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HomeMy WebLinkAbout16815 (42) _� CITY OF DIAMOND BAR r_ � DEPARTMENT OF COIvIIvIUNITY&DEVELOPMENT SERVICES ��` 21825 E.Copley Drive (909)860-3I95 Fax(909)861•3l 17 PRESS �'��� BUILDING PERMIT APPLICATION FIRMLY '� JO�SITE �( o ADDRESS .2 I�OU �-2U��Pr- (G n P C�. DATE CATION � �NUMBER l�V� �/C � APN LOT TRACT ISSUE TyPE p�C DATE CONST. GROUP p OWNER r�'1����� 1 � �� Wi / 2 o ADDFESS 'D erlano C�f, ZONING SETBACKS g ��N �ZIP 9�Te�.90 a 453-(�I FRONT RW ❑ APPLICANT TEL. REAR p � SIDE/SIDE STREET RW p � CONTRACTOR • SIDE p � ADDRESS � mon . o S PROPOSED USE �� � OS � ctrv_ An1z, c+ ziP O�TEL 7/y-'15�l- �0 c o ARCH/ENG/ '- z DESIGNER � ADDRESS NO.DWEL NO. NO. cn UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUII�ER DECLARATION SFWADDlREM O 1 HfFlEBY AFFlRIA UNOER PENALTY OF PE0.NRY THAT 1 AM EXEMPT FRqA iHE CONTMCTORS ll� G820B/CBfPOR W CENSEUWFOqTHEFOILOWINOREA50N�5EC.To]I.SBUSINESSANOGROFESSIONSCOOE:ANICITYOR (n V COUNTYYN71G1REWIRE511PERlAITTOCONSTRUCT,/�LTER.0.IPROYE,DEMOLISH,ORREPAIqANYSTRUC• w W NRE,GHqq TO I75 ISSUANCE.ALSO RCOUIR[5 THE APPIIGWT iOR SUCH PEN.�iT TO FILE A SIGNED W PdtiOIDBLk r2 S7A7EA/ENT THAT M[OR SHE IS 110ENSED PURSUANT TO THE VROVIS�W:S OF TME CONTMCTORS ll� � CENSE UW(CHAPTER 0(COIAMCNC:NG WIiH SECTION 7000)OF DIVI510N J OF TME BUSiNE55 AN�GRO- V' PooVSpa fE5510N5CO0E)ORTIATHEOHSHEISE%E4PT7HEREFROMANDTNEBASiSFORh1EALLEGEDExEMP- � V TqN.ANYVIOIATqNOFSECT10N7031.68VANYAPP�ICANTFORACERMITSV&IECTSTN[MPLICANTTO Z Re-Roof � 5 'y ACML PENALTY OF NOT MOqE THAN FIVE HUNDRED DOlURS(fSOt).�: � 04ASOWNEROFiHEPROPERTY,ORMVEMPLOYEESWITNWAGE5A5TNEIRSOIECOMVENSA'qN, Q Z WILlDO TME WOqK,AND THE STRUCTURE IS NOT INTENDED OH OFFER"e0 FOR SALE�SEC.)01�,BUSI� J COmmO�Ci�I � NESS ANO VROFE5510NS COOE:iHE CONTMCiORS LICENSE lAW DOES NOiAPPLYTO AN OWN[ROF PROPERTYVA108UILDSORMPROVES7HENEON.ANDVAIODOESSUCNVJORKHIMSfLFORHERSEIGOR � Q ?HROUGHNISORMERONMEIA7LOYEES.VROVIDEDiMAT5Up/1YPROVEYLMSARENOTINTENDEDOR m Q OFFEREOiOR5AlE1F,HOWEVERTMEBU1L01NCORM7pOVEMENTISSOLDVATMINONEVEARpF�pMP�E. z TqN,THE OWNER-BUIIDER WILL HAVE THE BURDEN OF PROVINC TMAT ME OR SHE DID NOT BNLD Oft � MPROVE fOR THE PURPOSE OF SALEL �yJ ❑4�40WNEROFTHEVROPERTY,AME%LlUSIVEIYCONTMCTWGW!TNLICENSEDCONTfUCTORS [L TO CONSTRUCTTME GR0.IECT(SEC.70M BUSINESSANO CROFESSIONS CDD[:THE WNTRACTORS U- Vd11181i0f1 ADJ.AREA W CENSEUwDOESNOTAPPLY70ANOWNEROFAPROVERTVWHOBUILD50fiIMPROVESTHEREON,AND � WNOCONTMCTSFOqSUCHVROJECTSWITHALONTRACTORIS)LICENSEDVUqSUANi7DTMECON7qAU QUANTITY DESCRIPTION Y TORS UCENSE LAW). FEE � ❑Ilu1 E%EA�PT UNDfR SEC. B.8 P.C.FOR THiS HEASON ¢ � U � � DATE OwNER F- Z U � LICENSEO CONTFiACTORS D[CLARATION W � INEREBVAFFiRUUNDERiENALTVOFPE0.IURYT1uT1A1ALICEN5E0UNDEAPROVI5iON50FCNMTER � p_ 0(COMMENCIN6WITHSECT10N7000)OFDMSqN70F7HEBU51NE55ANDVROFE55lON5COCE,/WD Z !< W LICENSE IS IN FULL FORCE AND EFFECT. o u��,sE�us5 !t—?�ry ���.Na. 7 7�(��O � V DA7E �- � G- o f coHrAacTon`�p�y1� �'� r a w � WOFiKERS'COMPENSATION DECLARATION a � INEREBVAFflIUIUNDERVENALTVOF�ER7UMONEOFTHEfOLIOWiNGDECURATqNS. z � IHAVEANDWRLMAPliAINALERTFICATEOFpONSENTTOSELFdNSUREFORNppNERS' ¢ � �OMPENSATqN,ASPfiOVIDEDBYSELTION�7o00FiT1EUBOqCOOE.FORTNEGERFOqMANCE U Q �OFTMEWORKFOHNRiICMTMISVERMIiISI55UED. � � V IHAVEANOW'LLAAAVJTNNWORNERS'CWPENSATqNINSURANCE,ASREOl1iR[DBYSECTqN �/ J7000FTHElAF30RLODE.FORTHEPERFOflMANCEOFTHEWORKiORWMIp1TNI5iERMITIS /DA ///'� J ISSUED.MY WORKERS'COMPENSATIO��N�R�O POLICY NUMBERARE: CONSTRUCTION ! / ""V j WqqiER `1 Un� PLANREVIEW =R � P0.ICYNUMBEF �a ELECTRIC Q � (IHISSECiIONr�[mNoiBE00r.s�EimOFMVEa1.ti6Wnd+E�tlhDnEDOatAiC',(t�m10R�E551 PLUMBING Z ICENTIFYTHATINTHEPERFOR/AANCEOFTHEWORKFOi3YMICHTN15PFRMITI5155UED.l MECHANICAL C7 SHALLHOTEMPLOYMlYGERSONNIWYMMlNERSOAST09ELOMESUBIECTTOTHE (j� WORKERS'COMVENSATIONUWSOFCALIFORNIA�'D�CREETHATIFISHOULOBECOME INSPECTIONFEE SUOJCCT TO THE WORKERS'COMPENSATiDN PROVIS�ONS OF SECTqN 7�00 OF TME UBOR - s CODE,IS/UILFORT/WITNCOMPLYW1IHTlqSE Je�a,o,vi�sar�+s.� �J ISSUANCE r7 pDATE: � �OI APPLICANT. 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W UGREE TO COMPLY WTTH/�1L CiT7 AND COUNTV ORD:NANCES AND S1ATE UWS HELATWO TO BUdD�NG � CONSTRUCi10N,/U:DHEREBYAUTVIORREPfPHESENTATNE50FTN15COUNNTOEHTERUPONiHE Z /�[iOVE�MENTIONEDDRODERTYFORINSPECTIONPURPO5E5. � COMUENTS � `�eh�ecu l�• �erb�er m GFRMI E NM1E(7RiNTj 4 �,�ti 7-lq-o� � (n S�GNATUflEO�VERMITTEE DATE � RECPT.NO. . � _PAID 6Y VALIDATION WHITE—DeDartment Copy.YELLOW�inence Copy.PINK—Assessor Copy.GOLDENROD—File Capy.GREEN—Applicant's Copy . . . _....'�� .. , �..�.....�`.....:�T" .."t:. �.. .. ♦ .i '�-_" �-e . .�. .v �':i., .ry.. - .-'�_ __. - ... ..��"_ . ...'� __"." � .- �-.. .,..... _. �C!t':" C!F i�1,��i':,�}f�':.: r=�i'�fz � II�S�'f��:: i'iU�� F-�f.:�'��:� �.� �-._--����... 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