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HomeMy WebLinkAbout15224 (27) ,. CITY OF DIAMOND BAS « -- --- DEPARTMENT OF COMMUNTTY 6c DEYELOPMENT SERVICES �, . xi�o E.copi�y nri�os�u iso PRESS '''�»'� BUQ.DING PERMTr APPLICATION FIRMLY N JOBSITE '! APPLICATIO . PERMfT P/C o ADDRESS l�Y�� C ����� /�JOGL DATE ' NUMBER It ISSUE� TYPE OCC � APN LOT TRACT DATE CONST. GROUP SOWNER � {-�' ADDRESS t� �- � ZONING SETBACKS CITY ZIP TEL � 9 RE RT RW ❑O APPUCANT TEL. SIDFJSIDE STREET RW ❑ CONTRACTOR �/4 Yv /V(s( SIDE ❑ � ADDRESS.,� T-�ik�_C� p�Z' PROPOSED USE ' D � / � �� CITY �_� ZIP TEL. � � ARCWENG/ L � DESiGNER � �r�-�� NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION QOWNER-BUILDER DECLARATION SFRlADD/REM O I FIEREBY AFRRLI UHDER PEIUL7Y OF PERRIRY TNT 1 M1 EXEMPT FfbM TNE CON�MCfOFlS LI� Ge/e06/CB�pDR CEHSEUiWFOR1FIEFOLLOWWOREA80N(SEC.7031.6BUSINESSANDPIqFE8510N5CODE:JINYCITYON (n COIplfYWFIK;MREOUWES�VFAYRTOaWJSTRUCLAITERWPROVE.DEMOLISM.WiREPIURYlNY6TPlUG W PitbNBCk TVRE,PRIOq TO 1T6 NSUANCE.IILSO REOWRES THE APPLICAN7 FOR BUCH PEIiMiT TO FlLE�&ONFD W i7ATEMEM TNT HE OR 8HE IB L�CENSED PURSUANf TO 711E PROVISIONS OF TME CONTRACT00.5 LA• CENSE LAW(CHAPTER�(COMMENCINO YYISH 8[CT�ON 7000)OF DNISION 9 OF TIIE BUSINESS MID PRQ � POOUSpfl FESSqNS OOOE)OR iTU7 NE Oti SME IB E7(EMPT TNEREFROM AND TIE BA413 FOR 1HE ALIEOm EI�MP- TqN.ANYVqLAT10NOFbECT10N7W1.6BYANYAPPIICANTFORl1PERM1T6UBJECTSMEAPPLICANTTD Z Rg-Rppl �I F, ACMLVENALTYOFNOTMORETMANFrvE1WNOREDDOLIARS�i600).�: OI.IlSOYVNEROFTMEPROPERTY,ORM1'EMGLOYEESMATHWAOESASTHEIq80LECOMPENSATqN, C� COT1119�CIal g� YYILL UO iHE WOiiIC ANO THE STRIICTURE IS NOT INTENDED OR OFFERED FOR SALE ISEC.70M,BU34 �,1 NESS AND VROFESSIONS CODE 151E CONTiUCTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PHOVERT'MhiO8URD80RIMPROVEBIHEHEON,ANONMODOE36UCHWDI7KHIM9ElFORNENSELFOR = TIIROUGHHSORHEROWNEMPLWEEB,PMYDEDTiATSUCFIMIPROVEMENTSAHENOTMITENDEDOR m pFFpim WpSALE 6,NOWEVEf41NE BULDINOOR WPROVEMEHi IS SOI�WITMIN ONE YEAR OFCOMPIE � TqN,T!¢OWNER-0UILDER WILL MAVE iME BURDEN OF►ROVINO hIAT XE OR BME Dp N�T BVILD OH qAP110YE FOR TNE PURP06E OF BALE�. � �I.IlSOWNEROFTIIEPPOPEF7Y,1WEX0.USIVELYCONTMCTMIOVATMLICENSEDCONTMCTONS TO CONSTRl1CT 7f1E VROIECT(SEC.TM{.BUSINESS N!0 PROFESSIONS CODE:TNE CONTRACTORS U• V81u9t101f fl ADJ.AREA CENSE UW OOES NOTMPLY TO AN dWNER OF A PROVEftTY WHO 6UILD9 OR NIPROVES IMEREON,AND yh{pp�p�7g{�${�pIPFWJFCtSWITHACONTRACTOR�6)LICENSEDOURSUANfTOTHECONTMP pUAN111Y DE6CRIPTION FEE � 70RS4CENSEtAW.). O I M1 DfENPf UNDER SEC. B.!P.C.FOR THIS REASDN � U u' pA'fE OWNLR � ����[[[ LICENSED CONTRACTORS DECLARATION W � IMEREBY/�FFIIWUNDERiENAINOFVE1UUfiYTlNTIAMLICENSEDUNDENPROVISIONSOFCHMTER � /(OOWAENpN0YN7N SECTION 7aao)OF DMSION 7OF TFIE BUbINE35/JO PROPFSSIONS CAOE,M/D X W UCERSE IS N!FULL FDRCE MW EFFECT. '^i � y � ��w,55 f�93 0�ZZ ��.No.— 3 9 � � o�� ��L( 1�3'� corrraacTOR�_ �.'� � WORKERS'COMPENSATION DECLAMTION � �A 1 HEHEBY AFFlRM UNDEN VBJALTY OF PENUNV ONE Of TFIE Fd.LOWINQ DECLAMTIONS: U � Q � _I/IAVEANDWILLYNNTAINACERTIFICrTEOFOd75ENTTO6E�FINBUHEFORW'ORKERS' S OOIAVENSl�TpN,ASPROVI�WlYSEC710NJ/ODOFiMELABORL9DE,FOR7HEPERPDRM�WGE W Oi 1NE WDI1K FOR VMICH 1XIS VENMR IS ISSUED. � � _�NAVEANDWLLLNAWTAINWORKEAS'ODMPENSATIDNWSURIWCE,ASREOUIREOB�SECTKKJ /� i/ � 7700 OF TME U1BOR CODE,FOR TNE YERFORMANGE OF 7HE WORK FUR M/M�CN T1i�5 iEPoAR IS � ��� � ISSUED.W VY�lIKEfiS'COMPEN3ATION INSURANCE CARRIER AND PIX.ICY NUM9EHME: CONSTRUCTION ��'� � CAFRIER �ZB71JT I � CA PLAN REVIEW � POLICYWIIIABE T�iL s�o / a ___ e�Ecraic Q (Rf69ECfIONN�NOT8E0dAPLE'IIDOF7TEPEFiATf�BFORONEMR+pRED�0IJ./�iL4f�10D1�165) PLUM8ING � 1 CERTIivTMAT M17HE PERFORMANCE Of THE YVOIIK FOR WHICH THI9 PEflM1T R ISSUE0,1 MECHANICAL _. � SNALL NOT EMPLOY ANY PERSON Ml ANY MMINER SO AS TO BECOME SUBJECT TO THE � VAPo(EHS'COAIPENSATqNUWSOFGLLIFORNIA,ANDAOREETNATIFIBHOUI�BECONE INSPECTIONFEE � SUOJECTTOTHEYWRIfERS'COAIPENSATIONPROVISIONSOFSECTqNT000FTHEUBOR �SSUANCE CODE,I SIIFLL FORTNYYITI COM�PLY WITH 7FIOSE PHON910NS. �„�:71 r� ,����,�: Z�r �F-, SMIP o WARNINO:FAILURE TO 6ECUHE WOFiKERS'CAMPENSATION COVERACiE IS UNLAM/FUL.NID 4HALLBE ENEFIGY P/C 7►� LL SUBJECTMIEMPLOYERTOCRIMWAIPEH�LTIE9ANDCMLFINESUPTOONEFIUNDREDTFIOUSAND ENER6YPERMIT �+s�_ M•y�jJ.�� OOLLMS�f 0U,000J,W AO�ITIIXJ�O iHE COST OF GOMPENS/�TION,OAMAOES�l4 PROVIDE�PDR M /� ��7 � SECTIDN 970!OF TIIE LABOR COOE.NTEREST,AND ATTORNEYS FEES. RETENTION FEE: V A1V D 5,��+� � CONSTRUCTION LENDINO AGENCY pRE-ALT FEE: I HEREBYIIFFIRM UN�ER PENALTY OF PERJLFiY TINT TNERE IS ACONSTRUGTION LENDWO AOENCY FOR 7HE VERFOi�AANCE OF TME WORK FOR WHlpl TI115 PEflMIT IS ISSUEO(SEC.]07'!,CIY.C.). � � LENDERS NAA1E LENDER'SADDRE63 ICERTIFYTMATIHAVEREADTM�BAPPLIG710NAN�8711TETW�TTHEABOVEUFOfUTATqNISOORRECi TOTAL FEGS //�� � 1 AaREE TO OOMPLY NAlH ALL GTY ANO COUNTY ORDINANCES ANU S7�7E UN5 RELATINfi TO BUII,pN(3 i �V CONSTRUCTION,ANO HEHEBYAUTFIORI2E REPRESEMATNES OF THS COUNiY TO ENfER UPON THE � �IBOVE�dENTIONED PROPERTY�ON NSPECTION VUAPO6E5. CQMMEMTS �'] J ` 6 PEi1MRTEEN/uAE�PN1lf) � �l N y SKiNAiURE OF VEFIMITT DA7E � RECPT.NO. PAID BY YAUDATION WHITE—DepaAment COfry.YELLOW—Fhance COpy,PINK—Aasessor Copy,GOLDENROO–�File Capy,GREEN—AppicanYs Capy Cl1f`Y QF Df1�liJ�C)h�(J �Qa.F� ������W■ I�aPl�1 �i..`M'RePP ib? 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