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HomeMy WebLinkAbout14394 (20) �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMi1HITY�DEVELOPMENT SERVICES � , 21660 E.Copley Drive Suite 190 (909)860-3193 Fsa(909)861-3117 PRESS '�"� BiJILDING PERMIT APPLICATION �IRMLY � ADDRIESS I�4 ( 1��b��� Ci4�KC� DA��T�ON � !y' PERMIT/Ay P/C I� /D' / � NUMBER / i � APN �OT TRACT ISSUE TYPE • pCC g OWNER DATE CONST. (iROUP _��LT111� DR�iA/1'!E,"��1`Y `p ADDRESS_ 171F�XE'0 6�F Gl�.y� ��) Z�NING SETBACKS '� CITY bl�,b �A ZIP �S TEL. o FRONT RW ❑ APPtICANT M)�E Cn�►11 TEL. o w 'n � 51DFJSIOE STREET qW ❑ CON7RACTOR T SIDE ❑ � CITY �MJ DI�S. �ZIP RfttlE TEL.�`1 StiS-ll � PROPOSEDUSE DUEILF}Ef}�0 S7DfG•{�� '�p�, �b.1�E�,�/q�[t,�� � ARCFVENG/ _hYhhS ox�S , �SL. DESIGNER B X.�G ADDRESS D tb.! dAQ�GEl.. NO.DWEL. NO, NO. � , UNITS STORIES BEDROOMS CITY �$tMET� ZIP TEL. �/tiC-�2rf0-y� y OESCRIPTION SQ.FT. -FACTOR PSF ADJ.AREANALUATION Q OVNVER•BUILDER DECLARATION SFR/ADD/REM O 1 NFREBY/FFlpY UNDER PENKTY OF PERRIRY THAT I AM EXEMP7 FROM THE COMMCTOpS LI- G8f8 B/C81pOR CENSEIAWFORTNEiOLLOWWORENON(SEG70.91.6BUSINESSANOPROFE3910NSCOOE',ANYqTYOR (n 9 OOUNTYWHICHREOtARESA►ERMRTOGONSTAUGT,ALTEFtMPROYE,DEMOLJSH.ORREPAIRMIYSTfrt1C• W pp110/06Ck IURE,►Viqil TO R8 65UANCE,AL80 REOUIHES Tf1E MPLCMIT FOR SUCH YENNI7 TO FILE A SIONED W SiATEUEM i}UT NE 011 SHE IS UCENSW PURSUANT TO iHE PROVISION9 OF THE CONTMCTOq9 U- A, , CENSE UW(qNPiER 0(COMMENCINO WRH SECTION 7000)OF�IVISION J OF TXE BUSINESS AND PRO- u' POOUSp9 FE5510l150ODE�ORTiATHE�RSHEISEXEMCTTXEHEiROMAN�TNEBA518FOqTHEALLEQEDEJIENP- (� TqM.ANVVI0U1T10NOF8ECTION7a77.6BVANYAGPLICANTfORAPERMITBUBJECi87HEMPLIC�NT70 Z RB•RODf �„� ACMLPENALNOFhpTMOqE'M1WIFNENUNDRED�OLLARS�{6oD).�: OI,/L40MMEHOFTHEPROPERTY,ORIAYEMPIAYEEBWIiHWA0E9ASTHEIR30lECOMPEN5ATION, (, (�pmmelCi81 � MIILL DO THE WOHK,AND h1E STRUCft1RE IS NOi IMENDEO OR OFFEHE�FOR SALE(SEC.70M,BUSI- J NE55 AND PFIOFESSIONS COOE iF1E CONiMCTORS LICEN9E lAw�DES NOT APPIY TO AN OWNER OF a�, � �NOPENTYWFIOWlDSONIMPRDVESTMEREOlI,ANDYMODOESSUCHMIOAKHIMSELFORNERSEIFOq = OY�(,�= S� �W � iNROUGHHISORMEROWNFIAPLOYEES,PRDVIDED?N�TBUCHWPROVEMENTSANENOTIN7ENOEDOR m OFFEREO FOR 6ALE IF.ipWEVER THE6UILLINOOR MPROVB�IEHT IS SOLD WRHINONEYEAROFCOAI0.E- TION.TME OWNER�I11tDER N7LL FIAVE T11E BURDBI OF PROVWO TUT HE OR BHE DIO N�T 6UIlD OR MPROVE POR 111E PUNiOSE OF 9ALEI. � OI,ABONMFROFiHEPROPERTV,AIAEXCLUBNELY00NfMCTiNOWRHLICEN9EDCONTMCTOqS 1D CONBTRVCTTNE PROJECT(SEC.7oM,Bl18MES3 AND CROFESSIONS OOOE.THE CON7MCTOR3 U- V81119tb11 ADJ.AREA CF.NSE UW OOES NOTAFPLY TO AN pIM�ER OFAPROVENTY WIiDlUX,DS OR INPROYES iMEREqV,IUVD WF�OCONTMC78PoRSUWPFq1ECfSNAiHAODNTNACTORfS1L�CEN9EDPURSUANTTOTXE00NTMP QUANTITY OESCRIPTION ta�s uco+sE uw.l. FEE � ❑1 AM EXEIAPT WDER SEC. B.�V.C.FON TN�S REA90N d � . � U � �= DATE OriNER � LICENSED CONTRACTORS DECLARATION � � �� � W � INEREBYAFFlRMUNOEHVENA�TYOFPERIURVTNATIAMUCENSEDUNDERPROYI6qNSOFCHAVTER � �(CqAMENCpJO N7TN BECTION 700D)OF ONISION 90F TNE 91161NE35 AND PROFESSIONS COOE,I1ND Z W UCENSE 16 M NLL PoRCE AND EFFECT. m � uc sE cuss g-1 uc.No. �5418 3 � �j w 2'lo- ' conrra�croa lY1�Y� CO�ol�l a w ��� ORKERS'COMPENSATION DECLARATION ' ' . 4 � . . '£,•� • •� •,. �, � 1 EijE�FlRMUNDEqVENALTYOFVERAIRYONEOF7HEFOLLOWINODECIARAiqN3: Z \� � _1/41VEANUWILLMAIN7AINACERfIFICATEOFCONSENTTOBEIF•WSUREFOHWdiKERS' _ COYPENSATION,AS PROVIDED BY SECTION 3700 OF 7HE IABOR C�E.FOR 7HE PERFORMANCE U OF THE WORK FOR NMICH TFIIS OERMIT 18155UE�. � 0 2 _I W WEAND N7LL AWNfA1N WOFiKERS'CONPENSATION INSURANCE,AS RC�UIREO BY SECTIDN Q 77000FTiElABORCOOE,FORiHEVERWpMANCEOFTHEWOPo(FORMAi1CHTHISPERMRIS � � � I65UEG.W WOFKEqS'COMPENSATXJN INSURANCE CARR¢RAND VOLCY WIMBERARE: CONSTRUCTION � CARRIER PLAN REVIEW � 2 CVNu�eER EIECTRIC � <K p (MssECIIONNE�ND7eEWhQLE7moFhEPERIM6iOna�eFARDFlEoOatwls(i�alq+tEss). PLUM8ING Z ICERTFV T1iAT YJ RIE PERWRM/NCE OF THE WORK FON WIiICN TNIS PERAIIT IS ISSUED,I MECHANICAL ^ 6WLLL NOT EMPLOY ANY iERSON IN ANY MAMIER 60A3 TO BECOME Sll&1EC7 TO h1E (/) 1 WORKERS'OOMPENSATIONUWSOFCALIfOqNIA,AHDAOREETlMTIFISMDUlOEECOA�E INSPECTIONFEE ' SU&IECTTOTHEM/ORKERS'[OMPENSATIONiROYISION50FSECTIONeTooOF7NEUBOP ' � CADE.I6HALLFON7}IWI7NCOMMYWITH7}qSEPiIOVISqNS. ISSUANCE G � DATE: II� Y�-� ,��,�: �:lr.� caa�i SMIP .� WARNINO:FAILURETOSECUREWORKERS'COMPENSATIONOOVERAOEISUNUWFVL,AND5HALLBE ENERGYP/C J" � SUBJEGTMIEMPIOYERTOCAwINKPENAL71E5ANOCNILFINESUPTOONEWJNORE�THOV8AN0 ENERGYPERMIT � DOLLMS(i100,000�,W ADDIiION TO TFIE GOST OF OpAPEN51{TqN,UAMA�ES/l3 FHOVIDEU FOR IN SECTpN 370e OF THE LABOA CO�E,NJTERESL AN�ATfOHNEY'S FEES. RETENTION FEE: _Af 7/1� A � �� O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: '�/�j�� tra � iHEREBYAFFIRMUNDERVENALTYOFPEIUURYiHATTNEHEISACONSTRUCTIONLENOMIOAOENCY FOR THE PERFOHMMICE OFTHE WORK PDR WHICH THIS PERMR IS ISSIIED($EC.90C7,CIV.G�. � LEDAERB NAME �IA' � LENDERSADDRESS 1�1,R� � IGER7IFYTlU71YUVEqEADMIS�PPLICA7qNANp5TA7E7Mi17TFiEABOVEINFORMATpNISCORRECT, TOTAL FEES � IAfiREETOCOAIPI.YWRHALLCRYANDODUNTYOROW/JlCESAN�STATEUWSRELATWOTOBUIL�ING � OONSTRUCTION.ANO HEREBY 11Ui}iORIZE REPRES[MATNES OFTHIS CIXIhrtV TO EMER UPON 111E ABOVE-/AENTIOIVE�PPOPERTY FOR INSPECTION PURPOSES. COMMENTS 0 _ (1'11}� C.G►�S1 Qo�mEE N�(aau�m cn 11.-la'°I-4 � SIONhTUREOFPERM�TfEE OATE � fiECPT.NO. P/JD BY � VALIDATION WHITE--0epartrnent Copy.YELLOW�inenoe Copy,PINIC---Asseasor Capy,GOLDENROD—Ftile Copy,GREEN—Appl{cem's Copy � .. . . �. . . � ,. .. , �. ... . . ., . . . . . . .... .. . . � . , . . , • � . s . .d � . ,. . ,,, . ... . 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