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� _`� CITY OF DIAMOND BAI� � �' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _ ai66o E.c�iey n��e s��i90 PRESS ., (909)860-3195 Fa�c(909)861-3117 >A� . gi7ILDING pERMTT APPLICATION ' FIRMLY vi` . �- APPLICATION'"�� PERMIT P/C o D RIESS ���� ��I��� ���� QATE . "`��� � NUMBER. �� # ISSUE p TYPE OCC � OWNER `, ��p�„I TRACT �� ' DATE � '" ` �' CONST. GROUP oc �a.t,i � ; O �r Iy��-- . ;, ZONING SETBACKS o, ADDRE S _ z CIT1° �a �"a ' ZIP� TEL. , "' � FRONT RW ❑ 0 APPLICANT , TEL. S DE/SIQE STREET RW ❑� � CONTRACTOR , t d91�'ta4."� �aE.G.• ' SIDE ❑ ADDRESS � �" PROPOSED USE � CITY �. ' " � ZIP�� TEL dt���l� w ARCH/ENG/ ' . ,W .. . . . .. . .: � . . . , . . .. a AD�RESS ' NO.'DWEL. NO., NO. UNITS STORIES - BEDROOMS I a DESIGNER I � CITY �� ZIP, TEL._ �, ' � , DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATIQN' ,. .�:,,: � . O�NEA•BUILDER DECLARA710N ..� � .. SPR/A��/REM . ... . � . .. � . � �. . ���..� .�:. O, L �. ���. � I HEREBY AFFIRtd UNDEF PkNALTY DF PERlURV THAT I AFA EXEMPT FHOM THE CONTRACiORS L6 ,,� GaragelCarport � �� W:� �.CENSELAWFORYHEFOLLOWINOREASON(SEC.7031.SBUSINES6AN�PROFESSIONSCODE:ANYqTYOR , , . C�-.'"�COUNYYWHICIiRE�UlRESAPE�ITTOCANSTRUCT,ALTER,IMAflOYE,�EMOLISH,ORREPAIFtANYSTHUC� .' W ¢3j10/DBCK----- - - w��. ' SO�flEQUIfl£5 7HE APPLICANT FOR�SUCH PERMIT TD FILE A SIONED w � FESSIO 6 CODE POR HATH M�RIL'CENSEO PURSUANT TO'THE PROVISIONS DF THE COPfiRACTKIRS U� NRE.PRIOR TO ITS I55W WCE, � STATEMENT THAT HE OR SHE IS . � ( NCING WITH SECTION 7000)OF UIVISION 30F THE BUSINESS ANO PflO� �, � POOVSPB _'LSHE IS EXEMPTTHEREfAOM AND THE BASIS FOR iH6ALLEGED EXENP� V' ',�TION.AN'/VIOLATIONOFSECTI�}7o31.5BYANtlAPPLICANTf-ORARERMITSIBJECTSTHEAPPLICANTTO z RB-R00� "'A CIVI6 PENALTY OF NOT MORE T�iAN FIVE HUNDRED DOLLARS(5500).):" ~� ' ❑I,ASOWNEROFTHEPROijERT/,OFlMYEMPLOYEES.WITHWAGESASTHEIRSOLECOMPENSA710N, � COfTImBfClal ' ,�.����, :.WILLDO THE WORK,AND iHE 5 RUCTURE IS NOT IN7ENDED OR OFFEREP FOR SALE(SEC.7o44,BUSI� � ,J . NESS AND PROFESSIONS CODE: HE CONTRACTORS LICENSE LAW DO�S NOT APPLYTO AN OWNER OF � �' .PROPEfiIYWFIOBUILDSORIMP VESTHEREON.ANDWHOOOESSUCHWORKHIMSELPORHERSELFOR m � pC�'�, �hIROiIGNHISORHEROWNEMPOYEES,FROVIDEDTHATSUCHIMPflOVEMENTSAAENDTINTENDEDOR . W'� 'OFFEREDFORSALEIF,HOWEVE 7HEBlALDINGORIA/PROVEMEPdTISSOLDWITHINONEYEAROFCOMPLE �'� ''710N;THE OWNER�BUILOER WILL HAVE THE BURDEN OF PROVING THAT�HE OH SHE�ID NOT BUtLO OR , � �� _��, IMPPOYE FOR THE PURPOSE OF ALE). � � �' - . �-� ❑I,AS OYlNEHOFIHE PRO EFifY,AM EXCLUSNELY CONYRACTINO WITH LICENSED CANTRAC70RS ' �� ��7000IVSTHUCTTHEPFQIEGT�EC.7044,BUSINE55ANQ�.PROFESSIONSCODE:THECONTRACTOR9LI- V2ItJ8fI0n ADJ.AREA `SI �,y��pCpNTRAG7S OASUCHp�����OWNEROFAPROPERTVWH06UILO50RIMPRDVESTHFAEON,AfJD ��,, �. 70RSLICENSEIAW.�. ,��CTSWITHACANTRACTOR(5)LICENSEDPURSUANTTOTHECDN7RAG QUANTITY DESCRIPTION �', �FEE � � ❑IAMEXEMPTUfJDERSEG', B.BP.C.FORTHISREASON U �:�.��� , . - .� '. , W ' DATE � I OWNER ` U ' � LICE SED CONTRACTORS DECLARATION W � IHEREBYAFPIRMUNDERPENAL OFFERlURYTHATIAMLICENSEDUNDERPROVISIONSOFCHAPTEFl � ����'t�,s ' '��, , � ��e(CONMENCINObY7TH5ECTIOM Ooo)OFOIVI310N30F7HEBUSINESSANOPROFESSIONSCADE,AND z X �. MV 610ENSE IS IN FULL FOItCE �EFFECT. m . (� � L�. LiCEBJSE CLASS LIC.NO. _ � ��AJ '�7�.� . . J . . . . �� OA'fE ' � �.•.,.-,- �j+!f � ' CONTRACTOR . � . �- . .. . . .... � 6R I_T— ��, WORI�ERS'COMP'ENSATION DECLARATION ¢ � U n"' I HEREBYAFFIRM UNDER PETI�OF 9E3UURV ONE OFTHE FOLLOWINGbECLARATIONS: Z � � � � Q ��,�', _IHAVEAN�W�LLMAINTPIItYACER'ftFICATEOFGONSENTYOSELF-INSUSEFORWORKERS' T ��'',�:, COMPENSATION,P.SPR�V16EDBYSECTION37000FTHELABORCOOE,FOR7HE?ERFORMANCE !U OFTH6VJORKFOHWHi HTHISP'eAMITISISSUE�. � 49 . ;' �IHAVERNDYdILLhAAIM INWORKERS'CAMPENSAT�ONINtt1RANCE,ASREQUIREDBYSECTION 4, +"37000FTNELABORCO E,FORTHEPEWFORMANCEOFTHEWORKFORWHICHTHISPEHMITIS �� ISSUm.MY WORKERS' PENSATION INSyu NCE CARPoER AND PDLICY NUMBSR ARE: CONSTRUCTION �'��� � cnaRiEa t A�' . �'t . . . PLAN REVIEW ��, POLICYNUMBER �6 , — ELECTRIC �' � �� (IHISSECiIONNE�NOT�ELi:M�IETIDOFiNEPERAAFf�ISF�RGNEMlI�AflEDWLL4R5�51�10RLESS). PLUMBING � 'Z i CERTIFYTHAT INTNE l�ERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSl1E0,I MECHANICAL �g�99 (� �, SHALL NOT EMPLOY ANy PERSON�N ANY MIANNER SOAS TO BECOME SUBJEC7TOTHE p�7..p , dy� WORKERS'COMPENSrIYIIO�JLAWSOFCALIFORNIA.ANDAGREETHATIFISHOULDBECOME �NSPECTIONFEE G�4.M[ ��. �..� ' SU&1ECTTO THE WORpERS'COMPENSATION PROVISIONS OF SECTION 37000F THE IABOfl �L j y'L� ��� CAOE,ISHALL FORTHNhYH COMP�Y WITHTHpO7SE PROVISIONS.]� ] ISSUANCE � �i �-"� C �". ll7C.�!��1 SM1P �y��� OATE: ��!APPLlCANT: � � ,y�rprq�, . J,I ENERGY P/C _ .j'� 9. Y� WARNING FAILURETO SECUREIWORKERS'COMPENSFiION COVERAGE IS UNLAWFUL,AND SHALL BE �j SU&IECTANEMPLOYER70CRI�AMAL:PENALTIESANDCMLFINESUPTOONEHUNOREOTHOUSAN� EIVERGYPERMIT' '� OOLL4RS(f 7 00 000J,IN AD�ITIOrI To THE COST OF COMPENSAT�N.DAMAGES AS PROVIDED FOR IN �. �:�'�, SECTON 37ae OF7HE LABOR GyJDE,MTEREST,AN�ATTOFNEY'S FEES. ' RETENTION FEE: � .�.I.'i .. . . . . . �'. CbN57RUCTION LENDING AGENCY PRE-ALT FEE: � .��' IHEREBVAFFIRMUNDERPENA�.TYOFPERJURYTHATTHERE!SACONSTRUCTIONLENDINCaAGENCY, , FORTHEPERFORMANCE'OFTF{EWORKFOfiWHICHTHISPERMITISISSIIE�(SEC.309�,CIV.C.�. Wi ��il'� LENOEWSNPME ' y F_-�. LENOER'SAODFE55 '� °']_ '�:�' ICERTIFYTHATIHAVEREADTF�ISAPPLICATIONANOSTATETHATTHEA60VEINFORMATIONISCORRECY. TO 1!'1L FEES ' � � ���� `�� ',��,,�, IAOREE TO COMPLV Wf(H ALL CtTYANO COUNTV ORDINANCES AND STATE LAWS REL4TING TO BVILDING ''� . � . �� CON57AUCTION,ANDHEflEetl�W7HORIZEREPRESENTATNESOFTHISCOUNTYTOENTERUPONTHE � � �� ,����'�, ABOVEMEIdTIONE�PHOPEflTTI FOR INSPECTION PUFiP03E5. COMMENTS -- �' ���'� � ��� �I PERMI ��PFtI � .Q'�, y� . '..� UD '�p-�j, SIGNATU E OF P TTEE ! �ATE I N � � . RECPT.N0. `�" PAID BY � �'�,VAL14ATION .. . ' ' WHITE—DepaRmeni Copy,YELLOW--Finance Copg PINK—Assessor Copy,GOLDENR06—File Copy,GREEN—Applirant's Copy ����� �� �� ���� ���:�� �� ., �� .�'.�i .p� �� a�� ... '... 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