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^ _!� CITY OF DIAMOND BAht � ���'"�` DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �'�,/� _ � , 21660 E.Copley Drive S�rite 190 PRE$�' ,� (909)8b0-3295 Fax(909)861-3117 �-, "���� BUILDING EERMTT APPLICATION ___„ FIRMLY . . � �9t1+� '.,. li .. ./ �' '._ ... _. . .. ... :._... � ADDRESS C ��-' � APPLICATION�„ (�(�� PERMIT � � P/C Ie(�' �"'C��� ��"��'� DATE u V NUMBER � # � lBSUE TYPE OCC -- APN LOT 1TRACT DATE CONST. GROUP o OWNER TCl rti �ZE S lU�C f. o ADDRESS 1�JiDZ �71Gt v�n,c�•a l� I�vtib�— ZONING SETBACKS � CIN ZIP TEL. REART RW p APPLICANT I TEL. SIDE/SIQE STREET RW ❑ � CONTRACTOR •I f( ' � N'/L SIDE ❑ � ADDRESS r � PROPOSED USE CITY D ZIP �Z�l"� TEL.��'7.L�S 1 , o ARCWENG/ � z DESIGNER I y ADDRESS NO.DWEL. NO. NO. UNITS STORIES BED�OOMS ' � CITY ZIP TEL. c�i� � DESCRIPTION SQ.FT. ' FACTOR.RSF ADJ' ANRLUATION p� OWNER-BUILDER DECLARATION SFR/ADD/FEM � Q O 8 I I�EHEBV AFFIRM UNDER P,ENAI.T'OF PEFUUflV THAT I.AM E%EMPT FHOM THE COMRACTORS LI- G8f898/CefP011 /' ' ' 'L., . CENSEtAWWRTHEFOLLOWNG REASON(SEC.7031.5BUSINESSANOPROFESSIONSCODE:ANYCITYOR (n U ' CpUNTYWHICHREWIR�APEflMfTTOCONSTHUCT,ALTFA,iMPROVE,OEMOLISH,OflHEPA1RANYSTRUC- W pati0/DeCk ' W�� �TUHE,PR�OR TO ITS ISSUANCE,IPL.50 REUUIRES iHE APPU¢ANT FLR SUCH PERMI7 TO fILE A SIGNE� W- , � STATEMENT THA7 HE OR SHE IS LICENSED PUFiSUMIi TO THE PROVISIONS OF THE CONTRACTORS.U- LL � �CENSE LAW(CHA77E9 B(COMMk,�NCIN6 WI7H SE6TIDN 7000)oF DIYISION s oF THE BUSINE33 AND PRO� POOUSp3 . � FESSIONS CODq Oq THAT HE OR SHE IS EXEMPTTHEHEFROM AN�THE BASIS FOR THEAILEGED EXEMP� V 'TION.ANYVIOLAiIONOFSECTION7091.6BVANVAPPLIGANTFORAPERMITSU&IECTSTHEAPPLICANTTO �z R@-ROOf . � . .A CIYII.PENALT'OF NOT MORE T�,FiAN FNE HUNbRED DOLLARS(35oo).j: �� Z,'. ❑4�OWNEROFTHEPROPEpTY,OR�MYEMPLOVEESWITHWAGE5A5THElASOLECAMPENSATION, � COrt1018fCial - . ��WILL DO THE WOAK,AND 7HE 5'(RUC7URE IS NOT INTENDfiD,OR OFFERED FOR SALE(SEG 7044,BUS4 J � '��,NE55 AN�PflOFE5510N5 CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNEF OF �1 �PRiOPER7YWHOBUILDSORIMPqOVESTHEREON,ANOWHODOESSUCHWORKHIMSELFORHERSELFOR ' � � � C„1 '�� � '�iHROUGHHI50RHEHONMEMPLOYEES,PflOVIDEDTHATSUCFIIMPROVEMENTSARENOTINTEN0E00R ' m ' � '� ' W ��OFFERmWRSAEIFHOWEVEp�THEBUILpMGORIMPNOVEMENTiSSOLDWITHINIXJEYEAROFCOMPLE- a'.' '� Z, '��'TKKJ,THE OWNER$UILOER WII.I�,�HAVE THE BURDEN 6F PROVMG THAT HE OR SHE DID NOT BUILD OR , = IMPROVE FOR iHE PUflPOSE OF�SALEJ. ' . '� � W ❑I,ASOWNEROFTHEPRO�ERTY,AI�EXCLUSIVELYCDNTRACTWGWITHLICENSEOCAMRACTOflS � � " „ � .TO CONSTRUCTTHE PRQIEC7(�EC.70}4;�9USINESS AND PROFESSIONS CO�E:THE CONTtiACTORS U� V3IU3IlOfi � P.DJ.AREA ' . W '�.CH�ISELAWDOESNOTqPPLYTOANOWNEROFAPROPERT'YRiO8U11.p50RIMPRDVESTHEREON,AND , ' ��WHOCONTRACYSFOp5UCHPRC�JECT$WITHACONTRAC70R(S)LICENS�PUHSUANiTOTHECDNTRAC- '�, � � QUANTITY DESCRI TION � .FEE � raas ucerrse uw.). 2 . � ❑I AM EXBAPT UNDE9 SEd,�� B.8 P,C.FOR THIS REASON� �Q U � � DATE OWNER .0 . . � . z W ' � LICENSED CONTRACTORS DECLARATION W , � � IHEREBVAFFIRMUNDERPBJALTYOFPEHJURVTHATIAMLICENSEDUNDEHPROVISIONSOFCHAPiER �,� . /� � . p�� 9(COMMENdNG WITH SECTION 7,000�OF OIVISION30FTHE�BUSINESS AND PqOFESSIONS CO�E,AND Z �..��'" ' X M1 LICENSE 75 IN FULL FORCE AND EFFECT. m , ` 6.LI , .�.�; -��. ,s 7 7 93t� o GCENSE CLASS LIC.NO.� � ' � � � ^` .�_Q. J V �'��� TE `O I � �C CT E.III� � ��. G� � DA t S) O. ONTRA OR � . W �, �� WOAKERS'COMPENSATIONDECLARATIO - I, N� IHEREBYAFFIRNUNDERPENALTYOFPERIURYDNEOFTHEFOLLOWMGDE RATIONS: C!�' � � __IHAVEANDWILLMAINTAINACERTIfICATEOFCONSENTTOSELF-INSU FORWO K S' Q COhAPENSATION,RS PAD OED BY SECTION 31ao OF THE LA60R CODE. THE E CE � OF 7HE WOHK FOfl WHI�THIS PERMIT,�S ISSUE�. � `- ' W �IHAVEANDX7I:LMAINTAIHWORKEHS'COMPENSATIONINSUMNCE,ASflE�UIREDBYSE 10 ' ' ''. Q 37ooOF'fHELABORCODE,FORTHEPERFORMANCEOFTHEWORKFOAWHICHTHISP MI 5 �, � ISSUED.MV WOFlK S'CAMPEt/�s_,�TION INSURANCE CARq1ER AND POLICV NUMBE E: \ CONSTAUCTION ¢ � iP PLAN REVIEW � ., w�, CARRIER , � Z aoucvNUMaEq , ' ELECTFIC � Q ' � {tF1155EGTNXJNE�rlOTBECOh9 LETc�OFIHEPEFdv5713FORONEMII�DRED (Stao)at� PLUMBING Z I CERTIFY TMAT INTHE P�RFORMANCE OFTHE WORK FOR WHICH iHIS PEflM1T IS ISSUED,I MECHANICAL C;J. SHALLNOTBAPLOYANY;PEHSQNINANYMANNERSOASTOBECOMESUBJECT70THE � WORKERS'COMPENSATWNIAWSOFCALIFORNIA,ANDAGREETHATIF�SHOULOBECOME INSPECTIONFEE � ."x E�� �" SU&IEC7TOTHEWORK�RS'COp7PENSATIONPROYI510N50F5EGTION37ooOFTHELABOq ' - �- � , CADE,I�$HALLFORTHW�TFiCOMPLYWITHTHOSEpR IS S. �rf ISSUANCE �� O (��Q l 7►(�� �� � .2' D �SMIP n p DATE. V� aPPLICANT.� CIVL- ��C (i 4�i4� �. _ . , W EiJER Y P1C � � � , � . G °s . W0.RNING.FAIWPE70SECURE ORK RS'CDMPENSATIONCOVERAGEISUhLAWFULANOSHALLBE � E x. J ' yL SUBJECTANEMPLOYERTOCPIMINALPENALTIESAN�CIViLFMESUP700NEHUN�flEDTHOUSAND �y'w��.7 �� .. ��T OOLLAflS(;100.UW�,IN/WDITION';TOTHE COST OF COMPENSATION,�MARGES AS PflDVIDE�FOR IN �ENERGY PERMIT �`'a Za R�..� � SECTION 37060F7HE LABOR CODE,MTEREST,ANDATTOPNEV'S FEES. A�ENTION FEE: � - ��'��`��'`��4�� W � CONSTRUCTION LEN�ING AGENCY - PRE-ALT FEE: � � O • IHEREBVAfkI. 11NDERP NALT'�VOFPERJURVTHATTHEflEISACONSTRUCTIONLENDMGAGENC ' ' ' . FM E V � FORTHEPEAFORM/WCEOFTHEIWORKWRWHICHTHISPERMRISISSUE�(SEC.3087,CIY.C.). � , . � Z W IIII � LENDEH'S NAME .. F= IENDER'5ADDRESS � � , � ICEFlTIFVTHATIHAVEREADTHISAPPL�ATIONANOSTATEhIAT7HEA90VEINFORMATIONISCORRECT. TOTAL FEES � 4 1 AGREE TO COMPLV WITH ALL CITY AN�COUNTY ORDINANCES AND STATE LAWS REU7ING TO BUILO�Nd ' � � . 'Z�� . CON57AUCTION,AND HEFEBYAUTIiORIZE FEPRESENTATIVES OF7Til5 COUNTY TO ENTEfl UPONTHE � � III, Z ABOVEdIENTqN R FTV FOR INSPECTION PUFPOSES. _ Q COMMENTS -- �i�l ? � � . . . m PERMITT (PRI ) � - �i; � ,�� y SIGMRTURE PERMI EE ' D E - - �� -'" � RECPT.NO. PAID BV VALlDATION� � II r � � � WHITE-0e rtment Co YELLOW—Finanee Co PINK—Assassor C ���ili pe py, py, opy,GOLDENR ile Copy,GREEN—Aoplicant's Copy ����� �� ������� ���� ����������� ������� , , � � � � � � � � � � ��� � � � ��'"���a�,°�� 4 �.�...-..._.� i j �,.�� � I ��'?�J�,�'�'�aJ�-�'.�� .; ��.� . , I .� ,,�.:. g ,� _.i=._—:-�_. 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