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HomeMy WebLinkAbout14269 �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 � (909)860-3195Fax(909)861-3117 PRESS ��'TM'� BUII.DING PERMIT APPLICATION FIRMLY o ADD ESS � `r � jY��� DATE CAT10N L� q4 NUMBEFi� �� 1t� $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER ��,�.� lI K..� ADDRESS S3 � ZONING SETBACKS � CITYY��O►-���-fl L�'� ZI � �J T i REAR RW ❑ APPLICANT TEL. SIDE/SIDESTREEf RW ❑ � CONTRACTO ` ul.� '1J C SIDE ❑ � ADDR S � s� � CITY ZI � T . �O PROPOSED USE � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDflOOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O Q I HEREBY AFFlRM UNDE11 VENALTY OF OEiWI1Y 7MAT I AM EXEMpT FROY TME CONTMCTOitS L4 Garege/Carport �11 GFNSEUWfOIiTNEFOLLOWNOREA50N(SEG7071.6BUSPIESSANDVNOFES510NSOODE:AN1'GfTYOR (n � ODIMTYNMItlIREOIMESAPEHAIRTOCONSTPUCT.ALTER�PROVE.DElAOL15H.MREVA�FANYSTAUG w P2IIOIDBCk 7UilE,iRqR TO RS ISSUANC�ALSO REWIRES TNE APPLIGAMi FOR SUCN VERMIT TO F0.E A SIGNCD ETATEMEHT iHAT HE OR SHE 6 LICENSED CURSUANT TO THE DROVlS10NS OF TNE CdfTMCTORS LI. � CENSE UW(ClWTER Y(COMMENqNO YAiM SECTION 7000)OF DMSION]OF THE BUS�NESS AND PRO� � POOVSpB FESSqN4 COO�OH i11AT HE OR SHE IS EXEYPi TMEREFROAI AND iHE BASIS FOH THE ALLEOED E%EMP• TqH.AHYV10l/iTqNOF9ECT10N7071.6BYANYAPVIICANTFOAAPEHAIITSU&IECTSiMEAPPLICANTTO z Re-Roof � A CNC VENALTY OF NOT YORE THAN FNE MUNDRED DOLLAHS ISSOD).1: � OL�150WNEROFTHEPROPEfITV,ORMYEuvLOYEE5W1iHwAGESASTMEIASOLfCWAPENSATION, O COffIrtlBfClB� ' N71 DO iHL WORIC MA 7HE S7RUCTURL IS NOT INTENDE�OR OFiERED FOR SALE(SEG 7ou,BU51. J NE55 AW PROFESSIdJS COOE TME CONiMCfORS UCENSE Ulw DOES NOT A7PLY TO IW OwNER OF N PIqPEHTYVrt10BU4D50fiMviqYESTMEREON,ANDwHODOESSUCNNOHKHIMSELFORHERSELFOq � � THROIIOHWSORHERONMFJAPLOVEE9,VH7M0EDTMATSUC11UA7ROVEMEHT4ARE1qTIHTENDEDOR m OFFEREDPoRSALEF.MOWEVERTNEBULqNOOfiMGRDYEMEMIS30lD WITHHONEYEAflOFCdAP�E• � TqN,7Nf OWNERAULDER M7LL HAVE TME BURDCN OF VROVIN�THAT NE Oq SME DD NOT BUILD Ofi W PROVE FOR TT1C W RPOSE OF SALE► W OlA30NMEAOFIHEPROFEfT:AYE7CCLUsrv�rcarrn,�crwawm�uccNSEncarrw�croas [t TO CONSTRVGT T1E iRWECT(5[G 7oN.BUSINE55 A/A PROFESSIONS CODC THE CONTMCTORS LI- V01U81i0n ADJ.AREA W LEJISEIAWDOESNOTAPPLYTOMIONMEROFAYADVEfl7YWHOBULD50RIMPROVESTHEREON./WD � WF1000fliMCT5FOR5UCNFR01[CTS'MTH�CONTRACTOR�SJLICENSEUPURSUIMTO7HECONTMG pUANTITY DESCRIPTION FEE � � iORSUCENSEUw.). O I NA IXEMPi UNDER SEG B,�P.C.FOR THIS pEAiON U LL' DA7E ONMER � � �q w ., . LICENSED CONTRACTORS DECLAAATION W Q�u k (L IHEREBYAFFIitA/IN�ERVEtU:TVOFCERIJRYTU7I�UCENSEDUNDERVRON510NSOFGHA➢TER v- � �[GOMaENpNOY/ITHSECTIONT0001a0M5qN]OFTH[BUSWESSIWDPROiE5510NSC00E,AVD Z � .� � W LICENSE t5 N FUl1 FORCE AND EFFECT. Q (� (� m � LICENSECUS •7�� 3J�' UC.NO. � � 1�� � r� M7E �...��_CONTMCTOR L7J O � WORKERS'COMPENSATION DECLARATION ( Q = 3, U N IHEREBYAFFYWUNDERPENALTYOFOERNiiYON[OFiHEFIXLO'MNCDECUMTIDNS: �g� N Z 4 G _IMAV[ANOWILIUAMTNNAGERTffICATEOFCONSENTTOSELFdNSUREFORY�ORKE�lS' S � CO4oEN5ATIClI.ASPiIOVIDEDBYSECTOHYfaoOFT1EU�ORC�OE.FORTHEVERGOi1MANCE w OF 7ME WONC FOR WMICM T1nS VENtAIT IS ISSUED. � W I HAVE ANO WILL WUMAAI WONKCRS COMPENSATIDN INSUqANCE,AS REOUIREO BV SECTIDN Q 77o00FTMELABORCODLFORTNEPERFORMANCEOFTHEWORKFORNMICHTHISPERA1rt15 ' ISSUED.W WORI(ER3 7ENSATION IN MNCE RIERAN�POLIL'lNUMBERARE: CONSTRUCTION � uaa¢n � T � rG� � PLAN REVIEW � POLICYMJMBER ������ � ELECTRIC �p. 0 (Rs55EGf10NNE�NOTBEN.riE7EDOFTEPE�M7�6i0aaEh4N7HCDCOl1NL5RtaolOR �l P,LUM�ING _ 1_ A 9�� + Z ICEHiIF7TMAiNTH[PERFORMANCEOFhIE'�^DNKf WHIp1TH15 E MIi151 UEO, ti�C-CHANICAL (,�} " LNOTEMROYANYPERSONNNJYYMINER i06 VE U FCTT fMC � VIORK f4SCpAPEN9AiqNUW50FCKIFON'll �GRE HAT � qut -ca . INSPECTIONFEE S 6UBJF T70 �EWOaKERS'Cp.�PEN �iqNC �5 N50 SEC7 •oa0 H[ �i � �99` COOE. SNN FORiNWITNGOMPLY iTN V JV1S 5. ISSUANCE �' � I' SMIP ��L.Q `p DATE: APPLICANT: . –^+ V � 1 1 1 � . + ENEFIGY P/C � WAPNING iAIWRE TO SECl1RE WOIY(ERS'CAMPEN511T10N COVERAGE IS UNUWFUL,ANO SH�LLLBE B SUOJECTMlEMPIOVERTOCR:YINAIPENA:TIESAN�CNILiNESUPTOONEMUNDfiEDTMOUSANO ENERGYPERMIT 1� AIE7Y DOLURS(7100,0001.H ADOITION TO THE COST OF COMPENSATqN,DAMAGES AS PROVIOED FOR IN ¢ SECTIDN17oeOF7HEUBORCOOE.NTERES7,ANDATTORNEY'SFEES. RETENTIONFEE' pw_, CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � INEREBYAFFiRMU1DERFENALttOFVE0.1UHVTNATTNEnEIS�00N5TRUCTqNLENDINOACENCY FOp THE VERFORIAANCE OF i11E WORK fOR WHlp1 THIS 7ERMR IS ISSUED(SEC.�097,CIV.GI. � � LETIDERS NM�E � LENOER'SAODRESS ^ • �O � ICERTIFYTNTIWWEREADTNISMOLICATIONANDSTATETHATT/E VEMIFORYATqN15[DNRECT. 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