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HomeMy WebLinkAbout14318 � , . ! . ' ��`� CITY OF DIAMOND BA& � '-- ��' DEPARTMENT OF COMMUNITY&DEVELOPM � � , 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS � '°^' BUIILDING PERMTT APPLICAI'ION FIRML � JOBSITE � ` �ry'y/� I� � , / APPLICATION PERMIT >J P! °' L7 � ADDRESS �` �l'-?�_ �"D �• �.t tv� �f�J DATE �� r ��� NUMBEW ��� # ! � ISSUE TYPE OCC APN LOT� TRACT _ DATE CONST. GROUP p AWNER � �� f'�' �0��� A ADDRESS 'Li�F�Q"�"-a CG�L��h'-�%V�1 ZONING SETBACKS w FRONT RW f�__ CITY f MOivl Z�p C./� TEL � APPLICANT 'C.. � � C=(-l1�_ TEL������,� �� "j REAR L; � _ SIDE/Sli?E STREET RW Cl ___ CONTRACTOR ` '� ' ��ti ` SIDE ❑ QADDRESS �. � �,^�" ry � v� �„{.� PROPOSED USE R.avM ,�Df r f � � CIlY � ZI a. TEL.`. �- ,. .� n ARCWENG/ ,�,.� DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS / STORIES �����BEDROOMS � CITY ZIP TEL. � — tn — ESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-OUILDER DECLARATION SFR/ADD/FiEM j i Z„ O i HEREBY AFFIRM UNDER PENRLTY OF PERJURY THAT 1 AM E%EMPT FqOM THE CIXJTRACTORS LI� GefdJ6/CefPOR CENSEUWFORTHEFOLLOiYINGREA50N(SEC.7031.56USWESSANOPHOFESSIONSC6�EANVCI7'VOR (f� COUNTYWHICHREWIRESAPEflMITTOCONSTRIJCT,pLTER,IMPROVE,DEMOI.ISH,ORREPAIqANVSTRUG W pgl10/DBCk TURE.PflpH TO ITS ISSUANCE,N.SO RE�UIRES TNE APPLIGWT FOR SUCH PEflMIT TO FILE A SIGNEO ��,� STqTFMEM THAT HE Oq SHE IS LICENSED PUfISUANT TO THE PPOVISIONS OF THE CON�RACTORS Lb � � CENSE LAW(CHAPTEH 9(COMAIENCING WITH SECTION 7000)OF DIYISION 3 OF THE BUS!NESSAND PRO� POOVSP3 FESSpNSCODE)ORTNATHEORSHEISEXEMPTTHEREFFOMANDTHEBASISFORTMEALLEGE�E%EMP� (� . V TqN.ANYVIOUTIONOFSECTION70.91.5BYANYAPPLICANTfORAPERMI7SUBJEGTSiHEAPPLICANTTO Z Re-Root � r ACML PENALTV OF NOT AIORF THAN FIVE HUNDRED OOLLARS�f500).): � ❑I,ASOWNEROFTHEPflOPEHTY,ORMYEMP!OYEESWiTHWAGE3ASYHEIft30LECOMPEN$ATI(Nl, O Commerciai � � �� WILL DO THE WOAK,ANO lHE STRUCTURE IS NOT IN7ENDED OR OFF[qED F�OA SALE(SEC.7�/6.BU51� J � NE55 AN�VROFESSIONS CO�F:7HE CANTqACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPERTY Y11108UILDS OR IMPROVES hiEflEON,AND WHOOOES 9UCH WORK HIMS[LF OH HF.RSEIF OR � THFi0UG11HI50RHEROWNEMPIDYEES,PfiOVI�E�THAT5llCiiiMPROYEMENTSAflENOTiMENOEDOR m W OFFERE�iORSALE.If•,HOWEVERTMEBUILDINGORIMPROVEMEMI550LDWITHINONEVFAROFCOMPLE� �Z TqN,THE OWNER-Bl11LDER V7ILL HAYE THE 6UHDEN OF PROVING THAi HE OR SNE DID NOT DUII�Oq � .� IMPROVE PoRTHE PURPOSE OF SALE�. ❑i.AS OWNEflOF THE PROPEfffY,AM EXCLUSiVELYCONTfiACTiNO VfiTH LICENSED IX�NTRACTORS � TO CONSTRV.M THE PROJECT(SEC.7014,BUSINESS AND PP.OFESSIONS CODF:THE CONTRACTOHS LI- V8IU8I1011 C� ADJ.AREA__ W CENSEUWDOESNOTAPPIYTOANONRJEflOFAPROPEflTYWti00UILD50RIMPflOVF.5THEREON,FWO � ����-- — - � WHOCONTMCTSFOflSUCHPR0.IECTSNM"fHACON7RAC70R(S)LICENSEDFURSUANfTOh!ECONTAAG QUANTITY DESCRIPTION FEE TORS LICENSE LAW.j. '"� /.� ) J� � �� , � ❑IAM EXQAPT UNDER SEC. B.8 P.Q FORTHIS RLASON � Y� 6..�C/ / Y�-- �� U . � . _....._,.............._ ¢ t l..'�:� . LL DATE _____OWNER."_""' U `r y . Z �___...._'__'_' � )l C � � UCENSED CONTRACTORS DECIARATION W J � � 1 HEREBY AKFIRM UNDER PENALTY Of?ERJURV 7NAT I AM LICENS[D UNDER PROVISIONS OF CHAPTER :R p., 9(COMMENCINC3 WITH SECTKKJ 7000j OF DIVISION 3 OFTHE BUSINE55 AND PROFE551045 CODE,AM1D Z, � � �.r� , / � X MY LICENSE IS IN FULL FOftCEAND EfFECT. � I �,�"ry'�- ��1v4.��� lll � " : 0, LICENSE ClASS_ LIC.N0.___ J 1 � C)`�� - ~ DATE CONTRAC'OR___..,___._. n- �:'� W. . _'_.._ ...__.._"_._..._.'_.___.....__ '. � �', N/ORKERS'COMPENSATIDN DECLARATION . � -�� � -� , �,`� � �; I HEPEBYAFFIRM UNOFH PENALT/OF PERiIJRY ONE OFTHE(-0LLOWING DECLhRATItTYS: Z � � //� '�`�� 1 ��� Q L ! � IHAVEPNDWILLMAINTAINACERTIFICATEOFCANSENTTOSELFdNSUREFORY�ORKERS' _ �. ��, COMPENSATION,AS PflUVIDED BV 3ECTION 97W OF TH'e LABOR CODE,FOR THE PERFORAIANCE U � OF7HE WORN FOR WH!CN THIS P[RMIT IS ISSUED. � W � � _I NAVE ANU WILL MAINTAIN WORKEHS'COMPEN3ATION IN9URANCE,A9 RE�UIRED BY SECTION 1 , 370o OFTHE 1AH00 CO�E,FORTHF GERFORMANCE OF THE WORK FOR WHICH THIS PEFMITIS � �� . �. ISSUED.MYWORNERS'COMPENSATIONINSURANCECARRIERANDPOLICYNUMBERARE: CONSTRUCTION�� .,.____ � __� �/ ;. j caaeiea- -- - -- --- ------ _---------- PLANREVfEW ����1 . ...._— �..,� � -'---...- - —� -?- -' Z aoucvvuMe[A _________ _—___ ELECTRIC "^ � � , ,.,:v � --------.,.........-----------...---- � (n+ssEctaNN�9�rarREW�LErEeoFh�Ei�ErodrsroRauFrnMi%tEuoawZsry�eo�oa�css} PLUM8ING --------._...._._..._. �.�- W: Z. I CER7IFVTHAT IN THE PEFFORMANCE Of T4iE WORK FOf1 VJHICH 7HI5 P[RMIT IS IS5UED,I MECHANICAL __(:�!'��} CT ;� w�i`�{���,�����o �7`.J '__....... ��-�-y... . '� . �;j: SHALLNOTEMALOYANYPER50NINANYMANNERSOASTOBECA!AF:SUF7J[CiTOIIiE �"+'�•a a /.;��. :., ?•.:i� (n' WORKEflS'COMPCNSATIONLAWSOFCALIFORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE SU&IECTTOTHEWOHNERS'CGIAPENSATIDNi+ROVIS!ONSOFSECTION3]aoOFTHELA90R "~�^'����J't:' � ,�� � � C90E,I5HALL FORTHWITH COMPLY WITH THOSE PROYI510NS. ��4_'�_ _.__ - ( �^ ISSUANCE � � '.- '';� ` • �` ��' SMIP '�1�;�Y.c,_.A ��«.� �� ��/ �. �� C>; �ATE: APPUCANT: ._.---".""__"._--._-. _. _ . •T . ,.._. . . , .., . W' �' WARNING:FA�LURETOSECUREWORKEHS'COMPf.NSATIONCOVERAGEI5UNL4WFUL,ANDSHALLHE ENERGYP/C ........_.e_._._ _...—_/y_ _ �., SUBJECTANEMPLOYEflTOCRIMINALPENA1.11E5ANUCIVILFINESUPTOONF.HUNDflEOTHOUSAN� ENERGVPERMIT . �: WLLARS�f1IX1.000).IN ADUITION TO THE CO5TOF COMPEN5ATION,UAMAGES RS PROVIOED FOfl IN -----�---�--�- � �-! --�- "_- _- J� SECT�ON37oBOFTHELABORCODE,INTEREST,ANDATTORNEV'SFEES. RETENTIONFEE: _____ ___________ ____ __.___ _ �t�� Q'. .0�,� CONSTRUCTION LENDING AGENCY PRE-P T F.���/� _____.,_,_.___.___,_____ �� 1 HEREBV rlF1�IRM UNDEN PCNALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AOENCY ( 1�� • .__._______ FOR TFIE VFHFORMANCE OF THF WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.7087,CIV.C.J. '�� "- w: � �1.5 0 - -- - - - - �, LENDF.R'SNAME ___....-__-__—__"__._.......__ �� ' . F-� LENDEF1'SADDRE55__.._.__,__.__- � ICERTIfYTHATIHAVEHEADTHISAPPLICNTIONANDS�ATETfIRTTMEABOVEINFORMATqNISCORRECT. TOTAL FEES � ��C� ��'� IAGREETOCOMP�VWITHALLCITVANOCOl1NTVOR0INANCESANDSTATELAWSRELATINGTOBUIL0ING A �n tt I. CONSTRUCTION,AND HERE�Y AUTHORIZE REPRESFN7ATIVES OF THIS COUNTY TO ENTER UPON THE 11C�� (J'G r � I 1 �� AUOVE-MENTIDNEtI PROPEfiTY POR MSPECTION PURPOSES, ��I� � � � '�' Z COMMENTS_.__ � � J ��__�_.__"_—___""-- � _"'-'.._ - _—""_'__ -m PEFMI NAME(PRINTI ,+� •.� �� ,, i/,i'`.. [J G''~�-�r' �f_� //....�.�.. � -__ _'_' ��f, T HEOF P ITTE6��. '- - OATE � RECPT.NO. 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