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HomeMy WebLinkAbout17431 i �_ �TTY OF DIAMOND BAR � �--- DEPARTMENT OF C�MMiJNTI'Y&I�EVELOPMENT SERVICES , � � 21825 E.Copley Drive � �'`` (909)860-3195 Pax(909)861-3117 PRESS '''-.v����' BUILDINGPERMITAPPLICATION FIRMLY � JOBSITE �° �, ,g�.��,,,,,��r� � APPLICATIO�N���� PERMIT P/C o ADDRESS��'�� a,_1�x��9'"'�°ii'a�" �� �'��� DATE_r�rx�� NUMBER� # oro ISSUE f TYPE OCC T APN LOT TRA�,,CT DATE CONST. GROUP p OWNER � -`�' " " ADD SS �. � .G ' � � C- ZONING SETBACKS Z CITY� u' `� .ZIP��pTEL��-�°�h�^"t�.��a 7 FRONT RW ❑ � APPLICANT ""' '" TEL. -=' -� --��' �v� REAR ❑ � -r °" � SIDE/SIDE STREET RW ❑ a CONTRACTOR SIDE ❑ � ADDRESS PROPOSEDUSE �,�� C�iti�:nJr'�C (+A r£+L�� � CITY ZIP TEL. , o ARGH/ENGI -Ty�a ��,q�p a ADDR SS NO.DWEL. �O NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION cn p� � OWNER-BUILDER DECLARATION - SFR/ADD/REM O p I HEREBY AFFIRM UNDEF PENAITY OF PERJURY THAT I AM EXEMPT FROM THE CONTRP.CTORS LI- � Garage/Carport W ' CENSEL4WFORTHEFOLLOWINGHEASON(SEC.7IXit.58USINESSANDPROFESSIONSCOOE:ANYCITYOq U COUNNWHICHREQUIRESAPERMRiO.CONSTRUCT,ALTER,IMPROVE,�EMOLISH,ORREPAIRANYSTRUC- W Petio/DOCk Z . TURE,PRIOR TO ITS ISSUANCE.AL50 REQUTAES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W W STATEMEM THAT HE OR SHE IS LICEN$E�PURSUANT TO iHE PROVISIONS OF THE CONTRACTDRS li- � CENSE LAW(CHAPTER 9(COMMENCING WITH SECiION 7000)OF�IVISION 3 0F THE BUSINESS AND PR0- � Pool/Spa FE5510�5 CODE)OR THATHE OR SHE�IS�EXLMPTTHEREFfiOM AND THE BA515 FOR THE ALLEGED EXEMP- V TION.ANYVIOLATIONOFSECTION7031.5BYANYAPPLICANiFOFAPERMITSUBJECTShiEAPPLICANTTO Z Re-Roof �(,'�� � ACIVIL PENALTY OF NOT MOftE THAN FIVE HUNDRE��OLU1R5(5500).): �. ❑I,ASOWNEROFTHEPROPERN,ORMYEMPLOYEESWITHWAGESA57HEIRSOLECOMPENSATION, 0 C0111fP18ICIBI �- WILI�O TME WORK,AND iHE STRUCTUfiE IS NOT INTENDED OR OFFERED FOR SALE(SECJ044,BUSI- J .NESS AND PROFESSIONS CODE:THE CONiRACTORS LICENSE LAW DCES NOTAPPLV TO AN OWNER OF � PROPERTYWHOBUILDSORIMPROVESTHEPEON,ANDWHODOESSIJCHWORKHIMSELFORHERSELFOR � �� THqOUGHHI50RHEROWNEMPLOVEES,PROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDE00R m Q', OFFEPEDFORSALE.IF,HOWEVER,THEBUILDINaORIMPROVEMENTISSOLDWRHINONEVEAROFCOMPLE- j..' TION,THE OWNER-BUIL�EFi WILL HAVE THE BURDEN OF PFOVING TNAT HE OR SHE DID NOT BUILD OR IMP OVEFOflTHEPURPOSEOFSPLE). w. ASDWNEROfTHEPROPERTY,AMEXCLU5IVELYCONTRACTINGWIT4LICENSEDCONTRAC70R5 �. [G I i0 STRUCTTHE PROJECT(SEC.7044,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI-� Valuation AOJ.AREA W�. CENSELAWDOESNOTAPPLVTOANOWNEPOFAPROPER7YWHOBl11L�SORIMPFtOVESTHEREON,AND � WHOCONTRACTSFOFSUCHPROJECTSWITHkCONTRACTOR(S)UCENSEDPUqSUAMTOTHECONTRAC- QUANTITY DESCRIPTION FEE - � �� iORSLICENSEIAW.). �, J �. ❑IAM EXEMPT UNDER SEC. B.&P.C.FOfl THIS REASON � u" DATE ���� OWNER �� V W �� LICENSED CONTRACTOfiS� ECLARATION W ¢ d' I HEREOY PFFIRM UNOER PENAL7Y OF PERJURY THAi I AM LICENSGD UNDER PqOVI510NS OF CHAPTER � d 9�COMAIENCINGWITHSECTION7000)OFDIVISION30FTHE6USMESSANDPROFESS;ONSCO�E,AND Z �`X� MY LICENSE IS IN FULL FORCE AND EFFEC2 m � LICENSEGLA55 LIG.NO. � � J V�, DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION a �' I HEREBY AFFIRM t1NDER PENALTY OF PEflJURV ONE OFTHE FOLLOWING DECLARATIONS: U CA'. a � IHAVEANDWILLMAINTAINACERTIFlCATEOFCONSENTiOSELFdNSUREFORWORKERS' _ CAMPENSATION,ASPROVI�EDBYSECTION370oOF7HELABORCODE.FORTHEPERFORMANCE U ¢ OFTHEWDRKFORWHICHTHIS�PERMITISISSUED. � 0 W I HAVEAND WILLMAINTAIN WORKERS'COMPENSATION INSURANCE,AS FE�UIRED 6Y SECTION ///'''777 O 37000FTHELABORCO�E,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITIS �� r.�+'� ISSUED.AIV WORKEAS'COMPENSATION INSURANCE CARRIERAN�POLICY NUM6ERARE: CONSTRUCTIDN � j CARRIE� PLAN REVIEW Z PoucvNUMsea- ELECTRIC ¢ � (iHISSECTIONNEmNOTeEOJMPLEfEDOFhIEPERMfTISFORONEHUJDREDCOILARS�$10�ORLESS). PLUMBING W �__..__ _.__._. _... _. . Z,^ I CEFITIFVTHAT INTHE PERFORMANCE OFTHE WORK FOR WFIICH THIS PERMIT IS ISSUED,I MECHANICAL � (� SHALLNOTEMPLOYANYPEft50NINANYIAANNERSOASTOBECOMESVBJECTTOTHE --� - � -- � (/� WORKERS'COMPENSATIONLAWSOFCALIFOFNIA.AN�AGREETHATIFISHOULOBECOME INSPECTIONFEE = SUBJECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTIDN37000FTHELABDR pg�@ ��—ry�.ne, � CODE,ISHALLFORTHWITHCOMPLVWITHTHOSEPROVISIONS. ISSUANCE R,�i 6� � � L �� � � p OATE: APPLICANT: SMIP >�� � WARNINGFAIIUFETOSECUFEWORKEfiS'COMPENSATIONCOVERAGEISUNLAWFU�,ANOSHALLBE ENERGYP/C �� � St19JECTANEMPi.OYEflTOCRIMMALPENALTIESAN�CMLFINESUPTOONEHUN�RE�THOUSAND ENERGYPERMIT � � "� ��"'.._ ._._. . OOLL4RS�E1o0.0o0),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVi�E�FOPIN � '�� � SECTION37080FTHELABORCODE,INTERESi,ANDATTORNEY'SFEES. RETENTIONFEE: � � CONSTPUCTION LENDWG AGENCY PRE-ALT FEE: O � IHEREBVAFFIFMUNDEFPENALTYOFPERJURVTHATTHEREISACONSTRUCTIONLEN�INGAGENCV FOF7 THE PEflFOFlMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSVED(SEC.309],dV.C.�. Z W S LENDER'S NAME � F— LENOER'SAD�RE55 �J '`� � � ICERTIFYTHATIHAV[REA�THISMPLICATIONANDSTATETHATTH�ABOVEINFORMATIONISCORRECT. TOTAL FEES [l�• '" � �� IAGREETOCOMPLYWITHALLCITYANDCdJNTYDRDINANCESANDSTATELAWSRELATINGTOBUILDING �� � CONSTRUCTION,ANO HEREBYAUTHORIZE REPRESENTATIVES OFTHIS COUNTVTO ENTER UPON THE Z A80VE�MENTIONED PRDPEHTV FOR INSPECTION PUFPOSES. COMMENTS � , � J � m PERMITT Fa AM,y RI � y� Cn 'r� r"" � � �� �-O � — . . — � G �TURE ERMITTEE OATE �y � � RECPT.NO. 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