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HomeMy WebLinkAbout17092 �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVEIAPMENT SERVICES 21825 E.Copley Drive (909)860-3195 Fa�c(9�9)861-3117 � PRESS 4��� BUILDINGPERMITAPPLICATI�N FIRMLY Q ADDRESS 1 LIO 1_V'�UC.�V 7 LCJI/l��6 >- APPUCATIO � !-__ PERMIT �•7�� p/C p DATE I �L(.X?t NUMBER /V I �� N � ISSUE � TYPE OCC APN LOT TRACT OATE � �� �� CONST. GROUP p OWNER o ADDRESS I . ZONING SETBACKS z CITY���AItI�C ZIP TEL. FRONT RW q g APPLICANT TEL�,L 7 SID SIDESTflEET RW O � CONTRACTOR •G• SIDE ' ❑ � ADDR S M � CITY ( ZIP TEL. PROrPO.S USE TO• � � �(� �2 � o ARCHlENG/ =Wd�Mya � z DESIGNER � w NO.DWEL. N0. NO. ? CDDRESS ZIP TEL UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR1ApD1REM O p 1 HEREBV AFFIRM UNOER PEN�LTY OF 7ERIURY THAT I AM ExEuaT FRa!TME CONTRACTORS l4 Garage/Carport - W CENSEUWiOqTHEFOLLOWINOREASON(SEC.70.�1.58USINESSANOVROFE55'�ONSCOOE:MlVCIttOR (n U CIXIHTYNRIIqIREOl11RE5AVERMITTDCONSTRIJCT,AI7ER��ROVE.DElA0L15H2ORRE70.1RANYSiRUG w W NRE,PRIOR TO RS ISSUANCE,/�L50 REOUIRES THE APPLICANT FOR SUCM GCRAI�T TO FILE A SIGNED W Patio/Deck � S7A7EMEM iHAT HE Oq SHE LS LICENSEO DURSUANT TO THE VROVISIONS OF THE CONiMCTORS U- � � CENSE UW(CMAFTER i(COMMENCINO WITH SECTION 7000)OF DIVISION�OF THE BUSINE55 AND Pfl0• POOVSPa FESSqNSCODE�ORTFIATHEOR5NEI5E%EA�PTTHER[FROMANDTHEBaSISFORTHEAILEGEDEXEMP� (' V TpN.ANYVIOUTIONOFSEGTION70�1.SBYANYAPPIICANTiOR�PERMITSU&IEGTSTNE�PPLiCANTTO z Re-Roof � � ACMLVENALTYOFNOTAIOFETNANFIVEHUNDqED00LURS(fSoo�.)� . � ❑4��NEROFTNEPROVERN.ORMYEMVLOYEE5IMTHWAGESASTHEIRSOLECOMPENSATqN. O �mmercial WILL DO THE WORK,ANO TNE STRUCTURE IS NOT INTENDED OR OFiERED FOfi SALE(SEC.70ss.BU51- J � NESS ANO VROFESSIONS CODE:THE COMRACTORS IIGENSE lAW DOES NOT A7PLV TO AN OWNER OF ? PROPENTY VMO BUILDS OR IMP{{pVES THCRCON,AND WHO DOES SUCH WORK HIMSELF OR NERSELF pq wTMROUCH MIS OR HER OWN EMPLOYEES,GROVIDE7 TNAi SUCH RAPROVEAIENTSARE NOT INTENDE�OR m 0 OFFERCDFORS/�LEIf,�IpWEVF{�THEBULDINCORIMPROVEMENTISSOIDVATHiNONEYEMOFCOMP�E• Z TIDN,iHE OWNER�BUIIDER WILL HAVE TME BUROEN OF PROVIN�iMAi HE OR SNE OIO NOT BUILD pR � MVROVEFORTHEPURPOSEOFSALE} � w ❑L�..`OWNENOFTHEDROPEHTV.AME%CIUSNELYCOMRACTW6WIMLICENSEDCONTMCTORS Q TO CONSTRUCT THE iR0.1ECT($EG 70��,BUSINE55 AND GROFESSIONS CADF:TME CONTRACiONS LI� V2W8210� ApJ.AREA W CENSEUWDOESNOTADDLVTDANOWNEROFAVRO�EPTVWHQBUILDSDRIIAVRWESTNEREON./V!O � � Y`MOCONTMCTSiOR5UCM7R0.1ECT4W17NACONTMLTOR(S�LICENSEOPUR'aUANTT07MECONTMG QUANTITY DESCRIPTION FEE Y TOqS UCENS�UW.} � OI/JAEXE/APTUNDERSEC. B.IPQFORTHISREASON Q � U LL � DATE OWNEq U O w � LICENSED CONTRACTORS DECLARATION W I MEP,CBVAFFIRM UNOER PENALiV OF PEiW RY TNAT IAM LICENSED UNOER VROVIS�ONS OF CHAPTER � d Y(COMMENCIN6WITMSECTION70oo)OFOMSION70FTHEBUSINESSAN�DROFESSIONSCOOE.ANO Z �G MYI�CENSE IS W flAi FORCE AND EFFECT. '� m LLl � � LICENSE C /� LIC.NO._�� � ,� � V DATE L� COMFiACTOR ' � W � WORKEFS'COMPENSATION DECUIRATION � 4 � IMEREBYAFFIRMUNDERPENALTYOFPERNRI'OVEOF7HEFOLIOW:NGOEQAMTqNS: Z � _IHAYEANDWILL��NTAINACER7IFICATEOFCONSEMTOSELF-INSUnEFORWONNERS' _ LOMPENSATqN,ASPqDVIDEDBvSECTION]'/OOOFTHEUfiOFtODE,FORTHEPERFORMMICE w Q OFTNEWORKFORWHiCHhnSPERMiTiSISSUED. � � �IHAYEANOWILLMAINTA�NWORNERS'COIAPENS�TIONINSURANCE,ASREWIREDBYSEG7qN /� Q 37ao0FTHELABORCODE,FORTHEPEFlFOPoAANCEOFTHEWOPNiORWHICHTHiSGERMiT15 �'L,G�� 1 O ISSllEO.MVVdORKERS'C0IAPENSA7qNIN5URANCECAPRIERANDPOIICYNU6��ERARE: CONSTRUCTION �/J � jWRRiER A PLAN REVIEW Z GOIICVNU4BER � � � _ ELECTRIC Q � (fH65ECifOHNEEDNOTBEO�A'LEfIDCF7HE7EPo.R6inRd:EF1UPD�L111MSR�d)JOqLE55�. PLUMBING z ICERTIFYTHATNTHEiERFORMMICEOFTh'EK'ORKFORWHICHTNISPERMITI5145UED,1 MECHANICAL C7 SNAIL NOT EA�PLOV ANY VERSON IN ANY uANNER 50 AS TO BECOME SUDJECT TO TNE U7 NURKERS'COMGENSATIONUWSOFCA�IFOiLYIA.ANOAGREETHATIFI3FqVLDBECOME INSPECTIONFEE S SUBJECTTOiHEWORKER5C01AVEN5A7qN 5 � _ . 71000FTHEU9 cooE.� annnn�cana�rwin� �sEv ISSUANCE �� � SMIP � �� p �ATE: �� �APPLICAM: � WAqNING:FAILURETOSECUREWORKERS'LOMPfNSATpNCOVEMGE1SUNUN'FVL. OSHILLBE ENERGYP/C �y SUAIELTANEMPLOYERTOCRIIAINALCENALTIESAI:�CMLfINESUPTOONENUN�REDTIK%15AN� ENERGYPERMIT DOlUFiS(5100,000),IN/iDDITION TO THE CAST OF COMCENSATpN,DAMAG[S AS DROVIDEO iOR IN � SECTION710lOFTMEUBOROODE.NTEREST,ANOATTOpNEV5FEE5. ' RETENTIONFEE: � CONSTRUCTIOY LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFIRMUNpERDENALiYOFPEfUURYTH�TTMEREIS�CONSiflUC7lONLENDINO�GENCy FORTNE FERiOR1AMICEOF iHE WORK FOR WNlpl THIS 7ERIAITIS ISS�ED(SEC.]Go7,C�V C.). Z W � LENDER'S NAME F�' LENDEHSAODRE55 � ICfR71FVTHATIH�VEREADTHISAPPLICATIONAND57A7ETMAT7NFABOVEINCOHlAa7qNISCARRECT. TOTAL FEES 21 •5 O � IAGREETOCOMPLYWITHALLGITYANDCOUNTYORD�NMlCESANDSTATEU'NSFEUTINCTOBUILDINO � � CONSTRUCTION,AM1DHEREBYAUTHOR12ERfPRESFNTATIY�50F7HISCOUNN70FNTERUPONTME � /90VE�MENTKKJEDVROPER7YGORINSPECTIONPURPOSES.• ' , COMMENTS � _ �i m PE ITTEE �PRI � SIGNATUH F PERMI E D�� � RECPT.NO. PAID BY_ VALIDATION � WHITE—Oepartment Capy,YELLOW—Finance Copy.PINK—Assessor Copy.GOIDENROD—File Copy,GREEN—Applicanfs Copy . , :. .. .., ;,.� _ .. _ , _ . — _,' „ r.�� y^ - i-:'� . � ..�. :.. '(".�''.14: i��i...� �.ilr'.f� �i �:....�'f`s._ .. . ...r�l�� u'.+. ...,'4�t. ..-r' _".___...._ .. _..__.. .... . _ ._..._. .. . _. _ . . . ._ ._.._ .... _,_. . ._ . _. ... . -_-.__--_--•. --... ._.__. __. ..__ . .._____....'--, ��4��1,•�R�' 1 �Li��� - -- ._.� �!�e 1��=. , ! � 1j: ��'l:i,� i_I:,1�`� [r_!.G � 11�1:1:1�.0 .E"CI�I. .. , - ._ .. ,.. . . 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