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�� _ 1� CITY OF DIAMOND BAR '"�� DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 � ` � � W (909)860-3195 Fax(909)861-3117 PRESS :,.'.�.��' BUII.DIIVG PERMI'Y`ApPLICATTON FIRM4Y '�911+ '__"'_ „_,.. .. . .�..:.:. .: ��;,:, � JOBSITE ��33^/��_/t�� �-j�,��� � �,v APPLICATION C, � .. � PERMIT �� ��� PIC o ADDRESS Q� � OATE T'" NUMBER��`�'�" # $ � ��� �e ISSUE TYPE OCC APN LOT TRAC DATE CONST. GROUP p OW NER .`=��vf,.���'�it�-- C'_�L-ci Z_ " ADDRESS � - 64 �y ZONING SETBACKS � CITY ' ZIP l G"�TEL � FRONT RW ❑ APPLICANT C'Ct.'r� "6�:- TEL. REAR p � SIDE/SIDE STREET RW ❑ � CONTRACTOR E��"� �`?i'C'.-''" < �yJ i= SIDE ❑ ADDRESS � "���'` �''� °''� PROPOSED USE �"'��"'L � �[., � CITY f • /? ZIP��S TEL. '/" � , 0 ARCHlENG/ � �.�c!' � �����i z� DESIGNER NO.DWEL. NO. NO. � ADDRESS � ITS STORIES BEDROOMS CITY w ZIP TEL. -� ` cn � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION a OWNEFl•BUILDER DECLARATION SFR/AD�/REM � 0 1 HEREBY AFFIRM UNDER PENALTY Of PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- G8f&99JC8fP011 W CENSEUWWRTHEFOLLAWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCAOE:ANVCITYOR (n U CO(R�TYWHICHREWIRESAPERMITTOCONSTRUC7,AL7ERIMPROVE,�EAIOUSH,ORREPAIRANYSTRUC- W Patio/Deck W TURE.PRIOR TO ITS ISSUANCE.A150 REQUIRES 7HE APPLIC0.NT FOR SUCH PEFMfT TO FILE A SIGNE� W STATEMENT 7HAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS Lb � CENSE LAW(CHAP7ER B(COMMENCIN4 WITH SECTION 7000)OF DIVLSION 3 OF THE BUSMESSAN�PRO- u' PooUSpa FESSIDNSCODE)ORTHATHEORSHEISE%EMPTTHEREFROMMIDiHEBASISFOAYHEALLEGEDE%EMP- (� TION.ANYYqLATIONOFSECTION7031.5BYANVA7PLICANTFORAPEPMITSU&IECTSTHEAPPIICANTTO Z Re-Rool r A CIVIL PENALTY OF NOT MORETHAN FNE HUNDRED DOLLAqS(5500).): � ❑I,ASOWNEROFhiEPROPERTV.ORMYEMPIOYEESWITHWAGESASTHEIR50LECOMPENSAT�ON, Q COffIf110fC181 - WILL DO THE WOHI(,AND THE STRUCIURE IS NOT IMENOED OR OFFEPE�FOR SALE(SEC.7044,BUSI- J � NESS AND PqpFES91qNS CODE:THE CANTRACTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF = PROPER'TY WHO BUILDS OR IMPROVES 7HEREON,AND NMO DOES SUCH WOFlK HIMSELF Op HERSELF OR CC iNRdJOHN150iiHEROWNEMPIOYEES,PROVIDEDTHAYSUCHIMPROVEMEN7"SAqENOTINTENDEtlOR m � OFFEREDi�DR5ALEIF,HOWEVER7HE8ULDINGORIMPRDYEMENTI550lDWITHINONEYEAROFCOMPLE- z TION,THE OWNER-BUII.DER WILL NAVE THE BURDEN OF PROVING 7HAT HE Op SHE DID NOT BUILD OR � MtPROVEFOR7HEPURPOSEOF5AlE1. W ❑I,ASOWNEROF7HEPROPERTY,AMIXCLUSIVELYCAMRACTINGWITHUCENSEDGbN7RACTOi7S [� TO CONSTflUCT 7HE PRQIECT(SEC.7oM,BUSINE55 AND PqOFE5510N5 CODE:TNE CONTRACTORS LI- V81u9tiofl ADJ.AREA � CENSEUIWDOESNO7APPLYTOANOWNEROFIIPROFERTVWHOBUILDSORIMPpOVESTHEREON,AND NTIOCONTFUCTSFORSUCHPROJECTSWITHACONTRACTOR�S�LICENSEDFURSUAN7TOTHECONTRAG QUANTITY DESCRIPTION FEE � 1OR51JCENSE UW.). � ❑IAM EXEMPTl1NDER SEC. B.a PG FORTNIS qEASON Q � U LL � oarE awri� V �4 UCENSED CONTRACTORS DECLARATION W C� IHEREBYAFFIRMUNDERPENALNOFPERJURYTHATIAMLICENSEDUNDERPROVISIONSOFCHAPTER � - � i(CO{,AdENCINO WITH SECTION 7000)OF DIVISbN 30P iHE BUSINE55 AND PROFE551DNS CADE,AND Z ��� MY LICENSE IS IN FVLL FORCE ANO EFFECT. � � UCENSE CLASS LIC.NO. � !�— � r J V DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION d � I HEREBY AFFIRM UNOER PENALTY OF PERIURY IXVE OF THE FOUAWING DECIAPRT10N5: � � IH�VEANDWIll61AINTAINACERTIFICATEOFCANSENTTOSELP-INSUfiEF09WORKERS' _ � GOMPENSA710N.ASPROVIDEDBYSECTION37o00F7MELABbRCO�E,FORTHEPERFORMANCE �U _ OFTHE WORK FOR WHICHhIIS PEi1MR IS ISSUE0. �� � �, � ,. " ' '- � .. ., . � .:,. .. .,..,. W _IWNEANDWILLMAIMAINWORNERS'COMPENSATIONiNSURANCE,ASREOUIqEDBYSECT�ON � / Q97oaOFTHELAHOqCOOE,FORTHEPERWRMRNCEOFTHEWORKFORWHICHTHISPERMITIS � J[ „�� J ISSUED.MY W4RKER5'COMPENSATION INSUflANCE CARRIERAND POIICY NVMBER ARE: CONSTRUCTION % . j cnaaiea PLAN REVIEW �y � pouCYr�uMBER__ EIECTRIC � - !f„f'` w (M1ilssEcnoNN6EDNorBEO]N6tETIDocniEaEaRurlSPoaaNEHunDREoodl.nRSBial��ss). PLUMBING � ICERTIFVTHATINhiEPERFOPMANCEOFTHEVJORKFORWHICHTHISPERMITISISSl1ED,l MECHANICAL �,,,'� •�(.+C> (.� SHALLNOTEMP40YANYPERSONINANVMANNERSOASTOBECOMESUBJECTTOTHE � WORKERS'COMPENSATKKJLAWSOFCAIIFORNI0.ANDAGREETHATIFISHOUI.�BECOME INSPECTIONFEE SVBJECTTO THE WORKER5 COMFENSATION PqOVISIONS Of SECTION 9700 OF THE LABOR iery/� OCOOE.ISHALLfORTNWITHCOMPlYW17HTHOSEPROVISIONS. ISSUANCE .� tyPyAl1 (/�J p DATE: APPLICANT. SMIP J WARNIN(i:FAILURE TO SECURE WORKERS'CAMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P!C �'`T� � �j��p���� / �y SUBJECTANEMPLOYERTOGR�MINALPENALTIESANDCNILFINESUPTOONEHl1NDREDTHOUSAN� ENERGYPERMIT �}7p °T{/ } OOIURS(5100,000),IN AODI710N TO THE COST OF COMPENSATION,DAMAGE's AS PROVIDED FOii IN 1B r,y�-�T����y-�.�-Z, J� SECTION 37aB OFTHE LABOR CODE,INTEREST,pN�ATTOHNE'f5 FEES. RETENTION FEE: 0. CONSTRUCTION LENDING AGENCY pRE-AL7 FEE: O � �HEREBYAFFIRM UN�ER PENALTY OF PERJURY THAT THERE IS ACONSTHUCTIIXJ LENDING AGENGY FOP THE PERFORMANCE DF THE WORN FOR WHICH THIS PEFMIT IS ISSUED�SEC.3D9'�,CIV.CJ. Z W � LENDER'S NAME _ F— LENDER'SADOqESS � ICEFTIFYTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCORRECi. TOTAL FEES � IAGPEETOCANVLVWITNALLCfTYANDCOUNTYOR�INANCESANOSTATEIAWSRELATINGTOBUILD�NG � CONSTfR1CTION,ANDHEREBVAUTHORIZEREPRESEN7ATIVESOFTHISCOUNTYTOENTERUPONTNE �---- ABOVE-MENTIONE�PROPERTY FOR INSPECTION PURPOSES. Z �y ����, QMMENTS_ - "�� ' � �7C,j' (.-��ZCP'✓, � r^ �>•� ��ir -l. a QPEflMITTEENAME�PRl1.T) �� ,.` �� r /R�y"� 7 � U (n � SIONATUREOFPERMITTEE �A7E � pECPT.NO. PAID BY VALIDATION WHITE—Depanment Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDEN D—File Copy.GREEN—Applican s Copy , ., . . . . ,, ., . . ,,. ,.,, , .., .. ,. � � ����. .,. � � ���� � l T°� � �. . ��� � � g � � � � , II � � � . � � � � ��. � �. ._ .. . � � _:� . . . _ �� , r��• P � _. _ �_' ��� ����� ; ,_ ' � ; ��c��.����� _ . . ._._ _ _.__.�.�_��____ ____, ___ --.___�_. � _�_ _ _� _ ,____�_-- ��;;,�_.����;�����;_ ; � : �►��:��:���t�r� � , ___._ � ..�� ,__ ._. __.�.�. _ _�___ __� __. � �� ��'��� ���?�r�� � � : �r���� ���r��c���;�r ; _ _ �.�.� � _ _ ,_ _�� _._ ________�_ . _. ._ �`.�'�t.;l °��1 F'a�',.9'�'t� ��«�:, ; s + Uf�4L��"` F �+�?R��E����l!�" _ � _ _ __�_w___,_._� _�__�—---- __: _____ .� � { � __�__.. ____._. _ __� �t, -�����,��' � FIRE�'t.�����'11���i�l�4� .!_.�._ l �� . _ .T� _.� ..____ .. ________ ___. � �"i:�'�r� �� r� .__.__�._i � i :1R��'L�����CV�I��A�� E ��o��...�...,.�__.. _ _�..� �_. _ �g'�� ��a��s=�'� � � , �,�I€�3-�°�. �C)�tv'��A,� _ _�_- _ � _._�... _.. ?_ �___.____ __. __�__,_____.___._ _ � �._ �t`.�s�r ���=��"r��t:� ' �.���.,_ �____.�_. � 8��, ���'t3���!+�� ! � .�.w. _; _ � __.__ ___ — tt g^7''g .�N,�qe^e j�` �-. j _..._ i p;[}5 �}�q(�.y�j qqp�� _. t 32,'�:��axM'3'.,�fg`$A.,➢�#�8�'w!$"���a"'tt�&�. . . i � i"YlYK�L5�4NL3 1.3�t7ek'E ! 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