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_, �,,� CITY OF DIAMOND BAB �,,, - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � 21660 E.Copley Drive Suite 190 (909)8603195 Fa�c(909)8613117 PRES`S �"�A�" ' BW,DING PERMIT APPLICATION FIRMLY �� JQBSITE � APPLICATION � PERMIT /C aj ADDRESS : DATE NUMBER It c�' ; ISSUE TYPE OCC APN LOT TRACT q DATE� CONST. GROUP p',: OWNER � ADDRESS ' ZONING SETBACKS W` CIT�yytfll�'�,Pj�_ ZI TEL. " r �' FRONT RW ❑ �' APPLICANT TEL. REAR ❑ ' SIDE/SIDE STREET RW ❑ � CONTRACTO �t�11����f,yF��� SIDE ❑ ' ADDRESS N.,�NQ�e � CITY ZIP _ TEL. t �- � y ` PROPOSED USE w` ARCWENG/ ` � ,Z� �' DESIGNER �,' ADDRESS NO.DWEL. NO. NO. UNITS STORIES BEDROOMS �; CITY ZIP TEL. �'„ N- ^ DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p�; OWNER-BUILDER DECLAiiATION SFF/ADD/aEM O' Q: 1 HEREBY AFF7RM UNOER PENALTY Of PERJURY TNAT I AM EXEMPT FROM THE CONTRACTORS ll- GyrOge/Ce�pOR W-� CENSELAWFORTHEFOLLOWINGREqSON(SEC.7037.SBUSINESSAN�PPOFESSIONSCO�EANYCITYOH-� ;(f� , ' -���� C011NT7VYHICHREIXIIHESAVEAMIiTOCON3TAUCT,ALTER.IMPROYE,OEMOLISH.ORREPAIRANY57HUC� ��W P811o(DeCk TURE.PRKKi TO ITS ISSUANCE,AlSO RE�UIRES THE APPLICANT FOR SUCH PERMIT 70 FILE A SIGNED W�� STATEMENT THAT HE OR 3HE IS LICEN9ED PURSUAN7 TO THE PROVISIONS OF THE CONTRACTOR9 L4 �W �% CENSE LAW(CNAPTER e(CpA4MENCING WITH SECTION 7000)OF DIVISbN 30f THE BUSMESS AN�Pq0- �u' POONSPB �. FESSIONSCODE�OR7HATHEORSHEI5EXEMPTTHEREFAOMAND7HE8ASISFORTHEALLEGEDEXEMP-- ,(�J _ � TION,ANVVIOLATIONOFSECTION703I.6BYANVAPPLICANTFOflAPERMITSU&IECTSTHEAPPLICANTTO �Z pe-Roof �; A CML PENALTY Of NOi MOpE THAN FNE HUNORED DOLLARS�5500).�: t71.ASOWNEqO�hIEPPOPERTV,ORMYEMPLOYEESWITNWAGE5A5THE.IRSOLECOMPENSATION. -C� Commercial �� ��: WILL DO THE WORK,MID 7HE STRUCTUFiE IS NOT INTENDED OR OFFEf1E�FOR SALE(SEC.7044,8U51- .J . NE33 AND PROFESSIONS COOE TNE CAN7'MCTORS UCENSE lAW OOES NOT APPLY TO AN OWNEfl OF �' PqOPEflTYW110BUH,D30RM1pROVESTHEREON,ANDWHO00ES5UCHWORKHIMSELFOflHEPSELFOR = _. �; THpOU6HHISOAHEROWNEMPLOYEES,PROVIDEDTHATSUCNIMPROVEMENTSAqEN071NTENDEDOR m _ . -- - - " -� -L�J,� ,OFFER&OFOPSPI:EIFNOWEVER7HEBUI�➢�NOORIMPROVEMENTiS50lDWItHiNONEVE4ROFCOMPLE-- � �. 'TKKJ,TNE OWNER-BUILDER N1LL HAVE THE BURDEN OF PROVINQ THAT ME Ofl SNE�ID NOT 6UIL0 OR �.. IMPROVE FOq THE PURPOSE OF SALE). - - ❑I,AS OWNEP OF THE PPOPER7Y,M1 E%CLUSIVELYCONfpACTINp WITI!LICENSED CONTflACTORS �' TO CONSTRUCT TME PRQIECT(9EC.)044,BUSINESS AND PROfESSIONS WDE:THE CONTRACTORS LI- Vdlua(ion ADJ.AREA - W: CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTYWNO9UIl�SORIMPROVEbTHEREON.AND �: WHOCONTMCTSWRSUCHPROJECTSWI7HACONTR4CTOR(S)LICENSEDPUpSUANTTOTMECOMTRAG QUANTITY DESCRIPTION . FEE Y; 70R5 LICENSE 4AW.). 0-' ❑1 AA1 EXEMPT IINDER SEC. B.&P.C.FOR TH�S REASON� � - � � ; DATE OWNEH � Z' w o¢._ LICENSED CONTRACTORS DECLARATION W GL-' I HEREBYAFFIRM 11NDER PENALTY OF PERJURYTHAT I AM LICENSED UNDER PRO�IS!ON9 0f CHAPTER � . ��- Y(COMMENCINCa WITH SECTION 7000)OP DIVISION a OF THG BUSMESS AND PROFESSIONS CODE,ANO � u�� MY UCENSE IS IN FULL FORCEAN�EFFECT. f � Q� LICENSE CtASS L�C.NO.�J�!� � t- /7�� _ �j OATE CON7FAC OR�NJ7///(I��llDtrTi1l d a] WDRKEAS'COMPENSA710N DECLARAT�ON Q = U � I HEREBI'AFFliiM UNDER PEN0.l?Y OF PEiUURYONE Of THE FOLLOWING DECI.kRA1'IONS: C� Q 0� i i HAVEAND WILLAIAINT0.INACEf1TIFICATE OF CONSENT TO S[LFINSURE FOR WOFKEFS' _ � COMPENSATION,ASPROVIOEDBVSECTIONa7ooOF7HElABORCODE,FOR7HEPERFOPMANCE � OF TME WORK FOfl WHICH TNIS PERMIT IS ISSUED. � � w �IHAVEANOWILLMAIMWNWORKERS'COMPENSATI(1NINSURANCE,ASREaUIR[OBYSECTION 0 37000FTHELRBORCObE,FOR7F1EPEflFORMANCEOFTHEWORKFORWHiCHTNISPERMITIS ISSUED.fF/WOFlK RS' MpENS 710N CE CAfiRIER AND POLICY NI/MBERRRE: CONSTRUCTION � jCMRIER 1 � PLAN REVIEW Z roucYNUMBEfl 7 r-�'�� ELECTRIC . __. d � (IN65EL'�IONNEfl]AOT6EQ7A�LE�Q70FTMEPEFMTISF�R�NEtNN�REDWIlA93l'3��j��ESSZ P�UMBING W ICEpTiFY THqT IN TNE PEflfORMANCE OF THE WOflK FOP WHICH THIS PERMIT I$ISSUED,I MECHANICAL Z �:} 5lIALLNOTEMPLOYANYPEflSONINANYMANNERSOAST08ECOMESU6JECTTOTHE � WORKEFS'COMPENSATIDNI.AWSOFCAL�FOqN1A,ANDAGREETNATIFISHOULOBECAME INSPECTIONFEE � SUBJEC7TO7HE WOfIKL'RS'COMPENSATION PROVISIONS OF SECTION 37ooOG 7H6 LPBOR �SSUANCE _ � CODE,I SHALL FORTHWITH CAMPCY WITN THOSE OVI bNS. ------ --- �//,'�--//�/ "__' �.[J�' o Q�_q�� -•; p OA7F:�O��APPLICANP. �� SMIP T'r°S^� /i.'�. �'��=�'�i _t W ,. '. . ..�._._,... _ � WAHNING:FAILUFlETqSECUREWORKEHS'COMPENSATIONCOVERAGEISUNLAWFUL,AN�SHALLBE ENERGYP/C "``� � � SU0.)EC7ANEMPLOYER70CFi1MINALPENAITIESANOCIVILFlNE5up7ooNEHUNOREDTHOUSAN� ENERGYPERMI WlLqRS(5700,000).IN ADDITION TO TNE COSi OF(X]MPENSATION,DAMAGES AS PflOVIDEO FOH IN � � SECTWNS7080F1HELABORCO�E,INTEREST,ANOATTOftNEY'SFEES. ' RETENTIONFEE � i d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: R O � I HEH�YAFFIRM UNOER PENAITY OF PEFJURY THAT THERF IS ACDNSTftUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WMjIC_H_�T,_MIS PEflMIT I515 D�SEC.9087,CIV.C.). W � � �' � 4ENOER'S NAME "�l ��1 _ � H LENDEFYSADDRESS ------�. (/'� //}�� WICERTIFYTHATIHqVEREADTHISAPPLICATI�lANDSTATETHATTHEABOVEINFORMATIONISCARRECT. �OTAL FEES { "'� / / 0. 1 AGREE TO COMPLV WITH ALL qTV AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILOWG �"'� CONSTRUCTION,AND HEHEBV AUTHORIZF.REPRESFNTATIVES OF THIS CWNTY TO ENTER UPON TNE � z ABOVE-MENTIONEO PPOPERTY FO INSPE N PURPOSES. �MMENTS p � -- � QPERMfTTEE NAME(PflJ 1 � � uJ SIONATURE OF ITfEE �ATE� - , � RECPT NO. PAID BY VALI�ATION _ ~ WHITE—Department Copy,YELLOW—Fi�ar�Copy,PINK—Assessor Capy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy ��� ._� �_.. � w e�_ w � � � � j � �� 1 .n� �_ ___. e,�_._ �, � _ � , � , i I � � � � f � r z � � ��_�. � ��' i � � ( � �_ � p , � :� � '�� � �� �� � Nx_� ' a i ; i � r ` ` , r ,: . , i i , �� � , i ��_ � ' � � = � � � �� a � � � _ .�� ` E E 1 i: l_I i � � -` I �. -� t..��.:( b � ��i � ) I L" i- I� E E , �� � � �� � � ( � � � � � � � . � � � �� � � � I � F � ' �r... � � � 1 � � �� � � � ` ` � ' � � t � �{ - . �� �F_ �� �� � I I ' �� E ( = � ' � � , � �� ; �f t l� �� � .:i i �� � � � � I � � M: � � 4 � � i ' � ' I 1 �' i 1 '� � ' i � � �� : � , ,�, i � ` �' ) '' � � � ' �� � ` � � � -�! � E � �' � ' I i ( �- � � � ' �� i €� � �; ' ��� � ( �..�.�.`3 _j � f I ! � ��.� 3 i' � � i i i� � � 1., , � � � ( ` ' , i � � -�- ! 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