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� _�.� CITY OF DIAMOND BAi� ` DEPARTMENf C?F COMMUNITY&DEVELOPMENT SERVICES' � ( 660 E Copley Dnve Smte 190 909)860-3195 Fax(909)$61 3117 PRES$ � w A�° Bvu,n#���►��iMtr1'��"�t,Y�ax��`� , , t �- , FIRMLY � , � .,. „ � . , _., � , .... .. , M ...,: � JOBSiTE a�� g� � � �"����`„`�°: "'`�M'�� APPLIGATION � PERMIT -����`--F— PIC Q ADDRESS_✓`�''��i �t-����''a°J�C"* ����� DATE^__�'3� NUMBER � � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER ���r� � CITY ES���.%�-�/ 21P��� TEL•'S`�d''� ' ZONING SETBACKS w F s �-- �*'�_ FRONT RW ❑ � APPLICAN��� TEL. S DEISIDE STREET RW ❑ � r � a� CONTRACTOR A'd4k��,r`�1����:.-L3xitzc".l,� SIDE ❑ p� ADDRE S � "' ' - PROPOSED USE O CITY � 21P ��7`� TEL.`� "� '�=� Q ARCH/ENG/ w OESIGNER NO.DWEL. NO. NO. 0. ADDRESS UNITS___ STORIES BEDROOMS a CITY ZIP TEL._ � DESCRIPTION SQ.F7: FAGTaR PSF ADJ.AREANALUATION � OWNER-BUILDER DEG.LARATION SFFi/ADDlREM O (� I HEREBV AFFILBM UNDER PENAL7'Y OF PEAJURY THAT I AM EXEAAPT FROM THE CONTRACTOqS U- � Garage/Carport W CENSE4AWFORTHEFOLLOWINGpEASON(SEC.7o37.5BUSINESSANOPROFESSIONSCf10E�:AIVVCI'FYOR C� GIXINTYWHICMREWIflESAPERMITTOCONSTRUCi,ALTER,iMPROVE,DEMOLISH.ORR�PAIRANYSTRUC� W PgSi0/DBCk � TURE,7RiOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PEFMIT TO fILE A S�dNED ��� STATEMENT NAT HE OR SHE IS LICENSEO'PURSUAN7 TO�7HE PRbVISfONS OF THE'CbNYFL1CTOpS LI� W � CENSE V W(CHAPTEP e(COMMENGINo WITH�5ECT10N 7000)OF 0�YI510N 9 OFTHE BU�iN�$S ANO PRO� U' POOVSpa FESSIONS COOE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS fOR 7HE ALLEGED EXEINP• 710N.ANYVIOLATpNOFSECTION7o37.6BYANYAPPLiCANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z RB-ROof r ACMLPENALTYOFWOTMORETHANFIVEHUNIXiED�OLLARS(SG001.I: � � -�, � ❑I,ASOVMEROFTHEPROPER'nSdR��EMPIAYEESWITHWA6ESA57HEIRSOLE�COMPENSATiON, ❑ COrtfmBfCid) - � WILL DO THE WORK,AN�THE STRUCTUFlE IS NOT INTENDm OR�OFFERED FOR SALE�SEC.7�a4,9U51- J � NESS AND PROFESSIONS CODE:THE CONIAACTORS LICENSE LAW OOES NOT APPLV TO AN OWNER OF = PROPEFiTY WHO BUILDS OR�IMPROVES THEpEON,AND WHO DOES SUCH WORI(HIMSEIF'Oq NERSELf OR (L THROUQHHISORHEROWNEAIPCOYEES;PRbVIDE07NAT5UCH(FAPROVEIAEMSitpENbTINiENOEDOR � QOFFEREDWHSALEIF,HOWEVER7ME8UILOINGORl.�+ROVEMEN'ISSOIDWITHIIdONEVEARbFC�MPLE• � TqN,THE OWNERAUIL�ER WILL HAVE THE BUROEN OF PqOVMG hiA7 HE OR SHE�DID NbT BUIID OR � IMPROVEFOR7HEPURPOSEOFSAL�. - ' ❑I,AS OWNER OF THE PqOVERTV,AM E%CLUSIVELV CONTRACTING WITF-0 LIGENSED CQN'/RAC70RS � TOCON6TiiUCTh1EPRQIECT(SEC.7014,�BUSINESSANDPROFESSIONSCODE:'1'HE'CON'YFACTOl1SU- VdIU8Ll0� ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWI`1EROFAPROPERIYWHOBUILDSORiMPROVE5THEPEON.AND � VMOCONTqACTSWRSUf:HPRQIECTSWITHACONTPACTOR(S)IiCENSE�pURSUANTTOTNECONtRAO QUAN7�TY DESCRIPTION FEE � TORSIICENSElAW.). �� � J O ❑I AM E%B�APT UNOEFi S�C. B.&P.C.FOR THIS REASON Q � U LL � DA7E OVYIVER V �ef LICENSED CONTRACTORS DEGLARATION � W � � �'f�,���,��+�� . L tlC IHEREBYAFFIRMlINOERPENALNOFPERJURYTHATIAMLICENSEDUNDEPPROViSION50FCNAPTER � _ � � B(COMMENCING WITI�I SECTKKJ 700a)OF DNISION 3 0F THE BUSINESS AND PROFESSIONS CODE.AND Z MY LICENSE IS IN FULI.FORCE ANO EPFEGT. Ld� /� �.ey-y�i-q�—'}� m pUCENSE CLASS �"`c��"�'�LIC.NO.___'^,��--�'�-Q`-C.�� � . ; � U ppTE �aa..+I...`���"',�C.:.� CONTRACTOR i-^^� �"°'""°' '.t q- LaJ � WORKERS'COMPENSATiON�ECLARATION -� 4 � iHEREBYAFFIRMUNOERPENALTVOFPERJUPYONEOFTHEFOL�OWINGDECLARATIONS;"����� � U f8a Q � _INAVEANDIP/ILLMAINTAINACERTIFICATEOFCANSENTTOSELF-INSUREFORWORKeRS' _ ^ COMPENSATIdV,AS PROVIpED BY SECTIOtd 37W OF THE IABOR CODE,FORTHE PERFORMANCE CJ � oFTHEWORKFORWViICH7NISPERMITI5ISSUED. 2 � w t HAVE AND WILL�NIMAIN WORHERS'COMPENSATION INSUFANCE.AS REOUIflED BY SECTION Q 37o00FTHELA86RCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERti�TIS ISSUED.MVLVOHKERS'COMPENSATIDNINpSURkNCE ARRIERANDPOUGYNUMBERARE: CONSTRUCTION � CAHFIER�������4��—�g.� q�� p PLANREVIEW � POUCYNUMBER �-.�LC��L"�'_`�z7 �"`����,j ELECTRIC 'c[ . p (iHISSECiIONNE�NOTBEC(k+�LEfIIlOF7HEP'cRh9f1'ISFOHaIVEMJ�DREDPJIlA.9S(590D)�1E5S7. � PLUMBING _._ __ __ _ W z !CERTIFYTHAT INTHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL (;J SHALLNOTEMPIOYANYPER50NINPNYMANNERSOAS708ECOMESUBJECTT0T4E � WORKERS'GOMPENSATI�NLAWSOFCAUFORNIA,AN�AGREETHATIFISHOUlD0EC0�7E �NSPECTIONFEE SUBJECT70 THE WOFKER5 COMPENSATIO ROVISIONS oF SEC710N 370a OF THE U'BOR � COOE,I SHAIl FORTHWOTH COMP HTHOSE P ON� �SSUANCE p �ATE:���a`�'' J� APPLICAN�. SMIP „w� y ENERGY P/C � WARNING:FAILURE TO SECUHE WORKEPS'COMPENSATION COVESAGE IS UNIAW�UL,AND SHALL BE y� SUBJEGTANEMPLOYERTOCHIMINAI.PENALTIESANDCIVILFlNESUPTOONEHUNOPEDTHOUSAND ENERGVPERMIT DOLLARS(5700.000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED Fqi IN aSECTION37oeOFTHGLA80RCODE,W7EREST,AN�ATTORNEYSFEES. RETENTIONFEE: ______ � CONSTRUCTION LENDING AGENCY PF?E-ALS FEE: O � I HEREBV AFFIRM UNOER PENALTY OF PEPJURV THAT TNEFE IS A CONSTNUCTION LENDING AGENCY FOfl THE PERFORMAPICE OF tHE WOFlK FOF WHICN THIS?ERMIT{S ISSUED(SEC.3097,CIV.CJ, Z W / — � LEN�ER'SNAMIE_ _______ . ../'J ' F— LEN�ER'SAD�RESS . . � - w ICERTIFVTHATIHAVEREADTHISAPPUCATIONANDSTATETHATTHEA80VEINFORMATtONISCARRECT. T�TA�F-EES � � -" � . � I AGREE TO COMPLY WITH ALL CITY RN�COVNTV OPDINANCESANO STATE LAWS REIATING TO BWLDING ..-� . � CONSTflUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTY70 ENTER UPON THE zA80VE-MENTIONEDPROGERTVWfl�NSPECTIONPURPOSES. 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