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HomeMy WebLinkAbout11111 ..�,_.r, , ,.m-,...�- ,��„e,v,�-..���__.....�y� ,.�-�....;�-.�..—----�- �— �.,..-A_.�_.:.m__�...___,:._ ;; ` � �r� � � _ , �,„. , ��� -" CITY OF DIAMOND BAR ,, ��"� �' ' // COMMUNTTY DEVELOPMENf bEPARTME]VT f' .,,,� 21660 E.Copley Drive Suite 140 �, � PRESS (909)660.3195 Fax(909)861-3'I17 ""�� BUILDING PERMIT APPLICATION ; FIRMLY •y�• � JOBSITE . ;` ,, _". „.�� f APPUGATION�� PERINIT � P/C Q ADDRESS � �� DATE �'�' 1 NUMBER� t� ��� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER � p ADDRESS - ZONING SETBACKS Z CITY - P EL. FRONT RW ❑ APPLICANT REAFi i7 S SIDE/SIPE 5TREET RW ❑ � CONTRACTOR SIDE ❑ � CDDRESS ZIP '"�TEL. PROPOSED USE a "� 0 o ARCH! NG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTIQN SQ.FL FACTOR PSF ADJ.AREANALUATION � � OWNER-BL;ILDERDECLARATION SFFi/ADD/REM I�S O p 1 HEREBV AFFIRM UNOER PENALTV OF PERIURV THAY I AM EXEMPT PROM?HE CONYRACTpR&U• 48f8gB/C9fpOff W CENSELAWFOR'�HEFOIIOWINGREA50N(SEC.7o3i.58USINESSANDPROFESSIONSCpDE:ANYCITYOR (n U COUNTYWH�pIREWIRESAPERMITTOCONSTHUGT,AL7ER,IMPROVE,�EMOLISH,ORHEPXIRANYSIRUP W patio(Deck W7URE,PRIOR TO ITS ISSUANCE,ALSO HE�UIRES THE APPOCANT FOR SUCH PERMI7 TO FlLE A SI�NED W � STATEMENT THAY NE OR SHE IS L�CENSEO PURSUANT TO THE PqOVI510NS Of THE CONTRACTOflS U• � CENSELAW(CHhPTEH9(COMMENCING�WITHSECTION�7f1DalOFDIVISION80FTHE�OSiNESSANOP'R'O• �'i' POOVSpO � FESSIONSCODEJORTHATHEORSHE�SE%EMPTTHEREFpOMANDTHE8A5�SFORTHEALLEOEDEREMP- TION.ANVVIOLATIONOFSECTION7031.SBYANVAPPLICAN7FOHAPERMITSUBJECTSTHEiIPPLICAN7Y0 Z Re-Roof � ACNIL PENALTY OF NOT MORETHAN FNE HUNDRED"�OLLAqS tiioa).): 0 OI.ASOWNEROFTHEPROPERTY,ORM�EMPLOVEESWIhIWAQESASTHEIRSOLECOMPENSATI�N, Q Commerciai z WILL 00 THE WORK,ANO TNE STRUC7URE IS NOT�NTEN�E�OR�OFFEREU FOR SliLE 1SEC.7o44,BIJSI• J NESS AND PFOFESSIONS CODE:7NE CANTRACTORS LICENSE I.AW DOES NOT pPPLY TO AN OWNER OF � VROPERTYWHOBU�DSORtMPROVESTHEREON,ANDWHO00ESSUCHWORKHIMS,ELFOHN�q6ELFOR = C� THqOUGHHISORHEROWNEMPLDYEES.PROVIDEDTHATSUCFIINPROVEAiIEN'I'SARENoiIl1TENOEOOR � �'- -' , W QFREREDFORSALEJF,H�WEVER.TMEBUILDINGORIAIPROV@MENTISSOLOWITHINONEYEAFOFbOMPLE- � ZTION,THE OWNER•BUILDER WN.L HAVE THE BURDEN OF PROVING THAT HE OR SHE Dlp NOT BUfID OR � IMPpOVEFORTHEPURDOSEOF�SALE1. . O L hs oWNER oF THE PROPEHT�'AM EXCLUSIVELYCONTqACTING WI7H 4�CENSEU CONTflACTOFS � TO WNSTRUCT THE PHOJECT(SEC.7WA BUS�NESS AND PROFESSIONS CODE:�TNE CONTCipCTORS LI- V31Ufl�lOtl D� ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTYWROBUIL�SoqIMVPOVE57HEREON;AND � WHOCONTRACTSFORSUCHVROJECTSWITHACONTRACTOR(5)LICENSEDPURSUANTT07HECONTRAP QUANTITY DESCRIPtION FEE � TORS LICENSE LAW.�. J { d O I AM E%EMPT IJNDER SEC. 8.&P,C.FOR TNIS REASON � !''j �S � o w�' u" UATE OWNER � V i..., � UCENSED CONTRACTORS DECtARATION —� o4C W I HEREBYAFFIRM UNDEFl PENALTY OF PE0.IURV THAT IAM UCENSEO UNOEF PROVISIONS OFCHAP7ER � �� � 9(COMMENCiNGWiTHSECTION1o0o)OFDIYISION30FTHEBUSINESSANDPFiOFE5510NSCODE.AN� z ��' �X MY UCENSE�S IN FULL FORCE ANO EFFECT. O �'� * � �.._, LICENSE CLASS �,fZ_y�. LIC.NO. �� � V DATE� CONTRAGTOR 0. W �.� �-. . . . , . �..i � WORKEflS'COMPENSATION DECUIRATION- - � , ��� U t� �� ' � INEREBYAFGIRAIUN�ERPENALNOFPERJURVONEOFTHEFOLLOWINOOECLARATIONS�f Z d 0 IHAVEANOWILLMAINTAINACERT�FICATEOFCONSENTTOSELF-INSUREFORWORKERS' � _ COMPENbATION,AS PROYIDED 8Y SECTION�70o OF THE IABOR CODE,FOR THE PBRFOpFAANCE C-� ¢ oF THE WORK FOR WMCH THIS PEHMR IS ISSUEO. � � „�` W ^i HAVEAND Wll_L MNNTAIN WORKERS'COMPENSATION INSURRNCE�AS REOUIRED 6YSECTION �� Q 3700 oF THE LABOR CODE,FOR 7HE PERFORMANCE OFTHE WOPoC FOR WHICH THIS PEqMR IS � ISSUED.MY Y/ORKERS'COMPENSAiION INSU N E CAR R AND POLICY NUMBER ACiE � CONSTRUCT�ON _� � CARRIER � - PLAN REVIEW •���— � Z POLICYNUMBER °r Ej,ECTRIC Q . (RIISSECT%7NNE�NOTBEOOMPLETEDOFINEPEFiANTISfORONEHUWHED00llAR515100) �ss). PLUMBING t Z I CERTIFV TNA7 1N THE PERFORMANCE OF TNE WORK FOR WHICH THIS PERAl171S ISSUED.l MECHANICAL , e���� (,� SHALLNOTEMPLOYANY7ERSONINANYMANNERSOASTOBECOMESU&IECiT07HE � WORKERS'COMVENSAiION LAWS OF GALIFORNIA,ANO AGREE THAT'IF I SHOU:D BECOA7E INSPECTION FEE = SVBJECTTOTFlEWORKEflS'COMPENSATIONPpOVIS10NSOFSEC710N�37D00FTHElABOii t CO�E.i HALLFO HWITHCOIAPLVWITHTHOSEVROVISIO ISSUANCE o `''��J'� sn�uP s�� w DATE: - . APPLICANT. ��!_� „� _,...�— J WARNI :FAIW TOSECUREWOHKERS'COMPENSATIONCAVERAGEISUNUWFUI,AN�SHJLLLBE ENEFIGYPIC � SU&IEC7 AN EMPLOVER 70 CRIMINAI.GENALTIES ANO CIVIL FINES UPTD ONE Xl1NDRED TNOUSAND EMERCaY PEFtM1T DOLLARS�5100.000).IN ADDI710N TO Tl1E COSiOF COMPENSA710N.DAMAGES AS PROVIOED FOR W ¢ SECTION37080FTNELABORCOUE,INTEflEST,MDAl70RNEVSFEES. � RETENTIONFEE: •� d CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IHEREBVAGFIqMUNOEHPENILLTYOFPEf1JUflYiHATTHEREISACONSTRUGTIONLENpINGAGENCY FOfl THE PERFORMAHCEOFTNE WORK FOR WHICH THIS PERMIT IS ISSUED SSEC.3DB7,CIV.C.I. Z W �Z LENOER'SNAME � ! f=- LENOER'SADDAE55 . . ¢ iCERTIFYTHqiIHAVEREADTHiSAPPLICATIONANDSTATEhIATTHEA80YEMFORMA110NI5CARRECT. TOTAL FEES �.� ��'J` � IAOREETOCOMPLYWITHALLCINANDCOUNTYORD�NANCESANDSTA7ELAWSRELATINGTOBUIL�ING � ' . , . . +-. , CONSTRUCiION,ANO HEREBY AU7HORRE REPRESENTATIVES OF TM15 CWNTY TO ENTER UPON THE 2 A80YE�MENTIONED PROPERTY FOR INSPECTION PURPOSE&. 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