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HomeMy WebLinkAbout10295 (5) . .. . _ . . _.. _. . _.__..... . -- --.. .---. --� A_`I CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT 21660 E.Copley Drive Suite 190 (909)860.3I95 Fax(909)861•3117 PRESS �'""' BUILDING PERMIT APPLICATION FIRMLY oN JOBSRE O APPLICATION I PERMIT �7 p/C ADDRESS�/��c ��C,b1q��'�/L/J L/'11 DATE NUMBER �-� #� � APN LOT - i TRACT U�S 3�" �SSUE TYPE OCC p OWNER CNTLY���O OJQ- DATE CONST. GROUP " ADDRE$$ O `V' U 20NING SETBACKS � cmr _�/E;C'��C�l ZIP TEL. FRONT RW ❑ APPLICANT TEL. SIDE/SIDE STREET RW O � CONTRACTOR ��ut! SIDE p ADDRESS � CITY ZIP TEL PROPOSED USE L�-"�"� o ARCHlENG! z� DESIGNER NO.DWEL NO. NO. a ADDRESS � CITY ZIP TEL UNITS STORIES BEDROOMS y cn DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-B�ILDER OECLARATION SFR/ADD/REM O p 1 HEREBY AFFIRM UNDER PENALTY OF VEIWRY TNAT 1 MI E%EYPT FqOM 1HE CONTMCTOqS LI• Ge��.��rt W CENSEUWFORTHEFOLLOWMIONEASONISEG70]1.SBUSNESSANDVROFESSIONSfAOE:AMYdTYON (n U LOUHTyWHIdIpE0U1RE5AVEAYITTO[DNSTRUCT,ALTE0.M7ROVE,DEMIX151iORREP4PIMYSTRUC• W P8I10/DBCk � TURE.PP1DR M ITS ISSUANCE.ILL50 REWINES TNE MOLICANT FOiI SUCH PERMii TO FlLE A SiGNED W � STAiEUEM TUT NE Oq&1E IS UCENSEO VU0.5UANT TO THE PROVISiOHS OF iHE CONiRACTOFB LI• CEMeE UW(d1APTER 9�OOAIMENCN(i YJ1TM SECTqN 7000)OF DM510N]OF iME BUSN1E55 AYD PRa V" POOVSQa • � . • FESSIONS CODE)OR THAT ME OR SME iS E%EMPi THEREFROM�ND TME BASIS FOR THE ALlE4E�EXEMP• TION.ANYYIOLATIONOFSECTION7011.6BYANYADPLICANTFOFAVERMITSUBJECTSIHEMPLICAHfiO Z pB•R001 � A LMLPENALTY OF NOT IAORE THAN flVE HUNDRED DOLURS({500�.�: � OlASOMNERO�THEPROVERTKORYVEYVLOYEESVATHWAGESA5T11EIRSOLECOMPENSA710N, 0 (',pmmBfClel M7LL DO THE N�Oi1K.AND THE STRUC7URE IS NOT IN7ENDED OR OFFERED FOH SALE(SEC.7ou,BU51• J � NESS AND PROFESSIONS COOE:TNE CONTMCTORS ULENSE UW DOES NOT APPIY TO AN OwNEH OF � ►ROVEFTY VAq BUILDS OR IMVipVES THEREON,AND 1Nq OOES SUpI NORN NIMSEIF OR HEitSELF OR � TH(iOUCaNN150RMEROWNE4VLOYEES,iROV10EDTMAT5UOIWPROYEMEMSARENOTWTENDEDOR m Q OiiEREDFORSALEtF.liOWEVERTMEBULDMGORMPR�VEAIEHTISSOIDWITMNONEYFAROFC01APlE• Z TION.iHE OM7lER-BURDER WILL NAVE THE BUROEN Of PpOYINO T/UT NE Ofi Sl1E DD NOT BU0.D OH = W vROVE fOR T11E VURDOSE OF SALE) �y,� 04�OwNEROFTHEVFOPERfl;M1E%QUSNELYCONTMMNOWITHLICENSEDCOHTMCTORS Q TO CONSTRUCT iME PFqJECT(SEC.�D��.BUSINE55 ANO PROFESS10N5 CODE:THE CDNii1AGTORS Ll• V81UiIi0f1 ADJ.AREA W CENSEIAWDOESNOTMPlY70ANON'NEROFAPROVER7YW/q8UM1D90RwPROVE3T11ERE0N.IW� � 1NqCOMRACTSfORSUCMVNOJECT5WITMACOHTMCTOR(5)LICENSEOPUfI5UAN7TOTHECOffTMG QUANTITY DESCAIPTION �E . � TOftS UCENSE UW.} 0 O I/JA EXEYPT UNDEH SEG B.l V.C.FORTHiS REASON � � DATE '� OWNER '�/ Z � LICENSED CONTRACTORS DECUWATION W IHEREBYAFFUYdUNDERVENALiYOFPERJURY7HAT1AAILICENSEDUNDERPROV1510NSOFCHAPTER Z �! + � O I�ENCwO WITN SECTION 7000)OF DMSION 7 OF iNE BVSINESSANO iROFESSqNS COOE,MID r �� MY LICENSE IS W iULL fOHCE ANO EFFEGL m � LICENSECUSS L1C.N0. j � �j DATE COMMCTOR d W � WORKERS'COMPENSATION DECLARATION —+ N I NEREBV AiFIRY UNDER DENALTV OF VE0.RIRV ONE OF THE FOLLON1Ne DECURAT10N5: � � _IXAVEMIDMALLLWNTNHAGEHT�FICATEOFCONSEHTiOSELFdN5Ui1EiORYqpKERS' COM7ENSATqN,AS PHOVIDED BY SECTION 77000F TME UBOq COOE,fOR THE iERFORYANCE Q OF TNE WORK FOR WHICJ/T1I5 PERMIT 615SUED. � � _I XME ANDYnLLMAINTIUN WOi1KER5'COMCENSATqN INSURANCE,AS REOUIRED BY SECTION Q �700 0F THE LABOR CODE,FOR THE PERFORMMJCE OF THE WORK fOR NM111CH THIS FERAIIT�S J ISSUED.WWORKERS'COUPEN5AT10NINSUiLwCEGAAAIERANDVOLICVMIMBERARE: CONSTRUCTION � CAfiq1ER PUW REVIEW � OOLICVNUMBER ELECTRIC (fllSSECiri�rEmHOTB[Od.�PIFIEDOfiItPEaIATsfrnorlEH)niED00LURS6�m1oaLFs51 AIBING ` ` Z ICERTIFYTMATNTHEPERFORMMICEOFiHEMqRKFOitWH1pITHISiEMA1TISI55UED.l E HANICAL ''t�' '�' ' ''/,' C,7 Sn/U.LNOiEMPLOYAM'PERSONWANYM�NNERSOASTOBECOMESUBJECTTOTNE r r.. - (q YYOPoCERS'COYPENS�7qH LAWS OF GLLIFORNiti ANDAGREE THAT IF 13110U1D BECDA/E INSPECTION FEE S SU&lECfiOTHEYVOiU(ERS'C0IAPENSATIONVRONSIONSOFSECiION]lODOiiHELABOR COOE,151u11 FORTIWiTH GOuvLY Wi7H TFIOSE DROViS10N5. ISSU/W CE �/ � p DATE; APPLIGINT. SMIP � � � � ENERGY P!C WAAMNO:FAdURE TO SECURE MOq�(ERS'COUPENSATION tOVERAGE IS UMAWRIt,ANO SHALLBE ry SUBJfCTANEMVLOYFRTOCANIPlALPENALTIESANOCMLFWESUPTOONEMINDREDT1qU5AHD ENERGYPERMIT DOLLAAS(iloo,00D),N IDOITION i0 iHE GOST OF COMPENSATICN,OMIAGES AS PROVIDED FG11N ¢ SECTIDM]7aOFTMELABORO00E,NTEREST,ANDAT70RNEY5FEE5. � (�E{ENTIONFEE: W CONSTRUCTION LENDING AGENCY ' � PRE•ALT FEE: � IMEREBYAFFF/IUNOERPEN�LTYOFPERNRYTHATTI1EREt5ACON5THUCT�ONLENDN011GENCY Z FOR iHE iERiORA1ANGE OF T1E WOfiK FOR wNICH THIS VERANT IS ISSUEO(SEG]ov7,GIV.C.). tA7 � LENDER'S WwE � lEN0E1t4ADDRESS � ^ I CERTIFY THAi I HAVE READ Ttl5 MPLICATqN Ml�STATE THATTIE ABOVE NFORA1ATid1 IS CORRECT. TOTAL FEES � IACREETOCd/VLVWfTMALLtlTYANDCOUNTI'OR�WANCES�NOSTATEUWSRELATWOTOBUILDWQ � �' �� � CONSTRUC'iION.MIDMEREBVAIfflqq¢EREPRESEMA7NESOFT1u5COlMTYTOENTERUPONTME ABOVE�MFMIONEDPPOPERTV FOR WSPECfION PURPOSES. 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