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HomeMy WebLinkAbout12638 CTTY OF DIAMOND BAI� `- -�� � y ELOPMENT SERVICES /�.�..� 21660 E.�EN�Ve�OM�MUNITY&DEV . ` �..,., (909)860-3195 Fax(909)861-3117 PRE$$ � bI1VG P�R'Iy11'T APPLICAT�b�1 ` °` �.'` „�, ,., . , . , _` ,, ,, FIRMLY ., _ � :. .,,.r� � JOBSITE p .,�M,� , . ,, .,.., , .. : . ^ . ..�: �,..,:- a.,. , as�i. w�+,,,. ._ ,� � o ADDRESS ��� <1 �h,� ��/��/�-�� "� DATEICATION��,,,.�y�,..1.7�NUM6 R� #/C �4"��C�' ! ISSUE / TYPE OCC � APN lOT T AC�T DATE �l ���r � CONST. GROUP p� OWNER ' i� �+�-� C�"°""' ADDRESS_��:���_ ZONING SETBACKS . w CITY �° ��• �. IP TEL. REART pW p � APPUCA—N�7��� TEL. �`'a S� � �; . SIDEISIDE STREET__ RW ❑ � CQNTRACTO �� SIDE ❑ p� ADD ° j e' PROPOSED USE A�'�Bf; �L= ,� .� L'� o CITY�'�g,�"_G�.�'+L"_,�Lt�� ZIP y�� a TEL.__.____�'��i� o ARCH/ENG/ �z DESIGNER NO.DWEL. NO. N0. n, AUDRESS ' UNITS STORIES BEDROOMS : � CITY ZIP TEL. sn v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFRlADD/REM O � I MEREBY AFFlRM UNDER PENALTY OF PEFUURY THAt I AM EXEMPT FROM THE COfITRACTORS ll- � Garage/Carport W CENSEUIWFORiHEFOICOVIINGREA50N(SEC.iaai.58U5YNE5S`ANDPRdF�SSION�SCOD�E:ANYCITVOfl U CWNTYWHICHRC-0UIpESAPEAMtTTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUG W PdtiO/DeCk '�— TURE.PRIOR TO ITS ISSUPNCE.N.SO REQUIRES THE APPUCANT FOR SUCH PERMIT TO,FIIE A SIdNE� 4^, W STATEMENT TNAT NE OR SFIE IS IICEN5E0 PURSLIANT TO;THE PROVISIONS OF YFIE�CdNTRACTORS G� W � CENSELAW(CHAPTER9�COMMENCINOWITHSECTION7oo0)oFpIVI51WJ30FTHEBUSINESSANOPRO� V' POOIISpa FESSIDNSCODE�ORTHATHEORSHEIfiEKEMPTTHEPEFflOMANpTHEBlSISFORIHEALLEGE�EXEMP� (� � TIGN.APIYVi0U1TIONOFSECTION7o91.58YANYMPIICAMFORAP�pMITSU&IEbT§THEAPPLICANTTb Z Re-Roof � A GML PENALTY OF NOT MORE THAN flVE HUNORED OOLlAHS(55ooj.): � -`�" ��"� � �-�� � ❑I,ASONMEROFTHEPROPERTY,OPMVEMPLOYEESINITNWAGESASTHEIRSOlECOMPENSp710N, Q COmmB�Cial - WILL DO THE WOR141U1D THE STRUCTURE IS NOT IMENOED OR OFFERED FOR 5ALE(SEC,'70A4,BUSI� J � NESS AVD PROFESSIONS OODE:THE CONTRACTORS LIQENSE LAW tlOES NOT APPLY Tp qN QWNER OF � PROPEHTV WF/O 9UILDS OH IMPROVESTHEREON.AND WHd�OES SUCH YVORK H�AI5ELFOR HERSELF OR � hlpOIJOHHISORHEROWNEI]PLOVEES.PROVIDEDTHATSUCHIMPpOVEMENT5"XpE'NOTINTENDEDOR m Q ,OFFERWFORSQEIF,HOWEVER,THEBUIL�INGORIMPROVEMENTI$'SOLDWhFIINON6VEAqOFCAMPIE Z 'TKYN,THE OWNER-BVIlDEA WILL HAVE THE BURDEN OF PpOVING THAT HE'OR SFIE DIU�NOT BUILD OR = IMPROVEFORTHEPURPOSEOFSALE} ����. '',.��,•iij'...:'� �:'. : : �I,ASOWNEROFTHEPROPER7Y,AM EXCLUSIYELVCONTRACTING WRHUCENSED��CANTRACTOqS � TO CQNSTRUCT THE PRQIECY�(SEC.7014,BUSINESS AN6 PROFESSIONS CtlDE:THE'COWTqpCTORS L� V81U8fi0t1 ADJ.AREA W CENSELAWDOESNOTAPPLYTOANONRJEROFAPROPER7YWHCIBUILDSORIMPROVES'THEREON.AND VYFIOODNTRACTS FOft SUCH PRQIECTS WITH A CONiR4CTOR(S)LICENSE�PLIRSUM7TT07HE CONTRAP masuc�ssuw.�. ; QUANTITY DESCRIPTION FEE O ❑i AM EXEMPT UNDER SEC. 8.8 P,C.FOR THIS REASON Q 19.� �+q ?� .. .,. . CJ , ., ..,. x , � ¢ DATE OWNER � Z W � LICENSED CONTRACTORS DECLARATION w � I H£REBYAFFIRM UNOER PENALTV OF PEFiIURV THAT I AM LICEN6ED UNDEF PROV%SIONS OF CHAPT[R � /'r � B(COMMENCIN6NATHSECTION7000)OF�IVISION30FTHEBVSINESSANDPROFESSIONSCADE,ANO Z �l dr� MY UCENSE IS IN Nll FORCEAND EFFECT. L1J � /"' fa Q LICENSE C�,,4SS� C� _LIC.NO.,. � �� ��- � � �a � N V DATE t CONTRACTOR a. L7.1 � WORKEAS'COMPENSATIOPI DECLARATION Q ' e�. � I HEREBV AFFlRM UNDER PENALTV OF PERJUViV ONE OFTHE FOIIAWING DECLARATIONSi �� Z � _IHAVEIWDWILLMAINTAINACEi1TiFlCATEOFCONSENTTOSEIF-INSUREFORWORKERS` _ CaMPEN5A710N;ASPROVIDEDBYSECTION37obpFTHEtABORCODE,FORTHE�PERFORMANCE `U OFTHE WORK FOR WHICHTHIS PERMR IS ISSUED. � a W _IHAVEANDWILLMAINTAINWORKEAS'COMPENSATIONINSURANCE,ASREQUIREDBVSECTION Q 37000F THE LABOR CODE,FOR THE PEftFORMANCE OFTME WORK FOR W7iICH THIS PERMIT IS P �+�P' ,/"�,� ISSUED.MY WORKERS'COMPENSATION INSURANC CAPRI�R/Wp POI.ICY NUMBER ARE: CON T so' d�°� J -�j j CARRIER �� "`��/ dU� PLA���E _ �>ZS � POLICY NUMBEF ��(G�eG L?J ELECTFIC � � (IHISS[CTIONNE�NOTBECOP.6'LETEDOFTiEPEMAiTISFORCtJEHUNOREDIXXLIFlS(;t00)ORLESS} PLUMBiNG Z I CERTIFY THAT IN THE PERFOflMANCE OF THE WORK FOR WHICHTHIS PERMIT IS ISSUED,I MECHANICAL (3 SHALLNOTEMPLOYANVPERSONINANVMANNERSOASTOBECAMESU&JECTTOTHE � WOPKERS'COMGENSATIDN LAWS OF CALIFORNI pID 0.GREE THAT IF I SHOULO BECOMF INSPF,CIIQN FEE SU CTTOTHEWORNERS'OOIAOE ATIONpFiO CTION37b00FTHEtA60R C /,�� � COD,I S LL FORTHWITH COMPLY ITH TF{�SE R VISIQN. 9 �S , J f[r' � ' � H ~ � q p DATE: � � APPLICANT:� t '�I�"'� "'�. � . SM1P _��� �?� �,rT J W A R N I N G:F A I L l 1 q E T O S E C U R E W O R K E R S'C O M P E N S A T I O N C O V E R A G E I S U N L A W F U L,A N D S Hw L L B E ENERGY P!C yy SUBJECTANEMPLOYERTOCRIMINALPENALTIEsANDC:VILFMESUPTOONEHVNDREDTHOUSAND ENERGYPERMIT DOLLARS(T700,000),IN ADDITION TOTHE COST OF COMPENSATIDN,DAMA6E5 PS PROVIDE�FOR IN � SECTION37080FTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. FlETENTIONFEE:� OCONSTRUCTION LENDINGAGEtdCY PRE-ALT FEE: � �HEREBY AFFlRM UNDER PENAUY OF PERJURV THATTHEHE IS A CONSTRUCTION LENDING AGENCY �� FORTHE PERFORMANCE OFTHE WOPK WP WHICH THI5 PERMI715155UED(SEC.3087,CIV.C.). . Z .. . .....,.. .:.:...::.. .. ..:,-.�..,-.. L.1 � LENDERB NAME ' , „ � , � , F— LENDER'SADDFtESS � TOTAL FEES � i CEflTIF1'TMAT I HAVE READTHIS APPLICATpN AND STATE THAT THE ABOVE INFOAMATION IS CORPEGT. � IAGREE TO CAMPLY W1TH ALLCITY AND COUNTY ORDINFNCES AND STATE IAWS FELATING TO BUILDING � CONSTRUCTION,PNDHEREBYAU1FiORREREPRESENTATNE50FTHI5COUNTYTOENTERUPONTHE � ABOVEMFNTIONFA PROPERTY F N PUR?OSES. COMMENTS - ,�� ��1�� ���� � � 15 4�" m PE I77EE NAME(PRNT) Q ' . `� � � � , �� , , � SKiNATUflE OF PERMITTEE` �- DATE � � � . . RECPL NO. PAID BY � ' ''�VALIDAI'ION �� � \ �r, WHITE-0epedment Copy,YELLOW—Finance Copy,PINN—Assessor Copy,GOIDENROD—File Copy,CaREEN—ApplicanYs Copy . ,,. ,. ,.� , ; ... . _. ,:_,.,,., . ,,, , , , ,,• ,,:;� , , ; �� --:_� ,;: _ � � � ... , rs�, � 3,.6-.� .�,.; . .:..,.. .a. , �;, �y �+ � �<a �... r ..�w. a .. .,•,,.�rr � .y',ti: . - � , .s,.. ����"" �6� � � . � . . .. . .._..,_ ... 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