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. _ '�`� � � , � S l��r�1-�U�n� ��°1" � . _!� CITY OF DIAMOND BAR b � �� � (s�Fl�-�,, �"�j �� �,� DEPARTMENT OF COMMUNIT�& VEL PMENT ERVICES � �" w 21660 8.Copley Drive Suite 190 �,��1-��(�� � �' �'�.��j� PRE$S (909)860-3195 Fax(909)861-3117 ��+� BUILDING PERMTI'A . ON __. ����f 7 � `��IRMLY. _ . PPLICATI,, ,: o� JOBSITE '-"-^ o1�� ��,,.Lt� DATE CATION!-l�-�-'�NUMB R��/���/C ADDRESS �I�a D --l--N o+� � ISSUE TYPE OCC APN 304�� T �d�7 TRACT� O DATE CONST. GROUP p OWNER v r �dr �C-z ! LL ADDRESS �IGD -�t! `��l/ CrCGk ZONING SETBACKS W ,� ZIP TEL. FRONT RW ❑ � CITY �� REAA ❑ APFLICANT C'a/i tr P�+!l�.S— TELG��,�S S 33� SIDE/SIDE STREET RW O � CONTRACTOii � � ��" OC) � SIDE ❑ ADDRES Ii/l X�r W r►� PROPOSED US � Cl/ ""�' � CITY ��+u 3A" ZIP J 7y2 TEL� . w ARCH/ENG/ .�� Z DESIGNER �4 1�i4�re.�I � ��i ' '� ADDRESS � �'. Ner ' p�___,By�_! NO.DWEL. N�. NO. UNITS STORIES BEDROOMS � CITY ZIP�t��/ TEL. � y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION QOWNER•BUILDER DECLARATION SFR/ADD/REM p 1 HEREBY AFFlRM UNDER PENALTY OF PERIURY THAT I AM EXEMPT FROM THE CONTRACTOPS LI- G8ffl9B/C81pOfI � CENSELAWFORTHEFOLLOWN16F1EASON�SEC.7031.5BUSMESSANDPROFESSIONSCOOE:ANYCIiYOR (� COUNiYWHICHREGNIIRES�PERMRTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W pgtlolD9Ck TUHE,PRIDR TO RS 65UANCE,ALSD HEW IRES iHE APPL�CANT FOR SUCH PERMIT 10 FILE A SIpNEO � STA7EMENT THAT HE OR SHE IS LICENSED PURSUANT TO tHE PROVISIONS OF THE WNTRACTOR3 LI� � CENSE UW(CMAPTEfl D(COMMENCINO WITH SECT�ON 7000)OF OIVISION 30F hIE BUSINESSAND PRO- V" POOVSpa FESSIONSOOOE)ORTNATHE00.5HEISE%EMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP� (� TKNI.ANVVIOU1TpNOFSECTION7o31.6BVANY�PPLICANTFOHAPEPMITSU&IECTSTNEAPPLICANTTO � Re-Roof r ACIVI4PENALTYOFNOTMORETMANflVEHUNDRED�DI.UF5�i5oo).�: � ❑I,ASONRJER�FTME7ROPERTY,ORMVEMPLAVEESWITNWAGESASTHEIRSOLECAMPENSATION, O COlPIfl1BICI6I ' WILL 00 THE WORK,AN�THE S7RUCTURE IS NOT INTENDED OR OFFERE�FOR SALE(SEC.7044,BU51� J NESS AND PROFESSIONS OOOE:THE CONTRACTORS LICEN6E UW DOES NOTAPPLV TO AN OWNEP OF � PROPERiYWFiOBUILDSOHIMPFlOVESTHEREON,ANDWHODDESSUCHWORKHIMSELFORMERSELFOR � � THqOU(3HHIS OR HER ONM EMPLOVEES.PROVIDED THAT SUCH IMPROVEMEN75AqE NOT INTENOE�OR m � ,OFFEREUWRSALEIFMOWEVERiMEBUtLDIN00RIMPROVEMENTt5501DW171iINONEYEAROFCOMPLE- 'TIOH,THE OWNER-BUILDER WILL HAVE THE BURDEN OF VPOVINO THAT HE OR SHE�IO NOT BUILD OR � IMPRO�E FOR THE PUflGOSE OF SN,E). W O�,ASOWNEROFTHEPRQPEHTI;AMEXCLUSIVELVCANTHAC71NaWITHLICENSE�CONTRACTOflS a TO CONSTFRICT THE PRO.IECT�SEC.7oJ4,BUSINEbS AND PROFESSIONS WDE:THE CONTRACTORS ll- V8IU8210� ADJ.AflEA � CENSEUWDOESNOTRPPLYTOMlONMEROFAPR07ER7YWHOBUILDSORIMPROVESTHEREON,AND N4pOONTRACTSFORSUCHPROJECTSWITHACONTRACTOR�S�LICENSEOPURSU11N1'10THECONTRAC� QUANTITY DESCRIPTION FEE TORS UCENSE ViW,). { 0 p I AM EXEMPT UNDER SEC. / 8.6 P.C.GOR THIS flEASON � �G � 3 a � o�re o n U � LICENSED CONTRACTORS DECLARATION -i � W __ IHEREBYAFFIRMUNDEFPENALTVOFPE0.1URYhiATIAMLICEN5E�l1N�ERPROVI510N50FCHAPTER � � 9(COMMENCMqWITHSEC710N7�)OFDIVIS�ON30FTHEBUSMESSANDPROFESSIONSCODE,AND Z ��� RN UCBISE IS IN NLL FORCE ANO EFFEC7. � � LICENSE ClASS �'�� LIQ NO. � � ~' DATE ��3� � 7'n dO� CONTRACTOR I/ S � �t � U W ` � WOpKERS'COMPENSATION DECLARATION �\r ¢ y , y U � V � I HEREBYAFflRM UNDEq PENALTV OF PERIUFV ONE OFTHE FOLtAWING DECLARATIDNS: � J a � lIHAYEANDWILLMAINTMNACERTIFICATEOFCONSENTTOSELF-INSUREFOPWORNERS' 2 COMPENSATION,AS PROVIDED 9Y SEGTION 37000F THE U1BOR CODE,FOR THE PERFORMANCE `U OFTHE WOKK FOR NM1iICH THIS PERAAIT IS ISSUEO. � � � _IMAVEANDWILLMAIM/UNWOFlKERS'COMPENSATIONINSURANCE,ASREQUIREDBYSECTION }� Q37000FTHE LABOR CODE.FOR THE PERFOFMANCE OF THE WORK FOR WHICH THIS PERMIT IS �^' J ISSUED.MY�WO+PKERS//'COMPENSATIONINSURANCECAR IERANPPOLICVNUMBERME: CONSTRUCTION �� L ¢ CARRIER`�K�� �/V2/'A'' � PLANREVIEW � ZPOLICYNUTA9ER�A'S 3� I Q � --_ __. ELECTRIC e Q � 0 (fHI55E4RKNNE�NOTBEOJIAPLEfEDaFTNEPERMRISFOROMEHIMOtiEDDq1ARSI51C0)ORLESS} PLUMBING r z I CEflTIFY 7FWT IN THE PERFORMANCE Of THE VlORK FOR YMICH THIS PERMIT IS ISSUED,I MECHANICAL C (rJ SFW.1 NOT EMPLOV ANV PERSON IN ANY MANNER SOAS TO BECOME SUBJEC"fO7HE � WORKERS'COMPENSAiIONLAWSOFCALIFORNIA,ANOAGREETHATIFISHOULDBECOME INSPECTIONFEE 5 SUBJEC770 THE WURKERS'COMPENSATION PROVISION50F SEGTION 3�0o O:THE LABOR �� � CADE,i SHALL f0l1THW17H CCHAPLV WITH THOSE PFOVISIONS. I SSUANCE � SMIP p DATE: APPUCANT: w ENERGYPIC C°�"�} '� !l �dlt�$dl J WAqNINGFAILURETOSECURE'NORKER3'COMPENSATIONCAVERAGEISUNLAWFUL,ANDSHALLBE ���-'—�� t ------- LL SU&IECTANEMPLOYERTOCRIMINALPENALTIESAN�CIVILFINESUPTOONEh1UNDREDI}10USPND ENERGYPERMIT DOLLAflS(5100.000).IN ADOITION TO THE COS70F COMPENSATION,DAMAGES AS PROVIDE�FOR IN ,{"'+ W f p { '�,yg'y ¢ SECTION370BOFiHELA90RCO�E,INTERE57.AN0ATTORNEY'SFEES. i"��� �C 4���L�%t���,�}'�J.'�y.s��� w RETENTION FEE������� ����d� a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �"�`•� � I HEREBV AFFIRI.1 UNDER PENAITV OF PERtURV THAT THERE IS A CONSTRUCTION LENDING AGENCY Z f-0q iHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMI71S ISSUED�SEC.309'1,CIV.C.�. W � LENDER'SNAAIE F— LENOER'SADDflESS N w ICERTIFYTHATIHAVEREADTHISAPPIICATIONANDSTATEYHATTHEA80VEINFORMATIONISCORRECT. //�TAL FEES � � I AGREE TO CAMPLV WITH ALLCI7V AND CAUNTY OR�INANCES ANO STATE LAWS REUTING TO 9UILDING . GONSTRUGTION,ANDHEREBVAUTHORIZEREPRESENTATIVESOFTHISCWN'VTOENTERUPONTHE �,/� c-� ��f^ ,,,,� i �/�� ZABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSE5. G MENTS �i L U � (_J � �' �fF-iE iU� � _ �►wre.�+.JL' ¢ m PERMITTEE RINT) - _ Q - ¢ / � �d � " � NpT EOFPERMITfEE DATE , J . (y�1 � ECPT.NO. - � PAID Y VALIDATION � WHITE—Oepertment Copy.YELLOW—Finence Copy,PINK— ssar Copy,GOLA N o--File Copy,GHEE — plicant's Copy ��j i b�-- �`�'� �c-�' ��:�i-f�w� ����� � ...__ � _ ,� .._....,�,.. _.�.._.______ ... . .._...... . ,.;... ;..:..,. ..�. :. �' .�it y F � N'Ai„�'..�Y1 � u;�11: . . ,..� '.... .. F�R�, . � .. ���� �� ������ . �������� : ��� � �1'1 .a �,' � '�:' 8t�'§ �-� � ' ��:,ry�.'� �,�+:"� �'a� . .�`� %�}� � :.� �'� ��� :,::�, F... 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