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HomeMy WebLinkAbout14113 (50) _ _ ..._. ... - --. . __ ___- �--.-- � � �� CITY OF DIAMOND BAR DEPARTMENT OF COhiMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive 5uite 190 (909)86Q3195 Fax(909)861-3117 PRESS ��^^ BUILDING PERMIT APPLICATION FIRMLY N JOBSITE ! APPLICATION'v �-j ! �J p o ADDRESS�"'�� � P Ln DATE I ��1 �/ NUMOER� A� �( ,� u c� ISSUE . TYPE ` • OCC APN LOT�� TRACT DATE CONST. GROUP p OWNER � � AD�R SS , �� ZONING SETBACKS � CITY 'Qm��1 � �r ZIP 117 EL$ 1 FRONT RW ❑ APPLICANT � TEL. REAR O � _ SIDFJSIDE STREET RW O CONTRACTDR Gl. S SIDE ❑ g ADDRE �� � PROPOSED USE s • � � CfTY l N ZIP TEL � � ARCH/ENG/ • DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARErWALUATION � � OWNER-BUILDER DECLARATION SFR/ADD/REM O p I NEREBY 11iFIRAI UNDER PENALTY OF VEfWqY 7MA71 AN EX£MPT FnOM 7NE CONTMGTORS U� Garago/CafpOA W CENSEUWFORiHEFOLLON7NaNEASONf5EC.7o71.SBU51NE55�NOPROFE5510N5CODE:ANVCRYOR (n C� COUrlTYWFaC)IREOt11AE5AGERMRiOCONSTRUCT,ALTEftM7ROVE,DEMOlI5H.0AREDA�RM7YSTRUC- W Patio/Deck � �� 1URF,VR�OR TO RS ISSUANCE.ALSO REd1IR[S iHE�FPLIGN7�OR SULH PEfWIT TO i0.E A SiCNED W 6TATfMEM TMAT HE Ofl SHL IS LICENSED VU0.5UANi TO iHE VROVISIONS OF THE CONiRACTONS L6 � CENSE UW(QUIPTER Y(C01�MCNqNO WITN SEC710N 70�Cj OF DNISION 7 OF THC BUS:NE55 M1D Pqb � PaoVSpa FESSIONS OOD�OR TNAT ME O(i SHE IS ExEMPT iMEREFRpA AND THE BA515 iOR THE ALIEC[D ExEMr- TION.ANYY�OLATIONOF5ECTION70.71.68�ANYMPL�GANfFOH�PERMIT5U0.1CCT5THEAGPUCNITTO Z AB-Rpp� � ACMLVfNAI.TYOFNOTMONETUNFNEIM�DREDDOLUR5�f5oD�.�; � ❑1/�50NMEROFTMEPROPERT`/.OqYYE�PLOYEE5WITIWAGE5A5THEiRSOIECOMPEhSA710N, O CommerCi31 Wp.L DO TNE vNORK/�NO iHE S7FC1C7URE IS NO71N7ENOED OR OFGERED FOR SAIE fSEG.70��.BU51- J NESS ANO PROFf5510H5 COD[.TME COHiRACTOpS tlt£NSE UW DOES NOT A77LY TO AN OWNER OF N VROPEH7YYA108URDSOR4PROVESTHEREON.AlDWMODOESSUCHIMJRNMIISELFONMEIiSELFOR = [L THROU(YINI50(IMEROMMFYFLOYEES.GROVDEDTIIAT6Ud1MIPpOVEMEMSARENOTMENOEDOR m W p{jE{�Ep�pqSALEIF,IqV/EVERT�EBUIDINGORhAPf1OVEMEML450lDYAi11INdiEVEAHOFCOM�LE� � TION.7HE OM/!IER�UM1DER MnLL NAVE 7ME BUiTJEN OF PROMdO iw�T XE OR,SME D�D NOT BIAID OR Z MOfqVEFOqiMEPUPPOSEOFSAI.E). _ ❑I,�IROVRIEROFiHEPROPEfiT1:AAAE%CIUSNE�YCONTMCTNOIMRNLICENSE�CONTMCTORS � � TO COwStAUCT TME PRdIECT(SEG 70��,BUSINE55 AND GROFESSIONS COUE h1E COMML'CRS U� V01Ua!ion _� • AQI.AREA iL CENS[UWDOESNOTMPIVTOANDMn1ENOFACROGERTVVAIOBUlD50HIYPROVESTH[REON.ANO Z N'1qCOIRMCTSiOf15UCHGR0.7ECT5WITHACONTMCTdi(S�LICENSEOPURSUWTTOlMEWNTRAG pUA`7TITY . 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V DATE - CONTMCTOR Jf C.C�I )_ a V . . u� � WORKEFS'COMPENSATIONDECLARATION U �7U J cJ �1 N � IHERCBYAFFIRfAVN�Ef10EN.LLTYOFPE0.RIMONFOFTHEiOILOW�NGDEd.RR�TIONS: , ' � , ' � Z , Q � _IMAVEANDYALLMAINTAINACERT�F�CATEOFCONSENTTASELHN�UPEFOfiMViiKERS' • 2 COYPENS�TIOr�,ASVROVIDED6YSECT10N77ooOFTMEUUiORCODE,FORTHCPER�ORMAKCE W OF THE MIORK FOR WHld/TMIS oEPuIT IS ISSUCD. - G IHAVEANUIM�LLMA1Ni�C+WOfL(ERS'CCYDENSA'IONMSUfUNCE,IlSREOUIRE�BV5ECT10N o^� ����� ��� � � � �77DOOFiHEUliOHCODE.FORTHEPERFORMNiGEOFTNfWORKFGRWMIp1THI5VERM1T15 4 0 65UED.NYWOR�K�_—S1'COeIIP YSATIONu/;s.�Wt�CEWiR1ER/W�POL�CYNUM9EfiMc. CO�JSTRUCTION . jCARNER�.�.{�.. wm PLANREVIEW � � ` � poucrrn»�eEa_,f��L ' � ELECTFIC U�n� � �) 0 (TH55ECT�ONNCmH0U8[Cl:l,ftETE70FMPEfiwTGfO�OrE�M�oq[�DOLWZ,(Sta0lditE55} PLUh16:NG � �L._LG_ w ICERTIFYTN�TNTHEpER�0iL41ANCEOFTHEWONCFORN911CHTHISFENAITISISSJE�,1 MECHANICAL � Z U' SHALLNOTEMPLOYANYVERAN�NANVAIANHERSOA5TO8EC01AE5U0.1[CTTo711E � Y/ONNER+COb�PEN5�T10NUw40FCA=iFORN1IAHDAGREETHAiIFISHOULD8EC01AE INSPECTIONFEE S SUB1ECf TO iHE YARRERS'COL�PENSATION RONSIONS OF SECTION 1TOO OF TME UWR ISSUANCE /y '�' �/J caoe.i swut c mrvmn+caar�r vnTM r o E ions. vy � Op DATE:�-�/-��' APPLICANT. ' SMIP �� �� � . � ENERGY P1C _ WMNIIq:FAlUtiE TO SECURE WORKERS'COMi'EN5A7qN COVEMGE IS UNUWiUI.AND SMALL BE � SUBJECTANEMP�OVERTOCRIM?LLLVEN/1TIESAI:OCMLfWESUPTOONEMVNORE07MOU5AVD ENERGYPERMIT DOlLARS�f100.D00).N ADOITON TO THE COSTOF COMPENSA'qN,�AMAGES AS PROVIOED FOR M � � r i J SECTION710eOFTMEU00RCODE.NTEN[ST,Af10AiTORNEV5FEE5. RETENTIONFEE: � Q �� � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: " O CL IHCREBVhff7R1Al1NDEHVENALTYOFFERJURYT/NTiMEREISACONSTRUCTIDNLEI:D�NOIIGENCY 0- FOq THE OCRCOPUANCE OF TME WORN iOR WHlql TICS GENMIT I$ISSUED�SEG�OY7.CIY.G). � � LENDER'S NAA1E S � LENOER'SIDDRE55 �_ � ��, � � ICERIIFYTMATINAVEREADT1i5MPlIGTIONANOSiATETHATIHEA�OVE�NfORMATqNISCORRECT. TOTAL FEES a.g' �� 1 W IACREETOCOMPLYWITMALLCfTYM1000UNTYORDIN/J�ICE5AN�5TATEUNSREUTINGTOBULDINO � CONSTRlKT10N.AN�HERE8Y11UTHORREREPRESENTATIVE50FTHiSCOUNTYTOENTERUPONTNE ZABOYE�MEHTIONEDCROPERTYFORWSPECTION%1RFQSES _ �/] CONMENTS s �' _0 7 J _ m PER I1 E�N IHTJ Q � N � y 5 URcO VERW EF DAiE � ft[CPT.NO. 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