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'� CITY OF DIAMOND BAR C�� �---�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . � 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-31 t7 PRESS ����A�°��� BiTTLDING PERMIT APPLICATIUN FIRMLY o. A DRiESS�U�� A;+� � lI✓4 APP��CATION PERMIT � j � P/C � �j�'I�• DATE_ NUMBER_��!`� # � ISSUE / TYPE OCC APN LOT TRACT DATE ` �I�i CONST. GROUP p: OWNER /���� �n-�Q1� p ADDRE S LA�p�_��'���js�, v ZONING SETBACKS W� CITY� , TEL FRONT RW ❑ � APPLICANT TEL REAR ❑ - SIDFJSIDE STREET RW ❑ �3 ' CONTRACTOR�'�'�' C. �seu` `''c� SIDE ❑ CDDRESS��,�� iP _ L �ROPOSED USE � E �" ���-�. o�; ARCW NG/ �I'�� ,. " z`: DE5IGNER NO.DWEL. NO. ' a; ADDRESS � UNITS ' ' STORIES.__�_BEDROOMS �"; CITY ZIP _ TEL: N; �: : pESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION _ �2; OWNER-BUILOER�ECLARATION SFR/A�OlPEM O� p;;_ t HEREBY AFfIPoA UNDER PENPLN OF PERJURY THAT I qM EXEMPT FFiOM T}iE WNTRACTOflS 11- � GaragelCarport - � W= CENSEUWf-0RTHEFOILOWINGREASON(SEC.7o3t5BUSRJESSANDPROFE55I0N5CO0E:ANYCINOR - C.)�' -COUNTYVhIICHREWIRESAPERMIT7000N5TRUC7,ALTEfl„MPROVE,DEMOLISH,ORREPAIRANYSTRUC-. ' W Pdt10/DBCk ' Z'E-�TURE,PRIOR TO ITS ISSUPNCE,ALSO REQUIFlES iME APPLICFNT FOR SUCH PEflM1T TO FlLE A SIGNED- �- W W^'STATEMENT THAT HE OR SHE IS LICENSED PURSUANi TO THE PROVISIONS OF 7HE CON7RAC70H5 LI-� ��--CENSE LAW(CHAPTER9(COMMENCMQ W�TH SECTION 7aoo)OF DIVISION 30F THE BUSINE5S AND PRO� -u' POOUSPB . � FESSIONS CODE)OR iNAT HE OR SHE IS EXEMPTTHEREPROMAND iHE BASIS FOR THE ALLEGED EXEMP � .� ;iION.ANYVIOI.AT10NOf5ECT10NT037.50YANYAPPLICANTFORAPERMITSUBJECTSTHEAPPUCRNTTO � � RB-ROOf - . � r�, .ACIVILPENALNOFNOTMOflETHANFIVEHUNDREDDOLtARS-�t5ao).j: OI,ASOWNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAQESASTHEIflSOLECOMPENSATION, � - ❑ COR1Ii18fCi21 - � g-�: 4VILL 00 THE WORK ANO THE STRUCTURE 4S NOT INTENDED OR OFFEREO FOR SALE(SEC.7044,BUSI- . J .NE55 AP1D PqOFES510NS CODE:THE CONTFiACTORS UCENSE LAW OOES NOT APPIV TO AN OWNER OF - ���� PFqPEflTYNR10BUiLD50RIMPROVESTHEREON,ANONh10DOESSUCHWORKHIbiSELFOHHEHSELFOR- � m �;�.THROLIOH HIS OR HER OWN EMPLOYEES,PROVIDED THATSUCN IMPROVEMENTS ARE NOT INTENDED OR �-: � LL1" OFFEREDFORSALE.IF,HOWEVER,iHEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- - 0' �TIOM,THE ONT7ER$UILDER WILL HAVE THE BUflDEN OF PROYING THAT HE OR SHE DID NOT BUIID OR � - . _; IMPf�VEFORTHEPURPOSEOFSALEI. - � � . � �� OI,ASOWNE0.0FTHEPROPEfiTV,AA7EXCLUSNELVCOMRACTiNGW1THlICENSEDCONTflACTORS - )� - TO CQNSTflUCT THE PROJECT(SEC.7044,BUSMESS AN�PPAFESSIONS CODE:THE CONTfiACTORS LI� V81UfltlOn (!' ADJ.AREA W' GENSEIAWDOESNOTAPPLYTOANOWNEROFPPROPERTYWHOBUIIOSOflIMPFOYE3THEFEON,AND � � �; Vh1000NTRACTSFORSUCHDROJEC7SWI7HACONTRACTOR(5}LICENSEDPURSUANTTOTHECONTFqG QUANTITY DESCRIPTION FEE . ' TORS LICENSE UW.). �- -� - �� ❑1 AM EXEAlPTURDEHSEG &&PC.POH7HI5 REFSON -� U� � � �"�. DATE OWNER ' U - - ' W o LICENSED CONTRACTOR5 DECIARATION �j �� .1 HEREBV AFFIRM UNDER PENAIN OF PEflJURYTHAT I AM UCENSED UN�ER PROVISIDNS OF CHAPTER � - �- d� ��9(COMMENCINO W17N SECTION 7000)OF DIVISION 30F TME BUSINESS AIJD PROFESSIONS CA�E,AND z -�MY LICENSE IS IN Nll FOPCEAND EFFECL p� m o���LICENSE�CLA_�SS��,���� �LIQ NO. ��...(_.-.L��_—..__ . �: . � _ -~. .DATE����CONTRACTOR_- � a . . W �- ; WORKERS'COMPENSATION CI ION�� Q . � V �'�, IHEREBYAFFIRMUNbERPENALNOFPERJUPYONEOFTHFGOLLOWINGOECLARAT 5: Z Q � _IHAVEANOWILLMAIN7AINACEfiTIFICATEOFCONSENTTOSELF-INSUREFORWORK6R5' 2 COAAPENSATION.ASPROYIOEDBYSECTION37aoOFTHELA80FCODE,FORTiiEPERFORMANCE W �F THF.WOHK FOR WHICH h11S PFRMIT IS ISSUEO. � � W" IHAVEAND WILL MAM7AiN WORKERS'COMPENSATION INSURANCE,AS REDIIIREO BY SEC��ION �' ' ¢� _g-,!�p.�p Q a7ooOF 7HE IABOR WDE.FOR7HE PERWRMANCE oF THE WOf1K FOR WHICH THIS PERMITIS � l fv'y ) . ISSUED.MYWORKERS'GOMPENSATIONINSURANCECAFRIEflANDPOLICYNUMBERARE: CONSTRUCTION � 4!r'�✓l�' � j- canRiEn -� s-}s� � PLRN REVIEW - r 2- POLICYNUMBER `" � �.,�-, . ELECTRIC ¢` � �.:. (t}ksSEciANiJe�NO'rBEC�+pI.EfEDOFnfEPERMrt'ISrbRaJeVIunOREo (baa) PLUMBWG ��'�q�`;'.� .. W' - � MECHANICAL ¢ z� I CEflTIFYTHAT IN THE PERFORMANCE OF THE WORK FOq WHICH THIS PERMIT IS ISS ED,1 , �� SNALLNO�EMPLOYANYPERSONINANYMANNERSOAST08ECOMESl18JECT70THE b ' . � � WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANOAGflEETHATIFISHWIOBECOME INSPECTIONFEE ��` � � SU0.IECTTO THE WOHKEHS'COM7ENSAT N PROVISIONS OF SECTION 37000F THE LABOR ' � 'a� -�j, CA�E,ISHPLLFORTHWITMCOMPLYWI H0.SEPROVISIONS. ISSUANCE ' �� p� �� � � ' p' �ATE 5�1b--9�i APPLICANT. SMIP � �*-`�,r.��� — W ENERGY P/C •`� � � j- WARNING FAILURE TO SECUflE WOfiKERS'CO PENSAT COVE AGE IS NLAWF7iL,ANO SHALLBE '4 � - �y,,,' SU&IECTANEMPLOVERTOCRIMINALPENAIT SAND VILfINE5UPT0 NEHUNDflEDTHOUSAND ENERGYPERMIT �"'� �t�. ���'� ___-__ � - OOLl.ARS(5700.00�),INADOITIONTOTHECO OF PEN5ATION,DA GESASPROYIDEDFOflIN - , J- SECTION37080FTHELABORCODE,MTER ,ANDA7TORNEI"SFEES - RETENTION FEE: � - �- a, CONSTRUCTION LENDING AGENCY � PRE•ALT FEE: � �.. 1 HEf1E8YAFFIRM UNDER PENALTV OF PERJURV THAT THERE IS ACONSTRUCTION LEN�ING AGENCY _._____ FORTHE PERFORMANCE OF THE WORK WP WHICH THIS PERMIT I5ISSUED(SEC.309�,CIV.C.). Z �,� W' � LENOER'SNAlAE __ ' ' ._ F- �ENDER'SADDRESS C . � ICERTIFYTHATIHAVEREADTHISAPPLICATIONAN�STATE7HATTMEABOVEINFOHMATIONISCORRECT TOTAL r�ES " . �� - , W �AGflEE TO COMP4Y WITH ALL CITV AND COUNrV ORDINANCES AND STATE IAWS RELATING TO BUILDING - - � COMSTftUCT10N,ANOHEflEBYAUTHORIZEREPRESENTATNESOFTHISCOUNTYTOENTERUPONTHE , �- A00VE-MENTIONED PFiOPERTY Wfl INSPECTION PURPOSES. COMMENTS , �' �/� f J � � ¢ PE0. TT N E(OHINT) � � � y y� . . . � V vj SI EO FUA1 DATE "`� . � RECPT.NO. PAID B � �VALIDqTION F^=— — WHITE—{7eparlment Copy.YELLOW—Finance Copy,PINK—Assesaor Capy,GOLDENROD—File Copy,GRE N—ApplicanYs Copy �. -�---- � �` ] { g .�'.. ( ���. � F� ( I � ���3� � � � , �^� � P .. ( �' ���� � i, �. € .� , � � t � � � � ' , � ` �� ��� ' , � � , -�. � � � � � �, ;� - � � � .�. ( i � �. 1 �� � i i I j � �� _l � I I ( ' E ( � � - I � i j � � �'� ' :� � E �i � i � � �_ t G "� . ''s, �.�..� j . �� I -1 �.� � .i .. 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