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HomeMy WebLinkAbout13754 (29) CITY OF DIAMOND BA8 � ---- DEPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suice 190 (909)860-3195 Fax(909)661-3117 PRESS ���^��� BUII.DINGPERMTTAPPLICATION FIRMLY o� JOBSITE Q � APPLICATION� 2L4- � NUMB R��� �� � ADDRESS � DATE � � APN LOT TRACT ISSUE TYPE , OCC DATE CONST. GROUP p OWNEFi p ADDR � ZONING SEBACKS CITY ZIP ( TfEL. FRONT RW O APPLICANT TEL. REAR ❑ SIDElSIQE STREET RW ❑ CONTRAC7 SIDE ❑ � ADDRE PROPOSED USE S OQ � CITY - ZIP TEL. I � ARCH/ENQ! � , . ';i';'j� ; '; DESIGNER NO.OWEL. NO. NO. ADDAESS'. UN1TS STORIES BEDROOMS �� CITY " ZIP TE4. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFWADWREM O I MEREBY AFFlRN UNDER PENALTY OF PERAIRY THAT I AM IXEMM FqOM 1FIE MNTAACTORS LI� Ge�iQB/C81pDR CENSEUWFORiIiEFOLLOINIHOREl180N(SEC.7W1.6BUSINE&SANOPROFESSIONSOODEMIYCI7YOR (f) OOUMYWIACHREOUV�ESAPENMRTOCONSTHUCT,ALiER,ILIPROVE.DEMOl13H.ORREMIRANYSTRUG W P9110/DBCk NflE,�AIDR TO IT9�89VANCE,AL50 REWIRES iHE MPLICANT PoR SUCH PERMIT 70 FILE A SKiHEO � iGTOAEM 7H11T NE OR 9HE IS LICENSED MlfiSUANT 70 TNE YFIOVISIONS OF ThIE CONiRACTOR3 U• FESSIDNSOOO�OFiFINAi�X�EORSHEISIXEMVTI�lIEREFROMANDTN BASISFOhR�TFiEs'MIEOEDIXEM- W PDOVSpB ... TION.ANYVqLAT10N OF BECTION 7037.6 8V ANYAPPIICANT FOR A GERAIIT SUBIECTS THE AGPLIGW7 T0 Z qg-Rpp} ..� A CM4 PENAL7Y OF NOT MORE THAN FNE HUNORED DOLIARe(tsoo�.7: � .. O�.ASOWNEROFi}iEPROVERTY,ORMYEMPIOYEESWITHW�OE9A5iNEIRSOtE00MPEN5ATION, (.'pmmefCiel YYILLOO7ME WORK AND 7HE SiRUCTURE IS NOT INTQlOED OR OGFERED FOR SALE fSEC.7Ml BU54 NESS IW�GMFESSION6 CODE:7HE CONiMCTORS LICENSE UW DOES NOT APPIV TO AN OWNER OF ? � PpOPFATYNM1qBUIlD80RANPROYESiNEREOIV.ANONMODDE59UCHYNORKHIMSELFONNERSELFOR � TMROUGH WS OR HER ONM EMPLOYEES,PRONDEO 71iAT SUCN MAPROYEMEMS ARE NOT INTEN�ED OR m OFFERED iORSALE IF.IWIVEMER iME BULDINOOR MIPROVEMBJT IBSOLDN7TMM1 ONE YEAROF COMPLE- TQJ,TNE OWNEA�BURDEH VYILL/I�VE 7}IE BUN�EN OF PROVING THI1T NE OR SHE DID NDT BUIID OR NPFpVE PoR 7}IE VURP06E OF SALEI. � O�,A60WNEHOFTiEPROPER7Y.AMEXCLUBNEIYCONTRACTINONrti}ILICENSEDCON�RACTONS TO COlRTRUCf TME PHQ1ECf�SEQ 70H.BU91NE55 ANO PROFESSIONS CODE:THE WMfRAC70q5 LF V91118[Id1 AW.ARE•A CENSE lAW DOFS NOTAiPLVTO M1 OWNER OF A VROPERTY WNOBUtlDS OR/APfWVE9 hEREdJ,AND N}qODNiRACT6Fnp8UCMYROJECT9N1THA00DfIRACTOR(9)IICENSEDPURSUMRTOTHEQONTiM6 (xJAN �TM D RIPTION� FEE � T01iSLICENSEUW.1. � . � O I AM E%EMPT UNOEfl BEC. 0.\P.C,FOR 7HI5 REASON a G O t U � �= OATE OWNER � 1 � W IICENSED CONTRACTORS DECLAAATION –i � w �HEREBYAFFIRGUNDERPEWLL7YOFPERJURYTHA7IAMLICENSE�UNOERPROVISIONSOFCHAPTEH � � �(OpA1MENCYq W1'fY1 SECiION 7W0)OF OMSION 30F THE BU&INESS AN�PROFESS�ONS CaOE,AND Z X W LICENSE IS N FULL FO ANO E ' m � IL � LICENSE SS �! LIC.NO.� ,_ j � J dITE CONTRACTOH a WORKERS'COMPENSATION DECIARATION Q yINERE�'�FFIRMUNDEF►ENALTYOFPERJUIIYONEOF7NEFOLLOWINGOECLAM7IDNS: Z ' � � ��IHAVEANDWILLMAINTNNACERTIFICATEOFC'ONSENTT08ELF-INSUREiORWORKERS' _ ` COYPEHSA710N,AS VROVIDm BY SECiION�7000F TIIE LABOR CWE.PoR 1HE PERFORMANCE- � TiE YYOFiK FOR NMICHTi15 PERMR IS ISSUEO. � � ANCW:LLM/UM�AdWORKERSOOMPEHSATIONINSURANCE,ASREWIREDBYBECTION �� /r.� O 4 97000F 7HE LA60R E,FOR [PERFORMANCE OFTHE WORK FOR WNICIi TH15 VER411T15 � i �� 189UED.W WO AT�j W CF.C�RHIE 4D POLICY NUMBERARE: CONSTRUCTION � GIRRIER � PLAN REVIEW Q POLICY NUMBEH ELECTRIC �� < q .�..c p (n�sct�prrn�mrqrgEooww�E�epocnE�E�nar�saoaauEra�+Or�npa.w+saioo�a7�ss� PLUMBING z 1 CERTIFVTUT W THE PERFORMANCE OF THE WOFlK FOR WHICH tMIS PERMIT IS ISSUED,I MECHANICAL �t � SIMLL NOT El.!PLOY ANY PERSON MY ANY MNiNER SO AS TO BECOME SU&IECT TO iNE �t f-� ., ��,ry w WOHNERS'OdAP'eN3AT10N LAWS Oi GLL�FOqWA,ANO AOREE TNA71F 1 SHIXJLO BECOUE INSPECTiON FEE � •j ' ��•ii &1BJECTTO THE WORNERS'COMPENSATqN PROVI$IONS OF SECTION 970o OF THF LI80R ��'� '� " �""'T- J�� Cj � o N rxcow�r�rwi SEPROYISIONs. . 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