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����� ^ _�,� CITY OF DIAMOND BAx r DEPARTr�RENT OF COMMUNITY&DEVELOPMENT SERVICES �/�`� ^ "'� � 21660 E.Copley Drive Suite 190 ,/� ,�., (909)860-3195 Fax(909)851-3117 �/l/ PRESS ��". BTJQ.DINGPERI4IITAPPLICATION ----_ : ` FIRMLY � __. ,. „ .. ,. :,._ : ,.,, . ,.:._.., . ,., . , . _ o DDRESS y�—[-�`�.I� �• �t. �� DATECATION NUMBER��/C � APN LOT TRACT ISSUE � �Q � 7ypE �C DATE � " CONST. GROUP p OWNER ���i�i�Z'Y� ADD�ESS S � ZONING SE7BACKS FRONT � CITY �+��c7t�A�ru�aJc, ZIP ~ TEL.�J�'�� REAR � n APPiICANT TEL. ❑ Zd SIDEJSIDE STREET pyy � � CONTRACTOR 1..+�C-��'�,1T1�- �S SIDE � � ADDRESS ►aA i � CITY �+/� �GGtaD ZIP "lt L TEL.�S� PROPOSED USE ° o � o ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AfFlRM UNDEfl PENALT/OF PERtt1RY THA71 AM F.XEMPT FPOM THE CONTRACTORS LI- Gelfl B/C8 ft W CENSELAWWRTHEFOLLOWINOREASON�SEC.7a37.58USINESSPNDPROFESSIONSCODE:ANYCIT'OR (n 9 � COUNTVWHICHREOUIRESAPERMITTOCONSTRUCT,ALTERIMPROVE,DEMOLlSH,ORREPAIRANVS7RUC- W Patio/DOCk W TURE,ORIOR TO ITS ISSUANCE,ALSO REOUIHES THE APPUCANT FOR SUCH PERMIT TO FILE A SIQNED W � STATEMENT hiAT HE OR SHE IS LICENSED PUi1SUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE UW(CHMTER a(COMMENCINQ WITM SECTION 7Do0)OF DIVISpN a OF h1E BUSINESS ANO PRO- LL' POOVSpa PESSIDNSCODE)ORhiATMEORSHEISEI(EMPTTHEREFR4MANDTNE9ASISFORTHEALLEOEOEJCEMP• (� TpN.AM'VqLATIONOFSECTION7W1.68YANVAPPIICPMFORAPERMITSU&IECTSTHEAPPUCANTTO Z RB-ROOI � �CMLPENALiYOFNOTMORETHANFNEHUNDHEDDOLURS(3500).): ❑I,ASOWNEROFTHEPROPERN,ORMYEMPLOYEESWITHWAGESASTHEIFiSOLECAMPENSATION, � Commercial � WILL DO THE WOPo(ANU THE STRUCTURE IS NOT INTENOED OR OFfERED fOR SALE(SECJo�4,BUSI� J -� N NESSANO PROFESSIONS CODE:THE CON7RAC70RS LICENSE LAW DOES NO7APPLv 70 AN OWNER OF = PROPERTV NM1iO BUILDS OR IMPROVES THEpEON,AND NMO DOES S�CH WORK HIMSELF OR HER6ELF OH � THROUGHMSORHEROWNEMPLOVEES,PROVIDEDTHATSUCHIMPROVEMENTSAREN071NTENDEDOR m ' Q OFFEHEDFORSJLLEIf,HOWEVERTHEBUILDINGORIMPROVEMENTIS50IDWITH�NONEYEAROFCOMPLE Z 'TION,THE OWNER-BUIIDER NALL HAVE THE BUROEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � IMPROYE FORTHE PURPOSE OF SALE). � W ❑I,ASONMEROFTHEPflOPERfY,AMEXCLuSNELVCANTMCTINOWITHIICENSEDCONTRACTORS � TO CON5TRUCT THE PpOJECT(SEC.7oao,BUSINESS ANO PROFESSIONS CO�E:hIE CONTRACTOPS ll- Valuation ADJ.AREA W GENSEUWDDESNOTAPPLVTOMlOWNEROFAPROPERTVWHOBUIl0.SORIMPROVESTHEREON,AND � NMOCONTRACTSFORSUCHPR0.IECTSWIiHACONTRACTOR(S)LICENSEDPURSUAMTOTHECONTRAG QUANTITY DESCRIPTION roasuc�sEuw.�. FEE - � ❑I AM E%EMPT UNOER SEC. B.8 P.C.FOR THIS REASON q ?� U � DATE OWNER ¢ O U �.s[ LICENSED CONTRACTORS DECLAfiATION W 2 I HEREBY�FFtRM UNOER PENALN OF PERJURV THAT I AM UCENSED UN�ER PROVISIONS OF CHAPTER � D(CWAMENCRI(iWITHSECTION7000)OFDNISION30FTHEBUSWESSANOPROPESSIONSCA�E,AND z MY IICENSE IS IN FULL FORCE AND EFFECT. �..�-} y^ � UCENSECLASS G3� UC.NO. "� �' ` �-^-"�. j � C`��� � � V DATE_ '�C"2'�'�"��a CONTRACTOR_ � a W � �' WORKERS'CpMPENSATION DECLAAATION Q � I HEREBV qFFIRM UNOER VENALN OF 7ERIURV ONEOFTHE FOLLOWING DECL4RATIONS: Z � _IHAVEANDNALLMAINTAINACERTIFICATEOFGONSENTTOSELF-INSUREFORWOPKERS' _ � COMPENSATION,AS PROVIOED BY SECTION 37000F THE UBOFi CODE,FOR THE PERf-0RMANCE U O OFTHE WOR!(FOq WHICH THIS PERMIT IS ISSUED. � � _I HAVEAND WILL MAINTAIN WORI�RS'CAMPENSATION INSUPANCE,AS REQUIRED BY SECTION Q 3700 OF THE LABOR CODE,FOR THE PERFOHMANCE OF THE WORK FOR WHICH THIS PERMiT15 � ISSUED.MY WORKERS'COMPENSATKKV INSURANCE CARRIER AND VOLICV NUMBER ARE: CONSTRUCTION y c,wqiEq ��1�F'�i����' '�4-�-5 PLAN REVIEW 0Z POLIGYNUMBER C.��� ,G�ZL��')'"' ELECTRIC ¢ 0 (fH455ECTKYJNE�NOTBE00MPLETEDOFTV�PERMITISFORONEHUWREDDOLL/LLiS(S1o0)ORLESS� PLUMBING W p�, Z 1 CEHTIFVTHAT IN h1E PERFORMANCE OF THE WORK FOR WHICH TH!5 PERMIT IS ISSUED,I MECHANICAL /� � SHALL NOT EMPIOY ANY PERSqV IN ANY MANNEft SO AS TO BECAME SUBJECT TO THE (n WOfiNERS'GOMPENSATKKJLAWSOFCAUFORNIA,AN�AGflEETHATIFISHOIIIDBECOME INSPECl70NFEE S SU&IECT TO THE WORKERS'COM EN6ATION PROVISIQNS OF SECTION 3700 OF THE LABOR < �.t CODEISHALLFORTHWITH PLVWITHTHOSEPROVISIOMS_ ISSUANCE � GO ''� �'�----�-�� p DATE:�� APPLICANT� ""�-���--._._.—_�t"-'T'-- SMIP � �� JENERGY P/C I/�j� WAflNING:FAILVRE TO SECUflE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AN�SHALL BE � SU&IECTANEMPLOYERTOCRIMINALPENALTIESANDCNILFINESUPTOONEHUNDREDTHOUSAN� ENERGYPERMIT DOLLARS(S1a0,Dao),IN ADOITION TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTIDN37090FTHELABORCODE,INTFAEST,ANDATTOFNEV'SFEES. RETENTIONFEE: � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: �' � IHEREBVAFFIRMUNOERPENALTVOFPERJURYTHATTHEREISACOl15TRUCTIONLEN�INGAGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEG 30B7,CIV,C.). Z W � LENDEfi'SNAME � � F- LENDER'SMaRESS W ICEFTIFVTHATIHAVEREADTHISAPVLICRTIONANDSTRTET}IATTHERBOYEINFORMATIONISCORRECT. TOTAL FEES � I AGfiEE TO COMPLY N7TH AlL CITYANO COUNTYORDINANCESANO STATE lAWS RELATINO TO BUILDING � CONSTRUC710N,ANDHER�YAUTNORIZEREPRESENTATIVESOFTHISCOUN7YTOENTERUPONTHE Z A90VE•MEHTIONEDPROPERTYFORINSPEC710NPURPOSES. 0 COMMENTS _' ��.�i..��-�.�-�Y _ 4 PERMITTEE�I9,MEyPFIRTj� �' �� � t--�. � _�---1�_ "�'""��.cs"C� y SIONATUREOFPEFNAITTE DATE � RECPT.NO. PAID BY VALI�ATION WHITE-0epedment Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy -.: ., .. , . ... . , . ,... , . �,.�. ,�:� ;,, .,.. . . � ,. . ,. , 1���' � � _._ . � � �1�� � : _ ..� .., � � � � g � ��� �.� . � ,,.����,a�� ��� �� � � w ` � � � �"� > � >� x��, , �,:�� .... , ._% .� � �.��...... .. w .. . # ..�.. � . ,, 9 @ (- g( '�y' ;.. �°.�[ �""I'S1e�`.. � '. � I � �€.��i't c5i..��+.�.7 @ . ..:: . . * r ................p..'. --c�q _�"-g.�- _ ._.._`_ "__�.._—...,...y .d_.... ' ..Y . _ - . q-- � .. _.._.:� _. . . � � �'� � ' g-g���r ;-g�^ �g°y� ` _"`_ __ _�_ .__ _. _ b .t..E..�S .."lF'd3+..+1+..+4�s_w.. � '�; � � f C iPY 7-1C'::��5�t J .�...-. __. ..�........ _..... r._... �..n. g,� �^- p py�^z �;��)�a^p- ....L,......._. ...._._._._,.�._ ..,�_._._._.�...._....�....._._...._.,_.,._..,_..... ._.....�_._......._.. _._..a`, tl 7 �'0�'S-.i���'w"�yr'�I3�� f ��4"�L�'"� �i..SJI..T�C,.FLdS_s 9 � . 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