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;� . �� �-�,�,r�' _�,f�_ CITY OF DIAMOND BAIt �O� ��� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��'�/ W 21660 E.Copley Drive Suite 190 (909)860-3195 Fa�c(909)861-3117 PRESS �����'� BUII,DING PERMIT APPLICATION __ FIRMLY � JOBSITE -7 APPLICATION �` �- PERMIT � P/C o ADDRESS �� ` � ������ ��'� DATE NUMBE # � ISSUE TYPE OCC APN LO 7RACT DATE CONST. GROUP g OWNER P. � (�.S�Z o ADDRESS��� ZONING SETBACKS Z CITY b��-� ��- ZIP 1 7Ga TEL. �a•^C5�}�L7 FRONT RW ❑ Q APPLICANT TEL. REAF ❑ � SIDE/SIQE STREET RW ❑ � CONTRACTOR '�'�'J�K��T-1S'iXll.�t+.=`+`?5 SIDE ❑ p� ADDRESS �3�'L"C�'�Th1'�:�'i Q CITY ���'�''��'� ZIP`�3'71Z„ TEL.�S�S���� PROPOSE�USE oARCH/ENG/ z DESIGNER NO.DWEL. NO. NO. � AODRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLAFATION SFR/ADDJREM O 0 I HEqEBY AFRRM UNDER PENALTY OF PERIURV THAT I AM E%EMPT FROM THE CONTRACTORS ll- Gfl/89B/CflfPOfl W CENSE UW FORTHE FOILdNINO REASON(SEC.7037.5 BUSINESSAND PROFESSIONS CODE:ANV CITYOR (n COUNTVVNiICHREIX11RE5APERMfTTOCONSTRUCT,ALTER,IMPROVE,�EAAOLJSN,ORREPAIRANYSTRUC- W patiolDeck W TURE,PRqR TO 1T9 ISSUANCE,PL50 RE�UIRES 7HE APPUCAN7 FOR Sl/CH PERMIT TO FILE A SIGNED w STATEMEM THAT ME Ofl SHE IS LICENSED Wi15UANT N THE PROVISIONS OF TME CONTRACTORS U- � CENSE LAW(CHAPTER 9(COMMENCINO WITH SECiION 7000)OF DIVISION 3 OF THE BUSINE55 AN�Pfl0- LL POOUSPB FESSIONS OODE)OR 7HATliE OR SHE IS IXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED E%EMP- TpN.ANYVI�LATIONOFSECTION7031.6BYANYAPPLICANTFOHAPEiiMITSU&IECTS7HEAPPLICANTTO Z Re-Roo1 r, A CMl PENAITY OF NOT MORE THAN FNE HUNDRED DOLLARS(SSOD).�: � OI.ASOWNEROFTHEPPOPERTV,OFlMYEMPLOYEESWITHWAGESASTHEIRSOI.ECAMPENSATION, 0 COfI1RIBfCIdI - NALL DO THE WORK,AN�THE STRUClURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7060,Bl/Sl- J NESS AND PROFESSION6 CODE:THE CANTPACTORS LICENSE LAW ODES NOT APPLV TO AN OWNER OF � PflOPEHTYNTIOBUILDSORIMPROVESTHEREON,ANDWHODOESSUCHWORKVIIMSELFORHERSELFOR � ¢ TIiROUGHF1150RHEFlONMEMPLOVEE3,PROVIDEDhiATSUCHIMPROVEMEM3ARENOTIMENDE�OR m QOFFEREDFOHSALEIF.HOWEVER,TNEBUILDINGORIMPRqYEMENTI550LDWffHINONEYEAROFCOMPLE• Z �TION,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PFOVINCi THAT HE OR SME DID NOT BUILD OR = MAPROVE FORTHE PURPOSE OF SALE). W ❑I,ASDWNEROFTHEPFOPER'TY,AME%CLUSIVELVCANTRACTMOWITNLICENSEDCONTRACTORS � TO CONSTRUCT TME PROJECT�SEC.7014,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� VelUatiOn ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERT/WHOBUtLDSORIMPROVESTHEREON.ArD � NhiOCONTRACTSFORSUCHPPQIECTSWITHACONTRACTOR(5)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY OESCRIPTION FEE � � TORS LICENSE LAW.�. ^ ❑I AM EXEMPT UNDER S�C. 8.e P.Q FOR THIS REASON � S lt. ¢ DATE OWNEFl � � W LICENSED CONTRAGTORS DECLAFiATION –� � w IHEREBYAFFIfiMUNOERPENALTYOFPERIURYTHATIAMLICENSEDUNDERPROVIS10N50FCHAPTER � � 0(COMMENCINO WITH SECTIOh17000)OF DIVISbN 3 Of THE BUSINESS AND PFiOFFS510NS CAOE,AN� Z X MY LICENSE IS IN NLL FORCE AND EfFECT. m ("`�I� ��A y �-Z�• L1J �7 (� � i.,J �+c.w.. y � LICENSE CLASS i�"�`� LIC.NO. `^'°�'��� � V DATE �""L3-�C�. CONTAACTOR� a W � WORKERS'COMPENSATION DECLARATION Q = U � I HEREBV AFflRM UNDER PENALTV OF PE0.IURY ONE OF THE FOILOWMG DECLARATIONS: Z Q � _IHAVEANDWILLMAINTAINACERTIFICATEOFCANSENTTOSELF-INSUREFORWORKERS' _ COMPENSATWN,ASPROVIDEDBYSECTION3/ooOFYHEIABORCODE,FORTHEPERFORMANCE W OF THE WDRK FOH WHICH THIS PEHMI7IS ISSUED. � � W _�HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED 8V SECTION Q 370o OFTHE LABOR COOE,FOR THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERM!TIS ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION � CARRIER �S�Z!�'�-���'�Zr�/�n'�, .��,-'�'��1�� PLAN REVIEW --- Z POLICYNUMBEH ��� ��K3-y.�� ELECTRIC 4 � fMISSECI�oNNE�Ia76EaoMH.EfEDOF'MEPERNiISFoaa�EFiuwREDDaJAliS(S1ao�oRLEss). PLUMBING � Z 1 CERTIFYTHAT IN iHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUE�,I MECHANICAL (� SHALL NO7 EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECAME SUBJECT TO THE � WORKERS'COMPENSATIONUWSOFCALIFORNIAANDAGREETHATIFIS{iOUL�BECOME INSPECTIONFEE 1 S Sll&IECT T�7HE VYORKERS'COMP 10N�AROLI,�IONS OF SECTION 3700 0F THE U+BOR CODE,ISHALI.F RTHWITIC WITHTFiOSEPROlV151�NS\. ISSUANCE � /�- � 1 SMIP p DATE: `��� APPLi�Ani _ - `�._ _ . � WARNIN6:FlULURE70 SECURE WOFiKEHS'COMPENSA710N CAVERAGE IS UNL4WFUL,AND SHALL BE ENERGY P/C _ �U 1 O �'nl�i �y 511&IECTANEMPLDYER70CRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT � OOLUFS(f700.o00).IN M�ITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOP IN }�'(�'+�)n g`�pq J SECTION3�08OFTHEUIBORCODE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: Nll 1 4J�li3:t"1' � ,y�� �r OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: ����„���p'' �A`�T�"��+,�iC�'�it�l � IHEREBVAFFIRMUNDERPENALTVOFPERJURYTHAT7HEfiEISACONSTRUCTIONLENDINGAGENCV FOR THE PEHFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUE�(SEC.308Y,CIV.C.j. . Z W � LENDER'S NAME F- LENDEflSADDRESS .�y W ICERTIFYTMATIHAVEHEADTHISAPPLICA'fIONANDSTATETHAT7HEA90VEINFORMA710NISCARRECi TOTAL FEES J � � IAGREETOCOMPLVWITHALLCITVANOCOUNTVORDINANCESANOSTA7ElAWSRELATINGT09UILDING I CONS7RUCiIDN.M10 HEREBV AUTHORIZE REPRESENTATIVES OFTWS COUNTY?O ENfER UPON THE Z A90VE-MENTIONFDPR�PERTYFORINSPECTIONPURPOSES. COMMENTS � �.._,�`�-t.�-�,/�.�: j m PERMITTEE NAIA aPHINT)...._._..................._.._....,.,...,,,� ' � �..�.....__.,� ''~�, 4"`t3-'��� / /1 - � �, y SIONA7UREOFPERMITTEE � OATE Q- � RECPT.NO._ PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assassor Copy,60LDENROP—File Copy,OREEN—ApplicanYs Copy . ,�.., .. ,. .,. .�v�r,.. -«.,:�.,..r .in�....,� . ..:�r.,.- , ,,i.�.a�g �n �.,...-� t �.:.P�,' .. . . .._. . , • '4::"� . . �,,.�. „�'te�y�+v A. ``#..a.,r .. F.�7.-.. ��4e ��� ��Iffi ��� � �. �. � .�� � �������x .,' :,, . e _ ,. , :::.:-.; �:,,;°._; ��� �� _ �:� �� ��� ���: -x �� r � �����_ � � ��� � � �� �, � � � � � � �� � ������� , a , � �. : �� x}_a. 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