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HomeMy WebLinkAbout11163 (5) j — CTI'Y OP DIAMOND BAR j COMMUNITY DEVELOPMENT DEPARTMENT :,..w 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 ��"'"'� BUILDING PERM[T APPLICATION FIRMLY 0 DDR'ESS l Z I 4..if��ElO���I °� DATE CATION/'��*-� .� ``�UMB R � #/C 4 � ISSUE TYPE ''�� OCC APN LOT TRACT DATE CONST. GROUP p OWNER Diamond Bar Tenni� Cluh H_0.11_ p ADDRES ' ZONING SETBACKS z �iTy PO ox 40 Dowr��y 9024 �(9 9) 9H-3�H FRONT aW r.i g APPLICANT T,a R R,y fi W F F n F.N TEL(Af19 J S97_7'7'�4 HEAR CJ Z SIDE/SIDE STREET RW ❑ 4 CONTRACTOR��5htiriq, �'1C. SIDE ❑` O ADDRESS 15�ierra BOril� I,�I'1E r PROPOSED USE o. Cirv � ziP 91710 TEL.9O�) �9 —7734 w ARCWENG/ ' �z DESIGNER P!/d , NO.DWEL NO. NO. 0. ADDRESS ' UNITS STORIES BEDROOMS � CITY ZIP____ TEL. !._ u�i DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:ILDER DECLARATION SFR/AD�/REM O 1 NEREBY AFFIHM UNDER PENALN OF 7ERJUflY 7HAi I AA1 EXEMP7 fROM 7HE CONTRACTORS LI� G0f89B/C81p0i� W� CENSELAWFOpTHEFOLLOWINGREA50N(SEC.7o3t.5BUSINESSANDPROFES510N5CA�E�ANYCITYOR , (n U', CWNTYWHICMREqUIRESAPERMITTOCONSTRUCT,ALTER,IMPROYE,DEMOIISH,ORREPAIRANYSTRUG ;W patio/Deck � TURE,PRIOR TO ITS ISSUANCE.ALSO RE�UIHES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNE� ��' STATEMENT THAT HE OR 3HE IS LICENSED PURSUANT TO 7ME PROVISIONS OF 7HE CONTMCTOHS LI• W �� CENSE LAW(CHMTER 9(COMMENCING WITN SECTION 7000)OF DIVISION 3 OF TNE BUSINESS AND PR6 LL' POOVSp2 p� FESSIONSGODE)ORTHATHEORSHEISEKEMV7TMEREFROMANDTHEBAS�5FORh1EALLEGEDEXEMP• .(,�} V TION.ANVVIOLATIONOFSECTION7031.59YM1VAPPlICANTFORAPERMITSUBJECTSTHEAPPLICANTiO Z Ra-Roo1 �- ACIVILPENALTYOFNOTMORETHANFlVEHUN�REDDOLLARS(f5o0).�: OI,ASOWNENOFTHEPROOERTV,ORMYEMPLOVEESWITHWAGESASTHEIqSOI.ECOMPEN5AT10N, O COrt1ffIBfG�BI ��� WILL DO THE WORK,aND iME STXUCTURE i5 NOT iNTENDED OR OfFERED FOR SALE(SEC.7oaa,BUSb J �' NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENS[lAW DOES NOT APPLV TO AN OWNER OF � PROPERTY WNO BUIlDS OR IMPROVESTHEflEON,AND WHO DOES SUCM WORK HIMSELF OR HERSELF OR [C�` 7HPOUGHHISORHENOWNEMPLOVLES,GROVIDEDTHATSUCNIMPROYEMENTSARENO7INTENOEDOR m w oFfEREDFORSALE.IF,HOWEVER,THFBNLDINGORIMPHOVEMENTI550LDWITHINONEYEAROFCOMPLE� � TION,THE OWNER�BUILDER WILL HAVE THE 9URDFN OF PROVING THAT HE OH SHE DID NOT BUILD OR Z IMPFOVEFORTHEPURPObEOFSqIE). w� ❑I,ASOWNEROFTHEPROPENT',AMEXCLUSIVELVCONTAAC7INONATHLICENSEDCONTRACTORS � TO LONSTRUCT THE PROJEGT(SEC.)va4,BUSINF.55 AND PROFESSIONS WDE:THE CONTRACTOq3 Lb VaWa11011 _ AGI.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPER7YWHo8UILD50RIMPROVE3THENEQV,AND ---- _� WHOCAfdrRACTSFORSUCMVR0.1ECT5WITHACANTRqCTOA(5)UCENSEDPUfl3UANT70TNECONTRAG QUANTITY DESCRIPTION FEE ~' TORS LICENSE LAW.�. (+�'„R ^a y,�-� p� nIAlAE%EMPTUNOEFSEC. _. _._�_B.BP.C.FOqTHISREASON Q "`�ME ��rl'Cc�l P�,1.C$�y ' ` S � —'_ '_"'— "'...._— � ^ � 4". DATE _._.__OWNER___.' _ ~' . z' W ¢. LICENSED CONTRACTORS DECLARATION w � � I HEREBYAFFIRM UNDER PENALTV OF PER.IURV iHAT IAM LICENSED UN�ER PROVISIONS OF CHAPTER � � 9(CAMMENCINO WITH SECTIIXJ 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CO�E,AND Z ?G MV IICEN3E I6 W FIILL FORCE AN�EFFEC7. m W: �- LICENSECLASS C�O ____ LIC.NO. J������_, !� ? � �� r� �, J V� OATE_,. _ CONTRACTOR � 0. �W � WORKERS COMPENSATION DECLARATION Q N U � 1 HEREBY AFFIRM UNOER PENALTY OF PERJURV dJE OFTHE FOLLOWING DECLARATIONS: Z z� ,IMNVEANOWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWOHNERS' _ COlAPENSATION,AS PROVIDED 9V SECTION 37000F THE LABOR CODE,FORTHE PERFORMANCF. U ¢ OF THE WOPoC FOR WHICH THIS PEflMIT IS�SSUED. � 0 w __I HAVEAND WILL AAAINTAIN WOANEFS'COMPENSATION INSURANCE,AS REQUI{tED BY SECTIDN Q� 97000FTME LA60R CqDE.FOR THE PEFFORMANCE OF THE WORK FOR WHICH THIS PERM�T 15 ISSUED.MY WORKERS'COMPENSATION INSURANCE CAflRI�RAND POLICYNUMBEflARE: CONSTRUCTION __„ _ ___ � j CARRIEN��„�y",_Ir.3ur.�_.�V r�_. ,^.f 71ry_��i n� � PLAN REVIEW ._---- , Z aoucvNUMeca_�4271—b1 __ ` ELEc��' __ ¢ Q (h1155ECilONNE�NJT8E00MPLEfEDOFTI-EPERlMiSFORONEliURDfiEDDOLLARS ao7att.Ess} PLUMBING __ Z I CERTIFYTHAT IN TH[PERFOHMANCE OF THE WOftK FOft WFIICH TNIS�ERMIT IS ISSUED,i MECHANICAL ____. � e+'. ('3 SNALL NOT EMPLOYANY PERSON IN ANY MANN[ AS TO BECOME SUBJECTTOTHE �/j WORKEflS'COMPENSATIONLAWSOFCALIFOR DA6R THATIFI OUL06ECAME INSPECTIONFEE ,�.�,i� — / � SU&IECTTOTY.EWORKEi75'COMPENSA SIONS SECT10Y OOOFTHELABOR {SSUANCE r� • � `7 � CODE.�SHALL i0 Ty�V ITH COMOLY WITH TI 5 PfiOV15 . _..___ __ � {( SMIP p DATE: I^Zt'_V APPLICANT: _. -' !� � JENERGY P/C --/ �r �,�;_ WAflNING:FAIIURE TO SECUqE YlOFNEFS'COMPENSATION ERAGE IS UNL�AWFUL,AND SHALL BF �y,u,l�-�--iF.--�+— � SU&IECT AN EMPLOYER TO CNIIAINAL PENALTIES AND CNIL FI ES UP TO ONE HUN�RED THOUSAND ENERGY PERMIT DOLLARS(5700.000),INADDITIONTOTMECOSTOFCAMPENSAION,DAMAGESASPR0I�IDEOFORIN ----- --- -- J SECTION370BOFTHELABORCADE,INTEREST,ANDATTOFNEV'SFEES. RETENTIONFEE: � ! a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � 1 HEREBY AFFIRM UNDER PENRLTYOF PERJURY THAT THERE IS ACONSTRUC710N LENDINO FGENCY � FOR THE DERLORMANCE OFTHE WORK FOR WHICH TNIS PERMIT IS ISSUED(SEC.3097,CIV.G�. -�— — — Z W � �ENDEWSNAME__.!"_"'� --'-- —. "___—' � IENDER'SAWHESS __.___ —._ � ICEiiTIFYTHA7IHAVEFEADTHISAPPLICATIONANOS7AIETHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES �. j - W IAOREE TO COMPLY WITi7 ALL CITY AND COUN7Y ORDINANGES Ali�STATE LAWS RELATING TO BUILDING � CONSTRUCTION,ANDHEHEBYAUTHORREREPRE6ENTATIVESOFTHISCWNTVTOENTERUPONTHE ZABOVE•MENTI 1EDVROPEfl7YFORINSPECTIONVURVOSES. COMMENTS____ _ � J � _-- _____ m OER E NAME 1 /y'� I /) _ (n 'I � '�Y � P L--� X �, �'!. N 51 A7UHE0 TfE DATE K�-�� � = RECPT.NO. PAID BV _— VALIDATION _ ~ WMI7E—Department Copy,YELLOW—finance Copy,PINK—Assessor Copy,GOLDENROD—File Gopy.GREEN—ApplfcanYs Copy R. �- -� � _ F � �-� ; � � i ( i_ � .�.___i � �_. .�_ _ � � _ ;.. . � .,..I �_ � _ _ _ � a -� � -,f 1 ,.. 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