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14776 (19)
__�� _ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRESS �,`,' B�nt:nINc r�x�n'i`A�rLI�A'�t'io�r . . . . _ FIRMLY _ : - , ¢ DDRIESS L��I� ���Y�.4�'W �-�'1, _ Y DATE CATION� �j � NUMBER��#/C � ISSUE� � r/�o TYPE OCC � APN LOT TRACT DATE L�f fse'CONST. GROUP p OWNER �i 11 �Ch:�J�' �` ADDRESS ZONING SETBACKS � CITY Q"�J�2. ZIP 1�� TEL ���L^Q FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ a� CONTRACTOR � C'.-L. c �,g SIDE ❑ ADDRESS `� .,1 .� PROPOSED USE____ 0 CITY �tca�wX.�.i�"-� ZI � TEL.��"'4'JC+t� o ARCWENG! z� DESIGNER NO.DWEL. NO. NO. Q ADDRESS UNITS STpRiES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANA�UATION N � OWNER-BUIIDER DECLARATION SFR/ADD/REM O [] 1 HEAEBY AFFlRM UNDER PENALTY OF PERri1HV THAT I AM EXEMPT FROM THE CONTRACTORS LI- � Garaga/Carport I1J CENSEUWFORTHEFOLLOWINGREASUN(SEC.7a31.5B�SINE55ANOPROFE5510N5CODE:ANYCITYOR CJ COUNTYWHICHREOUIRESAPERMITIOCONSTRUCT,AL.TER,IMPROVE,DEMOUSH,ORREPAIRANYSTRUG W P8I10/DBCI( wTURE,PR�OR TO ITS ISSUANCE,AL50 RE�UIRES THE APPLICANT FOR SUCH PERMIT 70 FIIE A SIONED W � STATEAIENT THAT HE OR SHE IS LICENSED PURSl1ANT TO THE?ROVISIONS OF hiE COMRACTORS LI- � CENSE LAW(CHAPTER e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSMESS AND PRO� � PooUSpa _ FESSIONS CADE)OR THAT HE OR SHE IS EXEMPT TMEREFROM AN�7HE B0.51S FOR THEAIIEGED EXEM�� TIOKANYVIOUTIONOFSECTION7o31.66VANYAPPLICANTFORAPER0.AITSUBJECTSTHEAPPLICANTTO z Re-Roof � ACMI.P6VALTY OF NOT MORE TT1AN FNE Hl1NDRE0 DOILARS(SsW�.): � OI,ASONTIEROFTHEPROPERT/,OAMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, 0 COrtIrtICfC18� WILL DO 7HE WORK,ANO THE STRUCTUFlE IS NOT INTENDED OF OFFERED FOR SAI.E(SEC.7044,Bl1Sl- J NESS ANO PPOFESSIONS CODE:THE CONTflACTORS LICENSE LAW DDES NOT APPLV TO AN OWNER OF N PROPEFT'VMOBUI�DSORIMPROVESTHEREON,ANDYMODOESSUCHWORKHIMSELKORHEPSELFOR � � THROUGH HIS OR HER OWN EMPLOYEES.PROVIOE�7HAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m GOFFEREDFaF1SAlEIFHOWEVER7NEBUIIDINGORIMPiiOVEAAENTIS50LDNMTHINONEYEAROFCOMPLE � TION,THE OWNEF-BUILOER WfLL HAVE TNE BURDEN GF PROVING THAT HE OR SHE DID NOT BUIL�OR � IMPROVE FOR THE PUqPOSE OF SALE). ❑I,AS OWNER OF THE PROPERTY,AM E%CLUSIVELV CONTRACTING WITH IICENSED CONTRACTpRS � TD COPJSTRUCT THE PR0.IECT(SEC.7044,BUSINESS AN�PROFESSIONS CODE:THE CONTRACTORS LI- VHI118�IOf1 ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOYMEROFAPROPEfiTVWN08UILD50R?MPROVESTHEpEON,AND � WHOCONTftACTSFORSUCHPROJECT5NITHACONTRACTOR(S)LIGENSE�PURSUPNTTOTHECONTRAG QUANTIN DESCRIPTION FEE � TORS LICENSE 14W.). — p ❑I AM EXEMPT UNDEF SEC. _� B.&P C.FOR THIS REASON Q � U ¢ �'+" OAiE oWNER f' � U w � LICENSED CONTRACTORS DECLARATION -� � W 1 HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT 1 AM UCENSED UNDER PROVISIONS DF CHAPTER � G��,9 N�•t ,f'�-�p3T' p'� B(COMMENCINO WITM SECTION 70ao)OF DIVISION 30F THE BUSINESS AND PAOFESSIONS CODE,AN� Z �.•��"�' �-�- $�� � � �G MY LICENSE IS IN FULL FORCE ANO EFFECT. 0 UCENSE CtASS G'3� LIC.NO. ������ � 1 � V DATE ��`"�� _CONTRACTOP. _ 0- � W � WOAKERS'COMPENSATION DECLARATION -� Q � 1 HEREBV AFFIHAA UNDER PENALNOF PENJURV ONE OF THF FOLLOWING DECLAHATIONS: U � Z 0 _IHAVEANDWILlMA1NTAINACERT�FICATEOFCONSENTTOSELF-INSURFFORWORKERS' _ � COMPENSATION,ASPROYIDEOBYSECTION37opOFTHELA80RCADE,FORTHEPERFONMANCE W OFTHE WORK FOR WHICN THIS PEPMIT IS ISSU6D. � p W _1 HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSURANCE,AS RE�UIRED BY SECTION Q 37000FTHELABORCODE,FORTMEPERWRMANCEOFTHEWORKFORWHICHTMISPERMITIS ISSUED.MYWORKE`�`,o MPENSATIONINSURANCECARRIERANDPOLICVNUMBERARE: CONSTRUCTION � CARRIER ��"f�L'"-���'�l .���L�2S PLANREVIEW � PouCYNUMBER��'�'� �.Ca'y��_� ELECTFIC , � �n+�ss[cmaNE�rJorsEoa.w.ErmoFnfa�w+rt�sroRauEHunua�aalnns�5iao�oa�Ess). PLUMBING W MECHANICAL � ICERTIFVTHATINTHEPERFORMANCEOFTHEWOflKFORWHICHTHISPEftMITI51551JED,l (7 SHALLNOTEMPLOYAI:YPEFSONINANYIAANNERSOASTOBECOMESUOJECTTOTHE � WORI{ERS'COMPENSATIONUWSOFCAL�FORNIA.ANDAGflEET11ATiFISHOULOBECOME INSPECTIONFEE = SU&IECTTO THE WORKERS'COMPENSATION P S10NS OF SECTION 3'TOD OFTHE LA80R ,,....��AApp � �j7 CA�E.ISHALLFORTHWIiMCOMPLYWIT 105EPROVI5175�as� ISSUANCE _....-._ �illiil{.__ � yy � �^y..- � �ATE: ��^�-`�� APPLICANT: ^-�-�. SMIP � �� ENERGY P/C ��� J WppNING:FAILURE70SECUREWORKEFS'COMPENSA710NCOVEFAGEISUNLAWFUL,ANDSHALLBE LL SUBJECTANEMPLOYERTOCRIMINAI,PENALTIESANOCIVILFINESUPTOONEHUNDREDTFiOUSANO ENERGYPER 1�,� �__,ti__[��� — }, DOLLARS�S7ao,o0o),INMDITIONTOTHECOS?OfGOMPENSATION,DAMAGESA3PROVIDEDFORIN Y�q�,��.�)���]V��y J� SECTION 37Pe Of THE LABOR CODE,INTEREST,ANO ATTORhEV'S FEES. RETENTION FQ�{�i 1Lr` bA W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRMUNOERPENALNOFPERIURV7HATTNEREISACON>TRUCTIONLEN�INGAGENCY FOR THE PER WRMANGE OF THE WORK FOR WHICH THIS P�RMIT IS ISSUED(SEC.3097,CIV.C.�. 2 W � LEN�ER'SR'AME � LENDER'SADDRE55 �� w � � ICERTIF'(THATiHAVEREAOTHISAPPIACATIONANDSTATETHATTNEABOVEINFORA1AT10NI5CORRECT. TOTAL FEES �� w IAGREEYOWMPLVWITHl�LLGTYAN�COUNTVORpINANCESANDSTATELAWSRELATINGTOBl111DINO G � Q7NSTPUCTION,PNDHEREBYAUTHOfliZEPEPRESENTATNE50FTHISCOUNTYTOENTERUPONTHE -+^-�^� � ABOVE-AIENTIONED PROPERTY FOR INSPECTION PUPPOSES. COMMENTS m , ����-�`� , . . Q PF.ftMITTEE E(PRINT) `"1 ��� �,,,� � �'"""'----.,_``�. '��� � SICNATURE OF PEPIAITTEE OATE _ � RECPT.NO. 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