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��_ CITY OF DIAMOND BAht � DEPARTMENT OF CO1VJ[MUNITY&DEVEI;OPMENT SERVICES �� w 21660 E.Copley Drive Suite 140 4t"` � �,:. � ��>s6o-3i�s����tl9>ssi-3�i}?. � � �. � PRESS BUII.D ,,�''�P�RNlIT APPLICATI�'UN `� , `, ,. �' , , , ;, ., FIRMLY ,,,.a�=. . . _ .,�„�... .. , .,. .. , o� JOBSITE � � I � APPLICATION� � PERMIT ^� + P/C ADDRESS d� DATE � '��1��� NUMBER � �,�1. # � ISSUE TYPE OCC APN • LOT T ACT._. DATE CONST. GROUP p OWNER � o ADDR SS l ZONING SETBACKS w C{TY ZIP TEL P33 FRONT RW ❑ � APPIICANT ' � '` � `,TEL.,�Y. ' �' REAR ❑ � '`� _ SIDE/51DE STREET RW ❑ � CONTRACTOi� f.�/sX .✓� �-`%� ��,�) '7'�L��,'._���+E SIDE p AD�RESS PROPOSED USEr �.f,.a.�°G /�' /;� O ���� � ���s�� CITY ZIP TEL.� oARCH/ENG/ 4a r�',rA�� t� ! t� ��,, DESIGNER N0.DVVEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N � cn DESCRIPTtON SQ.FT. FACTOR PSF ADJ.AREr1NALUATION p� OWNER-BUILAER DECLARATION SFRlADDlREM O I HEREBY APFIHM UNDER PENALTY OF PEiUURV THAT I AM EXEMPT FRQhS THE CONTRACTORS LI- �a�age/C87po!f W CENSELAWFOfiIHEfOLLOWINGREASON(SEC.7037.SBUSINESSANDPROFESSIONSCODE:ANYCITYOR (�j COUNfY WHICH REdARESAPEHMI7TOCONSTRUCT,ALTER,IMFROVE,DqAOUSH.OR REPAIRANY STRUC• W IDRE,PqpR TO ITS SSUANCE,AL50 REf]UIRES 7NE APPUCANT FOFl SUCX PERMI7 TO FII.E R SIGNED W f'afi0/DBCk � � 5TATEMENT THAT HE OR SHE IS UCENSEO PUR&UNJT TO THE PROVISIONSbF 7HE CONTRAC70R5�L6 CENSE LAW(CHAPTER Y(COMMENClNO Wlhl SECTION 7000)OF�NISION 3 OF THE BU31NE33AND PRO- LL' POOI/SP2 FESSIONSCOOE)OHTW1THEtlR5HEt5E7CEMPT7HEREFROMAN4TNE8ASI5FORTNEALLEGEOEREMP• (� TION.ANVVIOLA7pNOF5ECT10N703L5BYANYAPPUCANTFORRPEHMITSU&IECTSTHEAPPI.ICANTTO � RB-RoOf � �GtVILPENAL7YOFNOTMORETHANFNE�HUNDREDDOLLARS�S5oo�.): � ❑I,ASO'NNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASiHE1R50LECOMPENSATION, CommOrClal � MALL DO THE WORK,AND TaE STRUC7URE IS NOTINTF.NOED(SR OFFEPED FOR SALF(SEC.�0�4,BU3b a � NE55 ANO GFOFESSlONS CODE:hIE CANTRACTORS LICENSE UW DOES NO7AopLV TO AN�OWNER OF = PROPERTV WHO BUILpS tlA IMPROVES THEREON,ANC YMO DOES 6UCH WORK HI475E1F OR HERSELF OR � THROU(iNHISORHEROVdNEMPLOVEES.PROVI�EDTHATSUCNIMPROVEMEMT3AREN07!NTENOEDOp � Q .OfFEREDFOR3N.Etf,HOWEYER,INEBUILDWGORIMPROVEMEMIS$OLAWRHINpMEYEAROFCAMPLE _ Z �iION,7HE OWNEH•BUILDER WILL F1�4E T}1E BU67DEN OF PROVIN�3 TiATHE bR SNE DI�NOT 6UIID OR IM�ROVE FOH 7HE PUR?OSE OF SALE). ��j,J ❑I.ASOWNEROFTHEPROPERiY,AMEXCLUSNELYCONiRACTING'M?HIICENSEDfANTRACTORS � � TO CONSTM7CTTNE PROJFCT(SF.G 7odd,BUSINESS.WD PROFE55!ONS IX7bE:'TNE CONTRACTORS'U- �Valua4icn �. ADJ.AREA W CENSELfWDOESNO7APPLYTOANOWNEROFAVAOPER7YWNOBUILDSORIMPROVESTHERCON,AN� � VhIOCONTFUCTSfORSUCWPqOJECTSWITaACONTRACTOR(£)IICENSEDPUR£UANTTQTHECONiRAG 'QUANTITY DES.�',SiIPTION FEE � TORSLACENSELAW.j. __ / � ❑i AM EXEMPT UNDER S�C. ,___,^____,__6.&P.C.FORTNIS REASON d � ��G:r �[! /�'/��F � �A7E f7\NNER � 'h .�_..�..� �°%� /i'��%�� — q -- L�'_1 �_—'_ _ � LICEN56D CDN7RACiOR5 DECLARATION � . . - � � 1 HEflEBY AFFIRM UNDEfl PENALTY OF PERJUHY THAT I AM IiCENSEb UNDER PRQV�.SION5 OF CHAPTEP. � � B(COMMENCIN(3 WITH SECTION 70a0)OF�NISION 3 OF 7HE C1151NF.55 hNC PROFEuSiONS COOE,AND Z � MY LICENSE IS IN FULL FORCF.AtdD CFFEGT � � � LICENSECLASS_ LIC.NO.,� , � � OATE _,�_.�______ CONTRACTOR_. �..._.�__�. [L. .—. � WQRKERS'CUMPENSATIOM DECLARATION 4 � - � I NEREBV AFFIRM UNpER PENAITY OF DERIUAV ONE OF TNE FpLIOWING OE^LAAi+T!ONS: � ' L) �!MAVE AND'l�fllL MAINTAItd A GEFiTIFlCATE OF CONSENT TO SELF�IP'SIJRE FOR WORKEHS' � ' ��� ' �� .. '.�' -�'-�'���-� ' .'� � COAIPfNSAT10N,A5FROl�IDFfJBYSECTION370obFTHELABORCOpE,FOR7}i�PEHfOfit�ANCE C3 .__ ___ _____ � � OF THE WOR%FOYi WHICH 7HIS PEIil.91T IS ISSUE�. � _i HNVE AND WILL MAINTAIN NlOflKEflS'WAAPEN5A'flGld IM1SURANCE,AS ReQuIFiED 17Y SECTION � 37nD OF THE!ADOP CtJpE,fOR 7HF.�ERf-0PMANCE OP THE WORtt KUR WHICN?41S PERMIT 7S ISSUED.AdYWORKERS'(�PAPENSATIYlNINSURAFCECARRIERANDPOLICYNUMBERARE: CQNST'flUC710N J '— j CARRiER_'__'_ _______"�—__—�'_ PLANREVIEV'1 � �a.�crrdur�aER._. CLECTRIC � �r^��"'�. � . � � -- _---------- � ,:..�� � (tFassec.-t�r�mr�oraectw�.�oo�r-r��re*�rt�r�aaEwxs�aEoo�wnsG+oo)oa�Ess�. � PLUM6ING ���`�` � iCERT1fYTHATINhiEPERFORMMICEOF'.NEWORKFOR.WiiCHTHI.iP=RMiTISI55UE0,'�, � MECHANICAL d� SHAL4 NOT EiAPLOY ANV PEASON IN ANY MANNER SOAS TO 9ECOME SU�.i�CT TO YHE u.b � WbRKEFS'COP.iPENSATiONLqW50FCALIFORNIA,ANDAGREETHATIFISHt�ULDOECOME INSPEGTION FEE �"�`'� SU&IEOT TO?HE WORKERS'COMPcN5hT10N PROVISION5 OF SEC?I9N 37C0 OF THE IABOR p �^ '" � COCE,I SHAIL FOHTNN7TH COMPLY WI1H TH0.5E PROVISIONS. �SSUANCE ��j j� �-.5`�,�Y��� �_ --�--�—t-�---�``�' r C�G� � SMIP CA'�--_w'�..����.; ,y — p DATE: APPLICANP. ___, ,. .�, � f; '"�� � l--��� SJ 'a m J W A R N I N O:F A I L U fl F T O S E C U R E W O fl K E R S'C O M P E N S A T I O N C O V E R A G G I S U M L A W F U L,A N O S H A LL B E �NERGY P/C�.''� .� �cR 5 � � SU&IEC7ANEMPLOYEFTOCRIMiNALPENALTiESANDCIVILFlNESUPTOONEFIUNOREDTMOUSAND �• 9k�-"4���.� �OLLARS(5700.000).3NAO�ITIIXdTOTHECOSTOFCOMPENSATiON,DAMAGESASPROVI�EDFORIN ENERGYPER�"fI � SECTION37080FTHEL480RCODE,INTEREST,ANDATTORNEYSFEES. RETENTIONFEE: _ OCONSTRUCTION LF_NDING AGENCY PRE-ALT FEE ______ � I HEFE6YAFFlRM UNDER PENAL7Y OF PERJURY TFihT THERE 7S A CONSTRUCTION LENOING AGENCY FOF THE PERFORMANCE OF?HE WOFH FOR WHICH?MS PERMIT IS tSSUED(SEC.3097,pU C.). Z W � LENDER'S NAME _ __ F— LENDEF'SADDRESS � ICEflTIFVTHATIHAVEAEADTHISAPPLICATIONANDSTATETHATTHEA80VElIJFORMA710NISCORRECT. �OTAL�EGS � IAGREETOCOMPLYWITMALLCITYANOCOUNTVORDINANCESANDSTATEtAWSRELATiNGTOBUILDING � �, CANS7RUCTION,AND HEREB'/AUTHORIZE REPRESENTATIVES OF TNIS COUNTY TO ENTER UPON THE Z ABOVE-MENTIONED PROPER�FOR INSPECTION P'RPOSES. � COMMEIJTS � �' '� -�✓� '+^; �?,� _ � R TTEE E(PRI r�p�7 G%) j{r � SIG U ERMI E�+ . DATE '�- �'� � ��+_,4 = RECPT.NO.���_PAID BY (� �VALIDATION �T' � WHIT —Depa,rtmen4 Gopy.YELLOW—Finance Copy,PINK-Asseesor Co GOLDENROD—File Co GREEN— py. py. ApplicanYs Copy ,.. . . ..... '�.i,:..�. '�:�e' ,.�.. �:�..r...,., .,F. a ., ;::.. r�. � - .' ..�� 4 . _,. i:. ... � �!':�� .r 1-•�: �• .4.:i. ,,.c�. ".'" 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