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HomeMy WebLinkAbout15712 �. „i`w�'_�:+qw��.w�e,i�.:�^� �..... �� CITY OF DIAMOND BAx � DEPARTMENT OF COMMLTNITY d�DEVELOPMENT SERVICES � _ 21660 E.Coplcy Drive Suiu 190 (909)8643195 Fax(909)861-3117 PRESS ���^'��� UII.DING PERMIT APPLICATION FIRMLY o� JOBSITE Q� �� A DATE CATION 2p NUMB R I� 1 r� N� ADDRESS U �� $ ISSUE " NPE OCC APN LOT TRACT DATE � CONST. GROUP � OWNER ���1 ADDRESS ZONING SETBACKS CITY ZIP TEL FR�N�T RW ❑ APPLICANT TEL. REAR ❑ SIpEJSIOE STREET RW ❑ C�NTRACTOR P S Da SIDE ❑ g C�y ES ZIP � T PAaPOSED USE ARCH/ENG/ DESIGNER NO.OW EL. NO. NO. ADDRESS UNITS STOFIES BEDROOMS ti CITY ZIP TEL. va DESCRIPTION SQ.Fi: FACTOR PSF ADJ.AREANALUATION Q OVYtJER-BUILDER DECLARATION gFR/ADD/REM O I HEREBY MFFIRN UNDER PENALIY OF PEFWRY TNAT 1 AM DfEMPT FIIOM TNE CON7MCTORS LI• G9/89B/CHfpOrt GENSEIAWPoR7lIEFOl1AWINOREA90N�SEC.7o31.6BUSINESSIWDPROFESS1�N50O0E:ANYqTYOR (n COUNiYW111LT1NECUIRESAPERMffTOCONSTitUCi.KTE1�#IPROVE,DEMDUSH.ORHEPAIHANVSTitt1C• W PdtlO/DBCk NRE.iHIOR TO R8 ISSIIANCE,AL50 REIX11RE5 THE MPLICAM iOq SUC11 PERMR TO FILE A BIONEO 8T1TE4ENT 711AT HE OR 8HC I6 LICENSED PUREUANT TO lHE PFWISIONS OF TMF CONiRACTOpS U� CFNSE LAW(CNAPTER��COMA1RICtlJO WITN BECTION 7W0�OF OtVISION i OF THE BU61NE55 AND FR6 LL PDOUSPe FE38pNSCOD�ORIYUTHEOR9HEF8EXEMPTTfEREFROMAND7NE8ASISFORTHEALLEGEDEXEMP• (' T�ON.�NttVIOlA7'101lOFSECTION7W7.6BYANVMPLICANTFORAPERMRSU&lEGTSTNEAPPUG�NiTO a qe�ppp} F 11 CM�PEWJ.iY OF ND7 AAORE TN/N FNE HIMDRED�OLLMS(35001.1: O OI.tiSDIMiEROFTNEPROPEH'TY.ORMYEMPLOYEE6WIiXNMOESASiHEIq30LECM.IPEN9A710N, (`,pmmefGlfil Z NALL 00 TME WOAI(ANO THE BTRUCNRE IS NOT INTENDE�OR OFFEREO FOR SALE(SEC.7d�,BUSI- � NESS ANO PROF�SIONS CODE:THE CONTFihCTOi1S 110EN9E LAw OOES NOT APPLY TO AN OWNER OF � PIqPERTYWFiOBUR,D90R/APipVE97HEREON,MI�WHODOESSUGIWORKMIMSELFORHERSELFOR = � TNROUGHNISORMEROWNEMPL01'EES,PPOVIDEDIMATSUCMIMPROVEMENTSARENO7INTEN�EDOR � � OFFENW FDR&1lE F,HOWE'/ER TME BULpN�OR IMPROYEMENT IS SOID WITFIIN ONE YEAROF CddPLE �� 110N,iHE OWNER�UILDER MfILL INVE THE BUfi�EN OF PROVWO TF1I�T ME OR 9HE DIU NOT BURD OR R1GFqVE FOR 7NE VURP'OSE OF SALE). � O4ASONMEROffl1EPROPEii�Y,AMEXq.U8NELYCON7MCTWOWITNLICENSEDCONTRACTOp3 TO CONSTRUCT 7}ff PROJECf(SEQ 70M,BUSINE59 AND PHOFE9910NS COOE:THE CONiRACPQR3 LI- V01U8110f1 AQ�.AREA CENSE LAW OOES NOTMPLV TDIW OWNEH OFA PROPFATY Y/rp pULpS OR MAPROVES'RIEHEON,IWO W1qCONTHACT9FOH8UCHPRWECT6WITHACOMMCfOR(81LICENSEDPUHSUAHTTOTIECONTRAG QUANTI ESCRIPTION �E � lOFS UCENSE UV[). O I AM E%EMPT UNDER SEQ B.i P.C.FOR THIS qEA90N K[ � ��ry,b _ � 2 [ , DATE OWNER � IICENSED CONTRACTORS DECLARATION � I IiEREBYAFFIRN UNDER PENALTV Of►EFiIUFY TMAT I AM UCENSEO UNDER PROVISIONS OF GHAPTEH � �(COMNENCNO WRN SECfION 70ao)OF DNISIDN 7 0F iF1E BU51NE55 AND PROFES510N5 CODE.AN� z � � YY LICENSE IS M Fl1LL fORCE AND EFFECT. / / � LICENSEC SS � LIC.NO. �'7 o�� corirancroR a O e , r � WORKERS'CAMPENSATION DECLARATIOr� { �� U a � `J � I NEREBY AFPIqA1 UN�ER iElUL7Y OF]ERIURV ONE OF iHE FOLIAWINO DECWiA710NS: z ♦ � �IMAVEAN�MIILLMAIN'fIUNACEf7�IFICATEOFCON5EN7TO5ELFdNSUFEFWIWORKERS' _ CpAPENSATKKJ,AS PFiOVIGW BY SEC710N 7�ODOF THE IABOfl COOE,FOR THE PERFORMANCE � Q OF TNE WORK POR WHICH THIS YERMR IS ISSUEO. ,� �I NAVE APA WILL MNNTAIN WORIfERS'COMPENSATION INSUMNCE,AS REOUIREO BY 6ECTION � � �C J700 OF}HE IABOR CODE,FOR T/7E PERFORMANCE OF THE WOHK�OR WHICH THIS PERMIT IS s; ISSUEO.tlYwORK 'ODMPENSRqNI CECAHRIERANDPOLICYNUMfiERME. CONSTFUCTION � CARRIER '- PLAN REVIEW � POl1CVNUMBER ELECTRIC p (R�68EC11CNNE�NDTBEOOAREIIDOF7F£PEfARBFORONEF1UpRE0 R+aolOFi�Ess} PLUMBIN � Z 1 CERTIfV THAT W h1E PFRFOPMANCE OF TNE WORN FOR WHICH THIS►ERMIT 15 IS61/ED,I MECHAN� � SFULI NOT EMPLAY ANY PERSON IN ANY MIINNER SO AS TO BECOME 9UBJECT TO iHF ��,{�, (n WORKERS'COMPENSATIONIAWSOFGALIFORNV�NID/1GREETHATIFISHOUIDBECOME INSPECTIBiJF� � SU&IECT TO TNE WONKERS'OOMPENSATDN PROVISIONS OF SECTION 77000F THE LABOP �/��� (� � OOOE.I SHN1 FOfRHN7TH COMiLY WITH Ti0�P ISIONS. ISSUANCE 1�IYIJ_IL��-+�.��i-� p DATE:�_ APPLICANT. _� SMIP `� � � ENEROV P/C WApNINO:FALURETOSE(7JREWORKERS'COMPENSATIONCOVERAOEI6UN I.,ANOSNALLBE �� �y SUBJECTIWEMPLOVERTOCRIMINILLPENALTIESANDCIVILFWESUv700NE DREUTNDUSMID ENERGYPERMfT OOLLARS(:t00.000J,W MOITIqJ TO THE COST OF COMPENSATION,DAMAQES AS VRO4IDED FOR IN � 9ECTqN770lOFiHEL/�BORCppE,W7ERE3T.ANDATTORNEV'SFEFS {���JTIONFEE: � CONSTRUCTION LENDING ACaENCY PFE-ALT FEE: ��_ 1 XEREBYAFFlRM UNDER PENALIY OF PERJURY THA77MEHE IS A LONSTHUCTION LENDINO AOENCV � Z FOR THE PERFORMANCE OF THE WOHK WR WHICH TNIS PERMIl IS ISSUED(SEG 70W,pY.G�. W � LENDER'SNIWE � IENDER'SADDRESS � 1 CERTIFY THAT 1 iUVE READ THIS APPLIGTION ANO ST�TE TIiAT 7HE ABOVE INFORMATqN IS CORRECT. TOTIIL FE ES � .O� � IACaREETOOd10LVWITMALICfTYANDCOUMTYOROMANCESAN08TATELAWSRElATN1dTOBU1LdN6 � CONSTR4Cf10N,AND HEREBY AUTFIORRE REPRESENTA7NE5 OF THIS COUNTY TO ENTER UPON iHE ABOVE�AENTIONEO V EHTY FOR INSFE TION VURPOBES. s � COMM� n � � � PERMI7TEE NMIE� ����^O� � ' L N 8KiNATUftEOFPERMITTEE DIITE � � RECPT.NO. PAID 9Y VALI�ATION WHITE-0eDaRmmt CoPY,YELLOW-Fnarrw r.�..01�IK—�..�.....r.....�.,�..�....,.- - - � CITY QF �I�lR�Ct6�D ��R Ih�SPEC�IC�N i�ECt�F�C3 "�`�c`°`_.-�...�..^$Y:'.'e-.�_n",r'��.� �� _�.-. - .'�.�a.y.. � .���"���.��� � � .�' � ` ,*� ` ,� ��'i;���s:�t��►,i � t • r a , � • ��_�� �. .�.�.. � �.� ;�...:. .. � . ,.,. �, ,, ��.,�. . s v. ..� < _� ,. ... �._w �.. �__.�.�.�..�../.. �.., -.�s � . — �`�Q��iK � ' r i I ;`� � j f"i_Q�pi.��))� _-i�.y _..; . ,""_'_a.F,_. � " . , g ...�_...-_ _""'-..'_''""'_ _.�._..' 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