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CITY OF DIAMOND BAIt � -- DEPARTI�4ENT OF COMMUI�tITY&DEVELOPMBNT SERVICES _ : w 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS *�'� � BI7ILDING PERMIT APPLICATION' ; -- --' , Y _ _ _ . I o DDRESS d��� Q�-� ����� � �Z�}' DATEICATION � �--�P � NUMB R� V� F �/C � ISSUE � TYPE OCC A N LOT TRACT DATE CONST. GROUP g WNER `�S�-����'.t"L`F"���.. p y DRESS ZONING SETBACKS gITY ZIP TEL. FRONT RW ❑ APPLICANT ' TEL REAR p � SIDEIS�DESTREET RW ❑ � CONTRACTOR . � � G SIDE I❑ � ADDRESS �!�1/2B �1�IVG�� ( ^�'T"-^ PROPOSED USE O CITY ���'TU't"�, ZIP � TEL.��Z� o ARCWENG/ iz' DESIGNER NO.DWEL. NO. NO. a ApDRESS UNITS STORIES BEDROOMS � C17Y Z1P TEL. � :.... .. y ' DESCRIPTION SQ.F7: � FA�TOR PSF ADJ. REANALUATION p� OWNER-BUILDER DECLARATION SFFUADD/REM O �� p. �� I HER,EBY AFRRM UNDER PEtdALTY OF PERY�JRY THAT I AM EXEMP7 FROM THE CON7RACTORS LI- Gfl(9J91C3IPofI ' � W '�CENSELAWFOR7HEFOLLOWWGREASON�SEG7031.SBUSINESSANOPROFESSIONSCO�E:ANYqTYOR (/� � Z�. .COUNTYWMCHREQUIflESAPERMIT'NCONSTRUCT,ALTER,IMPROVE,OEMOLISH,ORREP,qIflANYSTRl1C- W patiolDeck W 'TUflF,PRIOR TO 175153UANCE,ALSO'�FiEOUIRES THE APPLICANT FOR SUCH PERMIT TO FILEA SIGNEO � � � ��STAiEMENT THAT HE OR SHE IS UCENSEO PUq5UAN7 70 THE GROVISIqVS oF THE CANTRACTORS LI- „ . �, .� �CENSE LAW(Cx1AVTEH B(CqMMENCINO Wl7li SECTION 7000)OF OIVISION 30F THE BUSINESS AN�PRO- V' POOUSpS FESSIONSCO�Ei9R?HATHEORSHEISFXEMPTTHEREFROMAN�THEBA313FOflTHEALIEGEDEXEMP• (� TION.ANVYpLATIONOFSECTION7031�.6BYANYAPPLICANTFORAPERMRSU&IECiSTHEAPPLICNJTTO - Z Re-Roof � '�ACMLVENALTYDFNOTMORETHANFIVENI/N�REO60LLARS�f5aa�.)� , ❑�,ASOW.NEROFTHEPROPERTY,OpMYEMPLOYEE9WITiWA6E9ASiHEIRSOLECAMPENSATION, 0 CORImBfCial -' '� g,�, WILL 00 THE WORK,AND THE.STRUCTURE IS NOT INTEN�E�OR OFFER�FOp SALE(SEC.7044,BU51- J ' '� ��i 'NESS M1O PiiOFE590N5 CODE:TNE CONTRAC70R5 LICENSE LAW UDES NOT APPLY TO AN OWNER OF � � �. ' � �PI�PERTYYih108UILDSOfiIMPFWESTHERWIV,ANDWHOpOESSUCHWORKHIMSEI.FORHEP9ELPOR � � � CC ��THNOUGHHISORHERONMEMPLOYEES,PqOVIOE�THATSUCHIMPROVEMENTSARENOTINiENDEDOR � " ' � ''. LLJ�i OFFEREOFOHSALEIF,HOWEVEf�T1E8UILDINGORIMPROVEI�9ENTI5SOLDWITHINONEYEAROFCOMPLE a ��TION,IM1IE'OWNER-BUILDER WILL HAVE'�THE BURDEN OF PROVING THP.T HE OR SHE DID NOT BUILU OR I, _��.�IMPROVEFORTHEPURPOSEOFSALE). � . � fy� ❑I,ASOWNEROFTHEPflOPERT1;11MEXCLl/SWELYCANTPAGTINOWIiHLICENSEDCONTNACTORS i �' �„TO GON3TRUCTTHE PflOJECT(SEC.7q44,BUSINESS AND PROFESSIoHS CODE:THE CONTRACTOqS LI- ValU8Ii0n ADJ,AREA '� � �,'�CENSELAWDOESNOTAPPLYTOANOWTIEROFAPROPERYYWHOBURASOHIAAPROVESTHEREON,AND '��,WHOCOt1TMCTSFORSUGHPFWECTSWITHAGONTRACTOR(5)LICENSEDPUftSUANTTOTHEGONTRAG QUANTITY DESCRIPTION FEE � Y ,70HSLICBISELAw.J. . . ... ,. �.I ' � ❑i AM IXEMPT UNDEH SEC. B.8 P.C.FOR THIS REASON � � LL � ���DATE . OWNER V � � � , , .. W � LICENSED COMTRACTORS DECLARATION W ""'' '', � I HEREBY AFFIHY UNDER PENALTV OF PERIUflV THAT IAM LICENSEO 11NDER PRDVI510NS OF CHAPTER � , , , ' � '���e(COMMENCINf3N7THSECTI0N7o00J'OFDIYISION30FTHE6USINESSANDPROFESSIONSCODE,AND z '�MY LICENSE IS IN FULL FORCE pND.EFFECT. j_ m ��� d :LICENSE CLASS - .�'�� UC,NO. tP�� j � �, � �DATE �,_T""L`�TYT'°�- CONPRACTOR �- � '. °" P J�G � �'�. � WORKERS'COMPENSATION DECLARATION � Q . . �I, � IHERE9Y�AFFIRMUNDERPENAL7YOPPERIURYONEOFiHEWLLOWINODECLARATIONS; � � z � � � _IHAVEANDWILIMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFOPWORKERS' _ COMPENSATION,A5PflOVIDEDBYSECTON3�000FTHELABORCO�E,FORTHEPERFOPMANCE (� Q OF THE WORK FOR WHICH THI5 PERMIT IS ISSUED. W W � y��✓� � �;1 HAVEAND WILL Mp11drAIN WOFIKEAS'COMPENSATIDN INSURANCE,AS REQUIREO BY SECTION� ��. Q 370oOFTHELABORCDOE;FORTHEPEHFORMANCEOFTHEWOFKWRWHICHTHISPERMITIS ¢ '. ISSUED.MY WORKERS'COMP6NSATION INSURANCE CARRIER AND POUCY NUMBER ARE: CONSTRUCTION caapiEn �� ��� ' �-���- PLANREVIEW ' ��{,� � I i Z POLICYNUMBER�� ELECTFIC p¢ .(fH55�CfKWNE�N0T6ECadPLEhDOFTF�PEfMM6FORONEHUMRED00L1ARS(StOD)ORLESS} PLUMBING p B��} t+� ��-�.�.>/� � � � - ICERTIFYTHATINTHEPEHFORMANGEOFTHEWORKFOflWHICHTHISPERMITI5155UE�,l MECHANYSAL aJ��YI'��^�'F�� @L� ��I d'�^Y,.�'-d� � � (j SHALL NOT EMPLOV ANY PERSON IN ANY MANNEA SO AS TO BECOME SUBJECT To 7HE . g/9� WOflKERS'CDA�ENSATIONLAWSOFC/U,IFORNIA,AN�AGREETHATIFISHOULOBECOME INSPECTIONFEE •� ' r SU&IEGTTOTHEWORKEfl$'COMPEN9AT10NPROV�SIONSOFSECTION3]OOOF7HEL480R . r � CODE,ISHALLFOR7HWITNCOMPLVWITHTHOSEPROVISIONS. ISSUANCE / 0 � �� �SMIP �� � '. p�"� �A7E: � - APPLICAN7: � . �,a k' . w' ENERGY P/C �, J�', WARNINGFAILURET09ECUREWDFiKEF�'COMPENSATIONCOVEflA0EI5UNLAWFUL,ANDSHALLBE �, �;��'SUBJECTANEMPLOVERTOCRIMINALPENALTIESANOqVILFINESUPTOONEHUNDREDTHOU5AN0 ENERGYPERMIT OOLLAFS(S7ua,aDo),IN ADDIiION i0 YHECOSTOF COMPENSATpN.DAMAGESAS PROVIDED FOR IN J��, SECTIDN 37oe pF THE 1A90R CO�E,IN7ERE3T,AND ATTOflNEY'S FEES. �"" � �. ��.�,�. . RETErffIONFEE: ��,��� �_�'���9 � ° CONSBRUC710N LENDING AGENCV PRE-ALT FEE: +�,'�$$�y y� '� � '�,.IHEREBYAFFIflMUNDERPENALTYOFPERJUflYTHAT7HEREISACONSTRUCTIONLENDINGAGENCY �"` �3.�V3Y„3�a�'� ° ' Q-'�'FOR THE PERFOflMANCE OFTHE WORK WR WHICHTHIS PERMIT 161SSUED(SEG 3097,CIV.C.). � p� •^+,� . . . Z ' �1"*m�a���=��c'-�r�+'�'' W . _ ' �'�i,�LENDER'SNAME . . ' F--'�'' LENDER'SADDRE55 I�I W. �ICERTIFVTHATIHAVEREAOTHISAPPLICATIONANOSTATETHATTHEABOVEINFORMA'fKKJiSCARRECT. TOTAL FEES ' � .. �� I AGREE TO COMPLY WITH ALL GfTY AND CAUNTY OfmINANCES AND STATE LAWS RELATING TO BUILDING , ���,-'�''CONSTRUCTION,AN�HEREBVAUTHOR12EREPRESENTATIVESOFTHISCOUNTYTOENiERUPONTM'E ' � Z. ���I160VEMENTIDNED PROPERTY FOR INSPECTION PURPOSES. COMMENTS - ', D.i. , C ,` . . � ' . ., �,'. l 7 -�!�1� ^"� . I, �I ,;PE (PR � a� y - . Cn ( � ''`<' . �, �; '�,816tU'NAE PE ITfEE DATE . . � y��� ��� � RECPT.N0. PAID BY � VALIDATION � ~'��� �WHITE—Department Copy,YELLOW—Finan�Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy , _ __ , ,.,. ,. ,;:.;. ,� w;�� ; . : , ,. , . . ��`��� ���� ��������a����'��,� _ ���.,"�,. � �°� �,��-r �, ,;�t�� TTM� � �� ���s�,��� ,�"?�a.*��!���a� � ;����""p�- �,����a �;�� � � � �; �:�'� -� � � � � ; ��. +�; '- �'�� ��'�a���+ .�a �4 `��y� .��,��� "� n� � �g� ,. „�� �� �.��� :� a .'""� � �����. ��.� . ���.�'a�R r��....��.4, � � ��u, :rs. �:..b:...a: . ��� ..� �a.�. �'' �s �.�a �� . .: �, �...� ..,� ��..�" a ` a,�k� ��`�ru� . i .. � ,, ,._ . i'"�4�J'��.,--�`� -..�:�.______.__._....._' .� . i" . . #� q.� �_ �..�____q_.�_..__�_�_.,,_.,-,�..�.� � ,�_,.,�,....�.,.,._._____.._� e ;��f����`+74znr-�.Y'�P,___-_ ,.. � �:.�r'.t�'��°��.�� .. . . � .,. � ' �. i , ; e . �..Y. .'d'-,�4 .f'� f`+ t �...§ .���m..<...�_. ,�,...�..._...�_,.... ._...._�Ei F p9'- ,._...��..Y' ..._ .�_.. __._.._ ' ��� y ....,�.... .�.m-. y p pry�......—..., ..�_ __.��_......... y 'a....._t_1w @�F��.. � . ..'�d4 u� ! , . 3 � � "�.� S l%_�. ����..fA„Ji�3��S��.J�'E 1 (' .._' ,k q.r�. . -_ ....._._.�k :w._._mr.._.__ - - - `.�...._"^.^-._.y � .�""----• �`-'_"" --� � °� �..3������'i "`�..� ���t°�1`�S f � ..�.,�.�.....��..____ �_�,a���!..�r'� �'L� �'�� 4M�i�1..!ki ��T ... .. - . � - 5 ,m�..,._......_.�....v _, ry.,_�...�..�..�._.._.o.._._.m�___...._...,w., P �_,�.�w��"�,.,�.,�. � _.� � _ __.�..� �dt�' �'�.r-.�' ��"�a���,����;"�� � � ��t`� '��-}'�`a�3 K��.a..� .. i� . t....,._.M . ., � j, � ..��a�i� L:-�-�� �d.�i'�� k��,d;'J: ..,.!�,��._;.,..._.� '.....�i �__ _ ...�. __,_� .__ ..�...�_____.`_ i _, _..�.__��,:._._� . �_._. a"Zr,n"�'�.� '�.°�@ ef...�.. _- � �., .. �.. . �f .. .... . . . �,. � ��f��':�t�".i�"�i��1�.+� ,���!.. . 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