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� �� 1�_ CITY OF DIAMOND BAR� DEPARTMENT OF COMMUNITY D V� M VICES � 21660 E.Copley Drive Suite 190 ,� (909)860-3195 Fax(909)861-3117 PRESS •, ��'� BUQ.DINGPEItMITAPPLICATION ___ FIRMI.Y ,. _ ,... ., DD ESS��L� •.�n��G1Y�( �' �p((�(� APPUCATION �' � f PERMIT 7 �"I P/C � �t DATE NUMBE��-�� # OCC � APN LOT TRACT DATE ONST. GROUP � OWNEF O o ADDRESS �'2/,,� �'nCI:C�r� C`r ZONING SETBACKS Ex���j�D �w CITY�;��,�,y�r.rzc� ��;�Y ZIP�r 76 5 TEL. , FRONT �7 RW ❑ APPLICANT ,�Z�y���gn TEL6�•-���-a:i�� REAR p zd SIDEISIQE STREE��,7���� RW ❑ � CONTRACTOR SIDE � ADDRESS � � CITY ZIP TEL. PROPOSED USE � ARCH/ENG! z DESIGNER w NO.DWEL. NO. NO. a ADDRESS u� UNITS STORIES BEDROOMS � CITY ZIP TEL. N �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BU�LDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDEFl PENATY OF PERIURY THA71 AM E%EMM FROM THE CONfRACTORS Lb G8�8Q8/C3fpOR W CENSEUWFORTHEFOLLOWINGREASON(SEC.7o37.5BUSINESSANDPROFESSIONSCODE:ANVCENOA (n C� COUNNWHICHREOUIRESAPERMtTTOCONSTRUC7,ALTEP,IMPROVE,�EMOLISH,ORREPAIRANYSTRiJG W PyfiO/DBCk W TURE,PRIOR TO ITS iSSUANCE,ALSO REOUIRES THE APPLICANf FOR 3UCH PERMIT TO PILE A SIGNED W � STATEMENT 7HAT HE OF1 SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE UW(CHAP7ER e(COMMENCINO WITH SECTION 7000)OF DIVISIDN 3 OF 7ME BUSINESS ANO PR0. POOVSPa FESSIONSCODE�ORTHATHEORSHEISEXEMPT7HEREFROMANDTHEBASISFORTHEAIIEQEDEXEMP- (� 7KKJ.ANYVIOLATIONOFSECTION7037.5BYANVAPPLICANTFOFAPERMITSU&lECTSTHEAPPUCANTTO Z Re-R00( � ACML PENMTY OF NOT MORE7HAN FNE HUNDRED DOIURS(f500).}: � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVF_ESWITHWAGESASTHEIRSOLECAMPENSATION, 0 COffIR1BfC18I - WILL DO THE WORN,M10 THE SiqUCTURE IS NOT INTENOED OR OFFERED FOR SALE(SEC.70�4,BUSI- J � NESS AND PROFESSIONS CODE:TME CONTRACTORS UCENSE LAW DOES NOTAPPLV TO AN OWNEfl OF = PROPERiY WFIO BUII.A6 OP IMVROVES THEREON,ANO WHO OOES SUCH WORK HIMSELF Oq HERSELF OR � THFiWOFi HIS OR HER OWN EMPIOYEES,PROVIDE�THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEflEDFOR5ALEIF,HOWEVER7MEBUILDINGORIMPpOVEMENTISSOIDWITMINONEVEAROFCAMPLE� Z TpN,TME OWNER-BUILOER WILL HAYE 7HE BUFi�EN OF PROYING THA7 HE OR SHE DID NOT BUILO OR = IMPROVE FOR THE PURP0.5E OF SALE). - w ❑I,ASOWNEROFTHEPROPEHTY.AMEXCLUSIVELYCONTRACTINGWITHLICENSEDCANTRAC70RS Q TO CONSTflUCT THE PHOJECT(SEC.70/4,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� VBIUd�lOf1 ♦ ADJ.AREA W CENSE LAW DOES NOTAPPLV TOAN OVMER OFA PROVIERTY WFp BUIIAS OR IMPROVES THEREON,AND � WFIOCONTMCTSFORSUCHPROJECi'SWITHACONTRACTOR(S)UCENSEDPURSUANTTOTHECONTRAF qUAIVTITY DESCRIPTION Y roasuc�sEuw.�. FEE � ❑I AM E%EMPi UNDER S�C. B.8 P.C.FOR THIS REASON � 3 � � DATE OWNER � O U � LICENSED CONTRACTORS DECLARATION W � I HEREBYAFFIPM UNDER PENALN OF PERJURV THAT I AM LICENSED UNDER PROV!SIONS OF CHAFTER � � B(f.'OMMENCINf3 WITH SECTION 7o00J OF DNISION 3 OF THE BUSINE55 AN�PROFESSIONS CO�E,AND Z ��� MY LICENSE IS IN FULL FOFiCE AND EFFECT, m � LICENSE CUSS LIC.NO. � V DATE CONTRAGTOR d W � WORKERS'COMPENSATION DECLARATION a � I HEREBYAFPIRM UNDER PENALTV OF PERIURY ONEOFTHE FOLLOWING DECLARATIONS: Z 0 _I HAVE AND 1MLL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' _ Q COMPENSAT�ON,ASPROVIDEDBYSECTION37aoOFTHEUBORCODE,FOflTHEPERFORMANCE U Q OF 7HE WORN FOR WHICH THIS PERMIT IS ISSUED. � J _I HAVE M�WILL MA�NTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION �-75� ' — Q 37ao OF THE LABOR CODE,FOR 7HE PERFORMANCE OF THE WORK FOfl WHICH THIS PERMITIS ��� � ISSUED.MY WOFiKERS'COMPENSATION INSURANCE CARRIER ANO POLICY Nl1M8EF AFE: CONSTRIICTION I L j cnRRiEA __ PLAN REVIEW zPOLICVNUMBER ELECTHIC Q � �r�-ussEcnoraNE�rareE�t.atErIDOFn��a.vr�swaor�EHunoqEooaLws�s�ao}oR�[ss�. PLUMBING Z 1 CERTIFYTHAT IN THE PERFORMANCE OF THE WDRK FOR WHICH THIS PERMIT IS ISSUED,I MECHAMCAL C`3 SHALL NOT EMPLOY ANY PERSON IN ANV MANNER 50 AS TO BECOME SUBJECT TO THE (n WORNERS'COMPENSATIONLAWSOFCALIFORNIA,ANOAGREETHATIFISHOULDBECOME INSPECTIONFEE SUBJECT i0 THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3�00 0F THE LABOF � � COOE,I SHALL FORTHWI7HCOMPLV WITH THOSE PROVISIONS. ISSUANCE '/i 0 p DATE: APPLICANT. SMIP � � WARNING FALURE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNLAWFUL,AND SHAL BE ENERGY P/C � � SUflIECTANEMPLOVERTOCRIMINALPENALTIESANDCIVIIFMESUPTOONEHl1NDPEDTHOUSAN� ENERGYPERMIT DOLLARS(f10�.OW),IN AUDITION TOTHE COSTOF COMPENSATION,OAMAGES AS PROVIDED FOR IN � SECTION 3�ae OFTHE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-AlT FEE: � I HEREBV AFFIRAI UNDER PENALN OF PERJURV THAT THERE IS A CONSTRUCTION IENDING AGENCV FOP THE PERFOiM/ANCE OF THE WOPK FOR WHICH THIS PERIAIT IS ISSUED(SEC 3087,CIV.C.j. Z W � LENDER'SNAME �- F- LENDER'SADDRE55 � TOTAL FEES E � ICERTIFVTHATIHAVEREAOTHISAPPLICATIONAN�STATETHATTHEABOVEMFORAIATiONISCARRECT. � IAGREEFOCOMPLVWITHALLCITVlWDCAUNTVORDINANCESANOSTATE:AWSRELATINGTOBUILDING " � CONSTRUCTION,ANOHEREBVAUTHORIZEREPRESENTATIVESOFTHISCOUNTYTOENTERUPONTHE - ABOVE-MENTIONED PROPERN FOfl INSPECTION PVRPOSES. COMMENTS � � � m PEFMITTEENnME(PRINT) ' - - - Q C/) !' � S16NATUR dJF PER EE DATE • �. . � • �� � RECPT.NO. �' � PAID BY .- C. VALADATION � � WHITE—Depart ent Copy,VELLOW—Finence Copy,PINK—Assessor Copy,GOLDENF00.—File Copy,GREEN—ApplicanYs Copy . '�.�'I'. , �J"'� . . � _-,.'„':r �.J.. ,..� ,.. .. .. ., , ._� ..C'.M �'r...:..;.. . ..i,.a"'e C �w..:Y,r.yk!e �.:ti..•� `w,,'::?"CG t i '� 5 'k+ r,4�varr . .. . .., . F r ... a'E.I r:.' . 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