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HomeMy WebLinkAbout13166 (17) CITY OF DIAMOND BAR �� --�- - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � _ 21660 E.Copley Drive Suite 190 (904)866�3193 Fax(909)861-3117 PRESS ����� BiJII.DQiG PERNIIT APPLICATION FIRMLY � JOBSITE � A APPLICATION PERMIT P/C o ADDRESS �/�� 't '� S/ �I✓r_�C /i iIP HIJ DATE NUMBER �� It � iSSUE �7,�2/j_r+�/] TYPE OCC APN LOT TRACT DATE �"� `���1 CONST. GROUP g OWNER " ADDRESS ZONING SETBACKS CITY ZIP�,�TEL. � FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDE/SIDE STREET RW ❑ CONTRACTOR SIOE ❑ � ,A�DFlE55 � � CITY 21P�.�(TEL. PROPOSED USE +P� ARCFilE DESIGNER NO.DWEL. NO. n NO. ADDRESS UNITS y STORIES s� BEDROOMS � CITY ZIP TEL. N cn DESCRIPTION SQ.F7: FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER�ECLARATION gFR/ADD/REM O � I NERFBY AFFli11A UNDER PENALTY OF PER.ILK�Y THAT 1 AM E%EMPT FROM THE CONfMCTORS�I- Gflf9p91CB1pO11 �NSELI1WFUflTNEFOLLOWNORFJ�50N�5EC.7031.6BU51NE55NVDPROFESS10N5CODE:ANYC11'/OR (n COUN711NMICNREOUI0.ESAPFAMRTOCONSTRUCT,FLTER�NPliOVE.DEMOUSH,pRREPAtRM1YSTRUG W P81101DBCk IURE PRqR TO 1T8155UANGE.ALEO REOUIRES 7NE MPLICANf FOR SUCH PERMIT TO FILE A 81ONED � tTATEUENT THAT NE OR SHE IS UCENSEO PURSUMR TO THE VROVISION5 OF 1HE CONTRACTOXS LI• CENSEtAW�GUFfERY(C04MENCINOWITFIBECTION70D0)OFDM910N30Fh1E8USINESSMIDPRO• LL POOVSP9 fFSSION500DE)ORTHATHEORffi1EISE%EMPTTHEREFROM/N�THEBASISFOflTHEALLEOEDEXEMP• (ry TpN.AHY VqIATIOH OF SECTKKJ 7011 b BV AMV MPLIGNT FOR 11 PERMIT BUBJECTS TNE MPLICANT T0 Z Ra-Roo} �d � lICML VENALit OF NOT MORE TW W FNE MUNDRED OOLUq51i`+�.1: � ❑I,ASOMMEROF7MEPROPEMY.ORMYEMPLOYEESWI7HWAGESASTiE1RBOLECiDMPENSATqN, O COmRIBfGIeI ' WILL DO TSE WORK,M1D TME 9TRUGTURE IS NOT INTENDE�OR OFFERED FOR BALE(SEC.7W1,6U51- J NESS APD Mi0FES510NS OODE:TFIE CONTRACTORS LILENSE Uw OOES NOT Avvlv TO AN OMMER OF � PIIOPERTYYYFiOBUqDSORMPNOVESTNEREON,ANDW1iDO0E95UCHWORKHiMSELFORHERBELFOR � Q iXH0U0HMSORMEROYMFAIPLOYEE9,GFWIDEU711ATBl1CHMAPROVEMENTSMENOTINTENDmOR m � OFFERmCOR8ALE1F,F10WEYE0.TNEBUL�INOORIMPFi011EMENTIJSOLDWITHINONEYFj�ROFCqAPLE- � TION.IME OWNER9UILDEH WILL NAVE 1FIE 9UNDEN OF PROVIHO TMA7 NE OR SME DIO NOT BURD Oq MPFpYE FpFi TiE PURPOSE OF SALE). W ❑IASOWNEFiDFiNEPROPER'TY,AME%CLUSIVEIYOpN7R�CTPlGWITXLIGEN9ED007fR�C70R3 � TO CONSTRUCT TIiE Pi10JECT(SEC.7oN,BUSINES3 AND PqOFE5510N5 CODE:THE ODMMCTONS U- {/���91MR ADJ.AREA CEHSE UW DOES NOTAPPLY TO AN OVfNER OF APROPERTY WF1O BULDS OR IMPROVES 1HEHEON,ANO MM1IOCONTRACTSFORSLICHPRO.lECTSYAi11ACON7fUCTOR�S�UCENSEDPUR5l1ANT70111ECONTFAG QUANTITY DESCRIPTION FEE � Td15 UCENSE LAW.} � ❑I AN pfEYpT LNDEp SEC. B.l P.G FOR THIS REASON Q U � � DAiE OWHER V � IICENSED CONTRACTORS DECLARATION � � w I NEREBIAFFlRIA UNDER PENALTY OF VERN1fiY TIU�7IAM UCENSED UNOER PROVISIONS OF CHAVTEF � �(OOIAAIENCWGWITMSECTqN700o)OFOMSION70FTHE6USINESSANDPROFESSIONSCOOE,AND Z MYLIGENSE IS N FUl PoRCE AND EFFEC7. d m � �10ENSE CUSS C�3 % LIC.NO. � ��� � � DATE „ ^� .�a—,�� CANTMCTOR a . WORKERS'COMPENSATION D[CLARATION � yI fiEREOY AFFIRM UNDER PENAL7Y OF PER1UfiY ONE OF7HE FOLLOYVING OECUIMTlONS: Z � _IMAVEANDWILLYWNTAINACER(IFIGTEOFCONSENTTOSELFI�LSl1REWRWORKERS' _ OO�IPQdBA7qN,113 PqONDED BYSEGTION]TOOOF THE I�BOA CODE,iOR TH�PERFORMANCE W E WORK FOR WH1C11 TIIS YEiWrt IS ISSUE�- � I NkhAND WILL MAMJUN WORKERS'COMPENSATION NJSUiUNCE,AS REIXIIRE�BY SECTION � 7700 OF TME LABOR OODE.FOR T1E PERFOHMANCE OF TME WORK FOR WHICH 1HI5 PERAIR IS C�� /)� -ary IBuUEQ.MY WORKEHS'COMPENSAl101J I URANCE CARr/�/ AN�POLICY NUMBER 11flE: CONSTRUCTION h � ' CAi1RIER -- �r � PLAN REVIEW � voucYrn�BER ,�I�_L�(r. • ELECTRIC p (MSSEC11p1NE�WiBEmRFtEfEOOFiVEPEqMIfBroaanEHiN]REDOOI1.ua5�paqORlESS�. PLUMBING z 1 CERTIFV TMAT IN h1E PERFOAMANCE OF hIE WORK FOR WHICH T1N5 PERYR IS ISSUED,1 MECHANICAL �' SHALL HOT EMPLOY ANY FERSON W MlY MNJNER SO AS TO 9ECOME SUBJECT TO THE y MIDRKEH9'COMPENSATIONUWSOFCALIFORNU,ANOAGREETHATIFISHOLILDBECOME INSPECTIONFEE � SU&IECT 10 T1E WqiKEH6'COAIPENSATKKJ ROVISIONS OF S TqN 370D OF 7HE UBOR caoe.�swu.i coAn�mrH cor�a�v wm� E PROVISIONS ISSUANCE .- p OATE:� APPLICANT: r SMIP � ENEROY P!C WARNINO:FAIURETOSECUREMIORKERS' ENSATIONCO RAGEISUNUWFUL,ANOSWILLBE �+ � 6UBJECTANENPLOVEfl/OCWMINALPENILLTIE6AN�CIVILF SUPTpONENUNORED�HOU5AND ENERGYPERMIT �_���7 �OLtAR5Ii100.000).N N]DITION TO7HE COSTOF COMPENSA ION,Dl1MAOES AS PROVI�ED WR IN � SECTpN77090FTiELAElOROODE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: C� � CONSTRUCTION LENDING AGENCY pRE-ALT FEE: I MEREBY�FFIRM UNDER PENALTY OF PERIUNY TNA7 TNERE IS A CONSTRUCTION LENOWG AGENCY FOHlNE VERFORIIANCE OFTHE WORK FOP WHICH THIS 7ERYIT IS ISSUE��SEC.70i7,pV.C.�. � LE�ERS NAME � �I� 1—� � LENDER'SADDRESS � ICEIITINTHATIHAVEIIEAOTHISMPLICATIONANDBTATETNTTIEABOVEINFONMATqN13CARFiECL TOTAL FEES � IKIREEIDCOMPLYWITHALLqT'ANDCOUNT10RD1NMICESANOSTATElAWSREUUINa1DBUILACI(: � CONSTRUCTIOAI,MIOHEREBVAUi110R11EREPRESENTAT7VESOFTHISCOUNTVTOENTERUPONTHE ABOVE-MENTIONED PqOPEflTY FOA INSPECTION PURPOSE5. �MMENTS 0 J � PE R7EE �IYn � � SKfNA E EE DI1TE � RECPI:NO. PAID BY VALIDATION TE—Department Copy,YELLOW--Finanoa Copy,PINK—Aaaessor Gopy.GOLDENROD—File Copy,aREEN—ApplicanYs Copy c�-rv oF �i��or�o ��R 11'�SPECTOCJf� RECaOF�Ca � �-�-� � � ���g;. �. i �r� � i ' � �� i' .�:. E e� Y '�,`�,�'"� . 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