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HomeMy WebLinkAbout16225 (23) . _ , �� /�Q�G�" . - ' �� CITY OF DIAMOND BAR GD��l� � DEPARTMENT OF COMMUIVITY&DEVELOPM�NT SERVICES -3 G / 21660 E.Copley Drive Suite 190 � w (909)86a3195 Fax(909)861-3117 PRESS :•�",."...,. BUII,DINGPERMITAPPLICATION FIRMLI� -a� .., _.... _:, .. _..... .. ,>. . � JOBSITE APPUCAT PERMIT ��� P/C o ADDRESS 1247 N DIAMOND BAR BLVD DATE �0512�1 NUMBER ' � c� ISSUE 1YPE OCC APN LOT TRACT DATE CONST. CaROUP p OWNER HAMLETT SUSAN � ADORESS 1247 N. DIAMOND BAR BLVD. zoNitvG SETBACKS � cirv DIAMOND B ziP 91765 TEL. 90�-86O-5JZ FRONT aw ❑ APPLICAN7 NetCierk Inr TEL 8883� REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR �nquest management gruup SIDE O � ADORESS 26741 portola earkway suits 1 e-222 cirv �oothiil ranch ziP 92610 TEL. ��sZ�BJB PROPOSED USE o ARCWENG! z DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEI. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION OOWNER�BUILDER DECIARATION SFR/AOD/REM </�'8'd�' <V8IU6> 0 1 HEREBV AfFlRM UN�ER PENALTV OF PERtt1RY THAT I AM EXEMPT FFOM THE CONTRACTOqS LI- � Garage/Carport �fV ea'� �•V'd�Ve'� W CENSEUWFOHTHEFOLLOWIN�REASON(SEC.7031.58USINESSMIOPROFESSIONSCADE:ANVCI7YOR V COUNfYNMICMRC-0UIRESAPERMITTOWNSTRUCT.A4TER,IMPROVE.DEMOLISH,ORREPAIRPNVSTFitJG W P3ti0/DBCk <�'Qr]? '+V'CIIUA�' W TUqE.PRIOR TO ITS ISSUANCE,AL:A REOUIRES THE APPLICANT FOR SUCH PERMIT TO FlLE A SIGNED W � STATEMENT THAT ME OR SHE IS UCENSED PURSUANT TO THE PROYISIONS OF THE CONTFACTORS L4 A,, � CENSE LAW(CHAPTER D(COMMENCINO WITH SECTION 7000)OF DIVISION 3 0F THE BUSINESSAND Pq0- � PooYSpa �/�I AH� �VaIUe�' FESSpNS CODE]OF 7HAT HE OR SME IS E%EMPTTHEPEFROM AND THE BASIS FOR THE ALIEGED EXEMP- A- TqN.ANVVKKATIONOF5EC710N7031.6B�ANYAPPLICANTFORAPERMITSUBJECTSiHEAPPLICANTTO z Re-RooT �/Vea� �V[��UB>' � A CML PENALTY OF NOT MOqE THAN FIVE HUNDflE�DOLURS(S50o).): � ❑I,ASOWNEROFTHEPROPERTV,ORMYEMPLOVEESWITNWAGESASTHEIRSOLECOMPENSA7IDN, � CommefCi31 �1MAC�� {VSjIUey VALL DO'fHE WOAK,AND THE STRUCTURE IS NOT IHTENDED OR OfFERED FOR SALE(SEC.7044,BUSI- J A,, NESS AND PFIOFESSIIXJS CODE:THE CONTMCTORS UCENSE LAW DOES NDT APPLY TO AN OWNER OF Cry ea� {V�IUA� � PROPER7YVi/iOBURD6oRIMPROVESTHEREON,ANDWNODOESSUCHWORKHIMSELFORNERSELFOR = A,, Q TFIRIXIOMHISORHEROWNEMPLOYEES.PROVIOEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m GryA��' �V�IUAy 0 ,OFFEPEDFORS/LEIF,HOWEYE0.TMEBUIL�INOORIAIVROVEMENTISSOtDWI7HINONEYFAROFCOMPLE• Z TION,7ME OWNER-BUILDEF V�LL HAVE THE BURDEN OF PROVING THA7 HE OR SHE DID NOT BUILD OR � IAIGFlOVEFOHTHEPURPOSEOFSiILEJ. <AI�A'd� �Va�U9�' ❑I,AS OMMER OF THE PFiOPER'TY,AM EXCI.USIVELV COMMCTINO WITFI LICENSED CONiRACTORS � TO CONSTRUCT?HE PRQIECT fSEC.7u�N.BUSINESS ANO PROFESSKKJS CDOE:7HE CONTRACTOPS LI� ValUefiOn 198.00 ADJ.AqEA W CENSEUWDOESNOTAPPLYiOANOWNEROFAPROPERTYWH09UILDSORIMPqOVESTHEREON,AN� � MM1iDCONTFUCTSFORSUCHPR0.1ECT5WlTHAGONTRACiORIS)LIGENSEDPVRSUANTTOTMECONTPAG QUANTITY DESCRIPTION FEE � TORS LICENSE LAW.). �i AM EXEMPI'UNDER SEC. B.8 P.C.FOR THIS REASON Q 3 � � LL' DA7E OWNER __ U 4 W � UCENSED CONTRACTORS DECL4HATION � � w 1 HEflEBY AFFIRM UNDEfl PENALTY OF PEPJURY THAT IAM LICENSEP UNDEft PROYISIONS OF CHAPTER / � B(COMMENCINO WITH SECTION 7000)OF ONISION 30FTHE BUSINESS PN�PROFESSIONS COOE,AN0 Z �-'� �. r � 4 � ��j MY LICENSE�S IN FULL FORCE AND EFFECT, y m � � ucEr+se cuss �S uc.No �29482 � �� � V DATE 03/05J2001 Gpry7RqCTOR d W � WORKERS'COMPENSATION DECIARATI ¢ � U � 1 HEREBY AFFIRM UNDEH PEN�LTV OF PERJURY ONE OFTHE FOLLOWIN EGLARFTIONS: Z Q 0 __IHAVEANDWILLMAINTAINACERTIFICATEOFCANSENTTOSELF-INSUREFORWORKERS' Z. � CqMPENSATION,ASPROVIDE08YSECilON37WOFTHELABORCODE,FOqTHEPERFORMANCE �U OFTHE WORK FOR WHICH THIS PERMIT IS ISSUE�. � 0 �1 HAVE ANO WILL MAIMAIN WORKERS'COMPENSATION INSURANCE,AS RECAIIqE�9V SECTION Q 37000F THE LABOR COOE.FOR THE PERFORMANCE OF THE WORK FOR WMICH TH15 PERMIT IS ISSUED.MY WORKERS'COMPENSATION INSURANCE CMRIERAN�POLICY NulABERAAE: CONSTRUCTION � CARqIEH no carrier PLAN REVIEW _ ZPOLICYNUMBER ELECTRIC � 0 (fHISSEGTYJNNE�NOTBE00fJPLEiEDOFTHEPEPAYTISf7�R�NEf1Ut�REDCOLIAFIS(S10o)ORLES51. PLUMBING z I CEHTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHI 7HIS PERMIT IS ISSUEO,I MECHANICAL CJ' SHPI.L NOT EMPLOYANY PERSON IN ANY MANNER AS D e OME SUBJECT 70 THE Vj WORNERS'COMPENSATIONIAWSOFCALIFORNI4 D iiE HAiIFISHOUL08ECOME INSPECTIONFEE SU&IECT TO THE WOHHERS'COMPENSATION PR ECTION 3�00 0F THE LABOR � fADE,ISHALLFOR7HWITHCOMPLtlWITH S. S �SSUANCE �' � p DATE:y��Qy.� APPLICANT: SMIP W ENERGY P/C J WARNINO;iAIIURE TO SECUFE Y/ORKERS'COMPENS ION COVE E IS UNIAWFUL,AND SHALL BE � SU&IECTPNEMPLOYERTOCRIMINALPENALTIESAND UPTOONEHUNDFEDTHOUSAND ENERGVPERMIT DO�LARS(f100,000),IN ADOITIONTOTHE COST OF COAIPENSATION,�AMAGES AS PROVIOEO FOft IN � SECTION a7oe OF THE LA80R C'ADE,INTEREST,AND AttORNEY'S FEES. � RETENTION FEE: pW_, CONSTRl1CTION LENDING AGENCY PpE-ALT FEE: � 1 HEREBV AFFIHM UNOER PENALTY OF PERJURY TH0.T THERE IS A CONSTRUCTION LENDING AGENCY ��e� d FOR THE PERWFiMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSIJED�SEC.3097,CIV.C.). —�/t�ke� � Z Vlfl � LENDEHSNAME NIA Gvu'BC�' <$k'e8� 1_- IENDEP'S ADDR65S � }� W I CERTIFYTHAT I HAVE NEAD 7HIS APPLICATIDN AND STATE THATTHE ABOVE MFORMATION IS CORRECL TOTAL�EES 1A�^�;(� �„4 � I AGREE TO CANPLV WITHALL qTY AN�CAl1NTY ORDINANCES AND STATE LAWS RELATING T08UILDING L��� CONSTRUCTION,AN�NEREB�AUTHORIZE REPRESENTATIVES OF THIS COUNTYTO ENTEP UFON THE Z AHOVE-MENTKKJEOPFiOPEHT�'FOFINSPECTIDN URPOSES. 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