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_ _�\ CITY OF DIAMOND BAI� � 1 � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES w . 21660 B.Copley Drive Suite 190 (909)860-3195 Fa�(909)861-3117 PRESS, \�'°�"� BIJILDING PERMIT APPLICATION FIRMLY;; p DDRESS�'�/ 7'l� C:"T�-lri��F 1rJCJ7L � � DATECATION ��_..I�-a�-'° NU B R ��`�'�� . �/C p. �,: ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP = �' OWNER __ +A�-!JL"�'�C%e'"��.FS�Lt-^' O � � ADDR°E�-S�S ZONING SETBACKS W CITY S+'/l�lt7r�f� LS�Ia}yy_ ZIP4 7EL � FRONT RW ❑ �� APPLICANT � TEL. REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR N SIDE ❑ ADDRESS�Z,�.`, '� � � CITY d 1��'�i'r9E�- ZIP� o Z�/ � PROPOSED USE o, / /'C TEL. � � ARCH/ENG! � DESIGNEH — NO.DWEL. NO. NO. _ AODRESS '. UNITS STQRIES BEDROOMS �' CITY ZIP TEL. N. v�' DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION : Q, OWNER-BUILDER DECLARATION SFR/ADD/REM O' ' I HEqEBV AFFlPIM UNDER VENAl.7V OF PERJUPV THAT I AM E%EMDT iROM THE CON7RACTORS LI- � GafBgelCB�pofl W� CENSEtAWFOAhiEFOLIOWINGqEq50N(SEC.7o31.5BUSINE55RNOPROFES510N5CODE:ANVCITYOq . '(n �U'- CWNTVNry11CHHE0L11RESAPERMITTOCONSTRUCT,pLTER,IMPROVE,DEMOUSH,ORREVAIRANYSTRUC ' �� pg1�0/DBCk �: 7URE,PflIOR TO ITS ISSUANCE,A1S0 RE(]UIqE3 THE APPLICANT FOR SUCH PERMIT TO FlLE A SIGNEP � 6TA7EMENT 7HAi HE OR SHE IS I,ICENGE�PUHSUANT TO THE PROVISIONS OF THE CONTMCTORS LI• � � �; �CENSEIAW(CXAPTER B(COMMENCING WITX SECTiON 70�0)OF OIVISION 30F THE BUSMES5 AN�PPO. POOUSpB -FESSqNSCODE)ORTHAiHEDfiSHEISEXEMPTTHEREFROMANDTHEeA515FORTHEALLEGEDEXEMP• �;� (� TION.ANYVIOL.ATIONOfSECTION7W1.68YANYAPPIICANTFORAP�RMITSU&IECTSTHEAPpLICANTTO - z Re-Roof �. ACIVILPENALTYOFNOTMORETYIANFIVENUNDREDDOLUR5(i500�.): - � ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECAMCENSATION,. �.� Q COrt1I118CCie1 -� WILL UO TME WQRK,AND THE STRUCTURE IS NOT INlENDED Ofl OF�EREO FOR SALE(5EC.7�46,BU51- - J 3 �; -NES3AND PqOFESSIONB GOOE:THE CONTiL9CiORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF j { �PROPEHTYLNIOBUN.DSORIMPRDVESTHERC-0N,ANDNTiCJDOFSSl1CHWORNHIMSELFORNERSELFOq. m - K�-�THROUGHHISOHHEqOWNEAIPLOYEE3,PROVIDEDTHATSUCHIMPpOVEMENT3ARENOTMTENDEDOR _ 0 ,OFFEREDfORSBLEIF,NOWEV6R,7HEBUILDMGORIIAPROVEMENTI550LDWITHiNONEYEAROFWMPLE� �� '�TION,THE OWNERBUIIDEFi WILL HAVE hiE BUROEN bF PROVING THAT HE OR SHE DI�NOT BUILO OR . IMPROYE FOR THE PURPOSE Of Sk�. {yJ [J�,ASONTIEROFTHEPROPERTV,AMEXCLlJ51VELYCONTflACTiNGWITHLICENSEOCOMRACTORS ��-' - [[ TO CONSTRUCT TNE PRQIECT(SEQ 7044,BUSINESS AN�PROFESSIONS CODE;TFIE CONTRAC50flS LI- 'r VdlUdll017 __._._ADJ.AREA W CENSElAWO0E5NOTAPPLYTOANOWNEROFAPROPERTYWHOBUIL�SORIMPROVESTHEflEON,ANO — ��� NmocoMnqc7swqsUqiPRWEc7svnrNaCor+iw1c70R(S)uCFP75eDvuqsuurrioTHEcotiTruc� pUANTITY DESCRIPTION - fEE�� - � TORS LICENSE LAWJ. � 0 ❑1 AM EXEMPT UNDER SEC. B.&p.¢FOR TMS REA&ON � B- � U � � DATE oN'NER � �� � LICENSED CONTRACTORS DECLARATION W � �IMEREBYAFFIftMUN�ERPEN/LL7YOFPERJURYTMpT1AMLiCEN5EDUN�EflPROVISIONSOFCHAPTER , � � '8(COMMENCINQWITNSECTION7o00jOFDIY1510N30FTHE8USINESSAN�PFlOFESSIONSCODE,AND z ��� -MY IICENSE IS IN FULL FORCE ANO EFFECT m � -.,IICENSE CLASS LIC.NO. j � � - J � ,UATE CONTftACTOR_ n- � � WOHKERS'COMPENSATION DECLARATION � �� , � IHEREBYAFFIqMUMDERPENALTYOFPERJUHYONEOF7HEFOLLOWINGDECLAPqT1ON5; z r Q � �IHAVEANDWILIMAINTAINAC.ERTIFICATEOFCONS£NTTOSEIF-INSUFEFORWORKERS' _ COPAPENSA7tON,ASPROVIDEDBY5ECT10N37000FTHElA80RCODE,FORTHEPEAFOFMANCE W OF TNE WOflK FOR WFiIGI TtIIS PEFIMIT IS ISSUED. � d � �.IHAVEMIDWILLMAINTPWWOHKER&'COMPENSATIONINSURANCE,ASREQUIREDBYSEGTION Q � 3700 AFT1E LAf30R CODE,FOR THE PERFORMANCEOFT}iE WORK FOfl WHICH TI IIS PERMIT IS ISSUED.MY WOflKERS'COP.VPENSA710N INSURANCE CARR�FR AND POLICV NUMBERARE: CONSTRUCTION J j - cAaqiea � PLAN REVIEW ,QZ POIIC,V NUMBER ELECTFIC Q 0 1;}Y66ECTIONNEBhO78EGOMPLEfE00FT1+EPEfiWTISiORIXJEVi�NSXtEDDq1Af1S(b100)OfiLESS� PLUMBING W I CER71F/THAT INTHE PEHFORMPNCE OF THE WORK FOR WHICH THI5 P£f�A1T IS ISSU'e�,l MECMANICAL __ 4� � SHAt1 NOi EMPLOY ANY PERSON IN ANY MANNER SO 0.5 TO BEGOME SUBJECT TO THE (/, WORKERS'COMPENSATION U1W5Of CALIFORN�A,AND AGREE THAT IF I SHOUlO BECOME INSPECTION FEE - SU&IECT TO THE WORKERS'C(NUVENSA710N PROVISIONS OF SECTION 37000FTHE IABOfl ae e''^� j coue,� n Fom'Nwini coenaiv w��.u+eer_�rnearsroras. ISSUANCE ____�_1�,�� .a���� O _,•�_' SMIP (,� DATE: � � . AFPLICANT� �! �^.. - � WARNINO:FAILURE TO SECURE WORKERS'COMPEN ERAGE IS UNLAWFUL,AND SHAILBE ENERGY P/C �gs�y( _ a�_��I'ri �y SU&IEC7ANEMPLOYERTOCRIMINALPENAI.TIESPNOCIVILFINESU7TOONENUNOHEDTHOUSAND ENERGYPERMIT IPS..I�� OCiLAR&(5100.Ooo).N7 NDD�TiON 70 THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOfl IN --- J SECTION37000FTNELABOFCODE,INTEREST.ANDATTORNEY'SFEES. RETENTJONFEE: Q - � CONSTRUCTION LENDINC�AGENCY PRE-ALT FEE: O � 1 NEREBV AFGIRM UNDER PENAl7V OF PERJURY THAT THEflE IS ACONSTRUCTION LENOING AGENCY � FORTHE PERFORMANCE Of THE WORK FOR WHICH iHIS PERMIT IS ISSUED�SEC.3097,CIV.C.). . Z W j � lENOER'S NAME __ _ 1— LEN�ER'SADDRESS � ICERTIFViHATIHAVEREMTHISAPPLICATIdNANDSTA7E7HFTTMEA60VEINFORMFTIONISCORflECT. TOTAL FEES w IAGHEETOCAMPLYWITHALICITYANDCOUNNOPDINANCESANOSTATEUWSflEIATINGT06UILDING � CONSTRUCTION,AND HEREBY AUTNORIZE pEPRESENTATIVES OF 7HIS COUNTV TO ENTER UPON THE t'y ZABOVE-MENTIONEO PR07ERN POR MSPECTION PURPOSES. ���� COMMENTS ' __�._ ����`� � � ��"e��.ftr�',�1 _ _---- — m PERMITlEENAM - ]� cn t rr @ f:� � SIONATUREOFPERAI �A E {" � _ - F7ECPT.NO. PAID BY _VALIDAT�ON ~ WHITE—Uepartment Copy,YEt10W—Finance Copy,PINK—Assessor Copy,GOLDENROD---File Copy,GREEN—AppiicanYs Copy I _ � � � .... .__�.. .._ r ._.i r -�--- ...:_-" , i . �.: ( � ..� ( � � � i + (.. _�__. - i�._f...._.I�. _i� Y �. I � � 7 ��'- � ! ' ( �:�' j i .-....,w . E � � .� ��� E � i ( .�- . y f E � p 1 � �� �.. - _. �� � � � -t � �-��! � �' � ��� � � ��'�� �� 9 � ' i , � � d _� � � '��'. �� ( � E �� � � ' � 1 . i � �� I Y: ��� �; � � .I. J „a � � i � ^ i � ( ,' � , R �.€ ��� � �` � �{ , ��,-� . 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