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�� CTTY OF DIAMOND BAR - , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _ 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ������� BUQ.DING PERMIT APPLICATION FIRMLY q APPLICATION . . �.. . ., ..,, ...,. . , „ ,, „ oJOBSITE �'' � PERMIT � 3 �� P/C ADDRESS �Z-'�L `''v'���� �'+�"�� � DATE �"'�'""�� NUMBER # c� ISSUE � TYPE' OCC APN L07 TRACT DATE CONST. GROUP p OWNER _ � o ADDRESS �a ��� ('��� � ZONING SE78ACKS � CITY, C� ZIP TEL. REART RW O APPLICANT TEL. SIDEISIQE STREET RW ❑ � CONTRACTOR � "11 " �' � �-r'N�� E�P SIDE ❑ p� ADpRESS ° ' � � PROPOSED USE � CITY 3`�aa`l�s�Psi f ZIP�cxTEL. ��-Ls,�.�7.$':� oARCH/EIVG/ � DESIGNER ����''"'r ��� NO.D�NEL. NO. NO. ADDRESS_!`-Z_��' UNITS STORIES BEDROOMS � CI7Y /.a✓'�A.'+g ZIP 7' TEL.�� - .'Z / y DESGRIPTEON SQ.FT: FACTOR PSF ADJ.AREANALUATION � � pWNER-BUILQER DECIARATION SFR/ADD/REM O 0 1 HEREBY AFFlRM UNDER PENAITV O�PERJURY THAT I AM EXEMPT FROM THE CONTPACTORS LI� � Garaga/CarpoA W CENSELAWWRTHEFOILONdINGREASDN(SEC.70.?1.56USINESSANDPROFESSIONSCA�E:ANYqTVOR � COUNfYWHICHREWIRESAPERMITTOCONSTRUCT,AL7ER,DAPRObE,�EMOLISH,ORNEPAIRANYSYRUC� W I pyti0/OBCk W TURE.PHIOR 70 R3 iSSUANCE,ALuO REQUIRES TME APPLICANT FOR SUC}i PERMIT TO FILE A SIGNEO W�__ g STATEMENf THAT HE OR SHE IS L�CENSED PURSUANT TO THF_PROVISIONS DF THE C�NTRACTOflS ll� C CENSE LAW(CFIAPTEA B(COMMENCINQ WITH SECTION 7000)OF DIVISION 30F THE BUSINESS AND PRO- �'�" PooVSpa � FESSIONSCODE)ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFOFTHEALLEGE�EXEMP- V 7pry.ANYVIOLATIONOF8ECT10N7031.b8YAIVYAPPI.iCANTFOflAPERMITSU&I[CTSTHEAPALICANTTO 7`� Re-Raaf � A CIVIL VFNALTY OF NOT MORE THAN FNE HUNDREO DOLLAflS(5500).): Q � ❑I,ASOWNEROFTHEPROPERTI,ORMYEMP�OYEESWITHWAGESASTHEIRSOLECOMPENSATION, COfRf77B�CIdI - WILL QO THE WORK,AND THE STflUC1lJRE IS NOT IN7EIAED OR OFFEflED FOR SALE lSEC.7oaq,BUSI- _J NESSAND QROFESSIONS CODE:THE CONTRACTORS LICENSE fAW DOES NOT AVPIV 7�J AN OWNER OF � VROPEflTYW110BUILDSOFIMPflWESTHEREIXJ,ANOWH000[SSUCHWORKHIMSELfOflHERSELFOfl � _ � THNOUd1HISOqHEROWNEMP40VEES,PROVIDEDTHAT5UCH1AIPROVEMEMSARENOTINTEND�OR m QOFFEREOFORSFLEIF,HOWEVER'MEHUII�MGORIMPHOVEMEN71550LDWITMINONEYEAROFCAMPLE- z TION,THE OWNER�BUILDER WII,L HAVE THE BURDEN OF 7ROVMG THAS HE OR SNE DID NOT 8111LD OR � IMPROVEFORh1EPURP05EOF9ALE). ❑1,AS ONMER OF THE PROPERT;AM E7(CWSIVELY CANTRACTIN6 WfiH L�CENSG�:ANTRACTOqS � TO CONSTI�UCT THE PHOJECT(SEC.7044,DUSINESS AND PROFESSIOPIS CODE:THE COf.7RP,C70RS ll- V21UHfI0f1 ADJ.AFiEA � CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPER7'YYdMOBUILpSORiM?ROYFSTHEREON.AND — ' NTiOCONTMCTSFORSUCHPROJECTSWITHACONTRACTOF(S)LICENSFDPUFSUANTT0T11ECONYMG QUANTiTY OESCRIP?ION � FEE TORS LICENSE LAW.1. .�j O ❑I0.M EXFMPTUNDER SEC. _�_ B.8 P.0 FORTHIS RFASON U L+ � ' S �I r � 3 -- �' �1�-�-/'�-��� . � � u" OATE OwNER�__ U z — -- —__ — w ___,� ___�,�� l�. �D � IICENSED CONTRACTQ�iS DECIhFATiON -� F e� � � �'' 'Z � � � �— I NEHEBV AFFIRM UNDER PENAlT7 OF PERJUFY TNAT I AM LICENSEO UNbER PpOVISIONS OF CFIAGiER � ��� ,•1 �� � B(GiOMMENCINf3Wl7H5ECT�ON70a0�OFPIY1510N30FTHF.3!1SINESSANOPRO�ESS!ONSCDOE,AND � �� MY UCENSE IS IN Fl1Ll FORCEAkO EfF£CT m �p �sr / �9 . � d ^ 4 � LIf�ENSE C 55_ IIC.NU. � � � ,�� �s ���I�S o OA � CONTRACTOR �`J'��*/"���-JS�/�L! O�. � O�RS'CqMPEh1SATiONUECLA TIOIV'9�- '��' ¢ —�' �� � '�' [��y,j'� � c� � I ER�IRM UN R PENAITY OF PEqJURY ONE OF TNE FGLL.OWMC GECLARA'IONS: � y Z � IH YEAkDWILLMAIN7AINACERTIFICATEOFCONSENTTOSELF�INSUREFORWORKERS' 2 � �COMPENSATION.ASPFOVIDEDBYSECTION37ooOF7HELABGqCOf]F,FCRTHEPEPfORMANCE u�..___—_ F THF WORK FOft WMl(:iV THIS PERMIT i5 IS;UED. � C] —'-- W __I HAYE ANO WlLLMAINTA�N WQRKL=RS'COMPENSA7ION!NSURANCE.A3 RC-0UIRED BY SECTION - � Q 3To00FTHELABORCOflE,FORTNEPERFONMANCEOFTHEWORKGCRWHICHTHISPERMITIS 0 ISSUED.MYWORK'cR�S'�COMPENSaA-T�I.O�NINSURANCECAaFiIERANDPOUCYNUMBERAflE' CONSTRUCTION jc�aRiEa�=-���L!E"-- r'�''���__._�—_ PLAN REVIEW � POl1CYNUMBER�.�����.�____ _.._ — ELECTRIC Q _ r� �/) 0 (T`155CCi0.�VNE�NOTBEQ'M7PLETEDOF'�^EPEPty4TISFCROh'EFM1%NDREODOLIFR557N�Oq4ESS). PLUMBING _ 1 � W ` MECHANICAL � ~`�ERTIFV THNT IN THE PERFORMANCF.OF?HE'eNOfiK FOR WHICN THIS PERMIT!5 ISSUEO.i � HAIL NOi GMPIOYANV PERSON IN ANV AINANER SO AS TO PECOME SUBJEGT TO7HE � 1 ORKERS'GOMPEld50.TIONLAW50FCALIfORNIA,ANDAOFEETHATif-ISHOULDBECOME INSPECTIONFEE �y �i:P4�� ��r BJECTiOTHEWORKERS'COMOENSA710NPROVISICNSOFSECTION37000FTHELAOOF % 1��i � i ISSUANCE "^" �P� CODE,1 SHALL FORTHWITH COMPLY NATH THOSE PAOVISIONS. Q �//'��j 'T � S/*"�2�`/C,�7L�./ SMfP — �7� � � __ �ATE:��y� APPLICANT: _ ��IDda� E�Af Lsd'J r �^ y. J WAqNING:FAILURETOSECUREWORKERS'CAMPENSATICNCOYERAGEISUNUIWFUL,ANDSHALLB�� ENF_RGYP/C ���'�.-$,y��_�A.���"�� � � SU&IECTANEMPLOYERTOCRIMiNALPENAL71E5ANOCIVILFINESUPTOONEHIINOREDTNOUSAN� ENERGYPERMIT ��� OOIURS(5100.000),IN PDDITION TOTHE CO5T OF COMPENSATION,DAMAGES AS PROVIOED fOR IN � SECYION37aBOFTNEU80RCC9E,IN7ERES7,ANDATfORNFY'SFEES. RETENTIONFEE: � , CONSTRUCTION LENDING AGENCY pRGALT FEE: � . 1 HEREBV AFFIRM UNDER PENALTY OF P[RJURV THAT THERE IS ACONSTRUCTION LENDWG AGENCY � FOR THE PERFORMANCE OF THE WORN FOR WHICH TMIS PEflMIT IS ISSUED(SEC.309'/,CIV.C.). Z W � LENDER'S NAME . -- --- F_ LEN�ER'SAD�RE55 — ^�A � ICELiTIFY1NATINAVEREADTH�SAPPl1CAT10NANDSTATETHATTHEABOVEINFORMAT10NI5COHFlECT. TO�AL�EES ���/ [/,,,/ � 1 AGREE TO COMPL`.'WITH ALl CITY AND COUNTY ORDINRNCES AND STATE LAWS REIAT�NG TO BVIL�MG CANSTRUCTION,AND HEREBY 0.UTHOR2E FEPRESENTATNES OF THIS COUNT'TO ENTEfl UPON THE Z AOOyEMENTbNED PROPE�iTV FOR INSPECTION PURPOSES. CUMMENTS � ���C d� � ` d,�'�C��:-�: ..�,� � — m FERMITTEE N INT) _ d �� � _` � � � SI6NA7URE EFiMITTEE �ATE = RECPT.NO. 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