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� �C/ _� CITY OF DIAMOND BAR DEPART'MENT OF COMMUNITY&DEVELOPMENT SERVICES � : 21660 E.Copley Drive Suite 190 - PRESS (909)860-3195 Fax(9b9}861-3117 � �"�"�� BUILDING PERMTT APPLICATION_ _ FIRMLY � 4 ADDRESS �S� �C�1r� �(��S �' � APPLICATIO� �. PERMIT C � _. ` P! p � DATE ""�'� ��� NUMBER� �� - # 3 2-� � � ISSUE TYPE OCC � APN LO _T_ TRACT DATE CONST GROUP p OWNER � ADDRESS 1 e- ZONING SEfBACKS � � CITY � ZIP��TEL. qO RE�ART RW O � APPUCANT TEL R-+ SIDE/SIDE STREET RW O � � CONTRACTOR SIDE ❑ E � ADORESS _ ` � CITY ZIP TEL. PROPOSED US � 8�"'�� �-S i � w AfiCHIENG! .r z DESIGNER ✓' ✓�-S S S w � NO.DWEL. N0. NO. � ci�v Pa.. ZIP G TEL� � � UNITS I STORIES � BEDROOMS.�_ � u� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREr1NALUATION �� � OWNER-BUILDER DECL4RAT�ON SFR/ADD/REM � � p 1 HEREBV AFRRM UNOER PEt1ALTY OF PERNRY THAT i AIA EXEMPT FROM THE CONTfiACTOPS LI- Gdf3a0/C81pOR � W CENSEIAWFOR7HEFOLIOWINOREASON(SEC.7031.5BUSINES5AN�PROFESS:ONSCODE:ANYCITYOR (J� � C3 CIX/NiYWHICHREOUIHESAPERMI7T00045TRUCT,ALTERMPROVE,0EM4LI5H2O�REPAIRFNYSiHUC- W patio/Deck � W_: TUHE,PflIOR TO ITS ISSUANLE.ALSO ftEOUIflES THE APPLIC0.NT FOR SUCH PERMIT TO FILE A SIGNED W �� � STATEMFNT 7HAT HE OR SHE IS UCENSEO PUR8UAM TO THE PROVISIONS OF THE COIVTRACTORS U- � - CENSE LAW(CHRPTEfl e�CAMMENCINO WITH SECTION 7000{OF�IVISION 3 OF TFSE Bl1SINE55 AN[1 Pfl0- POOVSpd FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEqEFROMANDTHEBASISFOfiTF:EALIEREDExEMP- (� TION.ANVVIOLATIONOFSECTION7031.SBVpNVAGPIICANTFOqAPERMITSU&IECiSTHEAPPLICAMTO Z Re-Roof _� A CIVIL PENAIT!OF NOT MONE TMAN FIYE NUNDHED OOLLARS(SSoa).�: ❑I,AS OWNEHOF7HE PROPERTY.OR MV EMPLOVEES WITH WAGESAS THEIH SOLE COMPENSATION, z ❑ commerciai � - YALL 00 7ME WORK,Ml�7HE 5TAUCTURE IS NOT INTEN�m OR OFFERED FOR SALE(SEC.7od6,9I1SI- .J �,_ -NES3 AND PHOFESSIONS COOE:THE CAYTRACTORS LICENSE UW DDES NOT APPLYTD AN OWNER OF -? PR�PEPTY NM110 W ILQ4 OR IMPqOVES THEREON,AND WHO DOES SUCH WORK HIMSEL�OR HERSELF OR -� �- iHROU(3HHISORHEHOWNEMPLOYEES.PROVIOE�7MATSUCMMiPpOYEMENTSAFEfiOTINTEN�EDOR � ._�- ,OFFEREDiUflSN.E1F,HOWEVERiHEBUIL�MGORIMPpOVEMENTISSOLDWITHINONEYEAROFCOMPLE- -TION.THE OWNEfl$UILDER WILL HAVE THE&JRUEN OF PflOVMa TNAT NE OH Si1E 010 NOT BUIID OR- � IMPROVEfORTHEPUflPOSEOFSFIE�. ❑i,AS OWNER OF THE PROPEHTY,AA1 EXCLUSIVELYCOMRACTING WTTH UCE4SED CONYRACTORS -��: �TO GONSTflUCTTHE PROJECT j5EC.7oH,BUSME55 AND PROFE5510Y5 GOUE:lME CQYTnACTOflS LI- V81U841a1 ADJ.AREA -� -W�: -CENSEIAWDOESNOTAPM.VTOANOWNEROFAPRdPERTVWHOBUILD50RIMPqO'IES7HEREON,PND. -__. WFqCOMMCTSFORSUCMPflP1ECTSWITHA00NTRACTOR(S�LiCENSEDPUflSUANTTOTHEWNTRAG �"' mas�c¢NSE uw.�. - QUANTITY DESCRIPTICN FEE - `�, -_� ,O. ❑i PM E7(EMPTUNDER SEC. B.fl P.C.f-0ATH:S HEASDY- : Q - ,�` U �� ��[� � . . .. . OATE OWkER U z. , w __�= UCENSEDCONTRACTOFS�ECLARRTION _ W :� _CL: I H�REBYAFfIRM UNDER PENAL7Y OF PERJURYTHAT I AM�ICENSED UNDER PftOVI510tiS OF CI:APT[R . / . � �= _1 ;�'- D(COMIAENCINGWITHSECTION7D0o)OF�IVISION30FTHEBIISINESSANOPROFE55:04SCODEAND . Z � � � �'�� f +� _� x AiYLiCEN5E IS IN FULI FORCEPND EFFEGi. - � - - -' ;� i� a :LLI, -�: LICENGECLASS L�C.NO. F�j �� �.tf , �:*� _;u'. -DATE CON7RACTOR " �- � 'W _�� ��- - - WORKERS'G6MPENSATION DECLARATIGN . .. _ ¢ -� -_�- IHEflEBYAFFlRMUNUERPENALTYOFPERIURVONEOFTHcWLIOWING�ECIAf+ATIONS: _ Z - " -! O _IHAVEN:UWIILMAWT/uY0.QRr�FlCRTEOFOD45ENTTOSEIf-INSUAEFORWORNERS � T $y, _.�� COMPENSATION,ASPROVI�EDBYSECTiON970JOFTHELA90flCOuE,FOqYHEPERFORMANCE � U =- _�j OFTHE WORK FORtNHIGH THIS PEHMIT IS ISSUED. - W _ .._� Q- - � �3 '-1 ; _� _IHAYEANOWIUMA�N(pINWORKERS'COMPENSATIOYINSUflANGE,ASfiE�JIREDBYSEGTION F•� s"��'� t/p q'� Q- 37000FTHEIABOtiCODE,FOPTFtEPERFOflMANCECFinEWORNfONWHq1TkfSPERi11.7u � ��_ � � J.: ISSUED.MYWOpKERS'COMPENSATIpNINSURANCECARRIEPANDPOLICYNUMBERARE: CONSTRUCTION - �J;7 ���' �;�j-:; c�anieR PL,AN REVIEW - � - - ::�'_ aa.�CYNUueER ELECTRIC _r- p._ ,¢, � _��`-_ �sccror+r.F�noraEax.wFT�oFn�ecrarrs�cstavEit�x�naFnwua3slsiao)oa�e5sx PLUMBING �_�� ��W ICEpTIFYTHATINTHEPEPFOftMANCEOFTNEWOFKFORWHICHTHISPERMITISISSUED.I MECHANICAL ;_Z' �.(3; SNALL tlOi FMPLOY 0.NY pEfl50N IY ANY�t1AMNEFi SO.tS TO 9EClJ4E SUBJECT TO�HF -�I "�. WORKEfiS'COMPEN3ATiONLAW50FCALIFORNIA,-ANDADREETHATIFISHOUIDSECOME INSPECTIONFEE --( - SU&IECTTOTHEWOAKEHS'COMPEM1SATIONPROVISIONSOFSECTION3�o00FTHELABOR y � I -� WDE,:SHALLFORTMWtTMCOA!PIVWITHTNOSEPFOVISIONS. - �SSUANCE dry���� "�- SMIP � �,�_aC� --p OATE: APPLICANT: -� ;.�:_ - ENERGY P!C i . WARNING FAILURE TO SECUflE WORKEFS'GOMPENSATION CqYEftAGE IS UNUWFUL,AND SHAILBE .--I ;"_LL- SU9JECTANEMPLOYEflTOCRIMiNALPENALTIESANDGVILFINESUPT00NEHIINDRE�TNOUSAND ENERGYPERMIT � . j '::}; DDLLARS(f100.D00).MAODITIDNTOTHECOSTOFCOMPENSATION.DPMAGESASPROVIDEOFORIN /��'' � y � J. SECTION37080FlHELABORWDE,INTEREST,ANDATiORNEY5FEE3. - FlETENTIONFEE: (7.L1 L/L! � � -_O_- CONSTRUC710N LENDING AGENCY PRE-ALT FEE: _. _ -�- IHEREBYAFFIRMUNOERPENAINOFPERJURYTHATTHEREISACONSTRUCTIONIENDIYGAGENCY / i(�.T 6�� Z FORTHEPERWflA1ANCEOFTHEWORKFORWHICHTHISPERMITISISSUED(SEC,309],CIV.C.). . �TT' .�-.� LL7 a. ( -_.� LENDER'S NAME . I Y :F� LEN�EFYSADDRE55 -- � ICERTIFYTHATIHAVEREAOiHISAPPLICATIONANDSTATETMATTHEA60VEMFORMATIONISWRRECT. TOIAL FEES � J���f�'!. -� � IAGflEETOfAMPLYWITHALLCITYANDCOUN�YORDINANCESANOSTATELAWSREUTWGTOBUILDING + �� i -.� COYSTRUCTION,tJvDHEREBYAIITHORIZEPFPRESFNTATNE50FTHISC.OJNTYTOEMERUPONTHE � ���� . . - Z ABOV&MENTIONEDPROPERTYFORINSPECTIONPURPOSES. Q COMM�NTSr j !�-�--��� � -_-.-a PERMITTEf NAlAE(PRINT) �` - I _ N ^.'-��-.�f � . � f� n . N SIGNATl1REOFPERMITfEE �ATE � 1 ,,�,'-,� . I -.-- = RECPT.NO.___ PAID BY'L� VALIDATION� F _ � ~ - WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Co GOLDENR06—File Co GREEN— �� PX PX ADPlicant's Copy .;�" ' �3� ,�.:x '€'x� -K �� t f t - I i .�.1 i ,S a I i --i �. a �`s��`S ���� ��"�a� 1 ��.._. . i _ € ! �1 �'.�a i� 3^! � � ��� ��" -Jc�4,F=�`'i�`��'� � � 1 � �iG� i � i _k �� ;� _ ��" � ��� i � . � ��E � '... 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