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HomeMy WebLinkAbout14154 (1062) � �� � _`� CITY OF DIAMOND BA1L DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� ais6o E.c�iey nri�e s��i90 PRESS '�,�� ; �UQ.DING PERMIT APPLICATIQN FIRMLY � JOBSITE '- � APPLICATION PERMIT =-���d� P �r Q ADDRESS DATE NUMBER � ,! # 1� � r ISSUE TYPE OCC � P,PN LOT I TRACT DATE CONST. GROUP p OWNER �� i��9 . ,-���-� - � ADDRESS ������� ZONING SETBACKS z CITf m ZIP TEL. � REORT RW � 4 APPLICANT TEL. �� $IRFJSIQE STREET RW CJ li � CONTRACT'OR �.. SIDE C7 � AUDRESS PROPOSED USE O CItY � Z!P TEL. , Q , ARCWENG , � �� -�� -- �' DESIGNER F� �I- NO.DWEL. NO. , NO. � 'AD!]RESS I UNITS STORIES BEDROOM$ �' CiN ZIP TEL. � o� !aER-eui�oER DECLAw.4Ti0N CRIPTION AC OR PSF "� �ADJ.°AREANALUATION � SF DD/REM�.,, �J,.,J�--��- � _2.� ,��, ., �_�. ..�...- _"�� � O, ... Q 1 HEREBY�FFlRM UNDER P NN.TY OF PERJURY THAT 1 AMS EXEMPT fROM THE CONTRACiORS LI- GBfdQ/CBfPOR Y ' ,� 1 (,D " 'ld� CENSEL4WFOflTHEFOlLf1NlING EASON{5EC.7D3t.5BUSINE55/1NDPROFE5510N5CODE:ANYCITYOR (n � � C7� COUNTYWhiICHREOUHESAPEA ITTOCONSTRUCT,ALTER,EMPROVE,DEMOi.ISH,OftREPAIRANYSTHUC- LLI patio/ el�c - ' � �' TUHE,PRIOR TO ITS 15Sl/ANCE, SO REGUIRES THE APPUCANT FUR SUCH PERMIT TO FILE A SIGNED W ' �; S7A7ElAENT iHAT HE OR SHE IS CENSEO PURSUAhT TO THE PROVISIONS OF 7HE CONTRACTORS ll- . ��. CENSE LAW(CHAPTEN 9(COMME ClNO WITH SECTIOk 7C06)OF DIVISION 3 OFTHE 9USINESSAND PFO� -u" PQ'��Spd FE33YJNSCOOE}ORTHATHEOR�HEISEXEMPiTNEFlEPHOMANDTNEBASISFORTHEALIEGEDEXEMP- (� �, TION.ANYVIOLAtIONOFSECT10117037.58YANYAPPLICANTFORAPERMITSUBJECTSiHEAPPLICANiTO �� REROOS � �, ACIVILPENALTYOFNOTMORE3HANFIVEHUNOFEU�Oi.L0.RS�S5oo).1: tq ❑I.ASOWNEROFTHEPROP RTY,OkMYE'dAPLOYEESWITHWAGESASTHEIfl50LECDMPENSA710N, �I Commercial . - . . �+ WILL DO THF Wi7RK,AND THF.S�OCTIIRE IS NOT INTENDED OFi OF:ERED FOfi SALE(SEC.7084,6U51- _J� �'� NESS AND PROFESSIONS CQDE:�HE CANTRACTORS LICENSE tAW DOES N�T APPLV TO AN OWNEA OF = n ^'1/:'f C� i � PROPERTYN"IIOBUILDSORIMPR VE6Tt',EREON,RNDVhiODO5S5UCHWOFKHIMSELFORHERSELFOp tl �is�G . C�: TFlRG1GH HIS QR H5R OYdN EMPt,POYEES,PROVIDED THAT SUCH IMPROVEMEN?5 APE NOT IPlTEN�ED OR m , ' � L1.➢��. OFFERED FOR SAi.E IF,HOWEVER�THE BUA.DING�i IMPROVEMENT IS SOLD WI7HIN ONE YEAflOF COMPLE� ���" 'YION,TFIE OWkEA-BUILDER WILLJ HAYE TtlE eUflDEN OF PNOVING THAT ME OR SNE DBD NOT BUIID OR � ,.w�,,, IMPR6VEFOHTHEPURP6.REOF'SALE). ❑I,AS DWN'eROFTHE PR09E6771!AU EXCLUSIVELV CANTRACtING WITN L!CENSED CONTRACTORS ,�� TO WHS7RUCT THE PROJECF(�.7044,BUSINESS AP70 PftOFESSiONS Gr1DE:TY.E COIVTaACiORS L6 V8IlJ8fI0tt � ADJ.AREA ��ill. ,�CEWSELAWdOiESNOTAPP�YTO OWNEROFAPAOPEHTYWHOBL3LOSORIMPROVESTHEREON,ANC � ���'; WHOCONTRACTSFORSUCHPR GCTSWI74lACQNTR&CTOF1,6)UCENSEDPUfLSUANTTOTHECONTRAG (aUANTIIY - DESCRIPTION� . - - FEE � � �, TORSUCENSELAV�J. �, „ _ .,Q'� ❑I AAi EXEMPY UNB�R SEC�I�_ B.8 P.C.FOq THIS REASON � � � � �` OATE OWNER � � " � � W � LIG�N�ED CONTRACTflRS DECLARATiOPd —� � W I HEAEBYAFPIRM UNDSR PENdL OF PER.VURY 7HA71 MS LICENSED UN�ER FROVISIONS OF CRAPTER �r �, D(COMit9ENCINOWITHSECTtON�Oo)OF�IJISIOh30F7He9USINESSAN�PROFE5510N5CO6E.RND � _ 6�A MY LICENSE iS IN FULI FORQE D EFPECT. m o UCRJSE CLASS ��LIG.NO. v� .�• � _ . '� . � � '� � V DATE�� ������ COPI7RAC70a a �C !&J 1 G��d, - . . . W6RK�RS'COMPENSATION DECLARATION -- . �� .._,U��. - �, '�. � �. INcREBYAFFIFIMUNDERPENaA.� DFPERJURY,ONEOFTNEFOLLOWINGDECLARATIOPlS:.; _ Z . . � . ' ^,. ., :.; .. �. . ,.. ,. � � �: . '; . . • . .,:. . ..: , C] �IFdAVEANDNIILL;A/A1NTA ACEATIFICATEOFCANSENTTdSELF-iR15URE�FORWORKERS' � . � -� � ' " � CCA@PENSATION,ASPR IDEQBYSECTION37ooOKTHELA80ftG(]pE,FOfiTHEPERFORMANCE � OFTNeWOFL(FORtl�HI T.HfS�FEAMITI5ISSUE�. � . . sxd �!HAVEAPID W!l11AAINTAN WSSRKERS'COMPENSA710N INSURANCE,AS REQl1iP.ED BYSECTION p 37000FTH[LAOOflW ,�ORTHEPERFORMANCEDFTHEWORKFORWHICHTHISPERMI715 ���-`� � . 1SSUF.�.M7 WUSiKEFtS' MPENSATIDN INSUftA.NCE CARRlER AND POGCY NUMBER AflE: CONSTRUCTION O � caAalER_� � �i PLANREVIEW ' � pcz!cvNun�sER� ���_ ELECTRIC ��p�O(� � �c10•�d �, �r.+ssEatqruNemrar�eav�.na�.�ooF'r,-�rew.aruwr3ouEi-h�rr��Eooa.w�.s�a�aoloa�EssF PLUMBING � � I MECHANICAL �/�. fT� �'� I CEFi71FV 7HAT IN'�THB PEftF06iMANCE OF THE WORK FOfi WHICH THIS PEflMiT IS ISSUED,I (,�f", SHALLNQT EMPLOYANY PERSON W AIdY AIANNER SOAS TO BECOME Sl1BJECTTO THE (,ay WORKERS'L6MPENSAY+ONlAWSOFC.LIFORNIAANDAG ETHATIFISHOULbBECDME INSPECTIONFEE SUBJECTTOTHEN/ORKERS'COMPENSATIONPROVISIO FSE ON37COOFTFlELABOR � COOE,ISHALCFOHTHN'i�fHCOMPLYWITHTH05 � ISSUAPJCE -a' / SMIP � � � �rj OATE:j�_����PPL-iCANT: - . � �� ENERGY P/C ,� WARNING:FAILURETC$�,CUR�' ORKEflS'COASPENSATION COVERAGE IS UN fUL,AND SHALL 6E ��y SU&1ECT0.hEMPLOYEflTOCRB IPoAIPENALTIESANOCIVILFINESUPTOONEHUNbREOTHOUSAND ENERGYPERAAIT �L JOLLARS(&1�.OW),IN�dDITlO TOTHE COST OF COMPENSATION,DAMAGES AS PR�YIDEQ FOR IN � ;� SEGTION37oeOFTHELABOft �DE.INTEREST.ANDATTORNEI"SFEES. � REJTENTIONFEE: �a ��p,�z � C�NSYRUCTION LEFIDING AGENCY P,RE-AL �'��' � I NEREBY AFFIRFA UNDEfl PENA OF PEAJURYTHAT THEflE IS ACONSTRUCTlON LENDWG AGENCY b�, �- � �Z FOR THE PERFORMANCE OF THE WORK�OA WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). 4� ,`\��, - . ; W. ; u�V V oi :� LENDER'SNFalSE � ,I� IENDEWEADORESS � ' p ' �� ICERTIFYTHATIHAVEREADTH� APPLICATIONANDSTATE7HATTHEABOVEINFORMATICNISCARflECT. . I OTAL FEES n � ��" j� ��" � '�,� I AGREE TO CAF7PLY WITHALL�TY AND CAUNTY ORDINANCES AND STAYE UWS RELATING TO BUILDING �..�r{J �//' // ��//�� �1 w CAt35TRUCTION,AND HERE9V THORRE REPRESENTATNES OF THIS COl1NTV 70 EMER UPON THE ��Q'/'{•�n /�'� ����[.� ��f�/�,�/', "�' ABOV'a-M6NTIONED PROVERYV OR 7NSPECTION VURPOSES. � � f �.f 31.— [1 �o ' Z F COMMENTS - 0�✓ <i1 I v _ �'G��2�����'� - ��' `� ( � PERMITTSENAME(PRIM) Q rn, 6 i s'� s(1./"� /� � SIGNATUREOFP . DAT � . . _ (�r -- HECPT.NO. 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