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, �� , , .a� �'0 �Ci�'Y OF�DIAh�i0�1)�A� � %'� f ,. _ b��I�A�TI�EN'��F��?+Jfi��]NITI'&i I�EVELOPMENT sEItVICES ;� � � _ � 21550�.Copdey&3rave�Sr,�te l� �°^_�--~'`� -:�« {s�>�-�i9�����>�si-3fl�� PFiESS 9�°���' - �U1f�D�G�EE �����.�C�TION .'. ' =- FIRMLY � ADDRESs , DATLI,�ATIOM PERMIT ���� P/C JOBS9TE� oL�'-�`��� . , E �NUMBER. #. � iSSUE� TYPE QCC r APIV LO�', �Fid�CT DA7E CONST. GROUP � OVVNER ti/i•:�a� �*LC�.2�-�_.. � ApDREcg ZONING SETBACKS � cirv _ zi� . . aE�..�`3��'-�-��� � �s�or�9 Rw ❑ Q. APPLI�P,NT ; '@'�L. R�AR ❑ .. � SIDFJSIDE STREET : RW � CON'TF?ACT49F8 , a �a SiDE � ADn�ess s�. . ��o�os�p usE�„��-6�./,/��ic"-��`/.�l' � CITd I Z9P ��L. �'� -5 � ��'` � �RCWJ�EdGI ',�p� — � z DESIGP�9ER �.a �� ��� 9V0.D1�lEl.. NO. ,; IVO. � ������5 �1N0'�S ` STORI�� ��BEDROOMS CITV ��"A:1; YE�L. c�✓z 3 ~ �' DESCFiiPTION SQ.FT FACTOR PSF ADJ.AREANACUATI � . . Q1P/NER-Sl9iLDEi3 DECLhRATIOPd . . oN � , � SFR/ADD/RE�A � � � �� . 1 HEREBY AFFIqA9 UNf]ER PENAL7Y OF PERJURY T-lAT I AM EXEMPT FR00.4 THE CONTRACTORS LF G8f80�/C�fpOfl 1�16 CENSELAI11FOATFiEWLLOWIN�S�REA50P1(SEC.7o31.5�USikESSANDPROFES510N5CODE:ANYCITYOR � , CS COUMiYWHICNREQUIf3E5A�Ef�fJ�ITTOWNSTRUCT,ALTEH,IM?ROVE,dEPAOLISH,ORREPAIPANYSTqUF [�J PafiO/DBCIC , � TURE,PRIOR TO ITS lSSUANCE,ALSD REaUIflES YHE APPLIGANT FOR SUCH PERFRIT i0 FlLE A 51^uNEO � Wp STATEMENT YHA7 HE OH SHE 1$LlCEFESE�PURSUANT TO.THE PROYISfONS OF THE CON7RACTORS Lb ��,I ��...CEN$E IAVd(CHAPTER 9(COA1kIENCIhG WITH SECTIqN 70a�)OF DIVISION 9 OF THE BUSINfSS ANO PRO- � POOUSp2 ' � � � FESSSONS C1JDE)OF.4HAY HE OR SHE IS EXEMPT TNEREFROM dND 7HE 6A515 FOR THEALIEGED EXEMP- '�, � TION.ANVVK7LATlONOFSECTION9o31.S8VA�VAPALICANTFORAPEAMITSUBJECTSTHEAPPLiCANTTO � � RB-ROOf . ACBML PENAL7tl OF NOT MOFiE 1APo FIVE HUNDRE�DOLLARS(^a50o�.): ' ---- ! � ❑I,ASOYdNEROFTHEPflO�ERT',OftMYEMPLOMEESWITHWAGE5A5YHEIRSOLE('AMPENSATIOM, � O COPiirtlBPCiflI � � ' '� .� Ydlil�O THE WORK,ANO THE S166fJGTURE IS N07 IN7EN�E�Ofl CFFEAE�fOR SALE(SEC.7044,2U51- J ��, � :N6^s5 AND PROFESSIONS CACE�THE CANYRACTORS�ICENSE LAW DOES MOT APPLY TO kM OWNER OF � . ,. � �, PROPEFi1Y6Yk00UILGSORIAAP�,tOVE9iH�RECPo.AN�h�R9ilQOESSl1CHNfOAKHIMSELFORHERSELFOR ' HIC � THRDi1GHHI50R4Ep01NNElAp�LOV�'cS,PAOVIf7ED7HA7SUCHIdAPROVEME1dT5ARENOT4P17ENDEDOR � ' �� ', � ,OFFEAEDf-0RSB.LEIF.HOWEVEq,THfi9U1LDINGOp11APROVEPfi�ENTISSOL�bYITHINONEYEAROFCOMPLE- ' � �-�TIOBd.THE OIMdER-EUILDER N.'BLL NAME TNE BURfJEId GF PROVING THAT HE OR SHE D!D NOT BUIID OR . � , , �IMPkiOVE FOR TME PURPOSE o!�SALE�. � � ❑I,ASOWNEfl�FTHEPRC'�PERTY,AMEXCLUSIVELYC:7NTRACTING&\'ITHLICENSEDCDNTAACTORS � '�,, � 'TO WP1STfl�JCT THE PR�JEC?(6EC.70?4,BUSI�JESS NNO PFOFESSEONS COOE:THE CCPdTAACT�flS LI- � \/aIl➢2$IOfI �� ADJ.AREA � I, 9AE ��CENSELAWCOESNOTAPPLY7dR�NOYVRIERCFAPPOPERTY4VHOBUIL�SORIt,qPAOVESTHEREON,AND � �� �� �� ��,WHOCONTPACTSPOP.SUCHPR J!ECTSWITHAC¢JIVTRAGTORiS)LICENSEDPURSUAfdTT0T3iECON7RAP '� �� ' �"" �io�s uc�rdse uvd.�. Q . QUANTlT'Y'Y DESCAIPTtON , � �, FEE � �� ❑I AM EXEPAPT U�1DEF SEC.� � B.S P.C.FOR TM1S REASON Q - � ' '�� � . . '� (i ' i � . .. ' ., �"' DAYE � aMltJER �� .� U �. �, . ,. . � . .� . ..., . . p � ,, . . � .� LICEWSE9 CC3PdTRACTO¢75 DECLARATf�P! —�� W. ��, '. . . . '�, � I HEflEBYAFFIP.M UNDER PENAI{iY OF PERJURY THR7 i AM LICENSED UN�ER PROVISIONS OFCHAPTER �� � �'�, I, � �, �� . B(0.'1MMER`CITlfWfLFi5ECllUNhcoo)OrpfVI510N30FTH[BUSINESSA�NDVAOFESSIONSCO�c,HNO a, � � � '� ', � PAY LICENSE IS IH FULL FORCE Ar1D EFFECT. . � � �, �� ' d LPCEPISE CI.ASS ��� uc.�o.'�/����� � J � oAT� cav=aacroP- „ � a�a � �� � IHAVEAiVDWILLMAIhT �SR7IONDECLR&$ATIO6V � ' ' VI , , .. � - 4MOFP6(iJURY� � '•:�. dVC3FiiCE�S'Ct?�PE � ONEOFTHEFOLtDWIPdGDECLAR ON'a: - � ^ � 4PS _ � 169ERE��a��SA NRASPfd�����IFi.CpTEOFCOtd5Ef3TTO5ELF-INSUR'c OAWOA ERS' ' , . - . �. . VIDED BY"SECYION 3700 OFTilE LA90Fi CODc.FO ._ _, NC�M � � � . OFTHE WORN FOR WNI�li THIS P6RAA!a IS ISSUED. � � � ..� '�. ���I _IHAVEANDlNiI1,UAlYP�INWOqKEF15'WAAPEtd5AT70NIN5URANCE,ASR'cQUIqEDBY iICIV - � � , 37o00FTHELABORCO�E,FbRTElEPERFORMANCEOFTHEWORKFORWHICHT PERPAITIS ep-, iSSUm.MY4YOHKERS'�FAP6NSA710P!INSURANCECARRIEpR.NDpOLICYNU ERARE: �YVS7FIUCT N �� � CARRIER � � � PLAN Fl W . . � �� aoucrrau�seeA . _ � ' E! 7flIC . _ � — �� �� ��sseeriavn�E�rior�ea�a�Erme�'n+.EpEanuriswaoniEHur��DLYNlARSI$iCA�OAL �. P_UP.ABI�NG ��, '�� !CERTIFV TMAY INTHE RERFOI�fNkMCE OFTHE WORK FORN'Fi!CH THIS PERMI o ED,I MEC"r1AR�°iCAL ' I �'� SNALLPVOTEMPLOYAN7PEflSONiNAN7PARNNER5DA5T08ECOME5U0JECTTOiHE �'' '' ', 'tpj WORKEflS'COMPENSAipOP1 LA�WS OF CALIFORNIA,AND AGREE THAT IF 1 SHOUL��ECOME VNSPECTION FEE _ ' - SlJ&IECTTOTHEMIOP,f�RS'COUPENSA7pMPROVISiON50F5ECTION37COOF?HEU90R - - � �'", �� CADE.IS LLF FTiiVd]THCO,i�PLYWITHY/�pSEPROVl510 SSSUA�CE �"'� P'e ' '"���(I e � � , I / ; '� DATE: � �4PPLICAFIT: ! ' � SA�IP . .�� pyp B ''�, � � iMARNI :F URE TO SECUfl'E�VJORKERS'COMPENSATION C6VERAGE i5 U�LAWFUL ANO SFiALL 6E ����C^Y P/C �����`i�����t11�. �, �qp`� SUBJECTAN EAAPLCtlER YO CRI IMALAEiJhLTlES AN�CNIL FIPlES UP TC ONE 6{UVDRED 7HOUSAND ��ERGY PERMIT ' � ' DOLLARS(S1W,OOD),INA061T1 TOTHECOSTOFCOMPEPdSATlOiJ,DARSAGESASPROVIDEDPoRIPi ' � 9ECTION 37oe OFTHE LABOR CO�E,IN7EREST,ANDA'TOflIVEY'S FEE9. AETEPdTi ION FEE: _ - � � C�NS?f?1IC716�t LEFJDlNGAGENCY � ;�RE-ALT FEE: �O � . I HEREBV AFFIRM UNDER?ENAlIT'!OF PERJURY?HATT RE IS A CONSTRUC7{OtV LENDING AGENCV FOA THE PEfiFOr'lMANCE OF ThI�WORK FOR WHI ,IS PERNiT IS ISSUED(SEC.9os],CIY.C.). . � SEJ �� �� LENDEfl'SNAPAE ' . 9_r LENDER'SApDRESS I � 4� � 1 CEFPIFV TrIAT I HAVE REAQ TH 3APFLiCATION AND STATE7HR7TNE ASOVE INFpqMATlON IS CAFREGT. B O��L���� . ' I p � i ACFEE TO COMPLY WITH ALL�TY AiN�CDtJPlTY ORDIIVpNC€S AND STATE LAV1S RELATIBdG YD 9UILDING � . , �.�p � �CDNSPRUCiION,AND}1EHEBY UfHOftREREPR6EN7AT14E5OFTHISC�UNiYTOEPITERUPONTHE _ ' � � ABOYE�pAENTIONED P50PER7Y DP IHSPECTIO�J PURPOSES. � - ] COMtflES�1T$ - � O '�. � ,,,�! � . . � __//�=�� !� , � PERMI E NAME(PRIN77 I - � � ca� 6 � gQj S9GPtilTL'�AEQFPE ITi � T , � g :��cPr.�o. PaoD e� vatioA-riorv d'"-.. . 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