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HomeMy WebLinkAbout13867 �` CITY OF DIAMOND BAR � i DEPARTMENT OF COMMLJNITY dc DEVELOPME SFtiRVICE �, . Zi�o E.cop�y n,z��s�c�i90 �"�,�,7, �-�-� �.-S"—I���7.5� PRESS (909)860-3195 Fax(909)861-3117 tt- .. ~'��'�� BUQ.DIIVG PERMIT APPLICATION FIRMLY Q� JOBSITE �3$�� ��p��/��- �p APPUCAII p PEFiMIT ' 3��'� P/C ADDRESS DATE ��3"q f NUMBER 1t � APN LOT� TRACT �Oo9 I �SSUE TYPE OCC � DATE CONST. GROUP OWNE�- 'E-'S p ADDRE5S .Z3�7.�, N'F /C�0 ZONING SETBACKS CIT(�( a+�'� Qg�IP�I !QS"1'EL. ^�3� FRONT RW ❑ APPLICANT S TEL. REAR ❑ � SIDElSIQESTREET RW ❑ CONTRACTOR SIDE ' ❑ p� ADDRESS PROPOSEDUSE 4�'< <"�� F"'e L/+itLl o CITIf ZIP TEL r• t ARCHlENG/ � DESIGNER NQ.DWEI. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CffY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� �WNER-BUILDER DECLARATION SFRIADD�REM � ,� O 1 HER�Y AFFIRM UNOER PENALTV OF PEFUUHY 717A1 I AM EXEMPT FNOM ME COHfMCTORSII- G8f9Qa/C81pOA � � CENSEUWWRMEFOLIOWIN6RFISON�5EC.7091.6q115MESSANDPROFE591DNSCO�E:ANYCRVOR (n � OOUIRYWNIGiREWWE3APERMITTOCONS7FlUCT,ALTEFLIMPROVE.DEMOLISH.ORREPAIRANY67AU0 W PaticJDeck � � t�Q 711RE.PWDfi TD R915SUMlCE.ALSO REOUIiiES hiE APPIICMf�FWI SUCM PERMR TO FILEA&IONED W S S Q BiATEA1ENT TFUT ME OA 8HE 6lJCENSED PURSUANT TO THE PROVISIONS OF THE CONTfUCfORB U- ��, CENSE UW(QWPTER i(COIAMENCINO MATH SECTION 7000)OF OIVISIOH 1 OF THE BU91NE35 ANU PRO- � POOYSPB "'�� FESSqNS mOk�OIi T1iAT ME OR 9HE IS EXEMMTNEREFAOM ANO TME&1515 FON iNE ALLEOE�EXEMP- 71W�.ANYVIOtlITIONOFBECTION709t.6BYAM'APPLICANTFOqAPERMITSU&lEM8TM6AP7LICANTTO Z Re-Rool � A CML PENALTY OF NOT MORE 7}UN FIVE F0.JNDHEO DOLUFis(i5oo).1: 04��N�EROFTF/E�ROPERTV,ORYYEMVLOYEESWITMWAGESlISTHEIRSOLECOMPENSqTpN. � (',pTrliBfCiel WILL OO TIE NIOHIC,ANO T11E 6THUCTURE IS NOT IMENDE�OR OFFERm FOR 51LLE ISEC.701a,BUSI- J NESS 1W�YROFESSIONS CO�E:T/1E CONTMCTORS UCENSE UW DOES NOT APPIY TO M!OWNER OF � � PAOPER7YMhIOBU0.DSORMP��STMEREON.ANDYMODOESSUCHWOAKHIMSELFORHERSELFOR Ct 7N110UNfH19ORNERONRIEMPLOYEES,FFiOYIDEDTIUTSUp11MPqOVEMENTSARENOTNTENCEDOR m � OFFEflWfOR9ALEIF.MOWFVERTNEBUIDINOOqIMPHOVEMENiI5501D1M7HtNONEYE11ROfGOMPLE- TqH,iHE OWNEN�BURDER WILL HAVE 1}IE BURDEN OF PROVINO TMAT HE OR SXE OID NOT BUqfl pR YAPIqVE FOp TFIE PURGOSE OF BILLE). � OI.ASOWNEflOFTNEPFIOPERTY.AME%CLUSIVRYCOIf�MCTINGWIhILICEN5ED00HfRACTOHS TO CONSTRUCT TNC PR0.IECT�SEC 7ou,BUSINE6S M1D PqOFE5310N5 COUE.�NE CONTMCTOqS LI- V81UBllp1 ADJ.AREA CENISE UW DOE9 NOTAi'PLY TO/N OWNER OF A PHOPEHTY V/110 B�IIDS OR MPROVES 7HEREON.AND WIiOCONTRACTSFORSUCHPROJEC73WffNl100NiRACT011B)LICEN9E�PUR5UMITTO7MECONTMG QUlWTI7V OESCRIPTION FEE � TOR6LICENBEUW.J. . ❑I AY EXE4PT UNDEH SEC. B.�P.0 FOR THIS REASON � U ¢ � DATE OWNER _ U �q LICENSED CONTRACTORS DECLARATION W � IMEREBYAFFIRMUNDERPENALTYOFPER1URYiFU1ilAMLICENSEDUN�ERPROVI5qN50FCMAPTER Ve O�COMMENCWCWITHSECTION7aaD)OFOIViS10N70FTHE9l151NE55ANDPROFESSiONSCOCE,M10 Z W 1ACENSE IS N FlAL FONGE N10 EFFECT. m 0 LICENSE CLASS LIC.NO. � �j DATE COP7TMCTOR. _ d � WORKERS'COMPENSATION DECLARATION Q � y IHEwFBYAFFIWAl1NDEqPENALTYOFPEHJLINYONEOFTHEWLLDWINGDECLAfiA7qN5: V � � z � !_11NVEAN�WILIYANTAINACEHTiFICATEOFQN15ENiTOBELFINSUREWRWORNENS' 2 . • CpAPENSATION,h9PflOVIDECBYSECT!ON�TCOOFTHEU6�ICODE,FORTMEPERFORMANCE W OF THE WORK�OR WHICH iHIS PENMR IS ISSUED. . , � . � � . , Q �IFUYEANDWILLMAMAWWORKERS'pOMVENSATIONINSUMNCE,ASREW�REDevSECTION _�� 1�9g /�� 9700 OF TME LABOR CODF.,FOR TNE PERFORMANCE OF TI-E WORK FOR YVNICH THIS PERMR IS ��_ �/7 S� ISSUED.IAY N'OHKER5 COMPENSA�ION INSUflANCE GARRIEP M10 PO4CV NUMOERAflE: GONSTAUCTION ��T[. �_ � j GARPoER PLAN HEVIEW - �� A`�iO AT"ETY � POLICYNUMEER I ELECTRIC � (I5Y6SECf1]NMFH7WTBEOOIrPIETEDOFT#PEfWIR6FORONEFAM�ORm00LW3S1Et001�RLESSI. PLUMEIING 2 ICERTIFVTUTMITHEDERFORMANCEOFTHEWOi1KFORYNi141TH15PERMITI5155UE0.1 MECHANICML � BNILL NOT EMPIAY ANY VERSON IN ANY MANNEH 50 AS TO BECOME SUl�1f.CT TU TNE q� YYORKEFS'COMPENSATIpVUW50FCALIFORNIA,MIDAOREE7VNTIFISHWI.�BECOME INSPECTIONFEE S SUBJECTTOTHEYYOi7KER5COMPENSATIDNFROVI510NSOf5ECTi0N97000FiNELA90R �v(� COOE,I SHALLFORh/MNTICOMPLV WITHTNOSE PROVISIONS, ISSUANCE �- � SMtP •�-r'' p oar: aPauo�wr: W ENERGY P/C WARNING:FAIIURE TO SECURE M�OFiKERS'COMPENSATION CAVEkAGE IS UNLAM/FUI,AN�SHALI BE � $UBJECTMlEMPLOYERTOCRIMWALPEN/LL.71ESM1�CIY�LFWESUPTOONEHUNOREDTHOU5AN0 ENERGYPERMIT Y DDLLARS�ttoo,o00�,W ADDIi70NTDTNE COST OF COMPENSATION.DAMAdES/S PHOVIDE�FOR N �J BECTpN Y70B OF TME LABOR WOE,INTERE6T,ANO ATTORNEYB FEES. REZENTION FEE: CC � CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IFiEflEBYAFFIRMUNDERPENKTYOFPERNRVTHATiHEREISACONSTRUCTIONLENDIN011GENCV z FOR TXE PERPoRMANGE OFTHE WORK WR WN�G11H�5 VENMI7IS ISSUED(SEC.70P1.CIV.G�. 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