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HomeMy WebLinkAbout10452 (5) �,._ � _._.. _,.,,..,. . m____ ..4r�,_.�, .�...._�r �._<.__, � .,.. .. . . ..�._.,�.�.-�,Tr,��..�,--m, --�..;� ��.�. . , ,,.-.....�„�. ,.. �, ��-�,. _-.-:� _�,�..�..,_�.�� � � CITY OF DYAMOND BAR � ��I.r' � �����t�C� • . :w ii6�6o�C pjeTYY�DEs'�FLO�C�3�N1'D�PAR o(,{ t� � �r� PRESS (909)860-3195 Fax(909)$61-3117 C�1u� �'^M' BUII..DING PERMIT A�PLICATION FI RM LY� , � JOBSITE .H�a�.yk�-.'� �u � + �Ra� . �C✓�"�� . :. , �.,, ,� ,,,.: �„, �-� ; APPUCATION PERMI7 P/C Q ADDRES5 22$0� E3��T �+��� - �. �N DATE NUMBER # c� ISSUE ,a TYPE OCC APN LOT TRACT DATE �'� �� �� CONST. GROUP p OWNER D1c1IClOIld &1T T�TI:I_S CZL7b H.O.A. "' ADpRESSc O G�mpr�hen.sive Propex`ty M9t., PO O ZONING SETBACKS z CITY �eY 2fP � TE����r8O FRONT RW ❑ g APPLICANT TEL.����4 REAR ❑ � . SIDFISIDE STREET RW ❑ CONTRACTOR `1'2dIIl Iil-q�1t]17aLIriC. �, SIDE ❑ � AODREs515189 Siexra Lonita Iane O Cm• �zp Z�p 91710 TE�(909 597 7734 PRdPOSED USE w ARCH/ENG/ WDES,IGNER 1"1�d NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS = CITY ZIP TEL. � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION .,.,,..;. � p� OWNER-BCILDER DEQLARATION SFR/ADDIREM O p I HEREBV AFFIRAI UNDER PENATY OF PERJl1RY 7HA7 I AM EXEMPT PROM THE CUNTRACYOAS LI- G0f&gB/CBryOfI W CENSELIWFORTHEFOLLOWINGREASON(SECJ091.59U$�NE33AN�PROFEBSIONSCODE:ANYb�ITYOR (n U COUNTYWFiICHREQUIRESAPERM�TTOCONSTRUCT,ALTER,1kPROVE,D9A0LISH,ORREPA1pANV§TqUG W pati0(OBCk w7URE,PRIOP TO ITS ISSUMICE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FlCE A SIONED � STATEMENT iH�T HE OP SHE 16 LICENSE�PURSUANT Td THE DqOVISIONS OF'I}IE CONTRACTORS lL � CENSELAW(CHAPTEfl9(COMMENCINCiWITHSECTION7000jOFDIVIS10N90FTF1E6l')SINE95/J30VFI4• �'�' POOVSPO FE5910N5 CODE)OR THAT HE OR SHE IS EXEMPT THEREPROM AND THE BASIS FORYHEALLECEO EXEMP� � TION.ANYVIOLATIONOFSECTICN7o37.581'ANVAPPLICANYFORAPERMITBU&IECTSTHEAP741tFF�TTO Z RB-ROOf � A CIYI4 PENALN OF NOT MORE THAN FIVE HUNDRED DOLIARS(350D).f: '"'' ' -`-'"' � pi,ASOWNEROFTHEPROPER7Y,ORMYEMPLOYEE5W17MWAGESASTHEIRSOLECOMpENSAhON, � COmrt181Ciel WILL DO THE WORI(ANO THE STRUCTURE IS NO7INTEN�Eb OR OFFEHED FOR SALE(5EC.707�;BUSI- J NESS AND PRDFESSIONS CODE:THE CANTRACTOAS LICENSE UW OOES NOTMPLY TO ANbYlNER bF � PiiOPEfiTY4VHO8UIID50RIMPROVESIHEREON,ANDWHODOESSUCHVJORKFdK4S'EI.FORIiERSELK'C1R � � 7HROVOHHISORHEROWNEb1PLOVEES;PpOV10ED�7HA75VCHIMPROVEMENTSqHE�NDtINYENbE00R � QOFFEREDFOHSPLE.IF,HOWEVER.7NEBUILDINGORIMPROYEIAENTISSOLDWRHINON'cYEAR(3CC6h1W.E Z 710N,THE OWNER-6UILDER WILL.HAVE THE BURDEN OF PFqVING THAT HE OR SHE DI�_NbY 6UfLD-OR � IMPROVEFORTHE�VURPOSEOPSALE). - - �� �-� �� TO CONISTR C�THE PROJ�CT�(EC 06�BU8 NESS ANDpdOFEA5510N5 CADE TNE GON�7RACYUN�RS W CENSEUWOOESNOTAPPLYTOANOWNEROFAPROPERTYWH08UtLOSOH�MpqdVES7HEN�ON,AND V81Uflti011 ADJ.AREA � WHOCOMfIACTSFORSUCHPROJECTSWITHACONTRACTOR(SryLICENSE�PURSUAN7TOTHEC4NTpAG Q�JqNTIIY DESCRIPTION FEE TOR54iCENSE LAW.). '.i:.J � O I AM E%EMPT UN�ER SEC, B.&P.C.fOR 7NIS REqSON � � ��11ge '�'-C�C�Y'1CZ�- P2��S�Z�- � � LL" OA7E OWNER ..�.. ����"...� , � W �Q LICENSED CONTRAC70RS DECLAiiATION '- - ° W 2 I NEREBV AFFIRM UNDER PENALTY OF PERJURY THAT�AM UCENSE�UNDER PROVISIONS�OF CHAPTER� � d B(COMMENqNG W�iH 3ECTION 7�0)OF DIVISION 9 0F THE BUSINESS AND PROFESSIONS�CO�E,AND" � `X MY LICENSE IS IN NLL FORCEAN�EFFECT. m � LICENSE CUSS C1 O uc.r,o. 729594 � F" DATE CON7RACTOR " �'le a W - ,i ��I ;,�� � WORKERS'COMPENSATION DECLARATION �� a � V � I HERE9Y AFFIRM UNDER PENALTV OF PERJURY ONE OF THE FOLLAWING DECURA710NS: Cf� Q Z _IMAVEANDWILLMAIN7AINACERTIFICATEOFCANSENTTOSELF�iNSUREFORWOFKERS'�� - �� _ COMPENSATION,ASPROVIDEDBVSECTION37aoOFTHELABORCODE.FORTNEPERFOi7AlANCE C) Q OF THE WORK FOR WHICH iM15 PERMIT IS ISSUED. � 0 W �I HAVE RNO WILL MAINTAIN WORKERS'C067PENSATION INSURP.NCE,AS FEOUIRED BY SECTION Q 370o OF THE IABOR CODE,FORTHE PERFORMANCE OF THE WORK FOR WHICH THIS PEflM1Y IS ISSUEO.MY WORKERS'CAMPENSA710N 1NSURANCE CAFRIER AND POLICY NUMBER ARE:�� CONSTRUCTION J � CAFiFIER F`r�rnc"n�i'�" �'rn'tmnGat i nn PLAN REVIEW / �� t,, zPOLICYNUMBER_. . . . .. WI�TAFiFiJ�J9���—(]2 . . . . . �•., �ELECTRI� .. . . .. . .. . . . p�/! ' :r� Q � �n+ISSEcr�oraNeWna7eEca.ViE7EooFn+EaEiMNrISFORONeM�wr+moalhRs(s�m)or+iEss} PLUMBING Z I CERTIFY THAT IMTHE PERFORMANCE OF THE WORK FOR WHICH THIS PERFAIT IS I$SUED.1� MECHANICAL (� SHALL NOT EMPLOV ANY PERSON IN ANY MPNNER SOAS TO BECOME SU&IEGT TO'THE Uj WORKERS'COMPENSATION�AWS OF CALIFORNIN.AND EE �-T IF�1 5HOULD BECOME� �� INSPECTION FEE � SUBJECT TO THE WORKERS'COMPENSATION PROVIS OF S TION 370D TME IABOR' �""""'—'� �'0�y"' '�"'� = C�DE, SHALLF .W�fITHCOMPLYWIhITH E ISIONS -_�SSUANCA : p DATE: L� /APPLICAN7: ,_ SMIP � ` ENERGY P!C WARNINO:FAILl/RE70SECUREWORKERS'COMPENSATIONCD AGEISUNWWFUI,ANDSHALLOE ,ry �y SUBJECTANEMPLOYERTOCRIMMALPENPLTIESANDCNILFN7 suamoNeNUNoqeoTriousqNO� ENERGYPERMIT �� � � �tr �g � �OI.LAflS(5100,W0),W A�DITION TO THE CAST OFCOMPENSATION,DAM0.GE51uS P(iOVID�D FOR IN f. 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