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HomeMy WebLinkAbout11160 (5) � - CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT .,,.� • � 216G0 E.Copley Drive Suitc 190 PRESS (909)860-3195 Fax(909)861-3117 } �'•"'"� BUILDINGPERMITAPPLICATION FIRMLY � OJ08SITE p DATECATION 'Z� ` NUMBER #/C � Q ADDFESS_�2�I! .� C-I i I�ZEWFRy ���t _� � � ISSUE lYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER D1c�IZd Bdr TE,',Tlt'11S CIUb H.O.�. � o ADDRESSc o r cnslve I'rop. Mgt. .0, Bpx ��b ZONING SETBACKS ; w y 8-31 FRONT �_ RW ❑ z CITY ZIP TEL. � p APPLICANT T_�rrv�r n TEL. SIDE/SIDE STREET RW ❑ k z m CONTRACTOR Z�t �-�3ht��7r �C• SIDE ❑ `' �i. � ADDRESS 151��1�'Y'�ri1�e q � CITY o ZIP 9110 TEL. �909) 597-773 PROPOSEDUSE `_ W ARCWENG/ f z DESIGNER �a � w NO.DWEL. NO. NO. a ADDRESS UNITS, STORIES BEDROOMS !' = CITY ZIP TEL. - F � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION �. p� OWNER-BI:ILDER DECLARATION SFR/ADD/REM i O � I HEREB�AFFIq1A UNDEH PENALTV OF PERJURY THAT I PM EXEMPT FROM THE CONTRACTOqS ll- G8fa9BIC21POfI �. W CENSELAWFORTHEFOLLOWINGRERSON�SEC.Io31.58U5MESSANDPROFESSIONSCADE:ANYCITYOR ': U COUNTYYhIICHRE�UIRESAPEpMITTOCONSTHUCT,ALTER,IMPROVE,DENOIISFi,OqREPAIRANYSTRUG � ' � S' W TUflE,PHIOH TO ITS ISSUANCE,A150 REOUIRES THE APPIICANi FOH SUCH PERMIT TO FILE F SIGNED W Patio/Deck . � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS ll, � CENSE lAW(GMAPTER 9(CAMMENCIN6 WITH SECTION 70U0)OF DIVISION 30F ThIE BUSIN[55 AND PRO• � POOVSp3 I' � FESSIONSCADE)ORTHATNEOHSHEISEXEMPTTHEREFPOMANDTHEBASISFORTHEALLEGEDE%EMP- (� �� VTI�N.ANYVIOLATIONOFSECTION7037.58YANYAPPLICpNTFOHFPEflMITSl1BJECTSTHEPPPLICANiTO Z RB-ROO( A CNIL PENALTY OF NOT MORE THAN FiVE HUNDflE�DOLLARS(E500).): ~ C11,ASOWNEROFTHEPROPER7Y,ORMYEMPLOYE[SWITHyyqGESASTMEIR50LECOMPEN5ATION, O � Commercial Z WILL DO TNE WORK,ANO THE STRL'CTURE IS NOT INTENDEO UH OFFERE�FOR SALE(SEC.7044,BU51- J __,__. � NE55 AND PflOFESSIONS CODE:THE CONTRACTORS LICENSE LAW�OES NOT APPLY TO AN OWNEF OF � � PROP[FTY WHO BUILDS OR IMPROVES THEREON,ANU WHO[IOES SUCH WORK HIMSEIF OR HEflSELF OR �. 2 THRWGHHISORHEROWNEMPLOYEES.PROVI�EDTHATSUCHIMPROYEMENTSAHENOTINTENOEDOq m OFFERED FOFSALE.IF,HOWEVER,hIE BUILOING OR IMPROVEMENT IS SOID WITHIN ONE VEAfl OFCOMPLE� Z TION,h1E OWNER-BULL[1ER WILL HAVE THE BUR�EN OF PftOVING TMAT NE OF SNF.DI�NOT BllILO Ofl 6 � IMPFiOVE FOR 7HE PURPOSE OF SALG). i �y,� 171.A50WNEROFTHEPROPEHTY.AMEXCLU5IVELYCANIRRCTINGWiTHLICENSEDCONTRACTOFS - Q TO CONSTflVCT 7HE PHQIECf(SEC.7oI4,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI. V0IIJ8�iOf1 _ ADJ.AREA ?� W CENSELAWDOESNOTAPPLYTOANOYlNF.fiOFAPftDPERNWH00UILC50RIMPqOVESTMEREON.AN� = WHOCON7fiACTSFORSI/CHPROJECT&WITHACONTHACTOR(5)LICENSEDPUR611ANTTOTHECANTRAP QUANTITY DESCRIPTION FEE t� ~ TORS LICENSE LAW). � 1 e Electrical Pec]estal s O ❑I RM EXEMPT 11ND[{i SEC. ___.__6,8 P.C.FOP THIS REASON Q a � —_"_"--' _______ � �. � --_.._"'" U P OATE OWNEP._"____"_"_ � ,,., e: �¢ LICENSED CONTRACTORS DECLARATIDN W �� 2 i. I HEREBV AFFIRAI UNOER PENAI.TY OF PEFJUHV THpT IAM LICENSED UNDEF PROVISIONS OF CHAPTER � � d 9�COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PflOFE5510NS CODE,PND Z A� �X A1Y LICENSE IS IN FULL F00.CEAN�EFFECT m j � LICENSE CLA55 C10___ �,c.r,o. 729594 � <� � J j, V DATE ___._ CONTRACTOR.____ �l a ;, W � � Y. � WORKEHS'COMPENSATION DECLARATION -� { � a � �IHEREBVAFFIRA7l1NDERPENALTY01'PEFlI1FVONEOFTHEFOLLOWINGDECLAflATIONS: z � 0 IHAVEANDWILLMAMITAINACEHTIFICATEOFCONSENTTOSELF-INSUHEFORWORKEFS' ¢ 2 � CAMPENSATION,ASPROVIDE�BYSECTION37000FTHELA00RG��E,FORTMEGERFORMANCE U j�' ¢ OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED. � S O � ..__ IHAVEAN�WILLMAINTAINWDqNEFS'fAMPENSATIONINSURANCE,A5RE0UIREDBYSECTION �`�, Q 3looOF THE LA80R CODE,FOR THE PF.RFONMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSULD.MVWORKERS'COMPENSATIONINSLIRANCECARRIERANDPOLICYNU!ADEFARE� /` CONSTRUCTION __,___________.____ � J T�� � � CARRIER Republic 1111L'CI'CI7�7_�37_��T-'1�`__ �� PLAN EVIEW . /r �'' � POLICY NUM6ER 134'1.11�1__ ,�-' ECTRi�i _�r�� .. '' d " � (iHIS6ECIICNNE�NOTBEO�MIEfEDOFTHEPERM1YfISWHONEVM1R�AREDDIXLARS(S10o)ORLE55� PLUMBING y Z �CLRTIFYTHAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL � 1� '�■ � ___`__ ' � SHAllt�i F.MPLOV ANV PERSON IN ANY MANN[R SOAS TO BECOME SUBJ[CT 70 THE —� , [y .�p(� � WORKEflS'COMPENSATION IAWS OF CALIFOR AND A flEE THAT 1 1 SHOULD BECOME INSPECTION FEE � = SU&IECT 70 THE WORKEHS'COMGENSATION OVISiO OF SECT �3700OF THf LABOfI —_ ;; CO[)E,I SHALI.fORTHWITHCOMPLY W E PR ioNs. ISSUANCE _ • ;,. Cf 1�a � �n � SMIP 1!�� iE p DATE: `L'� APPLICAN7: _. . _.' ..___'._ . -'---------'- - w ENERGY P/C � J WARNING FAIWRE TO SEWRE WORK�qS'COMPF.NSATI CAVERAOE IS UNLAWFUL,AND SHALlBE _...'_—" _'_.___ _ �y S1181ECTANEMPLOVERTOCHIMINALPEIVALTIESANDC LFINESUPTOONEHUNDHEDTHOU5AND ENERGYPERMIT DOLLARS(i100.o0o),INA�DITIONTOTH[COSTOFCOM NSATION,DAMAGFSASPRDVI�EDFORIN ---�------------�--- � SECTION31080FTHELABOHCOOE.INTEREST.ANDATTORNEY'SFEES� RETENTIONFEE: � _ � � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: __' '_ — �q O � � I HEREBY APFIRM UN�ER PENALT/OF PERJUHY THAT THERE IS ACONSTRUCTION�.EN�ING ACENCV �- FOR THE PERFORAIANCE OF THE WOFK WR WHICH TMIS PERMIT IS ISSUED(SEC.3097.CIV.GJ. —�--"` Z _.—_ _____�---� W � LENDER'SNAME...._. ,.,—.._ ------ ..__ F=' LENDEfl'SAODRESS__" '_'____""" -._...__. � w ICERTIFYTHATINpVEREADTHISAPPLICATIONANDSTATETHATTHEA90VEINFORMATIONISCORqECT. 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