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-� CITY OF DIAMOND HAR ' ' ° �� '�''" �--�� DEPARTMENT OF GOIVIMUNITY&DEVELOPMENT SERVICES � 21b60 E Copley Dnve Smte 190 ' w � ( ) 95 Fax(909)861 3117 PRE$$ ��» �iin.bn��r���r Ar�,tcA�t�N , . A , . FiRMI.Y 1 ; ADDRESS 2�-2.� � � IC �� ' r _E... . .,; , . . .. .�#5u,4n,,ti�.a,�N'tizm..�4�c ib - } JOBSITE "��-i.. ��, APPLIGA71bfJ '�-��� .� PERMIT /C p DATE NUMBER # � ��^ ,,, ISSUE TYPE OCC � APN lOT TRACT `�j rI DATE CONS7. GROUP p OWNER Q,�J�-M(2bI17 E�L�T� � ��r Q � �9��,� j t�,Z ' ZONING SEIBACKS p ADDRESS U T— �E^ �w CITY ZIP 0 TEL. REART RW � APPLICANT (�� �i 1 C� T TEL SIDFJSIOE STREET RW ❑ � CONTRACTOR �{�S�' �F�C(�i c�1� (.Lb/, si°E ❑ � ADDRESS �Q� Ql�$'('� �4�(Q�. " ppOFOSEDUSE � cerr �R s'�4p(�! ZIP�-�S1 p!I TEL.(62Ea)_$��_��� nARCH/ENG/ W DESIGNER _ NO.DWEL. NO. NO. cL ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFRlADp1REM O p I HEREBY AFFlRM UNDER PENALN OF PERJURY THAT I AM E%EMPT FROM TME CCNTRACTORS L4 Garage/Carport W CENSELAWWRTHEFOLLAWtNqREASON(SEC.7o97.58U51NESSANOPROFESSIONSCODPANVCITYOR (n GOUNTYWtiICHRC-0UIRESAPERMf�TOCONS'fHUCT,ALTER�,IMPROVE,�EMOLISH,ORREPA�pANYSTRUG W PytiO/DBCk TURE.PRIDR lD ITS ISSUMlCE-AL50 REOUIRES 7HE APPLICANT FOR SUCH PERMIT TO iILE A�SI�NED W STA7EMENT 7HAT HE OR SHE IS LICETISED PUHSUANT TO THE DROV�SIONS OF THE CONTRAC70RS LF W � � CENSE LRW(CH0.PTEH e(COMMENCIN�VN7H SECTION 7000)OF 61VISION 3OFTiE BUSINE55 ANO Pq0- � PO�OVSpa - fES310NSCODE)OR7HATHEOiiSHEISEJ(EMPTTHEREFROMAN�THEBASIS�FORTHENLLEOEOEXEMP- " TION,ANYVIOUTIONOFSECTIONTo3t.5BYANYAPPLICANTFOftAPERMITSU8JEC7S7HEAPPt;ICANTTO Z R8-ROOf� � ACIVILPENATYOFNOTMORE�'MFNFNEHUNDREDDq.LARS(SsoO).): _; , ;. � ❑I,ASOWNEROPTNEPROPERr;�RMVEMPLOYEESWITNWAGESAS7NEIR50LECAMPENSATION, ❑ Comlltefdel - YALL 00 TME WOAIC AND THE STRUCTURE IS NOT INTENDED OR OFFEHED fOR SAL@�(SEC.)044,W51- _1 � NESS ANO 7ROFESSION3 CODE:THE CONTRACTORS LICE'NSE lAW DOES NOTAPPLY 70 AN OWNER OF � PROPERTYNIIiOBUIlD60RIMPROVESTHEREON,ANDWHODOE55UCHWORKHIFISELFOtiHERSELFOR � � TNROUGHMISORHERONNEKIPLOYEES:PROVI�EO7HAT5UCHIMPHOVEMENTSAFE"NO71N7ENOEDOR � 0 ,OFFFAEDF-0pSALE1F,HOWEVEP.THEBUILDINGORIMPROVEMEMYSSOIDWITHINONEVEAHOf'COMPLE- � TION,THE OWNER-BUILDEii WILL HAVE THE BURDEN OF PROVINQ THAi HE OR�SHE bl�NOT 9UII.D OR - .. = IMPFOVEF-0R7HEPURPDSEOFSALE). ' � � � ❑1,AS OWNEii OF THE PROPERTY,AM EXCLUSIVELV CANTRRCTING NATH LICENSED CONTFIACTORS � TO CONSTRUCTTHE PRAIECT(SEC.7040,BUSINESS ANO PROFESSIONS COOE:YHE'6GMRAtTbFlS L6 VBIUflS1011 � ADJ.AREA L7-� CENSEUWDOESNOTAPPIYTOANOWNEROFAPROPERTVWHO8l11LDSORUAPROVESTHEREON,AN� — � NTIOCONTRACTSFORSUCHPROJECTSWITHACONTMCTOR(6)LIC@JSEDPUHSUANTTOTHEC6NTRAG QUANTITY DESCRIPTION . FEE � iOASl10EN5ELAWJ. ❑IAM E%EMPT UNDEP S�C. B.8 P.C.FOR THIS flEA50N Q � � U.. � �ATE OWNER V W � LICENSED CONTRACTORS DECLARATION W ,_ 1 HEREBYNFFIRM UNOER PENALN OF PERJURY THAT I AM LICENSED UN�ER PROVISIONS OF CHAPTER � pL B(COMMENCINOW�THSECTION7000)OF�IVi510N30FTHEBUSINESSANDPROFESSIONSCODE.AND� Z X MY S.ICENSE IS M FULL FORCE AND EfFECT. � Q LICENSE CLASS � LIG.NO. ,�]C74{' L/� � ./� � . U DATE �Z"�O�'� CONTflACTOR _rSO � �� n: � � WORKERS'COMPENSATION DECLAPAllON3��`�p p � = U � 1 NEREBVAFFIRM UNDER PENALTY OF GEiUURV ONE OF iHE FOLLOWMG DECLAR0.tIDNS � - z � �iHAVEMDWiLLMAMTAINACERTIflCATEOFCONSENTTOSELF•INSUREFORWORHEFS' z � COMPENSATION,ASPROVIDEDBVSECTiON37aoOFTHEIABORCODE,FORTHEPERFORMANCE W OFTHE WORK FOR WHICH TNIS PERMIT IS ISSUE�. � d w _I HAVEAND WILLMAINTAIN WORKER5COMPENSATION MSURAPlCE,AS REOUIREDBVSffCTION Q 3'IOOOFTHE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MVWORKERS'COMPENSATIONINSUHANCECARRIERANDPOLICVNUMBEFARE� CONSTFiUCTIOfJ � . . .._,._.. ...._...._.._._..i6� +,� CARRIER_._ P EVIEW ! Z POLICYNUM9ER LEC Q p Rres9EcraHriE�r.aTBEoour�F7tvoF'ncaErsar�sraFlorlENunortEDo�inns(Siw)erj�ss7. 6PLUMBING z I CERTIFV THAT IN'fHE PERFORMANCE OFTHE WORK FOR WHICH THIS pERM�T IS ISSUED,I MECHANICAL (°} SHIILL NOT EMPLOY ANY PERSON IN ANY MANNER S�AS To 9ECOME SUBJECT TO THE � WOHKERS'COMPENSATIONLAWSOFGLLIFORNI0.ANDAGREETHATIFISHOULOBECOME WSPECTIONFEE � SU&IECTTOTHEWORKERS'COMPENSA7tO4PROVISIONSOFSECT10N37o00FTHE�LABOR � � = CADE.ISHALLFORTHWITHCOMPLVWI7HTHOSE ROVISIONS. ISSUANCE � �G p DATE: ��� APPLICANT �,�,fj(� SMIP � ' /�✓ t � WARNING:FAIWRETOSECUREWORKERS'COMPENSATIONCOVERAGEISUNLAWFUL,ANDSHALLBE ENERGYP/C � SUEJECTANEMPLOVER70CflIMRdA4PENALTIESAN�CIVILFINE6UPTOONEHUNDREDTHOUSANO ENEF7GYPERMIT �OI.LAfiS(f70D.D00).IN ADOITION T07HE COST OF CAMPENSATIO�,DAMAGES AS PROYIDED FlOR IN � SECTpN37080FTHELABORCOOE,INTEREST,ANDATTORNEV'SFEES. RETENTIONFEE: p�., CONSTRUCTION LENDING AGENCY PRE-ALT FEE: _ O � IHEREBVAFFIRMUNDERPENALiYDFPERJURYTHATTHEREISACONSTRUCTIONLEN�INGAGENCY � GORTHEPEHFOHMANCEOFTHEWORKFORWHICH7HISPERMITISISSUED�SEC.3o97,CIV.C.). . - Z W . . . . ... .-. � LENDER'S NAME _ - F— LENDEH'SADDNE55 �� . �� � � ICERTIFYiHATIHAVEREADTiISAPPLICATIONAN�SiATE7HA7THEABOVEINFORMATqN'ISCARRECT, TOTAL FEES - � � , W IAGREETOCOMPLVWITHALLCfTYANDCIX1NT70R01NANCESANDSTA7ELAW5iiE4ATINGTOBUILDING � CANSTHUCTION,ANDHEREBVAIJTHORREREPPESENTATIVESOFTHISCOUNTYTOENTERIl00NTHE � � , . � ABOVE•MBiT1ONED PROVERTY FOR INSPECTION PURPOSES. COMMENTS � ���-1 L�Q � m $ PEPMITTEENPME(PW __ - i cn f�L� ��Q'`�� � "; , � SIGWATUREOFPERMfTT DATE � � - = RECPT.N0. PAID BV "V�ALIDA�fION r WHITE—De nment Co YELLOW—Finance Co PW K—AsseSsor Co'.GOLDENROD—File Ca GREEN— plicanPs Co pe Py, PY. PY PY. 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