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HomeMy WebLinkAbout10427 (9) --�'� CTI'Y OF DIAMOND BAR . ;:�'.�-- COMMUNITS'DEVELOPMEN'I'DEPARTMENT ,,!' .;,.�; . 21660 E.Copley Drive Suite l90 f ��� (909)660-3195 Fax(909)861-3117 � PRESS "'"'j BUILDINGPERMITAPPLICATION / i FIRMLY � JOBSITE ��t � J� �. APPLICATIO PERMIT P/p � ADDRESS�`� 7� �l_"� •eL....�5�`�•I�(_�2"�!�� I/��1 � e DATE �� NUMBER ���, # � ISSUE '�TYPE � OCC APN LOT TRACT DATE � ��' �-�, .� ,� ��� � ,.��� e `CONST. GROUP p OWNER � 15r:J�,p��r^, p ADDRES �`.:�-c") �-�C, • ..)�a?�"+?- ,�...-'�t`..€'...+.?�'�:' ZONING SETBACKS Z CITY :!�� Zi��_��..TEL.�r'Il� 2- " '"d� FRONT RW � � APPUCANT TEL. REAR � Z SIDE/SIDE STREE:T RW � QCONTRACTOR f�.' � j �'a _ SIDE ❑ ADDRESS .� - :.d.. �' r` � � CITY P _ ..,/�d't�' ZI�AI''� � TEL��'a' f'�Ds. PROPOSED USE _�_ /� o ARCH/E / _f=����� +, W DESIGNER NO.CWEL. �� NO. e NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. cn -- cn DESCRIPTION SQ.F1'. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI;ILDER DECLARATION SFR/ADD/REM O � I HEREBV AFFIRtiI UNDER PENALTV OF PERJURV THRT I p�EXEMPT FROM TNE COMRACTORS LI� G2f898/CBfPOfI W CENSEIAWFORTHEFOLLOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANYCITYOR (n Z COUNTYWHICHREOVIRESAPERMITTOCOtJSTRUCT.ALTER.IAAPROVE,DEAAOLISH,ORREPAIRANYSTRUC- W Patio/Oeck W TVRE.PRIOR TO ITS ISSUANCE,AL50 RE�UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNEO w __ � STATEMENT THAY HE OR SHE IS LICEIJSED PURSUANT TO THE PFOVISIONS OF THE CpNTRACTORS LI- CENSE LAW(CHAPTER 9�COMMENCING WITFV SECTION 7000)OF DIVISbN 3 OF THE 9lJSINE55 AN�PR�� � POOVSpB � FE6SIONSCOOE�ORiHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEhIP• (� V TION.ANY VIOLATIDN OF SECTION 7031.58V ANV APPLICANT FOR A PEqYIT SUBJECTS THE APPLICANTTO Z Re-Roof ACIVILPENALTYOFNOTMORETHANFIVEHUhDREDDOLtAflS(f500�.): ' Q 71,ASOWNEfiDFTHEPROPERTY,ORFAVEMPLOVEESWI7NWAGESASTHEIRSOLECOMPENSATION, O COff1fI1BfC181 z WI�L DO THE WORN,AND iNE STRUGTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70q4,BUSI� ,J � NE55 AND PRpFES510N5 COOE:THE CON7RACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF j PROPERTY WHO BUILOS OR IMPROYES THEREON,FND WHO DOES SUCH WORK HIMSELF Ofl HERSELF Oq Q TNqOUGHHISORNEROWNEMPLOYEES,PROVIDE�THATSUCHIMPROVEMENTSARENOTINTENDEDOq CO p OFFEREDFORSALE.IF,HOWEVERINEBLALOINGORIMPROVEMENTISSOLDWITFIINONEVEAROFCOAIPLE• �, TION,THE OWNER-BUILDER WILL HAVE THE BUR�EN OF PROVING THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE}. W �I.ASOWNEROFTHEPROPERTY,AMEXCLUSIVELYCONTRACTINGWITH�ICENSEDCONTqACTOFS [[ 70 CONSTRUC7 THE PROJECT(SEC,7o4a,6USINE55 AN�PROFESSIONS CADE:THE CONTRACTORS LI- V8111dti011 ADJ.AREA W CENSELAWDOESNOTAPPI,YTONNOWNEROFAPROPERTVWNOBUILD50RIMPflOYESTiEREON.AND --'— � WHOCONTRACTSFORSUCHPROJECTSWITH0.CANTRACTOF(S)LICENSEDPURSUANTTOTHECONTMG QUANTITY t7ESCRIPTION FEE � TORSLICENSELAWJ. --�-- Q ❑1 AM E%EMPT UNDER SEC. fl.6 P.G FOR THIS REASON U (',,,/Gl7,,,, ,���� '`wyy � — � OATE OWNER J � � LICENSED CONTRACTORS DECLARATION � W ¢ � I HEREBV AFFIFM UNDER PENALTY OF PERJURY THAT I AAA LICENSED UNDER PROYISIONS OF CHAPTER � 4 9�COMMENCINGWITHSECTION7000�OFDIVISION30FTHEBUSINESSANDPRpFE5510NSCDDE,ANO Z X MYUCENSEISINFUL CEANDEFFECL m -- LLI ) c,,,,�.— � LICENSE CLASS � I" LIC.NO. � � �� j ^ U DATE f�"� �� "" �j�_ CONTRACTOR � d -- W � WORKERS'COMPENSATION DECLARATION a � I HyE.'HE�BV AFFIRM UNDER PENALTV OF 7ERJURY ONE OF TH'c FOLLOWING DECLAR4TIONS z ` Z f�IHAVEANDWILLMAINTAINACERTIFIppiEOFCONSENTTOSELF-INSUREFORWORKERS' a S Q COMPENSATION.ASPROVIOEDBYSECTION37000FTHELABORCODE,FORTHEPERWRMANCE U ��� �� Q OFTHE WORN FOR WHICH THIS PERMIT IS ISSUED, � '�':� W W ����� ,��'rv apr�:��.,w _I HAVE AND WILI MAINTAIN WOFGCERS'COMPENSATION INSURANCE,AS REQUIRED BY SECTION ��'A Q 37000F THE LA80R CODE,FOR THE PERFORA7ANCE OF THE WORK FOR WHICN THIS PERMIT IS ISSUFD.MY WORKE/, COMPENSATION IN�$URAM10E CAFFIEfR�'�N��D POLICY NUMBER ARE: CONSTRUCTION j cnqqiEA_ 4�„F�� ��� �.��K''���g�`"' , PLANREVIEW � � P�LICY NUMBEFi � '(�-I�,A�� -� E�ECTRIC ������ � Q �v � (fHISSECTqNNEmN078EWNPLtTEDOFTHEPEfUMISFORqVEHUNDREDDOLLAFlS(Sf00)OqLESSI. PLUMBING Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL __i_. C7 SHALL NOT EMPLOV ANY GERSON IN ANY MANNER SOAS TO BECOME SU&lEC7T0 TFIE (/� WORKERS'LOMPENSA710N LAWS OF CALIFORNIA.ANDAGREE THAT IF I SHOUTA BECOME �NSPECTION FEE . � SUBJECTTO THE WORKERS'CAMPENSATION PROVISIONSOF SECTIO� o OFTHE L0.BOR ���� p' � CODE.ISHALLFOflTHWITHCOMPLVWITHTH SEPqOV oNs. �y ISSUANCE �7 G 9 � �^-� p � ,/ ,��y,/ .,,,�j$�y, p DATE:�'�-��'� � APPLICANT:�4:✓�s+"0�-,-'�'{"Yp �v f:R-A��+'-a''G": SMIP J WqRNING FAILURE TO SECURE WORKERS'CAMPE�`�SATION COVERAy��yIS UNLAWFUL,AND SHALL 8E ENERGY P/C � SU&IECTANEMPLOYERTOCRIA�INALPENALTIESANOCIVILfINESUPTOONEHUNOREDTHOUSAN� ENERGYPERMIT DOLLARS(5100.000),IN ADDITION TO THE COST OF COMPENSATION.�AMAGES AS PROVIOED FOR IN J S�CTION37080FTHELABORCOOE,INTEREST,ANDATTORNEYSFEES. p� RETENTION FEE: OCON57RUCTION LENDING AGENCY PRE-ALT FEE: � IHERW�'AFFIRMUNOERPENILLTYOFPERJURVTHATTHEREISACONSTRUCTIONLENDINGAGENCV FOR THE PERFORMANCE OF THE WOflK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097.CIV.G.�. W � LENOER'S NAME ____ — . ' ' 1— LENDER'SApOFESS . ...... . .. . ........�...: � ICERTIFVTHATIHAVEflEADTHISAPPUCATIONANDSTATETNpTTHEA80VEINFORIAATIONISCORFECT. TOTAL FEES � I AGREE TO COMPIY WITH qLL CITV ANO CDUNTY ORDINANCES AND STATE lAWS RELATING TO BUILDMG � � CONSTRUCTION.AND HEREBV AU7HORIZE qEPRE56NTATIVES OF THIS COUNTY TO ENTER UPON THE ' ' Z ABOYE�M�NTKKJEDPROPER7YFOFINSPECTW flPO5E5. COMMENTS 0 ,� �j � � .i4���� rk..i �'�•�I� �d� n d `..,,.. E- AA1E(Pd�,QNT) p , � ' -I � _s3..k�'t� s��,���.�.�^'•'./�-''3 f..P'',y_?�j, � . , . . SIGNA RE F PEpMITTEE f DRTE' i _ � � RECPT.NO. �J PAtD BY d VALIDATION 5� ~ �' WHITE—Department Copy,VELLOW—Finance Copy,PINK—Assessor Co GOLDENROD—Fila Co GREEN— �� ' '� py, py, AppllcanPs Copy �,•.F., 4; . . � . ,i:�t . .. i'G��. ��. ... '�'.:;x<. ..M�-+.. �.„:;�. ••�`.�.+ ? .u• Pt� .s-. .. , .. � . �, , .. . ..,. .. , � . . � � _ . . ..,w.:e:� 6e6� �.� �I�IY3�.6'4�. 63@i.�'f . . . 'i•IoTP"'�'t�y 3��4Y E�i�6c�,FEAJ'. .. . . .. .. . 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