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HomeMy WebLinkAbout16650 (37) �` CITY OF DIAMOND BAR � � DEPARTMENT OF COIWvIUMTY R.DEVELOPMENT SERVICES 21825 E.Copley Drive _ (909)860-3195 Fax(909)861-3I17 PRESS "•�� BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE �/yd��/��,,,,� 'S/_/J APPLICATION y �NUMB R�/C ADDRESS � �'�/'+'t� rl.l��� � DATE � ISSUE TYPE OCC APN OT TRACT DATE � CONST. GROUP p OWNER o ADDRESS f' �/ . ZODlING SETBACKS z CITY ZIP TEL.��.�� REAR RW ❑ g APPLICANT _ _ TEL �=�� SIDElSIOE STREET RW O � CONTRACTOR L SIDE ❑ Q ADDRESS • O� p PROPOSED USE CITY ZIP�,� TEL. � w ARCH/ENG! � z DESIGNER� NO.DWEL. NO. NO. a ADDRESS UNITS STORIES �_BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEFIOECLARATION SFR/ADD.'FiEM O p I NEREBY PFFIRM UNDER VENKTY OF VERIURV TMAT 111M EXEAIPT Ffi01�1 THE CONTMLTORS LI- GH189B!C0(pOrl lL CENSEUWFORTNEFMIOWINGREASON(SEC.70�1.SBUSINESS/�NDPROFESSIONSLODE:ANVCITVOR (J) U COUNTYWHICHREOUIRESAVERAIITTOCONSTRUCT.ALTE0.RAvqOVE.DEMOL.ISH.ORNEOAIRMIYSTRUC- W Patio/Deck � TURE,pHbR TO RS ISSUANCE.AL50 REOUIRES TNE AVVLIGNT FOR SUCH GEHlIIT TO Fl�E A SIGNEO w STATEIA[M iHAT HE OR SH[IS LICENSED PURSUANT TO TMG VROVISIONS OF TME CONTRACTOFS LI- � CENSE UW�CMAPTER Y(COMMENdNO W7TH SECTqN 7000)OF DINSION�OF iHE BUSINE55 AND iA0- LL PooVSpa fE55qN5CO0E�ORTHATMEOR5HEI3E%EA�PTiHER[FROMANDTHEBASISFORiHEALLEGEDEXEMP� � � TION.MiVVKKATqNOFSECTION70]1.SBYN/YAGPUCANTFORAVERMiTSV61ECT5THEA7PLICANTTO Z Re-Rocf A pVIL VENILiYOF NOT A10RE iNAN FNE HUNORED DOLURS�f5o0��: ZOlASOWNEROFiHEPROPERTY,ORMVEMF�OYEESWIiHWAGESASTHEIR50LECOMPENSATqN, O COmm0rCi01 WILLOOTN[WORK�ND TNE STRUCTURE IS NOT WTENDED OR OfFERED fOR SALE(SEL.7W�.B1151� J � NE55 AND VROFESSIONS COOE:iME CONTRACTORS LICENSE L�W DOES N07 AGPLV TO�N OWNER OF j PROPERTY Wlq BUhDSOR IMPROVES TMEREON.AN�VAq DOES SUCH WORK Hi1A5ELF ON MERSELF OR � 7H�WUCHHISOFiHERO'MiEMFLOYEE5,7i1OV10CDiHATSUCHIMPROVEM[NTSARENOTWTENOEDOR m � OFFEFlEDiOflSALEIF,NOWEVERTNEBUILOWOORWPROVEIA[N71550LDW17MINOnEYEAROFLOMP�E� Z TION,TME OWNER-BUILDER WILL M�VE THE BURC[N OF PROVINO TNAT N[OR SME DN NOT BNID ON = MPROVE FOR TNE PURPOSE OF SALE4 W OlA50NMEROFTHEPROPERTY.AAIE%CLUSIVELYCON7pACTINGNfTHLICENSEDCOMMCTORS � TO CONSTRUCT THE VRQIECT(SEC.701�1.BUSM[55 AND PROFESSIqJS LDDE:THE CONTMCTORS LI� VdIU2110 _� ADJ.AREA W CENSEUN�DOESNOTAPPLYTOANOWNCROFAOROVERTVWMOBUROSORIYPROVESTMEREON.AN'J � NTIOLONTMCTSFORSUCHPR0.IECTSWITHACONTMMOR�SJLICENSEOGURSUANTTOTMECONTM6 OUAMITY DESCRIPTION FEE Y TORS UCENSE Uw). � O IM1 E%EMPT UND[R SEC. B.l P.C.FOR TMIS REASON Q � U ti.. F � DATE OWNER U C W � � LICENSED CONTRACTORS DECLARATION W � � INEREBYAFFIRMUNOERPENALT'/OFGE0.IURYTMATIAMUCENSEDUNDERVROY15qN50FCHAPTER � " p„ /(COMMENCiN(3WITHSECTpN7000)OFDMSIDN70FTHEBUSINESSANOVfloFE55lON5CO0E.AN� Z X AIYLICENSEISNfULLFOR�,EANDEFFEGT. � LICENSE�JC�_3� IIC.NO.�/y��/ � ~ OATE / CONTRACTOR„(�� � a w � WORKERS'COMPENSATION DECLARATION a N I HERGBV AFFIq1A UNDER OENN.TY OF VE0.IURY ONE OF iHE FOLLOW.NC OECURATqNS. U N ¢ 0 �I HAVE M!D WILL MNNTAIN A CERiIFICATE OF LONSENT TO SELF�NSURL FOFi WORKEPS' _ , � CONPENSATpN,AS CROVI�ED BY SECTION ilao OF TME U�BOR COD[,FON iHE VERFORAIANCE W OF 7NE wORN FOF VMiCN 7MIS PEa6�IT IS ISSUED. � G W IHAYEANDWILLMAINTA:NWOR)(ERS'COMPENSATqNINSUfUNCE.ASREOUIPEDBYSECTION 'l ¢ 97000F THE UBOR COOE,FOR THE PERFOR�IANCE O ME WOPI(FOR WHIp17HI5 PERMIT IS v � ISSl1ED.AIVWORNERS' OA1P SATIOI��;URANCE iRIERANDPOIICVNUMDERARE: CONSTRUCTION � � L71/ PLAN REVIEW GRaER ,�f Z ooucrr�uuoEa� �_�f� v� ELECTRIC • ¢ 0 [iHSSfCf10NN[mNOTBEC01.4LETEDOFTIEPER.R6fOROnLhRI�O�ED00LLARiR�ama+�ssi PLUMDING �� •^-�-�� � I ��I Z I CERTIFY TNAT IN THE PERfOi71AANCE OF iHE WORK FOR WHICH TH15 PERMIT I5155UED,1 MECHANICAL _ ('} SN/�L�NOT EMPLOV ANY PERSON W/�M'MANNER SO AS TO BECOME SV0.1EttTO7M[ I (/� WORNERS'COMPE SATqNLAW50FCALIFORNi ANDAGREETHATF15/1DULDBECOME INSPECTIONFEE S SU0.IECT TO 7HE RKERS'GOMGENSATqN P iV15 S OF SECiqN 770o HE lA0 i COD, RTHVMMC01APlYWITHT P iONS �SSUANCE � v SMIP + , DATE: O APPLICANT: WW�RNiNC:FALURETOSECUHEW'O�KERS'COMrEN5n7iONCAVER�GE15VM.AwFUL.MiD3HALLBE ENERGYP/C '��-���� ��-- �y SWJELTANEMPLOYERTOCRIMIN�LPENILTIESMIOCNIIFWESUPTO�NEMVNDRCDTMWSAND ENERGYPERNIT DOlURS(f�CO.D00�W 1�DOITON TO hIE COST OF COMPENS�TION,DAMAGES AS ViiOVIOED Fqi IN J SECTION77oeOFTNEU00RCOOE.NTEREST,ANDATTOHNEY5FEE5. RETENT�ONFEE: � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: CC I HERfBV AFFIRIA UNDER PENALTY 0F VERNFiV THAT iN[RE IS ACONSTRUCTION LENDINO AGENCY n- FORiHE7ERFORMNJCEOFTHEWORNFORWHICHTWSFERMITI5155UE�I5EG7oG7,GV.C.). W A tiZ lE1J�ER'SNAME� //1- S � LENDER'SADDFESS � 1 CERTIFY THAT 1 XAVE READ THIS��OLICATION ANO ST�TE TIUT TME ABOVE P1FOiUAATqN IS WRRECT. TOTAL FEES � W IACREETOfAMC�YN7TMALLCITVANOCOUNTVORDttUNCESANOSTATEUWSRCLATIAOTOBUROING � CONSTRUCTION./J:DHEREUVAlIh10RIZEREPRCSENTATNE50FiHISCWNTYTOENTERUDONTyIE ZABOVE�MENTKKiEDPROPEHTYFORWSPECTIONFURPOSES. COMMENTS � �T _ m PEHMi7T N � v� Q (1) �I /C�� — rl (n 5� ATUHL UF cRMI EE �� � � RECPT.NO. PAID BY � � VALIDATION WHITE—Department Copy.YELLOW—Finnnee Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy ''l�.:.; :.,.......,�:��.K�;,�,.,,,.,..�a•�.��.a.{.._•r...r•�,�:•:-:rv...,.�.�.,.�x.�- .-�—•:�i.�:i.r•;�•; , ...�. , �....... . .. _ . � ..... ._r. ..,.._ .. .. ... .__. ,..... .. 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