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HomeMy WebLinkAbout12228 CITY OF DIAMOND BAR �_ "- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE J/ 2166D E.Copley Drivc Suite 190 (909)86Q3195 Fax(909)861-3117 � F RESS ' BTSILDINI�PERritTI'APpLICATION MLY 4 DDR1ESS���Z Ji�JJ���L�Yl�'tT � /� >- �„/ APPLICATION PERMIT p/� o DATE NUMBE p ISSUE TYPE OCC � APN LOT TRACT �Z�� DATE CONST. GROUP p OWNER C`G o ADDRESS '� � , ZONING SETBACKS �W �� ZI TEL,i's��Yt�J�f� FRONT RW ❑ APPLICA TEL. SI�SIDE STREEf RW ❑ � CONTRACTOR � `/F Lt/i3 SIDE p y� ADDRESS ' � CITY '� ` ZI %7/O TEL J 5 ��' _t7�L� PROPOSEDUSE o ARCWENG! f DESIaNER NO.DWEL. NO. NO. ADDRESS UNiTS STORfES BEDROOMS � CIIY ZIP TEL. � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECIARATION SFWADWREM p 1 NEFEBY/1FFIRN UNOER PEWILTY OF PERURY THAT 1 FM IXEMPT FRdAI hiE COMfRACTOR4 LI- � Garage/Cafport � � CENSEtAWFORT}�FpILpWMpqFJ�gpN(gEC.7031.59USWESSANDPROFESS10N5CODE:ANYCIiVOR COUNIYtiM11G11�7lMRESAPEfBAfTTOCONSTAUCT,ILLTER�MViAOVE,DEMOLISM,ORNEPWRRHVSTAUG W Patio/0eck � TURE,PRIW�TO R$qy�llVICE,/iLgp pEOU�pES THE MPLIGNT FOR SUCH PEIOdIT TO FILE A SIGNED � STREMETff THXi ME Ofi�fE IB LLL:EILqEp pUpSUMIT TO TNE PibVISIONS OF THE CONTWCCTOHS LI- � CENSE UW(QWi'ER Y(COMNENLTq W/TH SEC7q1V 7000)pF DIYISpN 3 OF THE BUSINESS AND PR0. � PooUSpe � FE93pl6CODF)ORi}UTHEORSHEISE%ELWTTWEI�FN04AND7F7EBA4ISiORTFrtALI,EGEDE%ELm- (� 710N.ANYNCJLATKMIOFSECTIqVTo91.68YANYAiPLMJWTFOHAGERMIT5U9JECTSTMEAPPLICMfTTO Z qgppp} ` AGVILPENAITYOFNOTYOi�hUWFIYEHUMDREDOOLURS�t5D0).)� . S O4��hEqOFiHE7NOPEH7Y,OqMYEMPLOYEESwiTHwAGE5�15TMEIR50tECOMpENS�TqN, O CommerCiel � NIIL DD TFE M�4qf,AIA TME 5TRIN:TUqE IS tqT IMENDEO OQ OFFERFA FOR SALE(SEC.70M,BUSI� J � y 17E745 AND PR�FE7AK7173 C06E:THE CONTRACTOfiS LICENSE UW DOES NOT MPLV TO M!OpYrvER OF PIiDPEAIYWiIOBUY.D50RWPJiDVfSTHEREON.A/bYN/000E53UCNVqRKHIMSELFORHERSEIFOR = � THHOUdI MSOR MER ON�N ONLOYEES.PRDNDFD 7MIR SUGI M�RqVEMEN75 AqE Np7 NIENOEO OR LO �FF61ED P�NS�LE IF,IIDNIEVEq 7ME&1YD111G OR YPROVEMENT ISSOLD WITHM OpE YEAii OF CCMaPLE- � 19011.iME ONlIER-0UM.DEfl YML FMVE TME&lPDEN OF PqOVWG TW�T ME Oel SME DID NOT BUILD OR NIPFIDVF Fai THE RIRPOSE OF 511LE� W ❑lA4�NMEROf1HEVRDPEiM,AM1EXCLUSIVELYCONTMCTWOWITHLICEIV3EDCONTRACTORS Q TO COlSilR1CT�VipIECT(SEC,70/4,BUSINESS 11ND VROFESSIONS CODE:TNE COtfiWICTOqS LI- V81V9I10f1 ADJ.AREA W CENSEUWDOEBlqTMPLYTONYQYIMEROFAPROPERTYW1108UttA50RN�PROVE57HEREON,AND � 1YFfOCONfAi1CT3FORSUC11VH61ECi3WITHACONTRACTOR(4�LICENSEDPUHSUANTTOTHECONTpAC- pUANTITY DESCPoPTIQN F€E � TOR$tlCEl'�E U1W.j. O I NA EXEIAPT IR�Efl 9EC. 8.8 P.C.FOfl TMIS REIISON a `/'7� sy l LLZZZ' DATE OWNEH U ��v� � � W � LICENSED COFITRACTOFS DECLpRATION -� � W IHEqEBYAFfpAtUIYDEqpEWLLTYDFPEiWNYTHATIMIIICEN5E0UNDERPROVISpNSOFCHAPTER � � � +j S Y(OOMAENCNO WIT1i SECT1oN 7000)OF DrviStON a OF THE BUSINESS AND PROFESSroNS CWE,AND z � �X��� MY LICENSE�S W�!y/,�ORCE ANU EFFECT. � ���`' m � � 4 � � LICENSE Ct,AS���_LIC.NO. ` � -:.,�. - .�, V DATE CONTMCTOR � � � �'� � � WORKERS'COMPENSATION�ECLARATION �i�'�� � D � � � IHEREBYAFFUMUIJpEflPEWLLNOFPERIURYONEOiTHEWLLOWWGDECLAMTIONS: � ` � J_ .�!/� / - G4� ,f� � _IHAVEAl�WILLMAINTAINIICERI1FIGlTEOFCON5EN7TO5ELHNSUREFOqM/ORKERS' 2 ♦2 • COMPEHS/TqN,�3PROVIDEDBYSECT10NJ7WOFTMElA80RCODE,E'ORTNEVERFORMANCE U 'f �7I � Q OF lME WORK FON WHICFI THI6 PERMIi IS ISSUEO. � U k"� _IWWEANDWILLI.WMAUIM/OPoCER6'COMPENSATqNINSURANCE,ASREWIRE�BYSECTION 4 3700 OF THE LABOR CODE,FOR THE PERFOiDAANCE OF iHE WORK WN WHiqt THIS CERMIT IS � ISSUED.MY qS'G�GA�TqN ' R�NCE C�AJt/�HANO VOUCV NUMBEFl AHE: CONSTRUCTION jCARRIER-�C�,+-"�— J ��" �.. �� ��,�.�� PLANREVIEW � POLICYNUMBER � L� � � "� i s/�� /7� � �— ELECTRI � (nassEcrqnr�no7eem�i[-0aF'frE�twttSwaor��oou�wsgtroYaa�ss} M81 /, Z ICERTIFY7lUTMlTHEPERFOFlMANCEOFTHEWONKFORWHICFITNISPERMITISiSSUED.I MECHANICAL � SYW.INOTEMPLOY/YiYPEfiSONiNANYMNlNERSOASTOBECOMESU&IECTTOTHE _ p� WORKERS'CDMPENSATIONUWSOFCKIFORNIAANDAGflEETHATIFI5H0ULDBE(:OlAE INSPECTIONFEE 5 SUfilECT70THEWORKERS'COMPfNSATpNGflOVI NSOFSEC7WN 7000FTHE�y�eoR coo�,iswuiwanawrn�caMa�.rwin�nas- hs�s. // ISSUANCE f O � �ATE: APPLICANT: 'C.25+����` SMIP J WAqNIN6:FALLURETOSECUflEVlOW(ERS'COMFENSATIONCOVEMGEISUNLAWFUL,/WDSHALLBE ENERGYPlC � SUaIECTANEMPLOYERTOCRMAINALPENAL71E5pNDCIVILFINESUPTOONEHUNDRE�TFKKISAND ENERGYPERMIT DOLLMS(5100,Oa0),IN ADDITION TO THE CASTOf CAMPENSATqN.DMIAGES AS PpOyIDED FOR IN � SEC710N 37oe OF THE LABOR CO6E,INTEHEST.AND ATfORNEYS FEES. I REfENTION FEE: OCONSTRUCTION LENDING AGENCY pHE-pLT FEE: � W �+ � IHENEBYAFFlNMUNDERPENKT'OFPERJURVTHATTHEREISACONSTRUCTIONLENDINGAGENCY '� FORTNE PEFWRMPNCE OF THE WOPoC WR WHICH THIS PERMIi IS ISSUE�(SEC.30Y1,CIV.C.). 2 W � LENDfR'S NAA1E H IENDERSADDflE55 � ICERTIFYTHATIFUVEREADTHISMPLICATIONANDSTATETHATTHEABOVEINFORMATIDNISCOHRECL TOTAL FE�S � � IAOflEETOWMPLVW1iHN.LCffYFNDCOUNTYOflDINNlCESMWSTATEUW6RELATINGTOBUILD�NG � OONfiTHUCTION.AND MFREBY AU7FqHIZE HE7RESEMATIVES OF THIS COUNTY TO ENTEH I1PON 7HE AODVE�MEMIONm PIqPERTY FOFi INSPECTION PURP09E5. COMMENTS a ��7J " %r`'l�l1iY _ m PE E(ARINl) � G] � Vj WA7U EOFP OATE T RECPT.NO. PAID BY V7ILIDAT1pN F WHITE—Department Copy,YELLOW—Finence Copy,PINK—Asseaaar Copy,GOLDENR�Ie Copy,GREEN—ApplicanYs Copy CITl( OF DIAM�7ND BI�R �N�P��1'bQ�lol F��CQ�t� � , ,� . , � � � � � . 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