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^---_��— CITY OF DIANIOND BAR � DEPARTMENT OF COMMUNYTY&DEVELOPMENT SERVICES a 21660 E.Copley Drive Suite 190 , : . ; t �<r il,, , , � w 909 86Q-319SFax 909 861 31, `- ., . . . ,. r . PAE$$ '�^��� • _ BUII.n[NM.�.>w � � i� k, � ...., . ...RMLY ,- _. G`��R11KPT'�iP�.ICATION �$ . . .. ;;, .,,: � Q ..., .:.. a ADDRESS . �'Sf� � ,� : �1��/�f�.s.�."y DATE CATION�� x �;>,. P�RM11` ,,.. . ... P� n � � JOBSITE C � �,- �%� NUMBER � # v�'� �� o . c� ISSUE jK")! TYPE OCC APN LOZ �»�T A��T DATE � r� CONST. GROUP °C OWNER 0 p ADDRESS '� ';J'f' -- -:S ZONING SETBACK$ W CITY ZIP TEL. FRONT RW ❑ � APPLICANT ' °d�%�!�' TEL -� REAR ❑ � SIDE/SIDE STR RW ❑ � CONTRACTOR � _P• SIDE ❑ � ADDRES "'S� � PRQPOSEDUS r°'� A� r��� a cirv �«���.- zeP f 7�- - rE�. �4., _ ,d, w ARCH/ENG/ - 'p��- WDESIGNER --------- . NO.DWEL. . NO. NO. a ADDRESS --- UNITS STORIES BEDROOMS � CITY ZIP YEL.� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION u> � . OWNER-BUILOEA DECIAR,4TION � ' , . � � SFR/ADL�/REM � � � Q I HEREBY AFFlRM UNDER PENALTY OF PEPJURY THAT I ARA=XEMPT FROM THE CONTRACTOFiS LI- (jeffl9B/CB�OfI W CEN6ELAWFORTHEFOLLOVJINGREASON(SEC.70.37.5BUSINESSANDPPO'.ESSIONSCODEANYCITYOA � COUNTYWHIdiRE�UIRESAPERMiTTOCONSTPUCT,ALTER,IMPROVE,�EMOliSH,ORREPAIRANYSTRUC- [>aIt0/DBCK �'�'J`.�j'� TURE.PRIDR Tp 1T3 ISSUANCE,AL30 REQUIRES TNE APPLIQAM FOR SUCH PERlAIT TO FILE A SIGNED .r''- � .� STATEMENT 7HAT HE OR SHE IS LICENSED�PUFSUANT TO THE PfiOVI510N5�Of-THE CONTqRCTORS LI- � CENSE LAW(CHAVTER 9(COMMENCINO WITH SECTION 7aao)OF DIVISION 3 OF TNE'BUSINE55 AN�PFiO- u' PooUSpa FE5SIONS�EI OR THAT HE OR SHE IS EXEMPT THEREFflOM AND TPoE BA515 FOR'fHEAIIEGED EXEMP- V TIOIV.ANYVIOU�TbNOfSECTION7031.58VANYAPPIICANTFORAPERMIT�$UBJECTSTHEAPPCICAN'TO � RE-ROOf r RCIVILVENALNOFNOTMOFETHANFNEHUNDREODOLLARS�S500].): � � � ❑I,ASOWNEROFTHEPROPERTV,ORAAYEMPlAVEESWITNWAGESASTHEIRSOL£C�f,.9PENSAT'�ON, � Commerciai - WILt DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFEPED FOR SALE(SEC.7d44,�BUSI- _J NEuS�AND PROFESSIONS CAOE:THE CANTRACTOR3 LICENSE LAW 60ES NOTAPP4Y TO AN OWNER OF N PflUPERTYWHOBUILD50RiMPROVESTMEREON,ANDWHODOE55UCHWORKHIM9ELF6fi�HERSEI�.FOR m � THROUQHHISORHEHOMMEMPLOYEES,PRbYIDEOTHATSUCH'IMPROVEMENTSAAE'NOT'IMTEN�EDOR QOFFERWFORSILLEIf,HOWEVER,THEBU!LDINGORIMPROVE4IEM�SSOLDWffHINONEYEAPOPCOMPIE- Z TIOW,THE DWNER-BUIILER WILL HAVE THE BURDEN 6F PROVINu^THAT HE OR SNE DID NOT BUII.O OR IMPROVEFORTHEPUHPQSEOFSAIE). -� ' " ' ' W OI,ASOWNEFiOFTHEPROVERTY,AMEXCLUSIVELYCON7RACYINGN/ITf;LICEF;SEOC('MRACTORS ,y.�— , � p[ TO CONSTRUCT THE PA0.IECT(SEC.ta74,BUSWE6S AND PROFESSIONS CODE:THE CdNYF3AC7ChS-l6 V81U8tiOtl _. 1�G� ADJ.AREA W CENSELAWDOESNOTAPPIYTOANOWNEROFAPROPEP'fYW!-K3BUIlO50RiMAFOVES71iEFIEON,AND � WFIOCONTRACTSFOflSUCHPRQIECTSWITNACONTRACTOfl(5)LICENSE�PUqSUAN?T07NF.CQNTRAC- QUANTVTY DESCRIPTION FEE � TORSUCENSELAW). _., . � ❑I MA IXEMPT UNDER SEC. _ 8.8 P.C.FOR THIS REA$ON U � —. � . . . _ . ... .. . � PATE OWNER __ �" � W �.e� LICENSED CQNTRACTOAS DEGLARATION � � � �j !.r 1 HEREBYAFFIfiM UNOER PENALN OF PERIURY THAT IAM LICENS"cD UNDER PROVIS!ONS OP CHAPTER �r (i, 9(CAMMENCNO WITH SECTION 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CADE,M1D Z X MY UCENSE IS IN FUIL FORC ND EFFECT. — LLJ ��r��A � IICENSECLASS 7 LIC.NO. �S �W �� � V DATE _���_ CONTRACTOFt_� ��k�"'� . W '",•'7 ��'�� � � WORKERS'COMPENSATION DECLARATI� � IHEFlEBYAFFIRMUNDERPENAL7YOFPERJURYONEOFTHEFO'�_LO'.MNG CLAflA7 NS:� v � �y Z � IHAVEANDWILLMAINTAINACERTIFICATE6FCANSENTTOSELF-INSURE�QRWO�� J '2 � COMPENSATION,ASPRbVIbE�B`/EECTIONa7ooOFTHEIABORCDOE,FOATHE FORMANCE �U OFTME WORK FOR WHICH TMIS PF.FMIT IS�SSVED. � � � 1 HAVE AN�WILLMnIN7AIN WORKERS'COMPENSATION INSURANCE.RS 4EQUIRED QY SECTION ��� y � � 370o OF THE LABOR CODE,FOH fHE PERFORMANCE OFTHE WOiiK FOR WHICH 7HI5 PERR9IT IS f ISSUED.MY WORKE 5' MPENSATION IN3� NCE CARRIER O POLICV NUMBER ARE CONSTRUCTION l � CAARIER _ PLAN REVIEW � � POUCY NUMBER � /� ELECTRIG Q j(NSSCCf10NNE�f�TBE(XMWI.EfEDOF'1FIEPERRUTiSPoRONEHt;MRE� oo4a � �(J� PLUMBtNG ! Z ICERTIFYTHATINTHEPERFORMANCEOFTHEWORKFOAWHIGNTH PERMIT515SUED,1 MECHANICA� (a} SHALLNOT EMPLOY ANY PERSON IPl V MANNER 5 . BJECT TO SHE � WOFKERS'COMPENSA7ION UIWS O IFOfiN�iA,AND AGFIEE TMA IF 1'HOULD B�C , INSPECTION FEE - - - � SUBIECT707HEWdRKERS•COMPE ATIONPROV�SIONSOFSECT . LABOR � - � CAOE,I&HALIFORTHWITHCOMPLY ITHTHOS VISIONS. — ISSUANCE ' __� ,+(_)' p OqTE: APPLICAR'T. � 1 .. SMIP �� � � �'� 1 � ENERGY P/C _ � �. �yWARNINGFAILURETOSECUREWORNERS'COMPFNSATIONCOVERAGEISUPJLAWFUL.ANOSHA E p,y��y�*ygqy p7g SU&IECTANEMPIOYERTOCRIMINAIPENALT{ESANOCIVILFINESUPTOONFNUN�REDTHOIISANO ENERGYPEflMIT �V'g�'+�p �! F �fd9ID!'N.A.tl C2H.IC 66LU1RS(5100,a0o),IN ADDITION TOTHE COST Of COMPENSATION,DAMAGES AS PROVIDF_D FOR IN — �c*$$ �3`�&� y+e+n�^�/ ¢ SF:CT�ON 31oe OF TFiE LABOR CODE,INTEREST,ANO ATTQRNEY'S FEES. RETENTION FEE: �� A�T��_��.'.�a��'"7'.�. H a CONSTRUC710N LENplNG�4GFNCY PRE-ALT`F�E� � � � I fIEREBV AFFIRM UNOER PENAITY OF PERJURY TNATTHERE IS ACONSTRUCi ION 4ENOING AGENCY ' V� � FOflTHE PERFORMANGE OF THE WORK FOR WHICH THIS PERM?IS ISSUED(SEC.3o97,CIV.C.). _ _ Z w '� LENDER'S NAME _ - F_— LENDER'SADORESS . — - � ,/� � w ICERTIF/THATIHAVEREADTHISAPPLIGATIONnNOSTATETHA7THEA80VEMFORMATIONISCORPECT. TOTAL FC�S ��,/ �^- � � IAGREETOCOMPLYWITHALICfTVANDCOUNTYOR0INANCESANDSTATELA'JdSREIATWGTOHUILDING { � � . � CANSTRUC710N,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON TME �� � „�./�1 1 ` ABOVE-MENTiONEDPPOPERTYFOFl�PURPOSES. �� COMMENTS �"���� � � �i: m PERMI EE NA1pE(P INn ,s^°�� � . . . a . �, I~���'� ' � � S16NA E• DATE' ' . � RECPT.NO. PAID BY VAUpATION ��WHITE—Depadment Copy,YEILpW—Fi�ance Copy,PiNK-Assessor Copy;GOLDENROO—File Gopy,GREEN—AppiicariYs Copy �T� � � ,r � .: ,. :,.: ,�� �.....::.. . ... . ... .,..;- , .,. , .. ..:,<� . .._.j . . . .:: .::.. .. : .. .. .. .. , . . ... :. . :.: � � _: . . .. . ... � � � �_ . � �� .:., .� � � � .. � � � - ..�� a . � � . . � �.. .. . .. � _ � � . ,:_,:, ... � , ..: ��-::����� " . . , .„, . .. ,:_. .; . , :.:� �� .:: [ .. �� . � , .... .�. �a't�-��?i«'�` I � � �� .�." �G.���,��s�� ` :�,a..';.r��43�1'�e��i. 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