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HomeMy WebLinkAbout17191 (10) .......,�......�._.._.._.r,�,,. CiTY C3F DIAMOND BAR or;'-, � j - --��'� — DEPARTMENT OF(;OMMMUNITY c�DEVELOPMENT SERVICES I � '— -,f 21825 E.Copley Drive " (409)860-3195 Fax(909)861-3117 �� y PRESS '''%v«*"' " BUILDING PER1dII.T APFLICATION FIRMLY � JOBSITE i,, APPLICATION ' ° "� PERMIT P/C o ADDRESS� i �� � �e- �'1`���'�. DATE � NUMBER �' � # � ISSUE TYPE OCC APN LOT TRAGT �— DATE_ CONST. GROUP p OWNE�i�11P�9@.�Yo9 i�•$ - aL t'l+a,31°'t, � ADDRESS (a��.S �c�i�i�� '�f 8"�'-(� ZONING SETBACKS z CITY ��taLPCWa�cn�' o-ZIP@��le TEL��°�-,�1 e�'� FRONT RW ❑ o APPLICANT TEL. S DE/SIDE STREE7 RW O z 'I ¢ CONTRACT R '�`F�C. ��8�'�'r �t8. S1DE ❑ � ADDRESS�����C� � � CITY 1���N�3i+'�r�.. ZIP�I��'�--TELC,��'�'�'1 °�f��� PROPOSEDUSE ���✓L ��'�f' 'Ws9c�� ��P�1.(C'�'3 ! o ARCH/ENG/ �(+Q 2 �tl/�d� L z DESIGNER W NO.DWEL. NO. NO. � ADDRESS UNITS STORIES � BEDROOMS , � CITY ZIP TEL. v�' DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION . ;p� .OWNER-BUILDEP DECLAAATION SFR/ADD/REM O I HEf1EBY AFFIRM UNDER P�NALTY OF PERJlJf7V THAT I AM EXEMPT FPOM THE CONTRACTORS LI� GflfdJB/Cfl!POf[ W,� CENSELAWFORTHEFOLLOWMGHEASON�SEC.7037.5BUSINESSANDPROFESSIONSCODE:FNYCI-YGR (J) _ � C1�. COUN7VWHICHRC-0t11RESAPEpMITTOCONSTRUC7,ALiER,IMPROVE,OBv10LISH,DRREPAIRANYSTRUC- ,w'�� TURE.PRIOR TO ITS ISSUANCE,�AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FI�E A SIoNE� w Patio/Deck ' STATEMENT THAT HE OH$HE IS LICEN$E�PUflSUANT TO THE PROVISIDNS OF THE COMRACTORS LI- �;�, "CENSB LAW(CHAPTEq 9(COAAMENCING�WITH SECTION 7000)OF DIVISION 3 OF THE 6VSINESS AND PRO- �" PooUSpa ',�"� �'�.FESS�ONSCODE)Ofl7HATHE'ORSHEISE%EMPTTHEREFROMAND7HEBASISFORiHEALLEGEDE%EMP� '�,���710N.ANYVIOLATIONOFSEC}IOV.7031.SBYANYAPPLICPNTFORAPERMITSU9JECTSTHEAPPLICANTTO Z Re-Roof r�,�� '.�;O,;i�,A CIVIL PENALTV OF NOT MO,RE THAN FIVE HUNDRED DOLL0.RS(5500).): , OI,ASONTJEFOFI'HEPROpERTY.ORMYEMPIOVEESWITH]NAGESHSTHEIRSOLECOMPENSATION, � Commercial Z�,�,,WILL 00 THE WORK,ANO THE STRUCTURE IS NOi INrENOE�OR OFFERED FOR SALE(SEC.7046,811S1- J '', �,;;�;NESS AN�PROFESSIONS'CODE:THE CONTRACTOflS LICENSE LAW OOES NOT APPLY TO AN OWNER OF � " ''�,��,PqOPERTYWHO8U1LD50RIH1PftOVESTHEREON,ANDWHODOESSUCHWORKHIMSELFOfl4ER5ELFOR �'� '�'�'��"'.THROUGHHIS'ORHEROWNEMPLOYEES,PP�VI�EDTHATSUCHIMPROVEMENTSARENOTINTENDE�OR � �� W."',"OFFEREDFORSPLE.�F,HOWEYER;THEBUILDINOORIMPROVEMENTISSOLDWITSiINONEYEAflOFCOMPLE� � '� .Z �'��TION.THE OWNER-6UIL�ER WILL HAYE THE BUROEN OF PROVING TI1AT HE OP SHE DID NOT OUIL�OP �� 'IMPROVEPofiTHEPURPOSE��OFSALE). w� ❑I,ASOWNEROFTHEPROPERTY.AMEXCWSNELYCONTRACT!NOWITHLICENSEDCONTRACTORS '.� '�'Td CONSTRUCT THE PROJECT(SEC.70d4,BUSINESS AND PROFESSIONS CODE:THE CONTRACTO�S LI- V81118fiO11 ADJ.AREA ' '�LL1'��I',CENSEL4WDOESNOiAPPLVTOANOWNEROFAPROPERTYWHOBUIL�50RIMPROVESTHEaEON,AND �'_'�":�'�'WHOCOMrRACTSFOP3UCHPROJECTSWITHACON7RACTOR(SjLICENSEDPURSUANTTOTHECONTFAG QUANTITY DESCRIPTION FEE ~'�'���.iORS LICENSE LAWJ.. � . �.; ❑I AM EXEMPT UNDER SEC,, 8.&P,C.FOR THIS REASON Q U � — a '".DATE OYJNEfl � Z', W �'I, LICENSED GONTRACTORS DECLARATION W 4,' ��' I HEREBYAFFIflM UNDEA PENALiV OF PERJURYTHA7IAM LICENSED U+1DEF PROVISiONS OF CHAPTER � �;�'�,9(COMMENCINGWITHSECTION7aoo)OFDIVISION30FTHEBUSINESSANDPflOFE5510NSCODE,AND z W.'�,'�MY LICENSE IS IN FULL FORCE AND EFFECT. m ' � �� UCENSECLASS�^�� 'j'��C LIC.NO. • ��lV�"1"' � ~�..��OATE� CONTRACTOR���/�� ����C+�Q J a ' W, .a-''3E-��a � ���, WOFKERS'COMPENSATIONDECLARATION Q �I," IHEREBYAFFIRMUN�EftPENALTYOFPEfiJURYONEOFiHEFOLLOWINGDECLARATONS: Z Z'.� �_IHAVEANDWILLMAINTAINACERTIFICATEOFCON3ENTTOSELF-INSUREFORWORKERS' Z �;. CAMPENSATfON,qSPROVj0ED8Y5ECTION37000FTHELABORC�DE,FORiHEPERFORMANCE �U Q OFTF{EWOflKFORVlHICHTHISPERMITISISSUm, � / W� _�IHAVEANDWILL�MAINTAINWORkERS'COMPENSAiIONINSURANCE,ASREQUIREDBVSECTION �j///qqq �I;�,� 37ooOFTHELABOqCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITIS 1'H�, � ISSUED.MVWORKEAS'COMPENSATIONINSURANCE RflIERAN�POLICYNUMBERARE: CONSTflUCTION A,� j�:� caaaiEa �✓LA��O�(L-��a� ��i,�it-��pt�--- PLANREVIEW Z� poucvNuueEa �� �� �t-�^� �f��'4� !a. ELECTRIC ¢,', Q' (fHISSECiKKJNEmNOTBELOMPlETEDOFhiEPERMRISFOFlONEHUNDRmDJtLARS($ICO)ORLE55), PLUMBING W. Z IC[RTIF1'THATINTHEPEEiFORMANCEOFTHEWORKFORWHICHTHISPERMITi5155UE�,l MECHANICAL C'_3�'� SHl+LLNOTEIAPLOY'qNYP,Efl50N:NANYMANNER50A5TOBEGOMESUeJECTTOTHE �',"' WORKERS'COMPENSAT�ON LAW$0=CALIFORNIA,AND AGREE THAT IF I SHIXILD BECOME INSPECTI ON FEE SUBJECTTOTHE�YIORKERS'COMPENSATIONPFlOVISIONSOFSECTIIXJ31000FTHELABOR - - `�y �,,�� CODE:I SHALLFdRI'HWITH COMPLV WITH THOSE PROVISIONS. ISSUANGE ���'j ' °a.�J o�.��. � -... _ . .._ ,.�y p: DATE � ARPUCANT: SMIP I,�..' •. � P y� 4J . w,' � � ENERGY P/C i ��� F,�°a� �.�4��'� ,J��. WARNING FAILUftE TO SECURE WOflKERS'COMPENSP.TDN CDVERAGE IS UNLAWFUL.ANO SHALL BE k y��},-�— r-P—�ca� �y .SUBJECTAN'EMPLOYEFTOCRIMWALPENALTIESAN�CIVILFINFSUPTOONEHl1NDREDTHOUSAN� ENERGYPERMIEf DOlLARS(E1oa,oao),INADO�iIONTLOTHE-COSTOFCOMPENSATION,DAMAGESASPROVI�EDFORIN s � -- �— J', SECTION37080FTHELA6QRCOOk.INTEFEST,ANOATTORNEY'SFEE& RETENTION FEE. �'. o. CONSTRUCTIONLENDINGAGENCY PRE-AL7FEE pk'--+ ti-�-,._�... -�- ��.', IHEREBVAFFIRMUNDEFPENALTYDFPEPJURYTHATTHEREISACONSTRUCiIONIENDINGAGENCY � � �OR THE PERFORMANCE OF THE WORK FOR W HICH THIS PERMIT IS ISSUED(SEC.3091.CIV.CJ. Z' W,, ��':�'�, LENDER'SNAME F-�� LEN�ER'SAD�RESS p W�',, ICERTIFYTHATIHAVEREAOTHISAPPLIGATIONAN�S7ATETHA7THEABOVEINFORMATIONISCORFiECT. 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