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HomeMy WebLinkAbout10474 � CITY OF DIAMOND BAR ' COMMUNITY DEVELOPMENT DEPARTMEN 21660 E.Copley Drive Suite 190 (909)860.3195 Fax(909)861-3117 � PRES'S ""'" BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE APPLICATIO�f i,�/z�� G� PERMIT � � �/C ADDRESS � ( 2 DATE -��"j_ NUMBER # � ISSUE TYPE OCC ,q � APN LOT TRACT DATE C GROUP p OWNER t"'-�,��'T3fLn2tiSL�"u o ADDRESS s4 �2 N��.r c��,v o ZONING SETBACKS � o CITY �7'C.(.t A f� ZIP�nG3 TEL. 4�Z,-�IBQ� REART ��i �3 �� C o APPLICANT TEL. ""' � � L�J D-- ❑ Z SIDE/SIDE STRE:ET q�ly ❑ Q CONTRACTOR S W A t i� ��C iu'_Z SIDE � � ADDRESS ..•l� � CITY_CJti'�4 21 � ZIPQ_�C�Ck TEL. - PRGPOSED USE S(CcAI � Z'G.LG�YJ P YL l4 T'�i�O� o ARCFUENG/ __ �b��A��L��31... L�T��'S z DESIGNER — a ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS . STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O� OWNER-B�'ILDER DECLARATION O SFR/ADD/REM W CENSELAWFOR7HEFOLLOWNGEfiEA ON(SEC703RSB SINESSAN�P OFESSIONSCODEANYTC�INOq � GaragelCarport � CAUN7VYlHICHREOUIRESA7ERMITTOCONSTRUCT.ALiER,IMOROVE,OEMOLISH,ORREGAIRANVS7RUC- W PetlO/DBCk W TURE,PRIOR 70 ITS ISSVANCE.ALSO REO�IRES THE APPL,ICAM FOR SUCH VERiA1T TO FILE A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PRDVISIONS OF TNE bON7RACTO/i3 LI- � CENSE LAW(CHAPTER 9(CAMMENCING WITH SECTION 700a)OF DIYISION 3 OF THE BUSiNE55 AND PRO• � POOVS�lB O FESSIONSCAD�OR7HATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- (� V TION.ANVVpLATIDNOF3ECTION7031.58YANVAPPLICANTFORAPERMIiSUBJECTSTHEAPPLICANTTO Z Re•Roof � A CIVIL PENALTY OF NOT MORE 7NAN FIVE HUNDRED DOCLARS(S5W).�: � ❑I,ASOWNEROF7HEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIHSOLECOMPENSA7ION, � COf11ff10fC121 Z WILL�O7HE WORK,AND THE STRUC7URE IS NOT INTENDEO OR OFFERE�FOR SALE(SEC.7od4,BU51- J N NESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW OOES NOT APPLY TO AN OWNEH OF ? PROPERTY WHO BUILOS OR IMPROVES THEREON,ANU WHO DOES SUCH WORK HIMSELF OR HERSELFOR W THROUGHHISORHEROWNEMPLOYEES,PflOVIDEDTHATSUCHIMPROVEMENTSARENOTINTEN�E00R m � OFFEREDFORSALE.iF,HOWEVEH,iHE8U1LDINGORIMPROVEMB�'TISSOIDWITHINONEVEqROFCOMPLE- Z TION,THE oWNEF�9UILDER WILL HAVE THE BURDEN OF PqOVIP1G THAT HE Oq SHE DID�T BUII�OR = IMPflOVE FOR THE PURPQSE OF SALE). �yJ CI,ASOWNEROFTHEPROPERTV,AME7(CLUSIVELYCON7RAC71NGWITHLICENSEDCANTRACTORS � TO CONSTRUCT THE PRQIECT(SEC.7ala.BUSINESSAND PROFESSIONS CODE:THE CONTRAC70NS LI� V311J8110f1 ��__�O jJ-�i r�.. ADJ.AREA W CENSEUlWD0E5NOTAPPLY70ANOWNEROFAPROPERTYWHOBUILDSORIMPROYESTHEREON,PND F WHOCDNTRACTSFORSUCHPROJECTSIMTHACONTRACTOR�3�IJCENSEDCURSUANTTOTNECONTRAG- QUANTITY DESCRIPTION FEE Y TORS IICENSE LAW.} � C I AM EXEMPTUNDER SEC. B.8 P.C.FOR THIS qEASON Q /fj�,f �� L �S U � DATE OWNER ¢ U � LICENSED CONTRACTORS DECLARATION W � IHEFEBYAFFIqMUNOERPENALTYOFPEFiJURYTHATIAMLICENSE�UN�ERPROVISIONSOFCHA�TER � 9�COMMENCING WITN SECTION 7000)OF�IVISION 30F 7HE BUSINESS AND vqOFESSIONS COD�N�� �X MY LICENSE IS IN FULL FORCE AN�EFFECT. `' m � UCENSE CU1SS Gq� `I S LIQ NO. � O � V DATE�3 Q � /� CONTRAC70R �L.��I�.I 1lJ NG a. �W ``` ���� WORKERS'COMPENSATION DECLARATION ;ic,�,���'�/ a � � U � I HEREBV AFFIRM uNDER PENAL7v OF AEqJURY ONE OF THE FOLLOWING OECLARAYIONS Z Z _IHAVEANDWILLMAINTAINACEfiTIFICATEOFCONSENTTOSELF-INSUREFORYlORKERS' ¢ ¢ COMIPENSATION,FSPROVIDEDBYSECilON37ooOFTMELABORCODE,FORTHEPERFORMANCE U OF THE WORK FOR WMICH THIS PEfiMIT IS ISSUED. � � w �I HAVE AND WILL MAINTAIN WORKERS'COMPENSATON INSURANCE,AS FEOUIRED BY SECTION Q 3700 OF THE LABOR CODE.FOR THE PEfiFOFMANLE OF THE WOtiK FOR WHICM THIS PERMIT IS J ISSUED.MY WORKERS'COMPENSATION INSURANCE CARpIER AN�POLICY NUMBERARE: CONSTFlUCTION ±,,,�___,M ���� j CARRIER C Ii//4 J I OS�' ` • PLAN REVIEW ��< <d ��� � ¢ POLICYNUMBER� '� � ��� �� ELECTR�C � � (TH65EC71CNNE�NOTBEOa.AH�TEDOFT1iEPEFidf��SPpqpNEyFl7qEDD011Ni8(SIOO�ORLES3� PWMBING� W — Z I CERTIFY THA71N THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT i5 ISSUED,I MECHANICAL C.�J SHALLN07EMPLOYANYPERSONINANVMANNEFSOASTOBECOMESUBJECTTOTHE (n WORKERS'COMPENSA710NLAWSOFCA�IFORNIA,ANDAG ATIFISFIOULDBECOME INSPECTIONFEE �Y�ar•.�. 6U&IECTTOTHEWOflKERS'COMPENSATIONPROVI OFS 10 37aaOFTMELA60R .���� � ' Q COOE,RI SMAL�FORTHWITH COMPLY WI SE P OVI S. ISSUANCE _ , p DATE: �7� G Q'7 APPLICANT: SMIP '� —� ENEFiGY P/C �T— J WARNING FAILURE TO SECURE WORKERS'COMPENSA710N CAVERAGE IS UNIAWFUL,ANO SHAI.I,BE ' E � SU&IECTANEMPLOYEF7OCRIMINALPENALTIESANDCIVILFINESUPTOONENUNDREDTHOUSAND ENERGYPERMIT t+��� y �.!' �� w �OLLARS(5100.000),IN ADDITION TO THE COST OF COMPENSA710N,OAMAGES AS PROVIDED FOR IN SECTION 37080F THE LABOR CADE,INTEREST,ANO ATTORNEV'S FEES. RETENTION FEE: � 0 CONSTflUCTION LENDING AGENCY PRE•AlT FEE: _ � IHEREBYAFFIRMl1N�ENPENALTYOF7ERJUqYTHATTHEREISACONSTRUCTIONLENDINGAGENCV � FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HIS PERMIT IS ISSUEO(SEC,3087,CIV.C.�. Z W � LENDEF'SNAME_ F— IENDER5ADDRE55 � I CERTIFV TNAT I HAVE READ THIS APPUCpTION AND STATE THAT THE ABOVE INFORMATqN IS CORHECT, TOTAL FE ES 1 k w IAGflEETOCOMPLVWITriALLCITYANDCOUNTYORDINANCE50.N�STATELAWSRELATING706UIL01NG Z� CONSTRUCTION,AND HEREBYAUTHOqIZE REPRESENTA7IVES OF 7HIS COUN7YTD ENTEfl UPON 7HE ABOVE•MENTIONEDPROPEF7YFORINSPECiIONPURPOSES. � ` � COMMENTS_ J � � PERMITf T) � � � 9tONq7UREOF E E DATE + — — � ' RECPT.N �' � PPID BY VALIDATI WHITE—Department Copy,YELLOW--Finence Copy,PINK—Assessor Copy,GOLDENROI?—Fle C:opy,OREEN—Applfcant's Copy -- . ... .. . . � � . . � ..s i'i.� , �. � . . . ` ... , ,i.,,y . . .t .. ,. - , ,'�':�:'•� ,t. . ���,: :�'?` :,�"��t . •'Y-.�, � ; .. ..3•. . ., . �pg �,Apq�y,y .- . p� ,% � : .�� (�a .� ' �� �.$1�1y1VAV�, ��� .. . ..... .. .. .�. � .^ 6� .... .. .�. .. r..., f . ,: .:���\.v��loe*7tl ���l���- . . �s�,�,�� ��:j5 . . , . . . �: _.. — . ... .. . .......� . . .�..e .,�- .�. . .,...... ,"^.--..- .. �,.;.,.:: ,,:��- .:.. ... . ._�._�.. .� o - � . � a � � ��� .� r � 0 ��.�. � e _:.. :._�,�y s .:. 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