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HomeMy WebLinkAbout13184 . . ��� - � l2 - � k �� � CITY OF DIAMOND BA8 DEPARTMENT OF COMMUPTITY&DEVELOPMENT SERVICES � ' ,� . 21b60 E.Copley Ihivo Suite 190 (909}860-3195 Fax(909)661-3117 PRESS 'm"��� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE �"'r APPIICATION �/ �L. C� PERMIT I • P/���,.J�1 o ADDRESS ��8 QV�Y DATE L"� � NUMBER`�� �r � l —v g issu� rrPe occ APN LOT 1S TRACT SZL7_S pq� CONST. GROUP S OWNER "A1 ' A p ADDRESS �CT 20NING SETBACKS CITY � ZI��TEL. � Ca FRONT RW ❑ APPi.ICANT LO � REAR ' ���' ! ? SIDElSIQE STFiEET RW ❑ CONTRACT R 51DE ❑ g CTDRESS Z�P TEL� aPOSEDUSE UUuI'� ��pL �'j� � ARC _ oEsi� Ool..r �NG €- ,-', NO.DWEL. NO. NO. � CRYL�iC^JK'/ ,21P u TQ��4��0^�I� UNITS STORIES� BEDROOMS h �DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARERNALUATION O OWIVER-BUILDEN DECLARATION SFWADDIREM p I HEREBY/FFlqAi UNDEN►EN1ILTY OF PERAIRY'M�71IMI EXEMPT FROM TXE CONTfUCTORS l4 GafigB/C9fp�l1 IAJ GENSENWFORTMEfOLLOWINOREA80N(SEG7091.6BUSINESSANDPROFESSIONSCODE:ANYCITVOR (/� Z WUNNWNIGIItEIX11RESAPERMR7000N5TRUCT,KTFA,MPR0YE,0E1101J51{ORREPAIRANYS7RUC W �PeliO/D6Gk V� 711F1E iRWA TO RS KSUANCE,ALSO REW IRES THE MPLICANT FOR SUCH PERNIT TO FILE A SIONED W � STAIEMEM iHAT HE Ofl SHE IS LICENSm PUNSl1ANT TO iHE PROYISIqS OF THE CONIHACTOR9 LI- � CENSE L�W�d1APTER 0(COMMENCINC7 WRH SECTION 7oao)OF DIYLSbN!OF THE BUSINESS ANO PRO- � Poo�Spa FESSqN500DE�ORTW,THEORbHEI8E7fEMMTFEREFROMAN07HEBA5ISFORTHEALLEGEDF,MEMP- (� TION.ANYVpUT10NOFSECTION70.11.6BVANYMPUCANTFOflAPERMITSUBJECT9TNEAPPUCIWTTO Z RaRaot A CIVIL PENALr OF NO7 MORE TWi flVE HUNDRED OOlLARS(i6o0).): O4��MINEROF711EPROPEHTY,ORMYEMPIAYEES'M7XW.IOESASTHEIR90LECOMPENSAiqN, COmT9�C181 � WILL DO THE WORK,ANO TF7E 9TRUCTURE IS NOT IN7ENDED OR OFFERED FOR BALE(SEC.7p41,BUSI- � � NE85 AND PR�ESSIONS CODE:iHE COHTMCTORS IJCEN5E U1W DOES NOT 11PPLY 1C7 AN dNNEN OF PADPEFIYYhiOlU0.DSORNWIiOVE37NENEON.AN�YMO00E9SUCNYlORKHIMSELFOFIHERSELFOR � � � TNPOUd�HISDRXEHdMJEY7LOYEES.Vq01IIDE�THATWCMWvqOVEMQlTSMBlpTIN7EN0EDOR m . OFFfAEO iOR3ALE IF,NONIEVER TMEBl1q,DIN(30R MPpONEMENTI6 SOLp W17HINqJf YE�tR OFCMIPI.E- TION.TNE OWNERBUMEF WILL 141VE TNE Bl1RDEN OF PROVINO MAT HE OR SHE DIO NOT BUILD OR MAPROVE FOR TNE PUHPOSE OF BALE} � � ❑I,A901YNEROFTHEPROPEAT'/,MIE70CI.USIVElY00NTRACfiNOWRMLICEH5E000NTMCfORS TO CONSTHUC7 TME►RO.IECT(SEC.7ws,BUSINESS IWO PROFESSIONS�E:THE CONfRACTORS lJ- V81u8�iOn ADJ.AREA CENSE U1W OOES NOTAPPLY TOAN OWNER OFAPROPERTY WHO BUI�DS OR IMPHDYES TNEREON,ANO WHOODNTMCT6FORSUCHPRQJECT3IMTHAOONTRACTOR�SILICENSEOWRSUAHTTOTNECONiMG QUANTITY OESCRIPTION �E � TORS LICENSE LAW.1 . . ❑IAM E7fEMPT UVDER SEC. B.L RC.FOq TFpS REASON Q � DAfE OWNER � U Z � UCENSED CONTRACTORS DEGLARATIDN W � INEREBYAFFIIW IMDER PENALTY OF VEHlUqV THAT I AM LICENSED UNDER PROVISqNSOF CHAVTER � i(OOMIAENCINOYNTHSECTION70W)OfDINSION3�THEBUSINESSANDPROFESilONSCOOE.M/D Z W tICENSE IS Nl NLL FOACE AND EFFECT. m �.' � UCENSE S � LIC.N�I� � • . . � DATE �/' CONTRACTOq �^V� � OJ. WORKERS'COMPENSATION DECL.ARATION �1 lJ�1 � —� � � I NEREHY AFFlRM UNDER VENALTY OF PEIUURY ONE OF 7HE FOLLOWING DECIMAiION '� z . � _IIMYEANDWILLMAINTAINACERTIFICATEOFCONSEHTTOBEIFNSl1REFOHVYORKER3' ¢ OOMPENSATION,AS PROVIDED BY SECTION 770o OF THE U1BOF CODE.FOR T1E PENFORMANCE U Q E WORK FORNMICN TMIS PEflMR IS ISSUEO. � I FUVEAND WILL YAIMNN WORKERS'COMOENSATION INSIIMNCE,AS REWIRED BY SECTION Q l7000F7MELABORCODE,FORTHEPERFORMMlCEOFTHEWOW(FORWHtCNTHISPERMfi15 � O ISSUED.NY WOi1KER9' �EN TpN INSURANCE GRR�R MI�POLIGY NUMBENME: CONSTRUCTION � GAIiIER �U � PLAN HEYIEW • L � vo��cv e�u�eEa � ELECTRIC ' ' : - , �. 8 (MssEcroNr+E�wreEoa�RFTmocn+EPEwAfrl6wnaJEMIR�UREooa.wlsp+oOloR . PLUMBING . , . y, ��O}{ � � ICFATFV T1i11T M iT1E PERFORMIWCE OFTYIE 1VORK FOR WHICl7 TFi15 PERMIT IS ISSVEO,I MECHANICAL( ✓ 'j U v SYULI NOT EMPLOYANY YERSON IN ANY MMAlER SOAS TO 6ECOME SI�.IECT TO THE � MlORKERSCOMPENSATIONUWSOFCAL.IFOHNIA,ANDAGREETIMTIFIS BECOME INSPEC7IONFEE SUBJECTTOTHEMIORKERS'COMPENSATqNPHONI510N50FSECTIONe7oo 'TMEI/IBOR s CADE,I6W1L�iOq7lMA7NCpMPLY TN SE�OVIS 5. � ISSUANCE _ f � DATE�T� ,��� . �! SMIP C�_5.�� : _ _ �3AR � WARNING:FAILURE TO SECUHE WORKERS'COMPENSATpN CAVENAOE IS UN �L AND SHALL BE ENERCiY P!C ��F�TY �y SUBJECfM1EMPLAYERTOCRIMINALPENALTIESANOCNILFWE5l1PTOONENUNDREDTHOUSiVlO ENERGYPERMIT OOLURS(ttao.aao).MI ADDITION TO THE COST OF COMPENSATqN,DMIAGES AS PROVIDm FOR IN J fECTION e70B OF THE UBOR COUE,INTEREST,AND ATTOflNEY'S FEES. w RETENTION FEE: � �-� � CONSTRUCTION LENDING A(3ENCY PRE-ALT FEE: 1 � IHEREBV AFFlRAI UNDEH PENALTV OF PERIURV TNATTMEFE IS ACONSTRUCTIdJ LENOINO AOENCY Z FOR THE PERFORMANCE OF THE WORK FOR WHICN THIS PERMIT IS ISSUED(SEC.9067,CIV.C.�. W � LENDERS NAME C LENDER'SADDRESS � ICERTIFVTHATINAVEREAD7HISAPPLICATIONANOSTATETUTTHEABOVEWFORMATIONISCOHRECT. TO1TrAL i�E� ' �x D d IAONEE TO 001APLY IMTF1 ALL CT'AND COUNTY ORO WANCES AN�STATE UWS NElATM10 TO BURDINCf � V � CONSTRVCTION,ANDHEREBYAUhWflIZEREGRESEMATIVE50F 19WUNTYTOEMERUVONTHE ABOVE•MEtliqNED PAOPERtt WR INSPEGTqN PURG0.5E5. 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