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HomeMy WebLinkAbout18373 (19) �� C1TY OF DIAMOND BAR ��+� � � DEPARTME?`'T OF COMMUNTCY&bEVELOPMENT SERVICES // / 21825 E.Copley Drive l� (909)860-3I95 Fax(909)8G1-3117 PRESS ��'���� � BUILDING PERMIT APPLICATION FIRMLY a ADD ESS� I 11� I�AST L.�. 1tpG� ``� . APP��CATION PERMIT P/C o DATE •�a NUMBEH1�I _�N � APN LOT TRACT ISSUE TYPE OCC DATE CONST. GROUP p OWNE3— �1. — o ADDRESS �' C 5 t ZONING SETBACKS Z CITY Y"otr9 � ZIP R1'1 LS rE�So�s`t3 �6q� FRONT RW ❑ o APPLICANT �a �✓- E TEL. yoo�_� O�'7 REAR ❑ � SIDE/SIDESTREET FiW ❑ � CONTRACTOR_�LL STAQ WE�T�F.'CZ E�F}�T�SLS SIDE ❑ ADDRESS 17 S�G LPkts f�to+� i�• o ciTv l.aks.�►asNo�e,� Z�p TELr60o'Ja,7 Oq� PROPOSED USE w ARCH/ENG/ 3� z OESIGNER � w NO.OWEL. NO. NO. a ADORESS � CITY ZIP TEL. UNITS STORIES BEDROOMS cn cn DESCRIPTION SQ.FT. FACTOF PSF ADJ.AREANALUATION � I OV'MER-BUILDER DECIARAT10N SFR/ADD/REM O I HEREBY AFFlRIA UN�ER VENALTV OF VEiWRY TXAT 1 MA E%EMPT FRO�A TME CON?MCTORS LI. G2f0fl9lC8fPOfI W CENSEUWFORTHEfOLLOWINGREASON(SEC.7a71.58U51NE55ANDp40fE55WNSCOOE:ANvdTYOR (f) U ppl7a7YV,T7ICHqEWIRESAPERMITTOCONSTRUCT,ALTE0.1MOROVE.DEMOLISn,OpREPAIRANYSTRUG W P2IIO/DOCk . w TURE,VRqR TO ITS ISSUANCE,AL50 REOUIRES TME AVVUCJWT FOR SUp1 iERMIT TO FllE�SiGNED W 57ATEMENT T11AT HE OR SME IS LICENSED PURSUArR TO TNE VROlnSIONS OF TNE CONTfUCTORS tl• � CENSE UW(QNPTER Y(L�DIAMENCING W�TM SEG�ION 70W)OF DIVISION 7 C�F THE BUSiNE55 AN�PRO- u" PooVSpa iE5510N5C00E)ORTNATMEORSHEISE%EMPTiHEREfRqAANDTHEBAS15FORiHEQlEOEDE%EM?• C7 � TION.ANYVqlAT10NOFSECT10N7071.5BYANYAPPL�CANi FORIIPERMITSU9JEC15iH'eAPPLILANITO Z qe-Roal • ACML CENALTY OF NOT MORE TMAN FNE HUNDRED DOlUFS(S5o0�): � p OI���EROFTMEPROPERTY,ORMVEA1PlOVEESWITHWACE5A57HEiRSOLFC0IAPENSATAN, 0 Cammercial Z WILL DO TtE WORN,AND THE STRUCTURE IS NOT INiENDCD OH OFFEREO FOR SALE(SEC.7011.BU51• J � NESS ANO GROFESSIpN5l,U0E:THE GONTMLTORS UCENSE UW DOES NO'AVPLY TO AN OWNER OF � PROFERTY Mn10 BU0.D5 OR IMOROVES THEREON,AND Nn10 OOES SUCN WORK MIMSEIF OR 11EHSELf OR CL TMROUGHHISORMEROWNFMPLOVEES,PROVIOEDTHAT3UCHMPflOYEMENTSARENOTMTENDEOOR m 0 OFFEREDFORS�IEIF,IqWEVERiNEBUILDINGORMPROVEMENTISSOIDWITHINONEYEAqOFCOMVLE• Z TION.THE OWNER-BUIIDEH WILL MAVE TME BURDEN OF VROVWG'HAT NE OR SME 0�0 NOT BUIID OR = IMPROVE FORTHE PURPOSEOF SALE� W 04ASOWNEROFTNEVRODERTY,AME%CLUSNELYCONTRACTNCWiTNUCENSEDCONTRAC70R5 � TO CANSTRUC'T 1Mf PHOJECT�SEC.701�,BUSINESS AND PROFESSIONS CODE:TME COHfRACTORS U- V31U3tiOf1 � ADJ.AREA � W CENSEUWDOESNOTAPPLYTOANOVrtJEROFAPROOERTYYMOdUn.D50RIMPR'�VESTNEHEON,AND � WHOCONTMCTSfOHSUCHPROJECTSWiTHACONTMCTOR(S�L�CEhSEDPUFSUMITTOTHEGONTMG QUANTITY DESCRIPTION FEE Y TORS LICENSE UW). � � O I AM EXEMPT UNDER SEC. B.1 i.C.iOq THIS NEASON U � LL � DATE OWNER U Z W QLICENSED CONTRACTORS DECLARATION w Q IMEREBYAFFIRMUNDERiE1U1TYOFPEfWRYIMATUMIICENSEDUNDERVROViSIONSOiCHAVTER � A £ t � Y�COMMENCWQ WItM SECipN 70001 OF DNISIDN]OF THE BUSINESS AND DFOFESS�ONS CO�E.AND Z �1 l.. X 11Y IICENSE IS IN FUII FORCE AN�EFFECL � m LL � UCENSE CU155 � G �IC.NO. b J V DATE� � CONTRACTOR � « 1 a o� WORKERS'COMPENSATION DECLARATION�/�,CQ .� ¢ � IHERE8VIIFFIR4UNOERFENAITYOfFERIURVONEOFTNEFOLLON"NCDECLAMTIONS: Z � �INAVEANDWILLMNNTAINACERTIiICATEOGCpJSENTTOSElFANSUHEFORM�OHKGRS' _ COMPENSA7qN.ASVROV10EDBVSECTI0N77000FTHELA80RC00E.FOHTHEPERFORIAANCE `U OF TME WORN fOR WMId1 THIS VENAIT iS ISSUED. � � I W ,�1 HAVE AND WiLL MAiNTAIN WOFlNERS'COMPENSATION INSURANCE.AS REOUIRED BY SECTION Q �70a OF THE LABOH CADE,FOR THE PERFORAIANCE OF THE WORK FOR W111CM THIS PERMIT IS LSSUED.WV.'OqKERS'COMPENSATiONINSURANCEGRHIERANDiOLICYNUMBEHARE: CONSTRUCTION � �,RaEA_ S7-ArE Fv�✓o PLAN REVIEI"J Z voucrauueEA ' I� ELECTRIC ¢ � (I)i$$ECIICNNEmN0T8EWAYLEfmOFhEPERMTbWRONEHI�ORED�ULIRSR�0�10RLE55� PLUMBING Z 1tERTiFVTHATMTNEPERFORMANCEOFTNEWORI(FORWHiCHTMS7ENIJITiSISSUED,I MECHANICAL (} SHALL NOT EIAPLOV ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO7HE � WORKERS'COMPENSATIONLAWSOFG41fORNIA,11N0AGREETIUTIFISHOULDBECOME INS?ECTIONFEE S SUBJECTTO THE M/ORKERS'COAIPENSATION PROVI ONS OF SECTqN 7�ao Oi iHE OR cooE.�sw�voArHvmH ca+v�r wm�tnose ovisia+ � ISSUANCE . � SMIP p DATE: APPUCANT: J WARNING:FA4URETOSECUREWORKERS'COMVENSATqNtOVER EISUNUWFUL.AN�SHAILBE ENERGYP/C � SU&IECfANEMPLOYEflTOCRIMNUIPENALTIESAN�GIVRFINE5UP700NEHUNDREDT/10U5AN0 ENERGYPERMIT DOIURS(f 100.000�.W�DOITION TO THE COST OF COMVENSA7qN,O/JA�GES IS VROVIDED FOR IN ¢ SECTION�70lOFTT1EUBOROODE.WTEREST,ANDATTOPNEYSFEES. qETENTIONFEE: a I CONSTRUCTION LENDING AGENCY PRE•ALT FEE: ' O ' � INEREBVAFFt{iMUNDERPENALTVOFPEFJURYTHATTMENEI5AWN5TRUCTIONLENDINGAGENCY a- FOR 1HE GERFORMANCE OF THE WOAK fOR WHICN THIS PEFMtT IS ISSUED(SEC.7oG7,CIV.C.�. W � LENDER'S NAME I� � I LENDERSADDNESS � ICERTIFYTHATINAVEREADTMISAPPIICATIONANDSTATETHATTHEABOYEINFORM�TprvISWRRECi TOTAL FEES � W IAGREEtOCOA/VLVWITHALLCRVANDCOUNTYORDINANCESANOSTATEUY/SRELATWGTOBUtLOING � � CONSTRUCTION.AKDHEREBYAUTMOR2EREPRESENTATIVESOFTHISCOUNTYTOFNTERUPONTNE ZABOVE�4ENTqNEDDROPERTYFORINSVECTIONVURPO5E5. COMMENTS � � 1 f'/ � �-�/P�y'��f/ �!f� m PERMITfEENMAE � � Q � N � Sic r VE . EE i� � � RECPT.NO. . _PAID BY VALIDATION ! WHITE—Department Gopy,YEU.OW—Fnance Copy,PINK—Assessor Copy,GOLOENROD—FileCopy,GREEN—AppliwnYsCopy CiT�P ��= DI�'�,ftrJt�ti� �3r4R • ltt�r��TECaP� �?�GO�D .�.,,.�.__.._..._., ,..�.. � t� �, a(�E.�;.�����`a,���t,,,,F ;,e�;,��;.. �,1�►�`�.��e�,,�e�i'¢`��.,.�.....'!,►}'�r1�F::.�1'.���^�� � ;�.�. �._-�ar•�'.��`..��3. �`�;� ! 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