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_. � ---�'�-- C1TY OF DIAMOND BAR �--' I I � COMMUNITY DEVELOPMENT DEPARTMENT � __ 21660 E.Copley Drive Suite 190 �R�CJ`f�` (909)860-3195 Fa1c(909)861-3117 �'Y�'�, BUILDINGPERMITAPPLICATION FIRMLV � JOBSITE ���• ����,�t�� �' APPLICATION PERMIT PIC o ADDRESS�_ DATE_�° NUMBER ��� # o ISSUE � TYPE OCC =-° APN LOT TRACT DATE CONST. GROUP °C OWNER � o ADDRESS ��-_���' d� =�` ZONWG SETBACKS oCITY ZIP TEL, FRONT RW ❑ APPLICANT TEL. 6-�v �' REAR ❑ o SIDE/SIDE STREET RW u ¢ CONTRACTOR � ffi �a SIDE C , ADDpESS ;��' � � � CITY �,,��,- TEL�� � PROPOSED USE �� � � ��� � ' �w ARGH���'Ji""�� 4n . , � ! W DESlGNER NO.DWEL. NO � 1 ' '-' � � ADDRESS — . � N . 'OMS � UNITS, STORIES �.- BEDRO I � CITY ZIP TEL. � DESCRIPTION SQ.F'f: FACTOR PSF ADJ.AREANALUATION c� ', � .. .. OWNER-BUILDER DECLARATION �� SFRlADD/REM � � � � ��, �p. . I HcREBY AFFIRM UNDER PENALTV OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- � GdfdgB/CafpOh '� � � � � ��� ' W CENSELAWFORTHEFOLLAWMGREASON(SEC.703S.58USINESSANDPROFESSIONSCADE:ANVCITYOR ' U GOUNTYWHICHRE�UIRESRPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORPEPAIRANYSTflUC- � �, PdflO/DBCIC � W'� TURE,PRIOR TO Ii5 ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT 70 FILE A SIGNE� ' � �- ' ' ',, .�, �STATEMENT THAT HE OR SHE IS LICENSE�PURSUANT'TO THE PROVISIONS OF THE CONiRACTORS LI- " �� �� -CENSELAW(CHAPTER9(COMMENCiNGWIiNSECTIONFODo)OFDIVISION30FTHE9USINESSAN��FRO- � .POOVSpe ��.., FESSIONS C��E)oR THAT HE OR SHE IS EXEMPT THEREFROM AN�THE BASIS FORTHE ALLEGED ExEMP-. '�i � TION ANVVIOLATIONOFSECTION7031.SBYANVAPPLICANTFORAPERMITSU9JECTSTHEAPPLICANTTO z R8-R001 ' tICIViIPENALTYOFNOT�MORETHANFIVEHUN�REDDOLLP.RS�35oa).J: -�. �' I ~ ❑I,ASOWNEROFTHEPROPEqTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION,' �" CORIPf10fCI8I � O' 'WILL DO THE WORK,AN�THE STRUCTUftE IS NOT INTENDE�OR OFFEFED FOR SALE(SEC.7044,6USI- J� NESS AND PROFESSIONS CODE'.THE CONTRACTORS LICENSE L4W OOES NOT APPLY TO AN OWNER OF �� � PROPERTYWHOBUILDSORIMPROVESJHEREON,NNDWHODOESSUCHWORNHIMScIFORHEA$ELFOR m� " ' � � THROUGHHISORHF_ROWNEMPLOYEES,PROVIDEOtHATSUCHIMPROVEMEMSAflENOTINTENDE�OR I w� bFFEREDFORSALE.IF,HOWEVER,THEBUIL�INGORIMPROVEMENTIS50L�WITHINONEVEAROFCOMPLE- I �'. '..'�TION,THE OWNER-BUILDER WILL HAVE THE BURDEV OF'PROVWG THAT HE OR SHE DID NOT BUILD OR ' ' "' �'' z ��IMPROVcFORTHEPURPOSEOFSALE). � _ ❑I,ASOWNEROFTHEPROPEflTX,AMEXCLUSNELYCONiRACTINGWITHLiCENSEDCONTRACTORS I, �'' '�TO CONSTRUCT THE PROJECT(SEC,7a44,BUSINESS AND PROFESSIONS CO�E:7HE CONTRACTOPS LI- VBIIJd�IOfl �'� AI�J.AREA 1:8J CENSELAWDOESNOTAPPLYTOAN'OWNEflOFAPROPEFTYWHOeU1LOSORIMPROVESTHEflEON,AND 'I� ���� ��WHOCONTRACTSFORSUCHPROJECT5WITHACONiRACTOR(S)LICENSEDPURSUANTTOTHEDONTRAC- � QUANTITY DESCRIPTION � �FEE Y, "TORSLICENSELAW.�. � J o,, ❑I AM EXEMPT UNDER SEC. ' B.&P.C.FOR THIS REASON Q. �i V � �'� DATE OWNER � �' '' ' II ��.. . . . .. . w . . . � �,j ,o ,. LiCENSED CONTRACTORS„�ECLARATION � . W . . � � IHEREBYAFFIRIAVNDERPENALTYOFP'cRJURYTHA7IAMLICENSEDUN�ERPROVISIONSOFCHAPTER � � � � �,;;'�' 9(COMMENCINGWITHSECTION7aoo)OFDNISION30FTHE6USINESSAN�PROFESSIONSCO�E,AND ' Z � I �� MY LICENSE IS IN FULL FORCE AN�EFFEC�. ' m , � I o UGENSECLASS `�' LIC.NO. �' �n;� � � �,,,._': . J V DATE �+,� GONTRACTOR- � a�� II w � ' OAKERS'COMPENSATION DECLARATION Q � U '�, � I HEREBY AFFIRAA UNDEP PENALTY OF PERJl1RV ONE OFTHE FOLLO'NMG DECLARATIONS: z Q �' � _I HAVE AN�WILL MAINTAIN A CERTIFlCATE OF CONScNTTO SELF-iNSIJfiE FOft WORKERS' y COMPENSATIDN,ASPROVI�EDBYSEC710N37aaOFTHELABOPCODE,FORTHEPERFORMANCE U ¢ OFTHEWORKWRWHICHTHISPERMITISISSUEO. � 'I ti . . . . . . . I w I HAVE P.ND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION '�� Q37000FTHELABORCO�E,FOflTHEPERFORMANCEOFTHEWORKFORWHICHTHISPEpMITIS . � �,�,� _ ISSUE�.MYW�RNERS'COMPENS I INS ANCEC RRIER NDPOLICYNUMBEAAflE�. CONSTRUCTION ' —_—____'—_'__._'-- '— . j cnaaiEa ; PLAN REVIEW ��� ; � POUCVNUMBEtt ELECTRIC 6 " I � - (IHISSEGiIONNEmNOTBECOMPLEfEDOF PERMfTISF9RONEHUNDFEDDOLLIRS(5100�ORLESS). PLUMBING . i W I Z I CERTIFVYHAT INTHE PEaFORPAANCG OFTHE WOPoC FOR WHICH THIS PERMiT IS ISSUED,l MECHANICAL - a+r �', (!� SHALL NOT EMpLOY ANY PERSON IN ANY MANNER SOAS TO BECOME SUBJECT TOTHE - � '. � WOfiKEHS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGF=ETHATIFISHOULOBECOME INSPECTION FEE s`- �� SUBJECTTOiHEWORKERS'COMPENSATYJNPROVISIONSOFSECTION370oOFTHELABOH }y Q�j � CO�E,I SHALi FORTHWITH COMPLY WITHTHOSE PROVISIO . ISSUANCE B✓ � DATE: � APPLICANT. SMIP _ e� � _�� W � , � WAf1NING F LURE TO`�SECURE WORKERS'COMPEM1 � ONCOVERAGE IS UNLAWFUL.AND SHALL BE ENERGY P/C � LL SUBJECT.ANEMPLDYEPTDCFIMI4ALPENALTIESA CI-�Pi00NEHUN�RE�THOl15AN� DOLLARS($100,o0o),INA�DITIONTOTHECOSTOFCOMPENSATfDN,�AMAGESASPRWIDEDFORIN ENERGYPERMIT .� SECT'AN-9�oeOFTHELABORCODE,INTEREST,AN�ATTORNEY'SFEES. - FlETENTIONFEE: ��, .n CONSTFIUCTiON LENDING AGENCY PRE-ALT FEE: j � IHEREBYAFFIRMUNOER7ENALTYOFPERJUflYTrIATTHERLISACONSTRUCTiONLENDINGAG[NCV � � M C OFTH^ OR FO ICHTHISPERMITISIS UE SEC.3G97 CIVC.. FORTHEPERFOR AN E cW K RWH S D( . . ) , W I i �'� LENDER'3NAME - -' � . , �i � LENDEF'SADDRESS __ ,__. ._._..--__—._--_—'_--____.__._'_ �/ � , , �� ICERTIFYTtiATIHAVEREADTHISAPPLICATIONANDSTATE7HATTHEA60VEINFORMATIONISCORRECT. TOTHL FEES ✓� �' ��' I �w I AGREE 7D COM11PLY WITH ALL CITV AN�COUNTY OFiDINANCES AND STATE L.4W5 RELAiING TO BUILCING � - � ' � ' CONSTflUCTIOh,ANOHEREBYAUiHORIZEREPPESEMATNESOFTHISCOUNTVTOEMERUPO�THE ' , � � ' �� ABOVE-MENTIONEDPROPERTYFORINSPECTIONPURPOSES. COMMENTS ' ' � @, ' . - . . . ' .. i � = If ¢ PERMI EEN ME�(^PRIM) fly � ^�• , �}j„ SIGNATU ' P I E ' , J ' D E ' . 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