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HomeMy WebLinkAbout17498 (23) �ITY OF DIAMONia BAR � ---�°'--1 DEPARTNIENT OF COMMUNITY&DEVELOPMENT SERVICES � I�-, _.ti 2d825 E.Copley Drive (909)860-3195 Faac(909)%61-3117 PRESS '`�vK�'�' BUILDING PE12M[T APPLICATION FIRMLY o AD R�E55 d /�1� ��1Y!/�D �� DATEICATION � ������NUMBER��_ #/C m ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER � Z. LL ADDRESS� Q// � 4/71/I1D ZONING SETBACKS z CITY r���rt�_�,�'✓ ZIP 9/7 TEL.���' �Es 9 FRONT RW ❑ � APPLICANT TEL. REAR ❑ Z SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR ' C SIDE ❑ o AD�RESS PROPOSED USE o CITY IP�/70/ TEL.y6�OS�7 w ARCH/ENG/ i z' DESIGNER W NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � �� OWIV.ER-BUILDER DECLARATION SFR/ADO/REM � O p I HEflEBY AFFIRM UNDER PENALTY OF PERJUPV iHAi l AM EXEMP7 FROM iH�CONTRACTORS LI- Gfll'89BJC3fPOR W' CENSELAWFORTHEFOLLOWING'qEASbN(SEC.7o91.5BU51NESSANDPROFESSIONSCODE:ANYCITYOR (� , U .COUNTVWHICHREOUIRESAPERMITTOGONSiRUCT,ALTEP.IMPROVE,�EMOLISH,OpREPAIRANYSTFUC- W pytIO/DECk W iURE,PFiIOF i0 ITS ISSUANCE,AL50 REQUIRcS THE APPLICANT FOR SUCIi PERMIT i0 FILE A SIGNE� � SiATEMENT THAi HE OR SHE IS'LICENSED PUFSUANT TO THE PROVISIONS OF THE CON'RACTOpS LI- �� CENSE LAW'(CHAPTER 9(COMMENCING WRH SECTION 7000�OF OIVISION 30F iHE BUSINESS AND Pq0- LL' PODUSPB FESSIONSCODE)ORTHATHEORSHEISEXEMPT7HEREFROMANDiHEBASISFORTHEALLEGEDEXEMP- (� � TION.ANYVIOLATIONOFSECTION7031.5BVANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof 'A CIVIL PENALTY OF NOT MOftE THAN FIVE HUNDRED DOLIARS(E5W).�: � . �I,ASOWNEftOFTHEPROPERN,ORMYEMPLOYEESWI7HWAGESASiHEIRSOLECOMPENSATION, � 'G�f111T721C181 - Z WI�L DO THE WORK,AND THE STRUCTURE IS NOT MTENDED OR OFFERED FOR SAL[(SEC.7044,6U51- ,J NESSANO PROFESSIONS CO�E THE CONTRACiORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � �PROPERTYWHOBUILDSORIMPROVESTHEREON,ANDWHO�OESSUCHWORKHIMSELFORHERSE�FOR ' � �� ��THROl1GHHISOHHEROVNJEMPLOYEES,PROVI�EDTHATSUCHIMPROVEMENTSARENOTINTENDE00R m �� Q .OFFEREDFORSALE.IF,HOWEVER,THEBUILDINGOflIMPROVEMENTI550lAWITHINONEYE4ROFCOMPLE- Z 'TION,THE OWNER-BUILOER WILL HAVE TNE BUR�EN OF PROVING Tf�iAT HE OF SHE DID NOT B�JILD OR � �IMPROVEFORTHEPURPOSEOFSALE).' W. ,❑I,ASOWNERDFiHEPROPERTY./1MEXCWSIVELYCaNTPACTINGWIiHLICENSE�CONiRqCTaRS Q TO CONSTRUCT THE PflOJECT(SEC.7044;BUSWE55 AND PROFESSIONS CCOE:hiE CONTRACTORS LI- VdIU2tIOR ADJ.AREA W CENSELAWDOE3NOTAPPLYTOHNOWNEROFAPROPER?YWHOBUILASORIMPROVESTHEREON,AN� � � WHOCONTRACTSFORSUCHPROJECTS�WITHACANTRACTOp�S)LICENS'cOPURSVANTTOTHECONTflAC- QUANTITY DESCAIPTION FEE Y TORS LICENSE LAW.), . q �Jp ' ¢ u IAM E%EMPTUNDEfl ScC. .B.fl P.G FOfl7H15 REASON � � -G)D Li��� ' � LL � DATE � OWNER __ V � LICENSED CONTRACTORS DECLANATION W Q Q IHEREBVAFFIRMUImERPENALTYOFPERIURYTHATIAMLICEN5E0UNDERPROVISION50FCHAViER ' � d ,9(COMMENCING1YITHSECTIDN7apo)OFONISION30FTMEBUSINESSAN�PROFESSIONSCODE.ANO z �X MY LIC'eNSE IS IN FULL FORGEAND EFFECT. m � LICENSE CLASS � �+�' LIC.NO. a/ ^��� j ~ �ATE IZ��7�OL� CONTRACTOR � d W -� T— /� � WORKERS'COMPENSATION DECLARATION Q rn � �7.�0�[/T'Y ; � IHEREBVAFFIRMUNOERPENALTYOFPERJIJRYONEOFTHEFOLLOWINGDECLARATIONS: Z /' C� Z _IHAVEANDWILLMAINTAINACERTIFICATEDFCONSENTTOSEIF-INSIJREFORWOqNERS' _ COAIPENSATIDN,ASPROVI�EDBYSECTION37000FTHELAeORCO�E,FORTHEPERFORMANCE C� � e ¢� OFTHE Wl]RK FOR WMICH THI5 PERMIT IS ISSUE�. . � W \� � Y I HqVEqN�WILLMAINTAIN WOftKEPS'COMPENSATION INSURANCE,AS REqUIRED BYSEGTION Q �� 3]0o OFhIE LABOR C�E,FOF TF1E PERFORMANCE OF THE WORK iOft WHIGH THIS PEflM1T 15 ISSl1ED.MYWTORKEAS'COMPENSATIPNWSURANCEGAHRIEAANDPOLIGYNUMBERARE: CONSTRUCTION 7 CARRIEF�.L�I�M/f ,�(/�f CD� PLANflEVIEW Z POLICYNUMBEF �lvL�I7 �� ELECTRIC __ _ � �.���___ ¢ (IHI3SECi10NNEmNOT0E�h1P4EfcDOF11-IEPERMITISFORONEHUIJ�Rm00LlARS�f00)ORLESS). PLUMBING � . ^—��—. Z ICERTIFYTHATMTHEPERFOHI�:fAHCEOFTHEWORKFORWHICHTHISPERMI71SI5SUED.I MECHANICA� � •�� (.�} SHALLNOTEMPLOYANVp�RSONINANYMANNERSOAS70BECOMESU&IECiTOTHE I (� WORKEFS'COM°ENSATION�lAW,SbFCAUFORNIA,ANCAGfiEETHATIFISHOULOBECOME iNSPECT�ONFEE l,� � ' r SU6JECTTOTHEWORKEfl5'COMqENSATIONPROVISIONSOFSECTION37D00FTHELABOR QLODE.ISHALLFORTHWIiHCOMPL�YWITtiH0.4E/PRO�NS. ���� ISSUANCE � � i �j� SMIP DATE: � 7 � AP?LICANE J WARNINGFAILURETOSECUREWOf�KEBS'COMPENSATIONCOVERpGEISUNLAWfUL,ANOSHALLBE ENERGYP/C LL SUBJEC7ANEMPLOVERTOCRIMINM1LPENALTIESAN�CNILFINESUPTOONEHUNOREDTHOJSAND ENERGYPERMiT D04LAR5(Si00p00),M ADDIiION TOTHE Ci05TOF COAAPENSATION.�PMAGES AS PRaV1�ED FOR IN � SECTION3]OeOFTHELABOPCODE;IN7�RE5T,ANDATTORNEV'SFEES. RETENTION FEE: ____ _, _ d CONSTRUCTION LENDINGAGENCY PRE-ALT FEE: O � IHEREBYAFFIaMUNDEftPENALiYOFPERJUflYTHATTHEFiEISACONSTRUCTIONLEN�INGAGENCY ' _ FOR 7HE P[flFORMANCE OF THE VJORK FOA WHICH iH15 PEflMIT IS ISSUED(SEC.3oBl,CIV.C.). 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