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HomeMy WebLinkAbout14292 (20) �,� CITY OF DIAMOND BAR r �� ,� DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES ►��� 21660 E.Coplcy Drivc Suitc 190 � (909)860-3195 Faa(909)861-3117 PRESS �'�° BUILDING PERMIT APPLICATION FIRMLY o D RESS v g �: ��. �L DATEICATION NUMB R / ;`?��ZNlC � APN LOT TRACT pq EE `� � CONST. / GROUP °C OWNER U'lnI/ //� �/ Q_� O o ADDRESS-��OL'K /��"('nil.t iR r S�— ZONING SE7HACKS � CITY���1(✓1��_Y' ZIP C►.! �EL.�f/'7�f `1 REAR RW O APPLICANT TEL. � � SIDE/SIDE STREEf RW ❑ CONTRACTOR SIDE p ADDRESS � CRY ZIP TEL PROPOSED USE 11�,. � � . •�i^/(� � � ARCH/ENG/ A � ��•v��_ T T— DESIGNEFi NO.DWEL. , NO. NO. ADDFiESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION SQ.FT. FACTOF PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFFilADD/REM O � i�nEer�mnu u'mea ve�utr oc vErwar nur i w�ccucr cnou n�¢coura�cmas u. Garaga/Carport CENSEUWFONTMEFOLIOWWOREASON(SEG7071.6BVSINESSINDiROFE55qNSCODE:AN'/CITYOR (n COUMYYMCHREOUIRESAPEpVRTOCON5T11UCi,ALTER�MFi10VE,0E�WlISM.ORPEPA:RANYSTRUC• W patlofDedc iVRE PR10R TO RS ISSUANCE�L50 REOU�NES TNE APPLICANT FOR SUd1 iEflMIT TO FILE A SIGNED ETATFMENT hUT HE OR SHE S LICENSCD WRSUANT TO TME GROYISIONS OF TNE CONiMCTORS U• � CFNSE UW(CMAPTER Y(COM�IENpHO YATM SECi1DN 7000)OF DIVISqN 7 OF THE 6USINE55 AND PHO � PooVSpa FESSqNSCODE�OR7IUTHEORSNEISEXEIAPTTMEACFROAIANDTMEBASISFORTHEALLEGEDEXE4P• (7 T/JN.IINYVIOIATqNOF6ECT10N70.11.68YANYADV(IL/�YTiOR11iERMIT5U0.JECi57HEAPPLICAN7T0 Z Re•Roof � A CML PFNALTY OF NOT►10H[TWN FNE HUNONEO DoIURs(isoo�1� � OI��M�NEROFiHEVROPERTV.ORAlYE47LOVEESVAiNWACCSASTMEIRSOLFCOA1vEN5ATqN, CpmmBfCl31 - WIIL DO iME WORK,ANO THE STRIKNRE IS NOT INTENDED OR OFFERED FOR SALE(SEG 70N,BU56 O � NESSAND YRDFESSIONS CDOE:T1E CONTMCTORS LICENSE Uw DOES NOTAPFLY 70 AN OwNEP OF ? PROPEHTY'M10 BURDS OR MPi0pVE4 TXERCON.A4D Mrt10 DOES SUCM YVOf1K MIMSEIF OR MERSELF OR � iHRIXJONMSORHEROVMEM7lOYEES.PiqNOEDTMA75UGIM7ROVEYEDRSAAENOTNiEN�EDOR C� � OFFEREDFDRSAlE6,NOWEVER711EBULDINOOR4V{qVEMEMI550LDWIiHWONEYEAROFCOMPLE- � TION.TME OWNERANLDCR WILL NAVE ME WNDEN OF VROYNO TMAT NE OR SHE D�0 NOT BUIID O(t W iROVE FOH THE PURP0.5E DF S.LLE� W O�ASOMMEROFTHEiROOERiY,AMEXCLUSNELYCd.TRACTNON^TNUCYNSEDCONTMCTORS � TO CONSTRUC'i h1E VHO.IELT(SCC.7oN,BUSiHE55 AND PHOFESSiONS CODE:TME LONTMCiOHS U- V0h181iOf1 ADJ.AREA CFN6E UW DOES NOT APPLY TO N!OVMER OF A PROFERTY Y11q BULDS OR t4PROVES THEREON.AND � WIqCOHiAACT9FORSUGNFRO.IECfSWIT7ACONTMCTOF�S)LICENSEDVVRSUM7TTOTMECONTMG QUMITIN DESCRIPTION FEE � TORSUCENSEIAW�. O I AM EXEMPi UNDEN SEG B.1 P C.fOR THiS REASON a 3 � � � DATE OWNER V � LICENSED CONTRACTORS DECLAHATION —W+ � w IMERCBYIIFFIR4UNDERPEWILTYOFFERAIRVi/UTIAMLICENS�DUNDERPpOVISAN50FCNAPiER � s �(CO►MENCwO N'ITH SFCTqN 70001�DMS�ON�OFTH[BUStNESS AND PROFESSi0N5 COOE,AND Z ��L W UCENSE IS N ilA1 FOiiC£AND ELFECT. m � UCENSECLASS UC.NO. j Ww� cornrucroa a ?,'� � . � WORKERS'COMPENSATION DECLAHATION ¢ ,�� � INERCHYAFiIRMUNDERPENALTYOFPERNRYW:EOFTHEFOLLOwWGOECUMTqNS: Z 'YY• ri � _INAVEMIJMILLLUINTMIACERTIfICATEOF00NSENTTOSELFdNSUREFOi1W0fiKERS' 2 , � COY7ENSATqN,/SVROVIDEDBYSECTION!)DOOFTNEU40ROODE,FORTIEDERFORMANCE U ♦� f Q OF TME WORK FOfI WHICH TMS PERMiT I6 165UCD. � � •� a �� � �INAVEFNDYV�LLMAMAW W01iKER5'COM7ENSA7IONINSURANCE,IlSREOUIRLDBYSECTION � '• `�'•'����+�'�i+.. 1 Q ]700 0F 7HE IABOR COOE.FOR THE PERFORUANCE OF TME WORK FON WHiCN TMIS VERMI715 � ISSUCD.M'/WORKEAS'OdAPEN5AT10N WSURANC£CAHRIER AND POLICV NUAIBF.R ARE: CONSTRUCTION � cuw¢n PLAN REVIEW Q POLICYHUMOCR ELECTRIC Q � (fFU"SECIICNNFmNOTBCOd.fLffmOFMiEPIMbfOfiONEHIlfXiCD0011/1t56f0010RLfSSy PLUMBING W MFC T IGA = 1 CCRTIFV T/AT IN 1HE PERFORMANCE OF THE V.UAN FOR WH1G1 THIS PEiW1T IS ISSUED,1 - (y)' S�WINOTEMPLOYANVFE�iSONWA.WWWNCR50ASTO8ECOMESUBJCCTTOTHE � i � • (/� YIOPoCERS'COM7ENSATIONUWSOFGLLiFORNI��ND�GREET/UTIFISMOUIDBELOYE �INSPECTIONFEE • S SUBJECTTO TNE NORKERS'COYPENSATION iROYI510N50F SECTIDN]700 Oi TME LABOR CODE.I SHAIL FORTVNYfTM COUFLY N7iH THOSE�ROYISqNS. .iSUAN� p DATE: APPIICANT. SMIP � � ENERGY P/C WARNINO:fAILURETOSEWRE WORKERS'001AFENSATqN COVEMGE ISUNUWFUL AND SHALLBE � SUOJECTANEMPLOYE0.TOCRJAiNAIPENALTIE5A40pNLFINESUPTOONEHUNDREDTHDU5AN0 ENERGYPERMIT DOlLARS(f1oo.0ao�,W�DITION TO TME LOSTOF COMPENSA710N.DMAAGES AS GROV�ED FOR IN ¢ SECTION7]OtOFTHEUBOqCODF,HTFREST,ANDATTO1iNFYSiEES. qE7EN'fIONFEE: � CONSTRUCTION LENDING AGENCY pRE•ALT FEE: � IHEREBVAFFIqAIUFIDERPENK7YDF0ERlURYTHATiNEREISACAN5TRl1CT10NLEN�INGACCNCV FOR TME 7ERFOPI.IANCE OF TM[WORK FOR WHlp/TMS CEIW R IS ISSUED(SCG 709],CIV.G). � � LENOEitSwWE C IENDEH'SIi00RE55 /� � ICERTIFVMATIXAVEREIDT115APPlIGT10N/WDST�TETMATTMEABOVEN�OWAATqNISCORRECL TOTALFEES �L/ / � IAGRCE7000l1PLYM'IMALLCRVANDCOUNTYORDwUNCESIWDSTATEUwSHELATNOTOBVM1DINC �, CANuTRl1CTqN,AND .REBYAUiFqiiIZEFEPHCSENTATNE50FTHI5COl1NTYTOENTERUPqiTHE ���� S� ABOVE#�CHTIONE ERTY FOIi WSGECT�ON PURFOSES. COMMENTS � � J � � PE ITj (RIINT) C1J �, �q9 ,1. • � y 5 . 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