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� CITY OF DIAMOND BA& II
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �XPIRED
w 21660 E.Copley Drive Suite 190
(909)860-3195 Fax(909)861-3117 O C T � G 2000 PRESS
����� BUII.DING PERMIT APPLICATION FIRMLY
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� OWNER-BUILDER DECLARATION SFR/ADD/REM
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I HER�Y AFFlRM UNDER PENAL7V OF PE0.NRv 71U7 t MI E%EMPT FROM 7HE CON7RACTORS L4 Gamge/Cerport ' � . .
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TURE,PRqR TO ITS ISSUMIC�AL50 REWIRES THE APPLICANi FOR SUCH PERA/1T TO FILE A SI(]NED w '
S7A7EMEHT THA7 HE OR SHE IS LICENSED PURSUMIT TO THE PHOVISIONS OF THE CONiRAC70RS LI-
CENSE UW(CHAPTER Y(COMMENCWO MATH SECTION 7000)OF DMSION�OF THE BUSINESS AND PRO- � PooUSpe
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TION.ANY VIOLATqN OF SECTION 70]1.6 BY ANV APPLICANT FOR A 7ERMIT SU&lECT9 7HE APPLICANT T0 Z Re-Roof .
� ACML VENALTY OF HOT MORE THAN FNE HUNDRED DOlLARS(f600)J:
� ❑I,ASONRIEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAOESASTHEIRSOLECOMPENSA710N, � COmmBfCi81 .
WILL DO THE WORN,AND TiE STRUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7ou,BU51� J
� NE55 MID PROFE3SIONS CODE:THE CONTMCTORS 110ENSE LAW DOES NOT MPLv TO AN OWNER OF �
P/qVEAfI'YM10 BUILDS OR IMPROVES THERE-0N,MID VAiO DOES SUpi WORN HIMSELF OR HERSELF OR
Q 7HRODUH WS OR HER ONN EMPLOYEES,PROVIDED TiAT SUC1/9dPROVEMENTS ARE NO7 MITENDED OR m
� OfFEREOPDRSALEIF,HOWEVERTNEBUaDINOORIMPROVEMINTIS50lDWfTHWONEVEAROFCONVLE
� 'TION.THE OWNEHEUILDER NALL HAVE h1E 9URDEN OF PROVINO TiAT NE OR SHE DID NOT BUILD OR
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W ❑4�ON?/ER OF THE PROPEHfV,AA1 E%CLUSNELV CONTRACTINO WITH UCENSED COHTRACTOf75
� TO CONSTRUCT THE PRO.IECT(SEC.7oM,BUSINESS AND PROFESSIONS CODE 7HE COMRAC70R5 LI� V81U8110f1 ADJ.AREA
CENSE UW DOES NOT APPLY 70 AN OYMER OF A PROPERTY WFIO BURDS OR IMPROVES THEREON,N10
� N11000HTMCTBFORSUCHPROJECTSWITHACONTRACTOR(S)LJCENSEDPURSU�WTT07HECOffTSiAG pUANTITY DESCRIPTION FEE - .
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❑I AM D(EMPT UNDEH SEC. B.i P.C,FOR THIS REASON �
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LICENSED CONTRACTORS DECLARATION �
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1 MEREBY AFFIHM UNDEA PENALTY OF PEFUUfiY THAT I AM LICENSED UNDER FROVISKKJS OF CHAPTER �
� Y(COMMEHGNO WI7H SECTqN 7000)OF DIVISION 3 OF 7HE BUSINESS AND PROFESSIONS CODE,AND Z _ �
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� WORKERS'COMPENSATION DECLARATION . �
N I HEREBY AFFliW UI�ER PENALTV OF PERri1RV ONE OF THE FOLLAWINO DE TIONS;;
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O _IHAVEANDWILLAWNTAINACEHTIFICATEOFCONSEMTOSELF•INSUR NqRKE ' _ ". � . , � � � _ a-�+ ��� . . � ., .'�� ,�
Q COMiEN5AT10N,A9 PROVIDED BY SECTION 3700 OF THE UBOR CODE,FO RM C U
Q OF 7HE WORK FOR N?11CH THIS PERMR IS ISSUED. � '
� _I HAVE AND WILL MAIMAIN WORNERS'COMPENS�TION INSURANCE,AS RE�UIRED BY SECT �
QQ 3700 OF THE L/�BOR CODE.FOR THE 7ERFORMANCE OF THE WORN f-0R WHICH THIS PERA/R IS '
^ ISSUED.MY WOfY(ERS'COAIPENSATqN INSURANCE CARRIER AND POLICv NUMBER ARE: CONSTRUCTION
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� aw�uER � PLAN REVIEW
� - POLICYNWIBER ELECTRIC �
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(fli6SECiqN/EIDNOTBEOq.AEfIDOF71EPERMfISFORONEHU1�D1i�00lLARS(L70U)ORLESS} PLUMB�NG ��y� � .
Z � I CERTIFV THAT R!THE PERFOWAANCE OF THE WORK FOR WHICH THIS PERMR IS ISSUED.I MECHANICAL
SHALL NOT EMPLOV INY PERSON IN ANY MANNER SOAS TO BECAME SU&IECT TO THE [� (�
y WORKERS'COMPENSATION UWS OF CALIFORNI0.�ND AGREE THAT IF 1 S ME INSPECTION FEE .��r C�1 i �4�.
SUBJECT TO THE VIOqKERS'COMPENSATION VIS� S OF SEC 3 O UBOR � �
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`p DATE: 'L��3-��APPLICANT. SMIP �r�i o�+--' - y� ��� .
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WARNINO:FAILURE TO SECURE WORKERS'CAMPENSATION COVE E IS UNUWFU�AND SHALL BE
LL SUBJECTANEMPLOVERTOCRtMWALPENALTIESANDCMLFINESUPTOONEHUNDREDTHWSAND ENERGYPERMIT
DOILARS(ltoo,o00),IN rODITION TO h1E COST OF COMPENSATION,DAMAOES AS PROV�ED FOR IN
� SECTION 370!OF THE U�BOR CODE,INTEREST,M!D ATTORNEY'S FEES. ' RETENTION FEE:
OCONSTRUCTION LENDIN(i AGENCY PRE-ALT FEE:
� I HEREBV AFFIRM UNDER PENALTY OF PERIURV THAT THERE IS A CONSTRUCTION LENDINO AOENCV '
FOR THE vERFORMANCE OF THE WORK FOR WHICFI THIS PERMIT IS ISSUED(SEC.30Y7,CIV.C.).
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� I CEHTIFY THAT I HAVE REID THIS MPLICATION AND STATE THAT TME ABOVE INFOfU/AT10N IS CORRECT. -
w 1 AOREE TO COMPLV W17H ALL CITY AND COUNTV ORDINMICES AND STATE U1WS RELATMO TO BUILDING
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� CONSTRUCTION,AND HEREBV AU7}10RIZE REPRESENTATNES OF hIIS COUN7v TO EMER UPON TNE �
Z ABOVE-M��PHOPER7Y FOR INSPECTION WR SES. COMMENTS � �
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SLAB GRADE FIREPLACE FOUNDATI.aN �
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MIQ HT. 60ND BEAM �
R�OF SHEATHING ' 8 FL BOND BEAM • ' • � � - •
FRAMINGNENTILIATION FINAL BOND BEAM � ' ' ,
ROOF COVF_R � • PRE-GRADlNG • • •
ROUGH HEATING BENCHING ' " �
ROUGI-! E�ECTRIC : 90UGH GRADING
ROUGH PLUNIBING rj,p , FINISH GRADING � I ,
SHOWER/TUB TEST POOL ELECTRIC
EXT. LATH/SIDING • POOL FENCING' , '
WALL iNSULATION • POOL FINAL �
CEILING INSULATION OFF SITE(MPS. ' '
DRYWAL.L NAILING DEDICATIONS
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