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HomeMy WebLinkAbout17018 (50) -----�*,`�-.__ CITY OF DIAMOND BAR. � DEPAR'TMENT OF COMMUNl'CY&DEVELOPMENT SERVICES �! 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS ``�°%y��� ' BUILDINGPE1tMITAPPLICATION FIRMLY JOBSI7E APPLICATION f PERMIT P/C � o ADDRESS � �,��g�� �a.3t.�„�,�.�E����c'SS�VG� �� DATE � � �1 NUMBER��� #_����. � ISSUE ,�;,rg� �, TYPE OCC -- APN LOT TRACT DATE ��' f� CONST. GROUP p OWNER ,�l5•.i �l d� p ADDRESS �'�te'�'� .�s.+'av�',�'�s �Xiz�Ja.S"s�`+Fi �d�� ZONING SETBACKS Z CITY�:Xis+2�aa:'.,� ��te' ZIP TEL. � FRONT RW ❑ o APPCICANT �a`rra�✓#: ?•'B;,»;.r �'v:r.�'. TEL. �s'�.r�`�C�a S DE/SIQE STREET RW ❑ m CONTRACTORyr�e�� �'°"eAil.� �.�t1��� SIDE L � ADDRESS b�2FF�,'�'J f��. jg��r�j�;s�8���w' !�E..:,%e� pROPOSED USE � �S � n` 0 CITY ��li`�i�i�'P� -� ZIP TEL. j�i���lr° ►� wo ARCH/ENG/ W DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � GITY ZIP TEL. �. ca DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNEA-BUILDEF�ECLARATION SFR/ADO/AEM � � O '�. p I HEREBY pFFIRM UNDER PENALT�'OF PERJUqY THAT I AM EXEMPT FROM iHE CONTRACTORS LI- � Garage/Carport � �� ' W'. CENSELAWFOFTHEFOLLOWINGREASON(SEC.7031.5fiUSWESSANOPROFE5510NSCO0E:ANYCINOR ' C.)'� COUNTYWHICHREQUIflESAPERH�ITTOCONSTRl1CT,ALiER,IMPROVE,�EMOUSH.ORREPAIftANYSTRUC- W patio/Deck i Z� TURE,PRIOR T4 ITS ISSUANCE.AL50 RE�UIRES THE APPLICANT FDR SUCH PERMIT TO KILE A SIGNED � W' SiATEMENT THAT HE OR SHE 15 LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACiORS ll- W �', �; CENSE LAW(CHAPTER 9(COMMENCING�YYITH SECTION 7000}OF DIVISION 3 0F THE BUSINESS AND PR0- � POOUSpe FESSIONS CODE)Oq THAT HE OR SHE IS'EXEMPT THEREFROM ANO THE BASIS FOR THE ALLEGEO EXEMP- �'�� TION.ANYVIOLAiIONOFSECTIONI70315BYANYAPPLICANTFORAPERMITSUBJECTSTHEAPPUCANTTO Z Re-Roof � ,ACIVIIPENALTYOFNOTMORETHANFIYEHUNDRED00LiAR5�5500)J: Q �, ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, COR1ffIBfCIdI -' ;WILL 00 THE WOAK,AND THE STRUCTURE IS(�T INTENDED Oq OFFERED FOR SALE(SEG.7044,BU51- �J '�NESS ANO PROFESSIONS CODE:7HE CONTRACiORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF �� '.PROPERNWIi09UIlD50RIMPRDVESTHEREON,/WDWHO�0E5SUCHWOFlKHIMSEIFORHERSELFOR '� CL„ :7HFi0UGH HI$DR HER DWN EMPLOVEES.PROVI�E�THATSUCH IMPROVEMENTS AFE NOT INTENOE�OR m Q,, OFFERE�FORSALE.IF,HOWEVEF,'fFiEBUILDMGORIMPROVEMENTI550LDWITHINONEYEAROFCOMPLE- Z,;, 'TION,THE OWNER-BUILOER WILL HAVE 7HE BURDEN OF PROVMG iHA7 HE OR SHE DID NDT BUILD OR _,, 'IMPROVEFORTHEPl1RPOSEOF5ALE). �. ❑I,A5 OWNER OF THE PROPERTY,AM EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS ��'��� ".TO CONSiflUCT THE PROJECT(S�C.7044.6USINE55 AND PROFESSIONS CO�E:THE CONTRACTOflS LI- Vfl1l18IIOf1 ADJ.AFEA � �� ._., . "x__..-�-..._....., _-"... W'� ''CENSELAWDOESNOTAPPLVTOMIOWNEROFAPRO?ERTYWH06UILDSOqIMPROVESiHEflEON,AND S� 'WHOCONTRAGTSFORSUCHPROJECiSWIiHACONTRACTOR(5)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY ESCRIPTION FEE � �'TDRS LICENSE LAWJ. �y �, ❑I AM EXEMPT UNOER SEC._ 8.8 P.C.FOR THIS REASON U ('"V v G ��� ' CL �-�l �'°`C�+��..� _. V"� OATE .OWNER �" z;, W "-f i- °�r'i.� �, LICENSED CONTRACTORS DECIARATION W �+, ,�,�Y R�.,.i' 3�'"` 2� IHERE6YAPFIRMUNDERPENAL7VOFPEFiJURVTHATIAMLICENSEDUNDERPROVISIONSOFCHAPTEli �i � a,', 9(COMMENCING WRH SECTION 7q0o)OF DIVISION 3 0F THE BUSINESS 4ND PROFESSIONS CODE,AND z X ' MY LICENSE IS IN FULL FORCE ANO EFFECT. � LICENSE CLASS �'°`�� � LIC.NO. � / +���� �� H ,,.��� �� �'+ � ~' � DATE � ��'� d.�s'� GONTRACTOR ���s�,ff ,'l i`✓'� l..Y.�'I1�1• a W e� � c� WORKERS'COMPENSATION DECLARATION � "����r� = U � IHEREBVAFFIRMUNDERPENALTYOFPEflJUFiYONEOFTHEFOLLOWMG�ECLARATIONS: z Q Z. _IHAVEANDWILLMAINTAINAGERTIFIGATEOFCONSENTTOSELF-INSUREFORWORKERS' _ COMPENSATION,ASPFOVIDEDBVSECTION370oOFTHELA80RCODE,FORTHEFERFORMANCE U Q OFTHE WORK FOF WHICH THIS PEPoNIT IS ISSUED. � O w �IFfAVEANOWILLMAINTAINWORKERS'COMPENSATIONINSURANCE,ASflEQUIREDeYSECTIIXJ � Q 37000FTHELABORCO�EiFOP7HEPERFORMANCEOFTHEWORKFORWHICHTHISPEPMIYIS ISSUED,MY WORKERS'COMPENSATIO�INSURANCE CARflIERANO POLICYNUMBER ARE: CONSTRUCTION g b j cnAaiEa ���°°� PLAN REVIEW ! _ � i _ � ZPOLICYNUMBER � ELECTRIC Q Q (MISSECTIONNEmNOTBEOJMPLEfE00FTHEPEPMfrISFORONEHLAJDRE�00LLAFlS(5100)ORLESS). PLUMBING Z� I CERTIFV THAT IN THE PERFORAdANCE DF THE WOPK FOp WHICH TH�S PEflMIT IS ISSUEO,I MECHANICAL °� C,'3 SHAIL NOT EMPLOY ANY pER50N IM1'PNY MANNER 50 AS 70 BECGME SU6JECTTO THE � � WORKERS'COMPENSATIONLAWSOFCALIFORNIA.FNDAGFEETHATIFISHOULOBECOME INS?ECTIONFEE - ? SUBJECTTOTHEWORKEljS'COMPENSATIONPpOVISiONSOFSECTION3�000FhIELABOR /"'`�` CAOE,ISHALLFORTHWIifMCOMPLYWITHTNOSEPROV151 s. ISSUANCE � �' �i p �ATE: � w 7 APPLIGANT: �^� �3 SMIP � F Ag� ✓ �'. WARNING.FAILURETO SECURE WOFiKEf15'COMPENSATION COVERAGE IS UNLAWFUL,AND SH0.LLBE ENERGY P/C ` � � . SUBJECTANEMPLOV6RTOCRIMINAIP�NALTIESANDCIVILFINESUPTOONEHUrAliEDTHOUSAND ENERGYPERMIT � DOLLARS(E1a0.o0a),INADDITIONiDTHECOSTOFCOMPENSATION,�AMA6E5A5PROVIDEDFORIN �---- - '//-� � SECTION37oBOGTHELABORCODE.INTEREST.ANDATTORNEY'SFEES. RETENTIONFEE: .G-... �� � I d � CONSTRUC710NLENDINGAGENCY PREALTFEE: O ' � IHEREBVAFFIPMUNOERPENALTN,OFPERJURYiHATTHEREISACONSTRUCTIONLENOMGAGENCY FOR-HE PERrORMANCE OF THE'NORK FOF�i I jICH T�HyIS�P�ERMIT IS ISSUEO(SEC.309],CIV.C.). . W L'Y�' iN7f �' LENOER'SNAME Y"� F- LENDER'S A�DRESS ' '�. �, ICERTIFYTHATIHAVEREADTH:SAPPLICATIONANDSTATETHATTHEABDVEINFORMATIONISCORRECT. TOTAL FEES �„� � ����.�Js��� '�. d IAC�REEiOCOMPLYWIiHALLCITYAN�CDUNTYOR�INANCESANDSTAiELAWSFELATINGTO�BUiLDING � � '� �.� CONSTRUCTION,AN�HEREeV AUTHORIZE PEPRESENTATIVES OFTHIS COUNTY i0 ENTER UPON THE z ABOVE-MENTIONEDPROPEflTV�ORINSAECTIONPURPOSES. COMMENTS �- � � ��"��� � PEfiMITTEE NAME(PRI n ' ' � �' � i`, _ — � IGNA?U �'��OFPERMI �'., TE _ �� RECPT.NO. �~✓ PAID BY �,� VALIDATION Cry ~ WHITE—�epartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy 'l�l� �� „ ,.r, ;: . _.._.., �. ... . . . . . :. ..,ps„. .. . ,.�. ..;.��,�:'�. -.:a., �R .,., . ....,.. . --�,' � . . ,.. . .. . ,. .. � . .. �. . 4. .. . �.i111 : . , . r:g F .. ,. .. A... a ., .. .s�°�,R.... „:.� �'�, t "`�f �. u . a ...,� �.... .i ..., a d:” P�s� . a�":s'�,� �� ,tx 5 � � R �� -,� �, a .,� a ' � * # z ,�': �yk � �- y� d^s. � : '�^�� '� t� , a�* 4 ' H � a � r a a y � � ir`�.� a� i " �,�.�k� a 5 � r" 4 � H � .i 6 � "4 � *�"; � � S^ � p : a � ";� . � + ��,���...ky� `a�.: ;a.. � � � � "��� .r ����� tr' � ���`r'��.-. � e p ; � � ., � s :� .� ,,.. � ..»„� � 3� a.�? ,. . _.v,.. .,c.t:..� "�... a,. �'� a�.,a ��. >: ,s.w ......�..a..n..�. 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