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-------- _... --- --- ------------..... . .�- --- .,,...--...----___�_____ � ----.._.... ----_._..._....._ .. .. ...._.._....__ _.___.._.._._ ___„� ----�--- CITY OF DIAy10ND BAR '` /''� I I COMMUI�'ITY DEVE�;OPMENT DEPART'vtENT i �'--- Ilf ,�'=�"' 2I6G0 E.Copley Drive Suite 190 j � � PRESS (909)860-3195 Fax(9091 g61-3117 BUILDING PERMIT APPLICATION �""� FIRMLY � JOBSITE '� APPLICATION Z, �� PERMIT J/��'t,�P/C ' "G � o ADDRESS I���_,�i�r1A� (� �• DATE _ NUMBER #_ � ISSUE TVPE OCC APN LOT TRACT DATE__, _ CONST.^ GF?OUP _ p OWNER p ADDRESS����u i fJrN11/►�0 ���/ �.. ZONING SETBACKS tu /�� � FRONT RW C z CITY l)1 d�.tN l�,_�__LLO� �16. ZIP TEL��)--� � -- p APPLIGANT TEL. • � S DE SIDE STREET RW J ¢Z SIDE _ C�NTRACTOR ' '-— o ADDRESS_ ��; PROPOSED USE_���W �1 � � � CITY ZIP_�._ TEL{ ���.7r o ARCH/ENG/ ��7o��y � � � • W DESIGNER d � NO.DWEL. IJO. NO. 0. ADDRESS LINITS _ 3TORIES BEDROOMS � CITY ZIP TEL. � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUA710N OWNER-6l:ILDER DECLARATION �, I SFR/ADD�REM p I NERE?Y AFF:Rf.!UNDER f+ENALTY OF?ERJIIR`'THAT I AM'c%E'AP'=FiOM TF:E CON?RACTORS u� Garage;Carport W C'eN5�L4WFOR'HEFOLIOWINGREA50N(SEC.�o3t.5BUS�N:SSAND?ROr�SSiO.45CODEANVCI�/OR (n U COfJN'.YWHICHRoCU!R'cSA?'cRld•7i000�\'STaUCT,A�iER.iMPRO'JE,�.^.EA70LISH,ORPEPA�RA4Y�TaUG W P2ti0/DBCk w TURE.PFI0.9 TO I,-c ISSUA.NCE.ALSO REOIi:RcS THE APPLICAM FOF SU�P�RMITTO FiLE A S:G\EJ w � STATEMEtiT THAT nE OR SHe IS LICENSED PURSUAN�'O THE PROVI310N5 OF TV.'E COVTRACTORS I.!� � CE•a'SE LAW(CHAPiER 9(COAAMIENCIYG�WITH SECTION�oD01 OF DIVISION 90=THE BUSINESS A�D PRD= �LL'� PoOV$p3 FESSIOVSCOOE�OFTHATHEORSHEIS�XEM�TTHc0.EFROMAM1D7HEBH5!SFORTHFA:L'cGE�E%EMP� � — � TION.ANYVIOLATIONOFSE�ION703?.59YANYA�PLICA�'TFOFAPERMITSUO.;'eCT5�4EAPPL:CANiTO z Re-Hoof � ACIVILPENALTVOFN07'MOREiHAh'FIVEHU\DREDDOLLI?,S�SSC��.;: �I.ASOW4EROFTHe'PROGER'V,OH',AYEMPLOYEESINI?.iWAGESASiNeIFSOLECONPE�tiSATID��, 0 Z Commercial W:LL DO THE WORK,AND THE S7.aUCTUaE IS NO?INTE4'Dev OP.OFFER'eD FOR SAiE iSEL.7Gaa,5U5:- J � NESS AtiD�ROFESSiOYS CODE�,7HE CON'RAC'ORS LICEN3E LAV!DO:S N07 A�PLV TO AN OY.'NER OF' � PaOPEaTV ViHO 9V!LOS OF IAAPROVES.'HEFEO.V,AND WHO OOES SUCn WORK H:MSELF OR HEPSE�F Oq � TH�DUGHHISORHEROWIaEMPLOYEES.PfiOVID=OTHAiSIJCHIMPROVEM�tiTSAREkOTIY?ENOE�Oi m QOFFEREDFORSALE.IF,HOWEVER,THEBL7�D:NGORIIAPP.OVEMENT:SSOLDWITHINONEVEhROFCOMP.E-� _ � TION,THE OWNEA�BUIL�ER WiLL NAVE TNE BURDEN OF PROVI�G THAT HE OR SH'c DID NOT 3UILD OR � I!+1�fiOVEFORTHEPUROOSEOFSALE). �yy _=1,ASOWNEROFTHEPROPERTY,AMeXC_USIYELYCONTRAC:INGWI'HUCENS?:DCONTRACTOflS y� xJ� � YO CONSTRUCT T4E PROJECT;SEC.7Ca<,BUSINESS AND PP.OFESSIONS CODE:THE CONTRACTORS LI� V8luatiOfl L//fL".;_ADJ.AREA W CENSELAWDOESA'O'A?PLYTOANOWNEROFAPRO?E.9TYVJHOBUIL'JSO.RIMPROVES�IiEREON,AND — � VJHOCONTRACTSFORSuCHPRO.!ECTSWITnACONT.IACTOq�S)LICENSE�Pl1a5UANTT07FiECOVTFAG QUANTITY � DESCRIP 10�� FEE Y TORS LICENSc LAW.). � � =I AA!EXEPAPT UNOER SEC.__ B.8 P.C.1=0a TFIS REASON J s , g� �+✓L O --- -- ¢ � � -�^ � � � �A7e__ OYJNER_^�_ F' i :J � LICENSED CONTRACTORS DECLARATION W d J � IHEflEBYAFFl9'd'JNDERPENA_iYOFpEflJl1RYTNAiIAMLICENSEDUNDEF?ROVISIONSOFCHAPTER � a 9(COMMENCINOWITH3cCTION7,00)OFDIVISION30FTHE9USINESSAN�JPROFcSS!ONSCOpE�AND Z `X MY LICE4SE IS IN FL'LL=ORCE AND E'rFECT. m � LICENSE CLASS �,_ LIC.NO.� Yy _ j � r J, V �ATE �._GONTRACTOR. d W � � WORKEFiS'COMPENSATION DECLARATION ,.,�1�, a = G U � IHEREBYAFFIRMUYOeRPENAL7YOFPERJURYONEOFTH'eFOLLOWiNGDLC�ARpTl0��5: J Z � HAVEANOWILlAAINTAINACERT'FICATEOFCONSENTiOSELF-IM1SUREFORWORKEqS' _ ¢ �COMPENSATION,ASPROVIOED9YSECTION3�OOOFTfELA30FCODE.FORTHEPEfiFOPMANCE �U OF i He WORK FOR WFIICH THIS PEF1Ali IS ISSUED. , . � � W _IHAVETNDWILLMA:NTAINWORKERS'C0IAPENSAT�ONItrSURANCE,ASRcOUIRFDBYSECTION Q 3700 OF THE LA30R CODE,FOR THE PERFORMAIiCE OF THE YlORX FOR WH!CH THIS PERMIT IS 1,p�r, ISSUED.!f.YWORKE.9S'COM�PENSATIONINSURANCE ARRIERANDPOL�CYNUTAIiE4ARE: CONSTRUCTION (���v ( �f'� j� PLAN REVIEW �i t .�� GARR�ER_ �O_�1 _ � POUCY NUM3ER � � `— I ELECTRIC �� Q � 0 (fHI55EClp^iNEm40T?EODbIPIETE�CFTHEPEFMR!SFOfYONE4Uti�REDIX"Ai.A S'OC aLE ' PLUArBING __ W Z IC'cRT:FY?HATINTHEPERFORMRNCEOFTHEWORKfORWH:CH'HIS?E9MITISISS�EC,1 ' MECHANICRL __^_ C.�3 SHAL_NOTEMDLOYAYVPERSONL�'AYV"dANNE�50ASTOBECOU.ESUBJECTTO7H'c �� � (p WOFKERS'CCMPENSATIONLAWSOFCALIFORNfA,ANJAGftEeT:^.ATIFISHOULD3EC0.'Af INSPECT70NFEE ____ 'S(J � SUBJECT'O?HcWORKERS'C01dPE�'�ATIO\'PROVISIOM1'SOFSECTION37000FTF.'ELA60R � CODe.ISHq�,L�OHThIWRHCOL7PLYWRHTHOSEPRO ISIONS, , �SSUANCE __,_ � p DATE:y��APPLICANT: _. __ SMIP .__, ..� � __ J- WAflNING:FAIL'JRe TO SECUfl=WOFKERS'COMPENSA?ION COVERqG I:NLA'FUL,AV�SHAL'EE ENERGY P(C '��''' � � SUBJECTAkc'MPIOYERTOCRIM:NA'_PENAL7IESAM1'DC!VILF�NcSU?TOO�\E%^UYDREDTHOUSAND ENERGYPERMIT �P�' `-''w DOLLARS(Et0a.0a0�,l4ADDITiONTOTHECOSTOFCOfAPEYSATION.DAIAAGESASPROVIDEDFORIK � -- J ScCTI�N37oeOFP.iEIABORCODE,I,�TEREST,AhDA1TOR.•JEy'SFc'ES. 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