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HomeMy WebLinkAbout17548 (667) .�,: ��,, CIT`I OF�IAMOND BAIt 'r,� -----�`-- I3EPAR'i'NNLENT OF COMMUNITY&DEVELOPIvIENT SERVICES � > � � � 21825 E.Copley Drive � � (909)86a-3195 F�(909)861-3117 PRESS "'%.v�°�' BUILD G PERI4�IIT APPLICATION FI R M LY } JOBSITE �� � �� APPLICATI � �PERMIT _i��l� o ADDRESS�i(,�V� � �` DATE � NUMBER o - ISSUE TYPE OCC ' `� APN OT TRACT DATE CONST. GROUP � OWNER C/S � ADDRES cST� cgL�r. ZONING SETBACKS z CITY � ZI ` TE . �-"' S� FRONT RW ❑ APPLICANT � TEL REAR ❑ o SIDE/SIDE STREET RW ❑ � CONTRACTaR tl SIDE ❑ � ADDRE PROPOSED USE � GTY Z1P � TEL� o ARCHlENG/ � '-"� z DESIGNER NO.DWEL. NO. NO. � ADD 55 o UNITS STORIES BEDROOMS = CI �� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION � SFR/ADD/REM O � I HEREBY AFFIRM UNDER PENAlTY OF PEPJURY iHAT I AM EXEMP?FROM THE CONTRACTORS LI- G2f89PJC8(POfI W CENSELAWFORTHEFOLLOWINGPEASON(ScC.7o91.5BUSINE55A�DPROFE5510N5CODE:ANYqNOfl (n CJ COUNTYWHICHREDUIRESAPERMITTOCONSTRUCT,ALiEfi.11dPFiDVE,CEMot1SH,ORREPAIRANYSTRUC- W patlo/DBCk Z Tl1RE.PRIOF 70ITS ISSUANCE.ALSO REQUIfiES THE APPLICANT FOF SUCH PERMIT TO FILE A SiGNED W W STATEMENT THAT HE OR SHE IS LICENSE�PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- �� 'CENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF�IVISION 3 OFTHE BUSINESS AN�PRO- � POOUSpB 0 FE9SIONSCO�E�ORTHATHEORSHEISEXEMPT7HEPEFFOMANDTHEBASISFORTHEALLEGEDEXEMP- (� U TION.ANYVIOLATIONOFSECTIONT031.5BYANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof � A CIVIL PENAIlY OF NOT MORE THAN FIVE HUNDRED DOLLARS.(b5oa).): � CI,ASOWNEROFTHEPRDPERN,ORMYEMPLOYEESWITHiNAGESASTHEIRSOLECOMPENSATION. � Commerciai � z WILL OO THE WORK,AND THE STRUCTURE IS NOT INTENDE�OR a�EFiED FOR SALE(SEC.7G44,BUSI- J NESS AN�PROFESSIONS CODE:THE CONTNACTORS LICENSE'LAW pOES NOT APPLY TO AN OWNEP OF � PROPERTYWHOBUILDSORIMPROVESTHEREON,ANDWHO�OESSUCHWORKHIMSELFORHERSELFOR = � THROUGHHISORHEROWNEMPLOVEES,PROVID�THAiSUCH.IMPROVEMENTSAPEAOTINTENDEOOP m W OFFEPE��FOfiSALE.IF,HOWEVER,hIEBNIDWOORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- � TION,THE OWNER-BUILDER WILL HAVE THE 9UflDEN OF PROVING THAT HE OR SHE DIO NOi BUILD OR Z IMPftOVE�,FORTHEPURPOSEOFSALEJ. � _ ❑I,ASOWNER�OFTHEPFOPER7Y,AMEXCWSIVELYCONTFiACTMGWITHLICENSmWNTRACTORS �� TO CONSTRUCT THE PROJECT(SEC.7044,BUSINESS ANO PROFESSIONS CODE:THE CONiRACTORS lJ- Vd�tlBtlOf1 ADJ.AREA W. ,CENSELAWDOESNOTAPPLVTOPNDWNEROFAPROPERTVWHOBl11LOSORIMPROVESTHEREON,AND �'� WHOCANTRACTSFORSUCHPROJECTSWI'1'HACONTFACTOR(S)LICENSEDPURSUANiTOTHECONTPAC- QUANTITY DESCRIPTION - FEE Y TORS UCENSE LAW.). ' � ❑I AM EXEMPT UNDER SEG B.&P.C.FOR THIS REASON � � � � �'i' DATE OWNER V � LICENSED CONTRACTORS DECLARATION —� . ¢ W CC 1 HEFEBY AFFIRM UNDER PENALTV OF PERJURY THAT IAM LICENSED UNDEF PROVISIONS OF C'?�APTER � d, 9�COMMENCINGWITHSECTION7000)OFDIVISION30FTHE9USINESSANDPROFESSIONS OOE,AND z `X, MY LICENSE IS IN FULL PORCE D EFFECL m �� LICENS LASS � _LIC.NO. � / � U DATE�� �Q CONTPACTO a W � WORKERS'COMPENSATfON DECLARATION Q � U � IHEREBYAFFIRMIJNDER.PENALTYOFPERJURVO`7EOFTHEFOLLAWINGDECLARATIONS: � Z Q � I HAVE AND WILL MAINTAIN ACER7IFICATEOF CONSENT TO SELF-INSURE FOF WORKEP,s' _ COMPENSATION,AS PROVI�EO BY SECTION 3]oa OFTHE LABOfl CODE FOR THE PERFOftMANCE U ¢ OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � 0 W I HAVE AND WILL MAtNTAiN WORKERS'COMPENSATION INSUPANCE,AS HE4UIRE�BY SECTION � gi ��/�{ Q a7oaOFTHELABI RCD�E,FORTHEPERFORM ICEOFTHEWORKFORW HTHISPERMITIS ��ti.4, t,oE� ISSUED.MY W fEA5'CQMPENSATION INS ANCE cn IER AN�PD N eea��! CONSTRUCTIDN , .�. � ► es � CARRIER •' � PLAN REVIEW d-� � POLICV NUMBEfl ELECTRIC Q '� (iHiSSECTbNNEmNOTBEO�MPLETEOOFTHEPERMiTISFORONEHUJDPEDCIXIAAS�510�ORLE55). PLUMBING W MECHANICAL z �CEflTIFYTHAT IN THE PERFORMANCE OF hiE ORK FOR WHICH THI RMIT IS ISSUED,i (;j SHAIL NOT EMPLOY�';ANY PERSON IN ANY MAN P SOAS TO BECOME U ECT TOTHE � WOflKERS'COMP:N5ATIONLAWSOFCALIF A,AN�AG ETHATI IS OULDBE ME INSPECTIONFEE SU&IECTTOTHEWORKERS'COMPENSA71 POVISION FSECTI 97aOFTH LABDP � � CODE,I SHALL CRTHWI COMPLV WIiH O E ROVI ONS. ` ISSUANCE � SMIP � � � �AT�� �APPLICANT: ----- W �� ENERGY P/C ^� WARNINGFAIUIRETOSECWREWORKERS'COMP=NSATIO COVERAGEISUNLAWFUL,ANDSHALLBE � SUBJECTAN EMPLOYER:fdCRIMINAL PENALTIES AN�CI FINES 11P 70 ONE HUNDRED THOUSAND ENERGY PERMIT _ DOLLARS($1oo,oa0),IN AD�1710N TO THE COST OF COMP NSATION,DAMAGES AS PROVIDEO FOR IN J SECTIaN3]oeOFTHELA9tl{iCODE,INTEREST,AN�AT?ORNEY'SFEES. RETENTIONFEE: � � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBY AFFIRM UNDER PENALN OF P[RJURY THAT T ERE IS ACONSTRUCTION LENDING AGENCY �a' FORTHEPERFORMANCEOFTHEWORKFORWH/I�Fi T SPERMITISISSVED(SEC.3o9],CIV.C.J. � liJ Lj LEN�ER'SNAME__� — � �,w LENDER'SAD�RE55 �p g�� '' 1 � ICEFTIFYTHATIHAVEREA�THI3APPLICATIONANDSTATETHAT7HEA60VEINFORMATIONISCORRECT. TOTAL FEES � �i� IAGftEE TO COMPLY W1TH ALL CITYAND COUNTY ORDINANCES AND 5TA WS RELATINO TO BUILOING ,� CONSTRUCT N,ANDHEREBVfUTHOHILEREPRESENTATIVE50FTHISCOU TO'cNTERUPONTFiE .Z A80VE-ME PERTYFORINSPE PURPOSES. �v � COMMENTS � � �v V� J � � .¢ PERMI E AME(P ) ___ � ��� � 51 A R F MI E DATE = RECPT.n0. 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