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CITY OF DIAMOND BAR �-�---`��"-- DEPARTMEN'I'OF COMMUNITY&DEVELOPMENT SERVICES � „ ,.. � . 21660 E.Copley Drive Suite 190 1� PRESS „o„� �' (909)8 31 Fax 1 a� B°UII.�����k�'ll+I1T A�"1'Y.ICATION M -, ,, , FIRMLY o DDRIESS � �� \���.�'�ei =:��c,DATECATION �,•.'�-�--�""INUMBE �,�,., #/C � � � c� IS5UE TYPE OCC AF'N LOT TRACT � pATE CpNST. GROUP p OWNER �� `7 ��1�_� S^�"i-�- j# _ " ADDRES�S��-, " r � 4 T"� ZONING SETBACKS z C{TY_�y�C°,�. �%�1. ZIP �.� ,�]T'EL. � "^^ '�y. FRONT qW p g APPLICANT �TEL. REAR ❑ � SIDEISIQE STREET RW ❑ � CONTRACTOR 4 t-� .� L SIDE ❑ o ADDRESS � _.1��- . " � ��=—,.a PROPOSED USE CITY (Z�jl.�{t,a!?"'2 ZIP��� TEL _(, �;,5 � QARCH/ENG! —�;� �z DESIGNER NO.DWEL. NO. NO. a ADDRESS_ UNlTS STORIES BEDROOMS � C1TY ZIP TEL. � DESCRIPTION SQ.F'T. FACTOR PSF ADJ.AREANALUATIpN � OWNER-BUILDERDECLARATION, ..� , SFR/ADDlREM � O (' I HEREBY AFRRM UN�ER PENALTV OF PERJURY THA7 I AM EXEMPT FROM 7HE CONTRACTORS L4 � Garage/Caryort W CENSEUWFORhiEFOLLOWINGpEASON(SEC.7031.50USWESSANDPROFESSI6N5C60E:ANYCINOR CJ COUNTVNMICHREQUIRESAPERMITTOCONSTRUCT,ALTER.IMPROVE,DEMOLISF,OPREPAIRANYSTHIiC� W Pdji0/DBCk Z TURE,PRIOR TO ITS ISSUANCE.RLSO RE�UIRES THE APPLICANT FOR SUCH PERMITTb FILE A SIGNEO , W STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS Of THE CqN7RACTORS U- W � � CEPISE LAW(CHAPTER e(COMMENCINO WITH SECTION 7000)Of DIVISION 3 0F T,HE BUSMESS AN0'PFlO� �" POOUSP3 FESSIONSCOOEjORTHATHEORSHEiSEXEMPTTHEFEFROMANOlHE0A515FORTHEACLEGF6EREMP� (� '�� TIQN.ANYYIOLATIONOFSECTION7031.68YANVAPPLICAPRFORAPERMJTSU&IECTSTHEAPPLICAMTO � R8-ROOf ACMLPENALTY Oi NOT MORE hiAN FIVE HUNDRED DOLUIRS(SSOC).): � � '� �"'' �� � ❑I.ASOWNEROFTHEPROPERTY.ORMVEMPLOYEESWITN'NAGESASTHEIRSOIECOMPENSATION, 0 CommBtCial - N7il DO THE WORK,AND THE STRLICTURE IS NOT INTENOSD Op OFFERED FOR SALE�5EC.7644,OUSI� J NESS AND PqOFESSIONS CODE:THE CANTRACTORS UCENSE LAW qOES NOT APPLV TO AN OWNEH OF - ^ - � PROPER'fYWH08U1lDSORIMPROVESTHEREON,ANDVIHODOEGSUCIiWORKHIMSELFORIi�liBELFOR � � THAOUOMHISORHEROWNEMPLOYEES,PROYIDEDTHATSUCHIMPROVEMENTSARENOTIMENOEDOR m r �f; � � ,OFFEREDF9RSALEIF,HOWEVER1FiE8UI�DINGORIMPROVEMENTI550LDWRHINONEYEAROF4`bMPIE� � - ' Z. TION,TME OWNEf49UIlAEfl'MLL F1AVE THE BURDEN OF PROVIIvO THAT ME Oq$HE DID NOT BUILA�OR . � . <-. � IMPROVEfORTHEPURPOSEOFSAlE1. ' � - "-'` ❑i.ASOWNEROFTHE PROPERTY,AAd EXq.U51VELY CONTRACTING WI7N LICENSED'CONTRAC76R5 � TOCONSTpUCTTHEPpOJECT�jSEC.7os4,BUSWESSAN�PROFESSIONSCODE:-7HE'CbNTRAC'YOfYSLL V2I11221011 ADJ.AREA � CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPEPTVbYHOBUILOSORIMPAOVESiHE'REON,AND '° WF7000NiRACTSFORSUCHPRQIECTSWfPkACONiRACTOR(5)LICENSEOPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE � 70R3 LJCENSE V�W.). . ,., . , o ❑1 AA9 EXEMP7 UNDER S�C. B.&P.C.FOR THIS RcASaN Q � U � � OATE oNTIER U Q LICENSEDCONTRACTpRSDECLARATION � w � IHEREBYAFFIRMUNDERPENALNOFPERIURYTHATIAMUCENSEDUN�ERPROVISIONSOFCNAPTER � � 9{COMMENpNOWITHSECTIONT000)OFOIVISION30FTHEBUSINESSANDPROFESSIONSCODE.AND z MY'LICENSE IS IN FUIL FORCE AND EFFECT. �/ /� �.--�' �.. CD J' ,.I'ti.dkV✓\,i-r )G%, � UGEIVSE CL^ASS��°_LIC.NO.u_5;�3p„S�.���� '� � � � � DATE�d,/r" I I..-v-��CONTRACTOR__� �. �a��a _ 0- 91J �+ _ � WOiiKERS'COMPENSATION DECLARATION Q � U � IHEREBYAFFIRMl1PAERPENALTVOFPEF4IURYONEOFTHEFOLIOWINGDECLAPATIONS: � Q � __IHAYEAN�WILLAMlNTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' � COMPENSATION,ASPROVIDEDBYSECTION37ooOFTHEtA80RCODE,FORTHEPERFORMANCE W OF THE WaPK FOR WHICH THIS PF.RA41T IS tSSUEO. � � � _IHAVEANDWILLMAINTAINWORKERS'COMPENSATIONINSUflANCE.ASAE�UIRE�BYSECTION B 37ooOF THE LABOR CODE,FOR THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMI715 � ISSUEO.MY WORN 1(�S COAIPENS N INSURANC�RIERAND POLICYNUMBSRARE: CONSTRUCTION . . J ' _._..._._._.... .,._.. __....__ _..,.. .. ¢ CARRIER_ �� � � ""' � 4r+_-"ti ` PLAN fiEVIEW . . . .... > � PCLICV NUMBER ��._�_�,��_� . EL/ECT.�RIC .� Q (fHIS5ECT1CNdNE�P'OTBE�TEDOFTFEPEFlMf(ISFCN20NEHUI�ORED�OI�I�RS($1o�)OfllE55). B UMBL ING ~ r� l- SLI Z ICERTIFV THAT INTHE PERfORMANCE OFTHE WORKFOFl WHICHTHIS PEPMIT IS ISSUEO,1 MECHANICAL ��1�� („�°' SHALLNOT EMPLOYANV PERSON IN ANY MANNER SOAS TO BECOME SUBJECT TO THE � YdOPKERS'COMPENSATION LAWS OF CALIFORNIA.AND AGREE 7HAT IF I SHOULD BECOME INSPECTION FEE S� :�S SUBJECTTOTNEWOFlKERS'COMPENSATIO4PROVISIONSOFSECTION370oOFTHEtA80R i� vV '� � CODE,1 SHALL FOH7'HW TH COMPI.Y WITH THOSE PF�IVISIONS. ISSUANCE � 0 � .x...d:. Lt� ° SMIP —��y �?s���� DATE: ' ""' APPLICAM: C J WAFiNING:FAILURE TO SECURE VYORKERS'COMPENSATION COVERAGE IS UNLAWFUL,A ALL BE ENEHGY PIC � y�'��.¢' p 7��g,{qa,pq`y pyy � SUBJECTANEMPIOYERTOCRIMINALPENAlTIESANDCIVILFINESUPTOONEHIJNDRE0hiW5AN� ENERGYPERMIT � �'>-"+ �Il'\i`YAd„91°tld.J Bt'L46 � DOLIARS 15100,000),IN AODITION TOTHE COST OF COMPENSATON,OAMAGES AS PROVIDEO iOR IN �'�g g'^� ,{�}�I 'g�g��7r�++'�p SECTION3�aBOFTHELA80ftCODE,INTEftEST,ANDATTQRNEY'SFEES. RETENTIONFEE: � ^-"���y�P-L^9�Ji..���K'CrS. ID. a CONSTRUCTION LENDING RGENCY PRE-ALT FEE: O � IHEREBVAFFlRMUNOERPENALNOFPERJURYTHATTHEREISACONSTRUC710NLEN�INGAGENCY �_ � FORTHE PERFORMANCE Of THE WORK FOR WHICH THIS PERMIT IS ISSUEO(SEC.3097,CIV.CJ. � . � Z Lld .. . . . . . � LENDER'S NAME - ,,:....,; . I— IENDER'SAO�RESS �''] � � �, VV ICEHTIFYTNATIHAVEREADTHISAPPUCATIONANOSTATE7HAT7HEABOVEINFORMATIONISCARRECL TOTAL FCES � � � IAGREETOCAMPLVWRHALLCRYANDCOUNTVOROINANCESANDSTATELAWSRELATINGTOBUILOING - _ E � CANSTRUCTION,AND HERE9V AUTHORIZE REPHESENTATNES OFTHIS CDUNTV TD ENTER UPON THE . � ' z A80VE•MENTIONED PROPERTY FOP INSPECTION PUqPOSES. COMMENTS_ ___ � ��'.x.s.-. �..)�..A-v1 ��.�.�..��-s r n,s � n, � m PF_fiMITTEE NAME(PRINT) Q . ` U2 ���e9�, ���j�\� �w+� '���C� �� .. ..,; � S�(iNATU�EF7IGITTE�.'— T�— DATE s � RECPT.NO. 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