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HomeMy WebLinkAbout11576 _ .._.-, ,- � -.---,- x_.__.�.__.�------ ....w_ _ .. -: -- - , _...�_ .,,- . . - -.. .. . �(-I y��� CITY OF DIAMONB BAR ,-/� COMMUN:TY DEVELOPMENT DFPARTMF,NT % , �� ,,,.� 21E60 E.Copley Drive Suite 190 � � � PRESS i'`�' (909)860-3195 Fax(909)861-3117 �r'� �� �'""'� BUILDINGPERMITAPPLICATION �='� FIRMLY oy JOBSI 2��L, �'�� �y,� �.�,,�J �� qppLICATION PERMIT � P/C ADDRE S �'' � � DATE _ NUMBER�� �# � APN `� LOT �/�/ TRACT ���eP �SSUE �-- C TYPE OCC p OWNER��N ���1� C�YLgI y� DA7E CONST. GROUP p ADDRESS � ' �' E /�i� • /7.E'1'+✓F' ZONING SETBACKS z CITY �� �,�' ZIP���TEL.,Qr'��ip��2 2-� FRONT R4Y � g APPLICANT TEL. REAR ❑ 4 SIDE/SIDE STREET RW � � CONTRACTOR�LP�f,� ���fE.��/�C�.�iV��LL7.-��Y. / SIDE � ADDRESS/�`��-✓�^ � �'�f/1�'. -SCij7�'. Z-C � CITY �/f.,t.��v ZIPy�fC TEL.F�..��SS"�f PROPOSED USE����' 7��'�'L� • /�.�&90��af�"�+' w ARCH/ENG/ ..,. z DESIGNER ��M J��'Z�L{/�� � � ` - �l S`6 7 W NO.DWEL. NO. NO. a. ADDRESS fi�`�-' f,a/. G�1-Nl�u�i�7 r,� UNITS STORIES BEDROOMS � cirv ,t3�--� ziP, .� ,���TEL�7_5��� cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BI:ILDER DECLARATION SFR/ADD/REM O � HEREBV AFFIRM 11NDER PENALN OF PERJURV THAT I AM EXEMM FROM THE CANTHACTORS LI� (3dfdQB/CBfPOff W CENS WFORTHEFOLLOWINGREASON(SEC.7a�1.5BUSINESSANDPROFESSIONSCOOE:ANVCIT'OR (/� U COUNTV ICHREOUIRESAPEFM17TOCONSTRUCT,ALTFR,IMPROVE,DEMOUSH,ORREMIRANYSTRUC� W PflIiO/DBCI( Z TURE,PRIO O ITS ISSUANCE,11LS0 flEQUIRES hIE APPLICANT FOR SUCFI PERMIT TO FILE A SIGNED w STATEMENT T HE Ofi SHE IS LICENSED PURSUANT TO THF PROVISIONS OF THE CONTRACTORS ll� w � CENSE LAW(CHAP 9(COMMENCING WRN SECTION 7000�OF DIVISION 3 CF THE BUSINESS IWO PRO� �'1' Pool/Spa FESS�ONSCODE)OR TNEORSHEISEI(EMPTTHEREfROMANOTHE8A51SFOqTAEALLEOEDIXEMP� � TION.ANVVIOLATIONOF ION7097,SBYANVAPPLICANTFORAPERMITSU ECTSTH'cAPPLICAN7T0 Z pB-ROOf ACIViL PENALTY OF NOT MO AN FIVE HIINORfO OOLURS(S5a0)). Z '71,ASOWNEROFTHEPROP TV,ORMVEMPLOVEFSWITHWA ASTHEIRSOLECAMPENSATION, 0 Commercial WILL DO TNE WORK,AND THE STRU E IS NOT INTENDED O FFERED FOR SALE(SEC.7044,BU51- J N NESS AND PFOFESSIONS CO�E:THE CO CTORS LICE J W DOES NOT APPLV TO AN OWNER OF � PROPERTYNMOBUIlD50RIMPFOVESTHEF AND DOESSUCHWOflKHIMSEIFORMERSEiFOR CC TMROUGMHISOqHEROWNEMPIOVEES,PROVID ATSUCHIMPROVEMENTSARENOTINTENDEOOR m QOFFEREDFORSPLE.IF,HOWEVER,hIEBUI�DiNG I VEMENTISSOIDWITHINONEYEAROFCOMPLE� Z TION,THE OWNER-BUILDER WILL HAVE THF ROE4 OF OYING THAT HE OF SHE DID NOT BUILD OR � IMPROVEFORTHEPURPOSEOFSALE). � GI,ASOWNEROFTHEPROPE ,AMEXCLUSIVELVCONT TINGWITKiICENSEDCONTRACTORS ¢ TO CONSTqUCT THE PR0.IECT .70a4,BUSINFSS AND PROFES S CODE:THE CONTRACTORS L!- V81U0[i0� ADJ.AREA_ W CENSELAWOOESNOTAPPL ANOWNEROFAPROPERNWI�109V� RIMPROVESTHEREON,AN� — � riHOCONTRACTSFOflS PRq1ECT5WITHACONTRACTOR(S)LICENSED SUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE TORS LICENSE LAW. � � �a pqpy 1 � IJ I AM PT UNDER SEC. 8.8 P.C. THIS REASON Q �y-- �`�/''�� � �j� �!'(JOc�T %� S � � �V ��I/'dd�� � �� . � D OWNER � Z w � LICENSED CONTRACTORS DECLARATIGN W � I HESiEBYHFFlRM UNDER PENALTY OF PERJURY THAT:0.M UCENSED UNDER PROVISIONS OF CHAPTEfl ` b p y� d 9�COMMENCINGWITHSECTION7000)OFDIVISION30F'fHE9U5WES5AN�GPOFESSiONSCA�E,AND Z ��O��PK� / ��/�.. 6+� r/ �P�� X MY UCENSE IS BJ FULL FOfiCE AND EFFECT. [Q � G ('.�"j�N�� O/ � ' r .� L11 �t, �I � � LICENSE CLASS �-°'-i � LIC.NO. �-�/D / � � n ^�.� ��y V �_�O�!C�� �g, I��' ��/ �` f'7 L'> �ATE / CONTRACT``OSi�� 0. LLI : �� � WORKERS'COMPENSATION DECLARATIDN ¢ � IHEREBYAFFIRMUNDERPcNALTVOFPERJURYONEOFiHEFOLIAWiNGDECIARATIONS. Z ZI MAVE AND WILL MAINTAIN A CEfiTIFICAT'e OF CONSENT TO SELFdNSURE FOR WORKEAS' _ Q COMPENSATION,AS PROVIDED BV SECTION 3'1a00F THE LABOR CO�E,FOR TNE PERFORMANCE w Q OF 7HE WORK FOR WHIC4 THIS PEHMIT IS ISSUED. � W �I HAVE AND WILL MAINTAIN WORKEP.S'COMPENSATION INSURANCE.AS RE�UIRED BY SECTION Q 3�OOOFTHELABORCODE,FORTHEPERfORMANCEOFTHEWORKWRWHICHTHISPERM1T15 ISSVE�.MY�iWORKERS'COM�PE�4S!ATIONINSURANC CARRIERANDPO�LI,CsV�N�U'--MBEflME' CONSTRUCTION � CARRIER 6�'����`�/L' � �y�i� S�i�/•�/C+'��/�/I��i' PLAN REVIEW --- D � POLICYNUMBER��nl�'��/1�""�C�'C�ryC� � ECT�lIC +e�-' � G 4 � (THISSECIIONNE�NOTBEOOM�IETEDOFTHEPEiMf6PDRONEHR�Di7EDDOl1AH5(S10�ORLESS� NG �LI�S Z1 CEP.TIFYTHAT:N THE PERFORMA4CE OF THE WOP.K FOR WMICH THIS 7ERMIT IS ISSUED,I NANICAL ___ C} ShiALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS 70 9ECOME SUBJECT?O7HE � WORNERS'COMPENSATIONLAWSOFCAL;FORNIA,ANOAGREETHATIFISHOULDBECOME INSPECTIONFEE � SU&IECT TO THE WORKERS'CAMPENSATION PROVISIONS OF SECTION 37000F'.NE LA�OR �C'� �.G`J CODE,ISHALLFORTHWyITHCOMP Wli THO PR I51 NS ANCE Z+f r p DATE:��APPLICl � ^� SMIP __ -� W0.RNING�FA:LURE TO SECURE WORKERS"C bIPFNSATION COVERAGE IS UNLAWNL,IWO SHALL BE ENERGY P/G .___ �� '`. J �y SU&IECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONENUNDREDTHWSAND ENERGYPERMIT DOLURS(5700,000),IN ADDI710N TO THE CO5TOF COMPENSATION,DAUACES AS PROVIDED FOR IN --- � SEGTION 3�oB OF TNE 1A80R CADE,INTEREST,ANO ATTORNEYS FEES. RETENTION FEE: ___ ! a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: f►A RV `: F O — • � I HEREBV nFFIRM UNDEfi PENALTY OF PERJVRV THAi THERE 19 ACONSTRUCTIOIi IENDING AGENCY __ FOR THE PERFORMANCE OF-THrE WORK FOR WHICH TMIS PERMR IS ISSUED(SEC 3a97,CIV.CJ. Z /��/�� w -- � LENDER'S NI1ME_.____ __ _ F- LENDER'SAODRESS � TOTAL FEES ��, �'� W I CERTIFV THAT I HAVE READ THIS APVLICATION AND STATE THAT THE ABOVE MfORMATION IS CORflECT. � I AGREE TO COMPLY WITH PLL CITY AN�COUNTYORDINANCESAND STATE UlWS RELATING TO BUILDING � CONSTRUCTION.AND HEREBY AUTi10RRE REPRESEN7A71VE5 Of 7HI5 COUNTV TO ENTER UPON 7HE Z ABOVE�IAEMIONEDPROPERTIFORINSPECTIONPURPOSES o � � ��� COMMENTS _ <�//.�/ '/f% m PER TTEE NAME�PRIM) /� ��-,�-J Cn 4' . r_! 1.r — � 5 ATU RM EE �ATE _ �� FECPT NO. PAID BY VALIDATION ~ WHITE-0 artment Co YEL!OW—Finance Ca PINK—Assessor Co GOLDEN OD—File Co GREEN— Ilcanps Co eP PY. PY. PY� PY. MO PY r.,s.x�.,..�»,K.�:.s�.��.R.o..,.�.�..,..,..�, . ��:-�wx�..nA:r��s+am�s�:vax�w�z. :,r�.cas�aY.,:.�-.-.:..,...................._,.,.....��m�,..��.�.,.�.:�:.��..�xi=..,-�.,�»H.>.,......<.....a,.—.zx�.:.r.s-.�..—n....r�-�_... �i��r �� o��n�a�� ��� '�u��������u ������ • s . � , o - o � � , . � . 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