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CITY OF DIAMOND BAR ���r�� -���-- DEPARTl":4ENT OF COMMUNITY&DEVELOPMENT SERVICES � •_Y�� _ � 21660 E.Copley Drive Suite 190 `G/3�/`�� (909)860-3195 Faz(909)861-3117 �=�/ PR ESS �`A�� BUILDING PERMTT APPLICATION FIRMLY ��.� l 1''tt�ll� . __ _. � JOBSITE � C�11/� n�� AppLICATION / � �i/� PERMIT � �P/C o ADDRESS C �j��� �� DATE �'�J NIJMBER # � ISSUE TYPE OCC .- APN LOT TR DATE CONST. GROUP p OWNER p ADDRE mZ. ZONING SETBACKS � CITY P EL.� FRONT RW ❑ APPLICANT L. REAR ❑ � SIDFJSIDE STREET RW ❑ � CONTFlACTOR SIDE ❑ Q ADDRESS � CITY ZIP TEL. PROPOSE�USE o ARCWENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BE�ROOMS � CITY ZIP TEL. � v> DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O 0 1 HEH6BV AFFlRM UNDER PENALTY OF VEHJURV THAT I AM EXEMPT FROM THE CONTRACTOFS LI- GHI0Q8/C8f�7OfI W CENSELAWFORTHEFOLIOWINGREASON(SEC.703i.68U51NESSANDPROFESSIONSCODE:ANYCITVOq (n U COUNTYNMICHREGUIRESAPEflMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W patio/�eck � NRE,PRpA ID RS ISSUANCE,PL50 RE�UIRES THE MPLICANT FOR SUCH PERMIT TO FILE A SIQNED W STATEMENT THAT HE OR SHE 15 LICENSEU PURSUM77 TO 7HE PROYISIONS OF TME GONTRACNRS LI� � CENSE UW(CHAVTER 9(COMMENCINO WtT!1 SECTION 7000)OF�IYISIDN 3 OF THE BUSINESS AND PRO• � PoOI/SPd FESSpNS CODE)Ofl 7}iHT HE OR SHE IS EXEMM THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP• TION.ANYVpLATqNOFSECT10N7031.68VANVAP7LICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z R0-ROOf � ACMLPENALTYOFNOTMORETHANFIVEHUNDREDDOLLARS(S50D).): � ❑I,ASONMEROFTHEPROPERTV.DNMYE6IPLOYEESWITHWAGESASTHEIHSOLECOMPENSA710N, � COmmBfCid� - N/ILL DO THE WORI(AND THE STRUCTURE IS NOT INTEN�ED OR OFFERED FOR SALE(SEC.7041,BUSI� J NESS AND PROFESSIONS CODE:THE CONTRACTORS UCENSE LAW DOES NOT APPLv TO AN OWNER OF � PROPERTYWFIOBUNASORIMPROVESTHEREON,ANDWHODOESSUCHWORKHIMSELFORHERSELfOH � � TFIROUClHHISORMEROWNEMPIOYEES,PROVIDEDTHAT3UCHIMPRWEMENTSANENOTINTENDEDOR m Q ,OFFEREDFORSILLEIFHOWEVERTHEBU0.DINGORIMPROVEMENTISSOtDNATHINONEYEAROFOJ6IPLE- z 7101V,YHE OWNER�BUL�ER WIl1 HAYE THE BUROEN OF PfiOVINO 7HAT HE OR SHE DID NOT BUILD Oq � IMPROVEFORTHEPURVOSEOFSALE). W ❑I,ASOWNEROFTHEPROPERfY,AMEXCLUSNEIVCANTRACTINdWITHLICENSEDCONTRACTORS � TO CONSTRUCT THE PROJECT'(SEC.70u,BUSINESS AND PROFESSIONS CODE:THE CONTRACTOfiS ll� V0luation ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPEfiTVWHOBU1lDSORIMPROVESTHEREON,AND � WHOCONTRACTSFORSUCHPPQIECTSWIIHACONTRACTOR(5)LICENSmPUPSUANiTOTHECONTRAG QUANTITY DESCRIPTION FEE � TORS LICENSE UW.). � ❑I AM E%EMPTUNDER S�C. 8.d P.C.FOR THIS REASON Q � U u.. � OATE OMMER V Z W � LICENSED CONTRACTORS DECLARATION W � I HEREBV AFGIRM UNDER PENAtTY OF OE0.IURY THAT I�TA LICENSEO t1NDER PROVISIONS OF CHAPTEH � � o(COMMENCINQ WITH SECTIOP7 7ooD)OF DIVISION 3 OF THE eU5INE55 AND PROFESSIONS CODF,�yp Z � MY LICEN6E IS IN FULL FORCE AN�EFFECT. r� LLI � � � 0 LICENSE ClA LIC.NO. � � r, J V on� CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION -� = U � IHEREBYAFFIqMUNDERPENALTVOfPER1URYONEOFTHEFOLLOWINGOECLAMTIONS: Z � IMAVEANDWILLMAINTAINACERrIFICATEOFGONSENTTOSEIF�INSUREFORWORKERS' _ COM�N3ATION,ASPROVIDEDBYSECTWN37000FTHEU90RCOOE.FORTHEPERFOqMANCE CJ Q �fFIE WOPK FOR VMICH THIS PFRMIT IS tSSUED. � W �I NAYE AND WILL MAINTAIN WORKERS'COMPENSATION INSUPANCE,AS REQUIRED BV SEG710N Q37000FTHEU180FCOOE,FOFTHEPERFORMANCEOFTHEWORNFORYVHICHTHISPERMITIS � ISSUED.MYWOFiKER'S'COMPENSATIONI�ISl1F3A CE ARRIERAN VUCYNUMBERARE: CONSTRUCTION L � CARPoER �� ^� r PLAN REVIEW � POLICYNUM6ER�j„/�� / M ��,! EIECTRIC � � i 0 (IHISSEC1qNNE�ha7sE�+v�EfEDOFTHEPE1lMIi6wROFIeFUJIX1ED0ai1A5($1o�lORLEss� PLUMBING ��"'�' � r W Z I CERTIFY THAT IN 7HE PERFORMANCE OF THE VJORN FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAI C7 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE �q ry WORK 5' PENSATKKJLAWSOFC IFORNIA.AN�AGREETHATIFISHOULDBECOM �NSPECTIONFEE ;Q 1 Y r� —�. � S TT HEWORNERS'COAAPEN ROVISIONSOFSECTION37000FTHE R ���"� �j I/$'H FO ITHCOMPLYW T O PROVISIONS. UANCE _ - '�,� +�tv4�pT�T��' ��_ O G � ZL2AVJ�AY1`i.:.I���*�� kJ p OATE: !�� APPLICANC SMIP x o � � ENERGY P/C ' �a�,�t�+'s�.',.��.F.'.'e:fl�1� J WAHNIN6:FAILURETO SECURE WORKERS'COMPENSATION COVERAGE IS 11NlAWFUL,AND SHALL BE �y SUBJECTAN EMPLOVER TO CRIMINAL PENALTIES ANO CML FINES UP TO ONE MUNDRED THOUSANO ENEFGY PERMIT DOLLARS(S100,000),IN AD�ITION TO THE COST OF COMPENSATION,pAMAGES AS PROVIDE�FOR IN � SECTION 37oe OFT}1E LABOR CODE,INTEREST,AND ATTORNEVS FEES. RETENTION FEE: d CONSTRUCTION LEN�ING AGENCY PRE-ALT PEE: O � I HEREHYAFFIRM INDER PENALTY OF PERJURY THATTHERE IS ACONSTRUCTION LENDING AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICN THIS FERMIT IS ISSl1ED�SEC.9097,CIV.C.). Z W � LENDER'S NAME __ F— LENOER'SAODRESS � iCERT�FI'7HA71HAVEREADTHISMPLICATIONANDSTAT HATTHEABOYEINFORMA710NISCORRECT. TOTAL FEES � W 1 AGREE TO CAMPLV WrtH ALL CRY AND COUNIV ORDINA CES AND STATE LAWS RELATING TO BUILOING � _ �� � CONSTRl1CTIDN,ANDHEREBYAUTFIORIZE PFESENTA VESOFTHISCOUNTYTOENTERUPONTHE ZP80VE� EO 7ROPER FOR I P ION PURP �s. COMMENTS � � _ � m PERMITTEE fiINT� l � f�J � SIOWI7UPE PERMITTE AT - � RECPT.NO. AID BY � VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO ile Copy,GREEN—AppliranPs Copy �:.. ...w.� .,,.,,., � .�.,,..: ., ..��. ,.,�.�.,. . ,..rr'; .. ...�.,, � . . . . . . . .. . . . . :'.Y� . .. e � . ..., ...�: ...�..:. , ,. , ,i;.� . ,. ... f .. . ' k $� ��� ' YS �° . 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