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HomeMy WebLinkAbout11578 ( i ,� � _��_ CITY OF DIAMOND BAR � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Pax(909)861-3117 PRESS �'°�" BUILDING PERMTI'APPLICATION FIRMLY �' JOBSITE �J q APPLICATION /���� o ADDRESS Lr ���Gv �Z � DAl/f�l ��"'r DATE �� a NUMB R #/C � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �P3l�1tR���L�)_—��:� Q ADDRESS rL��3 2 C�al.�- �4�1,.J �"o'[-• ZONING SETBACKS i Z CITY ZIP� TEL. '" o FRONT RW n � �j' APPLICANT '^-0=��^"dx TEL��L`�5 13� 6, REAR ❑_ � �. SIDEISIDE STREET RW — ❑__.__ CONTRACTOR� nJ_G�-Zi 4 C�;�.�J•,�-C,;a, SIDE L___ • � ADDRESS !26 a.1 Cy-�F��� PROPOSEp USE � P � � CIIY kJ��51" �t�:l,`�t9- ZIP� TEL.�Zt S�'Sl-�![S�' — 1 0; ARCWENG! '" �� °^ � DESIGNER — �' NO.DWEL. N0. NO. n_. ADDRESS �^ CITY ZIP TEL. ' UNITS_ STORIES BEDROOMS N�r � cn; DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION s ..0� OWNER•BUILDER DECLARATION � SFR/ADD/REM � p�� 1 HEfl�Y AFFIRM UN�Efl PEN/LLTY OF PERIURV TNAT I AA1 EXEMPT FROM THE CONTFACTORS LI- � Garage/Carport J W:' CENSEUWWRTHEPDLI�ININGREA30N(SEC,7o31.5BUSINES6MIDPROFES510NSCODE:ANYCITVOq `. (n 1 'L COUNTYNMICHREOLNRESAPEflMITTOCONSTRUCT.ALTER,IMPflOVE,OEMDLISH,OqREVAIRANYSTqUG '. !fJ patiOlDBCk 3� TURE,PRIOR TO ITS ISSUANCE,ALSO REWIqES THE APPLICANT fOP SUCH PEPMIT TO FILE A SIGNED .�W° STA1FMe'NT THAT HE OR SNE 13 LICENSEO AURSUA4T TO 7HE PROVISlONS OF THE COMRACTORS LI. " w CENSE LAW(qUPTER e(COMMBJCING WITM SECTION 7000)OF DIVI3pN 9 OF THE BUSINESS PND PRO- ? � PooUSpa � FESSqN3CODE)ORiHATHEORSHEISEXEMPTTHEREFROMANOTHfBA515FORTHEALLEGEOE%EMP• :; (7 �'� TKKi.MlVVqLATiONOFSECTION70a1,5BVANYAPPLICANTFOqAPe'FMITSJqJECTSTHEAPFLICANTTO RB•flOOf :,; A CIVIL PENRLTY OF NOT MORE THAN FIVE YIUNDRED DOILAP.S(S5oo).J: ��� Z� UlASOWNEROFTHEPROPERM,ORMYEMPL0YEE5WITHWAGE5A51HEIflSOLECAMPENSATION, CO117RIBfC19I ��g.`.' WILL DO TME VYORIC,RNO h1E STRUCTUflE I&NOT INTENUED OR OFFEflED EOH SALE(SEC.706A.BUSI� „��.� ' �?' �NE3SANU PqpfESSiONS CA�E:THE C6NTRACTOqS LICENSE LAW�OES NOT APPIY TO AN OWNER OF .'�� ? -� P.90PEATVN'FIOHUIlD50R1A17ROVES7HEREON.ANDWHODOE55UCHWORKHIMSELFOqMERSELFOR ��C': �THFIOUDHNISORHEfioWNEMPLOvfiES,PROVIDED7HAT5UCHIMPFiOVEAIENTSAqENOTINTENOEDOq ` m - �3.1,. O�FEREDFORSALEIfiF10YlEVER,THEBUi1DINGORIMPROVEMENTISSOLOWRHINONEYEAROFCOMPLE- ��'. '���' �TION,THE OYlNEqSUILOEH W�LL NAVE iFIE 9UflDEN Of PAOVfN6 Y}fRT NE OH SI1E D7D N07 iIUIW OR�. .�.- IMPROYEFORTlIEPUflPQSEOFSALEh : t. w�� � UI,ASOWNEROFTMEPROPEflTY,AMEXCWSIVELVCAMRACTINCWITHLICENSEDCONTRACTORS �Q;; TO CONSTRUCT T}1E PROJECT(SEC,70K,9USINt55 M1ND PflOFE5510N5 COOE:TNE CONTRACTOpS LI-� ��,� V9IU9flOf1 ,__ �.W;. ��CEHSEl+�W00E5NOTAPPLVTOANOWNEROFAPpOPFRTYWHOBUILDSOqIMPROVESTHEREON,AND� %` ' -"'--A�J�pA�—""'"-" ---- �:! 'NTIOCONTMCTSFORSUGiPRQ1ECTSWI7NACONiRACTOFi�SjLICENSEDPURSUANTTOTHECONTFiAG�'• �^ QUANTITY DESCAIPTION FEE iDR5l10ENSEUW.). ; `k ��'� ❑I MI EXEMPTUNDER SEC. __„_e.8 PC WR TNIS REASOM= -` Q �re. U �y,,, � -: CC �. OATE _OWNEH — _ -- _ --��— . U Z i W ���. LICENSEO CONTRACTORS�ECLARATION �,'^ W � .:�? --'-- � 7HENEBYAFFIiWthVDERPENALiYOFPEiLiURYTHATIAFALICENSi:DUfiGERAl;OVI,S�OYSOFCHAPTER �.,, � �:�+ i�COMMENCINGWITHSECTION7000)OFDIVISION30FTHE9USINESSANDPROFESSIONjGO�E,AND .,, Z � Ml'UCENSE IS 11i FULL FORCE AND EFFECT. 1 .�,�� �. � ;� ;�-( L�CENSE CLyAS�S_��,) �`LIC.NO._�_L�� -..— .�. . � DATE y���__T'f ,_ CONTRACTOR�� �� d �, � .`�; WOflKERS'COMPENSATION DECLARATION , d � �.�N�. I HEREBY AFFIRM UN�ER PENq1.TY OF PERJURY ONEOF 7HE FOLLOWING OECIARATIONS: ,.� Z -` � ,��Gl: __IkAYEANDWILLMAIN7AItlACERi1FICATEOFCONSCN7TO5ELF�INSUREFORWORKF.RS � 2 � �:�v. COMPENSATION,ASPpOVIOEDBY3EGTl(Nl97onOFTHELA90RCO0E,FOqTHEPFRFORMANCE' '�� �U OF TNE WOFK FOR WHICH THIS PERMIT IS ISSUED. � �� w' _.�I HAVE AND WILI MAINTAIN W00.KER5'COMPENSATIOY INSUflANCF.,AS FEUUIRED BY SEGTION �.� �6- 3700 OF TME LABOR CODE,FOA THE PERFOAMANCE O�THE WORN�OR WHICH THIS PEpMl7'1S --- -- /J .C/"' 0'� IS6UED.MYWOPKERS'COMPENSATIONINSURANCECARRIERPNUPOI.ICYNUM8�ql1BE CONSTRUCTION C� � � �' ..: — � .j. c�naierr�C�'1�r`^ "�"�_� T_!�_rJ�i--- --_ `� PLANREVIEW _._ _..__......__ -.— — 0� POLICV NLIMBER_��7 "�J�_�y���0�� ELECTRIC y.Z; . _ _' '.--_. '— ,.Q., �..:�� . � 0 (MISSECTONNE�NDTBELLYRIE�EDOFhEPEW�MISFOFiCNEFRR�AFiF.DWLtAR3(S70D)ORlFSSJ PLUMBING . �� . '._ ___ � Z:, 1 CERTIFY THRT IN THE PERFOflMANCE OF THE WONK FOR WNiCH THIS PERMIT IS ISSUF.D 1 MECHANICAL Y K� ' � "".�};,' SHALL NOT EM�LOY ANV PEqSON INANY MPNNER SO AS i0 BCCOME SUBJECT TO THE .+ � � � �� ����Jj. WOflKERS'COMPENSATIONLAWSOFCAIIFORNIA,ANOAGFe'ETHATIFlSMOULDOECOMF. INSPECTIQNFEE _.,__ __.__ "� SU&IECTTOTHEWOFIKEHS'COMPENSATIONPqOVISIONSOFSECTqN3�ooOFTNELABOR -- �( CODE,I SHALLFof�tiHWITH COMPLv WITHTHOSE PROVISIONS. ISSUANCE IV • G Q - _ ',p� DATE:_'_'_ APPLICANT� .. .__. __ SMIP � —��-�—�..—_____"—� '� J`. WAqNINCFAIWRETOSECUREWOqKEflS'COMPENSATIONCOVERACiEISUNLAWFUL,ANDSHAlLOE ENERGYP/C __._ ___ . � . --'_ __"'_ "" LL� Sll&IECTANEMPIOYERTOCHIMINALPENALTIESANDCNILFIN[SUPTOONEHUNORLD7HOUSM� •^��� ENERGYPERMIT __..__ � '�� DOLLAflS(f1o0.000�,INA➢�ITION70THECOSTOFCOMPF.NSATION,OAMAGESASPROVI�EDFORIN ��� ._.__ ....__...__ � J. SECTION 3708 OF THE LABOfi CODE,INTEflEST,ANDATTOflItlEY'S FEES. RETENTION FEE: [[i. "_.. _"'_'_ _._...'_' .____ � � '.pW,,; CONSTRUCTION LENDING AGENCY pqE-ALT FEE: . .__,.____ _______,_____�__ 0; . �,. IHEHEBVAFFIRMUNOEflPENALTYOFPEflJUflYTHATTHEHEISACOYSTRUCTIONLENDINGAGENCV _ ____ _ . FORTHE P[HFORMANCE OF THE WO(iK FOp WHIGM THIS PERMIT IS ISSUE�(SEC.3097.qV C.). , :.. �� ... W� ��... LENDER'SNAME_ "' __ __ " — _— —�— --' � '.. �' . ._ —_"' — ""_ —_ .i � LENDER'S.�D�RESS_____ .._ — ___ O ?J � ICERTIFYTHATIMRYEREADTHISAPPLICATIONANDSTATETHATTHFA90VEINFOHMATIONISCORFECT. IOT/"1L FEES • D . �! W IAGREETOCAMPLYWITMALLCf�YRNOLOUNTYORDINANCESANOSTATF.IAWSPELATINGTORl11LDING ;� �� � CONSTRUCTION,ANOHEflEBVAUiHCqiZEAEPRESENTAi1YE5OFTNiSCOUNTYTOEN7ERUPONT?IC -- - Z ABOVE-MEMIONE�PqOPEflTV FOH INSAECTION PUHPOSES. 0 COMMENTS J �y— ��,�,...�G_� . _ �v''"''`� _ _— _. m PE'RM�1�"EENPMEIPRIffT) I Q —_.__ ._. _' ' � y�� SIONAIUREOFPERMITTEE OATE t _ _ � RECPi NO.__ . PAID BY __Y/�LIDATION_� ~ WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Capy,GOIAENROD—Fila Copy,GREEN—ApplicaM's Copy t a:M�r . ; �=..._ __.7,..m..._ _..; „�." rt—. t . , . �-. ... �„ -. ��4�'�f`.S ¢ l�°�a+%"' " `�a y � ! � I� � 5 , i f r r .. 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