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_� __ CTfY OF DIAMOND BAR C.'/ � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES rr�„ 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS �'���� BUILDING PERMIT APPLICATION FIRMLY oJOBSITE ��J ,,���I �-^ � �I A /�N � DATEICATION �✓ j � ^/ NUMB R ��1"" #/C O�� ¢ AD�RESS �( �f _���f�rt �_�a��- � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER � �6� p ADDRESS ZONING SETBACKS z CITY ZIP___ TEL. a �► FRONT RW ❑ p APPLICANT TEL. S DE/SIDE STREET RW ❑ � CONTRACTOR L i SIOE p ADDRESS � CIN ZIP • TEL. PROPOSED USE uY1'y- p w ARCH/ENG/ ,��j� z DESIGNER �' � ADDRESS NO.DWEL. NO. NO. � CITY ZIP TE�. UNITS STORIES BEDROOMS � v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEFi DECLAAATION SFR/ADDlREM O p I HERE9Y AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FIiOM THE CONTRACTORS LI. GafagelCarpoR W CENSELAWFORTHEFOLLOWINGFEASON(SECJa31.5BUS�NESSANDPROFESSiONSCO�E:ANYCITYOR (n U COUNTVWHICHREOUIRESAPERMITTOCOUSTRUCT,ALTER,IMPROVE,DEA��OLISH,ORREPAIRANYSTRUC� W PdiiO/OBCI( w TURE,PRIOfi TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PEPMIT TO FILE A SIONED W � S7ATEMENT THAT HE OR SHE IS LICENSED PURSUANi TO THE PROVISIONS OF THE CONTRACTORS LI� � � CENSE LAW(CHAPTEfl 9(COMMENCING WITH SECTtON 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� POOVSp2 � FESSIONSCOOE)ORTHATHEORSHEISE%EMPTTHEREfROMAN�THEBASISFORhIEALLEGE�EXEMP� (� V TION.ANYVIOLATIONOFSECTION7o31.58YANYAPPUCANTFOFAPEFMITSUBJECTSTHEAPPL�CANiTO Z q@-ROOf ACIVI�PENALTY OF NOT MORE THAN FIVE HUNDREO GOLL4RS(55oa).): � ❑I,ASOWNEROFTHEPROPERTY,ORMVEMP�OYEESWITHWAGESASTHEIRSOLECOMPENSATION, � COfOffl0fCi81 Z WILL 00 THE WORK,AN�THE 57RL1CTURE IS NOT INTENDEO OR OFFERE�FOR SALE(SEC.7odd,BUSI� J � NESS AN�PROFESSI�NS CODE:THE CONTRAC70RS LICENSE LAW OOES NOT APPLY TO pN OWNER OF � PqOPERTV WHO BUIIDS OR IAAPROVESTHEREON,AND WNO DOES SUCH WORN HIMSELFOF HERSEIFOR CC THROUGHHISORHEROWNEMPLOVEES,PROVIDEDTHATSUCHIMPROVEMENTSAFENOTINTENDE�OR m � OFFEREDFORSALE.IF,HOWEVER,THEBUILAMGORIMPROVEMENTISSOL�WITHINONEYEAROFCOMPLE Z TION,THE OWNER-BUILDER WILL HAVE TNE BURDEN OF PROVING TNAT HE OR SHE DIO NOT BUILD OP = IMPROVEFORTHEPURPOSEOFSALE). W CJ I.AS OWNER OF THE PFOPERTV,AM EXCLUSIVELY CONTRACTING WITH LICENSE�CONTPACTORS [[ TO CANS7RUCT 7HE PROJECT(SEC.7046,BUSINESS AND PROFESSIONS CADE�.THE CON7RACTORS LI� Valualion ADJ.AREA W CENSELAWOOESNOTAPPLYTOANOWNEROFAPROGERTYWHOBUIL�SORINPROVESTHEREON.AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(S)LICENSEOPURSUAN770THECONTRAG QUANTIN DESCRIPTION FEE Y TORS LICENSE LAW.). Q ❑I AM EXEMPT UNOER SEC. B.6 P.C.FOR THIS REASON Q O� ��- S U � � � DATE OWNER F- �r O —_._.__—__ W e' � LICENSED CONTRAGTORS DECLARATION W � IHEREBVAFfIFMUNDERPENALTYOFPEfiJURYTHA7IAMLICEN5E0uN�ERPROVI51oN50FCHAFTER � � 9(COMMENCINGWITHSECTION70oo)OFDIVISION30FTHEBUSINESSANDPROFESSIONSCODE,AND Z OMV LICENSE IS IN FULL FORCE AND EFFECT. ��� � � LICENSE SS_ _ LIC.NO. � V �ATE_ "' �' CONTRACTOR d W y' � WORKERS'COMPENSATION DECLARATION �CV Q � 1 HEREBVAFFIRM UNDER PENALTV OF PERJURY ONE OFTHE FOLLOWING DECLARATIONS. Z � _I MAVE AN�WILL MAINTAIN F CEFiTIFICATE OF CONSEN7 TO SELF-INSURE FOR WORKERS' _ Q CAMPENSATION,AS PROVIDED BV SECTION 377o OFTHE 1A80R CODE,FOR THE PEi1FORMANCE W Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � Qw �I HAVE AND WILL MAINTAIN WORNERS'GOMPENSATION INSVRANGE,AS REOl11RED BV SECTION 370o OF THE LABOR CODE,FOR THE PERFORMA E OF THE WORK FOF WHICH THIS�ERMIT I$ �(�1, �\� ISSUE�.MVWORK S'COMPENSAT SYRA ECAR RAND ICVNUM9ER CONSTRUCTION L� ��� ¢ v Zv� l'�1 > CARRiER PLAN REVIEW POLICV NUMBER ¢ , ELECTRIC _ O' ��J 0 (IHISSECTIONNEmNOTBECOMt°LETE�OFTHEPERMfTISFOFIXJEHUNDREDCOLLAR5�5100)ORLESS�. PLUMBING Z I CERTIFV THPT IN THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERIAIT IS iSSUED,I MECHANICAL (� SHALLNOTEMPLOYANYPERSONINANVMA'JNERSOASTOBECOMESUBJECTTOTHE (/� WORKERS'COMPENSATION LAWS OF CALIFO ,AND AGREETHAT IF I SHOl1L�BECOME INSPECTION FEE � SUBJECTTOTHEWORKERS'COMPFNSATIO R VI$IONSOFSECTION37ooOFTHELABOP � COPE,I SHALL FOfiTHWITH COMPLY W�TH T P V SIONS. / ISSUANCE . , .,,. � l= � w� a._. . -..:.--...,, p DATE: r}r17-^C�� APPUCANT: Pli�.. SMIP ���_``--�~ /:��, B� �� �~ � 1 � WARNINGFAIWRETOSECUREWOtiKEflS'COMPENSA710NCOVERAGEISUNIAWFUL,AN ALLBE ENERGYP/C � �y Sl16JECTANEM7LOYERTOCRIMINALVENALTIESANDCIViLFINESUPTOONENUNDREOTHOUSAND ENERGYPEflM1T D�LLARS(5100,0001.IN ADDITION TO THE CAST OF COMPENSATION,DAMAGES AS FROVIDED FOR IN � SECTION 3700 OF THE LA90R CODE,INTEREST,AND ATTORNEVS FEES. RETENTION FEE: � IHEREBYAFFIRMUNDERPENALTVOFPERJURYLHATTHEREISACONSTR PRE-ALTFEE: d CONSTRUCTIONLENDINGAGENCJcrioN�ENoiHcaceucv �� r�-���--------�- ------�--� _.�.� ...:..._._._........_x .._... n- FOR THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSt1ED(SEC.309],CIV G�. Z W � LENOER'S NAMc _ F— LENDEP'SADDRESS � ��� � ICEiiTIFYTHATIHAVEREADTHISAPPUCAT10NAND5TATETHATTHEABOVEINFORMATIONISCORRECT. TOTALFEES ^ n�O� ��` ` W I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORJINANCES AND STATE LAWS RELATING TO BUILDING 6� C' `/ \ \ � �(��� =J� �J CONSTRUCTION,AND HEFEBV Al1THORIZE R=PRESENTATNES OF THIS COl1NTV TO ENTER UPON THE ZA80VE�MENTIONED OROPERTY FOR INSPECTION PUqPOSES. COMMENTS '^� 1 , � � V ) � m PERMITTEE NAME(PRINT� - Q � � SIGNATUREOFPERMITTEE TE = RECPT.NO. PAID 9Y VALIDATION ~ WHiTE—De artment Co EILOW—Finance Co FINK—Assessor Co GOLDENR06—File Co GREEN—A IicanTs Co P pY. PY. PY, PY, PP PY _'- .'",,:_µ a._.. " . rs..�, .�:. 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