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HomeMy WebLinkAbout13033 CITY OF DIAMOND BAA �� DEPARTMENT OF COMMUNITY d�DEVELOPMENT SERVICES � . 21660 E.Copky Dr1ve 5uite 190 � , (909)660-3193 Fax(909)861-3117 PRES$ ^�^"��� � BUII.D G PERMIT APPLICATION FlRMLY � JOBSITE R�A;� APPLICATI PERM 03 /C o ADDRESS DATE ���] � NUMBE _� � APN LOT TRACT pq EE CONST. GROUP � OWNER �hrs �.e=/�t ADDRESS_ H_'i� N'. �ay�,.��� ZONING SETBACKS CITY w ZIP 7 TEL. FRONT qyy p APPUCANT TEL.'�l�/ 1-369 REAR p SIDFJSIQE STREET RW ❑ CONTRACTOR s SIDE p ADDRESS � CITY ZIP 4�F� TEL ]/t/ g�N/-5'C'9' POSED USE � � � ARCHJENG/ - DESIGNER NO.DWEL. NO. �N . � AD�RESS UNITS STORIES � BEDROOMS � CITY 21P TEL. � DESCRIPTION SQ.FT. FACTOFi PSF ADJ.AREANALUATION O OWNER•BUILDER DECUIRATION • SFR/ADOlREM 1 NEpEBY AfFIR61 VNDEp VENALTY OF PERJURY THAT I AM DfEMPT FAOM THE CCMIMC70R3 U� GBfeQBJC81pOR CEN..EUWWqTHEFOLLONIINOHEA90N(SEC.7WI.BBU9INESSANDiHOPE5510pSCO0E:ANYCITYOR (f) COUNIYYMwQIREOUWESAPERIARTOCONSTRUCT,ALTER�MPROYE.DEMOLISH,OFiREPAIH/UlYSTRUC- �J,J petl0/DBCk �E PRpFI TO ITi 68UANCE,AL90 11EOUIRES THE MPLICANr FOR SUCH PERMIT 10 fllE A BKiNED W 6TATEMENT 7HAT HE OR 8HE IS LICENSED PURSUANI'TD THE PROVISIONS OF THE CONiFUCTOR9 ll- CQiSE tAW(Ci1�VTEq/(COAIMENCINO M/17l1 SECTION 70W)OF DIN510N 7 OF TFIE 6U9INE33 ANO PRO- V' POOVSpe FESSpNSCOOE)ORiM�TNEOR6XEI8EXEMPTiHEREFROMANDTNEBASISFORTHEALLEOEDEXBAP- (� Td1.ANYNIX.ATIDNOFBECTION7o9f.6lYANVAPPIIC�AMFOR�PEqMRSUBJECTSTF1EAl'PLICAN7t0 Z - ppf � A CML PENAL7Y OF NOT MORE THAN FNE HUlAflED DOLL�qS(�00�.): O 04�OMMEROFTHEPROPEi17Y,ORMVEAPLOYEESWITHWAOESASME1q50LECOMPENSATION, Cpmme�Ciel .� Z MALL DO THE NfORI(AND T11E STRUCiURE IS NOT INTENOED OR OFFEFED fOR S14.E(SEC.70N,B1161- � � NE33 Nm PROFESeqNS OODE 711E OOHfRl1GTORS IICENSE LAW DOES NO7APPLY TO AN OWNER OF ? iROFERTY WHO BUq,OS OR IMPROYES 7HEpE0N,AND XMOOOES SUCH WOPK HIMSELF OR HERSELF OR � TMROUWiMI50RMERONTIEMPLOYEEB.OROVI�FATWITSUCHMPqOVEMENi9MENOTINTENDE00R m OFFEAW iORSALE IF,MOWEVER7ME BULdNf3 OR W PRDVEMGNi t9 SOLD MATNIN ONE YFAR OFCdARE- TpN.THE OWNER�l11LOEH VYILL HAVE TME BUqDEN OF PRONNU 7HAT ME DR 6HE DID NOT 9ULLD OR tlAPRWE FON THE PURPO6E OF tALE�. � 04�OMMEROFTNEPROPER'IV,AMEXCLUBIVELYCOMRAC71NpW1711LiCENBEDCONiRACTORS M CCNSTRl1CTTHE Pp011ECT�BEC.70M,BU91NE59 AND PROFESSIONS CODE:TME COHfMCTQR3 LI- I118l1011 ADJ.AHEA CENSE U1W DOE81pTAPPLY70 AN OWNER OF A PROFERT!WFIO BUILDS OR W PROVES iHEREON,AND 1MFIDCOH�RAGTSFOR�ICHFROJECTSWfTMACONTMCTOR(5)UCENSEDPURSV/MTOTHEOONTMG pUANTITY DESCRIPTION FEE � TORS LICEN&E IAW.I. O IAM EXEMPT UNDER BEC. 8.t P.C.FOR THIS REASON U �= OATE OWN6R � � LICENSED CONTRACTORS DECLARATION W � IMEREBYAffIRA1 UNDER PENALT/OF PEIUUIIY THATI AM LICENSED UNDER PFlOVISIONS OF CHAPTE0. � �(OOIAMENtlNOYVITHSECT10N700o)OfDM510N90FTHEBUSINE58AN�PROFE5510N5CODE,AND Z W LICEN9E IS N Ml iORCE MD EfFECT. mm � LICENSE CUSS � LIC.NO. � � oA� �'d,�7—�,—J9 eon�r�u . :.� v �' WORKERS'COMPENSATION DECLARATION '1�'31J � 4 � U N 1 HEREBY AFFIIiM UNOER VENALTV OF PE0.IURY ONE OF THE FOIIOWINO OECIAMTION9: Z � _If1�VEANDWILl1MIMAINACERTIFICATEOF00N5ENfTOBELF•INSUREFORWONKERS' _ CqJPENSATION,AB PRON�E�BY BECTION�70D OG THE LABOR CODE,FOR 1NE PERFORMANCE W OF NfORK FOA NM1IICH THIS PERMIT IS ISBUED. � � IW�YEANDYVILLMAINTNNWORKERS'COMPENSATIONINSURMICE,ASREQl11REDBY6ECTION � Q 77000FTMELABOflCODE.FORTHEPERFORMANCEOFiHEWORKFORWHICH7HISPERMITI9 ISSUED.YYwoc9�'E�RS'�PENS�INSII CE CARRIER AND POIICV NUMBEP ARE: CONSTRUCTION t � CARRIEq J Y�SP yL /Yf� Y �I � PLAN REVIEW � voucr ruueEq f�f�� ELECfRIC _ p ffF�SBECIC7NNE�NDTBEWM�LET�OFTEPERAT6Fi�RONEFiUrDREppd1A0.5Kim)oqLFSS} PLUMBING W � I CERTIFYiHAT W TNE PERiORMANCE OF THE NqRK FOR WHICH THIS PERAIR IS ISSUED,1 MECHANICAL SWILLNOT EMPLOYANY OERSON W ANY MANNER 50A5 TO BECOME 8U9JECTTO TNE (q WOFlNEf1S'CCMPEH9ATqN LAWS OF CALIFOpNIA�ND 11GREE TMAT IF I Sh10UL0 BECOME INSPECTION FEE ��� S 8U8.1ECTTOTMENlORKERS'CqAPENS�TIOqP ISIONS FSECilON97000FT}iELABOR �' cooE,i sHw.roarnwirn carea�r unni r Ns. ISSUANCE � O � � �p DATE: �PPLICnNT . �✓r''�i� SMIP �T�y _1999 WARNINO:iAILURETOSEWREW011KER3' PENSATIONCOVERA6EISUNLAWFUL,ANOSWLL.L9E ENERGYP/C CL� '/ � EUBJEGTANEMPLAYERTDCRIMWALPEW�L71E5ANDGYIIFINESUPTOONEHUNOREDTVKKISAND ��C� DOUARS�ilOo,OW�,WApplTipry7pTMEC09TOFCOMPENSATqN,OM1A0ESASPROVIDEDPDRIN ENERGYP MtT J SECTION 770!OF 7HE LABOR COOE,INTEREST,AND ATTORNEY'S FEES. W REfENT10 �'�-' F DIAM ND 4 CONSTRUCTION LENDING AQENCY pqE•ALT F�UILDING AN13 SAFET O � INEflEBYAFFIRMUNDERPENALTYOFPERIURVTHATTHEREISACONSTRUCTIONLENDINGA(iENCY Z FOR T11E PERWRMANCE OF TiE WORK FOR WHICH THIS FERMIT 15185UED(SEG 30W,CIV.G). [l.l � IENDER'S NAME � LE1�ER5ADORE39 � 1 CEHTIFY TMAT 1 H11VE HEAD THIS MPLICATqN Ml�STATE 7HATiNE ABOVE INFORMATION IS CORRECL TOTAL FE ES � d IAOREE TO COI.�LY WITN ALICRY AND COUNTY ORUINANCES AND STA7E UWS IiELATINf3 TO BUIlDINO ,R CONSTRUCTION.ANDMEHE6VAlfIHORQEREvpESEMATNE50FTW5COUNTYTOENTERUPOHTHE C ABOVE�/IENTIONE➢PROPERTYFORINS7ECTIONPURPOSES. 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