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r' , � �f - CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT i .;,,,� . 21660 E.Copley Drive Suite 190 (�� � � � � PRESS ° (909)860-3195 Fax(909)86t-3117" ����� �� '��' BUILDING PERMITAPPLICATION FIRMLY !�( G"� APpLICkTION PERMIT Q P/C o DDRESS ���+✓`' ���(�,� '"'—� DATE �`�` NUMBER � � �# � ' ISSUE TYPE � OCC APN LOT, TRACT DATE CONST. GROUP °C OWNER '� 9 � ADDRESS �1 55 i� ��r' � C°'�. ZONING SETSACKS � FRONT RW ❑ Z CIIY -�� ZIP �f�STEL;{�BQ,.�'bi-���iJ� � APPLICANT :we.AC. 6��-t� TEL.(�i"r-'b13�i5-3`�ffi REAR ❑ o SI�E/SIDE STREET RW ❑ ¢Z /��5. t �. SIDE ❑ CONTRACTOR i ADDRESS � ��- P OPOSED USE�`� ' � ��� ��r� ���`� °��°`�'E{ o CITY ZIP� TE . ��G �'�a-�'Z�� m e�' Fa?e ,;-z�e 5r�! `" .6 � .���� tr � �z g 3'� w ARCH/Ef�dG/ �Fja�-S- 'n, ' ;,- ��, , z DESIGNER NO.DWEL. NO. NO. a ADDRE$S ' UNITS STORIES BEDROOMS � OITY ZIP TEL. �'' DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION cn � OWNER-BCILDER DECLARATiON SFRlADD/REM � � � � �� O , �� p',. I HEREBY AFFIRM UN�ER PENALTY OF PERJURY THAT�AM EXEMPT fflOM THE CONiRACTOR3 LI- G8f998/C2fPOlt � " � W��GENSELAWFORTNEFOLLOWIN�REA§ON(SEC.7o375Bl1SMES5ANDPROFESSIONSCODE:ANYCINOR (n ' C,� :COUNTYNhiICHRE0UIRESAPEF�MITTOCONSTRUCT,ALTEfl;�IMPfiOVE,DEMOL�6H2OFREPAIRANYS7RUC- W pati0/DBCk � ' Z i 7URE,PRIOR TO ITS ISSl1ANCE.ALSO'�.REdU1RE5 THE APPLICANT FOH SUCH PERMIT TO FILEA SIGNED � � � ),STATEMENT THAT HE OH 5HE I�LICENSED PURSUAN7 TO THE PROVISIONS OF THE CONTMCTORS LI- � , �, . �� , �',;CENSE LAW{GHAPTER 9(CAMMENCING WITN SECTION 7006)OF DIVISION 90FTNE BUSINESS AND PRO- POOI/SP8 ', FESSIONSCADE)oRTHATHEOR`'SHEI,SEXEMPTTHEREFROMANDTHEBASISFORh1EALLEGEDEXEMP- � " �' TION.ANYVIOLATIONOF3ECTIOry�031.iBYANYAPPL�CAMFORAPERMITSU&IECTSTHEAPPLICANTTO z Re-Roof � �' � � 'ACIVIL PENAL7Y OF NOT MORE�fFfAN FNE HUNDRE�DOlLFHS(55001•): . � , �� �� ❑I,ASOWNEROfTHEPRObERTV,ORMYEMPLOVEESWITHWAGESASTHEIR50LECOMPENSATiON, 0 CORIR10fC18I � � ' � Z � WILL DO THE WORK,AND THE SiRUCTURE IS NOT INTENDE�OR OFFERED FOR SALE(SEC.7044,BUSI- J �.NESS ANO PROFESSIONS GODE:ITHE CONTRACiORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF . � "PROPER7YWHOBUILDSORIMPi�IOVES�THEREON,ANDWHODOESSUCHWORKHIMSELFOpHEHSELFOR m ' � � ��'�THFOLIGHHISORHEfiOWNEMPiLOYEES.PROYIDE�THATSUCHIMPROVEMENTSARENOiIN7ENDEDOR 0 '�OfFEREDFORSALE.IF,HOWEVEF.TME6UILDINGOqIMPRDVEMENTISSOtDWITHINONEVEAROFCOMPLE• .Z TION,THE'OWNER-BUILDER WIL�HAVE THE BURDEN OF PROVING THAi HE OR SHE DIO NOT BUIID OP , �IMPROVEFORTHEPl1PPO5EOFISALE). _ ' ❑I,ASOWNEROFTH6PRqPERry,AMEXC�USIVELVCQNTRACTINGWITHLICENSEDCONTRACTOqS � Q � TO CONSTRUG7 THE PROJELT(9EC.7049,BUSINE55 AND PROFESSIONS CODE:THE CONTMCTORS LI- V8IU0IIOfl e ��"" � ADJ.AREA �� i: W � CENSELAWDDESNOTAPPLYT ANOWNEROFAPROPERTYWHOBULDSORIMPROVESTHEREIXJ,AND , , ' �� _.'WHOCONTMCTSFORSUCHPR�JE'CT�WIiHACON7FACTOR(S)LICENSEDPURSURN770THECONTRAG QUANTITY DESCRIPTION ��� FEE � ', � � RS LI ENSE LAWJ. �� � . J . M B.&P.0.FOR 7HIS REASON Q U ¢ t� o oW r Z W � LICEI�SED'CONTRACTORS EOLARATION �j , fL� I HE �BYAFFIRM � ENALTY OF PFAJUPYTiAT'1 LICENSEO UNDER PHOVISION9 OF CHAPiER � '. '�, � d� 9{COMMENCI WI7H�SECTIDN7ao0)OFDIVISION90 NE,BUSINESSAN�PROFE5510NSCDOE.AND Z � `X 61Y LICENS S IN FULL FORCE AND EFFECT. m . 'o�o, C-3� �j��'�-'1`�� � �LICE E CLASS U .NO. J � m . y''W V�. ���p E� ��'���'� � � CONTRACTOR .,a . , , W . '�.. � .. � .. � �� � WORK�RS'�.COMPENSATION DECLARATION �-� � I ' U � �IHEREBYAFFIRMl1NDERPENAL�I OFPEFi,1URVONEOFTHEWLLOWING�OECIARATIONS: � . , m z � 1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' _ � AIPENSATION,ASPRQI�/I�EDBYSECTION37o00FTHELPBORC04E,FORTHEPEflFOflMANCE �U OF THE WORK FOR WHICH THIS GERMIT IS ISSUED. � ,1 HAVE AND WILL MA�NTAI�N WOqKERS'COMPENSATION INSURANCE,AS RFAUIRED BV SECTION P Q 370U OF THE LABOP COO�,FOIi THE PERW RMANCE OF THE WORK WR WHICH 7HI5 PERMIT 15 I ��+ 1 �,� ISSUED.MY WOflKERS'COMPENSATIqJ INSURANCE CA RA/�ND�,POnU�Vr(W��BER CONSTRUGTION f i � �� I. j cnaaiea �l:-l�4'`^� � PLAN REVIEW .. '. Z POLICYNUMBER � - - ,� �LECTRIC Q' L � �'� �.. (1HISSEGTIONN�Nd78� ,, THEPERMfTISFORIXJEHUI�DREDDOLLAfiS(510010RLES3). PLUMBING ry ���� Z' n I CERTIFY THAT INTHE P RFOryMANGE Of TME WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �,',�( SHALLNOTEMPLOYANYIipERSQNINANVMANNERSOASTOBECOMESUBJECTTOTHE � . � F\. . RKERS'Cl�MPENSAiION LAWS Of CALIFOFNIA,AND AGREE THAT IF i SHOUID BECOME INSPECTION FEE �"'r`A7`� �.'��� TTOTFlEWDRKEIRS'COMPENSATIONPFOVISIONSOFSECTION37000FTHELABOR �'" � � � � �,w,>�Yd� � ,("'�� _' � E,ISHALLFORTHWIfHCOMPLVWITHTHOSE aowsio�s. ISSUANCE �•� O . �p, � I SMIP g��'�'�'��'n'A(��f���.�'���e� �.� p DATE: \3.e,�`�� /JPPLICANT. � � � `�A . � � ENERGY P/C � ��,����q� f.������'��,� �,' WARNING:FAILURETO6ECURE ORKERS'COMPENSATIONCOVERAGE�SUNLAWFUL,ANOSH4LLBE � � SU&IECTAN EMPIOYEF TO CRIM NAL pENALTIESAND CM�FINES UP 70 ONE HUNOREO THOUSAND ENERGY PERMIT �, DOLL4RS�510u.000),INADDI710NTO7HECOSTOfCOMPENSA710N.DAMAGE5A5PqOVIDE�WRIN J'". SECTION370BOFTHEIABORCO�E,MTEREST,ANDATfORNEY'SFEES. � FIETENTIONFEE: - Q.'' a" CO STRUCTION LENDING AGENCY PRE-ALT FEE: �� �' I HEREBYAFFIRM UI�ER PENALI�T OF PERIURY TF7AT THERE IS A GONSTRUCTION LENDMG AOENCY FOR THEPERFORMANCE OF THE�4110Rk WR WHICH iH�S PEfiMI715155UED�SEC.3097,CIV.C.). Z. LENDER'S NAME —_ - � � ' � - . IEN�EWSADDRE33 ' � � �'� W � I GERTIFY THAT I HAVE flEAD THIS�IqPPIICATION qND STATETNATTNEABOVE INFORMATION IS GOflREC7. TOTAL FGES �����;�� ��i � GREE TO CAMPLV WITiI ALL CINI ANp COUMY ORDINANCESAND STATE LAWS RELATMG TO BUIL�WG _ . . . : GO RUC710N.AND HEHEBY AUTIHORRE REPRESENTATNES OFTHIS NTY ENTER UPON THE - z �ABOV�MENTIONEO PROPERTY FOR INSPEGTION PURPOSES. COMMENTS � li o ' ��� ', � ' k ���l� � � I m..�, PERMI ENAM (P INT) . . . � Q ' CI� Vj''. 516NAT EOFPENMTTEE � �,�rry TE � � � . Z y� , - :� �0�1' RECPT.NO. PAID BY �ALIDATION � ��, �.WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—AppliCanCs Copy �� - . - ;.., .�., _,.,.. -,,�;... ,,r.;-„.. �.�_ .,..,.:.,.�- �;::..-•... , ..�;;,� �rx" :"�wt<x. i x , r,. L � u. � , e . � e,r.� y �r�.;v�.„,, i���, ;. .... ,;.<„ r,,:;r�. .r�� . - ... '-� �s�����_�� �h��c�.iri`�a� ��� ; , � . .., •.., :., . , ' .��'������� �!���� 'G�'��,°�'k���?�� a �:'. 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