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HomeMy WebLinkAbout15354 (8) CITY OF DIAMOND BAR "� ��, .. , � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive 5uite 140 (909)86a3195 Fax(909)861-3117 PRESS �'�^' BUQ.DING PERMIT APPLICATION FIRMLY a ADDRESS Z I3�� 4 Z I J`I',L L)u(�LI 1J APPLICATION . O PERMIT � 35 P/C o DATE NUMBER 8 g ISSUE b TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �LL-E�I V�IOOD 1�'-0.�. o ADDRESS ZONING SETBACKS Z CITY ZIP TEL R�R RW ❑❑ g APPUCANT TE� SIDE/SIDE STREET RW O � CONTRACTOR - Jti1 1�1 �G SIDE ❑ p� ADDRESS �Qd �� pROPOSED USE � � � CITY t�I�SS�on �J'�� ZIP �l?Ce�i I TEL.U4l u'`S�-4UUt7 � ARCFUENG/ DESIGNER N0.DWEL • NO. NO. = CrDrDrRESS ZIP TEL UNI7S � STOFiIES ' BEOROOMS � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEfl DECLMATION SFWADDhiEM 0 I HEREBV AFFWI UNDER PEtU1TY OF PERIURY TMA7 I IVA EXEYPT FR04 THE CONTRACTORS LL Garaqe/Carport GFMSEIAWFOR7TIEFOLLOIYWORFA50N�5EG70.l1ABUSWE53ANDiROFE5510NSCDDE:M1YpTYOH (n COIFlTYMRUCI7REOUIRESACEFiMfTTOOJNSTRUCLAItER�ROVEDEuOUf,F40HRfPNRANYbTRUG �1J PdtiCY�6Ck 7UNE PWOH 70 RS RSUANGE ILL50 REW WES TFiE/1PPLICANi fOR SUCM YEqY1T TO FLLE A SiGNED w STATEMENi TFiAT ME Oq&fE IS UCENSED PURSUAN7 TO TNE PpOV15lONS OF THE CON7MCTORS LF CEI/SE LAW�QIAPTER i(COAIMENCYX7 YlITH SECTION 7000)OF DIVISION 7 0F 1NE BUSUIESS AND FRO� �- PooUSpa iE5510HSCO0E)ORif/AIMEOR5FiE15ExE4vTTNEREFR011At�TMEBJSI5FOq7HEALlEGEDEXEAIP• (� TION.ANYVIOIATIONOF6ECT10Nta71.6BYANVM7lICANTFORAVERAUTSU6IECTSMEAPCUCANTTO Z Fyg.Rpp� � ACfV�LPENALTYOFN07MOfiETIWiFfYE1NMiDREDOQUMS(ISoo�.�: ' � OI./SOWNEFOi7HEPROPERTY,OAYYEYPLOYffSNnTHWAGES/STHEIq50lEC01,1VEH5AT10N, O �mercia� - YIILL DO TNE WOi1K,M�TF�E STRUGTURE LS HOi V(TENDED OR OFiERED FOf15KE(SEG 70µ6USF J NESS N�D VROFE5510N5 COOE:TnE CONtRACiOq4 UC6NSE UW DOES NOi IDVLV TO AN OWhEH Oi � � iROPEATTY11qBUWSOqMYflOYESiNEREON,MpMA10DOESSUCMNqN(NIMSELFOFiNERSELFOfi (L 1WIOU6HWSORHFROWNEM0.0YEES,DRDVIDFDTMATSUCHM.�PROVEUFNTSAAENOTN7EkDFDOq LO � ,OFFEREDfORbALEF,NOiNEVEilT11EBUlDWOIXiM�ROVEMFNTISSOLDIYT/YNONETEAROFLI�MRE- � TION.THE OwNERBUIDER Vnt1 HAVE iHE BURDEN OF PIiOVWO THAi NE OR 6ME GW IqT BU4D qf N17ROYF iORiHE PUfIPOSEOF SALE} � OIKOWNEHOFiT1EPROPERTV,MIEXCLUSNELVCOHiMCiN6NA7NLICENSEDCOHfMCTOR$ TO CONSTPoICi THE OR�IECT(SEG 70M.BUSIHESS ANO VfqFE55i0N5 Ct�E THE CONTRACT00.S LL Valuapan /1Q�.I�E/1 CENSE lAW DOES NOTMPIY i0 MI ONNER OFA VROPERiY NTq WILDS OH MPRDVES TMEREON,AND � vaacarta�crswAsuwPpaEcrswm��mrta�croWs�ucE�.sEovuasu�r+rTon+Eawrwc pUANT1TY DESCRIPTION FEE � TOfiS UGENSE UW.� . , - , � O 1 AM F_tFl�PT UNOEX SEG B.l P.G FOR iHl9 REASON � U li.. � DATE OwNER V � � UCENSED CONTHACTORS DECLARATION W � I HEREBY AFFIRII I.NDEN VENALTY OF YERIUffY T1Ui l AM LIGENSED UNDEH PROY15qN5 0f CMAPTER U. s �I�M��WRMSEC7�ON7000)OFOMSION70FTHEBUS�r+ESSurOPROFE55qN5CO0E,AND Z X IAY UCENSE 45 N FIAl FORCE MID EGFECL m UJ Q � L10EFi5E CUSS p�_L_UC.NO. � � j �j DATE —I�1-1�DO COMMCTOR a W � � WOfiKERS'COMPENSATION DECLAFIATION Q = U � IHERFBY�fFWutA�DEAPEW1TY0iPER1UNYaNEOFTMEFOLLOWWGDEClAMT10N5: Cn Q � �IINVENIDIYILLWM�TABlACERTiFIGTEOFCONSENTTOSfLHNSUREFOflVNN(ERS' 2 ' ' • OONPENSA7qN,A3Pi10VIDmBVSECTqN170oOfTMEUeORCODEFOR7HEDEAiORM�NCE �U _/ Of tME woqK FOR WMN]/iN15 PEHAYT IS ISSUED. � W X �I HAyEµp WLLLµ�plT�YN yJOWCEpS'COUPENSATION INSURu�CE.�S iiEOUIRED BY SECTqN � ]700 OF 7l1E LABOH CODE FOA 7HE iERiOHMANCE OF iHE wORlt FOR wM�G1 TT115 PERMIT IS O G ISSUED.MY ERS'COYGENSATbN�NSURANCECAFlfiIEHANDPOUCYNUTABER/JiE: CON$TRUCTION ��� � CMWER ���T- �u J� PIAN REVIEW � Pauv�uoco �)� ' ELECTRIC � f� � prssEctu+ehmnoisEoa.st�rmoFnfv�rsPofla��uoau�sls�mla+�ss1 PLUMBING Z 1 CFRTIFY t11AT N THE PERFORAIANLE O�TME YIORK FOR VMItl1 THLS PERYIi LS ISSUEO.I MECHANICAI (} 51WL NOT EMGLOY AMY iE0.50q N ANY MANNER 50 AS TO BECOME SUBJECT TO TNE Vj WORKERSCOMPENSATIONUWSOFGL.IFOANU,ANOAGREEiNATIfI5F10lROBECOYE INSPEGTIONFEE � SUBJEGTTO7HEWOfi1cER5'COMPENSA1qNPNOV1510N50FSECT10Ni70oOFTNEIABOR �$$UANCE O1v � ` � S �] '''�^j'f` f:opE,l&uLL iOfiTN'Mhf COMPIV wtTH 71qSE PROVISIONS. � ' p DATE:��1`I'00 APPLK.ANF. �I� � SMIP "'` T �• � ENERGY P!C WARNIN4:FALURE TO SEQIRE WOFUCE0.5'COMPENSATION fAVERAGE IS UNUWFULAND SMALLBE. � SUBJECt/uIEMPLOYERTOCH11AwKPENAL7�E5INDC11nLFWESUPTOONEININDFlCDTM0USMID ENERGYPERMIT } DOl1AR5�3100.000),N IDDITION TO TNE COST Oi C04DEN5ATION,OAYAGE51lS VROYlOEU FOq W � SECTION77aOFtNEIABOROWE,INTEPEST,/WDATTWWEYSFEES pETENTIONFEE d CONSTRUCTION LENDING AGENCY � PRE-ALT FEE Q IHEtiEBYAFFIHAIUNDERPENNTYOFVEiWrfi/THATTHEREISACONSTRUCiIONIFNOwGAGENCY Z� FORTMEPERFOWAANCEOFiH"cWORICFOHWMICHTHISPEWAiTISI55UEA(SfG�0i7,GV.G� W � IENDEHS HMAE � LFHDEHSAODHESS / � ICERTIFYTIIATIHAVERFJDiMISACiUGT10NMiD5TATETHATT1iEABOVEINGOWAAT10NI5COfWECi TOTAL FEES / �3O � IAGREETOLOM%YWIiHALLC�IYNWWIMTIOHDiNN�CESANDSTATEUWSREUTWGTO&/1LDW0 CONSTRUCTION,M1D HEREBY AUTMORRE REVRESENTATIVES OF TWS COUNiV 70 ENTEH UCON iME S� �eovE-wEnraneoPrioeERttFoaursPECT�a+waaosES. 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