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HomeMy WebLinkAbout14106 �� CITY OF DIAMOND BA8 � DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES � , 21660 E.Copley Drive Sirite 190 (909)660-3195 Fax(909)661-3117 PRESS �"�'�� BUILDING.PERMIT APPLICATION FIRMLY � JOBSITE ��3Q !�, 1�� �.�- �p APPLICATION � /� PERMIT � � p/C - � o ADDFiESS v DATE, � NUMBER N $ ISSUE TyPE pCC APN LOT ' TRACT pATE CONST.. GROUP � OWNER +V�S3—� ' p ADDR SS � ZONING SETBACKS ; . W CITY �� ZIP � TEL ��^ FRONT RW ❑ APPUCANT TEI, REAR ❑ SIDElSIDE STREET RW ❑ CONTRACTOR 1/�"•l� LS SIDE p g ADDRESS L�/� 7 '� PROPOSEDUSE �v/V/�T'- PQaC- 5iP+4 CIT1�A17AILt ZIP / � TEL. 7•V � ARCFUENG!p � - DESIGNER f�X'" ADDRESS D/ /V—�TiG✓� NO.DWEL NO. NO. � CITY. ��in ZIP9��7 TF�'�F 4� UNITS STORIES BEDROOMS � DESCRIPTION S�.FT. FACT�R PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/AQOfREM O 1 NEREBY AFFlFrI UNDER PENi1l7Y OF PEPWRY T1iAT 1 AM E%EMFT FRDA1 TME OON7RAC70q5 LI- Gef6gB/C81pOrt CENSELAWPoRTIEPOLLOWINOREABEN(SEC.70.713.BUSINESSMIDPROFESSIONSWOE:ANYqTYOR (J� f�tAVTYWFi�NREWNESAPERMRTDO0N5TRUCT,ALiERIMPROYE,DEMOlJSH,ORREWURANYSTAUC• W Pe�iO/D6d( 71XiE iFWR TO 1T8 189UANCE,AL80 IIEOUIRE9 7HE APPIIGWT iOR SUCH PERMIT TO FlLF A 81(iN� W BT�IEMFNT TXAT HE OR BHE IS LICENSED PIIR9UANT TO THE PRWISIONS OF TNE CON7RACTORS U- CENSE UW(OiM7Eq 0(CONYENCINO WITH BECTION 7oao)OF DIVISbN�OF7HE BUSINESS ANO PRG � �USPB iE84qN500DE)OR TlIATNE OR SHE IS IXEMPT TIEREFROM ANO THE BASIS FOR TIE hILEdED EXEMP• TpN.MlYVIOLATqNOFBEC?ION70.11.6BYANYAAPLICAMTFpqA0tRM1T8UBJECT9THEAPPI,ICANTTp Z Re-Roof ACMI PENALIY OF NOT MGIE iHAN FIYE HUNDR W OOLURS�is�D1J: DI,A.SOWNEROF711EPf10PEHTY.0i1MY9�APWYEE6WITHWAf3E9A5TNEIR5QECOMPENSATqN, (,'ORITBfCIBI NNA 00 THE WOFiK NY�THE STRUCiURE IS NOT INiEN�ED Ofl OFFERED FOR SALE(SEC.70N,BU51• � � NESS A!O PfqFESS10N6 COOE:T11E CONfMCTOFlSIICEN3E UW DOES NOT�PPLV TO AN dNNER OF j ' � PFqPER�YW1iOBUlDBORMPROVEBTFIERFON,ANDMIli000E55UCHWORNXIYSELFORNERSELFpR TMOUGHiCSORNEROMR�FYPtDYEEB,PfqVIDEOTNAT84JdiWVROVEMEM3ARENOTMTFNOEOOR m OFFERED WRSIJ.E6,W WEYER 111EBUN.DINQ OR IMPqOVEMEM Ig 6q.p W1iHIN pNE YFAR OFCOMPLE- 'TION.7HE ONMER�BUILDEH M7LL HAV&THE BURDEN GF PpOVINO TIiAT HE OR SHE OID NOT BVILD OR IAIPNOVE PORTIIE PURPQSE OF BALE� �l AS OWdEROF THE/tWPERI'!,AN EXCLUSIVEIY CONTRACTINO WIiH IICENSEU OONTRACTORS TO CONSTRIX.T TT1E PHO,IECT(SEC.ION,BUSINESS ANO PROFESSIONS CODE THE CONTHhCTORS ll• g����' AD,I.AREA .CENSE UlW OOES N7TAPPLY TOAN OMYNER OFAPqOPERTV YNiO BUILp6 OR N1PfpVE3 THEREON.AN� �CO�NTRACT�FORBUCHPRQIECf6WIT1ACONTMCTOR(S�LICENSE�PURSUANiTOTNECaNiMG QUANTI QES PTIO F� � O I AIA EXEYM UNDER SEQ B.A P.G FOR THIS REA90N � U 4' DATE OWNER H � U ss�� LICENSED CONTRACTORS DECUIRATION W r (L 1 HEqEBY AFFIRM UPDER PBJALTY OF PENJURY TNAT 1 AM IICEN5E0 IINOER PROVI610N6 OF CFiAPTER � �- S �(COMMENCINO N71lI SEC7qN 7000�OF OMBqN a OF THE BUSINESB M1D PROFE5910N5 CODE,AND Z W UCENSE IS N FULL FORCE AND EFFECT. m � I.�ENSE CUSS �+S,�_��C.NO. � � � � oarE��_49'�_cornAnc .�4✓Ed a WORKERS'COMPENSATION DECLARATION � � yINEREBYAFFIRM UNUER PBULTY OF VER1Uf1Y ONE OF THE FOILOWIN6 DECUMTqNS: Z � __I/IAVEANDWILLMAIMAMA�RTIFCA7EOFOONSENTTOBELFaNSUFEFORWOqNERS' a � � COMPENSATqN,ABPRONOEDBVBECTION]1000FTHELABORGOOE,FOR7MEFERPDRMANCE tU flK FOR WMlqi THIS PERMI�IS IS&UED. � � IHAYEANDM7LLW11MAWWONKERS'COMPENSATIONWSURANCE.ASREdUIREDBYSECTION Q 77000F TNE 6A60R CODE,FOR T1iE PERFORMFNCE OF THE WORK FOR WHICHTHIS VERMIT IS � 159UED.MY YYOPofERS'COLIPENSATqN INSURANCE CARflIEN AND POUCY NUMBER ARE: CANSTRUCTION � GARIER G���� /u� PLAN REVIEW � POUCYNUMBER CD Z-KR[1A� / ELEC7RIC � ! 8 (n�s6Ectnr+uEIDHoreeoo�a.E�IDoFt�EVF�r�w�ar+auEFuoaEooa�u�s�i+ao�oa�Ssj. PLUMBING �• �, � I CERTIFY hIAT Ml TNE PERFORMANGE OF TFIE YYORK FOR WHICFI TiIS PERMIT IS ISSVED,I MECHANICAL � ' SNIILL NOT EMPLOY ANY PE/iSON RI ANY MANNER 50 AS TO BECOME SUBJECT TO THE (q YMDRKEiiS'OOMPF.HSATION LAWS OF CALIFORNI�Ml��GREE TlIAT IF I SHOULD BECOIAE �NSPECTION FEE SUB.IECT TO THE WORKERS'CaMPENSAT10N PPONSIONS OF SECTI I'd 370G OF THE LABOR � Omoe,i a�a�nrvntH caav�r yp�ri nase eao ionis. ) � ISSUANCE � � DATE:�+ / APPLICA1u/�~� ' fi' SMIP � WARNINO:FMURE TO SECURE WORKEFS'C0IAPENSATION WVERAOE IS UNUWFUL.ANO SHALL BE ENERGY P!C �y SUBJECTANEMPI�YEHTOCNIMINALPENALTESANOCJN�FWESUPTOONEHUNOREDTIqUSAND ENERGYPERMIT �, D�UARS(f100.000).N ADDITION TO TNE CQST OF CCMDENSATIDN,OM7AGES 144 PROVI�ED FOR IN SECTION s7os OF T/E IABOR CODE,INTEREST,AND ATTORNEY'S FEES. RETENI'ION FEE: ��`�� � CONSTRUCTION LENDINGAGENCY RE•AL���i'�1 �`��/" , �� I HEREBV AFFIRM UNDER PENALTY OF GE0.IURV THAT THERE IS A CONSTRUCTION LENOINO AGENCY � �� �� FOli TNE PERFORIAANCE OF THE WORK wR MMICH TMIS PERMIT IS ISSUED�$EC.9097,CIV.G� � LENUERS WUAE �� � LENDERBADORESS � ICERTIFYTU7IHAVEREAOTHISAPPLICATIONIWDSTATETHATTHEABOVEINFORMATqNISCORRECT. TOTAL FEES � � � � 1 AOREE TO OOAAPIY WIM J1LL CITY AND COUNTY ORqNANCES ANO HTATE UWS REIATNiO TO BUILDINO CONSTRUCTION,AND HEREBYAUTIIORI2E REPflESENTATIVES OFTHIS COUNTYTO ENTER UPON TIIE � 'I//�� �� S� ABOVE-MEHrqNED PROPERTY FOR INSPECTIDN PURPOSES. COMMENTS (� �~ ' 9 1—D��S ,�. oLC,,u/�/ � � PERMI EE E(PE11Nn T � �, � � � �//7/� y SIGN REOFPERIAITTEE OATE � RECPT.NO. 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