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� CITYOFDIAMONDBAR � EXPIRED
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
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UILDING PERMIT APPLICATION __ FIRMLY
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ADDRESS DATE NUMBER 1�� i#
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� 1 HEREBY AFFlfAI UImER PEN/�LTV OF VERIURV THAT I AM E%EMPT FfiOM THE CONTRACTORS LI� GflfBgB/C81POA
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NRE,PRIOR TO R9 ISSUANCE,ALSO RE9UIRE9 THE MPLICANT FOR SUCH PERMIT TO FILE A SI(iNED W
� STATEMENT h1AT HE OR SHE IS LICENSED WRSUANT TO THE PROVISIONS OF 7HE CONTRAC70R9 LI- �
� CENSE UW(qUPTER Y(COMMENCW(i WITH SECTION 7000)OF DIVISqN�OF THE BUSINESS AND PRO- POOUSpB
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PiqPEHTV WHO BU0.D9 OR W PROVES THEREON.AND NR10 DOES SUqi WORK HIMSELF OR HERSELF OR
S TMROUGH WS OR HER OWN EMPLOYEES,7POVIOm THAT SUCH IMPROVEAIENTS ARE NOT P7TENDED OR m
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� 1 HEREBY AFFlRM UHDER PEtU1TV OF VE0.RIRV THAT I AM LICENSED UNDEH PROVISIONS OF CHAPTER � A �^vN� eR / O�
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MY IICENSE IS IN FUIL FORCE AND EfFEC7. m
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� WORKERS'COMPENSATION DECLARATION /��� Q . _ ��
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N1 HEREBY AFFlRM UNDER PENALTY OF PERJURV ONE OF 7HE FOLLOWINO�ECURATqMS� Z
� _I HAVE AND WILL MAINTAW A CEHTIFlCATE OF CONSENTTO SELFaNSURE FOR WORKERS' _
Q COMPENSATION,AS PROVIDED BY SEC710N 37000F THE UBOR COD�FOR THE PERFORMANCE U
Q OF T1E WORI(FOR WHId1 TH15 PERMIT IS ISSUED. �
� _I HAVE AND WILL AWNTAIN WORKERS'COMPENSATION INSURANCE,A9 RE�UIRED BY SECTION -
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� ISSUm.MV WORNERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE CONSTRUCTION ,.
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C,'S SWLLL NOT EMP�OY ANY PERSON W ANV MANNER 50 AS TO BECOAIE SU&IECT TO THE b b -
�/j WORKERS'COMPENSA710N UWS Of CALIFORNIA AND AOREE THAT IF I SHOUID BECOME INSPECTION FEE �
S SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370o Of THE IABOR
cooe,i sw�u coan�win�coup�v win�nasE aaov�saNs. ISSUANCE
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� WAANINO:FAILURE TO SECUiiE NVRKERS'COMPENSATION COVERAOE IS UNLAWFUI,AND SHALL BE
LL SUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCMLFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
OOLUHS(i100.000),W ADDITION TO THE COST OF COMPENSATION,DAMAOES AS PROVIDED FOR IN
� SECTIDN 970E OF THE LABOR COOE,INTEREST,M1D ATTOqNE1^S FEES. ' RETENTION FEE:
OCONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� 1 HEREBY AFFlHM UNDER PENALTY OF PERIURV THAT THERE IS A CONSTRUCTION LENDIN(i AGENCV �
Z FOR 7HE PERFOHMANCE OF THE wORK FOR WHICH 7HI5 PERMI7IS ISSUED(SEC.9097,CIV.C.).
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� LENDER5 NAME D.
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� I CERTIFV THAT I HAVE READ THIS APPLICIITION AND STATE THAT TiE ABOVE WFORMATKKJ IS CORRECT. TOTAL FE ES �
� 1 A6REE TO COMPLY WITH ALL CT'AND COUNTY ORDINNICES AND STATE UWS RELATINO TO BU0.DW0
� CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE ' ' ,
Z ABOVE�M ED PROVER7Y FOH INSVECTION PURPOSES. .
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� iu oF a ITT DATE qECPT.NO. PAID BY VALIDAl10N
� WHITE—DepeRment Copy,YELLOW—Finence Copy,PINK—Assessa Copy,GOLDENROD—Fi1e Copy,GREEN—Applicant's Copy
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SLAB GRADE FIREPLACE FOUNDATION
TEMP POWER FIREPLACE BOND BEAM
WA7ER SERVICE MID HT. BOND BEAM ' ` •. �� � � ' •
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ROOF SHEATHING 8 FT. BONDBEAM , • •
FRAMINGNENTILIATtON FINAL BOND BEAM � ' -
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ROUGH HEATING BENCHING � � " ' '
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