HomeMy WebLinkAbout1550 VALLEY VISTA DR (6)i - - -
CITY OF DIAMOND BAR
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21825 E.Copley Drive �—
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�`'%H���.� BUILDING PERMIT APPLICATION � �'�P�j FIRMLY
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w TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICAN7 FOR SUCH PERMIT TO FILE A SIGNED w �
� STA7EMENT THAT HE OR SNE IS LICENSED PURSUANT TO THE PROVISIONS OF 7HE CONTRACTORS LI- . � �
� CENSE LAW(CHAPTER Y(CAMMENCING WITH SECTION 7000)OF DIVISION]OF THE BUSINESS AND PRO� POOVSpB
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� TION.ANVVIOUTIONOFSECTION7037.SBYANYAPPLICANiFORAGERMIT5U9JEC'f5-MEAPPLICANTTO Z Re-Roof �
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� NESS AND PROFESSIONS CODE:TNE CONTRACTORS LICENSE LAW DOES NO'APPLV TO AN OWNER OF �
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� LICENSED CONTRACTOFiS DECLARATION w ,
� I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT I AM UCENSED UNDEfl PROVISIONS OF CHAPTER �
� i(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PP.OFESSiONS CODE,AND Z
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� WORKEFiS'COMPENSATION DECLARATION ¢
� I HEREBY AFFIRM UNDER 7ENALTV OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: Z
0 I HAVE AND WILL MAINTAIN A CERTIfICATE OF CONSENT 70 SELF�INSURE FOR WORKERS' a
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¢ COMPENSATION,AS PROVIDED BV SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE w
OF THE WOFK FOF WHICH THIS PERMIT IS ISSUED. �
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w �IHAVEANDWILLMAWTAINWORKERS'COMPENSATIONINSURANCE,ASREOUIREDBVSECTION
Q 7700 OF THE UBOR CODE.FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �r�O
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Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOFi WHICH THIS PEFlMIT IS ISSUED,I MECHANICAL
(} SHALL NOT EMPLOY ANV PERSON IN ANV MANNER SO AS TO BECOME SUBJECT TO THE
(n WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF 1 SHOULD BECOME INS?ECTION FEE
'� SUBJECT TO THE WORKERS'COMPENSATION PROVI,S�ONS OF SECTION 3700 0F THE U/BO�R � ♦eV
� CODE,I SHALL FORTHWITH COMPLV WITH THOSf��ROVISIONS. � ,`� ISSUANCE n
p DATE:� APPLICANT: /C . ,/L� SMIP � ..�✓
J WAFNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,�ND SHALLBE ENERGY P/C
� SUBJECTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT
DOLLARS(5100.000).IN ADDI710N 707HE COST OF COMPENSATION,DAMAGES AS PROVIDED FOH IN /���
� SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: •/�A'l
� CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
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� I HEREBV AFFIRM UNDEF PENALTV OF PERIURV THAT THERE IS ACONSTRUCTION LENDING AGENCY
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� I CERTIFV THAT I MAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. c/ �
w I AGREE TO COMPLY WITH ALL qTV AND COUNTV ORDINANCES AND STATE UWS REUTING TO BUILDING ' v
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