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HomeMy WebLinkAbout16813 (42) CITY OF DIAMOND BAR � �"� DEPARTMENT OF COMMUTIITY&DEVELOPMENT SERVICES � � ��� 21825 E.Copley Drive (909)860-3195 Fax(909)861•3117 PRESS BUILDING PERMIT APPLICATION FIRMLY o ADDRiESS � �U�p N E�A il7QY IU h P C�. APPLICATION �`I� �O� NUMBER / ��� #,C DATE c� ISSUE TYPE OCC APN LOT TRACT OATE CONST. GROUP p OWNER P Il ' [� " ADDRESS .� I pU PY Ct�1l' C • ZO�ING SETEiACKS Z CITY 'D�a mond EkiY ZIP��.TEL. 04-Sr L^� FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/51DE STREET RW ❑ CONTRACTOR O O 1 l'I SIDE ❑ � ADDRESS , rn o nu � PROPOSED USE � C(J ( �'f M / / � CITY '��� �� ZIP �0 re�7/�1-75y-yl07 o ARCWENG/ z� DESIGNER NO.�WEL NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff FACTOR PSF ADJ.AFiEANALUATION y Q OWNER-BUILDEF�ECLARATION SFR/ADDlREM O p 1 HEREBV AFFIRM UiDER PENKTY OF PEiWRV THAT I A1.1 E%EMPT FROM TH[CONTMCTORS LI� G9fJgB/G31pOf[ LLl CENSEUWFOR7NEFOlLOWINGFEA50N(SEC.7071.SBUSINESSANOPROFESSqNSCODE:ANYCITYOR (n U COUNT'/WHIp1REONRESAPERMiTTOfANSTRUCT,ALTER�7ROVE.DEL10LI5H.ORREPAIPMlVSTRUC� W PatiolDedc W7URE.VFIOR TO RS ISSUANCE.IL50 REOUIRES THE APPLIC�Ni FOR SUCH VERMIT 70 FILE A SIGNEO W � STATEII�ENT THAT HE OR SHE IS UCENSED GURSUIWT TO TME FROYISiONS OF TNE CONTRACTORS LI� � CENSE UW(CH�PTER D�C01.1M[NCIN�WITM S[CT10N 7000)OF DIVIS�ON 9 OF THE BUSINESS AND PRD• V" PooUSpa fE5510N5 CODE)OR THAT HE 01i SNE IS E%EIAPT TMEREiROM AM�TME B/SIS FOR THEALLEGED E%EMP• V71pN.IW'IyIpU�TqNOFSECTION70]1.SBYANYAPPUCANTFORAPERMITSU&lECT57H[APPLICA4iT0 Z Ra-Rool 3 y J� � A CML VENALTV OF NOT MORE TN►N FNE HUNORED OOlUAS(f50011: Q �I,ASOVMEROFTHEPROPERTY.ORAIVEAIPLOYEESWITMWACESASTMEIRSOLFC01�1PENSATqN, 0 Commercial Z WILL DO TH[MIOHK.AN�TME STNUCTURE IS NOT INTENDEO OR OFFERED FOp SALE(SEG 7a1,BUS�• J NESS AND GROFESSIOHS COOE:THE CONTRAMORS LICENSE UW DOES NOT ADp�Y TO AN OWNCR OF � PROPEflTYMRqBUILD50RIMPROVESTHEpCON,/VJON/HODOESSUCHM�ORKMIMSELFORMERSELFOR � � THqOUCMNISORMEROWNEYPLOYEES7PAVIDEDTMATSUCHW7ROVEMENTSARENOTW7EN�E�OR m W OFFER[OFORSKEIF,HOWEVERTMEBVILDINCORIMPiiOYEMENTI55IXDYATMINON[YEAROFODYP�E• 0 TqN.THE OWNER-9UILOER WILL NAVE 1HE EIJRDEN OF PROVING T/UT NE OR SN[D�D NOT BUIID OR Z MPRpVE FOR THE VIIRPOSE OF SALER = 04ASOWNEROFTHEPROPEHTY.AMEX0.USIVELICONTMGTWGWI7HLICENSCDGONTMLTORS y� � TO CONSTRUCT iME PRQIECT�SEC.70��,BUSiNE55 AND DRO�ESSIONS CAOE:TME CONTRACTORS LI• V01t18t1Of1 'J��L��ADJ.AREA W CENSEUWDOESNOTAPPL'I70ANONMEROFAPROPERT'NTqBUiD90RIMPROVESTHEREON.AN� � WHOCONTMMSFORSUpIDROJECTSWITHICONTRACTOR�S�UCENSE0CUR5l1ANTTOTHEfANTMG QUAPITITY OESCRIPTION FEE Y T00.5 UCENSE UW.�. ¢ a I M/EXEMPT UNDER SEC. 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Q u" DA7E OwNER �" U � LICENSED CONTFACTORS DECLARATION w � IHEREBYAFFIHMUNOERiLtULTVOFPERNRYTMATIAMUCENSEDUNDL1IiROV15�ON50FLXAPTER � d C(COIAAIENCPlOWITHSEC110N700010FOMSiON70FTHE&15MESSANDGiqFE55lONStODE,MI�J Z X 1AY LILENSE i5 N FULL FORCE AND EFiECT. /`� m � IICENSE CUSS �3^(� LIC.NO. �� . �v J -� '-V DATE �CONTMCTOR .• � ��Y a W � WOHKERS'COMPENSATION DECLAFIATION 4 � U N IHEREBYAFFIPMUNDERPENALTYOFPERIURYONEOFTMEFOIIOwINGDECLAMTqNS: � Z Q O �IMAVEAhDVALLMAINTAINACEflTIFIGTEOFCONSENTTOSELF�NSUR[FORWORKERS' _ . � COMPENSATION,AS PROY�DED BY SECTION f70a OF THE UtBOH CODE,FOR TME FERFORM�vICE W F THE WORK FOR WHId TNIS PEPAIIT IS ISSUE�. � � w IHAYEAN7VALLMAiMAINWORKERS'C04PENSATqNINSURANCE,A5REIX/IRE�BVSECTION ��j Q �7DOOF iHE UBOR CADE.FORTIE PERFOFMANCE Of THE WOPI(FOR WHlp/TMIS PERMIT I$ �.(7l �6 ISSUED.MYWOflNERS'Cp.�PENS TIONI SJMNCEURRiERAND70L1C`/NVA1�ERARE: CONSTRUCTION � �� � CAFRIER ��Q � �u h� PLAN fiEYIEW � voucrr+uuoen ny� ^ ELECTRIC � (IVQSSECTIONNEEDNOTB[Q71.4�EfmOF71EPEFMT6iOROhL1lM�C.�OCIiM'i5R•aIORLE55� PLUM6ING Z ICERTIFYTHATINTNEPERFORI.IANCEOFTNEWONKiORWMICHTH15PERMITI5l55UED.1 MECHANICAL ('} SH/LLf�OTEMPLOYANYVERSONWANI'MAN�:ERSOASTOBECOMFSUBJECTTOTHC y WOfU(ERS'COMPENSATqNlAW50FCµIFDRNiA,AN�AGREETMniIF151qULD0ECAME INSPECTIONFEE S SU&IECTTOTMEWORKEAS'COMPENSATqNCpONS10NSOFSEC7qN77000FTNELABOR ISSUANCE ����0 CODE.I 51ULLpL FOR�HVnTM CONPLY WIM TNOS PRONSqNS. /f /t�'� � C'� O DATE ��I r�O� APRICANT: O �CI /� • h7 V SMIP '- —" • L�G w ENERGY P!C J � ��"`� I I � I .)� WARNING:iAIIURE TO SECURE WORNERS'CDMPENS�TION CDVERAGE IS UNUwF�,ANp SMALlBE � SUOJECTANEMPIOYER70CRIM�NAIPENALTI[SM'OCMLFWESUV70ONEMVNDRCDT�KRISA�D ENERGYPERMIT DOLLARS�f t00.OD01.�N ADOITION TO THE CQST OF COMPENS�LION.D�AGES AS PROVIOLD FOR IN A ¢ SECTqN]�oe OF ME U1BOR CODE,NTERE57,AI:DATiOR!1EY5 LEES. F1E7ENTION FEE: I ' I•�v a CONSTRUCTION IENDING AGENCY PRE-ALT FEE: � O � CL IHEREBYAFFIflMUNOERCENALTYOFPERNRYTHATTHER[IS�CANSTPUCTIdJLENDINCACENCY � �� n- fONTN[GERFORMANCEOFTN[WORKFORWniCn7niSPERMiTI5155VED�5EC.�ou�,LiY.C.). _ : -__._.__,_� Z W � LENDERSNAME F- LENDERSADDRE55 wICERTIFYTM�TIMAVEREAUTHISAPVLICATqHAN�ST�TETNATTHEABOVEINFOi1YATqNISfARP[CT. TOTAL FEES �Z�• d IAGREE 70 Cp.iPLY WITM ALL CRY M!D COVNTY ORDINu10ES AND STATE UM'S PEUIING TO BUILDiNG fANSTRUCTION,M1D MEREBY AllillORRE REPRESENTATIVES OF TMIS COUN7Y TO ENTER UPON TME Z ABOVE�MENTqNEDPR07EFTYFORINSPECTIDNPUNPO5C5. COMMENTS � �e�io Be�lxr �ebe�ec4 1� . g�Ex' m oEw.nnc N�Etvlv:rrr> � �'e� /�. �^' 7�19/01 � SIG TVHEOFPERMIT7EE DATE RECPT.N0. PAID BY VALIDATION � WHITE—Department Copy.YELLOW—F�nance CoDY.PINK—Assessor Capy.G �ENROD—File COpy.GREEN—ApplicanCs Copy . . ...�.__... _. _.... . ,. . .... . , , - ., ... . ,, ��.- .,. . - . ..� _ . .. . .. .. _.. _.._.. , . . . . . . .......... .. , . , . .., , „ . .. . _.. .� .. . . . . �,��s,• c�r- ����r�t.�►;,�� �r{r, �r,��►...c��4 00��,� �:€_c�:;t� I►�k-7�!=c;�fi(e:�l+p -___-f;�`.:F^--..----`,���.�-`.�,.-e.c�_,-------.....�_���F.�.�__�._. 1�1►'___�—___.--r.;�cC= "----����-'1C!=:c�' �'c1:1 .. . . ..._... __.. . _.. .. .. .. .._ . . ... . . ... . ... .. . .. ....... . .. _ ------------•- _..._...----- --.... _ ... ...._.... ._. _ . . SET 6ACK I ' � ; FLCOR!CIST:'. 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