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^ _�.�_ CITY OF DIAMOND BA� " DEPAIZTMENT OF COMMUNITY&DEVELOPMENT SERVICES w , 21660 E Copley Drive Suite 194 (909)860-3195 Fax(9p9)861-3117 PRESS �°......, BUT�.r,ii�tG��az�r A�LicAT�`oN FIRMLV - ,. , ..., _.. 9 � t �.; .�. . , ,w. . . .. ... :_,,. _ .. ..w.,... o D RIESS I �:4; � �[x. ,��., DATEGATIO � � NUMBEH Z -�°' ���/C c� ISSUE TYPE OCC APN LO TRaCT DATE CONST. GROUP p OWNER "' ADD,�SS �i • '�'L ZONING SETBACKS � CI'Tll�., i � ZIP TEL. REART RW ❑ APPLICANT 7EL. SIDE/SIQE STREET RW O z � CONTHACTO SIDE p Q A� PROPOSE�US ' � w �. � CITY � ZIP EL. � ,-: wo ARCH/ENG/ z DESIGNER NO.DWEL NO. '"F NO. a ADDRESS UNITS �°'�`` �',i STORIES " �� BEDROOMS = CBTY ZIP TEL r�j� �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATiON SFP/ADD/REM O 0 I HEREBV AFFlRM UNDER PENAl7V Of PERJURY THAT I AM E%EMPT FROM THE CONTRACTORS LI- � �,arage/Carport W CENSELAWFORTHEfOLLOWINGREASONISEC.7o37.58USINESSAN�PROFESSIDNSCODE:ANYCITYOR C.� CIXINTVWFi1CHRC-0UIRESAPERMITTOCONSTRl1CT,ALTER,IMPpOVE,DEMOLISH,OFiREPAIRANY'STRUC- W Patio/Deck '� TURE,PRIOR TO ITS ISSUANCE,ALSO tiEOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A S�GNED w STAIEMENT THAT HE OR SHE IS LJGENSE�PURSUANT TO THE PROVISIORS OF THE CONTRACTORS C:I� 0"U � CENSEIAW(CHAPTERe�COMMENCINO;WITMSECTION700o)OFOIYISIONaOFTHE9U51NESSAN�PRO� U" POoVSp2 FESSIDNSOODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFOR7HEALLEGEDEXEMP� TtON.ANYVIOUTIONOFSECTI0N7031.6BYANYAPPLICANTFORAPEPMITSU&IECTSTHEAPPLiL'ANTTO � Re-Roo£ � ACML PENALT7 OF NOT MOPE THAN FNE HUN�RED DOLLARS(t5oo�.):� -" � � ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOVEESWI7HWAGESASTHEIRSOLECOMPENSATION, � Com016fCid1 - WILL DO 7HE WORK,M!D THE STRUCTUHE IS NOT IN7ENDSD OR OfFERED FOR SALE(SEC.7014,BUSI- _I � NESS AND PHOFESSION3 CODE:THE CONTFiACTORS LICENSE LAW DOES NOT Ai!PLY YO AN OWNER OF � PROPER7Y YVHO BURAS Oq IMPPOVESTHEREON,AND YMO OOES SUCH WORN HIMSELF OFi HEVi5ELF tlR Q THfi0U8FIHISORHEROWNEMPLOYEES,PROVIUEDTHATSUCHIMPROVEMENT5AHENOTINTENOEDOF � Q .OFFEREOFORSILLEIF,HOWEVER7HEBUIIDINCORIMPROVEMEMISSOIDWITHMONEVEAROFCOMPL�� Z �TIDN,THE OWNER-BWLDEH WILL HAVE 7HE BURDEN OF pROVING 7HAT HE OR SHE DID NOT BUILD OH = IMPROVEWR7HEPURPOSEOFSALEJ. � � " ' - "`-"� ❑I,AS ONMER OFTHE PROPERN,AM EXCLUSIVELY COMRACTMG WITH LICENSED COMYFY0.CTOR5 � TO CONSTRUCT THE PBO,I�CT(SEC.7oN,BUSINESS AN�PROFESSION&C9DE:YHE CONYpACYb�RS LI- VdIU7ti0n ADJ.AREA W CENSELAWWESNOTAPPLV70ANOWNEROFAPROPERNWH09UILDSOFiIMPROVESTHEREON;ANb — � YhIOCONTMCT5WRSUCHPR0.1ECT5WITHACON7RACTOR(S)LICENSEDPURSUANTTOTHECONTRAG pUANTITY ' ESCRIPTION FEE Y TORS LICENSE UW.1. �� � ❑1 AM E%EMPT UNDER SEC. B.&p.G FOR 7HIS REpSON Q ' � � .:, � V , ' ..,.1.,..,�� ..:wt�'w 1�e� . � � OATE OMAVER V � LICENSE6 CONTRACTORS DEGLARATIpN W � 1 NEREBVAFFIRM WDEA PENALTV OF PEiL1URY iHAT IAM LICENSEO LJNOER PROVISIONS OF CHAPTEP � . a, e(COMMENCINO WITN SECTION 7000)OF DIVISION 30F THE BUSINESS AND PROFESSION�DE.AND Z X MY LICENSE IS IN FULL F CE AND EFF T. m LLJ o UCENS C, LIC.NO.� j V DATE � CONTR4CT0 �- W � WORKEfiS'COMPENSATION DECLARATIOR� Q � U � I HEREBYAFFIRM UNDER PENACfYOF PEFJUFiY ONE OFTHE FOLIOWING�ECIARATIONS: � 4 � _IHAVEANOWILLMAINTAINACERTIFICATEDFCONSEMTOSELF-INSUREFORWORKERS` s COMPENSATION,qS PROVIDED BV SECTION 370b OFTNE LABOR CODE,FOP TNE PERFOPMANCE W OF TIiF WORK FOF WHICH T611S PEflM1T IS ISSUEp. ,� Q � _I HAVE Ml�WILI MAIMAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION Q 370o OF THE LABOR COOE,FOR TNE PERF4RMANCE OFTHE WCRK FOR WHICH THIS PERMIT IS �.� ISSUEO.MY WOF RS'COMPENSATION INSUFANCE CARRIER ANO POLICY NUMBER ARE: CONSTRUCTION � j CARRIER � PLAN REVIEW � � POLICYNUMBER � EI_ECTRIC , Q � (tH�SECTIONNE�NOT8E0�4b1M.E7EDOF'RiEPEW.VT�SFORONEHUNDRWDOLtAM($1oo)ORLESSJ. �� PlUMB1NG � ICERTIFYTHATINTHEPERFORMANCEOFTHEWORKFOFWHICHTHiSPERMITI5ISSUEO,I MECHANICAL "��`����-�� � (} SHALLNOTEMPLOYANYPERSONINANVMANNERSOAS�OBECOMESUBJECTTOTHE I� � WORNERS'COMPENSATION IAWS OF CALIFORNIA.AND 0.GREE TNAT IF 1 H LO 6FCOME INSPECTIINJ FEE - � SUBJECTTOTHEWORKERS'CObiPENSA ONPROVIS��N FSECTION OFTHEIABOR COD I SHALL ITH COMPLY HOSE PROVI 10 . ISSUANCE _���I I �J f w�r� l �+/71 Q p DATE:�� APPLICANT: _ SMIP J WARNING:FAILURETOSECUREWORKERS'COMPENSATIONCOVcRAGEISUNLAWFUL,AN� ALLB ENERGYP/G �p � SUBJECTANEMPLOYERTOCRIMINALPENALTIESAN�CIVILFINESUPTOON[HUMDREOTNOl/SAND ENERGYPERMIT �lT�T' DOLLARS(L100,a0D).IN AODITION TQ THE COST OF COMPENSATYJN,DAMAGES AS PROVIDED FOR IN � SECTION 3T08 OF hfE LABOR COOE,INTEREST,ANDATT�RNEV'S FEES. RETENTION FEE: pW.. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEflEBVAFFIRMUNDENPENALTYOFPERJURYTHATTHEREISACONSTRUCTIONLEN�WGAGENCY ' FOR THE PERFOFMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). Z W � LENOER'S NAME ' 6— LENDER'SADDi7ESS , , � ICERTIFYTHATIHAVEREAOTHISAPPLICATIONANDSTATETHATTHEA60VEINFORMATIONiSCARRECT. T�..7TA� FEES r W I AGREE TO COMPLY WITH ALLCITY AND CAIINTY ORDINANCES ANO STA7E IAWS REIATING TO BUILDING ��J� � /�' / J. /� � CONS7RUCTION.ANDHEREBVAUTHORIZEREPRESENTATIVESOF7HISCOUNTYTOENTERUPONTHE 6�, (...J_I/1�// y � � ZA MENTIONEDPROPERTVFOPINSPECTIONPURPOSES. COMMEN � ! �.J &` r✓ o �.� �-�,�..�� � m PE M EE NANE(PRI ) � {� �-'I f ,�~� . �"1 A /� � UR OF RMITfEE ATE � ��'►���� ' � � = RECPT.NO. 1-�'' PAID 8Y - ALIDATION_ ~ WHfTE—�epartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOI.AENROo--File Copy,GREEN—Applicant's Copy �� 1 �, , .. z 1 .� �°�"� � ,n .. �:. . . ��� � � � � a � � � � � � � � � � k �� _, . _x . _.� .a.:. � . �^y.b!y ..��^.��? 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