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�,� '---�� CITY OF DIAMOND BAI� t ` �` � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _ w 21660 E.Copley Drive Suite 190 ; (909)860-3195 Fazc(909)861 3117 PRE`S$ ... BUnG�rfr�G r��rr Ar�r:ica�ro�r ; .._;�: FIRMLY . i.9N'l . ., , ,.. .x r. �x...,..¢���.a.. n�.. ,x 'n. ' •. ..� r...:�':.,.,. +a ,: .� � sY4j,.n,� •�, � . . .. ... , . .....« . ' . ..; ,� . :..:.... s�.,..r,:n QJOBSITE �� �,� ����1yT� �L�R M ��n s��'� DATEICATfON — w.� I PERMIT i'��C�'� P/C ADDRESS 7�',Y `F� TC � d NUMBERI # ISSUE TYPE OCC � APN LOT TRACT � � DATE CONST. GROUP p OVVNER iJ%� ` �`� ApDRESS_.��.,,�" � 'y'�Y.�/.� �Z��i �i_� L c"+ ZONING SETBACKS z CITY �['.�}�J3.1.� ZIP `�TEL�� REART Rw ❑ g APPUCANT " � ' 7EL ' ' , SIDElSIDE STREET RW ❑�_ � CONTRACTOR � � ' �-�-� �� L ' SIDE ❑ o C�DRESS ^Q���4^�^�}Z (�� T ` ! � i '^` PROPOSED USE � w �2�-��}-���� "� w ARC�'NG/ '- ' � i�,:' iz DESIGNER , , ' NO.DWEL. NO. NO. 0. ADDRESS UNITS STORIES BEDROOMS � CI7Y ZIP TEL. — � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION ... cn � OWNER-BUILDER DECLARATION„ , . .. � �.:�� SFR/ADD/REM � p 1 HEREBY AFFlRM UNDER PENALTY OF PERJl1RY THAT I AM EXEMPT FROM THE CONTflAC7ON5 LI� GBfdJB/CBfpOfl "" ' � - W GENSEUWFORTMEFOLLOWMGREASON(SEC.7037.68USINESSANDPFOFESSBONSGbDE.ANYCIYVOR (n GJ COIINTYWHICHREOUIRESAPERMlTTOCONSTRUCT,ALTER,IMPROVE.DEMOLISH,ORREPAIRAN'YSTRUG W pytio/DoCk WTURE.PRIORTO ITS ISSUANCE,ALSO HE9UIRES THE APPIICANT FOA SUCH PERMIT TD PILE A 51�NE� � .` STATEMEM THAT HE OR SHE IS LICENSED MIRSUANT TO 7HE PROVISIONS bf 1`HE CONYR(�C'I'OHS Lt� � CEWSE LAW(CliAPTER D(COMMENCING WITH SECTION 7000)OF pIViSION 3 OF 7HE 9�SIN�CSS ANH hH0- LL' PooUSpa FESSIONSCODE)ORTHRTHEORSHEISEXEMpTTHEREFROMANpTNEBASISFORYHEALIECSEDE'�(�MP- (f TION.ANYVKK.ATIONOFSECTION7031.58YANYAPPLICANTFOqAPERMITSU&IECTSTHEAPPLICANTTO � Re-Roof ACtVIIPENPLTYOFNOTMOflE7HANFlVEHUNDREDDq.LAFS(fsoo).). � ' � �" '- Z ❑I,ASONMEROFTHEPROPER7V,ORMYEMPCOYEESWITHWAGESASTHEIRSOLECOMPENSATfOk C� Commercial - WILL 00 THE WOAIC AND THE STRUCTURE IS NOT IN7EN0.D OR OFfERED FOR SALE(SEb,�hd44;BUSI- _i � NESSAND PqOFES510N5 CODE:THE COMTRACTOqS UCENSE tAW DOESNOT APPI.V i0 AN OWNER OF = PRrJPER'T`/WHO BUIIDS OR IMPROVES THEREON,AN�NMO OOES SlJdi WORk FIIM$ELF OR HEf�S�I:F OR � THpOUGHHISORHEROWkEM7lOYEES;PROVIDEOTHPTSIJCHIMPAOVEUENfSARENbTINTEWD�00R LO � OFFEREDFORSALEIF,HOWEVERTMEeNLDINGORIMpROVEMEN7ISSOLDWiTNINONEVEAqpFCOFAPLE� TION,THE OYMER-BUILDER WILL HAVE THE 9URDEN OF PROVING THA7 HE OR SNE 010 No7 BU0.0 OR . = IMPROVEFORTHEPUPPOSEOFSALE). � '� . . �:���;'^�!�!'" i W ❑I,ASOWNEROFTHEPqOPERTI:AMEXClU51VELYCONTRACTINGWITHLICE1JSEpCOMRAtT�ORS � TO CONSTRUCT 7HE PRQIECT(SEbJD�4,6USINE$5 AND PROFESSIDNS CO6E:Ty�C CONfN'ACTtYFi'S L4 VB�UHIIOf1 __ � ADJ.AflEA_ _______ - CEIVSE LAW DOES NOTAPPLY TOAN OWNER OF A PPO?EK1TY WHD BUIL�S OR IMPROVES THEREdW,AND � W!{OCONTMGTSFORSUpiPR0.1ECTSWITHACONTRACTOR(5)LICENSE�WRSUANTTOTHECONTRAG QUANT9TY � DESCRIPTION � FEE ��/+ TORSUCENSELAWJ- � ""' ❑i AM EXEMPT UNDER SEC. B.&P.0 FOR 7Hi5�REASON Q S �O 1I E��� ' - '" � — � bcl.�,a�l. $iA�`J � Z � DATE OWNER � .r} � ,��O��r, ^] ` � C, f^I,! x o@ LICENSED CONTRACTORS�EGLARATION � � � .W �1GL Vc�.-�i OY+ lGg �'J� CL I H�CREBV AFFIRM UNDER PENALN OF PERIURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER ' �''�r �' - � ' , -� � , � {i � 9(COMMEPoCiNQNATHSECTION7o00JOF IVISION30FTHEBUSIh'ESSANDPROFESSIONSCpDE,'AND 2 ��+r+��- . �� ' <.��� `� MY UCENSE IS IN FULL FOA qN F . � m ' ' -m 1 cic�the� �v;ash�x° 1T. ��p � LICENSECLRSS � � ���.No. �? ��� .. _ ;.1 � ��.�t�r �.�G���l' c �l9 U �, DATE �' C6NTRACTOR //r*_"^j �- � � - w � - 1 �.s S �tem 6 c3u-t�et � � �'� WORKERS'COMPENSATION�ECLARATION -�_� �� � . � '' � IHEqEBVAFFlRMUNDEAPENALTYOFPERJURYONEOFTHEFOLIOWINGDECLARATIONS. �� ��� ¢ �+ ��� "�:'� `' ���" -'�""x"• f/� � "� a.i -' � IHAVEANDWILLMAINTAINACERTIFICATEOFCANSEM70SELF-INSUREFORWORNEFS' � _ -_ _ � COMPENSATION,ASPROV�DEDBVSECTION3%OOOFTHESABOFlCODE,FORTHEPERFORMANCE � w � � -i''� �,w � OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED. ¢ � � - B � • W �IHAVEANDWILLMAINTAINWORKERS'COMPENSATIONINSURANCE,ASREQUIRE�BYSECTION � ' Q 37o00F THE LA80R CODE FQp THE PERFORMANCE OF THE WORX FOR WHICH TH�P[RMI'IS ` ISSUED.MY WO KER �MPE p�i6N INS CE CARRIER AND P Y NUMBE ARE: � CONSTRUCTION J j CARRIER �� ' �""�"4� :y'"'�� �'''�''s�� PLAN REVIEW � � POLICY NUMBER ; � �' � ELECTRIC ._,,,, Q �' —c���'_—� � (f}IMSECTIQ'JNE�PpTeEL�.ETEDOFiNEPEW�AfI'I.SFORIXJEHUM14JREDDOLLPAS(E1W)ORlESS). . PLUMBIN ' � e Z i CER77FV THAT IN THE PERfORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUFD,1 MECHANICAL - dC3 SHAtA.NOT EMPLOYANY PERSON IN ANY MANNER SOAS TO BECOME SUBJECT 70 THE N WORKERS'COMPENSATION LAWS OF CAUFORNIA,AND A3AEE THAY IF I SHOUIp BECOME INSPECTION FEE h� _�r'� ._� = SUfl1ECT70 THF WORKERS'COA4PENSATION?ROVISIONS Of SECT.ON 370G OFTHE 1A80R _ — Lr j C.j� CODE,I SLi' FO COMPLY WITHTH E P visroNs. ISSUANCE _ p DATF'�'___�_�#� APPi:ICANT: �"' 'i """"'- SMIP �1�� � ENERGY P/C J W.qRNING:FAILURE TO SECURE WORKERS'COMPENSATION C�VFRAGE IS UNLAWFUL,pN HALL 8 /� �y SUBJECTA4EMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNOREDTNO ENERGYPERMIT '� " "� .a "{ OOLLARS�S90o,000),IN ADDITION 70 THE COST OF COMPENSATION,DAMAGES AS PROVIDEO FOR IN � -{'q�,� J EECTION3/oeOFTHE4A60RGODE,iNTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: '!: y��h.'+.d � � �3��'j r�.,, O CONSTRUCTION�ENDING AGENCY PRE-A�T FEE: �,�'� � 4 � t HEREBV AFFlRM UNDER PENAlTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY �.R'S� � FORTHE PERFOFMANCE OF THE WOFK FOFl WHICH TH15 PERMIT IS ISSUEO(SEC.3oB7,CIV.C.). Z �-".:.'... :'.:.. W . . .._. ., _.,. .. .. . .. ...... � LENDER'SNAME �_ 1= LENDER'SADDR'e55 W ICERTIFYTHATIHAVEREADTHISAPPUCATIONANDSTATETHATh1EABOVEINFORMATIONISCORRECT. TOTAL FEES � � , ,�q g�. Q I AGREE TO COMPLY 1MTH ALL CITY ANO COUNTY OR�INANCES ANO STATE LAWS REUTING TO BUILDING - � . - . �� . CONSTRUCTION,AtdDHERE6YAUTNORIZEREPRESENTATIVE50FTHi5C NTYTOENTERUPONiHE � ABOVE-MENTIONE�PROPEftTY FOR INSP TION PURPOSES, q COMMENTS � ��t,..,--���r"'�' �!'�`a��'� �'' m ¢ PtiRMITTEEN (PWN'n / „ �+� /� °��,y _.__ �� � A ��/ ry� f �•� G,c'�.w- G'� L. �✓✓'�7� ,/ ''.: a� : C!J ��� EE DATE , �� � : .. = flECPT.NO. PAID BY ���`/ALC13A1'ION ~ WHITE—Departmen[Copy,YELLOW--Flnance Copy,PINK—Assessor Copy,GOL6ENRO�File Copy,GREEN—ApplicanYs Copy .,- ,=c.. . ...... , �1g�'� r oriv�. �Fl r `, . . . ,. . ' , . , . ,,. , ., ,., � , .. ..,.. . . . . .� ..:Pd;',. .�.��. . ,.:.:.�:..�.. .,;.,, . . .. ..;zU g.::f . :..�: � "�, r� R r ,. .., , ;'. .'�". h x:::�.' .Y?:. .'.:... �.{ - �i:' t'�t �(.i: , ��:�:';� !7 ':r.�F , .r,.. ��� � � ' . ...� .... ..u'.. . . ...,-; ..s. .: �,:��.;.:. :..: ...: .. . . ... h: . ..., N... ��� . . .,.� .. '� .. $ � ' . . - : .. .�.'... . :..;.u.y..:_ .. R �, � ' - � � . � " � .. � � M � � � � � ._ ; _ : : . �, ,, � �. 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