HomeMy WebLinkAbout14810 (24) ,��� CITY OF DIAMOND BAx � EXpIRED
� DEPARTIVIENT OF COMMUNITY&DEVELOPMENT SERVICES
21660 E.Copley Drive Suite 14U `�UN 1 / 2��2 PRESS
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� JOBSITE 2 APPLICATION 'I �nl PERMIT O P/C
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APN LOT TRACT DATE �� CONST. GROUP
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0 1 HEREBY AFFIRM UNDER PENALTV OF PERIURY THA7 I AM EXEMPT FROM THE CONTMCTORS LI� GefdJB/CBfPOfI
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W TURE.PRIOR TO ITS ISSUANCE,AL50 RC-0UIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE A SIGNE� W
g STATEMENT THAT HE OR SHE IS IJCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI�
� CENSE lAW(CHAPTER Y(COMMENC�NO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO• u" POOVSPB
FESSIONS CODE)OR iHAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALlEOED EXEMP-
TION.ANYVIOLATIONOFSECTION7037.5BYANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof
A CIVIL PENN.'fV OF NOT MORE THAN FNE HUNDRED DOWIRS(f500).):
❑I,ASOWNEROFTHEPROPERTI,ORMYEMPLOYEESWI7HWAGESASTHEIRSOLECAMPENSATION,. �
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VALL DO THE WORK,AND THE STRUCTURE IS NOT INTEN�6D OR OFFERED FOR SALE(SEC.70I4,BUSI- J
� NE55 AND PROFESS�ONS CODE:THE CANTFUCTORS LICENSE UW DOES NOT APP�V TO AN OWNEH Of � �
PROPERTYNRiOBUItD50RIMPROVESTHEREON,ANDWHODOESSUCHWORKHIMSE�LFORHERSELFOR m
Q THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR
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Z TION,THE OWNER�Bl11tDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR
� IMPROVEWRTHEPURPOSEOFSALE).
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� TO CANSTRUCT THE PRO.IECT(SEC.7UH,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- � VHIUeSIOfI ADJ.AREA -
W CENSE LAW DOES NOTMPLYTOAN OWNER OF A PROPERTV WHO BUI�DS OR IMPROVES 7HEREON,AND . .
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0 ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOR THIS REASON �
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� DATE OVMER �
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� LICENSED CONTRACTORS DECLARATION W
� 1 HEREBV AFFIRM UNDER PENALTY OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
� Y(COMMENCINO Wlhi SECTION 7000)OF DIVISION 30F THE BUSINESS AND PROFESSIONS CODE,AN� Z
AIY UCENSE IS IN NLL FORCE ANO EF�ECL m
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� WORKERS'COMPENSATION DECLARATION Q
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� I HEREBY AFFIRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DECURATIONS: �
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� I HAVE AND WILL MAINTAIN A CERfIFICATE OF CONSENT TO SELF-INSURE FOR WORNERS' 2
� COMPENSATION,AS PROVIDED BV SECTION 3700 OF 7HE LABOR fADE,FOR THE PERFORMANCE W
• OF 7HE WORK FOP WHICH 7HIS PERMIT IS ISSUED. . �
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W _I HAVE ANO WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED BV SECTION 1 � /A^
Q 370o OF THE 1A80R CODE,FOR THE PERiORM CE OF THE ORK FOR WHICH THIS PERMIT IS / ,�y, ��
ISSUED.MY WORKERS'COMPENSATION INSU.AN E CARR AND POLICY NUMBER ARE: CONSTRUCTION / v v
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Z 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK fOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL ���y
(} SHALL NOT EMPLOY ANY PERSON IN ANY MpNNEH SO AS TO BECAM BJECT TO THE
� WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE TH IF I HOUL�BECOME INSPECTION FEE
S SUBJECTTO THE WORKERS'COMPENSATION PROVISIONS OF SE �ON 700 0F 7HE IAeOR
CADE.ISHALL.FOFiZHWITHCOMP1.VWlh1T OSE OVISIONS. ISSUANCE
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J WARNING:FAILUR TO SECURE M/ORKERS'CAMPENSATION CAVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C �
LL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AN�CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT 1
DOLLARS(tloo,000),IN ADDITON TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED FOR IN
J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: `
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a CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� Q I HEREBY AFFIfiM UNDER PENALN OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCV
d FOR THE PERWRMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30B7,CIV.C.). ' ��
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� LENDER'S NAME
H LENDER'SADDRE55 �
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¢ ICERTIFYTMATIHAVEREADTHISAPPUCATIONANDSTATETHATTHEABOVEINFORMATIONISCARREC7. TOTAL FEES � O '�
w I AGREE TO COMPLY WITH ALL CIN AND COUNTV ORDINANCES AND STATE UWS PELHTING TO BUILDING �
� CONSTRUC710N,AND HEREBY AUTHORRE REPRESENTA7IVES OF THIS CWNTY TO ENTER UPON THE .
ZABOVE-MENTIONED PROPERiY FOR INSPEC710N Pl vosEs. COMMENTS
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WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy
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GROUND PLUMBING UNDER FLOOR CO�IDUIT �
SLAB GRADE FIREPLACE FOUNDATION '
TEMP POWER FIREPLACE BOND BEAM
' WATER SERVICE - • - MID HT. BOND BEAM � '
' ROOF SHEATHING ' `I"1�2�t.� ' 8 FT. B�ND BEAM � � + •
FRAMING/VENTILIATION FINAL�BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC ROUGH GRADING
ROUGH RLUfVIBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRlC
EXT. LATH/SIDING POOI FENCING
WALL INSULATION ' � POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEWER FINAL ENG.
SEPTIC TANK � LANDSCAPE/IRRIG.
SEEP PIT/L..L. ON SITE IMPS.
GAS AIR TEST FINAL ZONING
FINAL CONST. FIRE DEPT. FINAL
FINAL HEATING HEALTH DEPT. FINAL
FINA�ELECTRIC DEV. FEES PAID
FINAL PLUMBING ENERGY
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