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. J,��_ CITY OF DIAMOND BAR � DEPARTI��iENT OF COMMLINITY&DEVEI,UPMENT SERVICES � _ � , 21660 E.Copley Drive Suite 190 (909)860-3193 Fax(909)861-3117 PRESS '^"� BUII,DING PERNIIT APPLICATION FIRMLY � JOBSITE �1/ �/I / _,• N 1� APPUCATION --- C�.! NUMBE��O� �IC y o ADDRESS e«o "I� ���� L.� pATE g ISSUE TYPE pCC APN LOT TRA T pqT'E CONST GF10UP � OWNER " ADDRE � G N � ZONING SETBACKS 0 �W CITY � 21P TEL. �O�'�T RW ❑ APPUCANT TEL REAR ❑ � SIDFJSIGE 3TREET RW ❑ CONTRACTOR SIDE p g CITY E ZIP /TEL � PHOPOSED USE � ARCH/ENG/ DESICiNER N0.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FI: FACTaR PSF ADJ.AREANALUATION O OWNER-BUILDER DECLARATION SFRIAODfREM i HEn¢sr�flroe uaoEa v�r a rowm nia i�u ExeMnT cnaw n+e aor+rn�cToas u- GaregelCarpoR CB�ISEUWFOR711EFOlLOWtNOREASd1(9EC7091.6BUSINESSANDPROFESSIONSCOOE:NJYpTYOH (n COUMYWHIdIREOtJIRE3APERMRTO00NSTRUCT�KTFRMIPROVE�DEMOUeM�ORREWURANYSTPUC. . W P8f10/DBCk TURE.Vit101t TO ITS 1S9UANCE,IL80 IIEW11RE9 T1E APPLICAMI'FOR SUGI rERMl7 TO FlLE A 870NF0 tTATEMENT TINT FIE Oq SFIE IS 4CENSm PUqSUAt/T TO iXE PROVISIqVB OF 7TIE OONTMCTORS ll• GENSE LAW(CFfAPTER i(CONMENCINO YA7M BECTION 7000)OF OMSIOH]OF 7XE BUSINE6S AND Pi� � u' POOIISpB FESSqNSOODE)ORTMATliEIXiSHE13EXEliPTTiEHEFflOMANUTliEBA919FOR1HEAllEOEDEXEMR (� TION.ANYVIOIATpNOFBECilON7�1.EBYANYMPLICArlfFOR�PERMITBUBIECTSTMEAVPLICANTTO Z �_F{ppf ApNL PEWLLT'OF NOT YDRE T4W GNE NUN�HEO�OLURs{[5m)J. OLA60WNEROFTNEiROPERiV.dlMVEMPIOYEE8WI7HWAOESA3T11E1RSOLECOMPEN5A7qN, �mmerclal MAL.L 00 THE WOPoC M1D TNG STRUCTURfi IS NOT IMEND6U OR OFFEREU FOR SALE(SEQ 10u.BU54 � NESS AND PiqFESbI0N6 COOE:TIE CON7MCTOi45 UCENSE LAW OOES NO7 MPLY TO AN OMMER OF � VROPEiRYY/1108ULDSORIAAPROVE57MEREON,ANDMAI0ODE39UC11WORKMIMSELF4RNER9ELFOR � � TlYi0U0NIM50RIffROWNEYIPLOYEES,P110VIDEDTN11TeUtliIMPROVEMEHT9AilENOTMiENOE�Oq m OFFERm FOR8N.E 6,lDWEVEf�7NE BUILOIIVGOFIILWROYEM@l71880LD WRHINONE YEAp OFpJMPLE tIWY.TFIE OWNEW6UILDER YVILL MAVE T}IE BURDEN OF PpOYINO TWIT 11E OR 9HE pID NOT BUIID OR MVROVE FOR 711E PURPOSE OF W.E). � � OLASOMRIEROFTMEPi1D0ERIV,IWEXCIUSIVELYCONTRACTINONrtfNLICENSEDL�Of�RRACTORS TO COAISTRUCT 1ME PIq1ECT(SEG 7w,BUSINE33 AND PPOFESSIONS OODB 1HE CpJTMC70RS L4 Vdlu6tlOf1 ApJ,Aq� CEN9E UW DOES NDTMPLY TO AN OWNER OFA VROPERiY YNp pU1LpS OR IWPFqVEe THEpEON.AN� �CO�M SRACTBFORSUCHPRO,IECTBWIM�CONiRACRNI(S�IICEHSEDPURSUMrt'TO7HECOHfRAC. pUAIYTITY �ESCRIPTION �E � O I AMI E7(E/APT UNDER 8EG B.i P.C.FOR 7HI5 REASON � U W � �h OWNER � LICENSED CONTRACTORS DECLARATION � � w 1 NEREBY AFFIRM UNDER PENALiY OF PEIUUHtl T/UR I AM IICENSEO UNDEH PitOVI310NS OF CHAP7ER � •(WIAMENCINON7ITISECTIONt00D�OFDIV18qNSOFTNEBUSIHESSANDPROFE5510NSCODE. ND Z � O W IICENSE IS M!Flil FORCE AND EFFECT. —�`� ? 1 �IICENSE S LIC.NO. � WTE � ' CONTRACTOR WORKER3'COMPENSATION DECLARATON Q � 1 MEIIEBY AFFIRY IpJDER PENIILiY Of PERJURY dJE OF THE FOLLAVANO DFCLAMTIONS: Z � �IWIVEANDN7LLMAINTAMACERfIFlGTEOFCON5ENT708ELF-MSUREFOqNCIRKERS' _ - COMPENSA7pN,IlSVf�AOEDBY8EC710N17000F7HELABORCODE.FORTHEPERFOHMANCE U O OfiT11E WORK FOR WNlqi TMIS PEMiTiBISSUED. � � i/ _I HAVEAND N7LL MAINrAPI WOf110ERS'CONPENSATION INSURANCE,A9 qEOUIREO BY SECTION Q ]7000FTMElJ180ROODE,FORTMEPERFOqMANCEOFTMEWOPNFORYMICHTNISPERMRI3 ISSUED.MYNORKERS'COMPENSATIO�INSURIW�ECARRIER NDPOLIi., dUNBERME: CONSTRUCTION �D � CARqIEH / Cs �;� PLAN NEVIEW � POLICY MIMBER f� . LL` ._ ELECTRIC p �mssEctnnr��wreeoa�tFnoFttFrp�.trsro�a+�Mirormoa.uasg+aolon�&s4 PLUMBING f W Z I CEIRIFV hUi NTHE VEHFORIAMICE OF THE WORK FOH WHICHhl15 PERMIT IS ISSUEO,I MECHANICAL SWLLL NO7 EAAPLOV ANY PEfiSON IN ANY YAMIER 90 AS i0 BECOME SUBJECT TO THE y WO(iKERS'CW7ENSATqN LAWS OF ORPNtiAND 110REF hNT IF 1 SIW111.0 BECOME INSPECTION FEE ,� 6UBJE TO WORNERS'ODA/PENSA VISWNSOFSECTIDNS7000F ElA80R �, -�j 000e, �v1 n�ca.�v�rwi e wisror�s. ISSUANCE y,�c 1�: � O � DA7E: VRICANT: SMIP WARNIMA:FA0.URE TO SECURE WO(iKER5 COMPENSATION COVERAf3E IS UNUWFUL,AND bHNl BE ENERGY P/C ry BUBJECTANEMPLDYERTOCIIIMrtULPENALTIESAN�CMILFINESUPTOONEHUNDREDT1iWSANO ENERGYPERMR � � DOLlMS(L70D,00o�,IN ADOfl1ON TO TFIE C09TOF COMPENSATION,DMIAOE3 A9 PNOVIDEp Fpq IN BECTIDN 970!OF THE UBOfl OOOE.MlTERE5T,ANO ATfOflNEYS FEE9. RETENTION FEE: ,�I 21�n� ' A g CONSTFIUCTIONLENDINGAGENCY PRE•ALTFEE: _ _ ��,����TC ��T�y"�.)."�i' �Y- � 1 HER�Y AfFIRM UNDER PENALTY OF PERIURY T}IATTHERE IS�CONSTRUCTIdJ LENOINO A(iENCY FOR THE PEH W RMANCE OF TFIE WORK PoR NM111CH THIS PERMfT IS 155UED(SEC.90Y7,GY.G). � LENDERS NM1E C LENDE7fSAD�RESS � ICERTIFYTNTIHAVEREADTNSMPLICA71dJANDSTA TMTTiEABOVEWFORMATqNI50ORRECi. TOTAL FEES � � IAOREEiOCOA1PlYWIfHALLCITYANDOOIINTYORD GESMIDSTATEIAWSREIaTIN�TOBUR.DIN6 CONSTNUCTION,AND HEREBY/V,RFqHIZE REPRESE TIYES OFTHIS COUNTV TD EMER UPON 7YiE � ^qNED PROPERTY FOR I PECTION 7U O5E�. CO TS /' � iERM E fVRINn � y 81GNATUP O PEfWrt7EE D E � RECPT.NO. PAID 8Y VALIDATION VYHITE—Depertment Capy,YELLOYV—Flnance Copy,PINK—AeseSsar Copy,GOLQENROD--FIIe Copy,CaREEfV—ApplicanPa Copy / m..o,.�.�,...g.�..r ..�------- ,�• CIT� UF Dl�.IV�C�h3C� BF.R . 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