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HomeMy WebLinkAbout10972 (9) CITY OF DIAMOND BAR � � COMMUNITY DEVELOPMENT DEPARTMENT �� 216b0 E.Copley Drive Suite 190 (909)SbQ3195 Fax(909)861-3117 PRESS \ '""' B UILDING PERMIT APPLICATION C' FI R M LY � ���TE APPLICATION � PERMIT '�/��n� a ADDRESS ' o DATE NUMBER_11,�J_/ N $ ISSUE TYPE (' 7 pCC APN LOT TRACT DATE CONST. GROUP p OWNER L p ADD SS ZONING SETBACKS LL' CIN � IP TE FROPIT qyy p � APPLICANT n TEL. REAR p � SIDFJSIDE STREET RW ❑ CONTFiA R b D SIDE p ADDRE S � CITY ZIP T , Q PROPOSED USE � 0... C �P o ARCFUENG/ DESIGNER �i7 NO.DWEL. NO. o,. ADDRESS • � CITY ZIP TEL UNITS STORIES DFOOMS � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI:ILDER DECLARATION SFR/ADD/REM O p I NEREBV AFFlqA UNDER VEN.LLTY OF OEiWqY THAT I AM EXEAIPT FI10M THE CONTMCTORS ll� Gt18QB/CBIpOR W CENSEUWFOflT1EFOlLOwNOREA50N�5EG7o71.68U5NE55ANDGROFE5510N5CODE:M7YUTYOR (n U �qJNT'/WNIp1RE0UIRE5AVERMlTiO(ANSiAUCf,ILLTEi�MPROVE,pEMOU$/�pqqEp�IpANy$}p�. W patlolDeck � 7UHE,VRIOR TO RS ISSVAHCE.AL50 REOUIHES THE ACPLICAIdT FOR SUCN PERMiT TO FlLE A SiGNEO W �S CEN6E UW(fil PT R�I�COYYELINCMI�WITII SE�CTION 7000 OF D SM 10NI�]OF 7HE BUSW ES��Vi16 u' POOVSpe ' T� iE55iON5COOE)ORTFIATHEORSMEISE%EMVTTHEREFqdAANDiHEBASISiORTMEALLEGEDEXEMP• C7 � TIDN.ANYVICIATIONOfSEGT10N70�1.6BYANYlIPPI�CANTFORAPERMITSUBJEGTSiMEMPUCMlfTO Z Re-Roof A CIVIL 7ENALTY OF NOT MORE T1W!FNE HUARED DOLURS p5oo�.): � 04�3�NEROFTMEVROPER7V,ORMVEMFLOYEESWI7HMMGESASTHEIRSOIECOYPENSATqN, � COTmBfCiel Z 1MiLL DO THE WOR1C MIO TME STRUCfUHE IS 1qT W7EIAED OR OFFERED FOq SALE(SEC.70u.BUSI- J N NESS AND PiqfESS�ONS OOOE:THE CONTRACTDRS UCENSE UW DOES NOTAPVLY TO AN OWNEN OF VIiOPEqTYYYNOBUIDSORtlAGROVESiHEREON,ANDNRqDOESSUCHM/ORKHIYSELFORHERSELFOR � w T11RIXN,HNISORMERONMEuvLOYEES,PROVIDEDTIIATSUpiIYPROVEMEM9ARENO7WTENDfDOR m � OFFEREDFORSnLE.G,110WEVER7HEBUtDN00RMPROVEYEHTISSOIDYNTH910NEYFAROFCOMPIE• � Z TqN,THE OWNER�BIALDEp W1LL/NYE THE BURDEN OF PROWNO THAT ME qi SHE DO NOT BURD OR � W VROVE FOR iME PURPOSE OF SALE). W ❑4�OWNEROFTHEPROPEfiTY,/WE%0.USIVELYCONTHIICTN6MATILICENSEDCONTMCTORS ¢ TO CONSTRUCT TiE VROJECT(SEC.7w1.BUSINESS AHD PROFESS�OMS CODE:Tf�E CONTMCTORS LI• VaIUB�iM /1DJ.AREA W CENSEUWDOESNOTMPLYTOAN04MEROFAPROPER7YYYFIOBUM9ORWPROVE9T11EREd4AND � M?1000MRACTSFORSUCF1opp.1ECT3WIT71ACOHTRACTOi1(5)LICENSfOPURSUANTTOTHECONTMG pU/WTITY DESCRIPTION TOqSLICENSEIAW�. FEE � 0 O 1 M1 EXEMPT UNDER SEG B.�P.G FOR TW S REASON Q 3 � ODA7E OwNER � � LICENSED COr1TRACTORS DECLAAATION w � INEREBYAFFlRMUNOERiENALTYOFFERNRYiT1ATIMIUCENSEOUNDERPROVISIONSOFCHAPTEq �r . a i(CpM1ENpNO Yn7M SECTqN 7DOD)OF DMSION 70F TME BUSMESS AND VROFESSpNS COOE,AND Z ' iC ►IY IIGENSE IS N Ml FORCE M1D E�FECT. ' � UCENSE SS ` O LIC.NO. `✓`�� •�� � V �ATE � - CONTRACTOR GJ. W � WORKERS'COMPENSATION DECLARATION � � IHEREBYAFF6WUIOEIiFENKTYOFPE0.IURYONEDFTfEWLLOWP�GDECUMTpNS: Z , � _INAVEANDWRLI.WNTANACERTIFlCATEOFCONSENiTOSELF�WSUREFORNORKERS' _ COYPENSATqN.ASGRONOEDBYSEC710N77000FT/EUBOpCODE,FOR?NEVERFOWIMKE w O pIiMEWONfiORYMId1iHISVERMITI5155UED. � V � _IMAVEANDWILLYAINTAINWOPo(ERS'COMPENSATqNNSURANCE,A5RE0UIREDBYSECTqN O ]7000FTNE LABOR CODE,FORTHE OERFORYANCE OF THE WOiiK FOR WHid1 THIS DERMR IS � ISSUED.►IYYWRKERS'COYPENS+lT10NIN5URNJCECMRIERANDPOIILYMIMBERM� CONSTRUCTION � CARWEN S PLAN REVIEW � POLILW NUAIBER ' Z ELECTRIC Q 0 f���+�����IDOFMv�rsaXta[Mra�opatu�sR� oa�[ssl PLUMBING 4 � w . , ^ Z ICERTIFYfMAiNTHEiERFORUANCEOFiNEWORKFORWHIq1TMI5iER4iTISISSUED,1 MECHANICAL Olr) U' SMKLNOT EMPLOYANY PERSON N nM'MANNER 50115 TO BECO4E SU&JECTTO THE � � WOHKERS COMPENSATqN UWS OF GLIFORNiII AND I�GREE TMAT IF I S//IX1LD BECO4E INSPECTION FEE � Sl.fl1ECT TO THE WORNERS COYPENSATION PROVISIONS OF SECTIONl1oo OF TIIE IAHOR s 000E.i srui.�voaTHvnn�corav�rvnn� sE naov�sb . ISSUANCE O p WTE:�/-� APPIICANL SMIP � ENERGY P/C WAAN�N(i:FA1LURETOSECUREWORI(ERSCOMVENSA COVEqAGE15UNLAWFULIWD511ALLBE �y SUBJECTANE4PLOYERTOCRwNALPENALTI[SANOGVILfNESUPTOONE/NNDREDTIOUSAND ENERGYPERMIT DOLIARS(i too,0o0),IH PDpIT1pN TO THE COST OF COMPENSATpN,D�IAAGES AS VNOVDEO fOR IN � SECTIDN 770!OF THE UBOH CODE,INiEREST,ANDATTORNEY'S FEES. - RETEIJTION FEE: W CONSTRUCTION LENDIN�AGENCY � PRE•ALT FEE: � INEREBYAFFlRMUNOEN►ENALTYOFPERRIPYTIUTTMEREISACONSTRUCTqH�NqNOAGENCY ' Z iOR TNE PENfORYANCE OF iHE WOfiK iOR MMIG1 MIS VERMIT IS ISSUEO(SEG.]oa7,pV.G�. W � IENDER'9 WWE � � lEHOER'S/�ORESS ¢ ICERTIFYTUTIWIVEREADT45APPlIG1T10NANDSiATE7W�TiNEABOVENFOfWATqNISCORRECT. TOTAL FEES W IAGFEETOCOAIPIYNrITHALLCrtVAN�COUIJTVOHDINIWCE5AND57ATEUWSNEUTNCTOBUIL�INO � COMSTRUC'Tlp{/1NDMEREBYAUTIqWZEREPqESENTATVE50FT11tSCOU1JTYTOENTERU70NTHE �, /BOVEJAEN7 OPROPERTYF IHSPECTIONPURPOSES. COMMENTS " J � m PERMI �F n . a � (/� 8�(iiN►TUREOfGERY1TTEE DAiE � RECPT.NO. 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