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1 . ... . . ..._ . .... .... CITY OF DIAMOND SA& � --�� �-�� DEPARTMENT OF COMMLTTTITY dc DEVELOPMENT SERVICES 21660 E.Capley Drive Suite 190 �^ PRESS (909)860-3193 Fax(909)861-3117 �M�^�+� BUII.DINGPEItMFI'APPLICATION FlRMLY N JOBStTE L /��, APPLICATION PERMR �5 P/C � ADDRESS IS!S ,sa pp/,f F�e �-`��� DATE NUMBER� # ISSUE TYPE OCC � APN LOT TRACT 2- '�v DATE �` CONST. GROUP � OWNER L 1 � ADDRESS • v+r - ZONING SETBACKS CITY @ ZIP iE TEL. FRONT RW ❑ APPLICANT 7EL. AEAR ❑ � SIDFJSIDE STREET RW ❑ CONTRACTOR i SIDE ❑ � ADDRESS PROPOSED USE � CITY �ZJ—�• ZIP TE -O O � ARCH/ENGI DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDHOOMS � GITY ZIP TEL. � DESCRIPTION SQ.Fi: FACTOR PSF A0.1.AREANALUATION � OWNER•BUIIDEH DECLARATION SFR/ADDIREM p I HEREBY AFflRM UNDER PENALTY OF PEFWNV THA7 I AM E%EMM FipM TF1E CONTMC70HS ll• G8f9QB/CBIpOK � CENSELAWfONTHEFOLLOWWf1REA80N(3EC.7037.6BUSINE95N10PROFESSIONSOODE:ANVCINOR (n � COIRRYWFIICISIIEOUWESA�ERMITTOCON87RlIGT,ILTERIMPqOVE.OEMOlJSH.ONREPAIXANYBTRUG W Petb/Dack V� IURF,YRpR�O R9168UANCE,ALSO f1EW IR�7NE APPLICANT FOR SVCH PERMIT 70 FILE A SIGNED :: w � 6TATEMEM TMAT IIE OR SHE IS LICENSEO PUIISUMIT TO TME PROVISIONS�F TME CONTMCIOR9 U• ' LL � CENSE LAW(���o(�MENCINO N1M 6ECTION 7W0)OF DIVISION 30F THE BUSINE55 AN�PRO� POOU�9 FESSIONS COOE)OR TNAT ME OH SHE IS E%EMPT THEREFFlOM AND iHE BASIS FOR 1HE ALLEOED E7{EMP• TION.ANYVIOlAT1ONOF8ECT10N70.91.68VMIVAPPLICJINTFORADERMIT&IBIEC?STHEAPPLIClJ1TN z Re•Roo1 F A qNl PENALTV OF NDT/AORE 1YUW FNE FIUNDRED DOLLAR5115o0).): � OLASONfNEROFIHEPROPERTV,OitMYEMPIAYEE6WITNWAOESA6h1EIRBOLECOMPENSATION, � CpmRgfC181 � WILL DO THE WORK M/O THE 8TRUClURE IS NOT INfENDE�OR OFFERE�FOR SALE�SEC.7Ma,BU96 J y NESS AND YROFE591qJ5 COOE:iME CONfMCTORS LIGENSE LMM�OES NOT MPLY TO AN OWNER OF :, PNOPERIY W/109ULDSOIi MPIiOYES 1MEREON.AND YIF7D OOES BUCM YIORK HIMSELFOR HER9ELF OR 2 7}1ROlN10HHNISqiHERONMEMPLOYEE9,P110NUEDTWIT&JCFIIMPROVEMENT8A11ENOTINTENOEDOR m � .OFFEREDPOpBN.EIF.IqWEYERiHEBUILMN00fiIMPROVEMINTRSOLDWRHINONEYE/�ROFCOMPLE TION.TNE dWNER-BUIIDER N7LL YUVE TME BURDEN OF PItOVINO TWR HE OR SHE DID NOT BUIID OR IMPf1OVE FOH iNE PUNPOSE OF BALE�. W OI.ASMVHEqOFTNEPROPERTV,lWE%CLUSNELVCONTRACTINOWIiMLICEXSEDCOWTMCTORS � TO CONSTRUCTTIE VRO.IEC7 r9EC.7oN,BUSINESS AND iROFE5510N5 CODE:THE CONTRAGTOHS LF V91u8Si011 ADJ.AREA CENSE LAW OOES NOTMPIY TO AN OYMER OFA PROPERTV MRiO BUILOS OR W PqWE9 THEREON,AND WFqCOMMCTSFOR8Up1vqOJECTSWITHACONiRACTOR(S�LICENSmPURSUNlf70TiECONTMG pUANTITV DESCRIPTION FEE � 1Wi5l10EN5EUW.). � ❑1 AM E%EYPT UNDER SEC. B.i P.C.FOR THIS REASON � U � � OATE DWNER V � UCENSED CONTRACTORS DECLARATION W � 1 NEREBY AFFIRM UPOER P9IALTY OF PE0.1UiiV THAT I AM UCENSEO UNOER PROVISIONS OF CHAP7ER Vr �(COMMENCNO M7TI SECTION 7000)�aY15pN 9 OF THE BUSINESS AND VROFESSIONS CODE,AND z X YY UCENSE IS IN Flll iORCE AND EFFECT. L�,y �2 �e �u p� Z i � J • � LICENSE CUSS LIC.N0. �]t7 �� f �,,,I � DATE '� � CONTRACTOR_�����1[_ a WORKERS'COMPENSATION DECLARATION Q � IXEREBYAFFlRM UNDEH PENALTV OF PEILIURY ONE OF h1E FOLLOWING DECIARl1TION5: Z � �IWWEANDYYRLMNNTAINACERfIFICATEOFCON5EN7TDSELFdNSUPEFORMpRKERS' _ OOMPRISATqN.AS PROVIDED BY SECTION 9700 OF h1E LABOH COOE,FOR THE PERFORMANCE W �7HE WORIf FOR YVHICH 7HI5 PENMIT IS ISSUEO. � 0 O �I WNE AND WILL AANNfAIN WORKEFS'COMPENSATION INSUMNCE,AS flEWIRED BY SECTION 37000FTIEtABORCOOE.FORIHEPEHFORMANCEOFTHEWORKFORWHICMiHISPERMITI$ � l4SUED.W WDNKER'COMPE SATION INSURANCE CAR R M/D POLICY NUMBER ANE: CONSTRUCTION �j GRRIER Q� PLAN REVIEW ..P� POLICYNUMBER ELE C `� 21 2� p�yJ �mssccna,r�noraE�,�rmoFnEr�nrsr�oaar,eM,rnr+eooa�oxsa+ao�oR�ss� L �N Z I CERTKYTNAT W hIE PERFORUANCE OF THE WORK FOR WHlpi TNIS PEP/AR 1915SUE�.I MECHANICAL - - (� 6HALL NO7 EMPLOY ANY PER50N N ANY R4W NER 50 AS 70 BECOME SUBJECT TO THE y. ,., ,_ _ � M/OPoCERS'COMPENS�TIONUWSOFCALIFORNIA,ANDAGREETNATIFISFIOULDBECOME INSPECTIONFEE 6lIBJECT TO THE WONKEAS'COMPENSATION PROVISKKJS OF SECTpN 9�0o OF THE 41BOR � COOE,1 SHALL FORTMMTH COMPLY YAT11 TFIOSE PRONSIONS. IS n C� pDA7E:,s r r-�� APPLICANT: ��c,(���d �/2Z�lleh SMIP e o aI ., ^^� � � WAFWINO:FNLURE TO SEWRE WORKERS'001.IPENSATION COVERAOE IS UNLAVIFUL,AND bHALI BE ENERGY P/C��lS1p '� y � SUBIEGT AN EMPLOYEH TOCRIMINAL PENALTIESAND CIYIL FWES UP TO ONE HUNDRED h10U5AN0 ENERGY PEHMf i'`�'�,�.�r� r`��T�';'��'� "•y � •-..�t�• WLLARS(i100.000�,IN ADDITION i0 TlIE COST OF COMPENS�TIqJ,DAMAQES AS PNOVIDEO FOR IN � BECTpN]7aB OF THE UBOH OODE,INTEREST,AND A7TORNEY'S FEES. �'�.Ci.[-�I�;_ �i�� 4.I RETENTION F�E: ...�. . :�..,..�� .,. ,. .... p. CONSTRUCTION LENOINQ AGENCY PqE-ALT FEE: O � I HEREBV�GFIRN UNDER PENALTV OF PERIURY T/RTTMERE IS AGONSTRVCTION LENDING AOENCY FOR TME PERWRMNJCE OF T11E WORK FOR 1M71CM T115 GERMIT IS ISSUED(6EG]DY�,GIY GJ. � �y �� LEN�ER'S NAME � LENDEF'9ADDRESS � ICERTIFYTIATIXAYEREADTHISAPPUCIITIONMIOSTATETHATTHEABOVEMFORMAT10NI5CORRECT. TOTAL FEES � I M3REE TO COMPLY WITH QL CRY AND COUNiY pRDINMICESAND STATE LFWS PEIATINCi TO BULDIN� � CONSTNUCTION.AND MEREBYAUT}IONZE REPRESEN7ATIVES OF 1HI5 COUNTV TO ENTER UPON7HE ABOYE�AAENTIONEO PROPEHTY FOR INSPECTION PUPP09E5. COMMENTS � �iCytC(rd A . J�e�f�N � � PEiiMRTEE Nyl�(PNM]�� �'_�I'�� l 1 J/ [A L�/ (A BIONANflE FPEAMITfEE DATE � RECPT.NO. 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