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HomeMy WebLinkAbout17017 (42) —�''F'=----- CI"I'Y OF I3IAMOND BAR f�' � � DEPARTMENT OF COMMUNfTY&DEVELOPMEPIT SERVICES I - 21825 E.Copley Drive ' (909)860-3195 Fax(909)861-3117 PRESS ��%y���� BUILDINGPERitill'Y'APPLICATION FIRMLY o ADDRESS +� 7 � ���r "�� �C��l��L.. v DATECATIONQ` ��( V� NUMBER��1 �/C t.� � � ISSUE �p TYPE OCC APN LOT TRACT DATE � 1i' � CONST. GROUP ¢ OWNE� � O " ADDRESS ZONING SETBACKS oCITY^ � !P TEL. PRONT RW ❑ APPLICANT �_�� TEL. REAR � ' � SIDE/SIDE STREET RW ❑ z aCONTRACTOR �F'��5_����� SIDE ❑ ADDR SS PROPOSED USE o GTY ZIP TEL. � o ARCWENG! z DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES _�_BEDROOMS � CITY ZIP TEL. I, N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADDJREM O � i HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT t AM EXEMPi FROM THE CONTRACTOPS LI- G8f292/CflfPOfi W�.' CENSELAWFORTHEFOLLOWINGREASON�5EC.7IXi1.5BU51NE55AN�PFOFESS10N5CO0E:ANYCITYOR (n V� GOUNTVWHICHREQUIflE5A7ERMITTOCONSTflUCT,ALTER,IMPROVc,�EMOL15H2OflREPPJRANYSTRUC- W Patio/Deck ,�. �TURE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED � �".STATEMENT 7HAT HE OR SHE IS UCENSED PURSUA�T TO THE PqOVISIDNS OF THE CONTRACTORS LI- � ,CENSE LAW(CHAPTER e(COMMENCING WITH SECiION 7000�OF DNiSION 30F THE BUSINESS AND PRO� LL POOVSpe , � 'FESSIONSCODE)ORiHAiHEOR5HEI5EXEMPTTIIEREFFOMAN�THEBA515FORTHEALLEGEOEXEMP� (�} V �TION.ANYVIOLATIONOFSECTION7031•SBYANVAPPLICANTFOR�PERMITSUBJECTSTHEAPPLICANTTO Z RB-ROOT � A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDREO DOLLARS($5�0)J: GI,ASOWNEROFTHEPROPERiY,ORM�EMPLOYEESWITHWAGESASiHEIR50LECOMPCNSATION, L� Commercial Z 'WILL DO THE WORK,AND THE STRUCT�RE IS NOT INTEN�ED OF OFFEREO FOP SALE(SEC.7a44,Bl1Sl- .J �. �, 'ryE55 AN�PROFESSIONS CO�E:iHE CON'.FACTORB LICENSE LAW�OES NOTAPPLV TO AN OWNER OF = �, PROPERTYWHOBUILDSORIMGROVESTHEREON�,ANDWHODOESSUCHWOFKHIMSELFDRHEaSELFOR (Y TNROUGHHISORHEFOWNEMPL'OYEES,PROVIDEOTHATSUCFIIMPROVEMENTSARENOTINTEN�EDOR m QOFFEFEOFORSAIE.IF,HOWEVER;THE9UIL�INGORIMPP.OVEMENTISSOLDWITHINONcYEAROFCOh1PLE- �.,TION,THE OWNER�BUILDER WILL''HAVE THE BUFDEN OF PROYING iFIAT HE OR SHE DID NOi BU:LD OP �' �MPROVE FOR THE PURPOSE OF SALEJ:, � _ W flI,ASOWNEROFTHEPROpERTV,'AMEXCLUSIVELYCONTHACTWGWITHLICENSEPCONTRACTORS {Y� TO CDNSTRUCT THE PFOJECT�SEC.7044,9USINESS AND PPOFESSIONS CODE:THE CONTRACTORS LI� �/dIUd110l1 � ADJ.AREA W, �CENSELAWDOESNOTAPPLVTDANOWNERaFAPROPERTYWHOBUILD50RIMPROVESTHEP.C-0N,AN� �� WHDCONTRACTSFORSUCHPFOJECT9.WfTHACbNTRACTOR(SjLiCENSEDPURSUANTTOiHECONTRAC- (]UANTITY DE RIPTION FEE � TORS UCENSE LAW.). 2 '� � ❑IAMEXEMPTUNDERSEC. B.&P.GFORTHISREASON U � -- � � DATE � OWNER � W � LICENSED CONTRACTORS DECLARATION �j � � Q [L� IHEREBYAFFIflMUN�EFiPENALTYOFPERJUflYTHATIAMLICENSEDUNDERPROViSIONSCFCYAPTEH � d . 9(COMMENCINGWITHSECTION70on)OFDIVISION30FTHEBUSINESSANDPROFESSIONSCOpE.AND � x MY LICBdSE IS IN WLL F ClJqFl��FbECi,, m W /i � � LIGENS6E�CLASS t.-s�+�y � LIC.NO. � �' � f � V DATE�7'���_V'� � CONTRACTOR . a W � WORKERS'COMPENSATION DECLARATION a � I NEREBY AFFIRM UNDER PEN.4LTY OF PEPJURV ONEOFTHE FOLLOWING DECLARATIONS: U ' f1� Q � _IHAVEANdWILLMAINTpINACERTIFICATEOFCONSENTTOSELFINSUftEFOflWCNjKERS' _ COMPENSATION,PS PROVI�ED 6V SECTION 370o OF iHE LABOR CO�E,FOR iH6 PEPFORMANCE C� ¢ OFTHE WORK FOR WHICH THIS PERMIi I5155UE0. � � � IHAVEANDWILLMAINTAINWQRKERS'COMP6NSAilONINSURANCE,ASREDUIREDBYSECTION ^��/� Y �„--� Q� 7oa OFTHE LABOR COOE,FOR 7HE PERFORMANCE OFTHE WOPK FORY�HICH iH15 PEFMIT IS IA T �I ISSIIED.MY.yr,p�RKEAS'COMPENSATIONINSUFiAN���ggg����tiANDPOLICYAUMBERARE: CONSTRUCTION (J tJ j cnaRiER/'T�l����� _���� PLAN REVIEW Z,, POLICYNUMBERL��^- � ELECTflIC 'Y (MISSEC�K�NNEmNOTBECOMPLEfEDOFTHEPERMRISFORQUEHl11J�RE��01J_ARS(5706)ORLE55). PLUMBING �. -'�'_ W�� � MECHANIGAL Z ' I CEA7IFY 7HAT INTHE PERFORMANCEOF THE WO FOR WHIC HIS PERMI?IS ISSUE�,1 L'S SNPLL NOT EMPLOV ANY PERSO,N IN ANY MANNER O AS 70 B: ME SU6JECT TO THE (n WORKERS'COMPEN9ATIONLAWSOFCALIFO I A AGPEE ATIFIS:IOULDBECOME INSPECTIONFEE f�y � SUBJECTTOTHEWORKERS'COM?ENSATIO � ONSOF ECTION376nOFTHcLA90R �SSUANCE •�y � GOOE,I SHALL FORTHWITH GOMPLY WITH7 VI510 . .,� .. � �e '"� p� � DATE: /'� APPLICANT: - SMIP °`L-?� � WARNIN6:FAILURE TO SECURE WORKERS'COM ENS ION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C �y. '� SUBJECTANEMPLOVERTOCRIMINALPENALTIESAN CIVILqNESUPTOONEHUNDfiEDTHOUSAND ENERGYPERMIT ' DOLLARS(Stoo,aao),INAD�ITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVI�EDFOftIN � J� ' SECTION 3�08 OF THE LABOR CO�E,INTEREST.AND ATTORNEV'S FEES. RETENTION FEE: L'C. .. � _--� d CONSTRUCTION LENDING AGENCY pRE-AL7 FEE: O � , IHEREBYAFFIRMUNOERPENALTYOFPERJl1RVTHATTHEREISACONSiRUCTIONLENOINGAGENCY FOR THE PEFFORMANCE Of THE WORK'FOR WHICH THIS PERMIT IE ISSIJED(SEC.309],CIV.C.J. Z 4Ll = LEI�ER'S NAME � F-��, ' LEN�ER'SA�ORE55_ � ', ICERTIFYTHA7IHAVEREADTHISAPPUQA710NAIJ�STA7E7}iATiHEABOVEINFORMATIONISCOftRECT. TOTAL FEES � � �.��� ¢� ��. IAGREETOCOMPLYWITHALLCIT'ANDG�UMYQRdNANCESANUS?ATELAWSRELATINGTOBUILDING �� � '.CONSTRUCiION,ANDHEREBVAUT ORIZE EPRE,5ENTATIVESOFTHISCOUNTVTOENTERUPONTHE y ' A80VE-MENTIONEO PERTV F INSP TION PURPOSES. COMMENTS - �' �� m � PERMITTEEN IN ' � �..�y p� 4 1`�J --/y/ u� � `� a .�r" � . SIGNATURE O PER EE �ATE � � RECPT.NO. 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