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:r _ CITY OF DIAMOND BAR - � — DEPARTMENT OF COMMUNITY&DEVELOPMEIV'T SERVICES w 21660 E.Copley I9rive Suite 190� ` � (909)8603195 Fax(909)861 3117 PR E$$ "��'� B�II,�i'l�T��1��1�II`�'A�'I'�.I�A�I'tON ` FIRMLY .:'.'. : ..-.�.�. . ,.x�..... :,..... .r...:.... AMi..�, ,.,.. +��..,..: r.- ':.. :.. .....:. .� ...:1� itr:�4 1.: K"_ . . ... * ,i.i�..y , ,,. . � .�,.�' .'..� �..r. � ....u' ' t .,�x � . .::.N> � :..�:4x.: �'.l..u.. N JOBSITE � ;-: , .,� .:e; ,� ,...,, -� �; j� � ) APPLICdTION�}�' �-� PERMIT P/C o ADDRESS�,�r.��� �""l G`/�✓�'"�/ld I °� 1_q_ � DATE _E__, NUMBER # � ISSUE TYPE OCC pp� LOT TRACT__`� DATE CONST. GROUP p WNER S C.; LLr�. " AD t`'4/ e".. ,�'Cf ZONING SETBACKS CITY a.�'.; ,f) ZIP � '�- TEL. �/'a^ �4'i� FRONT RW p APPLICANT TEL. � REAR p SIDE1SIaE STREET RW � � CONTRACTOR,� ��%>��m�'71 i�`�u`�L-�'�-�.G='�-� SIDE ADDRES _ ".�_ �.fi'-c=eS�- _..-- �. O CITY ZIP C--i�-- TEL. � -- c � y�/ PRQPOSED USE ` � ARCH/ENG/!;(F..� ' ,�r , — BE619iCER V � �� lL�� `� ',* � ADDRESS - �'„� �,l ,_.. . ' NO.DWEL NO. NO. UNITS STORIES BEDROOMS � ClIY,'r^t � �' - ZIP �" TE�`.�� �G'?S� c�_n 1 � ' " OESCRIPTION SQ�.-dFT. FACTOR PSF Ap . A ION O O ER-BUILDER pECLARATION ,., � ��, � , . SFR/ADD/REM er y � r� � I HEREBY AFFIRM UNDER PENALN OF PERJLIRY THAT I AMI EXEIAPT FROM THE CONTRACTORS U- G8f896(CdfPOf[ L�Y! CENSELAWFORTHEFOLLOWINGREASON�SEG7031.S�BUSINESSANOPROFESSIONSCQDE:ANYCIYYOR (n U COUNTYWHICHqE0U1RESAPERMITTOCONSTRUC7,ALTER,IMPFfOVE.DEMOUSH,ORREPAiRANYSYRUC- W Fdtio/DOck Z 7UFE,PRWR TO ITS ISSUANCE,AL.SO REWIRES THE APPUCANT FOR SUCH PERMIT TO FYLE A SIQNED � W STATEMENT IY�AT HE OR SHE IS UCENSE�PURSUAN7 To THE PHOVI510N5 9F`fHE CONTb71CTOd$"LI- W S CEN5ELAW(CHAP7ERD(COMMENCINOWITH�SECTION7DOO�OFDIVISION30FTFIEBUu�INESSANDPRO- �'�' POOVSP2 f FESSIONSCOD�ORTHATHEORSHEISO�M'PTTHEREFROMANDTFiE8A51SFOFiTNEALlEOEDEXEMP- (,� V T70N.MIVVKKATIONOFSECTION7031.SBYANYAPPUCANTFORAPERMITSU&IECYSTHEAPPLICANTTO � Re-R004 � ACIVIL PENALTY OF NOT MORETHAN FIVE HUNDRED DOLLARS(3500).):� � '� �" � ❑I,ASOWNEPOFTHEPROPERTV,ORMYEIAPLOVEESWITHWAGESASTHEIflSOLECOFIPENSAI'ION, � Commercial � WILL�O THE WOAI(,AND THE STRUCTURE IS-NOT INTENDED OP OfFEREO KOp;SALE(SEC.7od4;�USI- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS 110EN5E LA1iN OOES NOTAPPLY TO AN OWNER OF � _ PROPERTY VYFp BVILDS OR IMPROVES THEAEON,AN01YH0 DOES'SUCH WOHK HIIYISEGF OR41Eti5ELF OR d THROUGHHISOAHEAOV7NEMPLOYEES,PROVIDEOTHAT'SUCRIFAPROVEMENTS�ARENOTINTENpEpOR � � OFFENEDFORSAI.EIFHOWEVERTHEBUIIDINGORIA7PPOVEMENTISSOLDW17HIN�0IJEYEAROFCOMPLE- � TION,THE OW�q.BUiIDER WILL HAVE THE 811ROEN OF PRtlVING THAT HF OR$HE Oltl NO7 6U1�0 OR = IMPROVEFORTHEPURPOSEtiFSALE). ' � - � "'�` ' � "-'�'i � ❑I,AS OWNER OP THE PROPERTI{Nd E%CWSNELY CONTRACTING WITH LIqENSED COMfiACTORS Q To CON9TAUCTTHE PHOJEbT(SEC.?o44,BUSINESSl.ND PROFESSIONS CODE:'THE CONYRACT6A$Ll- V3WflU0l1 ADJ.AFIEA W GENSE UW DOES NOTAPPI.Y iOAN OWNER OFA PROPeRTV WfiO BUILCS OR iMF�ROV�$7NEPEdN�;AN6 WHOCONTRACiS FOfl SIX:H PROJECTS WITN ACONTRACTOR�S)UCENSEUPURSUANT7'OTHE CONTRAC- ioas ucerisE v�w.). . .-.:. . QUANTITY DESCRIPTION FEE � . O I AM E%EAAPT UWDER S�C. �,_B.&, _FORTHIS REASON U ^'f � �C/ • � � DATE '� OWNER �, <�'.. ._.0 . 'Jl.� /� ..� M .�b. .. . �. . ; , rt; , a . , , .. . . W , . /�f o IGENSED CANTR ORS DEGLARATION �� � �" ' w -��"�`y�,�. � �... . ,..z ,,:.... ` � � _ ',A'^i""A� � . 1 HEREBV AFFlRM UNDER PENA�TV OF PERIUf1 TFiAT IAM LICENSf_D UNOER PROVISIONS OF CHAPTER � e((bMMENCINQ WITH SECTtON JoOoJ OF DNISION 3 OF THE BUSiNESS AND PROFESSIONS CODE,AND � �X� MY UCENSE IS Ad FULL FORCE AND EFFECT. `� ,p-a> `��.�� ;�:- }_ UCEMSE CLASS �^'r LIC.NO. � DATE C:-"/ �� � CONTRACTpR.` "` J�A� d ~ W � � WORKERS'COA4PENSATIONDECLARATION i�,�'� -� � � �`'/,�� � � IHEREBYAFPIRMUNDERPENAITYOFPERJURYONEOFTHEFOLLOWINGOECCARATIONS: N � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SEIF-INSUPE FOR WORKERS' �� WMPENSATION,ASFflOVI�EDBVSECTION37ooOFTHElA90RCO0E,FORTHE'PERFORMANCE Q OFTHE WORK FOR WHICH T7i15 PERMIT�5�SSUED. � � _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSUpANCE,AS REQUIRED BY SECTION Q� 37000FTHELABORCODE,FOfl7NEPERPoRMANCEOFTHEWORHFORW4ICHTHISPERM1T13 ISSUED.MYYdORKERS'CPMPENSATIONINSURqNCECARRIERANDPOUCYNUMBERPRE: CONSTRUCTION J j CARRIER PLAN REVIEW __--_ z POUCYNUMBER ECTRIC � G�� d o �rwss[c�r�a�rarse�ooFn�vEar�pt�sroaoneiiuwtjeooa.iwis�tioo�oa�Ess? PLUMBING Z I CERTIFV THAT M THE PERFORMANCE OF THE WORK FOR W CH THIS PERMIT IS ISSUED,1 MECHANICAI G� SHALL NOT EM7LOY ANY PERSON IN ANY MA4NER 50 AS ECOME SIiBJECT TO THE WORKERS'CO�1PENSATI L4WSOFCAUFORNIA,AND ETHATIFIS OUIDBECOME iNSPECTIONFEE S SUBJECTTOJFIEWOR S'COMPENSATfONPROVI NS FSECTION o00FTHELABOR „�---�� � Co0E,I5Hp(1FORTN ITHGOMPLYWITH OA�E OVI s. �- ISSUANCE � 77 �7���y� � p OATE:��_�_!_ PLICANT: __ _. ___.__. _�_l.J____..—____._—___ SMIP �a�,Y�����eC�.CY't"i'tJ`�E��, � WARNING: AILURET SECU EWORKERS'CO NSATIONCOVERAGEISUNUIWFUL,ANDSHALLBE ENEFGYP/C �U���.� � SU&IEGTAN EMPI ERTO CPIMINAL PENALT SAND CIVIL FINES UP 70 CNE HUNDREDTNOUSAND ENERGY PERMIT - OOILARS($lao,000�,INA�DITiONTOTHE OFCOMPENSATI6N,DAMAGESASPflOVIDEDFORIN QSECTION 37oe OF THE LABOR CODE,INTE ST,AND ATTOflNEY'S FEES. RETENTION FEE: OCONS UCTION LENDING�GENGY PRE-AL7 FEE: � IHEREBYAFFIRMUNDERPENALTY FPERJURYTHATTHEREISACCNSTRUCTIONIENDINGAGENCY _ FORTHE PERFORlAANCEOFTHE RK FOR WHICH THIS PERMIT IS ISSUED�SEC.3o97;CIV.C.�. . . _ � . Z . . . � ..... w � LENOER'S NAME .. ' � ' F— LENDERSADDRESS ' ' � W ICERTIFYTHATIHAVEREADTHISAPPUCATIONANDSTA7ETHATTHEABOYEINFORMATIONiSCOPRECT. TOTAL FEES � , , ,,,, * ,� � t AGREE TO CAMVLY WITH ALL CRY AND COUNTY ORDINANCES ANO STATE IAWS RELATINa T0 9UILDING - .. , - � CANSTRUCTION,ANDHEREBYAUTHOHIZEREPRESENTATIVESOFTHISCWNTVTOENTERUPONTHE . � , Z AeoVE�AAENTIONED PROPERTY FOR INSPECTbN PURPOSES- COMMENTS � �� ���-l� D.�'����:'"' _ �, m PERMITTEENAME P � - '� � � ' �� � ,� � ,.a�y. , � SIO PERMITTEE OATE ' � = RECPT.NO. PAID BY �VAIIDATIDN ~ WHITE—Departmen4 Copy,YELLOW—Finance Copy,PWK—Assessor Copy,GOLDENROD—File Copy,GAEEN—Applicant's Copy , _ „ , ., , . ,. , . ..., ,. ,.,., ...: . . ....: . . ::. , , , , � w . ,. ;,, , ,. ,.:,,: , :, _ ,,, . ,;,�,; _.: '� � � � ; —f_ .. . . . ...:;.:; , - � ��� �`� �� . . � :._, .. � ': � �. ... � & � . � � � � � , � .... � � _. .. . , ���i��a�� t4 � . 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