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HomeMy WebLinkAbout14280 CITY OF DIAMOND BA8 � -- " - DEPARTMENT OF COMMUNITY dz DEVELOPMENT SERVICES � , 21660 E.Copley Ihive Suite 190 (909)860-3193 Fax(909)861-3117 PRESS ��«�'��� BUQ.DING PERMIT APPLICATION FIRMLY � ADD ESS ��-v �'I YCY �hQ D'AMn1��i�" DATECATION I I ri` ��r PERMIT _-��C� P/C C. l�! NUMBER �F � APN LOT� TRACT� 31.¢0 O �SSUE�T�''�T�rpe occ � OWNER A l�n tN�A DATE CONST. GROUP ADDRESS�� ��Y �y�¢ ZONING SETBACKS CITY DktYY+Ov�d Bc.� ZIP,�� TEL.�Dy�-�f�^_Ale7 REART RW ❑❑ APPLICANT _n2nn�; {jS�� TEL. - SIDE/SIQE STREET RW ❑ CONTRACTOR �vkr �peh �{� t 1� e� Uih l �11!C• SIDE ❑ � AUDRESS �� 0 Nlc.._Q (�+.4t;pi se• PROPOSED USE 1 /n �i—t _ CITY Ohfat to ZIP�Z TEL.�1q�'ir hi'91 � ARCFUENG/ , DESIGNER �` � ADDRESS 1� . Q�� jl��t.N(• — NO.DWEL. NO. NO. UNITS STORIES BEDROOMS � CITY 6�1fc.11:o ZIP�y TEL.� 9 - I y DE5CRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION d OWNER-BUItDER DECLARATION SFR/ADOIREM O I NEiiEBV AFFlRAI UlDER PENALTY OF PEM1AIRY THAT I MI EXEIAM FROM TiE CONiRAC70RS L4 � M CENSE MW FOH iHE FOLLOW WO REASON(SEC.7W 1.6 BUSINESS AND PROFESSWNS CODE:ANV CrtYON COUHiYWIi1G1RE0UWE5APEAMRTOCON5IRUCT,ALTERIMPI�VE.DE40LI5H2OfiRE7AIRN1Y6TRUG p�t101�6Ck IUNE,P/UGH 70 RB WSUANCE,ALSO REOUIRES 7HE hPPIICIWT FOR SUq1 PEPoA770 FIIE A SIONEO SfATEYENT TWR XE OR SIiE IS UCENSED PUNSUANT TO 7HE PROVISIONS OF lHE CONiR+1CTORS l4 CENSE UNi IClUPTEFi Y(CdAA1ENCW0 MATII 6[CTION 7000)OF DINSION 7 OF 1NE BUS�NESS Ml�PR6 � PooVSpe FE8510N5 COOE�ORTHAT HE OR&iE IS EXEMPi 7MEREFROM AND 7HE BA513 FOR hIE ALLE�EO E]fEMR TION.ANYVIOLATIDNOFSECTION70.t1.6BYANYAPPLif'.ANTFOIIAPERMITSUBJECT57HEAPPLICANTTO Z Re-Raof � ACMLPENALT'OF NO7 MDRE T/IAN FIVE HUNORED DOlU1R5(l500�.): OL��IEROFTHEPROPERTY,ORMVEMPLDYEESWITHWAGESASTHEIRSOLECOMPENSATqN, � CORIII'IBfCl91 WIlL DO iHE WCAK,lWD T11E STRUGtURE IS NOT IMEND60 OR OFFERED FOR SALE(9EC.7a1,BU51� J NE85 AND P110FE9SION3 COOE:TXE CONfMCTORS LICENSE lA1V DOES NOT MPLY N AN qMNER OF � VAOPEHTYWFIOSUILDSORMPROVE5T/1EREON,MI7N7iDO0ESSUCNYYOFKNIMSELFORMERSEIFOH = � TIIHOUGHHISORHEROWNEMPLOYEES,CPOVIDEDTNATSUCMIMPROVEMENTSAFENOTMT&NDE�OII Ln OFFERm FOR SALE li NOWEVER 1MElULDWOOR IMPHOVEMENT t3 SOI�WITMNONE YEAROF COAIPLE- TION.TIIE ONMER-0I11L�ER WILL NAVE 1NE Bl1H0EN OF PROVWO TFiAT ME OH SHE DID NO7 BUIID OR MCRDVE FOR THE PUHPOSE OF BILLEL I � OI,ASOYMEROFTHEPqOPERTI;AMEXCLUSIVELVCOMMCTINOWRHLICEN3EDCONfRACTOqS TO CONSTRUCT THE PRO.IECT(BEC.7asa,BU91NE53 ANO PRDFE65ION6 OODE.THE CONTMCTORS LI- V91u911011 ADJ.AflEA ` CENSEUWDOE9NOTMPLYMMIOWNEROFAPROPERTYWIiOBUILDSORIMP(10VESTIEREON,AND f WFpOOHTRAL79iOR8UCHiRQ1ECT61MTNA00NfRACTOR�SjUCENSEOPURSUANTT0T/7E00NfRAF pUANTITY DESCRIPTION FEE � 10R5 UCENSE U1W.). ❑1 NA E%EMPT UNDER SEC. B.�V.C.FOR THIS REASON U � � OATE OWNFA � IICENSED CONTRACTORS DECIARATION -� � w IHENEBYAFFIiWU1DERPENALNOFPERIURVTHATIAMIICENSEDUNDERVROVISIONSOFCHA7TER � s f1�M1IENCN(iWRHSECTIONM001�DIVIS10N30FTHEBUSINESSANDPROFESSIONSCADE,IWO Z �L W LICENSE IS W FlALFORCEAND EFFECT. � � UCENSE ClASS � �l���� LiC.NO. ������ ' pn� NbV�!S r 94 CONTMCTOR s Irr;M:�r a an f 2 c. = WORKERS'COMPENSATION DECLARATIO°�" Y OF � I HER[BYAFFIfW UNDER PENAL7Y OF VERJUih'ONE OF THE FOLl01MNG DECLAMTION�:�I�v� � Z I[.,DING � �III�VEANOWILLMWNTNNACEXTIFIC�TEOFCONSENTTOSELF•INSUREFORYYORKERS' _ , CCI�PEN50.TpN,AS PROVIDED BY SECTION 370o OF THE LABOR G9DE,PoR 7HE PERFORMANCE OF h1E WORK FOR WHICII THIB PERMR IS ISSUFD. � _i/NVE AND WILL YAINfA1N WORKERS'COMGENSATIW7 INSURANCE,AS REWIREO BV SECTqN Q 97000FT/iELABORCOOE,FOqTNEPERFORIMNCEOFTHEMlOPoCFORWHICHTNISVERMITI9 Q O�� � ISSUED.W WONKERS'ODMPENSATION INSUHANCE CARRIER AND POLICY NUMBER ARE: CONSTFIUCTION 1 (1 � CMqIER PLAN REVIEW � I � POLICYNIR�BEH ELECTRIC � fn+ssEcrpr+n�wree�rEnoFnfrEr�r,rrs�aueru�mOcwas�a+wl�tFssl PLUMBING z 1 CERTIFY iMAT N TlIE iEHFORMANCE OF THE WORK FOH WHICH THIS PERMIT IS ISSUEO,I MECHANICAL (� SHALLNOT E/APLAYANY PERSON IN ANY YANNER SOAS TO BECOME SUBJECT TO THE y YYOqKERS'COAAPENSATIpJ LAW90F CA�IFOHMti AND�CREE Tii�T IF 1 SMOUTA BECOME INSPECTION FEE S SUBJECT TO THE WO�iKERS'OOMPENSATION PqOV15lON50F SECTION aToo OF TNE IABOR cooe,i sHul pwrmwirn ca.�v�r vnrri r�rose PrrowswNs. ISSUANCE -Of � p OATE �' •�_ APPLICANt ���y1cPn ZIY� Y1 ��O�e k.r� SMIP r�� � � T7- WARNINO:FAILURE TO SECURE WDRKERS'COMPENSl17qN CAVERAOE 16 UNUWFUL,AND 6HAL�BE ENERGY P/C ry SUB.IECTANEMPLOYEqTOCRIMINALPEW.LTIESANDqVILFINESUPTOONEHUfAREDTHWSAND ENERGYPERLAIT DOLLARS({IOD,GUO),ti IID�Il1ON TO THE COST OF COMPENSATION.DAMA6E3 AS PROVIDED ROR IN � SECTqN970tOF7HEUBORCODE,RI7ERE5T,ANDATTORNEYSFEES. RE1'ENTIONFEE: _ OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFIflMUNDENPENALTYOFPERJURYTNATTHEREISAGONSTNUCTIONLENDWGAOENCY Z f-0R TME PERfORMANCE OF TNE WORK PoH WHIGN MIS PERMIT IS ISSUEO(SEC.3097,CIV.G). W � LENDEiFS NANE CS LENDER'S WORESS `+ 1 CERTIFY TMAT I HAVE READ T113 APPLICATION M1D STATE TFIAT TNE ABOVE INFORMATION IS COqqEGT. TOTAL FE ES d IAOREE7000MPLYWfTHALLCfTYANOCOUNNOR0INANCESANDSTATEUNlSRELATWOTOBULUINO �� �/�.��/]'� i � CONSTRUCTION,MI�HEREBVAUfF10RIZEHE7RE5ENTATIVE50F7HISCOUN7Y70ENTERUPONiHE .. V/ � �/ dAEMqNED PHOPEHTY FOR MSPECTION PURP0.4E5. 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