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HomeMy WebLinkAbout13552 (17) , ._ r � '----�---�-' . ,. '°`"�-,�..,._,.�;:, .��,..'..� ' ^ _1F�_ CITY OF DIAMOI�ID BAx � DEPARTMENT OF COMMLiNITY&DEVELOPMENT SERVICES ` w 21660 E.Copley Drive Suite 190 (909)660-3195 F�(909)861-3117 PRESS �'%%M BUII,DING PERMIT APPLICATION FIRMLY _ __ _ ..,.. ,. .., o ADDRESS ���? �/�''/���^' Cr/��� �_ DATE CATION NUMB R I ��S"' �lC ISSUE � APN LOT_�„ TRACT DATE � CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS w CITY ° Z P TE - FRONT RW ❑ � APP CANT TE�. REAR ❑ � SIDEJSIDE 5TREET RW O CONTRACTOR,�.�.'?� SIDE ❑ ¢ ADD 55 o CITY �_ ZIP�TEI(.�t . PROPOSED USE pARCH/ENG/ t � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEI. � �n �ESCRIPTION SQ.FT. FACTOR PSF ADJ.ARE.A/1/ALUATION Q OWNER-BUIIDER DECLARATION SFR/ADDIREM O 0 I HEPEBY AFFlRM l/NOER PENALTY OF OERlURY THAT�AA1 E%EMPT FROM THE CONTRACTORS LI- G8f8(J9/C8(P01I W CEN&EUWFORTHEFOLLdNINGREASON(SEC.7031.5BUSINESSANOPAOFESSIONSCODE:ANYCITVOR (n U COVNTYWHICHREOUWESAPERMITTOCONS7PUCT,ALiER,IMPROVE,DEMOlISH,ORREPAIRANYSTRUC- W TURE,PRpR TO ITS ISSUMlCE,ALSO REOUIRES THE APPUCANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS IICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOflS LI- � � CENSE LAW(CHAPTER B(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- POOUSpe FESSqNSCODE�OFTHATHEORSHEISE%EMVTTHEREFROMANOTHEBASISFOHTHERLLEGEDE7fEMP- � TpN.ANVVIOIATKKJOFSECT10N7o31.58YANYAPPUCANTFORAPERMITSUBJECTSTHEAPPUCANTTO Z Re-Roo1 � ACINL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLURS(S500j.): � ❑I,ASOWNEROFTHEPROPERIY,ORMVEAIPLOVEESWITHWAGESASTHEIRSOLECOMVENSATION, O COf1'IR1BfCiel -- WILI OO THE WORK M70 iHE STflUCTURE IS NOT IN7EN�ED Oq OFFERED FOR SALE(SEC.704l,BUSI- J � NESS ANO PROFESSIONS COOE:THE CONTRACTORS LICENSE LAW DOES NOT AFPLY 70 AN OWNER OF = P(�PERTY M/I108ULLO5 OR IMPROVES THERF.ON,ANO WHO DOES SIJCH WOFK HIMSELF OR HERSELF OR � THROUGHHISORHEROWNEMPLOYEES,PqOVIDE�hIATSUCHIMVROVEMENTSARENOTINTENDEDOii m OFFERED W RSAI.E IF FiOWEVER TNE BUIIDINGOii IMPROVEMENT IS SOLD WITMIN ONE YEAR OFCOMPLE- Z TION,THE OWNEP-6UILDER WILL HAVE THE BURDEN OF PROYING THAT HE OR SHE DID NOT BUIfD OR � IMPROVEFORTHEPURPOSEOFSALE). W ❑I,AS OWNEROF THE PROPERTY,AM EXq.USNELV CANTRACTING WITH LICENSED CONTRACTORS � TO CONSTRUCT THE PR0.IECT(SEC.7041,BUSINESS AND PROFESSIONS CODE:THE CONTRAC70R5 LI- V21u3ti00 ADJ.AREA W CENSELAWDOESNOTpPPLVTOA1dONMEROFAPROPERTVWHOBU1LD50RIdAPROVESTHEREON,AND — � WVIOCOMRACTSFOSiSUCHPROJECTSWITHACONTRACTO{d(S�UCENSEDPURSUANTTOTHECONTMC- QUANTITY UESCRIPTION FEE - � TORS UCENS[LAW.). , � ❑IAME%EMP7UNOERSEC. _6,&P.GFORTHISREASON Q W � U LL — — � _�_ �.�', /�' :�� � • ''i� OATE _ OYVNER _ � �„�- � � Z W � LICENSED CONTRACTORS DECLARATION W � 1 HEREBYAFFIRM UNDER PEN/LLTY OF PEFLIURV THA71 AM IiCENSED UNDER PROVISIONS OF CHAPTEft � � Y(COMMENCINOWITHSECTION7000jOFDIVISION30FTHE6U5INESSANDPROFESSION CODE,A4D Z �� MY UCENSE IS M FUIL FORCE MJD EFFECT. � � � UCENSE CLASS � �/� LIC_NO._���� V DATE�`�. � CONTAACTOR_J `_',�„t a. W ".G�vv„ . U� � � . WORKERS'COMPENSATION DECLA�ATIUf� C. .� N �HEREBV AFPIhM UNDEfl PENALN OF PERIUHY ONF OF 7HE FO�LOWING DECLARATIONS: Z I , .1�J�a . J {i v � _IHAVEANOWILLMAINTAINACERYIFICAT��OFCONSEI�TTOSE�LF,N§l1REkORVJORK�FtS'�''�- _ , � " �J��.�e .- . � GOMPENSATION,AS C90YIDED BY SECTION 37W OF THE LABOR CObE,FOR THC PERFORMANCE W OF THE WORK FOR WHICH THIS pERM1T IS ISSUED. � `� � . 0 � _i HAYE M!D WILL MAINTAIN WORKERS'COMP[NSATION INSUMNCE,AS AEOU!RED BV SECTION �Q 37o00FTHE IABOR GODE,FORTHE PERfURMANCE OF T7iE WORK FOR WHiCH THIS PERMIT IS ISSUED.MY WORKEAS'COMPENSATION INSUF44NCE CARRIER AN�POIICY NUMBER AFE: CONSTRUCTION J � CARRIER PIAN REVIEW /- z ca.�crNUMeEa — ELECTRIC �.(�t��(..� ¢ � (THISSEGfiONNE�N0T8'ECOMPLETEDOF7HEPEf7MfTISFORONEhIMi)FlEDDOLWiS(5100�qiLESS�. PLUMBING _ T w �1'�^.li.. Z I CERTIFYTHAT IN THE PERf-0RMANCE OF THE WOPK FOR WHICH iHIS PERMIT IS ISSUEO,I MECHANICAL � C,S' SHALL NOT EMPIOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECTTO THE � WOflNER5COMPEN5AT10Nt,AW50FCALIFORNIA,ANDAGREETHATiFISHOULDBECOME INSPECTIONFEE � SUBJECT TO iHE WORKERS'COMPENSAT70N PROVISIONS OF SECTION 3700 OF THE LABOR /R� � CODE,I SHALL FORTHWITH COMPLY WI7H THOSE PROViSIONS. ISSUANCE �$9�:� tl l��1 '�f�°e 3 "`� � � P S'i�d 3. �, S c,4 t7 p DATE:�� APPLICANT: - SMIP ,�-v . � w "l.a j i:@.�9 t�ji.�r:R+.:i'`ti_!.i'�F'tiSi`•. � WARNING FAI�URE TO SECURE WORKERS'COMPENSATION RAGE IS UNLAWFUL,AND SHAIL BE ENF_RGV P/C LL SUBJECTANEMPIOYERTOCRIM!NALPENALTIESANDCIVII ESUPTOONEHUNOREDTHOUSAND � -3..3,�i°yk,Y ,'�a,i".��ti_,j;•yi?'�:'$�-"�°"� OOLL.ARS(E1oo.000).IN A��ITION TO THE COST OF COMPE TION,OAMAGES AS PROVIOED FOR IN ENERGY PERMIT � SECTION37080FTHEL4BORCODE,MTEREST,qN0ATT0 ErsFEEs. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEqEBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS ACONSTRUCTION LEN�ING AGENCY PoR THE PLRFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUEO(SEC.309],CIV.C.). . W � � LENOER'SNAME _ � LEN�ER'SA�DRE55 � TOTAL FEES � ICEfiTIFYTHATIHAVEflEADTNISAPPUCATIONANDSTATETHATTHEABOVEINFORMATIONISCORRECT. W I AGREE TO COMPLY WITH ALl C17V AND COUNTY ORDINANCES ANO STATE LAWS REUTING TO BUILDING � CONSTRUCTION.ANDHEREB�AUTHOfiIZEREPRESEN7ATIVESOFTHISCOUNTYTOENTERUPONTNE ZABOVE-MENTqNEO PROPERTV FOR INSPECTION PIIRPOSES. Q COMMENTS J � m PERMITTEE NAME i�RIM) Q � � SIGNATUREOFPERMITTEE DATE = RECPT.NO. E � PAID BY � �C VALIDATION ~ WHITE—De artment Co YELLOW—Finance Co PINK—Assessor Co GOLDENROD—File Co GREEN— IicanPs Co P PY� PY. 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