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HomeMy WebLinkAbout15231 (29) __..._._ . . . .._�.....,....... _ C_- '? � CITY OF DIAMOND BA� �' '\ - — DEPARTMENT OF COMMUNITY dt DEVEL�IPI►:ENT SERVICES 21660 E.Copley Drive Suitc 190 ' ""*� (909)86Q3195 Fax(909)861-3117 PRESS `��^�'�� BUILDING PERMIT APPLICATION FIRMLY 4 ADDRIESS�3������ � � • DA�CATION �g_�� PERMR 5 3I N/C �' o NUMBER' � `�'" � ISSUE 1YPE OCC APN LOT TRACT DATE CON5T., GROUP � OWNER _�� � ADDRESS SA-+1� ZONING S ACKS �� CITY ZIP TEL. REART RW p APPLICANT TEL. SIDE/SIQE STREET RW ❑ CONTRACTOR b �� a N SIDE p ¢ ADDRESS � p(TY C ZIP TE PRaPOSED USE � ARCFUENC�/ • OESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS yy CITY 21P TEL. OESCRIPTION SQ.FT. FACTOR PSF AQI.AREANALUATION Q OWNER-BUILDCR DECIaRAT10N SFRlADD/R[M O I XEREBY AFFIRM UJDER PENALTY OF PERRIRV TFIAT I AI.1 E7(EIAPT FFpM THE CONTFACTOi1S U� GBfAp9IC8ry0f� CENSEUWFORTM[FOLLOWINOqFA.40N(9EC.7031.6BUSINESSANOPROFESSIONSCOOE:ANYqTYOR (f� CIX1NiYNMICHREOl1WESAiERMRTOODN5TRUCf.ALTEH.WPROYE.pEMOL15H,apNEPAIRANY57AUfi W patloNeck TURE,PRION TO 1T8159WNCE,AL80 REWIRE&7'HE MPLIC/NT FOR 8UW PERIAITTO FILE A SIONEO W STATEMHiT TN�IT ME OR ONE K LICENSEO PURSUNtT TO iHE PROVISIONS OF TME C��RACTOl13 li- CENSE LAW(Ci1MTER o(C04MENCMO Y/I7H SEC710N 7000)OF OMSION f OF THE 9U31NE55 AND PRO� � POOUSpO �� FE8510N3 OODE)OR 1HAT HE OR BHE IS IXEMPT TM�EFiIOM AN�THE BASIS FOR THE ALLEOED E%EMP� 110N.M1YYlOLATIDNOF6EC710N7Q11.6B'/ANYAPPLICNJTFOf1APERMITSUBJECT57HFAPVLK'.�N�T� Z qe-Roof � A CIVIL PENAL71'OF NOT 40RE T1AN CIYE Iq1NORED DOLUqS({SOOI.): ., �4ASOWPIEROF7HEViWPERTY.ORMVEMPLOYEESWIiHWApESASTHEtqSpLECOMPEN9ATION, � Gammercial WLL DO TNE WORK AND 7ME STRUCTURE IS NDT IMENDE�OR OFFEHED WR SALE(SEC.70N.BU51� J � NE8S ANO PROFESSIONS COOE THE CONTMCTORS UCENSE LAW OOES NOT APPLY TO AN OWNER OF � PipPERTY M/HO BUp.D3 OR MAPHDVES T1EREpN,MW NMOOOES SUCH M/DRK HIMSELF OF MERSELF OR � TMAOUGHFNSOqNEqONMEMPIAYEES,YROVIDEDTIATBUCJiIYPROVEIAENT9ARENDiINTENOEUOR m OFFERm FOR AN.E IF,lpWEVER�BUIDINOOFI MIPFlOVEMENTIS SOLD WITMIN ONE YFM OF OOMPIE- TION,iHE OWNER�WILDCR YYfLL WNE T}fE BUHUEN OF PROVNHI TIUT NE OR SHE DD NOT BWID OR MAPRDVE FOR fl�PURPOSE OF 8ALE1. O l�S OM'NEROF 1HE PFIOPERTY,AIA IXCLU8IVELY CONTHACTINO N7TN UCENSEO CONTMCTORS � TO CONSTRUCT THE PRD.IECT(9EC.70M.BUSINESS AND P110FEu510N5 GODE:TME C�NiRACTOf15 LI- Vg1118I1Of1 O ADJ.AREA CENbElAWD0E8ND'fMPLYTOMlOWNEROFAPROPERtYNM1iOBUILOSOqINPROYESTHER[ON.AND WFpCONTW1Cf8FOR6UGHPRDJECTSWITNACOHTMCTOR(5)IICENSE�PURSUANfNTfECONTMG pUAN DESCRIPTION FEE � TORS 110EN5E UW.). "� ❑I MI EXEMPT tMOER 8EG B.i P.C.FOR 7HI5 PFASON Q �• 'y U � H pATE OWNER � � LICENSE�CONTRACTORS DECLARATION W � INEREBYAFFIRMIVNDERPEWITYOFPERIURY7HA71AMLICENSEOUNDERPROVISIONSOFGHAPTER � r. � T � �(COMAAENCMKl WITM SECTION 7000�OF OMSION�OF 7NE BUSINE35 M1D PROFESSIONS O]DE.AND Z r v W LIGENSE IS M ML FW10E ANO EFFECT. Q � LICENSE CUS �� LIC.NO. 1�� ` � � ' 11...... = A e --C� � pATE �.�� CONTMCTOR � d . WORKERS'COMPENSATION DECLARMION Q � I MEREBY J1FFUiY UNDER CEN�I.TYOF PERIURY ONE Oi TNE FOLLUVANG DECLAMTIONS: Z a � _INAVEMIDNALLIWNTANACEfifIFIG7EDFCONSENTTOBELFaNSUREFORYARKEfiS' 2 OqIPEN5AT10N,ASPROVIDEDBVBECTIOf/870oOF7NELABOROO�E.FORTFIEPERFOIWANCE W p OF THE WORK FON MM1flfli 7l115 PERMIT IS ISSUED. � {�y-j _I NAVE ANO WILL 11AIMAIN WORKERS'COMPENSATION INSURANCE.AS REOUWEO BY 6EGTWN � � i70oOFTMEIABOROODE.FONTHEPERFORMMICEOFTHEVpi1KFORwHICMTiISPERMRIB � 0 155UED.W W`ORK�n 5'°�PENSA7 INSURANC IER AN�POLICY NUM9ERARE: CONSTRUCTION � �Apq�Ep `—"'�1 �P PLAN REVIEW � vaucrwuMeea !_�(�� Z�+2g ELECTRIC " (fV�gECTpN1�E�NDTBEOOA�PLEfEDOCTNEPEFiMTI6FOROUEMl�DREoOClU�RS(ftao�ORLESSS PLUMBING � I CEPTIFYTHAT W THE PERFORMIWCE OF THE WORK FOR WHICH THIS PERN�T IS ISSUEO.I MECHANIGAL � SMALLNOT EMPLOY ANY iER50N IN ANY NANNER SO AS TO BECAME SU&IECT TO THE YYORKEHS'CWIPENSA710N LAWS OF C�LIFOHNIA,ANO AONEE TH�T IF I SHOULD BECOME INSPECTION FEE � SUBJECT TO THE YVORKERS'COMPENSATION PqOWS10NS OF SECTpN 970o OF THE IABOR S cooE,�e�uu,wRrHwm�corna�r wm+nrose aov�sia+s. l ISSUANCE rg�IIQO 0 ' --- ." "�^'� SMIP ,u� 1 �� ..-.��� 'p pATE:�Q� APPLICA . . , � ENERGY P!C �T�1 A� WARNINfk FA0.URE TO6ECl1RE YYOAKERS COMPENSMION GOVEMOE IS i1NlAMfFVL�ND SFMLL EE .��L,�r ���� � S18JECTAN EMPLOVERTO CqIMWAL PEWLLTIE9 AN�CIVIL FMES UP TOONF M1N�RE0 TMOU3AND ENERGY���M�r ^ DOLLAHS(i100,0ao�.IN AODITION TO THE COSTOF COMPENSATION,CNAAQES,l4 PROVIDED iOR MI =3j'� ¢ 9ECTpN 370!OF THE UB�N CO�E,1JTEflEST,ANDATTOPNENS FEES. RETENTIO��G9BY a CONSTpUCTION LEN�ING AGENCY pqE•ALT FEE: O � IMEREBYAFFIRMUNDERPEHALTYOPPEfWRYTHATTHEREISACONSTAUCT10NlENDINGAOENCY FORTIIE GERFORIAANCE OFiHE WORK FOR WHICH THIS GERMITIS ISSUED(SEC.9007,CIV.G�. Z W � IENDER'S NAME C LENDERSAD�RE55 � ICERTIFYTMTIMAVEREAOiHISAPPLICATIONAIDSTATETHIRTHEl180YEINFOR1A�TpNISCORRECT. TOTAL FEES • � 1�OREE TO COMPLY N7fM ALL CT'AND OIXINTY OROINANCES ANO BTATE UWS NEUTIND TO BUILDING ppfiSTRUGTION,M!D MEHEBV AUTFqRIZE REPRESENT�TIVES OF 7HI5 COUNTY Tp ENTER UPON lHE � ABOVE-MENTqNED 7 ERTY FOR INSPECrION PURPqSE3. 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