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_��_ CITY OF DIAMOND BA8 DEPARTMENT OP COIuTML71VI'TY&DEVI�LOPMENT SERVICES 21660 E Copley Drive Smte 190 � � (909)860.3195 Fax(909)861-3117 PRE$S ... $UI���1vG i��R1u� 1PT.�CAT'XUN � `.,` `�� �IRMLY �, F ,,,,a,., � ..... . . .. .. . . ..., . � JOBSITE � � t�q � ApPLICA7iON PERMIT �',j� P/C 6 ADDRESS DATE NUMBER��✓'"� + # � ISSUE � ' TYPE pCC °�' APN �' L TRACT � � DAYE C��.�'� � C� CONST. GROUP p OWNER o ADDR S � � ZONING SETBACKS z ClTY ZIP TEL. V FRONT RW ❑ APPLICANT TEL. REAR ❑ g � SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ o ADD SS , pR�POSED USE " o CI ZIP TEL. �, w ARCHlENG! Z DESIGNER �� � NO.DWEL. NO. NO. °� ADDRESS__ UNITS STORIES BEDROOMS � CIN ZIP TEL., � DESCRIPTtON SQ.FL FACTpR PSF ADJ.AREA/VALUATION � OOWNER-BUILDER DECLAR3VTI�N � SFRlAD�JlREAA Q I HEAEBY AGFIF9A UNDER PENALN OF VERJURV THAT 1 AM E%EMP7 FROM THE CpNTRA(;TORS�I:I� � Garage/Carport W CENSELAWFORTHEFOLLOWINaREA30N(SEC.;091.59U91NE9SANOPflOFESSIONSCOtlE.ANYCITYOR C,j CIX1N1'YVM1CHpE0UIFESAPERMtTTOCONSTRUCT,µiER,IMPRQVE,bENOIISH.OfiREPAIRANVSTRUC� IW P3ti0/D6Ck �Z7URE,PRIOR TO ITS 1SSUilP10E;ALSO-REIXIIRES THE APPLICpNT FOR SUCH PEflMR TO FIIE)15�GN�D � STATEMENT THAT HE OFi SHE IS tJCEN5E6 PURSUM'T TO THE PItOY1SION5 OF THE CONTRACT()P9�ll� C CENSE LAW(CHAPTER B(COMMENCINp WI7H SECTION 7000)OF�IVIS!oN 3 0F 7HE 6USINESSAND PR0- �'!' POoUSpa �F FESSbNSCO�E�OR7HATHEOR5HEI5EX.EMPTTHEFEFfiDMANOTME9ASI5FORTHEALLEGEOEXEl.iP� (,�J � TKKd.ANVVI0LAT10NOF5ECTION7037.5BYANYApPLICANTfORAPERA1175U&IECT5THEAPPLICANTTO z Re-Roof � ACIVIIPENAINOFNOTMOflETHhNFIVEHUN�RE�DOLUR5;55o0).): �:;� �.- ',�� � ❑I,ASOWNERQFTHEPROPERTY,ORAIVE4IPLOVFESW17HWAGESASTHEIRSOIECOMPENSA't�ON, G� COR1R18fCIaI WILL Oa THE YYOHK,AND TIiE STRUCNRE IS tJb71NTEN0ED OR�OFFEliEO fOR SAL.E(5@C.7f7A4,9U51� �.J NESS AND PR9FESSION3 OODE:THE CANTRACT4RS UCENSE UW dOEs IJOTAPPL`:Tq AN 04VNGR OF � PNOPERTYWFiOBU1LpSOPIMPROVESTHEREON,ANDWHODDESSUCHWOR4<HI4ASELFORHERSELFDR � (S TNRIXIGHHISORHERbWN-EMPLOYEES;PROVIDEDTHATSUCHIMPROVEMENT5ARENOTWTEhlOE�OH � QOFFEREDFORSN.ElF,HOWtYERTMEBUILDINGORIMPROVEMEMIS50LDWIiHIN6NEYEARb�CORIPLE- Z TION,7HE OWNEA-BINLDER WILL NAVE 7HE BUHDEN OF PAOVIN4 THh7 HE OR SHE OIR h1U7 eull.[S OR = IMPqOVEFORTf1bPURPOSEOFSAIF). , �-� ":'��. ❑41G4 OWNER CF THE PROPERTY,AM EXCLUSIVELY CAI�17RAt.T�NG WITH LIC[NSe'�CCMTRACTOR5 � TO CpNSTtiUCT THE PRQIECf(SEC.70AM1,BU5iNE55 P7d0 PSi�ES5�ONS CODE�TNr-COYTRACTORS LY- V21Uaii0 ,y__/1DJ.AREA � CENSE LAW WES NOTAPPLYTOAN OWNER OFA VflOPERTY WHC'BUIIAS OR IMPROVES Tl1ER,.r-ON,At7I7 . WHOCONTMCTSFORSUCHPHUIECTSWfTi-IACONTRACTOR�S)�_iGeNsmr�nsunr�rTorwEaNtqnG qUANTITY DESCRIPTION FEE � mas uc�s�uW.). ---- Q ❑I AM EXEMPT UNDER SEC. B.E P.G FOR 7HIS REASON Q � � Q V' DA7E OWNER.�___. – U d LICENSE6 CONTRACTORS DECLARATIOP! � � -� � � w I NEREBYAFFIHM UNOER PENALTV F PERJUPY THAT IAM LICENSED UNDEfl PROVISIONu Of HAPTEP ur � 9(COMMENCINO WITH SECTKiN DIVISiON 3 OF THE BUSINESS A��SS�ONS C ND 7 ��� MYLICENSEISINFULLfORCE E ECT. � � � � UCEN5E CLASS LIC.NO. , „ , J U DATE__ _ _—�- CONTRACTOR_ n- W ¢� WOAKER$'COMPENSATION DECtRRATtON., �� �.�, •Q -° "" - . � �;'�-i _ , . . +.._', , ...,�., . ..��.�:..y..,,; �....... .. , .... .. .,. , � I HEREBY AFflRM UNDEA PENAI.Tf OP PER:IURY tkJE OF THE FOLLOWMG pECLARATIONS: � � � _. C3 �IHAVEANDWILLMA�N7AINACERT�FICATEOFCANSEN7705ELF�INSUREFORWORKFRS' � � CWAPEN6ATfON.AS PROVIDED BV SEC�ON 370o OF TNE IpPOR CO�E,FOa THE FERFOPMANGE �U —._. OF THE WORK FOR WHICH THIS PERMIT IS ISSUE�. � � � ,I NAVEAND WILL MAINYAIfY VlORKERS'COMPENSATION INSUFANCE,AS REIlUIRED 7V SECTION � `. 3�a00F7HELABORWPE.FORTHEPERFOPMANCEOFTHEWORKFORWHICHiHISPEqMITIS � — �"�- `�� ISSUED.MY WORKEAS'WMPENSA710N INSURANC[CARRIER ANO Pa'GV NU7�9ERAfiE� CONSTR�.�CTION � ' } PLANREVIEW _ r� CARfl1ER � POLICYNUMBER � ����Tarc � _ d (nissEctioNN[f�No'raEcaA�PLErEooF'n-�cEw�!rsFottoNFHl�raREnmusnS�Sioqoa�Ess) PLUMBING .,��'h�-,>�...F•.�. � ICER"IFYTHATINT4iEPERFOAMANCEOFTriEYtlORKFORWHICHTHISPERMI`WISSUED,I MECHANICA� (f" SHfLLLNO7EMP40YANYPER50NINANYMANN[RSOASTOBF.COMESUBJECTTbTHF. . � NbRKERS'Cdt1pENSATiONLA.WSOFCALIFOPNIA,AN�AGREETHATIFISHOItL�PEC��Af. INSPECTIONFEE '� SUkUECT TO THE 6YOFSKFRS'COMPENSATION PROVISIONS OF SECTION 370a OG TNE LA80R s h � y'�� ) [^� ~ CODE.ISHALLFORTNWIIHCOMP�MVdITHTHOSEPROVISIONS. ISSUANGE �`��"_�� �r��j L'�"� lJ f � o SMIP �' �-s�i._'� ��z�� ' �l J p OATE: APPUCAM:� s- 'y" Fea .. � W ENERGY�/C��a t,., fi.a 1 . �r �,.,'a a 9.",£,-' —' WARNING:rAiLURE TO SECURE WOflKEftS'COMPENSATION COVERAGE IS UNLAWFJL,AND SHAI.I BE . SUBJEC'iANEMPLOYERTOCRIMINAIPENALTIESANDCIVILFMESUPTOONEHUNDREDTHOUSANO S�=t}F,i,,.�,,zvk,:,t-3 � �OLURS(51a0,0a0�.IN ADDITION TO THE COSTOf COMPENSATION,OAAIAGES AS PROVIDEO FOR M ENERGY F�'RMI'1'"' v J SECTION 3706 OF THE IABOR CO�E,�NTEREST,AND ATTORNEV'S FEES, RETENTION FEE: � � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: _ �1i1�1� � I HEFEBYAiFIRM UJl7EP PENALTV OF PERJUFV THATTHEAE IS p CONSTRUCTION LEN�ING AGENCY y" �..i� n- FOF THE PERWRMANCE OF THE WORK FOR WF.ICH TMIS PEfiMIT IS ISSUED(SEC.3087,CIV.Q.�. . W � LEN�EF'SNAME` — , _, � 1— LENOEF'SA�DNE55 .___ -p��''q-{ . .- � „ W1 CERTITY THAT I NAV EAD IS APALICATION ANO STATE'�1ATTHE ABOYE I O ft710N IS CORRECT. I 4J F A�F S J � I A6PEE TO COM WRH CR1'AND COUNTY ORDINANCES ANO ST S R tA71NG TO BUILDING �/'c����P,. CONSTRUCTI ND N BY AUTViORIZE REPPESENTATNES oF � TY TO EN HE ''�'Y ZABOYE-M E FO S CT . R SES. /` r �� � � ��� COMWENTS�, � _ O � m PERMfTTEENAME(P Q C/J � SIGNATUREOFPERMITTEE OATE = AE�P7.NO. PAID BY _ ___�VALIDATI6td'" _ ~ WHiTE-DepaRment Copy,YELL.OW-Finance Copy,PINK-Assessor Copy,GOLDENROD-File Copy,GflEEN-AppliranPs Copy ��-r.�"�.v �� ����+g�.:;:�,��A��; �:F'"'�s�s ������`����� �����;,���n� , -.. ��,�a.-�.{����€°����'�� -�.�, t��a� .�-:' 6 ��� �e� � � �� €� �,� "���R�i������ �'���,�'� �:='��"���.,: � c �'_���; � � ��,a '''��.��� .� + � . . ;��m. �. e� �p�-.�' ., � �.��,��s.. �. �` ��• �z�"�a =�n-��"`�:�`�°`��":-�� _ � �. .;� Lt' i a,.t k ;€-�r_�3�, '�k. - - � � - '..r S '� �Z .' . 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