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HomeMy WebLinkAbout10443 " C1TY OF DIAMOND BAR COMMI1NTfY DEV�LOPIvIENT DEPARTMENT ,.'�--- � .;,.,.' 21660 E.Copley Drive Suite 190 PRESS (909)860.3195 Fa:{9p9)861-3117 � BUILDING PERMITAPPLICATION FIRMLY .,. :._ oN JOBSITE �812 F�L2�ON HF�1D #616 .�^ APPIICATION � � PEF2MIT ���,r.d� P/C ADDRESS DATE_ / NUMBER ��✓' # � ISSUE /'��,�/ TYPE OCC .- APN LOT TRACT DATE �� "� CONST GROUP g OWNER ���iC&'ld�s C1Ub H.O.A.. __ z CtTY �1 ZIPe TEL. (909) 59 X � ZONING SETBACKS `p ADDRESS y $_318 FRONT RW ❑ . g APPLICANT TEL.��?�3 REAR ❑ � SIDE/SIDE STREET RW ❑ OCONTRACTOR � Li4ilta_rlg. InC. SIDE ❑ ADDRESS 15189 S' �- i a 'Tanc� CITY QlinO ZIP 91710 TEL. f 909) 597-773 PROPOSED USE w ARCH/ENG/ z OESIGNER �/C W NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION p� OWNER-BI:ILDER DECLARATION SFRlADD1REM O 1 HEREBV AFFIRM UNDER PENALTY OF PEfiJURV 7HA7�AM E%EMPT FROM THE CONTRAQTORS U• G8fB9B/CHfp011 W CENSEUWFORTFIEFOI.�OWtNGREA50N�SEC.7037.5BUSWESSANDPROFE5510NSWDE:ANYCITYOR (n U COUNTyWHIGHRE�UIRESAPERMITTOCDNSTRUCT,ALTER,IMPROVE,DEMOLISH,OflRE?AIRANYSTRUC• W P9Si0IOeClf W TURE.PRIOR TO ITS ISSUANCE,ALSO REOUIHES THE APPLICANT FOR SUCH PERMIT TO fllE A 910NEp W STATEMENT 7NAT HE OR SHE IS LICENSE�PURSUANT TO THE PROViSIONS OF THE COM7RAC76RS G• � CENSE UW 2CHAPTER 9�COMMENCINa WIiH SECTION 7000)OF DIVISIqN 3 OF THE BUSMESS MU}PPO. u- PooVSpa FESSIONSCODE)ORTHATHEOHSHEISEXEMPTTHEHEfROMANDTHEBASISFONTHEN.LE0E0EXEMP� (�J V TION.M7VVIaATIONOFSECT10N7os1.5BVANYAPPUCANTFORAPERMITSU&IECTSTHEAPPUC}�NT70 Z Re-Roof � - ACIVIL PENAI.TV OF NOT MOFETHAN FIVE HUNDRED DOLtAR3(550�.): OI,ASOWNEROFTHEPROPERN,ORMVEMPLOYEESWITNWA6ESASTHEIRSOLEGOMPENSATION, 0 Z Commercial WILI DO THE WOHN,AND THE SiqVCTURE IS NOT INTEHDED OR OFFERED FOR SALE(SEC.704�,BUSb J � NESSAND PROFESSIONS CODE:THE CONTRACTORS UCENSEUW DOES NOT APPLV TO AN'OWNER OP PROVERTVWI�OBUILDSORIMPROVESTHEREON,AND4MODOESSUCHWOBNHIMSELFORHEtSSELFOR = � THROUpH HIS OR HER�OWN EFIPLOVEES,PNOVIDED THAT SUCH IMPROVEMENTS ARE NOT�INTENDED OR m � OFFEREDFORShLE.IF,HpWEVER7HEBU�0INGOPIMPROVEM9JTISSOIDWITHINONEYEAROFCOMPLE� Z 710N,THE OWNER-BUIIAER W�LI HAVE THE BURDEN Of PROVIN�THAT HE OR SHE DID NGT 9UpD Op = IMPqOVE FOR THE PURPOSE OF SALE). � ,W ❑I,ASONMEROFTHEPROPERTY,AME%Ct,U51VELYCqNTRACiINpW11HUGENSEDCOMTMCTORS � TO CONSTRUCT THE PRQIECT(SEC.701�,BUSINESS AND PROFESSIONS CODE:THE CONTRACipRS LI- VelU8lld1 ADJ.AREA W CENSELAWDOESNOTMPLVTOANOWNEROFAPROPERTYWHOBUIL0.SORIMPROt/ESTHEHEON,AND � WFiOWMRACTSFORSUCHPROJECT3WITHACONTRACTOR(5)LICENSEDPURSUANTTOTHECONTMG QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). � � ❑1 AM EXEMPT UNDER SEC. B.8 P.C.FOR THI6 REA60N q � � U u.. � OATE OWNER � � W � UCENSED CONTRACTORS�ECLARATION W � I HEREBY AFFIRM UNDER PENAI.TV OF PERJURV THAT I AM LICENSEO UNOER PROV1510NS OF CNAPTER � - � � d 9(COMMENCING W�TH SECTIpN 7000)OF DNISION 3 OF TNE BUSINESS ANO PPOFESSqNS COUE,AND Z. X MY LICENSE IS IN FULL FORCE AND EFFECT. m LLI � LICENSECLASS C10 uc.r,o. 729594 � _ � J V DATE CONTRACTOR ... .. . .. ....... . d w � WORKERS'COMPENSATION DECUIRATION ��� � �� ¢ � I HEREBYAFFIRM UNDER PENAITY OF PERJURY ONEOFTHE WLLOWING OECLAMTIONS: z Z _IHAVEPNOWILLMAINTAINACERTIFICATEOFCqNSENTT06ELF-INSUREFORWOqKERS' _ . Q COMPENSATION,ASPROVIDEDBYSECTION37ooOF7HElA80PCO0E,PoRTHEVERFORMANCE W O OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � _t HAVE/WD WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUI0.ED BV SECTION � 970o OF THE IABOR CODE,FOFl THE PERFORMANCE OF THE WORK FpR WHICH 7HIS PERMIT 19 ISSUm.MV WORKEfiS'COMPENSATION INSURANCE CARRIER AND POIiCYNUMBEfl ME: CONSTHUCTION . j CARRIER j��"�� ���TION P� � POLICV NUMBER ' ELECTRIC 1` Q o ��secr�r�mr�orse��ooF,��wwrswaaaer«xo�ooa,�v�sa,�>a+�ss} PLUMBING Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL Q} SNALLNOTEMPLOYANVPERSONINANVMANNERSOAS708ECAMESUBJECTTOTHE � WORNERS'COMVENSA710N UWS OF CALIWRNtA,A l3HEE T IF I SHOULDBECOME INSPECTION FEE = SUBJE TO THE RKEHS'COMPENSATION PRO NS OF S ION 370o OF E LABOR E, SHALL F H COMPLY WITH S VISIONS �SSUANCE � �-^� SMIP p DATE: APPLICANT: J WARNINQ: ILURE TO SECUPE WORKERS'COMPENSATION COV AfiE IS UNUWFUI,ANO SH/J.L BE ENERGY P!C �y SU&tEGTANEMPLOYERTOCRIMINALPENA471ESANOCIViLFINE UPTOONEHUNDREDTHOUSANp ENERGYPERMIT 09lLARS(S1o0.o00�,IN ADDITiON TO THE COST OF COMPENS�TION,OAMAGES AS PROYIDED FOR IN � SECTION370BOFTHEUBORCODE,INTERES7;AN�ATTOflNEVSFEES. RETENT7ONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE � I HEREBY AFFIRM UNDER PENALT/OF PERJURY THAT THERE IS A CONSTRUCi10N LENDINO AGENCY �- FORTHE PERFORMANCE OF THE WORK WR WNICH TMiS PERMIT IS ISSUED�SEG 30a7,CIV.C.). � Z W � IENDER'S NAME � 1-- LENDEH'SAUORESS W ICERTIFYTHATIHAVEREADTHISAPPI.ICATIONANDSTATETHATTHEABOVEINGORMATWNISCORRECL TOTAL FEES � �" � IAOREETOCOMPLVWITHALLCIT'ANDCOUNTYORDINIWCESAN�STATEUNSRQATIN6708UILDING - � CANSTRl1C710N,AN�HEREBV AUTHORRE REPRESENTATIVES OF THIS COUN7Y TO ENTER UPONTHE � . �� Z ABOVE-MENTIONED PPOPERTV FOR INSPECTION PURPOSES. COMMENTS o y IN _ m " Q PEFpAI E(PRINT) / � .�.: [n (L 4 II '.�:B. f ' ,?�,,2 _�p...:�i tl�.A�.�.x.. uj SIONANRE OF PERMITf DATE RECPT.NO.�?w �G+"� PAID BY ���' ����r 1 I.�VALIDA��ON �a � WHRE-0epartment Copy,YEI.LOW—Finance Copy,PINK—Asaeasar Copy,QOLDENROD—Flle Copy.6REEN—AppllcaM's Copq' ' -` ,. . _,, ,v ._.. _ �. ..-,�:�� . 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