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� �� CITY OF DIAMOND BAR �.�° rc DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _ 21660 E.CopleyDrive Suite 190 PRES$ ,:w . ,,, (909)860-3195 Fax(909)861-3117 ,�° BUILDING P�RMIT APPLICATION ' _ ' FIRMLY � .. APPLICATION .r —�NUMBE� P! o ADDRESS t���' 7rL-'L� v!�' DATE �� � #C � , ISSUE � ; TYPE OCC � APN LOTi TRA T DATE " CONST. GROUP p ,OWNER �"Al.BAA" 1, . " ADDRESS,,,�� I � 1� L.. ` ZONING SETBACKS , � CITY� � �� ZIP TEL. 5DE/SIQESTR , ' RW O APPtIGANT _, l.9 TEL. - EET RW ❑ � CONTRACTOR , � SIDE � ❑ .. � ADDRESS PROPOSED USE ��� /'�- � ' � CITY I ZIP TEL. ��, W ARCWENGI ^ ��}, .t ,' ' , 'z DESIGNER ��A� L� UNITS EL. STORI , , NO. a ADDR S ES BEDROOMS `� CITY `� ZIP TEL. .,, , . y DESCRIPTION SQ:FT.- FaCTOR�PSF AD:1 N ., . � • CC SFR/ADDlflEM �,. , - ATIO Q WNER BUILDER DECLARATION A p �I HEREBY AFFlRM UNDER�ENA�TY OF PERJUR S7HAIN�AN�PpOFE5�510NSC0 EFANV COI7YOR Gaf89B/C8R1011 . , REANALU �W CENSELAWWRTHEFOLLOWINGHEASON(SEC.io31. BUS E (n �. ,, U COUNTVWHICHREWIRESAPEf�A7TDCW�7STRUCT.ILLiER,IMPROVE,DEMOUSH,ORftEPAIflANYSTRUC- �w pgti0/DeCk �,�W FURE;PRIOR TO IiS ISSUANCE.AL50 RE�UIRES THE APPLICANT FOR SUCH PERMIT70�FllE F SIGNE�� �,� STATEMEN7 THAT HE OR SHE I LIOENSE�PURSUANT TO.THE PHOVISIONS OF THE CONTPACTORS LI• . ,C CENSE LAW(CHAPTER B(COA�M�NqNG WITHSECTION 70q0)OF OIVISION 3 OFTHE&1SINESSANO Pfl0.' �' PooUSpa F .FESSIONSCODE)ORTHA7HE0 SHEISEXEMPTTWEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- µ4;' ,�.. � V 'TpN.ANYVKKATIONOF3ECTIC�17031.5BYANYAPPLICANTFOHAPERMITSU&IECTSTHEAPPLICANTTO ',Z Re-Roof >��,_,. ACML PENALTY OF NOT MOiiE THAN FIVE�HUNORED DOLLAR3(55ao�:): � ��iµ'�, '��,.�, � ❑I,ASOtVNEROFTHEPROpERTY.ORMYEM7LOYEESWITHWAGE5A5THEIflSOLECAMPEN5A710N, � 0 CO(f1ii10�C181 �� '- .�BiiLL DO IHE.WORYC,AMD THE�TRUC7URE IS NOT INTENDE6 OR OFFERED FOR SALE(SE0.7049,BV51- :J . .NESS ANO PROPESSIONS CODELiHE CONTRACTORS LICBJSE lAW DOES NOT APPLY TO AN OWNER OF � �.P(iOPERTYWH08U1LD50RIMP{+OVESTHEREON,ANDWHODOESS�CJiWORKHIMSELFOR�HERSELFOR = - � z �� "� �;'THFpUGHHISORHERONMEM�OVEES,PROVIDEDTHATSUCHIMPROVElIENTSARENOTINTENDEDOR' m ' - - ^i }.'� 1 �li '�,0 OFFERmFORShLEIF,HOWEVE iHEBUItA1NGORIMPROVEMEN7iS50LDWITHINONEYEAROFCOMPLE�. �Z ��-TION,7HE OWNEfl-BUIlOER N7 HAVE TME BUflDEN�OF PROVIN��THAT HE OR SHE DID�NOT BUIL�OR. � _ �I,ASONMEROFTHEPR PEHfY,IUAEXCU151VELYCONiFACTINGWITHLICEN5E000NTRACTORS� � I � � � ��W 'TO COMSTFU6T THE PRQIECT SEC.7044,BUSINESS ANO PROFESSIONS COOE:THE CONTflA�TORS LI-�. V21l1flfI0f1 ' �ADJ.AREP,'.� ��� � � ��� ' IMPROVE FORTME PURPOSE O�SALE). i ,;,� , .OANOWNEROFAPROPERTYWHQBULDSORIMPHOVESTHEREON.AN� � . W ,CENSE lAW OOES NDT APPLV 7� p NMOCONTRACTSFORSUCHPR�JECTSNNTHACONTRACiOR(S)LICENSEOPk1NSlJANTT07HECONTRAG� QUANTIN DESCRIPTION '�'i '�� ' " �� � � � � ,FEE .,..� �TORS LICENSE LAW.�. .. , . . .. .. .. .. . ' Q ❑I AM EXEMPTUNDER SEC. B.6 P.C.FOR 7HIS REASON U '������� ,..:.0 ,DATE I OWNER � ,. U ....� I ", . ' ,. . Z �.�. . ,j . . . . . . I . � LIC�SED CONTRACTORS DECLARATION W �',� �I HEREBYAFFIRM UNDER PEN TY OF PEflJURYTHAT I AM LICENSED UNDER PROVISIONS OF CHAPTEF � � ' . ��� �.�,9(COMMENCINOWITHSECT 7000)OFDIVISION30FTHEBUSINESSANDPROFESSIOrvSCOUE,AN� Z , .W UCENSE IS N FUIL FORCEl�ND EFFECT. m �,{�{i � � ..�.� . . . LIC.NO. �-���-41�' . -� � ,, J . ' � UCENSE CUSS �+.�-p� �.�V .�OATE �� _CQNTRACTOR ' 7�EJ t ' nr '��� . ; � . .. 1 j W WOR�,KERS'COMPENSATION DECLARATIdN � U �r �. g������}�A� �'� ��;�IHEREBYAFFIRMUNDERPENA�TYOPPERJUHYONEOFTHEFOLLOWINGDECLARA710N5: Q ���j.'&������+Lp, �; �� _IHAVEAN�WILLMAIWTr`INAC�3iTIFICATEOFCANSENTTOSELF-INSUREFORWOHNERS' _ COAAPBJSATION,ASP�VIDWBYSECTION37000FTHELA80RCODE,FORTHEPERFORMANCE �U �, � OF THE WORK FOR WH H THIS PEflMIT IS ISSUED. � �"�� _�HAVE AND M'ILLMAI IN WORI�HS'COMPENSA7ION INSIJRANCE,AS REDUIRE�BY SECTION �� ,w��d1 �f Q� . 37a00FTHELABOR E,FORTHEPERWRMANCEOFTHEWORKFORWHICHTHISPERMITIS �Y�C�` q a IS9UE�.MY WO/5��c ERS'COAMP�E�N TION INSURANCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION v a� � ..j� CARflIER Lr't' I�'r' PLAN REVlEW � i � . Z� aoucvNUMa� ���� ---- ELECTRIC �J�y�t�� < i �p �y}� Q (IiISSECfIOdJNE�NO�BE00PAPI.EfmOFTHEPEfUMI�FOfiOIVEHUMREDOC1.tARS(510o)ORLESS). PLUMBING ISg1�dpyt[/d�p�/�' � T', � I CEflTIFY 1HAT IN THE ERFORMANCE DF THE WORK FOR WHICHTHIS PERMIT IS ISSUE�,1 MECHANICA� r LJY f U/f (�".� SHALL NOT EMPLOY YPERSON IN ANY MANNEH SOAS TO eECOME SUBJECT TO THE � WORKEBS'CAMPENSAKKJLAWSOfCALiFORNIA,ANDAGREETHATIPISHOULDBECOME INSPECTIONFEE '�'' SUBJECTTO THE WOR ERS'C01dPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR - � ��� CA�,1 HALL FORTH ITH COMPLV WITH THOSE PROV ION ISSUANCE ��'W i,'DATE:_i���(.� APPIICANP.- .._ . - . ` .SMIP P � . � I � � ENERGY P!C � �J� WARNING:FAIIUpETOSECUR WORKERS'COIulAENSATIONCAVERAGEISUNLAWFUL,AND ALLBE �,-'W;�SUBJECTANENPLOYERTOC MINALPENALTIESAN�CIVILFINESUPTOONEHUNOREDTHOUSAND ENEflGYPERMIT � � �� DOLIARS(i1oD,000),INADDITI NTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORW � �^ �'..�J'��. SECTIDN37WOFTHcLABOR E,iNTEREST,ANDATTORNEI^SFEES. ' RETENTIONFEE: �J,�� - ..,,W�, � � 1 ' . . p.,�, �ONSTRUCTION LEN�ING AGENCY � PRE-ALT FEE: ��� I.HEREBYAFFIRMUNDERPEN TYOFPERJURYTHATTHEREISACONSTPUCTtONLENDINOAOENCY ' FORTHE PEHFORMANCE OFT I E WOflK Poft WHICH THIS PEflMIT IS ISSUED(SEC.9097,CIV.C.), , ,,.��.�.' LENUER'S NRME - ' I f�/I�. . . . . ' . 1_ LENDER'SADDRE55 ' '�',W�'�:� ICENTIFYiHATIHAVEREAOT ISAPPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES •'Z„'���e� � � s�'�. �d.� 1 AGqEETO COMPLY WITH ALL ITYAN�COUNTY ORDMANCESAN�STATE lAWS RELAl1NG TO BUILDING . , _ '� CONSTRUCTION,ANOHEREBYAU7HOHIZEREPRESENTA7IVESCFTHISCOUN7Y70EN7EHUPONTHE �� �'�" ABOVE-MEMbNEOPHOPERT FORINSPEC710NPUHPOSES. COMMENTS � � , ��la ( � �L � � .4'',, PERMITTEENAM (PR . � . .. . . N. � ����, SIGNA7UPEOFPERMITTEE � DATE '� ' , . ..�„ ��. - RECPT.NO. 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