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CITY OF DIAMOND BAR �n " `-�--��- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ?� ��0 : w 21660 E.Copley Drive Suite 190 ���„m:� (909)860.3195 Fax(909)861-3117 PRESS .��..,..f, BUILDING PERMIT APPLICATION ---_ , :�. FIRMLY °"' _. , ..:,_- a ADDRIESS 2� �G'w�. ��{ Ol%.�., DAPEICATION 6/�I�� PERMIY' �s� q 1 � NUMBER p/C ��L� I $ ISSUE��._-.�,;:�,� TYPE " OCC APN �OT TRACT pATE CONS7. GROUP p OWNER p ADDRESS ` ZONING SETBACKS � CITY � ZIP TEL. REART Rw ❑ PL TEL.� — � SIDElSIDESTREET RW ❑ � CONTRACTOR :S _�'G .anl SIDE p ADDRES Z C_ � CITY ZIP ` fiE - PROPOSED USE '�% � DES GNER/ . �`J � L� � f� p � � - , NO.DWEL. �—NO." N0. ADDRESS UNITS STORIES BEDROOMS � CITY ��Q.�pM�,� �{"('�_ ZIP TEL� - *a . . .. cn DESCRIPTION S`Q.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFRIADDlNEM � - O Q 1 HEREBY AFFKIM UNDER PENAL7Y OF PERJURY TNAT I AM EXEMPT FROM THE CANTpACTORS LI- G8fdg0/G2IpOfl W CENSELAWFOHTHEFOLLOWINOREASON(SEC.7031.58USINESSANDPROFESSIONSCOtlE:ANYCITYOR (f� � CIX1NiVWHICHREOUIRESAPERMITTOCONS7RUCT,ALTER,RAPqOVE,�EMOLISH,ORFEPAIRANVSTRUC- w pyti0lDBdC NRE,PRIOR TO ITS ISSUANCE.Q50 RCqUIRES THE APPLICANT FOR SUdi PERMI7 TO FlLE A SIGNEO SUTEAIENT THAT HE Oii SHE IS LICENSEO PU0.SIlANT TO 7}IE PROVISIONS OF THE CONTRACTOFiS L4 � CENSE LAW�CHAVTER 9(COMMENCINO WITH SECTION 7000)OF DIYI510N 30F THE 8U51NES5 ANO PR0- V" PooVSpa FESSqNS CW t�Ofl THAT HE OR SNE IS E%EMPT TMEflEFROM AN�TME BASIS FDR THE ALLEDED EXEMP• 710N.ANV VIOLATION OFSECTION 7031.6 BV ANVAPPUCANT FOR A PERMIT 5U&IECTS THE APPLICANTTO Z RB-R001 � A pVIL PENAL7Y OF NOT MORE 7HAN FIVE HUNOFiED DOLL4flS(55aDj.j: � ❑4�^+��MPIEROFTHEGROPERN,ORMVEMFIOVEESWITHWAGESASTHEIRSOLECOMPENSA?ION, O CommefCi01 - WILL DO hiE WOFIK,M1D THE STRUCTURE IS NOT INTENDED OFl OFFERED FOR SALE(SEC.7o4a,BU51- J NFSS ANO PFlOFESSIONS CODE:THE CONTRACTORS LICENSE LAW OOES NOT APPIV TO AN OWNEIi OF � PROPER'fYWFIOBUNDSORIMPROVEShIENEON,MIOWHODOESSUCHWORI(HIMSELFORHEpSELFOR � � THRqJf3HHI30RHEROWNEMPIOYEES.PflOVIOEDTHATSUpiIMPPOVEMEMSARENOTINTENDEO�R m QOFFERE�FORSALEIF,FIOWEVERTMEBUILOINGORMPROVEMENTISSOLDWITHINONEVEAROFCAMPLE- � z �TION,TME OWNERbU1L0ER WILL HAVE THE BUflDEN OF PqOVMG THAT HE OR SHE DID NOT BLIIL�OR � IMPROVEWRTHEPURPOSEOFSAIE�. ❑I.AS OVMER OF 7HE PROPERTY,AM E%CIUSIVELY CON7MC71N4 WITH LICENSED CONTRqCTORS Q TO CONS7HlICT7HE PRQIEC7(SEC.7041,BUSME55 AND PROFESSIONS CDDE:7HE CONTRACTORS LI- VelUafion a ADJ.AREA � CENSEUWDOESNOTAPPLVTOANOYMEHOFAPROPERTVWHOBUILDSORIMPpOVESTHEREON,AND WNOGONTRAC7SFOR5UCHPROJEC75WITHACONTPACTOR(S)UCENSEDPUPSUANTTOhIECONTRAF pUANTITY DESCRIPTION FEE � TdiS LICENSE IAW.). O ❑I AM IXEMPT UNDER SEC. 8.a P.G FOR 7HIS REaSON Q . r y� U ¢ z OA7E OWNER_ . F ya ' � W � LICENSED CONTRACTORS DECIARATION J � w 1 HEREBYAFFIRM UN�ER PENAITY OF PERIURY THAT I Mi LICENSE�UNDEfl PflOVI810NS OFCHAP7ER � Q B(COIAM£NCINO WITH SECTION 7o0oJ Of DIVISION 3 OF THE BUSINESSAND PHOFES510NS CODE,ANO Z 7C MY LICENSE IS M NtL FORCE AND EFFECT. . Ll.i /J � � � LICENSE CLASS� LIC.NO.�[� - ( � V DATE e CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION !��� Q � IHEREBVAFFIRMUNDERPENALTVOFPERJURVONEOFTHEFOLLOWINGDECLARATIONS: V � C� Q O _IMRYEAN�WIL4MAINTAINACERTIFICATEOFWNSENTTOSEIF-MSUREFORWORKERS' _ . COMPENSATION,AS PROVIDED BV SECTION 37000F TNE IABOR CODE,FORTHE PERFbRMANCE U Q OF THE WOflK FOR WHICH TMIS PERMtr IS ISSUED. � � w _I HAVE AND WIIL MAIMAIN WORKERS'CDMPENSATION INSURANCE.AS FEDUIRED BY SECTION � p 37000FTHELABORCODE,FOFj7HEPERWRMMICEOFTHEWORKFOHWHICHTHISPERMITIS �2 Z y � � ISSUED.Mv WORKERjS'COMqENSATION INSURANCE CARqIEftAND POIICY NUMBER ARE CONSTRUCTION � � CARRIER f`�T�� � �--'ti`� - PLAN REVIEW ��� �-�r � POUCYNUMBER_��.S�C�., � � '� ELECTRIC Cr�� � � � (1}IISSEc�aNNE�ha7BEooMPLEiIDOFnIEPEFMfrISPDRCN F0.1bREDDaiNis(S�oo)oatEss} PLUMBING "[�� � ICERTIFYTHA71N7HEPERFONMANCEOF7HEWOHKFORWHICHTMISPERMITISISSUED,1 MECHANICAL (,'j SHALL NOT EMPLOY ANY PERSON IN PNV MANNER SO AS TO BECAME SUBJECT TO THE Uj 4YORKEfiS'COMPENSATION LAWS OF CALIFOflNIA,AND A EE THA71F I SHOULD BECOME INSPECTION FEE 5 SU&IECT70THEWOHKER5COMPENSATIONP ylSl OFSECTIO 79aOFTHELABOR r CODE,ISHALLFORTHWITNCOMPLYWIh1T P SIONS. ISSUANCE ��� � � SMIP /l.�z/n(� '"'"" p DATE:_� � � APPLICANT: _.... .._ ..= "JJ W0.RNING FAILURE TO SECUflE WORKERS'GQMPENSATION COVERAGE IS UNLqWFUL,AND SW1LL 8E ENERGY P/C � a,_ f �y SUBJECTANEMPIOVEFTOCRIMINAL7ENALTIESANDCIVILFINESUPTOONEHUNOREDTHOUSAND ENERGYPERMIT DOLLARS(51 a0,000).IN ADOITION TO THE COST OF COMPENSATION,DAMAGES AS PPOVIDE�FOR IN (��� J SECTION 37oB OF THE LABOR COOE,INTEREST.AND ATfORNEYS FEES. 13ETENTION FEE: �++�• Q a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �A Q�IOI�IHTQ L';n �. " O /� � I HEREBV AFFlRM UNDEA PENALTV OF PERJURY THAT TNERE IS ACONSTRUCTION LENDING AGENCY nn e� I� C� *�n 1 FOR THE PERFOflMANGE OF THE WORK FOR WHICH THIS�ERMIT IS ISSUED(SEC.3097,CIV.CJ. U'���TTT� - Z W � IENDER'S NAME F— LENDER'SADDRESS , � ICERTIFYTHATIHAYEREA�THISAPPUCATpNANDSTATETHATTHEABOVEINFORMATIONISCARRECT. TClTAL FEES f�'� � R 0. I AGREE TO CAMPLV W1TH ALL CITV AND COUNTV ORDINWJCESAND STATE UWS REIATING TO BUILDING '� . � CONSTflUCTIDN,ANDHEREBVAUTHOFREREPRESENI'ATIVESOFTHISCOUNTYTOENTERUPONTHE � z A90VE-MENTIONEDPROPERT'FOHINSPECTKKJPURPOSES. COMMENTS � � � � PERMITTEEN P ' Q N N SIONA E �ATE ' � - RECPT.NO. PAID BY � VALIDATION WHITE—DepBrtment Copy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy,oREEN—Applicaat's Copy .. ..o,.,�.,.. 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