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- CTTY OF DIAMOND BAR COMMUNTI'Y DEVELOPMENT DEPARTMENT z166o E.copley Ddve Suite 190 PRE$$ (909)860-3195 Fax(909)8613117 "N�" BUILDING PERMIT APPLIGATION FIRMLY . 0 D R�ESS ���,,6� ��o L��� �-�a, DATEGATION � , NUMB R ��� #rC f� o� ISSUE TYPE OCC APN LOT �� TRACT �-Z-�P'v� DATE CONST. GROUP p OWNER ;/.S.ED S�� �a�0�-�F�i " ADDRESS 2.� i� T i�i'� �tf: ZONING SETBACKS Z CITY o� �0�� ' ZIP��S' TEL. �O" �c j FRONT RW � � APPUCANT I ��1�i�"tk/SJ� ' TEL. �.3 Y".s m3t7� REAR. ❑ SIDE/SIDE STREET RW ❑ Q CONTRACTOR a��.���.�`fNi-f'fN �'�'�"'i' iAo'� SIDE ❑ O ADDRESS ��I�� , �r�C.���� o CITY?i�tld�sSi' ��L�1/!� ZIP �i'1.`�i TEL. 'J���-�.�3�G ROPOSEDUSE�����`�C � �XlSr"3"iAI� ����-Y I��I w ARCHlENG/ � Z DESIGNER �L���'`p� /�-G�� +�`�si c�f- a ADDRES$ �`� I ' . ��•`i'/�. 1S5A /l�V e NO.DWEL. NO. NO. � UNITS � STORIES �' BEDROOMS � ciTv Mm�R.a�w#� zi��t�sL� TEL. 3 5�����t�i �' �ESCRIPTION 5Q.FT. FACSOR PSF ADJ.AAEANALUAtION � � �.. . OWNER-BULDER�ECLARATION � SFRlADD/REM � ' ' � � � O i " p, I HEREBY AFFIRM UNDER RENAL7V OF PERJURY hIAT I AM EXEMPT FROM THE CONTRACTORS LI� GafflAB/CdlpDl[ ' � '� ' ' � � W CENSEUWFORTHEFOLLOWINGqEASON(SEC.7o31.5BU51NE5SANOPROPE5SIONSCODE:ANYCITYOR (n zCOUNTVWHICHREOUIRESAPER�MITTOCONST{iUCi.ALTER,IMGROVE,OEMOUSH,ORREPAIRPNVSTRUG W' py110/O�k ' . . TURE,PRIOR TO ITS ISSUANCE,'AL50 RE�UIRES THE APPLICANf FOR SUCH PEHNIT TO FILE A SIGNED �� STA7EMEN7 THA7 HE OR SHE I$LICENSED PUHSUANi TO THE PNOVISIONS OF THE CANTRACTORS LI- - � � I �'., CENSELAW(CHAPTER9(COMMENCINGWITHSECTIDN7W4)oFDIVISION30FTHEBUSINESSANDPRO- u' POOVSpB � ' ' ' ' � FESSpNSCO�E)ORiHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP• ', V�i TION.ANYVIOIATIONOFS�C710N703f.5BYANYAPPIICANTiFORAPEflMITSU8JEC7STMEAPPUCANiTO Z Ae-ROO} ' � - � ' � �� ACIVILPENALNOFNOTMORETFiNNFNEHUNDRED�OLLAR3(35Do).�. . � ,, 0�, ❑I,ASOWNEROFTHEPHOQERTV,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSATION. � (`,pryim0fCi81 � . .. � i I F O C.7 , ��,�;�,�WILL DO THE WORK,AND THE STRUCTURE 16 NOT NTENDE�OR O FERED F R SALE(SE 04t,BUS4 �J � , NESS AND PFOFESSIONS CADE:�.THE GONTRACTOHS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � � �. i �' PROPERTVWHOBUIL�SORIMPROVESTHEREON,ANDWHOOOESSUCHWORKNIMSELFOHHERSELFOR � ' ' �'. �� THPOU�HHISORHEROWNEMPLOVEE9,PROVIDE�THATSUCHIMPROYEMENTSARENOTINTENDEDOfl m � � '� ��, OFFERE�fORSALEIFHOWEVERTHE6URDINGORIMPROVEMENTI550LDWITHINONEYEAROFCOMPLE -�� � � � Z i TION,THE OWNER-6UILDER WILL HAVE THE BUROEN OF PROVING THAT HE OR SHE�ID NbT BUIID Ofl � IMPROVEFORTHEPURPOSEOFSN.E). � � w,. , ❑I,ASOWNEHOFTHEPAOPERTY.AMEXCLUSNELYCONTRAC7INGWITHLICENSEDCANiRACTORS ,,,. , �. Q' TO CONSTRUCT THE PROJECT(SEQ 7044,BUSINESS AND PROFESSIONS COOE:THE CANTRACTORS LI- V8IU3SIOfi ADJ.AREA � � �' W I; CENSELAW�OESNOTAPPLVTO,ANOWNEROFAPflOPERTYWFi�BUItD50RIMPRDVE57HEREON,MID '', F'� �1NHOCONTRAC7SFORSUCHPRq.lECTSWITHACONTRACTOR(S)LICENSEDPURSLIANTTOTHECONiRAG QUANTIIY DESCRIPTION FEE � 70R5 LICENSE LAW.). q � 0 ❑I AM EXEMP7l1NDER SEC, B.8 P.C.FOR THIS REASON Q � �'^ - I '� C" �-�E" S � � ' �3 �.-�- c�,d°�Q . ' � DATE OWNER �U ' Z W � Co`�"' ��'7� tJ p�-�'� �¢ LICENSED CONTRACTORS DECLARATION W ' � 2 1 HEREBY AFFIRM UNDEH PENAI.TY OF QERJURYIHAT IAM LICENSEO UNOER PROVISIONS OF CHAPTER ' � ' � lL . ' . d, '9�COMMENCINGWITHSEGTIONF000)OFDIVISION30FTHE0USINESSANDPflOFE5510N5CODE.AN� z f'Y W MY UCENSE IS IN FULL FOHCE AND EFFECT. m ' � ' . � 410ENSE CLA55 �'��I LIG NO. �IE`9 Y��y��� �n � - - . . - _ � V DATE �°'.z�"' '�L J ' CONTRACTOH. ���.1�. ��..9�� �- . . W �N3"� ��� WORKERS'COMPENSA710N DECLARATIdN a �.2 �� �- ��� � I HEREBV AFFIRM IXJDER PENALN OF pEH.IURV ONE OFTHE FOLIOWING OECLARATIONS: Z ` �C-1 ,.� p-��C:, � ,IHAVEANDWILLMAINTAINACERiIFICATEOFCON5ENT70SELF•INSUNEFOPWOHKERS' _ ¢ CAMPENSATION,AS PROVIDED BY SEC710N 97000F THELABOR COOE,FOR THE PEHFORMANCE �U . �, OFTiE WORK FOR WHICFI7HIS PERMIT IS ISSUED. � , ' 0 � ,1 HAVE A�ID WILI MAINTA��1 WOqKERS'COMPENSATION INSURANCE,AS REdJIpED 8Y SECTION ^�� Q 37ooOFTHELABOACODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITIS � '� ISSUED.MY WORNERS'COMPENSATpN INSURANCE CARpIERAND POUCY NUAIBER ARE: CONSTRUCTION ��� j CARRIEH � PLAN REVIEW --'��2�. ��y Z POLICV NUMBER ' � ECTRIC �/.��.%_'�'.I/�+� � Q f��, �. . (THISSEC710NNE�NOTBE��MPLEfEDOFTHEPEHMffISFORONEHUPDfiEDDOLLl�fi�SplOu)ORLE55), ING 'B` ' . W 1 CERTIFYTHAi IN7HE PE FORMANCE OF THE WORK FOp WHICIi THIS PERMIT IS ISSUED,I MECHANICAL (!3�� � SHALLNOTEMPLOYANY ERSONINANYMAN RSOASTOBECOMESUalECT707HE � I . �p� WORKERS'COMPENSA7�NLAY750FCALIF ,ANDAGREjTHATIFISHOUTABECOME INSPECTIONFEE �' ' � _, SU&IEC770TFtEWORKE�iS'CAMPENSATI P VISIONS�CTION37000FTHELABOF �, � CODE,I SHALlFOR7HW1T�1 COMPLY WI7H HO P VISI ISSUANCE ,i� � p�, � DATE:���'�� APPLICAM: � . SMIP g r�C/ . J�. WARNING FAIWFiE TOSECURE W/�RKEPS'COMPENSATION CAVERAGE IS UN� FUL,ANO SHALL BE ENERGY P/C i��� � 8� �'�. '�SU&IECTANEMPLOYEfiTOCRIMINAI.PENALTIESPNDCIVILFINESUPTOONE UNDREDTHOl1SAND a� �� �DOLLARS(5700.WOJ.iN PDDITION 07HE COSTOf COMPENSATION,DAMAGE AS PROVIDED FOR IN ENERGY PERMIT ���"I ' ' ��'�. �,SECTpN37oeOFTHElA90RCOQTE,iNTEREST,ANDATfORNEY'SfEES. ' RETENTIONFEE: �� O' COMSTRUGTION LENDING AGENCY PRE-ALT FEE: �� IHEflEBYAFFIRMUNDERPENAL7y OFPERJUqYTHATTHEflEISACONSTflUCTION�ENDINGAGENCY - �' FOR THE PEflW RMANCE OF THE WORK FOfi WHICH THIS PERMI7151SSUE�(SEC.3097.CIV.C.). Z �� � � ��� IENDER'SNAME ' F-';I LENDER'SADDflE53�,� - II� w �IGERTIFYT 71H EREADTHIS PLIG�ATIDNANOSTATETHATTHEABOVEINFORMATIONISCORPECL TOTALFEES �' . ' , , ' � 'I AGREE T COMP WITriALL CI D�AUNTV ORD�NANCES ANp STATE tAWS RELATING TO BUILDING � I��. I CONSiR ION. 0 HEREBY A T �2E REPRESENT S OF THIS C NTY TO ENTEq UPON TME � . �, ; Q I qBOVE NT 0 P �PER7Y SPECTION PUR�S�. ��� n����! COMMENTS II�' '. � � yG�� ' il ' .. ' ��'� ' . m �PERMITTEE PM PRIN -. .I �. _ �- ��, .. �i �y t,�^y � U�'. .. "C'�-e`: C `� . . . �,� . :.� . ... .�. . ..... I �ry�l�'. '�SIONA REO PEflMITTEE' ' �' DATE .. . .. . � . 'I �,,,; � � ",, � ��•, ' ,, RECPT.NO. 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