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CYTY OF DIAMOND BAI� � -- DEPARTr4ENT OF COMMUNITY&DBVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ' A�'"-� BUILDING Y'EItMIT APFLICATION FIRMLY � JOBSITE p� �`,,,,,,,,�. APPLIbATION` PERMIT /C o ADDRESS "�� DATE �'Z� "� NUMBER C�O��ZS ISSUE TYPE CC � APN LOT TRACT �ATE CONST.v`N S��GROUP �,_, p OWNER , - o AbDRES^Sy���� l�y " nag;� *' �c-���ak�p�� _ ZONING SETBACKS W CITY.—j.�p2,.�_��ZIP � TEL.�T��( ���'��G��F REART RW � � APPi1CANT d Yti"� r° t�<:�`f.>�tt�e.: TEL.'��i��'�1.,.d a�^7 �sT ��'_`—'�'�' �� SIDE/SIDE STREET RW ❑ GONTRACTOR �'s� /+'' * c �f � SIDE ❑ � ADDRESS � � �� p � PROPOSEDUSE ��I_C.T��"�`� .B d'or�`� 'i���',�.��_ f��___ CITY � ' e w . ' IP� TEL. � a w ARCWENG/ iZ DESIGNER ;�����'' NO.DWEL. NO. NO. a'�. ADDRESS . UNITS STORIES BEDROOMS � GITY ZIP TEL. � ` DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUA7'ION �. .. . . OVIINER-BUILDER DECLARATION �� SFR/AD�/REM � � � �� �� '� �� � O . 1 HEREBY AFFlRM UNDEFi PEfdALTY OF PEfUl1RY THAT I AM EXEMPT fROM THE CONTRACTORS LI-'' GflfA98/CHfp01( �. W �CEN9ELAWFOHTHEFOLLOWINGREA.40N(SEC.7o37.58USME55ANDPROFE5S10NSCODE:ANYCITYOR �(n � i, V �COUNTYWHICHRC-0UIHESAPERMYfTOCONSTRUC7,ALTER,IMPROVE,DEMOLISH,ORflEPAIRANYSTRUC �"W paii0/DeCk ' ' ' � �7URE,�PRIOR TO ITS ISSUANCE,ALSO;RE�UIRES TNE APPLICANT FOfl SUCH PERMIT TO FILE�A SIGNEQ � STATEMENT THA7 HE OR SHE IS LICEIVSED PUPSUANT Ta THE PpOY1510N5 OF THE CONTRACTORS LI- ',� , . .� ,CENSE 41W(CHAPTER b(COMMENCINO WITli SECTION 7000)OF�IVISION 3 0F 7HE BUSINESS PND PRO- POOUSP2 FESSIONSCODE)9RTHATH60RSWE1$E%EMPTTHEHEFROMAN�THEBASISFORiHEALLEGEDEXEMP• (� TIOAI:ANYVKKATIONOFSECTION�u31'58VANYAPPLIClWTFOflAPERMITSU&lECiSTHEAPPLICpNTTO Z Re-Root ACMLPENALTYOFNOTMOflETHANFNEHUN�REODOLLARS(Ssoo).): � � j o . ❑4ASOWNEROFTHEPROPERTY,��ORMYEMPLOVEESWITHWAGFSASTHEIHSOIECOMPENSATION; '❑ Cammefcial . . �� � . � WILL 00 TFYE WORK NJD THE STRUCNRE IS NOT INTENOEO�R OFFEFiED FOR SALE(SEC.70dd,6U51-�. J NE55 AND PROFESSIONS COOE:TFIE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � Pf10PERNWHOBUIIASORIMPRONES�THEREON,AN�WHO00E55UCHWORKHIMSELFORHERSELFOR �_ ' � � �iFIROUGHHISORHEROWNEMGLOYEES,PHOVIDEDTHATSUCH!MPROVEMEMSARENOTINiENDEDOq, � �� " " L11� '�OFFEqE�FORSALEIF,HOWEVEq,i¢IE9UI(DINGCRIMPROVEN7ENTISSOLDWlTHINONEYEAHOFCAIAPLE-� ' �;�TION;THEOWNER-BUILDEH WILL MAVE THE BUqDEN OF PROVING THA7 HE 0,9 SHE DID NDT BUILD OR� � . � � 'IMPROVEFOHTHEPURPO&EOFSALE); � � ❑4�OIyNER OF THE PFOPER7Y,AM EXCWSIVELV CANTRACTING WITH LICENSE�CONTpACTOqS � �TO CONSTRUCT THE PROJEGT(SEG.7041,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI-� � V21U8[IOfI � � ADJAFIEA � � W �,CENSEIAWDOESNOTAPPLYTOANOVMEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,ANDI ' � F 'WFIOCOMRACiSFORSUCHPRQIE'CTSWITHACONTRACIOR(5)LICENSEDPURSUANTTOTHEGONiRAG ' QUANTI DESCHIPTION � � FEE � . Y. ':�TOFIS UCENSE UW.). � , „ , o � ..O I AM IX6MP7l1NDE8 SEC.' . . B.8 P.C.POR THI6 REASON� � Q �' . .� � . �S� .�. . ' V . �,. � � ' . Z DATE OWNEF V � os� LICENSED CONTRACTORS DECIARATION W J '� L=�� :IHEHE9YAFFIFiMUNDERPENAITV'�.OFPERJUflYTFATIAMLICENSE�UNOERPROVISIDN50FCHAPTER � ,, .. � . � �B(COMMENCINOWITHSECTION7000)OFDIVISIONiOFTHEBllSINE55AN�PROFESSIONSCODE.AND Z ' ' ' ' X`� 'A1Y IICENSE 1S IN FULL FORCE AND EFFECT. m .. , � .. .. �- C�N� �, UC.N0.����q - .� �. CICENSE CLASS. V ��ATE ���"�.�,ie��,_,_=�� CONTRACTOF 'r .. W�, � � Y �' . ; �'�, WORKERS'COMPENSATION DECLARATION ' ��'.��I HERE6VAFFIRM UNDER PENAITV OF PERJUHYONEOFTHE FOLLOWING DECIARAT � � . �. _IMAVEANDWII.IMAINTAINACEFTfIFICATEDFCANSENTTOSELF•INSII FOflWORKEPS' Z � CAMPENSATION.ASPROVI�ED@YSEGTON37o00FTMELA80RCODE FOflTHEPEfl U OF TME WORK FDR WHI6H TMIS�PEpMR IS ISSUED. � ���,�1 HAYE AND WIU.MAlIY7AW WOqKERS'COMPBJSATION INSURANCE,AS REWIRED BY 6 ON !7 } W,. , Q� 3100 OF THE LABOR CODE,FOR�THE PEHWRMANCE OFTHE WORK FOF WHICH THI AMIT IS -��,f— '"(�..� iSSUE�.M1Y WORKEAS'CQMPENSATION INSURANCE CAARIER AND POiICY NUM ARE: J UCTION E � ¢.. .. . ��., m C . � CARRIER G tP qEVIEW J� a � �� POLICYNUMBER� � ECTRIC ¢ � Q �ni�ssecna�NEmne'reeo�t.r�erE�oFn-���nrrsraaoriE!-iuNoa oalias�s+qo�a3� �. PLUMBING w Z I CER7IFV iHAT IN THE PEHFqRA9ANCE OFTHE WORK FOH WHICH THIS RMIT IS ISSUEO,1 MECHANICAI I (}� � '.SNAILNDTEMPLOYPMYPER,SIXdINANYMANNER50A5TOBECAMESII CTTOT ' � WOflKEflS'GOMPENSATIONUIYWSOFCALIFORNIA,AN�AGREETHpTIFI5H0 COME INSPECTI�NFEE '4'°» '� SU&IECTTO THE WORKERS'COMPENSATION PROVISIONS OF SECiION 370u OFTHE LABOR � � CADE,1 SHALL FOFl7HWITH COMPI.V WITH THOSE PROVISIONS. ISSUANCE ���i ¥ ;�dk � . . . .. .SMIP P' �� ' p. .OATE: � APPCICANT: - . ' J WARNING fi41LURETO SECURE WORKEHS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C - ' ' - , . �y' '�SUBJECTANEMPLOYERTOCRIMINALP�NAlTIESANDCIVILFINESUPTOONEHUN�R�THOU5AN0 ��•� s'�� , �, �DOLURS�E700,000),INMOIiIONTOTH�COSTOFCOMPENSAiIIXJ,UAMAGE5A5PROYI�E�f-0RIN ENERGYPERMIT � � �a`�� ', �,; 'SECTVON37o80FTHELPBORGODE.�INTEREST,ANDATTOflNEY'SFEES, ' RETENTIONFEE: - _ � ��.�. � CON$TRUCTION LENDING AGENCY PRE-ALT FEE: 31e ` '�- " � �� � � " � �'�, I'�HEREBYAFFIRM�UNDERPENALTYOFPERJURYTHATTHEREISACONSTRUCTIONLENDINGAGENCV -' "-"� - ""— ` � ' ' " � FOFiTHEPERFDRMANCEOFTHEWORKFORWXK]iTHISPERMRISI55UED(SEC.309�.CIV.CJ. . W. � ', IiENDEH"a NAME . � �' 1— .4EN�Eq'SA�DRESS ' �����``` g TOTAL FEES / — � I!CEFitIFYTHATIHAVENEAOTHISAPPLICATIONANOSTATETHATTHEABOVEINFORNATIONISCORFECT. �'J ,� ' �, I'/1GREE Tp CAMPLY WITH ALL CITY AND CAUNT'OROINANCES AND STATE LAWS qELATMG70 BU�LDING . ' � � - �'�,� '�.CONSTRUCTION;AND H6REBYAUTHORI�,E REPRESENTATNES OFTHIS COUNTV TO ENTER UPON hiE . . � Z '�,�E•MENTIONE�PHOPERTV FOR IPISPECiION PURPOSES. COMMENTS � � 0 � � � m PEPMITTE N E�,l N'n - � Q. q IIII �' . . . . UL�� . � , �' �,516NA F '� DATE ' _�� � � � � RECPT.NO. PAID BY VA�IDATION���� ' - � � ' ' ` WHITE—Department Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENRO�File Cony,GFEEN—ApplicanPs Copy � .. _ __ __.. __ � _. .._.. _ ._ __,_ _. ._� ._.__ _....... .�. �.�� �� ���� �����„������ ���� ���$���'�����,� ��w�;;�`�p�� « , � '���:"� ��� ���� � «��a� ���. '�� � � � ��g� s � y � � � �� � � �^�, , � +� '�� ��a: €� :�' �& °� � `' " � � � � � �»..& �� ':rc� :�v� y� �a. +=�m �R � A � 3� cxt�.&� � � y�,s � .��r t� �. " �:'� ,��' S �'' � �� � q " � ��"�.. .�.. ,.�:":�.��r.�s. b . ' „.�'�b��raf,,,,P� f ', . � � � I`�6..+ t �L)�.�!£''"�' i ' . i. 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