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� ^ ��_ CITY OF DIAMOND BAR '�,,...., DEPA][2TMENT OF COMMUNITY&DEVELOPMENT SERVICES = ' <. . .. .. / ,� � 2166o E.Copley Drive Suite 190 PRESS ;,; (909)860-3195 Fax(909)86t-3117 �.: BYJII..DING IsERMTT ASPI�.tC`ATIbN ` ` . : �,. FIRMLY ,;,.. . .. ,r. . ,. JOBSITE p ' ' ' ^ i ' APPLICATI N PERMIT ~ /C o ADDRESS�(� P6.�--�'� f��� DATE �`' NUMBER � # c� ISSUE t r ` �TYPE OCC APN LOT TRACT DATE_ CONST. GROUP p OWNER � ��' �/� � " ADDRESS � ZONWG SETBACKS � CITY � ZIP TEL�`' - � "7'�` FRONT _ RW ❑ APPLICANT .. '� TEL ''f° REAR ❑ SIDEJSIQE STREET RW C � CONTRACTOR • � z:'�. + B' SIDE C a CITY � Z1P� ° TEL. �? � PROPOSED USE � �" Fr"��'� � ��'� +�'�f ��'' !� '"'°:J '� � ADDRESS f $�� � w ARCH/E�� � ��'�'.' ` .. . 'u' , _ 1�' d a ,, '� .i,=. . ,.. z DESIGNER d NO.DWEL. NO. � NO. � ADDRESS UNITS STORIES �_BEDRO�MS = CITY ZIP TEL. � JESCRIPTION SQ.FF. FACTOR PSF ADJ.AREANALUATION p� OWNER-BU�LDER DECLARATION SFR/ADD/FIEM O p I HEREBY AFFWM UNDER PENAl7Y OF PERJURY 7HAT I AM E%EMPT FROM THE CONTRACTORS LI- Gafage�Cal'port W CENSELAWFOR7HEFOLLOWINGREASON(SEC.7o3t.58USIME55ANDPROFESSIONSCODEiANVCITYpR (/� _ zCd1NTYWNICHREQIlIRE3APERMYTTOWNSTRUC7,ALTER,IMPROVE,OEMpLISH,ORREPMFlF.NYSYRUC- w pat�o/DBCk TUiiE,PRIOfl TO ITS ISSUANCE.ALSD REQUIftES THE APPLICANT FOR SUCH PERMIT TO FIIE A SIGNED STATEMENi THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVI510NS OF THE CONTRACTOpS U- � CENSE LAW(fX1APTEfl e(COMMENCINCi VYITFi SEC710N 7000�OF DIVISION 3 0F TNE BUSINESS AND'f'RO- 4'�' PoOVSpB FESSpNS CODE)OR THAT HE OR SHE IS EJ(EMPT THEREFROM AND THE BASIS FOfl THE ALLEGEO EXEMh- TION.ANVVIOtATIONOFSECT10N7031.56YANYAPVLICANTFORAPERUITSU&IECTSTFIEAPPLICANTTO Z RB-ROOf � ACNN.PENALiYOFNOTMORETIANFNEHUNDREODOLLARS(ESoo).): . �y �I,ASOWNEROFTHEPROPERT/,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSAiION, O Com1118PCial ' � WILL DO THE WOPK�ND THE STRUCTLIR�IS N071NTEND�CR OFFEAE�FOP SALE(SEC.7044,BIISI� �l � NESSAND PROFESSIONS CODE:THE CANTRACTORS LICENSE LRVJ DOES NOT APPLY 70 AN OWNEP Of j PflOPEHTY NRiO BUILDS OR IMPROVESTHEREON,AND'NHO DOES SUCH WOflK HIMSELF OR HERSEI.K OR � THRQJdHHISORHERONMEMPLOYEES,PROV10E0�THATSIICHIMPROVEMENTSARENOTINTENOEDOR � QOFFEREOFOFlSAtE1FHOWEVERTHEBNIDINGORIMPROVEMENTISSOLDWI7HINIXJEYEAROFCOMPLE- � TION,THE OWNER-9UILOER WILL HAVE TME BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR = IMPROVFFOR7HEDURPOSEOFSALE�. - � - ❑I,AS OWNER OFTHE PROPERTV,AM EXIX.USIVEIY CONiRACTiNG W ITN LICENSEO COMRACTORS � TO CONSTRUCT THE PR0.IEC.T(SEC.7W4,BUSINESS AND PqOFESSION§bODE:-THE�CONTRACTORS�I- VfllUatiO� A�J.AREA_ 41 CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPER7YWHORUIL�50RIMPROVESTNEFfEON,AND � WHOCONTRACTSfORSUCHPROJECTSWITHACON7RACTOb(5)LICEN&EDPURSUANTTOTNECONTRAG QUANTSTY DESCRIPTION FEE � 7PR5 UCENSE UW.). '�"" o ❑i AM EXEMPT UP1�ER SEC. 8.4 PC.FqR THIS RFASON Q 3 U � ca D0.TE OWNER � � �s� LICENSED CONTRACTORS DEQLARATION W CL I HEREBY AFFIRM UN�ER PENAI.7Y OF 7EflJUflY 7NAT I AM LICENSEO UNDEfl PROVISIONS OF CHAPTER � d 9(COMMENCINCiVY1TH5ECTION70W)OFDIVISION30FTHEBUSItdESSANDCROF�S510N5CADE,AND Z L11 MYUCENSE IS IN FUIL FORCE AND EFFECT. p m 0 LICENSE CL4SS�^"��_ LIG.NO. � � � � , �� � DATE � CONTRACTOR .,,.��5�°a�� 0- LaJ r� -,¢����RS'CAIalPENSATION DECLARATION g ,� U �— � I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OFTHE FOLLOWMG DECtARATIONS: Z �Z �IHAVEANDWILLMAINTAINACEiiTIFICATEOFCONS@NTFOSEIF-INSUREFORWORKERS' a d —_ CAMPENSATION,ASPROV�DEDBYSECTION3l0oOFTHELA80RCO0E,FORTHFPF.HFORMANCE W OF THF WORK FOP WHICH TMIS PERMIT IS ISSUEO. � � � _IHAVEAN06YILLMAINTAINWORKERS'COMPENSATIbNINSURANCE,ASREDUIREOBYuECTION Q 37000FTHELABORCODE,FORTHEPEFFOPMANCEOFTHEWORKFORWHICHTHISPERMITIS ISSUED.MY WORKEARS'CDMPENSATION INS RANCE CeA�RFIEF AND POLICV NUlABSRARE: CONSTRUCTION � jCARRIEa_�����9� _� PLAN REVIEW Z POLICV NUMB R � , .--- ELECTRIC Q y � (iHiSSECfqNN�N0T8EWMP.EfEDOF7HEPE.'1Mfl'ISWRONEHUKMmD01.LARS(51C0)OR_ESS). PLUMBiNG Z ICEHTIFYTHATINTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITISISSUFD,I MECHANIGAL (j SHAILNOTEMPLOYANYPER50NINANYMANNERSqASTOBECOMESUBJECTTOTHE � WORKERS'CIX�IPENSATIONUtWSOFCALIFOFNIA,ANDAGREETHATIFISHOUL�BECOME INSPEGTIONFEE SUg.IECTTOTHEWORKERS'COMPENSAiIONPROVISIONSOFSECTION37000FTHELA80R� t = CODE, SHALLFOfl7HWITHCOMPLYWITHTH�EPROVI510NS. �SSUANCE o A � '` SMIP __—__�__� p DATE: • P�. APPLICANT: �.�""� � ^ —. � ENERGY P/C J WAPNING F LURE O SECURE WORKERS'COMPENSATION�AGE IS UNtAWFUL,ANC1 SHALL BE � SU&IECTAN.EMPIOYERTOCRIMINALPENALTIESANDCIVILFINESUFTOONEHUNDREOTHOUSAN� ENERGYPERMIT }, DOLLARS($100.000).IN AODITION TO THE COSTOF CONPENSATION,OAMAGES AS PROVIDED FOR IN — J� £ECTION 37oe OF THE IABOR CODE,iN7EREST,AND A?TORNEV'S FEES. RETENTION FEE: __. ____'_____....._— — a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNOER PENALTV OF PEFlJURV THAT THERE IS ACONSTRUC710N"�ENDING AGENCY _ FORTHE PERFORMANCE OF THE WOPK FOR WHICNTHIS PERId1T IS ISSUED(SEC 3097,CIV.G). �- Z W � LENDER'S NAME � I— IENDER'SAODRESS W ICERTIFYTHATIHpVEHEADTHISAPPLIGA710NAN�5TpTETHATTHEABOVEINFORMATiON�s�RRE�T. TOTAL FEES � : � . � IAGREE TO COMPIY WITH ALl CITV AND COUNTY OROINANCES ANO STATE IAWS RELATMG TO BUILDING � CONSTRUCTION.ANDHEREBYAUTHOR2EREPRESENTATIVESOFTHISCOIIMYTOENTERUPONTHE , _, . , ., Z ABOVE-MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS � �____���P�r_. � � _ m PEflMI NAME(RINT) � ". . . ,.:... � . � . .. .y� ',.� : . . .',', ..- _. . . . q/) SIQNATUREOFP 1 , DATE '� �� '� _ � � �� RECP7.NO._ PAID BY ���VALIDATION�� - � WHITE—�e�oartment Copy,YEl1.OW--Finance Copy,PINK—Assessor Copy,GOLAENROD—File Copy,GFEEN—Applicant's Copy _. . .. ,,,,. ,:.,,.., , �.:-,, . .::.>,; ,�,,:, ,� ..,c^;� r <.;�, v f,'� ,5,,�er: ,...,': _ ,��.,;, < . , . ��� � �� . ,. : . .. . � � �'� _ . ♦B� _ '"a 7 ,.✓'° : ...::.. ,.�- . ... � �� . .. :. . « €.:.:;, , a �',x::: -..� .�,.: �. 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