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/ . __ _ ��_ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES w 21660 E.Copley Drive Suite 190 ............. (909)860-3195 Fax(909)861-3117 PRESS "•�' BUII.DING PERMIT APPLICATION ' ` , _ FIRMLY _ . . , �.. :,,, . ¢ JODRIESS '�T� I�'1� C.�''�'�K APPUCATION � � ..- PERMIT o ��`� DATE NUMBER # � ISSUE 'ryPE pCG APN LOT TRACT DATE CONST. GROUP p OWNER j"'.�1"+�_�.C� p ADDRESS ZONING SETBACKS �w CITY ZIP TEL. FRONT Ryy � APPLICANT TEL. REAR � zd. SIDFJSIQE STREET RW ❑ � CONTRACTOR SIDE � t ADDRES ' � CITY �+ ZIP 1„jfEL� : PROPOSED USE._ � oARCHlENG/ z DESIGNER w NO.DWEL. NO. NO. d AODRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER PENALTV OF PERJURV THAT I AM EXEMPT FROM TNE COMRACTORS LI- Gardge/CarpOrt W CENSEUWFOR7HEFOLLOWINGREASON(SEC.7031.5BUSINESSANDPHOFESSIONSCODE:ANVCITYOR (n U �IMTYWH�CHREOUIRESAPERMfTTOCONSTRUCT,ALTER,IMPROVE,DEAAOLISH,ORqEPAIPANVSiRUC- W P3Si0/DBCk Z TURE.PRIOR TO ITS ISSUANCE,ALSO REOUIRE$THE AVPLICANT FOR SUCH PERMIT TO FILE A SIGNED W STATEMENT TYAT HE OR SHE IS LICENSED PUHSUAN7 70 THE PROVISIONS OF THE CONTMCTORS LI- W � CENSE LAW(CHAMER 9�COMMENCINO WITH SECTION 70ao)OF DIYISION 3 OF 7HE BUSINESS AND PRO- V' POOVSPa FESSIONSCODE)ORTHATHEORSHEISE%EMPTTHEREFROMAN�THEBASISFORTHEALIEOEDEXEMP- (� TION.ANYVIOLATIONOFSECTION7031.5BYANYAPPLICAN7FORAPERMITSU&IECTSTHEAPPLICANiTO Z qe-Root � A CML PENRLTY OF NOT MOflE THAN FIV'c HUNDRED OOLURS(3500�.): � ❑I,ASOWNEROFTHEPfiOPERiY,OfiMYEMPLOYEESWIhIWAGESASTHEIRSOIECOMPENSATION, 0 COmmCfCial � VALL DO THE WORN,AND THE STRUCTURE IS NOT INTEND£D OR OFFEREO FOR SAIE(SEC.7044.BUSI- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE lAW DOES NOT APPLY TO AN OWNEN OF � PROPERTV WHO BUADSOH IMPROVESTHEREON,ANO WHO�OES Sl1CH WORKFIIMSELF Oq HERSELF OR � TNRIXIQHHISORIIERONMEMPLOYEES,PROVIDEDTHATSUCHIMPROVEMEN75ARENOTINTENDEOOR m Q OFFEREDFORSALEIF,FIOWEVERIHEBULDINGORIMPROVEMEA?ISSOLDWITHINONEVEAROFCOMPLE- Z TION,THE OWNER-BUIIAER WILL HAVE THE BUROEN OF PROVING THAT HE OR SHE DID NOT BUIL�OR � IMPROVE FOR THE PURPOSE OF SAL�. W ❑I,ASOWNEROFTHEPROPERTY,PME%CWSIVELYCANTRACTINGWITMLICENSEDCANTflACTORS � TO CONSTAUGT THE PRQIECT(SEC.7044,BUSINE55 AND PROFESSIONS CODE:THE CONTAACTORS U- VdIUO�lOf1 ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPEFTYWFIOBUILOSORIMPROVES7HEREON,AND � WHOCONTMCiSFORSUr,HPR0.1EC7SWITHACON7RACTOR(SjLICEN5E0PUR5UMlTTOTHECANTRAG QUANTITY DESCRIPTION roRs ucENSE uw.). FEE � ❑I AM IXEMPT(INDER S�C. 0.d P.C.FOR THIS REASON Q ` � ( 3 U ¢ �'.3"'. � OATE OWNEN �— �� �rt � Z W r � LICENSED CONTRACTORS DECLARATION W ���'yG�jr� s ✓ � I HEREBYAFFlRM UNDER PENAI.TY OF PERJURY THAT 1 AM LICENSED UNDER PROVISIONS OF CHAPTER � p. e(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CADE,AN� z � `X MY LICENSE IS!!NLL fORCE AND E FECT. m � LICENSE CLASS_iE�— LIC.NO._�'�/�'� ' jg�" � � - ` W DATE_i �1�,?� ' CONTRACTOR����` c.L�4"P"' a � � � � 1 � � WORKERS'COMPENSATION DECLARATION �r�I U „ . �' Y � IHERFgHAFFlRMUNDERPENALttOFPE0.IURYONEOFTHEFOLLOWMGDECLARA71,., :`� Z �I�K `� � / 0 ��iHAVEANDWILLMAINTqINACFI�fI'IFICATEOFQONSENTTpBE°I�.F-INSUREFbH,'VJORKERS' ' ' = 4 / `y- '�''„3 ' � COMPENS%,TION,ASPROVIDEOBYSECTION3700(3FTHELA80RCO�E,��F`�OF1��HE�CERFOflMANC� �� W � P � �' ,�.-��' � OFTHE WORK FOR WHICH THIS PFRMIT IS ISSUED. �y �O � s. -.E' r/'r�C'-C! w V � _I HAVE AND Wlll MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED BV 6ECTION QQ 37oDOFhiELABORWDE,FORTHEPERFORMANCEOFTHEWOflKFORWHICHTHISPEflMITIS ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER ANO PO�ICV NUMBER ARE: CONSTRUCTION J j CnRRIEH PLAN REVIEW 0 POL�CYNUMBER 2 ELEC RIC 4 � (fH455ECTKNNE�YOTBECOA�RLE'TEDOF7F�PERMfTISFORONEHUPDRmDOlURS(5100)ORLESS). PLUMBIN � Z ICERTIFYh1ATINTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITISISSUED,I MECHANiCAI C�T SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE � WORKERS'COMPENSATIONLAWSOFCALIFOflNIA.ANDAGFEETHATIFISHOULDBECAME INSPECTIONFEE SU&IECTTO THE WORKERS'WMPENSATION PROVISIONS OF SECTION 370o OF THE LABOR -�j CODE.ISHALLFORT�HaWITHCAMPLYWITHTH PROVISION�/" IS$UANCE ____ f� � �C'�"/�.��^ Y/ ����p<<�..S..=C SMIP � 'p OATE: _�_rT APPLICANT:� j WAflNINO:FAI�UftETOSECURE WORKERS'COMPENSATION COVERAGE IS U WFUL,AN�SHALLBE ENERGY P/C , � SU&IEC7AN EMPLOYER TO CRIMINAL VENALTIES ANO CIVIL FINES UP 70 ONE HUNDRE�THOUSANO ENERGY PERMIT DOLLARS(fl ao,DOo),IN ADOITION TO THE COST OF COMPENSA710N,DAMAGES AS PROVIDED FOR IN � SECTION37080FTHELA90RCODE,INTEREST,ANOATiORNEVSFEES. RETENTIONFEE: � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: /^1� 7,�y,,� q7yy q�y � IHEREBVAFFIRMUN�ERPENALTYOFPEPJURYTHATTHEREISACONSTFUCTIONLENDINGAGENCV Fr1TY OTMFT�SLA1�/J�.M,�lp��. 1VT..��Cp�ad� n- FOp 7HE PERWRMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED ISEC.3097,CIV.C.). B�Dll\G 1"\A V'il''��"'s�pA.� Z W � �� LENDER'S NAME F--' LENDEH'S ADDRE55 w �GERTIFYTMATIHAVEREAOTHISAPPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCARHECT. TOTAL FEES � - . � I AGREE TO COMPLV WITM ALL CITY AND CAUNTY OFDINANCESANO STATE LAWS RELATING T0 BUILDING . � CONSTRUC710N,0.N0 HEREBY AUTHORRE REPRESENTATIVES OF THIS COUNTYTO ENTER UPON THE . � ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS � �/1/•�t'' /�' " �L-t ' � PEflMITTE E(PRINn - C!� , LP '�y ' V � ON RE OF PERMITT E �� DATE , � RECPS NO. 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