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HomeMy WebLinkAbout14328 (29) �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)8643195 Fax(909)861-3117 PRESS 'y�'� BiJQ.DING PERMIT APPLICATION FIRMLY oN JOBSITE . ` / Q_��/ _d �� APPLICATI N PERMIT P � a ADDRESS__���J���?OtiGr .��t' kL�' DATE_/PIZ'99 NUMBER �i (! � APN LOT TRACT ISSUE � TYPE ..� OCC � OWNER _��i��✓ �/�O•� DATE CONST.,�_ GROUP o ADDRESS 1IQ$r S�iCli6�bwr� �dr /� ZONING SEfBACKS � CITY ZIP TEL REAR Rw p APPLICANT TEL SIDE/SIDE STflEET RW ❑ � CONTRACTOR ix s• SIDE ❑ ADDRES g CITY ZIP���EL , PROPOSED USE R'�t� "' �K +.I'� � ARCHIENG! " ,, DESIGNE �G NO.OWEL. NO. NO. N CIDTMDRESS � ZIP TEL - f UNITS STORIES �_BEDROOMS ` � �n DESCRIPTION�. --50,FT.� •FACTOR PSF ADJ.AREANALUATION � OWNER-BUIIDER OECLARATION SFR/ADDlREM O p I NEREBY AFFliN1 UFIDER FENALTV OF VEiWRY THAT I AM F%EMPT FROA1 7H[CpJTMGT00.5 L4 Garoge/Carport LLI C£NSEUWiOFIiHEFOItAWHOREAAN(SEG7Q71.AWiINESSANDVNOfE551QV500DE:�M'CITYOR (n (J OOUNttMMILHRC-0UMiESAiERGRTOCONS7RVCf.ALTERMPHOVE.DEMULISM.OHREPAIRANV5Ti1lIG w �Z 7URE.VWOR TO rt3155UANCE.ALSO REWIIiES THE MttKANT FOR SU171 PEW.IIT TO FIIE A S�CNED W Patio/Deck STATEMEHT THAT HE OR SHE IS LICENSED PUi�UN7f TO iHE PitOVl:lONS OF TME CONTMCfORS L4 � CENSE UW�GIAPTER�(COMMENCNO Vn7H 5ECTION 7000)OF DM510N]OF iHE BU5iNE39 M1D►RG u- PooVSpa FESSIONS COOEI��T NE OH SHE IS E7(EMPT THEREFROM IW 0 iHE BA.`.IS FOR iNE ALIEGED E%EMP• TION.NIYVIDUTqNOFSECTION7W1.6BYANYAVRIGANiFORAPEfiMITSUBJECTSTHE�7PLICAHiTO Z RQ-R001 � AGVILVFNALTYOFNOTMOfiE7HANFIVEHUNDREDDOl1AR51f500).1' O �4���NENOFiHE7ROPERTV.ONYYEMFLOYEESVATMWAG[5�^THEIRSOLECOAIPENSATION, CORIfi10f�ISI - Z YALL DO THE WOiYCAND T11E STRUCNRE l5 NOT tNTENDED OR OFFERE�FOii SALE(SEG Tou,BU56 O � NESS I/W PPOFESS70N3 CODE iHE OONTAACiORS LICENSE Uw DOES NOT MPLV TO M!OWNEN OF ? VR07EHTY YAfD BURDS OR IMPFqVES TMEREON.AND WHO DOES SUCH YroRN HIuSEIFOR HEHSELF pR Q 7MROUGHHiSORNEROwNEMPLOYEES,iROYiDEDTHAT5UG1w�vROYEMEMSARENO7MLTENDEDOR m � .OFi6iEDfORSN-E�F.lIOWEVER7MEBUlDINOOftIMVROVEMINTIS50lDWfTMNOHEYFAROFCOMPLE• � '710N.7ME OWNER8U0.DER WILL IUVE THE BUROEN OF VROVWQ T/AT ME OR 6HE OD NOT BUILD Oq MPiqVE FOR iHE GURPOSE OF SILLF1 W ❑I,ASOWNEROFTi/EPROPERfY,�lAEXClI15NELYGONTRACTIN�W:iHUCEN5E0WNTMCTOR3 � TO CONST/iUCT THE PR0.IECT(SEC.7a�,BUSINE53 JW0 VROFESSIONS CODE�T11E CONTMCTORS LI• V21U0110n ADJ.AREA � CENSEUWDOESNOTAPPLYTOANONMEROFAPROPERTYNRqBU1LDSORNIPROVE57HE11[ON.AN[7 MFqCOHTRACTSiORSUG1iRO.1ECTSWITIAWHTRACTOH�3)LIGENSEDRIRSUANTTO7HECONiMC. pUANTiTY ESCRIPTION FEE � � lIXiS UCENSE UW.} O 1 AM EIfEMFT UNDER 3EC. 9.�P.C.FOR THIS REASON a U � � DATE OwNER U � LICENSEO CONiRACTORS OECLARATIpN W ; —• � . ,.. 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Z � I CEHTIFY THAT N iHE PERFORMMICE 0f THE WORK�0it WHIpf THtS PERMIT I5155UED,l MECHANICAL �'��x 1� � (i SWLLLNOTEVPLOYANYFERSONNANYIA/NNERSOASTOB[COIAESUfl1ECTTOTHE y WOW(ERS'CdAPENSATIONUN50FCALIFORNU�ANDAGREETUTIFISMOUIOBECOUE INSPECTIONFEE SUB.IEC7 TO iHE WORKEFLS'COAIVENSATqN CROVISIONS OF SECTION 17Do OF 711E UBOR ( COOE,ISHALLFORTANTMLWPLYWITITH03EPitOVISiON9. �SSUANCE � � .� � SMIP � 4 �`� � p OATE: APFLIGNT. � � ENERGY P/C �jT��nT�n���.Trl�*n n r n WARNiNC:FA4A/RE TO SECURE WORKER5 Cp.��ENSATION OOYERAGE IS UNUwFUL AND SHALLBE � SUBIEGTANEMPLOYE�iTOCRIMOULPENALTIESANDtMLFWESUPTOONEMUNORE0T11W5AN0 ENERGYPERMIT RL1T►Tlr��r.f n•n�A'f'T��•) DOIUFtS�t100,000),N/DDITIONTOTMECOSTOFCOMPENSA7IJN,DAMA(1E5115PROVDEOFORIN -- -t C:�__, ¢ SECTUN770lOFTHEUBORCOOE,lITEHEST.ANDATTORNEY'SFEES. 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