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,... _.s._.._.___.__,_�-_�.. . ._ � y,,d D PARTMENTIOFCOMMUNITY&DEVELOPMENT SERVICE��` � ----1�. s _.. � , 216b0 E.Copley Drive Suite 1�� ' ,,... (909)860-3195 Fax(909)861-3117 PRESS 9M_ BUII.DING PERMT'���'��,TCA`TION_. n, .�, „ ;. , 5.a . < . ` ,';, . FIRMLY � JOBSITE �r ... ,;. r,ae�rt�a DATE ',:, �n -,.,.,,,�� �,y V` NUMBER _ .,.. , ,,; .. #.. ��;a t�.,.�i�,kJ _ - 0 ADDRESS����� �� ���I /��_r_` APPLICA'��ON ! 1 � PERMIT r/� �'C�.S P!C , L� � issuE rrPE occ APN LOT TRACT `Z. ��_ p OWNER d��,. NrQ. � ��_B� DATE CONST. GROUP � _.. . ADDRESS �' '�{ �.Q N7�r iv ZOiVING SETBACKS z CI'TY �I CwW' 71�sC� P '�° TEL.�� ' ' '� FRONT RW ❑ REAR g APPLICANT ��d�+ : ��A" - TEL�r"3 °'7,�,�`�j.�['� SIDE/SIDE STREET RW � � CaNTRACTO �E I�d rt� +�i�'/1✓ �+�� ,�/ed' SIDE [_ ADDRESS � � � � i y� p CITY /�4- �L l:Kl E%''1� ZIP " ? TEL'7/� ��'�� PROPOSED USE,';� � � �;��� � �� CC��t f�Cf10 Q ARCWENG! z DESIGNER w NO.DWEL. � NO. �NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS v� cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q ,OWNER-BUIL�ER DECLARATION . , _�" ` ' SFR/ADD(REM O I HEREBY AFFIRM UNDER PENAL7V OF PEFUURV THAi I AM f_XEMV7 FPOM 1HE CONTRqC1'ObS LI- G3feg0/C3fpOf! � W CENSELAWFOHTHEFOLLOWINC.REASON(SEC.7031.58USINESSANOPROFESSIONSCDbE:liNYClI'YOR (n . C7 COUNfVWHICHRC-0UIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,�EMOUSH,ORREPAIRANVS7RUG W Patio/Deck Z T�lE,PRIOR TO 1T3 ISBUANCE,AlSO REGUIRES THE APPUCANT FOR SUCH PEflM1T TO FIIE A'SIQNED �W STATEMEN!THA7 HE OR SHE IS IICENSED PURSUANT TO TNE PROVISIONS OF hiE CON'tFIqC'Y4R51:1- W - CENSE LAW(CHAPTER 9(CqMMENQINO WRH SECTION�oOoJ OF DIVISION 3 OF THE BUSINESS'ANb��PRO- LL' PDOUSp2 �,� FESSpNSWDE)ORTHATHEORSHEISEXEMPTTMEREFPOMAN�THEBASISFORTHEALIEGE`DEYC�MP- (� � TION.ANYVIOLATIONOFSECTIONl031.5BYANYAPPLICANTFORAPERMITSUBJEM.STHEAPPCICANi'70 Z Re-Roof � ACMLPENQT/OFNOTMORETHANFIVEHUNDRE�DOLLARS�tSoo).): � '� '"q`.^��'. � OI.RSOWNEROFTHEPROPERTY.ORMVEMPLOYEESWITHWAGESASTHEIR30LEGOMDBPYSATION. � COrtv7tefCi21 g VALL DO THE WORK,AND THE SiqUCTURE GS NOT INTENDED OP OFFERED FOR SALE�§FC.�7od4�BUSI- ,,.! . � � MESuAND PROFESSIONS CODE:THE CONTRACTORS LICENSE lAW DOES NOTAPPLY Td qN OWIJ�R OF PROPERTYWHOBUILDSORIMPROVESTHEREQN,ANOWHOOOESSIJCHWORICHIMSELFOi�FIER�SEI.F-OR � pC THROt1(iHHI50RHEROWNEMPLOVEES,PROVIDE�THATSUCHIMPROVEMENTSANEN0T1NTENDE�qR m w OFFEREDFOHSN.EIF,HOWEVEftTHEBUILDINGORIMPHOVEA�ENTISSOIDWITHINONEY�AROFCOMPLE- � �TION,THE OWNER-B111L�ER WILL HAVE THE BUiiDEN OF PROV WG THpT HE OR SHE Dld NOT BUILtl OR _ &APROVE FOF iHE PURPOSE OF SqLE). - . . ';I;�° . �y ❑I,ASOWNFAOFTHEPROPER'fY.IME%CLUSIVELVCONTRACTINGWITHLICENSEOCAMF1A�fOfiS ,p,,,�.._ � 70 CONSTRUCT TNE PROJECT(SEC.70Ia,BUSINESS AND PqOFESSIONS CODE:TH�CfSMqACTORS LI• V81U8fion RDJ.AREA� L1� CENSELAWOOESNOTAPPLYTOANOWNEROFAFROPERTYWHOBUILDSORIMPROVESTHEREb'B7,AN0 � WHOOON7RACTSFORSUCHPR0.IECTSWITHACONTRACTOp(S�LICENSEDPUqSUANTTQTHECOHTRAC- �UANTITY DESCRIPTION FEE � TORS UCENSE UW.). ..e:�§'!1-'.. � ❑I MA EXEMPT UNDEF SEC, B.8,PA FOR THIS REASON i Q � ' U , . . � z. . . ... ....�,....-� ��.. .. � DATE OWNEH � � 3� � W � UCENSED CONTRACTORS OECI.ARATION ' y � I HEREBY AFflRM UNDER PENALTY Of PERJURY THAT 1 AM LICENSED UNDEF PROVISIONS OF CHAPTER � � 8�COMMENCIN(3 W1TM SECTION T000)OF ONISIDN 30FTHE 9USINESS ANO PROFESSIONS CO�E.AND z X MV UCENSE IS IN FUI.L FORCE AND EFFECT. o L�CENSE CIHSS ��� � LIC.NO.-_---�o E�� ���p � U DATE � CONTRACTOR E� '� F�^3 OJ- � - LLI ��Q�(°�� � WOflKERS'COMPENSATION DECLARATION � ,,� d � 1 HEFEBY AFFIRM UNDER 9ENAUV OF PERJURV ONE OF7HE FOtLOWING DECLARATIONS: Z � C3 `IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUpEFORWORKEFS' 2 4 COMPENSATIpN,qSPROVIDEDBYSECilON37ooOFTNELA80RCODE,FOP'HEPERFORMANCE W OF TNE WORK FOR NM�CHTFpS PERMIT IS ISSUED. � � O W _IHAVEAdJDWILLMAINTAINWORKERS'CCMPENSATIONINSURANCE,ASREOUIRED6YSECT14N 0 370o OFTME LABOR CODE.FOR 7HE PERFORMANCE OF THE WOPK FOR WHICH THIS PERMIT IS '-- � �/� ISSUED.MY WORKERS'COMPENrSATION INSURANCE CARRIER AND POLICV NUMBEF ARE: CONSTRUCTION ���o jCARi11ER �'G'"�'4� , L� � .. . PLAN RE I . .. . . . . . . Z POLICY NUMBER �V G1,"C ��E j C� ELECTRIC Q 0 (SHASSECTIONNE�NO'fBE0�1.9Pl.EfEDOFiHEPEFMTISFmqONEI�RNAI3EDWLLAR„(310o�ORLESS). PLUMBING ______ Z I CEH'f�FVTHAT INTHE PERFOPMANCE OFTHE WORKFOR WFIIGH TNIS PERMIT IS ISSUED;I MECHANICAL (� SHALLN07EMPLOYANYPERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE � WORKEFS'CAMPENSATIOMI,AWSOFCALIFORNIA,ANDAQREETHATIFISHOULDB6CONIE INSP EE SUBJECT TO THE WORKEftS'COMPENSATION PROVISIONS OF SEC710N 870D OF THE tABOR /�y = CADE,I SHALL FORTHWITH COMPLY WITH TNOSE PPOVISIONS. S NCE ��+'O p DATE: APPLICAN7: �P ��� J WARNING:FAILURE TO SECURE WORKEftS'COMPENSATION COVERAGE IS UNL4WFUl,ANO SHALLBE ENERGY P/G � SU&IECTANEMPLOVEFiTOCRIMINALPENALTIESAir'OCIVILFMESUPTOONEHUNDREDTHOUSANO ENERGYPERMIT �� DOLLAFiS(5700,000�IN ADOITION TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED�FbH IN � SEC110N77080FTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: OCONSTRUCTIONLENDWGAGENCY � PRE-ALTFEE: � � 1 HEftEBY pFFIRM UNOER PENAITY OF PERJURV TMATTHEftE IS ACONSTRVCTION IEND�NG AGENCY FOR THE PERFORMFNCE OFTHE WORK FOR WHICHTHIS PERMIT IS ISSUED(SEC.3097.CIV,C.j. �+TT ,�/��m n A.'[�����. .��. ..: ... ..... ... . Z Y"�S�VS'�c�t'�#/#��!!C W �r�rv n � LEN�ER'SNAME . ' �� � . , �,T ��s�� F- LENDER'SAADHE53 � ICEflTIFYTHATIMAVEREADTHISFPPLICATIIXJPNDSTATETHATTMEABOVEINFORMATION.ISCOiiRECT. � TOTA�F�ES //�� ^ ���� . �� � W IAGREETOCAMPLVWIiHALIC�TVANDCOUNTYORO�NANCESANDSTATEtAWSRELATINGTOBUILDING � J J _ � � � CONSTRUCTION,AND HEREBYAVTHORIZE REPRESENTATNE9 OF THIS COUNTYN BJTER UPON TME ! A Z ABOVE•MENTIONED PfiOPERTY FOR INSPECTION PURPOSES. �� � COMMENTS � '� b���� ������ �--- � . . m � i Q PERMI E NAME(PRINT ' . r � �� . . ,✓„"s / . - . � . . � Cn '�d�'. � � .K a �1.�e_ �� . .. ,... . . .. � _>�.a,,.. � �._ +.: � S16NA U O RMITTEE ' ' ' " DAT . ' ' � � .. RECPT.NO.�- � PAID BY �� VALIDATYON � WHlTE—Dapartment Copy,YELLOW--Finance Copy,PINK—Assessor Copy,GOLDENROD--Fite Copy,GfiEEN—ApplicanPs Copy - ��� � � � � �°�� �� ,., . � . � � .:�..r ., :,_ � : �. � � d . � � � _ ; � . � � a � � � ��ry�����d �_____.— � , x��.������s� � � i �67�"'°^�,.�3�i"��ts`?�t€ &_.� � � ,A o� � E f�"P"t k"Su._1xY3V��+.�."F � �J_ € p .r ......_.—. _„ � r-.__. , .. �_.�._...._.._.. 9� r� �^ p-y �^_(�^;�p _... _ T._..._..._ __.�.._ ._.."_— �L-:...v� ��}4.F L,:�-,,.i'��.�Y� ... . ' '_ . . � � kJ�€LI�CR �P.wa.i�:T€JLl�T� '�,�p[ _�` S ��°�iw f�t?; s � @ r1,�sp`�%P�'� a.3 ......�_�._ _.� E �!�L.P.M�$l��t.�i��$ ,€`.�1°�t�.Vi�`€ —�_.. �_�..__ �1 . ___ __ _____ _ �_ � ._�. _ ___ ��� �"��i� ` ` � ; �-€r' �'� ��� ������A`�"]{,;',! i ..� i ___.____w..-_ � � �.:��������' � �_._uFe___-�—�..�. 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