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HomeMy WebLinkAbout14606 (17) _.: �a_�:..-... � CITY OF DIAMOND�.,�,��:,,;; �� � � EX P�R�D - � –`��— DEPARTMENT�F COI�ix7NTTY&DEVEI,OP ENT SERVICES w 21660 E.Copley Dtive Smte 19Q, ,,�.� �aa�,; . 0�T � 3 Z�t1l� (909)860-3195 Farz(909)861-311? .. " PRESS �'���'� BUII,DJNGx�'ERM1T APPLICATION FIRMLY � JOBSITE� ��� `�, n �„fj� �' DATE CATION ( NU BEFY_�_..___ #!C o ADDRES� ���L�. !S � ISSUE TYPE OCC APN LOT " T ACT DATE CONST. GROUP p OWNER ' ADDRES A.- f.' ZONING SETBACKS � CIT11� �- . ZI TEL. REART RW O� APPI.ICANT TEL. SIDE/SIQE STREET RW ❑ � CONTRA� SIDE p � ADDRES CITY ZIP TEL. PROPOSED USE o ARCW NGI z DESIGNER NO.DWEL NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. cn cn DE5CRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION Q OWNER-6UILAER OEGLAAATION SFq/ADD/REM O p 1 NEREBV AFFlRM UNDER PENALTY OF PERIUHV THAT 1 AM EXEMP7 FROM hiE C9NTRACTORS LI- GaIBQB/C21port iL C6NSEUWFOfITHEFOI,LOWINpREASpN(SEC.7037.68USINESSANDPROFESSIONSCO�EANYCITYOR (n V COUNTYNMICHHEOUIRESAPERMfTTOCONSTRUCT,ALTER,IMPROVE,�EMOLISH,ORFEVAIRANYSiRUG. W patio/Deck � NRE,PRIOR TO ITS ISSUANCE,ALSO REf�UIRES THE APVUCPNT FOR SUCH PERM�T TO FlLE A SIQNED W STATEMENT THAT HE Op SHE IS LICENSED PIAiSUANT'�O THE PpOY1510N5 OF THE CDNTRACTOfiS LI- � CENSE UW(CNAPTER D�COMMENCINO WITH SECT�ON 7�)OF DIVISION 3 OF THE BUSMESS AND PRO� U' PooUSpa FESSIONSCODE}QiT}UiHEOHSHEISEJ(EMPTTHEFlEFHOMANDTHEBASISFOflTHEALLEOE�E%EMP• (J TION.ANYVqIATIqlOFSECTION7031.SBYANVMPLICANTFORAPERMITSVBJECTSTMEAPPLICPNT70 Z Re-Roof �,_, ACIVILPENAL7YOFNOTMORE7HANFNEHUNOREODOLLARS(lSOo�.J: � ❑I,ASOWNEflOFTHEPROPEH7Y,ORMYEMPLOVEESWIiHWAGESASTNEIRSOLECAMPENSATION, 0 COf111TIBfC18I ' WILL 00 TNE WOW(,ANO THE SiqUCTURE IS NOT INTENDED OR OFfERED FOR SALE(SEC.7064.BUSI- _I � NESS AND PqOFE5510NS COOE:THE CONTRACTORS LIGENSE LAW DDES NOT APPLY TO AN OWNEfl OF = PqOPEFfTY N1lpBUILD50R IM�ROVES THEREON.AND WHO DOES SUCH WORK HIMSELF IXi HERSELF OR � THHOUGHMISORHENONMEMPLOYEES,PROVIDEDTNATSUCHIMPROVEMENrSAHENOTINTENDEDOR m QOfFEflmPDRSALEIF,I-IUWEYER7MEBUIL�WQORIMPHO�EMENi1S50LDWIiMINONEYEAROFCOM%.E- Z TION.THE OWNEfl�UILDEF NMLL HAVE TXE BURDEN OF PROVING THAT HE OR SNE DID NOT BUIL�OR = IMPROYEFORTHEPUHPOSEOFSALE). �y ❑I,ASOWNEROFTHEPROPERTY.AMEXGLUSNELYCONTMG7INaWITMLICENSEDCOKfRAC70RS � TO CONSTRUCT TNE PROJECT(SEG 70N,BUSINESS ANO PflOFESSIONS ODDE:THE CONTflACTOpS LI- V81118tiOf1 ADJ.AREA CENSE UW DOE9 NOTApPLY 70 AN OWNER OF A PROPERT'WHO BUIL�S OR IMPROVES THEREON,AND � WNDCONTMCTSFONSUCHPflOJECTSWITHACONTRAC70R�S�LICENSEDPUPSUAffTTOTHECONfRAC- (j�J,q�JTITY DESCR�PTION FEE � TORS UCENSE IAW.). ❑I AM EXEMPT UNDER 5EC. B.8 P.C.FOR THIS REASON Q U W � DATE OWNER U � UCENSED CONTRACTORS DECLAGiA710N W � IHEqEBYAFFiRMUNDERPENALTYOFPEFlJUqYTHATIAMLICENSEDUNDERPROVISbNSOFCHAPTER � � 6(COMMENCYNOWITMSECTION7nW)OFD�NSION30FTHEBUSINESSA�PROFESSIONSCODE,ANO Z �l� MV UCENSE IS W FULL F EFFECT. S (jD m 0 41GENSE S ' LIC.NO. �� r J V DATE��`� CONTRAC a W � WORKERS'COMPENSATION DECLARATION � V � IHEHEBYAFPIRMUNDERPENALttOFPERJURYONEOFTHEFOLLAWINGDECLARA7lONS: CA ¢ C ,IHAVEMIDWILLMAINTNHACERTIFICATEDFCONSENiTOSELFINSUREFORWOFNERS' 2 L COMPENSATION,AS PROVIDED BY SECTION 3700 Of THE 1A60R CODE,FOR THE PERFORMANCE CJ Q OF iliE WORK FOR WHICH 7HI5 PERMIi IS ISSUED. � � W __IHAVEANDWILLMAMTAINWORKEflS'WMPENSATIONINSURRNCE,0.SREOVIRFDBYSECTION Q 370oOFTHELABORCOOE,FaiTHEPERFORMANCEOGTHEWOFiKFORWHICH7HISPERM�Tis ISSUED.MY RN WMPENSATIONINSUMNCECARRIERANOPOUCVNUMBEflAflE: CONSTRUCTION jCARRIER--�-�-�.��-;� �--�—�- PLAN REVIEW Z aalCv Nueasea P./W'�E���J I l.3 "V � ELECTRIC <fC � (INSSECiiJFINE�NoiBECOMPLE7maF7NEPEt7AlfISFORaJEHuwRED�011PAs(S�oo)OaLEss). PLUMBING Z 1 CERTIFV THqT INTHE PENFOPMANCE OF THE WORK FOR WHICH THIS PERMIi IS IS6UE�,� MECHANICAL ('} SHALL NOT EMPLOY ANY PERSON IN�NV MqNNER SO AS 70 B6COME SUBJECT TO THE � WOflKERS'COMPENSATIONLAWSOFCN.IFOpNIA,ANDAGflEETHATIFI5HOUL�BECOME �NSPECTIONFEE S SUBJECTTOTHEWOFiKERS'COMFENSATIONPROVISIONSOF&ECTION370DOFTHELA80R ISSUANCE ��.� � � �nnn CO�E,I SHAL(,FORYHNMTH COMPLY WITH THOSE PHOVISIONS. � SMIP p �ATE: APPLICAN7: A� . � ENERGY P/C __ � lyii B,(�tYv _. J WARNINa:FAILURETOSECUHEMK]RKEflS'CONVENSATIONCOVERAGEISUNLAWFUL,ANOSMq�LBE (� ��r�,y (r � SU&IECTANEMPLO7ERTOCRIMINALPENILLTIESAN�CIVII.FINE5t1P700NEHUNDREDTHOU5AN0 ENERGYPEFiM1T `��a!�r.Y��� Wl1AflS(51 oO.OW).IN ADOITION TO THE COST OF GOMPENSATION,DAMAGES AS PRO�IDED FOfl IN J SECTpN37080FTME4ABOflCOPE,INTEREST,ANOATfORNEY'SFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: _ � I HEREBYAFflRM UN�ER PENALTY OF PERJUM THAT THERE IS AGONSTRUCTION LENDING AGENCY . FOA THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMITIS ISSUED(SEC.30W.GV.C.). Z w �.,.:-:;: . . . - � LENUER'S NAME _ F— LENDER'SPDDRE55 . � � ICENTIFYTMATIHAYEREADTHISAPP�ICAT70NANDSTATETHAT7HEA90VEINFORMATIONISCOflAECT. TOTAL FEES ���--` �(J � tAQREETOCOMPLYWITHPLLCITVANUCOUNNORDINANCESANDSTATELAWSRELATINGTOBUIL�ING CONSTFUCTION,AND HEREBV AU7F10flIZE REPRESENTATIVES OF THIS CWNN TO ENTER UPON 1HE � VE-ME IONEOP.pOPERNFORINSP IONPURPOSES. /� COMMENTS 0 - .L,:/ ,...... . ... . Q AME fll I t� Y� � �� � � sw fl E ° � RECPT.NO. ,PAI�BY VAUDATION WHITE--Depertment Copy,YEILOW—Fhance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GHEEN—Applican['s Copy .�_. �.� �..s.�. .�.�� �.�. ��. � __,� __�____ _� � �______ � _____.__ � � � . . - �-`..�. ���i� � � . — f.� �,� _� ° �'��� d.._,._. �._�...�._r �m_.w.-_..,s.m...�»...-.....---..�� ` �� �k���� t � ..�e ..�... k ' . _ ..` ...... ...».... e �� g . '��.�� j r�. . 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