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HomeMy WebLinkAbout10549 _ -- _ . ..�. - . ,.. r-----� CITY OF DIAMOND BAR �--' COMMUNITY DEVELOPMENT DEPARTMENT ( �,,,w 21660 E.Copley Drive Suite 190 ��` PRESS (909)860-3195 Fax(909)861-3117 �"H*� BUILDINGPERMITAPPLICATION FIRMLY o DDRESS f�0� �%���� _,..� � DATECATION '�,�Z�-�� NUMB R ��"� / #� � ISSUE TYPE OCC APN OT .TRACT DATE _CONST. GROUP p OWNER ADDR S � ZONING SETBACKS z CITY ZIP T FRONT RW ❑ g � '��' REAR ❑ APPLICAN7 TEL. SIDE/SIDE STREI=T RW ❑ � CONTRACTOR �'�? 1 �.:' ' SIDE ❑ � ADDRESS ��' PROPOSED USE�� � � CITY e ..� (f�3 TEL o ARCHlENG! �(iUt,CA 91788 W DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.F'" FACTOR PSF ADJ.AREANALUATION � � OWNER-BI:ILDER�ECLARATION SpRlADDlREM � � I NEREBY AFFlRM UNDER PENALTY OF PERJURY TNAT I AM EXEMPT FROlA THE CONTRACTORS Li� � Ga2ge/Carport W CENSELAWFORTHEFOLLOWMIGREASON(SEC.703tSBU51NES5ANDPROFESSIONSCODE:ANYCINOR U COUMVWN�CHREWIRESR7ENAdITTOCONSTRUCT,ALTER,IMVROVE,DEMOLISH,ORREPAIRANYSTRUC• W patio/Deck Z TUNE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED � W STATEMENT TH47 HE OR SHE IS LICENSED PURSUANT TO TME PROVISIONS OF THE CONTRAGTORS LI• � CENSE LAW(CHAPTER B�COMMENCINO WITH SECTION 7(100)OF DIVISION 3 OF THE Bl15ME55 AN�PRO� �'L' Pwl/Spa OFESS�DNSCODE�ORTFINTHEORSHEISEXEMPTTFIEREFROMANDTHEBASISFOR7HEALLEGEDEXEMP� (� V TIDN.ANVVIOLATIONOFSECTION7097.SBVANYAPPLICANTFORAPEFMITSUBJEGTSTFIEAPPLICAMrTO Z qq.Roof � A CIVIL OENALTV OF NOT MORE THAN FIVE HUNDPED DOLLARS(5500�.�: Q ❑I,ASOWNEROFTMEPROPEFTY,OHMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � CpmmgfCiBl z WILL DO h1E WORK,AND THE S7RUCTURE�5 NOT INTEN�ED OH OFFEFED FOR SALE(SEC.7044.B1156 J NESS AND PROFESSION9 WDE THE CONTRACTORS LICENSE LAW DOES NOTAPPIV TO AN OWNER OF � PROPERTVWFIOBUILASORIMPROVESTHEREON,ANOWHO�OESSUCHWORKHIM59.FORHERSELFOR � � THROUGHHISOHHEROWNEMPLOVEES,PROVIDEOTNATSUCHIMPROVEAIENTSARENOTINTENDEOOR m w OFFEREDFORSPLE.IF,XOWEVERTMEBUILD�NGORIMPROVEMENTISSOLDWITHINONEYEAROFCAMPLE � T�DN.THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE�ID NOT BUILO OR Z IMPROVE FOR THE PURPOSE OF SALE�. = CI.ASOWNEROFTNEPROPERTY,AMEXCWSIVELYCONTRACTINGWITHLICENSmCONTRACTOR3 � TO CONSTRUCT iHE PRQIECT(SEC.7o4a.BIISINESS AN�PROFESSIONS CODE:THE CONTRACTORS LI� V81U8tiDl7 ADJ.AREA W CEN3ELAWOOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBVILOSORIMPROVESTHEREON,AND F WHOCON7RACTSFORSUCHPROJECTSWITHACONiRACTOR(S�LICENSEDPURSUPNiTOTHECONTRAP QUANTIIY DE5CFlIPTION FEE Y TORSUCENSELAWJ. � J � ❑IAM EXEMPT UNDER SEC. B.8 P.C.FOq THIS REASON U � ¢ LL' �ATE OWNER F Z W �Q LICENSED CONTRACTORS DECLARATION W ir I NEPEBV AFFiRM UNDER PENPLN OF PERJURV THA7I AM LICENSED UNOER PROVISIONS OF CHAPTEH � � � � 9(COMMENCING WITH SECTION 700D)OF DIVISION 30F 7HE BUSMESS AND PROFESSIONS CODE.AND Z �X AIY�ICENSE IS IN FULL FORCE AND EFFECT. m � ��/ � � LICENSE CLASS �^+�e LIC.NO. � � � V DATE__� GONTRACTOR a W � WORKERS'COMPENSATION DECLARATION � � U � I HEPEBYAFFIflM UNDER PENALTV OF PEiWURV ONE OF THE FOLLOWIN60ECUlRATIONS: � Z � _I HAVE AND WIIL MAINTAIN RCERTIF�GATE OF CONSENT TO SELF�INSURE FOH WORKEflS' 2 � COMPENSATION.ASPqOVIDEDBVSECTION37000FTHELABORCO�E.FOflTHEVEHFORMANCE W OF THE WORK FOR WHICH iH15 PEFMIT IS ISSUED. � 0 w _I HAVE AND WILL MAINTAIN WOPo(ERS'COMPENSAT�ON INSURANCE,AS REdUIRED BV SECTION Q 5700 OF THE LABOR CODE,FORTHE PERFOiiAIANCE OF THE WORK FOR WHICH TNIS PERMIT IS ISSUED.MY WORKERS'COMPENSAiION INSURANCE CARFIER AND POLICY NUMBERARE: CONSTRUCTION J j cqRaieR. � - ---- PLAN REVIEW _ Z aoucvNUMeea ELECTRIC • ¢ � (IHISSECTK7NN�NDTBEOOMPETE➢OFhEPEWrRISfORONEHUPAiED00LlAHSf5100)ORLESS} PLUMBING ��''Y w Z �CERTIFYTHA7INTHEPERFORASANCEOF7HEWORKFORWHICHTHISPEFMITISISSUE0.1 MECHANICAL ��"' ��k, ':`.43- (!3 SHALL NOT EMPLOYANY PEfl50N IN ANY MANNER SOAS TO BECOME SUBJECT TO THE �� �/j WORKERSCOMPENSATIONLAWSOFCALIFORNIA.AN�AGREETHATIFISHWLDBECOME INSPECTIONFEE ' � � SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 37000F THE UBOR t,•c�J � CODE,I SMALL FORTHWITH COMPLv WITH T E PRO SIONS. ISSUANCE a�� � � �� �// �.�if SMIP S i!� � , a;�a,.. p DATE:.��"/6L-.=/ ! APPLIGAN7: a,o.r J WARNING FAILURE TO SE UC RE WORKERS'COMPENSATION CAVERAGE IS UNUWFUL,AND SHALL BE ENERGY P!C LL SUBJECTANEMPIAYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNORED7HOUSAND ENERC�YPERMIT WLURS�5100.a0o1��N FDDITION TO THE COSTOF COMPENSATION,DAMAGES AS PROVIDEO FOR IN � SECTION 3708 OF THE LABOH GODE.INTEREST,ANO ATfORNEV'S FEES. RETENTION FEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: - O Q IHEREBVAFfIRMUNDEHPENALTVOFPERJURYTHATTHEREISACONSTqUCTIONLENDINGAGENCY � FOR THE PEFFORNANCE OF THE WORK WR WHICN THIS PERMIT IS ISSUED(SEC.3D97.CIV.C.�. Z W � LENDEH'SNAME_ F- LENDEWSADDRESS_ � ICERTIFYTHATIHAVEREAOTH�SAPPLICATIONAN�STATETHATTHEA80VEINFORMATIONISCORRECT. TOTAL FE�S ��'/� � IAGREETOCOMPLYWITHALLCITYANDCOUN7YORDINANCESANDSYATELAWSRELATINGT08UIL�ING � CANSTRUCTION,ANO HERE9V AUTHOHIZE REPRESENTATIVES OF THIS CWNTY TO ENTER UPDN TME Z RBOVE-MENTIONEDPROPERTVFOHINSPECTIONPURPOSES. 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