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HomeMy WebLinkAbout13656 (29) CITY OF DIAMOND BAbt EX P I R ED --- DEPARTMENT OF COMMUNITY dc DEVBLOPMENT SERVICES � 21660 E.Copky Drive Suim 190 (909)86Q3193 Faa(909)861-3117 ��� 2 O 200Q PRESS "•^"�+ BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE '�(��(�f�M r r� ] O Q ADDRESS � J �-C) ��.� APPUCATION ,.. PERMIT p/C c s' DATE NUMBER � $ ISSUE TypE p� APN LOT TRA`T DATE CONST. GFOUP °� OWNER o r o ADDRESS (� r ZONING SETBACKS W C�TM � ZIP TEL. FRONT RW ❑ APPtICANT TEL. REAR p SIDEl51UE STflEET FlW ❑ CON7RACT R �r�o`ri SIDE p ADDRESS � � CITY__�/���1 ZIP T� PROPOSED USE BV�1� � ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. AODRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.F7: FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILOER DECLARATION SFRlADD/REM O � I NEREB7 AFFlRM UN�ER PENALTY OF PEiWRY THAT 1 AM E%EMVT FRqA THE CONTMCTpRB U- Ggf�g9/�91�qI( CENSELAWFORTHEFOI.LOWNOpEA50N(SEC.7o3t.e8U31NES5AN�PHOFE6610NSCODE:ANYqTYOq (n OOUNi`IYN-0CFiREOUiiE6l�PERA117TOCONElRUCT.I,LTERNAPROVE.DEIAOLIBH.OqRERVHMiY6TRUG �f,J P8�i0/DBdf 7lNiE.PRKK1 70 1T9 1&9W WCE.AL90 REW IRES THE APPLICANT FOR Sl1GH iERMIT 70 FlLE A 81pNED W HTATEMENT THA7 ME OR 9NE 6 110ENSED PURSUANT TO iHE�ROVISIqV3 OF TXE CONTq�CiORS U- � CENSE LI�W(QIMTER Y(COLIMENGMO WITM SECTION 70W�OF OIYISION 3 OF THE BUSINE55 ANU PRO- � Pool/5pa iE&SqNSCOD�OR7WVNEDRSHEISE1fEMPTTMEREFROMANDTHEBA915FORTHE�LLE0E0E9IEMP- (� TpN.ANYV10lAT10NOFSECTION7031.6BYANYAPPl1CAAfTFORAPERMI78UBJECTSTHE/iPPLICAN770 Z qg-ROOt ` A C1VIL PEN/L7Y OF NOT MIOHE THAN FIVE hYINORE�DOLU0.5(�500).): � �4��1NEROFTHEPROPERTY,ORMYEMOLOVEE4WITHWA6ESAS7NEIRSOLECOMPEHSATION, 0 �pmmercial YALL 00 THE WOAK.AND iHE BTRUCTURE lS NOT INTEN�ED OR OFFEHED FOR SALE(SEC.70u,BU31- J � NESS AND PqOFES510N5 CCUE:THE CONf MCTORS LICEHSE LAW DOES NOi APPLV TO AN pWNER OF = PqOPERTY WIiD BUILDS OR MPHOYES TMEREON,AP/D YMO DDES 6UCH WOqK MIMSELF Oq MEHSEIFOR W TIIROUGH WS OR MER OWN EMVLOYEES,PipNIOW 7HAT SUCN�AvqOVEMEMS ARE NOT NTENUED OR m � ,OFFEREOFORBALEIF,MOWEVER111EBU0.pN00RIMPIqVEMRiTISSOLDMlIT11NONEYFAHOF00MPlE- TION,iHE OWNEf4BUILDER WILL HAVE TNE BURDEN OF VHOVINa TMAT ME OR SHE DID NO7 BUlL OR IMOROVE FOR THE RIRVOSE OF BALE�. �y ❑I.A4bWNEROFTNEPpOPER1Y,AIAE%CLU9N0.YCONTRACTINOWITHLICENSEDCONTMCTOR6 � TO CONSTRUCT TME 7RO.IECT(SEG 7oU,WSINE45 NA PROFESSIDNS OODE:THE COkTMCTORS LI- V91WSI01'1 ADJ.AREA CENSE LAW DOES NOTAPPIY TO AN OWNER OF A PflOPERT'YYI10 BUM.DS OR MPROVE9 7H[REIXy AND WFiOCOMRACTBFORSUCHGRQIECTSWfTHA00NTMCTpR�9�tICENSEDPUA5UM1770MEOC1PfTMG (�UANTIN DESCRIPTION 1'OR9l10ENSE UW.). � FEE � � ❑�MI FXEMFT WOEq SEC. 8.�P.C.fOR TFIIS REASON U � O �,./ W t � OA7E OMmER F- / ` � Z U � LICENSED CONTRACTORS DECLARATION W � I NEREBY AFFIRM UNDER VENALTY OF PERIUFIY 7NAT I M1 LICF.t15ED UNOER YHOVI510NS OF CHAVTER � �(COMMENCCXi YVITM SECTION 7000)OF OMEION�OF 7FIE BUSINE55 ANO PROFESSIONS CODE,AN� Z MY LICENSE 6 Nt FULL FORCE M�EFFECT. � m �� LICENSE 55 C� � LIC.NO. � � � t, DATE �� CONTMCTOH /� OJ. � WORKER3'COMPENSATION DECLARATION Q � IHEREBYAFFlRMUNDERGENALTYOFPERJUqYONEOFiHEFOUANANaDECLARAT10Ns: Z � _IIU�VEANDWILLMAPITNNACERf�FICATEOFGONSEM'TOSELF•INSUREFORNOqKENS' QS GahNENSATION,AS PROVIDEU BY SECTIdi�7ao OF THE LABOR CODE.FOq TME iERFORMANCE U OF THE WORK FOR WHICH TMIS VEHMR IS ISSUEO. W F-- � _I H�WEAND WILLMAINTAIN WORKERS'COMFENSATION INSUHANGE,AS REWIREO BY SECTIDN Q 9�no OF T7E UBOR CODE.FOR TH[PERFURMANCE OF TME WORK FOR WN�CH THIS PERMI715 IS3UED.MY WORKEA5 COAIPENSATON INSURANCE CARRIER AND POLIGY NUMBEH ARE. CONSTRUCTION � CARaER PLAN RCVIEW � QL vai.icr nuMe[R �LEf;TRIC < < � (If16SECilONNEmNDTBEOOL�LEf810FTiEPEf0.4f5FaNqEMIlafiEppOL1M5(i�pp)pqLE55} PLUMBING W Z ICEqTIFY TUT W THE PERFOfiMANCE OFiHE WORK FOR WHICHTHIS PER41T IS ISSUED,I MECHANICAL CJ 8HiW,NOT EMPLOV ANY PEH90N IJANV MANNER SOAS 70 BECfJM 3 EC7 TO TNE (/� WORKERS'COMPENSATiON UWS M NIA,MI�/K�REE TN DiEEOME INSPECTION FEE SUBJECTTOTNEWOW(ERS'COMP PROVI51 ELABOR s c�rcgmin�ca.wir ini ISSUANCE 1 O c � oarE: `� � APPLICA : SMIP WMNINfi:FAILUpE TO SECUAE WORKERS'COMPENSATqN COVERAGE IS UNLAWFUL,ANp SHALL BE ENERGY P/C y� SUBJECTANENPLOYEHTOCRIMINALVEIJ�LTIESANDCIVI�FMlESUPTOONEHUNQREDl}IDUSANO ,�� � DOLIARS(ifa0,00a),NADDITIIXiT07NECO5TOFCOMPENSATIDN.DAMAGESASPROVIDEDPORIN ENERGYPERMIT SECTION 37W OF T1E U�BOR CODE.p/TEREST,ANDATTONNEYS FEES. RETENTION FEE: OCONSTRUCTON LENDING AGENCV PRE•ALT FEE: � 1 HEREBV AFFIHM UI�DER PENALTY OF PERIUflY TMAT THEAE IS�CONSTfiUCTON LENDINO�QENCY iOR THE PENFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUE�(SEC.9oW,CIV.C.} � � LENDER'S NAME C LENOER'SA�DRE55 W� TOTAL FEES � � G 1 CEi1TIF1'71NT t HAVE READ THIS APPLICATIOH AND STA7E THAT THE ABOVE MlFORMATqN IS CORFiECT. d I AtiREE TO COMP�Y WlTli ALl CIiY AND COUNTY OPDINANCES AND STATE UWS REUTINO TD BU0.01N0 CONSTRUCTION,M!D HEREBYAUi1qRIZE REPRESENiATIVE50F 7HI5 COUNTYTO ENfEH UPON iHE � ABOVEi.I /�1�EFiTV FORINSP€C�P Es. COMMENTS � / � �_�. m PEFWITT PRI �6 a � y SICNATUREOF tRMiTTEE p/�T - � RECPT.NO. PAID BY VALIDATION WMITE-0epa�tment Copy,YELLOYJ--Flnance Copy,PINK—Asseesa Copy,GOLDENROD—File Copy.GREEN—AppliranYs Copy :. , .... .. .. ... , . . , . . . . , . . . .., . . ,. . . CITI' C�F Dtf�Mc�9�1C) �t�R , ir����c��Q�c REco�r� � . 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