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_!�, CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY 8t DEVELOPMENT�RVICES
W 21660 E.Copley Drive Suite 190 �� �RESS
(909)SGU-3195 Faz(909)861-3117
������ BUII.DING PERMTT APPLICATION FIRMLY
� JOBSITE APPUCATION PERMIT I P/C
o ADDRESS ZOOZ Silver Hawk Drive 4���,F�� DATE � 22 99 NUMBER��
c� ISSUE ' TYPE OCC
APN LOT TRACT�7��ti DATE � �� CONST. VN GROUP R-_ '�_.__&�T-1
p OWNE�i1V2T 3W
� ADDRESS 2��2 Silver Hawk Drive zoNiNG SETBACK�1St. See Plan
� CITY �--�— ZIP TEL. _ _ FRONT FIW ❑
APPLICAN�'1• 1��1dn TEL. (1 REAR ❑
SIDE/SIDE STREET RW ❑
� CONTRACTOR Timb rl and SIDE ❑
Q ADDRESS PROPOSED USE S8IIl2
� CITY Rraa Z L.]j4-�]�,�].1
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z DESIGNER NO.DWEL. NO. NO.
� ADDRESS 8 8 asas ROd SUlt2 � UNITS 4 STORIES � BEDROOM�� n
� CITYr'�������_ ZIP ai�n� TELRIR_��/�_/�A�l
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREr1/VALUATION
Q OWNER-BUILDER DECLARATION SFR/ADD/REM
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� I HEREBY AFFlRM UNDER PENALTV OF PERIURY THAT I MI E%EMPT FROM THE CONTRACTORS LI- Gef8J0/CefPOff .
W CENSEUWFORTHEFOLLOWINGREASON(SEC.7o31.58USINESSANDPROFES510N5CADE:ANVCITVOR (n
U COUNTYWHICNRC-0UIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W P81i0/D6Ck
W TURE,PRIDR TO ITS ISSUANCE,ALSO RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w
� � STATEMENT THAT HE OR SHE IS LICENSED PUiiSUANT TO THE PROVISIONS OF THE CANTRACTORS LI�
� CENSE UW(CHAPTER 0(COMMENCINO WITM SECTION 7000)OF DIVISION 9 OF TME BUSINESS AND PRO- � PooVSpa
FESSqNS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM/W D THE BA515 FOP THE A!LEGED EXEMP-
TqN.ANYVIOLATIONOFSECT10N7037.6BYANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof
� A CIVIL PENAL7V OF NOT MORE TIAN FNE HUNDFED DOLURS(S5o0).�:
❑I,ASONMEROFTHEPROPER7V,ORMVEMPLOVEESWI7HWAGESA57HEIRSOLECOMPENSATION, 0 Commercial
WILL 00 THE WORK.AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.701�,BUSI- J
%J � NESS ANO PROFESSIONS CODE:hIE CANTMCTORS LICENSE LAW DOES NOT A7PLY TO AN OWNER OF � Re a ir s e lan ver a e "�' S 7 50/ er tln.lt
PROPEHiY Wl10 BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
Q THROUGH HIS OR HER ONM EMPLOYEES,PROVIDED hIAT SUpI IMPROVEMENTS ARE NOT INTEN�ED OR m
W OFFEREDfORSALEIF,HOWEVER7NE8U1LDINGORIMPROVEMENTISSOIDWITHINONEVEAROFCAMPLE- X4= 2 OOO
0 �'TION,THE OWNER�U�LDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR
Z IMPROVE FOR THE PURPOSE OF SALE). �
_ ❑I,AS OWNEROF THE PROPEFTY,AM E%CLUSIVELV CANTRAC71N0 WI7H IICENSED COMRACTORS
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� TO CONS7qUCT THE PRQIECT(SEC.7o/a,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI- V01U0I1Of1 J�ARE
� CENSELAWDOESNOTMPLYTOAHOWNEROFAPROPERTYNRiOBU1LD50RIMPROVESTHEREON,AND
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DATE OWNER �
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� LICENSED CONTRACTORS DECLARATION W
¢ 1 HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER �
� Y(COMMENCINO WITH SECTqN 7000)OF DIVISION 3 OF THE BUSINESS PND PROFESSIONS CODE,AND Z
��� MY LICENSE IS IN FULL FCfiCE AND EFFECL —
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� WORKERS'COMPENSATION DECLARATION a
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N 1 HEREBY AFFlRM UNOER PENALTV OF GE0.IURV ONE OF THE FOLLOWIHG DECUMTIONS:
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� _I HAVE AND WILL MAIN7AIN ACERTIFICATE OF CONSENTTO SELF-INSURE'FOR WORKERS' 2 -
COMVENSATION,AS PROVIDED BY SEC710N 37000F TNE LABOR CADE,FOR THE PERFORMANCE U
Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � t
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W �I HAVE M1D WILL AWNTAIH WORKERS'COMPENSA710N INSUflANCE,ASREQUIRED BY SECTION ' '
Q J7oo OF hIE LABOR CODE,FOR THE PERFORMANCE OF THE WOFiK FOR WHICH THIS PERMIT IS � �
� ISSUED.MY WORKERS'COMPENSATION INSURAN�ARRI�D POLICY NUMBER ARE:.,,.w' :'� CONSIRUCTION :r , _
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� CARRIER c.�'•l7 It t7�L��G... PLAN REVIEW� , , . . . , ,
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� POLICYNUMBER ' � ELECTRIC � ��• 1��•���" � �
� (fH6SEGTqNNEmNOT8E071.�LETHIOFTHEPERMTISWRONEFUrDFiEDDOLLARS(5100)ORLESS� PLUMBING . . .
Z 1 CERTIFV T1iAT IN hIE PERFORMANCE OF 7HE N'ORK�FOR WHICH THIS PERMIT IS ISSUED,I � MECHANICAL wn
(} SHALL NOT EMP�OY ANY PERSON IN ANV MANNER SO AS TO BEWME SU&IECT TO THE . -' .'� t , �
� WORKERS'CAMPENSATION UWS OP CALIFORNIA,AND'AGHEE 7HAT IF I SHOULD BECOME��� � INSPECTION'FEE �� �`-• � a� ��� ' •'•4 '' • ���''•��'
SU&IECTTO THE WORKEHS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE 1PBOR ISSUANCE /f�� I�L'a T1T A"�.'11T^.,T)�•� /y
� CODE.I SH FORTHNATH CAMPLY W17H THOSE PROVISIONS. ' � " � \��'G,� �,�� ����� � �•. O(/, "
, O DATE: Z� APRICANT:`•i��� ��� SMIP r �vT�T��c�' ?�"v 1 �r . .
w WARNINO:FAILURE TO SECURE WORKERS'COMPENSATION CAVEHAGE IS UNUWFUI,AND SHALL BE ENERGY P/C T� • �
J SUBJECT Ml EMPLOVER 70 CRIMINAL PENALTIES AND CIVIL FINES UP.TO ONE HUNDRED THOUSAND
� DOlLAR5�f10o,000),INADDITIONTOTHECOS70FCAMPENSATION,DAMAGESASPHOVIDEDFORIN ENEFiGYPERMIT �
J SEC710N 3708 OF T1E LABOR CODE,INTEHEST,AND ATTORNEYS FEES. RETENTION FEE: �
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� CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
Q I HEREBV AFFIRM UNDER PENALTV OF PEfi.IURY THA77HERE IS A CANS7RUC710N LENDING AGENCY � �'
�- FOR THE PERFOFMANCE Of?ME WORK FOR WHICH THIS PERMIT IS ISSUE�(SEC.30Y7,CIV.C.). - �
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� LENDER'S NAME
F- LENDER'SADDRESS �
w I CERTIfY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES
� I AGREE TO COMFLV WITH ALL CI7Y ANO CAUN7Y ORDINANCES AND STATE UWS RELATING TO BUILDING
CONS7RUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUN7Y 70 ENTER UPOH THE �
ZABOVE�MENTIONED PROVER7V fOR INSPECTION PURPOSES. COMMENTS � �
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� SIGNATUREOFPERMITTEE . DA7E
� RECPT.NO. PAID BY VALIDATION
WHITE�epeAment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy
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ROOF SHEATHING � 8 Ff. BO.ND BEAM _ ____� _ �
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ROOF COVF_R PRE-GRADING • �
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