HomeMy WebLinkAbout1370 VALLEY VISTA DR (30) i
� CITY OF DIAMOND BAR ,�1, `
COMMUNITY DEVELOPMENT DEPARTMENT C%�
;,.¢ 21660 E.Copley Drive Suite 190 --��
(909)860-3195 Fax(909)861-3117 G O ��5 PRESS
BUILD GPER ITAPPLICA ION �-���Cr'.S FIRMLY
� JOBSITE � APPLICATION � PERMIT P/C R�
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W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.50USINESSANDPROFESSIONSCODE:ANVCITVOR (n
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w TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES T1E AVPLICANT FOR SUCH PERMIT TO FILE A SIGNED w
STATEMENT THA7 HE OR SHE IS�ICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI-
� CENSE LAW(CHAPTER 9(COMMENCINO WI7H SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOUSpB
FESSIOHSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEOEDEXEMP- (�
� TION.ANY VIOUTION OF SECTION 7031.5 BV ANV APPLICANT FOR A PERMIT SU&IECTS THE APPUCAN7 TO Z Re-Roof �
A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLURS(i5o0�.):
Z ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECAMPENSATION, � COffIrtlBfCl81
WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFEHEO FOR SALE(SEC.70�l,BU51- J
� NESS AND 7ROFESSIONS CODE:THE CANTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF �
PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORN HIMSELF OR HERSELF OR
� THROUGH HIS OR HER OWN EMPLOYEES,ViiOVIDED THAT SUCH IMPROVEMENTS ARE NOT IN7ENDED OR m
0 OFFEREDFORS/�LEIF,HOWEVERTMEBUILDINGORIMPROVEMEMISSOLOWI7HINONEVEAROFCOMPLE-
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w ❑I.ASOWNEROFTHEPROPEHf1',AMEI(CLUSIVELVCON7RAC71NGWRHLICENSEDCONTRACTORS
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W CENSE UW DOES NOTMPLV TOAN OWNER OFA PROPER7Y WHO BUILDS OR IMPROVES THEREON,AND
Z WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(S)UCENSEOPUHSUANTTO7HECONfRAG OUANTITY DESCFiIPTION FEE
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Q ❑I AM E%EMPT UNDER SEC. B.6 P.C.FOR TH�S REASON Q
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�¢ LICENSED CONTRACTORS DECLARATION W
¢ I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
d Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z
X MY IICENSE IS IN FULL FOfiCE AND EFFECT. m
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� WORKERS'COMPENSATION DECLARATION Q
NI HEREBV AFFIRM UNDER PENAL7V OF PERIURY ONE OF THE FOLLOWING DECLAM7qNS: Z
� _I HAVE ANO WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR NpRKERS' _ . �
Q COMPENSATION,AS PROVIDED BY SECTION 370o OF THE UBOR CODE,FOR THE PERWRMANCE W
Q OF THE WORK FOR WHICH THIS PERAl1T IS ISSUED. � �
w _1 HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REDUIRED BV SECTION
Q 37000F THE LABOR CADE,FOR THE PEHFORMANCE OF THE WORN FOR WHICH THIS PERAl1T IS �
ISSUED.MY WORKERS'COMPENSA710N INSUpANCE CARRIER AND POLICY NUMBER ME: CONSTRUCTION
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Z I CERTIFY THAT M THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL '�
C7 SHALL NOT EMPLOV ANY PERSON IN ANY MANNEH 50 AS TO BECOME SU&IECT TO THE
y WORKEflS'COMPENSATION LAWS OF CALIFORNIA,AND AGFEE THAT IF I SHOULD BECOME INSPECTION FEE
SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE IABOR
S CODE,I SH�LLL FOHTHWITH COMVLV WITH THOSE PROVISIONS. ISSUANCE
� SMIP
p DATE: APPIICANT.
J WMNINO:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,AND SHAIl BE ENERGY P/C .
LL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNORED THWSAND .ENERGY PERMIT
DOLURS(i100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIOED FOR IN
� SECTION 970!OF THE LABOR CODE,INTEREST,ANO ATTORNEV'S FEES. - RETENTION FEE:
d CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
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� 1 HEREBY AFFIqM UNDER PENALiV OF PERIURV THAT THERE IS A COMSTRUCTION LENDINO AGENCY
FOR THE PERFORMANCE OF 7HE WORK FOR WHICH 1HI5 PERMIT IS ISSUEO(SEC.�OP7,CIV.C.�.
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� LENDER'S NAME
k— LENDER'SADDRESS
� TOTALFEES
� 1 CERTIFY THAT I HAVE READ THIS APPI.ICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECL �
W 1 AGREE TO COMPLV WITH ALL CITY AND COUN7Y ORDINANCES AND STATE UWS REUTING TO BUIIDING
� CANSTRUCTION,ANO HEREBV AUi1N)RIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE
� ABOVE-MENTIONED PROPERTY FOR INSPECTION PU SES.
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EXT.Li4TH/SIDING � , POOL FENCING '
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