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HomeMy WebLinkAbout11-1658 � , ' �,;.� CITY OF DIAiVIOND BAR I��D ,. _�;,. �"��: � � ;� DEPARTNIENT OF CONII4UNITY 8 DEVELOPIIEI�T SERVICES ?1825 Copley Drice,Diamond Bar,CA 9176� � �,�� q,eT_:�� � �.�..�..._...��.. (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-70 PRESS ����.�� BUILDING PERMIT APPLICaTION FIR �, fUILY } JOBSITE / ��� �r, APPLICATION PERMIT o ADDRESS�����9 (�(� DATE NUMBER����S�/C � ISSUE 0� // TYpE OCC APN LOT TRACT DATE CONST.�� GROUP p OWNER o ADDRESS ZONING SETB CKS z CITY ZIP TE� FRONT qyy � � APPLICANT � TE REAR � Q SIDFJSIDE STREET RW p ¢ CONTRACTOR SIDE � ADDRESS � CIN ZIP TEL. PROPOSED USE o ARCH/ENG/ iz DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS v� � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUIIDER DECLARATION SFR/ADD/REM O 0 I HEREBY AFFIRM UYpEF PENALTY O:PE0.NRV THAT I 0.M EXEMPT fR01A THE CAYTRpCTORS LI- GdlB JPJC8Ij70A W C'cNSeUVJFORTHEFOLLOWINGREA50N(Se'C.7o7t.5EU51NE55ANOPROFE55fON5CADE:ANYCITYOR (n . U LOUYTYWHICHREOU�HESAPeRI.!ITTOCOVSiRUCT,ALT'eR����aOV'c,DEMOUSH,ORREPAIRANYSTFUG �� w TUaE,7RIOR TO ITS ISSUA'iC"e.AL50 R'eOUIR'c5 lic RP7LICAtJT FOR SUCH PERMIT TO:ILE A SIGHED W Patio/Deck '. � STATEMENT THAT HE OR SMe IS LJCENSEO PURSUAJJT TO THE?RONSIONS OF iHE CAMRACTORS U� � CENSE LAW(CHAPTER 9(COIAMENCING WITH SECTION 7000)OF�IVISION 7 OF THE oUSiNE55 A4D PflO� u- PooUSpa � FESSIONSCODE)ORT}1ATHcOR5HEI5EXEMP77NEREFROlAAAD7HEBASISFORTH'eALLEGEDE%'elAP� (3 �i V TIO4.ANYVIOUTIONOFSECTION70�t.5BVFNVAPPIICAt7FORAPE�!AI75U31"eCTS7HEAPPIICANTiO Z Re-Roof ' A CI�uTY OF NOT MORE iHAN FIY`e HUhDRED DOLURS(5500).): 0 A505'MEROr'THEPROPERTY,O.iF!YEMPLOYeES\YITHWAGESlSTH'eIR50LEC041?'eNSATIOx, � COmfnefCial � Z WILL CA THE YlORK.RND 7HE STRUCTURE IS N071NTENDED OR OFFERcD:OR SA!E(SEC.7a�,BU51- J � N'c5S MD PROFESSIONS LODE 7He CANTRACTORS UCENSE UW DOcS NOT APPLY TO AN OWNER OF � PF07ERTY WHO BU�lDS OR IM7ROVES THEREON,AND V1r10 DOES SUCH tYORK HIA15cLr'OR HERSEIF Oa w7MqOUGH HIS Ofi HER OWN EMPLOYEES,PROVIDED THAT SUCH IlAPqOV'cMEMS ARe NOT INTENDED OR m � � OGFEAEDFORS�LEIF,HO�ERiHEBUILDWCORIMPROVEMPJ�lTISSOLDWrtH140N'eYEAROFCAMPIE . Z TION,TNE OWNEH-9UILDER WILL HAVE THE BURDEN OF PRONNG THAT ME OR SHE DI�NOT BUI�p OR � IM7ROVE FOR 7HE PURPOSE OF SALE). w ❑I,AS OVfNER Of 7HE PROPERI�:AM EXCLUSIVELV CANTRACTING YATH UCENSE�COMFiACTORS � TO CONSTRUCT TiE PR0.1'cCT(SEC.JOt�,BUSiNESS AND PPOFe55lONS CAOE 7NE CONTMCTORS ll- V81U8[IDfI ADJ.AREA w CENSELAWDOESNOTAPPLYTOAN05VNEROFAPROPEFiTYWH06UILO50HIMPROV'cSTH'eREON,ANO � WHOCONTRRCTSFORSUCHPROJECTSYATHACONTMCTOR(5)LICENSEDPURSUANTTOTHECOYTRAG QUANTITY DESCRIPTION FEE Y TORSl1LEN5ELAW.�. � ❑I AM EXEMP7 UhDER SEC. 8.d P.C. R THIS DN � �Q �� O � � OATE OwNER F� ._ Z U �Q LICENSED CONTRACTOFS DECLARA',fION W CC I HEPEBY AFFIRM U�DER P'cNALTY Of PERJURY THAT 1 AA LICENSED 1140ER PFOVISIONS OF CHAPTEii � � 9(COMMENCING YlITM SECTION 7000)OF DIVISiON]OF THe B1151NE55 AN�PnOFE5510!JS CADE,AND `X /AY LICENSE�S IN FULL FORCE AND EFFECT. m � � LICENSE CIASS LIC.NO. � � V DATE COYTPACTOR a W � WORKERS'COMPENSATION DECLARATION Q � I HcRcBY AFFtRM UNDER PENALTV OF PeAlUr7Y OYE OF THE FOLIOVlING OECLARAT1045: Z L - %) � _IHAVEN�DYnLl1.AINTAINACERTIFICATeOFCANSENTTOSELF�INSUaEFORVlORKcRS' _ z COMPEMSATION,FS PROVI�ED BY SECTION J700OF THc LABOR CODe,FOR TME 7cRFOn!AMCe U QOF THE YlOaX:OR YMICH TH15�'cR!AI i I5 155UED. � . w _1 HAVE Vr'D Y11LL/AAiNTAIN WORV(ERS'CAMPENSATION INSURANCE.AS AEOUTAED BY SECTION Q �70a OF TH"e L1E0.7 CODc,FOA iHE PERFOaMANCE OF iH5 WOaK f-0R VlHICHTHIS PERMIT IS ISSU'eD.IAV VlO.ii(cR5'COlAPEN5AT10N INSUriANCE CAaR1ERAND POLICY NUMSERARE: CONSTRUCTION J j caqaiea PLAN REVIEW z POLICY NUUB'eR � ELECTRIC ¢ 0 Rrussecr�a+H_�nnra5m.!�rc�crn=acw.n�sroacr:=_Nurr,�oou;,psis�ro�oa�.:ss1 PLUMBING w Z I CERTIFY T!�AT IN THE PeRFORI.!RNCE OF TH'c WOPo(FOR 1'1H:CH THIS PEAIAIT IS ISSUED,1 MECHANICAL U' SNA!L f:OT EM7L0'/AMY PEa50N L`I ANY M.L4\cR SOAS TO BECA!AE SU�lECT TO THE (/� WORKERS'C06!7ENSAiION LA•NS Of CALIr'ORHIl�:.NDAGREE TIUT IF I SHOUID B'cC0!e"e� �NSPECTION FEE SU3)ECT 70 7HE Y/ORKERS'CO1.IiENSATION P�iO`/ISIOYS OF SECTION]7Ga O:TH:Lti3Ori � CODE.�SHALL FORTHYATM COMPLY WITH 71tO5E PROVISI045. ISSUANCE � '(� � p DATE: APPUCANT: SMIP W — J VfARNING:FAI�URETOSECUaEI'lORKEHS'COAIPENSATIONCAVERAGEISUHLAWFUL,ANDSMALLBE ENERGYP/C � SU:J=CT.VlEM?LOYEHiOCFI!/.IUALPENALTIEStJ:�CIVILFIltESUPTOONEHUNDREDTHOUS0.ND ENEAGYPERMIT OOLLARS(St0o.o00�,IN AOO�TION TO7H'e COST OF COMPENSATIOY,D0.54AGE5 AS 7ROYI�ED FOR IN J SECTION3709OFT1fEL1?ORCODE,WTeR=ST�VlDATTOrif7eY5F'eES. w�� [C RETENTION FEE: �—V� OCONSTRUCTIOM LENDING AGENCY PRE-ALT FEE: � I HEREBY AFFIRM UNDER P'eNAL7Y OF PcAfURV THAT THERE IS A CONSiRUCTlOY LENDIIIG FGENCY FOR THE PERFOR.Y.ANCE OF THE YlORK FOR YMICH 7H15 PERIAIT IS ISSUED�SEC.]037 CIV.C.). W � L'c4D'cR'S N?1A' F— LEND'cR'S:.�ORE55 � TOTAL FEES ?j� � w I CERTIFY THAT I FiAVE AcAD THIS APPUCATION.ND STATE THAT TH`e A40VE 1NFORAlAT10Y t5 CORpECT. � 1 AGREE TO COIAPLV t'fITH A�L CITY AND CAUNiY ORDINANCES AI1D STATE UWS RELATING TO BI/ILDING � CO!15Tr7UCTION,ANDHEREOYAUTHORI2ERE?RESENTATIVESOFTHISCOUNT'/TOENTERUPONTHE Z l30VE-MEN710NE0 PROGERTY FOri IN57'cCTIOV PUaPO5E5. 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