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HomeMy WebLinkAbout13431 (25) CITY OF DIAM�ND BAR �,,–�� � -- DEPARTMENT OF COMMUNTTY dt�DEVELOPMENT SERVICES / T—"/ 21660 E.Copley Dtive Suite 190 1.�� (909)660-3195Fax(909)861-3117 PRESS �'�'�� BIJII.DING PERMIT APP'LICATION FlRMLY � JOBSITE � � APPLICATION PERMR �'�'/' p/C ADDRESS DATE NUMBER � ! � APN LOT T CT DATE ��'�, CONST. Gfl0 P � OWNER p ADDRESS ZONING SETBACKS �W CYTY ZIP�JJ� TEL. 7/u•54�/./�I REART RW p APPLICANT TEL. SIDEJSIDE STREET RW ❑ CONTRACTOR f� SIDE ❑ � ADDRESS ' CITY ZIP� TEL.�C/�!��?DI� PROPp5ED USE � ARCH/ENG/ DESIGNER NQ.DWEL. NO. NO. ADDRESS UN1TS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUIIDER DECLARATION SFWADD/REM O I NEREBY AiFlRY IMDER PENALTY OF PEiW NY THAT 11W E%EMPf FNaM TNE CONfR�CTORS LF G8/BgfiJC81p011 GENSEIAWPoRiHEFOLLOYYMOREA9�NISEC.7o9f.60VSINESSMOPROFES5KKJ3CODE:ANYCT'OR (n COIFRYNM1NCMREOIMESAPFJUIRTOCON87Al1Cf.l1LTE0.�APROVE.OEMOLISH.OHREPAIRMIYSIAVC• UJ PB��ck 71ME,Vq1Oq TO ITS 69UM10E,ALBO REWIAE9 THE APPLICANr iOR BUCH PERMI7 TO FILE A 6lONED W tTATEYENT TiAT NE OR 8HE IB LKfNSED CUNSUAM TO 7HE PROVISIONS OF THE CONTRACTORB LI• OENSE�AW(CiiMTEp�(Cq.IMENCINO WITH SECTIOH 7000)OF DIVISION f OF THE 9USINE88 M!D PRO- � POOVSpB FESSqHS OOOE)OA 1NAT XE OR SNE IS E%EMPT THEREFli�M MO TNE 80.518 FOR TXE ALLEDEO FXEMP• TqN.ANYVqLATpNOF6EGT�ON7aJ1.6BYANVAPPLICANTFqiAVE�.11T9UBJECi6THEAPPLIGNTTO Z pa-q� � ApVILVFNILL7YOFNOiMORETY/ANFlVEMINONEDDOLLARS�iSao).1: 04���EROFiNEPROPERTY,OFiMYHMPLOYEEeMl1THWA0ESASTHEIASOIECOMPEHSATqN, (� COrt11118fciel MILL DO 7NE NqRK ANO TME STRUCNRE IS MOT INTENDED OR OiiERED FOR SALE{SEC.7d4 Bl1Sl� _I NESS AND PROFESSIONS OODE:7HE CONTMCTONS 110EN8E UW�OFS NO7 MPLY TO AN ONfNEH OF � OiqPER7rY1HOWflDSORMAPiiOVESTHEREOH,ANDYhIODOES9UCHWdiRWMSELFORNERSELFOH = � TFWOUOXlqSORNEROWNEYPIAVEES�PROVIDED7/NT8UG11MPROVEMENT9ARENOTN+TENDEDOp � OFFFRFA PDRBALE IF.HOMIEVER TIIEBULdNOOft MIPROVE4EM 1860LD WRWNONE YEAROF COMPIE• TION,TIIE OYYNER�lURDER WILL 11AYE 1ME lURDEN OF PROVNO 7HAT HE Ofl SHE DID NOT BUII�Ofl MPROVE POH hIE PUR70SE OF SALE} W OL�OVMEROF7NEPROPERI'/,IWE%CW4IVELYOONTRAGTINOWIiHL�CENSEDCONTMCTOqE � 7D OONSTRUCT TNE PRO.IEGT(9EG/nM.B1131NE89 MI�PROFESSIONS OODE:THE CONTMC70N3 LI• VelU8f101f ADJ.AREA GENSE LAri DOES NOT MiLY MAN OWNEH OF A PAOPER7Y WMDBUIL.DS Oq IMPFIDVES TIEREON.ANO WFpOOHTRACTSfORSUCHGRQIECTSWITH�00NTMCfOR�9�LICEN6EDPlXi9UAHT7OTIE[bNiRAF QUANTITY DESCRIPTION FEE � TOitS LICENSE LAW.} J ' O 1 AM DIOACT UNDERlEG. B.�P.G FOR THI9 HEASON ,> •�� ' ,�� �= DAiE OWNEN � r ��[ IICENSED CONTRACTORS DECI.ARATION 7 R 111EREBY AFFIRM UImER PBJALTY OF PE0.JUM TNAT I MI LICENSE�UNDER PNOVISqNS OF CFUPTER 6 � /(OOIAMfNCNO WRH 9ECTIDN 7000�OF DNIS�DN 9 OF THE&/61NE55 AND PNOFESSqNS CODE,M1D W LIGENSE IS NI FULL RCE EFR � � LICENS LIC•NO• �� _ � �� � _ WO ERS'COMPENSATION DECLARAT70N 4 � INEREBYAFflRMIRAERVENALTYOFPERIURYDNEOFTIEFOLLOWINODECLMAT10N5: � y 4 C _INAVE�NON7LLMAINT/1WACEfi�IFIGTEOFODNSENTil75ELf�NSUREFORWORKERS' Z Z OONPEH3�T10N,A9 PROV WEO BY BECTION a7oa OF'TNE IAB�R CODE,FORTHE PERFORMMICE U Q OF THE WONIC FOR WSIH71 TWS PERMIT IS 165UED. � IHAVEANDNALLYN AMIWWIKE PENSAT INSU CE,ASFlE�UI �BYSECTION � p0 pF 7H U190R E,FOR 7TIE RM TH �N R TMIS PERMIT IS = ISSUED.W ll F�� NU ERME: CONSTRUCTION j GARRIER ,r PLAN REVIEW $ vaarwweEn —' � ELECTRIC a ,s �QJ (Msa[CiqNl�NoieEmh6lEtmoF'nEPEwXtsraonoNErAAdlmottl+YtsR��IOFIFss4 PLUAABING Z I CEFfTIFY hUT N THE PERFORMANCE Of TME WOPK FOH WHICH TF1R PERMIT 15�SUEO,I MECHANICAL � SNALL NOi EMPLOY ANV PERBON M1 ANY WWNER SO AS TO BECOME 9L9JEC7 TO (�p MJRKERS' ENSATpNUW50F U1.ANDIpRE IF16 ULD INSPEC710N FEE SUBJE TO YYORKERS' ATION S J7 F O s �r vn ISSUANCE � � DAtE: MPl MIP ► � y f'7���,�,-cf � ENERGYP/C � t-tT<����t� ' +;�.��1 � WARNINO:iAIIUR M SEWRE WORKENS'COMPENSA .OVER�OE IS UMAWFUL,AND SMALL e �'+�� ,.,,��{='�i�+ - �y S1161ECTFNEN7LOYERTOCRIMINILLPEN/LLTIEBAND LFINESUPTOONEHUNDRE�TM�USANO ENEIiGYPERMIT - •'�*`�t.:� -`'` OOLWi3(it00,000J.IN AODITION 70 THE COST Of COMPENSATqN,D�N�ES IS PROVIOED FOR IN � 8ECTIONl70B OF T11E LA80R COOE.WTERESL AND ATTORNE7E FEES. RETENTION FEE: �� a CONSTRUCTION LENDIN(iAGENCY PRE-ALT FEE: � �HER�V�FFIRM UNDER PENALTY OF ER7 1N 7H�T TMERE I6�CONSTqUCTION LEN�NO AOENCI FO(I7NE PER WFiMNYCE OF THCy�WOi�C WFI�CM THIS VENMIT IS I65UED(SE4 778�,CN.G). � LEMDER'S MM1E / \( _� � LFNDERSAODRESS � I CEH71iYT11�T I MAVE RE�D fHISAPPLtCAT10NAND 97ATE i}iAT1HEABDYE NFORAI�TION IS OORpECT. TOTAL FEES � �—✓ . d I MREE TO COAAPLV MA7H ALl C1iY MID COIfJTV ORD ANO STATE lA ELATWO TO Bl1LOIN13 CONSTRUCTION,ANDFfEflEBYAUfTpRIZE RESENT OF ISCOUN TO ERUPONTHE � MEMIONEDo ERTYFORWSPE Pl1R S (`,QMMENTS � PE EE y F OAT � HECPT.NO. PAID BV WWDATION WHITE-0eperdnant Copy.YELLOW—fnano�Copy.PINK—Aesessar CoW,QOLDENHOD—File Capy,GREEN--/1pplkanYs Copy � Cd71' O� DIAI�QhIT) ��F� Ir�Sf����'IQ"� F��G�3i�� • � .. ,. �� �� � _. �. �. .,.._ _ _� _ � � � ���,,�. ;., _ - ,�r� .�, ,._. 1�` ..:..;.�,,�.�',� `� �:.: ` �'`�'��a��� '� .�. 1►�1.� ���tt1�� , � ���� ; .. • �� � , . . .. � , ., . .... �- . . _..,. . .: .., -r:. ( � , - � I, ' �. 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