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. '. _ . ; _ .. �.._ _... _;.-i.... : ..:..:.�'.:( ';:..'.:t.r.. - :;._. . . ..�.. . . . .. .......�- r ':,.- .x. ":. . /.,�, .R9` . . . . ., ' ., CITY OF DIAIvIOND BtC�' ,� , --�-��— DEPARTMENT OF COMMUNITY&DEVELQPMENT SERVICES � � . a 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS _ .. ,�,' sUri.bi�r�1�R1�(i'1'�i�'��:iC��raN_ ,:�: .�_: >�:.W �r;� � � FIRMLY �, ,:..u. . 4� .. .. ..,, � ��-.::�.. , ��{.��.� . ,_ ...,. .. N JOBSITE �.�,xsis.� , , s r- �.�,.� o ADDRESS � DATEICATIb�J� �S NUMB R �� � #/C ' � . . ISSUE p TYPE OCC APN LO TR CT ' DATE l��I'� ! CONST. GROUP °� OWNER .�. � , :,,,;; O •- "' AODRESS ZONING SETBACKS W CITY " � �� ZIP TE ;}, FRQNT RW ❑ � APPLICANT '+ TEL..ri � ��� S DEISIQE STREET ` RW ❑ � CONTRACTOR -- % ' --La'd � SIDE ❑ ' ADDRESS _ �% �"�r-a s.ar "" �.., � �� • �� � � PROPOSED USE CITY ��"�.#�..),�At _ ZIP�,..R�TEL � ��r',�. , .. � ARC�G/ � DESIGNER NO.DWEL. ,,., NO.` _' NO. a AqDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL.! � DESCRIPTION SQ.F''1'. FACTOR PSF ADJ.AREANALUATION � , . . � OWNEA-BUILDER DECLARATION , . - SFR/ApD/FlEM O ) p I HEREBY AFPIW�1 UNDEfl PENPLT'OF PERJURY THAT I AM EXEMP7 FROM THE CONTqACTORS L4 af�qR � ''��'h W CENSEUWFOHiHEFOLLOWINOREASON(SEC�703158USINESSANDPNOFESS10'VSCpDE:ANYCI'I'YOR (n C� COUN7YWHICHREOUIHESAPERMt1'TOCOMSTRUC7ALTER IMPROVE,DEMOLISH,ORREPAIRANY5T1iUC� ',IJ. Pdtio/DeCk �,�g �t/� 4L TUPE,PRIOR TOITS ISSUMICE/iLSO"F[EQUIqE5 TNE APp1:1CART-F01i SUCN PEpA917 t0�iL�A SIOFJEO W %V w ' � SiATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTflAC70RS LI� � CENSELAW(CHAPTERB(COMMENCINOWITH$ECTION7o0o�OFDIVI510N30FTHEBUSIN�SS'AN6PF0- V' POOVSpO FE5510NSGOOE)ORTHATHEORSHEISEXEMPTTHEREFROMANQhiEBA913FOR7HEALLEGED�XEMP� � TKIN,ANYYpUTIONOFSECTiON7031.66YANYAPPLICANrFORAPERMITSU&IECTSTHEAPPLYCAN(TO Z �je-Rppf F ACML PENALTY OF NOTMORE TNAN FiVE HUNORED DOLLARS(ti00).): �- ���'��� . � ❑I,ASONRJEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAOESASTHEIRSO�EC6diPEN$A710N. � Commercial �� = M71.100 THE WORK�D THE STRUCTURE IS NOT INTENOED OR OFFERED FOR SALE(S�'C.7od'4,BUSI� J NES6 AND PROFESSIONS CODE:THE CONTRACTORS U6ENSE LdW DOES NOT APPLV 70 AN OWNEFi OF � � PROPERTYNhiOBUILDSONIMPROVESTHEREON,ANDWHODOESSUCHWORKHIAISELFORHERSELFOR � �"'�'-��- � TH110UGHHIS'ORHEROYVNEMPLOVEES,PROYIDE�THAT$UCHIA7PROVEME�TSAPiENOT'INYENOE'dOR m � � QOFFERFAFORSALEIFHOWEVER,iHEOUILDINGORIMPqOVEMEN71550LDWRHMONEYEAAOFCCf�dkPLE 1� Z TION,THEQWN 9t-BUIIAER YYILL MAYE THE 6UROEN OF PRbYING THAT N��OR SHE DID NbY BUILD OR IMPROV�DRTHEPURPQSEOFSALE�. "" ' ' W ��ASOMMEROFTHEPROPERTY.AMEXCLUSIVEIYCONTRACTINGWITHLICEtd$EDC�NTPA�ORS � � TO CONSTRUCTiHE PpO:�CT(SEC.1a4,6USMESS 71N0 CkSSIONS 2:ODE"TN�CONTpACYOVXS'LI- ValU8ti0n � ADJ.AREA � CENSELAWOOESNOTAPPIVTOANONMEROFAPR �BUILOSORIMPROVESTNEYlEf7N'.AND - '. WFIOCONIAACTSFORSUCHPRQIECTSWITHA CTOR(5)41 E EDPURSUANTTOINECONTpAG QUANTITY DE CRIPTION FEE � TORS tJCENSE LAWJ. ;ry '.�...;' .� t' Q �I AM EXEMPT UNDER SEG ` B 8 P.C.FOR YHIS R'eA50N �S _. � � � . .. .v x" d+'�:u'? .. ' . . LL' OATE OWNER ' 4 U W �.q LICENSED CONTRACT OEC ION "-� ` W OC IHEREBYAFFIRMUNDER�ENALTYOFPERIURYTNA7IAMLICENSEDUNDEFPROVISIONSDFCMAPTER � d 9��OMMENCINOWITHSECTION7000)OFONtSI0N30FTHEBU51NE5SANDPROFESSION5CO0E,AND Z AIY LICENSE IS IN Fl1LL FORCEAND EFFECT. '�'y y m � LICENSE CLAS IIG.NO.�//-�� .. .. � H �^�+' � V DATE _ CONTRACTOR„`�c=t���.�!'!'BI � W � WORKERS'CQMPENSATIOPI DECLARATION Q � IHEREBVAFFiRA1UNDERFENALNOFPER1UflYONEOFTHEFOLIpWINGDECLARATIONS: U ' � Q O _IHAYEANDWILLMAINTAINACERTIFlCATEOFCONSENTTOSEIF-INSUREFORWORKEFS' _ � . � COMPENSA710N,AS PROVIDEU BYSECTION 370o OF THE LABOR CODE,FOq THE PFRFORMANCE W OF TiE WORK FOR WHICH THIS PEPMR IS ISSUED. � � ' 0 W _I FiAVEANO HALL MNNTAIN WORKEFlS'CDMPENSATION INSURANCE,AS RE�UIREO BY SEGTION �' . ��'.. , W'��., ` �-. �..'� l Q 37oDOFTHELABORCODE.FOflTHEPERFORMANCEOFTHEWOPoCFORWHICHTHI§PERMITIS I''J ISSUED.MV WORKERS'COMPENSATION INSURANCE CAFpIER AND POLICV NUMBEfi ARE: CON`�7RUCTION q � ' 1� `� .� I __,...,,_....., .. ,-, .._._ _ . ... j caaAiea. . . . . . . . . . PLAN REVIEW� 1 ,r • - � Z POLICY NUMBEP ELECTFIC ��'J� r �J '¢ ��i'�s°�_ 1 � (fFiISSECIIONNE�NOTBECOAiPLEIEDOF'fF�����RONEHUM14JREDDOI.IARS(5100)ORLESSL PLUMBlNG Z I CERTIFY THAT INTHE PERFORMANCE OF E WORK FOR WHI FI ?ERMIT IS�SSUE�,I MECHANICAL � � (�j SHALLNOTEMPLOYANYPERSONINANV NERSOA51' BE E UBJECTTOTHE � WORKEflS'COMPENSATIONLAWSOFCALIFO I,�'CKPR E,.HATIF �UL�BECOME INSPECTIONFEE SU&IECTTOTHENlORKERS'COMPENSATIONP 'QN OOOFTHELA90R �( � COOE ISH f� THCOMPLYWITHhKSSE V NS.( � ISSUANCE ���Q l/ O ; ,� SMIP p DATE: APPLICANT: � � �"� � ENERGY P!C � � � WARNINO:FAILURE TO SECURE VJORNERS'CAMPEN TiON COVE IS UNLAWFUL,AN�SHALL BE LL Sl18JEC7ANEMPLOYEFTOCRIMINALPENALTIESANP3,QjVIyEANEBUPTOONEHUNDREDTHOl15AND ENERGYPERMIT DOIIARS�51 a0.000),IN ADDITION TO THE COST OF COMPENSA110tJ,DAMAGES AS PROVIDED FOR IN � SECTION37oeOFTHELABORCODE,INTEf7E5T,ANDATTOFNEVSFEES. RET_EINTIONFEE: �/l G� OCONSTRUCTION LENDING AGENCY PR�A.{��.T(��. ��I � IHERE6YAFFIRLIUNOERPENALTVOFPERJURYTHATTHEREISACANSTRUCiIONIENDINGAQENCY al'f F9R THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUE�(SEC 309�,CIV C.). - Z � W � IENDEFYS NAME ' F-- �EN�ER'SAOORESS — �] . � ICERTIFVTHATIHAVEREA�7HISAPPLI TIONANDSTATETHATTHEABOVEINGORMATIONISCORRECT. TOTALFEES P" � - �- - �� � . �� � W I AGREE TO OMPI W1TH ALl CITY AND NTY ORDINANCES 0 STATE L4W5 REIATINQ TO BUILAING � CANSTfl ON, D HEREBY AUTHO E REPFiESENTATIVE FIHIS COUNN TO ENTER UPON THE ZAHOVE �ONE PROPERTYWRI PECTIONPURPOS . COMMENTS � � � + c _ � $ Y ¢ PEHMI E NAME(PRIM� � � � N E�✓ nJ C� Vj SIONATUREOFPERMITfEE � DATE _ = RECPT.NO. PAID BY �VALIDATION ~ WHITE-0apartment Copy,YELLpW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREE Applicant's Copy ��� � � . ,. ,. ,,,, , r:,.;. o ,,.::.. � .:.:�:;;� ,:.:.,_ . . � ., , : �, .��, ��� _.. .. ...-.�.. .u.���.. . .� ..5:'. ',.�.. 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