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�_1� CITY OF DIAMOND BAB ��` DEPARTMENT OF COMMUIr1ITY&DEVELOPMENT SERVICES _ ,aw , 21660 E.Copley Drive Suite 19D (909)860-3195 Fax(909)861-3117 PRESS 9N', BiJII.DING PERNIIT A'PPLICATION , FIFaMLY . --- � JOBSITE , . - . APPLICATION PERMIT � P/C o ADDRESS � �- DATE NUMBER �� # � APN LOT '_ T T �' *� ISSUE / TYPE OCC p OWNER . ` DATE '�"�`�( ��� CONST. GROUP Q ADD �S ZONING SETBACKS W CI ZI TEL FRONT RV1l ❑ �r TE �a„ REAR � � APP,LICANT I r SIDE/SIQE STREET R{�/ p , a� CONTRACT , . , SIDE ._ p CITY a � �'` O ADD � Z , . TEL. PROFOSED USE �--� - r w ARCH/ G/ _ ,_� � . z DESIGNER I �i���" � wn., ADDRESS NO.DWEL. NO. NO. _ - UNITS STORIES BEDROOMS � CITY ZIP TEL. � �„ NER-BUILDER DE DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION . . , OIW CLARATION � � � . � _„ ,' p , . . .; SFR/ADD/REM . . � .. .. .. .. .;�. Q, I HEREBYAFFIRM UNDER P�NALTY OF PERJURY iHlS I AM EXEMPT FROM THE COMRACTORS LI- ,� GaBge/CBryOft- � � � ' W CENSELAWFORTHEFOLLOWIN�j REASON(SEG7031.SBlJSINE55ANOPROFESSbNSCO�E:ANYqTVOR ' C�- -COUNTYNMICHREQUIR6SAPEAry11TTOCONSTRUCT,ALiER,IMPROVE,�EMOLISH,ORREPAIRANYSTRUG � Pdt10/DBCk � � TIONANYVIOLqTfONOFSECPIOM70915BYANYAPPLICpNLICANTFORSUCHPERMITTOFILEASIGNED� � � STATEMENT THAT HE OR SHE IS�LICENSEO PURSUANi TO''�THE PRDVISION3 OF THE CONTAACTORS L4 � ' TURE PRIOR TO ITS ISSUMICE hLSO iiE�UtRES�THE APP Z��. CENSEIAW(CryAPTER9(COMMENCINGWITHSECTION7q00)OFDIYISION�30FTHEBUSINESSAN�PflO- ' � POOVSPB . W ' FESSIONSGODEJORTHATHEO SHEISE%EMPTTHEREFROMAN�THE9ASISFORTHEALLEGEDE%EMR �.(3 - U., TFORAPERM�TSU&IECTSTHEAPPLICANTTO � Z RB-ROOf , . � ACMLPENQTtlDFNOTMORE�T�IANPNEHUNDRED�DO�LARS(S5oo).�r � � ' � �, ❑I,ASOWNEROFTHEPROPEpTV,ORMYEIAPLOVEE5WI7HWAGESASTHEIRSOLECOMPENSATION, �� � Commercial � � ' . z�-�,,WILLDO THE WOAK,AN�THE STRUCTURE IS NO7,INTENDED OR OFFERED FOR SALE(9EC.7o44,.BU51- .._I � � � � � NE6S AND PROFESSIONS CODE:�iNE CANTRACTORS LICENSE LAW DOE3 NOT APPLYTO AN OWNEfl OF � , , � ' PROPERNWFIOBUILASORIMPibYESTMEREON,ANDWHO00E55UCHWORKHIMSELFOflHERSELFOfl ' '� �� �'(� THROIXiHHISORHEROWNEMPLOYEES,PFOVIDEOTHAT$UCHIMPROVEMENTSAREN�?INTENDE�OR m � �- - �- , .. OFFEREU WHSPLE iF,HOWEVEiy lHE BULDING ORIMPROVEMEM IS SOLD WITHIN ONEYEAR OF COMPLE- � Z;' ��TION,THE OWNEfl�BUILDEH WIW HAVE THE BUROEN 6F PROVMG THAT HE oR SHE DI�NOT BUILD OR . , , _;, IMPROVEFORTHEPl1RPO5EOF�ALE). � � , , . ❑I,ASOWNEROFTHEPRO6rEH7V,AME%CLUSIVELYCONTRACTINGWITHLICENSEDCONTRACTORS �;�„� TO CANSTAUCT THE PqQ1ECT(SEC.70N,BUSINESS AND Pf10FE5510NS CODE:THE�CONTRAGTORS LI- VBIl12IlOf1 ADJ.AREA � � W' CENSELAWDOESNOTAPPLYTO'�/JiONMEROFAPftOPERTYWHOBUILD50RIMPROVESiHEREtlN,AND�� _�"� �Vh1000NTMCTSFORSUqiPRtlJECTSWITHACONTRACTOR(S)UCENSEOPURSUANTiDTHECONTHAG FEE. � F""� roAsucexseuw.). �� 4 ANTITY DESCRIPTION � � � �' ❑I AM EXEMPT UNDER SEC'� � B.8 P.G FOR THIS REASON� :Q ' - ' �' . . � �U � � 4 , i i�_���� ' ( � �� Z,.., �ATE I OWNER , .� - � _.,� .,w^ � LICEN$ED CONTRACTORS DECLARATION � �;W � , . . � �.. I HEREBYAFFIRM 11N0ER PENALT/OF PERIURV THAT i AM LICENSED UNDER PPOVIS10N5OF CHAPTER � ' �, ' , ���. e(COMLIENCINGWITHSECT �000)OFDIVISION30FTHEBUSiNESSANDPROFESSIONSCODE,AN� z , �]� MY LICENSE IS IN FULL F A�f7 EFFECT. � �� m �o L�CENS LAS LIC.NO. - . � � �� , , V DAT � J�I� CONTP,ACTD'- � � a . LL! � WORKERS'COMPENSATION DECLARATIQN . Q � I HEFEBYAFFIRM UNDEFi PENAL7`/OF PERJ�RY ONE OFTHE FOLLOWING DECLARATIONS� Z � � _IHAVEANDWILLMAINTAI`r.ACERTlFICATEOFCANSENTTOSELF-INSUREFORWORKERS' ¢y Q CAMPENSATION,ASPROyIDEDBYSEGTION37000FTiiELABOHCO�E,FORTHEPERFORMANCE U � F THE WOHK FOR WHIC�I THIS PERMIT IS ISSUED. � �' IHAVEANDWILLMAIMAINWORKERS'COMPENSATIONINSURANCE,ASRE�UIREDBYSEC710N � ' Q 37000F YHE LABOR COD,FOR 7HE PERFORMANGE OF THE WOfiK FOR WHlqi THIS PERMIT iS , � ISSUE�.MY W�RNlfl9� MPENSATION INSUR CA RIERAND POLiCYNUM6ERARE: CONSTRUCTION > CARRIER p � - ZPOLICYNUMBER �� '� �� _ . �.ELECTRIC �� � "'`'�*+' � � ' ��I - .., '+"�}t��,w,. p (fFi13SECTiONNE�NOTB�EGUMPLEfEDOF7NEPERMIfiSFORqVEHUNDREDDOLUWS(y10D)ORLESS). PLUMBING y�- �''Q Z I CERi1FY THAT IN 7HE P�HFORMANCE OF7HE WOHK FOR WHICH iHIS PERMIT IS ISSUEo,I MECHANICAL � k'�„��q"„� � (� 5HALL NOT EMPLDYANV pERSON IN ANY MANNER SOAS TO BECOME SUOJECTTO THE 5 � , �y, _ (/� WORKERS'CAMPENSATIQNLAWSOFCpLIFORNIA.AN�AGFEETHATIFISHOUIDBECOME NFEE q�'Y Y� 't �,�"' y �f� 5 COMPENSATION PROVISIONS OF SECTION 37u0 OFTHE LABOR - A � A� s' Y '�. j+p „�q � SU&IECTTOTHEWORK¢iCOMPLYWITM EPROVISIONS. ISSUANCE �R��ua � �4,1� ��h ��,r1 5 W WARN.INGFAI�URETOSECUflEAPPLICANT.��,��'��/�' _ "' . .. �y"�� ��'�''�3v� �� '� �L CA�E,I SHALL FORTHWI� �-�— �+`5,a p --� ENERGYP/C �`�,��� r.yz. J RKERS'COMPENSATION COVEHAGE IS UNLAWFUL,AND SHAlLBE � SU&IECTANEMPLOYEflTOCHIMNRLPENALTIESANDCIVILFINESUPTOOIVEHUNOREOTHOUSAN� ENERGYPERMIT �a�'..)�� COLLAR5(StoO,oao�,INA0�iT10N OTHEWS70FCOMPENSATION,OAMAGESASPROVIDEDFORIN J SECTION 37oe OF 1?iE LABOR CD E,INTEREST.AND ATTORNEPS FEES. � � � qC RETENTION FEE: � OCO�ISTRUCTION LENDING AGENCY ' pRE-ALT FEE: � IHEPEBYAFFIRMUNUERPENALTlOFpERJURYTHATTHEREISACONSTRUCTIONLENDINGAGENCV - � . PoRTHEPERFORMANCEOFTHE�JORKWRWHICHTHISPERMITISISSUED(SEC.3oW,CIV.C.). . - Z L1J � LEN�ER'S NPME - � 1'— LENCER'SADDRESS � � TOTAL FEES � , � : � W ICERTIFYTHATIHAVEREADTHI$APPLICATIONANDSTATETHATTHeABOVEINFORMATioNISCARRECT. 4 I AGREF TO CAMPLY WIYH ALL qYV AND COl1NiV ORO�NANCES ANO STAiE l4WS RELATING TO BUILDING �p� � CWSTf1l1CTI�N,ANOHEREBVAI�THORIZEREPRESENTATNESOFTHISCOIlNTVTOENTEFUPoNTHE ' �, � A80VE•MEMIONED PROPERTV f-OR INSPECSION PURPOSES. COMMENTS � � � � � �i �_�--�'���°' l�1 '� � pEAuuac� � . '�a . . � . �...� �S"Bf y ��� �/y GNATURE FPERMITTEE ' OA7E r � � RECPT.NU. PAID BY ;VALIDA710N � �WHITE—Departmenl Copy,VELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GRE N—ApplicanYs Copy� ��� � �� ': � ����� �� �� � �� . x�..:� i'. �, '_"�Y'-t' �i.k �_ '� '��+.a' m A .�'_ � & � � - �..BF ���ht�°� � ......,.._ ` � ��..����',�,��E.�.? i, �.... �f� Y--__�__._.__� a "��-�`"'FC"+.�..�'f��i��'3�'` �� _ _ ..�.........I �"����Q�4��� . . ��� .. �' ..^� __�____...�....w„,---� � "'c.. uM�"�i°.F���=� � �� � __. i!�`��#t�.€�� C��r�'CB�a�'`°.�` „ '" - _. _�'3 �gpa.�3"IIaaw 6§`'E:..+"S�+'� �, ��}I'�;��� i ....... . ....�., � ' i.J'4€Cd�'T"i .�4.�✓��1'i:.48"�LA'�F�1 TMI.. ,. .. ! . 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