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-�"�-�'�- — C1TY OF DIAMUNll BAR ,�r7 1 � � ' � COMMUNITY DEVELOl':VIENT DEPARTMENI' ' � � �` ,� 21 C(0 F..Cnpicy Drivc Suitc 190 -''� �«- -.�� • O09)SGO-3195 Fux(909)861-3117 � ���`5� '�"'"' BU1L.l�ING YtiRM17'AYYLICATION �,. FIRMLY N JOBSITE �7 ;*� APPLICATIO PERMIT -(�'�f P/C � ADDRESS �� �°"� � ���� � � v�-� U�' DATE NUMBER_�v '� # o� ISSUE � TYPE OCC APN LOT - TRACT QATE o �: �4%�I'` � ' _.__.__CONST._,_____ GROUP � �n��(¢����f/y.l t,� ZIP �� >.--`I'.S',�7,,, -- ---- ZONING SETBACKS OWNER � f �� i�'d i.' �_� —�� . ---- --- �w � . 7 FRONT -- RW�-------- n ---... -- �__� �P�[._:� TEL.-�-- ------- - Z REAR � APPLICANT _-------------------- TEL.--....------------ ------- '-� - � SIDE/SIDE STREET 2 CTOR ~.:3'(i� �.'Gr•. , �t; G ��.:: . __ SIDE .._..._......--------�---- ------ ----- L�-__ - -- -- mQ CONTRA __ --- w ARCH/EN �_.��"- {3__�'t�a-�'� '�+°• +�. Q ��.'.�' - � . sp„ �4. ��' — -- ,J PROPOSED USE 7�,� I��IJ._�,..f.�i�Il.�C �a��1:�� �'L%i;i-� -- ADDRES _ . 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FACTOR PSF ADJ.AREANALUATION � OWNEH-Bt;ILDEfi DFCLARATION SFR/ADD/REM O 0 I XeFEBY AFF!RM UNDER?ENALTY OF PERJURY THAT I AM E%EMPT FROM THE LONTRACTORS LI� GefBge/Cefpoft W Ci�NSfiAWV�HTHLfO:IOWINGfiCASON(SfC 1a315011SMESSAtiDPf70fFSSiONSCODF.'ANYCITVOH (n____ __ U COUNTYWHICHREQUIRESAPERMITTOCONSTFULT.ALTER,IM17PROVE,DEMOLISH,ORREPAIRANVSTFUC- � �L Patio/Deck W TUF7E,PIIIOR TO IT::ISSUANG�,ALSO iICCll11R�S TH�A!'PLICANT fOR SULH PEfllAIT i0 FILE A SIGNED S7A7EMENT THAY HE OH SHE IS LICENSEU PURSUANI 10 THE pROV1510Y5 O�THC CONTf7ACT�HS I.I- � CENSE LAW(CHAPTEF9(COMM'cNCING YJITH SECTION 7oDo)OF UIVISION 30��Nt UUSINESSAND PRO- u' PooUSpa FFSSONuCO7C)Of7T11AfHfOfl5fIF151:%FMI'fThICqL�lIOMANDTH�PASIS�fMTHf,PLLEG[DEXEM�'- � VTION.ANYVIOLATICNOFSECTION70375DYANYAPPLICANTF"ORAFfRMIT5U3.IfC75'i"HFPPPLICANTTD Z Re-Roof � ;,���J' � ACIVILPLNALTYOFNOTMORFTHANfIVFHWDRE�00LLARS(SSOU).�: U ❑I,ASOWVEFOFTHEPqOPER'Y,ORP.IY�MVLOYEESVdITHWAf[SASTHC!:iiO:EC�9APEN5�TIDN, � CemmefCial Z WILL DO THf WOFK.AND TNE STRUCTUFE IS ROT INT'eNDED OR OFFEREU POH SpLe(SEC.7044,BUSi- J �n NESSANDVPOFESSIUNSCODE CHF.CONfRACi0i751.ICl=NSEIAWDOESNOTAPPiV1()ANOWNEROF j P�90PERTY WHO BUILDS OH IM.PROVES MEREON,AN[1 Wi10 UOES Sl1CH WOfiK h111,ASCl F Ofi HEflSCI F OR [[ 711fi0UGIIHI.SORHFfiOIYN[MPfOV[LSf�liC1VI�CDTHATSUCHIMPROVEMEY?SNflE�OTINTENDEDOR � � CfFEREDfOfiSALCI�HpWEVFFi,�iiL13L'd()NGOHIMPROVEMF.NTISSO;�VlIiHIN(XJiYL�A170fCOMPLE- � TION,THE OWNER BUILDER WILL HAVE THE BURDEN OF oqOVMG TIIA7'IIE OFl SHE UIU NOf UUILD OR � IMP�'.(WC�OiiTH�PUflI'OSEOfSALE). �, W CI,ASOWNEROFTiIENHOPEH7Y.AMF:XCIl15NELYCONIHAC�INGW1THlICC.NSF�CONiNpCiORS -'-- .�� � l"O CONSTItUCT THE PROJECT(SEC.IU44,6USWESS AND PROFESSI045 CODE:THE CONTRACTOflS LI- V3IUd1i0f1 �� """��,,I� �" ADJ.AREA_ __ W GFNS[IAWUOESNOIAPNLYT�ANOWNfROFAPR01'ER'YWHOBUILDSOflIMPROVESTHEREON,AND - — -- - - -- � � WHOCO�TRACTSFORSUCHPROJECTSWITHACONTHACTOR(SjLIC�NSCDPURSUANrTo�rHrco�u�rnnc- pUANTITY DESCRIPTION FEE � TOFS I.IC[NSE LAW.�. _ _ ' � Q 0 l:I AM EXEM�T UY�EH SEC. B.R P.C.FOR THIS ReA5IX�1 i U � ..------... . ....---- -----_ - '�--- ¢ I u" onTe __owNr.ra F- -- i - .. .._._.._..__-______..-_._.___.-___._..-.. Z W � � �ICE�SED CONTRACTORS DECLARATION W Q 2 IHfRERYAFFIPMUNbERPENALTYOFPEflJUFYTHAT!AMLICcNSEUUNUEf1PIiOVIS10YSOFCtiAP1'EH � � a, U(COMIAENCINGWITFISCCiION%.]LO�OFUiVI510NlOfTHC-6USINESSANDPfiOFE5510NSCGDE,A�VD � ___ ._ I �X MV LICENSE IS M FULL FORCE AND EFFECT m 1� 7 ry7 I d LICENS6 CLASS _`.;_�..�,.f� LIC.NO. •/ ��--.�..+� ��� ' J 4 ,q V DATE Y,. ` I .�' � �_ CONTFlACTOR.����L' �O��L � `�- W ['8 WORKEI�S'COMPLNSATION DECLAFlATION Q � U � IH�FlEUVAFFlRMUNDf.RPCNA1.iYOF�EFJUFYONeOFTHEFOLLOWINGDECLAHATIONS: Z Q — Gl I NAVL-RNC1 Yl�I I.M0.INTAIV A CePTIFICATE OF CONSE\'TTO SELF�INS:IRE FOR WOP.KERS' _ � � GUMPtNSATIOi:,AS 7l1nJfU[U OV;CCTION 3l0o OF?HE LA60R CODc',FOR THE PEaFORMANCE U __ __ _ __ ___ � Of THf_WORK fUH WV11CAi THIS PERlAIi IS ISSUEO. � W I HAVE ANU WILLMAINIAIN WONNCf1S'COMPF.NSATION INSURANCE,AS REOU:RED BYSECTIO�\ Q � 9%UJOFTHELABOftCODE,FOR�HI:PI:(iFORMANCC-OfTHCWOI7iC�OFiWHICHTHISPFRMITIS �G�, '7C ISSUEO.MY WORKEHS'COMP{y-'N'S/AI'ION INSU A,NrCP CAB,rRI�[�1 ANO POUCY NUMBEP ARE� CONSTRUCTION ___ _____ O _�yZ_ � CARR�ER.__�'����d / y. . „ V fi k..�.•f PLAN REVIEW .....-...' '__—""___ Z AOLICYNUMBEF��` ^� .�}r:,�.--' ,� ELECTRIC --------......... --- .--- -----.-,- � � (IHVSSE(:IKKJNEEDN07UL(SN�APLF(E�OFTHEPrRMfTISFORONEHUFAREU00LUW5j57C0)ORL"c55). PLUMBING -_.._....._'_____ W Z I CERTIFY THI+T IV 111E PERFOIIA4ANCC OFTHE WORK FOR WHICHTHIS PERMIT IS ISSUED,I MECHANICAI .-(� SHAIINOTEUPLOVANVPEH50YINANYMMINkHSOASTOBECOMFSUBJCCTTOTH[ �,('� WOflKtRS'COMPfNhAiIONLAWSOFCALIFORNIA,ANDAGREE'HATIrI5V10UL�6EC0!AE INSI�ECTIONFEE � '"`�+ `• ________ __ = SUBJECTTO THE WORKERS'COMI'EN:iHTIJN PfiOVI51UN5 UF StCTION 31UU OFTHE LASUR 5? � ' '� r- � I I,��.,,�� APPLICANT: /OSF P IS!ON. '� ISSUANCE r ,„_______ �J . � CADE,I SHALL FORTf IWll11 COMPLY YJITH TF � � "'� � yyy�. ��� SMIP �v � p t)ATE . .. _/�'^__—,•• ._ � --... _-_.- . �' �'" ENERGY P!C 4��' J WARYW(+.FAIIURFTOSECUREWORKEHS'GOMP SAIIONCOVLIIqGCISl1NLAWFUI,ANDSHALLBE y#y,p -�---�-�------��--- � SUBJeCTANEMPLOYEFTOCHIN.INALP�NALTIE ANDCIVILFINESUPTOONEHUN�FE�TIIOUSAM1� ENERGYPERMIT �r1"aYe� � �DILAFS(Etaa,OW�,INADUITI0NTO7Hf�CGSTO�COMPfNSATION,DAMAGESAS�flO�DEDFORIN —�. ��--� -- � SECTION 3708 OF THE IABOH CO[)E,INT[HCST,AN�ATTORNEY'S FEES. RETENTION FEE: ____,_,_ ci� CON5TRUCTION LENDING AGENCY PRE-ALT FEE: p ----�----- � IHEREUYAFFIHMUNUEfiPCNALTYOFf'ERJURYTHATfHEHE�SACON57f{UCTIONLENOINGAC;[NCY �- FORTfIEP[RFOIiMANCCOfTHEWURKFORWIiIqiTHI5PEF71l.ITI515511[l)(SIC3o97,GIVG) - �---- "- "- Z W . _ ... ._. ...'_--.'._ � LL-NUf.fi'SNAME ._._.. . F'_- I.fNDER'SADDRE55_.._""" __'_ "__ ---'- '- � - TOTAL FEES g�"I,3 .S� � I CEFTIFY 11NT I HAVF HtAD THIS Af'f'LICATION AND STATE THAT THE ABOVE MFORMATION IS CURRECI'. w I AGRF:G TO COMPLY WITH AlL CITY ANU COWY�Y OiaUINANGES ANU 5 fA1[I AWS fif:LATIN[:1()BUILDING � CONSTRUCTION,ANDHCREBVAUTHORIZEREPRESENTAT!VESOFTIIISCOUtiTVTOENTERUPO�TIIE Z ABOVF�MENTIONED PROPERTY I'O!i INSPCCTIGN PUIlPUSf.S. 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