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HomeMy WebLinkAbout15288 . - ,.._.�,__-_ _ _ _ ___--�.- __-------- ����Y���� �� �� .. �� _ CITY OF DIAMOND BA8 ����v� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �:!`-J 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ���'��� BUQ.DING PERMIT APPLICATION FIRMLY � JOBSITE c '(� � 1 '`� APPLICRTIO -� � PERMIT /�1 P/C � ADDRESS -Z���•-C� (v�C"F�.��a?�.L�:'J7-�-�^�.•4 P DATE �`�Uw �(�._NUMBER °"� # c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNE�t3i',�aC= Ct r�s-F.t�'-� " ADDF�SS�'1�'�� ZONING SETBACKS Z c�Tv '���"���A�`^ ' ZIP �%�� TEL.,� Sfci�?-�C�� FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR A�`i��-+'`t�X-i�.��C74tL�i:`�' SIDE ❑ ADDRESS �'�"�L"�"�1�E''�s'S fP.`/ ! � PROPOSED USE � CITY �r�c.+-�.�`�`�•� ZIP 3�1�c2. TEL. ��5"�.��� - o ARCH/ENG! � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS = CITY ZIP TEL. � y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER OECLARATION SFR/ADD/REM O p 1 HEREBY AFFlRM UNDER PENALTV OF PERJUNV THAT t AM EXEMPT FFOM THE CONTRACTORS LI- � Garage/Caryort W CENSEUWfOR7HEFOLLOWINGREASON(SEC.7o31.58USINESSAN�PROFE5510N5CODE:ANYCI7VOR CaUMVWHICHREOUIPESAPERMITTOCQtJSTRUCT,AITER,iMPROVE,�EMOUSH,ORREPAIRANYSTRUG W patl0/DBCk W TURE,PRIOR TO ITS ISSUANCE,A150 REOl11RE5 THE APPLICANT FDR SUpi PERMIT TO FILE A SIGNED w STATEMENT THAT ME OP SME IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACNflS LI- � CENSE lAW(CHAPTER 9(COMMENCIN�WITH SECiION 7000)OF�IVISION 3 0f THE 8U51NE55 AND PflP � Pool/Spa FESSIONS COOE)ORTMAT HE OR SHE IS EXEMPT THEREFROM ANO THE BA515 FOR THE ALLEGE�EXEMP- TION.ANYVIOLATIONOFSECTION7031.5BYANYAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof �, ACIVILPENALN OF NOT MORE THAN FIVE HUNORED DOLUIRS(SSao).): � ❑t,A50NRJEFOFTHEPPOPERTY,ORMVEMD�0YEE5WI7HWAGESASTHEIRSO�ECOMPENSA710N, O CommBfCidl - WtLL DO THE WORK,AND THE STRtJC7URE IS NOT INTENDED Oa oFFEREO FOR SALE(SEC.7044,BU51- J NESS M10 PROFESSIONS CODE:THE CONTRACTORS LICEN5E LAW DOES NOT APPLY TO AN OWNER OF � PROPERTYWFIOBUILDSOR�MPNOVES7FiEREON,ANDNM1IODOESSUCHWORKHIMSELFORHERSELFOR � � TMf10UGMHI50RHERONMEMPLOYEES,PROVIDEDTHAT3UCH�MPROVEMENTSARENOTINTENDE00R m QOFFERFAFORSALEIF,HOWEVERTMEBUILOINGORIMPROYEMENTISSOLCWITHINONEYEpROFCOMPLE Z �TION,THE OWNEREUILDER WILL HAVE 7HE BUR�EN OF PROYING THAT HE OP SME DI�NOT BUIL�OR = IMPROVE FOR THE PURPOSE OF SAIE). w ❑I,AS OWNER Of THE PROPERfY.AM EXCIUSIVELY CONTRACTING WITH UCENSED CONTRACTORS � TO CONSTRUCT THE PROJECT(SEC.7044,BUSINE55 MD PROFESSIONS CODE:THE CONTRACTORS LI� VelUetiOn ADJ.AREA W CENSELAWDOEStJO7APPLYtOANOWNEROFAPROPERTYWH08UILD50RIMPROVESTHEREON.AND � VhqCONTRACTSFORSUCNPROJECTSWITHACONTRACTOR�S)UCENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE Y TORSUCENSEI.AW.�. O ❑i AM EXEMVT UNDER S�C. B.B P.C.FOR THIS fiEASON Q '-�S U W � DATE OWNER � Z W � LICENSED CONTRACTORS DECLARATION W � I HEREBYAGFIR4 UI�DER PENALTV OF PERJURV THAT I AM LICENSED UNDEP PROVISIONS OF CHAPTEF � � Y(OOMMENCINO WITN SECTION 1ao0)Of DNISION 30F THE BUSINESS AND PROFESSIONS CA�E,PND MV UCENSE IS IIJ FULI.FORCEAND EFFECT. Z O �'•a�<c .�.V�Z-�Z � � �--�h.���_� r � LICENSE CLASS LIC.N0. �-5, � J V DATE_ ���"'C�� CONiRACTOR - n- W � WOFKERS'COMPENStif10N DECLARATION -�� � � I HEREBV AFFlRM UNDER PENALTY OF PERJURV ONE OF THE FOLIOWING DECLARATIO N � IWIVEANDWILLMAIfJTAINACERTIF!CATEOFCONSENiTOSFLF-INSUREFORWOR � �COMPENSATION,AS PROVIDED BV SECTION 370o Of THE LABOR CODE,FOR THE PE FOR�A CE W OF iHE WORK FOR WHICH THIS PEFMIT IS ISSUEO. � � w _IHAYEANDWILLMAINTAINWORKERS'CDMPENSATIONINSURANCE,ASREQUIREDBVSECTION � 37000FTHELA6�RCODE.FORTHEPERFORMANCEOFTHEWOPoCFOflWHICFiTHISPERM1T15 ISSUED.MY WORKERS'CO�MPEN,�S-A�-�TION INSURANCEr,(�',A.R,R�IERANO POIICY NUMBEHARE: CONSTRUCTION � CARRIER �i �c,�6.��itA.,�.7'L.,`�'�..i`r'i_4:J�(��S.__ PLAN REVIEW __ _ Z POLICYNUMBER �d.�tiC3�� \C� " � � ELECTRIC Q � (fVi6SE4TpNNE�NOTBE00MPlETLDOFT1iEPE7ihtll'ISFIXi�NEHUrDRED (E14o�0 LESSF PLUMBING 4 Z I CERTIFY THAT IN THE PERfORMANCE OF THE WOFlK FOR WHICH 7NI5 PERMIT IS ISSUE�,I MECHANICAL (� SHA�LNOTEMPLOYANYPERSDNINANVMANNER50A5TOBECOMESUBJECTTOTHE y WORKERS'COMPENSATON LAWS OF CALIFORN10.AND AGREE THAT IF I SHOUL�BECOME INSPECTION FEE S SUBJECTTO7HEWOFKERS'COMPENSATIQNPROVISIQNSOFSECTION370oOFTHELABOR - CADE,I SHALL FORTHWITH COMPLY WITFC,`fHOSE PROVISIb ISSUANCE li p "'�''�;,.�C:_1,.e� �`�""'..--...,,,,. SMIP ,�p��'i'�v,t�rn� p OATE: APPLICANT: _ (r-s.,�.�—":".^"""""'. q�.� .-�CC].^ � 1J � WARNING FNLURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUI,AND SHALL BE ENERGV P/C w � SU&1ECTANBA7LOYERTOCRIMINALPENALTIESANOCIVILFINESUPTOONEHUNOREDTHOUSAND ENERGYPERMIT DOlURS(f100.000�.IN ADDRION TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTpN3�D80FTHELABORCODE,INTEREST,ANDATTORNEV'SFEES. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE �__ � IHEREBYAFFIRMUNDERPENALTVOFPERJURYTHAT7HEREISACONSTRUCTIONLENDINGAGENCY _ FOR THE PEFFORMANCE OF THF WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3D97,CIV.C.�. Z w � LEN�ER'S NAME H LENDER'SADORE55 /' w I CEHTIFV iNAT I HAVE RE4D THISAPPLICATIONAN�STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES �W���� d I AGPEE i0 COMPLV W1TH ALL CITY pN0 COUNTV ORDINANCES AND STA7E LAWS REIATING TO BUIIDING / J CANSTRUCTION.AND HEREBY AU7ViORIZE REPRESeNTATIVES OF 7HI5 COUNTYTO ENTER UPON THE Z ABOVE-MEMIONED OPERTV FOR INSPECTION PUFPOSES. p COMMENTS _ ��)�1�'^������--7 '"��--"��..''�1 m PERMITTEE NAME(PR(tJTJ � � � � -.-' a- �3 �1 =��a-�-"�--� � SIGNANREOFPEFiMITfE DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—Assessor Copy, OLOEN Oo--Fiie Copy,GREEN—Applicant's Copy " . . : .�. . ����:. :. � �.;,:'.ii, f�i. , y i � - �.'i. � -��": , . . ..',. :� .. ... .... .. : ....:. ..:.. . .. .� . �:'�'�i ... .. ..� . t! . � � �. .. . ...... ..;... . .'• .. . ,. ... . . .. - � . . . .-: . . '..'a� .:,..:... (.�.., :...�-'�'- ���� � �� ��� � ����� ,:��`���� ������,� _ �; ; >.:: � �� �..,: � � -- � ��: �� � � � � � �.� y. � ��� �� � � �� � �� ; . � .. 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