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HomeMy WebLinkAbout15788 . __...,._ ....,i�.:......,,v.«,.,.,..i,.�..:. �,,,.�.,,,�:.:. .y,�«ra-..-,,.,.:...,_ � . .. . :;. .,..-., _ .._....� . ._. ;g. .. �;,,�.^.,»`�" . .. . . . . - �'P`�':� CITY OF DIAMOND BAI+t �, \�..r' �-J-1��- DEPARTMENT OF COMMUNITY&DEVELbPMENT SERVICES n 21660E.CopleyDriveSuite190 PRESS_ ,� (909)860-3195 Faz(909)861-3117 BUII,DING 1'EIt1VIIT A1'PLICATI(ON ,� FIRMLY ,.. ,. . . . , , .. �,� ,,. .,r,.. .,._�e ., � ,a.. ..:,. . . .: o� JOBSITE �I'�'7,� L�J C OM;1 � ��h APPLICATION ,r ��3�PERMIT +�����PlC ADDRESS � DATE ��^NUMBERI=JL �^' # � APN LpT TRACT ISSUE TYPE OCC DATE CONST. GROUP p OWNER I`J 7 1�-��MG�1) � o ADDRESS � �LMdN T ZONING SETBACKS �W CITY C.CYLZ-1't'�u�IP �ib��t_ TE °`� R�ART RW C � l['� 27• oL A R SIqE/SIDE STREET RW G APPLICANT ��INIS �1�l2TLEr'�'i"' TE s Y � CONTRACTOR 2. �ti r R.o� t� SIDE ❑ � ADpRESS (LO W. ,SA�nI Aa�JT`t+nit0 C12�V� CITY Ld�(a �3C�1. ZIP D u TEL.�2;,'� t3�.�� PR�POSED USE p , . � ARCH/ENC,/ �Z o J� M L` D �-O � DESIGNER �I NO.DWEL. NO. � t NO. AppRESS �� UNITS � STORIES / BEDROOMS� � CITY IP TEL. cyi� DESCRIPTION SQ.Fl: FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION O I HEREeY AFFIFM UNDER PENAL7Y OF PEHJURY THA7 I AA1 EXEMPT FROM THE-CONTRACTORS LI- G8f89B/CdrpOff W CENSEUWFORTHEFOLLOWINGFlEASON(SECJ031.5BUSINESSANDPROFESSbNSCOOE:ANYqTYOq (f) � COUNTVWHICNREWIRESAPERMtTTOCONSTRUCT,ALTEH,�MPROVE,DEMOUSH,OpPEpA1RANY'STRUC- W P8ti0/DBCk Z TURE,PRIOR TO IT5ISSUANCE,ALSO pEQUIRES THE APPLICANT FpR-SUCH PERMIY'TO FILE A SIGNEO LL� STATpAEN7 THA7 HE OR SHE IS LICEN6ED PUqSUAIiT To iHE PROVISIONS OF THE CONTRACTpR6 U- � � CENSE UW(CHAPTER a�COMMENCINO WITH SECTIqN 7WOj OF DIYI510N'3 0f THE BU51NE5SANO PRO� V' PooUSpd FESSIONS COOEJ ORTHAT HE OR SHE IS EXEMPTTHEREfROM ANd THE BA515 FOR YHE ALLEQED�CXEMP- TION.ANYVqLATIONOFSECTION70.Af.5BYANVAPPLICANTFORAPEPAIRSUBJEC75THEAPPLICAN770 Z B-ROO Q �' g Q� � ACINLPEN�LTYOFNO7MORE7HANF�VEHUNDAEDDOLLARS(SSW):): .`�� � ❑I.ASOWNEROP7HEPHOPEFiTY,ORNYEMPLOYEE5WI7HWAGE5A57HEIRSOIFCOMPEN��ATION, 0 Comr110fGial - YALL DO THE WORK,AND THE STRUC7URE 13 NO7 INTENUED OR OFFERED fOR SpCE�(BEC.'io44,BUSi- J � NE5SM10 VROFESSIONS COOE:THE CANTRACTORS LICENSE LAYV bOE5 NOT APPLY TO AN OMNER OF � PROPERTY WI10 BUILDS OR IMVROVES TMEREON,AND WHO C/0E5 SUdi WORK HIMSEIF Oq HERSELF OR � THROU(3HHISORHEROVMEA1PlOVEES,PROVIDEOTNATSLN:HI1dPROVEMEN7SARENO71N7EN�E00R m 0 ,OFFEREDFORSALE�F.HOWEVER,h1E6UILDINGORIMPFOVEMEN'YISSOLDWITrIINOTIEVEAqOFCOKIPLE- Z �TION,THE OWNER-BUILDER WILL NAVE THE BURDEN OF PROVINp 7HAT HE OR SHE DID NO7'9UIlD OR = IMPROYE FOR iHE PUHPOSEOF SALE). �� '� ��"�' ` �J,J ❑1,AS OWNER OF THE PROPERTV,AM IXCLUSIV0.V CONTRAGTINO WITFI LICENSED CONYRACTORS ¢ TO CONSTRUCT 7HE PRO.IECT�SEC.70A6,BUSINE55 AN�PROFES$IbNS GO�E:THE CONTHA'CTOqS LJ- ValU2SI01t ADJ.AREA W CENSEUWDOESNOTAPPLVTOMIOWNEROFAPROPER7YWHOBUILDSORIMPROV�STHEWEON,AND � WIbCONfRACTSFORSl1CHPRQIECTSWITNACON7RAC70R(S)LICENSEOPUWSUAN7TOTHECANTRAG QUANTITY DESCRIPTION FEE - � TORSLICENSSLAWJ. o ❑IPAIEXEMPTUNDERSEC. B.&P.4FORTHISPEASDN � '�! � � DATE OWNER__ F Z W o LICENSED CONTRACTORS DECLARATION � W � 1 HEHEBV AFF�RA1 UNDEN PENALTY OF PERIURV THAT IAM LICENSED UNDEP PROV'�.SIONS OF CHAPTER � � e�COMMENCINCWITHSECTION7o0ajOFDIVI510N30FTHEBU5INESSAN�PROFESSIONSCO�E,AND Z MV UCENSE�S IN FULL FpRCE ANO EFFECT. C � LICENSE CLASS .+�� � 1 LIC.NO.���p ��.�—v�.T�-�` � V �ATE �,�� � 1 • V O CONTRACTOR L'].L�sS_�_L-1--- W � WORKERS'COMPENSATION DEGLAFiATION �����"'� U� � IHER�YAFFIRMUN�EFlPENALTVOFPEFlJURYONEOFTHEFOLLOWINGDECLAMTIONS: � � O IHAVEAN�WILLMAINTAINACEPT�FICATEOFCANSENTTOSELFdNSUREFORWORIfERS' 2 � iCOMPENS0.T10N.AS PROVI�ED BV SECTION 37000F THE LABOP.CODE,FOFI T4E PERFORAlANCE 'U OF TNE WORK FOR WHICH THIS PERMIT 15 ISSUED. � O ' � I MAVE AND`NILL MAINTRJN WORKERS'CpMPENSATION INSURANCE,AS REQUTAED BY SECTION (}y� e.�/$ Q �3'100pFTHELABORCOpE,FORTHEPERFORMMICEOFTHEWOPNFORWHIP,HTFIIS�PEFlFIITIS X�� �1,� ISSUED.MYWbRK 5'WM ENSATIOININSURANCEGIRRIEftANDPOLICYNUMBERAffE: �;ly� CONSTRUCTION CJ > CARRIEN �T� �' ��__ f`J PLAN REVIEW -- � �� „ E— � POLICYNL1MBFfi 'L_ SS ( ��_ � ELECTAIC Q d (71-esSECfIONNEWNo7BEOJ�t.ETEDOF'f1�PEPiMiSFORCfJEHut�qR�D�ILWs(S�ao1�l.ES4). PLUMBING � ICERTIFYTlfATINTHEPERFORMANCEOFTHEWORKfORWHICH?HISPEflMiTI51SSUED,I MECHANICAL .� � - � _ (,rf SHALLNOTEMPLOYANYPERSONINANVMANNERSOA5T08ECOMESU9JECT707FIE ' �� � WORKERS'COMPENSATIONLAN/SOFCALIFORNIA,ANDAGFIEETHATIFI'SHO�LDBECOME INSPECTIONFEE � S SUBJEC7T0 THE WORKERS'C06APENSATION PROVISIONS OF SECTION 3700�1F iHE LABOF COOE.1 SHALL FORTHWITM COMPLV WI THOS�E/PFOVi510N5� s� 1SSUANCE - � g � DATE;��_ APPLICANP. I��LN�I S M/'7�41 f+?iT( SMIP � A" w WARNINQ:FAILURETO SECURE WORKERS'COMPENSATION COVEFAGE ISUNUWFU4 aND 6HALl8E ENERGY P!C g��''��� ,��g��a LL SU&IECTANEMPLOYEHTOCRIMINALPENALT�ESANOCIVILFINESUPTOONEHUNPRcOTHOUSANO ENERGYPERMIT R'}<.1 ° � �b'��='�.5� r7` � OD�LARS(i100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PRQYIDED FOR IN } J SECTION37000FTHELA80RCOOE,INTEREST,ANDATTORNEY'SFEES. � � � ``�a.�'p,��`8'+ ��� � � RETEN710N FEE: a CONSTRUGTION LENDWGAGENCY ��"��"'"` � PRE-ALT FEE: __ O � I HEREBV AFFIRM UNOER PENALT7 OF P'tRJURV THAi THERE IS A CONSTRUCTION LENOWG AGENCY � FORTHEPERWPMANCEOFTHEWORKFORWHICHTHISPERIAITISISSUED(SEC.3o97,CIV.C.). . . , Z W � IENDER'S NAME F— LENDEfl'SADDRE55 . � ICERTIFVTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHEABOVEINFORAIATIONISCORRECi. TUT/1L FEES � � I AGREE TD CAM�IV WITH ALL CITYAND CAUNTY OR�INANCES'FND STATE LAWS RELATING Tq BUILDMG . � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATNES OF THIS COUN7V TO'EMER UPON THE - � A90VGOLENTIONEO PqOPERTY FOR INSPECTION PURPOSES. COMMENTS 0 3 � n,i• , �'�� . . � /i-l��l Lr., m PERM EN (PRIN'� � G�.��-� � /!•/7•Ae � SIONATUREOFPERMITTEE DATE � RECPT.NO. J PAi�0V � VAUDAl10N_ WHITE—Depanment Copy,YESlOW--Finance CoDY.P�NK—AssessorCopy.GOLD�NROD—File Copy,GREEN—ApplicanYs Copy �„ ..... . .. ,. �:� . . ...... . ...:. ,. �. ...-, . __. � ,_.,. �,�_..-. :�� .. , ,.;. : : �:, � ���� �� ���,������� ��� r � � �. �.� � � �p� ������`���'��s,� �..���..�.�<.�� � � �.�� ���. �� ,w _. ��, , : �. 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