HomeMy WebLinkAbout19274CITYOFDIAMONDBAR
DEPARTMENTOFCOMMUNITY & DEVELOPMENT SERVICES
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21825E. CopleyDrive
909) 860-3195Fax (909) 861-3117
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OWNER-BUILDER DECLARATION
IHEREBYAFFIRM UNDERPENALTYOFPERJURYTHATIAMEXEMPTFROMTHECONTRACTORSll-
CENSElAWFORTHEFOLLOWINGREASON (SEC. 7031.5BUSINESSANDPROFESSKVSCODE: ANYCITYOR
CWNTYWHICHREWIRESAPERMIT70 CONSTRUCT, ALTER, IMPROVE, DEMOLISH, ORREPAIRANVSTRUC-
TURE, PRIORTOITSISSUAVCE, ALSOREQUIRESTHEAPPLICANT FORSUCHPERMIT70FILEASIGNED
STATEMENTTHATHEORSIZEISLICENSEDPURSUANTTOTHEPROVISIONSOFTHECONTRACTORS LI-
CENSELAW (CHAPTER9 (q)MMENCINGWITHSECTION7000) OFDIVISK)N3OFTHEBUSINESS ANDPRO-
FESSK)NSCODE) ORTHATFIEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGED EXEMP-
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ACINLPENALTY OFNOTMORETHANFIVEHUNDREDDOLLARS (f500).):
I, ASOWNEROFTHEPROPERTY, ORMVEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION,
WILLDOTHEWORK, ANDTHESTRUCTUREISNOTINTENDEDOROFFEREDFORSALE (SEC. 70A6, BUSI-
NESSANDPROFESSIONS CODE: THECONTRACTORSLICENSE LAWDOESNOTAPPLYTOANOWNEROF
PROPERTYWHOBUILDSORIMPROVES THEREON, ANDWHODOESSUCHWORKHIMSELFORHERSELFOR
THRWGHHISORHEROWNIEMPLOYEES, PROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR
OFFEREDFORSALEIF, HOWEVERTHEBUILDINGORIMPFIOVEMENTISSOLDWITHINONEYEAROFCOMPLE-
TKNI, THEOWNER-BUILDEFIWILLHAVETHEBURDEN OFPROVINGTHATHEORSHEDIDNOTEIUILDOR
IMPROVEFORTHEPURPOSEOFSALE).
I, ASOWNEROFTHE: PROPERTYAMEXCLUSIVELY CONTRACTINGWITHLICENSEDCONTRACTORS
TOCONSTRUCTTHEPROJECT (SEC. 7044, BUSINESSANDPROFESSIONSCODE: THECONTRACTORSLI-
CENSELAWDOESNOTAPPLY70ANOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON, AND
WFIOCONTRACTS FORSUCKPROJECTSWITHACONTRACTOR(S) LICENSED PURSUANTTOTHECONTRAG
TORSLICENSELAW.).
IAMEXEMPTUNDERSEC. B. 8P.C. FORTHISREASON
DATEOWNER
LICENSEDCONTRACTORSDECLARATION
IHEREBYAFFIRMUNDERPIENALTVOFPERJURYTHATIAMLICENSEDUNDERPROVISIONSOFCHAPTER
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COMPENSATION, AuPROVIDEDBYSECTION3700OfTHELABOR CODE, FORTHEPERFORMANCE
OFTHEWORKFORWHICHTHISPERMITISISSUED.
IHAVEANDWILLMAINTAINWORKERS' COMPENSATIONINSURANCE, ASREQUIREDBVSECTION
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ICERTIFYTHATIN'rHEPERFORMANCE OFTHEWORKFORWHICHTHISPERMITISISSUED, I
SHALLNO7EMPLOYANYPERSONINANVMANNERSOASTOBECOMESUBJECTTOTHE
WORKERS' COMPENSATKNI LAWSOFCALIFORNIAANDAGREETHATIFISHOULDBECOME
SUBJECTTOTHEWORKERS' COMPENSATI ~ RO )SIGNSOFSECTION3700OFTHELABOR
CODE, IFOFITHWITH COMTHOVISIONS.
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WARNING: FAILURETOSECUREWORKERS' COMPENSATIONCOVERAGE ISUNLAWFUL, ANDSHALLBE
SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND
DOLURS (5)00,000), INADDITIONTOTHECOSTOFCOMPENSATKN, DAMAGESASPROVIDEDFORIN
SECTION3708OFTHELABORCODE, INTEREST, ANDATTORNEYSFEES.
CONSTRUCTION LENDINGAGENCY
IHEREBYAFFIRMUNDER PENALTYOFPERJURYTHATTHEREISACONSTRUCTIONLENDING AGENCY
THISPERMITISISSUED (SEC. 3097, CIV. C.).
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IAGREETOCOMPLYWITHALLCITYANDCOUNTYORDINANCESANDSTATELAWSRELATINGTOBUILDING
CONSTRUCTION, ANDHEREBYAUTHORIZEREPRESENTATIVES OFTHISCOUNTYTOENTERUPONTHE
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