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^ _!� CITY OF DIAMOND BAI� � DEPARTMENT OF COMMUIrTITY&DEVELOFMENT SERVICES _ ai66o E.c�ey��e s�ir�i�o PRESS -w (909)860-3195 Fax(909)861-3117 ,_�..,.��, �� BiTILDING PERMIT A-PpLIGATION � � �IRML�( ��*- / � , APPLICATION�''�i��,,�.-� PERMIT ° ¢ ADDRESS 7�� ���L��R.� l.�P i � P/C o DATE �NUMBE # o ISSUE TYRE .;`' OCC � ti t J g OWNERJ C# ,T � DATE' 'i`, CONST. ' GROUP r APN �OTi_ �� � . " ADDR SS .� � , ZONING SETBAGKS �': � CITY r ZIP TEL. � REART . ,, ,_ RW � APPLICANT TEL.- � ��,,� ���,,y� SI�E/SInE STREET RW ❑ � ADDTRACTOR ..7�Src. O�d4NCK� SIDE ❑ . � � �., Q. CON �, RESS ^ � CITY ZIP TEL. PROPOSED USE � �, ' F = : w ARCH/ENG/ i " z DESIGNER �� � , , ', w , NO.DWEL. 'NO. � � NO. n, ADQR S � CITY '� � I ZIP TEL. UWTS STORIES BEDROOMS�„_ O �WNER�UILDER DF_GLAHATfON SFR/ADD/REM ��}'� I u � DESCRIPTION SQ.FT. FAC�OR F�SF ADJ.AREANAL ATION , ,.,� I HEREBY AFFlRM UNDER P1,ENALTY OF PERJLIHY THAT 1 APA EXEMPT FROM THE�CANTRACTORS LI- �� Gflfd9B/Gii�011 \ q ' W �, CENSELIWKORTFIEFOLLOWNy pEp$ON(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANYCINOR Z COUMVWHICHRElX11RESAV6fiM�7T�CONSTRUCT,ALTER;@dPROVE,DEMOLISH,ORREFAIRANYSTRUC � W. ��� '�� f,,., i i. � ,. �,w ��TURE,PRIGR TO ITS ISSUANCE,AL50 RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FiLE A SIONED �- W , ' � • „'� � ��STATEMEN7 THAT HE OR SHE IS LICENSE�PURSUANT TO 7HE PROVISIINJS OF THE CANTRACTORS LI• � � �� � ,CENSE LAW(CHAPTER e(COMM�NCINO WI'fH SECTION 7000)OF�IVISION 3 OF TFfE BUSINE55 AND PRO- POOVSPB "" '� s� �� �,_, ;FESSIONSCDOE)OHiHATHEOi�5HEI5EXEMPTTMEREFROMANDTHEBA5ISFORTHEALLEGEDEXEMP• � (� � . ,V TKKJ,ANYVIOI,ATIONOPSEC710�l7031.5BYANYAPPLICANfFORAPERMITSU&IECTSTHEAPPLICAN770 . Z RB-ROOf N . ACIVIY.�PENALTY OF NOT MOFE HAN FNE HUNORED��LARS(S50o�.):� �A �, �I.ASOWNEROFTHEPR ERTY,ORMVEIAPLOYEESWITHYWGESAS7HEIRSOLECOMPENSATION, �� � O CORIt11BfCi01 �� � ' � �.WILL DO THE.WOHK,AND THE�AUCTUHE IS.NOT INTEN�EDA(i OFFERED FOR SALE(SEC.7oA4,BU51- J ' Q �'THROUGHHIS OR HER ONM EPA TM��TRACTORS UCENSE UW DOES NOT APPLY TO AN OWNER OF ' � p,P , i ' 'NESS/J!U PROFE9910N9 CODE: — PROPERTVWHOBUNDSORIIdP OVE57HEREON,ANDWHODOESSUCHWORKHIMSEIFORHERSELFOH � wv� F�COYEES,PROVI�EDTNATSUCHIMPROVEMENTSARENOTINTENDEDOR � m � - � � �- � � � . W ��OFFEREDFOqSALEIFFIDWEVE THEBUILDINGOqIMPROVEMENTI550lDWiTHINONEYEAROFCOMPLE- i ' I �Z �`��TION.THE�OWNER-BUIIDER WIL�HAVE THE B�fl�EN 6F PROVIN�THAT HE Ofl SHE�ID NOT BUILD OR y 4 , , „ "_ '' IMPfiOVE FORTHE PURPOSE OF S)�LE�. „W ',... ❑I,ASONMEROFTHEPROFEHTV,AMEXCLUSIVELYCOMRACTWGWITHLICENSEDCONTRACTOqS ��� ' �� I,TO CONSTRUCTTHE PRQIECT(�EC.7044,BUSINESS AND PROFE$SIONS CO�E:THE CONTRAC70F3 LI• �, V3IU3IIOf1 � � � �ADJ.AREA � '� ' � �:W CENSELAW�OE9NOTAPPLYT AryOWNEROFAPROPERTYWHOBU1LD50RIMPROVESTHEREON,AND � �,� ,'�WFpCONTRACT5FOR5UCHPR�,IEGTSWITHAWNiRACTOp(S)UCENSEDPURSUMf�TOTHECONTRAG � QUANTIN 'DESCRIPTIO�V �� ' "' ' "� FE� � ' I� TORS LJCENSE LAW.). , . . . . . . . Q ,� ❑I AM EXEAIPT LINDER SE�..' � B.8 P.0.FOR?HIS REASON ' � � � ?� � . . . .. U I I ., , ,Z �,',OATE � OWNER � �, , . ` O' tu � SED CONTRACTORS DECLARATION W I ��,� "i, IHEREBYAF�IRMUN�ERPENAI3YOFPERIURYTHATIAMLICENSEDUNOERPROVISIONSOFCHAPTER � �' . �,�,. � .MY�CENSEISIIJFULLf-0 CENNJaOo�OF'�DIVISION30FTHEBUSINESSANDPFiOFESSIONSCOOE,AND � �. � ''�, L�CE � �yp � D EFFECT. � � g�� . . , -,' F��� - m � . . �� UCENSE C���� LIC.NO. ��� j ` DATE_�r ' � CONTRACTOR OJ. �,W�'�, ' _ . . , . . '�� WORKERS'COMPENSATION DECLARATION � a � . '�����I HEREBYAPPIRM UNUER PENALTY OFPEflJUFY ONE OFTHE FOLLOWING DECLARATIONS: z � � , ' � . � . .� � ' 0; , _IHAVEANOWILLMAINTqINACERTIFICATEOFCONSENTTOSE4.F-INSUREFORWORKERS' _ ' Q. COMPENSATION,AS PfldVIDED BYSEC710N 37oa OFTHE L:4BOR CO�E,FOfl THE PERFOPMANCE IU �; DFiHEWORKFOpWHI�FiTHISPEHMITISISSUED, � � QW"'' y1�.1 HAVE AND WILL MAIM!yIN WORKERS'COMPENSATION IN6UflANCE;AS REQUIRED BY SECTION 37000FTHELqBOHCOdE.FORTHEPERWRMANCEOFTHEWORKFOqWHICHTHISPERMITiS ��f C�/"y ISSUED.MY Wipr��K�ERS'jOMPEP6ATION INSURANCE CARqIER AND PDLICYNUMBER ARE: CONSTRUCTION i �f °°�7 � i}�� j�, � cARRiER � l.m��� PLAN REVIEW �1�� /a / � � POLICY NUMBER ¢; � ELECTRIC ��yp s�Tt� 0 �. [fFiISSECTpNN�NOT iE00�LEdEDOFhiEPEFWpTISFORONEHUNOREDOq1M5(S10o)ORLE55). PLUMBING ',�Vi�/�[��a � � Z ' I CERTIFYTHAT INTHE�ERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUEO,1 MECHANICAL � ,�i .4-�J� (�, SHALLNOTEMPLOYAN PERSONINANYMANNERSOASTOBECOAAESUBJECTTOTHE (/y� � WORKERS'CAMPENSATONLAWSOFCALIFORNIA,ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE SUBJECY'TOTHEVJORK RS'COMPENSATIONPROVISION90FSECTION37400FTHElABOR = CODE, SHALLFORTHW�H CAMPLY WITHTHOSE PRDVI Ns. �/( ISSUANGE �e j� (`J O O, J�s e���^� p� DATE: - �PPLICAPoT:��� ,� �/ .SMIP . � 7�'i'[� ��, �"'� ENERGY P/C WFRNING:FAiLUFE TO SEGURE wuRKERS COMPENSFTION COVERAGE IS l)NLAWFUL,AND SHALL BE ��i,� �SU&IECTANEMPLOVERTOCqIt�11NAL��PENALTIESANDCIV2FlNE511P700NEHUNDREOTHOUSAN�.. ENERCaYPERMIT , OOlLAR5�S10o,000),INADDITIOMTOTHECQ570FCOMPENSATION,DAMAGESASPROVIDE�FORIN �J�I SECTION37oBOFTHELABORC�DE.IN7ERE5T,AN�ATTORNEPSFEES. y? �,Q���, i � RETENTION FEE: � � p� �C}fi_d O. C(�INSTRUCTION IENDING AGENCY PRE-ALT FEE: � �.;��,. 1 HEREBVAFFIRM UNDEH PENALN OF PERJURV THATTHERE IS ACONSTRUCTION LENDING AGENCY � FOR hIE PERWRMANCE OF THE WORK F0F/�WHICH THIS PERMITIS ISSUED(SEC.3097.CIV.C.). W. I �)/._ ;�I� �LENDERS NAME ' '"'/!/1. - ' . . F-� LENDERSADDRESS p W'', ICERiIFYTHATIHAVEREADTHI�SAPPLtCATIONANDSTATETHATTHEABOVEINFORMATIONISCARREC2 TOTALFEES ��Q�["�3 �G."'.�ril����J��� �,:, I AGiiEETO COMPLV WITHALLC�lY AND COUNN OR�INANCESAN�STATE LAWS RELATINGTO BUILDING ' , ��Zi� CONSYRUCSION,AN�HEREBV THOFiIZEREPPESENiA71VE50FTHISCOUNTVTOEMTERUPONiHE . ,' _ ' ' , , , ABOVE-NENt10NmPROPERTY�OFIiNSPECTIONPURPOSES. COMMENTS �- � d', . ` g� �y '. . ' . . � . _� , .��{d��7 � �VC��I . , V I �m� PEFiMITTE€N EIPRIM) � ' . CQ, i 'I �/y�� SIGNATUREOFPERMITfEE � DA7E � � � � . , �x,�� RECPT.NO. PPJD BY .VALIDATION � � �~''-�� � �� - � � �' WHITE--0e artment Co -YELLOW—Fir�ance Co PINK—Assessor Co GOLDENROD--File Co GREEN— py I . P PY� PK PX PY. 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