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�� CITY OF DIAMOND BA� DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES w 21660 E.Copley Drive Suitc 190 (909)860-3195 F�(909)8613117 PRESS ���°�+ BUII,DING PERMIT APPLICATION FIRMLY _ • oN JOBSITE i��� /��6/�j,�'j',� G�-�°j[. APPLICATIO���NUMBER ``" � ° #/��� ADDRESS � F/ 9/v"��/� FJlv v DATE � ISSUE TYPE OCC � APN LOT ACT � DATE CONST. GROUP °C OWNER C� � ' O o ADDRESS E,D d - ZONING SETBACKS W CITY B�`��UU. ZIP TEL.� ' ' ,� FRONT RW ❑ � APPUCANT �'�� TEL. REAR ❑ � SIDFJSIDE STREET RW ❑ CONTRACTQR �'�U � - SIOE ❑ p� ADDRESS 'r PROPOSED USE �/,,(/�� �/����' �� " � CITY A ZIP �� TEL G���S�'�' `t�- w ARCH/ENG! . Z DESIGNER L-1� �'` �° NO.DWEL. NO. NO. �^ � ADDRESS �}� �' � UNITS�_ STORIES � BEDROOMS h"3 � CITY � ZIP�Q��,. TEL. - � tn DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARErWALUATiON p� OWNER-BUILDER DECtARAi ION F,FR/ADDlREM � O �� p I HEPEBY AFFlRM UNDER PENAL7Y OF PERIURY 7HAT I AM EY,EMPT FROM THE CONTRACTORS L� G7f8gelCafpOlt �G W CENSELAWFORTHEFOLLOWINGREASON(SEC.7ai1.58USINESSANDPFOFESSION6CODE:ANVCITVOR (n C7 (YlUN7YWHICHREIXIWESAPEqAAi7TOCONSTq�CT,pLTER,iMPROVE,OFAlOLISH,oRRFPAIRANVS1FiUG W P8t10/DBCk � Z TURE,?RIOR TO ITS�SSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PEPMIT TO FILE A SIGNED �l� $TATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS l�- W � CENSE UW(CHAPTEP e(COMMENCIN(3 WITN SECTION 7000)OF DIVISION 30F THE BUSINESS AND PRO- � POOUSp& FE39qNSCOOEIORTHATHEOR5NE13FJ(EMPTTHEREFROMAN�THEBASISFORTHEALLEOEOEXEMP- (� TION.ANYVIOIATIONOFSECTiON7031.5BYr1NVAPPLIGANTFORAPERMITSUB.�EGTSTHEAPPUCANTTO Z Re-Root � ACMI PENA�T/OF NOT MOAE THAN FIVE FfiJNDRED DOLIARS(S50oJ.): � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLDYFESWI7HWAGESASTHEIRSOLECOMPENSATION, L� CommefCial WILL p0 THE WOii(,MIQ THE STRUCTURE IS NOT INTENDED OR OFFERECI FOR SALE fSEC.70l4,BU51- J � NESS AN�PROFESSIONS COOE:THE CONTflACTOPS LICENSE tAW DOES NOT APPLV TO AN OWNER OF � PROPERTY WFIO BUILDS OR IMPROVES THERE�IJ.ANL WFK)UOES SI1CH WOFK HIMSELF OR HERSELF OR � THqOUGH HIS OR HEROWN EMPLAVEES,PROVbEO TNAT SUCH IMPROVEMENTS ARE NOT INTENDEP OR m � OFFEREDFORSALEIG,HOWEVER,THEBUILOINGORIMPROVEMENTI5501AW1TMNONEVEAROFCOMPLE- Z TION.THE OWNER�BLIIIDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BWLD 0Ii � IMPFqVE FOR TNE PUNPOSE OF SALE�. W ❑I.lSOWNEAOFTt1EPROPE6P+Y,AMEkCLUS!VELYCONTflACTINGWIFNI.IC[NSEUODNTRACTORS � TO GONSTRU(7TH£PNQIECT(SEC.7o4q BUSINESS AND PHOFES310N5 COUE:'i HE CONiAAGTORS LI- VflWBIIOfI __ _ _ADJ.AflEA _ _ � CENSE UW DOES NOTAPPLY TOMI04VNFR OFAPROPEF7TY WHO BUILGS 4,q Ip�pqpYES THF.HEON,AIdD — — WFiOCONTMCTSFOHSUCHPROJECTSWITNAQONTRACTOR(S�LICENSEDPURSURdT?viHECONTRAG QUANTlTY OESCRIPTION FEE � Toas uc�s�uw.�. ❑IAIA EXE3APT UNDER S�C.___ 2.S P.G FOR'MI3 REASON Q 0 � V J� __ — __—"— � � OATE OWNER F" � 7r —�_.� —__�.,..,�_ W ._ �Q LICENSEG CONT4iACTOPS DECL4HATION � � 2 IHEPEBYAFFIFlMUNDERPENALTYOFPFRJURV?HATIAMLICENSEDUMfiF.BVPpVISIONSOFCHAPTER L� ^� ^ � 9{COMMENCINQ WfTH 3ECT10N 7000)OF OIVISION 3 CF TNE BUSINESS ANG PFOFESSIONS CODE.ANO Z _ _ _ �� IAV LICENSE IS IN FULL PoRCEAND EFFECT. m o LIGENSE CLASS„_,_[•� ______ �''�� Q��p �J � V DATE�fr ,1�_"�',�, CON�RACTOR�"_����PJ� n- --- --� W � WORKER3'COM!'FNSA?i(7N aECLARATiOM Q �� ^ � I HEFEBV AFFIpM UNOER VF_NALTf OF PFRJURY ONE OF THE FOLLOM�ING OECLAflATiONS: � � _.IMAVEM/UWILLMAINTAfNACER7IFICATEOFCONSENTT03ELF-INSUREfDR'NORKEfiS' ' � _ --= � �- ' � " � � COldPEN9ATION,AS PRO'if0[0 BY SECTION 37W�3F 7NE I.P.BOH CCOE,FOR THE PERFORMANCF W OF'M1I[WONK FOR WHICH THIS PERMIT IS ISSUED - � � ' . � . .,. ., , IJn.O . .. _ . .. �. ^- � . ._ ' , . , .. v �I HAVE Af70 WILL MAIN7AIN WORKERS COIAPEN50.TION NSURANCE,AS REOt11RED BV S�LTI04 Q 3700AF77iELABCrWpE,F�R7HEfERFOFMAIICFOF1iE'NUf-,KPoRWHICHTHISNERMITIu L�Q St�p ISSUEL`.MY WOHK�EflS�'Ci7M9EN5p�GT10N I�RSUnAN E..PHR�ER AND POLICY NUMBER ARE' CONSTRUCTION �i �} s+ I�l• � cuwieR��Fy�. _L " � ___ _ PLAN REVIEW ►1� �c7�n��T zaa.�cv NURIBER .� � �_" ELECTRIC . '.� D 6"C'V Q —�----- ----t-"� �ssEr.r�x+NEr�rxaraEcxx.ux.�ooFn����vxr�srz:{�on=_r+uncaq�oaisas�s�oo)oa�Essl. PLUMBING � Z I CEKfIFY THHT IN TNE PERfORMAfdCE OF YHE WOflK FOft WHICH THIu PERMIT IS ISSUED,I MECHANICAI '"� - � �j� •'�� (!} SHtiI NOT Eh",PIOY A!JY PEftSON IN ANY MANNER Sn AS TO ECOME SUBJECT TO THE � � WORNERS'COMPFNSATIONLAWSOPCALIFORNIA,AND. ETkAY1.ISHOUL�B ME � INSPECTIONFEE S SUB.IECT TO THE WORKSRS'CUMPENSA710N PflOW°' SE \ HF LABOA ` ���+� �. � ,.. .�. .,...,,,;„..,'. ���p CbDE, HALLFORTMWIINCAMPLYWI7HTH '" / - ISSUANCE � ' ...... . � .r ; , p DATE:�E�� f4PPLICANT: _ .. . SMIP � _�' � . _ J WARNINO:FAIWRE TO SECUftE WORKERS'COMPENSATION COV uE IS UNLA U,AND SHpLL BE ENERGY P/C ___ rl ��_—��— �—y SU&IECTANEMPLOYEPTUCRIMiNAIPENALTIESANDCIVfLFINESUP700NEHUNDREDTHOUSAND � � � DOLLARS(S1a0.000),INADDiTiONTOTHECOSTO'COMPEN5ATION,OAMAGESASPROVI�EDFOqM ENERGYPERMIT y �} � SECTION7�oeCFTHELABOfSCOOE,INTEREST,AN�ATTORNEV'SFEES. ' RETENTIONFEE: ____ �"!/ d CONSTRUCTIOfJ LENDING AGENCY PRE-ALT FEE: O - � IIIEREBYFFFIRMUNpERPENALTYOFPERJURI'THA7THEREISACONSTRUCTiONL[NDINGAGENCY __ FORTHE PERF-0RMANCE OFTHE WORK FOR WHICH 7HiS PERMITIS ISSUE�(SEC.3097,CIV.C.). . z w � LEN�EF'SNAME _________.._.--_' _ F_ IEN�EFY^uADDRE55___ _ . ,,r � ICERTIFYTHATIHAVEREADTHISMPUCA710NANDSTATETIiATTHEABOVEINFORMATIONISCORRECT. TO AL FEES f �� 4J'+��"� / P � �� � I AGREE TO CAMPLY WITH ALL CrtYANO CWNTY ORDINANCES AND STATE LANS REIATING TO BUILDINC _. � CONSTRUCTION.ANDHEREBVAU7HORIZEREPRESEN7ATIVESOFTHISCOUNTYTOENTERUPONTHE , � � . . ' �. Z ABOVE�MENTKKJE�PROPEFTVFORINSPECTIONPURPQSES. COMMENTS _ O �y ./ yrr J/" .� �/ �/y tY � ' — /'� — .x m P RAAITfEENqME�� �-__`� / . ,,: ,,�' � )� - — (J) yr-„� . _ _ -f/- � SIGNATU O � hTE � .- . RECPT.NO. 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