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HomeMy WebLinkAbout15297 . . � . .. _... . _ ' .�. /� .J�� .. . . � Sr CITY OF DIAMOND BAR . , �� DEPARTMENT OF COMMUrTITY dc DEVELOPMENT SERVICES � � �J 21660 E.Copley Drive Suiu 190 . , (909)860.3195 Fax(409)861-3117 . PRES$ ��A� $UQ.DING PERMIT APPLICATION FIRMLY � JOBSITE �y,,��� APPLICATI01�a3 D PERMff I�P/C� � o ADDRESS !i"*T� ��LT�-s��f��l G� DATE ` NUMBER N $ ISSUE TYPE �� OCC APN LOT TRACT �ATE CONST. GROUP � OWNER L�Z�r�lZd r�- �L/ ADDRESS,_.���'/� G✓L?�_�,-T�Ts�3+�1 G�. ZONING SETBACKS z CITY 17/..f}�ls�cll� /JI►/;ZIP�.r TEL. REAR Rw ❑ � APPUCANT TEL. � SIDEISIDE STREET RW ❑ CONTFiACTOR �7�✓a�l> TSr.�I�i Gl�/:�? SIDE O � ADDRESS ' PROPOSED USE__LS���� ��'/✓ o� CITY ' 1 ZIP r���. EL����3� � DESIGNER1 ��7d��//Z 7}£TJ✓G7 NO.DWEL. NO. NO. ADDAESS L� �'4 UNITS STORIES BEDROOMS � CITY ZI �TEL. � � ' y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OOWNER-BUILDER OECLARATION • � SFR/ADD/REM � 1 HFREBV AFFWA LNDfF VENALTY OF VE0.AlHY THAT t IW E%EYDT FiqM THE CONTRACTORS L4 Gafa90/CefpO(t CENSEUwFORTHEFOl10WINOPEtiSON(SEC.70.71.6BUSWFSSANDFROFESSiON5CO0E:IWvp7VOR (n COUMYY/1dCMREOIAHESA7ERMRTOCOH57RUCT,ALTER�P��E.DEUOLISH.ORREPAIRANYSTAUG �1,1 paliOlDBCk IURE.V11qft TO RS R9UANCE.KSO REOURICS TME APVLICPM FON SUCH iEFMIT TO FlLE A SIGNED W .� ETATEMEHf THAT HE OR SHE IS LICENSEO PVfiSUMIT TO 7ME VROVISIONS OF iME CONTMCTORS LI• . � CENSE UW(C/UPiEN i(OOAIMENqNO WITN SECT�ON t0o010F�INSIOH]OF THE BUSINE55 AND PPA � PooVSpa FESSDNS COOE)OR iHAT NE OR SME LS E%EMPT iHEREFRON AND THE BASIS FOR THE KLEGED EXEIIP• TqN.ANVV10lAiqNOF5ECT10NT0.71.68vAM/M�LK'.ANTFORADEFYiTSl1B1ECT5THEAPPLICANTTO Z qe.q�( � ACMLFENALTYOFNOTIAORE7WWFNEHUNOREDDOlURS(t50o).): _ O 04�30WNEROFTNEPROPERTY,OfiMVEMP�OYEE5WITHWACESASTMEIRSOLECOMPEN5ATI0N, � CpmmBfClfll Z WKL DO TME W'OM,AND TME STRUGiURE IS NOT IMENDED OR OFFERED iOR SILE(SEC.70u,BU56 J NESS AND PRDFESSqNS COOE:TME COHf11ACTORS UCENSE Uw DOES NOT A7PL`I TO I1N OwNER OF N ifiOVEfifYYAqBULOSORMPiIOVESiHEREON.MlOMRfO00E55UGiY1VfiKNIIASELFORHERSELFOR m -�� ' � � Q T/Y1IX1011/aS01iNERONMEMPLOYEES.PROVIDEDTMATSUCM�IPROVEMEMSARENOTINiEN�ED01t �1 OFFEREO fOR SALE G,IqM1V6VER i11E BULdNC OR IMPpOYEMEN7IS SOL�VAMN ON[YEAR OF COMPLE- f +' �TqN,TME OWHER-BUIDER MALL INVE TM[BURDEN OF PROVwO TMA7 HE OF SHE DO NOT BVILD OR � MPROVE Fq1 TNE VUflPOSE OF S�LLFF w OI.�l40NMEROfTNEP110PERTY,AMEXQU5IVELYCONTMCTINOWRHLICENSEDCdfTMCiORS � 7O GONS7RUCi T11E PRQIEGT(SEG 70a�,BUSINESS INO FROFESSIONS CODE:7ME CONTMCTORS LI� V81U8tI0f1 AQI.AFEJ1 11 CENSEUWDOEBNOTAPRYTOANOMMEHOi'APROPERTYNMDBUM1DSORMPHOYESiMER[ON,ANU � NFqCO1tTMCT5fOi15UG1VRQ1[CTSNATHACOHfMCTORIS)LICENSEDVUR;UAHTiDTHECONTiUG OUANTITY D[SCRIPTION FEE � � rousucEr+sEuw.�. —' � �,-- ,v O IAM EXEMPT UNDERSEC. B.i P.C.FOR iHiS REASOH U I ¢ �.c�i LL' DATE OWNER � ' ('—' , z W _� ��L• .. K.. f � UCENSED CONTRACTORS DECLARATION W � �MEREBYAFFlRMUNOERVENK7YOFVE0.R/�1YTMATIMILICENSEDUNDERPFlOVISIONSOFCHAPTER � 1 � 2,[ �(COV�ENCMq YnTM SECTION 7000)OF DI`nS�ON]OF TME BUS�hE55 AND PROFESS�ONS CCOE Iw'� Z y' W LICENSE b Pl FULL FORCE PND EFFECL m • , � , - ' , ' �'.1} � � LICENSE qJ155_(�j'. '-' . LIC.NO.� �S � � L�CS l� . � � . V DATE 7 CONTRACTOR�/5+1+�I/7 TSI��/il a _. _. W . . . ... . . — _ -___ __ _ —. ' __- — . _ � WORKERS'COMPENSATION DECUuiATION '^,�I Q `�r—��f ^ � I HEREBYAFFIPAI UNDER PEWLLT'OF PE0.1Ufi7 ONE O�7HE FOLLAwNG DECUMTIONS. � a yM,� 6 p �a-� `� � ���IAVEµp W!U MAINTAIN A CERTIFICATE OFCONSEHT TO SEIF•INSURE FOR WORKERS' ' S 1 S Mh /� i �� � COM�ENSATpN,ASPROVIDEDBY5ECT10N77000Fh1EUDOROODE.FORiMEPEHFORMMIC[ 'U �''"` OF1HE MIORK FOR WHICN Tn5 GERMIT LS ISSUED. � . 0 � �IMAVEANDWILLWIMAINWOFKEPS'CA��PENSATqNINSUMNCE,ASREWIREDBYSECTION �— � Q 77000FTMEUBOROOOE,FORTNEVERWRMM10EOiiMEWORKFOflW11�CHTM15PERMRIS 0 ISSUED.YVKORKERS'C011PEHSATIONINSUMNCfGRR1E0.ANDPOLILYNUMBERME: CONSTRUCTION � �� � � _� _ _ � � �� � _ PUN REVIEW � ' CAfIRIER � roucwwue[a - - � ELECTRIC 0 (nassEcnor+NEmwi �I.itFimoFMVErodr Fpia+[�tAu¢�OawcR�ayrnLESSI. PLUMBING, � ICERiIFYT1UTINhiEVEPFOi1MANCEOFTMEWORNFORWF11CHiHiSVEiWITiSISSUED,1 MECHANICAL S�Mll.NOT E4PLOY ANY VERSON N A�W MNOiER 50 AS TO BECp.�E SUBJECT TO THE (� /� /� � WOR1cER5'COIAPENSATION UWS OF GKIFORNL�M7D AGREE 1MAT IF I SHOUID BCCOME INSPECTION FEE _ I I / il / S SUB.IEGTTOTHEWORKERS'COMPENSA7qNPROVI510N50FSECT10N�70oOF7HELMOR ISSUANCE � CODE,I SHALL FOfiTFfVIITM COIAVLY W1T117NDSE PROYISiONS. �� � SMIP ,-,{-�^-} �7�7��y 7�f •�-�/ � 0 D�TE: APPLIGWT: 1�`�1 '�'l�1LL �'V D 1 i � ENERGY P/C —� �� WARNitla FAILURE TO SEWRE WORKERS'C0IAPEHSA710N CAVEHAGE IS UNUM/M.Mrt15MnLL BE �y SU&IECTAN EUPLOYEN TO CR:MINAL PENALTIES AND CML FM1E5 UP TOONE NUNDRED iMOUSMID ENERGY PERMIT pOLLARS(f t OO,OaO�,N ADDI71dJ TO THE COST OF COMPENSATION.DAMAGE$AS PROY�DED FOR IN � SECTION770EOFTHEUBOi1CODE.INTEREST,ANDATTORNEY5FEE5. RETENTIONFEE: pW_, CONSTRUCTION LENDING AGENCY PR -ALT FEE: � IHEREBYAFFIHAIUNDFRPEN�L7YOFPERJURVTHATiNERE15ACONSTRUCTIdJLENDINOAGENCY `I FOfl THE VERFON.IANCE OF iHE WO�IC iOR WNiCH THIS PEiWIT IS ISSUED(SEC]Oo],CIV.G). � � LENDEaS NMAE � LE1rC1ER'SAD�RESS - S � f $ ICERTIFYTMATIMAYERGDTHi3MPUCATIONANDSTATETMATTNEA80V[Y.'FOfiAAATqNISCORRECL TOTAL FEES � IAGREETOCU.�7L`lMATMALLC1iYINDCOVNTYORDINANCES/�NDSGTEUWSPEUTINGTOBULDINC ��� �� � � � � � � ' CONSTRl1CilON.ANDXEREBYAUT1qHRERECRESENTAT�VE50FTH�5COUNTYTOEMERUVONTHE !w J /L S�, ABOVL4EHTIONEDPROVERTYfORP15PELf10NWHPO5E5. COMMC-NT$ u����v��� _ .� ! fiU ;��it'Ci . m ' ' Q VERIARTEE H/U�[� HT) `__ _ti tn �_ ' �j�( C. � sicn�r OF PE�J—�_._,. o�rE RECPT.NO. PAID BY VALIDATION � VYHITE—De ent Copy.YELLOW--Finence Copy,PINK—,Asseesor Copy,GOIDENROD—File Copy.GREEN—ApplicaM's Copy .. . ' , t ' . ' .. ' .. . . .' • � • � .. � _ . • . ' •. • ' - . :1, . . . .i .. , .��r. , .. CITY C7F DIAN,•Oi�D BA,R � ,. . . " .. ItJSi�ECTtO�;! 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