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�� ^ _f�� CITY OF DIAMOND BAR � ' ' r�
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' - �_ ?
_ w 21660 E.Copley Drive Suite 190
' (909)86a3195 Faz(909)861-3117 � PRESS I
�'��',� BUILDING PERMTT APPLICATION 1 � . FIRMLY
o D RIESS �3 ' I V L� �'1' DATE CATION �..�:-OI NUMB R��!'� 1�#/C O�!O
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p ADDRESS ZONING SETBACKS - !�"' '� '�'` "
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Q OWNER-BUILDER DECLARATION SFR/ADD/REM Z
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p 1 HEREBV AFFIRM UNDER PEN/�LT/OF PERtt1RV THAT 1 AM EXEMPT FROM THE CONTRACTORS LI� � Garage/Carport �j�j d� O I •.
W CENSEUWFORTHEFOLLOWINGRF�150N(SEC.7o31.58U51NES5ANOPHOFE5510N5CADE:ANVCITYOR
U COUNT'(WHICHqEWIRESAVERMiTTOCONSTAUCT.ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC- W Pa110/DOCk
Z TURE.PRIOR TO ITS ISSUANCE,ALSO RE�UIRES THE APPLICAHT FOR SUCH PEHMIT TO FILE A SIGNED
w STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO hiE PROVISIpJS OF THE CANTRAC70R5 LI- W
� CENSE UW(CHAPTER Y(COMMENCINO WITH SECfION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- u' PooVSpa .
FESSIONS OODE)OR THAT HE OR SHE IS EXEMPT7HEREFROM AND THE BASIS FOR THE/�LLEOED EXEMP-
TqN.ANYVpUT10NOF5ECTION7o31.6BVANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof
� A CIVII 7ENALiY OF NOT MORE TVW�FNE HUNDRED DOLURS(t5oo).):
� ❑I,ASOYMEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � COR1mBfCl81 �
VALL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFEiiED FOR SALE(SEC.704�,BUSI- J
� NESS AND PROFESSIONS CODE:7HE CONTRACTORS UCENSE UW DOES NOT APPLV TO AN OWNER OF � _
PROPERTV VhlO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WOFiK HIMSELF OR HERSELF OR
� hIROUGH HIS OR HER OWN EMPLOYEES,PROVIDEO THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m . ,
Q ,OFFEAEDFORSALEIF,HOWEVERTNEBUILDINGORIMPHOVEMEN71SSOlDWITHINONEVEAROFCOMPLE- "
Z �TION,7HE OWNERAUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BU�ID OR
� IMPROVE FOR THE PURPOSE OF SALEj.
W �I,tiSOWNEROFTHEPROPEHTY,AMEXQU5IVELYCONTMCTINOWRHLICENSEDCONTRACTORS -
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W CENSE UW OOES NOT APPLY TO AN OWNER OFA PROPERTY NMO BUILDS OR IMPROVES THEREON,AND
� WNOCOMMCTSFORSUCHPR0.IECTSWITHACONTMC70R(5)LICENSEDPURSUAHfTOTHECONTRAG pUANTITY DESCRIPTION � FEE
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� LICENSED CONTRACTORS DECLARATION w d �f' �f�`' �S�!
[C I HEREBY AFFIRAI UNDER PENALTV OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
d 0(COMMEHCV!(i WITH SECTION 7000)OF DIVISION 7 OF TME BUSINESS AND PROFESSIONS CADE,AND Z '
X W UCENSE IS IN FULL FORC[AND EFFECT. �� `
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� � WORKERS'COMPENSATION DECLAAATION � S'� `
� I NEHE AFFIRM UNDER PENALTY OF PERIUFY ONE OF THE FOLLOWING DECUMTIONS: Z /� ^
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� I HAVE AND WILL MAINTAIN A CEfiTIFICA7E OF CONSEM TO SELF-INSURE FOR WORKERS' 2 O n�� I
COAIPENSATION,ASPROVIDEDBYSECTION37000FTHEUBORCODE,FORTHEPERFORMANCE U ��
Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � , p-Il f"�,. �
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W ' 1 HAVE AND WILL MAIHfAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION 1
Q 770o OF THE LABON CODE,FOR 7HE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ` ��`'y' �l � �, I `a,3.I 0
ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION 1 P 1
� CARRIER�A'G/F/L' Empt��i TALS . LD . PLAN REVIEW
� POLICVNUMBER � 7d�L S�.�D�/I � �R ELECTRIC �
�d' Ex P- S D` �
0 (fHSSEcfpNNF�NOTeE�LEfIDOF7HEPEw.TisFOaar+EHU1�DREDDOUaRs(Stoo)OalEss} PLUMBING �
Z I CEHTIFV THAT IN 7HE PERFORMANCE OF THE WORK FOF WHICH THIS PERMIT IS ISSUED,I MECHANICAL , O �`
(,'} SHALL NOT EMPLOY ANY PEHSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE W
Uj WORKERS'CAMPENSA710N LAWS OF CALIFORNIA,AND AGREE THAT IF 1 SHOULD BECOME INSPECTION FEE ! ^
SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370o OF THE LA80H ISSUANCE "' �,
s CODE.I SHALL FORT1iWITH COMPLV WITH THOSE 7ROVISIONS.
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p DATE: f�Q� APPLICANT: �u LT4 H-om E S , s.
J WMNINO:FAILURE TO SECUfiE WORKERS'COMPENSA710N COVERAGE IS UNUWFUI,AN�SHALL BE ENERGY P/C �
LL SUBJECTANEMPLOVERTOCRIMINALPENALTIESANOCIVILFINESUP700NEMUNDREDTHOUSAND ENERGYPERMIT •
DOLLARS(f10o.o00),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
� SECTION37oBOFiHELABOPCODE,INTEREST,ANDA7TORNEV'SFEES. � RETENTIONFEE:
a CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
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� I HEREBV AFFIRM UNDER PENALTV OF PERJURV THA7 THERE IS A CONSTHUCTION LENDING AGENCY � �
FOR THE PERFOfiMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.7oe7,CIV C.). .
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� LENDER'S NAME /�D/�L� 'LPL�L.T� rl!/N'/LS ���
F= LENDER'SAODRESS
� I CER11fY THAT I HAVE READ 7HIS APPLICATION PND STATE 7HA7 THE ABOVE INFORMA7qN IS CARRECT. TOTAL FE ES •� , � �
w I AGREE 70 COMPLV WITH ALL CITY AND CAUN7V ORDINANCES AND STA7E UWS REUTING TO BUILDING
� CONSTRUCTION,AND HEREBY AUT/10RI2E REPRESENTATIVES OF THIS CWNTV TO ENTER UPON THE '
ZABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS �
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� 51 RE OF P ITTEE DATE ,� � �1
= RECPT.N0. PAID BY VALIDATION
~ WHITE—Department Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—ApplicanYs Copy
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