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_ _. , . �,... ... - ��,_. _. ,, __. � �.,. . � . . _ � , —"-, CTTY OF DIAMOND BQ$ �� � � � � COMMUNITY DEV�LOPIvfEI�"1'DEPARTM�NT � � 21660 E.Copley Drive Suite 190 '; PRE��,+S \ ~,w (909)860-3195 Fax(909)861-3117 '""" BUILDING PERMIT APPLICATION FiRMLY � ���, a a,��,:; � {�F�� r i + r . JOBSITE �/- �1 � APPLICATION PERMIT � � P/C Qy @, o ADDRESS 2-Z.3 �9� �1�';Lh� +T�-D i f,z�l; s', DAT� ' �� 'Z� NUMBER_ ! � � � � ►'7 _3��J o �� • ISSUE TYPE OCC T° APN __ LOT ___'TRAQT DATE CONST. GROUP �C .d,Ti-� . . ;..� .,.�,,... . . . ,,,.�..,r.„;, .,,. ,..._._ p OWNER �"�+- �'A�wP.6,�C ���,. ZONING SETBACKS � o ADDRESS���_����5 ��-��,, oCITY J�.�. ZIP TEL. i. FRON7 RW ❑ APPLICANT TEL REAR ❑ � �,i SIDEISIDE STREET RW ❑ m CONTRACTOR �'6''y'�"'" f-Jt['3td�1E SIDE C oADDRE S�_ � '�?�3�� PROPOSED US'E � �"� .�s'�+� o CITY ZIP " TE .�^r� " /� _n.,..� w ARCH/ENG/ • �—�� z DESIGNER ��"° �- NO.DWEL. NO. NO. n. ADDRE � UNITS STORIES BEDROOMS = CITY �+r' � ZIP TEL. �'il N DESCRIPTIpN SQ.FT� FACTOR PSF ApJ.AREANALUATION � oOWNER-BCILDER�ECLARATION , SFR/ADD/REM p I HEREBY AFFIqM UN�EFi PENALTY OF PERJURY ThIAT I AM EXEMPT FROM TME CONTFiAC'ORS�I- G3�8ge/C2fPOft ��� W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSAN�PROFESSION$CODE:ANVCITYOR (� , U COUNTYWHICHPEQUIRESAPEFMIT7000NSTRUCT,AITER,IMPRCVE,DEMOLISH,ORR�PAIRANI'STRUC- (jf pd110/DBCk '�— TURE.PFI�R To I7¢ISSUANCE,ALSO RE�UIRES THE-APPLICMIr FOR SUCH PERtv11T'YO FILE A SIGNED W � STATEMEfvT THAY HE Oft SHE IS LICENSEO PURSUANi TO 7HE?ROVISIONS OF THE CONTRAC'ORS U� ly POO�S 8 � CENSE L4W(CHAPTER 9(GOMMENCING WITH SECTION�ooa)OF DIVISION 3 OF TFIE'BUS�NESS AND PRO- P FESSIONS CO'�E)OR THAT HE OR SHE IS EXEMPTTHEREFFOM ANO THE BA515 FOF THE ALLEGE�E%EMP� � TION.ANVVIOLATIONOFSECTION1031.SBVANYAPPIICANTFORAPERMITSUBJECTS7HEAPPLICANi'70 Z Re-Roof � A CINL PENALTY OF NOT MORE THAN FIYE HUND�ED ObLLAFiS(S50a�.�: "'"'' � � � � � CI.ASOWNEROFTHEPROPERTV,ORMVEMP�OYEESWITHWAGESASTNEIRSOIECOMPENSATION, � Commercial z WILL 00 THE WORK,AND THE STRUCTURE IS NOT INTENDGD�OR OFFERED FOP Si1�LE jSEC.�'7Dd0.,B(151� _I NESS AND PROFESSIONS COOE:TH`�CONTRACTORS LICENSE LAW�OES NOT APPLV 70 AN ONINER OF � PROPERTYWHOBU�LDSORIMPROVE57HEREON,ANOWHODCESSUCHWORKHIM$EI;FORFIERSELFOH � CC THROUGHHISORHEROWNEMPLOYEES,PROVIOEDTHA75UC:-IIMPROVEMENTSARENOTINTEf�DEDOR m QOFFEREDFORSALEIF,HOWEVER,THEBUILDINGORI�MPRWEMENTISSOLDWITN�NONEYEAROFCOMpLE- _ z TION,THE OWNER�BUILOEF 4YILL HAVE THE BURDEN OF PqOVING THAT HE OR SFIE DID NOT BUILD 6R ++� � IMPROVE FOR THE PURPOSE OF SALEI. -' "�"'' ' ' ❑I,AS OWNER OF THE PROPERTY,AM EXCLUSIVELY CONTRACTING WITH UGE�SED CONTRACTORS � TO CONSTRUCT'HE PROJECT(SEC.�044,BUSINESS ANU PROFESSIONS CD�E:THE CDNTRACYORS LI- Vgltldtl0ll I� �� ADJ.AREA W CENSELAWDOESNOTAPPIYTOANOWNEROFAPROPERNWHOBUILDSOFIMPR�OV�ESTHEREON,AND � WHOCONTRACTSFORSl1CHPFiOJEC7SWITHACOVTRACTOR(SJLICENSEDPURSOdYJYTOTHECONTRAC- QUANTITY DEySCRIPTION' FEE Y TORS LICENSE LAW.). � � ' � C I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q ' !�l ...�,5 — U , � "^+„ — — OC � � DATE OWNER � . . U . ' �-d('.� �/ zW .�.. . .. . . . � LICENSED CONTfiACTORS pECLARATION � . � ' W �e� � IHEREBYAFFIRMUNDERPENALTVOFPERJURVTHATIANLICENSEDUNDERPROVISIONSOFCHAPTER � �� . fs/q � 9(COMMENCING'NITHSECTION7ooa)OFDIVISION30FTHEBUSINESSANDPROFF_SSIONSCODE,AND Z f�.R X MY I.ICENSE IS IN FULL FORCE AND EFF�CT. ' � � L'CENSE CLASS �1 LIC.NO.�J.���y ��y,�t� ��) � U DATE �--¢� CONTRAGTOR�(.t �.�,��T�/.�"= �- . W i..'4✓ ., '�-n � WORKERS'COMPENSATION bECIARATION� '�'�.��✓, 1��� -� � � �d V � I HEREBYAFfIRM UNDER PENALTYOF PERJURY ONE OFTHE FOLLOW'�NG DECLARATIONS: �Z � _IHAVEANOWILLMAINTAINACERTIFICATEDFCONSENTTOSELF-INSUREFOqVJOqKERS ' _ ¢ COMPENSA71CN,AS PqOVIDE�BY SECi�ON 3�0o OF 7HE LABOFl CODE,FORTHE PEftFORMANCE W OF i HE WORK FOR'uNiICH THIS PERMIT IS ISSUED. � . . D W I I;AVE ANO WILLMAINTAIN WORKERS'COMPENSATION INSU3ANCE,AS REQt11qED BV SECTION ' ¢� � Q HICH THIS PERMIT IS iSSUED.MV�WORKEF&COMP NSATIONRN6URANCE C�AFRIER AND POL�I V��NUMBER ARE: � CONSTRUCTION ` � Q ] caariiEa._ PLAN AEVIEW ��' _ C? � __.-.. • � voUCYNUMeER ELECTRIC � ¢ � (tHI55ECTIONNEmNOT8�00MREfEDOF7:�lEPERMRlSWHIXJEHUNDREOWLI.AFi.:(EiCoIORLE551. PLUM�ING Z I CER7IFY THAT W THE PERFORMANCE OF THE WOqN FOR WHICH THIS PERMIi IS ISSUED.I MECHANICAL (7 SHALL NOT EMPLOV ANY PERSON iN ANY MANNER SO AS T08ECOME SUB./ECYTO THE , Uj WORHERS'COM�ENSATIONLAWSOFCALIFORNIA,ANDAGFEETHATIFISHtlULOBECOME �NSPECTIONFEE � SUBJECTTOTHEWORNERS'COMPENSATIONPROVISIONSOFSEC710N37000FTHELABOR /�^)� � .COOE,I}�HALL �flTHWITH GOMPLY WITH THDS PaOVI510N5, � �SSUANCE ��-(J(/ __ ��,/ ��.Nry pc � 4 �!!/_L'1.-/"f /APPLICANT: '' � SMIP p OATE:____/._ �y��y_ __ ��_.— — J WARNING:FAILURETOSECUREWOPKEfiS'COMPENSATIONGCVERAGEISUNLAWF`UCANOSHALLBE ENERGYP/C _ � SU&IECTANEMPLOY�RTOCRIMiNALP[NALTIESAN�CIVII�INESUPTOONEHUNfSRE�THOUSAND ENERGYPEFMIT OOLLARS(S1G9.aoD),IN A�0'�TIONTOTNE CCSTOFCAMPE�SATION,'JAMAGES PS PROVIDED FOR IN � SECTION3�o60FTHELA60FCODE,iN7ERE5T,ANDATfOFNEY'SFEES. ' RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PqEALT FEE: � IHEfiEBYAFFIRMUNDERPENA�TYOFPERJURYTHATT4iEREISACONSTflUCTION�ENDINGAGENCV _ _. __ _ � FOfiTHE PERFORMANCE OFTHE WORK FOP WHICH THIS PERMIT IS ISSUED(SEC.3097,CN.C.�, Z W � __'— � LENDER'S NAME f ' - I—' LENOERSA�DftES$ 4 W I CERTIFY THAT I HAVE READ THIS APPUCATION AND STATE THA7 THE ABOVE INFOqMATION IS CORRECT. TOT.A L FE ES � � � IAGREETOCOMPLYWITHALICI'YANDCOUNTYORDINANCESA'JDSTATEIAWSFiELATIN^aTOBUILO�NG �, " �- '. ' _ � - CONSTRUCTION.AN�NEFE9YAUTHORIZE PEPRESENTATIVES OFTHIS COUNTY TO ENTER UPONTHF Qrj /�� �1���' �/�` (/ ' � Z ABOVE-MENTIONED PROPERTY FOR INASPECTION PURPOSES. , COMMENTS�,�J'___r�_� - "��""'���/f� /7"�'�—' � �a' d�i:l '�1 0 �F3._u.F��. � �/. �G---.�.`— m PERMITTEE E(PRINT) ., . . . . , ... ... 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