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I � � ^ �� CITY OF DIAMOND BAI� ' �='`�� ! DEPARTMENT OF COMMUNIT�'&DEVELOPMENT SERVICES � �% _ 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS '�^', BUILDING RERMTT APPLICATION ` I FIRMLY � JOBSITE >- ''"a� ') APPLICATION ,�� � PERMIT � P/C o ADDRESS�� I°���� l��p�'� �� DATE�_ NUMBER # m ISSUE TYPE OCC � -ApN - L07 TRACT DATE CONST. GROUP p OWNER p ADDRESS a ZONING SETBACKS Z ,CITY ZI TEL °�' FRONT RN/ ❑ g APP�:ICANT TEL REAR ❑ Qz ' SIDFJSIDE STREET RW ❑ ADDRESST� � . � SIDE ❑ _ � CITY ZIP �' TEL. - V � PROPOSED USE �� o ARCWENG/ a DESIGN�R w NO.DWEL. NO. � NO. , � ADDRESS UNITS / STORIES 4�, BEDROOMS � CITY ZIP TEL. �n DESCFIIPTION SQ.FT. fACTOR PSF ADJ.AREANALWA7IQN. '..�. �, . . OVBNER-BUIL�ER DECLARATION � �SFR/ADD/REM � � ' " O 1 NEREBY'AFFIRM UJOER PENALTY OF PERJURY THAT I AM E%EMPT FROM THE CONTRACiORS LI� G8�898�C0�0lI , W� .CENSEIAWWRTHEFOLLOWINGREA50N�5EC.7031.59U5ME5SAN�PROFESSIONSCODE:ANVCITYOR . -{n U `COUNTYWHICHREWIRESAPERMITTOWNSTRUC7,ALTER,IMPAOVE,DEMOL�SH,ORREPAIRANVSTRUG .��LI.I patlo/DBCk Z" 'TURE,PRIOR TO ITS ISSUANEE:A450 RC-�IIflES THE APPLICANT FOR SUCH PERAl1T TO FILE A SIGNED � ' W" STATEMEN7 THAT HE OR SHE IS LICENSEO PUqSUANT TO THE PROVISIONS OF THE CONTMCTORS U- � �� CENSE LAW(CHAPTER 9�COMMENCINO WITH SECTION 7000)OF DIVISION 30F THE BUSINESS AND PRO- � POO��SPB �. , ��' FESSIONSCODE)ORTHATHEORSHEISEXEMPTYHEREFROMANDTNEBASISFORTHEALLEQEDEXEMP• � �/�,�-�,�'9 , �;, 7�WJ.ANYVIOLATIONOFSECYION7031.SBYANYAPPLICANTFORAPERMITSUBJEGTSTHEAPPLICANTTO -Z Re-Roaf (o" 6Yr . . ' ��'ACMLPENpi.TYOF-NOTMORETNi1N'FIVEHUNDR�DOLLARS(S50o).): " � � �.. ❑I,ASOWNEROF7HEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, . L� Comm0fCi81 . - I ' � �..WILL OO.THE WORK ANO THE STRUCTl1qE IS NOT INTENDE�OR OFFEREO FOR SALE(SEC.7064.BL1SI- J �'�, 'NESEPNDPHOFESSIONSCODE:THE�CONTRACTOHSLICENSELAWDDESNOTAPPLYTO ANOWNEROF ,j ' PROPERTYWFIOBUIL�SORINiPRDVESTHEREON,ANDWHODOESSUCHWORKHIMSELFORHEPSELFOH CC''����THNOUCafi NIS OR HER OWN EMPLtlVEES,PROVIOED THAT SUCH IMPROVEMENTS ARE NOT INTENOED Oft m � � W{.. OFFEXiE�FOR SALE IF,HOWEVEfl,THE BUIIDWG ORIMPflOVEMENT IS SOLD WITHlNONE YEAROF COMPLE- �''��:.�''TION,7HE OWNER-BUILDER WILL MAVE 7HE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR ��� IMPROVE FOR�THE PURPOSE OF 5AlE). � � � � " .�. ❑I,�SOWI�EpOFTHE PROPERIY,AM EXCLUSIVELYCONTRACTING WITH IJCENSED CONTRACTORS� WE �''70 CONSTpUCT THE PHQIECT(SEC.7044,BUSINESS AP1D PROFESSIONS CODE:THE CONTRACTORS LI- V81Uet1011 ADJ.AREA �CENSE UW DOES NOTAPPLY TO AN ONRJER OF A PROPERTV NMO BUILDS OR IMPFiOVES THEREON,AND � ''��-WHOCONTMCTS FOR SUCH PRQIECTS WITHACONTRACTOR(S)UCENSED PURSUANTTO THECONTRAP ' ��� ror�s ucENSE uw.�. � - QUANTITY - �DESCRIPTION �� ,FEE . �", ❑I AM EXEMPT UNOER SEC, B.&P.C.FOR 7HI5 qEA50N �.Q ' ' . � ''., ,. �� �� , '.�„ ' U . . . . ,, , , � 'W . . .� � .. . � OATE OWNER H- ,.;,`. ;,�.�� . O W , Q LICENSED CONTRACTORS DECLARATION � i OC'� 1 HEREBYAFFIRM UNDER PENAL7Y Of PERJURY THAT I AM LfCENSED UNOEfl PROVISIONS OF CHAPTER .�, �p�,;��� S(COMMENCING WITH SEGTION 7000)OP�NISIOh 3 OFTHE BUSINESS AND PflOFESSpNS CADE,AND Z � � MY IICENSE IS IN FULL FORCE AND EFFECT. m p � . . .�o�, UCENSECUISS � 110.N0.---� -. , . ..�� �� � �j'�,�,DATE CONTFlACTOR Y � , ,, [1J l �� , WORKERS'COMPENSATION DECLARATION g —� � ,� �I HEREBY AFFIRM UNDER PENALTY OF PERIURY ONE OFTHE FOU.OWING DECLARATIONS-��~ Z ' . ' � �"� _I HAVE kND WILCMAINTAIN A CERI'IFICATE OF CONSENTT�SELF-INSURE FOR WORKEf1S' ¢ � � �� �Q,;��,��� COAAP�tdSATION,ASPROVIDEDBYSECTION370aOFTHEUBORCODE,FORTHEPERFORMANCE U �. OFTHE WORK FOR WHICH THIS PEflM1T IS ISSUED. W , d'�..��,,� � � ' ���' ,�I HA'VE ANO WILL MAINTAIN WOq1�RS'COMPENSATIDN INSURFNCE,AS REOUIRED BV SECTION .�, �' SSUEO.MYWOROKERSDEMPEN ATONIN9l1RANCECOARRERANDPOL�ICYNIUNBEHA ERM'T'S CONSTRUCTION '�, 'j'�, CARRIER � PLAN REVIEW '� ,,� POLICYNUMBER ELECTRIC _ d' .�� ((HISSECPIONNE�NOTBECOF4LEfEDOFTNEPERNtlTISFORONEHUt�DRED ($IOo)ORLESSI. PLUMBING '�, Z IC16flTIFYTHATINTHEPEHFORMANCEOFTHEWORKFORWHICHTHISPEFiMITI5155UED,l MECHANICAL ' 'i ',��}, SHAf.LNOTEMPLOYANYPERSONINANYMANNER50A5TOBECOMESUBJECTTOTHE '',, '���(/y�.' WORKERS'COMPENSAilONU16Y50FCqLIFORNIA,ANDAGREEI'HATIFISHOULDBECAME INSPECTIONFEE � I �.���'� � � 5U&IECTTOiHEWORKERS'COMPENSATIONPFlOVISIONSOFSECTION370oOPTHELABOR CA� ISHA FORiHWITHCOMPLYWITHiHOSEP �AISIONS. ISSUANCE � a " �ATE: � �� APPLICANT: .�%�. - SMIP ! . '� �,�,. WAANING:FAIU1pET0 SECURE NlORKERS'COMPENSATION VERAGE IS UNLAWFUL,AND SHALLBE ENERGY P/C '�, '�1'��. SU&IECTANEMPLOYEflTOCflIMINAL�PENALTIESAN�CIVILFINESl1PTOONEHUNDREDTHOUSAN� ENERGYPERMIT � ' �OLLARS(ftoo,o00�,INAU0ITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEOWRIN �, �.�J� SECTION37080FT}tELABORCODE,INTEAEST,ANOATfORNE1^S�ees. - RETENTIONFEE: � � � CONST9UCTION LENDING AGENCY pRE-ALT FEE: T' � ;�; 1 HEREBYAKFIRM UNDER PEN�T'OF PERJURY THATTHERE IS ACONSiRUCTION LENDING AGENCY - , FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPEFiMITISI55UED(SEC.3oe],CIV.C.). W I �i����� LEN�ER'S NAME - '� �I F��� LEN�ER'SAODRE55 I ,�w�'�,' ICERTIFYTNATIHAYEREADTHISAPPUCATIONANOSTATETHATTHEA60VEINFORMATIONISfARRECT. TOTAL FEES � � � ,;�,'�, IAGREETOCOMPLYWITNALLCIT'ANDCWNNORDINANCESANOSTATEL4WSREIATINGTOBUILDING I !� �. GONSTRUCTION,ANO MEAEBV AUTHORIZE P.EPRESENTATIVES OFTHIS COUNTV TO ENTER UPON THE - , �,�� ', ABOVE�MEN710P7EDP DPER1'FORINSPECT70NPURPOSES. COMMENTS � �, � I d � I � i ¢ PEfiMITTE E(PRI. � � �� ^ i I I� ' N RE PEflMiTTEE � ' DATE . . - �. E�ry � 2 RECPT.NO. 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