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CITY OF DIAMOND BAR �x� \Y� ��� t S
--�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21660 E.Copley Drive Suite 190
(909)860-3195 Fax(909)861-3117 PRESS
`'�^' BUII.DIlVG PERMIT APPLICATION FIRMLY
� JOBSITE APPLICATIO PERMIT ' G� P/C
o ADDRESS 2001 Silver Hawk Drive 2imi G DATE �/22/99 NUMBER � I #
$ ISSUE TYPE OCC
� APN 1 V e OT a� TRACT 3 7 n2 6 DATE � � _CONST. VN GROUP R-3&U-1
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ADDRESS 2001 Silver Hawk. Drive zoNiN� SETBACKS
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� CITY Brea ZIP 92821 Te�714-579-371 PROPOSED USE S2Ille
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I HEREBV AFFlRM UNDER PENALTV OF PERIURY THA7 I AM EXEMPT FROM THE CON7RACTORS LI- GHfegB/Ce�Oh
� W CEHSEUWFOR7HEFOlLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANVC�7VOR (n
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w NRE,PRIOR TO ITS ISSUANCE.ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w
STATEIAEM THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF iHE CONTMCTORS LI-
� CENSE UW(CHAPTER Y(COMMENCIN4 MATH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOUSP2
FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDE%EMP- (�
TqN.AHY VpLA7qN OF SECTION 7031.5 BV ANV APPUCANT FOR A PEFMIT SU&IECTS 7HE APPLICANT TO Z Re-Root
� A CIVIL PENALTY OF NOT MORE hIAN FNE HUNDRED DOLIARS(i500).):
� ❑I.ASOVINEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � COmmefCi81 �
MIILL DO THE WORK AND THE STRUCTURE IS NOT IHTENDED OR OFFERED FOR S/�LE(SEC.70H,BU51� J
� NESSANDPROFESSIONSCOOE:THECOHTMCTORSLICENSELAWDOESNOTAPPLYTOANOWNEROF � Re airs e lan verap e "�' S750 T1er Llnit.
PROPERTYWFpBUILDSORIMPROVESTHERE-0N,ANDWHODOESSUCHWORKHIMSELFORHERSELFOR P P P b Y
Q THROUOM HIS OR HER OMM EMPLOVEES,PROVIDED hIAT SUq1 IMPROVEMENTS ARE NOT INTENDEO OR m �
w OFFEREDFOHSALEIF,HOWEVERTMEBUILDINGOflIMPROVEMEMI550lDWITHINONEVEAROFCOMPLE- XZ �1SQO
� �'TION,iHE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUIID OR -
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_ ❑I,AS OMMER OF h1E PROPEHTV,AM EXCLUSNELY COMMCTINO N7TN UCENSED CONTRAC70qS
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� SO CANSTHUCT THE PROJECT(SEC.70N,BUSINESS AND PROFESSIONS CODt:THE CONTRACTORS LI- V81Uef10f1 / A J.AR�A
� CENSE UW DOES NO7MPLV TO AN OWNER OF A PROCERTY WHO BUILDS OR IAfPROVES hIEREON,AND
WFIOCONTRACTSFORSUCHPa0.1ECTSWIhiACONTRACTOR(5)LICENSEDPURSUAN770THECONTMG QUANTITY DESCRIPTION FEE .
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� ❑I AM EJ(EMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q
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DATE OVMER �
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�6 LICENSED CONTRACTORS DECLARATION w •
CC I HEREBY AFFIHAI UNDER PENALTY OF PERIURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER Ur
� Y(COMMENCINO WI7H SECTION 70ao)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z
�� MY LICEHSE IS IN FULL FORCE AND EFFECT. m
� LICENSE CUSS��_ LIC.NO. , Ol j
V DATE ��' �•�q CONTHACTOR _
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� WORKERS'COMPENSATIONDECLARATIGN ��31'r ¢ '
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� I HEREBV AFFIRM UNDER 7ENALTY OF PERIURV ONE OF THE FOLLOWING DECURATIONS:
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� _I HAVE AND WILL MAINTAIN A CEHTIFICATEbF CONSEHT TO SELF-ItISURE FOR WORKERS'� �^ _ � ' . • ' • � � ' �•• �' - . � il
COMPENSATION,AS PROVIDED BV SECTION 370o OF THE UBOR CODE,FOR THE PERFORMANCE U
Q OF 7HE WORK FOR WHICHYHIS PERMIT IS ISSUED. . .. . W
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W �HAVEMIDWILLMAINTAINWORKERS'COMPENSA710NINSURANCE,�ASRE�UIREDBYSEC710N �
Q 370o OF THE LABOR COOE,FOR TME BERFORMANCE OF THE WORK FOR WNICH 7HI5 PERMI7IS � � . � , .�
ISSUED.MY WORKER'OOMPENSATION INSURANCE CARPoER AND POLICV NUMBER ARE:'� '�CONSTRUCTION �� �
� CARRIER PLAN REVIEW �1:,,:
Z POLICV NUMBER ELECTRIC ' �
4
0 (IYCSSECf10NNE�NDTBECOA�LEfEDOFTfPEiiMfISFORONEF0.I�ORED00l1A0.SR��)���} PLUMBING �n � �+ .
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Z I CERTIFY 7HAT IN�R1E?ERFORMANCE OF THE N'ORK FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL `'� � O Is�.
�J SHAI.L NOT EMPLOY ANY VERSON IN ANY MANNEH SO AS TO BECAME SU&IECT TO TNE �T�q)
Uj WORKERS'COMPENSATION LAWS OF CALIFORN10.AND AGREE THAT IF I SHOULD BECOME INSPECTIOAI�ttt$ ���1 N'�'��.�T�•���
S SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOF �p �� - � � �` � 6'A
CODE,I SHALL FORTHWITH COMPLY WI7HTHOSE PROVISIONS. ISSUANCt'��JJ����� L'�rT� .� �w••�.��-� �1 �y
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p DATE:i�•?S•9G APPLICANT:��V I V VA�� ��. SMIP �•✓ y,�J
J WARNING:FAILURETOSECUREWORKERS'COMPENSATIONCAVERAGEISUNLAWFUL,ANOSHALLBE ENERGYP/C
� SUBJEC7 AN EMPLOVER TO CRIMINAL PEN/�LTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND ENERGY PERMIT
DOLLARS(ilao.000).IN MDITION TO THE COST OF COMPENSA710N,DAMAGES AS PROVIDED FOFi IN
� SEC710N 370e OF hiE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE:
� CONSTRUCTION LENDING AGENCY PRE-AlT FEE: �
� I HEREBY AFFIRM UNDER PENA:TY OF PERIURY 7HAT 7HERE IS A CANSTRUC710N LEN�ING AGENCY � ��_
FOR THE PERFORMAIJCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30G7,CIV.C.),
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� LENDER'S NAME I
F- LENDER'SAD�RESS �
� I CERTIFY THA71 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATqN IS CARREC7. TOTAL FE ES
w I AGREE TO COMPLv WITH PLL CITV AND COUNTY ORDINANCES AND STATE UWS REU7ING TO BUILDING
� CANS7RUCTION,ANO HEREBV AUTHORRE REPRESENTATIVES OF THIS CWN7V 70 ENTER UPON THE . �
ZABOVE�MENTIONEO PROPERTY FOR I SPECTION PURPOSES. COMMENTS
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� SIGNATURE OF PERMITTEE OATE
= RECPT.N0. PAID BY VALIDATION
~ WHITE-0epartment Copy,YELLOW-finence Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy
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FRAMINGNENTILIATION FINAL BOND BEAM
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