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HomeMy WebLinkAbout17379 (10) ci�o�D�orm BaFt r�,..�- f- -`��`" --� DEPARTI�4ENT OF COMM'�JNITY&DE�ELOPMENT SER'VICES '"�""'y I � 21825 E.Copley Ilrive (909)860-3145 Fax(909)86[-3117 PRESS "'';.vr-'°` Bug�.Dnv�P��T�srrLiCr�TTON FIRMLY ¢ A�D RIESS_1I�2 C12g17OrIl APPLICATION PERMIT P/C p DATE P J d� NUMBER� # � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER o ADDRESSG7S W, Foothill lvd. IO�I', ZONWG s�aacxs Z CITYf'l arcamnnt ('A ZIP A171 1 TEL. �A9—��n� FRONT RW ❑ � APPLICANT TEL. ' REAR ❑ Z SIDE/SIDE STREET RW ❑ ¢ CONTRACTDR Rd„y'81 ROOf CO. SIDE � � aooRess��� ' �ricP St � Tear off wood shakes. � �in'�omr,�na ' ziP 917Fi7 TEL�F�OO) �OO— PROPOSED USE w ARCH/ENG/ ' z DESIGNER 769 nSt$ compositlon S 111g 2S w NO.DWEL. NO. NO. d ADDRESS = CITY ZIP TEL. UNITS STORIES'__tL10 BEDROOMS v� ,cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION �p� OWNER•BUILDER DECLARATION . SFR/ADD/REM O ' �� . I HEREBY AFFIRM UNDER pENALTV OF PEf1JURV THAT 1 AM E%EMPT FROM THE CONTRACTORS LI� G818QBIC8fPOlI W CENSEIAWFOflTHEFOLLOWIN�''REASON(SE47o31.58USNESSHNDPROFESSIONSCODE:NNYCITYOP (f� U .COUNTYWHICHRE�UIRESAPER��RyITTOCONSiRUCT,ALTER,IMPROVE,�EMOLISH,ORREPAIRANYSiRUC- - W TURE,PRIOq TO ITS ISSUANCE,ALSO�flFAUIRES THE APPLICANT FOR SUqi PERI�r11TT0 FILE ASIGNE� W Patio/Deck � �� `STATEMENT THAT HE OR SHE IS UCENSE�PURSUANT TO THE PROVISICNS OP THE CON7RAC70R5 LI� � � '�CENSE LAW(CHAPTEfl 9(COMMENCING WITH SECTION 7000)OF DIVISION a oF THE BUSINESSAND PRO- POOVSP2 .� 'FESSIONSCODE)ORTHATHEORBHEISEXEMP7THEREFROMANDTHEBASISFOR7HEALLEGEDEXEMP- � �V '�TION.ANYVIOLATIONOFSECTION7o31.5BVANYAPPUCANTFORAPERMiTSU&IEC75THEAPPf.ICANiTO Z Re-Roof '�.ACIVIL PENALTY.OF NOi MORE T14AN FIVE HUNDRED OOLLARS(�500).�: Q � �I,ASONNEROFiHEPROP�RTV,OflMYEMPLOYEESWIiHYJAGE5A57HEIR50LECOMPENSqTION, � Commercial - Z ;WIl1 DO THE WORK,AN�TH�STRUCTURE IS NOT INTENDED OFi OFFERE�FOfl SHLE(SEC.7044,0U51- J � NE55 ANO PROFESSIONS CDDE:THECONTRACTORS LICENSE LAW DOES NOT APPLY i0 AN OWNER OF j PqOPERIY WHO BUILOS OR IMPROVES 7HEREON;AND WHO DOES SUCH N'OfiK HIM�ELF OR HERSELF OR 2,'''.�THROUGHFIISORHEHOWNEMFL'OYEES,PROVIDEDTHATSl1CHIMPROVEMENTSAPENOTINT-NDEDOR � W'��..OFFEREOFOPSALE.IF,HOWEVERjTHEBUILDINGORIMPROVEMENTISSOLOWITHINONEYEAROFCOMPLE- Z��.�.TION,THE OWNER-BUIL�EF WILL'�iHAVE THE BURDEN OF PROVING THAT HE OR SHE 01�NOT BUILD OR � ,,IMPROVE FOF THE PUflPOSE DF SALE). � ❑I,AS OWNEP OFTHE PqOPERTV,AM EXCLUSIVELY CONTRACi1NG WITH UCErSE�CONTftACTORS C/�/�/� � �TO CANSTRUCT THE PRQIECT(S�C.'7o44,BUSINESSAN�PROFESSIONS COOE:THE CONTRACTORS LI� V8Il1BiICX7 )lllJl/ qDJ.AREA W �'CENSELAWOOESNO7APPLYTOANON7JEROFAPROPERTYWHOBUIL�SORIMPROVESTHEREON.ANO �� �:WHOCONTRACTSFORSUCHPRO�IECTSWITHACOMRACTOR�SJLICENSEDPURSUfyNTTOTHECONTPAG QUANTITY �ESCRIPTION FEE Y � TORS LICENSE LAWJ. � Q ' ❑I AM E7(EMPT UNDER S�C: B.&P.C.FOR THIS REASON Q � U u. � ''� DAT� OWNER ' H O U ,��,�.� LIGENSED CONTRACTORS DECLARATION . W ¢ '� '' I HEREBV AFFIftM UNDEFl PENALTY OF PERJUflV T:1AT I AM LICENSED UNDEF PROVISIONS OF CHAPTEFi � �,d � 9(COMIAENCINOWITHSECTION70W)OFDIVISION30FTHEBUSINESSANDPROFESSIONSCODE,AND Z �X�, MV LICENSE IS BJ FULL FORCE AN�EFFECT. , m :� , LICENSECLASS�(� �.�L LIC.NO._41J7�O67 - 7"� j � �' DATE �r����%� ' GONTRACTOR'R����'1 -�•��— �' d W � WOFKERS'COMPENSATION DECLARATION �� Q . � I HEREBYAFFlRM UNDER PENALTYOf PERJURV ONc OFTHE FOLLOWWG DECLARAiloNS: Z . Z _�HAVE AND WILL MAINTAIN A CERTIFICAiE OF CONSENTTO SELF-INSURE FOR WOflKEftS' a 2 . Q CAMPENSATION,ASPPOVIOE�BYSECdION3�o00FTHELA60RCO�E,FORTHEPERFORMANCE U Q OF THE WORK FOR WHICH 7HI5 PEFMIT IS ISSUED. . � Qw XXI HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIREDBY SECTION ' �/ 370oOFhIELABORGODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMiT15 V1+� '�1',� J ISSUE�.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBERARE: CONSTRUCTION y � CARRIER A. 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