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r�� _ _�,� CITY OF DIAMOND BAR ` � DEPARTMENT OF COMMUNITY&DEVELQPMENT SERVICES _ 21660 E.Copley Drive Suite 190 �w (909)860-3195 Fax(909)861-3117 PRES$ ' ��r� BUILDING P�RMIT APPLICATION ' FIRMLY a DDRESS P I��`f ,J ! I�@/' f�j APPLIC � � ` ,4TION � ,�(,�✓ PERMIT �"�f��6� P/C p � ���- �� � DATE 1 NUMBER �' �� # � APN �;OT ��p ISSUE � TYPE ' OCC -- �� TRACT DATE CONST. GROUP °� OWNER 'I f.�,G a ` � o ADDRESS l � +� �-` 20NING SETBACKS z CITY...,. w C•9��P...�..TEL `�/��SZC`�--/��'�a FRONT Ryy ❑ �� �t —r---�" REAR ❑ � APPLICANT a TEL. SIDE/SIQE STREET RW [7 CONTRACTOR I � s �8. C., SIDE n � CDDRESS _ � I� � � '` j ' ZIP�3�_« TEL� ��ti PROPOSED USE o ARCWENG! � � CTMGNER �` UNITS STQRIES BEDRO a ADDRESS I — NO.DWEL. NO. Nd, ZI, TEL. OMS � II DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION �� . .p�,. ... CLARATION . ,:� . O OWNER-6UILDER DE ..., . SFR/ADD/REM . . ... . . .. .. �".. ' ��'�., I HEREBY AFFIRM UN�EF qENALi!OF PERJURY THAT I AM EXEMPT FROM THE CANTqqCTORS LI- GafdgB/CdryOft B �CENSELAWWRTHEFOLLOWIN RE4SON(SEQ7031.SBUSINESSANDPROFESSIONSCODE•ANYCIiv09 (J) � �- �. �� COUNTYVNiICHREOUIRESAPER�vfITTOCONSTRLICT,ALTEP',IAAPROVE,OEMOLISH,ORREPAIRANYSTRUC- �,�_ ,PyI10/�BCK TI1HE,PHIOR TO ITS ISSUANCE,�1LSO�RE�UIRES THE APPLICANT FOR SUCH PERMIT TO F LE A SIGNED W � W STATEMENT hIAT HE OR SHE ISI,LICEtdSEO PURSUANT TO,THE PROV!SIONS OF THE CONTRACTORS LI• � ' Z, CENSE LAW(CHAPTER e(COMMENCINO WITH SECiION 7000J OF DIVI510N 3 0F THE BU51NE55 ANO Pfl0-, � P��USPO , ' '. � � ��' FESSIONSCODEORTHATHEORSHEISEXEA9PTT4EREFROMANDTHEBASISFORPHEALLEGE�.EXEMP� � (� . .U., 710N.ANYVIOLATIOt10F5EGYlO�i7037.59YANYAPPLICANiFORAPERMITSU&IECTSTHEAPPLJCANTTO Z ye-Roof � ��. A CML PENAL7V OF NOT MORE THAN FIVE HUNDRED DOLLARS(SSoo).): � � � �. , . Z ❑I,ASOY/NEROFTHEPROPERN,ORMVEMPl.OYEESWITHWAGESASTHEIRSOLECOMPEN$AiION, �:� ComfflB�Ciel � � .WILL 00 THE.WORK,AND THE STRUCYURE IS NOT INTENOSD OR oFFERED FOR SALE(SEC.7446,BUSI. �.J �; NESS AND PqOFESSIONS CODE:iTHE CO'NTRRCTORS LICEW6E LAW DOES NOTAPPLY 70 AN OWNER OF �. �� ' PHOPERTYVh108UILOSORIMP OVESTHEiiEON,AND�Mi000ES5UCHWORKHIMSELFORHERSELFOR� ' ���OC7' THROUGFiHI30RHERONR:EMP�0YEE5,PflQVID�THATSUCHIMPROVEMENTSARENOTINTEN4E�PF � m � „ � �,,; OFFEREDFORSALEfF,HOWEVEq,7HEBUILDINGORIMPROYEMENTISSOLDWITHINONEYEAROFCOMPL�- �� �,,� �TION,THE OWNER-9UILOER WILL HAVE THE BURDEN dF PqOVING THAT HE OR SHE DID NOT BUILD OR . ,, IMPROVEf-0RPHEPURPOSEOFISALE). � � � '' .W�'„ . CI.ASOVMEROFTHEPRO�ERTY,AME%CWSIVELYCONTRACTINCaWITHLICENSEOCONTRACTOR5 � ;� �TO CONSTpUCT THE PiiOJECT(E�C.704L,BUSINESS AND PHOFESSIONS CODE:THE CONTRAGTOpS LI . . M1/dIt18IlOf1 ADJ.AREA � � � � � �I � .CENSELAWDOESNOTAPPLYT�ANOWNEROFAPROPER7VWHOBUILDSORIMPROVESTHEREON,AND '�=��i"�',WHO CONTRACTS FOR SUCH PRQIECTS WITkACONTRACTOfl(S)UCENSED PURSUANTTOTHE GONTRAF FEE �' ror:sucErtseuw.�. �UANTITY DESCRIPTION � Y��i . � . " , . .�� ..�. ❑i AM EXEMPT UNDEA SEG�. . .. � . . . B,8 P.C.FOR THIS;REASON� � , Q � - � � � - V, tL� - i � � � . �. DATE i '. OWNER h ��.. �! '.' .i . . . w . ., � o'�,,, LICENSED CONTRACTORS DECLARATION � W . ���i�� 1 HEREBYAFFIRM UNDER PENAITY.OF PERJURY THAT f AM UCENS�UNDER PROVISIONS OF CHAPTER � � ������..9(COM,UENCINGWITHSECTIDN?UOO�OFDIV'��SION30FTHE.Bl1SMESSANDPROFE5510NSCO�E,ANO Z �a�i ���r d�lr'� '�� Xl� AIY LICENSE IS IN FULI FORCE D EFFECT. m L11 (� O�,�.�CICENSE CLASS LIC.NO. - -� �T��� '. �� . ��. '. . � �I,I ..DATE - � CONTRACTOR �' � '�..d . ,,, �� . , �� WORK�4#S'COMPE�ISATION DECLARATION ¢ � �'. �IHEREB7AFFIRMUNDERPENALTI'OFPERJURYOPIEOFTHEFOLLOWING�ECLARATIONS: Z " ' . � Q'. IHAVEAN�WILLMAINTAINACERiIFICATEOFCANSENT70SELF-INSUREFOpWCRKERS' a �e�� CA/APENSATION;AS PR�IDED BY SEC?ION 37ooOF THE LAHOR CO�E,FOR THE PERFORMANGE U OF 7HE WORK FOR WHI TMIS PERMIT IS ISSUE�. W � pW �1 HAVEAND WILLMAINTAN WORMERS'COMPENSATIXd INSUpANCE,AS RE�UIRED BV SECYIDN �, 37000F THE LABOR CO�FOR THE PERWRMANCE PF YHE WORK FOR WHICH THIS PERMIT IS � ISSUED.MY WORKEFlS' M SATION INSURA CE CARRIEfl AN�POLICY NUMBER ARE: CONSTRUCTION C ji cAsaRiER � ��� PLANREVIEW ' Z PouCYNUMBER � ELECTRIC , � � � o missccr�NE�tvoie �TmoFitiE�w�nn'swcioNeHunon�oounns(Sim)oa�Ess} PLUMBING L ' Z ICERTIPYTHqTINTFiEP�RFORMANCEOPTHEWORKFORWHICHTHISPERMITISISSUED,I MECHANICAL - (;S� SHAILNOTEMPLOYANYPERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE ��(1�� (nl, tNORKERS'COMPENSAT! N LAWS OF CAIIFOqNIA,ANDAGREE THAi IF I SHOUL�BECOME lNSPECTION FEE $�"#9 � <� r - SUBJECTTOTHEWOFK RS'CdMPENSATIONPROVISIONSOFSECTION370oOFTHELABOfl . , CODE,I6HA4.LFORT WI HCOMPLYWITHTH EPRg�ISIONS. / ISSUANCE O, /�< ft= !"���/� �:gI�7�`�g g��F'���'���`� � DATE: �" " PPLICANP. SMIP ' �p�,�w `� � WARNING:FAILURETOSECURE ORKERS'COMPENSA710NCAVEFlAGEISUNLAWFU4AND6HALL8C ENERGYP/C ��JA&.effid'AS°Q'a.3.Y'�i�i�.:�':����$ -' J ��� SU&IECTANEMPLOYERYOCRI INALPENAL7IESANOCIVILFMESUPTOONE�HUNDRED7HOU9AND ENERGYPERMIT - � JDOILARS(it00,OW),INADOITIO TO TNE C�STOF COMPENSATION,OAMAGES AS PROVIDED FOR IN - SECTION31oBOF1t1ELABOR E.INTEFEST,AN�ATTORNEY'SFEES. � � � ' OC� RETENTION FEE: ' O�i.��� C NSTRUCTION LENDING AGENCY PRE-ALT FEE: � ��I,, Ii1ER�YAFFIRMUNDERPENAL OFPERJURYTNATTHEREISACONSTRUCiIONLENOMGAGENCY - ' � fORTHE PERPJRMANCE OFTN WORK W R WHICH THIS PERMIT IS ISSUE�(SEC.309],CIV.C.). . � l LENDER'S NAME ���, LEHOEA°SA�DRESS ��I ICEflTiF/THATIMAVEREADTHI$APPLICATIONANDSTATETHRPTHEABOVEINFORMATIONISCORRECT. TOTAL FEES � � (`�� �' ����� �. I AGPEE TO COMPLY WITH LLLCI AN�COUN7V ORDINANCESAND STATE LAWS RELATING 7O BUILDING � ' -""�' ' '� ��i CONSLRUCTION,AND HEREBY p THORIZE REPRESENTATNES OF 7HI5 COIJNTv 70 EN7ER 11PON iHE . � � � � �. � , � , �, ABOVE-MENTIONED PqOPERN R INSPECTION Pl1RPOSES. COMMENTS - - ' _' /� � ��{��t/! ��,, PERMITTE�3i�E'�INT) - . � y� � � � . . Cq, , i /I,� � 51GfdATURE � EE II DATE . �i- - �� � - RECPT.NO. � PAID BY VALIDATION� � ' , � WHITE—D"epartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copyl � �. � . . ��� � � ���� � � � ���P� ��� �� _ i � �.��.v � a � . � � � � s � , � a � � � � ; - , " .. �� , ' ;'�'� �" � � , s :zi.i ��a?"�, _��. 7 ��'���:'C`�I��':- € � r- �-a�l �,�'�.� t i�;"'Ei�. � ; ___.. �_�m___—,_W_._ �_rro���c ` ; __`_" � --�--#---- `�e-` — . ;_—�. __ s�, ��;�t-e-.?{.. .���,��a���;± 1.9�Iw.�§:J�C�4�C,� �:_ { �� � �,�. ..r� �� W.�_._._;�._.�..��L; .._�. .', �-----•------�-P— . _._..._ s '„�=�i3.�'3�,� ,, �, ��E�:3�'���� I mm _�;.as��``'�F���.���'���..��*��3t�[" , i' �----� .�'s��fai���b��a?-� ��.�.._.v..._.-�— I �:��-�Lr�����t13�,.a�i`�"�.�at� , ' " � � � ,.-_ _�.___ ._� ____ __�__�_ F -'� �.�.,�}.,�._ �___..__ __ _._;__�______ ' . ..�.�....__� 1"�P9��€-���;��� ; ? �i-�-[I �����r� ��,���`���a�.�94�_____�� � �4"�.�`�`� r°��'� "�`*�a�� _. �.��" f i�����' *°��'�`���,�1��',� �...' - ..�..s� � ��p�r��'�;�a�`"�slt��' €� �",���svC.���;�v"r , . � �?��� ���`�1�'�q^� � —: _____..—. ..� _.._ � �_.�._��_ . __��__ __._ � Rt � !r�I 3..I�^����s � .. �ti���� f,�����'m��f � ,� � �� . . � �'�«�'4.?�"`����`Jb�f�'U ... _...��_ � 3 . � ��'��t .�q.✓���� � � � � _ _.. � ��B.S"�G�?���e€P'°�C;,. ; ) � E3��t�i��� � �� ; —��__.�.�._._ �`�� � �a:,�`�a'������i���� .__.�_ . � ,��r �i..,����€�!-��&��.�twr � ___._� _________.;�.....�._. ...�_� ... � ( �_^______ � ` ��`t������.�����'?� �=!�l€�:§-��r=�,�,�:Er� �..��� ' _�__._� g+ ( p�^� �.���_�_ �� J:��✓"V 6"fl . v��'......�.�._ �__._.._..._.__..�.._..r�...._...�...,�. � � �.;��"...a"3"'7""R&.d. . . } ,.__..�.� .._.._ �_.�..:.......,..........,._.. ���S �"�a� c.�� � ��� � � �f g� p a. ,�g�'3 �_^�{ g��^^� � 1 � �.. , �}�1 1'u',.,m.,....�1��"�16'.d'4"4,,,,'"[ . , � . , � d�3.S4v1 �GdY.S38`�0..1�. 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