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^ �� CITY OF DIAMOND BAR ' � ."�Y'� " ��- DEPARTMENT QF COMMUNITY&DEVELOPMENT SERVICES � „ 21660 E.Copley 've 5uite 190 f PRESS � �BUII.DING PE ��9)861-3117 Dn �° `� RMIT APPLICATION ,_ ��`�""" FIRMLY _� _:. ____ _ ___._ _ . QJOBSITE ��+S ilR����p� Z? ? DATECATION/ PERMIT � � P/C 4 ADDRESS �'7 ��7 1 ��`� �� NUMBER��� # . � ISSUE TYPE QCC .- APfV LOT TRACT "DATE CONST. GROUP p OWNER . �` ADDRESS aj .� _ ZONING SETBACKS z CITY ZIP TEL. 2- FRONT RW ❑ ' �j kPPUCAN7 [ TEL. REAR ❑ Z , SIDE/SIQE STREET RW O v � CONTRAC70R t L� SIDE ❑ ,4`� Lf?�'�(/l1 .� cirv._ t� r'b 'ziP f��� ryrz PaoPose�use Z" : G� I��IL/�"-~ W _ � 2 � p� ADDRESS T�S GL � TEL.���-�c�G/-7/�i �2�1i)/��"'i2" I/l L�-A- ,.�` "'� e' wo ARCHlENG! 1 p c'9, r� d ��� '� zl DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS ' � CI7Y ZIP TEL. �' DESCRIPTION SQ:Fl: FACTOR PSF ADJ.AREANALUATION" , '.�, �., OWNER-BUILDER DECLARATION _ � $FR/ADD/REM � � �� . ,p, I HEREBZAFPIRM UNDER PENALTV OF PERNRY THA7 1 AM EXEMPT FROM THE CONTRACTORS LI- GB�dfJB/CdfporF �,W CENSELAWFORTHEFOLIDWINGREASON(SEC.7037.SBUSMESSANDPROPE5SIONSCOOE:ANVCIT'OR � .�.,(n � , .,.Z. 'COUNiVWHICHqC-0UIRESAPERk11TTOCDNSTRVCT,ALTERIMPROVE,DEIAOLISH,OAREPAIRANVSTRUC- � W PaS10/DBCK " W, "TURE,PRIOR TO I7S ISSUANCE.ALSO REDUIRES THE MPPLICPNT FOR SUCH PERMIT TO FlLE A SIGNED .W �;���, �,-STAiEMENT THAT HE OR SHE IS I.�CENSE�PURSUANT TO�'�:THE PFqVI510N5 OF THE CONTRACTOHS LI• , S CENSE LAW�CHAPTE€i B(COMMENCIN�WfTH SECTION 7000)qf�IVI510N 3 OFTHE 8U51NESS AND PR0- '�" PooUSpa T.�' FESSWNSCWE)ORTHATHEORSHEISFJ(EMPTTHEREFROMANDTHEBASISFOHTHEALLEGEDEXEMP- , . V '�TION,ANVVIOLATIONOFSECTION7031.SBYANYAPPLICANYFORAPERMITSU&IECTSTHEAPPLICANTTO ��Z R@-ROOf �. Q ��� ' �, 'ACINLPENMLTVOFNOTMORE7HANFIVEHUhOREDO04LARS(E500)J� ,_ , ,� ' ❑I,ASO(AMEROfTHEPROPERTY,ORMYElAPLOYEESWITHWAGESASTHEIRSOLECAMPENSA710N, ��'Q Commercial � - . �WILLDDTHE.WOHIC,AND THE S7FNJCIURE IS NOT INTENDED OR OFFERED fOR SALE.�SEC.7a44,BUSI ..,J �.NE55 MD PROFESSIONS CODE:THE CONTRACTORS LIGEHSE LAW�OES NOT APPLY TO AN OWNER OF� ''� � I"�PiiOPERTYVRIOBUILD50HIMPRONESTHEREON,ANDWHODOESSUCHWORKHIMSELFORHERSELFOR ' '�� _ I �'��� ,'TFtltOUGHHISOflHEROWNEMPLOYEES,PROVID�THAT$UCHIMPROVEMEMTSARENOTMTENpE�OR � m� , - � - � � � " `�1�� 'd'�OFFEflEDWRSALEIf.HOWEVERIHEBUItDINGORIMPROYEMENTISSOLDWITHINONEYEAROFCOMPLE- � � 0',.. G T OR SHE OIO NOT B1111D OR , OWN H�BUI:DEfi WILL HAVE THE BUR�'eN 6F PROVIN THA HE , � ,. �1��TION 7HE E ��� ;II,�MPROVEWR7HEPUHPOSEOFSALE). ', ' . . ' � ��W�, ��N�SENWWDOE5NOTAPPVTOANOWIdEROFAPROPER M��INGWITHLICENSEDCONTRIICTORS � � , �I,AS ONMER OF THE PROPEHTI;AM EXCLUSN9.Y PROFESSIONS CO�E:THE CONTRACTORS LI- � � �/3�U2(lOf1 " ADJ.AflEA TYWHOBUILDSOFIMPROVESTHEREON,AND � I � '�;���,' i'iNMOCONTR�1C75FOR5UCMPROJECTSWITHACONTRACTpR(5)I.ICENSEDPURSUANiTpTHECONT{iAG " QUANTITY DESCRIPTION "�. FEE '.�', ..�i �,TORS IJCENSfi IAW.L . ' . . . . . . . , '� _ ' . ❑I AIA EXEMPT UNDER SEC. B.&P.G FOR iHIS PEASON Q � t.P"°r„, � i � U �� w � � �. . . . � . . . . �� . .�.I ' ,;,pplE__.___-. . - .OWFfER , F e '� ,. -,�� � . . . _ - -.---_ ..W., _ . . �+t,��.�.�. .y.,� r,z ' i ' d , LICENSED GONTRACTORS DECLARATION W `� s�;��, �S�'' i� i � ��..IHEREBVAFFIpMUNDEHPENAINOFPEflJURYTHATfAMLiCENSE�UNDERPROVISIONSOFCHAPiER � p"'0.,d'� ''�''` � �gflYuj I�;�..��, � ' i'd ��B(COMMENCINq�WITH5EC710N7UWJOFDiVISION30F7HE8U51NESSANOPROFE5S1oNSCADE,AND �� � � �J-�` v�' ,. ,. � ��MY 6ICENSE IS IN FULL FORCE AND EFFECT. m .:��> �,_� �� '��,LIOENSE LASS ` r-�� LIC.N0. ��' -7f/ (�3 O�Z/ J.. �. � ' .-!�'�, � � �':� �'DA� � /�/� . � CONTRAC?OR_„�� C..l u"j ' d , �, .. WORKERS'COMPENSATION DECLARATION Q �� I HEFiEBV AFFIRM UNDER PENALTY OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: � � Z ', ,..�i � _IHAVERNDIMILLMAINTAINACEF1'fIFICATEOFCAN6ENiTOSELF-INSUREFOFWORKERS' _ COMPENSATEON,ASPfiOVIC1EDBVSECTION37oodF7HELABORtODE,FORTHEPEflF�JRMANCE ' ' UW ' , OFTHEWORKFORNiHICHTHISPERMITI5155UE0. � � ', Q "_IHAU�EANDWILLe14AMTAIN.WORKERS'COMPENSAYIONINSURANCE,ASREQUIREDBYSECTIqV ' , � 9yj � •�� ' Q 370 OFTHE LA80R CODE;FORTHE PERFORMANCE OF iHE WORK FOR WHiCH 7HIS PERMIT IS ) � f�P � IS5 ED.MYYVORKERS'COMPEN5ATIONINSUPANCECARWERAN�POUCYNUM6ERARE: CONSTRUCTION / , � ��� oucvNUMaeA l,n� �L9�.. f ../�' G�� PLAN REVIEW -- � ,� �� J .� .. 6 J O ( S�. . - �--�-`�� ELECTFIC . 6 � ,, Q,.. �ssc-enavr�mraoreeoou�ereoc�n-��ruxr�sForsoNeHurnpe000uaas�siaolofl�ss�. PLUMBING '�, Z�,. 1 CERTIFV THAT INTHE PEPFdRMANCE OFTHE WdRK FORVdHICH THIS PERMIT I5�SSUED.I � MECHANICAL ''�, ,�; SHALLNOTEMPLOYANYPERSONfNANYMANNER�.SOASTOBECOMESL'BJECTTOTHE ' �' N10RKER5'COMPENSAiIONLAW50FCALIFOPNIA,'ANDAGREETHATIFISHWLDBECOME INSPECTIONFEE � ' ' SU9.lECTTO TFIE WORKERS'COMPENSATfON PflOVI510N50F SECTION�7m00FTHE LABOR (�yaj � CO�E,ISHRLLFORTHWITNCOMPLYWITHTHOSEPROVISIONS. ISSUANCE �� �'/ p�, :�'.DA7F_•r����APPLICANT: �,S'� �� �C� �SMIP ✓ Q � "`, ,WARNINGFAILUflETOSECUP,EWORKERS'COMPENSA:IONCOVERAGEISUNLAWFUL,AN09iALLBE ENERGYP/C _ � _ ___ ���',���5U&IECTRNEMPLOYER�TOCRININALPENALTIESANDCIYILFINESUPiUONEXUN�REDTHOUSAND ENERGYPERMIT - � �� � �`DOLLARS(5100.DOOD.INAO�ITIOdlTOTHECOSTOFCOMPE7JSATION,DAMAGE3ASPROVIUE6FORIN .� . J�,'�,i�SEpilON37oeOFiHELA80RCODE,INTEREST.ANDATTORNE7'SFEES. RETENTIONFEE: �, ' '.�,; COtJSTRUCTION LENDING AGENCY PRE-ALT FEE: � 'I �� ��,�i.'.IHEREBYAFFIRMUNOERPENALTYOFPERJURYTHATiHEREISAfANSTFiUCTIONLENDINGAGENCY ''FOR7HE PERFORMANCE OF THE WORK f-0H WHICH THIS PERMIT IS ISSUm(SEC,3�7,CIV.C.). � �, '�hENDER'S NAiAE �� � �.LENOEF1'SADDRESS . . . .. . . . . .. y I . .��'���ICERTlF'lTHATIHAVEREMTHISAPPLICATIONMIDSTATETHATSI-IEABOVEINFOfiMATIONISCARpECL TOTALFEES ��%�"'�� � �,�,i IAGREETOCAMPLV WITHALICINANDCOUNTVORDINANCESANDSTATELAWSRELATINGTO6UILOING , . � , ���','WNSTRUCTION,ANOHER�YAUTHORQEREPRESENTATIVESOFTHISCOUNNTOENTERUPONTHE ' ,I ' ,��'�,i ABOVE-MENTIONED PqOPERTYFOR INSPECTION PURPOSES. COMMENTS � � ��-'�I � � --��}� � � �� � � li�PEflM E(PRIIVT) ' � , u'�}'� / ' � � ., ya ��i S � OFPERMfREE �ATE . . . '�, .Z : � HECPT.NO. PAID BY VALIDA'j10N� ' '�.�"." . � �� ' � WHIYE-0e arlment Co YELLOW—Finance Co PINK—Assessor Co GOLDENROD—File�Co GREEN— �IicanYs Co � ' P PY. PY� PX PY. 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