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�. '� �� - C1TY OF DIAMOND BAR •� COMMUNITY DEVELOPIv1ENT DEPARTMENT +.;,.,C 21660 E.Cop►ey Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 �'""'�� BUILDING PERMIT APPLICATION FIRMLY a DDR'ESS f7G �I� �� ������ A�"� �� DATE�ATION' '�,:� �_NUMB R� P/f��.,-� ISSUE TYPE OCC � APN COT TRAC7_ DATE QONS,T.. GROUP p OWNE�tt°Jatac.�r1 /��� t3�v� " ADDRESS ++ ' ZONING SETBACKS z CITY ZIP TEL. � � 1 I FRONT RW ❑ � APPLICANT TEL. REAR p ' Z SIDE/SIDE STREET RW ❑. m CONTRACTOR ��. �'" m� �?' SIDE ❑ � ADDRESS �� �c� ��1� ,��� � �" PROPOSED USE 4� � CITY �'✓�/�n��' ZIP���L.��� �r�/� o ARCH/ENG/ r " aDESIGNER ��4d �d'R �'�?w is NO.DWEL. NO.� NO. ADDRE S 1� � r ^ "Tv.9 t�6� :or UNITS STORIES BEDROOMS � CITY ` ZIP�� TEL:7� �"Lf; �f f��e � c�n ' DESCRIPTION SQ.FT. FACTOR PSF ADJ.AIREANALUATION �, OWNER•BCILdER DECLARATION SFR/ADD/REM O �' �LICEN OF PERJURY THAT I AN EXENPT FROM THE CONTRACTORS LI- G2f8QB/C81pOft � � � ��.�'� ' �' I HEREBY AFFIRM UNDER P NAL W CENSELAWFORTHEFOLLOWINGREASON(SEC.7037.SBUSMESSANDPROFESSIONSCOUE:ANYCITYOR (n U '�,COUNTYWHICHRE�UIRESAPEFNAITTO'CONSTRUCT,ALTER;IMPpOVE,DEMOLISH,ORREPAIRpNVS7fiUC- W pd110/DBCk � ' ' "TUNE,PPoOR TO ITS ISSIJANCE,ALSO RE�UIRES THE APPLICANT FOfl SUCH PERMIT TO FILE A SIGNEU ' '" ' �',� �STATEMENT THAT HE OR SHE IS', SED PURSUM7T TO THE PROVISIONS OF THE CONfRACTORS LI• , �. ',CENSELAW(CNAPTER9(CAMMENCMGWITHSECTION7000)OFOIVISION30FTHE9USINESSANOPRO- � POOVSpB A� . . :,FESSIONS CADEJ OR TMAT HE ORISHE'IS EXEMPT'fHEREFHOM AND THE BAS�S FOR TNE ALLE6ED EXEMP- V 'TION.ANY�VIODUIONOFSEC710N7o99:56VANVAPPLICANLFORAPERMIT5l1BJECTSTHEAPPUCANTTO �� Z Re•Root � � ''�.ACIVIL PENALTY OF NOT MORE TNAN FIVE HUN09m 004LAq5(55oD).): . O I,AS OWNER OFTHE PROpiERTY,OR MV ELIPLOVE�S WITH WAGES AS iHElq SOLE CAMPENSATION, O � Commercial �WILLDO;THE`WOHK,AND THE STflGC7URE IS NOT INTEN�ED OH OFFERED FOR SALE(SEC.7044,BU51• J ,,1� � ,�SS AND PkOF�5510NS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNEN OF � j � � 'PROPEHttWHOBUILDSORIMPFibYESTHEflEON,ANDW1�lO�DOESSUCHWOflKHIAdSELFORHERSELFOR [C, '�THRWGH�HISORHEROWNEMPLOYEES,VFOVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m ' W�� :��FER�FORSALE.IF,HOWEVER�THEBUIL�INGORIMPflOVEMENTIS50IDWITXINONEVEqROFCOMPLE- ' - Z�.,� -:�;TION,THE OWNER-BUIL�ER WILL�HAVE.THE BURDEN OF PROVING THAT HE OR SHE DI�NOT BUILD OR � '',IMPqOVEFOflTHEPURPO5EOF5AL.E)."� � ❑I,ASOWNEROFTNEPROPERTY,'�AMEXCLUSIVELYCO�TRACTINGWITHLICENSEDCONTflACTOR5 .. . , � ,TO CANSTRUCT THE PRQIECT(SEC.7d49,9USINE55 AND PHOFESSIONS GODE:7HE CONTRACTORS�I- V2W0t1017 � ADJ.AREA ' W '�CENSEUWDOESNOTpPPLYTOANOW'NEROFAPROPERttWHOBUILDSORIMPROVESTHEREON.AND � , �� .'.WYIOCONTRAC?SFOHSUCMPROJECTSWITHACONTRACTOR(5)UGENSEPPURSUpN7TOTHECONTflqC- � QUANTITY DESCRIPTION '�� '� ' FEE �. � ;TOflS LICENSE LAW.). �. ' � ' �❑I AM EXEMPT UNDER SEC. B.8 P.4 FOR THIS REASON Q � U� � I�°{f .�� � ' �. ' U . . ` � ' . � 2 ' ���ATE OWNEH � Z,.... ' . W . � � LICENSED CON7RACTORS���DECLARATION W '�, ' 2 I HEREBYAFFIRM UNDER PENALTY OF PEflJURYTHAT IAM LICENSED UNDER PflOVI510N5 OF CHAPTER � � („� �� . �. p_"`'9(COMMENCING WITH SECTtON 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CADE,.C� Z b" W�� MV LICENSE IS IN FULI FORCEAN�EFFECT. '�, ',m . �'�`f..�� �+e� 9 / �� �y ' Y'� , ('"� 7 .��. �'� UCENSE CI,NSS �� LIC.NO.� �7�� j � U�� DATE �'���� �CD^:.`Zi��6`��� CONTflAC'f0'R - �a � � � �� � � �. �� WORKERS'COMPENSATIONDECLARA ON -� g [� � � Q A � �'�' �7�Kc�-C✓ 'F3 �d � I HERE6YAFFIRM UNDEH PENALTY OF PERJUFY ONE OFTHE FOLLOWING DECURAT10N5: Z . '� , �� � _IHAVEANDWILLMAINTAINACEFTIFICATEOFCANSEN�TTOSELF-INSUPEFORWOqKEqS' _ . -. �� � COMPENSATION,ASPflOVIDE�BYSEGTION37000FTHELABQFlCODE.FORTHEPEflWfi�IANCE'� �U Q -OFTHE�WORK FOR WHICFI THI9 PERMIi 1919SUED. ' �- � , . . ��� ��� � . � � � . , ' , W �I HAYEAN�WILL MAMTAIN WOqKER5'�COMPENSATION IN$URANCE.AS REQU�REO 8Y SECTION (( �j f j Q 97000FTHE LABOR CODE,FOF THE PERWRMANCE OF TNE WORK FOR WHICHTHIS PERMITIS !j �x 6 / C L � ISSUED.MY WORKERS'COMPEN$ATION INSURANC CARPIEHANO POLICY NUMBER AHE: CONSTRUCTION E I Q F ] " `CAHRIEq���i��e ��``�� PLAN REVIEW �% �� � POLICY NUMBER P___e_C.y.S•���r���i7 ELECTRIC � � �;, (iHI9SECilONNE�NDTBEOCA.PLEf�DOF7HEPEFNIITISFORONEHUMRE000LtAR5(510D)OR163� PLUMBING Z I CERT�FYTNRT IN TIiE PERFOflkAN�OFTHE WORK f-0R WHICH PHIS PERMIT IS ISSUED.1 MECHANICAL - '����' "-._"� ' ' -� �J,', SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBECAMESUBJEC7TOTHE y� (�� WORKEHS'COMPENSATIONLAWSOFGALIFORNIA,ANDAGREE7HAT�FISHOULD6ECAME INSPECTIONFEE - = 6UBJECT TO THE WORKEflS'CAMPENSAiION PROVISIONS OF SECTION 37000F THE LABOR "�' - CAOE,ISHALLFORTHWITXCOMPLVWITHTH 5' P VI . ISSUANCE Q � y p � ` SMIP 3 � � p. DATE:�I"`�e APPLICANT. J'�; WARNING FAILUFiETO�GUHE WORKER6'COMPENSA O ERAGE IS UNLAWFUL,AND SHA�L BE ENERGY P/C � � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHl1NDflEpTHOUSAND ENERGYPERMIT � � � � DOLLAflS(Si00,o0D�INADOITION TO TNE COST OF COMPENSATION,DhAAAGES AS PPOVIDm FOR IN ��'�, '� SECTION 3708 OFTHELA60R CO�E,NTERE&T,ANDATTORNEV'S FEES a� � RETENTION FEE: L J a''� d� CONSTRWCTION LENDING AGENCY � pR�IT FE • .l: O b�'�Z �' I HERE6V AFFIRM UNUER PENALT/OF PEFiJIJRV THAT THERE IS A CANSTRl1CTION LEND�NG qCENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.309],CIK C.�. . � Z'., I w �' LENOEF'6NAME � � F- .LENOER'SAO�pE55 ' y ' ��� ICERTIFYTHATIHAVEREADTHISAP7UCATIONANOSTATETHAiiHEABOVEINFORMA710NISCARRECT. TOTAL FEES�� � - � �°`-'�� �� �IAGREETOCOMPLYWITHALICITYANOCOUNTYOROINANCE5AND5TATELAWSREUITINGTOBIALDING - � CANSTFWCTION,ANDHEREBYAUTHOFREREPRESENTATIVESOFTHISCOUNTVTOENTERUPONiHE �?-y� ��6��q��P �� � Z ABOVE-MENTIONED PROPEflTY FOR INSPECTION PUqPO5E5. �q�d '��s,�/ •1— � e �, COMMENTS�'ny O � � � � � ������� ��.��,����1 � m� PERMI NMAE RI ) � f' U� � ( (J��' '� DATE - � _. RECPT.NO. PAID BY VALIDATION ~ YOHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO ile Copy,GREEN--ApplicanPs Copy � . . ,>., . .. . ..,..�. .. .:,. . ::., ,.., _ ,;_ . .._,,. , ., � �ti�'�c� ���ir ��a�t;�''�����'���'��''��a'��- .� � � � � i i��,� � _ � . l�ca'',�� "-. _ ['i �� �`?'�E���� �I,����p�Mm(rm�v�a��.�f�ti� � irn�p;,,a�*'���dt�Iy��n'�^�'n `L"�4'���q�"� �: �.:�,� ..,r'�n -�:Pk, A -, u�.-�- �. -" } . �. ,, � ; q� i ^��� � 'kd.-.i.. t� �I ` . ,. .. �i �Nh�� )E��,�B �t ��� �v"�.�'�� 4�. ���, �a.� ��� ���1�"'���� ��; �i w� �d$ `t�� e� m��� �'�xum ��.����',� F f a,a', •,^� wr '� �. i � ,� I so�,,.t t m I I "t"�b��.`*� �.,�'�';�'��ar��� ��� � '"'�, ',,� �; rc � �` �f,"�A�, �E ��,.�. , _ ,'� �����, 1 � �_ _�rt����'e�5� �„ J����?.,,'. ��:�"�J�:s��:� (�~°�, v �§�fi�i�t����� _. �` _._�n�l; ��z �����`,`'�,'� ry'��,� � �� --- , ��'h ��n i=���,��-���;�+�r"�.� 1 ; _---� —� � ,����� �4�',��a Ps��.i�9�~�:._� _____._f_-___.___�___ �=rF�E�'�.��.�`c=�':�PG�#�.i�� _ `� �--�'� ry�. � � — , �° i�.��� � � y � _--° .. _ � i �rr�*-,� � ��� t������9i � � � � �.' ._ ,_ _ ,...,_..__i_" '�— 5— � ,-. , � �i � i� �d� " r�,�iz.�._..._:��„_._._. ,� �a��.��.,;`i� ��s6 , , � I �} __.___ _ ..—_� �N `t ,r ;� � , � ,�,� y»rW�,� , ,. . . .._ _ � � ..,�' . ..` .�� .h�. t,"�` . 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