HomeMy WebLinkAbout15818 CITY OF DIAMOND BAR EXPI R ED
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CITY OF DIAMOND BAR
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21660 East Copley Drive, Suite 190
Diamond Bar,CA 91765-4177
909-860-3195.Fax 909-861-3117
Job Address: ,�b,`i /J �Yn,S��
. Dear Property Owner: �
An application for a building permit has been submitted in your name stating yourself as the
builder of the property improvements specified.
For your protection, you should be aware that as "owner-builder" you are the responsible party
of record on such a permit. Building permits are not required to be signed by property owners unless
they are personally performing their own work. If your work is being perforrned by someone other
than yourself, you may protect yourself from possible liability if that person applies for the proper
permit in his or her name. '
Contractors are required by law to be licensed and bonded by the State of California and to
have a business license from the City or County. They are also required by law to put their license
number on all permits for which they apply.
If you employ or otherwise engage any persons other than your immediate family, and the work
(including materials and other costs) is$200.00 or more for the entire project, and such persons aze not
licensed as contractors or subcontractors, then you may be an employer.
If you are an employer, you must register with that state and federal government as an
employer and }�ou are snbject to several obligations including state and federa] income tax
withholding, federal social security taxes, workers compensation insurance,-disability ii�surance costs, �
and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks
are especially serious with respect to workers compensation insurance.
For more specific information about your obligations under the federal law,contact the Internal
Review Service (and if you wish, the U.S. Small Business Administration). For more specific
information about your obligations under State law, contact the Department of Benefit-Payments and
� the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are
allowed to perform their work personally or through their own employees, without a licensed
contractor or subcontractor,only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner-
builder" building permit, erroneously implying that the property owner is providing his or her own
labor and material personally. Building permits are not required to be signed by property owners
unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractor's State
License Board in your community or at 1020 N.Street, Sacramento,CA 95814.
Please complete and return the enclosed "Owner-builder" verification form so that we can
con�rm that you are aware of these matters. The building permit will not be issued until the
verification is returned.
C OF DI M ND BAR
� G�.t� _.
Dennis A.Tarango,C.B�
Building Of�cia]
� , CITY OF DIAMOND BAR
' ' ' OWNER—BLTII.DER
, , .
JOB ADDRES S•
D S � �Yt>SJ�c,��
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Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and retum this information at your earliest opportunity to avoid unnecessary delay in
processing and issuinb your building permit. No building permit will be issued until this verification is
received by us.
1. I personally plan to provide the major labor and materials for construction of the proposed property
improvement (yes or no).
2. I (have/have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm)to provide the proposed construction:
Name Address City
Phone Contractors License No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
Name Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the
work indicated:
Name Address Phone Type of Work
�—
Signed �r �
Property Ow er
Social Security Number �� � � c�L� � �/l`�
Date lf " 2? '—��