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HomeMy WebLinkAbout10032 _ : _. ._ .�._ _..._. . .__. .. _._ . . - CITY OF DIAMOND BAR � � COMMUNITY DEVELOPMENT DEPARTMENT ,..� 21660 E.Copley Drive Suite!90 (909)860-3195 Fax(909)861-3117 • PRES.S ~""'� BUILDING PERMIT APPLICATION FI R M LY 4 D RI SS � r V 1�4 � APPUCATIOM� j-�,;r� PERMIT D�P/C �Q G o DATE_ �'�l NUMBER # TYPE OCC � APN LOT TRACT DATE CONST. GROUP. � OWNER � ADDR S ' A ZONING SETBACKS � CITY 21P TEL:�� 0 FRONT RW ❑ APPLICANT TEL. SIDE/SIDE STREET qyy p � � CONTRACTOR SIDE p o CIDTMDRESS- Z1P � E� _ PROPOSED USE o ARCFUENG/ - b � DESIGNER � N0.DWEL. NO. • NO. , a ADDRESS cn UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BL'ILDER DECLARATION ' p SFWADD/REM I HEHEBY AGFIRM UNOER PENALTV OF PERIURV TNAT I AA1 EICEMPT FRqA TME CONfMCTORS L4 ' - � , � - � - W CENSEUWFq17MEFOLLON'IN(iqEA50N(SEC.70.71.68USINESSMIDPROFESSIONSCODEANYCITYOR � Garafla�Carport � �. . _ - _ � � COIXITYNTiIp1REWIRESAGERMITTOCONSTRUCT,ALTERIAI7ROVE.DEMOL15H.diREGA�pMfYSTqUp W P81��k . ' TURE PRIOR TO RS ISSUANLE AL50 REOl11RE9 THE ADPLICAM FOR SUCH VERAIR i0 i1LE A SIGNEO W � 6TATEMEtlT THA?HE OR SHE 1S UCENSEO OURSUANT TO THE PROVISiONS OF T11E CON7MCTORS LI• � CENSE UW(d1APTER C�COMMENCMG WITH SECTqN)000)OF DMSION]OF THE BUSINESS IWD PRO- V' .POOVS� � '� . FESSIDNSCOD�ORTHATHEORSNEtSD(EMPTTHEHEFROMANDTMEBASISfORTMEALLEGEDE%EMP• (� TqN.11NYVIOLATIONOF5EGT10N70]7.6BYANYAVPLICANTiOR�PERMITSU&JECTSiXEAPPIICANTTp Z qg.Rpp} ACMLPEWLLTYOFNOTMOqETMANFIVEXUNDREDDOl1ARS�f500�.h � � ' ' �0 OIASOVMEROFTHEVROVERiY,ORMYEM7LOYEESWITHWAGESASTHE�N50LECOYPENSATION, � 0 CWI�rt1B�Clel � Z WILL DO TNE WORK ANO THE STRUCTURE LS NOT IMENOED OR OFFEREO FOR SALE(SEC.)Ou,BUSF J � � NESS AH�DROFESSIONS COOE:THE COHTMCT013S UCENSE UW DOES NOTAPPLY TO AN OYMER OF ? . PPOPERTYWIqBUILDSORIMPROVESTHEREON.ANDWHO00ES5UCHWORKHIMSELFORHER$ELFOq � � �-CL TMROUWINISORHENOVMEMVLOVEES,VROYlOEDTHAT5UG/WPROVEMENiSAAENOTINTEN�E00R. m p OFFEREDiOR5KE1F./10N'EVER7HE8UlOWGORIMPHOVEMENTIS50lDWITMNONEYEAROFC0AIPLE-. - � , �-,`�•. . � �� - •Z T10N.7HE OWNER�UILDER NnLLlI�VE 7ME BURDEN OF PROVINO TMAT NE OR SHE�ID NOT BURD OR .WIMPROVE FOfi THE VURPOSE OF SALE1. OI�OWNEHOFMEVROPERTI/,AME%CLUSNEIYCON7RACTIN6WITHLICENSFACONTMCT00.S � TO CONSTRUCT TNE VRQIECT(SEC.7a�,BUSINESS AND VROFESSIONS COOE:TNE CONTMC70R5 U- V81Ue1fOf1 � ADJ.AREA � CENSE UW DOES NOiMPLY TO AN ON'NEH OF A PROPERN NTfO BUILDS OR MPqOyE3 THEREON,AND � MM1qWNfMCTSFOR5UCH7F�JECT9WITIACONTMCTOR(S)LICENSEDPURSUMITTOTMECONTMG QUANTITY DESCRIP'TION � .I TORS UCENSE tAW.). FEE . . 0 •�IAAIEXEMPTUNDERSEC. B.iP.GfORTHISREA50N � � V � DATE OWNER F- �Q LICENSED CONTRACTORS ECLARATION W � CL I HEREBYAFFlRIA UNDER PENALTY OF PE0.tt1RY THAT I AM LICENSEO UNOER PPANSIONS OF CMAPTER � � . p., f(COY1AENdNO VATH SECTION 7000)OF DM510N]OFTHE BUSINESS AHO VROFESSIONS CODE,AlA Z ` � �L 1AV IICENSE IS N iULL FORCE ANO EFFECT. m � LICENSE CUISS UC.NO. � _ • V DATE COMMCTOR - - d � ' . .. �w '" --_ 7 ' WORKERS'COMPENSATION DECLAAAT�ON � Q � IHEHEBYAFFlRMUNDEHGENALTYOFVEfWRYONEOFTHEFOUAWINCiDECLAMTIONS: Z . � � _IWWEANDWIlLMA1NTAINACERTIFlCATEOFCONSENTTOSElHNSUREFORNCRKERS' QS COMOENSATqH,ASiqOVIpEDBYSECTION77000FTHElABORCODE,FORMEVERFOfU1ANCE CJ Q OFTHEWORKFORNMICHTHISVERMITISISSUED. � � � _I WIVEAND NnLL WINT,UN WORKERSCOMPENSATqN INSUMNCE,AS REOVIRFD BY SECTION � J7000FTXEL�BORCODEfOqTMEPERFORMANCEOFiHEWORKiORYlHICHTHISPERAIITIS J ISSUED.MYNqHKERSCOMPENSATIONINSURANCECMRIERANOPOIICYNUMBERME: CONSTRUCTION j c+wruER PLAN REVIEW 0 VOLIGYMIA�BER . . . . . . .. . . . . . � • ��.. ELECTRIC o (nuSEanrr��no7eEoo�.�ErmofnFVEaMiswna+EHunPIDootilu�s(timlORlEu1 PLUMBING w Z ICERTIiY7HATNTHEGERFORI.I:WCEOFTHEWORKFORWH1d1THISVFiWITI5155UED,l MECNANICAL C7 SWLLLNOTEMPIOVMf(PERSONINANVMu�1NEHSOASTOBECOMESUBJECTTOTHE p7 WORNE0.5'COMVENSATqNLAwSOFCALIFORNI/�ANDAGREETUTIFISNMADBECOME INSPECTIONFEE -- SUBJEC7 TO TME MlORKERS'COMPENSA710N PROMSqNS OF SECTON�70a OF TME UBOR � O CODE.IS/WIFORTMVITHCOMPLYWITMTHOSEPROVISIONS. ISSUANCE _ -�� p OATE: APPLICAN7.� SMIP � ENERGY P/C . WARMNa FARUHE TO SECURE MpFKEflS'COMPENSATION COVERA6E IS UNUWFUL,AND SHALLBE . � SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCMLFWESUPTOONEMUNDRE�THOl15AND ENERGYPERMIT ' OOLLA0.5(Stoo.000�Ml ADOITqN TO T11E CO51 OF COMVENSATqN,DMMGES AS VROVIDEO FOR W J SECTION]7oe0�MEV80RO0DE.INTEREST,ANDA7TORNEY'SFEES. ¢ RETENTION FEE: - -C�'7—�� � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFIRAIUNOERVEN�LTVOFPE0.JURVTMATTMEREISACONSTRUCTIONIENDINCACENCY - � idi TME GERFORMANCE OF ME WORK PoR MT11G1 i1115 GERIAR IS iSSUED�SEG 7007,CN.G�. � � IENDER'S NAAIE C IENDEN'S/DDRESS � w ICERTIFYTHATIHAVEREADiNISMMICAT10NM1DSTA7ETNATTHEABOVEWFOR/1ATqNISCOMECT. TOTAL FEES , , p_ IAGREETOCOM7U'WRHALLCRI'ANOLOIAJfYORDPIANGESIWOS7ATEUYSREUTINQTOBV4AIN0 - � � � � COHSTRUCfION,AN�HEREBYAIlTqR11EREGRESENTAiNE50FTWSCOUNTVTOEMERUPONiHE /1BOVEJAEHTIONEO ViqVERTY FOR W SPECTION PllRPOSES.' COMMENTS s �3 � • .L�� � � PE E�PRtNT� - � � � � l ���� ' �..'� S OFPE EE . � � pATE � � • � - ' RECPT.N PA�D BY VALIDA710N WHITE—Uepartmant Copy,YELLOW—Finance Copy,PINK sae �(���-v•,GOLDENROD-.-File pyr'�GRE kanCaGopy ��/� /� . . . .. .. .. � . . . . .. .. 1.�'�A1�Y1 R,�..w �A.CQw1'L3.t�IY07vunt�.l4_ IY).41��� .OYu�N�'t�d� � .. . . w:C.'^�•I'�1�. ' :�.�. ,j �n�4� �rtyv h.r.r ,c: '�•�' ,�k. 71f T•'� ^� 7-u .r L ;�.0 ,S.�S ++.f +..y✓� '�T`s...�1 a .)rri,l:�r��••s..� ' - . .'.. . , ,,,;���.;.?,.,'r�e�'. „�.;... .s C{'�''r S�'q,..a�� .,�:J'`w�.�. �i�.;5: � , . . `;i. ."F,; �f• ..''�'��� . •' �\ \ � , . _ � . I � \. CITY_O.F.DIAMOND BAR - ` `� ; ' � __- .-:�' 1. '�` � INSPCCTIOPt! RECORD , ', ` � . .�' . . � 1 i � . . , ,. , . � _ k`_;I����fi�..i����l�� � 'l���d�� � 1 �^�.f,.��J'��7'�.w-r 1�F �'�I����l��` .i.;�_ S�'.�v��� iu11��•L��ir';�,C,'�r.,'�'�q� , ...._..1,...... _1_' ,__�'.:.�_�_ L _. 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