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� � CTi`Y OF DIAMOND BAR --��`'--- I7EPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES I � 21825 E.Copley I3rive (909)860-3195 Fax(909)861-3117 Pf;E$S ''-•��� BUILDING�ERI�IIT APPLICATION FI R LY o ADDRESS� !FJ �"��.,1'��. _ DATECATION � ''�� �}i NUMBER��+���/C ISSUE ^� TYPE OCC =-° APN LOT TRACT DATE �J �, CONST. GROUP p OWNER p ADDRESS ZONING SEIBACKS z CI ZIP T . � FRONT RW ❑ p APPLICANT TEL. SID SIDE STREET RW C z m CONTRACTOR ' �r SIDE C ¢ ADDRESS� � CITY�"�-�'"i I ZI� TE��j���� PROPOSED USE o ARCH/ENG/ ' a DESIGNER w NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP 7EL. cn cr� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUAtION ' � O'(VNER-BUILDER DECLARATIQN SFR/ADD/REM � O i p I HEREBY AFFIRM UN�Efl�PENALtt OF PEFJURY THAT I AM E%EMPT FROM THE CONTRAGiORS U- Gefd9B/C8fP0lL W CENSELAWFOR�THEFOLLOyVING�EASON(SEC.7031.5BUSINESSANOPftOFE5510N5CODE:ANYCITVOF (f� C.7 COUNTYWHICHREQUIRESA�RER ITTOCONSTRUCT,ALTER,IMPFOVE,DEMOLISH,ORREPAIRANYSTRUG � '� � W�. TURE,PRIOR TO RS ISSUANCE,�LSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNE� W Pd[io/DeCk � STATEMENT THAT HE OR 5HE 1$ IGENSED PURSl1ANT TO iHE PROVISIONS OF 7HE CONTRAC?ORS LI- ��� ' CEfdSE LAW(CHAPTER 9(C,OMME�:CING WITH SECTION 7ooa)OF DIVISION 3 OF THE BUSINESSAND PRO- �'�' POOVSPB �� FESSIONSCODE)ORTHATH�OF HEISIXEMPTTHEREFROMAN�THEBASISFOflTHEALLEGEDEXEMP- (� , . U�, �. TION.ANVVIOLATIONOFSEC710 7o37.5BYANYAPPLICANTFORAPEflMITSUBJECTSTHEAPPLICANTTO Z RB-ROOi � ', ACNIL PENALTY OF NOT MORE T AN FIVE HUNDRED DOLLAflS�5500).J: � .� uI,A50WNEROFTHEpROP,HTY,OFMYEMPLOYEESWITHYJAGESASThEIRSOLECOMPENSATION, � CommBfCi81 -- Z �,'WILL DO THE WORK,AND THE STPVCTURE IS NOi INTEN7ED OR OFPERED FOR SALE(SEC.7044.BU51- J �, "�'�.NESSAND PROFESSIONS CODE:�E CONTRACTORS LICENSE LAW�OES NOTAPPLYTO AN OWNEP OF � j'PROPERTY WHO BUIL�S OR IMPR�VES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HEFSELF OR CC��. '�'�THROUGFHISORHEROWNEMp' YEES,PROVI�E�THATSUCHIMPROVEMENTSARENOTINTENDEDOR m � Q' �'', OFFEREdFORSALE.IF,HOWEVER,THEBUI�DINOORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z�, '�� TION,THE OWNER-BUILDER',WIL4 HAVE THE BURDEN OF PROVING iHAT HE OR SHE DID NOT 6UIL0 OR �'�, i',IMPROVE.FOflTHEPURAOSE��OFS�ALE). W� � ❑I,ASONMEROFTHEPFiO�EflTY,AMEXCLUSIVELYCONTRACi1NGWITHLICENSEOCONTRACTORS �' �,�TO CONS7RUCT THE PROJECT(5EC.7044.BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- VelU2tiOn ADJ.AREA W"' ��'.CENSE LAW OOES NOiAPPLYTOAN OWNEfl OFAPROPEPTV WHO bUILDS OR IMPROVES TlIEREON,AND �'�, ,�.,WHOCAMRACTSFORSUCHpROIIECTSWITHACpNTRACTOq�S)LICENSE�PU�SUANTTOTHECONTRAC- , �,��roasucENse�aw.�. � � QUANTITY �ESCRIPTION FEE 0 ��.� ❑I AM EXEMPT UNDER$GC.I B.&P.C.FDR THIS REASON Q ?� U � � " �ATE OWNER � . Z W � �� tICEN�ED CONTRACTORS DECLARATION W �. , I HEREBYAFFIRM UNDER PENALY:�OF PERJURYTHAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � �'�, 9(COMMENCMGWITHS�CT,IQN700JOFDIVISION30FTHEBUSINESSANDPROFESSIONSCODE,AND z X� ��MYLICENSEISIN�FULLFORCEAN EFFECT. ¢ LIGENSE CCASS/ � ���id LIG.NO. i I� _ j �� DATE ��1 CONTFACTO r . a "' �'' � %IL�C�J "r�=� WORKEFS'COMPENSATION DECL TI ¢ � �� �'., I HEREBVAFFIpM UNDER PENALTY OF PEflJURY ONE OFTHE FOLLOWING DECLARATIONS: Z �, �� , _IHAYEANDWILCMAINTAI�ACERTIFICATEOFCONSENTTOSEIF-INSUREPORWORKEiiS' 2 ¢.. CAMPENSAT�ON,p5Pfl0 IDE�BYSECTION3]ooOFTHECA80RCODE,FORTHEPERFORMANCE IU � OFTNE WORK FOR WHIC THIS PERMIT IS ISSUE�. �'�', W" �_I,HAVEANDWILL'MpIN7AI�NWORKERS'COfAPENSATIONINSURANCE,ASREOUIREDBYSECTION � I O,,' 3700 OF THE LABOli COD.fORTHE PERFORMANCE OFTHE WOFK FOR WHICH THIS PERMIT IS ISSUE�.MY WORK^#FA�S'C MPENSATION INSLIRANCE CARRIERAND POLICV NUMBEFAflE: CONSTRUCTION '�'�,'�� cnaRieR � ��1 �, �' / PLAN REVIEW ��'�� POLIC'fN'JMBER � 'I ELECTRIC Q'. I ' (IFiISSECTIONNEB7M1lOTBEOJMPLETE�OF�}EPERMfTISWRONEHUN�RED�dJ_qAS(5100)ORLESS). PLUMBING z�'�� 1'CERiIF1'THpTINTNEP�RFORMANCEOPTHEWORKFOPYlHICHTHISPERMITISISSUED,I MECHANICAL , „� �' ' SHALL NGT EMPLO�IIN1' ERSON IN ANY MANNER SOAS TO BECOME Sl1BJECT TO TFiE �(/,)�� Wd�7KEF5'CpMPENSATI NLAWSOFCAUFORNIA,ANDAGREETHATIFISHOUL�BECOME INS?ECTIONF - - ,n..,,. UBJECTTOTHEWDAKE S'COMPENSATIONPROVISIONSOFSECTION37ooOFTHELABOR -'�' 'mm'��" �., � S � CO�E.I SHALL F'ORl'HWI'I'�i COMPLV WITHTHOSE PROVISIONS. ISSUANCE ��_nFi'� � � j ��! r �� � : .� � . . . I SMIP . ' Cj�� DATE: � � � ApPLICANT: "� y.� WARNING:FAILURETOSECUREI'�ORKERS'COMPENSA710NCOVERAGEISUNLAWFUL,ANOSHALLBE ENERGYP/C y p-'R � ! � S�BJECTAN'�EM1IPL�YERTOCFIPYINALPENALTIESAN�CIVILFINESUPTODNEHUNDREDTHOUSAN� ENERGYPERMT OOLL.4R5(E1DO.OdOJ,.IN ADDITION 70 THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR M J SECTION37aeOFTHELAeORCO�E,INTERESi,ANDATTORNEY'SFEES. W � �. RETENTION F �"`a�'" I � �� Q 'Cd STRUCTION LENDING AGENCY PREALT FEE:�""'A-^"°���-�-�---�—��=-----==� � IHEREBVAFkIRMUN�ERPENALT OFPERJURYTHATTHEftEISACONSiRUCTIONLENDINGAGENCY FDR THE PERFOEtMANCE OF 7HE,�NORK FDR WHICH THIS PERMIT IS ISSUED(SEC.309],CIV.G�. , ' W,J . . . ,, '__ j LENDEF'S fi'AME _ � � f�-- LENDER'S ACJDRE55 ' � I TOTAL FEES �� ��� � ICERTIFyTHATINAYEREADTHIS�APPLICATIONAN�STATETHATTHEABOVEINFORMATIONISCORREGT. 4. 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