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HomeMy WebLinkAbout14266 ��� �� CITY OF DIAMOND BAR - �� -- DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES i si�o E.copi�y nri�e s�c�i90 PRESS Y • (909)860-3195 Fax(909)861-3117 ����^� BUQ.DING PERMiT APPLICATION FIRMLY o AD RESS I�.�� ��` md 1..� APPLICATION i l [ PERMfT r P/C DATE � NUMBER ( � $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNE�1� J�a AD�RESS 1Z0� '�.�0 � ZONING SEfBACKS w FRONT RW ❑ � CITY I��r��.-o� p?11P �J �'�) REAR ❑ APPUCANT TEL. SIDE/SIDE STREET AW O � CONTRACTOR QJEfJ � ' 1��L� SIDE ❑ � ADDR, S � � 2T�n � \ pROPOSED USE C�D�� 21P�j� TEL _, 2 3�'1 � ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDAOOMS � CfTY 21P TEL y DESCRIPTION SQ.Fi FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADDlREM O Q 1 HEREBY AFFliW WDEA PEWLLTV OF PERIURY TW�T 1 A/a OlEUPT FR01d 7HE CONfMCTORS L4 GdfegB/COipOR W CENSEUWFOftiHEFOl10MN�RFJ�50N(SEC.7Wt.68V51NES5ANDPROFES510NSGODE:ANYCRYOR (fj � COUMyWfqd111E0URE5APEAMRTOCONSTRUC'i,ALTER�M��VE.DEMOUSH.ORPE7NRM1V57W1C• `W patiolDeck NRE PRqN TO RS RSUANCE,/�LSO REp11RE5 7ME APPIICAM FOR SUCH PERMIT TO FlLE A SIONED 6TATEMENT iHAT HE OR SHE IS LICENSED PURSUMIT TO TNE DROVISIONS OF THE CONTRACTOR9 LL � CENSEUW(CIUPTERY�CO��MENClNON7THSECf10N7000)OFDMSION70FTMEBUS�NESSANDPRO- � POOUSpd FESSIOMS CODE)OR i1/ATNE OH SHE IS E%EYPT T1IEHEFqOY ANO T11E BASIS FOH THE/itIEOE�E%EA1P• 7qN.I1NYVqLAT10NOFSEG710N70J1.6BYAMYMPLM.AHiFOFiAVERMIiSU&lECTSTMEMPLICANTTO Z Re-Root F A CM�VEw1-N OF N�T MOfiE TNAN i1VE MUNDRED DOl1AAS(5500).y. . O ❑lIISOYMEROFiMEVROPERTY,ORMYEWKOYEESNAtHWACESASiHEIRSOlEC01APEN5ATqN, L� �mmerciat . � W0.L DO THE WORK AND i11E STRUCTURE i5 NO71N7ENOE0 OR OFFEREO FOR SALE ISEG 7W�.&151- J NESgANp VROiE5510N5 COOE TME COHTMC70R5 LICENSE UW ODES NOT APPLY TO AN Ov/NER OF N iROPERTYNMOBUYDSORYGi10VES7NEREON.IWOWMODOE55l1CHWORKMIMSELFORNERSELFOR = (t TWOUCJIVq50RMEROWNFL�ROYEES.PRDNDEOTNTSUCHIUPROVEUEMSARENOTNTENDmOR � W OFFEqEDiORS1lEF,lIDWEYER7ME6ULDINOOflM%10VEMEMISSOLDWRHNqiEYEAROFCOMPLE- � TqH,1NE W/NER�BUILDER MnLL HINE i11E BUpDEN OF PROVNO iHAT HE OR SME DD NOT BUItD OR PIPROVE FOf1 TNE YUHPOSE DF 6.1LE1. � ❑LASCMMEROFTMEVNOPFItT1;AAlEXCLUSNELYCONTMCTNaNrtTHUCENSEDCONTRACTORS i0 CONSTRUCi THE iR0lECT(SEC.7osl,BUSIKESS ANO PHOFESSIONS CODE.TME CONTMCTOitS L4 V01U01i0n ADJ.AREA � CEHSEUWDOESNOTMRYTOANOWN[HOFAOpOVERTVVAIOBUlD50RIMPRDVESTNERFON.AND W/qCOHiMG?SFOq5Up1P110.1ECT3W17HACOHfRACTOR(5)IICENSEDPURSUAMTOTNECONTN�G QUANTITY DESCRIPTION FEE � TqIS UCETISE UW.� OIAA/E%E1.IPTUNDERSEG B.tP.GfORTH15REA5pJ U 3 ¢ uzz' DA7E OWNER V Q J F UCENSED CONTRACTOFiS DECLAAATION W 1 � IHEHEBYAFFIWAUNDERVENALTYOFPE0.IUR'IMA7�NAUCENSEDUNDEFCi10V1510NSOFC/UPiER - � �(COYMENCNWNrtiH5ECT1�N7000)OFDMSION70FiNE8U51NES5IWDPROFE5510N5CODE.�ND Z � SL-1S�Q ��.— �j O MYLICENSEtSNFULLFORGEANDEFFECL -. m n!' 0 3lo GZO Q�'�.No. 35�I��Z � / \(/6 LICENSE C V aae corrrRacroa � i w � WORKERS'COMPENSATION DECLAHATION � N IHE0.EBYAfF1iWUN�[RiElU17YOF0ERAINYONEOFiHEfMLAW?M.DECUMTIONS: � ,C O ��WIVEMlDYA�LMAINTANACEHfIFlUTEOFCONSEMTOSELFdN5Uf7EFOR NERS' 2 / � COMiEN5AT10N.A5PROVIDEDBV5ECT10N770aOFTHELA00i1CODE,FOR fiERFORM�NCE �j� pp T/IE WOR1(LOR WM�C1/iN�S PERMIT IS ISSUED. �. � �IMAVEANDMALLMARR�INN/OA1(ERS'COMPENSATiONMSURANCE,ASREW YFPGYION/ � 4 77a00FiNELABORCOOF.FOR7HEVERFOMAANCEOFTHEWORKFONWHICHT PERM�T75 y lSSUED.LIYWORKEPSOWPENSA�pNwS YLEGViRIERIWDPoUCYKI ERME: � � I �NSTPU ON ur+ruEn `�;1 P N IEW � POLICYNUA10ER_ '� ECTRIC �I� � � (MSSEcnaINEmNOTBEtas1£fEDOFnEP6xtisRXiar�Il.laliED (S� aaLE55I PLUM�ING Z ICER7IFYTHATNTN[PERFORMu10EOFTHEWORKF WHI T 5� M�TIS ED,1 MECHANICAL (7 61NLLNOiEMPLO`IAH'�PERSONINANYUANNERS .,7OB ' c5 JEGTT HE � � ' yYpRKERSCOMVENSATpNUWSOFCAL6 AGR i fIF :IqULD "cCOME INSPECTIONFEE SU9JECTTOTMEwORKERS'L0IAVENSA710N ICNS S CT 77ouOF 'UB ISSUANCE �rj't/' v �j COO 1 S NL FOFlMPn1M COMPLY TH T NS a a 1$ r i iQtj$�'C O �SMIP BUiy, � pA7E:�� APPLICANT. 'L" V � � ENEAGY PIC i WARN�Na FAttA1RE TO SE WAE YAfiKERS'COMPENSATiON COVEFIAGE IS UNUWFUL.AND SHALL BE � SUOJECi/WEMPLOYERiOCRIMiNALPENALT:ESMlDGNILFWCSUPTOONEMINDREDTHIXISYU ENERGYPERMI7 DOLUUIS(f 1oD.0o0).W ADDITqK TO THE COST OF COMPENS�TiON.D W AGES�5 PROV10ED FOA iN J SECTION]7oeOfT}�EU�BOF�CODE.INTEREST,AND�TfWWE�^SFEES. RETEPIT�ONFEE: Q W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: o.. � IHEREBYAFFIRMUNOERVENKTYOFPERJURYTUTTHEREISACONSTilUCT10NlEND11qACENCV �- FORTHEPEAFOFr.1ANCEOF7NEWORKiORNrt/101THI5GERMITI5155UED�5EG7oW,GV.G). - � � LENDER'SNAYE � LENOERSADONE55 � ��RTIF1'THATIMAYEREADTI�SAPRICATIONANDSTATETW�TTHEABOVENFORMATIONISOOHRECL TOTAL FEES � W IACREETOCOL�DLVN77N�LLCffYANUCOUNTYOR0INANCESANDSTATEUW5MEU7HGT08UlDINC �' CANS7RUGT�ON.ANDMEREBY�UTHONlEREPRESEMATNESOFT/uSCOUNTYTOEMERUPONTHE � ABOVEJAEMIONEUGHOVEH7YFOHwSVECTIONPURPOSES COMMC-NTS O � IC �o t 1L � vEw�� w � � �) a � u o PE�. - pATE qECPT.NO. 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