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HomeMy WebLinkAbout10177 , i _ - CITY OF DIAMOND BAR /r 3'� � • COMMUNITY DEVELOPMENT DEPARTMENT � � 21660 E.Coplcy Drivc Suite 190 . . PRESS Y (909)860-3195 Fax(909)861-3117 ��'TM'� BUILDING PERMITAPPLICATION FIRMLY � JOBSITE �(�13I �7'ORI�- 3 u��T � APPLICATION , Z� PERMIT ��}� �� P/C o ADDRESS 7 DATE NUMBER�vI� / 1_ N � � APN LOT TRACT ��.5���/ ISSUE TYPE �—f occ —.�.� DATE CONST. GROUP p OWNER _ 1'//+(C� O � ADDRESnS�"•� OO 20NING SETBACKS � CITY �,lJ�cfxl t4 ZIP TEL. � REART RW ❑p APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR C�C7���'L SIDE p Q ADDRESS PROPOSED USE c _- g��'1"'�'� � � CITY ZIP TEL o ARCH/ENG/ • z� DESIGNER NO.DWEL. � NO. . NO. d ADDRESS UNITS STORIES BEDROOMS � CffY ZIP TEL c�i� DESCRIPTION SO.FT. FACTOR PSF AOJ.AREANALUATION � OWNER-BL'ILDER DECLAAATION SFFi/ADD/REM O �W CENSEUWBiORT/1EFOLLOWINOREUA50N(SEC.70.7 6BUSTNE 9�NDPPROFESS�DNSWD:EANYCRYSOR Garege/Carport � U COUN7YWHICHpEOUIRESAVEiWITTOCONSTRUCT,ILLTER�YPpOVE,DEYOUSH,ORREC4RANY5TAUC. W PBUO/D9Ck Z TURE,PRIOR TO RS ISSUANCE,ALSO RFOUIRES 711E 11oPL1CANf FON SUCH PERMR TO fILE A SIGNFD � STATEMENT THAT HE OR SHE 6 UCENSEO PURSUANT TO THE PROVISIONS OF THE CONTMCTORS L4 � � GENSE UW(CNAPTER Y(COMMENGN6 WITH SECTpN 7000)OF OMSiON i OF THE BUSINESSANO PRO� PooVSpa FESSIONS CODE)OR 7MAT NE OR SME IS El(EMPT TMEREFPOAI MU TNE BASiS FOR TNE 11LLEGFA E%EMP- TqN.IWYV10L�TqNDFSEC'TION707t.6BYANVAPPLICMITFOqAiERMITSUBJECTSiMEMPLICANTTO Z Re-Rool A CIVIL PENILLTY OF NOT L10RE THAN FNE HUNDRED DOLURS p500)Y. � � Ol�.^OWNEFOFiNEPHOPERTY.ORYYf�PLOVEESWiTHWAGESLSTNEINSOLECOMPENSATION, � CpmmBrC4�l Z N7LL DO iHE WORK ANO THE S7RUCTURE IS NOT WTENDED Oil OFFERED FOR S�LLE(SEC.70u,BUSI- J � HE55 P11I7 PROFESSIONS CODE iHE COHTMCTORS LICENSE UW DOES NOTAPP�Y TO AN OWNEfl OF j iROPERTY WF10 BUILDS OR MPRpVE$THEREON,AND N7f0 DOES SUdi WORK NIMSEIF OR HERSELF OR CL TMRIXJCHIa50RHEROwNEMROYEES,GHOVIDEDT/1AT5UGHMPPOVEMENT511RENOTMENDEDOR m , 0 OFFEREDFORSALEIF.HOWEVER7MEBU4pNGORIYPROVElAEM65IXDVATHINpJEYFJIROFLOA/PLE• � Z TqN.THE OWNEP-BUIIDER WILL HAVE THE BURDEN OF PROV�NO THAT ME OR SME D�D NOT BUIID OR = MVROVE FOR 1HE Vl1RPQSE OF SILE). .W OI,ASOwNEROFTNEDROVERTY,IWE%CLUSNELYCOMIUCTINCWIMLICENSEDCON7MCTO0.S Q TO CONSTRUCT THE PROJECT(SEC.7oa�.BUSINESS/NO PROFESSIONS GOOE:THE COMMCTORS U- V01u9fICl1 ADJ.AREA . � CENSEUWDOE9NOiMPLYTONiOVM[ROfAPROPERTYNT7DBURDSORMPMVE9MEREON,AND Wh1000NfMCTSFORSUCHPPOJECT3VnTH�CONTRACTOR(5)LICENSEDVURSUAMTOi17ECONTMG QUANTITY D SCRIPTION FEE � TOfiSUCENSEUW�. p ❑I AY EXEYPT UNOER SEC. B.�V.C.FOR THIS pEASON 4 � � 3 U , li _ � � DATE OVMER � �' U Z W . . , �Q LICENSED CONTFiACTORS [CLARATION W K IHEREBYAFFIRAIUNDERVENALTVOFiE0.AlRVMATIMILICENSEDUNDERDROVI510NSOFCH�7TER � . p„ 9(COMMENCwO W1TH SECTqN 70a0)OF DN15�ON 10F TME BUSINESS Iw�VROFE55qNS COOE,AND Z TC MYUCENSE6MFL1LLiORGEM1DEfFEC7, m LlJ � UCENSE CUSS LIC.NO, � �j DATE CONTRACTOR � a W � WORKERS'COMPENSATION DECLARATION � � IHEREBYAiFIRA1UN�ERCENALTYOFFEiWRYONEOFTHEFOLIAWINO�ECLARATqNS: Z . . � �IHAVEANDIMLLMAINTNNACER71fICATEOFCONSENTTOSELF-INSUR[FOIINfORKE0.:' _ COMPENSATqN,AS PROVIOED BY 5EC710N 770o OF THE U[30R CODE,FOR THE VEAFORMMICE W Q OF 7HE WOW(FOR WHICH THIS PERMIT IS ISSUED. � � w �I HAVE AHD NALLMAMTNN WOiiKERS COMPENSATION INSUMNCE,AS REOUIRED BV SEGTION �� •S/�. Q ]700 0F iF1E UBOR CODE,FORTHE GERFORMANCE OF THE WONK FOH WHIp1 TMIS PERMRIS v ISSUED.MYVYORKERS'COMPENSATIONINSURANCECARR:ERANDPOIICYNUMOERME: CONSTAUCTION � CAFiLER PLAN REVIEW C'+ � � - vaicr NuuaEa . 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RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY pRE•ALT FEE: O � IHEREBVAFFq1IUN0ERPENALTYOFPE0.IURYTMATTMEREISACONSTPUCTIdJLENONOACENCY � FOR THE PERFORMANCE OF 7HE YVO(1K f011 WMlpi THIS PEnuIT IS ISSUED(SEG Mu7,pV.C.). � � IEN�ER'SNAME y � IENDERSADDRE55 / 1 W ICEH7iFYTNATIMAVEREADT/qSMVLICATqNANDSTATE71UlTTMEABOVENFORA1A7qNI5CORHECL TOTAL FEES � '� `� � IAGREETOCp.�PLYYA7HALLQTYIWOCOUNTYOR�WANCE51WO5TATEUW5REU71NGTO8U0.0Ma CONSTRUCiqN,/ND MEPEBYAUTHORRE NEPRESENTATIVES OF THIS COUNiY TO ENTEH UPON iHE ABOVEJAEHTqNEOVROOEHTYFOHINSPECTIONGURPOSES. + � 1 Z ) COMMENT F ✓�'Q�' � C'��`/ �t3CA� ��Gf'/ t,� m PEiWRTEE E(PPoNTJ � � Go t � -�J` y �qNnfUREOF ITiEE DATE � RECPT.NO PND BYY VALIDATI . WHITE-0epertment Capy.YELLOW—Finance Capy.PINK—AssesaaCopy,GOLDENROD—Fila Copy,GREEN AppllcanYe Copy . . tS...Y�-..: . �n�,a:r.'_ ,.. . .o.�:�.�,�,�y.,.,•t;;, ..•..;,�:;i�<.;r.wi�.�rox;:Sr.• , .,t•,,,,.., .C;:".ry� ;;�w....,�.�.�,.��',•''t�;: . �.' . .,. ...,���. . .. 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