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HomeMy WebLinkAbout14539 (29) I ^ _�� CITY OF DIAMOND BAI� �� DEPARTINIENT OF COMMUNITY&DEVELOPMENT SERVICES (� ) � 21660 E.Copley Drive Suite 190 � � (909)860-3195 Fax(909)861-31t7 PRESS �'�A�°�,' BUILDINGPERMITAPPLICATION FIRMLY �ft3�- ' – _- — o� JOBSITE �������Fa1 '�a°C1 6a? ����� DATECATION/���„a. �� NUMBER '1�_ #!C ,�'�� ADDRESS � � ' o� ISSUE� TYPE OCC � APN LOT TRACT DATE CONST. GROUP p OWNER '�a�_i�-_�� G>£�'�"`"�` �� ADDRESS � � ZONING SETBACKS Z CITY ZIP TEL. FRONT RW ❑ , g APPLICANT TEL. REAR ❑ , z SIDE/SIQE STREET RW � � CONTRACTOR_�aC.� �I�GY�-t� SIDE ❑ AQD SS �3-1 �' era Ts>r 3 tt 4e�C_�r�1 C��� pROPOSED USE � 4e a CITY " �q�s&:v�IP_,L�� TEL.���2��"�t';�� w ARCH/ENG/ � .. �z, DESIGNER ��I"� ��3�"f �'r r"a�z�7 8 NO.DWEL. NO. NO. .. � A�DRESS� UNITS STORIES BEDRO(7MS CI7Y 'Xe'ti�'i� ZIP �1� TEL�/��� � DESCRIPTION ;SC�.FT. FAQTOR PSF ADJ.AR�ANALUATION � OWNER-BUILDER DECLARATION ; �."N . ! Q SFR/ADD/REM ' p I HEREBV AFFlRM UNDER PENALN OF PERJURY THA7 1 AM EXEMPT FROM THE CONlRACTOAS LF � G3f898/C8fF10R � W CENSEUIWFORTHEFOLLOWINGREASON(SEC.7a37.56USME5SANDPROFES5lON5CADE:ANYqTYOR U GOUNTYWHICHREWIRESAPERMITTOCONSTflUCLALTER,IMPROYE,�EMOUSH.ORREPAIRANVSTRUC- �„LI pdilo/DBCk � TURE,PRIOH TO'ITS ISSUANCE;'ALSO REQUIRES THE APPUCANT FOR SUCH PERMITTO FILE A SIGNED W STATEMENT THAT H&OR SFIE IS LICENSED PURSUANT TO THE PROVISIONS Of THE CONfRACTORS L4 W � GENSE 4AW(GHAPTER e(COMAEENGINCi WITH SECTION 7000)OF OIYISION 3 OF THE BUSINE55 RND PRO- V" POOVSpB � FESSpNSCODEjOqTHATHEORSHEI&IXEMPTTHEREFROMAND7HEBASISFORTHEALLEG�EXEMP- (� V TION.ANVVqY.ATIONOFSECTION7039.58YANYAPPLICAltl7FOqAPERMITSU&lECTSTHEAPPIICANTTO z Re-Roof � ACML PENALTY OF NOT MORETHAN FIVE HUNDRED OOLLARS(5500).}: -Z. ❑I,ASOWNEROFTHEPROPERTV;ORMPEMPLOVEESWITHWAGESASTHEIRSOLECAMPENSATION, ❑ COmf118fCial - �, � ' WILL 00 THE�.WORK,M1D THE STflUCTURE IS NOT IMENDED OR OFFEREO FOR SALE(SEC.7040,BUSI- J � NESS AND PqOFES9IIXJS CODE:THE GQNTflACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF ? ' ' ' �PNOPERTYWHOBUIIDSOpIMPROVE57HEREON,ANDWHO�OESSUCHWOFKHIMSELFORHERSELFOR �C THRqJGNHI50RHEROWNEMPLOYEES.PROViDED7HATSUCHIMPROVEMENTSARENOTINTEN�E�OR m �� LLI OFFERED FORSALE IF HOWEVEFi,THE BUILDING OR MPROVEMENi IS SoID WIiHINONE YEAq OF CAMPLE- z� ��YION,THE OWNER�BUIL�ER WILL HAVE THE BUROEN 6F PROVING THAT HE OR SHE�I�NOi 9UIID OR , , = MPROVEFORTHEPUflPOSEOF9ALE]. ' . . . � ..;�i �.. , W, ', ❑I,ASOWNEROFTHEPROPEfiiV,AMFXCLUSNEIYCONTRACTINGWRN�ICENSE�CAMRACTORS . . ('�' 70 CONSTRUGT THE PR0.1&CT(SEC.�oH.BIJSWESS ANO PROFESSIONS CODE:THE GONTRACTORS LI• Vfl1718t1011 ADJ.AREA ' Lt1�. CENSEUWDOE5NOTAPPLYTOANONRJEROFAPROPERNWHOBUILDSORIMPROVE&THEREON,AND � � �WHOCONTRAGTSFORSUCHPqOJECTSWITHACONTRACTOfl(S�LICENSEDPURSUANTTO7HECONTRAG QUANTITY DESCRIPYION FEE�� � �; TOIiSLICENSELAW.). .. . . ; ry ❑IAMIXEMPTIIDDFASEC. 6.8P.C.WPTHISREASON Q �Y ` 1' y, S � �$ W � 4a iaa.�i DATE OWNER V �� o LICENSED,CONTRACTOASDECLARATION W ��- -� - � : � ��. 1 HEHEBYAFFRM UNDER PENACfY OF WERIURY 7HAT IAM LICENSEU UNDER PROVISIONS oF CHAPiER � . p„� 9(COMMENCIN(iWITH5ECT10N70�0)OFDIYISION30fTHEBUSMESSANDPROFES510N5CA0E,AN� Z - ' �X MY UCENSE IS IN NLL FORCE AND EFFECY. � 0 LICENSE CLASS � ��'.�.�^ LIC.NO. '�����'' a , � �' �nre��'Zi��„�y'.' conrAacTOR � i�(�C`�� o- � WORKERS'COMPENSATiON DECLARATION a �e;-, r � � IHEREBYAFFIRMUNDERPENALTV6FPERR1qYOfdEOFTHEFOILOWINGOECLARATIONS: Z C�}"""" � ;.��.�, y. � _IHAVEM1DWfLMAINTAINACERTIFICATEOFCANSENTTOSELFINSUREFORWORKEHS' y COMPENSATION,ASPROVIDED�BYSECTION37000FTHELABORCo�E,FORTHEPERF-0RMANCE W nF THE VYORK FOR WHICH THIS PEFMIT 515511ED. � � .�X�/` �� +' IHAVEANDWILLMAINTAINYYUflKERS'COMPENSATIONIN9URANCE,ASREQUIRE�BYSECTION 4�� 370aOFTHEL4BORC00E'�FORTHEPERFOPMMICEOFTHEWORKFORWHICHTHISAEHMITIS ' �`' ISSUED.MYWORKERS'COMPENSATIONINSURANCECARRIERANDPOL�CYNUM6ERARE� CONSTRUCTION ✓ ¢ � CARRIER ���� �s.� 4"S PLAN REVIEW � ZPOLICY Nl1MBEq� '� P G� ELECTFIC 4 p .(SHISSEC7pNNE�NOTBECOA€Lt'fE00FiF�PEfilMISFORONEHUfJOREDDOLIPAS(57a�ORLESSI. PLUM�ING ' Z� � ICERTIFYTHATINTHEPERFORk1ANCEOFTHEWORKFOpWHICHTHISPERMRISI55UED,l MECHANICAL CJ SHALLNOTEMPLOVANYPEHSONINANYMANNERSOA5T09ECAMESl16JECTTOTHE ' �; WORKERS'COMPENSNTIONLAWSOfCALIFORNIA,ANUAGREETiATIFI3HOULDBECOME INSPECTIONFEE - � SU&IECTTOTHEWURKEHS'COMPENSATbNPROVISIONSOFSECTION37000FTHELABOR � CADE,I SFIALL FONTHWITHCOMPLY WI T pROVISIONS. ISSUANCE ___gy¢��14�,R_ �,� p OAiE:� �� APPLICANT ,`�„_� SMIP '� _ J WARNING:FAILURE TO SECURE WORKERS'CDMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � - �i�f � , SU&1ECTAN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FlNES UP TO ON'=HUNDRED THOUSAND �� } DOLLARS($700,0OO�,INADDITIONT07HECOSfOFCOMPENSATION,OAMAGESASPROVI�EDFORIN ENERGYPERMIT � �..�A,� � ���iF� � SECilON37aeOF171ELABWiCODE,INTEREST,ANDATTORNEtl'SFEES. ' RETENTIONFEE: �'� S o CON9TflUCTION LENDING AGENCY pRE-ALT FEE: ��'�°'�$� ��� IHEREBYAFFIRR9UNOERPENALTYOFPERJ RY7HATTHEREISACONSTflUCTIONLEN�INGAGENCV - ' FOR THE PERFORMANCE OF THE WORK FO WHICH 7HI6 PERMIT IS ISSUED(SEC.309'l,CIV.C.). . Z W �' LENDER'SNAME . . F- LENDERSAODRESS � TOTAL FEES W ICERT�FVTHATItiAVEREAD7HI5ApPLICATIONANDSTAiETW1TTHEABOVEINFOflNATIONISCARRECT. . ��, VAGREETOCOMPLVWITHALI.GITYAN�COUNTVORDINANCESANDSTA7EfAWSRELATING706UIL�ING . , �" CONSTRUCTION,ANDHEREBYAl1THORIZEHEPRESENTATIVE50FTHISCOUNTVTOENTERUPONTHE ' " � ABO -MENT E RTY�FORINSPECTIONPUqP09ES. COMMENTS � 0� �e, � , , '�I �' � �''� PERMI E NA E(PqIM) /�� * �'y � �f✓�Q� �3:9{� �i`dds� ������� � � �/j S16NA PE7�J OF PEflMITfEE ��A7E ' � � RECPT.NO. 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