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� �� CITY OF DIAIVIOND BAR DEPARTMENT OF COMMUrTITY&DEVELOPMENT SERVICES w 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861,3117 PRESS ....� BUILDING_PERMITAPPLICATION -- ` FII�MLY ' . . -.9eld . � JOBSITE APPLICATION PERMIT �-y P/C � ADDRESS � � � �� DATE NUMBERt ✓Z # o� ' ^ ISSUE ^ 7YPE OCC � APN tOT TRACT DATE `-C" � �U`�G CONST. GROUP p OWNER _ . _ , _ _ ADDRESS_ �tallc�dctT F'�1c�C�f Q,t . ZONING SETBACKS o - FRONT RW ❑ "' CITY 15ri5��r. tlZaC��rthur LSivd. Z � REAR ❑ g APPLICANT �f�;tr1 LZeSa,Cd;�Zb�G�i��}��E7-1 ln1 - SIDEISIQESTREET RW CI „ ao¢ - - � CONTRfyCT'�F�— - -- SIDE ❑ o ADDRESS_ �liso Au,Inc.. PROPOSED USE o CITY� 29;36.ave. de las Banderas , wo ARCHlENG/ gZ1Ch0. SI7Td. 1�ZdI'g. 92688(944)589-202i NO.DWEL. NO. NO. �z, ,DESIGNER_ p� ADDRESS___ UNITS STORIES BEDROOMS � CITY ZIP TEL. � " DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREiUVALUATION , O��„ „ OWNER-BUILDER DECLARA710N � . � SFR/ADD/REM � � � � � -�� �� p I HEREBY AFFIRM UNDER PENALTV OF PER.IURV THAT 1 AM EXEMP7 FROM 7HE CONTRACTORS LI�- Gd�aJB/CBfpat ���W� �NflE;PRIOA-TO 175 ISSUANCE,AL50 RE�UIRES THE APPLICAf�R FOR SUCH PERMIT TO PILE A SIGNED � 'W PeIID/DBCK '��. ' � CCENS�LAW(�PE,R(COMMEN N W RH SECTION 7D00)OF DIVISION 3 OFHT E BUS NESS AND PRO W �� , � "�,� FESSIONSCOOE}ORTHATHEORSHEISEXEMPTTHEREfHOMANOTHE8A51SFOHTHEALLEGE�EXEMP � POOUSPB , STATEMENT THAT HE OR SHE IS LICENSED PURSUANT 70 THE PROVISIONS OF THE CONTFACTORS LI �, V TION.ANVVIOLATIONOFSECTION7081.S8VANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z RC-ROOf ' ��, �:' 'ACIVILPENALTYOFNOTMORETHANFIVEHUNDREDDOLLARS'�5500).): . :� , �, ❑I,ASOWNEROFTHEPROPERTY,ORMYENPLOYEESWlIHWAGE3A3THEIflSOLECOMPENSATION, '�� Commercial .,WILLODTHE WORK,AND THE 57FWGTURE IS N071N7ENDED OH.OFFERED FOR.SqLE.�SEC.7o44,BUSI- J N. 'NESS MD PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW�OES NOTAPPLY 7D AN OWNER OF � �� � H ANDWHODOESSUCHWOFiKHIMSELFORHERSEIFOR . PHOPERTYWFiOBU1LD50RIMPROVESTHE EON, � �'�. �',THROUGHHISORHEROWNEMPLOVEES,PiiDVID�THAT'SUCHIMPROVEMENTSAHENOTINTENDE�OfS' � '. �. _.. �� W�' �y OFFERFAFORSALEIF,HOWEVER,7HE'BUILDMGORIMPROVElAENTISSOLDWITHINONEVEAROFCAMPLE,- -0'� ',�7ION,THE OWNERAUIIAER WILL HAVE THE BURDEN dF PROVING THAT HE�OR SHE DIO NOT BUILD OR� ' ' _; �.,IMPROYE FOH TFIE PURPOSE OF SALE} - ��.: . '; . ' '�, ,Uj �, ❑I,ASOWNEROFTHEPROPERfY,AMEXCLU51VELtlCONTRACTINGWITHLICENSE�CONTRACTOR3 ; , �ii, � (t�, �TO CONSTRUCT THE PRQIECT(SEC.7014,BUSINESS AN�PROFESSIONS CO�E:THE CONTRACTOR$�LI'- V8I11811Of1 ADJ.AREA ' � W. I CENSEUWOOESWOTAPPLYTQANOWNEFiOFAPROPERNWHO8UILDSORIMPROVESTHEFEON,AND � ..;. �� .r�',� ,WFIOCON7RACTSFORSUCHPRQIECTSWITHACONTRACTOR(S)L�CENSEDPURSUANTTOTHECONTRAG (�UANTITY DESCRIPTION �.. �.� � � ,FEE .Y� �Toas ucwsE uw.>. �'Oy" ❑tAME7(EMPTUNDERSEC. B.AP.C.,FORTHISAEASON U � � '.i�, .. .. � �. �I . . . �.� DATE OWNER V . �'� W aQ LICENSED CONTRACTOAS DECLARATION ' � OC�,� 'I HEREBYAFFIRM UNDEfl PENALN OP PERJURYTHAT IAM LICENSED UNDER PROVISIONS OF CHAPiER�� � . � p,,;��,.e�GOMMENCINQWITHSECT10N7000)OFOIVISION30FTHEBUSINESSANDPROFES�IONSCADE,AND .. .Z �x,�MY6ICENSEISINFU WR�E N �FECL � . m � � � � u.� .7��^ ,o�� . IICENSEC SS' � LIC.NO.'�✓ �� - �� , � � � ,U:, pq7E .. -0ONTRACTOR� ���i ' O. � � � � � , W �'� WO KERS'COMPENSATION DECLARATI�N Q � . �� IHEREBYAFFIRMUNDERPENALTVOFPERIUFVONEOFTHEFOLLOWINGOECLARATIONS: '� U. . ' i � Cn. ' '� Z _ ' . � . CJ�. IHAVEAN�WILLMAINTAiNA(�HTIFICATEOFCONSENTTOSELF-IYSUREFORWORKERS' _ - � �� '�." ��, COMPENSAiION.ASPROVIDED9VSECTION370oOFTHELABORCODE;FORTHEPERFOPF.tANCE U , '�" OFTHE WOHK FOR WHICH THIS PERMIT IS ISSUE�. � ��. "�"�_� � � �" I HAVEANgD WILL MA1 iAIW WORKERS' PENSATION INSURA CE,FS REQUIRED BY SEC71 N' ' ' ' '��'� '� �� CARRIER�-�'" � -. . . ' Y c : CONSTRUCTiON , SStim.M WppKEq� E'F�THE�B R ANCEOpR ER QKFORWH HTHISPERMI �S P�NREVIEW - � POLIcwNUMBER "" ELECTRIC , 1¢ (IHISSECTIONNE�NOTBEO]MWLETmOF"IF�PERMfTISWRONEHWDRED0011�WS1510010 PLUMBING • "�y - �pJ,J 'a;;� �, I CERTIFYTHAT INTHE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT I515&UE�,I � MECHANICAL .,�-'t' ,('J', SHAI NOYE PLOYANYPERSONINANYMANNERSOASTOBECOM SUBJECTTOTHE c/y�' WOR ERS' PENSAT�ON UWS OF C RN ANO qGRE@ T IF I SHOULD ECOME INSPECTION FEE SU&1 CT'f0 E WO fiS'COMP A ION P ISIONS ON 37000F T D ' ' = o I/,S/H"qAL Ttico vwi o P �, - ISSUANCE ��g � �� o DA 'lL� P �ICANT: �SMIP �Y,�i�4 � . � ��'?<e�. � �,3�� � WARNING:fA UPET SECI3RE WORKERS'CO S O VERAGE IS UNLAWPUL,ANO SHALL ENERGY P/C _ �r^ �� � J� SUBJECTANEMPI:O RTOCFiIMINRLPENALTIESAN C FINESUPTOONEHUNDRE�THOUSAN� � �.i- '4iy� ENERGY PERMIT ._ , OOLLARS(fioo.oau),INADDITIONTO?HECOSTOFC PENSATI�N,DAMAGESASPROVIDE�FORIN . �,.: ., �. � � SECTION 37oe OFTHE LABOH CODE,INTERE57 hNOATTORNEI^S FEES. � � ������F' � � � RETENTION FEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ��Q.... IHEREBYAFFIflMUNDER.RENALTYOFPERJURVT ATTHEREISACONST9U,CTIONLENDINGAGENCV ' - a- FOR THE PEFl�ORMANCE OF TI-�WORK R W H iHIS PERMIT IS�55UED(SEC.309],CIV.C.). � ' � ' Z LLJ , ., . �.. .��. LENDER'S NAME �. . � . � ' . ,. F- LENDEH'SADDHE55 � � � �w I CERTIFY THAT I HAVE flEAD THIS APPLICA �STATETHATTHEA80VE INFORMATION IS CORRECT. TOTAL FEES �- ��� � � � IAGRE:TOCOMPLYWITHALLCIT'AND NTYOR�INANCESANDSTATELAWSRELATINOTOBUILDING � � g ��,� CONSTRUCTlON, H AUTHOIi1Z FlEPRESENTA7IVES.OFTHISCOI�NTYTOENT THE,.. � � � A60 �MENTIONE P PER FORINSP CT PURP COMMENTS - � �A� `.o�� � - � � � �'' PERM ENAM , . �� . �/� �.' .C/}�,. ;�— . ;. � . �. LY'... . .. ' j .'� �� SIGNATUIiE O ITTEE� ' .�p E '' '. _,. � ,. _. ;,, RECPT.NO. 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