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HomeMy WebLinkAbout12177 (14) , CTI'Y OF DIAMOND BAR � COMMUNITY DEVELOPMENT D -.. 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 � PRESS ,"""' BUILDIIVG PERMIT APPLICATION FIRMLY o ,A�DBDR+ESS ���� f l�{,.L� �� DATEICATIONc"'� _ Cl' ,� PERMIT �' P/C _ NUMBE g � APN�� LOT ' T CT A EE CONST.�� ?� � �C p OWNER �7�.�� �D���/� �9� n r GROUP o ADDRE S �f� ZONING SETBACKS z CITY�- r' ZIP i TELI�ArJ .- � 7 FRONT Rvy � o APPUCANT�J� - M_.i i/.-1 Y�ll TEI�.6Z/��+�,�`. L/S REAR � Z �` SIDEISIDE STREET Ryy � ,� ¢ CONTRACTOR �+�J�`r .' � ` �1=�'� SIDE 0 � ADDRESS r�� v�� v'' _{' � CITY I.�" t�.0 n.�iC ZIP_ �' T � 0 �o/ PROPOS.F_D USE � t -C Gc c`E- �'�,�1/r,,i p � 1� stGL�.. '� • �^,�,yy�.� �y�,�r.r- � � � .,�� �_, � �'`"" c-�. w� ARCWENG/ - e. � % � ' z DESIGNER � �S��/'. � - /r' -.�. �� ; f` �` t.� i' } l 0. ADDRESS NO.DWEL. O. NO. � ��TY Z!P TEL. UNITS STORIES �y BEDROOMS N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION O OWNER-BI;ILDER DECLARATION SFR/ADD/REM p I HEREBY AFFIqM UNDER PENALIV OF PERJIIpY THqT I AM EXEMPT FPOM 7HE CONTRACTORS LI� Gaf,79P/CB�OIt W CENSEUWFORTHEFO/LOWINGRFASON(SEG70.9156USMESSANOPqOFESSIONSCODE:ANVCITYOR (n U WUNTVWIiICHREOUIqESAPERMITTOCQNSTRUCT,ALTER,IMPROVE.OEMOLISH,ORRE7AIRANVSTRIJC- �jJ PytI0I�8CK W TUPE.PRIOq TD ITg ISSUANCE,AL50 REW IRES TNE APP�ICANT FOR SUCM PERNI�TO FllE A SIGNEO W � STATEMENT THAT HE OR SHE IS LICENSE'J PURSUANT TO THE GROVISIONS OF THE CAb1TRACTOPS U� � CENSE LAW(CHAPTER B(COM41EMqNG WI7H SECT104 7000)OF DIVISION 3 0F THE BUSINESS AND PAO� � POOUSp2 � FESSIONSIX�E)oRiHATHEOR5HEI5E%EMPTTMEREFROMANOTHEBASISFORTHEALlEOEDEXEMP- U TION.ANVVIOLATNINOFSFCTION703t.58YqNVAPVLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof ��� � A CML PfhALTY OF NOT MORE THAN FNE HUN�{iE0 DOLLARS�3500).): � OI.ASOWNENOFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASh1E1RSOLECOMPENSATION, � Commercial Z WILL Do THE WORK.AN�iME STRl1CTURE IS NOT INTENDEO OR OFFEFEO POR SALE(SEC.7oa,BU51. J � NESS AND PROfESSIONS CODE;THE CONTRACTORS LICENSE LAW�OES NOTAPPLY TO AN 01dNER OL ? P90PERTY WHO BUILOS Oq IMPROVES THEREON,AN�YMO DOES SUCIi WORK HIMSELF OH HER'uELF OFl � THROtJGH NIS OR NER OWN EMP�OYEES,PROVIDE�iH0.T SUCH IMPROYEMENiSARE NOT INTENDED OR m w oFFEFE�FORSALE.IF,HOWEVEq,7HEBUILDINGORIMPROVEMENt15SOLDWITHINONEYEAqOFCOAAPIE� 0 TION,THE OWNER-OUILDER WILL HAVE THE 9URDEN OF PROVING THAT HE OR SHE DIO NOT BUIID OR Z IMPROVEFOa7HEPUFPOSEOFSAIE�. _ ❑I,ASOWNEROFTHEPFOPERT',AMEXCLUSIVEIV(X�NTRACTINGWIhILICENSEDCONTRpCTORS W (L TO CANSTRUCT THE PRQIECT(SEC.i064,BUSMESS AND PROFESSIONS CODE:THE CONTRACtORS LI- VBIU0I1011 ���'1�° � qW.AAEA W CENSELAWDOESNOTAPPLYTOANOYMEflOFAPROPERTYWMpBUILD50RIMvqOyESTHEREON,AN� � WHOCAMRACTSFORSUCHGp0.1ECTSWITHACqNTRACiOR(S�UCENSEDPURSl1MlTTOTHECONTRAG QUANTITY ESCRIPTION FEE Y TOflSLICENSELAW.). o ❑I AM EXEIAP7 UNDER SEC. � B.8 P.C.FORTHIS REA50N Q � U LL' DATE OWNER F � LICENSED CONTRACTORS DECLARATION W Q I � I HEREBY AFFIRM UNDER PENAITY OF PEN.IVRY THAT I AM LICENSEO UNDER PROVISIONS OF CHAPTEfl � d 9(COMMENCNtGWITHSECTIQ47000)OFDIVISION30FTI1EBi1SINE55ANDPROFE55KM'SCODE,M'� Z `X MY LICENSE IS IN FULL FORCEAND EfFECT. � m � UGENSE C1A55 �� LIC.ND. �..� � � l t vZ�/� V DATE � CONTRACTOR J1 G� W � WORKERS'COA4PENSATION DECLARATION � , �t' � � I MEREBYAFFIRM UNDER PENALTV Of�ERIURV ONE OF THE WLIOWINC DECtARA�: N Z � _IHAVEANDWIL�MAMTAINACERTIFlCA7EOFCONSENTTOSFLFdN5l1REFORWORKEflS' _ CAMPENSATION,AS PROYICED BY SECTION 3laa OF TNE UBOR CODE,FOR 1HE PEHFORMMlCE U qj7HE WOpK FOR WHICH THIS VFRMIT IS 15SUED, W � W V HAVEANO WILL MAIMAIN WORKERS'COMPENSAT!ON INSURANCE.AS REWIREO BY SECTION O J7000FTN�UBOPCDDE,FORTHEPERWRWNCEOGTMEWDPKFOqWH�CHTH�57ERAlIT�S � J ISSUEO.MVWURKERS'COMPENSA710NiN5URANCECARq1ERAMDPOLICYNUMOERaRE: CONSTRUCPON r � j caanieR � 3�" J �~��L� ��!� PLAN REVIEW � z aoucr wuMeEa �� f�,�� �S ����_ ELECTRIC Q � (1HISSECIqNNE�NOTBEQr+�LETEDCFhEPEF8Tr6WRONEHUrDRED�OLLAilS(ftao)ORLE53} PWMBING W Z I CEfiTIFY TMAT IN THE PEfiFORMANCE OF h1E WOqK FOq VrtiICH THIS PERMIT IS ISSUED,I MECHANICAL C.rS SHALL N07 EMPLOV ANY PERSON IN ANY MqNNEfl SO AS TO BECAME SU&IECT TO THE � [n YJORKEflS'COMPENSATIONLAWSOFCALIFORNI/�ANDAGREETHATIFISHOU�D8EC0l�E INSPECTIONFEE ^ SU&IECT 70 THE WORKERS COMPENSATION PROVISIONS F S CTION 37000F THE LABOFl I � WOnE,I SfIHALL O/RTHWI7HCOMPLY W OSE PR �t� ISSUANCE � � --�� �� � p DATE: APPLICANT: �-� ' / '�'�--' SMIP W � � ""� WARNING:FAILURE TO SECURE N'OFiKEFS'GOMPENSATION COVEflAGE IS UNUWFUI,AND SHALLBE ENERGY P/C J � SUBJECTANEMPLOVERTOCRIMINALVENAl71ESANDCIVILFME$UPTOONEHUPAREDTHOUSAND ENERGVPERMIT i � DDLLAAS�f f00,000),IN AD�ITION TO TI1E COSTOF COMPcNSA'ION,DAMAGESAS PROVIDED FOA IN J SECTION97neOFTHEUBOPOJDE.INTEREST,ANDATTORNEI"SFEES. RETENTIONFE Q OCONSTRUCTION LENDING AGENCY PRE•A�T FEE: � IFfEREBYAFF�RMUN�ERPENAITYOFPERIURY?HATTHEREISACONS7RUCTIONLENDINGAGENCY Z FOR 7HE PEHFORMANCE Of THE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.3oe7,qV,G.). W � LENDER'S NAME � LENOER'SAODRE55 � w ICEFTIFI'THATINAVEflEADT115APP�ICATIONFNOSTATETHATTHEA80VE1NFOp1AAT10NISCOFRECT TOTAL FEES � I AGRFE TO COMPLY WITM ALL CITV ANO COUNiY OHUINANCES AND STRTE UW5 flEUTING TO BUILDING �/ � CONSTRl1CTION,ANDHEREBYAUTHORIZEREVRESFNTATNE50FTHISCOUNT'TOENTERUPONTHE Z ABOVE�MENTIONE�PRODERTY FOR INSPECTION PURPOSES. 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