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HomeMy WebLinkAbout17082 (26) __ _ _.___.... _ ��._.�.._ . . ,... __ __ ;_=� _ _� ��_ _ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive 5uite 190 (909}860-3195 Fax(909)861-3117 PRESS ��,���°'+`' BUII.DING PERMIT APPLICATIbN FIRMLY o ADDRESS ZZ 0`!� Tt+(TV h �,_ DATE CATIONC.� � �� NUMBER 4�v�p� #/C � APN LOT TRACT DA EE � ! v O ST. GROUP p OWNER p ADDR S ' .(�, O S ZONING SETBACKS � CITY tl ZIP 7 TE J REAFtT RW p APPLlCA T��• SIDE/SIDE STREET FiW ❑ � CONTRACTpR � C,. SIDE ❑ � C�� S �h Z�P ��� T�,/ PROPpSED USE 4 ARCH/ENG! �� z DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION q� OWNER-BUILDER DECLARA710N SFR/ADD/REM O � �HEREBY�FFIRM UNDER PENALN OF PERJURV THAT 1 AM EXEMPT FROM THE CONTRACTORS LI- G9fd9B/C8�0l1 W CENSEUWFOHTHEFOLLOWINGREA50k(SEC.7031.5BUSINESSAN�PROFESSIONSGOOE:ANYCITYOR (n �7 (�JKiYW�{ICHREIXI�HESAPERMRTOCONSTRUCT,ALTER.IMPROVE,DEMOLISH,ORREPAIRANVSTflUC- Z TUPE,PRqH TO ITS ISSUANCF..AL50 REQl11RES THE APPLICANT FOR SUCH PERMIT TO FlLE A SIGNE� W PatiolDeck W 37ATEMENT THAT HE OR SHE IS L�CENSm PURSUANT TO THE PROVISIONS OF THE CONTRACTOFlS LI� W `� CENSE UW�CHAP7ER 9(COMAIENCINO WITH SECTION 7000)OF OIV4510N 3 OF THE BUSINESS AN�PRO. �'�' PDoUSpe 1F FESSIONSCODE)ORTIiATHEOR5HE15EXEMPTTMEREFfiOMANDTHEBA515FORTHEALLEGEDEXEMP- (!3 � TION.ANYVIOUTIONOFSECTION7031.68VANVAPGLICANTFORAPERMITSU&IECTSTNEAPPLICANTTO Z RB-ROOf � ACMLPENALTYOFNOTMOFETHANFIYEHUNDRE�DOLLARS�f5o0).7: � ❑I,ASOWNER�FTHEPROPERTV,ORb1VEMPLOYEESWITHWAGESASTHEiRSOLECOMPENSA710N, C� �mmercial - M/ILL 00 7NE WORK.AND THE STRUCTURE IS NOT INTEN�ED OP OFFERED FOF SALE(SEC.7D44,BUSI- J � NESS AND PfiOFESS10N8 CO�E:THE CANTRAC7'ORS LICENSE lAW DOES N07 APPLV?O AN OWNEH OF � PROPEHIV YhiO BUILDS OR IM�ROVES THE.9EON,AN�WHO WES SUCH WOFK HIMSELFCP NERSELF OR (,� THROUGHHISORHEflONNEMPLOYEES,PROVIDEDTHATSUCHIMPROVEMENTSARENOTMTENDE�OR m AOFFEPEUFORSPLEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOWWRHINONEYEAROFCOMP!.F. Z TION,?HE OWNER-BUILDER WIU.HAVE THE BURDEN OF PpOVMG 1}IAT HE OR SHE OID NOT BUILp OR � UAPROVEFORTHEPURPoSEOFS,LLE). w q1,/450y�NENOFTHEPROPEfiTY,AME%CWSNELYCANTRACTINCWiTHUCEN5E0CANTRAC70R$ � � TO CONSTRUCT THE PR0.IECT(SEC.7044,BUSINESS AN�PROFESSION5 CADE:THE CONTRACTOqS LJ- VBIUBil011 ADJ.AREA 111 CENSEUWOOESNOTApPLYTOANOWNEROFAPROPERiYWM08UILU50RIMPFlOVESiMEREON,AND - - � Nk1000NTRACTSFORSUCHPROJECT5WI7HACONTRACTOR(S)LICENSEDPUFSUAMTTOTHECO4TMG QUANTITY DESCRIPTION FEE X TORS UCFNSE LAW.). O ❑�UA E%EMPT t1Np�R SEC. __B.8 P.l;_fOR THIS REASON Q K����, r� � � 4' DATE OWNEF U � LICENSED CONTRACTORS DECLARATION W J � IHEREBVAFFIPA7UNDERPENALNOFPERJUF�'TNAiIA1A(JCENSEDUNDERVROVISIONSOFCHAPTER � d B(OOMMENCINOWITHSECTION7000)OFDIYISION30FTHEBUSINESSANDPROFE5510NSCODE.AND z _ _ MYUCENSE IS iN FlJLL FORCEAND EFFECT r 0 LICENSE CLASS,_ I�✓__,�LIC.NO. �� / �..J�� � � J _ V DATE CDN7pACTOR d w C� WORKERS'COMPENSRTION�ECLARATION a = U � I HEREBY AFflRM UNDER PEN.4L7V OF PEfiJURY QNE OF THE FGLLOWING�ECLARATIONS: z l� _IHAVEANDWILINAWTAMACERT�FICATEOFIX]NSENTTOSELF-INSUREFORWORKEFS' 2 Q COMPENSATION,AS PROVIDED BY SEGT�ON 3lOp OF TNE LABOR CODE,FOR THE PERFORMANC[ w i9F 7HE WJRK FOR WHICH TNIS PERMIT IS ISSUEp, � 1� / V I HAYE AND WILL MAINTAIN WORKERS'COMPENSATION INSUMNCE,AS FEOUIRED BV SECTION Q 37ooOFTHE�ABORCODF,FOR?HEPERFORMANCEDFTHEWORKFORWHICHTHISPEF�AIYIS p �SSUE�.MY OpKEqS' MPENSATIONINSIfRANCEC RRIERANDPOI1C�V�NUMBERARE� CONSTRUCTION jCARHIER �q.�� f ��► �� n� r"Y� PLAN FiEVIEW � � va�!CY NUMBFp� 01 .S '- _.__ ELECTRIC Q (fHLSSECI%NJNE�NOTBE�MY,,E7EDOFiHEPEHMffISfOf'iCNEMkh'1DRED�I.LhRS(5100)ORLESS} PLUMBING � I GE9TIFYTHAT IN THF PERFORMANCE OF THE WORK FOR WHICH TNIS PERMIT IS ISSUED,1 MECHANICAL . (� SHALLNOTEMPIOVANVPERSOPIINANYMANNERSOA5TO8ECbMESU8JEC7TOTHE (/3 WORNERS'COMYENSPTION LAWS OF CAGFOflNIA,AND AGREE TNAT iF I SHOULO BECOME INSPECTION FEE � SUBJECT TO THE WORKERS'COA4PENSATION PqOViSIONS OF SECTICN 370o OF THE IABOR � cyQ E,I SNALL FORTHWI'fH COMPLY WI'H 1 MOSE PROYISIUNS. ISSUANCE _ Y � [,.�7� �� SMIP p �ATE: I� ,I-_.0�_ APPLICANT: - J WAiiNINO:FA�LURE TO SFCURE WORK�pS'COMPENSATION COVERAOE IS UNLAWFUL,AND SNALL BE ENERGY P/C _____ � SUBJECTANEMPLOYERTOCRIMINALPENAlTIESANDCIVILfMESUPTOONEHl1NOREDTHOUSAND ENERGYPERMIT DOI.LARS IS��.�).�N ADDITION TO TNE COST OF CAMPENSATX)N,DqMAGES AS PqOVIDEO FOR IN - � SECTI�N3]a80FTHEL,4BORCOOE.INTEREST.ANDATTOFNEV'SFEES. FETENTIONFEE: d CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: O � I HEREBV AFFIRM UN�ER PENALTY OF PERJURY THAT THEPE IS ACONSTRl1CTION LENDING AGENCY FOR 7HE FEAFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oe7,CIV.C.). . Z W �.Z LENDER'S NAME _, � F_ LENDER'SA�DLiESS � ICERiIFYTHATIHAYEREADTMISAPPlICAiIONANDSTATE7HATTHEAeOVEINFORMqiIONISCORRECT. TOTA4 F�ES �+C�l• �� � 1 AGREE TO COMGLV W17H ALL CIN ANp�pUNTY ORDINANCES AND STATE LAWS HELATING TO BUILOMG � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIYES OF THIS COUNTV TO ENTER UPONTHE Z ABOVE�MENTIONEO PAOPERT'FOR INSPECTION Pl1RPO5E5. COMMENTS � Lr4-QQ.. S Q n� _ QPERMITTEEN (P INT) 6 C!) � �..�9 � "�! ' {n SIGNA7UREOFPENM " ATE � RECPT.NO. PAIO BY . VALIDA710N WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRQD–file Copy,GREEN—ApplicanYs Copy , � � �� �, ���� � �����°�����,�,� � � . � �� ���� ���#� � �� �����'� ��� � � ������� ��"� �'� �� � �: � �:: ����_ � � ., x�� ��j..� � � �:�� � � �� �.�,�� �5 ����� � � ��� � � � ��tr $ ""�. *: � °� �1�. � ' '� �.�h � �-r �� �. 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