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_ , . , .., � ,�X�`t' CITY OF DIAMONI7 BAR` � " --" " DEPARTMENT OF COMMUNITX&DEVELOPMENd'SERVICES _w , 21660 E.Copley Drive Suite 1I0 4� ,, (909)860-3195 Fax(909)861-3117 PRESS � 1tUII.DII��P�R117I'�`A'T�PLICATION ; ., !" . FIRMLY ..� . ,,:.�. , , . .... � JOBSITE ' ' pp /�� �fy� a � ���..�'/� APPUCATI4N ` j PERMIT '� ��P/C , a ADDRESS �� • �� ����i �/"�� /t:�' /) DATE_ 4'�� ` � NUMBER # $ ISSUE TYPE OCC APN OT TRACT ' DATE CONST. GROUP p OWNER �' ' p ADDRESS '" 7"" ""'� ZONING SETBACKS � CITY__�a _ ZIP TEL: _ RE�ART RW � APPLlCAN"f c � TEL. ry � SIDE/SIDE STREET RW ❑ � w w .,, ,. � CONTRACTOR � �-fd.� _ ' SIDE ❑ ADDRESS� - .a ..�'� � n CITY �'� ��_ ZIP � � TEL.'� �����'.� PROPOSED USE o ARCH/ENG/ z DESIGNER W NO.DWEL. NO. NO. d ADDRESS �-'�»' ' a C17Y Z�p 7�� UNITS STORIES BEDROOMS � cn DESCHIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILpER DECLARATION ..,. SFR/ADO/REM O Q 1 HEflEBV AFFIRM UNDEH PENALTY OF PEFlJURV THA7 I AM EXEMPT FROM THE CONTflACTORS LI� GBfL 0/Ca OrI lAJ CENSEUWFORTHEFOI.IOWINGREASON(SEG7031.68USINESSAIJDPROFE5S10NSCOJE�:ANVCITVOR (n 9 � G3 COUNTYWHICHRCi]UIRESAPERAIITTOCbN8TRUCT,ALTER,MPROVE,DEMOLI3H2ORREPAIRANV5THi1G � W NRE,PRIOR TO RS ISSUANCE,ALSO REIX11HE3 THE APPLICAM FOH SUCH PERMiT TO�FILE A'SIGNEO W Patiol�eck STATEMENT h1AT HE OR SHE IS UCENSE�PURSUANT TO?HE PROy1SION5 OF TNE COMTpACTORS��� �� CEHSE LAW(CHAPTER B(COMMENCMG WITH SECTION 7006)OF DIVISION 3 DF TME BU51fJ�5S pIVD PRO� u' POOUSp& FESSIONSCAD�OR7HATHEORSHEISEXEMPT'fHEREFROMANOTHEBA5ISFORTHEALCEOEDEXEAIP. (� V TION.ANYVIOLATIONOFSECTION7o37.5BYANVAPPLICANTFORAPERMITSU&IECTSTNEAPPL'�CAtJT70 Z pg_ppp� � AC^.NL PENAI,TY OF NOT M00.E THPN FNE HUNDRED DOLL4RS(5500).): � � � ❑I,ASOWNEROFTHEPROPEflN,ORMYEMPLOYEESWITHWAGESASTHEIfiSQIECOMPENSATION, � COfnrtI0fC10I - N7lL DO THE WOfi1(,AN�THE STRUCT�RE IS NOT IN7ENOE�OB OFFERED FOR SALE(SEC.7(idA,BUSI- _I � I�ESS ANO PAOFESSIONS CODE:TNE CONTflAC70qS LICENSE LAW OOES NOT APPLY TO AN OWNER OF = PROPEFi�Y YVIiO BUIL�S OFl INPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OFI�HERSELF OR OC THRtlUGHH180RHEftOWNEMPCOYEES,PFiOVIpEDTHATSUCHIMPR6VElAENTSAAENO7�INiERDEDOR m Q ,OFFEREOFORSKEIF,HOWEVER7I�EBUILDNGORIMPROVEMENTISSOIDWITHINONEYEAROFCOMPI.E� 710N,THE OWNER-BUItAER WILL HAVE 7HE BURDEN OF OROVNG THAT HE OR SHE DIO NOT 9UILD OR = IMPPOVEFORTHEPURPOSEOFSALE). � � �'� ��_I I�������� �y,� ❑I,ASOWNEROFiHEPROPEifT`/,AMEXCLUSIVELVCONTRACTINOWITHLICENSEDCaNTpACYbFiS � i0 CONSTRUCT THE PROJECT(SEC:7a44,BUSINE95 AND PROFE35ION5 CODE:'IFIE COYJTM�AGTOMS LI- VfllUfltl011 ADJ.AREA W CENSELAWOOESNOTAPPLYTOANOWNEROFAPflOPEflTYWFiOBU�L�SORIMPROVESYFIEREON,�AN� — WHOODNTMCTS FOR SUCH Pq0.1ECTS WITH ACONTRACTDR(S)LICENSED PURSUANTTO TFiE CONTRAp � roasucaseuw.l. � . , .�... �UANTITY � DESCRIPT70N FEE 0 ❑IAM bCEMPT UNDER SEC. B.8 P.C.FOR 7HIS REASON Q � U Lt. � OATE oWP1ER � � LICENSED CANTqACTORS OFCLAHATION !� � W 1 NERFBY AFFIRM UNDER PENALTV 0;PERIURV THAT 1 AM LICENSEO UNOER PROVISpNS OF CHAPTER � •� • p�% ` �� (y e(COMMENCINQWITIISECTION7aooOFDIVISION30FTHE6USiNE55ANDPROFESSIONSCODE,AND Z !T� X MY LICENSE IS IN FULL FORCE AND EFFEC7. � m h � --' CONTRACTOR � ' ���J�.�.����.. .�: � ' (� a UCENSE CLASS��__ UC.NO.__��� / � J J � � DATE ,���I..-1 �, � 0- !IJ � WORI�RS'COMPENSATION DECLARATlON -�� � IHEREBVAFFIRMUNOERPENALTYOFPERJURVpNEOFTHEfOLLOWINGDECLARATIONS: Z� � INAVEMIDWILIMAINTAINACERTIFlCATEOFCANSCNTTOSEIF-INSUREFORWORKERS' _� CCOOf��APENSATION.l�SPflOVIDE�B`TSECTION37000FTHELABORCADE,FORTHEPERFORMlINCE �U� Jdf THF WORK FOR WHICH THIS PERMIT IS ISSUE�. � W � ,I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE.AS flE4U1RED BY SECTION Q 370J OF THE LABOR CODE,FOR TNF_PERFORMANCE OFTHE WORK FOF WNICH TH15 PERMITIS ISSVE�.MV WORKER5 GOMPENSATION INSURANCE CARRIEfl ANO POLICV NUMBERARE: CONSTRUCTION � CARRIEF �2(`'�L] � `p�/' /�� q. .... PLAN REVIEW........ . ...r.A�� .. . . � POLICY NUA99ER_,.._�r[�������U...-l.a '9'�'.-'^"�'...—. ELECTRIC �'�F � y�y � 0 (n+ssEcriauN�r�oree�reooFn�r��+rriSrcRntaEwu,oaE000u.nps�ttw)oalEss). PLUMBING ���i'�1� I/i � I W ) � z 1 CERTIFV iNAT IN THE PERFORMANCE OF THE WORK FOR WHICH TFiIS PERMIT IS ISS�EO,I MECHANICAL ��A�'d�a.��� B C,'} SHAI„�ryOTEMPLOYANYPERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE �{�-e� g� �j WORKERS'COMPENSATI�ILAWS OF CAUFORNIA,AND AGREETHAT IF I SHO�JLO BECOME INSPECTION FEE "^' L° � SV&IECT70 THE WORKEflS'COMPENSATIOIJ PROVISIDNS OF SECTIOtd 3'I0o O^THE IABOR J+� ' CADE,i SHAtt FOHTHW H COMPLV WITH THOSE 7FOVISIONS. ISSLIANCE �+g`� 'a'�:��f�'^ �,.t Sy��� 1 pDATE: �4 L� �� �PPLICANT: �� SMIP `✓>"��, ;�'" ��� •• � ENERGY P/C �� !� WAf1NINO:FAILURE TD S[CURE W�ORKERS'COMPENSATION CAVGRAGE IS UNLAWFUL,AND SHAIL BE ---- oy SUBJECT FN EMPLOYEH TO CRIMINAL PENALTIES AND CNIL r'INES UP TOONE HUNDHEDTHOUSAYD ENERGY PERMIT OOLIAFS(5100,000),IN ADOITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDE�FOR IN � SECTION37080FTHEL4HOftCOOE.INTEREST.ANDATTORNEY'SFEES RETENTIONFEE: OCONSTRUCTION LENDING AGENCV pRE-ALT FEE: � 1 HEREBYAFFIRM UNDER PENALTV OF PERIURY THATTHERE IS ACONSTRUCTION LENDING AGENCV FORTHEPERWRMANCEOFTHEWDRKFOFV✓FIICH?HISPEPMITISISSUED(SEC.3097,CIV.C.j.� � �� - - � . � - Z W .... ... . . � LFN�ER'SNaME , .. ..: 1- LENDEF1'SADDqESS , � TOTAL FEES �� � w ICERT�FYTHATIHAVEREADh{ISAPPLIGATIDNqNDSTATETHAT7HEABOVEINFORMATIONISGORflECT. p_ I AGREE TO COMPLV WITM AlL CITY Ml�COUNTY ORDINANCES ANO STATE LAWS REIATMG 70 BUILOING . -, a'�,'.;:. , �.. - CONSTRUC710N,ANDHEREBYAUTHORIZEREPRESEN7AT1 ESOFTHISCOUNTYTOENTERUPONTHE "•"" ` " Z ABOVE-MEMIONEDPROPEflTVFORINSPECi{ONPURPOS 5. � C / _ COMMENTS � �� � F��^ 0 ,. � is: -;. . , . , � C � PERMITTEENAME(PRINT - � �' � �. �, . . ..... y SI�NATl1REOFPEPoA�TTEE DATE �-" �'-�� �n� - ' z RECPT.N0. 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