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HomeMy WebLinkAbout10739 � /'�� � - CITY OF DIAMOND BAR �� . r"'��J� � COMMUNITY DEVELOPMENT DEPARTMENT % `� � ...,.W 21660 E.Copley Drive Suite 190 PRESS � �'*"�` BUILDINGPERMITAPPLICATION FIRMLY < � JOBSITE '� APPLICATION i �� PERMIT r� �j P/C f o ADDRESS� 7��/� � �� Y ��� �� ' DATE � '� NUMBER �" • " # � � ISSUE TYPE OCC APN LOT TRACT DATE CONST._ GROUP � °C OWNER � ��'7 cd � v ADDRESS:�,�/ � S � Y Y V G3 ���'' ZONING SETBACKS r Z CITY �iGlYviv�t(3 d3e:,Y ZIP 1l�J TEL.��S �+�-�J).g FRONT RW ❑ � APPLICANT TEL. REAR ❑_ ZSIDE/SIDE STREET RW ❑ a CONTRACTOR �X GEG ,�d L�/-i'N(ti C O � _ SIDE LI ADDRE S� S�V ,�ek7 � pROPOSEDUSE J�?t�UtC ��c �/>�2Kf2� YoU ,J,ys 7o4/ � p CITY��5���i .S ZIP }d/�`'I TEL.L Bl y 8 Y �•" ? �, int' CD � /re: w ARCWENG/ -3��`ld �o' c. a: ' ? z DESIGNER 1 ' ADDRESS NO.DWEL. NO. NO. A lj,� s a UNITS S7�RIE5 BEDROOMS " � CITY _ ZIP TEL. � � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION � j � OWNER-BCILDER DECLARATION SfR/ADDlREM O � p I HEREBY pFFIRM UN�ER PENALN OF PERJUfiY TNAT I AM EXEMPT FROM TFIE CON7RAGTOflS LI• � GaragelCarport W CENSEIAWFoqTHEFOLLOWINaREA50N(SEC.7a3t5Bl1SINESSMDPROFE5510N5CO�E�.lWYCITYOR � U COUNTI'WHIGHREOUIRESAPERMITTOCONSTRUCT,ALTEP.IMPROVE,OEMOLISH,ORREPAIRANVSTRl1C- W patio/Deck � w TURE,PRIOR TO ITS ISSUANCE.PLSO REQUIRES THE APPLICMIT FOR SUCH PEHMI�TO FIL[A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO 7HE PROVISIONS OF THE CANTRACTORS LI• � CENSE UW(CHAPTER B�CAMMENCING WITH SECTION 70D0�OF�IVISION 30F THE 9l1SINESS AND PRO- � POOUSpa � ^ FESSIONSCOOE�ORTHATHEORSHEISE%EMP7TMEHEFPOMANDTHEBA313FOR7HEALlE�EDEXEMP• a `j 710N.ANVVIaLATIONOFSEC710N7o97.59YANYAPPLICANTfORAPERMliSl1&IECTSTMEAPPLICANTTO Z q9-ROOf ,�, ,�,/� � � A CIVIL PENALTY OF NOT MOflE THAN FIVE HUNDRE�DOLLARS(5500).): e ❑i,A50WNEROFTNEPROPERTY,ORMYEMPLOVEE5w1THWAGESASTHEIRSOLECOMPENSA7ION, CORII11BtCial { Z WIIL DO THE WORK,ANO 7HE SIRUCTURE IS NOT INTENDED OR OFFEREO FOR SALE lSEC.7ae,BUSI- I NESSAND PqOFESSIONS(Y�DE:THE CbNTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PflOPEHiYWi106UILD50RIMPROVESTHEREON.ANOWt10[bESSUCHWORKHIMSELFOflHERSELFOH m j [[ THROl1GHHISORHEROWNEMPLOYEES,PROVIDEDTHA75UCHIMPqOVEMENTSAFENOTINTENOEDOR I Q OFFEHEDFORSALE IF,HOWEVER,7HEBUIIDINGOFlIMPROVEMENTISSOLOWITMNONEYFAqOFCOM%.E �, TION,THE OWNER�BUIIDEfl WILL HAVE THE BUFDEN OF PPWING THAT HE Ofl SHE DID NOT BUILD OR � IMPROVE FOF THE PURPOSE OF SALE). � :J 1.AS OWNER OF THE PROPEflTY,AM EXCLUSNELY CAMRACTINC WITH LICENSEO CONTRACTORS '��. � TO CAN9TRUCT THE PR0.IECT(SEC.70�<,&1SWE55 RND PROFESSIONS CODE:THE CONTqqCTOR3 LI� VaIU0�10l1 ADJ.AREA W CENSELAWWESNOTAPPLYTOANOWNEROFAiHOPERNWMOBUILD50RIMPRDYESTHEREON.AND F NM1�OCONTRACTSFORSUCHPROJECTSWITHACANTRAClOR(5)LICENSEDPUFSUANTTOTHECONTMG QUANTITY DESCRIPTION FEE i Y TOR9UCENSELAW.). 3 J �; O O I AM EXEMPT UNDER SEC. ____ B.&P.C.FOR THIS RERSON � �y ' _—'_'__ � I LL DATE___'_ oYMER__'_ ___ U � Z W ��[ LICENSED CONTRACTORS DECLARATION �j i CL� I HEREBV AFFIRM UNDER PENALN OF PERIURY 7HAT i AM UCENSED UNDEfl PROVISiONS OFCHAPTER � d d- 9(COMMENCING WITH SECTION 7000)OF OIVISION 30F THE BUSINE55 AND PflOFE5510N5 COOL,AND Z X MY LICENSE IS IN Ft1Ll FORCE PND EfFECT. m 9 `�� LIGENSE CLASS �Y�t��p_LIC.NO. �^�'�� ��� J � V DATE��.7 ' I 7 GONTRACTOR__ a W � � WORKERS'COMPENSATION DECLARATION a ! �: U � � IHEREBYAFFIRMUNDERPENALttOFPERJURYONEOFTHEFOLIOW�NGDECL0.0.4TIQV5: Z � �� IHAVEANDWiLLMAINTAINACERTIFICATEOFCONSENYT05[LF-INSUHEFORWORKERS' 2 § Z COAAPENSRTION.ASPRbV1UEDBVSECTION37000FTHElA[30FCOOE.FORTHEPE(iFORMANCE �U i ¢ OFTHEWOFiKFOPWHICHTHISPEFMITISi55UED. � W /� �I HAVE AN�WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIREO BV SECTION �• ,� � Q 3'/0o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WOPK FOR WHICH THIS PERMITIS ���� p 0'� ISSUE�.MY WORK -S�,',CO�MP lNSATION INSURANCE CARRI AND POLIGY NUMBER AHE: CONSTRUCTION _.•h/ } CARRIER�����.� PLAN REVIEW _' __ � � POUCVNUMBER�Z ELECTRIC � ¢ .,. 0, (n��ss[cnarar��r�oTeEoon.+a�rEooFn��w,wr�sFoaonerur�onm W+oolan�sl PLUMBING S Z I CERTIFY THAT IN THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAI $ �� SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBECAMESU&IECTTOTME � WORKEHS'COMPENSATIUNLAWSOFCALIFORNIA,ANDACREETNATI�ISHOULDBECOA7E INSPECTIONFEF __._ � SU&IECTTOTHEWORKERS'CAMPENSA710NPROV IONSOFSECTION37000f�HELABOfl =rt' � CA�E.ISHALLFOPTHWITkICOMPLYWIhITH05 OVIS NS✓ � ISSUANCE p OATE: "I�� � APPLICANT'. � A _' SMIP .� J " ENERGY P/C J WARNINO:FAILURE TO SECURE WORKEflS'C PENSAT70N CAVERA6 UWfUL,AND SHALL BE �y SUBJECTANEMPLOYERTOCFIAIINALPENAL71E5ANDCIVILFINESUPTOONEHUNOREDTHOUSAND ENERGYPERMIT 4 DOLLARS(5100,000),INADDITION TOTHE CQST OF COMPENSATION,DAMAGES AS PROVIOED FOR IN �� SECTION37oeOFTHEUBORCODE,INTEREST,ANDATTORNEV'SFEES. RETENTIONFEE: w CONSTRUCTION LENDINGAGENCY PRE-ALT FEE: d. O; � 1 HEPEBV AFFIflM UN�ER PENALTY OF PERJURV THATTHERE IS ACONSTfl11CTION LENDING AGENCY _ F�R THE OEkFOHMANCE Of THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CILL C.). Z W LENOEWSNPME -- � �—�� LEN�ER'SAD�RESS i �� ICERTIFYTHATIHRVEREADTMISAPPLICATIONANDSTATETHATTHEFBOVEINFORMATIONISCORRECT. TOTAL FEES R w� IAGREETOCOMPLYWITHALLCffYANDCOUNTYOflDINANCESANOSTATELAWSREUTINGTOBUIIOING � CANSTRUC710N,AND HEREBYAUTHORIZE REPRESENTA71VE5 oF THIS CAUNTY TO ENTER UPON THE iZ, ABOVEMENTIONEO PROPERN FOR INSPECTION PURPOSES. COMMENTS _ � � ur5 T Y�� �� .. — , �. , _ I Q PERMITfEEN �IPRINT�,/ �: _ y-�.5� 7 i �n „� ` ` ' _ < •� ' y SIONA E O PERMITfEE OPTE � � RECPT.NO. `- PAID 8Y VALIDATI L i WHITE—Departmant Copy,YELLOW--Finflnce Copy,PINK—Assessor Copy,GOIDENROD—File Copy,GREEN—Applicant's Copy � ,_ _ �..� _......__ �.. .�.�.�....._� �_ —- - -- -.. � L�s�ri � � i. ! � �, mm � i^y� s!-n -ni��c7 v�;;uy e� i7�� m oz'�i�;� �'-z��� �-a;�s�Gj rn ,�i;n � �� f I�;�'�iZl?'�r' m1.!��y� m�D �iY�C3iL� {7'�;a ���'r�:k�.,I� r -i� , � � � � (� � •. �� � D A�D a'J% I"' 'AI.�G� r-�r �.r.+(v,Cl`�^i� �1-�'I�:D p m �I--i . �'�-i i . r r, '� � � � U; 'j'_, i, � � D �.rn � t L�G�I�I 7`;�i� :r;rn i^� C oa �nl � � � � � � C-7iri S�C�i i� i'����p � �Dlrn ,IiIY �9, {�y -0 -��y 33 i C7 � . 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