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�� CITY OF DIAM�ND BAI� �-�-�" DEPARTMENT OF COMMUNITY&DEWELOPMENT S$RVICES a 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS "A'�� 'BUILDJIVG P�RMIT APPLICATION FIFEMLY y ADpRESS � �� ��.�,, dATECATiON „ NERMIT 1L.3 t��P/C ; o �J`.�"'�- ' e `-" ` UMBER G � # ' ISSUE /� `�r-�,/�� TYPE OCC � APN OT TR T � DATE "�' � `'1 CONST, GROUP p OWNEA_ . � " ADDR S - ZONING SETBACKS Z CITY c , L. s � FRONT RW � APPLICANT I TEI. REAR �'' � SIDE/SIQESTREET RW ❑.`___ , � ,CONTRACT _ ��e.. SIDE i7 � ADD�S �, � GITY ZI , EL_ PROPOSED USE o,,ARCH/ENG/, .� , I z DESIGNER 'i , _ NO.DWEL. NO. NO. a ADDRESS I ' � CITY I ZIP TEL. pESCRIPTIQN Sa.FT. FAETpR PSF ADJ.AR MS UNITS STORIES BEDROO y FAlVALUATION OWNER-6UILDER DECLARATION 5FRlADD/REM ... ;',p �I FiEREBY pFFlflM�UNDER ENALTY OF PERIURY THAT 1 AM EXEMP7.FFOM?HE CONiPACTOflS LI� � Gef8J0/CBfPOf[ � ��W CENSEUWFOR7HEFOlLOW REASON(SEC.7D31.58USINESSANOPROFESSIONSCODE:ANYCITVOfl -.(J]. . , � ,,,� COUNTVNMICHHEQt11RE5APER ITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUG � � � NR6;PRIOA TO�.RS�.ISSUANCE AI.SI'-REOUIHES TNE APPLICANT FOR SUCH PEflM1T TO FILE A SIGNEO W Patio/Deck I,� � STATENENT 7HAT H�DR SHE I LICENSED PWRSUANT TO',7HE PflOVI510N5 OF THE CONTRACTOflS LI� ,� GENSE lAW(CHAPTEH e(COMM�NGINO WITH SECTION��10F DIVISION 9 OFTHE BUSINESSAN�PRO- 'V" PooUSpa FE5.910NSCDOE).OR7HATHE SHEISEXEMPTTHEREFROMAN�THEBASISFORTHEALLEGEDEXEMP� �C7 710N.ANVVpLftYIONOF5EC71O0�170315BVANYAPPLICANTFORAPERMITSI&IECTSTHEAPPLICANTTO '-Z Re-Raof , „� /CMLPENALTVOFWOTMOflE�'FIVEMUNDflEO'DOLLARS(55W).):' -- , ,� .❑4�aNNEROFiHEPAO ERNORMYEMPLOYEESWITHWAGESASTHEIHSOLECAMPENSATION; ' ❑ COft1R18fC121 � i,'. w WILL.00 THE WORK,AND THE S RUCNREJS.NOi1NTENDED OR OPFERED FOR SALE.(SEC:7oa4 BU51� J � � .�, NES$.ANtl PFiOFESSIONS CtlqE�,iN�CONTRACTtlRS LICENbE LAW DOES NOT APPLY TO AN OWNER OF� _ PpOPERTV WHO BUILDS O RIMPROV�$;THENEON,ANDWHOOOESSUCHWORKHIMSELFORNEFSELFOR'� -' �'.;'�� TFIRWGHY/SOqHEflOWN'EMpLUVEES:PROVNEDTHATSUCHIMPHOVEPdENTSARE'NOTINTEN�JED9R' 'm � � �" �" � OFFERWFOflSALEiF,MOWEYEF{,THE6UL�INGORIMPROVEMENTISSOLDWIiHINONEYEAROFC(WP�E � 2 �TION,THE OWNEfl�BI11tDER WIL�HA�YE TFdE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR .. . = IMPROVEF�RTHEPURPOSEOF'5ALE�. , � W ❑I,ASQWNEROFTHEPROPERf1;AMEXCW5IVELYCANTRACIINGWITHIICBJSEOCaNTRACTOqS II�Q TO CONS7AUCT TME PRQIECT($EC..7094,BUSiNE55 AND PROFESSIONS CODE:THE CONTRACTORS LI- V81lIH1i011 ADJ.AREA '�,W CENSELAWDOESNOiAPPLYTOIANOWNEROFAPflOPERTYWHOBULDSORIMPflOVESiHEHEON,ANCI . � , i',� WHOCONTMO7SFORSUGHPfl JEC7SWITHAQdNTRACTOR�S)LICENSEDPURSUANT70FHECONTRAC � QUANTITY DESCRIPTION �� -� ' � �� F�E'... � �'�, ' � Ili� TQRSUCENSELAW.�. .. . I� , �!'i� � �OlAMEXENP7UNDERSEC , � B.fiP.C.FOFTHISREA50N �� Q � �� � �����' J13 I � � F DATE� OWNER, V � . . i:'L . . . . . W . ;�Q � LICE� ED GONTRACTORS DECLARATION � � W � , ' '�. ��� IHEflEBVAFFIRMUNDERPENPL OFPERJURYTNATIAMLIGENSEDIIN�ERPflOVISIONSOFCHAPTEfl ,� . ��, 9(COIi1MENCIN6.W17H5ECTlOW� �"�pFDIVISION30FTHEB�51NE55ANUPROFES510N5CODE,AN� Z ;I,,l� ��tulY LICBNSE IS iN FU OftCE AN�EEF CT. m ✓ � � � C G L i .NO LI EIJS � . �°j�j �ATE�'� �CONTRACTOR. / � - a . . .. .. . �� I WOEdK�f9S'COMPENSATION DECLARATION a �� , I ' '_� `���'�IHEREBYAFFIRMUIJDERPENAL�,MOFPEFiIURVONEOFTHEFOLLOWINGOECLAflAT1ON5: U �'�, 1a/ �� I� ZQ � ��i� _IHAVE'APIDWILLMAINTAI�AC�qiIFICATEDFCANSENTTOSELF�INSUREFORWORKEflS = �; COMPENSA710Nd5Pqq{D�D6VSEGTION37000FTHELABORWDE.FOflTHEPEflFORMANCE U � OFTNEWOAKFORI�IC Th{VSPEqMITISISSUED. � . �' d.✓! '��.1 . � Q . . .�'. a�.�a �,�IHAYEiWDWIL4MF+iNTA,I WOpKERB'COMPENSA710NINSURANCE,ASREQtlIRE0BY5ECTION � , ��. . 370oOF�,iHELABORGQp.FORrHE.PERFORMANCEOFTHEWOflKFORNNN(((HICH7NISPERMITIS ISSl1EDMY RK Mfi 'TIONINSU CEy�AR@IE� ¢;POCY�NUMBERARE: CONSTRUCTION ,�,,���� CARRIER �. `� F Q PLAN REVIEW ,, � �, aoucvNUMeea . ELECTRIC � ' .� , (1Fil$SECI7CNNE�NOTBECOAfrLEf"eDOFTNEPERNJTISR�RONEHUPDREDCOLLAtiS(S'Oo)ORLESS�. PLUMBING � , i � � ICERTIFY7HATINTHEP6�`ISbMAWCEO�THEYJORKFORVJHICH7HI5PERMITI5155UE0,1 MECHANICAL 't� `� � . (J' SHAL4 N,OT EMPLqY/M� ERSP��N ANY MANNER 50 AS TO 6ECOME SIIBJECT TO THE S�''�— �,���y , �WORKERS'�COMPENSATf IA�$OF OFQV ANDAGREET IFISHOULDBECOME INSPECTIONFEE I I� ' ' '5U CTT THEWORKE$"�, NP VI f ON37ooOFTHE OR ` #- ,�I� D Ip6Hp� FOR I C� pLV ITHT� �OVIS . . �S9UANCE I �DATEa W', ��a�P� � .. . .. .L SMIP �^'in�,�.�� m a'�'� . °'� ENERGY P/C 5 4''r���"'a"`'� �� ��WARNING FAIL YiE SECUH�`�q qI��RS'COMP h��COVERAGE 15 L1NLpWFIIL,ANO SHAIL BE � k � a�.� �,�� ;�SLJ9JEGiNNEMPL01'EpTOGRIMI Aj'�.I�ENA�TIESAIJDFd'61LFINESUPTOONEHUNDflEOTHOU5AND ENERGYPERMIT ����� �'.�y����� � yyy...... OOLLA'R9(S10o000};,INADI7II IaN T ECOSiOFCOMPENSqTION,�AMAGESASPROVIOEDFORIN ,g � � �SECfION37tl6QF,Try,E4ABO�CApE';.Y�JTEREST.ANDATTORNEY'SFEES. � R�TENTIONFEE: s��i?J,�+'"�� � � ' . CO�S'��fJCTION LENDING AGENCY PRE-ALT FEE: �� ��� �,,.IF�REBYAFF�RMIUN�EflPENAl,1'YO�"p,�qJUpYTHATTHEREISACONSTRUCTIONLEN�INGAGENCY � .WFTNEPEFFQqMANCEOFTHE OpIC�FGflNRtICH ISPEFMITISISSUED�SEG.3097.GV.G} , ',,�',�, �� ' . . '. ..ili �I�' :'.�.�LENDER'S NAN2 ', �. � , ... . ', .. � IEN�ER'SADDRE55'� � T� �Iil�� �CEflT�FYTHA7IHAYEREADTHI3 PPUGPTIONAND$TATE7HATTHEABOVEINFORMATICNISCORHECT. TOTAL FEES � 1.� , '."" .IAGRE'7QCOM�LY�,WITHALLCIT�'N{dGQUNYY0�4DINANCESANDSTATELAWSRELATING70BUILDING �� . � 1. R NT NE OFTHISCOUNTV7 7ERUPONTHE . . � . � ','4''i.CAN$TqUCTION;�ANO'�HERE8YAU7. RZEFIEP E$E, AT 5 . , '�I�"' OVE�ENilO�' D R R FO�'��.EGTION P POSES . � �� '. ' . � ,�, :I;I, N� P oPE . .�S'P i. M NT CO ME S ��i �.�� � . , � . � . � . . I�� ��� li� � � � .. , . 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