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..... ..... . .Yt�,_.,. ';.�.:� ' N "r'.`' , r ' ' __. .. . .. . . . . I'. ... , . . ...' .... . = mv�;. ... ,.... .__...«.w,./.',•-.. . . .... ��♦ �Y 111�w - CITY OF DIAMOND BAR �K COMMUNITY DEVELOPMENT DEPARTMEf�T'P T y 21660 E.Copley l�rive Suite 190 Q�,1 1 O ZOOQ pRESS � (909)860-3195 Fax(909)861-3117 'y°'"� BUILDINGPERA4ITAPPLICATION FIRMLY o DDRIESS���/,9��Y�1Y1/ �V tG, . DAPEICATIQN �J� ,�/� NUMB R ,� �/C er� � ISSUE TYPE OCC APN LOT TFiACT DATE CONST. GROUP p OWNER �' `�` ADDR S � ZONING SETBACKS � CITY " � ��- ZIP � TEL. � � � FRONT RW ❑ oAPPLICANT TEL.�-T�� S pE/SIDE STREET RW ❑ Z ¢ CONTRACTOR ` ' SIDE ❑ � ADDRESS ROPOSED USE � � CITY ZIP TEL. �w ARCH/ENG/ � �z DESIGNER NO.�WEL. NO. NO. n. ADDRESS UNITS STORIES BEDflOOMS � CITY ZIP TEL. � � DESCRIPTIqN SQ.FT. FACTOR PSF ADJ.AREANALUATION pC OWNER-BI:ILDER DECLARATION SFR/ADD/REM O i HEREBY AFFIRM UNDER PENALN OF?ERJL�flY THAT I AM EXEMPT FftOM THE CONTRAQTORS LI- G2I3QB/CBfPOfY W CENSELAWFOqhIEFOLLOWINGREA50N(SEG7037.SBUSINESSANOPROFESSIONSCADE:ANVCITVOfl (n U COUNTYWHICHREQUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,OEMOLISH,ORREPAIRAfJYSYRUC- W Pat10/DBCk Z 7URE,PRIOR TO ITg ISSUANCE;ALSO REQUIRES THc APPLICANT FOR SUCH PERAAIT TO FILE A SIGNED w STATEMEN7 THAY HE OR SHE IS LICENSED PURSUANT TO THE PFOVISIONS OFTHE CONTRAGTORS CI- w � CENSE LAW(CHAPTER 9(COMMENCING WIiH SECTION]000)OF�IVISION 3 OF THE 9USINESS�ANO bRO� �'�' Pool/Spa � FESSIONS CODE)OR THAT HE OR SHE IS E%EMPT THEREFROM AND TNE BASIS FOR THE ALLE6E�El(EMP- � TION.ANYVIO:ATIONOFSECTION7o31.5DYANYAPPLICANTFOFAPERMITSUOJECTSTHEAPPLICAIJi1'O Z Re-Roaf � � ACNILPENALTYOFNOTMORETHANFIVEHUNDREDDOLIAqS(ESooj,): ' " '��� " " ziJi,ASOWNEROFTHEPROPER7Y,ORMYEMPLOV=ESWITHWAGESASTHEIRSOLECOMPENSA'fl(JN, C� Commercial WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OPFERED^OR SALE(SEC.90e4,BU51- J � NE55 AND PROFESSIONS CODE:THE CONTRACTORS LICENSE lAW DOES NOTAPPLY TO AN�OWNER OF = PROPERTV WFiO BU':LOS OR IMPROVF.S THEREON,AND WHO D,OE$Sl1CH WORK HINSELF Oq HERSEI:F OR � THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPiiOVEMENTS ARE NOT INTE�JDEO OiY � QOFFEREDFORSALE.IF,HOWEVER,TH[6UIL�INGORIMPFOVEMEMISSOLDWITHINONEYEAR�OX�COMPLE Z TION,THE OWNER-BUIL�ER WIIL HAVE 17iE BVFDEN OF PROVING THAT HE OR SHE DID NOY BUIL�.OR � IMPHOVEFORTHEPUflPO5EOF5ALE). i ' ' ❑I,AS OWN ER OF 7HE PROPERiY,AM EXC�USNELY CONTRACTING VJTH UCENSED CANTRACTORS /��A � TO CONSTRUCT THE PROJECT(SEC.7044,BUSINESS AND PROFESSIONS CODE:THE CONiRACTORS LI- ValUatiDn _�L+'Ld ADJ.AREA W CENSELAW�OESNOiAPPLYTOANOWNEROFAPROPERTVWHOBl11LDSORIMPROVESTHEREON;AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION - FEE Y TORS LICENSE LAWJ. ' � C I AM E%EMP'UNOEfl SEC. B.8 P.C.F THIS REASON Q � U � - � DATE OWNER � z , c. W . .. ... . . � LICENSED CONTRAC ORS DECLARATION , � ' � W ¢ � I HEREBYAFFIRM UNOER PENALTY OF PE�JURYTHAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OFTHE BUSINE55 ANO PROFESSIONS CO�E,AND z w MY LICENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS LIG.NO. � U DATE CONTRACTOR � a W .. . . . . . . . � WORKERS'COMPENSATION DECLARATION -� � I HEflEBYAFFIRM UNOER PENALTV OF PERJUaY ONEOF'HE FOLLOWING DECLAfiATIONS: z z- _I HAVE AND WILI MAIN7AIN A CER7IFICATE OF CONSENTTO SEIF�iNSURE FOR WORKERS' _ Q CAMPENSATION,AS PROVIDED 8V SECTION 3'�0o OF THE LABOR CODE.FOR THE PERFORA�ANCE W Q OF THE WORH FOR WHICH THIS PERMIT IS ISSUED. � W _I HAVE AN�WILI MAINTAIN WORKEFI5 COMPENSATION INSURANCE,AS REQUIflED BY SECTION � Q 37000FTHE LA9OR CODE,FORTHE PERFORMANCE OF 7HE WORK FDR WHICH THIS PERMITIS ISSVED.N�VWORKERS'COMPENSATIONINSURANCECARRIERANDPOLICYNUM6ERARE: CONSTRUCTION / J j CARRIER PLAN REVIEW Z POLICY NUMBER ELECTRIC _ Q Q (THISSECI'pNNEmNOTBECOt�APLEi"cDOFTHEPERUITISFORONEHUNDRE�DOI.LdAS(570o�ORLESS). PLUM8ING ., Z I CERTIFYTHAT INTHE PERFORMANCE OF THE WORK FOR WHICH THS PERMIT IS ISSUEO,1 MECHANICAL � SHALL NOT E�9PlDV ANY PERSON IN ANY MANNEfl SO AS TO BECOME SU3JECT TO THE � WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGREETHATIF�SHOUL�BECOME INSPECTIONFEE O SUBJECT TO THE WORKERS'COMPENSATION P30V�SIONS OF SECTION 3700 OF THE LABOH �^' d � CO�E,I SHALI FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE � � 1-_� � SMIP p DATE: APPLICANT: J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,ANOSHALL BE ENERGY P/C � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANOCIVILFINESUPTOONEHUNDREDTHOUSAND ENE{aGYPEP,MIT � DO�LARS(E100,DOD),IN ADDITION 70 THE COST OF COMPENSATION,DAMAGES A9 PROVIDED FOR IN � SECTION37080FTHELA60FiCODE,INTERE5T,ANDATTORNEY'SFEES. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEPEBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY _ FORTHE PERFORIAANCE OFTHE WORK FOR WHIGH THIS PERMIT IS ISSUED(SEC.a097,CIV.C.). Z w � LENDER'SNAME - . f_ LENOER'SA��RESS " � � TOTAL FEES �J,. '� � ICEflTIFYTHAI'INAVEREADTHISAPPLICATIqNANDSTATETHATTHEA60VEIN=OFMATIONISCORRECT. W IAGREETOCOMPLYWITHALLCINANOCOUNTVORDINANCESANDS7ATE�.AWSRELA7INGTOBUILOWG - � � CONSTRUCTION,ANDHEREBYAUTHORIZEREPRESENTATIVESOFTHISCOUNTVTOENTERUPONTHE . , , . '. ' Z A90VE/-ME+N.TIONE�PFOPER7YFORINSPc'CTIONPURPOSES. COMMENTS � O /= �� �� ' � .... , �� V m PERMI E E(RR T) . i-. , d .:. B � . E �'"� ' ; � SIGN EO P R ITTEE � � . DA7E ] - : q 6 /�. �� _ -� � RECPT.NO. -- I PAID BY VALIDATION 4G � .... . . . ... . .. �... WHITE—Depadment Copy,VELLOW—Finance Copy,PINK—Assessor Copy,GO�DENROD—File Copy,GREEN—ApplicanYs Copy� '� � � �� . 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