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HomeMy WebLinkAbout16379 (23) ^ 1�_ CITY OF DIAMOND BAA, r f_�,..--= DEPARTMSNT OF COMMiJNITY&DEVELOPMENT SERVICES , w ' 21660 E.Copley Drive Suitc 190 (909)860-3195 Fu(909)861-3117 PRESS \'L`°�'`1. FIRMLY BUII.DING PERMIT APPLICATION f" '� JOBSITE APPLICATION PERMIT �� �� � P/C o ADDRESS���� �l%G/�Y>,N9�,��,�+/�d,.r oC�� OATE � � NUMBER �=' � 1� � � ISSUE '�...t�,,,.:;��CQNST. GROUP APN LOT TRACT DATE p OWNER %�Gf�✓v C .�6LCS� p ADDRESS tCti>si�+ s 1� • ZONING SETBACKS �W CITYD,Od1 �+�rt+ �',fFIL ZIP " TEL. YLI- D'�Sa� FRONT RW ❑ APPLICANT J,]-�}Sn�..i �N:S'�-, TEL.��,��05LL.�� REAR p zd SIDE/SIDE STREET RW ❑ � CONTRACTOR J Lc�sa/ffi[rsf-,�i'D� C�� o SIDE ❑ ADDRESS ' p CITY j1rr��s�ZIP_�t��_S'TE .�/'�'�C��LZ9S�' PROPOSED USE�prv� .a� ,/���P_.�d�d�Lt Gbi.rG'K��`'Z-' AROWENGI �� S�"�"� � DESIGNER�KCG-f+r��t C[7�S'vf�y',,� G,,.��� � ADDRE55 r ry� � �, , ;.�.��O NO.DWEL. NO. Np, � CITY f f(R,�_► �-y � P�(,_y� TEL.?I',�3'7S'Z/G O UNITS STORIES BEDROOMS ��t �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNEA-BUILDER DECLARATION SFR/ADD/REM O p �1 HER�Y AfFlRM UNDER PENALN OF PERIURY THA7 I AM EKEMPT FFOM THE CONTRAC70RS LI- Gerage/CatpoR � CENSEUWFORTHEFOLLOWINGREA30N(5EG7031.SBUSINESSANOPROFESSIONSCODE:ANVCITYOR (n COUNfYWMCMREOUWESAPERMITTOCONSTRUCT,ALiER,IMPROVE,OEMOUSH,ORqEPAiRANYSIAUC- W PefiO/DBCk NNE,PRIOH TO ITS ISSUANCE,Q50 RC-0UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTFACTORS LI- � � CENSE UW(CHAPTER B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF 7HE BUSINESS AND PRO- PODVSpfl FESSIONSC�DE)OHTHATHEORSHEISEXEMP7THEREFROMAN�iHEBASISFpRTHEALLEGEDEXEAIP- (� V TION.ANVVIOI_AT�ONOFSECTION7o31.5BVANVAPPLICANTfORAPERMITSUBJECTSiHEAPPLICANTTO Z RB-ROof � ACMIVENALTYOFNOTMORE7HANFIVEHUNDREDWLURS(i50o)J: � OI,ASOWNEROFTHEPflOPERTY,ORMYEMPLOVEESWI7HWAGESASTHEIR50lECOMPENSATION, CI COmfflefCi81 - V11LL�D0 THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7044,BUSI- J � NESS PND PROFESSIONS CODE:THE CANTR/�CTORS LICENSE LAW OOES NOTAPPLY TO AN OWNER OF � PROPERT7 WHO BURDS OR IMPROYES THEREON,AND WHO DOES SUCH WORK HIMSEIF OR HERSE:F OR � THROUGHHISORNEROWNEMPLOYEES,PROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m OFFERED FOH5ALE IF,HOWEVER7HE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONF VEAR OF CAIAPLE- TION,TNE OWNER-BIAIDER WILL NAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR iMPqOVE FORTHE PUpPOSE OF SRLE). �y �171,ASONMEROFTHEPROAERT`/,AMEXCUISNELYCANTRAC71NaWITF1UCENSEDCONTRACTOR9 (r TO CONSTRUCT THE PqOJECT(SEC.7oM,9USINESS M!D PROFESSIONS COOE:THE CONTRACTOfl3 LI� V8IU8110f1 ADJ.AREA W f�NSELAWDOESNOTAPPLVTOANOWNEROFAFROPEPTYWHOBl/1LD50RIMPROVESTHEREON,AND ---- � WfiQ'CONTMCTSFORSUCHPROJECTSWIh1ACONTRACTOR(5)LICENSEDPURSUANTTOTMECONTRIIF �UAPITITV DESCRIPTION TORS UGENSE UW.). FEE � ❑I AM E%EMPT UNDER SE0.__�_ 8.8 P.C.FOP THIS REASON Q � � U — � � DATE OWNER H � U UCENSED CONTAACTORS DECLARATION W � I HEAEBYAFFUUA VNOER PFWUSV OF PERJURV THAT I AM LICENSED UNDER GROVISIONS OF CHAPTER V, � 9(COMMENCINGWITHSECTION7900)OFONISION30FTHFBUSINESSANDPROFESSIONSCODF,ANO z . � MY IaCENSE IS IN FULL FORCE AND EFFECT. � � LICENSE CLASS_�7 UC.ND. �� ��_�� � V DATE CONTRACTOR _ � W � WORKERS'COMPENSATION DECLARATION Q � I HEqEBV AFFlRM UNDER PENIILTV OF PERJURY ONE OF THE FOLLOWING pECLARATIONS: Z � �_IHAVEANDWILLMAINTAINACERTIFIGATEOFC(NJSENTTOSELHNSUPEFORWORKERS' a CONPENSATION.AS PROVIDED BV S[C?IIXU 3700 OF THE LABOP CO�E,FOR THE PERFORMANCE U � . OF THE WOAN FOR WHICH THW PERMIT IS ISSUED. � O �I HAYE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION ' 37000FTNELABORCO�E,FORTNEPERf4RMANCEOFTHEWORNFORWHICHTHI6PERMITIS ISSUED.MY WORKERS'(pMPEN�SrA-TiIN:��INSURRNCE CARRIEfl AkD POUCY NUMBER ARF: CONSTRUCTION � �� caRRiEa�I�i���J(..,,_�+ex��N� 4� I�i�'KR�[.�_ PLAN REVIEW r � . POLICYNUMBER f?rt�G_.�.E,/"'� , ELECTRIC 7— `� ('nassec'tiortHE�niareE�t�'moF7rer�ar.�'ts�a�Ehu.�tE�ba.�a�s�afooJai�ss�. PI_UMBING z � I CERTIPV THAT INTHE PERFORMANCE OF TH�WORK FUR WHICH THIS PEP.MIT IS ISSUE0.1 MECHANICAL ____ C7 � SHALL NOT EMPLOY AAIV PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE '(q WORKERS'COMPENSATIONLAWSCFCALIFORN10.ANDAGREETHATIFISHOL'L�BECOME INSPECTIONFEE _ SUBJEC7 TO THc WOHKFHS'COMPENSATION PROVISIONS OF SECTION 370o OF THE LABOR -1 i s � coo�Foarw,vir,�coMv�v wina rHo�sfE aa�o/wsyi tis. ISSUANCE «��.v p DATE: �_� kPP�ICANT. .%p���''�"'�"_5� SMIP � WARNtNO�FP.ILURE TO SECURE W4RKER5'CAMPENSAiION COVERAGE IS UNLAWFUI.AND SHALlBE ENERGY P/C �y SUOJECTANEMPLOYEPTOCFIMINALPENALTIESANDCIVILFMES�PTOONEHl1NDREDTHOUSAND ENERGYPeRMIT 001.l.ARS(=1 oD,oOo),IN ADDiTION TO THE COST OF COMPENSATION,DPMAGES AS PROVI�E�FOR IN � SECTION37080FTHEL4BORCODE,INTERESi,ANOATTORNEV'SFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THEPE IS ACONS7RUCTION IENDING AGENCY • __..____.._.._._...-.-.�•.—'-:- FOF THE VEHFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV CJ. Z W � LENDER'SNAME _ 1— LENDER'SAODRESS � (� � I AGPE'E TO CAMPIY W7HAALLICIT'pNCCW roNTY�ORD NANCES ANO STA�E LAWS ELATING TOB RA NG TOTAL FEES a � O,J � CONSTRUCTION,ANDNEREBYAUTHORIZEREPfiESENTA71VE50FTHISCOUNTYTOENTERUPONTHE Z ABOVE-MENTIONED ApOPERTV FOR INSPECTION PURPOSES. COMMENTS � � J'�i°G6f' d�'oQe./�!" 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