HomeMy WebLinkAbout1155 DIAMOND BAR BL (12) ��� CITY OF DIAMOND BAR DEPARTII�NT OF COMMUNITY&DEVELOPMENT SERVICES =�p0���-y, 21825 Copley Drive,Diamond Bar,CA 91765 � �� � (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS `���^^'�"� BUII,DING PERMIT APPLICATION � +' �'� +.%. kltCD FIRMLY ¢ ADDRESS l 1� /�,��/, APPLICATION// /J_/�� NUMB R �w// #lC v �v� � JOBSITE (� C�.� � �(q,�,�JoN b. f3�---r �/Y�'tT. DATE ` C/ 7 � ISSUE TYPE OCC � APN OT TRACT OATE CONST. GROUP °C OWNER G G � ZONING SETBACKS p ADDRESS Z C�7y ZIP EL!l � p FRONT RW ❑ TEI. REAR ❑ g APPLICATJT SIDE/SIDE STREET RW ❑ Z StDE � � CONTRACTOR � Q ADDR SS PAOPOSED USE � i � CITY � _��n�- w ARCWENG! W � DESIGNER � ADDRESS G NO.DWEL. NO. O. UNITS STO ES BEDROOMS � CITY ZI TEL.�j.7��. � � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATiON Q OWNEFi-BUILDER DECLARATION SFR/ADD/REM O 0 1 HEREBY AFFlRIi UNDEA PENIITY OF PERNRY THAT I AM E7(EMpT FROM THE CONTMCTORS L4 � Garape/Carport W CENSEUWFORTHEFOLLOW�NORFI�SON(SEC.7031.6BUSPIESSAN�PROFESSIONSCODE:ANYG7YOR ZCIX1NT`/WHICNREOUTAESAPEqM�T7000N5THUCT.AL7E0.��ROVE,DEMOLISH.ORREPAIRANV57RUG W P8ti0/DBtk W TURE,PRIOR TO RS�SSUMICE,PLSO HEWIi7E5 THE APPLICANT FOR SUp1 PEfWIT TO FILE A SIGNED w STATEMEN7 7HAT HE�R SHE IS 110EN5ED PURSUMlT TO THE FROV�SIONS OF THE CONTRACTORS LF � CENSE UW(CN�YTER Y�CAIAMENCW6 WITH SECTION 7000)Of DIVISION 30F TME BUStNESS MiD FFO- � P��USPB FESSIONS CODE7 OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR 7HE ALLEOED E%EMP- 7qN.ANYVqIATqNOFSECTION7o3t.5BVANYAPPLICANTFORAPERMRSU6IECTS7HEMPLICANT70 Z RaRoo1 � A CML PENALTY OF NOT MORE THAN FIVE HUNDRED DOLURS�f50u�): l � 04���EROFTHEPRO�ERTV,ORMYEMVLOVEESWITHl4AGESASTHEIRSOLECOMPENSATION, � COfTIffIBfCIBI _ Z WILI DO THE WORK�ND THE STRUCTUFE IS NO7 INTENDED OR OFFEFED FOR SALE(SEC.701�,BUSF .J NESS AND PROFESSIONS CODE TME CONTRACrORS LICENSE LAW DOES NO7 A7PLY 70 AN OWNER OF � PROPER�YN?iOBUp.D50PIMPqOVESTNEREON,ANDWHO00E5SUq1NK1RKHIMSELFORHE�ELGOR m Q THqOUGN MtS OA HEH OMM EMPLOYEES,PROYIDED 1HAT SUCH�MPROYEA{EMS AR£NOT INTENDED OR w OFFEREDPDRSALEIF,HOWEVEqTHEW�DINCiORIMVROVEAIENTI550lDWRFIINONEYFAROFCOMPLE- � TqN,THE OWNER-BUILDER WILL MAVE TME WRDEN OF PROVINO THAT HE OR SHE DID NOT BUILD Oq Z W PROVE FOR THE PURPOSE OF SALE} _ ❑4�OVMEROFTHEPROPERTY,AMEXCLUSNELYCONIRACTPIOWfTHUCENSEDCONTRACTORS '� 70 CONSiRUCT TME PROJECT(SEC.70u,&1SINESS AND PROFESSIONS CODE 7HE CONiMC70RS U- V81U8hOf1 ADJ.AREA W CENSEUWDOESNOTAPPLVTOANOWNEROFAPROPERTVWHOBUILOSORIMPROVESTMEREON,AND , � WFIOCONTMCTSFORSUGIPRQIECTSWITNACONTRACTOR(S)LICENSEDPURSUANTTOTHECOl1TiUC- pUANT1TY DESCRIPTION FEE Y 70RS LIGENSE UW.). ....} � ❑I AM EXEMPT UNDEH SEC. B.8 P.C.FOR THIS REASON Q � U Q LL DATE OVMER U W � IIGENSED COtJTRACTORS OECIARATION �j � I HEREBYAFiIFW UNDER PENKTY OF PERJURY THAT I AM UCENSED UNDER PROVISqNS OF CHAPTEA � � D(COMMENCINO WRN SECTION 7000)OF DIVISION J OF THE BUSWE55 AND PROFESSIONS CODE.AND Z X W IICENSE IS W FU.L F AND EFF CT. m LLl � 0 UCENSE CLA LIC.NO. � �� J � U DATE CONTRACTOR � a W � WORKERS'COMPENSATION DECLAR TIOM � � U N 1 NER�Y/�FFIRM UNDER VENALTY OF PER1UfiY ONE OF THE FOLLOWING DECLARATIONS: � Z Q � I HAVE ANO WILL M/JNTAW A CERTIFlCATE OF CANSEM TO SELF�INSURE FOR WiDRKERS S � COIdVENSATION,AS PROVIDED BV SECTION 3700 OF THE LABOR CODE.FOR THE PERPDRMANCE w OF THE M10RK FOR WHICYI TY115 PERMIT IS ISSUED. � � w _I HAVE AND WILL M/JNTAM WORKERS"COMFENSATqN INSURANCE,AS REOUTAED BY SECTION Q 9700 OF THE LABOR CODE.FOR 7HE PERFORMANCE OF THE WOPo(FOF WHICH THIS PEHMIT IS � 6 ISSUED.MV WORICERS CONPENSATION INSURANCE CMFiIER AND POLICV MIAIBER ARE CONSTRUCTION � CMHIER PLAN REVIEW r � Z P0.ICYNUMBER ELECTRIC Q Q (fF�SECf�pdN�HpTgEppA�LE7�pFTVEpER1,R6FOpONEµIrpREppou/�^R�o�ryoqLESs} PLUMBING Z 1 CERTIFV THAT W THE PERFORAIANCE OF THE M/ORI(FOR WHICH THIS PEFWiT IS ISSUED,I MECHANICAL L}' SHAIL NO7 EMPLOV ANY PERSON M ANY MANNER SO AS TO BECOME SUBJECT TO THE � WORICERS'COMPENSATqN UWS OF CALIFORNIti AND ADREE�uT IF I SHOULD BECOME INSPECTION FEE �Ys� S SUBJECT TO THE WOPo(ERS'COMPENSATION PRONSIONS OF SECTION 37o00F THE LABOR ISSUANCE � �� � V` CODE,I 5lULL FORfHW1iN COMPLY YA7M TIiOSE PRONSIONS. � SMIP •,d p DATE: APRICANE . . W ENERGY P/C tiWARNIN6:FALLURE TO SECURE WORKERS COMPENSATqN CAVERAOE IS UNLAWFUL.AND SHALL 8E SUBJECTANEMPLOYEHTOCRv.IPULPEtULT1E5M10CIVtLFWESUPTOONEHUNDRED7FWUS/ND ENERGYPERMIT DOLLMS(f1a0,000).W ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR W /J�]� � SECTION 370E OF 7HE LA80R CODE.WTEREST,AND ATTOFWEYS FEES. RETENTION FEE: • �/V�I � / � , � CONSTRUCTION LENDING AGENCV PRE-ALT FEE: Q I HEREBV AFFIRM UNDER PENALTY OF PEiLA1RV THAT THERE IS ACONSTqUCT10N LENDWO A6ENCV "� Z FOR THE PERFOfUTANCE OF THE N'ORK FOR WHICF/7HI5 PERMIT IS ISSUED(SEC.30a7,CIV.C.). � �A ' . ! W � LEHDER5 NAME F- LENDERSADDRE55 � / /y � ICERTtFYTHATIHAVERFIDTHIS�PLICATWNANDSTATE�T7HEABOVEWFORMATpNISCORAECC TOTAL FEES � f/O' ' `�/ �G� w I AGREE TO COMPLY WRH ALL CfTY AND CWNTV ORDINANCES AND STATE UWS REUTMO TO BUILDINf3 ' � CONSTRUCTION,AND HEREBY AUTIiOR2E REPRESENTATNES OF THIS COUNTV TO ENTER UPON 71fE ZABOVE-MENT%JNED VR07ERTY FOR INSPEC710N PURPQSE�. COMMENTS � . � � u. 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