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HomeMy WebLinkAbout17095 (40) � CITY OF DIAMOND BAR � -----�"�``--- DEP?sRTMEN'I'OF COI�RMiJNITY�DEVELOPMENT SERVICES ^ . I.w' � 21825 E.Copley Drive (909)8603195 Fax(909)861-3117 PRESS :'-H��.". $uiLDnvG rE�uT�Pr.acaTTON FIRMLY � JOBSITE APPLICATION l ('� PERMIT P/C o ADDRESS� DATE � 6 �'V NUMBER t�6gJ # � ISSUE TYPE OCC APN LOT , TRACT DATE CONST. GROUP °C OWNER O o ADDRESS ZONING SETBACKS Z CITY IP TEL. FRONT RW ❑ p APPLICANT ' TEL. SIDE/SIDE STREET RW ❑ z m CONTRACTO � � SIDE ❑ � ADD S$ ' p PROPOSE USE CITY ZI TELq �� � w ARCHIE�Gl I �' ' � � z DESIGNER W NO.DWE . NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS�� � cn j DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAAATION SFR/ADD/REM O I HEREBV AFFIflM UNDER P�ALiY OF PERJURY THAT 1 AM EXEMPT FROM THE CONTRACTORS ll- G2f89B/Cfl�POfI W� CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANVCI7YOR (n U COUNTYWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPPOVE,DEMOLISH,ORREPAIRANYSTRUC- W patio/Deck W�. TURE,PRIOR TO ITS ISSUANCE, 50 REQUIRES THE A?PUCANT FOR SUCH PERMIT TO FILE A SIGNED W STATEMENT THAT HE OR SHE IS ICENSE�PUflSUANT 70 7HE PROVISIONS OF THE CONTFlP.CTORS LI- � �CENSE LAW(CHAPTER 9(COMME CING'WIiH SECiION 7ooa)OF DIVISION 3 OF THE BUSINESS AN�PRO- LL PO01/Sp8 , 0. FESSIONSCO�E)ORTHATHEOR HEISE%EMPTTHEREFROMAN�THEBASISFORTHEALLEGEDEXEMP- (� . � U� TION.ANVVIOLATIONOFSECTION 031.58YANYAPPLICANTFORAPERMITSUBJECTSiHEAPPLICANTTO z Re-Roof ACIVIL OENALTY OF NOT MORE T AN FNE HUN�R50 DOLLARS(SSoO)J: ❑I,ASOWNEROFTHEPROP RTY,ORMYEMPLOYEESWITHSNAGESASTHEIRSOLECOMPENSATION, O ❑ Gommercial Z; WILL 00 THE WORK,AND THE STRIUCTURE IS NOT INTENDED OR OFFEflED FOR SALE(SEC.�D44,BU51- J ' � NE55 FNO PROFESSIONS CODE�.TJHE CONiRACTOflS LICENSE LAW OOES NOT APPLV TO AN OWNER OF � � PROPERTYWHOBUILDSORIMPHtlVES7HEREON,ANDWHODOESSUCHWORKHiMSELPORHERSELFOR ��. THROUGHHISORHEROWNEMPLyy,YEES,PROVI�EOiHATSUCHIMPROVEMENiSAFiENOTINTENDE�OR m � �'�"��� �FFERED'rORSALE.IF,HOWEVER,THEBUILDINGOR'IMPROVEMENTISSOLDNATHINONEVEARDFCOMPLE- Z,,� TION,THE OWNER-BUILDER WILL AVE.THE BURDEN DF PROVING iHAT HE OR SHE DID NOT BUILD OR _' IMPROVEFOFTHEPURPOSEOF LE)., w�. ❑�,ASOWNEROFiHEPflOP RN;AMEXCLUSIVELYCONiRACTINGWITHUCENSEDCONTFACTORS Q'�'�, TO CONSTRUCTTHE PROJEGT(SEC.7044,BUSINE55 AND PROFESSIONS CO�E:THE GONiflACTOflS LI- VBIUflIlOf1 ADJ.AREA LLJ' CENSELAWDOESNOTAPPLYTOANOWNEROFAPflOPERTYWHOBUILD50RIMPROVESTFiEREON,AND -- �����WHOCONTRACT5FORSUCHPRO,�ECTS'WITHACONiRACTOR(5)610ENSEOPURSUANTTO7HECONiRAP QUANTITV DESCRIPTION FEE � TORS LICENSE LAW.1. � � � ❑I AM E%EMPT UNDER SEC.�I, B,L P.C.FOR THIS REASON Q � V LL � DATE__ ' OWNER r O W � LICEN�IED CONTRACTORS DECLARATION W � I HEREBV AFFIRM UNDER PENALT�OF P�ERJURV THAT I AM LICENSE�UNDER PROVISIONS Of CHAPTER � p_, 9(CDMMENCINGWITHSECTION70o)OkDIVISiON30FTHE8U51NE55ANDPROFESSIONSCODE,AND z 1G MV LICENSE IS IN FULL FORCE ANq EFF�CT. Q' LICENSE CL4SS �I UC.NQ /S��� j y� �' J V' DA7E "� "" V CONTRACTOR�,r/a� a LLJ i � � WOFKeFS'COMPENSATION DECLARATION Q � IHEREBYAFFIPMUNOERPENALT�OFPERJURVONEOFTHEFOLLOWINGDECLARATIONS: z '�. Z _IHAVEANDWILLMAINTAI,ry`ACEPTIFlCATEOFCONSENTTOSELF-INSUREFORWORKERS' _ , ¢ GOMPENSATION,ASPROVIDEDBYSECTION37ooOFTHELABORCODE,FORTMEPERFORMANCE U � O OFTHEWDRKFORWHICI�THIS��PERMITISISSUED. � � _I HAVEAND WILL MAINTAI�WOF�I(ERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION /��y'^/ (� � Q 370o OFTHE LABOR CO�,FOF.THE PERFOPMANCE OFTHE WOFK FOR WHICH THIS PEflMIT IS ' t j�/ v ISSUED.MYWDRNERS' MPEWSATIONlNSURANCECARRIERANOPOLICYNUPA9ERARE: CONSTRUCTION ��/ 'i J j cnaaiea___ , /� PLAN REVIEW � �� POUCYNUMBER_I�� �� /"� .�__ ¢ .� ELECTRIC '��, � (iHISSECTKKJNEmNOTB�OJMPLETEDOF'iHEPERMfTISFORONEHUNDRED00lLARS�y10�ORLESS). PLUMBING Z. ICERTIFYTHATINTHEPEryFORMANCEOFTHEWORKFORWHICHTHISPERMITI5ISSUE�.I MECHANICAL _. C,!} SHALL NOT EMPLOYANV f5EFi50N IN ANY ldANNER SOAS TO BECOMc SLIBJECT TO THE �� WORKERS'COMPENSATIqNLAWSOFCALIFORNIA,ANOAGREETHATIFISHOULDBECOME INSPECTIONFEE ,� SUBJEC7TOTHEWORKEFhS'COMPENSATIONPROVISIONSOFSECTION37ooOFTHELABOP f�� � CO�E,I SHAIL FORTHIMT�i COMPLV WITH THOSE PRO IOf 5. ISSUANCE �� ��V p DATE��7A t l.-,l�l APPLIGANT. C�� SMIP �'�� y � WARNING: AILURE TO SEWRE WORK6RS'COMPE�SATION COVERAOE IS UYLAWFUL,AND SHALL BE ENERGY P/C � SUBJECTANEMPLOYERTOCRIMI�'ALPENALTIESANDCIVILFINESU?TOONEHUNDREDTHOUSAND ENERGYPERMIT ¢� OOLLARS(51oo,oao),INADDITION OTHECOSiOFCOMPENSATION,DAMAGESASPflOVIDE�FORIN SECTION37o60FTHELA00RC0 E,INtEREST,ANDA?TORNEY'SFE'e5. RETENTIONFEE: �O CO STRUCTION LENDING AGENCY PREALT FEE: � IHEREBYAFFIRMUNDERPENALTyOFPERJURYTHATTHEREISACONSTRUCTIONLENDINGAGENCY FOR THE 7ERFORMANCE DF THE WORIf FOR WHICH THIS PERMIT IS ISSUEO(SEC.3497,qV.C.�. � 11J � LENDER'S NAME � �F—'. LENDER'SAD�RESS � TOTAL FEES W � I CERTIFY THAT I HAVE REA�THISIAPPLICAiIIXJ AND STATE THAT THE ABOVE INFORMATION IS CORRECT. �'� I AGREE TO COMPLY WITH ALL CIM AN�COUNTY OR�INANCES AND STATE LAWS RELATING TO BUILDING ,��, CDNSTRLICTION,ANDHEREBYAUiTHORIZEREPftESENTATIVE50FTHISCOl1NTVTOENTERUPONTHE Z I, ABOVE-MENTIONEDPROPERTVFGIRINSPECTIONPURPOSES. COMMENTS - � i J _ `�-�e -�� ---- aPEflMITTEENAM (PRI �" � _�� ��-�� � SIGNATUREOFPE I EE I D TE / . � Z� RECPT.�Q ,.PAID BY VALIDATION ~ WHITE—Department Co YELLOW—Finance Co PINK—A;sessor Co GOL�ENROD—File Co GREEN—A IicanPs Co PY. PY� PY� PY. PP PY - ..�� .- �.:. p -.,. > . . , . .... . . , �, �...��.,.,. e:.�:,, .. ,::,- ,. .-, . v,i�fi..j,..,n :::c.t^g, -"'^`p"&5? �/�f.a'�,., erK�:iti.:.;�u a�.?P,�,,... .. . .,� � .. ... , ... -.�. - .. . . ,. ..�.�. . ,_ ^" r. .. �,.�.. .;'��. . .""4. ... . k # . 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