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HomeMy WebLinkAbout12723 (14) ,...a�;w , ^--�� CITX OF DIAMOIVD BA17 , .; ; , �.._..=`" DEPARTMENT OF COMMUNITY&DEVELOPMEN'I'SERVICES e 21660 E.Copley Drive Suite 190 ., : ' �,,,� (909)850-3195 Fax(909)861-3117 PRESS _ BT1�I,TyING 1'E1211'�P�rAY'�TCAT�ON ' ll' ° .�. > , FIRMLY .: � ..�� ., .. . .. .e ... � , .. ,.,� ,.w ,.���wr �;�,;:��.a r�.r�,,s;w ,.������.�; .,, �, .; � �. ., . .,.��:., ,....n:,.,,. ., � . � . o� J06SITE �sdt.$',/j�„���� ��J� APP�ICATIpNI PERMIt /� P/C ADDRESS ��` DATE .� �[��L��Q� NUMBER # $ / ISSUE����'�7–'�TYPE OCC .- APN LOT �o�Z �TFIACT 5���(I+� DATE� CONST. GROUP p OWNER �''��I� b hf'r/ _ .. o ADDRESS . ,. ZONING SETBACKS W CITY�CN�I�1`� ZIP TEL. S '�Ft7 FRONT RW � APPI.ICANT REAR ❑ �,(rL}(C�.�7�+�,,/_` TEL D — � SIDFJSIQE STREET RW ❑ � CONTRACTOR °f `��S �l.G�� SIDE ❑ p� ADDRESS � CITY�iG/(�4n�C} ZIP� Q TEL. PROPOSED USE Alf���.� a ARCH/ENG/ DESIGNER � _-� �-� ,,., NO.DWE�. ' NO. NO. . a ADDRESS O 1/, � CITY S1�2V�.�¢}�/,�-{,�_ ZIP t�,[��`TEL. UNITS STORIES BEDROOMS cn DESCRIPTION S(�.FT. FACTOA PSF ADJ.AREANAlUAT10N � OWNER-BUILDER�ECLAFIATIqN . . SFR/ADD/REM Q . I MEflEBY AFFlRM UN�ER PENALTV OF PERJURY THAT I AIA E%EMPT FROM THE CONTRACTOqS U. Gd2QB/C2IPOf[ W CENSELAWFO�7HEFOLLCIN/INGpEASON'(S�C.i037.5BUSINEB„AN�PROFESSIONSCOD�ANVCI7YOR (n C.J COINfTYWHICHREGIARESAPERMITTOCOPlSTRUCT,ALTER,IMPFlOV'c,DEMOIiSH,ORflEPpJPANVSTRUP W P81i0/DBCI( Z 7URE,PRIOR TO ITS SSUANCE,ALSO REQUI0.E5 TNE APPLiCANT FOR SUCH PERMIT TO FILE A 51GNED � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO lHE PROVISIONS OF THE CONYRA,CTtlAS Li. � CENSE LAW(CHAPTER e(pOMMENCINO W17H SECTIpN 1ooaJ OF DIVISION 30F THE 9U31NESS'�ib Pq0. U- PooUSpa FESSDNS CODE�OR TFIAT HE OR SHE IS D(EMPTTHEREPROM AND THE BA51S FOP THE ALCEGED EXEAhP- V TION.MIYVIOI.A710NOFSECTION]031.5BYANYAPPIICANTFORAPEqMITSU&lE(:TSTHEAPPLICANTTO � Re-Roof AqVILPENALTVOFNOTMORETHANFIYENUNDREDDO�LARS(;5ao).): :��p�,::;�"� :.:'.. Z �~ OI,A60WNEROFTHEPROPERTY,ORMYEMpLOYEESWITHWAGESASTHEIRSOIECOMP�NSATION, �OrrymerCial WILL 00 THE WOAK,AND THE STRUCTLIRE IS NOT INTEN�ED OR OFFEflEO FOR SALE(SEC.70da,BUS�- Q � � NESSAND PROFES$IONS COOE:THE CANTRpCTORS IICENSE LAW DOES N6T APPLY TO FN OWNEFl OF PROPER7YWFiOBVIIDSORIMPROVESTHERE-0N,ANDWHODOESSUCHWORKHIMSELFONN�RSELFOR �� � THROU�HHISOqNEROWNEAIPLOYEES,PROVIDEOTHATSUCHIMPROVEM6NT5AqENOTINTENp'ED'OR � oOFFEREDWRSAI.EIF,HOWEYERTMEBUIL0INGORIAAPROVEMENi1550LOWRMINONFVF.AROFCQ1i1PL�- Z TION,THE OWNER�BUIIUER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE OID NOT'6UILD OR = IMPROVEFORTNEPURPOSEOPSAl.E7. � -� ' °4�,�,.' '. ❑I,AS ONMER OF THE PROPEq7V,AAA EXClU51VELY CONTRACTMG WITH UCENSED CONYbA'CTORS � TO CONSTRUGT 1HE Pqp.lEC7(9EC,7014.BUSINE55 ANO?ROFESSIONS COOE:YHE CONTflAC70R5 l.l� V2l�d}tOl1 ADJ.AREA - W CENSEUIWDOESNOTAPPLVTOANOWNEROFAPflOPERTYWliOBllIIDSORIMPROVESYHEREON,AND -- NM1qCONTRACTSFORSUCNPRQIECTSWI'i}lACANTNACTOR(S)UCENSEDPURSUANTTOTHECONTqAG � FEE � �UANTITY DESCRIPTION � TORSUCENSEV,W.�. p,�l; �', , � ❑I AM E7(EMPT UN�ER SEC. B.8 P C FOk 7HI6 REASON ��_ � , �. � � ' � /^'• � OA7E �MNER� . . . F I � � ��•7 � -- - — W ,4 O O o LICENSED CONTRRCTORS DECLRRATION � . �. �,� -� W I _ �.�� � - / t HEREBY qFFIRM UNDER PENALN OF PERJURY TMAT IAM LICENSED UNDER PROYISIONS OF CMAPTER � r(J� '7 ' p„ 9(COAKAENCINQWITHSECTION7000)OFDIVISION30FTHEOUSINESSANDPROFESS�ONSCOpE,AN� � F_ --' X MY LICENSE IS IN FULL FOPCE AND EFFECT. } W ,��,,/%�� CO( I_A• : T/'���-i� Q UCENSE CLASS LIC.NO. ����" /..-. . � � Ts�. �. w DATE � CONTRACTOR_��,� ... . �' a(J/IP���` G � WORKERS'COMPENSATION DECIARATION t -� �y�,j � I HEfdEBY FFFIRM UNOEft PENALTY OF PERIURY ONE OFTHF FOLLOWING DECI ARATIO���1 1 Z '— 7/� � _IHAVEANDWILLMAINTAINACERTIFICATEOFCANSENTTOSELFIN5UREFOR RK9R5� S � COMPENSATION,ASPROVIOEDBYSEC710N370oOFTHEIABORCO�E,FORTHEi+EF1KORMANCE `U � OFTHEWORKFORWHICHi1;ISPERMITISISSUED. � .�/- _�/ �1 w �^ � aC Q ___IHAVEANDWILLMAINTAIIdWORKERS'COMPENSATIONINSUqpNCE,ASR6qUIREO8Y5ECTION lJ /�'n..^�/aJ�J�E�✓J T� � //�� 37000F THE UBOR CA�E,FORTHE PERFORA9ANCE OF THE WORK W R WHICH THIS PERMIT IS 7 V �'��� "7' � ISSUE�,MYWOA/KE'�RS'C�OjMPENSATIONINSURANCECpq�ilEftANDPOLICYNl1M6ERlRE: CONSTRUCTION � CARRIER C -eT" C`�/� /��___ PIANREVIEW . � � aoucvNu�aea ' ELECTFlIC � ��ss[crr�NE�r�pr�cF�a�a�vr w�waEoa�_i.nr;s(sioo)oa�ss7. i PIUMBING .-- . ' y � Z ICERTIFYTHATIN7HEPERFOHMANCEOFTHEWORKFORN/HIGHTHISPERMITI$ISSUED.I I MECHANIGAL C,'J SHAII NOT EMPLOV ANY PERSON IN ANY MANNER SOAS TC BECOME SUBJECT TO TH[ � WORKERS'COAqPENSATIONLAWSOFCALIFORNIA,ANp GREETHATIFI3HOULDBECOME - INSPECTI6NFEE = SU&IECT THE WORKEFS'COMPENSATION FRO I S OF SECTION 37ao OF THE UBOR ` �, _ CADE,I A OFITHWITMCOMPLYWITHT O&EP SIONS. ISSUANCE � � SMIP '� .. q �ATE: APPLICANT: � W � WARNING� AIWRETOSECUREWORKERS'COMPENSATIONCOVERAGEIS tJ WFUL, PIOSHALLBE ENERGYP/C ` � �y_ SU&IECTqNEMPIOYERTOCAIMINALPENALTiESANDCIVILFINE5UPT0 MUNDP,EDTHOt15FND ENERGYPERMiT �-'`-4 � "��'�2•.�- � DOLIA(1S(L100,OOa),IN ADDITION TO THE COST OF COMPENSATION,OAMAGES AS PROVIDEb�FOR IN � SECTION37oeOFTNEIABORCODE,INTEREST,ANDA7TORNEY5FEE5. - ' �"I`�����1 O�LY RETENTION FEE: FO F ��� .�. o CONSTRUCTIONLENDINGAC,ENCY � � - � PAE-A�TFEE: _����,,. 1.'��y?,,,�;��IB�Al1 � I HEREBVAFFIqM UNDER PENALTY OF PERJURY THAT THEftE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEO�SEC:3097,CIV.C.). .. . � . . � n_ W � IENOER'S NAME . . - h- �EN�Ep'SADDRESS it.,..�.�,���,�� � ICERTIFYTHATIHAVEREADTHISAPPLICATIONAN�STATETIiATTHEABOVEMFORMATIONISCORRECT. TOTAL F�ES - ' G � 1 AGREE TO CAMPLV WRH ALL CITY pN�COUNTY OflDINANCES AND STAT�LAWS RELATINGTO BUILOING ��� Q � CONSTRUCTION,ANO HEREBY AUTHORI2E REPRESENTATNES OF 7HIS COUNTY TO ENtER UPoN THE . . . z ABOVEMENTIONED ROPERTV FOR INSPECTIO PURPOSES. COMMENTS_ � ��` r.��� � � I I QPERMfTTEE NAIAE(PRINT) ' � � r Zi � SIGNATUfiEOFPEPMiTT E — -�— RT� .;' i '��I � � RECPT.N0. PAID BY ��� �VALIOATION� � ~ WHITE—De Rment Co YEl.LOW—Finance Co PINK—Assessor Ca G NROD--File Ca GREEN— , � Pa pY. 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