HomeMy WebLinkAbout18308 CITY OF DIAMOND BAR �x V �r��
---�� --� DEPARTIviE?`'T OF COIvIIvIUNTfY&�DEVELOPMENT SERVICES
21825 E.Copley Drive
(909)860-3195 Fax(909)861-3117 PRESS
��'���� BUILDING PERA�T APPLICATION FIRMLY
Q DDRIESS I,Oq ��(>r"100.I��AQ �1� APPLICATION PERMIT P/C
o DATE "�7���OZ. 7�iS�OZNUMBER 183�8 #
� ISSUE TYPE OCC
APN LOT TRACT DATE CONST. GROUP
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o ADDRESS I�I� �DI'�1MOw1'��SAR `IZLv ZONING SETBACKS
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� APPLICANT LPRtLi1d IJ.WA�£S TEL.400:12"7�1'1'1 REAR p
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� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
p� OWNER•BUILDER DECLARATION SFR/ADD/REM
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p I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT I AM E%EMPT FROM TNE CONTRACTOqS LI� GBfegB/COfpOR
W CENSELAWFORTHEFOLIOWINOREASON(SEC.7031.SBUSWESSANDPAOFESSIONSCODE:ANVCITYOR (n
U CWNTYWHIGiREQUIRESAPERAIITTOCONSTRUCT,ALTER.IMPROVE,DEMOLISH,ORREPAIRANYSTRl1C� W
' w TURE,PRIOR TO ITS ISSUANCE,/�150 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FIIE A SIGNED w P8�i0/DBCK
� STATEMENT THAT HE OR SFIE IS LICENSED VURSUANT TO TNE PROVISIONS OF THE CONTRACTORS LI-
CENSE LAW(CHA7TER G(COMMENCINO WITH SECTION 7000)OF DIVISION 7 OF THE BUSINESS AND PRO� LL POOUSFIO �
� FESSIONSCODE)ORTHATHEORSHEISE%EMPTTHEpEFROMANDTHEBA515FORTHEALLEOEDE%EMP� (�
U TION.ANVVIOLATIONOFSECTIIXJ7071.SBYANVAPPLICAN�FORAPEFlMITSU&IECTSYHEAPPLICANTTO Z Re-Roof ,
A CIVIL PENhLTV OF NOT MORE THAN FNE HUNDRED DOLLARS(f500�.):
� OI.ASONRlEROFTHEPROPERTY,OHMVEMPLOYEESWITHWnGESA5IHEIRSOLECAMPENSATiON, 0 COR1ffIBfClal
Z WILL DO THE WORK�NO THE STRUCTURE IS NOT INTENDED OP OFFERED FOR SALE(SEC.7M�,BU51� J
� NE55 AND PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW DOES NO'APPLY TO AN OWNER OF �
PROPERTV WF10 BUILDS OR IMPROVES THEREON,AND NT10 DOES SUCH WORK HIMSELF OR HEHSELF OR
2 THROU�H NIS OR HER ONRJ EMVLOVEES,PROVIDEO THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m
Q OFFEREDFORSALEIF,HOWEVERTMEBUILDINOORIMPROVEMENTISSOLDWITHINONEVEAROFCAMPLE-
I Z TION,THE OWNER�BUILDER WILL MAVE THE BURDEN OF PROVING'HAT HE OR SHE DIO NOT BUIID OR
� IMPROVE FOH THE 7URPOSE OF SALE�.
w ❑I,ASOVMEROFTHEPROPERTV,/UAE%CLUSIVELYCONTRACTINGWITHLICENSEDCONTRACTORS
� TO CANSTRUCT THE PR0.IECT(SEC.70sA,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� V81U0fiOn � ADJ.AREA -
W CENSEUWDOESNOTMPLVTOANONRJEROFAPROPERTVNM110dUI1.D50RIMPROVESTHEpEON,AND
� WHOCONTMCTSFORSUCHPR0.IECTSWITHACONTqACTOR(S�LICENSEDPURSUANTTOTHECONTRAG pUANTITY DESCRIPTION FEE
Y TOFS LICENSE LAW.).
� ❑I AM EXEMPT UNDER SFC. 8.d P.C.FOR THIS REASON Q
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� DATE OWNER H �
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�Q LICENSED CONTRACTORS DECLARATION w
CL I HEREBV AFFIRM UNDER PENAI.TY OF PERJURV THAT I AM LICENSE�UNDER PROViSIqYS OF CHAPTER / ���{
� Y(CAMMENCWO WITH SECTION 7000)OF DIVISION�OF THE BUSINE55 AND PP.OFESSiOIJS CODE,AND Z wM 1 �1�SO
��� MV UCENSEISINFULLFORCEAND EFFECT. ^ m
U� LICENSE CLASS � LIC.NO. �
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U DATE /�� � CONTFACTOR a
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� WORKERS'COMPENSATION DECLARATION Q
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� I HEREBYAFFIRM UNOEH PENALTV OF PERIURY ONE OF THE FOLLOWING DECLARATIONS: Z
� _I HAVE AND WILL MAINTAIN ACERTIFICATE OF CONSENT 70 SELF�INSURE FOR WORNEFS' a .
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Q WMPENSATION,AS PROVIDED BV SECTION 37o00F THE LABOR CODE,FOR THE PERFORMANCE U
OF TME WORK FOR WHICH THIS PERMIT IS ISSUED. W
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w �I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION
Q 37000F THE LABOR CODE.FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS
ISStIED.MV WORI(ERS'COMPENSATION INSUFiANCE CARRIER AND POLICY NUMBER ARE: CONSTFUCTION
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j CARRIEP�J 77�TF� O�UND PLAN REVIEW '
Z POLICV NUMBER �S 1/ ELECTRIC
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Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WMICH THIS PERMIT IS ISSUED.I MECHANICAL
C} SHALL NOT EMPLOV ANY 7ERSON IN ANY MANNER SO AS TO BECAME SU&IECT TO THE
N WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECAME INS?ECTION FEE
'? SU&IECT TO THE WORNERS'COMPENSATbN PROVISIONS OF SECTION 37000F THE LABOR
CODE.I SHALL FORTHWITH COMPLV WIT/THOSE OVISIONS. ISSUANCE ZS�OO
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p �A� � � APPLICANL _ SMIP
w C' ENERGY P/C
J WA NG: RE�o�E WORNER MPE TION CAVERAGE I NLAWFUL,AND SHALLBE
� SUBJ CTAN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FMES UP TO ONE HUNDREO TFqUSAND ENERGY PERMIT
DOLURS(f 1ao,o00),IN ADDITION TO THE COST OF COMPENSATION,OAMAGES AS PROVIDED FOR IN
J SECTION 3]oe OF THE LABOfl CODE.INTEREST,AND ATTORNEV'S FEES. OO
w RETENTION FEE: �
O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �
� I HEREBV AFFIRAI UNDER PENALTV OF PERIURV THAT THERE IS A CONSTRUCTION LENDING AGENCV
� FOR TNE PEPFOflMANCE OFTHE WORN FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,pV.C.).
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� LENDER'S NAME
F- LENDER'SADDRESS �/
w ICERTIFVTHATIHAVEREADTHISAPPLICATIONANDSTATETMATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES 6 �/' L
� 1 AOREE TO COMPLY WITH ALL CITY AND COUNTV ORDINANCES AND STATE UWS RELATING TO BUILDINO V 7.SO
� CONSTRUCTION,AND HEREBV AUTFIORIZE REPRESENTATIVES OF THIS CWNTV TO ENTER UPON THE
Z ABOVE�MENTIONED PROPERTV FOR INSPECTqN PUFPOSES. COMMENTS
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= RECPT.�O. PAID BV 1239 VALIDATION CC '
~ WHITE—Department Copy,VELI.OW—Finance Copy,PINK—Assessor Copy,GOLD NROD—File Copy,GREEN—Applicant's Copy
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WATER SERVICE MID HT. E30Nb E3EAM
ROOF SHEATHING ! 8 FT. BOND BEAM
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QRYWALL NAIUNG DEDICATIC�NS
SEWER FINAL ENG.
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SEEP PIT/LL. � ON SITE IMPS.
GAS AIR TEST � iV-- FINAL ZONING
FINAL CONST. �iRE QEPT. FItVAL
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