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_�� CITY OF DIAMOND BAB
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
21660 E.Copley Drive Suite 190
(909)860-3195 Fax(909)861-3117 PRESS
���+�'� BUILDING PERMIT APPLICATION FIRMLY
o� JOBSITE ZuIllt S APPLICATION PERMIT � /C I
ADDRESS 2nn4 S�ZV2r H3�e7� DI'lVg DATE ]���/99 NUMBER_� #
ISSUE TYPE OCC R_3&U-
� APN LOT TRACT . 3�026 DATE CONST. �f GROUP
p OWNER Silver Hawk
� ADDRESS 2004 Si lvPr Hawk l�ri ZONING SETBACKS
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APPUCAN��. NolaB rE�$18-224-49Fi1 SIDE/SIDESTREET RW ❑
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w TURE,PRIOH TO ITS ISSUMlCE,ALSO REOUIHES THE APPLICANT FOR SUCH PERMIT TO FILF A SIGNED W
STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO hiE PROVISIONS OF THE CONTMCTORS LI�
� CENSE UW(CHA7TER p(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE�BUSINESS AND PRO- � POOVSpB
FESSqN50ODE)OR TFIAT HE OR SHE IS E%EMPT THEREFROM ANO THE BASIS FOR iHE A!IEGED EXEMP-
TION.ANV VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SU&IECTS THE A7PLICANT TO Z qe-Roof
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� ❑I,ASOWNEHOFhIEPROPERTY,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � COrt1rtIBfCl31 �
WILL DO THE WORK,AND THE STRUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70u,BU51- J
� HESS AND PROFESSIONS ODDE:THE CONTRACTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF �
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Z 'TION,THE OWNER-BUI�DER WILL MAVE THE BURDEN OF VROVINO THAT HE OH SHE DID NOT BUILD OR
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� LICENSED CONTAACTORS DECLARATION W
� I HEREBY AFFIRM UNDER PENALTV OF PEfL1URV THA7 I AM LICENSED UNDER PPOVISIONS OF CHAPTER � I
� Y(COMMENCINO WITH SECTION 7000)OF ONISION 7 OF THE BUSINESS AND PROFESSIONS CODE.AND Z
�� MY LICEHSE IS IN FUIL FORCE AND EFFECT.
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� WORKERS'COMPENSATION DECLARATION �.31^ Q
N I HEREBV AFFIRM UNDER PENALTY OF PERIURY ONE OF THE FOLLOWING DECUMTIONS: U
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� _I HAVE AND WILL MAINTNH A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' 2 _
COMPENSATION,AS PROVIDED BV SECTION 370o OF THE IABOR CODE,FOR THE PEHFORMANCE U
Q OF THE WOHK FOR VhiICH THIS VERMIT IS ISSUED. � � �
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� �I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION,INSUFiANCE,AS REOUIRED BY SEC710N � • , � _ , �
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ISSUED.MY EHS' MPENSAT INSURANCE CA RIER AKD POL�CY NUMBER ARE: �M'. �CONSTRUCT,ION., �. . l's� /
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� (IILLSSECfpNNE�NDTBE00A4LEfIDOFTHEPEFMfISFOFiOMEHU�DREDD01.lA0.S 00)ORLESS� PLUMBING
Z I CEHTIFV THAT IN THE PERFORMANCE OF 7HE WOHK fOR WHICH THIS PERMIT I5155UED,l MECHANICAL�' an n '�,
(,'} SHALL NOi EMPIOV ANY PERSON IN ANY M/�NNER SO AS TO BECOME SU&IECT TO THE e `�,�
Uj WORKERS'COMPENSA710H LAWS OF CALIf-0RNIA,AND AGREE TNAT IF 1 SHOULD BECOME INSPECTION FEE I
SUBJECT 70 TME WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE IABOR `'
s CADE, SHALL FORTHWRIi COMPLY WITH THOSE PROVISIONS. ISSUANCE (�°TTV!\L'tlT A T Fa'�1T7'�D�_T? � ' •vd
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� SU&IECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT � �
} DOLURS(f��.�).IN ADDITION TO THE COST OF COMPENSA710N,DAMAGES AS PROVIDED FOR IN O ,
� SECTION 37o0OF THE LABOR CODE,IN7EREST,AND A770RNEV'S FEES. RETENTION FEE: ��-� �
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OCONSTRUCTION LENDING AGENCY PREALT FEE: I
� 1 NEREBV AFFIRM UNDER PENALTV OF PERJURV THA7 THER[IS A CONS7RUC710N LENDING AGENCV ' /
d FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3077,CIV.CJ. � I �
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� LENDER'S NAME
F- LENDER'SADDRESS
� I CERTIFV THAT I HAVE HEAD THIS APPLICA710N PND STATE T1iAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES
w I AGREE TO CAMPLY WITH ALL CI7Y AND COUNTV ORDINANCES AND ST�TE UWS RELATING TO BUILDING
� CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUN7V TO ENTER UPON THE
ZABOVE�MEN710NED PROVERTV FOR INSPEC710N PURPOSES. COMMENTS �
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