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HomeMy WebLinkAbout12280 - 1328 DIAMOND BAR BLVD (2) = CITY OF DIAMOND BAR /,^ � . ---�"�'---� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES s�� � 21660 E.Capley Drive Suite 190 �� (909)860-3195 Fax(909)861-3117 �..- PRESS ,.._,._.�, ATtoN . FIRMLY "�'. BUILDIN.G PE1tMIT APPLIC , ... ,�,.:,,.� QJOBSITE }�/� Q" �IrJ yyJie-y�� �/��. -�� DATEICATIO �1°�1�. � � ryUMB R �`'' O � �/C ¢ ADDRESS [ ��a ���.����r c C.i.6V �, � ISSUE TYPE pCC APN LO . TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS RW ❑ g CITY ZIP . TEL. REART C APPUCANT TEL. SIDFJSIDE STREET_ RW C � CONTRACTOR SIDE ❑ O ADDRESS CIIY ZIP TEL. ~ PROPCSED USE o ARCHIENG! z DESIGNER w NO.D1NEL. �O. NO. a ADDRESS � CITY ZIP TEL. UNITS �TORIES BEDROOMS � u� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLARATION SFR/AOD/REM 0 1 HEREBY AFFIRM UNDER PENAITY OF PERJURY THpT 1 AM E%EMPT FqOAI THE CONTRACTORS LI• GafagBlCdIPO([ W CENSEUIWFONTHEFOLLOWINGREASON(9EC.70.11.5BUSINE35ANDPROFESSIONSCOOE:ANYGTYOR (n U COUNTYWHICHpEGUIRESAPFAMITTOCONSTRUCT,ALTER,IMPROVE.DEMOLISH.ORHEPAIRMI`�S7FUG LJ.J patio/Deck � 7URE,PRIDR TO ITS ISSUANCE,AL50 REWIRES THE APPLICANT FOR SUCH PEqMIT TO FILE A SIGNED W SL[TBAENT 7HAT HE OR SNE LS LICFNSED PURSl1ANT TO THE PROVISIONS OF THE CONTRACTORS LI- '� CENSE LAW(CHAPTER B(COMMENCWG WITH SECTqN 7000)OF DIVISpN 30FlHE BU51NE55 ANO PR0- �'�' POOUSQd FESSIONSCODE)ORTFIAIMEORSHEISFXEMPTIHEREFROMANDTHEBASISFORTHEALLEGEDE%EMP• (� V TION.ANVYIOLATIONOFSECTION7031.5BYANYAPPIICANTFORAPERMITSUBJECTSTHEAPPLICANI'TO Z Re-Root � ACINLPEWV.iYOFNOTMORETHANFIVEHUNDRED00LL1RS(f5q7�J: ' ' � ❑I,ASOWNEHOFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIRSO!ECOMPENSATION, � CofrlmBfClal - WILL UO TME WORK.ANU THE STRUCTURE 6 NOT INTEN�E�OR OFFEREO FOR SALE(SEC.70d4,BU51- J N NESE ANO PROFESSIONS CODE:TNE CONTRACTORS LICENSE LAW DOES NOT PPPLY TO AN OWNER oF ? PROPENTY Wl10 BURDS OR IMPROVfS THEflE4N,ANO WHO DOES SUCH WORK HIMSELF OR HERSELF OR � THIiOUQHHISOHHERONMEMPLOVEES.PROVIDEOTHAT5UGi1MPROVE\fENTSARENOTWTEnIDE00R m QOFFEREDFORSALEIF,HOWEVE0.IMEBUIL�INGORIMPROVEMEMISSOLDWITHINONEVFAROFCOMPIE- z TION,THE OWNEq�6lALDER WILL HAVE TNE BURDFN OF PROVING THAT NE OR SHE DID NOT BUILD OR = IMPFdDYE FOR THE PURP0.SE OF SALE). w OI,A90N77EROF7HEPROPERTY,AMEXCLUSIVELYCAMRACTINOWITHLICENSEDCONI'HACTORS � TO CONSTRUCT THE PRQIECT(SEC.7044,BUSMESS AND PROFESSIONS CODE THE CONTRACTORS ll- VBIIJaliDll ADJ.AREA W CENSEUWDOESNOTMPLVTOANOWNEROFAPROPERTYNMOBI111DSORIMPROVESTHEREON,AND � VAqCONfRACT5FOq5UCHPROJECTSWITHACONTN0.CTOq(SjL10ENSE0PUR5UANTTOTHECONTRAG QUANTITY DESCRIPTION FEE � TOASttCENSELAW.�. ❑I AM EXEMPT UNDEH SEC. B.h P.4 FOR THI9 REASON Q 3 0 — LL- � — DATE OWNER_ U Z W � LICENSED CONTRACTOflS DECLARATION W � I HEREBYAFFINM UNDER PENALTY OF PERJURY THAT I AM LICENSW UNDER PROVIg�ONS OF CHAPTER � � � p,., e(COMMENCINO WITH SECTION 700a)OF DIYISION 30F THE BUSINESS NND PROFESSIONS fADE,AND Z X MYLICENSE�SINFULLFORCEANDEFFECt m — LLJ 0 UCEMSE C LIC.NO. �17 j �j DATE CONTRACTOF d — t7J � WORKEpS'COMPENSATION DECLARATION -� � IHEAEBYRFFIRMUNDERPENALTVOFPENURYONEOFTHEFOLLOWIN(;�ECUIPATIONS: Z � _INAVEMIDWILLMAINTAIkACEqTIFICATEOFCANSEMTOSEIF-INSUREFORWORKERS' $ — Q COMPENSATION,AS PROVIDED BY SECTION 37000FTHE LABOFt CODE,FOR THE PEFFORMANCE `U Q . �OFTHE VYOqN FOR WHICH THIS PERMIT I$ISSUED. � W �/ — Q� I HAVE qNO WILL MAIMAIN WORKERS'COAIPENSATION INSURlWCE.AS PE�UIRED BV SECTION Q 37000FTHELABORCODE,FORTHEPEHFOR�IANCEOFTHEWCRKFORWHICHTHISPERMITIS ISSUE�.MY WOP.ICERS'COMPENSA ON INSURANCE CAqRIER AN0 ICV NUMBER ARE�, CONSTRUCTION j cqRwEn !' 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