HomeMy WebLinkAbout13483 (25) CITY OF DIAMOND BAS � --"��'-- DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES � . 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861•3117 PRESS "'�'� BUII.DING PERMI,T APPLICATION FIRMLY ` DD ESS �� �Q /!(re L�[ � � APPLICATION PERMIT ��,/y� P/C o OATE NUMBER ���� $ av ISSUE 'ryPE * pCC APN OT � TRACT DATE �`'���G CONST. GROUP g OWNER ` C p ADDRESS td ZONING SETBACKS � CITY ZIP�� TEL:L7f1�1 ftl�//�I FRONT RW ❑ APPLICANT TEL.�— REAR p � SIDFJSIDE STREET qW ❑ CONTRACTOR C. SIDE p ADDRESS � Cny Z�P �J�p, TE �� PROPOSED USE �ai ARCH/EN(i/ 7 `�.f�. � DESIGNER NO.OWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 MENEBY AFFYW UNDER►ENAITY OF PERIURY 1X�T I AM EXEMPT FHOM THE CONTRACTORS LI- G9f8gB/C81p01t CENSELAWFORTNEFOLLOYYINGqEA90N(SEC.70.17.681J51NE55ANDPROFESSION5CO0E:ANYGTYOR (f� Cq1NT/NMCHREOLIIRESAPERMIT7000N5TRl1Ci,ALTERN.7PROVE.DEMOLISH,�fiAEPNRANYSTRUC• .W p��i�ck tURE.PRqit M IT6165UANCE.ALSO R[DI/1RE5 1NE MPLICMIT FOR BUCH PERMIT TO FILE A 61ONED BTATEMEM iHAT HE OH SHE 19 LICENSED PURSUNR TO TXE PROVISION3 OF h1E CONTRqCTOp9 U� CENSE UW(GiAPTER Y(COMMENCINO riITFI SECTION 1a00)OF OIVISqN 3 OF TNE 9USINE55 AND PFp- LL' POOVSp9 FESSqN500DE�ORT/NTMEOFiSHE15EXEMPTTiEREFPOMANDIHE8A51SFOHIMEALLEQEDE7IEMP� C7 TION.MIYVIOUTIONOFSECTION70.71,68YMIYMPLICMlTFOqAPERMIT6UBJECTSTHEAPPLICIW7T0 Z Re-Roof � ACML iEtiALTY OF NOT AfORE TNAN FIVE HUN�REO DOLUIRS�i5oo).1' ❑1A50VRJEROF7XEPROPERTV,ORAIYEMPLDYEESNlITNWafiESASTF1E1qgOlECOMPEN5AT1oN, � G�RIII1BfCi81 MIILL OD TI�WOPof.AND TME STRUCTURE IS ND7 WTFNDEO OR OFFEREO FOR SALE(SEC.7ou,BUSI- J � NEBS Ml�PROFESSIONS OOOE:TIE OONiMCTOR9 UCENBE lMH DOES NOT APPLY TO AN OWNER OF = PNOPEHTYYVFIO BURDS OR IIAPqOVE97HEREDN,iVlQ WIppOE9 SIKH WORK HIMSELF OR HERSEIFOR � iHqOUOFIFNSONNEROWNEMPIOYEES,PFpVDE�1MA7SUCMIMPROVEMEN79N1ENO7NfENDEOOR C� . � OFFEREDFOR8ALEIF,1qWEYERTHEBNIDINGORNIPNOVEME1�R138pAWITHNpNEYERROFCONIPLE ... . 710N.7NE OWNER�BU0.DER MIILL MAVE iF1E 61FiDEN Of PROYINO THAT ME OR 6ME pp NOT BUIID OR MPROVE FOR iNE PUqPpSE OF&LLF1. �yJ ❑IASOWNEROFTMEPNOPEHTV,AAAO(CLUSIVELYOONTpACTp10WITMLK;EN£EDOONTRACTORS � 1D OONSTRUCT THE PROJELT(8EC.70I4,BUSINESS AHD CROFE5810N5 CODE:THE CONTMCTOflS U- �IU8t10(1 ADJ.AREA CENSE UV!DOES NOTAPGLV TO AN OWNER OFA PHOPERiY MMO BUILD6 OR tlAPROVES THEREON,AND WIiOCONTMCTB POFl BUCFI Pi10.1ECTS WITiA00NTRACTOFl(S)410ENSED►URSUANTTD THE CONfM6 tonsucENSEuw.�. QUANTITY DESCRIPTION �E � ❑�Mi FXEMPT 1MOEA SEC. B.d P.C.FOIi TNIS RERSON � U W DATE O\YNER � Z U � UCENSED CONTRACTORS DECLARATION W � IHEREBYAFFYWUI�DERPENALTYOFPERIURYTHATIAMLICENSEOUNDEflYROVI510N50FCMAPTER � f�COMMENCNGWRNSECTIO1Viuua�OFDIVI5qN90FTME9U51NE55ANDPROFESSIONSCODE,MlD Z O MY LICENSE IS W Fl1Ll fORCEAND EFFECT. ����� / � G�s` F UCENSE CLASS L1C.NO. � � OATE ��'� �J —Q 2� COMRACTOR_�_- u:n• Ta,rE a r� � WORKERS'COMPENShTION DECLARATIDN Q � IMEREBYI1FFIq1AU�CERPENALT'OFGERIURYONEOFTHEWLLOWINGDECLARATIONS: Z � _IHAVEANDWILLAWNTNNACEf1TIFICATEOFCONSENTTOBELFdNSUqEFORKORKERS' a CONPEPISATION,A9 PROVIOED BYSECTION 970o OF7HE UBOR CODE.FORTHE PERFORMANCE U OF 1HE 1NORI[FOR WHlqi T}US VERMIT IS ISSUE0. W � � �INAVEANDWILLMNMAINWORKEHS'COMPENSATIONINSURANCE,ASflEWiREDBYSECTION Q 770DOF 7ME IABOR GOOE,FOR i17E PEflPDRMANCE OF iHE WORK FOR WHICH iH15 PEHMR IS � IS5UED.MY NlOqKEi13' PENS ION INSLIRAN CARRI R AN�POLICY NUM9ERARE: CONSTRUCTION � CAHNIEH ���ZK � �e PLAN HEVIEW � P0.ICYNUMBER � , n� ELECTRIC � ...... p (Msetcrqw�rroTeEmi+w�trmoF'nfrEwxT�sFonorrEt�.wRmDou�asfsiaolon�ss} PLUMBING �. uJ Z 1 CERTIFV iW1T AI THE PERfORMANCE OF THE WORK FOR WHIp1 iHIS PERMIT{5 ISSUE�.I MECHANICAL C,,,2' SIiALL N0T EMPLOY M!Y PERSON IN ANY MMINER SO AS TO BECO►1E 6U81EC7 TO THE �,�� y WOW(EFS'CDA/PENSATqNUN/SDFGILIFpqN11ANDAGREETNATIFISHOULDBECWAE INSPECTIONFEE ..,, t'"j 000s,�srwl roAn�vnrH caea�v win�nrafe r owsroNs ISSUANCE'�E�T�'� "''.. &18JECT TO THE WORKERS'COYOENSATIDN VFlOVISIONS OF SECTqN a70a OF 7HE UBOR � w .., �1iL� �l�- :L'�P •r) � 1� O /, ,`y�� / Ou . . . � ..v i.. ...�.�.. � DATE: APRICANT. f a� /7 �!I'e1��1 SMIP 1..i,,.�l� t'.._,. ._... ._7 �- -l� _��--�:�;-:�_. ,_, �-:;:.�< . WARNING:FAILUqETOSECUREWORKER3'COMPENSATIONCOVERAOEISUNIAWFU4�NDSHALLBE ENEHGYP/C � 5IIBJECTANEMPLAYERMCRIMIWLLPENALTIESMOCNILFINESUPTOONEHUNDREUhKK/SAND ENERGYPEHMIT � DOLLAAS(i100,000J,W ADDITION TO THE COSTOFCONPENSArqN,DAMA6ESAS PHOVIDED FOR IN SECTION i70B OF 7HE U180R CaOE,IMEREST,ANO ATTORNEY'S FEES. RETENTION FEE: � CONSTRUCTION LENDING AGENCY pqE-ALT FEE: � IMEREBYAFFIRMUNDEHFEHALTVOFPEPJURYTHATTHEREISALONSTRUCTIONLENDINOADENCY FOR 7HE PERFORMANCE OFTHE WORK FOR NM171p/THIS VERMIT IS ISSUE�(SEG.809I,pV.C.). � � LENDER'S NM1E C LENDERSAODRE55 � 1 CERTIFY TUR 1 HAVE READ THI$APPLICATqN Mp STATE iHAT THE ABOVE MFOAMA7qN IS CORRECT. TOTAL FE ES p� IMiREETO00A1PLYWITHAL�CRYANDCOUNTYORDViNYCESAN�6iATELAWSREUTINOTOBVILDINa '^ CONSTRUGTION,ANOXEREBYAUTFppIZEREPRESENiATIVESOF1111SO0UNTYTOENTENUPONTHE � /�BOVE�MENTqNEDPFqPERTYFORINSPEGTIONRIRFO5E5. COMMENTS �,�, I�,��l�a►�e! A. ln� �l� � PERMITTEE NAM INn � _�I_ � � BIONATURE OF RMIR DATE � RECPT.NO. 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