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HomeMy WebLinkAbout13477 (22) CITY OF DIAMOND BAbt � � - DEPARTMENT OF COMMUMTY Bc DEVELOPMENT SERVICES � , � 21660 E.Copley Drive Sutu 190 (909)660-3195 Fax(909)661-3117 PRESS ��M�°�. BUILDING PERMIT APPLICATION FIRMLY y JOBSITE '�(Fe'' (�QnnhlY,e �H,C� APPUCATION PERMIT ��.j,^j^� P/C o AOORESS �� V �J' OATE NUMHER J,✓I�� N � APN LOT � TRACT Z- � pA EE � J�� "��. ONST. GROUP � OWNER ADDRESS ZONING SETBACKS CITY e ZIP 92� TE / FRONT RW O APPLICANT TEL. REAR ❑ SIDFJSIDE STREET RW ❑ � CONTRACTOR ►iC . SiDE ❑ [� ADDRESS PROPOSED USE o CRY YIP�� TEL "'a O � ARCH/ENG/ OESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STOfliES BEDROOMS � CITY ZIP TEI. � DESCRIPTION SQ.F7'. FACTOR PSF ADJ.AREANALUATION g� OWNER•BSIILDER DECLARATION 3FWADD/REM 1 MEREBY AFFlFL UNDER PENALTY OF VE0.URY iSUT 1 AM F%EMM FROAI7ME CONTMCTORS LJ• G92gB/CelpOrt CQISEtAWFORiFIEFCILOYYWGREA80NfSEC.7D97.6BUSINE55ANDPROFES510N5CODE:MIYCITYOH (n OOVNTTWMq11�ESAIEPMRIOCONSTRUCT.M.TERIMVHOVE�DEMOLIBH�ONREPIURANI'STqUC- � PStfO/�OCk 71ME,riiqR TO RS Ii9UANCE.AL50 REOU�NES THE APPUCANT fOR eUCH VERMIT TO FILH A SI�NED 6TATEMENT TUT ME OR 8}IE IS IJCENSEO PURSUAM TO THE PIWVISIONS OF 1HE CON�RAGTORS LF CENSE UW(CFIRPTER�(COYlAENCINO WI7H SECTION 70D0)OF OINSION 3 OF TNE BU91NE93/J�PR0. � P�USpe FESSIONS COOF)OR7HAT HE OR BME IS IXEMPT THEREFROM AND THE BJSIS FOR THE�LLFAED IXEMP- TpN,ANYVpLATK7NOF$ECTION7W1.68YMIYAPPLICANTfOPAPERMITSUBJECT6iNE�PPLICAMiO Z Re-floof � ACML VENALTY OF NOT YIDRE 711AN FIVE MUNDRED DOLLMS(!�0).} � � OI,A30WNEROFTNEPROPERT`/,OIIMYEMPLOYEESWITHWAl3ESA97HEINeOLECOMPEN9ATION, C0111T9fClel ' WIIL 001HE WONK,AND TME STRI1CTl1qE IS NOT IlRENDED OR OFFERED iOR BALE�6EG 701�,BL1SI- NESS M!D PROFESSIONS COOE:TIE CONTMC70RS LICEN6E UW GOES NOT MPLV 70 AN OWNER OF j � PRDPERTYNM1iOBULDSORMAVHOVE87MEREON,ANDWTI0DDE8SUCHWORKMMSELFOqFIERSELFOR � TFIROUGHNISORMEf10WNEMPL.OYEE3,OROVIOEDTWITSUCHMIPROVEYENT9AAEN�T�NTEN�EDOR m , OFFFREp PDR yU,E F HOVJEI/Eq T/E BIALDINOOR 71PilOVEMEN718 SOID WITFIINONE YEAROFCOMPLE• TION.THE OWNER�9UMEF YYILL W1YE iNE BUNOEN OF PNOVMW 7HAT ME OR 8HE OD NOT BUID OR MPRDVEFORTMFPURPOSEOF{ALE} � 04��NENOFTNEPROPERfY,NAIXClUBNELY00MMCTINOWRIILICEt/7EDCONTMCTORS MCON67RUf.TT7EPqWECf�BEC.7aW,MJ81NES5AN00110FE53lON8CODE:TFIECOMHACTORStJ• V91Yit1011 ADJ.AREA CQi.rE lAW DOES NOTMVLY TO AN OVNIEN OF�PROPER7Y W/lo BUXDS OR IMPROVES 7NEREON,AN� MMOODNTMCTSFORBUdiPRQlECTSYNTMAOONTRIlC70R�SILICENBEDPURSUNITTOTNECOMMG OUANTITY DESCRIPTION FEE � TORS LICENSE LMN.} O I IJA EXFAIPTUNOER BEC. 8 i P.C.FOR 7HI5 REASON � U � � OATE OWNER V UCENSED CONTRACTORS DECURATION W I MENEBYAFFYtlI INJDER PENALTY OF PERIURY TMA7IAM LICENSEO UNOEH PpOVI510N9 OF CFIAPTER �1 •(COMMENGtlK1WfiFISECTI0N7aao�OFDNISION90FTHEBU5INE55ANDPROFESS�ONSCODE,ANO Z Z^'�'� � ✓ O MY 11GEN5E 16 M FULL PORC D EFFECT. ����� m F1� LICENSE CLASS L1C.NO. 2 � t� p1�TE ��/I ^�Q CONTMCTOR a tTi � WORKERS'COMPENSATION DECLARATION � � IHEREBYAFFIRMUNDERPENALTYOFPERR/RYONEOFTHEFDLLOWINODECUMTIONS: V � Z a � �IWNEAt1�WRLMAINiA1NACERfIFlGTEOFCON5ENT703E1F-WSUREiORWORKERS' _ COYPENSATION.A9 VROVI�ED BY BECTION a700 OF iHE LABOR CCDE.FOF TNE YERFOHMPNCE W OFTHE YYORIC FOHNM1IICH TNIB PENAR 18155UED. � � �1 MAVE ANO YYLI.MAINTMN VYOHKEHS'CAMPENSATION RISl1RANCE,A6 REOUIRm BY BECTION � a7ooOF TFIE 1.A90R OOOE.FOR TME PERFORMANCE OF THE YVORK iOR WHICH THIS PEPMR IS ISSUm.AIY WORK E SA7qN INSU CE CA PoER AND POL�CY NUMBER AHE' CONSTRUCTION � CMaiFA - ���BiK �G .� _.. PIAN REVIEW � voucr r�n,mER /�/L/V�� ! ELECT o m�sa�cm+r�wre¢aoRs�rmoFnfe�arnrswnaaeMranEooawis�s+ao�or+�ssi g� • ' ;� � ii ,. .._ Z �CEFi71FY TIAT�N 7ME PERFORMMICE OF 7HE WORK FOR WFllqi THIS PERMR IS ISSUED,� MECHANICAL ��� � SWLLL NOT EMPLAY ANY GERSON N ANY 4JWNER SO AS TO BECOME 9U&IECT TO THE WOPo(ER5 CpMPENSATION UWS OF CALIPoRNI/�AND AGREE TNAT IF I BIiWID BECOME INSPECTION FEE � S1181ECTT0 THE WOIU(ERS'COMPENSATION PROVISIONS OF SECT�ON 37000F iME IJ�BC)R �R�,L� . sy n/� _ COOE.I BMALL FOHfIMA1M COMPLY MVITH iFqSE PR`O,V.ISIONS. ISSUANCE P JI �h.:.�U —I��Y[�• �� � � ��m- � DIRE .� +� APPLICANT: G. G� � I� SMIP l.��--�r^ .., .. ... ... WAiWIN�:FA0.UqE TO SECURE WOFUCERS'COMPENSATpN COVEPAGE IS UNUWFUL,M10 SHALL BE ENER6Y P/C , ? �� 4 � ',' . SUBJECfANENPLOYERTOCRIMWALPEWiLTIESANDqVILFINESUPTOONEXUN�REDTMOUSANO ENERGYPERMIT `F�'"." ° � pOLLAR$({100,000),N!ADDIiIONTOTHE CASTOF COMGENSATpN.DMIAOESAS VHOVIDEO FOR IN � SECTION a7a�OF 7NE IABOR CODE,NTEREST,MIO AT70RNEY'8 FEES. 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