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�� � _�,` CTTY OF DIAMONU BA� � � ,� DEPARTMENT OF COMMUNITY&D�VELOPMENT SBRVICES '�� r,�`3 ,; 21660 E.Copiey Drive Suite 3�90 : . , ", _ ;;f '` � w (909)860-3195 Fax(909)861-3117 / �' PRESS ""' BU�[,Dnv'�P��rr Arr�.rCA'�'iO�t " �; � . FIRMLY � t, �_r'' �,. .... _. .,-�:. �� �.::.�..,. t. : � � :.. �SSU{E,�� � ///��� � JOBSITE APPLICATION �` � ERMIT �-/rIC o ADDRESS DATE ` � NUMBERC � � '# � TYPE OCC APN LOT TR DATE CONST. GROUP � OWNER !` O ADDR S ZONING SETBACKS � CITY IP TEL. _ . . REART � ❑ APPLICANT TEL.. SlDE/SIDE STREET RW ❑ � CONTRACTOR S1DE ❑ � ADDR PROPOSED USE � CITY ZIP TEL. o ARCWENG/ y� DESIGNER NO.DWEL. NO. NO. N AbDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL, � DESGRIPTION SQ.FT. FACTQR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION . .. � , , SFRlADD/REM ' p I HEREBV AFFIRM UNDER PENAl7Y OF PERJURV THAT I AM EXE�NPT FROM THE CONTRACTORS fA- G8t89BJCerpotl � W CENSELAWFORTHEFOLLOWINGPFASON(SEC.7o31.5B115�NESSANDPR�FES510NSCODE:ANYCiTYbR (n . C� LOUNTYWHICMREQUIRESAPERMtTTOCOtdSTRUCT,ALTEp.IMPROYE,OEMOLISH,ORREPAIRANYSTpUC- W patiO/DeCk �LTUPE,PRIOR TO ITS ISSUANCE,ALSO RE�UIRES THE APPLICANi'FOF SUCM PERMIT TO FlLE A SIGNEO � STATEMENT Il-IAT HE OR 9HE IS LICENSEO PURSUANT TO THE PROVISt�NS OF THE CONTRACTOFiS LI- � CENSE LAW(CHAPTEfl 9�CCMMENCINO WITH SECTION 7W0)OF'bNISION�3 OF Y,lIE BUSINt�S$�AND PRO� � PooUSpa FESSIONS COOE)ON T11AT HE OR SHE 16 E%EMPT THEREFROM AND THE BASIS FOR THE AILEGED�EXEMP- 710N,ANVYqIATIONOFSECTION7oa7.6BYANVAPPLICANTFORAPENMI75U&IECTSTHEAPPLICANT70 Z RB�ROpf � A CMl PENALIYOFNOT MORE THAN FIVE HUNDRE�DOLIARS(t60o).�: '" ' ' '"--' � ❑4M`+�WNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSAtiDN, Q Co1T7tT78�Cia1 ' VfILL 00 TNE WORIC,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOf1 SALE(SEC.7b04,911S1� J NESE AND PROFESSIONS CODE:THE CONTRACTORS UCENSE lAW DOES NOT A7PlY TO AN OWNER OF � PROPEHTVWHOBUItDSOR�MPROVESTHEREON,ANDYVHODOESSUCHWORNHiMSELFOYiMERSELFOq m � THqOUpH HIS OR NEHOWN EMPLOVEES,'PROVIDED THAT SUCRlMPqOVEMENTS'APE No71N7ENDED Oq O ,OFFER�FORSALEIF.HOWEVE(i.THE8UIL01NGOFIMPROVEMENTISSOtDWI7WINONEYEAROFCOM{PLE� TWN,THE OWNEH-BUIIDER WILL HAVE 7NE BURDEN OF PiiOVING THAT HE OR'SHE DID NOT&)IlA Oq � IMPiIOVEf-0RTHEPURPOSEOFSAIE� � "'� � '� � ' ❑1,AS OWNEROF 7HE PROPERTV,AM EXCLUSIVELV CANTRAC7ING NA7H LICENSED ChNTRACTORS � TO CONSTRUCT THE PRO.IECt(5EG 7044.BUSINESS AND VROFESSIONS CO�E:'THE CONYi1ACYOqS(4 Velu8tlotl ADJ.AREA W CENSELA�ND�ESNOTAPPLYTOANOWNEROFAPROPERTVWHOBl11LD5DRIMPROVESTHEREON.AN� Z WFI000N7RACTSFORSUGHPRQ/ECTSWIhiACANTRACTOR(S)IICENSEDPURSUANTTOTHECONTpAC- QUANTITY DESCRIPTION FEE �� 70RSUCENSELAW.). ' � ' � � ❑1 AM EXEMPT UPIDER SEC._ B.&P.C.FOR THIS PE0.50N Q J _ �=" DRiE OWNER Z � LICEN5EDCONTRACTORSDECLARA710N - � ' � IHEREBYAFFIRMUNDERPENALNOFPEH.IURYTHATIAMLICENSEDUNDERPRO'JISIONSOFCHAPTEA � . d 9(COMMENCIN6 WITH SEGTION 7000)OF P�VISION 30FTHE BU5INESS ANO PFOFESSIONS CO�E,AND X MY UCENSE IS M FULL FORCEAND EFFECT. ' LIJ � UCENSE SS UC.NO. - � OATE � � CONTRAG70R�- � a w ///: ��,�� � � WORKERS'COMPENSATION DECLARATION rJ�e-y Q � � �/ �d'1 � IHERE AFFlRMUNDERPENALTYOFPERJURYONEOFTHEFOL!OWINd�[CLAYiATIONS:"' �. �( (+''� CP� - I_O __IHAYEAN�WILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' _ COMPENSATION,AS PROVIDED BY SECTION 37ooOFTHE LABOR CO�E;FOR THE PERFORNANCE U 4 OF THE WORK FOR WHICH TM6 PEflMiT IS ISSUED. , � � � �1�. W _I HAVE AND WILL IAAWTAIN WORKERS'COMPENSATION INSU CE.AS flEQUIREO BY SECTION n 37000f THE LABOIi CODE,FOR THE PERfORMANCE OFTHE RK�OR WNICH TNIS PEFMIT IS� ISSUED.MVWORN S'COM ENSATIONIN tlR7�IG�ECARflIE ANDPOLICYNUAAB�RARE� �''{ CONSTFIUCTION 'J � 6 7 CARAIER � � PLAN REVIEW 2 POLICYNUMBER � ELECTRIC , Q Q (fNI5SEC7%]NNE�MOTBEWIrPLE�EDOFhEPEFUMISFCFiONEHINAREDUJUARS(51oo;�ORlE55�. PLUMBING � �ANICA � r � i CERTIFYTHAT IN THE PERFORMANCE OF 7HE WORK FO�'NHICH THIS PERM ISSUED.I (3' SHALL NOT EMPLOV ANY PERSON INANY MANNER SOA TO BECOME SUB CT O THE � � WORKERS'COMPENSATION LAWS OF CALIFORNIA.A GREEyi T IF I .OU 6ECOME INSPECTION FEE SU&IECTTOTHEW6RKERS'COMPENSATIONPRD NSOF CTIO 3�00 FTHELA R � r' issuANCE , � � CADE.I SHA FO W TM T ROYI510 r �,,,� � OfiTE: '��P�PPLICANT. . —� . . SMIP YHAYT � / '" ENERGY P/C � WMNINO:fAILURETOSECUREWORRERS'COMPE ATIO4COVERAGEIS LAYdFUL.ANDSHAlLBE � Sl9&IECT AN EMPLOYEfl TO CRIMINAL PENALTIES AN�CIVILFlNES UP TO [HUNDflED THOUSANO ENERGY PERMIT OOLL ARS(57 00,000).IN ADDITION TO THE COST OF COMPENSATION.DAMAGES A5 PROVIDED FOR IN �'q(� A/� /� J SECTION 37oe Of hIE LABOR CODE,INTEPEST,AND ATTORNEI^S FEES. RETENTIOPI FEE: B B I.T 1 � f 4Q7'f � —P�v_T--.4 q _—'_'_�_— ,p CONSTFUCTION LENDING AGENCY PRE-ALT FEF_: � IHEREBYAFFIRMUNDERPENALTYOFPEitIURVTHATTHERE13ACq�ISTFUCTIONLENDINGAGENCY �LTVa�T,TAm�_�� FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUE�(SEC.3697.CIV C.). W rr_ �* �"�'�' _ � LENDEFY5NAME _ ' h- LENDER'SMDNESS --� [� � �,/f �� wIGERTIFVTHATIHAVEREADTHISAPPIICAT1ONpNDSTATETHATTHEABOVEWFORlAATIDNISCORRECL TOTAL FEEa7 . . . I i 0. I AGRE'70 COMPLY WITH ALLCRY AND COUNTY ORDINANCES AN�STATE LAWS flELATING TO BUILOING CONSTRUCTION,ANDHE(iE8 Al1THORIZEAEPRESENTATIVE50F7HISCOUNTI'TOEMER�PONTHE � ABOVE-ME TKKJEDPROPE FORINSPECT pIEUAPOSES. p � ' � �� COMMENTS _ . . . ... . .. � m EIPRINT � � � � � OF PEFOAI EE �ATE � , S RECPT.NO. _PAID BY _ .� VALIDATION r WHITE—Deparlment Capy,YELL01N—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy . . . �-..�.:., .,:.,,,..� �y,r.: r.`<�_�-.v�,.x ...-.�:,;,.. ., , .., � .., . . .. . r . , .. , .w a-..,. 3 �.�.,..r'V '"..e i��.ti�... ..:� . '.'l . ..:. . , " 4 ,. .. `M::'.':! 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