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CITY OF II:)IAMOND BAR � ��� � DEPARTMENT OF COMMtT3VITY&DEVELQPMENT SBRVICES �,��� 216bQ E.Cop2ey Chive Suite i�10 t�a sdo-3 igs�ax��09��6i-��z7 PRESS �'^^' BUII.DING PERMTT APPLICATICIN FIRMLY � JOBSITE �, �- /��.� r � �� APPUCATION� �� � PERMIT ��/) P/C � .- �y Q ADDRESS_�� ,l�' -s�t� —_ DATE RtUMBER__� � � `- ISSUF TYPE OCC APN_ l{1T� TRAC7 __ pATE _ CONST.� GROUP ��_ p OWNER a.L�,2feE� �Gf�C�_ __._ �_ � ADDRESS /� ,�tl. JcPZ �oc. �(Y�' 7_ONING SETSACKS W �RONT FiW_. (_}--. ClTY I dv"� ZtP�,�„�rfiEC.��sJ-,.tl� APPLICANT TEL �EAR r'— -� '��'��i-'� sia�rsFo�sT��er Rw �:�—_—_ � car�rRACTOR_ dl'r . S �/C i>_c c�s -- — siae i=�--- p� ADpRESS_1r�`�_ tv �.xfJf'� .,5�------ � "—` PROPOSED USE - ---— cmr.�. r–l�r~-���:.•�'"_ zi�S� �F� ��t_J-�x, �� � ARCH/ENG! � ^ - z� DESIGNER,,�_. __-_- _T��..---�__ NO.DWEL. NO. NO. ti ADDRE55 � ---_—__�—�_---_ UNITS�� STORIEB _ BEDR{}fJM5___ � GITY __ Zlp__. __� TEL.------- - � —. � - - DESGRIPTION SQ.FT. 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APPLICANT TEL. CONTRACTOR- �t•S• C �sse It CC'S ADDRESS_s t Y Z0. Zto�f/4-_ CITY Sit� Pk-1K--f--A'-ZIP 2/'1:TEL. ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER-BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PER.IURY THAT I AM EXEMPT FROM THE CONTRACTORS LI CENSE LAW FOR THE FOLLOWING REASON(SEC. 7031.5 P USIN ESS AND PROFESSIONS CODE:ANY CI FY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT AI-TI-R,IMPROVE. DEMOLISH,OR REPAIR ANY FTRuC- TUBE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPI I(ANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT 10 THE PROVISIONS OF ThrE CONTRACTORS LI CENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 'OOE OF DIVISION 3 OF THE R/SINE AND PRO FESSIONS CODE)ORTHA"' HE OR SHE IS EXEMPT THERE'ROM AND THE BASIS FOR THE AIIF-EDEXFMP- TION.ANYVKOLATION OF SECTION 7031.5 BY ANY APPLICANT F09 A PERMIT I PIFCESI A PLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HIINDRFD DOI LARS($5301': U 1.AS OWNER OF THE PROPERTY OR MY EMPLOYE'S WITH WAGES AS THE IR SOI COMPENSATION WILL DO THE WORK,AND THE STRLICTIIRE IS NOT INTENDED OP OFFERED FOR SALE(SEC 7Y44,RUSI- NESS AND PROFESSIONS CODE'THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AI OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSF' F OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF,HOWEVER,THE BUILDING OR IMPROVEMENT IS SOLD W ITH'N ONE YE AR C F COMPLE- TION,THE OWNER-BUILDER WILL HAVE THE BI.IRDFN G+'ROGUING THAT HF OR SHF I'D NCTT FI'!'.I.D OR IMPROVE FOR THE PURPOSE OF SALE). 111.AS OWNER OF THE PROPERTY.AM EXCL USIVELYC)J19ACTINFT�ITH-ENSED ON RAC CIRS TO CONSTRUCT THE PROJECT(SEC. 7044. RLISINFSS AND E IIOFFSSIONS COD THE)NT lA"TORS LI- CENSELAWDOES NOTAPPLY TOANOWNER OFAPRnPERT WHO BUILDS OR IMPROVES ThFREON AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRALTO 1L,.FNSFO PURI(,ANT T),ICONTRAC. TORS LICENSE LAW.). 0 I AM EXEMPT IINDIFR SEC. B 4 R,ASO,N DATE OWNER LICENSED CONTRAC'(OiHS OEG! ARAT'ION-_--'� t I HEREBYAFFIRM UNDER PENALTY OF PERJURY T?ATI AML S:FD IISO IHTS,i,I( )'. FR 9(COMMENCING WITH SEIFTlON 7000)OF DIVISION'3 CIFT'+I N-S.�.AN ! 1C =Fa,'. MY LICENSE IS IN FULL FORCE AND EFFECT LICENSE CLASS N '- DATE GATE v J WORKERS'COMPEN!SATI'n I �.r n,,,, I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF 1 �w"N A'• /- I HAVE AND WILL MAINTAIN A CERTIFICATE OF COSSI f SF'.FI qF-