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' ^ _!� CITY OF DIAMOND�AI� DEPARTMENT OF COMMilNITY&DEVELOPMENT SERVICES 21660 E.Copley Urive Suite 190 n PRESS � W J 61-3117 ;�°'' '3��g �BILDING PERMIT APFLICATION -- RMLY � _, _ � APPLICATION f� PERMIT ( P/C : o A�DDRIESS � �.� � � � DATE � d!V �I NUMBER 4 # � ISSUE J�, f'ti NPE OCC -�. TRACT DATE l�/ l� CONST. GROUP o OWNER �tlf�, ' � ADDRESS i ' � ZONWG SETSACKS 0 w FRONT Ryy ❑ I � CiTY .� ZiP,��TEL. � i'� �. APPLICANT TEL. REAR p I �.�., SI�ElSIQE STREET RW ❑ � C4NTRACTOR ,A � SIDE ❑. AD�RE � �9/�, , � CITY "� ' Z1P �'( TEL._�-�� ' PROPOSEQ USE '' ' =J", ,-' , /� t�it ARCH/ENGI , C , � W IGNER i _ �ITY ESS, I NO.DWEL. , NO. NO. u> i ��P �E� UNITS . STQRIES' BEDROOM5 v� � ,� �i WNER-BUILDER DECLAFIATION � � gFR/ADD/REM .. � � N . � �SCRIPTiON SQ.FT. FACTOR P5F ADJ.AREANALUqT10 , Q 1 HEREBY AFFIRM UNDER ENALN OF PEflJUAY 7HAT I APA EXEMPT FRCM THE CONiRACTORS LI- G2f8CJ8/C8fp0fl ' � idl CENSELAWFORTHEFOLLOWIN REASON(SEC.7031.58USINESSANDPROfESSIOhSCODE:ANYCITYOR ;(n � 'I L� COUNTYWHICHRFOUIRESAPE MITiOCAMSTRUC?,P.LTER,IM.PflOVE,DEMOLISF;,ORREiAIFANYSTAVC- '��';W 'TURE;PRIDRTO�ITSISSUANCE�ALSO'�REQUIRESTHEPoPPLICANTFORSUCHPERMITTOFILEASIGtdED ���� W �atio/Deck I .��i, STATEMENT THAT HE Ofl SHE IS LICENSED PUFSUANT TO.TNE PROVISIONS OF THE CONTRACTOqS LI- , . � , , � .,CENSE LAW�GHAP7ER 9(COMM�NGING WITH SECTIOM?�0)OF DIVISION 3 OF THE BUSINESS 0.ND PRO- �V'� P40USp2 � � FESSIONSCODE)ORTHATHEORSHEISEXEMPYTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP• .�. (3 �I ,� TION.ANVVpLATIONOFSECTIGiPJh731.5BYANVAPPLiCANTFO�AGEPMITSUBJECTSTHEAPPLlCAN7T0 ;��� Re-Foof "A CIVlL pENAC7Y OF NOT MORE HAN F7VE HUNORED DOItP.Rs(S5ouJ.): ' �, ��Q. ❑I,ASOWUEROFTHEPR E'ATV,ORMVEMPLOYEES,WITHWAGESASTHEIFSoIECOMPEN5A71oN, ��� Q Commerc!al �z.�. �WILL D0.7HE:WORK,AND THE�RUC7URE IS NOT INTEND'ED OR OFFEAE�FOR SALE(SEC.7o44,BUSI- �,J � � . 'i ���� NE33 ANb PROFESSIONS CODE�THE CONTRACTOHS LICEN5E LRW DOES NOTAPPLY TO AN OWNER OF �__ ,. , , , �PqaPERTYWHO6UILA50RIMP�iD4c57tiEREON,ANDYJH000ESSUCHWORKHIMSELFOR�HERSE:FOR �� ' � "C�� ���THROUGHHISORHEROWNEM�LOYEES;PROVI�EDTHPTSUCHIMPROVEMENTSARENOTINTEN�EDOR '�CD � � � .. ', �� ,OFFEREDFOflSALE1F,FbWEVE THE9UILDWCaDFIMPR04EMENTI550L�WITHINONEVEAROPCOMFLE- z '�TION,THEON?dER-BUILDER WI HAVE TH'e 6UR�EN OF PROVING THA7 HE 6R SHE DID NOT BUILD OR . w 'IMPHOVEFORTHEPURPOSEO SALEN• , . . � , i,,, ❑I,ASOWNEROFTHEPR PERTY,APAEXCLUSIVELYCONTRACTIN6WITHLICENSEDCANTRACTORS . �C[ TO.CONSTRUCTTHE PR0.IECT(�EC.70Y6,BUSIkE55 ANO PROFESSIONS CODE:THE CONTFACTORS U- V3I118iIDP1 �-i ADJ.AREA � '. W i bENSELAWDOESNOTAPP6YTOANOMINEPOFAPROPERTYWH06U1LOSORIPAPNOVESTNEREON AND � '� "� 'NhIOCONTRACT5FOH5UCHPFi JECTSWITk{ACONTRACTOR(5)LICEPlSEDPURSURNTiOS41ECOBJTRRG � � FEE , �. .TOAsuceNseuw.i. �I } . L2UANTITY DESCRIPTION ', a',II�, OIApFEMEMPTUNDERS�Q. , B.&P.C.FORTHISREASON , �Q . . � � ..���� . I ' . U .. ....,, � .. , . .. .... �,,,� . � DATE OWNER � . . . .. � . ,, ,. � LICEI�SED CONTRP.CTORS DECLARATION � .g W, OG�..IHEREBVAFFIRMUNDERP�NAL���I'''lll OFPERJURYTHATIAMLICENSEDUNDERPROVISIONSOFCHAPTER � I . ��. p� Y�COMMENCIryGyy�7HSECTION�0a0)QFOIVISION3DFTHE8t1SINE35ANDPROFE5510N5CO0E,AND . Z ' X MY LICENSE IS Ild FULL FORCE RNp EFFECi � � �p UCENSEC�I,AS �..I .�—���.�o. � 'S��f�G',�` � � ..,_� � . � ' j�,,, 'OATE �F�� CONTRACTOR �d� . . . . LLI.i' . � ����� WORI�ERS'COMPEPdSATIOiV DECLARATlON �� ' � I NEREBY AFFlHM 11N0ER PENAL OF PERlURV ONE OFTh'E FOLL�641NG DECL4RATIONS: U C�' ¢ �' _IHAVEANDWILLMAINT NAGEFiTIFICA7EOFCONSENTTOSELF-INSUREFORWORiCERS' � COMPENSATION,AS PR VIDED BY SECTbN 37oG OFTHE LABOR CO�E,FOR THE PERFORMANCE W Q OFTHE WOfiK FOR WHIGH7HI5 P6RMIT IS ISSUED. �� � �'��� _1HAVEANDWILLMAINT�IIldWORKEfi3'COMPENSATIONlNSURNJCE,ASREQUIREDBYSECTIOY - , .. � � ..� Q �� ., Q 970aOFTHELqBORCO E.FOR7HEPERFOHMAMCEOrTHEWORKFOHNdHICHTHISPERMITIS � �SSUED.MY WOHKEA' S I SUfdAA�MEE CARRIER dND POLICV NUMBER ARE CONSTFIUCYION ME ,Qj CARRIER �� PL�4N REVIEW ' � . . . � POLICY NUMeER - ELECTRIC � , W flH�SECTtONNE�NOT eCmPJPI.ETmOFiHEPERP7d1'ISFpR�1EFA1hCRE0 (5700)OALE55). PLi1AfiSING .� ICERTIFYTHATINTHEP AFORMANCEOFPHEWORKFORWHICH7HISPERMITISISSUED,1 MECHANICAL �� � � SHALLNDTEMPLOYAN PERSOP1t1iANYPd ERSOASTOBECANiESUBJEC7TOiHE ' '� -� - -"" [q WOR RS'COMPENSAT N iAW50F CALIF IA, AGR TjiAT IF I SHOUTA BECOME INSPECTION FEE S BJ OTHEWORKERS'COMPENSATI RO NS SECTION39000FTHELABOR ' ,{�, � �p'yn.7 y � C�0 I 5�ALL FOHTiWI�'H COMPLY WI �I NSr� ISSUAFICE '�,` I I!I R � W p, � a � '--�— � p' DATE: �- M PPLICANT. SMIP � J� riARNIMG:FAILU To SEGURe ORKERS'COMPENSATION CAVER GE IS UNLAWFUL,AND SHALLBE ENERGY P/C v—..�r � �.'. SUBJECTAN EMPLOYERTOCRI INAI-PENAL71"eS AND CiVII FINES UA TOONE HUNDRE�THolJSAND �.�. - � DOLLNRS�S100,OWJ,INADDITI TOhlECOS70FCOMPEIdSATION,DAAAAGESASPROVI�EDFORIN EPIERGYPERMIT ' _ _.—__�-�� J� SECTIOP13�oAOFTFiElhBOR DE,IPITERESY,AN�ATTOPNEI"SFEES. � ' CC.... �iETENTION FEE: OC NSTRUCTION LENDING AGENCY � PRE-ALT FEE: � I HEREBV AFFIRM UNDER TENAL OF'.PERJURY THATTNERE IS R CONSTRUCTIOP!LENDING AGENCV '� � FOIi THE PERFORMAPICE OFTHF WOqK FOR WHICH THIS FERMIT IS ISSUED(SEC.309�,CIV.C.). . '� Z S II LENDER'SNAME � H-' IENDER'SADDRE55 I ' �� ICERTIFVTHATIHAVEREADTHI�APPLICATIONANDSTATETHATTHEABOVEMFORMAYIONISCARRECT. �O�l1L r��S W� IAGREETOCAMPLVWITHPiLCIi�h'ANDCpUNNORDINANCESAND9TATEiAVJSRELATINGT08UILDING �� i � Z� CANSTRUGTON,ANDH6FiEBVA�ITHOFIZEREPRESENTATIVESOFTHISGOUNTYTOENTERUPONTHE � ' ABOVEM NED PROPERTY OR PECTION PIJfiPO5E5. COMM'CNTS ' � �, r � ���-��"f� m PEftMITTEEN P � .. � �� � . . � C/J C/j'�. SIGNATU PEa1RI1TEc E � . � � ����' � � - . . 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