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HomeMy WebLinkAbout13100 (14) ., r CTTY OF DIAMOND BAk � - - DEPARTMENT OF COMMLTNITY d�DEVELOPMENT SERVICES � � , 21660 E.Coplcy Drive 5uite 190 (909)860-3193 Fax(909)861-3111 PRESS � �"�"+ BUILDING PERMIT APPLICATION FIRMLY o J0651TE Z3�y� �0���„ JJ�F� OQ` DATE � �Z�� NUMBE * !�� APPLICATION PERMfT P < ADDRESS a� �� �../1�"1 NPE .�.L� � APN LOT� TRACT 2� pATEE OCC � OWNER O.JIG�D E� S.9�ll f/SQ� CONST GROUP � ADDRESS Z3 / ' OS�O�"GT A�-Gt !2� ZONING SETBACKS � cin Oi/vr�io.�� .C��iV�2 YIP �I TEL. -9'G L REAR RW ❑ APPLICANT TEL. O SIDElSIDE STREET RW p � CONTRACTOR SIDE p ADDRESS ����� � CRy Y�P T� ROPOSED USE__ Y J�CfaJ�l AODI r'10 � ARCHfENG/ DESIGNER��'� ����t ADDRESS sR3G S. Cqs7Y�o� /L,I7. ND.DWEL. NO. NO. � CITY ���'�ND P.s� YIP /'7 r�. 8r':9y 62,�� UNRS STORIES BEDROOMS � OWNER-BUILDER DECLARATION DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION O SF D EM I FEREBY AFFlRM IRDEF PENALTY OF PEiWRY THAT I AM E%EMPT FROM TNE OONTMCTORS L4 Garegelcarpon CENSEIAWFORTHEFOIlGWN10REASf�N�3EC.7O91.B8u81NESSANDPiqFE3S10NSCODE:ANYCITYOq (n COUNTYYNIIQIREOUIttESAPEAAIRTODONSIAUCT,ALTER�PROYEDEMOLISII,ORREMIRANYSTqUC W patk/Deck TURE,VRIDR 10 R6186UANCE,ALSO REW IRES THE APPIICANf FOR BUCH PEHMR TO FILE A BIONED BTATEAIEM THAT HE OR 9HE IS UCEN6ED fURSUANT TO THE PiqV151IXV5 OF TXE CON�RAC70RS�I- CENSE LAW(QWTER Y(COAINENCINQ NIIIH i[CTION 70WJ OF DIVISqN 3 OF TNE 6USINESS ANO PRO• � POO�$p8 FESSqNSCODE)Of17W�TMEORSNEIBIXEMf*riMEREFRO�IAN�TNE8AS13FORTHEALlEOEDF%EMP• (� TqN.ANYVIOLATqN OF BECTION 7091.b BY ANYMPLICANT iOR A PERM�T SUBlECiB 7HE APPLIGAR T0 z Re-Root � A CML PENALTY OF NDT MORE TMMI FIVE MIlOHED DOLUPS(�ao}k - OI,/SOriNEROFTHEPROPERTV,ORYYEMPLOVEE3WITHWAOESASTHEIH40LECOMPENSATpN, COIIIRIB/CI81 YYql DO THE WORI(AND THE BTRUCTURE IS NOT INTENGED OR OFFERED FOR BAI.E�BEC.7oa�,BIMi- � � MESS AND PiWFESS10N5 OOOE:IHE OONfR�C70RS IICENSE UW UOES NO7 APPLY TO AN OWNER OF ? 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B.i P.C.FOR iH13 REASON Q / 'E��'s-JJ ��U G� " i e� ca Q � o�rE -S-Z- 5'' owneR G— � �O.J �$.V7`S � � W G'LC�:Tiz OLjGr+'T sss��[ IICENSED CONTRACTORS DECLARATION W /Z� (J vTs'l:+7 ar' L/L•N�`S ✓ (p � 1 HEREBYAFFIRM UNDEq PENALTV OF PEIUUIiY 7MATI AM LICENSED UN�ER PROVISqNS OF GIAPTEH Ve S��i T�''�I�- ��COMMENGpN3MRTMSECfION7o0o)OFOMSION70FTXEBUSINE39AHOPROFESSIONSCOOE,AND Z S y MY LICEN9E 16 Ml FlJLL FORCE Af�A EFFECT. � � LJCENSE aASS LIC.NO. �J � DATE CONTRACTOfl a INORKERS'COMPENSATION�ECLARATION a � I HEREBYAFFIRM UNDER PENALTY OF PE0.1lJRY dJE�F 7HE FOl10WIN0 DECU1MTqN5: V y Q � �IHAVEANDWILLAMIMANACERTIFCATEOFCONSENTT06ELFdNSUREFORWORNER6' COIAPQISATIdJ,h5 PROVIOEO BV SECTION 97000F ME IABOR CO�E,FOR THE PEfiFDRMANCE U -_ OF 7NE WORIC FOR WHICH THIS PERMIT IS 189UED. � O ��/UVE Alm N7LL LUUMAW WOiMERS'COMPH.ISATIDN NlSUMNCE,AS REIXIIRED BY SECTION �C 07000FTHElABORCODE,WRTNEPEAfbHMANCEOFTHEWOFKFORWMICHTF115PERM1Tl9 r,Q i 16SUED.1f'/WOqKEqS'L�APENSI1TqN INSURANCE CMRIER AND POLICY HIIMBERARE: CANSTRUCTIQN V l � �U jCARRIER PLAN REVIEW �_ � ra�nYr�eER ELECTRIC � ypJ ` R�+seEcra+�r�oTeE�ooFn+Ers�Tsrona+e��octivas�siaolon�ssp PLUMBING Z , \ I CERTIFY 71iAT N TF1E PEFIFOqMANCE DF THE WOFN FOR WHICH iHIS PERMR I515SUED,1 MECHANICAL ��R � J (�' SFIALL NO7 EMPLOYMIY PERSON IN ANY YMNER SOAS TO BECpAE SUBJECT TO THE �T Z y YMDFKEi15'COMPENSATION UWS OF CALIFONMA�N�MREE TW1T IF 1 SHOULD BEOOME INSPEC710N FEE 6U6lEL`T TO THE WOFIKERS'COMPENSATION PROVISIONS OF SECTION 370o OF THE IABOR v O caoE.i sw�u Fom�+win�can�a�r wrtH rrro s. ISSUANCE CITY � �Z_�� � �� �m :�. p OATE: APPLICANT: SMIP B V LL � WAANINQ:FAILURETOSECUREWOHKERS'COMPENSATIONO�VERA[7EISUNUWFUL,ANDBHALLBE ENERGYP/C � Sl81ECTANE4VLOYERTOCqMWP1VENALTIESMIOCMLFWESUVTOONEWJNDREDTFIOIISANO ENEHGYPERMIT T, OOLLAR9({70D,000�,W ApDITION TO TFIE C0.ST OF COAIPENSATqN,DAMAOES AS PHOVIDEO FpR IN � � BECTION�70e OF THE LABOfl COOE,M7ERE9T,AND ATTOqNEY'8 FEES. RETENTION FEE: _ � CONSTRUCTIONLENDINGAGENCY PRE-ALT E: � � IHEqEBVAFFIRMUNOEHGENALTYOFOERJURVTHATTXEPEIS�CONSTRUCTIONLEN0INOAUENCV � FOR TNE PERPDRMANCE OF TFIE WORK FOR WHICN 7HI5 PERMIT IB ISSUED(SEC.3oc7,CIV.C.). � LENDER'6 NAME � t LENDER'SADOqE55 � ICERTIF/TNATINMlEqEAD7HIqADPLIGtTIDNANDSTATETNTTIEABOVEINFORMATIDNISCORRECT. T�TAL FEES d I AAREE TO COMPLV N7TH N.�CRY ANO COUNiV ORDIIUNCES AND BTATE lAWS RELATINO M BUILDING � CON+^TRUC'fION.ANDMEREBYAUiFiOpREREPRE3EN7ATNE50F7MI5COUNTYTOENfERUPONh1E 11BOVE�MIEMqNED PROPEflTY FOR WSPECiION PURPOSES. 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