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„ _ . � �/.���-.� - � -^ ' _�� CITY OF DIAMOND BAR L�� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��=�i' — �� � 21660 E.Copley Drive Suite 190 � � PRESS `„, ,, (909)860-3195 Fax(909)861-3117 .....,,.,.. ���° BUQ.DTNG PERMIT APPLICATION,; i -- r FIRMLY o� JOBSITE ��`«-� ���.��`�.�}��� APPUCATION � PERMIT �� P/C ADDRESS DATE NUMBER # � ISSUE TYPE OCC APN LOT—�--�. ., TRACT DATE CONST. GROUP p OWNER f`cYF� ”' ADD SS-S'�� ZONING SETBACKS � CITYR�+►-z'���s� ZI lT6S TEL.rotZ^C'?�W� FRONT RW ❑ APPUCANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR "�.l�.�'�� �i t�1S SI�E ❑ � ADDRESS 3 23 "" � CITY �r��`�c�i> ZIP I"Z TEL. n:�'"�a�� PROPOSED USE o ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. ADDRE55 UNITS S70RIES BEDROOMS � CITY ZIP TEL. N DESCRIP710N SQ.FL FACTOR PSF ADJ.AREANALUATION cn OOWNER•BUILDER DECLARATION SFR/ADDlREM p I HEREBV AFFlRM UNpER PENALTV OF PERJURV THAT I AM EXEMPT KROA1 THE CON7RACTORS Lb � Garage/Carport 11J CENSELAWFOFi7MEWLLONVINGREASON(SEGT031.56USINESSANDPftOFE5510N5CO0E:ANYtINOR U COUNTVYVHICHREOUIRESAPFAMtTTOCONSTRUCT,ALTER.IMPROVE,DEMOLISH,ORREPAIRANYSTRUC� W pati0/D2Ck Z TURE.PRIOR TO ITS ISSUANCE,AL50 REQUIFES TNE APPLICANT FOR SUGH PERMIT TO FIIE A SIGNED .� STATEMENT THAT HE Ofi SHE IS I.ICENSED PURSUANT TO 7HE PROViSIONS OF THE CONTRAC70RS LI- c CENSE LAW(CHAPTER 9(COMMENCINO WITN SECTION 70ao)OF D��ISION 3 OF TME BUSINESS ANO PRO- V" POOVSPB YFESSIONSCODE��RTHATNEOPSHEISEXEIAPTTHEFEFRpF1ANDTHEBASISFORTHEALLEGEDEXEMP- (� V TqN.M7YV10lATIONOFSECTIDN7o31.6BVANVAPPLICANTFOflAPEHMIT3UBJECTSTHEAPPUCAN770 Z Re-RooT � ACNCPENALTYOFNOTMORETHANFNEHUNOREDDOLI.ARS(S5oo�.J: � �I,ASOWNEROFTHEPROPEfl1Y,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, L Commercial _ - WILL DO THE WORK,ANO THE STRUCTURE IS NOT INTENDED OR OFFEqED FOR SALE(SEC-7P4d,BUSI- J NESSMA PROFESSIONS GODE:TME CONTRACTORS LICENSE lAW DOES NOTAPPLV To pN OWNER OF � PROPERTYYVFIOBUILDSORIMPROVES7HEREON,ANDWHOOOESSUCMWORKHIMSELFORHERSFLFOR = � THROUpMMI50RHERON'NEMPLOYEES,PROYIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR � � OFFEREDFORSALEIF,HOWEVERTMEBUI�DINQORIIAPROVEMEN7ISSOLDWITHINONEVEAROFCOMPIE- � 710N,THE OWNER-BUILDER'MLL HAYE THE BUROEN OF PROVINCi THA7 HE OR SHE Dlp NO7 BUILO OR � IMPROVEFORTlIEPUHPo5EOFSA�EJ. ❑i.AS OYMER OF�TiE PROPERTY,AM EXCLl15NELY CONTRACTINA WITFi LICENSED CONTRACTORS Q TO WNSTRUCT THE PRQIECT(SEC.7044,BUSINESS AN�PROFESSIONS CO�E:TFIE CONTRACTORS LI- V8IU8210f1 ADJ.AREA W CENSEUWDOESNOTAPPI.YTOANOWNEfiOFAPROPERTYWHOBII!IDSORIMPROVESTHEREON,ANO � WFpCONTRACT5FOR5UCHVR0.IEC'BWIh1ACONTRACTOR(5)LICENSEDPURSUANTTOTHEGONTRAG QUANTITY pESCRIPTION FEE � TORSUCENSELAW.�. J O ❑I MI EXEMPT UNDER SEC. B.8 P.C.FOR TH!S REASON Q 3 � � � � DATE OWNER V Z w � LICENSED CONTRACTORS DEGLARATION W � I HEHEBV qFFIRM UNDER PENAL7V OF PENURY THA71 AM UCENSEC UNDER PROVISIONS OF CHAPTER � 9(COMMENCINGWRHSECTION70v0)OFDIVISION30FTHEBUSINESSANOPROFE$SIONSCODE,AND Z �'�4Q"� MV LICENSE IS IN FULL FONCE AND EPFECL m � UCENSE CLA55 ��� LIC.NO. ��� � � Q� �_ �.��^� J V DATE J'—��"�-�-/ GONTRACTOH a W o� WORK£R5'COMPENSATION DECLARATION a = U � IHEqEBYAFFlRAAUNDERPENALTVOFPERILIHYONEOFTHEWLtAWINGDECLARA710N5: � Z Q 0 IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF�INSUFEFORWORNERS' _ � COMPENSATION,AS FqOV17E�BY SECTION 3'/a00FTHE IABOR CODE,FOR THE PcRFORMANCE UW OFTHE WORK FOHNM1iICH THIS PERMIT IS ISSUED. � O w I HAYE IWD WILL MAIMAIN WORKERS'OOMPENSATION INSURANCE,AS pEOUIRED BY SECTION Q 37COO�THELA80flCQDE,(-0RTHEPERFORMANCEOFTHEWOitKFORWHICNTHISPERMITIS � ISSl1E�.MVWORK COMPENSATIONINSUqANCE��!�,RRIE�RA�NDPOLICYNUMBERARE: CONSTRUCTION � CAHRIER��L���-�,�/�--��'� V�_ /`��-S"'�s�'\!�'�?�,I PLANREVIEW � POLICYNUMBER � ���7��—1 ELEGTRIC � Qt� :, .."ye;x:�; � (II-ISSE(,'(ICNt��NOTBe(AMPLEfIDOF'R1EPEf4.�fiS�9FOt�1EHUNMED00LIAR,.IE5W10RLE5S} PLUMBING _., r. ::`°a �a ' _�.r__ W ICERTIFVTHATINTHEPERFORMANCEOFTHEWaRKFORWHICHTNISPERMITISISSUED,I MECHANICAL Z � SHAIL NOl'EMPLOYMIY PERSON IN AM'MANNER SO AS 70 BECOME SUBJECT TO THE � WORKERS'COMPENSATION IAWS 6F CRLIFORNI0.ANO AGREE TMAT IF I SHOULD BECOME INSPECTION FEE fi . .",^'� 3UBJECTTOTHEWOHKERS'CAMFENS/TIONPROVISIONSOFSE(:TION3�OOOFTHELA60R / � � J � issuaNce � '+ � CODE,I SHALI�F.O�,�R.T�pMNi7H COMPLV WI�1�R'SSE�PROtli61Lu.5` � � �Z�t7`�-� �_ SMIP �'?��^�, s`.. �y� �,.,xe -i r����,�'5�.�. � p OATE: APPLICANT: � �""— . : '� _ . wWARNMa:FAILURETOSECUREWOflKEflS'COMPENSATIONCOVERAGEISUNLAWFUI,ANDSHA4LBE ENERGYP/C _��j���.�" � z'�y y '�.����� LL SUBJECiANEMPLOYERTOCRIMINALPENA�TIESANDCIVILFlNESIJPTOONEHUNOFEDT}10USAN0 ENERGYPERMIT OOLURS(i;00,00�),IN AOD�7'ION TO THE COST OF COMPENSATION,OAMAGES AS PROVIDED fOR IN J SECTtON37oBOFTHEIABORCO�E,MTEREST,ANDATTORNE'f5FEE5. RETENTIONFEE: Q � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBYAFFIPM UNDEF PENALIV OF PERJUR�THAT THERE IS A CONSTRUC710N LENDING AGENCV n- FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED(SEC.3oe7,GIV.G.). Z W � LEN�ER'SN0.ME___ 1= LENDER'SADORESS _-- � �y WICERTIFYTHATIHAVEREADTHISAPPLICATIONAN�STATETHATiHEABOVEINFOPMA1qNISCARRECT, TOTAL FEES �,' � IAGREE TO CAMPLY NATH ALL CIN AND COUNTY ORDINANCES AND STATE LANS RELATING TO Bl11LDING � � CONSTRUCTION,ANDHEREBYAUTHORI2EflEPFESENTATIVESOF7HI5COUN7VTOENTERUPONTHE Z A60VE.MENTIONE PERTV FOR INSPECTION PURPOSES. GOMMENTS � °`��- �..�-��L� _ m PERMITTEE�va I�R�"`•� "') Q (' �___.._..—_„____� - Z c�^_'�--�'�.� � � StGNATUP.EOFPERM DATE = RECPT.NO. 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