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HomeMy WebLinkAbout17463 CITY OF AIAMOND BAR ,�: n--� DEPARTMErdT OF COMMIII�TiTY&DEVELOPMENT SERVICES � 21825 E.Copley Drive (909)860-3195 Fa�c(909)�61-3117 PRE$$ ``'%:m>� BUILDING PERMIT APPLICrLTION FIRMLY � JOBSITE �`y � �,� � APPLICA710N �PERMIT '���P/C o ADDRESS �6 DATE � NUMBER # o� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER O "" ADDRESS ZONING SETBACKS Z CITY ZIP TEL. FRONT RW ❑ g APPLICANT TEL. REAR ❑ z SIDE/SIQE STREET RW ❑ m CONTRACTOR_��T� � / � SIDE L � ADDRESS� � -� - � �'���-- pROPOSED USE � CITY ��'-� ZIPr�TEL,�jYU'' '- !i ' o ARCWENG/ z DESIGNER NO.DWEL. NO. N0. I a ADDRESS tJNITS STORIES BEDROOMS � CITY ZVP TEL. c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � p� � OWNER•BUILDER DECLARATION SFRIADD/REM O p '. 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM EXEMPT FFOM iHE CONTRACTOflS LI- Gflf89B/CflfP01� � LLf CENSELAWFORTHEFOLLOWINGREASON�SEC.7031.6BUSINESSANDPROFESSIONSCODE:ANYCITYOR (n ' U� �COUNTYWHICHREQIJIFESAPERMITTOWNSTRUCi.ALTER.IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W Patio/Deck �� w �.;TURE,PRIOR TO ITS ISSUANGE,ALSO REQUIftES THE APPLICAN7 FOfl SUGH PEflMIT TO FlLE A SIGNED � 'STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- ��, '.CENSE LAW(CHAPTER 9(COMMENGING WITH SEC'ION 7000)OF DNISfON 30F THE BUSINESS AN�PRO- � PoollSpa '.FESSIONSCODEJOFTHAiHEOR5H61SEXEMPTTHEREFROMAN07HEBASI5FOR7HEALLeGEDE:CEMP- (� 0��,, 'TION,ANYVIOIATIONOFSECTION7o31.5BYANYAPPLICANiFORAPERMITSUBJE�STHEAPPLICANTTO Z RE-ROOf ' �A CIVIL�PENM.TV OF NOi MORE THAN FNE HUNDRE�DOLLARS(S5o0).): O ❑I,ASOWNEROFTHEPHOPERN,OflMYEMPLOYEESWITHWAGESASTHEIRSCLECDMPENSATION, Q C�fflfttBfClfll ' Z, WILLDO THE WORK,AND THESTRUCTURE IS NOT INTEN�EO OR OFFERED FOq SALE(SEC.7044,BUSI- �.1 �� :NESS AN�PROFESSIONS CODE:THE CONTqACTORS LICENSE LAW DOES NOT APPLV i0 AN OWNER OF � ''.;PfiOPERTY WHO BUILDS OR IMPROVES THEREON,ANO WHO OOES SUCM WORK HIMSELF Oft HERSELF Oq �' �'�THROUGHHISORHEROWNBJ�PLOYEES,PROVIDEDTHA75UCHIMPqOVEMENTSARENOiINTENDEDOR 'm W'. '�..OFFEREDFORSALE.IF,HOWEVER,THEBUILOINGOPIMPROVEMEN;ISSOLDWITHMONEYEAROFCOMPLE- Z�. "TION,7HE OWNER�6UIL�ER WILL HAVE THE BURDEN OF PROVING TNAT HE OR SHE DID NOT BUILD OR �� �IMPROVE FOR 7HE PURPOSE OF SALE} w, � ❑I,ASOWNEROFTHEPROPERTY.AMEXCWSIVELYCONTRACTINOWITHLICENSEDCONTRACTOR3 �' .'TO CANSTRUCT THE PHOJECT(5EC.7oa4,BUSINESS AND PRCFESSIONS CO�E:THE CONiRACTORS LI- VdlUfl�lOfl A0.1.AREA W�� ";CENSELAW�OESNOTAPPLYTOANOWNEROFAPROPEfiTYWHOBUILD50RIMPROVE5TFIEREON,AND �' �„WHOCANTRACTSFORSUCHPROJECTSWITHACONTRACTOF(S}LICENSE�PURSUANTTOTHECONTqAC- QUANTITY DESCRIPTION . FEE � �TORS�ICENSE LAW.). � ❑I AM EXEMPT UN�ER SEC. B.&P.C.FOR THfS REASON ¢ � r� 4 �. �. U c Z �DATE OWNER U c� I✓'G`� �l/ /��� J � LICENSED CONTRACTORS DECLARATION W � ��� P .4 V � I HEREOYAFFIRM UNDER PENAL7Y OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � j� O`�. - ,3 , d 9(COMMENqMGWITHSECTION7000�OFDIVISION30FTHEBUSINESSANDPROFE5510NSCODE,ANO Z l X� MYLICENSEISPIFULLFORCE.mA�NDEFFECT. � LICENSECLA$ ���✓ LIC.NO. � y�s'��— � U DATE�U�CONTAACTOR �� , �- W � WORKERS'COMPENSATION OECLARATION ¢ - �" IHERE6VAFFlFMIINDERPENALTVOFPERJUPVONEOFTHEFOLLOWI�GOECLARATIONS: Z . zIHAVEANDWILLMAINTAINACERiIFICATEOFGON5ENT705ELF-MSUREFORWORKERS' _ Q COMPENSATION,AS PflOVIDED BY SECTION 37o00F THE LABOR CO�E,FOR 7HE PERFOflMANCE W OF -E WORK FOR WHICH THIS PERMIT IS ISSUED. � � � 1 HAVEAND WILLMAIN7AIN WOfiKERS'COMPENSATION INSUFANCE,AS RE�UIRED 9YSECTION 4Q 3�oa OF THE L4BOR CAOE,FOR THE PERFORMANCE OF THE WORK W R WHICH THIS PERMI�IS ISSUE�.MY WORKE COMPENSATION�INy5l1yR,ANCE CARRIER ANO POLI YNUMBEftAFE CONSTRUCTION ¢ CARRIER� IA 1 �'C'-7 y G'����- PLAN REVIEW } �+�qp 7� ��'``j Z POLICY NUMBER_ (./t�y�`�'^^y ELECTRIC Q Q (�HISSECTUNNEmN07BECOMPLEfEDOFT}iEPERM(TISWqONEHUNDFEDDOLLARSFy1W)ORLESSJ.. PLUMBING 2 .I CERTIFYTHAT INTHE PERFORMANCE OFTHE WORK FOR WH:CHTHIS PEFMIiIS ISSUEO,l MECHANICAL ('3 SHALL NOT EMPLOYANY PEflSON IN ANY MANNER SOAS TO BECOME SUBJECTTO THE � �ry WORKERS'COMPENSATION LAWS OF CALIFOpNIA,AND AGREE THAT IF I SHOL'LD BECOME W SPECTI ON FEE Sl1BJEG7 TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3�o00F THE LABOR � �{"� � COOE,I HA fORiHWITHCOMPLYWITHTH EP S10NS. ISSUANCE �✓ O 1\ p OATE: y5A*P�PLI�C�ANT. .__ . . SMIP J WAFNING FAIL r�E�TO�CURc W�ERS 10 ' GE IS UNLAWFUL,AND SHALL BE ENERGY P/C V,,, SUBJECTANEMPLOYERTOCRIMINALPENALTIESA DCIVILFINESUPTOONEHUN�RE�iHOU5AN0 ENERGYPERMIT �OLLARS(51oo,00aJ,INA�OITION TOTHECOSYOFCOMPENSATION,DAMAGESAS PROVIDE�FOR IN � SECTION37080FTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: .___,. _`_. __ �� pW..� CONSTRUCTION LENDING AGENCY PREALT FEE: O - �� IHEftEeYAFFIflMU4�ERPENALTYOFPERJUqYTHATTHEPEISACONSTRUCTIONLEN0INGAGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.309].dV.C.). Z W �� LEN�ER'SNAME F= 4EN�ER'SA�DRE55 � TOTAL FEES �'`��Y'�� � ICERTIFYTHATIHAVEREADTHISAPPLICA710NAN�STATEiHATTHEABOVEINFORMATIONISCORRECT. � IAGR�E70CAMPLYWITHALLCITYANDCOUNiYOROINANCESANDS7ATeLAWSRELATINGTOBUILDING � CONS7�UCTION,ANDHEfiEBYAUTH�RI2EFlEPRESENTATIVE50FTHISCOUNTV70ENTERUPONTHE � ABOVE-MENTIONEOPpOPEHTYFORINSPECTIONPURPDSES. . �'""� f- �/ COMMENTS ���. .L.---^��� "z�°�:� � . �'� PERMITTE ' INT Q � . � A OF PERMIT7EE A � RECPT NO. PAID BY VALIDATION � WHI7E—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOL�ENR File Copy,GREE —ApplicanPs Copy _� k, , :� x _ _ , , � ,,,o .,���F _ .� . a � �� .. �.. �,. , � , x'���e �n 5:.� �, a s �„ ..; �: � �i a ,�:, a d � 9 � i� �'.�,.�1 "� � �V� a���. , � a� � ^ s ,�,�; �� � � �a , � �",�� ��, € �4* � � � ��� ap � aa� % ° ��.�� r€ '� `n �,' Sv ! i�� j� � � �° i �„°" "� � , ���¢ �� ° aR �� z,� �c�� avdw.e� '���r�. y '�Wr�t .�xi.*.,w <.�v a ..n �n . .. � ..wa... . .. ... �. 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