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HomeMy WebLinkAbout10456 , �_m:. ___. ::>..�_�: ,. _, �_ ::.. _ , . ,. _�: _ _,_ ,,�.�.�_.�-�,�.�_._ ----,,�„_.. .w. _ ,.:�: � P ' E�CPlRED C1TY OF DIAMOND BAR � � COIVIMUNITY DEVI�I;Optvi DEPA E� n .c 21660 E.Copley Drive Suue 190 , O C� v 3 ZOOO pRESS (909)860-3195 Fax C�97 g61-3111 �""''" BUILDING PERMIT APPLICATION FIRM4X � JOBSITE , ; , , ,,;� APPLICATION PERMIT.. .� .. ,. ;� . P/C ' _, _ o ADDRESS 22865 HIL�A7 HFAI7 #13$2 DATE NUMBER-'����`'' Y# � APN 40T TRACT �SSUE �+� � �. TYPE OCC DATE �� „� �' � CONST. GROUP o OWNER Dia[mnd Bas TeruLis Club H.O.A. "- ADDRESS C o Canprehenslve PrOpeYty Mg't. BOX 0 ZONING SETBACKS y CITY �'me�' ZIP �TE�L. �-U� 5�98=.i1 O FRONT RW ❑ g APPUCANT TE�.��r�� 4 S DE/SIDE STREET RW ❑ � CONTRAGTOR �In L�1-4r1ti1lqr IriC• SIDE ❑ p� ApDRESS 15189 SiexYa BOnita Ic'iT1e � '' pROPOSED USE �' c�rv Chino z�P 91710 Te�.(909) 597-7734 Q ARCH/ENG/ z DESIGNER n/c — � NO.DWEL. NO. NO. a. ADDRESS UNITS STORIES BEDROOMS � ClTY ZIP TEL. cn v� DESCRIPTION SQ.FT: FACT�R PSF ADJ.AREANALUATION pC OWNER-BCILDER DECLARATION SFR/ApD/REM O � I HEfiEBV AFFIRM UNDER PENALTY OF PERJURV THAT I AM EXEMPT fROM THE CONYRACTORS LI- � Garage/Carport W CENSELAWFORTHEFOLLON'INGREASON�SEC.7IXi1.5BUSINESSAN�PROFESSIONSGOpE:l1NYCITYOR C.) COUN7YWHICHREOUIRESAPERMITTOCANSTRUC7,ALTER,IMPR6VE:DEMOUSH,ORREPAIfiANYSTRUC- W Patio/Dadc� Z TfIRE,PRIOfl TO ITS ISSUANCE,AL50 REOUIRES THE 0.PPLICANT FOR SUCli PERMIT TO FILE A SIGNEO �� W STATEMENT THA7 HE OR SHE IS LICENSED PUqSUANT TO THE PROVISIONS OF THE CONTRACTORS ll- w � CEN$E LAW(CHAPTER B(CbMMENCING WITH SECTION 7000)OF OIVISION 3 OF THE BUSI%lESS M1D PRO- � PooVSpa FE3510NSWDE)ORTHATHEORSHEISEXEMPTTHEREFROMAND7HEBASISFORTHEACLEqE�EXEMP• � p TION.ANYVIOI.ATIONOFSECTION7097.58YANVAPPUCANTFORAPEFMITSUBJECTSTHEAPPLICANTTO Z Re-Rooi A CIVIL PENALTY OF NOT MOPE THAN FNE HUNDREO DOLLRRS(5500)J:� "'' ��' � � ❑I,ASOWNER�FTHEPROPERTY,ORMYEMPLOVEESWI7HWAOESAShIEIRSOLECONPENSATION, � GOfnmBfCiel WILL DO THE WORK.AND THE STRUCTURE IS NOT INTENDED OF OFFERED FOR SFI.E�fSEG.7044,BUSI- J � NESS AND PROFESSION6 CODE:THE CANTRACTORS IIC�N&E LAW OOES NOT APPLY TO AN OWNEq OF � PROPERTY WHO BUIL�S OR IMPROVES THEREON;AND Nh10 DOES SUCH WOFK NIMSELF OR i1ERSELF OR � THROUGHHISORHERO+NNEMPLOYEES,PROVIOEDTHATSUCHIMFqOVE(fENT5ApENOY'YNYENDE�OR m WQ OFFEI7EOf-0RSALE.IF,HOWEVERTMEBUILOINGORIMPflOVEMENTI550LDWITHINOFIEVFAqOFG�OMPLE- Z T�ON,THE OWNER�BVI4DER WILL FNVE THE BURDEN OF PROVING THAT HE OR SHE�ID NOY BUILD OR � IMPPOVEFpR7HEPURPOSEOFSALE). _W ❑�,ASONRdEfiOFTHEPROPERTI(AMEXCLUSWELYCONTRAC7WGWRHLICENSEDCdNTRACTOR3 � TO CANSiRUCT TFIE➢RQIECT�SEC.7044,BUSINESS AND PROG'ESSIONS COOE:THfi CAIJTRACTOqS LI- VflIUdl10� ADJ.AREA W CENSELAWpOESNOTAPPLYTOANONMEROFAPROPERTYWHOBUILOSORIMPRpVESTFI�REtN1,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONiRAC70R(S)LICENSEDPUFSUANT70THECONTRAC- QUANTIIY DESCR�PTION FEE Y TORS UCENSE LAW.�, � ❑IAM EXEMPT UNDER SEC. 8.8 P.C.FORTMIS REASON Q � Ct�ange Electrical Pecl�sta.l. � U W � DATE OWNER U Z W � LICENSED CON7RACTORS DECLARATION �� W � I HEPEBYAFFIqAI UNOER PENAL7Y OF PERJURV THAT I AM LICENSED UNDER PqOV15!ONS Ok qHAPiER � d e(COMMENCING WITH SECTION 700J�OF DIVI510N 30FTHE BUSINESSAND PROFE3S�ONS CODE.AND Z X AIV LICENSE IS IN FULL FORCE AND EFFECT. O LICENSECL/1SS c10 ��c.No. 729594 = V DATE CONTRACTOR - d W � WORKERS'COMPENSATION DECLAFiAT10N� � --� � d Ni HEflEBY AFFIRM UNDER PEW1lT'OF�ERJURY ONE OFTHE FOLLOWING OECIARATIONS: Z Q z _IHAVEAN�WILLMAINTAINACEflTIFICATEOFCANSENTTOSELF�INSUREFC1qWORKEI�S' S cAMPEN5A710N,A5PPOVIDED8Y5EGTION37ooOFTHELABORCODE,FOflTHEPERFORMANCE �J ¢ OF THE WORK FOR WHICH THIS PERMIT IS ISSUEb. � � w _I HAVE ANO WILI MAINTAIN WORKERS'CAMPENSATION INSUR0.NCE,AS flEQl11RED BV SECTION Q 370o OF 7HE LABOR COOE,FOR THE PERF-0RMANCE OF hIE WORK FOR WHICH THIS PERMYf IS ISSUED.MV WORKERS'CONP&NSATION INSURANCE CAFflIER AND POLICY NUMBEfl AFlE: CONSTRUCTION __ J �'Y�.TIQTIt C'�l�1StZ1�'1 � CARRIER PLAN REVIEW . . . _...__ __ ._. . _ � POLICYNUMBER Tn1fQ9FiF779(]7-fl� _�����. � . . . ` ��. � � Q ,.�_m 0 (MISSEc�IOPtNE�No7�07MalE7EDOFiYIEPEPo�TfISWHONEhunOREDDOt1NS(Sim)ORLESS). PLUM6ING Z I CERTIFV TNAT IN THE PERFORMANCE OF THE WORH FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL (!j SHALLNOTEMPLOYANVFERSONINANYMANN'eRSOASTOBEfAMESUBJECTTOTHE (n WORKERS'COMPENSPTIONLAWS�OFCALIFORNIA AC,REETHA7IFISF10ULo8EGOME� INSPECTIONFEE SUBJE TOTHE RKERS'CAAI7ENSATIONP SIONS FSECTION 7000FTHELABOR ,��..."'� � �E, L O HCOMPLYWITIWI EPROVIS JS. _ISSU�r' � � SMIP p DATE: APPLICANT. WWARNING:FAiLURETOSECUREWORKER3'COMPENSATION VERpGEISUNLAWFUL,ANDSHALLBE ENERGYP/C � SU&)EC7ANEMPlOVEBTOCRIMINALPENALTIESANDCIVIL NESUPTO�NEMUNDREDTFIOUSANb ENERGYPERMIT �OLLARS(tt00,000),IN ADDITION TO7HE COST OF CAMPENSATION,DAMAGES AS PRbVIDED FOR IN � SECTIDN 37oe OFTHE LABOR CODE,INTEREST,AND ATfORNEY'S FEES. RETENTION FEE: pW.. CONSTRUCTION LENDING AGENCY pRE-ALT FEE: ka��.� � �' O � t HEREB�AFFIRM UNDER PENALTV OF PERJURV THA7 THEHE IS A CONS7FUCTIIXJ LENDiNG AQENCV fOR THE PEflFORMANGE OFTHE WORK FOR WHICH THIS PERMIT 19133UED(SEC.3097,CIV.C.). Z � :.�,„�. . �. W � LENDER'SNAME ' F— 4END6RSADDRE55 ����Y� W ICEHTIFYTHq7iHAVEREADTHISAPPUCATIONANDSTATETNATTMEABOVEINFORMATIONISCORRECT. TOTAL FEES � .�.� �'g �� ,: �� '� �- � i AGR6E TO COMPLV WITH AL�CITV AND COUMY ORDINANCES AND STATE LAWS PEIATINO TO BUILDING d � CON57RUCTION,ANO HERE9V AUTHORIZE REPRESENTA7IVES OF THIS COUNTY 70 ENTER UPON THE �' '' ' - Z A80VE�MENTIONED PROPERTV FOR INSPECT�ON PURPOSES. COMMENTS � ��� . ... �: J 3 I! m ` .. ¢ PERMI E(iRINT� .°.��f'^/ :� 1 ��o I I ' � �R�"4/ � . t 1 k d�j � SIQNATI OFPERMI EE ATE /*��_r3 �/�+'�^1� t µ;y�A �,`q ��t,-�. ' —y - RECPT.NO.t�_a <�^� PAID BY .✓^� VALIDATION R � � WHITE—Department Copy.YELL044—Finance Copy.PINK—Assessor Copy.60LDENROD--File Copy.GREEN—AppOcent's Cbpy�� •"''.�. '°!�,'- � , �. ,,,. . , r; , 1��A; � ., yD. � .. , � �� �� • � •� ' . � - ��_:. 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