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CI'I'Y OF DZAMOND BAR E'��_� --- "' DEPARTMEhTT OF CO1v1MtlIUITY&DEVELOPMENT SERVICES � _—.l �. _,� -� 21825 E.CopleyDrive (409)860-3195 FaY(909)861-3117 PRESS ``'-.v�'� BI7ILDING PERMIT APPLICATION FIRMLY o A�DDRIESS��� ���d-� �c7�+� " � DATEICATION q � p NUMBER r�'I�� #/C. c� ISSUE r�`], /7 TYPE OCC APN L T TRA�CT�� DATE �-� � CONST. GROUP p OWNER .. `. � ADDRE S �, C� ', � � '�_ ZONWG SETBACKS oCITY�_^. ZII�'��_ TEL. FRONT RW C o APPLICANT ���'��' G`c;G�`�`TEL. SIDE/SIDE STREET RW ❑ ¢ CONTRACT teS'� C�' , . SIDE ❑ � ADDRE S ^ ' � PROPOSED USE � !�'�T` ' � crrv�6�F :I�"! zi���� re�. " � o ARCWENG/ �' �'"� iz DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP 1'EL � �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION cn O OWNER-BUILDER DECLARATION SFR/ADD/AEM p I HEREeY AFFIRM UN�ER PHJALTY OF PERJURY THAT I AM EXEMPT FROM THE COMRACTOAS LI- � Garage/Carport W CENSELAWFOR7HEFOLLOWING�REASbN(SEC.7o31.SBUSINESSANOPROFES510NSCO�EANYqTVOR U COUNTVWH�CHREQUIRESAPERMI7TOCONS7RUCT.AL7ER,IMPROVE,DElAOLISH,OqREPAIRANYSTRUG W P9110/DBCIC z TURE.PRIOR TO ITS ISSUANCE.AL50 fiE�UIftES THE APPLICANT FOfl SUCH PERMIT TO FILE A SIGNED � � STATEMENT THAT HE OR SHE IS�.ICENSE�PURSUAN7 TO THE PROVISIONS OF THE CONTRACTORS U� � CENSE LAW(QiAPTEH 9(COMMENCING WITH SECTION 7000)OF OIVISION 3 OF THE 9USINE55 AND PFiO- u' POOVS�JB �' FESSIONSCADEJORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFDRTHEALLEGEDEXEMP- (� �j � TION.ANVVIOLATIONOFSECTION7031.5BYANYAPPLICANTFO(iAPEFMITSUBJECTSTHEAPPLICANTTO Z RQ-ROOf y'.. �" � ACIVILPENALTYOFNOTMOflETHANFiVEHUNDRED�OLLARS(55ao;.): Z, ❑�,ASOWNEflOFiHEPqOP�ERTV,bRMVEMPLOVEESWITH,WAGESASTNEIRSOLECOMPENSA710N, � Cpmry�erCld� - WILL�D THE WORK,AND THE STR�CTURE IS NOT INTEN�E�Ofl OFFERED FOR SALE(SEC.7044,BU51� J N NESS ANO PROFESSIONS CODE:7HE CONTRACTORS LICENSE LAW DO[S NOTAPPLYTO AN OWNEP OF j PROPERSV WHO BUILDS OR IMPROVES THEPEON,AND WHO�OES Sl1CH WORK HIMSELF OR HERSELF OR �. THROIJGHHI50flHEROWNEMPL�0YEE5,PFiOVIDEOTHATSUCHIMPflOVEMENTSAflEh'OTINTEN�EDOR m QOFF6REDFORSALE.IF,HOWEVER,'THE6uILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPLE- Z TION.THE OWNER�BUILDEfl WILL''HAVE THE fiUFDEN Of PROVING Th1AT HE OR SHE DID NOT BUILD OR � IMPFOVEFORTHEPURP0.SEOF�uALE).� ❑I,AS OWNEROFTHE PROPER7Y;AM EXCWSNELY CONTRACTING WITH LICEN5ED WNTft0.CTOR5 � TO CANSTRUCT THE PROJECT(SEC.7tl44,BUSINESS AN�PflOFESSIONS CODE 7HE CONTPACiORS LI- V8I118S10� _ � ADJ.AREA W CENSE LAW DOES NOTAPPLY TO AN OWNER OF!'PROPER7YVlHO BUI4DS ORlMPROVES THEREON,AND � WHOCOPI�RACiSFORSUGHPROJECTSWIiHACONTRAC70R(5)LICENSEDWRSUANTTOTHECONTPAG QUANTITY DESCRIPTION FEE � Y TOqS LICENSE LAW.). . � ❑1 AM EXEMPT UNOER SEC. B.9 P.C.FOR THIS REASON Q � U � ��� LL' OA7E OWNEfl � � Z W ¢ " LICENSED CONTRACTORS DECLARATION �y � I HEREBYAFFIRM UNDER PENALTV OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � ' a. 9(COMMENGINGWITHSECTION7oo0)OFDIVISION30FiHEBUSINESSANDPfiOFESSIONSCO�E,AND z � '" Y. MV LICENSE IS W FULLy�F'O�RCE E�F�py'ECT, �/ y������"" m �',;,,,__,'',��'-"'�������� `�I'� � LICENS LASS �^-��� ° ' LIC.NO. "� � ' j �"�� ' U DATE CONTRACTOR � l �v� a , W � � _ 0� WORKERS'COMPENSATtON DECLARATION -� = U � I HEREBVAFFIRM 11N0ER PENALTYOFPERJLIFV ONEOFTHE FOLLDWING�ECLAFqTI0N5: C!J Q � �IHAVEANDWILLMAINTAINACEfi71FlCATEOFCONSENTTOSELF�INSUflEFORWORKEflS' _ ' - , CAMPENSATION,AS PROVIDED BV SECiION 3]0o OF 7HE LABOP CODE,FOR THE PERFORMANCE U ¢ OFTHE WOFK FOR WHICH THIS PERMIT IS ISSUED. � � w � I HAVEAND WILL MAIN7AIN WORI(ERS'COMPENSATION INSURANCE,AS RC-0UIRED BV SECTION /v Q 37a0 0F iHE LABOR CODE,FOR ITHE PERFORMANCE OF THE WORK FOfl WHICH THIS PERMIT i5 �t `� ISSUED.MYW KEA5COMPENSATIONINSURAN CARR RAN�POUCYNUMBERARE: CONSTRUCTION V� ' j caaaiea � � � � �% PLAN REVIEW ZPOLICYNUMBER � ELECTRIC _ ¢ (RiI55ECTIONNE�NOTBECOMPLE�EDOFiFiEPERMRISWRIXJEHUNDRED001J_AR6(S1W)ORLESS). PLUMBING � Z I CERTIFYTHHT INTHE PERFORMANCE OFTHE WOFK FOR WHICH iHIS PERMIT I51S5UE0,l MECHANICAL � (,'J SHALLNOiEMPLOYANYPERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE '� WORKEFS'COMPENSATIONLAWSOFCALIFORNIA.ANOA^uREETHATIFISHOULDBECOME INSPECTIONFEE = SUBJECiTOTHEWORKERS'CO�APENSATIONPflOVSIONSOFSECT101ri3]ooOFTHE4460P C[O�DE,ISHALLF,,Oe��P��THWITHCOMPLVWI P�,�51p N ISSUANCE � p DATE: [,� ° �-% APPLICANT: ��°s a+ ��(��� SMIP __.__.__ _ D J � ENERGY P/C ���, J YlApNING FAILUFlETO SECLIRE WORKEHS'COMPENSATION COVERAGE IS UNLAWFVL,AND SHALL 6E � � SUBJECTANEMPLOYERTOCRIMINALPENALTIESAN�CIVILFINESUPTOONEHUNDqE�THOUSAND ENERGYPERMIT DOLLARS(SioO,oao).IN ADDITION TO THE COSTOF GOMPENSATION,�AMAGES AS PRWIOEO FOR W � � SECilON37080FTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFiIflMUNDERPENALTYOFP FlJUflYTFIATTHEREISACONSTFUCTIONLEN�INGAGENCY � FORTHEPERWRMANCEOFTHEWORK�ORWHICHTHISPERMITISISSUED(SEC.309],CIV.CJ. — ' � �. Z W —_ 2 LEPIDER'S NAME � � �S' H LENOER'SA��RESS_.. � 70TAL FEES �O �pC� � ICERTIFYTHATIHAVEqEA�THISAPPLiCA710NANDSTA7ETHAiTHEABOVEINFORMA7YJNiSCORRECT. / � I AGREE TD COMPLV VJITH ALL CITV AND COUNTV OROINA�GESAN�STqTE LAWS RELATING TO BUf�DING ' � CONSTRU TIOM1,ANDHEREBYAUTHORIZEREPRESENTATIVESOFiHISCOUNTYTOENTERUPONTHE Z ABOV-M TIONED PROPERTV FOP INSFECTIDN,PlJRPO$ES_ COMMENTS � ` � f.=Ge�'� .� � ¢ PERMI AM INT) \ - �a s1 ,1���p s isv B � �v�� vj SI ATU OF PERMI E �AiE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Depariment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENR06—File Copy,GREEN—Applicant's Copy . �. . . , � .._; .., ..;:...:�� sa_.:.; .,. iE.t ,t�: .-._'',� .;�..I:Y�:, ...; �,r a ..,�.�, - . a -- � ,,. . •� .� . � .... . �.�� _.�� . �. ��� ,. > . .. . '# . . . ,_� a;�., 'i.�.�." 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