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HomeMy WebLinkAbout15324 (8) � CITY OF DIAMOND BAS ' ` a`"-�J`�--��- DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES � 21fi60 E. � CopleyDrivesuiu 190 PRESS � '�'��' svu nnvcs��r 6�riicATTON FIRMLY o� JOBSITE �� ���JZ � �95_� SfIA�NOAI APPUCATION �_/�'�f1 PERMfT J�!y��PlC ADDRESS_., __��� } DATE_ -�_w NUMBER 1� � � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER R�L �"YW�D �.D. ADDRESS ZONING SETBACKS CITY ZIP TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDElSIDE STREET RW ❑ CONTRAC QO AI 12 SIDE ❑ g ADDRESS PROPOSED USE CITY(nlSSion IC.�a ZI 1 TE 'Qy p � ARCHIENG/ {?Lti p �� �I DESIGNER NO.DWEI.. NO. NO. ADDRESS UNITS�_ STORIES �BEDROOMS � CITY ZIP TEI. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION QOWNER-BUILDER DECLARATION SFRlADD/REM O Q I I�REBY AFFIf9.1 UNDER PENALTY OF PEFW RY TMT I M1 IXEMPT FAOM THE OONTRACTOltS LI• G9f8A0/CflfpOrt � CENSEUWFORIMEFOLLOWINGREAeON(SEC.7a71.68USMESSANOPIqFE5510N5COCE:ANYCl1'1'OH (n ZCOtINiYNMK9IREOLIRESAPERAIRTOCONSTRUCT,AL7ERM7NOVE.0E1.1OL15N,DRREPAIRMIYSTRUG `W PItIOlD6Ck � 1UpE,iRlOq TO rtS IBSUANCE,ALBO REOUTAES iXE APPLICMIT FOR SUGi PERMIT TO FILE A SIONED RATENEM TiAT NE OR 8ME IS UCENSED PURSUANT TO 7HE PROVISIONS OF THE LOHfRACTOR6 lH CEN6E LAW(CHAPTFR 0(CdAMENCINO WITH SECTION 7mo)OF DM&qN 9 OF iHE BIl51NESS ANO VRO• � PooUSpe FE89qN5 000�ORTHA7HE OR SHE 16 EXEMPT7XEREFRqA AND 7NE BASIS FOR iFIE ALLE�ED OfEMP• 7qN,M1YVpIATqNOFBECTION1W1.6BYANYACPIICANTFOHAPERMITBUBJECTSTHEMPI.IGWTTO Z Rg-ROpf � ACML7ENAL7YOFNOTMOREhYWFIVEFRINOREDDOLURS�f5o0)a: ^ �4��NEROF7HEPROPERTY.OHNYEMPIOYEE5WITTIWAOESASTHEIRSOLECOMPENSATION, O Commerclal � WR100 THE WORK AND 7ME STNUCTUHE IS NDT NTEN�ED OR OFFERE�FOR BALE(SEG 70��.BUSI• J NE65 A!8 PROFESSIONS COOE:7NE CONiMCfORS LICEN9E W'/OOES NOT APFLY TO AN ON/NER OF = S� PpppEpTYYV110011LD50RIYPROVE37HERE0l1.AN�WNODOE58UpiWORKHIMSELFORMERSELFOH m � TIIi10UGH NIS DR NER ONM i1APLOYEE3.PiIOVi�ED THl1T SUCN 111PROYEMENTS ANE W�T INTEN�E�OR OREEFiim P7p SALE IF,MOWEVER7HEMJLDINUOii MPpOVE4ENT W SOID WRFANONEYFAROFCOMRE- TION,THE OMYIJER-BURDEH N7LL MAVE Tl1E W RDHI CF Pi10VINa TMAT HE ON 8ME DID NOT BUILA OR W PROVE fOR iHE NRiOeE OF BALEi. � 04�+'D�FROFTMEPROPERTV,AME%0.U8NELYCONTRACTINOMIITHLICENSEDOONTMCTOR3 • TO CONSTAUCf THE PROJECf�SEC.7oH,lU81NE33 AND PROFE9SION5 CODE:TiE CONTFUCTOR9 LI• V9Witi011 ADJ.AREA CENSE UW OOES NDT MP�Y TO AN OWNER OFA PflOPENTY W110 BURDS OR NIPHOVE8 TiEREW.AND Mh1000NTMCT8FOH8UpiPROJECTSVIATH�CONTMCTM(81LOCENSE�PURSUMIT707HECONTMG OUAN DESCPoPTION FEE � TORA 110EN5E LAW.�. O INA E%EIAPT UNDEH 9EC. B.�P.C.FOR THIS RE/uSON U � p/�7E ONMER � � W LICENSED CONTRACTORS DECUIRATION � � W 1 MEREBY AFFiiAI UNOER PENALTY OF VE0.RIRY 1HAT I AU IICENSE�UNDER PROVISION5 OF CMAPTER � s �(COMMENCNO MfRN SECTION 7ooD10F DIV1310N 90F THE BUSINESS AND PROFESSIONS COOE.AND Z SG MY UCENSE IS N FUII FO/iCE D EFFECT. m {L � � LICENSE CLASS��r� LIC.NO. J � pATE �� I��W CONTiUCfOR _D d WORKERS'COMPENSATION DECLARATION Q � 1 F�REBY IVFFIRM UNOER PENAI.TY OF PERJURV ONE OF THE FOLIOWINO DECURATIONS: � N � Q __IMAVEMD1MLl�NT1UNACEFiTIFICATEOFCONSENTT080.FaNSUREFOR�MORKEHS' Z pqJPQlgpTqN,A6 pROVIDW BY 6ECTION]7000F TME 1A60R CO�E.FOR TNE PEF WRMANCE U �� OF TNE WORK FOH M�HICM iM19 iERM1T IS ISSUED. � � �1 HAYEAND VYILLMNPRNN MfONKER3'COMPENSA710N INSIAUNCE,AS REWIRED BV SECTION O Q a7o0 OF 1HE UBOR COOE.FOR TNE PERFORMANCE OF THE WORN FOR WHICH 7HI5 PERMIT IS I 189UED.MY WORKERS'COMPENSATION..��INSU�,fL�'W�,C�'E��CARRIEF AND GOLICY NUMBER ARE: CONSTRUCTIDN � CARi11ER ST� �✓ PLAN REVIEW � P41LW Mri18ER��' n ELECTAIC ��: 0 (IV96gE�,'iIOP��E�NpTg6ap,pLE1�pF1}EpEp�il6ppqOMEFII�RED�OlLARSRto�arit�. PLUMBING � 1 CERTIFY 71U1T�N 7NE PEPFORMANCE OF 7HE WORK FON WHICFI TNIS DERMIT IS ISSUED,1 MEGHANICAL �' SM�LL NOT EMPIAY ANY VEftSON N ANY MANNER 50A5 TO BECOAdE SUBJECTTO hIE INSPECTION FEE � YYOfiKERS'COMPENSAiqNlAW50FGALIFORNIA.ANDAOREETHATIFISfKK/LOBECOME S SU&IECTTO7HEM/IXiKERS'G�0►1PENSA7pfIPROY15qN50FBECT10Ni7o00FTHELA00H (SSUANCE � CODE.I SHMJ.FORTHWITN COMPLY WITH THOSE PROYISION5. � � SMIP � p ppTE:�APPLICANT. � ENE-RGY P/C WJ�iWINO:FAILUHE TC1 SEGURE M/OFi10ERS'COMPENSATION GOVERAOE IS UNIAWFUL,AND SFIAIL BE (�y BUBJECTANEMPLOYERTOCfiIYINALPENAL71E5ANDCIVILFINE5UP70pYENUNOREDT110USAND ENEHGYPERMIT } DOLLARA(5100.000).NAODRIONTOTHECOSTOFCOMPENSATqN,DAMAOE5A5PROVIDEDWR�N � 9ECTIDN770lOFTMELABORCOOE,INTEREST,AND�TTONNEV'SFEES. RETENTIONFEE: CONSTRUC'fION LENDING AGENCY pRE-ALT FEE: 4C I HEREBY AFFIRM IMJDER PENALTY OF PERJURY THATTHERE IS�CON57RUCTION LENDINQ MiENCY �Z� FOR THE VEHF011MANCE OFTHE WOPoC FOR WHICHTHIS VENMIT IS ISSUED(SEC.7oB'7,CIV.C.�. W � LENDER'S NAME � IENDER'SADDREsS � ICERTIFYTHA7INAVEREADTHISMPLICA710NANDSTA7ETUTTHEA90YEINFORMA7qNI800HFECT. TOTAL FEES d I AOREE i0 COMPLY W7TH ALLCRY AND COUNTY OROW/JJCES AND BTATE 4ANI5 NEUTNO TO BUILdNO CqJ6TRUCiION,/ND MEREBY AUiMORQE REPNESEMATNES OF THIS CIXINTV�O ENTER UPON THE S� /iBOVE-MENTIDNEC PHOPERTY FOR INSPECTION PUHPOSES. COMMC'NTS � C�.�.I Ic� �r��olJ� i�Oc�F!A�. TI�X�_ m PERMIT'1EE N E(�[A PRINT) �—� ^�� 4 /�l/ [J N ( /h.._�.r� 1 y ap��TIN 1�E�PER/AITTEE DATE � � RECPT.NO. PAID BY VALIDATON WHITE-0epeRment Capy.YELLOW—Finance Copy,PINK—Aasassor Copy,60LDENROD—File Copy,GREEN—ApplicanPa Copy . . . . . ..; .. : .. _.. ,.. . . .. . ,. . -• . _.... - - ..._ . ... .- ._.... _. . .. , ' .� . Y.. 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BUND BEAM `_ � --� -- �-�-- �--�---�- � ` -- - �� FRAIRIlINGNENTELIP.TION • ' FlNAL'6UNQ BEAM � � --�----__-.---- r _ • ,_...._�._s__ _ ,-.,.-.._-_._____------------------------------..____---- RObF GOVEFi J�:-� � � __. . ; PRE-GRADING _ ' ___.I. � ROUGH HEP.TING ( � BENCHING RQUGH ELECTRIC j ROU�H GRADING j �- � -� �- - ---------� ROJGH PLUMBING �� � ; FINISH G(�RDING j __ � �----•-------�--- ------ � SHOWEF3tTUB TEST � �__ � POOL ELECTRIC � __�^_ ! EXT. 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