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G r � ����� CITY OF DIAMOND BAR �'��� y -�--`��-- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � l �/ 21660 E.Copley Drive Suitc 190 G�'2� , w (909)860-3145Fax(909)861-3117 PRESS ""%9«°'��' BUIL�TNG P�RMTT APPI:ICATION FIRMLY o DDR'ESS�O� �� ���`�' OATEiCATION �" 1 �j��NUMB R �� A �" p/C c� — ISSUE �_� � TYPE OCC .- APN LOT TR T DATE CONST. GROUP p OWNER D� �Ic. �1 ISY__]_�'�-S�---� ADDFiESS J(;'I 1 S ���;�1!��� kJr'a Ir�__ ZONING SETBACKS o CITY I�tQfYYAfl �" ZI�� P`.i.tj�_J.� TE ��1 _(�L� FRONT RW ❑ �j APPLICANT _.�2'1„[�yy�!'�C [C"1� TEL ���2-��I S DE/SIDE STREET RW ❑ � CONTRACTOR UYI SIDE O � ADDRESS �' r PROPOSE�USE � CIIY Llfi.Y ' ei'lCl ZIP��_ . TEL b �"� � w ARCH/ENG! �z DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS_ STORIES BEDROOMS � CITY 21P TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-9UILDER DECLAFIATION SFFi/ADD/REM O � I HEflEBY AFFIRM UN�ER PENALTV OF PERJURV THAT 1 AM EXEMPT FROM THE CONTMCTORS U- � GaragelCarport W CENSE UW FORTHE FOLIOWMG REASON(SEC.70.37.6 BUSINESSANO PROFESSIONS CODE:ANYCINOR U WUNTYWHICNREQUIRESAPEFlMITTOCONSTPUCT,ALTER,IMPROVE,DEMOLISM,OqfiEPA1RANY5TRUG W Patio/Deck W NRE,PRIOR TO ITS ISSURNCE,PLSO REQUIRES THE APPLICANT fOF SUCH PERMiT TO FILE A SIGNED W .� STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOpS U- � CENSE LAW(CHAPTEfl 9(COMMENCING WITH SECTION 70Po)OF DIVISION 8 OF THE BUSINESS AND PRO- � PooUSpB _ FESSIONSCODE�ORTHATHEORSHEISEXEMPTTHEFiEFROMANDTHEBASISFORTHEqILEGEDExEMP- (� TION.ANYVIDLATIONOFSECTION7o31.50VANYAPPLICANTFORAPEfiMIT5U8JEC'STHEAPPUCANTTO z Re-Roo1 � A CML PENALTV OF NOT MORE THAN FNE HIRJ�RE��OLLARS(fsoo).�� � ❑I,ASOWNEROFTNEPROPERTY.ORMYEMPLOYEESWITHWAGESASTHF.IRSOLECOMPENSAT�ON, � COmIflBfCIdI - MALL 00 THE WORK,AND THE STRUCTUPE IS NOT INTEPDED OR OFFERED FOR SALE(S£C.7044,Bl/Sl� _! NES£AND PRqFE33iONS CODE:THE CONTRACTOflS LICENSE LAW OOGS NOT APPLY TO AN OWNER OF � PROPERTYWHOBUI4DSORIMPROYE5TNEREON,ANDWFIODOESSUCHWORKHIMSELFOflHER9ELFOR � � THRWGHHISORHEROWNEMPLOYEES,PROVIDEDTHA75UCMIMPROVEMEMSARENOTINTENDEDOR m GOFFEREDf-0RSALEIF,HOWEVER,THEBUILDINGORIMPROVEMENTtS50LDWITHINONEYEAftOFCOMPLE- � TION,THE OWNER-BUILDER WILL HAYE THE BURDEN GF PROVWG THAT HE OH SHE OI�NOT BUILO OR � IMPiIOYE FORTHE PURPOSE OF SALE). ❑I,ASO`MNEROFTHE PROPEATV,AM EXCLUSIVELYCONTRACTING WfTH LICE�dSED CONTRACTORS Q TO CONSTRl1CTTHE PRQIECT�SEC.7o44,BUSINESS PN�PROFESSIDNS CA�E:THF_CONTRACTORS LI� VaIU8Si011 ADJ.ARE,4 W CENSELAWDOESNOTAPPLYTOAN9WNEROFA7ROPERNWHOBUILDSORIMCPOVESTHEpEON,ANC1 F NRIOCONTRACTSFORSUCHPROJECTSINITHACONTRACTAR(S)LICE45EDPVRSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS L�CENSE IAW.). � J Q �I AM E%EMPT UNfIER SEC. B.8 P.C.FOFi THis REASON � 'S —..� � LL" OATE OWNER _ � Z W � ^LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIRM UNDER PENALTY'OF PERIUAY THAT I AM I.ICENSED UNOER PROVISIONS OF CHAPTER � / j�� I� I1 � p, B(COMMENCINQ WITH SECTION 7000)OF DIVISION�OFTHE BUSINESS ANO PROfES510NS CODE,AND Z ( {�i i 2,V J•C MY IICENSE IS IN FULL FORCE AND EFFECT. m 0 LICENSE CLASS����� LIC.NO. ���J�/��� T j V DATE __ CON'RArTOR ._. _�D'�W�I��,:[l3 a. W � WOFiKERS'COMPENSATIDN DECLARqTION , � — . . � ,�;,, . , � IHEREBYAFFIRMUN�ER�PENALTYOFPERJURYONEOFTHEFOIL.OWINGOECLARATIONS: � � G!� ;:. Z � IHAVEANDWILLMAINTAINACERT�FICATEOFCONSENT70SELF-WSUHEFORWORKERS' _ � � . . . . _.,,,;F'.._. . . � COMPENSATION,ASFROVIDEDBYSECTION370oOFTHF.IPBORCO�E,FORTHEPERFORMANCE W OF THE WORK FOH WHICH THIS PF.HMIT IS ISSUED. � 0 W I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS PEOUIRED 9Y SECTION 0 370o OF THE IABOR CODE,F-0R THE PERFORMANCE OF'HE WOFK WR WHICH THIS PEFMIT IS iSSUED.MV WORKERS,'�,(,X/7IAPFNSATbN INSURANCE ARRIEP AND POLICV NUMBER ARE: CONSTRUCTION � CARRIER_��.{.{.-�{� '.1..4�.'� n_–q—� _-- PLAN REVIEW ZPOLICV NUMBER__�y����.�4».,L�l___– —__-–—_ ELECTRIC Q 0 (TFl6SE(."il(XJNE�NOTBECGdPLE�FDOFi11EPFRMtTISFORONEHUK1RE000LLAf{5�$i(x1)ORLESS} PLUMBING Z I CERiIFY THAT IN THE PE47FOFMANCE OF THE WORK FOR WNICH TIi15 PERMIT IS ISSUED,I MECHANICAL f�} SHALL NOT EMPLOY ANY PERSON IN ANV MhNNER SO AS TO BECObiE SUBJECT TO THE � WORKERS'COMFENSATIONlAW50FCALIFGRNIA,ANOAGREFTNATIFISHOl1LO8ECOME INSPECTiONFEE S SU&IECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION3�noOFTHELABOR _ CODE,1 SHALL FORTHlNITHCOMPLY WITH THOSE PR�OVISIONS. ` �SSUANCE Q �0�� 11 i l��.3�5�14��_a��'�� SMIP p OATE: APP4fCANT: e.� w ENERGY P/C •1 1 P� � � J WARNINGFAILUFETOSECUREWORKEPS'COMPENSATI�NCOVERAGEISUNLAWFUL,ANDSHALLBE � SU&IECTAN EMPIOYER TO CRIMINAL PENALTIES AND CIVI�FINES UP TOONE HUNDREO THOUSAND ENERGY PERMIT s�A�YI��� DOlLARS(51o0.00a1.IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOq IN .�) � SECTION37080FTHELABOFCODE,INTEfiEST,AN�ATTORNEI"SFEES. RETENTIONFEE: �,��QF��+i�Ai�A� '� * OCONSTRUCTION LENDING AGENCY pRE-ALT FEE� �j1SY T1�NNi.i!'�–�r� � IHEREBVAFFIRMUNOERPENAITVOFPERIUNYTHATTHEREISACON$TRUCTIONLENDINC.AGENCV FOR THE PER W RMANCE oF THE WOIiK FOR WHICH THIS GERMIT IS ISSUED�SEC.]09],CIV C.�. Z W � LENfJER'S NAME .^ F_ LEN�ER'S ADDRE55 ___ /},. : � ICERTIFYTHA7IHAVEREAUTHISAPpLICATIONANDSTATETHATTHEABOVEINFORMATIONISCARRECT. TOTAL FEES , '�� - C �} W I AGREE TO COMPLV WITH ALL qTY AND COUNN ORDINANCES AND STATE LAWS RELATING TO RUIL0ING � CONSTFUCTION,AND HEFEBV AUTHOR2E ilEPRESENTATIVES OF THIS CWN1V TO ENTER UPON THc ZABOVE-MEN110NE0 PROPERTV FOR INSPECTION PURPOSES. COMMENTS _ � p ' J � � m w.. .__ . _ ... __ , . . �_ a PERMiTTEE�AME RIIJT) '� '� � �__--°'���--,����= - � NA EOF E E � . = RECPT.NO. _PAID BY � VALIDATION ~ WHI'fE--Gepartment Copy,YELLOW--Finence Copy,PINK—Assassor Copy,GO�DENHOP—File Copy,GREEN—ApplicanYs Copy .'i.,� .,,..�.�.:'... .'��:�hP ki.i:...,".�-.� .,.,_�c� ...':.:��.:� �x C �:�.,�y 5. ..�.wi�'r� j+'. t:fA fb. i.�;ik J- .':iFe'.: � �.r�A. R.�w�,,..., W�:♦, . J h,';��.f.,i .n.,``rl'W� . ., "'S - '.4:':.�'�. �� � � � 8 � . � . ::< . : ..::!:' .. � $ 3'��� �. � 4" '" � �..� - b . ..... � � g ,,:. ¢ . .,� S ." w: . :: �,.* ... a;�" a .............. �. ...' � � �m,�tt..a. ..�x���„..� ,:. ,. , m � ., , < . .... ... 4 ....,.�.._. ., � ... ��T��"��,� i � � FLC�C7f� a���`f� , _ ___-- -- --....___. �3 y�+ �-- —_ c��y n (ry i�."t^e a�P __ .. ���. � �� . _�� r_�._..__..._ __.—.._� �_-,..—��_ . .._..-- __ . s s�J �L. �"x�d,�:a�5::_�� ' ' � 1 9 !dYt S�'iL.t�P�YI i e� —.. �.!...v p��q ..��,.. _._ .. .�.--. $� ry{�'+�y.....g. .^.. 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