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HomeMy WebLinkAbout16052 (23) �' �' ` CITY OF DIAMOND BAR -- - i DEFARTMENT OF COMMUNITY&DEVELAPMENT SERVICES � a 21660 E.Copley Drive Suiu 190 �1" PRESS (909)66U-3193 Fax(909)86�-3117 ^M'�� BUILDING PERMIT APPLICATION � FIR LY � JOBSITE "-1 Q P APPLICAl10N � f� PERMtT P!C 4 ADDRESS I J/ p DATE v NUMBER $ ISSUE (� TYPE OCC APN tOT TRACT DATE v � CONST. GROUP � OWNER L� ADDRESS �n'�7 � �'l��t_� ZONING SETBACKS �W CITY � 2I�IY� TEL.;�q(p� I J� REAR Rw O APPUCRNT � LjQ.4t�f TEL s����' SIDE/SIDE STREET RW O CON'tRACTOR / SIDE p q� ADDRE S a C17Y ZIP TEL. PROPOSED USE � ARCHlENG! DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � Ci'N ZIP TEL. N QESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECIAHATON SFR/ADp1REM a 1 NEREBY AFFlRAI Uq�ER PENALTY OF PEf W RY THAT I A/.1 E%EMVT FNOM THE CqJiRlICTOfIS LI• QeIq9BI+lRf�Ort B CENSEUIWFORTHEFOLLOVANOREASON�SEC.7a91.68USINE3SMIUPROFESSqNSCODE:ANYdNOP (� COUlRYMMICNREOIliRESArENMRTOCd�STRULT.ALTERMPNDVE.OEMOLI9H.OH1iEP/URANYBTFtUC• � Pa'�� . _ TUNE,PRqfl TO IT9 ISSUMICE.AL90 REW IRE9 7HE APPUCANT fOfl SUCH PERLiIT TO FILE A SIONED RTATEMENT 7Viqi HE OR BHE 18 LICENSED OURSUANf TO THE GRDVISIONS OF TFIE CONTRl1C70H5 LI- CENSE LAW(CMMTER Y(COMMENCING WIiH SECTION 7000)OF DIYISION 7 Of THE lU9ME55 AND VRO- � P�VS(70 FESSqNS CODE�OR iMAT HE OR SHE IS E%EIAPTTNEREFqOu ANU T11E BASIS FOq THE i1LlE0E�EYE74P. TqN.ANYVpLATIONOFiEC710N7o�1.68YANYMPLICANTRORAPERMI78UBJECTeh1E�PPLICANTTO Z qe.qooi � ACN�I PENM.T'OF NC7 MCNE TIIFN FNE NUNDRED DOLURS(t,oD�.): OL��N�EROFTNEPt10PER7Y.ORMYEMPIAYEESWITMWA0E3AS'MEIHSOLFCOMPENSATION. ❑ COrtIm9�C181 MALL DO THE WOAIC.AND THE BTRUCTURE�S NOT IMENOEG OR OFFEFED FOq SALE(6EG 70��,BuS�- J IlESS AAD PROFE591ONS CWE:TME CONTMCTOHS LICENSE UW DOES NOT APPLY TpµpWIyEH OF � ►HOPERTYWFiOBULDBOqM1PROVEBiNEREON.ANDMhiODOES811CHWORNHIMSELFORHERSELFOR � � TfOl0U0HNISORVIENOWNEYPLOYEES,VROVIDEUTNATSUOINIPROVEMENTSMENOTINTENOEDOfl m OFFENED FOR 9/LE IF,FDNfEVER T1E BUILdNaOq IMPi10VENENT 6 SOLC WrtMN ONE YEM OF COMPIE- ipN,TFIE OWNER�UILDER MALL FIAVF TFIE BUqDEN OF PHOYNJO 7HAT HE Ofl 6NE OID NDT 9URD OH MPROVE FOR T1E MIRPOSE OF SALQ. � O�ASDN7VEROPTHEPRDPER'IY,AAAE%ClUSN0.YCONTMCTNlOWITHUCENSEDCqJ7MC701i3 TO CONSTAUCT THE PFpJECT(SEG 7oM,BUE�NES9 AND PROFES51ON9 CODE:THE CONTRACTORS Ll• YdI11B�1011 ADJ.AREA CENSE UW DOES NOTAPPLY TONJ OMM[R OFA VROPERT'NTIO Bl1lD5 OR W PqOVESIHEREON,A1i7 WHOOONiNACT8POR6UGiPRQIECTSWITMAWNTMCTdI(S�UCENSEDPURSUANTTOTHECON7RAG OUANTITY DESCRIPTION FEE � TORSLJCEN6ELAW.�. 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B.6P.C.FORTHISREASqJ � U S LL wre ormeA V � UCENSED CONTRACTORS DECLARATION � � W I f1ERE8Y AFFIRM UNDEH VENALiYOF PE0.tt1fiY T11AT 1AM LICENSEO UNDER GROVi310N3 0f C1i�P7ER � S �(COMMENCW(iW1TXSECTpN7oW)OFDN�9qN70FiNEBU5INESSANDPROFESS10N5CODE,M10 Z X NY LICEN56 6 N FIILL FOflCE MD EFFEC�. m lL �ENSE G LIG.NO. � •�• " v � O �1�j.� o�tE� �_ ca+rnncTon rn rk� �l�bJ�, a a6 WORKERS'COMPENSATION DECLARATION Q � � 1 HEREBYAFFIMI IINDER PENALT'OF iER1URY ONE OF THE FOIW'N�NO UEGLAR�TDNS: U � Q C �_IHAVENID1NLlA1Al1TNNACERfIFICATEOFCONSENTTOBELFINSUREFOFWORKERS' _ Z COIAPENSATION,ASPRONOEOfiVSECTION71000FTMELl4BORCODE.FORTME�ERFURMMICE U � OFtNE WORK FOfI WHid7TF7L4 PERMIT19155UE0. � � �_I HAVE AND YIILL A./AMJfAN WONKERS'COMPENSATION INSURANCE.AS REWIFED BY 3ECTION Q� i7000F711EU1BOflCODE,FORTNEPERFORMMICE�F7HEWUNKFORWHICHTHISPERMITIS = ISSUED.NYWO CENS'COMPEN6AT��IWgURANCECMRIERMlDPOLICYNUMBERME: CONSTRUGTION p� j CAHRIER � U�,��__ _ PLAN REVIEW J�IV 2 .. � POLICYIAlAABER l ��� / ELECTRIC (1165ECIprypIE�NpTBE�MpLEIEDOFTEPEiM,ff6FORONEF4l�iEDOp1MSKt�I�LES61 PIUMBING � I CENTIFY 7HAT W T}IE PENFOflMANCE OF THE WORK FOR WHICN TNIS PERMIT IS ISSUED,1 MECHANICAL (,'� SHAL�NOT EMPLOVANV PEFi60N M ANY NANNER SD RS TO BECOME SU&IECT TO THE y NOHKERS'COMGENS�TqN LAWS OF CALIFORNIAANO AOqEE THAT IF I SMOUlO BECOME INSPECTION FEE SUNECTTOTHE WORNER9'COMPENSA7qN PqOVISKKJ50F 6ECTKN�970a OF THE IABOR OOODE.IBH�LLfORh1WITMCOAIPLYWI7HTHDSEPROWSIONS. ISSUANCE . p pqTE: APPLIL`ANf: SMIP � W�FYIM'FAKUflE OSEGVREWOflKERS'C0IAPENSPTIONCOVEflA0EI6UNUWFVL.ANDBHALLBE ENERGYP/C �y SV&IECTMIEMPLOVENTOCR�MINAIPEN/LTIESMJ�CNILFNESUVTOONENUNUREOTV10118M1D ENERGYPERMIT OOLLAR6(i700.000].IN IIDDITION TO THE COST OF COMPENSATpN,DMU�ES AS PROVIDED FOR M � SECTqN870lOF7}�LABORCOOE.INTEREST,MlD�TTORNEVSFEES. qE7ENTIONFEE' � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � 1 HEREBV ALiIPM UNDER iENALTY OF PERJUIh'THATTHERE IS A CONSTRUCTION LEPWINO A[iENCY Z fOR TNE VERFONMANCE OF 7HE WORK FOR WHICFI THIS PERMIT IS ISSUEO(SEC.9oW,CIV.C.). W � LEMDER'S NAME � LENDER'SADOHE53 c � � ICENI�F1'TYIATIFI�VEREADTUSMPIJGl1TIONAND9TATETHATTHE�BOVEINWRMAT�W115CORRECT. TOTA�FEGS 1jJ '+]�) W p � V p IAOREETOCOIAPLVWITNA4LCINANDCOUN7VOqDINANCEg�NDbTATEUWSREIATINOT06UILDiNG �C. O]NSTRUCTION.ANG HEFEBV AUTHORIZE REPRESENT�TIVES OF THIS COUNT'TO ENTER UPON THE S� i1BOVE-MEI7�lONEDPROPERTYFORIN3PECT PURPOSES. COMMENTS � CEqMITTEE NNA hff a � �, 0 y 810 RE OF VERMITTEE �ATE � RECP7.NO. PAID BY VALIOATION WHITE—DepeAment Copy,YELLOW-�inanee Copy,PINK—Asseasa Copy,GOLDENROQ-File Copy,GREEN—Appiicenl's Capy . +amurwwrw —� CITY C3F Di�4iV9C?t�ED B�R , . _ � � It���fi�T'i��+E RECC.7�� , . .., .�.�.m. y.v , .....:y..*.-�FY:,:-...-r. ���,�`�6"��' �.�� �� ��i{ l� � � t � • ���* ��. � � • ���kM���/�! y . � .. ... . .. . . . � . „ . ' _ ..K : . 5E i BACK i ' � . � � FLOC�R.IOIST ,. � � .� . , J: , ---- ---------_-___�._..-- - +-i----------- ,.._�__.__...----._.. ____� --_.__-__------� - - -- - --- —__-- ------------------- F7G5!�OR'49SiSTEEt: ---1----.._.------<-------'...__.--.__,__s� FHA REQP�1 i S • : _-_�_._ ..._� ---------- ----------- --�-----------.... ----------------.._.. ... . ELECTRIC GF�Ql.1�fL� ; � . ' UNI]Ef3 FLC)C)R DUCT � ; ------------___---- ------------------ + � - - -----------.._._.._�_..------� -----------------��---- G�C7tJ�!D F'L_IiME�1NC �-------� . 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