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HomeMy WebLinkAbout10446 "�"`"```.s,�_, ;;; ' �r���;�="'�- �a;t..a.�'..,��N��-w�,^:;� �v...�.,...N" .�'S� Cl'CY OF DIAMOND�AR COMMUNITY DEVELOPIvIEI�DEPARTMENT �/ 21660 E.Copley.Drivc Suite 190 PRES`�* � (909)860-3195 Faat(909)861-3117 �'^�' BUILDING PERMIT APPLICATION FIRMLY . APPUCATION � .PEi�MIT f��f��' P/C . o� JOBSITE 22879 HLL'InN HE.AD #1267 ADDRESS OATE NUMBER 7 # c� ISSUE �i TYPE OCC ' APN LOT TRACT DATE CONST. GROUP p OWNEFi s�,sy n;ammr� Par rmmr�ni s S'���h H_Q.A_ " ADDRESS � PY' � PD BOX 4O0 ZONING SETBACKS gCITY D�17eV ZIP 9�241 rE�. 909 598- 0 REAAT RW ❑❑ APPLICANT I�Y`Y'V �� TEL.����4 � SIDE/SIpE STREET RW ❑ rr� CONTRACTOR '�'�m Lig�1��, InC ', _ SIDE ❑ p� ADDRESS 1F1RA 4ir�rra Rnnita Tane �` PROPOSEDUSE � CITY Chinn 7iP 91710 rE�.�909) 597-7734 w ARCH/ENG/ � DESIGNER (� —r, NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDRO�MS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-�I:ILDER�ECLARATION �. SFR/AD�/REM O p 1 HEREBV AFFIqM UNDER PEN�ILTV OF PERJURY THAT t AM IX6MPT FROM THE CONTRACT07i5 U• GefB{�6/CBfp01i I W GENSELAYVWRTHEFOLLOWINGREASONI5EC.7031.SBUSiNESS'ANDPROFESSIONSCOOE:ANYCITYOH (n zCOUNTYVMICHREQUIpESAPEHM1T7000NSYRUCT,ALTER,IMPqOVE.�EMOLISH,ORAEPAINANYSTRIIC• W PBIIOIDBCk W NRE,PRIOH TO ITS ISSUANGE,AL50 REd11RES iHE APPI:ICANT FbR SUCH PERMIT M FlLE A SIfiNEO W STA7EMENT'fHAi HE OR SHE IS LICENSED WRSUANT TO THE PROVISIONS OF THE CONTMCYO1t5 Lb 6ENSE LAW jCHAPTER 9(COMMENCINO NNTH SECTION 7000)OF DIVi310N�OF THE BUSMESSA1�p PR0. � P��USPB FESSION3 CODE)Ofl THAT NE OR SHE IS EXEMPTTHEflEfPOM AND THE BA318 FOR THE ALLEOEO EXEMP• V 710N.ANYVIOtATIONOFSECTIDN7o31.6BYANVAPPLICANTFORAPERMITSU�.IECTSTHEAPPIICANTTO � Z Re-ROOf - � ACNILPENALTYOFNOTMO(iETHANFNEHUNDREDDOLLARS�S5o0).�: " �" -� - � � OI.ASOWNEROFTHEPROPERTl,ORMVEMPLAYEESVJI7HWAOESASTHEIPSOLECOMPENSATKNI, � COrI1TBlCiHI Z WIIL 00 THE WOi1K,ANU THE STRUCTURE IS NOT INTENDED OR��FERED FOA SALE(SEC.70�i.�BUSb J � NE55 AND VROFESSIONS COOE:THE CONTRACTbRS LICENSE UW pOES NO7 APPIV TO AN OWNER OF DROPERTYWHOBUILA50RIMPROVESTHEqEON;ANOWNO�DOESSUCHWOR�fHIMSELPORHERSELFOR � � THHOUGHHI90RHE0.0WHEMPCOYEES,PROVIDEDTHA7SUCHIMPpOVEME1STfiAii�ENOTNTENISk`�Oq � � OFFEREDFORSALEIF,HOWEVER.TMEBUILOINGOhMPROVEMENYIS50lDWl'f�4NONEYEMOFCQAIPLE• Z iION,THE OWNER-BUIIDER WILL HAVE THE BURDEN OF PROVINki THAT HE OR SHE OID NOT BUILD OR = IMPHOVEFORTHEPUHP95EOFSALE). -�'� ' OI,ASOWNEFOFTHEPROPERIY,AMEXCLUSIVELVCONTRACYINqVYYTFI�I1CHd5EDCONT ORS Ef � �¢ 70 CONSTRUCT THE PROJECT(SEC.7044,9USfNEBS ANO PROFE'SSI�N3�O6E:TME CQNTRACTORS LI- V81IU8�iOt1 ADJ.AREA � CENSELAWOOESNOTAPPlY70ANOWNEROFAPROPEN1YWHdBUK.DSORIMNROVESTF1EREdN,ANO W/iOCOMTMCTSFORSl/CHPROJECTSWITMACONTRAC'fOFi(SJlIC�'NS�PUhSUANTTOTHE00NtfUF QUANTITY D�SCRtPTION FEE TORS UCEN5E UW.). o � 1 Q�n Electrical Pedestal ❑I AM EREMP7 UNDER SEC. B.R P.Q FOR TNIS R,EASON U � � � DATE OWNER V W �s� LICENSED CONTRACTORS DECLARATION �j 2 1 HEREBY 11FFIRM UNDER PENALTY OF PERJURV THATI AM LICEN6ED UNOER PqOV1510NS OFCHAPTER � ��� � . � �� d 9(COMMENCINGWITHSECTION700o)OFDIVISKNd30FTHEBU&MESSANOPROFESSIONSCOOE,MIU Z. 'X M�LICENSE IS IN FULI.FORCE AND EFFECL � - � � m 0 4 � J ����sE��+SSc�n ���.�. � oare 6/20/97 coNTaacroa ' . o- w � WOfiKERS'COMPENSATION DECLARATION Q = U � I HFR�V AFGINM UNdER PENALTV OF PERIURY ONE OFTHE FOLLO`MNG DEd:AMT10NS: � Z � ,IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELFdNSUiIEFOHWORKER3' � � COMPENSA7qN,ASPROVIDEOBVSFCi�N370oOFTHEUBdHCODE;FORTHEPEFFORMANCE V `r OF 7HE WORK fOR WHICH 7HIS PERMIT IS ISSUED. � � O W _I HAVEAN�WILL MAINTAIN WORKERS'COMPENSATION INSUqANCE,AS'HEOUIFtED BV SECTION O 37000FTHE LA90R CODE.FOH THE PERFORMANGE OF THE WORK FOR WHICHTNIS PERMITIS ISSl1ED.NY WORHERS'COMPENSATION INSURANCE CAI�iIER ANO POLICYNUAIBER ARE:� CONSTRtJCT1ON J � CARHtER Frrviv�nt C'rsmx�p�ag{�f�n PI.AN REVIEW Z POLICVNUMBEP TAI�TQtiF�79�9-11� �. �7p��.,. `%� � $ Q .�,�.���-_ � (IH65ECTqNNE�NOTBECQ`+iPLEfEDOF'MEPERMff�SPoiiCtJEFA1N'1REDOOl1ARSK100)ORLE.9S), PLUMBING W MECHANICAL Z I CERTIFY 1HAT IN THE PERFORMANCE OF TME WORK FOR WHICH THIS PEHMIT IS ISSUEO,1 (} SHALLN�TEMPLOYANVVERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE Uj WORKERS•CAMPENSATI�JlAW50FdALIFOR111q AGREETHA7IF'YSHOUWBECOME-� �NSPECTIONFEE "� � � SU&IECiTOTHE'NORKERS'COMPENSA P IONSO ECTION'37000FTHEU180H , f � W""'� � CODE.I SHALL FORTMNITH COAAPLV WRN E PROVI$ ,. IS, SU AN�_s � � < � 0 6/20/97 sMiP p DATE:�_ APPLICANT. J WARNINCi:FAiLURETOSECUREWORKERS'COMPENSATION ERAOEISUNLAWFUL,MpSHALLBE ENERGYPlC �y SUBJECTANEMPLOYFATDCRIMINAIVENALTIESANOCNILF ESt1PTOONEHUNDREDTHOUSAND ENERGYPERMIT � DpLLARS(6100.0001,iN MDITION 70 THE COST OF COMPENSATION,DAIAAGES AS PROVIOED FOR IN � SECTION 370e OFTHE LABOR CqDE INTEHEST,ANDATPORNEV'S FEES. ' ��� RETENTION FEE: d CONSTRUC710N LENDING AGENCY� PRE-ALT FEE: O � 1 HEREBY AFFiqM UNDER PENALiY OF PEHJURY THAT THERE IS A CON57'RUCTION LENpNG AGENCV d FOR THE PERFORMANCE�FTNE WORK FOR WHICH TWS VERAl1T IS ISSUED(SEC.30YI.CIV.C.). Z W � LENDER'S NlVAE . . . , � LENOERSADURESS . �.� ��.._�,..� . W1 CERTIFV TUT t HAVE qEAD THISAPPIICATION AND STATE THAT THE ABOVE INFOHMATION IS CORRECT. 70TAL FE ES . . . �1 r � ' ' � IAGREETOCOMPLYWITHAILCRYMIDCOUNTYORDINANCESAN�STATEUIWSREtATINGTOBlNlA1NG� "� CANSTRUCTION,AND HEREBYAV7FIDRRE REPNESENTATIVES OF 7HIS COUNNTO ENTER UPONTHE - -��� - � �� � ABOVE-MENTIONEO PROPERTV FOH NJSPEC710N PURPOSES. f COMMENTS � ` A/ - ' . . . .. _ �Y m PER I7TE E(PRI � � � �i I � StQ RE OF P E � DATE RECPT.NO.'-`�<- ��� PAID BY�-�� ��� ..�� � . . � .� VALIDATION WHITE—Depaitment Copy.YELLOW—FMerice Copy.PINK—Assassa Copy.GOLDENROD—Flle Copy,GREEN—Apqicant's Copy ' ' �i _.�� t3iA C7NCJ �t4�t � , � ��`��,�� �x� Xp ' p��������� ������ �'3 ,�t;V ..�: ��"'<k.�;� �,.�;•�'"� , ,.;, � <.� z.;. , .. - . . _ �ra...'d c..7r iy�t.liUe:' . s e , � • s � 6 � r ` . � . __ _. _._ _ __. ._ ::�..d, . _ - ,.._. . 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