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;-..__ _!� CITY OF DIAMOND BAl� � DEPARTMENT OF CQMMUNITY&DEVELOPMENT SERVICSS C _ a 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS "9�°�`' BiJII.DING PERMIT APPLICATION _- FIRMLY }' JOBSITE ` APPLICA710N � PERMIT � 6 P/C o ADDRESS '���� ���L� �,�{'✓l,<,-'- DATE �C��I r�. NUMBER ��'")�� # $ ISSUE r. TYPE OCC -- � TRP�T ��.�� - DATE "�L��-"-�``t CONST. GROUP APN LOT p OWNER c- I p ADDRESS � � ZONING SETBACKS Z CITY /9L�s'I'{��r�k Zl�TEL dtI^`, � , FRONT _ qW ❑ g APPLICANT I TEt REAR C7 SIDEISIDE STREET RW p � CONTRACTOR }�'f�_�l,�pq��t�,"�'i.�� SIDE ❑ p� ADDRESS fa2G3v�' �c"�a�"N"�lPE-- PROPOSED USE �i31'�,.�Sd'vic - If'^4i�.1�' o cilv "`��u,c.��F$�_ ZIP�� TEL.�,,�n<���'��[ � ----�-� � wo ARCWENG/ , � ADDRESS � NO.DWEL. NO., __ , NO. , , = C TSIGNER i UNITS STd,RIES BEDROOMS ' ZIP TEL. O OWNEH-BUIL6ER DECLApATION ��qO/REIM N SQ.FT. FACTOR PSF ' ADJ.AREANALU ATIOM ' I HEHEBY AFFlRM UNDER NALTV OF PERIURY THAT i AM EXEMPT FROM 7HE CONiRACTORS LI- .G3P299/C01Port i� �. W�� �CENSELAWWHiHEFOILOWIN pEASbN(SEC.7031.59USINESSAN�PP;OFESSIONSCODE:ANYCITVOR �� �(/� . � U �IX1NfYWHICHREOU�RESAPER�ITTO'GON5TflUCT,ALTEH,IMPHOVE,DEMOLISH,ORHEPAIRANYSiflUG � ' ��W� �TURE;PRIOR TO ITS ISSUPNCE,AL50 RCUUIRES THEAPPWCANT�FOR SUCH PERMIT TO FILE A SIGNEO �� W Pallo/Deck �, '$TATEMENT'fHAT HE OR SHE IS LICENSE�PURSl1ANT TO THE PROVISIONS OF THE C�NTFiACTOFiS LI� � � CENSE LAW(CHAPTER 9(COMM NCINg WIThi 9ECTION,7000)OF�IVI310N 3 OF THE BUS1NF55 RND PflP � POOVSPB . �� FESSIONSCODE)ORTHATHE�SHEISEXEMPTTHEREFROMpNDTHEBASISFORTHEALLEGE�EXEMP- (� , ��, TION.RNYVWLATIONOFSECTIO�iZ039�.587RNYAPPLIGANTf-0RAPERMITSU&IECTSTHEAPPLICANTTO .. ..Z {�8•Flppf ' . '��71dNLPENRLNOFNO7MORE'�NANfIVEHUNDREDDOLLARS�(55o0�:): - � � .Q' ❑I,ASOWNEROFTHEPROPERT;OFiMYEMPLOY�ESWITHWAGESASTHFIRSOLECAMPENSA710N, COf7lmefCial � � . ..Z,�. �.N7LL DO THE WORK ANO THESTR4CTURE IS NOT INTENDED OR OFFEftE�FOp SqLE(SEC.704b,BU51- '. q� � �' NESE AND PfiOFESSIONS CWE:hIE CONTqACTOflS LfCENSE LAW DOES NOT APPLV TO AN CWNEH OF' �. ��.PROPEHTYNM1iOBURD50RIAiPROVESTHEREON.ANDWHOAOESSUCHWORKHIMSELFORHERSELFOR� '��� - :Q..'�' THHOUGHNISORHEROWNEMF�COYEES;PROYIDEDTHATSUGHIMPROVEMENTSARENaTINTEPlOEDOR � m ' ' ' . Qi; ,OFPEHE�FORSALEIF,HOWEVERNEBUILOINGORIMPROVEMENTISSOIAWITHINONEYEAHOFCOMPLE- Z ���TION,THE OWNEF�BUIIDEp WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE OID NOT BNID OR . , ._ �IMPROVEFOHTHEPURPOSEOFISAI.Ej, . � - � _ ,W, ; ' ❑I.ASONMEROFTHEPHdPEfiTY,NAEXCLUSIVEIYCOMMCTINGWITHLICENSFDCANTMCTORS , � �_TO CONSTRUCT THE PROJECT(�EC.70M,BUSINE55 AND PROFFSSIONS CO�E:THE CONTRACTORS LI-. VBIUa[lOf1 ADJ.AREA � �� �-� � � ,. LLI CENSELAWDOESrbTAPPLYT IVNOWNEROFAPROPERTYWHOBUILOSORIMPHOVESTNEREON,AN� 'F. 'WHOCONTMCTSFORSUCHPR�JECTSWITHACONTRACTOR(5)LICSNSE�PURSUAN770THECONTRAG QUANTITY DESCRIPTIOM - - ' FEE '' Y, ;TORS LICENSE LAW.�. -I. ', �. I� ��, � ❑i AM EXEMPT UNDER SE�.� � 9.8 P.C.FOR 7HI5 REASON �,, Q ' U w � DA7E 'OWNER U �, L�CE�,NSED CONTRACTORS DECLARATION � � , , � IHEREBVAFFIRMUN�ERPENALTYOFPERJURVTHATIAMLICENSEDUNDEf1PROVISION50FCHAPTER '. � � � � A,y, I �� e(C061MENdNO.WITHSECTic7�j7o00�6FDIYISION30FTHE.9U5ME55ANDPROFES510NSCODE,ANO Z Q, - ' (�7 i�''� X MY LICENSE IS IN FULL FORCE AND EFFEGT, m �, ^ �� � � ti �' UCENSE CLASS LIC NO. ,,.J R , � ;� ^���, � . :�' DATE � � � CONTfiACTOR/ �¢ P �� � � �, W I �' �, WORKER5'COMPENSATION DECLARATION ¢ bi r �� I HEREBY FFFIpM UNDER PEN�LTY O�PERIUHY ONE OFTHE FOLIOWING DECLARATIONS: Z - ' �. " , � _IHAVEANDWILIMAINI��R`I'N'ACERfIFICA'fEOFODNSENTTOSELFdNSUFlEFORWORKERS' _ COMPENSATION,ASPryuyID6D9YSECTION97o00FTHELABORCDDE,FORTHEPERFORMANCE `U Q OFTHEWORKFOfaW4jICNTHISPEFMITI5155UE0. � � T _IHAVEANDWILLMAIN AINWORKER3'COMPENSATIDNINSURANCE,ASREQUIREDBYS�CTION � 370UOFTHELABOHCO�E,FOr�hIEPEFFORMANCEOFTHEWOf1KFORWNICHTHISPERMITIS � ISSUED.MV WORKERS COMPENSATION INSUqANCF CARqIEilANO POLICV NUMBEP ARE: CONSTRl1CTION ,y. cnaqiea - ���.��YYL�� PLqN RFVIEW Z� Po�ICYNUMeER [.�r�����i"I�f I � � � ELECTRIC ¢ I �7 /�py . 0 jfHISSECPiLWN�NJ}BE�OFh�PEPA11?�SFnRONEHLN3REDDOIWS(5100�ORLESS� PLUMBING _ ..d1��C.lE'6ff� Z��, I CEqTIFYTHAT IN 1TiB�PERFORMANGE OF TME WORK FOR WHICH THIS PEqM1T IS ISSUED.I MECHANICAL � - (,�J�'� SHALLNOTEMPLOYA�1'PERSONINANYMAPJNERSOASTO6ECOMFSUBJECTTOTHE ��-- (yj��, WORKERS'COMPENS��lTION lAWS OF CA9.IFORNIA,ANO AGREE THAT IF I SHOULD BECDME lNSPECTION FEE SU&IECT 70 THE WOF4KER3'COMPENSATION PROVISIONS OF SECTION 37000F 7HE LA90fl �q ,r�' ,�`p � fAOE,ISHALLFORTHP�ITHCONPLYWITHTHOSEPROVISIONS. ISSUANCE iLdt�� a}'`�'d�'":'L -g� . . Q'; '�ATE: � ' APP{:VCANT: SMIP � � $� ��j`� , ��'. WARNINO:FAILUHE TO SECUflE WdF11�R5'CAMPENSATION COVERAGE IS UNUIWFU4 AN�SHALLBE ENERGY P/C �' . ; � 'x K�.w SU&IEGTANEMPI.OVFRTOC�iIAIiNpL7ENALTIESANOCIVILFIIVESUPTOONEHUNDREDTHOUSAND �-'� °.p L"�� u-�'� ENERGY PERMIT �c d"'J rs, - �OLLARS�S1oD.00a),INADDIT{ONTqTHECOSTOFCOMPENSpTIQJ,DAMFGESASPROYIDEDFORIN ' 1,p`" "^ - �' SECTION370BOFTHELABORICOOE,INTEPEST,AN9ATTORNEV'SFEES. � ,_ S: � - �� RETENTIONFEE: ���. `�.-k'�� :� a �I`ANSTRUCTION LENDING AGENCY PAE-ALT FEE: � � I HEREBY AFFIRM UNDER PEM1�ALTY�OF pERJURYTHATTHEpE IS ACONSTRUCTION LENDING AGENCY � �- - FOR7HE PERiONMANCE OFTHE WORK FOR WHICH 7HIS PENMIT IS ISSUEO(sEC.3aa�,CIV.4�. � � � W � LENDER`SNAME_ , ' � ' F'�' LENDEfi'S 1DDRESS �{ � W ICERTIFYTMATIHAVEREA��7HISAPPLICpTIONAN�STATETHATTHEABOVEINF-0RMATI�NISfARqECT. TOTAL FEES ""'��}�� �' ��., � IAGREETOCOMPIYWITHALLCRY�ANOCAUNTYORDINANCESANDSTATELAWSRELAT�NGTOBUILDING -, �� CONSTRUCTION,PNDHEAE6YAUTNORI2EREPP.ESENTATIVESOFTHISCOUNTYTOENTERUPONTNE � ; . � ABOVE-MENTIONED PROPERi FOR INSPECTION PURPOSES. COMMENTS _ �J V � � � PEFMITTEENAMEIP NT) I � ' ' . . . ...� �, `�� .� . . �. ..,�. - � �2SIONATURE OF PEAMI �ATE � �I � RECPT.NO. � PAID BY � ALIDATION� - �~ - � � � WHITE--�epartment Copy,YECi9W—Finance Copy,PMK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs C'opy ��� � ��� � ��, ���� � � ��� . �� �� � � � � � � � �R �.� �. � � p�; � ' . ^ f , � g . s'"T°WW� L3t�L'4� � {�+���1.. � , � '. . I ' �"`dP �"'t�^UVii,� ' . � . .. � .� . , � t �� ��� � ._ ._.,_.f��..�.__, . I �:V�i 5�.) .. "�..—__...__...._ ��..._....._.._..__.... � 9 �."'sl��'„ 9�,v v � j ! 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