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HomeMy WebLinkAbout15978 (20) CITY OF DIAMOND BAB �, ----�� -- DEPARTMENT OF COMMLJNITY dc DEVELOPMENT SERYICES Zi�o E.cop�n�i�o s�s�i90 PRESS (909}660-3195 Fax(909)861-3117 ��^�"��' BUII.DING PERMIT APPLICATION FiRMLY o DDR SS�J� 1 V l�D �'+�� DATE CATI NUMB R� i� O� "`�� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. CiROUP �p OWNER � � ADDRESS � ZONING SETBACKS W CITY L�IA P�.Q,. ZI TEL. - � FRONT RW ❑ � APPLICANT ��, REAR O SIDElSIDE STREET RW O CON7FIACTOR t SIQE O g ADDRE5S NE PROPOSED USE ( � � �U�C CITY w�L�� ZI q TEL. p � ARCWENG/ DESIONER NO.DWEL. NO. NO. ADDRE6S UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION S�.FT. FACTOfi PSF AW.AREIWALUATION d OWNER-BUILDER DECLARATION SFR/ADD/REM O I NEREBY AFFlRU UNDER PENALTY OF PEMIRV THA7 I AM EXEMPT FROM THE COMTRI.CTOR6 LI- G8f9pB/CBryOR CENSEUWFORTHEFOLLOWMON6l9UN(SEC.70.91.6BUSWESSAN�PIiOFE5S10N5GODE:ANYq7YOR (n COUNIYMMICHREIXIIREBAPERMITTDCOIVSTAUCT,ILLTER����.��LISH.ORFEPV4RANYSTRUG IW PBSIO/DBCk Z� TUNE.MilOft TO 178�bSl1N'10E,N3G AEGU�RE3 7HE MPLICANT FOR BUCM GEF�MiT TO FlLE A SICiNED 6TATEMEM 74Y17 HE OR 8HE IS UCENSm PIMtSUANT TO 7HE PFqVI510N5 OF T/1F WNTMCTORS U� CENSE l.�W(CHhPTER o(COMMENCINO NRTH SEC710N 7a0o)OF DIVI510N 90F T11E BUS�NES9 AND 7R0- � Pa�Spa FE9SION8 OODE)OR T1AT ME OR 6ME IS E%EMPT 7HEREFROM AND 7YIElA519 FORTHE KLEOE�@%EMP• TION.ANY VIOL�TION OF 8ECTION 7a71.6 BY ANV IIVPIILANT FON A PERMIT BUBIECTB iME�PPLICMIT TO Z RB-ROOI � ApNLiBiALTYOF N�T MDRE TIiAN FIVE HUNDRED DOLUHS�f6ao).); ❑I,ASOYYNENOFiHEPitOPER7'(ORMYEMPLAVEESVATNW�GESA3TIiEiR90tECOMCEN9ATqN, � CORIRIB�CI81 MRLL p0 TFIE MpqK,AND THE 9TPUCRIRE�5 NOT IMENOED OR OFFENEO FOR SALE�SEC.70U,BUSI- J � NES9 AN�PFOFE99WNS OOOE THE CONTMC'�ORS IiCENBE LAW DOES NO�AVPLY TO�N OIMNEFI OF ' _ PROFERTYYNq BULOS OR IIAPROVE9 TMEREON.AND MIFIO DOES SUCH NORK NIMSELF OR NERSELFOH T/MipUGH NIS OR HEN OWN EMPLOYEE9.CROVIDED T1uT B11G1 N.i7ROVEMENTS ARE NOT N7ENOED OH � OFFERED POR BALE IF,IIOWEYER��11LDIN60R MPROVEMENT IB 60tC 1MTM�N ONE VEAR OF COMPIE� TqN,TlIE OWNEP�BUIIDER NIILL/MVE 7HE BUH�EN OF PROVWo 71uT ME OH SXE DID�BU�La OR 9dPpOVEPORTMFPURCOSEOFSAI.E). �4���MNER OF ME PROPERTY.AM EXp.U81V0.Y COMRACTING WItH UCENSEO COHTPACTDR9 TOOON6TRUCf TlIE VNOJECT(9EF IOM,BU81NE95 MID PROFESSIqVS OODE:TNE CON7MLYOHB ll• V91U8ll011 ADJ.AREA CENSE UW DOE9 NOTAPP�YTOI�N OWNER OF A PqOOEHTY WMO B11dD3 OR MPROVE3 iHEREON,AN� N110GOMRACTSFON9UCHiROJECT9N7hIACONfRACTORIS�IICEN5EDA7RSUWlT70TME00NTMG QUANTITY DESCRIPTION FEE � Tdl51JCENSEUWa. �.} ❑I AM IXEiAPT UNDER 6EC. B.�P.C.FOR hi15 REASON Q C) � OATE OWNEA � � � LICENSED CONTRACTORS DECUIRATION � IFEHEBYAFFIWAUNDERPENALTYOFPERIURVTMATIAMLICENSEDUNDEaPROViSION30FCWPTFR � •(CONNENCYK7 WITM SECTION 70W]�DNISION 90F THE Bu51NE55AND PROPESSiONS CADE,ANC Z X MY LICENSE IS W FVLLFORCE AN�EFFELI m � LICENSE C S � UC.NO. `�`,1`�� � � WTE GONTFUCTORYV�PF7�T a � �' WO� S'COMPENSATION OECLARATI�7-� ��� � N IFIEREBYAfflRMUNDERPENALTVOFPEAJURVONEOFTHE WLLOWINGOECLAMTION&. U GA '�d- � �IHAVEAlOWILLNNN7ANACERfIFICATEOFCONSENTiO6ELHN5UREFORWOHNERS' _ COYPENSATION.AS PROVIDED BY 9ECTION 37W OF TME UBON COOE,FOfi TFIE PERiORM/WCE W OF THE WOi1N FOR WHICH h115 PERMIT IS 165UE0. � � �I HAVE AND W1LL MAIMAIN WORKENS'LOMPENSATqN INSURANCE,A9 REOUIRED BV SECTION 9TOOOFTHELABONCWE�FOHTIIEPEHFORMANCEOFTHEWORKFORWHICH7NISPERMI715 y ISSUE0.AIY %ERS'Cd.IVENSATIONINS`UWWCEWr9�IERANDOd.ICYNUMBERARE� CANSTRUCTION � � CARRIER��.- I S7 lt S�j \D PLAN REVIEW �_ � � POLICVNUMBER�StD,�� �•- ELECTRIC Q (I}i58C�IqJf�ppTgE�LETFpOFTIfpEp�7(fBFqipnlEFllApiEDpplAqsR+aqo.qLEss). PLUMBING � ICERTIfYTHATMINEPEPFORMANCEOFTF�EMlORKFORWHICHTNISPERMIT1915SUE0,1 MECHANICAL (� SWiLL NOT fMPLOV NIV FERSON W IM'�NNER SOAS TO BECOME SUBJECT TO TME (� � WORKER6'COMPENSATqNUW50FGLIFORNIAANOAOREETNAT1iISHOlKO6ECOME INSPECTIONFEE nT'mf/'�T^,T��,���$ .O�/ � SUBIECT OTMEWORKEfu'COMFENSATIONPROVI IONSOFSEMION3]OopFTN +�p ISSUANCE E.1 !1LL iOF7TMNITN COMPLY 1FIOSE P )VIS . r� p DATE: � APPLICANT. SMIP � �v� WIIRNINO:F/JLURE TO SECUHE WDHKERS'COMPENSATKKJ COVERAOE I5 UNLAWFUL,NN1 U1L BE ENERGY P/C �y 6U&IECTANEYPLO'�ERTOCRIMINALFENAL7IESANDCMLFINESWTOONEMUNDREOT SMA ENERGYPERMIT pOltMS(i1C0,000),WADOiTqNT�TNECOSTOFCOMVENSATqN,O�MACESASPiiOVIOE FORIN � SECTIDNJ70lOF7HELABORCOOE,INTEREST,ANDATTORNEI"SFEES. RETENTIONFEE: � CONSTRUCTION LENDIN6 AGENCY PRE-ALT FEE: O� 1 HEREBY AFFlRM UNDER PENALTY OF PE0.IURV TFiAT THERE IS A CONSTRUCTION IEN�NG AGENCY FON TNE VEFFORMANCE OFTHE WORK FOR WHIC}I TMIS PERMIT IS ISSUED(SEG.]oY7,CIV.CJ. ` , , / � C �ENDFA'S NAME � � LENOER'SADDRESS � (� �� � ICERTIFYTNATIMAYEPEADTHIS�PPLICATqNM1DSTATETHATTHEABOYEINFOWA�TpN19COqRECL TOTAL FEES r/ C�Y 3� ld l' 'n O � IAQREETOCOMPLVVlITHALICRYANDCOUNTYOR0IWWGE5ANO5TATEUWSRELATINOTOBVLDING � t{ CONS7FUCilON.NJDHEREBVAUfHOFlIZFREPRESEMATIVESOFhiISCOUN7YTOEMENIIPONTME � ,/�/'1 /1 (�`I^O�— 5��. -MENTIONED 7 PERTY FOR M9PECilON PURPOSE9. 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