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^ 1�� CITY OF DIAMOND BAR " ��,/ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ••-v w 21660 E.Copley Dri4e Suite 190 �-- � PRESS BUII,DIlVG p���9�861-3117 .._.,,.,., (909)8 319 .9�' ERMTF APPLICATION --- FIRMLY p ADDRE55 ��, �r �� NUMBER � SITE �`� �C I� -' �e,�� APPLICATION n � PERMIT �'���� �/C �F'� DATE��.., � , } ' TYPE ° OCC � APN LOT TRACT �� D'ATE ' r CONST. GROUP p OWNER ���"�li�'fC�.C{i�t�. .�fJiLi+�: L ADDRESS ` � > " ZONING SETBACKS z CITY� I��_`t ZIP�� TEL S- " / FRONT RW ❑ p APPtlCANi' - TEL. SIDFISIQE STREET qW 0 ^� � '�vr.� ` SIDE ❑ � CONTRACTOR �� �'�G��'P•1 t'��� w :p� ADDRESS � a � PROPOSED USE r � `, GITY �+t ZIP 2�.�TEL , �' G� o ARCFi/ENG/ N W O.DWEL. NO. NO. � A TMRESSR ZIP; � TEL. UNITS STORIES BEDROOMS � o' DESCRIPTiON SQ.FL FACTaR P5F ADJ.AREANALUAT.ION �p�.. ,.., �NNER-BUILDEF,DECLARATION, , .' SFR/ADD/REM � ���� -� ��� � �. Q i � W� CENSE L0.W FOR7HE FOLLOWING R�TM OF PERJURY THA71 AM E%EMPT FROM THE CONTflACTORS LI- � Gafdg9/C3�OfI �. ' � i NEREBYAFFIRM UNDER P �EASON�SEC,7031.5BUSINESSAN�PROFESSbNSCA�E:ANYCITYOR :;(J� - C.7 CdJMYM/HICHREIX11RE5APERA�ITTOCONSTRl1CT,ALTER,IMPqOVE,OEMOLISH,ORREPAIRANYSTpUC- ' Z'��NflE;PRbfl TO ITS�ISSUANCE;AJ�:SO flEWIRE3 THE APPLICANT FOR SUCH P�flM1T TO FILE A�6IGNED -W -PatIO/QeQk � STATFAIENT THAT HE OR SHE IS LICENSED PUqSUANT TO,7HE PROVISIONS OF THE CAN7RACTORS LI- .,� �� ..CENSE LAW(GMAPTEF e(COMt��NCIN4.WITH SECTION 7000)OF DIYISION 30F 7HE BU9NESS AIyD PFi�- POOVS(1d GESSIONSCODEJOR7HATHEORSHEISEXEA9PTiWEREFROMANOTHEBASISFORTHEALLEGEO�EXEMR ,,�(� , , U �TION.ANYVIOLATIOhOF5ECY101�Y031.5BYANYAPPLIGANTFORAPERMITSU&IEGTSTHEAPPLICANT70 ��:;Z RE-ROOf �� � � , , . AClViLPENALTYOFNOTMORETryAN'fNEHUNDHEDUO[LARSq55oo)d: � �� ❑I,ASOW,NEROFTHEPROpERTY.OHMtlEMPLOYFESWiTHWAGE3ASTHEIRSOLECAMPEySAYION,. ���Q ���, �'�. � '�. .,z� � � Commercial �. � ..WILL p0 THE WORK,AND THE 3TIR�UCTURE IS.NOT INTENDED.Op OFFEAE�FOR SALE(SEC.7o4a,BUS4� J� �'., NESS pN0 PROFESSIONS CODE:THE CANTRACTORS LICENSE I.AW DOES NOTAPPLY TO AN OWNER OF� .",� ' , PROPERT'(WHOBUILDSORIMP O,YESTHEREON,ANDWHODOESSUCHWORKHIMSELFORHEASELFOR '�CC" iHHOUGHHI50RHEROWNElAP OVEES,PROVIDFD7HATSUCHIMPROVEMENTSAAENOTINTENDE�Oq ; m - �, �- . . Q �OFFEREOPoR3ALEIF,HOWEVE�;(HE9UIL�INRORIM?ROVEMENTISSOLDWITMINONEVeAROFCOMPLE � �� TION,TiE OWNER-BUI(pEfi WILL Y1AVE THE BUROEN�6F PPOVING iHAT HE OR SHE DID P10T BUIL�OR �_���. IMPROVEFOHTHEPl1RPO5EOF�RLE�. . .' ' � ' . .. I .. „V,y,, �I,ASOWNEROFTHEPROPERT/,AMEXCLUSIVEIYCONTqACiMGWI7HLIGENSEDGONTRACTORS � �� �. �[[; TO CONSTRUCT THE PRQIECT(SEC.7046,&15INES5 AND PROFESSIONS CODE:THE CONTRAC70RS LI- V91U8fI0f1 � ADJ.AREA_ �" �� ' - . ipNOYyNEROFAPROPERTYWHOBUILD50HIMPROVESTHEREON.ANO �'�'�� � ,�W�R�uW�6UCHPROJECTSWITFtACONTHACTOR(SjLICENSEDPUR£UANTTOTHECONTRAF ,�„ , QUANT!TY DESCRIPTION " "" ' "' EEE " ����Q� ❑IAMEXF_MPTUNDEfiSE�. B.BPC FORTHISREASON "Q�- - � " � ' ' " " ,,.�I,. � ' :U. �. . . . . .,' ��. � MTE i OWNER .."�U i ��.. � .Zi.... . .. . . . W � � LICE SED CONTRAC7pRS DECLARATION "� - . . : , AG� 1 HEREBV AFFIRM UNOER PENALFY OFPEFUURV THAi I AM LICENSED UNDER PROVISIONS OF CHAPTEH / y- 8 .�� 9(COMIAENCIPI(�WITH SECTION pqoa)OF�IVISION 30FTHE&151NESS AND.PROFESSIONS CODE,AND ''�.Z, � �i6'�U ���R.�4�� , ., ro�� MY llCEN9E IS IN FULL FORCE �ID EFFECL m a L.ICENSECLASS yyy,,,����i���. /� IIC.NO. ' ���T���� �. '','��. . .� , � ��. QATE �;�'X � CONTRACTOR .. . .. .;��d. . . . . . . W � � WORI�ERS'COMPENSATIQN DECLARATION Q � 1 HEHEBY AFFIRM UNDER PENAL4'V OFPEFUUqY ONE OF THE FOLLOWING DECL0.RA710NS: 'Z " ' , � � '' . 'i � _IHAVEFNDWILLMAIN'AIKACERTIFICqTEOFCANSENTTOSELF-INSUREFOflWORKER9' a � � CAMP�NSATION,ASPqf�VIDED9Y5ECTlON37000FTNELA80RCODE,FORTHEPERFORMAPlCE U � � OF TF7E bYORK FOfl WH!H THIS PEflMIT IS ISSUED. � � _I HAVEAND WIIL PAAINT IN WORHERS'COMPENSATION IN5URANCE,AS REOUIRE�BV SECTION Q 37�OOFTHELA60RC0 E,FORTHEPERWRMANCEOFTHEWORKFORWMCHTHISPERMfTIS ISSUED.MYWOpKERS' NSATIONINSURqr�f 6/CARflIERANDPOLICYNUMBERARE: CONSTRUCTION � caaweR .__ I� ����jeF PLANREVIEW � T���-�--' � POLICY NUMBER I� �� O �� � ELECTRIC g a� (n+�ssecriaurg�naT'�E�oFn�aEat�r�sFoaau6uuwaEo�.�nas(t�oo�on��ss�. PLUMBING �. � ICERTIFYTHATINTHEPEflFORMANCEOFTHEWOPo(FORWHIGHTHISPEftMITI515511ED,1 � MECHANICAL (�', SHALLNOTEMPLOYAN�'PERSON�NANYMANNERSOASTOBECOMESUBJECTTOTHE (rj' WOPKERS'COMPENSATIONLAWSOFCALIFOqNIA,ANOAGREETHATIFlSHOU�DBECOME INSPECTIONFEE 6y'', SUB.7ECTT0 THE WORI�ERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR . �L � fADE.ISHALLFOflTF1 ITHCONPLYWITHjT�OSEP VISIONjS�. ISSUANCE [',�� DATE �' j�'� �APPLiCAM'. /�-°� < /1 d����V� -SMIP � S°' ��`1�3E�'��1 �a�t� � WARtdWG:FAILURETOSEGUqIWOflKER5COMPENSATIONCAVERA4EI5UNL4WFUL,ANDSHqLLBE ENERGYP/C '� _��"i^e " 1T" SUBJECTANEMPLOYERTOCRMWALPENALTIESANOCIVILFINESUPTOONEHUN�qFDlHOUSAND � ������'������� � OOLLARS�Si00,00o),INAODITI NTOTHECOSTOFCQMPENSATION.DAMAGESNSPROy�pEDFORIN cNERGYPERMIT ' , S SECTION 37�8 OF THE W60P DE,INTEREST,AND ATTORNEY'S FEES. � RETENTION FEE: � � f�ONSTRUCTIQN LENOING AGENCY pRE-ALT FEE: i � IHEREBYAFFIRMUNDEHPENl�L7YOFPERJURVTHATTHEFEIS.ACONSTRUCTIONLENDINGAGENCY , ' ' ' ' FORTHEPERWfiMANGEOF7I�EWORKWRWHIGH7HI5PERMiTI51S511ED(SEC.3o9],CIV.C.). . - . Z SB! � � LENDER'SNqME � - ' �� ' }'- LENDER'SADaRESS � ' WIGERTIFYTHATIHFYEFiEADTNISAPP�ICATIONAN�SiATETFIATTHEABOYEINFORMATIONISCARFdECT. TOTAL FEES � ' ��E �� 1 AGREE TO CAMGLY WITH ALL CITY AND COUNTV ORDINANCES AND STATE L4W5 RELATING TO&11LDIN� � CONSTRUCTION,AN�MEREBV AUTHORIZE AEPRESENTATNES OF TMS COUNPY PO ENTER 11PoN THE . , . ' . � ' - ' '' � � A60VE-MEMIONEDPROPERNFORINSPECTIONPURPOSES. COMMENTS - � 7� f.<iFi � � . I�e PEFiFtITT E(PRI � � . � � ��� _. . . ... , . �, SI6NAT OF PERMITTEE '� DATE = RECFT.NO. 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