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HomeMy WebLinkAbout13349 _�_ _ CITYOFDIAMONDBAII EXPIRED _� _ DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES : � , � 21660 E.Copley Drive Suitc 190 PRESS (909)860-3195 Fax(909)861-3117 N�� Q 1 2��Q "^�'�+ BUQ.DING PERNIIT'APM.ICATION FIRMLY � JOBSITE Q/) APPLICATION PERMfT P/C � ADDRESS U V DATE NUMBE N $ ISSUE TYPE OCC APN T TRACT DATE CONST. GROUP � OWNER S C �I � � ADDRE S C��—� ZONING FRETBACKS Rw ❑ � CITY ZI � TEL. � REAR p APPLICANT TE � a SIDFJSIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDHESS g CITY ZIP TEL. PROPOSED USE Pai ARCWENG/ � DESIGNER NO.OWEL. NO. NO. ADDRESS UNITS STORIES BE�ROOMS CITY ZIP TEL. in DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADDhIEM O I IIEREBY AFFlRAI IDIDER VENALTY OF PERRIRY TFIAT 1 AA1 E7�MP7 FROM T/E CONTMCiOq3 LI� (�e�ggp/C8ry011 CENSEUIWFORhIEFq10WMOREASON{3EC.7031.6BUSINESSA1mPROFESSION6CODE:NJYqTYOR (f� COIRfiY1N11CNRE0UlAESAPERMITTOWNSTRUCi.ALTERMPROVE.DEMOU9H2ORNEPWRANY87RUC• � Pe1io�� 7UHE,�NqR 70 R8 195UANGE,KSO 11E�llMMRES THE MPLIGANT FOR BUCN PERMIT TO FIIF A SIONED 6TATFMENT 7NAT NE OR Sl1E IS LICENSED PURSUMIT TO 1ME PROVISIONS OF TME CON�MCTOf6 LI• CENSE LAW(CNAPTER i�C9MMENGNa W17H 6ECfION 7000)OF qyISION 9 0F lHE BlI31NE55 AN�PR0• LL' POOUSpe FESSIONSOOOE)ORh1ATNEORSHEI8E7fEA1PTTMEREFRONMlOTHEBASISFORTHEALLEOEDEXEMP• C7 710N.ANYNqJ1TqNOFSECTION7W1.6BYANYAPPLICANTFORAPERMITBUAlEC797HEAPPLICANiTD Z Re-Roof � AGVIL VENALTV OF NOT YORE 7HM1 FME HUNDqEO DOL1M8(tb00).J: 04�501MiEAOF7HEPROOERTV,ORMYEMROYEE9WIhIWIWESASTHE�R60LECOMPENSATpN, O GOIfIRIBfCi91 g YYILL 00 hIE WOFiIL,ANO TME STiIUCIURE 18 NO7IMENDED OR OFFERm FOfl 6ALE(6EC.70N,BU61• J � NE68 AND PROFE3910NS CODE THE COMMC70R3 110ENSE Uw OOES NOT MPLY TO AN OWNER OF = �fiOPERiV NRiO BUIDS OR qAPiqYE3 TIIEREON,MA YMO DOES SUq/M/OPN MINSELFOR HERSELF Ofl � TMIGJOFINiSOfiMEROWNEMPLOYEES,PRDVIDWTHJliBtICNNIPROYENEN78ARENOTINTENOEDOR m OF�E�E�RMSALE IF FqYfEVER 7ME BUIDIN(i OR MIPROVEAAFMISSOLD WITYIIN ONEYEAROF COMPLE• � TON.TME OYVNER$UItDER YVILL HlNE TFE BURDEN OF►ROYItK3 THI�T HE OR 8NE DIU NOT BUHD OR MAPIqVE FOR h1E PUHP�E OF BALE). � ❑1�140MMEROFTHE►ROPERfY,ANEXC1U51VELYCOMMCTINOWIT11lJCENSEUCONTMCTOR9 TO COM5fRl1C'f 7ME PNWEC7(SEC.7WI4,BUSINESS AND VROFE591ONS CODE:7ME CON7MCiORS U� V81U9110n AOJ,qqEA CENSE UW DOE!NOTAPPLY TOAN 01MlEA OFA PROPEi1TY WFIO BULDS W11MPRpVE6 7HEREON,AND NMOCONTMCTBFOOiBUqiPROJECTSYAiHACONfMCTOR(S)LICENSEGPURSUl1NTTOTHECOMMG pUANTI7Y DE5CRIPTION �EE � TOAS UCENSE UN[�. ❑1 AM IXENPf 111�ER 9EQ B.i P.G FOR THIS REASON � WTE OWNEH � LICENSED CANTRACTORS DECLARATION W � I XEREBYAFF{RM UVDER PENAL7Y OF PENI/HY TNAT 1 AM 4CENSEO UNOEq PRDYISIONS OF CHAPiEfl � f[COMMENCViCi YMTN SECTqN 7000)OF DM610N 9 OF THE BUSINESS AND PROFESSIONS COOE,AND V� �fY IN;ENSE IB PI FULL FORCEAND EFFECT. �� LICENSE CLASS LIC.HO.��OO�4 � W1TE CONTMCTOq WORKERS'COMPENSATION DECLARATION � ��Bl U � � � � S � � 1 XEREBYAFFIiUA 11NDER PQlALTY OF GE0.IURV ONE OFTNE FOLLAWINO DECLAfU,TYDNS: Z /� � t/ � � �IHAVEANDWILIMAWTNNACEIRIFICATEOFOONSENitOSELFdNBUREFORWOqKERS' _ fI� E CQAPENSIRION,ASPROVIDE09YSEGTION37000F7NElABOHCOOE,PORINEPERFORMMICE W / �' I� r � / OF THE WORK FOR YVHICM h113 VERMIT IS 195UE0. g � ��(}—1 FNVE ANO N7LL MUMTAPI WORKERS'CaMVEN9AilON INSUqANCE,AS RE�NRE�BY SECTtON ( �7aG OF 7lIE 1A90H OOOE,FOR TIE PERFORMMiCE OF THE WORK FOR riHICH TMIS PERMR IS � ISSUED.W WORKER`S'��tP SATIDN INSURMIC `�RIER POLICV NUMBEHME: GONSTRUCTION ? CARRIER J • rJ� �i �V�� PLAN REVIEW � POlICY1lIMBER_��'C�� / ! ELECTRIC J . . fM8SEc11x+NEIDNDTeEoa�aEiIDOFTHEPEwRrIBWRa+E1M�ORmoa.Wts�i+ao)oqLE551 PLUMBING � Z 1 CERTIFY THAT W iHE PERFOfiMANCE�THE WORK FOR WHICH THIS PERMIT IS ISSUED,1 � � SHALL NOT EMPLOY ANY PERSON IN ANY NANNEq SO AS TO BECOAAE SU9JECT TO THE (n WORKERS'COMPENSATION UWS OF GLLIPo ',AN�AOREE TMAT IF 1 SMOULD BECOME INSPECTION FEE SUBJF,CT THE k1tlRKERS'COMVENSAT P VISIpJS OF$ECTION 37o00F THE UBOR �j ,-iy u�t mHvnnicanv�rrw ra hsior�s. ISSUANCE r �j�1 � ��� � pOATE: r `APPLICANf: ••.. SMIP i-'?�''�p�•••_• k � - � WARNM•FAILURETOSEQIREWORKER3'QO/ADENSATIONCOVERAG`EISUNUWFUI,ANDSMALLBE ENERGYP/C�;'�jli Zy� . r..i��- '�i1.� �: BUBJFCTAN EMPLOVER TO CRIMIN/LL PQlALTIES AN�CIVIL FINES UP TOONE HUNDRED THOUSAIA �' =°�1�-��".';:'$�J l� r DOLLMS(if00.000),INAUDITIONTOTHECOSTOFCOMPENSATION,DAMAOESASVROVIDEDFORM! ENERGYPERMIT � SECTIONiTOlOFT1iELABORCODE,INTEREST.ANDATTORNEY'9FEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBVAFFIRMWDERPENPLTlOFPERIURYT1iAiTMENEI6ACONSTRUCTqNLENDW�/AENCY z FOR THE PERWPMANCE OF THE WORK FOfl WHICH THIS PERMIT IS ISSUED�SEC.]OVI,CIV.Gj. W � LENDER'S NAME � LENDE{I'5 ADDRE53 � ICERTFYTiATIHAVEREADiHISMiLICATpNANDSTATEhMTTF1EABO1fEINFORMATION1300RRECL TOTAL FEES � 1 AOREE TO COMPI.Y WRH Nl GIiY Ml�ODUNTY Of4�1NANCES MVD STATE UWS NEUTINQ TO BUILDINCi � CONSTRUCTION,MI�MEREBY iWTNORIZE REPRESENTATIVESOF TNIS COUNTY Rl ENfERUPON TNE ABOVE#IENTIOfJED VROPERTY FOR INSPECTION PURPO6ES. COMMENT$ � �o K��a � PEfWiTTEE ) � � N � BNiNATURE OF ITTEE TE rr RECPT.NO. 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