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HomeMy WebLinkAbout13651 . �-- . � � � _ CITY OF DIAMOND BAR � -- DEPARTMENT OF COMMUNITY dr DEVBLOPMENT SERVICES � , 21660 E.Copley I?rive Suite 190 (909}860-3I95 Fax(909)861-3117 PRE$S "TM°�+� BUII.DING PERMIT APPLICATION FlRMLY oJOBSITE A�A�CATION�,�'(��C�G� NUMBE� li �v Q ADDRESS 2_ Z S O7 �i0/.t-.LJ,tJ� � � � � ISSUE TYPE OCC APN LOT -t� TFiACT� OATE CONSI: GROUP p OWNE�R-C�L�k'OR .I/c_ �nr+ , .Ecl r7'c� "' ADDRESS y ZONING SETBACKS � CITY ZIP q17�STEL.Q�js-�n��(n5'3L FRONT RW ❑ � APPiICANT ��-�C/i- �p�S� TEL. - - REAR ❑ � SIDFJSIDE STFiEET RW ❑ CONTRACTOR SIDE ❑ ADDRESS g CRY��� a STQ Y ZIP TE PROPOSED USE ��� g���� /`3�I��2.�-n� A� B ARCH/ENG/ � DESIGNER NO_pWEL NO. NO. ADDRESS UNITS STORiES Z- BEDROOMS � CITY ZIP TEL. � tn DES IPTION SQ.Ff. FACTOR PSF ADJ.AREANAI.UATION Q OWNER-BUILDER OECLARATON SF 4DD M 'I � 1 MERFBV AFFRM UNDER iENALN OF PEiWRY 7HAT 1 MI EXEMM FFlOM hIE CON7RACTORS L4 G8f80B/C8ry0R � CENSELAWFORTNEFOLLOWPIOREASON�SEC.7081.68UBNEBSMlDPROFESSIONSCODE:ANYCITYOR (n COIAiTYYYF#CH REOIJiRE9APEiW RTO CON9IRUCT,ALTEFl IMPROYE,OEMOL6H.OR NEPNRANV STRUG r � (yJ� 7URE.PRIOR TO RS IBSVANCE,AL90 REW IRES 7/fE APYLICMlf FOR BUCM PERMIT TO FILE A SIONED w � Z A ' v(/. iTATEMENT TFIAT XE OR 8ME I6 UCENSE�PURSUANT TO THE PROVISIONS OF TFIE WN7MC70q5 LF CENSE UW(CHAPTER Y(CMIMENGNO WfTH SCCTIDN 7000)OF DIYISION 7 OF TNE BUSINE55 AND PRP u' PO�USp9 FESSIONS CODE�OR TIMT NE OR 9HE IS EXERIPT TMEHEFROMAND IYIE BASIS FOR THE ALLEOEO EXEMR C7 710N.ANY VIOLATION OFBECTION 7a71.6 BY�1HYAPPLICAM FOR A VERIAIT BUBJECTS TNE APPLICANT TO 2 RB-R001 � ACMLPENALTYOFNOTMORETWWFNEMUNDREDDOLLARS�t6W).�: OI.ASOWNEROfTHEPHOPEHTV,OR4YEMPLOYEESWITHWAOESA57HEIRfiOIECOMPEN9A7pN, COfI1R191C181 HT WILL DO iHE WORK AND lHE 8THUC7URE IS NDT IMBiDED OR OFFERED FOR SALE(SEC.7oW,EUSF J NE53 AND PAOFESSIONS GODE:7NE CONfMGTORu LICENSE LAW DOEB NOT MPLY TO AN OY/NER OF = • � YiqPERfYWIWBUKD50RIMPROYE81T7EREON,pNOWNODOE56UL71WOfiKXIMSELFORHERSELFDfl � TNiqUGHYN50RNEROYYNBAPLOYEE9,PROYIDW7M1178UCF11MIPROYEMEN73ARENO7WTENDmOR m OFFFRED NN SIV.E IF,HOWEVEil7HE BUILpNQ Olt MIPROVEMBR IS SOLDYATHW ONEYEAROf COAIPLE- TION.IME OWNEFi81NLDER YALL MAVE'RIE Bt1R�EN OF PROVINO THAT ME OR SHE DID NOT BUILD OR �APIqVE FOR TNE PUPPOSE OF S11LE�. ❑�AS OWNER OF 1NE PNDPERTY.AM EXCLUBNELY CON�IU.CTINO WffM LICENSED OOIViqAC70q9 � TOOONSTRUCT iNE PpOJECT(SFQ 7W4,BUSINESS AHD PAOFE5810N5 CODE:7HE CONiRACT011B L4 V81UltI0f1 C� ADJ.AREA CENSE LAW OOEB NOTAPPLV TO Ml OWNER OFA VHOPERTY MRIO BUX.DS OR W PFi�VEe THEREaN,AND NM1IOCONiMCfSFOReUCHPROJECT8WITIACONrMCTOR(91LICEN9EDPURSUANTTOTMECOlI7RA0 QUANTI7Y DESCHIPTION FEE � lORSIICENSELAW.� � ❑I 11IA EXEMPT UWDER 8EC. B.t P.C.FON THIS FEASON Q U LL � A DATE ONMER � W sss((( LICENSED CONTRACTORS DECUIRATION W {L 11fEREBYAFFIWIIAVOEflPENALTYOFPER1Uf1YTIMTIAMLICEN5E0UNUERPROVi510N50FCHAPTER S �(COMMENCING WITN SECTION 7000)OF DMSION 9 0F THE BUStNE53 AND PROFE9510N5 CODE,MID Z s U u��� W UCENSE IS IN Ft1LL WRCEAN�EFiECT. m l � UCENSE CtA55 V LIC.NO. �764•19 � � w� 6ki 194 corrrAacrow'="�nl�W��c.o.��k' a WORKERS'COMPENSATION DECLAflATION 1 Q y � 3� � U � 1 NEREBY AFFlRM UNDER PENALTV OF PEIUUM ONE OF 7HE FOLIAWING DECURA7qN . Z , � _IMINEANDWILLMAINTNNACEIffIFICATEOFCONSENiTDBELFNSUREFOHN'ORKERS' _ � OOYPENSATqN,A8 PHOVIDED BY BECTION 9700 OF THE LABOR CODE,FOR iHE PERFORAIAMCE W O OF7MEWORKFORWHICHTi11SPEPAA1T18155UED. � � �IHAVEANOWILLMAIMAWWORKEHS'CONPENSATIONRISUMNCE,ASREOUIREDBVSECTIDH Q77000FTMEUIBOROOUE,FORTME�ERFORMPNCEOFi}IEWORKFORWIiICMTXISPERMITI3 ^ IBSUEO.W p5' P SATqNIN3URIWCECARRIERANDPOLICYNUMBENME: GONSTAUCTION a � CARRIER PLAN HEVIEW ! � ' ���EA ELECTAIC + � RFisBECIbNNE�►piBEap�tE7�OFhEPEf�fiBlonarEMLMnmOa.wtS(t7ro�aiLE.'"s�. PLUMBINO � 2 1 CEIiTIFYIHAT NTHE DERFORMANCE OF THE WORK FOH WHICHTHIS PERMIT IS ISSUE0,1 MECHANICAL � 6HAlLNOT EMPIOYANV VERSON N�M'41ANNER SOAS TO BECOME Stl&IECTTO THE wRx (/j W011KER5 COMPENSATION 1AW50F CALIFORNIA,ANO 110REE TIUT IF I SFqULD BECOME INSPECTION FEE � S BUBJEC7 TO 7HE WORKER5 COIAPEN9ATION PROVISIONS OF 6ECTION 970o OF TME LABOR „�,�p,�� `wo,i sw�u wmHvnrn wrnr�r vnn� suxas. ISSUANCE � SMIP p DATE:a 11PPLICANT • — ENERGY P!C �1�r,� ^'F � � � � WARNM�:FMLUHE TO SECURE WORNERS'COMPENSATION COVERA E UNUWFUL AND SHALL BE -�-�� L�� �y SUBJECTANEMPLAVERTOCRIMINALPENALTIESN10CMlFNESUP ONEMUNONEDTHOUSANO ENERGVPERIu11T ��� OOLLMS(t10o,0ooJ,M ADDITION TO THE COST OF COMPENSA7qN,DMMOES A9 PROVIOED FOR tN ! p ¢ SECTqN]TOSOF THEMBOR COOE,INTEREST,�qDATTOfiNEY'6 FEES. RETENTION FEE: . � ` r ?�''' �� ^ � ��"�� V .fi��3:;.. �.. 4 CONSTRUCTIONLENOINGAGENCY pp�.A�7p�57��;� �''���- ;il\=_:� .. � : � � -1 ,s � I HEREBV AFflRM UNDEfl VENALTV OF PERJUi1V TIUTTHERE 19ACOHSTHUCTION LENDINO AOENCY �( W J� PoR THE PERFORMANCE OF TIIE VYORK FOR WH1CH 1HIS PERMIT 18189UE0(SEC.iDi�,qV.CJ. 1 � LENDER'SNAME -a � LENDERSMORE33 � ICEflTIFYi1MTIHAVEREADTiISAPPIICATIONNA9TATEhVATTHEABOYEINFORIAATIONISCOHflECT. TOTAL FEES � � I A6REE TO COMPLY N77M ALL GT'M!D GOUHTY OROINANGES AND STATE UWS RELATINO TO BUILDING � CUNSTRUCiION,AND HEREBY AIIMORQE REPRESEMA71VE5 OF T1i1S GIXINTY TO EMEN UPON 711E ABONE-MENTqN�Pi10PERTY FOR MISPECTION VURAOSES. COMMENTS � � aPERMRTEE NAME(PRINT� � � � BIONATUtiEOFPERMITIEE TE � RECPT.NO. PAID BY YAUDATION WHITE—Oepartmant Copy,YELLO nanCe Capy,PINK—Aasessw Copy,OOIDENROD—File Copy,aREEN—Applicent'e Copy CIZ'Y AF DI�►Mt�11�D E3AR . It��PECTIt3P�! 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