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. ._"_. ___.-....._._ __.._ —_I_—..______. .. . . � � �� .. _� _ CITY OF DIAMOND BAR � -- � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES Z 1825 E.Copley Drive �' (909)860-3195 Faat(909)861-3117 PRESS �`�"��riv` BUILDING PERMIT APPLICATION FI R M LY JOBSITE �/ APPLICATION � �� �'} PEAMIT 1/S P/C a ADDRESS � �"" ��°����� ��` � Vl o DATE lJ NUMBER # � ISSUE 7YPE OCC APN LOT�-�� TRACT �ATE CONST. GROUP p OWNER ���5 /5�D� p ADDRESS,G s w ZONING SETBACKS Z CITY ..�/q.s"�� " �R' ZIP I'S� TE ����Il�.� FRONT RW ❑ o APPLICANT TEL S DE/51DE STREET RW ❑ z ¢ CONTRACTOR°'�� � �`-�- SIDE ❑ ADDRESS �i o"'Yt� �a"" .� p CITY ,"lr" /y+��^ ZIP �� TEL �-/ 7 PROPOSED USE �` �/�`� � o ARCH/ENG! iz DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TE�. cn cr> DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILCER DECLARATION � SFF/AD�/REM p I HEREBY AFFIRM UN�Efl PENALTY OF PEflJURY THAi I AM EXEMPT FROM THE CON7RACTORS LI- G2�890/CafPOfl W CENSELAWFORTNEFOILOWING';REASON(SEC.7o31.58USINESSANDPROFESSIONSCO�E:ANYCITYOft (n U COUNTYWHICHREQUIRESAPERMtTTOCON5TRL/CT,AITEF,IMPROVE,OEMOLISH.ORflEPAIRANYSTRUC- W Patio/Deck W�� TURE,PRIOR TD ITS ISSUANCE,ALSO RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FlLE A SIGNE� � ' STAiEMENT THAT HE Oq SNE IS LICENSEO PUFSUANi TO THE PROVISIONS OF THE CONTRACTORS LI- �' , CENSE LAW(CHAPTER 9(COMMENdN6 WITH SECTION 7aooJ OF DNISION 3 OF 1HE BUSINESS ANO PRO- V' POOUSPe � FESSIONSCODE�ORTHATHEOR$HEISIXEMPTTHEREFROMANDTHEBASISFORTHEALLEGE�E%EMP- (� U� ,TION,ANYVIOLATIONOFSECTION7o37.58YANYAPPLICANTFORAPERMITSUBJECTSiHEAPPLICANi70 Z Re-Roof �A CNIL PENALTY OF NOT MOiiE THAN FIVE HUNDRED DOLLARS(5500�.): 0 OI.ASOWNEROFTHEPROP�RTY,ORMYEMPLOYEESWITHSVAGESASTHEIFSOLEGOMPENSATION, �� Commercial - � WILL DO THE WOAK.AND THE STRUCTURE IS NOT INTENDED OR OFFEFED FOR SALE(SEC.7044,BUSI- J � NESSANO PROFESSIONS CWE:THE CONTR4CiOF5 LICENSE LAW DOES NOTAPPLYTO pN OWNER OF � ' PflOPERTVWH08UILDSORIMPROVESTHEREON,ANDWHODOESSI/CHWORKHIMSELFORHERSELFOR Q �.THROUGHHISORHEROWNEMPLOVEES,PROYI�EDTHATSUCHIMPROVEMENTSAFENOTINTENOEDOR m Q' ' OFFEREDFORSALE.�F,HOWEVER,THEBIIILDINGORiMPROVEMENTISSOi�WITHINONEYEAROFCOMPLE � TION,THE OWNER-B111L�EP WILL�HAVE 7HE Bl1F�EN OF PqOVING THAT HE OR SHE OI�NOT BNL�OR w, IMPROVE FOflTHE PURPOSEOF SAL,Ey., ❑I,ASOWNER OFTHE PROpERI'Y.�'AM EXCLUSNELYCONTfiACTING WITH LICENSc�CONiRACTDRS �� TD CONSTRUGT THE PROJECT(SEC.7a04,BUSINE55 AND PROFESSIONS CO�E:THE CONTFACTOflS LI- V8111BSIOII ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTVWHOBUIL�SOfiIMPROVESiHEREON,AND = WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACiOp(5)LICENSE�Pl1R5UANTTOTHECONiRAC- QUANTITY DESCRIPTION FEE �� r TORSUCENSELAW.). i �. J � 'J I AM EXEMPi UNDER SCC. 6.8 P.Q FDRTHIS REASON U � LC �ATE OWNER U qUCENSED CONTRACTORS DECLARATION W Cr I HEREBV PFFIRM I1N�ER PENAL7Y OF PERJURY THAT I AM LICENSE�UNDER PROVISIONS OF CHAPTER � p/��A dJ..� � e(COMMENqNGWfrHSECT10N7q0o)OFDIVISION30FTHEBUSINESSANDPROFESSIONSCODE,AN� Z !� /� �� ��G MY LICENSE IS IN FULL FORCE qPN�FFECT. � m g � UCENSECL45S �- �" y LIC.NO. �� �/��"y _ j � DATE `�"J��/ � CONTRACTOR .+�t Ii- �- W � WORKERS'GOMPENSATION DECLARATION � Q � I HER�YAFFIRM UNDER PENALTY OF PERJUPY ONE OF THE FOLLOWING DECLARA710NS: Z � I HAVEA NJILL MAINTAIN ACERTIFICAiE OF CONSENT TO SELF-INSURE FOR WORKERS' _ CA SATION,ASPROVIDED9YSECTION3�ooOFTHELA80RCODE,FOFTHEPERiOftA7ANCE U ¢ THE WOflK FOp WHICH'.THIS PERMIT IS ISSUED. � 0 w ,IHAVEAN�WILLMAINTAINWORKERS'COMPENSATIONINSURA E, REQUIREDBYSEC710N Q 370oOFTHELAB �E:FORTHEPERFORMANCE E RWHICIiTHISPERMITIS ISSUED.MYW KEA COMPENSTI NINSURA' C I pUCVNUMBE9AflE: CONSTAUCTION Q ` � CARRIEfl PLAN REVIEW Z POLICVNUMBER ELECTRIC Q � (iHISSECTIONNE�MJTBEWMPLEfE00FhIEPERMRISFOROh'EHUNDFED0.7LlAR5�;5100)ORLESS). PLUMBING 'G W Z I CERTIFY THAT IN THE PEfiFOF^+IAYCE OF THE VJOFK FOR WHICH THIS PERMR IS ISSUED,I MECHANICAL ('3 SHAILNOTEMPLOYANVP;ERSO�7INANYMANNER50ASTOBECOMESUBJECTTOTHE �' WORKEqS'COMPENSATIONLAW,$OFCALIfORNIA,ANDAGfiEETHA71FI5HOULDBECOME INSPECTIONFEE � SUBJECTTOTHEWORKE�'C0�1PENSATIONPROVISIONSOFSECTION3'looOFTHEIPBOfl � CODE,I SHALL FORTHWITH COMPLV WITH iHOSE PROVISIONS. �SSUANCE ,i � � SMIP [] �ATE: APPLIGAN7: J ENERGY P/C � J WARNING FAILl1RE 70 SECURE WORKERS'COMPENSAiION COVEHAGE IS UNLAWFUL.AND SHALL BE � SUBJECTPNEMPLOYERTOCRIMINALPQJALTIESANDCIVILFWESUPTDONEHUtiDREDTHOUSANO ENERGYPEPMIT DOLLARS(S��.Oaa),IN ADDI710N 1'i0 THE'COSTOF COMPENSATION,DAMAGES AS PflOVI�EO FOR IN � SECilON37o80FTHEL490FCO��,INTEREST,ANDArfORNEY'SFEES. RETENTIONFEE: �' � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: C[ IHEREBYAFFIRMUN�EflPENALTY�pFP€RJURVTHAT7HEREISACONSTRUCTIONLENDINGAGENCV d FORTHEPERFORMA�CEOF7HEWORKFORWHICHTHISPERMI�ISISSUEO(SEC.3o9�,CIV.C.). � Z W � LENDER'S NAME _ __ ._ - L-- LEN�ER'SADDRESS � TOTAL FEES �.�(� � ICERTIFYTHATIHAVEREA�il115APPLICA'lIONAN�STATETHATTHEABOVEINFORMATIONISCORRECT. W IAGREETOCOMPLYWITHALLdT�ANDCOUNTVOR�iNANCESAN�STATELAWSflELATINGTOBUILDING � CONSTRUCTION,PN�HEREBYAUTHOHIZEREP SE iNESOFTHISCOUNTYTOENiERUPONTHE z ABOVE-MENiIONE�PROPERTVFOFiINSP P P SES. COMMENTS o �� m PERMI7TEE NA � �-I �--v� � SIGNATUREOFPE ITTEE �ATE ' _ �� RECPT.NO. PAID BY VALI�ATION r VJHITE—Department Copy,YELLOW—Finance Co PINK—Assessor Co 'GOLDENROD—File Co GREEN—A licant's Co PY� PY� PY� PP PY _._.. . ., __ . ..,: , , .:,. _ . , „,:.:� �.�rr.,:r, � :::c��.�b�, .:,, ,,:._, ,.,. ... ., . � " � � . . "z ; ,� � � �`., .. � E . x �� , , . 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