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HomeMy WebLinkAbout17591 � CITY OP DIAMOND BAR a � /�"' --�`s---� I3EPARTMENT OF CO�',�6,�' _.,�YELOPMENT SERVICES 21825 E.CopleyDrive PRESS � (909)8603195 Fax(909)861-3117 �;���' su�.��vc�E�m��r�rrLicaTioN FIRMLY � JOBSITE '� `"� �� � F� APPLICATION, ' ` PERMIT y P/C o ADDRESS��i"� v-�°+'d����1� �%�� DATE � `�"�' ��- NUMBER � ! �� # o I5SUE TYPE OCC `-� APN LOT TRACT DATE CONST. GROUP � OWNER ^ a''� e' :S � �ai� � p ADDRESS� �' � 7� '�"�,� ZONING SETBACKS WZ CITY i�l'�F'6��+✓�7 f.��,ZIP TEL�'f'� • FRONT RW � p APPLICANT �'�a'f�"(�°'] TE ," `7 y��� �a� REAR rJ z ��� SIDElSIQE STREET RW C� m CONTRACTOR' '� .i,3�.� �'+�.�. �.l+ SIDE ❑ � ADDRES '" PROPOSED USE ���� ��� �°�� ��'3I�� � CITY ZIP � TEL. a"} w ARCH/ENG/ � � � � �� � �,,.t �z DESIGNER NO.DWEL. NO. NO, ? �� a ApDRESS UNITS STORIES BED OOMS � CITY ZIP TEL. � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION OOWNER-BUILDER DECLARATION SFRlADD/REM (� I HEREBY AFFIFM L1N�ER PENALTY OF PERJUHV THAT I AM EXEMPi FROM THE CDNTPACTOqS LI- G0(19P✓CdfP01'I W CENSELAWFORTHEFOLL�WINGREASON(SEC.�0.,7.58USINESSANDPROFESSIONSCO�E:ANYCINOR �� (n U COl1NTYWHICHRERUIRESPPEfiMITTOCANSTFUCT,ALTER,IMPROVE,�EMOLISH,OflREPA1RANY5TRUG W patio/Deck � TUflE,PHIOfl TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOP SUCH PERMIT TO FILE A SIGNED W � S7ATEMENT THAT HE OR SHE IS LICENSED PUqSUANT TO THE PROVISIONS OF THE CON7RACTORS LI- � CENSE LAW(CHAPTER 9(COMMENCING WITH SECTION�OOa)OF DiVi510N 3 OF THE BUSINESSAN�PFO- ' LL PODUSpO FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFRaMANDiHEBASISF�flTliEALLEGE�EXEMP- � ,�� ; � TION.ANVVIOLATIONOFSECTION'/o3158YANYAPPl.ICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof � ACIVILPENALTYOFNOTMORETFiANFIVEHUNDRED00LLAR5�E5o0�.): � p ❑I,ASOWNEflOFTHEPROPERTY,ORMYEMPLOYEESWITHYJAGESASTHBRSOLECOMPENSATION, �' O Commerclal _ -- Z WILL DO THE WORK,AND 7HE STRUCTURE IS NOT INTEN�ED OP OFFEFE'J FOq SAlE(SEC.704a,BUSI- .sl � Nc55 AND PROFESSIONS CO�'c�,THE CONTRACTORS LICENSE LAW�OES NOT APPLY TO AN OWNER OF � PROPERTY WHO BUILDSOR IMPROVE57HEREON,AND WHO�OES SUCH WORK HIMSELFOR HERSELFOR � THROUGHHISORHEROWNEMPLOVEES.PROVIOEDTHATSUCFiIMPflOVEMcNTSAFENOTINTEN�EDOR m � -OFFEREDFORSALE,IF.HOWEVER,THEBUILOINQORIMPROVEMENTISSO'.DWITHIryONEYEAROfCOMPI;E�' Z T10N,THE OWNER-9UILUER WILL HAVE THE BVRDEN OF PROYING THAT HE OR SHE OID NOT BUIi_D OR , � IMPROVEFORTHEPURPOSEOFSALE). ' .. . ❑I,ASOWNEROFTHEPROPEFTY,AMEXCLUSIVELYCONTRFCTINGWITH4CENSEDCONTRAC70RS '� Q TO CONSTRUCT THE PROJECT(SEC.]064,Bl1SME55 AND PROFESSIONS CO�E:THE CONiRACTORS LI- � V'dIU3IlOf1 ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPEATYWHOBUILDSORIMPHOVESTHEREON.pND':�,' � WHOCONTFlACTSFORSUCHPRQIECTSWITHACONTRACTOR(S�LICENSEDPURSUANiTOTHECONYRAC-'� '�� QUANTITY DESCRIPTION FEE � � TORS LICENSE LAW.�. , , ' Q ❑IAM EXEMPT UNDER SEC. B.8 P.G FORTHIS REASON'�,i�;��'� Q � U LL � DATE OWNER v Z W o LICENSED CONTRACTORS DECLARATION �� w , ' � I HEREBYAPFIRM UNDER PENALN OF PERIUR`!7HAT I AM LICENSE�UN�ER PROVISIONS OF CHAPTER ��:, � d 9(COMMENCING WITH SECTION 7o0D�OF�IVISION 30F THE 6USIP1E55 AND PROFESSIONS CO�E,ANQ z `X MY LICENSE IS IN FULL FO�RCaEA�N1O EFF�CT. m � LIGENSE GLA S�LIG.NO, e '��� � . „„���T j V DATE �:°�,-� CONTRACTO ��� a- iJ.l � � WORKERS'COMPENSATION D LARATION . ¢ � IHEREBVAFF�RMUNDERPENALNOFPERJURVONEOFTHEFOLLOWWGDECLARATIONS: ,', Z Z �IHAV'cANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF�INSUpcFORWORKERS'� � . _ COAIPENSATION,ASP0.0VIDEDBVSECTION3�ooOFTHELA80flCO0E,FORTHEPFAFORMANCE�',�" U adOETHEWORKFOHWHICHTHISPERMITISISSUE�. � ;' � W �IHAVEANDWILLMAINTAWWORKERS'COMPENSATIONINSURANCE,ASREQUIREOEYSECTION .�3` Q 3l0o OFTHE LABOR CO�E,FOR THE PERFORMANCE OF THE WORK FOfl WHICHTHIS PERAlIT15 ' {J /p�, ISSUED.lAYWORKEAS'/C1OM�yPENSATIONINS�'RANCECARRIEftAN O'JCYNUMBERARE . CONSTRUCTION �M`.'°..�„181 j cnaaiER - ��x�?'/�� , PLAN REVIEW z POLICYNUMBER___`��`j� 1_��� � ELECTRIC ¢ (1FiI55E(.TIONNEmNOTBE EfEDOF'IHEPERMR156ORONEFRAI]RE�DOILARS($100)ORLE$SR '; PLUMBING O Z ICEqTIFVTHqTINTHEPERFORMANCEOFTHEWORKFf]RWHICHTHISPERMITISISSl1Eq,1''��, MECHANICAL _ C3 SHALLNOT EMPLOY ANY PERSON IN 9NY MANNER SOAS TO BECCME SUBJECT TO THE " (q WOqKERS'COMPENSA7IONLAWSOFCPUFORNIA,ANDAOREETHATIFISHOULD6EC0lAt";I'�,�' INSPECTIONFEE SUBJECT TO THE WOflKERS'COMPENSATION PROVISIDNS OF SECTION 3']Do OF THE�BDRI � � CODE ISHAILFOflTHWITHCOMPLYWITHTHO EPROVISIONS/.�/` ISSUANCE �•^�v p DA7E: PLICANT: ���� /�1 � .. SMIP � •�,�= J WARNI :fAILU TO SECURE WOfiKERS'COMPENSATION COVEqAGE IS UNLAWFUL,AND SHAL� E ENERGY P/C � SUBJE ANB.4 OYEHTDCRIMINALPENALTIESANOCNILFINESUPTOONEHUN�RE�THOUSAN� ENERGYPERMI7 } OOlLARS(5700,0�0),INAD�ITIIXJTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIOEDFQFiII�',,, J SECTION3]oBOFTHEIABORGO�E,INTEREST.ANDA?TOqNEY'SFEES. RETENTIONFEE: r �� � ip CONSTRUCTION LENDING AGENCY � , PRE-ALT FEE: O � IHEFEBYPFFIflMUNDEP,PENALTYOFPEflJURYTHATTHEREISACONSTRUCTIONLENDINGAGENOY n- FOFi THE PERFOPMANCE OFYHE WOPK FOR WHICH THIS PERMIT IS ISSUED(SEC.309'!,CIV.C.).���'� . Z W � IENDEF'S NAME {— LENDER'SA�DRESS /�' � ICEflTIFYTHATIHAVEREADTHISAPPLICATiONAN�STATETHATTNEABOVEINFORMATIONISCOR{iECT. TOTAL FE�S I / /A(��'(/d d IAGREETOCOMPLVVlITHALICITYAN�CCUNTVORDiNANCESANDSTATELAWSPELATINGTOBUI('.OING E l ldL�� LrJ" � CONSTftUCTION,AND HEF.E6Y AUTHO IZE FEPRESENTATNES O'=1HI5 COUNTY i0 ENiER UP�N7�-I,E�, ' � �S Z ABOVE-MENTIONED PROPER7V FDP I�SPEGTION P�RPOSES. � ' COMMENTS - o �� a � _ — —�{/� m PERMITT NAM PRI ' ' Q � l � SIGNA R PEqMfTT -- �ATE ' �� "', � � Z FECPT.NO. � PAID BY��VALIDATION ~ WHITE—Department Copy,VELLOW—Finance'Copy,PINK—Assessor Copy,GOLDENFOD—File Copy,GREEN—ApplicanYs Copy � .. � ,�'�.� � � \�' .� ,. .. .. : .'�. 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