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�—=--�,n §� f 1,��` CITY OF DIAIVIOND BAR '(�j �} � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��' 1 , ; � 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 � � PRES$ ,-,;,�;..� _. _ ,. . _,. _ Z� FIRMLY BUILDING PERMTI"API'LtCATION _ , �.___ � JOBSITE � � ?� � ^ �Z�������,��� �� APPLICATION �ERMR P/C ` o ADDRESS 'T DATE_ �� -- '�NUMBER��^ # � ��/ $ ISSUE "' TYPE OCC -- APN LOT TRACT DATE CONST. GROUP p OWNER I�� +'�l'.�'E I1-S Iz- �f���G�' p ADDRESS � ��- �9�f"s� (..i� � ZONING SETBACKS W CITY D1�'1,A'f-t�A�G P��- ZIP TEL. r��..w c���I.Gi FRONT RW ❑ � APPUCANT I�- �P�a f,��� TEL. -��-�-�— g DElSIDE STREET RW � � CONTRACTOR ��'"I2- ��'- TF�$J�.� C��y S f j��� SIDE ❑ ADDRESS ��� &? �� C✓5l�t irh��h� A�Cc:>' O CITY L��> CE?y/L'�!/� ZIP�� �i'I 7EL.��' 3 3�-�3Q 6 PROPOSED USE ' C, '' Z DESIGNER/ ��L�'9„j, G i.tJ C'.F�NyS 1 G;'1"t b W N��WEL�Y � NO. _� NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. cn cn DESCRIPTION SQ.FT. FA TOR PSF J.AREAN LUATI N p� OWNER-BUILDER DECIARATION SFR/ADD/REM O I HEREBV AFFIHM UNDER PENALiV OF PERJURV THAT I AM EXEMPT FROM THE CONTRACTORS LI- GefBgB/CBtpOft W CENSEIAWFORTFIEFOLL0ININGqEASON(SEC.7o31.58U51NE55ANDPROFE5510N5CA0E:ANVCITIOR (n C� COUMYWHICHREWIRESA�ERMfTTOCONSTRUCT,AL7ER,iMPROVE,DE610L1SH,ORREPAIRANVSTRUC- W Pdtio/DBCk W iURE.PRIOR TO RS ISSUANCE,AL50 RE�UIHES THE APPLICANT FOR SUCH PERMITTO FlLE A SIGNED W STATE6IENT THAT HE OR SHE IS LICENSEO PURSU/W7 TO THE PROVISIONS OF THE CONTRACTORS LI- � GENSE LAW(CHAPTEH B(COMMENCINU WITH SECTION 7000}OF DIV1310N 30F THE BUSINESS AND PRO- LL' PooUSpa ' FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEOEpEXEMP• (� TION.ANYVIOlA710NOF3ECTiON7091.6BYANYAPPLICANTFORAPEflMITSU&IECTSTHEAPPUCANTTO Z Re-Raof � A CML 7ENALN OF NOT MORE THAN FNE HUNDREO�OLLARS(15oo)): � ❑I,ASOWNEROFTHEPROPERN,ORMVEMPLOYEESWITHVAOESASTHEIRSOLECAMPENSATION, 0 Commercial - WILL D�hIE WORK,AND THE STRUCTUHE IS NOT INTENDEU GH OFFER�FOR SALE(SEC.70u,BUSI- J � NES.AND PROFESSIONS CODE:7HE CONTfl/CTORS LICENSE lAW OOES NOT APPIV TO AN OWNER OF ? PROPERTV VMO BUIL�S OR IMPFOVES 7HEREON.AND WHo DOES SUCH WORK HIMSELF oR HERSELFOR � iHRdJl3HHISORHEROYMEMPLOVEES,PROVIOEDhIATSUCHIMPROVEMENTSARENOTINTENDEDOF m W OFFERFDFORSiU.E.IF,liOYVEVERTHEBUILDINGORIMPROVEMENTISSOIDWITHINONEYEAROFCOMPLE- L�, TION,THE OWNER-BUILDER WILL HAVE THE 6URDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR TME W RPOSE OF SALE). . W OI.pSOWNEROFTHEPROPERfY,AMEXCIUSIVELVD�N�RACTINGWITHUCENSEDCONTRRCTDRS � TO CONSTRUCT TFIE PRO.IECT(SEC.7D14,BUSINESS qND PROFESSIONS CODE:THE CONTRACTOR9 LI- V81U8t10l1 _AOJ.AREA - W CENSELAWOOESNOTAPPl9TOANOWNEPOFAGROPERTYWF108l1tLO50RIMPROVESTHEREON,ANO � WHOCONTMCTSFOqSUCHPROJECTSWITHACONTRl1CTOR(S)LICENSEDPURSUANTTOTHECtlNTFiAG QUANTITY ESGRIPTION FEE � TORALICENSEUW.). O ❑IAM E7fEMFf UN�ER SEC. B,d P.C.FOR THIS REASON Q 3 � � � OATE OWNER U � . Z W � ' � LICENSED CONTRACTORS DECLARATION -� �r""'" ' w OC I NEFtEBV AFFIRM UNDER PENAL71'OF PEFiJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � d 0(COMMENCINOWITHSECTION700��OFDIVISION30FTHEBIISMESSANDPROFESSIONSCA�E,AND � � LL� MY UCENSE 19 Ml fUlt FORCEAND EFFECi. Z � ( / {� m � LICENSE CLASS °�~� LIC.NO. �=3 �� �-+ �� � :� V �ATE �2" � �—�.°G' CONTRACTOR�"� � YM'�{J c :'�.. C.:.' <S 1. �� �_�� � WORKEPS'COMPENSATION DECLARATION� Q ��7��".D ,��y - � I HEREBV AFFlRM UNOER PENALTY OF PERIURY ONE OFTHE fOLLOWING DECLARATIONS: Z -.g)����`7(''�1`YD O __�IHAVEANDWILLAIAIMAMACEH'fIFICATEOFCONSENTYOSELF-INSl1REFORV/(1RKERS'���� 2. , , . Z COMPENSATiON,ASPROVIDEDBV5EC110N31a00FTHElAB�icODE,FUPTHEPERFbRMANCE U Q OF THE WORK f-0R WHlpl THIS PEpM1T IS ISSUED. � � W J_I HAVE AND WILL MAINTAIN WOFiKERS'COMPENSA710N INSURANCE,AS REWIRED BV SECTION 1 � Q 37000FTHELABORCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPEflMITIS - � /� ISSUED.MY WORKERS'CAMPENSATION INSURANCE CARFIER AND POIICY NUMBEF ARE: CONSTRUCTION _y. t j CARRIER PLAN REVIEW � � Z aaicv NUMaea_ — ELECTRIC ¢ p Rrus3[ci�N�no7BEoo�.tai.erFDOFn-�aE%+rtaf�auEt�n�wr�Eood.wu(sloa�oALEss�. PLUMBING _ Z ICERTIFYTMATINTHEPERFORMANCEOFTHEWORKFOfl ICHTHISPERMITISISSUE0,1 MECHANICAL (J SHALL N07 EMPLOV ANY PERSON IN ANY M SOAS TO COME SUBJECTTOTHE � WDRKERS'COMPENSATIONUWSOFCALIF NI ANDAOR HATIFISHOUTABECOME INSPECTIONFEE S SUBJECTTOTHEWORKERS'COMPENSAT P VISIONSD CTION37WOFTHELABOR ( E,I SHPLI FORTHWITH COMPLY WITH P OVI510 ISSUANCE � �3-� p ppTE: �APPLICANT. SMIP . 4� W ENERGY P!C J WARNINO:FMLURE TO SECUPE M70RKER5'COMPENSA�ION COVERAGE IS U ' Fl1L,AN SHALL BE I �y SU&IECTAN EMP40YER TO CRIMINAL PENALTIES AND CIVII FINES UP 70 ONE UN�RED THOUSAND �ERGY PERMR ' " I . OOUARS(Si00.0001.WADDIT�NTOTHECOSTOFCOMPENSATION,DMIAGE ASPROVIDEOFORIN -- - �y� J SECTION 9�08 OF THE LABOq G170E,WTEREST,ANDATTORNEV'S FEES. RETENTION FEE� . f�U � a CONSTRUCTION LENDING AGENCY pRF-ALT FEE: � I HEREBYAFFIRM UNDER PENALN OF PERJUM THAT 7HEtiE IS ACONSTflUCTION LENDING AGENCV n- FORTHE PERWRMANCE OF THE WOFK WR WNICH THIS PEPMIT IS ISSUED(SEC.3oe7,CIV.C.). W '" � LENDER'S NAME � H LENDEH'SAODFESS W ICEflT�FYTHATIHAVEREAOTHISAPPLICATIONANDSTATETHATTHEABOVEINFORHRTIONISCORRECT. TOTAL FEES���'` � � - � �/ p_ 1 AGflEE TO CAMPLY W1iM qIA GITY AN�COUMY ORDINANCESAND STATE LAWS REl�1TING TO BUILDING � CONSTRVCTION,ANDHEREBYAUTFIORIZEREPRESENTATIVESOFTHISCOUN7VTOENTEHl1PONTHE . - — ABO ENTIONEO PEflNFnRINSPEGTpNPURPOSES. MM� S � / '�1� � 1�-t 1�1 �' ����-- . � � m PER NAME(PRI — � �'' � S RE PERM E DATE �i �' VALII" � — �(,7 O RECPt NO. 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