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15-279, 11-228, 11-1449, 10-1112
�� CITY QF DIAMOND BAR :� �I �",E ,� � DFPA�tT?I�EIVT L]�'C:(3MMI3NI1'Y& []X:VFLDP�IENT�SEit'VIC�S ��'ri:'.�''�q3 � �''` 2I810 Copley Dri►�e,Uiannund Sar,CA 917C�5 PR�SS �r�w�:_;:v-'` =� r�' {9(19}$39•7(32U Fax:{9p9}$61-3117 Ruilding Inspeetian Hotline(�Jfl9]839-7027 �''"'�"'� < BUILDING YL•'ILN1I7'7YP�.,IC��IC}N FIRMI.Y z , JbB 517E AC}C]RESS r� � �• � APPLECA7fpN DAT�: C�.7. '�� ^vl"'i' PIC#� ��- 1 ��: ] ��jiit�t4E�'1L� ��:�f �,73V�. � — � APE+f LpT '��/{�'� ISSLJE C7ATE:�.3��qI w f�PE RI�11Tk�C_�I S� ��.�- � a ' ` -- ' � �WNER����1c�_ �T�?f �ri��C,�rct rte� _ 'FYPE CC7N57. pCc GROL�P: j� Al7DRESS ��i1c'� 5. P?iL�Yv,�,;y��a.r ��VJC�� � CI�Y,���jL� �jR} ZIP 7EL. � ZQNfiVG FRflNT �S aAPPLlCANT-CI�E.�71��STL�7�itC� �.�.- TE�. ;,.t.4� -.?�.�-����� _ F��AR _ � [�_� n • SE€]EISILI�STREET ftW p ¢ C�N7RAC70lR '� `.'f S�¢"`�L�iG•� Sl6E ❑ � _. b At]DftE55� RO�-U�.�ttl�, .��.a PRQPOSEQ t1Sr ���1GE�.>�-�3r'Pe',� �. �Pi�,� �'!�(0����'t!,� .L[3} ( r• � Cd7Y_L.,,`Cf t'� rr.�{.{�dri,M ZIP...l.{,�T�L. " � � a' ARCHIEA1GII3E5lGNER G'��;��.'fl.'Ir.": ��'—�T�'�Je.it�'�L� �'�!C t�� ��r,l��.�n�,�;'.�1 �----- � A�C3RESS��_�:G.CY�c'.�i+�.. �'l'�- ?.cs�-- - - - ` - — .} �fJWEL.llPtITS x ST[]RIES #B�E]ROOMS � CI7Y �17.It4i7�,+�� LiP �f I 7]C TEL.��-�',��".f .�_ - � �WNfA-BlIiL�FEF[pECLANAliON E7ESGRIPTlflIV SGl.FT FACTpFi PSF A�J.AFiEANqLUATEON � 1 hsrehy affirm under penalry v'perjury that s am.exempt from the Cnn-s2c�or'a St�,r L.censc I;�w fo•th�rsasn�[s] Sf•R1A�f7iREM � +rdi�ated 6alow hy the c?�eekniark�s�,I h�vE��I�ced�c�to thn apFl�c2hl2:[eiri;s+[$ectian 7n31.5,8usiness and [;aragQ/Carport � � �rotessions Code:My cfty ar cuunty fhat vequiras a permit fu cons4ruct,aller,improve,demolish,or repair,any � siructure,prior ta Its issuance,af5o requirCs the ap�licant 4or the permlS ta 111e a slgned statcmunt that he or she � I�a!i�n7e:k n is licensed pursuantta the provisions nf th¢CunkacSor's Sfale Lieense Law[Chaplqr 9�Commcncing with Sectinn � � T�O(i af➢i�ision 3 o11he 8usiness arrd Frufessior�s Cade]ar that he nr slie is exrr:iF:t'rnm li;ens;��c antl the 6asis far � �'�o��cPz ihe a�legeA exen�a��pn.Rny v�ulafi�n cf;ection 7p3'.5 hy any appliCant ftir a�:C�r•.iit�unJects Me appl:cant ia a ciVil pEnal{y � Re-Roaf � of not rnore±�ian five r��ntlre;l=1nl'ars{55001 � � �]I,as awr,er pf tFe praperty,er my employees with wages&s�heir Snl9 WmpBRsatiun,wifl do{_}all atnr{}ppRip�s � Commercia! � of Hi2 v�ark,2rd�'�e s'n:c?ure is rrof i.•Eendea cr a�f=red fpr s�le SSeC[w�7U46,pusi�ess a�d Pr[ffes5iuns Code:The � � Gr.:::a:;:nrs 5'��;Li[:?nse I.aw Goes r.ot apply to an owner of prcper,y who.shruugh nrnployees'or persona',effu-�±,6um1s .0 r•r i�rip�nves[I�.f:properYy.prwided tf:at:�e imprcvements a+e nnt iniended or uHered far sal2.If havet�er,Ine 6uifdir.y ar � imp•ovem;r::s sold•ri'.�in one year of corrpletior�,the 6wnes-9uiltler wi;l haNe the hurdert af prpving th���[w&5 naS hui?S � cr.rr•pravcd fcrthc pur�ose oisale.). :J �]I,as owner at the propert}S 2m uxc�usivety corttrectirtg with Gcensed CUrltractars Fa cunstr�ct the prpjact{Section � I^nn �usi-�Ess and Pra'essians Cone The Contract�ss'State�icense Law dees nut a ValuaFian: .��� Acij.Area: ' z �piy tn ar ow�er af prupcRy r�o . I n h:r,lds�irnprpVestherenn,anpwfwccntrcts'ordepmjecisw�thaEicensepC6nhacfor�urs3anf�theConteactars'Sate QIJANFI7Y []ESCRIPTIDN FEE i�:.�.`eFse law.]. � � �1 am exemµt frorr�license�re�srsder the EQa[raClar'S St8[e tiCe�se Eaw tor&�n fnllowing reasen{s): a 6 1 �3�m_i segnaCire Gelow:ackr.mvledye the�,excepF h�r my persona;res�aenca in wni;.l:I mus!havr,res:deC fu�at�east one � � ycar p�urto co-m�ietian nf the improt�emer.ts ca4ered hy�is pe�mit,l can�ot I�gally sell a s�:u�[ure;hat I have b�ilt as an W "' owner-puiide�if it has r.ot dean cafstrucie¢in its emi=ety py;icsrscd contra-:Ears.l unde;s�arktl[t�:at d coRy ef Eha apptira3le � :ew.Sect:u�704.i rA ne Business anG Proiessians f.[nfe is arR+�ahls cpun:eq:�esf w�e�ulis a�pfcatinr.is Su6Rritted or at � � �he fe3llcwi.iq Wetr Site:rttahvwwFeg=nfo.ca.gevlcala�v.himl. � a�r z � DA7E: S1GN: _ g — L�CENSE�EpNTRACTaR'S DECLARATf�! � d � I hereay xf�rm under penaity nf pErJury lhat I arr�ItcenseC under pro-visipn5 at Cha�ter B(Curnmencing with Section 7pp0y � ef Givi3�7n 3 of Sf�e B�Siness and Pro}essions Cotle.and Ty li�e�i;e i5 in[ull}prce and efhst. a ..� � �j IaC�NSE C1.A55: �[] I;t10.: �� � � � CATE: � CONTRACTOA:���I��fy_� � � WQAKER'S COMPENSA3'I€!N(3£CLI4RATi4lt � ,� i HERe9Y A�FlRM ifN�ER PENIIlTY OF PEftJURY�1JF.OF 7FiE�6LtOWShFG�ECLARATIDNS: � !haw a�C w�l€fnair.tain a Certificate of Cpnsent[D Sel!-[nsu�e�or W6��ec's Comper.-sation,as prc]vipe6 Cy conrs�r�ucr�or�: �y .� �5 � SeChon 37U0 as the LaO�juCe,for ths petfprmance af!h2 work for which this permit is issuEd. p�„rq[�J R�VEEW; I��� 7��" � _ I Rave anc witl r�2i�lain Worker'S CGmperr,alian 3nsurance,as required by SeC!iu�a 37pp af ihe Lahor Cude.for � � She pertorsnance o[11ie�+rak fur which;�is�ermiE is issuee.�Iy Warker's Eampensat�n Insa�r:ce L'ar.ier anC ��-�G�R��' : _ ¢ PoEicyNum4srare: PLUCJ�BINCa: y CnRRi�R„ MECiiANfCAL: z PGL.'CYNE�M6ER IIVSPECTEON FEE: � n {EH�S SEC310N NfF.Q h1p19E CO�LxT�IFTHE P63Mff E$F{]R phlE k11h17AEL[IOL[ARS f51A7i 9R�SS� � issuA�c�: 35. S� � •�rtiy�l�ai ir;rie perfannance of tt:e wark fGrwhvh tht5 p°rmit e5 issue[1.I sNall r+o19r.��cy ar.y person in any ma�i?er sr�as[a - ^� � �etnmP.wnject fo ths Wufkers Cu�:i�rssaue�Laws a:Caalan:d RnG agree th�t if I sho��ld Lecome s�hyeCt to the Ivprker§ SMEF':_ v�• -� C�m�rensatiun�rovssioeis a!Scc'"an 3�OC c�re La�jar e.±shafl farinwitt�C�mply�Nifn fhc�provisirxis. E�lERGY PIC;_ � flP?E: RFP:I�A��J7: �Ca EIVERGY PEFiPvtIT � '���+NI?lci �a:lure ta secure'�4e:�cer�s Campesi�?axi covYragr i���:Iu�.ytu�,ar.0 sh2il s�hjec[an ein�tpyer ta crimina� r pe:�aities arid e:vi3}nes�p:o or,e hu�crcd iho�sand¢cilars i5'nn,�oC,,in addibon tc the cost o![he eumpensalion, RETEfVTIQ�1 F��; �� �� = oamxce;=_s pr�4ided ivc ia sec!wn 37a8 cf the sa�or c�de,i�te:est,arid a,tsirr�ey's'ees. PRE-AE�T FEE: ��„ C{1NSTRUE71pN LENpiNG RGENCY BSAF; _ � . �Q � I he-c6y affi�m under penaliy of�erEury!;,a�1h=r::is:3 Cc�nsfruction Lendir.g Age�cy fa the performaace of thc vrosfc fur µ x which Ihs p¢rmtt is iss�ed{Sec.3097,Civ.f.l ��' � LEhC7ER'S iJAME: ' � L�P.CER'S RppRESS: — � 'c�rtfy thzt I have ma�£hia appl�caliosi xnd S1a,:[i<at ths a6ove iRfnrmation is carr2cL'a�re.e�o�urripty wi!h ali c:t��and TQTAt FEES f�4� ���' �5�. j � cu��y ardsnar�ces antl state law�s re4a[i�y;r�Gu�W�ng cunsWcGo�,and�er2�y au[fi��rize re�rr.sent3tives N this ca�nty!o � CD M M�fdTS: � enter upon me admre-menGcned prppzrry�4r�nspectlon pur�oses. � ��� — � PERMITiEE NA�1�IPRi � ,1_b�_ — e,��� � -a �7 �f rip - = SIGIfATllREGFP� ITTEz `" � �- g 1'— —��--- l`�IC_ L��� PAlp BY:_V �y _ CATE � RECEIPT ff T r V���_ VqC,kpATEON: G� WkITE—Department Copy,YELLDW—Finance Copy.PEhiS—Assessor Capy,GOL�EhIR�a---File Copy,GRE£?v—Applicanf's Copy C1TY DF DI�C�[C��D BRR ' 1NSPEGTIQN RE�aRD � � � � • i - �1 e • - :;� =;�,c� ��rr�� �r�RerA�vn������� � _..__�. ..--- —_ �...............__.................._..........____...�...__ _ .�.. ._..... �i,����INGS F�RNIS 5W[7CH GEAR ' - --..__.: . .�...._ ..... W......._....._� ._.. ._ 5LRB _ COi4��iERCII�L HL�,'s� _ �--- ----- -- Uu PI_�.�lYf3tNG i r_gAf3 �__ i � . --- ---- - -...._I _ _.... —..._. —..._._._u `��T1u�L _._.... if:��H.. � � `.........................__. _ :. .._. _.. - F j f•IOT�,�1�7°�5F J�iiERP;�;� � _ .. — ------ — -- �tJ'JEf�LAl EkRL : ' ` !���'7iCr�,�Sa�'�s�lf.. �� �_ ..�..._. � �_......._._...._...�n.. ... _.........d.............. _................. . ...... .................... . _..._.... _ _...._ — —..__........_:_._.—€.._...._.._........---� : ��a�r��:+Rr���.�rv� ; I r���s r���>>�T���,��:%�� _...._..._...._.._.__..._.._...�...,....._....._._.. __._......_. _ _ _...;---- ---�._........_.._....._.: ..�...V._........._. ._._......_.................................... _.._. s��^r��e,�E,��va�r ; ���r����r�or. �__._ _ .�_ _._.____...... �a��s��Ar�ir.�c ' �roo��R��€�s � _ .._...._...._.__._���_,.._.. __ ---- ._ _ . _ _ _. _____ , �,nr���c�.,�s-:;�;�r. � ��' ��7i irF r�nrar�i nr .�... .:... _.... ... _................................................�...._ , ... . t __...... ;. 5:.. . , .. . t � � ::. . . .. .. _.. ....... —. ._....__........�_._ _ . ...: ... , . . . �;i••��. . :. , . ,:��i; � . . :-.��.::Iv"iii�r:� ...; :.>::•. .�s�. ...� . .. ..._.. `: _... ........-'.-..--- -...... .. . . ... : _ t=i�.':i;;:�:��.'VENT�NG •��q�j �� � �N ELEC7Rl('a1L. _..................... —.____._.�.. �3:??;�H PAE['HQNlGAI_ � :H MECHANICAL _.............. _ ....__......................_.......... _.. _ �.. . .... . _ .. ,.. : ' ` i f_5� _ _.._ __...... .... F i:: �';S1VIT� �PJSUL?�`I�N�"dALL ' � -:�_€'RE QECK��lH[]fNG �......; ._._-___ � j : _.._....._.._.._ 4��S�L�"v�10f�J C�I�iNG : �-'�.AP � --._._ � .-.. I DFSY��aLL �:- , .�y ��.��� �.. .. i ! 1 FE�JCE i CsRTE �------..._...................._.__ __.?�lj:, �� —�r� =.� --- -- _ _._........................._...� , L.Fa7H�;Pfi.�i r . [ ' ; '. :.• .��i_ � ........ ....... .—_;...Ja................ ..__.. .. ... ........................-----" :............�...-- — --- ----�---............_...........---�---- lJ����.'{F�..gtfQ{� ' : . � �' .�._��—: i����.�a�1; _..—.._......�,� ��� ._._ . . .—.__.._..__. _____ . . LA7H ENT��iI[}f� f �G'�€1LL F€3[371tJ�iiTE�L. -- -;-._..._._.._.........._.................... .........._......_.__...__.—. _ , , _.............. .._......._............................._.__........_..—.._....._._ -- -._._� ._.�.�. GA5 TEST I ' G�!�LL S'+.�E�1'i 12r.-:� �I.{FT I� : __.................__..._.....�.I._.._._........................---.._....i----..__ _._..... —._........__........... ........................___._..--- :................ ......__�._....�, _....._ 5CF'�iTCH COr�T , ;:��'�;I_L F�OPJf3 E3FA�f � ......._..._.__.�------ , ,._�._.�_._�...._........... .�_._..�.�_.__.; ELECTR[C Pv1�TFR RE�EASE f ; ;t�'Al.l.i7�F�iN1 S��1L����� ; — ;.._......__ -_... ; ;._.._....__. ' _............... � ..._....�..........., GAS FIlE1 E�i,�LEr15E � ��'-- ' :i;'i=1 I F�Pe?.[. ' I I _ _�� ---.....----.._.._._�—_....................__........__...,�._.._..,...,__.._-----......._._..._— .._._ _..__ -___�..._._.�. cn�riA€ in��r:�rTi;�ni I ��................ ____ _ ,. , _..`�':�. ----- ....Y..�....._.�....�_......`.._ _.�._ _ _ ..•�r.: �.i �.. . . � � k - .. , . ; ,i�l{E Af'�k[7VAL I __ - - �;'�:hl hv'zi;i�n`�iarli_ ��I.�I.F1RE QEPARTMENT �..._.�..............,.� _.._.._.._.._.._............:_..---- _...... „ _......................._.. _.._.._..._._.. ____._..�......_.._..� f=„JAL�LEC7RIC4L �` �=ML PLANNlNG �`.�.......Y.._._.__.... ' ; FINAL Pf.lJ�IRlNG .�-.._._.._._.__._. ;. ;;L EN6INEERING!PW ...—. _f�-.________._.._._._._...._...._....�_.._ ----.__� . 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