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HomeMy WebLinkAbout11882 --�rc�_ CITY OF DIAMOND BAR � DEpARTMENT OF COMMUNITY&DEVELOE°MENT SERVICES /�- 21660 E.Copley Drive Suite 190' ' " �� PR ESS 9�w (909)860.3195 Fax(909)561-3117 $�7ILDI�VG I�'$,'R1�IT AP'�I,�CA1'�ON ,,. ^.,.,:, �. . ' , FIRMLY _. _ .., ..�, ., , _ .. .. �,..:�� N JOBSITE ` ,._ r . _: �. . . ,, ^� / o ADDRESS�_°^t�•i°��� —t�--"-.��C �-�'-� ,., DATEICATION%...:I�"q� NUM ER � #C � �'G�f? s✓ � ISSUE TYf�E `OCC APN LOT TRACT� DATE 'CONST. GROUP p OINNER 4�Z.f�'��—'�a�9 ,��,,✓�'�i-`W �'` AUDRESS 'C� "' ZONING SETBACKS � CITY.�--�—,�.� ZIP TEL. (�^ """. ��i FRONT RW ❑ � APPUC NA T ,y�,�.,�y,p, �-�j�`�i yL,�,,�TEL. S DE/SIDE STREET RW � � Cf�NTRACTOR� ' »�-- ' . SIDE ❑ o ADDRESS � ' ' PROPOSED USE I��� In,a,c�-C.. L�°�f`'J�i��i=C�'�'��C� CITY - IP TEL. w ARCWENG/ � y �`-C�' �.��'�%�� z DESIGNER � � � - � '' ' NO.DWEL. � NO. Np. � AnDRESSa 2. e"'"� �� �"� �'�A�'� y UNITS � STORIES �BEDROOMS�_ � cirv �,`€L�.a_ — `�-i-7��. .:.,�:'.�-z .: �r 'u, �'� ZIP r t TEL�' � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OOWNER-BUILDER DECLARATION , SFR/AD�/REM � I HEREBY AFFIRM UNDER PENALTY OF PEHJURY THAT 1 AM EXEr+1PT PROM THE CONTqACTbR3 ll- � GaragelCarport W CENSEIAWFORTHEF7LLOWiNGREASON(SEC.?031:58USINESSANOPROFES516t�SCODEANYCITYOq C.� GOUNTYWHICHREWIRESAPERMITTOCON9TRU�:T.ALTER,IMPPOVE,OBA041SH;ORREPAIRANv$TRUC- W P84iO/DeCk "Z TURE,PRIOp TO 1T3 IS9UANCE,AL50 REW IHESTHE APPUCANT FOR SUCH PEAAl1T TO FiLE A SIGNEO - � - � $TATEMENT THAT HE ON$HE IS LICENSE6 PURSUANT TO�TIi�'PR�NSIONS OF 7HE CONTpACTORS'Lb -� � GENSE UW(CHAPTER e(COMMENqNO WRH SECTION 7000)�bIYISbN 3 OF THE BUSIN�SSANb PRO• LL' POOVSpB FESSpNS OODE}ORTHAT HE OR SHE`IS EI(EMPT THFAEFNOM AN�THE BA515 Fbp TNE ALLEOEO EXEMP� 7K)N.ANYVIOIhT10HOFSECTION7o91.58YANVAPPUCAN7FORAPERA1lT'SUBJEC�1'STHEAPPLICANTYo Z Re-Roof �, A CML PENALTY OF NOT MORE THAN FIVE HUaDREO OOLURS(Ssoo)J: " � �� ' � ❑I,ASOWNEROFT1iEPROPERTI:ORA1VElAPLOVEESWI7HWAGESASTHEIRSOLECOMDEN5AT10N, Q COnlfriBfCidl ' VlILL DO THE 1NORK,AND THE STRUCTURE IS N071NTENOED Oh OFFEPEd FOR S�ALE($EC,;�oa4,BUSb J � NES3 ANO PROFESSIONS COOE:THE CONTMCTORS UCENSE LAW�OES NOT APpLY 70 AN OWNEfl OK PRQPERTYWHOBl/1LDSOptpAPROVESTHEREON.ANDVNi000ESSUCHWORKHIA!§EIFOiiI�ER5�lFOH = CL TMROUGHHISORHEflOWNEMPLOYEES,PROVIDEDTHAT5UCH'IMPROVEMENTSAWENOTIKrYENtlEDOR m � ,OFFERWFOP:SALEIF,HOWEVERTNEBUILbIN60RIMPROVEMENYIS50lDWITiIN(SNEVEAROFCdMPLE• Z TION,THE bY�ER�BUILDER WILL HAVE THE BURDEN�OC PROVING THA7 HE OR SHE DI�NOT BUIID OP IMPROVEFORTHEPURPOSEOFS/LLE). � � � W ❑I,ASOWNEROFTHEPROP6FTY,AMIXCLUSIVELYCANTRACTINQWITHLICE�NSEDCOMRACTORS �.. �a, (t TO CONSiRUGT TNE PROJECT(SEC.7o4t,BUSINESS ANO PhOFE3310NS CODE:7NE C6NtpACTORS'Cb VelUBtlOn `��[��' ADJ.AREA LLl CENSELAW�ESNO7APPLYTOANOWNEROFAPROPEPTYWH9BWL�SORIMPfYOVESTH�REON:ANO L y�p�;qp7qACTSFORSUCHPRPlECTSWITHACANTRACTOq15)LICENSEDPURSUAN7TO7HE'CONTRAG QUANTIT' DESCR�PTION FEE � 7OR5 LICENSE UWJ. ' �' � ❑1 AM EXEMPT UNDER 3EC. B.&P.C.FOR THIS PEASON Q �.S V . � . .. '�.�.�. . L1. - �� � ' � � DATE OWNER U W �q LICENSED CONTRACTORS DECLARATION W CC IHEREBYAFflflMUN�EflPENALNOFPERJURYTHATIAMLICENSEDUNOEfiPRON510NSOFCHAPTE% � [L e(COMMENCINO WITH SECTION 7000)OF DIVISION�OF THE BUSINE55 AND PAOFE$SIONS CADE,AN[S� Z X MY UCENSE IS IN FUII fORCE AND EFFECT. m � UGENSE CIASS � � !������LIC.NO.������]���_��,�y��.���� ..���: _,�yw� � . w DATE � CON7RACTOR��R �L+R�-�1"'t„ .���CJ3. "� � "t � WORKERS'CpMPENSATION DECLARATION ,����� . ,Q � �U I HEREBV AFFlRM 11NDER PENALTV OF PEFUUAY ONE OF THE FOLLOWING DECLARA�JONS: � � Z C/� a O �IHAVEIWDWIL4MAINTAINACERTIFICATEOFCONSEN7TOSffLF-INSUREFORWOflKERS' T � COMPENSA?ION.ASPROVIpEDBYSECTION37oDOFTNElA80RCqDE,FORTHEPERFORMANCE W - .OF THE WORK FOR WHICHTHIS PEFMIT IS ISSUED. � � 0 1 � I HAVE AND WILL MAINTAIN WORKFAS COMPENSATION INSURFNCE,AS RE(]UIRED BY SECTION - j Q a 37a00f TME LABOR CODE,FOfl THE PERFORMAIdCE OFTHE WORK fOR WNICH THIS PEfM11T IS / ISSUE�.MY6YORKERS'COMPENSATION�INSURANCECARRIERANDPOLICYNUM6ERARE: CONSTRUCTION �tJ . . j .'.. CARRIEP °�r' .��`�!'�'U � � PLAN REVIEVJ � .. Z DOLICV NUMBER�d`7'7`� ?1=�_�___._ � ELECTRIC ¢ Q (fHISSECIiCNN�NOTBE(�MPLEfE00F7HEPEPovqTISfUI�NEHUI�DfiEDDOLIARS�S1 )cxtLEssy. PLUM6ING z I CEHTIFV THAT INTHE PEFiFORMANCE OFTHE WORK FOA WHICHTHIS PERMIT IS ISSUED,1 MECHANICAL _ (J SHAII NOT EMPLOY ANY FERSON IN ANY MANNER SO AS TO BECAME SUEJECT TO TNE � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF i SHOULD BEGOME INSPECTION FEE SU&IECTTOTHEWORKERS'COMPENSAT�ONPROVISION.^rOFSECT10N37000FTNELP80R ISSUANCE � CADE.I SHALL FOIITHWITH COMPLY WI;�SE PRDVISIONS. n p DATE: > � �''� JAPPLICANT: .�,e,+��� �����t - '�A SMIP w 4y P ENERGYPlC 11111 � � 1f�(�� � � WARNINGFAILUflETOSECUREYJORKERS'CAMPENSATIONCOVERAGEISUNLAWFUl,0.NDSMALLBE — `y SUBJECTANEMPLOYEFTOCRIFIINALPENALTIESANDCIVILFWESl/PTOONEHUNOREDTHOUSAND � DOI.IARS(57o0,aW),INADDITIONTOTHECOSTOFCOMPENSATION.DAMAGESASPFlOVIDE�FOflIN ENERGYPERMIT (�ry�. f'�t� t�T�-1t,{ 7�,77` � � SECTION37aeOFTHELABORCOOE.IN7EREST,ANDATTORNEY'SFEE5. RETENTIONFEE: �+T�M1� VrU"�'��Y1,oqk`Ilyd�� �� � CONSTRUC710NLENDMGAGENCY PRE-AL7FEE: �U"'Dtl`IVt11YJ,✓ !'RF'#S � - � I HERE9VAFFIRM UN�ER PENALN OF PERJURY iMATTNERE IS A CONSTRUCTION LENOING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICHTHIS OFAMIT IS ISSUED(SEC.3097,CIV.CJ. . � W � LENDER'S NM1E h— LEN�ER'SADORESS � � � _ � ICERTIFYTHATIiIAVERF0.DTHi5APPLICATIONAN�STATETIIATTHEA80VEINFORMRTIONISCORRECT. TOTAL FEE� � d � I ApREE TO CAMPLY WITHALL CfTV AN�COUN7V Ofl01NANCES AND S7ATE LAWS RELATING TO BUILDING - ` � CONS7RUC710N.AND HEREBV AUTHORI2E REPRESENTATIVES OFTHIS COUN7VT0 ENTEfi UPP�dTHE 7 ABOVE-MEM'IONED PROPERTY FOR INSPECTION PURPOSES. � COMMENTS �s 3."��. _ �8-+►t� �0..:...�.5i dt:cat���-`�`i�= �"��,i 1��i�' m PERMITTEE 0 E(PRINT� .! 'S'• � ,,�._..,��. l� �,,-� �l�">�� � ,� � SICNANREOFPERMITfEE —�� �- ' � onre pEGPT.NO. 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