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HomeMy WebLinkAbout16838 (40) --_--- CITY OF DIAMOND BAR ~� ----�` -- DEPARI'MENT OF COMMUNITY&I3EVELOPMENT SERVICES _ ��� 21R25 E.Copley Drive =--� (909 8603195 Fax(909)862-3117 � PRESS `'%:��" BUILDINGPERMITAPPLICATION `�� FIRMLY d DDRIESS_d4.� 1�� ,J �1 R� �� DATECATION ,y ����NUMBER � #/C ��- I �o ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER 1�61'� '�e ����1C�,/6� ' ADDRE6S �F Cs " �4+ �. C ' ZONING SETBACKS Z CITY ,➢�ll�tl�� ZIP �I TEL. � ," � FRON7 RW ❑_ � APPLICANT �A�l/da9�£.,�9�'/�RlEQI'�� TEL. REAR ❑ � a SIDE/SIDE STREET RW ❑ � CONTRACTOR�S�I���^ (,l7'`¢'tit^' SIDE ❑ � ADDRESS �� �' t� 'Y" �' a , � ' o CITY ' ZI�_ TEL���� PROPOSED USE � o ARCH/EN ! r �z DESIGNER � NO.DWEL. NO. NO. a ADDRES5 � � UNITS STORIES BEpROOMS � CITY ZIP TEL. � � DESCRIPTION SQ.FT. FAGTOR PSF A�J.AREANALUATION � O��WNER-BWLDER DECLARATION SFR/ADD/FIEM O I HEREBY AFFIRM UNDER P�NALTY OF PERJURV 7HAT I AM EXEMPT FROM THE CDNiRACTORS LI- Gfl189B/Cd1POfI . W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031.5BUSINESSAnIDPflOFESSIONSCODE:ANYCITYOR (n _ ��, U CDUNTYWHICHRE�UIRESAPERMITTOGONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORflEPAIRANYSTRUC- W Patio/Deck Z TURE,PRIOR TO ITS ISSUANCE,RL50 RE�UIRES THE APPLICANT FOR SUCH PERMITTO FILE A SIGNED w STATEMENT THAT HE OR SHE IS I�ICENSE�PURSUANT TO 7HE PROVISIONS OF THE CONTRACTORS LI- � � �NSE LAW(CHAPTEfl 9�COMMENCING'�WITH SECTION�D00)OF�IVISION 3 OF THE BUSINESS AND PRO- u' POOUS(JH FESSIONSCOOE)ORTHAiHEOR$HEISEXEMPTTHEREFRDMANDTHEBASISFOflTHEALLEGEDEXEMP- (� � TIO�.ANYVIOLATIONOFSECTIONI7o31.5BYANYAPPUCANiFORAPERMITSUBJECTSTHEAPPUCANTTO � Re-Roof � ACIVIL PENALiV OF ND7 MORE TFMAN FIVE HUNDRED DOLLARS(S5o0).�� � �I,ASOYWEROFTHEPROPERTY,ORMYEMPLOYEESWIiH�WAGESA3THEIR50LECOMPENSATION, [� _ Z WILL DO iH6 WORK,ANO TH�STq UCTURE IS NOT INTENOED Oq OFFERE�FOa SALE(SEC.7046,BU51- J Commercia� � NESS AND PROFESSIONS CODE:tHE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPERTV VJIiO BUILDS OR IMPROV_5 THEREON,AND WHO DOES SUCH WORK HIMSEL'r OR HERSELF OR � THROUGHHISORHEROWNEMPLbYEES,PROVI�EDTHATSUCHIMPROYEMENTSARENOTINTENDEDOR m Q � OFFERE�FORSALE.IF,HOWEVER,�HEBUIL�INGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z T70N,THE�WNER�9l11LOER WILL HAVE THE,BURDEN OF PROVING iHAT HE OR SHE�I�NOT BUILD OR IMPROVE FOR THE PUFiPOSE OF 5ALE). W ❑I,ASOWNEROFTHEPROP�IERTY,AMEXCWSNcLYCONTRACTINGWITHUCEN5E0004TRACTORS � TO CONSTRUCT THE PR0.1EC7(SEC.7044,BIJSINESS PND PRDFESSIONS CODE THE CANiRACTOflS LI- VdluBfiOn ADJ,AREA '� LU�. CENSELAW�OESNOTAPPLVTOANOWNEROFAPROPERTVWHDBUILDSORIMPROVESTHEREON,AN� i �� WHDCONTRACTSFORSUCHPRO,�ECT9WITHACONiRACTOR�S)LICENSEDPURSUANT70THECONTRAP QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.J. ' � ❑I AM EXEMPT UNOER SEC.', B.&P.C.FORTHIS REASON Q ' � U � -- �� a DATE I OWNER � Z i W � LICEN�ED CONTRACTORS DECLARATION W , Q � I HEREBV AFFIflM UN�ER PENA�TII OF PERJURY THAT I AM 410ENSED UNDER PROVISIONS OF CFIAPTEa � p,;� 9(COMMENCINGWITHSECTION7�o0)OFOIVISI�N30FTHE8USINESSANDPROFESSIONSCODE,AND z X MY LICENSE IS!N FULL FORCE AN�EFFECi ' O LICENSE CLAS$�LIC.NO. �L J�V__��._7�,,y � j V DATE� ^ CONTRACTOR�.C����/!J/�Q��YJ1A� d 11.1 � ��% ORKERS'COMPENSATION DECLARATION a = U � IHEREBYAFFIRMUNDERPENAL OFPERJURYONEOFTHEFOLLOWWGDEGLARHTIONS: � Z L? �IHAVEpND4WLLMAINTAI A�CERYIFICA7eOFCONSENTTOSELG-INSUAE-FOpWORKERS' _ COMPENSATION,ASPRO DEDBYSECTION3]oaOFTHELABOflCODE.FORTHEPERFOFMANCE U ¢ OF TNE WORK FOP WHICH THIS PEFMIi IS ISSUED. � � IHAVEANDWILLMAINTAINIWORKERS'COMPENSATIONMSUflRNGE,ASRE�IJIREDeYSECTION � 4 j � � 370o OF THE LABOR COOE�FOR THE PEPFORMANCE OF THE WORK FOR WHICH THIS PEFMIT IS � � � l.. ISSUED.MY We�OR'AKE�R^'�S'C�Q�M.ePEN�aSATION INSURANCE CAFRIERANO POLICY NUMBERARE: CONSTRUCTION '�', � CARFIER�J jRT I h–f J'–��� PLAN REVIEW Z POLIC7 NUMBER�� I_��"'✓��� ELECTRIC ¢ � SCCTIONNEmNOT6E�l MPLETEDOFTFEPERMITISFOflONEHUfdJRE�Dq1AR5($7CAJOALES6). PLUMBING Z EflTIFYTHATINTHEPERFORMANCEOFTHEWOFKFORWHICN7HI5PERMITI515SUED,I MECHANICAL � ��S ALL NOT EMPLOV ANY P�RSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE �^� � F R MPENSATIO LAWSOFCALIFORNIA,ANOA EETHATIFI HOULDBECOME INSPECTIONFEE� � �� S � C T WORKE 5'COMPENSATION PROVI S F SECTIO 70o OF THE LABOR � _ _ ��,co ' �arHwiT�coMa�vwi o vi Ns. ISSUANCE � � �� ..� O . ��L9. I Y SMIP � dFJ� � � �k��� � )°i�e"–'"— p DATE� AP,PLICANT �jJ ECTION3]BOFTH�ABOPCOp RKEflS'CO COVERAGEISUNlAWFUL,AN�3HALLBE ENEflGYP/C __ �y��—/� ,_ � _ _ _ SUBJECTANEMPLOYERTDCRIM�ALPENALTIE ANDCIVILFINESUPTOONEHUN�REDTHOUSAND ENERGYPERMI / : 9l � Y DOLU+RS(510a.o0D),IN ADDITION T THE GOST OF COMPENSATION,�AMAGES AS PflOVIDED FOR M � ' � �,IMEFIEST,AN�ATTORNEV'S FEES. � g_._, _ ,{ . ` . ,.:_..:__:�^ RETENTION FEE .r--^-- � CO STRUCTION LENDING AGENCY PRE-ALT FEE: O � IHERFBVAFFIRMUNOERPENALTVOFPERJIJRVTHATTHEREISACONSTFUCTIIXJLEN�INGAGENCY z FOP THE PEflFORMANCE OF THE WORK FaR WHICH THIS PEflMIT IS ISSUEO(SEC.309],CIV.C.). � W S LEN�ER'SNAME ' � F= LENOER'SAODRESS '�. � � ICERTIFYTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES �� y w I AGREE N COMPLY WITH ALL CITYII AN�WUNTY OR�INANCES AND STFiE LAN'S RELATING TO BUILDING V � CONSTRUCTION,ANDHEREBYAUTMORIZEREPRESENTATIVESOFTHISCOIiMYTOENT6RUPONTHE z ABOVE-MENTIONEO PflOPEFTY FOR INSPECTION PUHPOSES. COMMENTS li � @2.4-//�� ,�r4rv�"O�� m PERMITT E(P T) . a � � SIGNATURE E DFTE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy.GREEN—ApplicanYs Copy � k `. ..� _, . �' �, . � ._ � .,�, ��� r "k�✓�"��i'���t �.'� �"��" a. � `�� ^� a � �� C � X � ���d �'# r# �` � �^ '��b$ � � �;� ��q ° � �` - f ���.�� �,��n# � N'� �`�s a� � ���. ,.a E E j e t a c o � i :: r , � � ��v.n.�':_ 3 '�:'�.e.€;.�„,,.�.p� �.x . 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