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' .. ! �----�`L-- CITY OF D1AM0�'D i3AR j � � ', COMMUNl'I'Y DEVGLOPNiENT DEPARTMRNT �` ;.!�.Mw ��� zi�co r;.co�icy i:�d�e s���i�.t��o ' I�R�S� I - (909)8G0-3I95 Fnx(909)861-3117 �.„° � RUILDING PERMITAPPI,ICATION ���M�,,;� ; � JOBSITE �,p • � o ADDRESS__G�� (�(J.-OGtI� P� --- ----- DATEICATION-I �_� �I'1 NU B R�'� P/C �I�O� � ==-r— #--....---- ISSUE TYPE OCC �- APN_.__ LOT TRACT..,___...,_..,.__ DATE __._.,__ _ CONST. GROUP _. p OWNER __ C� L� �� ----.--.- --- ---- ---- o ADDRE S._��_____ e OWhJ ___,____._ ZONING SETBACKS ��tW _ -5,o .. I FRONT _..---.. ' .._.__ HW— I_]_ Z CITY �'w _.__ ZIP_,._,.__ TEL. �G�„1r_ � APPLICANT ��--� REAR - -- - TEL. � -------- ---- ----- �- -- � ---------- .---- - SIDE/SIDE STREET---.- RW i.-i--------- � n -- SIDE ¢ CONTRACTOR� rt /O! nJ QPi:S.QS ----- ------ ... ..-- ---...-- - ------ ADDR S od �7✓'� OZot..e_ �E /�-.�a� �� ��. � CITY�¢%�_ ZIPI._��.� TEL�O��,� PROPOSEDUSE � �-0�✓�__e� L) � ---. _...._.--- - oARCH/ENG/ � -�-�� �'��' � z DESIGNER � ---- �-�=--- w -- -- NO.UWEL. NO. a, ADDRESS �I�(G4m �37'/�NO. � _ ZIP TEL UNITS_ STORIES _.__ BEDROOMS � cirv _... cn DESCRIPTION SQ_FT. FACTOR PSF ADJ.AREA/VALUATION � OWNEH-6UILDER D[CLARATION � SFFUADD/REM O _ p I HERE9Y AFFIqM UNDER i'ENALTY UF PEFlJUflY'filAl'I A�A f,X!.A1PT�R(aM'IIfF WNTRqCTORS LI� G�1890/C�fpOff W CENSL-LAWFORThIEFOLLOWINGHEASOY(SE(:.70:�7.5f1U51N'c55ANDPNOFES510NSCODE:ANVCITYOli (� ._ _ � U COi1N'fYWHiCHREWIR'eSAPERMITTOCONSTRUCI',ALTLti,iMPRUVC,uEMOt15!I,ORIi[P�IHANYSTflUC- �-- z TUqE,PR:Ofl TO IT3 13SUANCE,ALSO ft[OUIRF:S�IIE APV:.:CFl.�T�OFt SUGII PEFiMIT TO FILEA SiC�[f: W Natiol0eck �W STAILM[NITIIAYH[OfISHf:I51.ICi:NSEUPURSUANTTOTHEPROViSIONSOFTHECONi(IAi;TOFliI.I- -- -- C�NSE LAW(CHAOTER�(COMMENCiNG VlITH SECTICN l000)Uf D:VIS;04 a Oti i l IE[iUSINf:sS ANU VRO- V"; POOUSp3 � FESSIOVSCODf�Of1THA"iHLUIiSHEISf-XLMPTTH[H=FHOtAAN�iHEBASISFOFiHEALLEGEDfX[Mi�� (�-----�--- -- _ U TION.ANYVIOI.ATIONOFSF.CTION7o3I.56Y�NYAPPi;CAN7FORPPtH!.ilfSl�HJf:.CISTH[Pi�l'I.ICANiTO z F{f-R00f � ACIViLPENALTYOFNOTMCRETHANFIVf:1lUNDHEUUOLLAIIS��r�on).): -- __ _ 'J 1,AS OWN[R nf TH'e PROPEH'(Y,OR MV EMPLOY�'eS WITH WAGLS AS TNCIR SOLE CU"AVC.NSATIOY, Z � Commercial WILL DO THE WOP.K AND iHE STRUCi U(i�15 NOT IN7fY)� )F(FF� � . C f.D(i) k.Rl.f)I Ofi$ALL(SEC.7D40.BU51� _.1___'_____ � N[SSAN�VHOF'ESSIONSCO�L'ffICCONIRAC�OHSLICENSELAW�JOESNOTAPPLYTOANOWNLNO� — �HOPERIYWiM)HI.11LU50�41M1!PNW'r_SiHEREON,f�NDWHODCESSUCHYlOfiKHIMS[I.fnFi11L'RSEI.FOH � � � � THROUCHtiI50flH[RO\YNEMPLOVEES,PH()VIC)FUl11AT51)GHIMF'i10VtMtN15AqEN0T{NTENDEDOR m — - -- Q OFFFREDFORSALE.If,IiOWEV"t-H.TIIEi3lIIl01�GORll.1PROVEMENT6iSOLDWITkINONEVEPROFCDMPLL Z TION,TNE ONINER-BUILDER WILL HAVE THE BURDEN OF Pf10YING THAT HE OH 511[1):D N()1'UUILO OR --� �-- � I.NPIiOVLfOflThiLPUflP05[OFSALtj. ' �y,� �_II.ASOWN[ROfTHF:FHUPEfl1Y.AME%CLUSiVELYCONTRAC?INGWi'HLICENSEf)CON'fRACTOliS p,,,^ TO CONSTRUCT THE PROJECT(SEC.Io44,BLISM�SS A.\�PRpI.E,SiONS CODL�'IHE CON7RACTORS L!� .� ' V8N2Ii0f1 ��.__ _____ ADJ.AREA CENSELAWDOESNGTAPPIY'I'OANOWNLHOFAf'ROPf:IiT'YWHptlUiLDuORIMPROVESTHEREON,pNfl ' ._ —_._.......-........._._ ...__. �� WhIOCCNIHACTSFOHSUCHPROJECiSWITHACO�TRACiOFi�S)LIC[NS�DPLfiSUANI'�OTrICCOhTHAC� QUANTITY DESCRIPTION FEE � TORSLICENSELAWJ. ___ __ ; � G I AM EXEMPT UNDER SEG ___. ._.___�7.8�.C.FOR 7HI5 REASON : Q �. U ---- - ' _......_...........---�-----. . _........_....-- ----.., � � - 11AT' OWN'cR_ '_'_.........-._. _ � . . . � ...._....._'-__-_- .........._ U . �� LICENSED CONTRAC'I'ORS UECLARATIUN .' W I ¢ --- - - � LL iHeflEBVArFiFMUNDeRPENALTVOFPeRJuRVTHHTIAMi1C��Sf�UkULNPHUVI5tUN50P(;1!AVTEfi � _ _ � Y(C01dMLVf.IN(3WITIISL'Gl'ION]t1;Y.1)nF[11VIilON,-+OFiIiE[3USIV'cSSA�DPF.OFE5510tiSCO�E,A�\� Z x MY LICENSt lu W FULL FORCEANDqEFFECT. ' m I � � LICENSEC/l�A55 o�.�"q_�./._.L_.____.....- LIC.NO. �//��,f_ J ? _.-_ -.�_-__ '_____ � .. ~� DATE/v� O^/ / CONiRACTOFl..t_.,W laN._Q ti �' d ---� !`L_ . _ .. Q_.__ W /� � WORKERS'COMPGNSATION DECLAHA710N '� -� � I [EBVAFFIRMUNDERPENAI.TVOfPf.17.1U17VONGO�THEF�LLOVliNGUi:CLAf1ATIONS:�/�� Z ' . T '—__ __ � I HAVE AN�W!II.MAINIA!MACER71fICATC�()F CONSLNT TO SI"Lf�I.YSUR[f"OH WOHKERS' z COMPCN;A'I'ION,ASPf10VIUfDOYS[C7ION3�OnOF71iELA30RCCAE,FORTHEPERFORMANCf U QOfTH[WORKFOHWI{�CHTI�IISi�EHMI'I'ISISSUED. � - W IHqV[�:qYOWiLLMAINI'AINWORKEHS'COMPENSATIONINSilFANCE.ASR'cQUiREDBYSECTION ��� Q 37000FTHELABORCODE,FORTHEP'cRFORMANCEO THEWORKFORWHICHTHI.SP[RMI7'Ig �l. �`�.`; � ISSUED.MY WO 5'C PENSATION I URANCE�RIER AND POLICY NUMBEFi ARP_ CONSTRUCTION , __ y � t� __ " ' '_"_'_..._ .....J. � � cneNiFN-... . . . ... . . ......._..........�.....�.._....._ ._. ._ PLANREVIF.W '8 ' _._.. -- ...._-._... _......-�----�- Z POLICYNUMBER ��S�"` ��J I,i�1/� � �Z� ELECTRIC '___... ...... : . __.. ..._ ... "__._.... Q 1 � /.� _ ..._'---"'"" .. � (IHISSCGTIONNEEUfJ01'k�ORY�F'L[I'NOiTFI[PCRMI'(ISFUiiONEHUNUHEUDIXJARS($��71i4f.bS PLUMEIING ' 1i1 ' _—'_..._.. ....'__.......'__'__"_...._._ ' Z I CEFTIFV THAT INTHE PERFORMANC�OF illE WOFK FOR WHICHTHIS PER.MIT IS ISSUED,I MFCHANICAL �� --�----- — -...--- �` SHALL NOT FMPI.OY ANY P[flSON IN ANY MANNER SOAS TO BECOMF SI!R.IECT TO THf � wonK�:i�ror.�vEnsn*:oN�mv:;orcni.irnr�N:n.n�.vonc.;�E�r,nrir,�nou�o�.con!e INSPF..CTIONFEE __..___._. " SUBJECTTOTHEWOflKEFS'COMPENS�TION ROVI; SOFS CTION�j�uUUFI'HF:IAHOfi � �' -"-��-'- �— O CODE.1 SH�LL FORTH6VITH COMPLV V�I7H TH E P ISIONa.1� �yf�� - � ISSUANCE , I J . �'0 � 7 Y✓�`^_'�' -'_'y_�(/,,y._.� : . _ .' p DATE:L�`..��.�-L..... APPLICAN7: - ...... ... .._ _--__...._._ SMIP ��� �.�__ I ,O�O ��_ ` J WAflNINGFAILURFTOSECUREWORKERS'COMPENSATIONCA ERAGEISIJNI.AV1fU1.,ANOSHAl.1.l3f ENERGYP/C � , . ..""-_"'_ "....-........"'__ � SUUJECTANEMPLOYERTOCRIMINALPENALTIESANUCIVILFINESUP7'OONEHUNDHE�THOUSAN� ENERGYPEAMIT �': DOLLARS(E1W,000�,INADDITIONTOTHECOSTCFCOMPENSATI04,DAMAGESASPROVIDEDfORIN ��.. -_ . . ��� ._�.1 SECTION37aeOFTHELA80FCODE,INTEREST,AND�TTORNEY'SFEES. _ _ '+" ��' � r ' � :,� � — ---- — RtTtNTION FEE: .�^ ,� �---.._�t}•� II . ,r�,.,�. '.`. ':.:" ��..., "'_-_�_ l ��� O CONSTRUCTIONLENDINGAGENCY PRE-ALTFE[: __. ___. _ __ I'. � IHF,FlEI3YAfFIHMUNUEHP�NALTY(;FPf.iiJURYTIIAI'ilif.fiLIiACOVSI'fill(;fIONLENUWGAGENCY FOIiil�lePl:fiFOfiMANC[O�IH�WOHKfC1FlWFIICI1T1115Pf:HM1715155U:.U(S�C.3097,CIV.C.J. -""""-"""'- --'�-��- Z LiJ _ -_.... .__._...__ ...._ .. __—__'__. � � LCNDER'S NAMf.. .._'__"-"'--"-'...._ .... .......--'_—_......--- ....__...._ ..... .. ._.... .- '" '-"_ '_ '� F- IENDER'SnUpRE55 .. ... .'__ -----"--'__' "— ' ' _ _'_—"" '. W� TOTAL FEES ICfql'IFVTHATIHAVENEADTIiISAP{'L'(:ATIONANU;TAiE'IIIATI'IiEADOVEINFORM�TIONISCORflECT � I qGHEE TD CO.V.PI.Y WITM ALL GITV AND COUNTY OFDINANCCI AN�STATf:I.FWS Hf:l.11l MG 7f11JUILUIN(i . � GONSTRUCTION,ANU11[R[HYALIIHOIIIli=fif�Ill.S[=NIAI'!VFSOFTIIISCn11N7VTOENTERl1PO;JTHE Z Af30VE-MENTIONEDPROPERTY ORINSPECTIONPURPOSES. - •� CUMMENTS ......_._.... . _.---- � -��1� \ ---�--...-_ � ���...... ��_�S!�� ---�---..._ _....__.. � _ .----- -'......-- ' Qm PI: T EENA E(f'ft T) � � I � ..... . .—.. .. ......_. .. .""—"'____...._.._. ...._--' Cn 7 . 1/ / �X ......"-' . ._ ' " _____' '___ _�-..._-.../ ...- ....' "-___'..... ....._ V ry' "'"_I\__.._._..____ _' ' � � S:ONAT EOF R TTEE UA�F. RECf-T NO.._,._�,`,.,_.,_,., � ___'. '. . _......_. ' ..... PAID RY _ . _.....__VALIDATI .....�.. ..... ..._.—I WHITE-Department Copy,YELLOW-Finance Copy,PINK-Assessor Copy,GOLDENNOD-File Copy,GR[[N-ApplicanPs Copy � � . . . � _.. f � „ . i a i � i , �'� , . � r v €� �^ t { : __�__. a } �' � .y�., a '�+�� �, .� ( .� i � �i � i � C i i � � a .,_ � .� . � � � �,.����.����`��f v�r :I ! q t . i � � _ Ir � .� � I � '� r . . . . ��� . f`4 �� � { [ I .I � t � �1 1 � � ��n1 �'������#����a��� �� � � I ' i ' a � , ' .. � i -�i i - t � � I I� . �k�'�-.e '�,�a I - . ��;€�9 � � . , j� � , � � ����� � s�� ���a ( ; � , � �.p t ; i i � � � ' � s� �fi� ��� � `�# �� _ � � ;�• ' I I� ( � `� �" � � C,; � I � � �`7` � j *�� i ��'���'��i���'�`���������`�r 3r��r� �, � , i . "' , I � i ��i r t � I� �r i � ��, . � � � .. . ( . ` '',.. 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