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HomeMy WebLinkAbout16349 (10) --� CITY OF DIAMOND BAR �,,.��'R� � DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES � "` r�k k� �, 22660 E.Copley Drive Suite 190 � � ,� � PRESS ������' BLtQ.DING PERMIT APPLICATION _ �-�� FlR Y � JOBSITE � APPLICATION � PERMIT P/C o AD6RESS DATE NUMBER * � ISSUE � TYPE OCC APN LOT TfiACT DATE CONST. CiROUP p OWNER " ADDRESS ZONtNG SETBACKS � C ZI TEL. FRONT RW ❑ APPUCANT �L. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTO � SIDE ❑ ADDpESS pA�p��D�t�SE g CI7Y ZIP TEL. � � ARCWENG/ d-�r �T'�- , DESIGNER NCr�` . N . NO. AODRESS UNIFS STORIES BEDROOMS �� � CIN ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER D£CL.ARATION SFii/ADDlREM O 1 NEREBY KFNYd ll1�ER VFNALTY OF PElWRY TUT!AM EXEMPT FROM THE CONTRACTORS Lh �Gflf9QB/C9�pOK CENSEIAWPOi1THEFOLLOWWOREASON(SEC.70JI.6BUSINESSN�OVROFESSIONSOD�EANYCfTYOR ((� COUNT'(MRiI(]7flEQUIRESAPBNAIRTOCONu7RUCi,ALTERMdPROVE.DEMOUSM,ORPEPAIRANYSTRUC• W pQtI0/DBCk - - TUHE.9RIOR TD fT5 t65VANCE.ALSO REOUIRES THE APPLICANT fOA SUpi VEIWIT TO FlLE A SIGNEU W - BTATEMENT THAT HE Mt SI£IS L1CR15ED VURSUANf TO iHE if WYISIONS OF THE CANTRACTORS ll- CENSE UW(CNAPTER�(COMMENCNVO WI7H SECTION 7aD0�OF DINSION s OF TNE BUSINE55 M7o CHO- _ � .POOIlSpB FE59qN5 COO�O/iTFL1T NE OR 8HE I6IXEMPT THEREFROM AND TiIE BA515 WR ME ALLEpEO EXEMP- 710N.ANYVpIATqNOFBECTION7W1.68YANYAPPLICANTWHAPERMRBU&IECTSTHEMPI.ICMlTSO Z �qe-Roof �„� A CML iENALTY OF NOT MORE 7FIAN FIYE FIUnDREO DOLLAHS(isoo�.): - � ❑I,ASOMIfiEROFTNEPROPERTY,ORMYEMPLDYEE5W17MWApESASTMEIR60LECOMVENSAiION, Q -(`,pmry�elClel . - MLL DO iNE WORK Mq TME STRUCTURE IS!qT MFNOED OH OFFEREO FOR Si1LE ISEC.70a4,BUSI- J NESS AND PNOFESSIONS OOOE:TME ODNiMCTOR3 LICEN9E LAW OOES NOT APPLY TO Mf OWNER OF - _ - � ViIOPERTYYYFiD8ULO30RYPHOVESTHEHEON.AND1N1iODDESSl1CXYKIRKlNMSELFORFIERSELFOR Q TNROUGHli50RNER0IMJEMFLOVEES.Vi00WED7lYl78UqiWPpOVEMENfSMENOTIN7EN0EDOR m � GFFEREDfOIiBALEi,FiONIEVE0.7HE9URDYJIiORMPROVEMEMfI850lDWfTWNONEYEAAdFGOMPLE- 710N,Tff OWNER�BU9DER MALL MAVE iHE BURDEN OF PPOVINO THAT HE OR SF/E DID NOT BUIID Op NAPROVE PDR TIIE PURPQSE OF sALE} - (L ❑LA40WNEADFTIEPf10PEHi`/,IWEXCLUSIVELI'OONiMCTWUNfITHLICEHSEDCONTMC70R3 � rOCONSTRUCf TXE PiqJECT(SEC.7Wl,BUSNESS AND PIOFESSIONS COOE:TXE CON7MCTORS LI- 'V9111BtIW1 AOJ.AREA CENSE UW DOE8 NOTMPLY TOIN OIMIER OF A PROPERTf WHO&1HA5 OR UAPflOVE3 THEI9EpN,NID WNDCON7RACT6WHBUd�PROJECT3WITHA00MTflACtUq�S�L1�N3mPU0.SlUNTTOTMECONTMG p�jq�ny OESCRIPTION FEE � TORSIlCENSELAW.} ' ❑i I1M E%9AiT UNDER 6EC. B.\O,Q FOR TNIS REASON � � v u.. �DATE OIYNER � GCENSED CONTHACTORS DECLARATION W � iHEH�YAFFIRMWiDEHPENFLTYOFVE0.IURYTMATIAMIICENSEDUNDERPROVISIONSOfCHAFTER � � �(CONMENCW6 YYIiM SECTION 70ao)OF OM510N J OF TNE BUSiNESS ANO PROFES510N5 GODE,AND Z jK MY 4CENSE�Y!FtAI FORCE AND EFFECT. � Y.I �11....,,.. LICENSE ClAS _ UC.NO.��I3' ! ' : j , � pATE CONTRACTOR � � WORKERS'COMPEhSAT10N DECLARATION � � IHEqEBYAGFlPYUNOERPENALTYOFPEiWAYdYEOFTNEFOLIOWIN60ECLAMTpNS Z � �IMAVEMIDWILLWIINTNNAGEfffIFICATEOFCONSENTTo3ElF•INSUREFORWORKERS' _ � COMPENBATION,AS PROVIDW 9Y SECTION�7W OF 7HE L/BOH WOE,FOR TME PEHFORMIIMCE W OF THE WOfUC FOR MMICH THIS PERMiT IS ISSUED. � Q _i NAVE AND WLL MAINTAIN WORKER9'COMPENSATION INSUMNCE,AS REWIRED BY SECTION �� � 77000FTMEUBOHO�DE.FORTFIEPEHfORMANCEDFTMEWORKfORNrt11CMTNISPERMRIS r • ISSUED.MY WORKERS'COMPF,�3�A ITNSURANCE CARRIER AND POLIGY NUMBERARE: CONSTRUCTION y . 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