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4 CITY OF DIAMOND BAI+T r °� „ ^---1� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES i 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 ' PRESS °�",� BUILDING P RM1T APP CATION ��� �� .'���"`'� ,�' FIRMLY' _ . . . o� JOBSITE y APPUCATION� `� � PERMIT �� /C�•..-��. ADDRESS �ATE_ � _NUMBER #. $ ISSUE NPE OCC APN LOT T ' T DATE CONST. GROUP � OWNER i"�r���6�2r� rGyl'�-� ��Y° '. ..., � ADDRESS���6s0 Y6��r�1� �t��e��8` �� ZONING SETBACKS �I°�'" ZIP�� TEL,�'�� � CITY..�� ���°�. FRONT RW ❑ APPLkCANT TEL. REAR ❑ I � � SIDE/SIDE STREET RW ❑ ADDRESS ' v ` � SIDE ❑ CONTRACTOR O CITY-Z'f1-�IiVF-a• �� /Z TEL � Z PROPOSED USE /jt� � ARCWENG/ ,��1� �/ /� d�' �Tf'� � z DESIGNER J�"`��-f�- (?72�SS' �--rc�S'�C � NO.DWEL. NO. NO. � ADDRESS SS'-7' � 71J!ST7N y CITY S��A- ZIP�D_,$'�TEL. I/y.SSO 977 UNITS STORIES BEpROOMS � DESCRIPTION SQ,FT._ F C OR PSF ADJ.AREANALUATION I O OWNER-BUILDER DECLARATION SFRJADD/REM „, � � a p I HEREBY AFFIRM�UN�ER PENAL7V OF PERIURY THAT I AM EXEMPT FROM THE CANTRACTORS�I- � Gdfd 8/C3 oh �� �'. � e� � W. CENSEUWFORTHEFOLLOWINGHEASON(SEC:7031.SBUSINESSANDPROFESSIONSCDOE:ANYq7YOR (n g � {,�,��+y. . WV COUNTYWHICHREQUIRESAPEFR117TOCONSTqUCT,�TER,IMPROVE,DEMOLISH,qRREPAIRANVSTRUC- W Pef10/DBCk +�-yz�� ,r� �e �TI1RE,pRIOR TO ITS ISSUANCE,ALSO RE�UIpES iHE APPLICANT FOR SUCH PEfiM17 TO FILE A 61GNED W e� �� � ,�. �STATEMENT 1HAT HE OR SHE IS UCENSEO PUfl$UANT TO THE PHOVISIONS OF THE CONTRACTORS LI• � � ,CEN6E lAW(QiAPTER 9.(COpiMENCIN0IMTH 3ECTION 7000)OF DIVISpN 9 OF THE BUSINE55 AND PRO- POOUSPd � •p�'� �FE93pNSCOD�ORTFIATMEORSHEI5E7(EMPTTMEREPROMANDTHEBASISFORTHEALLEGE�E%EMP- (� . ��.V. TION.ANYVIOLATIONOF$ECilON7q37.59YANYAPPLICANTFORAPEPMITSUBJECTSTHEAPPUCANTTO Z RB-Roof � � � �ACIVILPENALiVOFNOTMORETHANF�VEHUNDREb��OLLARS(S5a0)J: � �,.,,�., ❑I,ASOWNEROFTHEPROPERTI:ORMYEMPLOYEESWITHWAGESASTHEIRSOLECbMPENSA710N, � Com BfCi31 � � ��WIL.L 00 THE WOAK,M1D THE STRUC7URE LS NOT WTENDED OR OFFERED FOR SALE(SEC.7044,BU&I- J .�,�� 'NESS AND PqOFESSIONS CODE:THE CANTRACTORS LICENSE LAW DOES NOTAPPLY i0 AN OWNER OF � �p 'PROPERTYWFiOBU1LDSORIMPROVESTHEREON,AHDWHOWESSUCHWOflKHIMSELFORHERSELFOR �� � � W' THF�WaHHISORHEflOWNEMPLOYEES,PROVIDEOTHATSUqiIMPROVEMENTSARENOTINiEN�E�OR m . ;,,0 ,OFFEREDFORSKEIFHOWEVER,TiEBUILDINGORIMPROVEMENTI550IDWITHMONEYEAROFCOMPLE � � ,,Z_ '�.TION,THE OWNER�Bl11L0Eti WILL�HAVE 7HE BUH�EN�tlP PROVING THAT HE OR SHE�IO NOT BUIID OR � �,= IMPHOVEFORTHEPURPOSEOFSACE;. � �, � � �W�. ❑�I,ASONMEHOFTHEPflOPEBTV,AMEXCLIJSNELVCANTRACTINGWI7HLICENSEDCONTRACiORS . ''�,� �TO CONSTRUCT 7HE PRQIEC7(SEC.7oLt,BUSINESS ANO PROFESSIONS CODE:THE CONiRACTORS U- V21Uflfi0il ADJ.AREA "��.W �CENSELAW�OESNOTAPPLVTOMIOWNEROFAP�iOPERTYWHOBUILDSORIMPROVESTHEREON,AND '�� �VMFIOCONTMCTSFOHSUCHPpO;1ECTSWrtHACOMTRACTOq(S)IICENSEDPURSUANT707HECONTRAP �UANTITY DESCRIPTION FEE � . TORSUCENSEUW.). � � 3 ❑IAM EXEMPT UNDERSEC. &&P.Q FOR TNIS REASON a � . U ��� �ATE -� OVINER � '. � i- ��Z� i U � . � . . . '� LJCENSED CONSRACTORS DECLARATION W � � ¢ IHEHEBYAFFIRMUNDERPENALNOFPERIURYTHATIAMLICENSEDUNDERPqOVISpNSOFCHAPTER � p ',,��. 9(CONMENCIN6 WlTH SECTpN 7000)OF OIVISION 3 OF THE 6t1SINESS ANO PROFESSIONS CODE,AND Z � ��� MY UCENSE IS IIJ FULI FOHC AND EFFECT, m ". �o�� LICENSE CLA5S � LIC.NO. �/n /� -7 � . � . �'", � .. � ��U�� DAYE �.� D��0.I ..CONTRACTOR U(L/� � /NFl . :� �~ `¢3 �� '9 �° � -- �, a � � WORKERS`COMPENSATION DEC RATION -� � � � �. Q � p'"<�.r„ a'� ^ t��i ��',. IHEFEBYAFFIRMUN�ERPENALNOFPERIURYONE�FTHEWLLOWINGDECLAflATIONS: Z 4��`-' ��'- v� ¢ i� '��� ��IHAVEANDWILLMAINiAiNACERTIFICATEDFCONSENiTOSELHNSUREFORWORKERS' � � ' ' COMPENSATION,ASPROVIDE�BYSECTION3�OOOF.THEIABORCODE,FORiHEPERWRMANCE U Q OF TiE WORK FOR WHICH THIS PERMIT S ISSUED, '_ , � ��O I HAVEAND WILLMAINTAIN WORKEAS'COMPENSATION WSURANCE�AS REDUIRED BY SECTION �� /5�� � . ��� 37000F7HELABORCODE,FDRTHEPERFOPMANCEOFTHEWORKFORWHICHTHISPERMIi1S �"� S+�l � SSUED.MVW KERS'C�rOMPENSATI6NINSURANCE.CARRIE�flANADP�OLICY�/NU�.M�B�ERARE: CONSTRUC�ON �� �.j� CARRIER��/�IG , ID(1�.�/! -i�-�+�J• ��' PLAN REVIEW ' 9 �.Z � POLICY NUMBER�O� �G �.x If // Q�f �. ,Q � �a•�� ���- ELECTAIC � �o� , 0 (rwssEciqwNE�na7BEoo�ErE4oFn�pEpa,arswaouEHutn�aEDoouaqs�stao)oq�ssti PLUMBING ��� �s(„� w -- i . �'�,y IGERTIFYTHATINTT{EPERFORMANCEOFTHEWORKFORWHICHTHISPERMITISISSUED,I MECHANICAL ��7l. 'C;j SHAILNOTEMPLO7ANYPrRSONINANYMANNER50A5TOBECOMESUBJECTTOTHE '.(n�. � WORKERS'CAMPENSATION LAWS OF�CALIFORNIA,ANO AGREETHAT IF I SHOl1L0 eECOME INSPECTION FEE . �' SUBJECTTOTHEWORKERS.COMPENSATION�PROVISIONSOFSECTION37000FTHELABOR - �� CAOE,I SHALI.FORTNWITH COMP�Y WITH SE P�ROyVISIONS. ��/J ISSUANCE / � I�,p. DATE:� �' �O� APPLICANT: ��/u^' /� W/Y"r= �SMiP . . �� .. ''�`'� ENERGY P/C � , ',J'� WARNPIGFAILLIRETOSECl1REWORKEFS'�CQMPENSATIONCAVERAGEISUNLAWFUL,ANDSHALLBE 7 !� ', i,�y��,',� SUBJECTANEMPLOYERTOCPoMINALPENALTIESAN�CIVILFINESUPTOONEHUN�RE�THOUSAND ENERGYPERMIT DOLLARS(S7o0,o00),IN PDDITIOt�TD THE CO$T:OF COMPENSATION,�AMADES AS PROVIDED fOR IN O' J SECTION 3708OF THE LABOR CODE,INTEREST,PNDATTOANEY'S FEES. � ' I��.' � �� � � :� RETENTION FEE: v ; � �,d CONSTRUCTION LENDINGAGENCY PRE-AL?FEE•�� � � �' ��,����'� INEREBYAFFIRMUN�ERPENALTYOFPERJURY'THATTHEREISACONSTFUCTIONLENDMGAGENCY - �� ' � ,�,W'. FORTHE PERFOFiMA`NCE OFjTME WORK FOR ICH/i�HiS PERMIT�IS ISSU (SEC.3ue�,CIV.G� ' � � � '.,����., �' LENDERSNAME ��/Y'L-'� �1 G�� �F . . ' , . � �1—.�,. LENbERSAD�RESS ��7 �" ICERTF1'THATIHAYEREADTHISAPPLIGATItlNIWDSTATETHATTHEABOVErJFORMATIONISCORRECT. TOTAL FEES u .-O / �' � � '�,dl'i��,', IAGREETOCAMPLVWITHALLClTYANDCOUHTYOROINANCESANDSTATEL4WSRELATINGTOBUIl01NG � -� ' � . �' CONSTRUCTION,ANDHEREBYAUTHORIZEFEPRESENTATIVESOFTHLSCOUNTYTOENTERUPONTHE � . � . � � � �� ABOVE-MEN?IONE�PROPEFiTY�OR INS`PECTION PURPO5E5. COMMENTS ' � � � � ��„� ��-/"'r -/ f'/"/!1��� - �. . ¢,, PERAIITTE NAME(Ppl ) , � � -��-�, /Z/bo ',�'�'��' S�GN REOFPERMITT OATE !- � �,�. . -� � RECPT.NO. PAID BY � VALIDATION , WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appticanfs Capy - �_.,, . _.. � , � � - . . - �� i���� ��� ���$�a���`l����" �y����i �. . � . ��"�s����������� ���;�������� � ��� � ����g' ��"� �" ;�p`��'��v' i �& �r�*;"���F,�� ,r� �,`� ar . �� �,t�i��<s �a�.: ��.� ,�t',�^"'y.s,a p�, �'*�:m�a�'��<r$.s�'i�r�*''{'�i ��3y'��."0��g't,�: � ::. :'w �ff.�4 q, � � 2 �,�. `�" 'e�'3 �� �r+ M"� �*sk'.� � � � m � 4�I�ta'!"���b,� 5� p��,"'"1 #9�'J; '=� `"����'4.! �- . '�'#:�,r��.s�:.�� +i.��� .��=�:�r.-' �r.:.��`�,.i��. ���'t�`'�`.��'�' k�:�u����.�,�� ���"�'-.,E�7 ... 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