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HomeMy WebLinkAbout16872 (42) �'`�, ' -----��_ -- CITI'OF DIAMOND BAR f P ` I I7EPARTtviENT OF COI��vIUN1TY&DEVELOPMENT SERVICES � ' �` 21825 E.Copley I3rive �� `��`�` (909)860-3195 F�x(909}861-3117 PR�SS �''-.yK�' BUILDINGPERMITAPPLICATION FIRMLY } JOBSITE �� � � ��� �� �y`� G?� ��`, APPLICATION PERMIT P/C o ADDRESS -° DATE � �� NUMSER �� #-� c� ISSUE TYPE OCC APN LOT 7RACT DATE CONST. GROUP p OWNER 3".�� E?.�*��.� a,✓ � �U`c�i` " ADDRESS ,�J ��°'� ��%"� �`��'�' ZON.I.f�1C'n. SETBACKS z CITY ZIP TEL FRONT RW ❑ o APPLICANT �,I� �'Ei��� TEL.Gl�'�'y���!9 REAR ❑ Z SIDE/SIDE STREET RW ❑ a CONTRACTOR °� ^ ���'�°� ✓� -�g"'��" SIOE ❑ j � ADDRESS �i`r f i , t 4� !9�A) /t�rz t�d� ,�Fr �a.�S. �' � CI7Y �L'�M ( ✓`-�+,'A Zf? TEL. PROPOSED USE � �A a�fii',fi�� E ��ee. 7'ftc�. W ARCWENG/ ��.e.p,r�Ez[.r ,e_ �' r1,S`. � e:F /"�Z" a�f`.a o.t3 zDESIGNER �t e e �'C u..a.--�1�t.v � :+�d'l.�'�11 e�, `_—� � ,ADDRESS NO.DWEL. NO. "L NO. UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FL FACTOR PSF qDJ.AREANALUATION �' � ��� ' � OWNER-BUILDER DECLARATION SPR/ADD/REM �'CJ, O � .I HEREBV AFFIRM UNDER PBJALTV OF PERJURV THAT I AM EXEMPT FROM THE COMRACTORS L6 G0fd98/C3fpOfl �� W� '�.CENSELAWFORTHEFOLLOVJING'�REASON(SEC.7031.59USINE3SAN�PROFESSION3CODE:ANYqTYOR (n _ . . ��C.). ��,COUNTVWHICHREQUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,PEMOLISH,ORREPAIRANVSTRUC. W P8i10/OBCk � �.;��, �;TURE,PRIOR TO ITS ISSUANCE.ALSO RFAUIflES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNE� � ��. .�'STATEMENT THAT HE OR SHE IS LICENSE�PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- . i,��,�''.CENSE LAW(CHAPTER 9(CAMMENCING WITH SECTION 7000)OF OIVISION 3 OF THE eU51NE55 ANO PRO� V" POOVSp2 i ,,0, �.''�FESSION$CODE)ORTHAiHEOR$HEISEXEMP7iHEREFROMANDTHEBA5ISFORTHEFLLEGEDEXEMP� (� � . ;U, .',TION.ANVVIOLATIONOFSECTION7031,5BVANYAPPLICANTFORAPEFMIT^eUBJECTSTHEAPPLICANTTO 2-RO � 0�.� '.�pCIVILPBJALTYOFNOTMORETNANFNEHUNDREDDOLLARS(550o;,): '�I,ASOWNEflOFTHEPROPERTY,OflMYEMPLOYEESWITFiWAGESASTNEIHSOLECOMPENSAiiON, O Commercial . ;Z„ :i WILLbO THE WORK,AND THE STRUCTl1RE IS NOT INTENDED'OR OFFEpE�FOR SALE(SEC.706d,6U51� J ','�,���; NE55 AN�PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NO"f APPLYTO AN OWNEP OF ? .�PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO�OES SUCH WORK HIMSELF OR HERSELF Oq ''����:� �.TMROUGHHISORHEROWNEMPLOYEE5.PROVIOE�THATSUCHIMPROVEMENTSAflE�O71NiENDEDOR m '��'�;�. "�,OFFHiEDFORSALE.IFHOWEVER,THEBUILDINGORIMPROVEMENTISSOLDWITHiNONEYEAROFCOMPLE- ,,,Z,; '�,'�iTION THE OWNER�9l11L�EP WILL'HAVE THE 9UAUEN OF PROVING TfiAT HE OR SHE DID NOT BUIL�DR ,i=ii �'�,IMPPOVE FORTHE PURPOSEOF SALE). . ,iW,,� , '. �I,qSOWNEROFTHEPROPERTY,AMEXCLUSIVELYCONTRACTMGWITHtlCENSEDCONTRACiORS IQ� "'�iTO CANSTRUCT THE PflOJECT(S�C.7048,9USINESSANO PROFESSIONS CODE:hiE CONTRACiOFS LI- VeII1Hf10l1 _ _—ADJ.AREA _ �'�W';'� �:i�CENSELAWDOESNOTAPPLYTOANOWNEqOFAPROPER7YWHOBUILDSORIMPqOVESTHEREON,AND i� '��'�;;:'�,IWHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOF(5)LICENSEDPUPSUANT?OTHECONTRAC- QUANTITY DESCRIPTION FEE '��". 70R5 LICENSE LAW.). �' ,� ❑I AM EXEMPT UNDER SEC. B.5 P.C.FOR iHIS REASON Q KL � ; UATE OWNER _ V W ��'�—F,�. LICENSED CONTRAGTORS DECLARATION W cC '(L'�� IHEREBYAF'rIRMUNDERPENALTYOFPELiJURYTHATIPMUCENSEDUNOERPflOVI510N50FCHAPTER �� . d','.'9(COMMENGINGWITHSECTION7000)OF�IVISION30FiHEBUSINESSANDPROFE5510N5CO�E,ANJ Z �W;��MYLICENSE IS W FULL FORCEAN'J EFFEGT. ���.�,���UCENSECL4SS t�,r'e'✓l, I'ItL�'NO. �I9SG�-� 9 ? U'� ��ATE � �T� '�Z�•-Z d'.�% +CONTRACTOR �j��� ��- W �' WORKERS'COMPENSATION DECLARATI������� a � U ' �� �.IHEREBVAFFIRMUNDERPENALTVOFPEPJl1RYONEOFTHEFOLLOWINGDE ATIDNS. (n Q � � �•`IHAVEANDWILLMAINTAINACERT'FlCATEOFCONSENTTOSELF-INSUREFORWDRKERS' _ . '�d—;,. COMPENSATION,ASPROVIDEDBYSECilON37ooDFTHELABORCODE,FOPTHEPERFORMANCE 1U � OFTHE WOpK FOq WHICH THIS PERMIT IS ISSUED. � � W'. _IHAVEANDWILLMAINiAINWORKEFS'CAMPENSATIONINSURANCE,ASRE�UIflE�BYSECTION 'Q� '. 37000FTHE LABOF CODE,FORTHE PERFORNANCEOFTHE WORK FOR WHICHTHIS PERMIT IS ISSUED.MYWORKEAS'COMPENSATION INSURANGE CARRIERAND POUCY NUMBEftARE: CONSTRUCTION ¢q ¢ (/ � �, CAPRIER PLAN REVIEW � �r a� � POLICYNUMBER � X � � � ELECTRIC Z ¢' � (lHISSECT%7NNEmNOTBECOfAPLErEDOFhiEPERMITISWRONEHUNDREDOd1ARS(5100)ORLESS). PLUMBING ' Z I CERiIFYTHAT IN THE PERFORMANCE OF TNE WORK FOR WHIGN THIS PEflMiT IS ISSUE�,I MECHANICAL �' SHALL NOi EMPLOY ANV PERSON IN ANY MANNER SOAS TO BECOME SUOJECTTO THE � ,p�' � WORKERS'COMPENSATIONLAWSCFCALIWFNIA,AN�AGFEETHATIFISHOULDBECOME INSPECTIONFEE SUBJcCTTOTHEWORKERS'COMPENSPTIONPROVISIONSOFSECTION37ooOF L480R �SSUANCE � COD,I SHA FORTHWITH COMPLV WIiH THOSE PRON510N5./� - � �+� �' - ,. . . , ... , .,;. - . . - _ �., _ _ . , .... �.#. , ,.���;: �. . 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