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J� CITY OF DIAMOND BAR •- ,� DEPARTMENT OF COMMUMTY dc DEVELOPMENT SERVICES �' 21660 E.Capley Ihive Suite 190 (909)860-3193 Fax(909)861-3117 ` PRESS "^�"� � BUII.DING PERMIT APPLICATTON �� FIRMLY � JOBSITE (� � Q 2 o ADDRESS� a 333 j \�l Ot��. �-t�J1G� I`�- DATE'CAnON 'V �8 NUMB R�� �F,C � APN- LOT TRACT �SSUE 9L TYPE ppC g OWNER �U A�1 �.1 DATE V CONST. GROUP ADDR S a- �S ( G. L�+�� ZONING SETBACKS W CITY ZIP � EL. �'�-�� REAR RW ❑ APPLICANT "1"h�C/��. � ��*aw .-GTEL.�K°!?1� SIDFJSIDESTREET RW ❑ CONTRACTO$Th���- I� ^�L SIDE ❑ ADDR �'1S i + LJLL�-�-W g CRY �L Z�pq�� _ 7EL,3�-(c1ZV PROPOSEDUSE �tiL viT�4w � 'n� � �1� p ARCHlENC3! DESICiNER NO.DWEL. NO. �. NO. ADDRESS UNITS � STORIES BEDROOMS � CITY ZIP TEL. rn DESCRIPTION SQ.FT. FACTOR PSF AW.0.REANALUATION ¢ OWNER-BUILDER DECLARATION SFRIADD/REM O � 1 MEREBY AFFlNY UNDEiI iENALTY OF PERIURY THAT 1 AA1 EXEAIPT FROA1 THE CONTMCTOq3 LI- G8f8QB/C81pOR C�AISELAWFORTNEFOLLOYVINOREASON(SEC.10.77.i8U9WE33l1NGPROFESSIONSOOOE:ANYGTVOR (f� COUNTYYN�IICHRECUIRE6AVERMRTOOON^TRUCT,KTEftIMPROVE,DEMOl15H,ppqEP/JRANYeTRUC• W PptlO/D�Ck 1UR4 PRIOR TO IT8155UANCE.K80 RECUIRE9 TNE MPLICANT FOR 6Up1 PERIAI7 TO FIIE A SIGNED 6TATFMENT TNAT ME OR BHE IS UCENSED PUR6UANT TO 7lIE PROVISIpNS OF THE CONTRACTORS IJ• � CENSE U1W(CHAPTEA Y(CpAMENCINO WITM SECTION 70W)OF OIYISION 90F iHE BUSINESS AND►RO- � PooUSpe FE6SqN5 OO�E�OR TMA7 ME OR SHE IS EXEMPT 7HEREFROM ANO iHE BASIS FOR 7HE ALLEOEO EXEMP- (' 710N.ANYVIOtATIONOF8ECT10N70J1.6BYMIYMVLICANTFOqAPERAIITSUBJECTSTHEAPPUC�MTO Z Re•Roof � AqNL VENALT/OF NOT YORE THAN FNE FiUNOREO�OLlAR3(t5ao).): ❑LA6dYNENOF7HEPilOPER7Y,ORYVEMPIAYEE5NA7HWAOESASTHEIRSOLECOMPEN5AT10N, (`,pmmBfd91 MLL OO TIE WOqf,M1C THE STFIUCTURE IS NOT WiENDfD OR OFFERE�COR SALE�SEF}Os�,BU51- �J NE55 AND PIlOFE8510N6 WDE:THE CONTMCMRS LICENSE 1AMI OOE6 N07 APPLY TO AN OWNER OF � ►IiDVERiYWFIO8ULD90RMAPROVESTHEIiEON,AN�M/lpDDESSIKHYADRKNIYSELFORMERSELFOR = � TFViOUOMW60RMEROWNEMPtAYEE5,Pf10VqEDlXATSUCYIYPROVEMENTSI�qENOTNTENOE�OR m OFFFAED FOR8ALE IF,F10WEVER iME BUROINOOR MPROVEMElfr l9 K7LD WITHN ONE YEAR OFCOAIPLE• iqN.TXE OWNER�BULDER WILL HAYE THE BURDEN OF PROVWG hUT NE OR SHE OU NOT BUILD OR MPPD1lE FOq iHE PURPOSE OF BAt.E} W ❑lABOWNEROFINEPNOPERf1;11E1E1(CLUSNELYCON7RACTINOWITXLICEN9FAOONTRACTOR3 � TO CONSTqUCT TNE PR0.IECT(3EC.7WI,BUSNES9 AND PROFESSIqJS CODE:TME CONTNACTORS U- ValU6tiOi1 ADJ.AREA f�NSE�AW DOES NOTMPLY i0 Ml OWNER OFA PROPEpTY WF70 BUX.pS OR W PROVES THEREON,AND WFIOCONiMCT6FOR8UCHVRWECTSYNTMACONiMCTOR�S�U['.ENSEDFUHSUAHTTOTNEGONiRAG OUANTTfY DE5CRIPTlON �E � TORS UCENSE IAW.} ❑�NJ EXEUPT UWDER SEC. B.8 P.C.FOR THIS REASON Q U �ZZ DATE OWNER U � W LICENSED CONTRACTORS OECLARATION W � INEREBYAFFIflN UNDER PEWLLT'OF VEfUUflY 77MT IAM LICENSED UImER PROYISIONS OF CHMTER � � �(CqAAENpNCi IM7M 6ECTION 7000)OF DMSION S OF TXE BUSINESS AND PROFESSIONS CODE.M1D Z MY UCENSE IS W FUl FORCE AND EFFECT. � � LICENSE CU133 LIC.NO. � � � Z, DATE CONTAACTOR a lTl � WOFiKERS'COMPENSATION DECLARATION � � IMEREBYAFFIIWUJDERVENALNOFVERJI1RYdJEOFTHEf0110lMNfiDECURATIONS: Z e _IHAVEANDM/ILLMIIMTAIHACERi1FICIUEOFCONSENTTOBELFINSUREFORNtIRKERS' a Q OLV�WENSATION,ABPRONDEUBYSECTIONi7000FTHELABORGWE,FOR7}IEPERFORMANCE U OF THE WORN PoR WNICH TH16►ERMIT IS ISSUEO. W � �I HRVEAND WILLMANTIUN WORKERS'ODM7ENSATION INSURANCE,AS REWIRE�BY9ECTION � 87000F 7ME UBOR COOE,FOR THE iERFORMANCE OF THE WORK FOR WFIICFI 1X15 PERMIT IS /� � 159Um.WWOPKEqSO01APEN5A INSURANCECARRiERANDPOIICYNUMBERME: CON5TRUCTION I �I � ��/ � CARPoER STP►-Z R. V r'O PUIN REVIEW T� � POLICY NUMBEH �Gd V {r�L�O I�I� ELECTRIC � (MBSECIIONIE�HDTeEo01iLETmaFn#PEF�7i6Foa0DEl#AOREoo0.WtS�tta�onLEssl PLUMBING ICERTIFY THAT W iME PERFORMMICE OF TiE WORK FOq WHICH TXIS PERMIT IS ISSl1ED.1 MECHANICAL SHML NOT EMPLOY ANY PERSON W ANY IAANNER 5045 TO BECOME SU&IECT TO THE (/y NlORKERS'CdAPENSATqNlAW50FGLIFORNIAMIDAAREETMATIF18HWtABECOME INSPECTIONFEE SUBJECTT07NEWOFI(ERS'COMPENSATIONP ISIONSOFSECTION970oOFTXEIABOR _ �,� / rj cooE,i swu.t conn�win�cw��.r wi /6�Ns. ISSUANCE (��J� � DATE:`���3'�/�9 APPLICANT. � � SMIP CIT..�'t��i1it�.�"�:�ND gAR a� �1 V WARNINO:FAILUqETOSECUREWOFNERS'COMPENSATIONCOVENAGEISUNLAWFUL,�NOSHALLBE ENE-RGYP/C �3,_J�.�����J�C�+� �y SUBJECfANEMPLOVERTOCRIMINPLPENALTiESANDCIVILFWESUPTOONEHUNDREDTIW8AN0 ENERGYPERMIT OOLtARS(C100.000).MIIDDIiION TO THE COST OF COMPENSATIDN,DAM/AES AS PR01fIDED FOR IN � 6ECTpN]TOOOF 7TE UBOR COpE,INTEflEST,MIDATTORNEY3 FEES. RETENTION FEE: 4 CONSTRUCTION LENDINGAGENCY Q PRE-ALT FEE: � IHEREBYAFFlRMUNDEHOENALNOFPERIURYTHATTHEREI9�CONSTRUCf10NLENDINOAOENCY FOR iHE VERFORMANCE OFTHE WORK PoR WHlp7 THIS PERMIT IS I�SUFA(SEF 9W�,CIV.CJ. � � tENDERS NAME �S LENDERSADDRE33 W ICENTIFYTHATIHAYEREADTi1SAPGLIGTIONANDBTATET1iATT7EABdJEINFORMATqNI500RREGT. TOTAL FEES •5 � 1AOREETOGOMPLYMATMNlCRYANDCOUNTVORDIWWCESAND6TATEUWSRELATINOTO8U0.DING `w CQ�STRUCTION,ANpXEREBYAUfF10A2EREPRESENTATIVE50F7MISCOUNTYTOENTENUPONhIE � ABOVE�IJEMIONEO PROPERTY FOR INSPECTqN PURPOSES. CQMMENTS 9 '�,r, ,iA✓�v m PERM E E IP Q y �"[�{) �/j 810NATURE Oi PERMI7TEE OATE � flECPT.NO. PAI�BY VALJDA710N WHITE-0eparMern Copy,YELLOW—Finance Copy,PINK—Aacessor Copy,GOLDENROD--FIIe Copy,GREEN—Appllcanl'a Copy - �. .� f....�.. � ..,..� :��... � , � .. . ,.i .� i,�e .-" �. ... ." Y.. ...... .F. .. . •. •, . ' .�. � ,� . � . r�. '' � ' . . , . .. .. � .. . . . ... .. 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