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HomeMy WebLinkAbout10559 . /��.-.��1 CITY OF DIAMOND BAR '� ��� COMMUNITY DEVELOPMENT DEPARTMENT/� %"�� �,,;; 21660 E.Copley Drive Suite 190 �/' � (909)860.3195 Fax(909)561-3117 ' � ' � PRESS �'""'+� BUILDINGPERMITAPPLICATION � ���--'"' FIRMLY � �ITE 2 ^� APPLICATION _- � _ y PERMiT �"� P/C ADDRESS � ✓I� S .YI �"Lf��►�'/..�Lt(j9 DATE,_----,�� NUMBER�.V: � # c� ISSUE TYPE OCC APN LOT TRACT DATE r CONST. GROUP p OWNER �S, �(2S1/j'L Stl'LVi,C.I= o ADDRESS .S[ S. A G '-• ZONING SETBACKS z arv '�i�nc��sp f�v�rt� ZIP �ll�lla5 TEL. �0 FRONT RW ❑ o APPLICANT ' �r TE�.��'i4Q15�F1/oS.S R 5 DFJSIDE STREET RW ❑ � CONTRACTOR 8�71l�L $i1.ii�A�S_S GD}2F- PtuHB7NL� SIDE C � ADDRESS urle?5 K G�`'[P,/-1-i..l. � CITY CI,-�'Ir-=0 ZIP 4�ti J TEL�f�34)S'�7(��f"� pROPOSED USE_ p ARCWENG/ W DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY 21P 7EL. cN» Dc'SCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-Bl.'ILDER DECLARATION SFR/A�DlREM O p 1 HEREBY AFFIRM UNOER PENALN OF PERJURV THAT t AM ExEMP7 FROM THE CONTRAC70RS LI� G8f896/C8[pOR W CENSEUWFOR7HEF0.LOWINGREASON�SEC.7o3f.68USINESSANOPROFESSIONSC00E:ANYCiTVOR (n U CpUNTYWHICHqEWIRESAVERAIITTOCONS7qUCT,AL7ER,IMvqOVE,DEMOLISH,ORREPAIRANYSTRUG W pati0/D9LiC Z TUflE,PRIOR TO ITS ISSUANCE,ALSO FEqJIflES THE APPLICANT FOH SUCN PERMIT TO FILE A SIGNEO w STATEMEN7 THAY HE OR SFIE IS LIGENSED PUPSUANT TO THE PflOVISIONS OF 7ME CONTRACTORS LF W � GENSE lAW(CHAPTER e(GOMMENCNG WITH SECTION 7000�OF DIVISION 30F THE BUSINE33 ANO PqP � POOUSpB � � FESSIONSCODE)ORTHATHEORSNEISE%EMPT7HEREFF70MAIJ�TNEBASISFORTHEAf.LE0E0EXEMP- (� V TION.ANYVIOLATIONOFSECTION7D31.SBYANVAPPUCANTFORAPERMITSU&IECTSTHEMPLICANTTO Z Re-Roof p CIVIL PENALTV OF NOT MORE TFiAN FIVE HUN�FED DOLLARS IS500�.�: � ❑I,ASONTlEROfTHEPROVERTY,ORM�EMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, 0 COff1f710fC12I ' Z WILL 00 THE WORK,ANO 7HE STqUCTURE IS NOT INTENDEO OR OFFEREO FOp SA�E(SEC.7014.BU51- J � NE55 MA PROFESSIONS CODE:THE CONTPACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF j PROPERTY YA10 BUItDS OR IMPROVES iHEREON,AND WHOOOES SUCH WORK HIMSELF OR HERSELF OR � TMROUGNHISOR/IEROWNEMPIOYEES.PqOVIDEDTHATSUCHMPROYEMENT9ARENOTINTEN�EDOR m � OFFEi1EDFORSALEIF,HOWEVER,THEBUILUINGORIMPROVEMENTISSOIDWfTHINONEYEAROFCOMPLE� Z TION,THE OWNER-BUI4DER WILL HAVE 7HE BURDEN OF PROVRJO TW1T HE OFi SHE DiD NO7 BUILD OR � IMPROVE FOq THE PUHPOSE OF SN.E). (y� OI,ASOWNEROFTHEPNOPEFRY,AMEXCLUSNELYCONTRACTINGWITHLICENSEOCONTWICTDRS Q TO CONSTRUCT THE PRQIECT(SEC.7oa4.BUSINESS AND PROFESSIONS CADE:THE CONT(iACTORS LI� V81US110[I ^ADJ.AREA W CENSELAWDOESNO7APPLY70ANONlNEPOFAPROPERTYWHOBUY�DSORIMPqOVESTHEREON,AND F WHOCANTRACT3FORSUCHPROJECTSINTHACONTRACiOR(S�LICENSEOFURSUM'TTOTHECONTRAG QUANTITV DESCRIPTIOV FEE Y TORS LICENSE UW.}. 0 O I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS qEASON Q � � U u. � DATE aWNER � Z � � LICENSEO CONTRACTORS DECLAAATION W � INEFEBYAFFIRMUNDEflPENAL7�'OFPERJURYTHATIAMUCENSEDIINOERPROVISIONSOFCHRP7ER � n E X / d 9(COMMENCING WITN SECTION 7oW)OF DIV15�ON 30F THE 8U5�NE55AND PROFE5510N5 CODE.qN0 z � I-���I� J�'Z�)Iy ' �W �C M. L)1� `X MY LICENSE IS IN FULL FOqGEAN�EFFECT. m 0 UCENSE CnLASS I1 �"� ���' LIC.NO. �� �L?�.'�I 'o.��` � V DATE '1�ZY�R-I CONTRACTOR_�l'.��I(."�C� �GZrSlv� a . W �((�O. �aL,. � � WORKERS'COMPENSATION D CLARATION i ^4 Q � I HEREBV AFFIqM IINDER PENALTY OF PERJUfiY ONE OFTHE FOLLOWING DECLARFTIONS:��f i z � �,IHAVEPNOWIILMAINTAINACEHtIFICATEOFCONSENTTOSELF-INSfIREFORV/OHKERS' _ Q CONPENSATION,ASPROVIDEDBYSECTION3]OOOF7HELABORCODE.FORTHEPERFOfl1AANCE W OF THE WORK FOR NMICH THIS PERMIT IS ISSUEO. � W �1 HAVE AND WILL MAINTAIN WORKENS'C061PENSATION INSURANCE.AS REOUIqED BY SECT�ON Q 37000fTHELABORCADE,FORTHEPERWRM/WCEOFTHEWORKFORWH�CHTHISPERM1T15 ISSUED.MY WORKERS'COMPENSATKKJ INSURANCE CARRIER AN�POL�CY NUM9ER AflE: CONSTRUCTION _ 4 ] CARRIER��g�^I G i�J/i��LR'I�l'�!"4 J�= C�.i :A PLAN REVIEW Z POLICV NUMBEk � '1�O // �C y�_ �� � (M6SECTOPINE�NOTBEo]MaLE7EDOF7HEaER1NiISFORauEtxIPORED00 ��Efoo)oRLE55A � LUMBIN ' � Z I CERTIFY THAT IN THE PERFORMANCE OFTHE WORK FOR WHICH TNIS�FRMIT IS ISSUED.1 MECHANICAL ��" ('J SHALL NOT EMPLO�ANV PFASON IN ANV MpNNER SOAS TO BECAME SUBJECT TO THE (fj WOpKERS'COMPENSATION IqWS OF CALIFORNIA,AND AGREE iNAT IF I SHOIIL�BECOME INSPECTION FEE = Sll&IECT TOTHE WORKERS'COMPENSATION PROV�SIONS OF SECTION 37000F TNE IABOR CO�E,I SNALL FORTHW�TM COMPLY WITN THOSE PROYISIONS. ISSUANCE � 0 DATE: APPLIGAN7: SMIP � '�d" '� J WApNING:FA4UpETOSECUREWONKERS'COMPENSATIONCOVEflAGEISI1NLqWFUL,AND5F1A1.L8E ENERGYP/C � SUfliECTANEMPLOYERTOCRIMINALPENALTIESANOCIVILFWE5UP70IXJEHUN�REDTHOUSAND ENERGYPERMIT OOLLARS(f10o.000),IN AODITIONTO THE COST OF COMPENSATION.�AMAGESAS PflOYlOED FOR IN � SECTION37000FTHE{.ABORGODE,INTEREST,ANDATTORNEYSFEES. RETENTIONFEE: - � CONSTRUCTION LEN�INC�AGENCY PRE-hLT FEE: O � IMEREBVAFFIRMUNDERPENALTVOFPEPJUHYTWITTNEREISACONSiflUCT�ONLENOINGAGENCY FOR THE PERFORMANCE OF THE WOHK WR WHICH iH15 PERMIT IS ISSUED(SEC.3087,CIV.C.�. Z W � LE/AER'S NAME � F— LENOER'S�ORE55^ wICERTIFYiMAi1HAVEREADTHISAFPLICATIONANDSTATETHATTHERBOVENFORMATION15WRPECT. TOTAL FEGS L�Y �� � I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES ANO STA7E LAWS RELATING TO BUIIAING �� � GONSTRUCTION,ANDNEREBYpUTHORIZEREPRESENTATIVESOFTHISCOUNNTOENTERUPONTHE Z FBOVE-MENTIONEO PROPERTV FOR INSPECTION PURPOSES. 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