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i "� CITY OF DIAMOND BAR , _ COMMUNITY DEVELOPMENT DEPARTMENT , �•�' 21660 E.Copley Drive Suite]90 PRESS (909)860-3195 Fax(909)861-3117 "•'%�' BUILDING PERMIT APPLICATION FIRMLY o ADDRESS �I"� ��I�X�ORD C� �..1 �T DATECATION�—�y.�� �� NUMB R���'`E° #`�'� F� � a r� ISSUE TYPE OCC °-° AP f�Q��D D TRACT � � �C� DATE �`"�� "�� CONST. GROUP '� p OWNER T�I�.W h) l.�"E�I C��'`(' L " ADDRESS �Z� I RCX F+C�RD G C��.L LZ'T ZONING SETBACKS oCITY M j '�P TELBGI^3 L I I FRON7 RW ❑ o APPLICANT G��G:LC��EL. REAR ❑ z � SIDE/SIDE STREET RW ❑ a CONTRACTOR � E� ' SIDE ❑ � ADDRESS � � PROPOSED USE D� �� �OO'�1�.L S � cirvC44l N Q ZIP�.� TEL. " w ;qRCH/ENG I e-��p �z DESIGNER I �' �C�.' �%+R NO.DWEL. NO. NO. a. ADDRESS N ' � UNITS STORIES BEDRQOM$ � CITY ZI 0 TEL. � DESCRIPTION SQ.FT. FACTOR PSF A�J.AREA/VALUAT7UN � � �WN�R-BUILDER DECLARATIDN SFP/ADD/flEM � � � � O ' p� I HEREBYAFFIRM UNOER E�NALTY aF.PEflJl1RY THhT I AM�EXEMPT FPOM THE CONTRACTORS LI- G21'8JB/CB�O/I � ' � W CENSEL0.WFOR7HEFOLLOWIN p-ASON�(5EC70315B�SINESSANOPRDFESSIONSCDOEANYCINOR (f� � C.� COUNTYWFIICHRE�UIRESAPER ITTOCONSTRUCTALTER;IhIPflOVE.�EMOLISH.ORREPAIRANYSTRUG W Pg[IO/D@CIC � 7URE,PRIOR TO ITS ISSUANCE�ALSO REQUIRES THE ApPLICANT FOR SUCH PERMITTO FILE A SIGNEO W � � STATEMENT THAT HE,OR SHE I I,ICENS�PU%SUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE LAW�CHAPTER 8(COMM NCING WITH SECTION 7o0p)bF�NISION 3 OF iHE BUSINESSAND PRO� � PoovSpa � .�+ v��'y '� FESS�ONSCODE)ORTHATHEOF�SHEISEXEMPTTHEREFROMAND;lNEBA515FOflTHEALLEGEDEXEMP- (� I �'. TION.ANYVIOLATIONOF56CTI0N 7031'�.SBYANYAPPUCANTFOqARERM1i5UBJECiSTHEAPPLICANTTO z Re-Roof A CIVIL PENALTY OF NOT MbRE 1�HAN MIVE HUNDRED DOLLARS($5ao).): p'� � C71,-ASOW�JEROF7HEPFb�ERTY,ORMYEMPLOYEES,WITHWAGESASTHEIR50LEC�MPENSATION, 0 Commerdal � ��, z WILL DO THE,WOflK,AN�THE 5 RUCPUR€.IS NOT INTEN�EO QR OFFEREO FOfl SALE(SEC,7044,9U51- J NESS AN�PROFESSIONS COPE:THE CbNTRAC70RS LICENSE LAW DOES NOT APPLV TO AN OWNER OF , � PROPERTVWHOBUIL�SOR��IMP qV�S�iH�pEOM.FNOWHOO�E55UCHWORKNIMSELFOflHERSELFOfl m CC 'hIROUQH HIS OR FiER�OWN EMP YEES,PROVI�E�THATSUCN IMPflOVEMENTSARE NOT INTEN�EDOR � L11� OFFEREDWRSALE.IF,HOWEVE,THE6UILDWGORIMPROVEMEMISSOLDWITHINONEVEAROFCOMPLE- ' z' TION,THE OWNEREUILDER WILL HAVE'THE 9UflbEN OF PROVINO TNAT HE OR SHE DID NOT BUILD OR � IMPHOVEFORTHEPURPOSEOFSALE), � � �, ❑I,ASOWNEROFTHEPRO ERFY,'�AMEXCLUSIVELYGONTRACTINGWITHLICENSEDGONTRACiOR3 � � �TO CONSTRUC7 THE PFOJECT,(EC.7ti40.BUSINE$5 AN�PROFESSIONS CODE:TNE CONTRACTOR5 LI- VBIUflflOfl ADJ.AREA CLI '�CENSELAWDOESN�JTAPPLYTOANOVI'NEROFAPROPEFTYWHOBUIlD50flIMPROVE5TF7EREON,AND �� WHOCONTRACT3FOFSUCHPR J�CTSWITHACaMRACTOR(S)'LICENSEDPURSUANTTOTHECONTRAP QUANTITY DESCRIPTION � FEE . � Y TORS LICENSE LAN'.). � J !-� O ❑I AM EXEMPTUNDER SEC 6.8 P.C.FOR iH15 REASON Q �lJ —.S . . . . . � �U , � � �ATE ' DWNEft � ., Z W � . . � LICEN ED CONTRACTORS DECLARATION ,W ' � IHEREBYAFFIRMUNtlERPENAL�,OFPERJURYTHATIAMLICENSE�UNDEFPROVI510N50FCHAPTER � � ,,,4 ' • �� . p_, '.e(COMMENCINGWITHSECTIONYOOO�OFDIVISION30FTHEBUSINESSAN�PflOFESSIONSCO�E,AND Z �� � X MY LICENSE IS IN Fl1LL FORCEA�EFFECT. � � O .LICENSE CLASS ����.�� ��'4..�UC.N0.�� �S � j y. V �ATE CONTRACTOR a F ` �, � � . W � � ,'.WORK�FiS'COMPENSATION DECLARATION ¢ .�(� . "� cA U � i HEREBY FIFM UNOER P6NAI,T OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS: Z , � �VE AND WILL MA�NTAI,A CEfiTIFICATE OF CONSENTTO SELF-INSVqE FOR WDRKERS' _ � � �PENSATfON,ASPROIDEOBVSECilON37ooOFTHELABORCODE,FOftTHEPERf-0RMANCE U QF7HEWpPKFOR�(HIC�ITHISPERMITISISSUED, � � ', ', � IHAVEA�JOWILLMqINTAI WORKERS'COMPENSATIONINSJRANCE,ASRE�UIRE06VSECTION II O 37o00FTHE LA90R COD.FOR THE PERFORMANCE OFTHE WaRK FOR WHICH iHIS PERMIT 15 ' . P°� c]� �I ISSUEJMY�W�ORyKEPS'C MPENSATIONINSURANCECARRIERFNDPOLICYNUMBERARE CONSTRUCTION ^-7� "°l �� j caAbiEA Yll�� ����I�D�p?.��7 p��L�J PLANREVIEW " N �I� � aoucvru�Me�� L�.'�'',Z� 0.J 3 C�-� EIECTRIC � ' � '��. z � (iHISSEQ710NW�mhY078EWMPCETEDOF7HEPERMt�ISFORIXJEHUNDREDWIlAfiS(E1aolORLESS). PLUMBING � ��S� I�, Z 1 CERTIFY THAT 1�YHE PE�FORFIANCE OFiHE WORK FOR WHICH THIS PERMIT IS ISSUE�,I MECHANICAL - �� ' ' � L'j SHALLNOTEMpLpyANY��ERSO;NINANYMANN[RSOASTO�BECAMESU9JECTT07HE � WORK�RS��MPENS�}TI,NLAWSOfCALIFORNIA,ANDAGREETHATIFISHOLILO ECOME INSPECTIONFEE �� SUBJE4T?OTHE WORKE�,S'CQMPENSAiIDN PRO IONSOFS CTION o HE LA80 � CODE,I H(+W�,F RrHWIT,'COMPLYWITH,THO$� ROVIS N � �SSUANCE Q i " ' � p DATE: I:� A PLICANT. � �� SMIP ! J WARNING ILURIC SEGIJREYJ RKERS'COMPENSAiIONCOVERAGEISUNLAV4'FUL,ANDSHALLBE ENERGYP/C LL SIRJECTANEMALbYEq�pCRIW�I AUPENALTIESANDCIVILFNESUP700NEHUNDREDTHOUSANO �IERGYPERMIT DOLLAFS(SiOtl QODI IY�i��Ol71QN�I O TH�,C,tlST OF COMRENSATION.DAMAGES AS PRDYIDE�FOR IN � SECTION37aeOk`fI-IEY_qBbFiCO E;INTEFlEST,ANDATTORNEY'SFEES. RETENTIONFEE: d �O STRUCTION�.LENDING AGENCY PRE-ALT FEE: � O � � I HERE6YAFF�AM�NQEH PE�1AL qF�PF,RJURV TI4AT THERE�SA CONSiRUCTION LENDING AGENCV FOR THE PERFORMANGE OF7HE I pRK�Oq WHICH THIS PERMIT IS ISSUED(SEC.3o9],CN.C.). W ` � LENDER'S NAME � -T � LEN�EF'SADOR655 '. �II �� W� C �.7 � ICERTIKYTHATINAV�R2ADTHIS�bPPU�'ATIONAN�STATETHATTHEABOVEINFORMATIONISCORRECT. TOT�y EES_��� � a � � I AGREE TO COMpLY WI�N ALL CI AND COUNTY OR�INANCES FND STATE LAWS RELATING TO BLIIL�ING /f� 93'. CONSTRUCT7qN,�1N�k,{�REBYAU IHOR2E REPRESENTATNES OF THIS COUNTV TO ETITER UPON THE «� �g � A6�VE-MENTIONF,D PHOPERTY FOR INSP,ECTION PURPOSES. / .+� COMMENTS � 4J'- � `+��J I/��/��./ `" � 4' ��^ �, Q �, PERMInE A (P I:,f �'��/�I/ '�/'�� . /� /JI/ /' � _ ��SIGNA UPEOFP�flMI'TfEE �.I � � re . RECPT.NO. PAID BY VALIOATION � ~ '� WHITE—�e artment Co YELLO —Finance Co PINK—Assessor Co GOL ENRO�—File C p p py, py, opy,GREEN—ApplicanPs Copy . ... . ;....... ..,,.,,.. , � . ...:.:.. ...::��,:; , .,,;,_.; ::r,.,:.'t ��.�,:..-,�� -�-,;�i.aF - ., .. . .. , . .. _ � G � ��� �?��r,��ti�����?���� ��W� ��" ��� ����`�'u�,�¢� ���4`"��� id.�a s ��s : �! � �z a, �f f, �'�. a��„�; #,p t;�; � �� �+�'�. �� . . 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