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HomeMy WebLinkAbout13043 (17) CITY OF DIAMOND BAx --�--�� DEPARTMENT OF COMMUNITY dz DEVELOPMENT SERVICES �f � , 21660 E.Copley Ihive Suioe 190 PRESS (909)8603195 Fax(909)861-3117 ' "��'�� BUQ.DING PERMTT PPLICATION FIRMLY � JOBSITE � APPLICATION PERMR P/C o ADDRESS � DATE _NUMBERl�� # � ISSUE � TYPE OCC APN-�� LQT TR14CT DATE CONST. GROUP � OWNER �.'�C'O.,�n o.,W\ � ADDRE ZONING SETBACKS � CITY � �P TE�• REAR � O APPLICANT SIDE/SIUE STREET RW O a� CONTRAC a SIDE O g ADD S � � CITY ZIP T L. PHOPOSED USE � ARCHlENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION S�.FT. FACTOFI PSF ADJ.AREANALUATION O OWNER-BUILDER DECUIRATION �q�qpDIREM 1 NEREBY AFFlpY tlNDER PENAL7Y OF PERIURY hUT I AM EXBAPT FROM THE CONTMCTOR9 LI- G8f896/C81p01I CENSEUWWRTNEFOILONM�REA.90N(SEC.70.71.6BUSINE9SANOPROFESSIW�aCODE:ANYqTYOH (n OOUNTYNAiICNREOUIRESAPERMR7000N6TRUCT,AITFR�.IPROVE,OEMOUSH,DRREPAIRANYSTRUG W 'pa�jq/pBCk TURE.PRIOR TO IT8 63UANCE.AL90 REW IqE9 THE MVLICANT FOR SUCN PEHIIR TO FlLE A SIONED W STATEIIENT TMAT ME di SHE IS LICENSm PUiiSUANT TO THE PROYISIONS OF THE CONTMCfOH9 U- CFJaSE UW{CFUPTER O(C0IAMENCUW WTI SECTION 7aoo)OF OIVISI�N 90F THE BUSINESS ANDPHO• u' POOUSpB FESSIONS CODE)OR 7HAT ME OR 9HE IS E%EMPT TNENEFIIOM MIO TME BASIS FOR TiE ILLlEUEO EXE41G- TqN.NJYVIDIATqNOFiECT10N7W1.68YANYMPLICM�iTFORAPERMITSUBJECT8TNEAVPIICANTTO Z Re-Rool � A CML PEWLLN OF NOT MORE TMN fNE HUNDRED GOLLMS ItbDo).�: DI.ASOMINEROF7TIEiROPERTY,ORMYFJdPlWEE3WITNWAOEBASTHEIR80LECOMPEN9A7qN, Q Commerclal YVILL 00 7ME WORIG N1D'ME BTRUGTURE IS NOT INfENO6D Ofi OFFERED FOR SALE(SEC.70N,BUSF J NE55 AHD Pi10FE5510N5 00�[:111E CONf WICTORS LICENSE UW DDES NOT 11PPLY TO AN OWNER OF = � PFbPER�YW1iOBUlD30RMPROVE87HEHEd1,ANDWHO00ES6UCFIWORKMIMSRFORNEH6ELFOFi 7f0id10HW50RHEROWNEAIPLDYEES,V110VIDE�THIRBUCHIMPqOVEMENTbARENOTRITENDEOOR m OFFEHED PoR SALE IF,i1DW EYE R'�ME BUILDINfi OR Y�ROV EYENT IS 30L01MTHIN aN E Y E11R OF OOM PlE- TqN,1ME d4NER3ULDER N7LL XAVE TME BUHOEN Of PHOVINO TNAT ME OR BHE 010 NDT BURD OR MPROVEFORTXEPURPOBEOFMLE} O 4��M/IJER OF 1HE PROPERIY,AM E%G.VB�VELYCONTpACTNO WITH LICENSED OOMMCTOR9 TO CONSTNUCi TNE PRDJECT(SEC.7wa,BUSINE39 AND PROFESSiON5 CODE:T11E CONTMCTOH9 4• VBIUStI ADJ.AREA CQI5E IAW OOE9 NOT MVLY TO Ml OYYNEH OF A7ROPERTY MIIW 9UlDS ON IMPROVE9 Tl1EREON,MD YMIOOONTMCTSFORSUC11iR0.1ECTSK7iHACONTflI�TOR�B�LICENSEDPURSUANT70THECONTM6 pU I DESCRIPTION FEE � 700.5UCENSEIAW.). � 0 I AM EX@APT UNOEH BEC. B.�P.G FOR 7NIS HEASON � U u' WTE ONMER � � J UCENSED CONTRACTORS DECLAMTION W � IME0.EBYAFFiWUWEPPEWLLTVOFOE0.1URY7HATIAMLICENSE�UN�EHPROVIS10NSOFCHAPTER , � . 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SSUANC � SMIP p DATE: APPIICANT: � ENERGY P/C �i„ Y/ARNINO:FAILURET SECURE WOfiKERS'GOMPENSATIDN COVER E IS UNIAWFIIL,AND 9HKL BE � 6UBJECfM1EMPL0'/EflTOCRININAIPENALTIESANDqVILFWESUPTOONEMUNDflED71%7USAND ENERGYPERMIT !�� 1� .r DOLURS�ttOD,000),NADDI710NTOiNECASTOFCOMPENBATION,DAM110E9A8PROV10E0FORIN .,J BECTION a7oe OFTHE LABOF OODE,MTEREST,M1D ATTORNEY'S FEES. RETENTION FEE: A, � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: .p�lV' 1 HEREBV AFFIiUI WOER PENPLTYOF PERIURY THAi 7HEHE IS Af:ONSTRUCTION LENDMIO AOENCY y Np iHE PERFORMANCE OF TNE WdtK FOR WHICH TNIS VERMIT IS ISSUEO(SEC.3oY7,dV.C.�. � LENUER'SNAME _D .� � LEHDEN'SADDPE88 � ICEi1TIFYTHATIfUWEREADTHISMPLfCAT10N1WDSTATETIATTNEPBDVF�NFORMATqNISCORRECL TOTAL FEES 1 AOREE TO COMPLY WRH ALL CRV Ml�COUMY ORDINANCES M10 eTATE tAWS RELATINO TO BUIIDING CONS7RlIC'f10N,AND MEREBY I1UT11DNIZE RE7RESENTATIVES OF THIS COUN7V TO ENTER UPON iHE S� PBOVE�M MIONEDVROPERTY RtNSP qN URP03ES. 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