PERIURV THAT I AM EXEMPT FROM 7HE CON7RACTORS LI• � Garag9lCdtpOR W CENSEUWFORTHFFOILOWINGREASON(SEC,�031.58USINESSANOPROFESSIONSCpDE:ANYGITYOR � COUNTYWHICHREWIIRESAVERNRTOCONS7RUC7,ALTER.IMPROVE.DEMOL:SH,ORREPAIRANYSTRUC- W pyti0/DeCk TUFE,VRIOR TO RS ISSUANCE,AL50 REW IRES iHE APPLICMfr WR SUCH PERMIT TO FILE A 516NED � STATEMENi TFIAT HE OR SHE IS LICEN3E0 PURSUANT TO THE PROVISIONS OF THE CONTRACTORS L6 CENSE LAW(CHAPTER V(COMMENCINO WYTH SECT�ON 7000)OF DIVISI�N 3 OFTHE BUS�NESS AN�PRO- u' POOUSPd FESSqNS CODEy OH THAT HE OR SHE IS EXEMPTTHEREFPOM AN�THE BASIS FOR7HE ALLEGED EXEMP� TION.ANVVqLATIONOFSECT10N7031.6BVANY�PPUCANTFORAPERMITSUBJECTSTNEAPPLICANTTO Z Re-Roof � AqViL PENALTY OF NOT MORETHAN FIVE HIAVDREU DOLIARS(5600).7: � ❑I,ASONMEROFTHEPROPERT/,ORMYEMPtAVEESWITHWAGESAS7HEIRSOLECOMPEN5A710N, O CammerCi&� - WILL DO TNE NK1RK.ANO THE STqUC7'URE IS NOT INTENDE�OR OFFERED FOfl SALE(SEC.7�4/,BU51- J NESS NID PROFESSIONS OODE:THE CANTRACTORS LIGENSE UW OOES NOT APPLV TO AN OWNER OF N PROPER7VNM1IOBULDSORIMPROVES7HEREON,.WDNMODOESSUCHWORKHIMSELFORHERSELFOR = Q 7HHp1OH HIS OR HEH OWN EMPLOYEES,PROYIDED THAT SUCN IAIPROVEMENTSARE NOT INTENDED OR m � OFFEREOFORS�LE.IF,FWN�/ER'MEBUILAIN40RIMPROVEMENTISSOLDWITNINONEYEAfiOFCOMPLE- � �TION,THE ONMER��IIDER WILL HAVE THE BUROEN OF PROVINO THAT HE OR SHE 910 NOT BUIID OR IMPFpYE FOR THE PURPOSE OF SALE). W ❑I,AS ONMEROFTHE PRDPEATY,AM EXCLUSIVELV CONTMCTNG WITH LICENSED CbNTR0.CTOR5 Q TO CONSTRUCT THE PROJEC�(SEC.7oM,BUSINESS AN�FqOFESSIONS COpE:THE CONTfiACTORS LI- VBIUdIiafl ___ _ADJ.AREA_,_,_, W CENSEUWOOESNOTMPIYTOANOWNEROFAPROPEP'NWHO6UIlOSOqIPAPROVESTHEPEON,ANO � VhpCpNTRACTSFOHSudIPROJECTSWIiHACONiRAC70R(SJLICENSEDPURSUAMTOTNECONTMG QUANTITY OESCRIPTION FEE � TORS LICENSE LAW.). J ❑111M EXEMPT UNDER SEC. B.g P.C.FOR THIS aEASON Q � U � LL' MTE nNMER V � W LICENSED CONTRACTORS DECLARATION —� � W 1 HEREBVAFFIRM UNDER PEfJALTY OF PERJURV THAT IAA1lICENSED UNDER PROVISIONS OF CIiAPTEP � ' � Y(COIAAIENCWO WITH SECTION 70W)OF DIVISION 3 OF THE BUSINESSAND PROFESSIONS CODE,AN� Z MY UCENSE IS IN Fl/LL FORCE AND EFFECT. � � r � � LICENSE SS �� � LIC.NO.� J .~+ DATE CONTRACTO �'��iQ—L a `�j `-'i�./ � WORKERS'COMPENSATION DE IARATICN Q � IHEREBVAFFIRMUNDERPENALTVOFPE0.IURVONEOFTHEFOLLOWINGOECLARA7IaN5: U � Z Q G� IHMEANOMALLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' Z � COMPENSATION,AS PROVIDED BY SECTION aloo OF7NE 1A80R COOE,FOR THE PERFORMANCE U Q OF THE WORN FOR WHlpl TNIS PFRMIT IS ISSUED. � G _I IIAVEAN�WILLMMN'AIN WQRKERS'COMPENSATION INSURANCE,AS REQUIpED BY SECTION Q 57000FTHELABORCODE,FORTH6VERFORAIPNCEOFTHEWORKFORWHICHTHISPEFMITIS ISSUED.MY WOiiKERS'COMPENSA7IDN INSUFANCE CARRIER A�D POLICY Nl/M6ER AflE: CONSTRUCTION j �qq�Ep � PLAN REVIEW Z pouCYNUMeER_. ELECTRIC _ 4 � (MSSEC1pNNE�NOTBEdO�.G'LEIIDOFiHEPEFA1TI5fOROP1EF1UrDREDbOLIARS(Stoo70HLESS; PLUMBING ��^ _ �� � W 6 � I CERTIFYTHAT IN THE PERFORMANCE OF THE WOFlK'rOR WHICH TNIS PERMIT IS ISSUED,I MECHANICAL � "'� � SHA�L.NO7 EMPIOY ANY PERSON�N ANY MANNER SO AS TO BECAME SUBJECT TO THE �J� [� � WORKEHS'C�MPENSATION LAWS Of CALIFORNIA.hN0 AGHEE THAT IF I SHOULO BECOME �NSPECTION FEE �""�—� �V'�/ � SU&IEC7TOTMEWbRKERS'fAMPEN3ATIONPROVISIONSOFSECTION3'looOFTHELABOR � CODE,I SHALL FOPTHWRH COMPLY WITH THOSE PROVISIONS. ISSUANCE �"' Q SMtP l9 Ge :�� �9�'�' p �ATE: APPLICANT. ;C --- . � ENERGV P/C L-.C�Y C Fk- �b`,4�'S-;'�a��7�^."'��,Ap� —� WARNINQ:FA0.URETOSECUAEWORKERS'COMPENSATIONCAVERAGEISUNIAWFUL,ANDSHALLBE J SU6IECTANEMPLOYERTOCflIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND K �t'! �% LL DOLLARS�S100,0o0),INADDI710NTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDE�FORIN ENERGYPERMI1�.ay.���.�����W �-'�'��av".�`F'.�� l � SECTION31080FiHELABORCODE,INTEREST,AN�ATTORNEV'SFEES. RETENTIONFEE: d CDNSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNOER PENALTV OF PERJURY TNAThiERE IS A CONSTqUCTION LENDING AGENCY ___ FOR THE PERFORMMICE OF THE WORK FOR WHICH TNIS PEAMIT IS�SSUED(SEG 3097,CIV C.). Z W � LENDER'S NAME F_ LENDER'SADDRESS --- � ' � ICERTIFYTHATIHRVE THISAPPtJCATIONANDSTATE7HATTHEABOVEIMFORMATIONISCARRECT. TOTAL FEE � I �. � � I AOHEE TO COMPLY TH l CITY AND COUNTY OR�INANCES AND STATE LAWS REUTING TO BUILDING CONSTRUCTION. HE BV Al1THOFl EPRESEN7ATNES OF�IS COUNTYTO ENTER UPON THE � ABOVE�MENT D PR ERTV FO PECTION PUPPOSES. COMMENTS � J m a PEiiM1TT NMA INT M/J✓,�[� � L C l � SI�NATUREOF ERM EE DATE � - - = RECPL NO. 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