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HomeMy WebLinkAbout15906 - - - �� �---�-- `� �'� __�� CITY OF DIAMOND BAB ,,; � DEPARTMENT OF CQMMUNITY&DEYELOPMENT SERVICES �~ - � 2�b60E.CapleyDriveSuitel90 PRESS 9�,..... (909)860-3195 Faac(909)561-3117 BUILDING PERMTT ICATION _ �IRMI.V' ¢ DDRIESS ^ �G'� ��''�� �� �CRTION� � ��� NUMBER iI�'ik/C�j`�'�� C.�. c� ISS � TYPE OCC APN� LOT T ACT DATE � CONST. GROUP p OWNER � "' ADDRESS � 31 ZONING SETBACKS z CITY � � P TEL. REART h RW ❑ g APPLICANT TEL. SIDFJSIQE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE '� CIN ZIP TEL. Y,�� w ARCH/ENG/ 1 � J z DESIGNER �l��l{ _ ' NO.DWEL. NO. NO. a ADDRE�S � � "' • "U� ' UNITS STORIES BEDROOMS � CITY �., � ZIP TEI. c� � �' ' � �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEF-BUIIDER DECLAflATION SFR/ADD/REM O p I HEREBY AFFIRM UNOEfl PENAISV OF PERIURY THAT I AM EXEMPT FN6M THE CONTRAC70RS LI- � Garage/Caryod W CENSEUWfORTHEFOLLOWINOREA50N(SECJo31.6BUSINESSANOPROPESSIONSCODEANYCITVOF V COUNiYriHIG11PEWINESAPERMiTTOCONSTflUCT,ALTER,IMPROVE,DEMOLISM,ORAEPAIHANYSTRUG W pg110/DeCk W TURE,PHIOR TO ITS ISSUANCE,AL50 REOUIRES Th1E APPLICANT FOR SUCH PERMIT TO FILE A SIGNE� � � STATEMEM TNAT HE OR SHE IS UCENSE�PURSUANT TO THE PROYISIONS OP THE WNTiWCTORS Lb � CENSE UW(CHAPTEH 8(COMMENCINa WITH SECTION 7000)OP DIVISION 3 OP THE BUSINESS AND PRO- LL' POOUSpO FESSIONSCODE)OR THATHE OR SHE IS E%EMP7THEREFROMAND THE&4S15 FOR 7HE ALLE6ED E%EMP- V TION.ANYVIOLA710NOFSECTION7031.SBYANYAPPLICANTKOHApERMIi5U8JECT$THEAPPLICANT70 Z qe-Rooi � A GVII PENAI.TY OF NOT MOPE THAN FNE HUNDRED DOLURS(55ao).): � L71,ASOWNEROFTF4.PROPERTY,ORMYEMPLOYEESWITHWAGESASTFIEIRSOLECOMPENSATIDN, ❑ COfTIR10fC18I WILL p0 THE WORK�'10 iHE STRUGTURE IS NOT INiENDED OF OfPERED FOR SALE(SEG.7044,BU51- _I NESS AND PqOFESSIONS CODE?HE CANTRACTORS LICENSE lAW OOES NOT APPLY TO AN OWNEF oF �'� -� � PROPERTYNMOBUILOSORIMPROYESTHEREON.ANDWN000'cSSUCHWORKHIMSELFORHERSELFOR m Cr THRdif3HHISORHERONMEMPIDYEES,VROV10EDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR s'� Q ,OFFEPEDWRSN.EIF,HOWEVER,7HEBUILDINGORIMPROVEMENiIS50LDWITHINONEYEAROFCOMPLE- b�J ' Z TION,THE OWNER-6UILDER WILL HRYE THE BURDEN OF PROVING THAT HE OR SHE OID NOT BUILD OR - e y� � IMPI�VE FORTHE PURPOSE OF SALEj. -, P.A-' �I,AS OWNEROF THE PHOPEFiiY,AM EXCLUSIVELY CONTRACTIN�W7TH I�CENSED GOYTfiACTOP3 W ' � TO CONSTRUCT THE PROJEC[(SEC.7046,BUSINE55 AfVD PROFESSIONS CODE:THE COIV'RRCTORS LI- V8IUflSI0f1 �-/ ADJ.AREA_ IJJ CENSEUWDOESNbTAPPlY.TOANOWNEROFAPROPERTY.WHOBUILD50HIMPFOVESTHEHEON,ANO .� WlpCONTMCTSFORSUCHPPOJECTSWITHACONTftAC70R(S�LICENSEDPURSUMtTTOTNECANiR.4C QUANTI D SCRIPTION FEE � TORS LICENSE UW.). '. 0 ❑I AM EXEMPT UNDER SEC. 8 P.C.FOR7HIS REASON � � I � II ',� '! .,d4.,,_ Lr yi pA -- ER ' �.r.---,."� ;�..:..�.:- F � I � I dQ UCENSEO CONTRACTORS DECLARATIOP! �j �- . . Cr I HEREBYAFFIRM UNDER PENALTY OF PERJURY THAT 1�M LICENSED UNDER PROVISIONS OF CHAP7ER � ! (i� 9(41�MMBiCINQ WITH SECTION 70c0}OF DIVISION J OF THE BUSINESS AND PROfESSIONS CODL,AND � . X MY UCB�lSE IS IN FULL FORCE AN�EFFECT. m � � B! L1J � � UCEN5E CLASS IIC.NO._ J / V DATE CUPITRACTOR a W � WORKERS'COMPENSATION�ECLARAT90N U C, ..:_ . '" ' � I HEHEBV AFFIpM UNDER PENALTV OF PERJURY ONE OF THE FOLLOWMG DECLARAT�ONS: ��-+�� � Z • O __IMAYEAp1DWIlLMAIN7PJNACEPTIFIGATEOFGONSENTTO3ElFdNSUflEf-0RWORKERS' S ' ������ �� Z COMPENSATION,AS PflOYIDED BY SECTION 37000F THE L4BOFl CODE,FOR 7HE PERFORMANCE � Q OFTHEWORKFORWHICHtHISPEP.MITI5ISSUED. d � W _I,HqVEAND WILL MAINTAM WORKERS'COMPEPlSATION INSURANCE,AS REQUIRED BY SECTION � Q .37400F THE LP80R CDOE,FON THE PERFOftMANCE OF TNE WORK FOR WHICH THIS PEftM1T IS � �� I55UE�.MY WORKEAS'COMPENSATION INSURANCE CARPIER AND POLICY NUMBEFARE: CONSTRUCTION . j cnqRiEq_ — ._,_—. PLANREVIEW �.��� Z voucvNUMaEa -- ELECTRIC _ � ✓��` �F '� , .Q r�� � (IIiISSH:TIONNE�ho7�RNvwlerEooFir�PEw�MitswkoneFiUND�ED�ILaas(b�oo)oaLessa PLUMBING c+R.� •. W MECHANICAL � � I CEFlTIFY THaT IN TiiE P=RFORMANCE OF THE V/ORK FOR WHICFi THIS PERMIT IS:SSUED,I () SNhIL NOT EMPLOV ANY PERSON iN M'Y MANNER 50 AS TO BECOME SU&IECT TO THE � WORKERS'COMPQJSATION lAWS Of CALIFORNIA,AND AGREE THA71F 1 SHOULD BECAME INSPEGTION FEE SUBJECTTOTHEWORKERS'COMPENSATIDNPFOVISIONSOFSECTION37DaOFTHELABOR �� � �� � CODE,ISHALLFORTHWITHCOMPLYWITHTHOSEPROVISIONS. ISSUANCE O SMIP �•�� p DATE: APPLICANT: --- . J � ENERGY P/C ��, ` €j' J WARNING:FAILURE TO SECURE WOfiKERS'COMPEfJSATiON COVERAOE IS UNLAWFUL,AND SHALLBE � SU&IECTANEMPLOYERTOCRIMINALPENALTIESANOCIVILFMESUPTOONEHUNDREOTHOUSAND ENERGYPERMIT DOLLARS(5100,000).IN ADDITION TOTHE COST Of COMPENSA7pN,OAMAGES AS PROViDED FOR IN ¢ SECTION 3708 Of 1HE LABOR CODE,INTEflEST,ANDATTORNEV'S FEES. RETENTION FEE: �� , QCONSTRUCTION LEND�NGAGENCY P_ +�1LT FE `�- .' ,/ � , � IHEREBYAFFIRMUN�ERPENAL7YOFPERIURYTHATTHERESACONS7fiUCTIONLEN�INGAGENCY 4� �- FORTHE PERFOFMANCE OF h1E WORK FOR WHICH THIS PERMIT IS ISSUE�(SEC.3097,CIK G�. - � W _ � LENOER'SNAME_ F= LEN�ERSADDRESS ' . � ICERTIFYTHATIHAVEREADTHISAPPLICATIONANOSTATETHATTHEA90VEWfORMATI041SCARflECL TOTAL�EES ,��r � i � I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINA4CESANp STATE lAWS REIATING TO BUIIDING _� � "' " � � CONSTftUCTION,AND HEREBY AUTHORIZE REPflESENTA7IVES OF THIS COUNN TO ENTER UPON 7HE Z ABOVE•MENTIONEO PROPEft7Y FOF MS ECl'ION PUftPOSES. COMMEN � ! � (�(,t G; � 1 ¢ PE I EE E(P j dp Y 1 ...�...« d $,•�.—�''� � _ � NATUREO E TfEE DATE RECPT.N0. 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