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HomeMy WebLinkAbout10645 CTTY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT .;,,� 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 '""'� HUILDING PERMIT APPLICATION FIRMLY o DDRESS� � wG� APPLICATIOIy..j �c��C NUMB R��" ��#/C DATE---� / l c� ISSUE �N �;,,y'. .✓ TYPE OCC APN LOT TRACT DATE �s' x�a"✓ i !_ CONST. GROUP °C OWNE� Zh?� /;��.� " 0 ADDRESS ��^� ZONING SETBACKS z CITY ZIP TEL�5���1�77 FRONT RW ❑ � APPLICANT Qc�/3;.v �Pt✓.E TEL REAR ❑ � SIDEISIDE STREET RW ❑ z ¢ CONTRACTOR G � SIDE ❑ O ADDRESS �„� S.qr� rl�4fPo ��!� PROPOSED U � Fi� S/`�/P �vS CITY �.�A.�,.i.�1- ZIP r'l/72�TEL. 7 3S e�77o �'f ��� G f � �Q�� oARCH/ENG/ _��,�,�r� W DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BE�ROOMS � CiTY ZIP TEL. � � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI:ILDER DECLARATION SFR/ADDlREM O I MEREBY FPFIRM UNDER PENALtt OF PEHJIIRY THAT I AM EI(EMPT FROM THE CONTR0.CTOR5 LI� G0f29BIC8�Of[ W CENSEUIWFOR7HEFOLLOWINGHEASON�SEC.7091.SBUSINESSANDPROFESSIONSCO�E:ANYCINOR (n U COUNTYWHICHREOUiHESAPEFMITTOCONSTRUCT,ALTER,IMVROVE,DEMOLISH,ORREPAIRANYSTRUC� W pyti0/DBGk TURE.PfilOFi TO ITS ISSUANCE.ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FlLE A SIGNEO W STATEAtENT THAT HE OR SHE IS LICENSEO Pt1ASUANT TO THE PROVISIONS OF THE CONTRACTORS L4 W � CENSE lAW(CHAPTER O(COMMENCING WITH SECTION 7000)OF DIVISION 7 0F THE BUSINESS AN�PR0- u' POOI/S(78 FESSIONS CODE)OH THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THEALLEGED EXEMP- �— � TION.ANY VIOIATION OF SECTION 7031.5 BV ANYAPPLICANT FOR A PERMIT SUBJECTS THE APPLICNJT TO Z Re-Roof % �� ACIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS(5500j.): � � CI,ASOWNEROFTHEPROPERTV,ORMYEMPLOVEESWITNWAGESASTHEIRSOLECOMPENSATION, � Commercial Z WILL DO 7HE WORN,AND THE STqUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70Gd.BU51- J � NESS AN�PROFESSIONS CAOE:TNE CONTRACTORS LICENSE LAW OOES NDT APPLY TO AN OWNER OF ? PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERS0.F Oq � THROl1GHHISORHEROWNEMPLOVEES,PROVI�EOTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m � OFFEflEDFOR3ALE.IF,HOWEVE0.THE8W��IN60RIMPROVEMENT1550LDWRHINONEVEAROFCOMPLE- z TION,THE OWNER-BUILDEF WILL HAVE TNE BURDEN OF PROVING THAT HE OR SHE OID 1�T BUILD OR � IMPROVE FOR THE PURPOSE OF SALE�. W ❑I,ASOWNEflOFTHEPROPERTV,AMEI(CLUSIVELYCON7RACTINGWITHLICENSEDCONTRACTOflS �. �f„ � TO CANSTRUCT THE PROJECT lSEC.70a4.BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI� V21U2110n �•��'�" ADJ.AREA W CENSELAW�OESNOTAPPLYTOANOWNEROFA7ROVERTVWHDBl11LD5ORM7ROVESTNEREON,ANO � WFIOCONTRACTSFORSUCNPRQIECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTIC�N FEE Y TORS LICENSE LAW.). � ❑I AM EXEMPT UNDER SEC. _B.8 P.C.FOR TXIS REASON � � Ll.. � DATE OWNER U Z W �Q LICENSED CONTRACTORS DECLARATION W ¢ I HEREBY FFFIRM UNDEfl PENALTY OF PERJURY TF7AT I AM UCENSED UNDER PROVISIONS OF CHAPTEq � a, e(COMMENCING WITH SEC710N 700D)OF DIVISIDN J OF THE BUSINESS ANO PROFESSIONS CODE,AND Z X MY IICENSE IS IN FULL FORCE AND EFFECT. � LICENSE CLASS G�- � S LIC.NO, /�� 2'� j U DATE ��7'-J � CONTRACTOR L/Wi S�IOw/i a W � WORKERS'COMPENSATION�ECLARRTION Q � U � I HEREBV AFFIRM UN�ER PENALTY Oi PERJURY ONE OF 7NE F4LLOWING DECLARATIONS: Z � I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELFaNSURE FOR WORNERS' 2 COIdPENSATION,AS PROVIDED BV SECTION 3'1o00F TNE 1A80R CODE,FOR THE PERFORMlWCE U Q OF THE WOflK FOR WHICH THI3 PERMIT IS ISSUED. � � w I HAVE PND WILL MAIN7AIN WORKERS COMPENSATION INSURANCE,AS REOl11RED BY SECTION � Q 37DOOFTNELA60RCODE,FORTHEPERFORMANCEOFTHEWORKFORWH�CHTHISPERMITIS � �� d � ISSUm.MY WORKEHS'COM`P�ENSATION INSURANCE CARRIER AND POLICV NUMBER ARE: � TRU-C,TIO�-T',. � CAPRIER �l//� FLAfV FttVItW _ � POLICV NUMBEfl��7> " ELECTRIC ¢ 0 (THISSEC710NNEmN0T9ECOMPLETEDOFTH'ePERMffISFORONEM.MDREDD011PAS(57aD)ORLESS} PLUTABING Z I CERTIFYTNAT IN THE VEiiFOFiMANCE OF THE WOflK FOR WMICH THIS PERMIT IS ISSUE�,I MECHANICAL C�3 SHAIL NOT EMPLOY PNY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE � WORNERS'COMPENSATIONLAWSOFCALIFORNI0.ANDAGREETHATIFISFYJULDBECOME INSPECTiONFEE SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR q .a.�� � CADE,1 SHALL FORTHWITH COMPI.V Wlhl THOSE PROVIS:ONS. ��� _ �"A �!I 'y.,�^ o _ 9� ..�� ��_ a .- �, p DATE: � APPLICANT: ,`.SMIP J WARNING:FAIWRE TO SECURE WORKERS'COWPENSATION COVERAGE IS UNLAWFUL.AND SHAIL BE ENERGY P/C � SUBJECTANEMPIOYERTOCRIMINALPEN/VLTIESANDCIVRFlNESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT OOLLARS(51o0,OW),IN A0017YON TO THE COST OF LOMPENSATION,OAMAGES AS PROYIOED FOR IN p. `p ¢ SECTION 37080F THE LABOR CADE,IN7EREST,ANO ATTORNETS FEES. RETENTION FEE: ���.> � ��� ���d a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O - � I HEHEBY AFFWM UNOER PENILLTY OF PEflJURY THAT THERE IS ACONSTflUCiION LENDING AGENCY FOR THE PERFOFiMANCE OF THE WORK FOR WHICH 7HI5 PERMI715155UE�(SEC.3097,CIV,C.). Z w — � LENUER'SNAME F- LENDER'SADDRESS /� ¢ I CERTIFY THAT I HAVE READ THIS APPLICATION AN�STATE THAT THE ABOVE INFORMATION IS CORflECT. TOTAL FEES � ^9 � k/'" W I AGREE TO COMPLV WITH ALl CITV AND COUNTY ORDINANCES M10 STATE lAW5 REL4TING TO BUILDING � � � CAN6TRUCTION,AND HEREBY AUTHOFIZE REPRESENTATIVES OF THIS COUNTY TO ENTEF UPON THE Z ABOVEd.1ENTIONED PAOPERTY FOR INSPECTION PUqPQSES. �j�',.�e��/�F f �,�.,`�'� �-'�i .�p�r COMMENTS � R oF�;.,✓ G e c,�i J ������--y--✓:..-�.�' . m PERMI7TEE NAME(PRINn � �rr� �_ �'/y�7 � SIGWITUISED PERMITTEE DA7E � � RECPT.NO. � � � P/�ID BY ��a�"�� VAUDATION - WHITE-�epartment Copy,YELLOW-Finence Copy,PINK-Assessor Copy,GOLDENROD-Fle(;opy,GREEN-AppllcanYs Copy .,... . ,,,,,,,,,,;,,, , a . . ..:. ;.....,.: ,. ,. �. >,. . ...�:�. ... , :�., ,••,,:.. . .. . . . , .:.•,..� , .., .• : .:. �.,;- .. , _ .,.... . . . . .. ,... . .•,.• :.,. ., �: , , ;�� .. . . .. . ��� �� �?������.��5� , ,. .,, . �������'��� ��.�;��� ,.,.. :. : " .. , .-. - r �., . .:<.�,.,,; • . „ .:�;;.�°.. ;• '�;a.,;..:: ,- ... - - m • a + . 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