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� � �-�"`__—''-�- ,, .. .� . ,�^ `� _�` CITY OF DIAMON7�BAI� �` DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � , 21660 E.Copley Drive Suite 190 (909)860-31QS Fax(909)861-3117 pREs$ y�",.,. Bi1ILDING PERMIT APPLICATION ' FIRMLY o D R'ESS�7'�Yr,�j,,�f��/,� ��O,D QJfZ APPLICATIDN �� � PERMIT ' �� ��. P/C Y-d�—F`-� DATE � � "�� NUMBER� . �~ '� # � IS8UE TYPE OCC APN LOT TRACT DA7E CONST. GROUP, � OWNER "' •- p ADDRE�SS 'Y 1A� ZONING SETBACKS � CITY�u4MAAt� �� ZIP TEL. — FRONT Ryy ❑ APPLICANT TEL. REAR ❑ i ¢ SIDFJSIQE STREET RW ❑ � CONTRACTOR ' �— SIDE ❑, i aC ADD S � OIlY��1[�,C11��� ZIP TEL. � 7 PROPOSED USE . • o /1fiCH/ENG/, _ ' z DL$IGNER I w NO.DWEL. NO. NO. a ADDRESS � UNITS STORIES BHDRObMS N CIlY ZIP TEL. , , � DESCRiPTeON S .FT. FACTOR RSF ADJ AREA/1/ALUATION ��, �� � � � OWNER-BUIL6ER DECIARATION SFR/ADD/REM � � ' � ' O �'�, p - !HfiREBY AFFlRM UNOER PENALTY OF PERJURY THAT I AM E%EMPT F610M THE CDN7RACTORS LI- Ciafage(Ca�poli � � ' � � i � CENSEUWf-0Rh!EFOLLOWWGAEASON(SEC.7�315BUSINES9ANDAROFE5560NSCOOE:ANYCITYOR (f� .COUN7YWHICNREOUIHE9APERM7TOCONSTRUCT,AyTER,iMPFOVE,DE1.10LISH,ORHEPAlRANYSTRUG W pdfiD/DBPk � 'TURE,PRIOR TO ITS ISSUMICE,ILL50 REQUIFES THE APPIiCANi FOR SUCH PcRM1Y TO FlLE A SIGNED W ' ' ' �� .STATEMENT THAT HE OR SHE IS GCENSEO PURSUANT TO iHE PROVISIONS tlF THE CANTRACTORS LI- , , , �' CENSELAW�CHAPTERe(COMMENCIISG'W{THSECTION700o)OFpIYISION30FTHE6U51NESSANDPRO- u' Pool/5pa � � � �. �FESSIONSCODE)OR7HATHEOfiSHE15EXEMPTTHEFiEFHOMAN�iHEBA515FORTHEALLEGE6EXEMR (� �, �V�, �TION,PNYVIOLATIONOFSECTION703LSBYANYAPPLICAtdTfORAPERMITSUBJECTSTHEAPAOCAN'TO RB-Ro0} /�� � �. ACIYILPENATYOFNOTMOpfTHANFIVEHUNDREDDOLLAFS(S5a0).): Q '� '.Y�� I � ❑I,ASOWPIEROFTHEPROpERTY,OqMVEMPLOVEESNATHWAGESASTNEIRSOLECOMPE!lSATION, COff7fi19�C18I WIi.L DO iHE WOqK,PJJD THE STRUCTURE IS R071N7ENpED OR OFFERED FOR SALE(SeCJo44,BUSF J �� �NE&SAND PROFESSIONS CODE:THE CONTRACTOqS LICENSE WW�OE3 NOi APPLV TO AN OWNER OF � //S , �, PROPEN7YWHOBUItDSOP�iMPROVESTHEREON,ANCWHO'JO'e55UCHWORKHIM50.FOpHERSELF�q {��[• � �� YHROUGH HiS OR HER OYtlN EMPLOYEES,P6iOVIDE�iNAiSUCH IMPROVEMENTS ARE NOT INTENDED OR m ��' W �OFFER'eDFOR5N.EIF,HOM7�VER7MEBUILDINGCRINPRp+/EMENTtSSOLDWI7HINONEYEAROFCAMPLE � IZ�,;; �TION,THE OWNFA��lliLOEfi WICL HAVE THE BURDEN OP PROVING THAT FiE Of?SHE DID NOT BUILU OR � I IMPflOVE FOR THE PURPOSE OF SALE).. ' ' �'� d=�' ❑I.ASONMEROF7HEP�PE9TI;PFAEXCLUSIVELYCAN7RACTMIGWRHLICENSEDWNTRACTOR£ ''�, '.TO CONSTR�CT THE?R0.1ECY(SE6,`7a4b,BU5iNE5S AkD pfiOFESSION5 CODL:THE COfVTRACTOR3 LF V8I6J$SI0�1 AOJ.AREA ' � ' �' .W;'„ ,CEIdSELAWDOESNOTAPpIYTOANOWP:EROFAf'ROPERTlN1HOBUtIDSORIMPROVE'iTHEAEON,AND - I�, ��, W8-IpCONTRACT3FORSUCHPRQIECTSWITHACOPITRAC70P�5)LICENSEDPURSUANTT07HECPkTRAG (�UANTIFY DESCRIPTION ' FEE� �� � , Y TORSLICENSELAW.). � . �'. ❑I M9 EXEMPTUNDCR SEC. _ B.&P.C_FOR7HI5 PFASON Q � � • - ' � �',, �� , . V � ,.. . ' �"i �'. DATE OWNER � � Z' '' W i o LICENSED CONTRACTORS DECl.A�iA7'ION W �I , I HEREBYAFPIRM UNDER PENALN OF GER,IURY THAT IflM LICENSE�11NDER PROVISIONs oc CHAPTF_R � . . , '��� �6(COMMENClNQ WITN SECTKNV 7000)OF DIUISODM 3 0F THE eIJSiNESS AND PROFE5510N5 CODE,AND � � � ]C AIY LICENSE IS IN FU�L GORCE hND EFFECT. '�i a� �LICENSA�:���s�� L.IC.NO. 7S✓ i�� � '� � � d , � '', j� DAT�S� � CON7RACTOR � [l.l. ��, � 'VJORKER&'COMpENSATfON DECLR62ATION � '�, �'�, . � ,., � � � l ��� � . . i � B HEflEBY�FFIRM UNDER PE�lALTY DF PERJURY ONEOF THE WLLOYVMG DECLARATIONS: Z ' �'� '��?�„�����. .,�t�.,, �r� ' � -r �.>>" �, � _iiiAVF_ANDVdILLMA1NTftINACERYiFICATEOFCANSENTTOSELF-INSUREFORWORNERS' � -_ ''� ��7„= � -;�� y'�vy« CAMPEN6ATK7N,ASVFtlVIDEDBYEECTION37ooOFTHELABORCADE,FORTHEPERFORMANCE U� —�'`+�-.�' ���d,;,$� I � OFTEiE WORK POP WHICH THIS PERMIT IS ISSUEq. � W _1 HAVS FND WILLAAAIMAIN WORKERS'COMpENSAYiON ItdSUflRNCE,AS RE(7UIRED BY SEC710N '°�, ', Q ^ 3700 OF7HE LA�OR CODE,FOR TNE PERFCfiIAANCE�F THE WORK FOq WFIICH iHiS PERMIT IS �� �� � ISSUEO.MY WORKER�CAMPENSATLJ�QN SURAP�CE CRRRfER AND PO�GY NUMBERARE: CONSTRUCTION h� �/+ �1 �'� �II +�j CAflRiEfl� � ` PLAN REVIEW � �, pcxiCY�uueER � �� � �"' ELEC7RI� II � I � (hiISSECiNXdN'e�NOTBE00L9PLElEDOfT1,��PEF�RffiSfORONE4IUP�DfiEDWLLWS(otW)OqLE53). PLUMBf[dG - _ I ;�� ICERTBFYTHATIPo7HEPEFFORA9ANCEDFTHEINOHKF05WHICHT4ISPERMITISISSUED.I MECHANICAL 6.3`'�, SHqLLNOTE1dPLOYANYPEiwONiNANYMANNEHSOASiOBECOMESU&lECTTOTHE (/�� WORKEflS'COMPEN9ATIONLAWSOFCALIFOPNIA,ANDAGREE7HATSfiSHOULDBECAlAE INSPECTIONFEE � SU9JECPTOTHEVJORKERS'COiAPENSA7101J9HOVISIONSOFSECTI0Y37000FTHELA80R �y �� �.-.� ��, COOE,I HAtiFORTHWIi'HCOMPLYWI7HiHOSEPROVIS N5. — ISSUANCE _ e�� �. � onre:O O sP�iicaNr. SMeP _ � � J'. WARNING:FRIWRETOSECUREWORKERS'COMPENSATIONCOVERAGEISUidLAWFUL,PNDSHALLBE I ENERGYP/C _ �y SU&IECYANEMPLOYERTOCP.IMINALPENALTIESAN�CIVIIFINESUPTOONEHUNDREOPHOU3AND I ENERGYPERMIT � DOLLAPS(i9¢a,000t,IN ADDI710N TO THE C0370F COMPENSATION,DAMAGES AS PROVIDED FOR IN J�� SECTION37oeOFTHELReORCODE,INTEREST,AN�ATTORNEY'SFEES. � � ���.� � � � RETENTION FEE: a�. CONSTRUCTION LENDING AGENCY I pRE-ALT FEE: �'. IHEREBVAFFIRMUNDERPENALTYOF�PERJURYTHATTHEREISRCONSTRUCTIOYLENOItJGAGBdCY j _ � -� " � � . ' f-0fi 7HE PERFARMANCE OF THE WORK FOR WHICH THIS PEFMIT IS i55UE�(SEC.3097,CIV.C.}. . �'. I �! � LENOER'3NAME_� , �`�'�' &:��'�, LENDEH'SAD�qESS � ��'�, ICERTIFYTHATiHAVEFiEAClTHISAPPLIGqTIONRNDSTATETHATTHEABOVEINF-0RMATIONISCORRECT. TOTALFEES � .:��' �':'��,, �� . ���, I AGflEE TO COMPLY W1TH ALL CINANO COUNTY OROINANCE's AND STATE IAWS RELA7ING TO BUILDING . - � ���, �C;ONSTRUC710N,ANDHEREBYAU7'HORIZEREPREScNTATIVE50F7HISCOUNTYTOENTERUPONTHE � . I � ABOVEMENTIONEO PROP T'FqR IN5PEC710N PURP E5. COMMENTS_ - ' � 4, � �t � � ��"� PERMIiTEE NMAE(PRINT) ' ' . �`' c� O 6 � I ��� SIGNhTUREOFPEflMITTEE ATE _ :� . . I h� RECPT.NO. 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