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HomeMy WebLinkAbout13935 (17) CITY OF DIAMOND BAR ��� �� -�'�--� DEPARTMENT OF COMMUNTTY&DEoBLOPMENT SERVICES • • ' � . 21660 E.Copley Dcive Suiu 190 (909)86a3195 Fax(909)861-3119 PRESS ''�M'��� BUII.DING PERMIT APPLICATION FlRMLY � JOBSITE ^ /� APPLICATION �� PERMfT � P/C p ADDRESS�I V�Q QC�AL !�C C,/� DATE NUMBER�9� N � ISSUE� TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER ADDR SS A ZONING SETBACKS �� CITY ZIP TEL. REAR RW O APPLICANT � TEL.� SIDE/SIDE STREET RW D CONTRACTO SIDE ❑ g ADOR SS CITY ZIP TEL PROPOSED USE IWC NG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDAOOMS CITY ZIP TEL. � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/A�D/R6M O I MEREBY AFRIW UNDER PENALT'OF PERAIRY 7HA7 I AM ExEMVT FNOM 7HE CQiTMC70R5 IJ• G8fi190/CBryDf! CENSE lAW FOR T1iE FO/LOVANO RFA..ON(SEQ 7W7.6 BUSINEBSANO PROFE5510NS CODE:ANV qIYOR (/� COIN�RYNh9qIREWIRESA►ERMRTOCONSTFIUCT.ALTERMdPPDVE.DEMOUSH.OHREPAIRANYBTRUC• W 'PatIOIOBCk NflE.�RpFi TO RS ISSUANGE,ALSO REOU�RES iHE APPLICANT FOR BUCH PERMIT TD FILE A 810NE0 BTATFMENT TMAT MF ON SHE IS 4CENSED PVRSUANf TO THE PpOVISION3 OF TNE CONiRAC70R8 L4 CENSE UW f�ER Y(COMMENCiN(3 WIT116ECTION 7a001�DIVISION]OF 7ME BUSNESS ANO PRO• LL' PooUSpe FESSIONS OOOE)ON TH�T HE OR SHE 18 E7(EMPTTiEREFROM ANO TNE BASIS FOR TNE ILLLEOED E7�MP• TION.IM'VIOLATIONOFSECfION7091.6BYANYAPPLICANTFORAPERMIT9UBJECTSTMEMPIICAI'lfTO Z Re-Roof � AqVIL/ENALTY OF NOT MORE h1AN FNE FWNDRE�OOLLARS(tGuO�.): � OI,ASONMEROFiMEpN�PERTI:�RYYEMPLOYEESMATMWAOE5A5THEWSOLE00MVENSATION. 0 (,"ppTBfC18I W{LL DO THE WOi1K,AND TNE STRl1CNf1E 16 NOT IMENOEO OR OFFERED FOR&ALE�6EC.f041,BUS�- J NE55 AND OROFESSIONS WOE:TNE COMI'RACTORS LICENSE lAW DOES/pT APPLY TO MI OWNEN OF � � �ppPpq7yWF{p9JILD8pqMPqOVESTHERFAN.ANDYNi000ES9UCF1WqiKHIMSELFORHERSELFOfl � M�OU01i NIS OR MER dYN E4DLOYEE3.PipVIDED�T 6UfY1 W PFOVEMENTS ME NOT MENUW OR m pFGERm FiDRB�LE IF IIONfEVER 7MEBULpNOOR IMPROVEMQlf t5 SOLD NA7HINONE YEAR OF C01AP(.E� TION.TNE OYVHER$UILDER WILL HAVE 111E BURDEN OF PROVWO 7NAi HE�R 6HE UIO NDT BUIID O!i IIAPROVE FOR T11E PUXPOSE OF 6AL4 � O l A4 CMMEN OF TNE it10PER�Y.AM E%CLUSIVELY CON�MCTINO Nn7H IICENSED CONTMCTOR9 TO CONSTRUCT THE YRWECf(8EG 7W{.BU91NE83 AND PItOFE5510N9 CODE TFIE CON7RAC70RS L1� V9I118/IOf1 ADJ.AREA CENSE UW DOEB NOTAPPLY TOAN OWNER OF A PROVEHTY WIIO BUMAS OR IIAPqOVES 7HEPEON,MlU NftlCOMRACfSiOfi6UCHPROJECTSWITNACONTfUCfOHISILICENSEDPUR5UAM70T1ECON7AA0 QUANTITY UESCRIPTION FEE � TORS lJ[�N6E LAW.1. — ❑1 AM EXEMPT 11N0EH 6E0. B.d P.C.FOR 7HI5 REASON U S - wre owr+ea V � UCENSEO CONTFACTORS DECLARATION W � IMEflEBYAFFIRIJIMDERPEW�L7Y�PEFUUR'�71iATIAMLICENSEDUNDERPROVISION50FCFIAPTER � ��CqAMENCN10VAiFIBECT10N7oo01�DM510N]OFTHEBV8INESSANDPROFESSIONSCODE.AND Z P LL ' W LICFN9E�N FUIl FORCE MIO EFFECT. m � UCE•NSE CLA S LIC.NO. '� �'` j 1-- A�,. � DATE CONTMCTOR�+r.� a .Y� � WORKERS'COMPENSATION DECU+RATIpN Q � IIEREBYAiFIRMUNDERPENALTYOFPERIURVONEOFTMEfOLLOWINOOEGIARATqNS: U [� a � ��IYNVEANDWILLIMMRAMIACERIIFICATEOFCONSEM708ELF�INSUAEFORM/ORKERS• _ CdAPENSATION.ASPqOV1�EOBY8EC7'ION77000FTHELABORCODE.FORiMEPERFORMMJGE �U OF 7TIE WORK POR NM111CH 7HI3 PERMIT IS ISSUE�. � � �I HME AND M/ILL W11N�AIN WORKERS'COMPENSATION IN511itWCE,AS REOlAREO BY SEC7pN Q 3700 OF TNE U1BOA CODE,FON TNE PERFORMANGE OF TNE WOPo(FpR NM1IICH TIIS PERMIT IS F R 159VEO.MY EAS'COMAENSATIONINSURAIJCECARRIERANDPOLICYNUMBERME: CONSTRUCTON � �pq�Ep C� PLAN qEVIEW � POUCYNUTABER � EIECTAIC _ B f�sECiqMNEfDNOTBEWIM�TEpoFnEVEaMffswHaNEMl+�1�m�aWisRlo�ai PLUMBING -. . FTEp Z 1 CE�FMTHAT W TNE PERfOHA/ANCE OF THE YVORK FOR WXICN THIS PERMIT IS ISSUED,I MECHANICAL 't"�'+ �' 6WLLLNOTEMPLOYANYPEHSONMIANYMANNERSOA570BECOMESVBJEC7TOME N WOPo(Ep5'0041VEN9ATqN UWS OF CNJFORNI yQ,�(�REE 7NAT IF I Sh10UL0 BECOME INSPECTION FEE � SUBJEC'TTOTHEWORKERS'COMPENS ROYISION5�7 CTIONJ70GOFTHEUbOfl COqDE.I SHM�L�FOpRTNWITFI COMPIV n+osE vaovisw�s. ISSUANCE A��n 'S r� F�� � p DATE: O""�Q�'77 ! SMIP C� �� r �� APPLICANT: � ENERGYP/C �U t� lA�'���'V II��AR, WMNINO:FAILURE TO SECUPE YYOfiKEflS'C0IAPENSATqN COVERAOE IS UNLAWFUL,AND SHALL BE (r } �/ �y BUB.�ECTANEMPLOYERTOCRIMPIALPENALTIESMIDCMLFINESUPTOONEHUHDNEDh10l13AN0 ENERGYPERMIT yL 1�1���=,1.�'_T I� � DOl1AR5(f100.000�.MIiIWITIONTOTMECOSTOFCOMPENSATpN,ONdK3ESA5VRDV�OEOFOR�N J SECTION]10!OFTi7E LABOR COOE,�NTEREST,M10�TTORNEM'6 FEES. RETENTION FEE_ Q � CONSTRUCTION LEN�ING AGENCY PRE-ALT FEE: � I HEREBVAFFIiiA UNDER VENALTY OF VERIURY THATIHERE 15 A CAN5TRIICTION LENOiNG AGENCY Z FOR THE PERFORMANCE OF TNE VN]FiK WR NTIICH THIS vE W.��715ISSUED(6EC.90D7.CIV.C.�. W � LENDERS NAME �S LENDER'SADORESS `+ ICERTIFTTNATIMAYEREAD7HIS�PPLN:ATIONANOSTATETHATiHEABOVEWFOFlMAiIONIS�ORRECt TOTAL FEES � IAOREETOCOMPLVWITHALLCf1YANOCOl1NTVORO�NANCESANDSTJREIAWSqEUTIN�TOBUILDIN� CONSTNUCTION.AND MER�Y uJf1qRIZE REPRESENTATIVES OF MIS ODUNN TO ENTER UPON THE S� neovE-►�M�+EpPnorEx�rrwawSrEcria+aunvosEs. COMMENTS 9 a�ISNt��V�tl..'--1 QiERNiTTEENyAP(PN �� � �F y 9WNATUREOF ENAITT WITE , � RECPT.NO. 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