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, _ _ _ _ _ _ __ ______ _ .. __.- . . � . . ,d � _��_ CITY OF DIAMOND BAR � �j � DEPARTMENT OF COMMIJrTITY&DEVELOPII�IENT SERVICES � � _ 21660 E.Copley Drive 5uite 190 �,�,,,,r PRE$$ " � (909)860-3195 Fax(909)861-3117 y�^����' ' BUIL,DING PERMIT APPLICATION FIRMLY � JOBSITE �r„�I �1 A� �t L APPLICRTIODI�j��n�1 PERMIT ��P/C ��f�� Q ADDRESS '`'��E> �-�� DATE G vlJ NUMBER # ISSUE 3, p�,� �'P� � � APN LOT TRACT DATE r � �t.d CONST. GROUP ¢ dWNER --�S O o ADDRESS I L ZONING SETBACKS � g CITY !�A(� IT�_ ZIP TEL. FRONT � ._ RW ❑ APPLICANT TEL. REAR � SIDE/SIQE STREET RW ❑ � CONTRACTOR SIDE / � '� � ADDRESS ' PROPOSED USE � F � � GITY ZIP TEL. w' ARCWENGI z, DESIGNER NQ.DWEL. NO. NO. a -ADDRE$S UNITS ` STORIES �BEDROOMS . � QIN ZIP TEL. � DESCRIPTION SQ.Fl:;, FACTOR PSF ApJ.AREANALUATION � OWNER-BUiLDER DECIARAFION SFP/ADD/REM Z �'� - I HBiEBY AFFlRM UNDER PENALTY OG PERIURV THAT I AA1 EXEMPT FROM TH£CONTRACTOqS LI- GflfOJB�CBfpOf2 � W (�NSEL4WFOA1TEEfOLLOWINGRE450N(SEC.7o31.5BUSINE55AN�PROFE5S10M5CODE:ANYCINOR (f� , . , ( �U. . rAU�JTVWHICHiffiIXlIRESAPERMITTO�CONSTRUCT,ALTER,IMPRWE,OEMOLISH,ORflEPAIRANVSTqUC- W patiolDeck JT L �p�;pppR TO IT6 IS6UANCE,AL50 RE�UIRES 7HE APPLICANT FOfi 3UCH PERMIT TO FILE A SIGNEO ��� STATEMENT THAT HE OR ShIE IS LICENSEO PURSUMIT TO THE PROYISIONS OF THE CONTflACTORS LI• � . '.�. ��NSEUW(CHFMERB(COMMENCINOWITHSECTION7000)OFDIVISIQN30FTHEBU£INESSPNOPRO� PdOI/Spd � FES510NS CODE)OR THAT HE OR SHE IS EXEMPT THEFiEFROM AND THE BA515 FOR THE ALLEGE�EXEMP- V;�TION.ANYYIOUTiCNdOFSECTION7031.5BYANYAPPLICANTFORAPERMITSUBJEC7STHEAPPLICANTiO Z Re-ROOf T( �F„_ AGVIL PENALTi OF t.OT iAORE THAN FIVE HUNDFED DOLLARS�ESaO).): . . �, - ^.. ❑I;ASOWNEROFTHEPROPERTY,ORNVEMPIOYFESWITH64AGESASTHEIRSOLECAMPENSATION, � COff7�71BfCi8I � � N7LL 00 THE WORK,ANO THE STRUCTURE IS NOT INTEN�6�OR OFFERED FOR SALE(SEC.704A,BU51- J ,N�, NESS AtdD PROFE9510NS CODE:THE CON'fMCTOftS LICENSE IAW DOES NDT APPLV TO AN OWNER OF ? , � � PROPERTYYdFIOBUILD50RIMPROVESTHEREON,ANDWHO�0E55UGHWORKHIMSEIFORHERSELFOR ��'� THRIXIGM HIS OR HEF OWN EMPLOYEES,PROVIOEO THATSVCH IMPROVEMEN?S ARE NOT INTENOED OR m �:Q; ,.OFFEREDWRSALEIFHOWEYER.THEBULDIWGORIMPHOVEMENTISSOIDWITHINONEYEAROFCAMPLE � 'TION.THE OWNER•BUif➢ER WILL HAVE 7HF BURDEN OF PROVWG TrfA7 HE OR SHE DID NOT BUILD OR W��,��� 1MPQ��F00.THEPURG�SEOFSALEJ. � /4'S 1,AS OWNEROFTHE PROPERTY.AM[XCLUSNELYCANTRACTINO WITH LICENSED GONTRACTORB .�`��TCCOT46Tf1UCT THE PROJECT(SEC.7044,BUSINE93AND PPOFESSIONS Cf�DE:THE GONTF7ACTORS LI� V81113110l1 ADJ.AREA W��,i.�CENSE LAW DOES NOTAPPLY TO AN OWNER OF A PfiOPER7Y W HO BUILDS OH IMPROYES THEREON,AND ��''�� NTiOCONTFL4CiSfDRSUCHPROJEGTSWITHACONTAACTORiS�LICENSEDPURSUANTSOTHECONTHAG QUANTTY ESCRIPTION PEE ��.:..TORSIJCENSEUW.j. J ' ., ' . Q;' ❑i AM EXEAIPT UNOER SEC. 9.&P.C.FOR THIS REASON �� �: � lL. .DRTE. � — OWNFR. U . Z W Q LICENSED CONTRACTORS DECIARATION —�I �r � I HEREBV AFFIHM UNDER PENALTY OF PER.RIRY THAT I AM LiC'ehSED UMDER PRbVI510N6 OF CHAPTEFl � d' ' 9(OOMMENCINGWITH'SECTION70W�OF�IVISION30ETHEBUSINESSANOPflOFESSIDNSCODE.AN� z _ , X�,i � MV UCENSE IS M FULL FORCE AND EFFcGL m � . . � LLI � �l LICENSE CLASS LIC.NO. � J � V� pA7E � CONTRACTOR �- W � WORK€RS'COMPENSATION DECLARATION Q . � U � I HEflEBYAFFIiiM UNDER PENALTY OF FERJJRY ONE OFTHE FOLLOWING DECEARATIONsc � Z Q z„ _lHAVEANUWILLMAINTAINACER71fICATEOFCONSENTTOSELF•INSUREFORWORKEflS' S � �{APENSATION,ASAFOVIOE�9\'SECTION37uoOFiHEL400RCO0E,FORTHE7ERFORMANCE W CF THE Ve'OAK FOF+.WHIC}I THIS PERMIT IS ISSUED. � L�L1' p �I HAVE AND W!LL MAIMAIN YJORKER6'COMPEtdEATION INSUliANCE.A5 REqUIRE�HY 5EC710N � A f I�j �K 37oDOF7HEU190RCODE,FORTHEPERWRAAANCEOFTi1EWORKFOflWNICHiHISPERM1T15 a� ISSUEI7.P.fY WOFIKERS'COMPEPoSATION INSUflANCE CARRIERAND POLICY NUMBER ARE: CONSTRUCTION �—� a �, cnRRItR PLAN REVIEW ���' �` POLICYNUMBER ELECTRiC � ¢ e„� ' � W, (fHS5C�G710NNE�NOTBEIXIMPiEfIDOF"MEf'EPlHTISFJf1D�Y`-fiUNDRE�00LL�As(5100)ORLESS) PLUMBING �, SCEH?IFYTHATMT4EPERFORMANCEOFTHE'JJORKFOPWNICHTHISPFRMtT;SI55UED,1 MECHANICAL �' SNALLNOTEPAPLOYANVPERSONINANV�1Ah'NEFSOAST09ECOMESUBJECTTOTHE INSPECTiONFEE � � �' N�ORKERS'COMPENSpTION LAWS OF CAi.IPoHNIA,AND AGREE THAT IF l SHOULD BECOME S SV&IECTTOTHEWORNEr75'CGMFENSAT:ON7RCVl51DN50FSEGTIOWJ7�00FThEfABOR �SSUANCE — �f—,���—^ CA�E,I SHAl1 FORTHWITH GOMPLY WRH THOSE PftOVI510N5. �/p� Q��( � -O' � � ..S�I�p _.i'• f'y- m?A/ p DATE: APPLICANT: ���,./J. . w�� ENERGY P/C '�� J. WAHNINQFAILVflETO3ECUREWORKeIi�COMP£NSTTIONCOVERAGEfSUNLAWFUL,AN�SNRLLBE � ��. SU&IECTAN EMPLOYEP TO CRIMINAL PENALTIES AND CIVILFINES UP IOONE HUNDRED THOUSAND ENERGY PERMIT ��DltAftS(5700,Oa0),INADDITIONTOTHECOSTOFCOMPENSATION,�AMAGESASPROVIDEDFORIN J: .SECTION37oeOFTHELABORCODE,MYERESLPNDHTiORNEYSFEES � ftETENTIONFEE: _ g d.', ' d CONSTRUC710NLENDtNGAGENCY PR�I,�E ' ����� IHEREBYAFFlRMUNDERPENALTYOFPERAJRYTHAT7HEREISACONS7RUCTIONLEN�INGAGENCY 1�- �°-� � � FOR THE PERFORMpNGE OF THE WORK FOR NMICHTHIS PEPMR IS iSSUEO(SEC.309'],CIV.C.7. Z — T W L�, LENDEP'S NAME — � F-•.��. LENOER'SADDFESS ��.o�f /j � � � W'�. ICER71FIrHATiHAVEREA�THISAPPLICATIONAN�STATETHnT7HEAeOVEINFORMA710NISCORaECT. TOTAL FEES �d 7 � -� . �� . ' �, IAGHEEiOCAMPLYWITHALLCITYANDCAUNTYORDINANCE4AND5TATElAWSPELATING70BUiLUiNG �. CONSTRUCTION,ANOHEREBYAUTHOqIZEREPRESENTATIVESOFTHISCOUNT'TOENTERVPONTHE z A00VE-MENTI6NE�PROPERTV FOR INSPECTION PURPOSES. 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