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HomeMy WebLinkAbout10833 (7) .. - r / � CITY � DIAMOND BAR COM NITY DEVELOPMENT DEPARTME :,,.„>' 21660 Copley Drive Suite 190 PRESS 8643195 Fax(909)861-3117 ��'""'+ -� _�`�BUILDING PERMTT APPLICATION FIRMLY i - � APPLICATION PERMIT P/C °'j e�- , � JOBSITE ^ �� ,y-� /„ ,�R,� � � o ADDRESS Y f � t r DATE_�v���`"1/7 NUMBER ��3� # /•'� J � issue rrPe occ • r- APN LOT TRACT DATE _CONST. GROUP p OWNER LL G c ' �SB:� ZONING SETBACKS , o ADDRESS Di�� �. -��Aa�s�..9.� �.:A-� z CITY ZIP TEL._ FRONT RW C � APPLICANT TEL. REAR ❑ " � SIDE/SIDE STREI=T RW ❑ z ' Q CONTRACTOR '.Cd"�o j'�ah�O i'c`,�-4 Q R*�r�A� SIDE ❑ Q ADDRESS Y �_ PROPOSED USE� �c��'-��- �r��J���,G� 0 CITY iraz h�-� ZIP TEL.�,�s-!� ��'�,,,y'�o�,n2 wo ARCH/ENG/ � "��"*` z DESIGNER NO.DWEL. NO. NO. a ADDRESS �.i7�G �.n� '_ , �t,;- �?'tL�-.T UNITS STORIES BEDROOMS � CITY�?.'� vc� ZIP t�t'� TEL.?�n.•-��C � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFR/ADD/REM � O p I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FAOM 7F{E CONTRACTORS LI• Gfl�9Qe/CB1pOrt W CENSELAWFORTHEFOLL�WINGREAfiON(SEC.7o3t.56USINESSANDPROFESSIONSCOOE�ANYCIT/OR (n U COUNTYWi11CHREAUIRESAPERMITTOCON57RUCT,ALTEH.IMPROVE,DEMOUSH,ORREP4IRANVSTRUG W PBIIOI�BCIC Z TUpE,PRIOR TO ITS ISSUANCE,ALSO REQUIflES TNE APPLICANT FOR SUCH PERMIT TO FILE,A SIGNED W STATEMENT THA7 HE OR SHE IS LICENSED PURSUANT TO THE PROVI$IONS OF THE CONTRACTORS LI� � CENSE LAW(CHAPTER 9(COMMENGING WITi SECTION�000)OF OIVISION 90F THE BUSINESS AND PRO- LL' PoollSpa FESSIDNSCA�E)ORTHATHEORSHEISE%EMPTTHEHEFHOMANDTHEBASISFOR7HEALLEOEDEXEMP• � VTION.ANYVpLAT10NOFSECTION7031.5BYRNVAPPLICANTFORAVERMITSU&IECTSTHEAPPUCANTTO Z Re-Roof A CIVIL PENALTY OF NOT MORE TNAN FIVE HUNDRED DOLLARS(55a0).1' ��� Q OI,ASOVlNEROFiHEPROPER7V,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � CortlmOfClfl Z WILL DO 7HE WORK,AND THE STRUCTURE IS NOT IN7EN�ED OR OFFERED FOR SALE(SEC.7oaa,BUS6 J NE55 AND PROFESSIONS CA�E:THE CANTRACTORS UCENSE U1W�OES NOT APPLV TO AN OWNER OF � PROPERTVWHOBUIL0.SORMPROVES7HEREON,ANDWHODOESSUCHWORKHIMSELFORHERSELFOR � � THflOUGHHI50RHERONMEMVLOYEES,PROVIDEOTHATSUCHIMPROVEMENTSAflENOTINTEN�E�OR m � OFFEREDFOflSPLE.IF,HOWEVEti,THEBUILDINGOHIMPROVEMENTI550LDWI7HINONEVEAROFCAMPLE Z TION,7HE OWNEH�BUILDER WILL HAVE TXE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD Ofl = IMDROVEFORiHEPURPOSEOFSALE). w G I,AS OWNER OFTHE PROPEfi7Y.AM E%CLUSNELV COMHACTING WITH LICENSED CONTRACTORS � TO CANS7HUCT THE PR0.IECT(SEC.7o4i,BUSINESS ANO PROFESSIONS CODE:THE CONTRACTORS LI� V91Ue�iOfl L�� ADJ.AREA W CENSELAWDOESNOTAVPLYTOANOWNEROFAPRO?ERTYWMOBUILDSORIMPROVESTHEREON,AND � WHOCONTRACTSFOR3UCHPROJEC7SWITHACONTRACTORIS�LICENSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTI��N FEE Y TORS UCENSE LAW.�. �/ Q 0 ❑I qM EXEMPT UNDER SEG.__ B.R P.C.FOR THIS HEASON � ,� . � C/, � T� TJ� � a �e L. �.�+-L es itce.:z� DATE oWNER V z W C./ite+�J�t � LICENSED CONTRACTORS DECLARATION w C C ` Q •'� /.i_ � 1 HEREBY AFFIRM UNDEF PENALTY OF PERJURY THAT I AM LIGENSED UNDER PROVISIONS OF CHAPTER ^-/� G � �� , d e(COMMENCING WITM SECTION 7000)OF ONISION 30F TFJF.BUSINESS lWD PROFESSIONS CODE,AND z ./� I S' �X MYLICENSEISINFULLFORCEANDEFFECL �� m . v 2C� ( ,�'�� � � LICENSE GIASS �� [�' � ����LIC.NO. U DATE ��ifi� '[JL- CCNiRACTOfl�C_.C'� d , � y � �A R - ... w ..�� . � i 7 ! � WORKERS'COMPENSATION DECLARAT�ON ¢ .. � ,� � , /_ : O.,p T � 1 HEREBV AFFiRM UNDER PENALTV OF vERJUFV ONE oFTHE fOLL�wING OECLA{U710NS: Z A �� ��' G.T � �HAVEIWOWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUHEFORWOflKEF3' _ CqAPENSAT�ON.ASPROVIDEDBYSECTION37000FTHELAeORCO�E,FORTHEPERWRMANCE U a OF7HEWORKFORWHICHTHISPERMRISISSUEO. � W �HAVE AND WILI MAINTAIN WORKERS'COMPENSATION INSURANCE.AS REOUIRED BV SECTION Q 37000F THE LABOR CODE,FOR iHE PERFOflMANCE OF THE WORK FOR WHICM THIS OEflMIT IS ���Y�� ISSUED.MY WOR ERS'COMPE SATION INSURANCE CANRIER AND POI.ICY NUMBERARE: CONSTRUCTION � CARRIER �/�L. �U�. PLAN REVIEW ��l?. c' � Z POUCY NUMBER� � � ELECTRIC %�-�. S�• �/O Q ,p-�7 q 0 (fHISSELTqNNE�NO7BE00MPlEf�OFh1EPEMif�SFORONEHINNiEDOq1AFi5(510%ORL655) PLUM8ING �=✓-� / 8 'n,_ Z ICERTIFY7HATINTHEPERFORAIANCEOFTHEWORKFORWHICHTHISPERiAITI5155UED.l MECHANICAL ��• OL" � ri�tl��'.y 3• 00 �J SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SORS i BECAME SUBJECT TO THE I � � WORKERS'COMPENSATION LAWS OF CAUFORNW,ANO A E THAT IF I SHWLD BE ME INSPECTION FEE � t'u� SUBJECTTOhiE WORKERS'CAMPENSATION P ISIO OF SECTION 37000F OR ��. � CODE,I SHALL FORTHWITH COMVLY WITM TH ior�s. ISSUANCE �p � SMIP � p �ATE:��K�7 APPLICANT: J WARNINO:FAILURETOSECUfiEY110RKEH5' ENSATIONCOVERAGEISUNUWFUL,ANDSHALLBE ENERGYP/C � SUBJECTANEMP�OYERTOCRIMINALPEN ESANDCIVILfINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT ���15100.000),INAODIT�ON70THE STOFCAMPENSA710N,DAMAGESASPROYIDEDFORIN � �¢ SECTION370BOFTHELABORGODE,INT EST,ANDATTORNEY'SFEES. �8 0 RETENTION FEE: d � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: +'] � � I IIEFEBV AFFlflM UN�ER FENALTV OF PERJURV THAT THERE I5 A CONSTRUCT�ON LENOINO qGENCY �/•3'L�� ZFOfl THE PER W RMANCE OF THE WORK FOR YYIYCH THIS PERMIT IS ISSU�(SEC.30W.GV.CJ. � �� W S � LEN�ER'S NAME 1_ lENOER'S ADDRESS � ICERTIFYTHATIHAVEREADTHISAPPL�CATIONANDSTAiETHATTHEABOVEINFORMATIONISCONRECT. TOTAL FEES . 3 .Z'D W I AGREE TO CAMPLY WITH ALL CIN AND COUNTY ORDINANCESANO STATE IAWS RELATING TO BUILDING � � � CANSTRUCTION.ANDHEREBYAUTHORIZEREPRESENTATIVESOFTHP$CWNTYTO�EN7ERUPoNiHE ZE�MENTIONEDPR�PERTVFORINSP�araauaros¢s. �COMMENTS � �4,� I��/�O(rs'+/ ) C�, ���1� ��_ ¢ PER IT7 E HINT) � � _ � �_._.�_�---------• !.-'r — � AT E O E � UATE _ � � FECPT.NO. F'AID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicanfs Copy „ , . . . e.. -�r ��;_>'+�.�.},�4si.-�axs: ,� ,r,.,..�,,.,,;�.�;. uv��G;;,..rd,;+ �+s..tyyy.�'fh'e't;hk�.'dix” 'a- q?.x�.� .. "�- . �-� ,.:w"."..<i^F- a-s..�i .;�n. . i:�.�i . . ., ,:T:�' � . ���.. , �, . . ' k".: e". _, '•f.:� �. ,.� ' p..y . . . . . �:�, . . . . } ' ''Rw �� . n � � ' ��� :4 �.�'.����� ��� a; . � ; ° ' . 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