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� ,. .,. : _, �`, CITY OP DIAMONb BAI� � �1 ----�'�— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES <'—�''� �,w ai66o s.copiey n�;�e s�c�i90 . _ . �� ' PRESS 9�;,, (909)860-3195 Fax(909)861-3117 Bu�I,�i�IG`P�R11KI'i`APpI.ICATION _ ' FIRMLY . . .. . . , . .; :� �z,.. �� ,:,..,...,.� � _ . _ .�._ . ; �� �..,r _... � � � � �� _.�,.a;a r��� • y�, OBSITE ; APPL�CATlON � � Q PERM�T ���j l P/C ADDRESS DATE � Z�' V NUMBER � a""r s�6 # � ISSUE TYPE OCC �1PN LOT TRACT DATE � ��' �� CONST. GROUP p �OWNER "� ! " ADDR . ZONING SEfBACKS � CITY ` �ZIP �/ TEL�dL s',�/' FRONT RW ❑ W � � � � .fCPPIICAN7 T,-xn TE�. ���3� SIDFJSIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS_ PROPOSED USE " " t' C� '`h"� 1'f.�^-.�S " �. � CITY ZIP TEL. Q ARCH/ENG/ I�f�;,nS i oh. - z DESIGNER NO.DWEL. NO.� NO. d ADDRESS UNITS STO'RfES � � BEDROOMS � ClTY ZIP TEL. � DESCRIPTION SQ.Fi'. FACTOR PSF ADJ.AREANALUAT90N cn � OWNER-BUILDER DECLARATION , , . . SFR/A6O/REM O p 1 NEREBV AFFIRA4 UNDER PENAL7V OF PERJURY THAT I AM E%EMP7 FROM THE CONTRACTORS LI- GBfecjB/Ce�pOtt W CENSEUWFORTHEFOLLOWINGpEASON(SEC.703i.58USINESSANOPAOFESSION5C4DEiANVCITVOR (/} . � COUNTVWHICHREWIRESAPERMITTOCONSTFlUCT,AL7ER,IMPROVE,�EMOLISH.ORREPAIRANVSTAVC- �W pgt101D6Ck W NRE,PfllOR TO I7S ISSUANCE,ALSO REQUIRES THE APPIICANT FOFl SUCH PEpMIY'YO'FIL.E A SIGNED W � STATEMENT iHAT HE OR SHE IS IJCENSED PURSUANT TO THE PHOVISIONS OF THE CONTRACTOfiS li- � CENSELAW(CHAPTFRB(C:OMMENCINQVYITH.SECTION7W0)OFDIVISION30FTWE9U51NESSAN�PRP �'1' PooUSpa FESSIONS CODE)OR?HATHE OR SHE IS EXEMPT TH�REFROM AN�THE BASIS FOR THE ALLEOED E%EMP- TION.ANYVIOLATIOWOFSECTION7031.58VANYAPPLICANTFORAPERMRSUBJECTSTHEApPI.ICANTTO 'Z g-pppp �'.� � ACMLPENALTY OF NOT MORE THRN FNE HUNOREU�OLURS(5500)J: - " � � ❑I,ASONMEROfTHEPROPERTY,ORMVEMPtAVEESWITHWqGESASTHEiRSOLF..COK4PEN5ATIDN, L� Commercial � WILLDO THE WORK,AND THE STRI/CTURE IS NOT WTENDE�OR OFFERED FOR SALE'(SEC.'7oad,BUSI- J NE55 AND PflOPESSIONS COOE:T}IE CAtJTPACTORS UCENSE I.AW OOES NOT A�PlVYO AN'OWNER OF � PfiOPERTYNRtOBU14DSOPMAPROYESTHEREON,.4NDWHODOESSUCHWORKHIMSE�KOHWEF3SELFOR � � THqOU6HHISORHEflOWA'EMPLOYEES,PROVIDEOTHATSUCHIMPPbVEMENTS�ARE'NOTJMENDEDOP m W OFFEREDWRSALEIF,HOWEVEF4THEBUILDINGORIMPROVEMENTISSOI.�WITHINONEYEAROFCOMPIE ZTION,THE�WNER�BWLDEfi WILL HAVE THE BURDEN OF�PROVING THAT HE OR SHE DiD NOT$UILD OR � IMIPHOVEFORTHEPURPOSEOFSQEI. . '::.' '" . ' `` ❑I,AS OWNEHOF7HE PROPER7V,AM EXCIUSNELV CONTRACTING WITH LICENSEb CAIdTRACTORS Q TO CONS7RUCT THE PHO;IECY(SEC.7of4.BUSMESS ANb PROFCSSIONS CODE:TfTrIE CONTp,ACYOpS�I- �� V31Uetlof7 � ` '`^ADJ.AREA NL CENSELAWDOESMOTAPPI.VTOANOWNEROFAPROPERTYWHOBUILOSORIMPpOVESTFIEREON;AMD � YMOCONTRACTSFORSUCNPROJECTSWITHACONiRACTOR(5)LICENSEDPURSUAN770TH�CONTFAG �UANTITY DESCRIPTION FEE Y TORS LICENSE LAW.), � Q Q � ❑IAMIXEMPTUNOEFiSEC. .BP.0 O THISREASON � 3. C5 _ ,.w g�a... - � � DATE ? "" OWNER �" z w � oe� LICENSED CONTRACTORS QECIARATION �. �j L'L 1 HEHEBV APFIRM UNDER PENAI.7V OF PERJURY7HAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER � � 9(COMFAENCIN41 WI'fH SECTION 7000)OF ONiSiON 30F TNE BUSINESS AN�PROFESSIDNS CA�E,ANO z MY UCENSE IS IN FULI FOfiCEAND EFFEC7. � �ll O LBCENSE CLASS LIC.NO. � V DATE CONTRACTOR � ���� 0- � w � VdOF1KER5'COMPENSATION DECLARATION � � U � i HEREBYAFFIRM UNDER PENALTY OF PERJUAY ONE OF THE FOLIOWING DECLARATIONS: � � . ¢ 0 _IHAVEANDWaLMAINTAINACERTIFICATEOFCQNSENTTOSELF-INSUREFOAWORKERS' _ � COMPENSAT�ON.AS PROVIDED BY 3ECTION 370o OF THE LA60R C�E,FORTHE PERFOFlMANCE W OFTHE WOAK FOfl WHICH THIS PERMIT IS ISSUED. � � 0 W _I HAVE AND WILL MAIMAIN WORKEAS'COMPENSATION INSl/RANCE,AS RFQUIREO BV SECTION = �j � ' s70o OF THIE LApOR COOE,FORTHE PERFORMANCE Oi THE WORK FOR WHICH THIS pEPM1T IS ' �/ �� ISSUED.kYYJORICERS'COMPENSATIONINSURANCECARRIEFiANDPOLICYNUMBERARE: CONSTRUCTION , d J j CARRIER PLAN R IEW Z POLICYNUM9ER ELECTFiIC _______ ____.__.___— ¢ Q (IHIS3ECTCNNE�NOTBECON6�LETEOOFhIEPERMIfISFORONEFiUNLNiEDDOI.LAf7S($7oD)ORlESS). PLUMBING Z I CERTIFYTHAT INTHE PEflFORMANCE OFTHE WORK FOR WHICH TNIS PERMfTIS ISSUE�,I MECHAMCAL (3 SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBECOMEStJ6JEC7TpTHE / � WOPNE0.S'COMPENSATIONlAW50FCALIFORNIA,ANDAGREETHAT�FISHOUCDBECOME INSPEGTIONFEE �/I Y � SV&7ECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370o OC THE IABOR ' //�/v- S CODE,ISHAIIFORTHWITHCOMPLYWITHTHOSGPROVISIONS. ISSUANCE r- + � p DATE: APPLICANT: _ � ENERGY P!C ,J WARNING:FAILUflE TO SECUAE WORKERS'COMPENSATION COVERAGE IS UNLAN/FUL,AND SHPL'�_BE � SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FMES UP TOONE HUNDRED THOUSAND ENERGY PERMIT OOLLARS(S1Co,Wo),IN ADDITION TOTME COSTOF COMPENSATION,DAMAOES 0.S PROVIDEO FOP,IN — � SEC710N37080FTNElABORCODE,RJTEREST,ANDATTORNEV'SFEES. RETENTIONFEE: � � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � I HEflEBV AFFlRM UNDER PENALTY OF PEPJUqY THAT THERE IS A CONSTRUCTION 1EN01NG A6ENCY FOR THE PEFFORMANCE OF THE WORN FOR WHICH THIS PENMIT IS ISSUED(SEC:J08�,CIV.C.). , Z W — � LENDER'S kAME - �� '' F— LENDER'SAODRESS � � � � TOTAL FEES � I CERTIFY THAT 1 HAVE REAO THIS APPIICATION ANO STFTETHAT THE ABOVE INFORMATION IS CAqRECT. � � W t AGREE 70 CAMPIY WITH ALL CI1Y A4D COUNN ORDINANCES AND S7A7E IAWS FELATING 70 BUIL�ING h '`] p'� � CONS7RUCTION.AND HEREBV AUTHOf112E REPRESENTATNES OP THIS COUNTY TO ENTER UPON TNE � ��� I / ) � ABOVE�MENTIONE�PROPERTY FOR INSPECT�ON PURPQSES. / �r� Q � � , ^ 4 COMMENTS__� � � �g��' ( / . J �� ¢ RMITTEE N E 6P{LNn � , �.w .y CITY OF DIAAMND��F'ET�Y' „ 1�i.,.� ..` � J 4- SIGNANqEOFVERMITfEE DAT f r �� 'A� � � � RECPT.NO. /�PAID BY •�� VALIOA710N� ~ WHITE—Depertment Copy,YELLpW--Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GFEEN—AppiicanYs Copy � � � � . _ ; �� � �"� ..��� _ �_' � - � � � �: � � ; � � � � � �,. ; ..,. �� , � � � � �r-f ��i�. ;�; ` ; , r=L�r�� �+ I'�� : .... � � _�__.�� � � s "�°� � ���-s�""i'�k�_ 1 ' _ i FI--A����4f�'� .�_ �_..�_�.�—...--___ ---- ._L���t�«����"�a.�t�:�::tV I � ___._..� � ._� t �� �.____._w�`�' ��Y� _?_.�._ ___�_._ �___ ��s��3 F�5 ;~�t��� �tt1,m,e � �.�_. _ � ______.�_ < a-� � #�2pe�;-� I 7 n ^- r~^r r'°°' � - ---�---..�........�_ . € .�: �t�� �� ''`W...aa4�;Yz.�tsle; � � �s����1 i�., l�,�a x.,-...,�("a���,d� .. �_ . ._--�--_-_.—_ . .. . � r � ___ ..�---_..._..,v„.. _.___.� ___w___ _ � . - j � ...��...x `9�s��"�.7�'at"-{.��.i�. � �F � �"'��i�.��..,..�i�.r��r'..il��.�x����1 !� - '#�� ...e.�.«_.� ` _.S _ __.,.,,._�«.��_._,_.,-..-_. „ p�-g^� pq pq �6��t"��-"Im' "Sg'�.P"D'_�.« I _..,.�.k� ' C �6"tL �3i,����YJ�\?b�d,��r�'�s j �( � . . � . .... ., ._..»._...�. . . . ._„„„_._�_...j . ���3r�"� ?� '�,;� 3=;a 'C''� j :�� : i ���i� r����'r �r� _.��i�� i � - - .. _.�.�_. ___..__.....___..� � �'�Ra:r��;���'!-ii��� -�_ ��� _ � �� ' � �i. �Ci�����?�1 � _.._.____ _. _.___. � a- _ ,__.�.,, ,_._.----�.�_ ___..__..� �`�;- � , .� : ------- ---_ �'P�;6=,a�s"� �x_��% `'7s�1 j€§� � j �'��1i�,i_�i�'�� =i��'�t�� ; CS4.P�"�a,�t .�3�'g�� _-«.a=r...�{• ��„_,�.,„����� --m'--5 � ( �"'-e--i".��""aii-Sr'"��i�k�4� �_........�___.�-""`--"� �....,......_....._�.�...._.�.,,>....�'" '+-d��bi,i��,_ .:3.__�_....._.�._...___ i � �'3��.k`�.:a+.: ���3� � � .1.....'..._��''a�:l.�'i}"{��� t µ�� . �... ..+-. _� .-.�. —_....mi ,�-*�^y ¢'°� q p Ye. ���'ra,s�%�f �'# ���k"..s.....�..-...... ..,...._,.........._ 9�.„,..-.,..�.....�._.e._ i E"'t'..J;�S. �L.."'S-"^4b fE�S..;�7 T.. ...�... y�.�_��._ -�._._.. ._..�....� 1 � ����p (y �rv� qj�� �� �'�d"„n 4: : ,a fia..3ei4�f'.' - f 1 �'�(�,�b"31��`'-.'.T"dti.8B7$L..k ....w.... .,...._.._� �. ......__..,--�� 3 a�z�.7b�dl ''�1'�f E.`�. �:`..;P �� .�_...�.....a...a4.._.... ���@ a"_.F.��.A i`�t�vt' � tl�� .. ..�._._ ; � `��," ^^s �r�: €<��;sa_ � i P�`,�a`� �=��t3s"`r�.�,t",� --`—'-t-- � _ _ .__— . . � °td�'r� i =�t.>�'�"����,� f E_� _- �__— ��'C�'��.a��P�d°� �_ . ...._ �.�____.�_ _JM� . 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