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15986 (20)
�r�/�Gr�� _ _1�,�_ CITY OF DIAMOND BAI� �a�����. ? DEPARTtv1ENT OF COMMUNTfY&DEVELOPMENT SERVICES � . 216G0 E.Copley Ddve Suitc 190 .,.�..,..�. (909)860-3195 Fax(909)851-3117 PR ESS ��', BUII.DING PERMIT APPLICATION __._ - . , . . ,,FIRMLY .0. oy JOBSITE , APPLICATION PERMIT P/C ADDRESS DATE �I��/O� NUMBER 15986 # � ISSUE TYPE OCC APN LOT CT DATE CONST. GROUP p OWNER LL ADDRESS ZONING SETBACKS 0 W FRONT � CITY � EL. � REAR Rw p APPLICANT SIDE/SIDE STREET RW 0 � CONTRACTOR SIDE � � CDDRESS � � ZIP �J���`EL. PROPOSEDUSE o ARCH/ENG/ « DESIGNEf1 a[zi NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS v� v� DESCRIPTION SQ.Fl: FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM � 0 1 HENEBY AFFIHM 11NDER PENALTV DF PERtt1RY THAT I AM IXEMPT FPOAA THE CONTRACTORS U- G8f84J8/CBtF)Ofl � CENSEUWFORTHEFOILOWINGREA50N(SEC.7a71.5BUSINESSANDGROFESSbNSCODE:ANYCITVOR (n COUNTYWHICHREUUIqESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOIlFH,ORREPAIRANYSTRUC- W P8fi0/DBCk TURE.PRIOR TO ITS ISSUANCE,AL50 RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w STATEMENT THAT HE OH SHE IS L�CENSED PURSUANT TO THE PROVISIONS OF TME CONTHACTORS U- � CENSE UW(qMPTER e(COMMENCINQ WI7H SECTION 700D)OF DIYISION 3 OFTME BUSMESS AND PRO- �'1' PooVSpa FESSqN500DE)ORTHATHEORSNEISEXEMPTTHEREPFOMAN07HEBASISFORTHEALIEQEDEXBo1P• (� TION.ANYVIOLATIJNOFSECTION7031.56YANYAPPLICAN7FOR�PERMRSUBJECTSTHEAPPLICANTTO Z Re-Raof � �CIVIL PENALT!OFNOT MORETHAN FNE HUNDRED�OLLARS(5500�.): � �I,ASONMEROFTHEPROPEHTY,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSATIDN, O ComTefCidl – NIILL DO THE W(NiK,AND THE STRUCTIIRE IS NOT INTENDEO OR OFFEREO FOR SqLE(SEC.706a,BU51- J � NESE ANO PROFESSbNS CODE:THE CANTRACTORS UCENSE UW OOES NOTAPPLV TO AN OWNER OF j GROPEHTYINIOBUILDSORIMPqOVESTHEREON,ANDNMODOESSUCHWORKHIM6ElFORHERSELFOR � THROUGHHISORHEHOWNEMPIOYEES,PROVIOEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m O OFFEREDFORSALE.IF,iIOWEVER'MEBUILOINOORIMPROVEMENTSSOLDWIiHINONEYEAROFCOMPLE Z TION,THE OWNER�BUILDEP WILL HAVE TFIE BURDEN OF PROVIN�THAT HE OR SHE DID NO7 BUILD OR = IMPROVE hOR 7HE PURPOSE Of SALE). ❑i,AS ONMEP OF THE PROPERIY,AM EXCIUSIVELY CANTRACTING WI711 LICENSED CONTRACTORS TO CONSTRUCT 7HE PROJECT(SEC.704t,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V81UetlOn ADJ.AREA W CENSELAWOOESNOTAPPLYTOANOYVNEROFAPROPERTVWHOBUILDSORIMPHOVESTHEREON,AND � N'FiOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOq(5)LICENSEDPURSUANTTOTHECONiRAG QUANTITY DESCRIPTION FEE � TORSLJCENSEUWJ. ❑I AM EXEMOT UNDER SEC. B.8 P.C.FOR THIS REASON Q 3 � � OATE OWNER __ V J � LICENSED CONTRACTORS DECLARATION W OC 1 HEflEBY�FFiRM UNDER PENN.TY OF PEIiJURY THAT I AM UCENSED UNDEH PROVISIONS OFCHAPTER � Y(COMMENCINO WITH SECTIDN 7a0U)OF DIVISION 30FlHE BUSMESS ANO PROFESSIONS CODE,AN� Z F� ��� MV LICENSE IS IN FULL FORCE AND EFFECT. � m �� 0 LICENSE CLASS LIC.NO. V DATE "� CONTRACTOF _ a - W � WORKERS'COMPENSATION DECLA ION Q � I HEREBY qFFIRM UNDER PENALTV OF PERJURV ONEOF THE FOLLOWING DECLARATIONS: Z � IMAVEANDWILLMAINTAINACERTIflCATEOFCONSENTTOSELFdNSUREFORWORKERS' a 2 �(dPENSATKKJ,AS PROVIUED BY SECTION 37o00F THE LABOR CODE,FOR THE PERFORMANCE `U Q `�OFTHE WORN FOR WHICH 7HI5 PERMIT IS ISSUED. � � _I HAVEAND WILL MAINTAIN WORKERS'COMPENSATION INSUMNCE,AS FE�UIRED BV SECTION Q� 3700 OFTHE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHIGH THIS PERMIT 15 ISSUED.MYWORKEFS'CO ENSA71��NINS C E ICVNUMBERARE: CONSTRUCTION j CARRIER ���� _�.;���.sl��.�'r� PIAN REVIEW � POLICYNUMBER��l! ^ � ���,, ELECTRIC � (n+�ss[�,'iqraNE�r�o7eE��oFir+EpEatiarsr-0aa+Ei-airpaE000u.nnsgiao�on�.�.ss). PLUMBING Z 1 CERTIFYTHAT IN THE PEflFOHMANCE OF THE WORK FOR WHICH h115 PERMIT IS ISSUE�,I MECHANICAL �' SHAILNOTEMPLOYANVPERSONINANYMANNERSOASTOBECAMESUBJECTTOTHE (p WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGREETHATIPISHOUTABECOM INSPECTIONFEE S SUBJECTTO THE WORKEfiS'COMPEN PROVISIONS OF SECTION 37ao OF THE J'� CODE,I SHALL FORTHW TH COMPLY W T PROVISIONS. ISSUANCE _/ t � SMIP r p DATE:T;� � APPLICANT: p � q J WARNINO:FALUqE TO SECURE WORKEPS'COMPENSATION COVERAGE IS UNIAWFU� ALLBE NERGY P/C _���p. .��__���� �y SU&IECT AN EMPLOYER 70 CRIMINAL PENA�TIES AND CIVIL FINES�P TOONE HUNDRED THOUSANO p � DOLLARS(S7a0,oao).IN ADDITION TOTHE COSTOF COMPENSATION,DAMAGES AS PROVIDEO FOR IN ENERGY PERMIT g'� � SECTION37080FTHELABORCODE,INTEREST,ANDATTORNE`!'SFEES. RETENTIONFEE: 1..���,t�'.t 4 OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: RI TTT.I�INL7 � I HEREBV AFFlRM UNDER PENALTV OF PERJURV THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PENMIT IS ISSUED(SEC.:097,CIV.C.). Z W � LENDER'S NAME ` 1— LENDER'SADDRESS � ICERTiFVTHATIHAVEREA�THISAPPLICATIONANDSTATETHATTHEA80VEINFORMRTIONISCORpECL TOTAL FEES � IAGREETOCAMPLVN7THALLCITYANDCOUN7YORDINPNC AN�STATELAWSRELATINGTOBUILOMG � CONSTRUCTION.ANO HEREBY AUTHORIZE REPRESENTATIY OF 7HIS COUNTY70 ENTER UPON THE �� ABOVE-MENTKKJE�PROPEHT(FOR INS ECTION PURPOS . COMMENTS '� _ � �.. m PERMI EE N E( / Q / � ��. qj SIONATUREOF MITfEE DAT � RECPT.NO. 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