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11071 (5)
� - CI'fY OFD[AMOND BAR EXPIRED � �1T' ' COMMUNITY DEVELOPMFNT DEPl�R'I'MENT � I� �-.-C • 21CC0 F..Copicy D�i�Suite 190 0 C T 0 5 200p PRESS yy ---{�xf�j ACit�sl*ys' .Di rr. FIRMLY � "JOBSIT APPLICATION -- � � DDRESS_ � 'Z,� ��-j—��PERMIT � P/C o ._. _._.__ DATE_ NUMBER " # ISSUE ' TYPE OCC � APN„ O J � _L ��� DATE _ CONST. GROUP °� OWNER _ -..--- _.__.. ------ o �. � AD� ESS_._._ , %W W ' ZONING SETBACKS � --- - � z ITY��� ZI T L. �_--� FRONT ,-. .__ RW n_-....._ ._- � PPLICAN T TEL.__._. � REAR __ _ _ :_1 a� J- --- SIDE/SIDE STREET . � . --- RW------- U---- _- ¢ CONTRACTOR---- ------- __ SIDE _':i ' ---- - - __ _ � : ADDRESS ' ' ..' �`�" •( � CITY----,------ ZIP TEL. ----- PROPOSED USE-- - , �� � _ r o ARCH/ENG/ ���' � •• � ' ," � i, a DESIGNER r " � a ADDRESS ---...-------._...----------- ---- NO.DWEL. NO. NO. ,� � -�-- UNITS.._,_�_ STORIES � BEDROOMS ,�.. � CITY__—_-__. ZIP TEL. _ -- --- �` cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION pC OWNC-R-BI;ILDER DECLARATION ' � SF WADD/REM p I HEREBY AFFIRM UNUEFi PENAL7'V UF PcHJUHV iHAT I AM EXEMVT FftOM TIIL'CO�TfiACTOHS LI- G8l2J0/CBfPOR W CENSL1AYdFOfiTHEI'�OI1.c)N'IN(:fIFASUN(`ifG70i1.5l3USINESSANUNHOFESSiONSGODE:ANYqTYOR (/� , U COUNTYWF:ICHRECUIRESAPENNIT'OCONSTRUCT,AI.iC.RIh1PROVF.,DEMOI.ISH,CRHEPAIRANY;TRUG W P�(i0/DBCk WTURE,PRIOR TO IiS ISSUANC.E,ALSO REOl11HE5 ill[APPLICANT f0�:l1CH PF(iMITTO FILE A SICNED W _ � STqT[M[NT THAY kiE OH St1E IS LICENSED PURSU�NT TO THE PftOV!SIONS OF THE CONTRACiOFlS l.b � � CENSe LAW(CHAPTER 9(COMMENCItiC WITH SECTiO\7�00)Of OIVISION 30f TMIL BUSINESSAN�PRO- P001/Sp2 _ O FESSIONSf'ODE)ORTHATHLORSH[ISE%EMPTT4IEREFROMANDTHE�ASISFORTHEALLEGEDEXEMP- U TIn4.ANYVIO;.ATiONOFSEC?IO�IU91.58YMJYA?PLICMiFOftAPERMITSUBJECiS�MCAV?LICANI'f0 Z E-R00( - .�� � ACIVILPENALTVOFNOTMOIiF:ThIPNFIVE11lWUHEUUO!.LA(IS(SG00�.)'. � LI.ASOWNEHOFTHEPROPERTV,ORMYEMPLOVEESWITHWACESASTHEIRSOLGCOMPENSAIION. ComrtlCfCl01 L WILL DO THE WORK,AND THE STFllCTUfiF.i5 NOT INT[NDED C�R OfFEHE�FOR SALt-,(SEC,7044,(3U51� J _ . � NLtiS nM1�D PFiOFF-5510N5 GOUE:I I IE C.'OA'TRAGTORS LICENSG LAW�OES NOTAPPLY TO AN OWNER Of � PROPEHTY WHO�UILOS OR INPqOVES THEREON,AND WHO OOES SUCH WORK HIMSEL�Ofl HCRSF.I.L OH (L lFifiOUGHHISOHIIEHOWNEMPLOYECS,PROVI��DTHATSUCHIMPROV[MLNTSAHeNOTINI'ENDEDOR m w OFFFftFDfOiiSALE.iF,110W.F.VER,TIIEDUILDiNGORI.MPP.OVEMEITISSCIDWITHINONEYEAROFCOMPLE- � TION,THE OWNER-9L11L�ER WILL MAVE THE B11F4][N Of Pf10VING THAT Hf O(7 SHL DID�Of f3llII.D OH = IMPIlOVL fUR T41f.PIIRPOS�OF'uALE). i.-;I,AS OYlNEROF THE PqOPEriTV,�M EXCLUSIVELY CONTRACTING NJITH LICENSED CONTRACTORS /\ � 70 CONSTRUCT THI:PROJf.CT(SL-C.7044,dU51NE55 ANb PfiOFt5510NS COOE�'fHC CONTRACiOHS LI� V�IUO}IOfI �L ' C� ADJ.AREA__...._ W Cf:kSE:1.AWf)OF:SNnTAPPI.VTOAN(1WNEf10FAVf10PEl'tTYWH!)fiUILU50HIMPROVES?HEflEON,AND -- = WHOCONTflACTSFORSUCHPROJECTSWITHACONTRACTOR(5)LICENSEDPUflSUANTiOTHCCONTRAG � pUANTITY DESCRIPTION FEE Y TOfiSLICCNS[:I.AW.). ¢ !:1 IAM E%CMV7'11N�Cfi SCC.'_'......_"_-_..__...._......................... �� � J � � - .... ..B.BF.CIFpHTI115REA50N � � . _� - � L� DATE '^�^ _I OLY:VER� /G�L � f. �' U I � Z __—__'_.__ � — ,� � W � � LICENS[D CONTRACTORS DE(3CARATION W Q � I HER[6VA�FIRM UVOEFl PENAITv OF P�RJUfI HAT IAM LICFNS[D UNUEH PHOVISIONS OF CH�G'fLR � d 9(COMMENCiNGWITHSECTION7o0o)OFDIVI O 30FTHEBUSINESSANOPROFESSIONSCODE.AND z _ X MY LICENSE IS IN FULL FOFCE AND EFFECT. w g � LICENS SS__ ` .. LIC.N0. .-............. ... ......_..__.._.__.._._- � � J U DATE_';�"-'_'_'-__"'___ -". ..... CONTRACTOR "_"'...........___...._._ a W � � WO KFR COMPENSATION DECLARATION -� � ����� � ¢ � I HEHEB M UtH V" ALTY f PEHJURY ON[Of THF..fOLLOWI,UG D[CI.AFlATIONS: Z � ,,....'. HAVEAND LLM IN1AI �CCIifIHCAI'E FGO SEN1105ELF'dNSVHEFOHWOHKEHS' _ Z ;�COMPENSATI PftOVIOED UY SECT 3]00 f THF IAROf1 CODf,f011 TkIE VER�OfiMAhCL C� d �1�FTHEWORKF WM171IIiI5Pf:filAl IS SSUf. W � I � HAVEAND WILL MA!NTAIN WOFiKEP.C MYENu IION INtiUHANCE,AS fti:OUIHEtl BY ti[CTION � ` Q�g Q7000F TH[t A9()R C�'lE,FOR THE FOFMA CE OF THE WORK FOR WHICH THIS PEHMIT IS � - SSUED.MY WORKER COMPENSA INSURA'CE CAP.FIER A\�POLICV NUM�ERARE: CONSTRUCTION J ...."'__'___'"'�"'_'__ j �cnaaiEa------...... _. ..-. ...._ _.... ..........__ .....--------......_...._....._.. PLAN REVIEW -----.._._._.._..--------- - ZVOIICYNUM[3[!i -..-- ELECT�IC ...__'"_.......""'_"'_ Q �- (fHISSECTIONNEE�NOTBtWM [I'EUOi�TIIC u.urui�ot�cavGiunoit�oOcxWls(5iai�oaL�ss�. PIUMBING 0 , '.----_-- .....'-'---------'_-----' - w Z I CEkTIFVTHAT INTHE PERFO lAnM1(:E�f"TIf[ )RK FOR Wlil('lI T11i5 V[flMl'f 151SSUff�,l MECHANICAL ,.._...,,__, __ (,'3 SHAI.I.NOTRAPI.OYANYPERSONI��NYMANNE SO�STOBECOMESUBJECTTOTHE �°°w'�" � � (,/) WORKEHS'COMPENSAI'IC)NIAWSOFc;A1.IFONNIA,ANUAGREk:iIIAlIFISItt)ULUHLC().V.F: INSPECTIONfEE ___.,,,______,_,�.�_, , _ � _ _ . ��� '_"'_'_—"_ SUHJECTTOTHE\VORKERS'C04PEtiSATIONPFOVISiOVSOF5ECT1043]OOOFTHELAPOR � �t',6.• °�J t � CUDE,I SHAILFOftTHWITH COMPLv Y/iIH Th105F Pl'tOVI510N5. ISSUANCE �.�`y , ..-".. ................__..__...._..____'......_ _"'_—-.r'__ � SMIP � l�1 `� p t1ATE: ...._.... AVPLICANT: .---.__._._—__.._..._..___....___..._......—._.--_..._..__..._.1..�.- w ENERGY P/C ''t'�*w `;; ', �:��,r'. J V�ARNING�FAILUf1C.TOSCCUREWORKERS'CONVENSATIONCOVERAGc'ISUNLAWFUL,ANUSIIALLUE ,.yp�--'�"-'-�'---'�"�—�-���""-- ' J ����A� � SUBJECTANEMPLOYERTOGFiIMINALI'ENAI.TIfSANUCIVILFINESUPTOONEHUNDRFOTHOl1SAN� ENERGYPERMIT ❑OLLARS(51oa,alal.IN A�DITION 10 TFIE COSf OF C(')I�1PC�SAf1(JN.UA1.1Af,E:S AS PIiOVIi)l�[)F'OH IN ... .'-'.-. .... ....."""'-".-_—...--' � secTiov s'�as oF THE�nsoa couE,iNrrt�csr,n!�o arToruuers rr.rs. RETENTION FEE: � -..------�-----.__...._._......--- ....__ d CONSTftUCTION LENDING AGENCY PRF-ALT FEE: � � . ..,. _..-- � IHEHEUYAFF ' . .h1ALFM�OF�PER-Jl-1RW7HATSHEBEISACONSTRUCTIONLENDIt�(;ACiENG.Y ' �- FC1fiTH�PCRfC)RM.ANGE F'THEWURKFOR4VHICHTHiSPEFiATT1SFG���Go'eG(r.iio07;'l:IV.C.). � "'-....... .. ........"' "'--'- -.......--"--'--'-.....---"-'--'-- ,.........,. L " „"" . ....._...__.-_..__—'__._.'-.._.__. �„ „'`.-. __... LL, � � M "`"��...... � IFNf)[!i'SNAI.If.__... �^" ........•.,-,, F- LENDER'S A�ppRES __ --�--�----- � ICERTI�v'I'HA�II�IAVEltCA�THISAP�LICATIONANOSTATETHA7THEABOVEINFORMATIONISC(IHRECI'. TOTAL FEE�7 V W IAGREETOCOMPLYWIrNALLCII'YANC)C()IINfVOi7UINANC Ahl)Sl'ATCtAWSiifIATINCTOBU1101N^. � GONSJ}Hl(�l'ION,ANUHERE6YAUTHOr�IZERF:PRESf:NTATIVE OF?HIuCOUNTYTOIN�I'filll'()NIIII: � AB,OVE�MEN,II NEU P(7PL i(V FOH INSPECTIO��R. Sf. . � y, ; �,: i�...�-� l COMMENTS � .". . .. - -------.. ------ --------...---..._..—.___----...— � � �. � �� ;'-�/<,/T��. l_.. — ----._.— --_ a a e( T"NA �+� - . �/` - -- � ���� __:�r� ` . - . � / --- -- - -. � � ,,i �,, �,; �.. �,-� t -=- -----� � SICNATURE OF PER.I EE ���� � DATE - HECPI".NO. � PAID BY VALIDATIO v ~ WHITE-�epartment Cnpy,YELLOW-Finance Copy,PINK-Assessor Copy,GOLDENROD-File Copy,GREEN-ApplicanPs Copy _.. _. �— — — K_ W_ _._ _. - _ . .. � . , , i , ; � � „� � � � i , \� � � _ � I � I � i � I � � ' � �~'w� ii ������' I � i � I ' I � � ! , . , i � ' ' , � io\'`A � i � � � ( � � _ �a ��� I � I � f ' � I i ' � ' I i � I � f � ��. .�i � I I � f .': � � - I � � r1�y � � . ��r=µ�� I' I i �'� ' i ' � i � I i . % ,. � - � ��� i f � . � �� . 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