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HomeMy WebLinkAbout10099 /� _ R CTTY OF DYAMOND BAR � � COMML'IvTI'Y DEVELOPMENT DEPARTMENT �� .,,,� . 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 � "��'� BUILDING PERMIT APPLICATION FIRMLY . _ .. . .. ._. .�,...>,.�,._. � o� JOBSRE t;�� .L� APPLICATION �5' �/ ��NU BER � �� 11/C ADDRESS 0 � DATE c�, ISSUE TYPE OCC APN L T� - TRACT DATE ,CONST. aROUP p OWNER ADDR - t�J ZONING SETBACKS z CITY ZIP L � `"� FRONT RW G � APPLICANT TEL. �r REAR � Z SIDE/SIDE STREE"f RW �� ¢ CONTRACTOR �' SIDE _ O o ADDRESS �, � � CITY ZIP TEL. G PRaPOSEb USE o ARCWENG/ ` w pESIGNER NO.DWEL. IVO. NO. a ADDRESS UNITS 3TORIES BEpROOMS � ClTY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION cn � OWNER-BI:ILDER DECLARAT�ON SFR/ADD/REM O � I 1{EFEBv AFFIRM UNOER PENALTY OF PERJUHY THAT 1 AM EXEMPT FROM THE CON7qACTORS LI- Gaf89B�C8tpOR W CENSEULWFORTHEFOLIOWiNGREASON(SEC.7031.5BUSINESSANDPqOFES510N5CODE:ANYGITlOR (n U COUNTyWHICHREOUIRESAPERMITTOCONSTRUC7,AlTER,IMPHOVE.DEMOUSH,ORREPAIRANYSTRl1C� W pati[JDeck S TURE,PRIOP TO ITS ISSUANCE.ALSO REQl11qES TME APPUCANT FOR SUCH PERMiT TO G'0.E A SICaNE� W � STATEMENT 7HAY ME OR SHE 13 LICENSED PURSUMIT TO THE PpOVIS10NS OF THE COPITRACTORS L4 � CENSE L4W�CNAPTEF 9(COMMENCING WITH SECTION 7000)OF D!NSION 3 OF 7HE BUSINE55 AND'PRD: � PooVSpa FESSiONSCADE)aq7HATHEORSHEISE%EMP7TNEREFPOMAN071�EBASISfORTHEALIEGEDE%EMP• (� � TION.ANYVpL,ATIONOFSECTION7031.5BYANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICqNTTO Z Re•Raof � ACIV�L7ENACTYOFNO?IAORETHANFIVEHUYDREDDCLiAR5�5500)J: � ❑I,ASOWNEROFTHEPROPERYV.ORIAYEMPIOYEESWITHWAGESASTNEIASpLECOMPENSATION, 0 Commercial �. WILL DO THE WOflK,AhD THE STRUCTURE IS NOT iN7ENDED OR OFFE0.ED FOR SAIE(SEC.7U46,811S1. � NESS AND PqOFESSIONS CODE:THE CONTRACTORS UCENSE lAW DDES NOTAPPLY 70 AN OWNER OF � PNOPEFTY WHO BUI�,OS OR IMPROVES THEREON,At�D WHO DOES SUCH WORKHIMSELFOR HEflSELFOR w7HROUC.kH150RHEROWNEMPLOYEES,PFlOVIDE�THATSUCHIMPROVEMENTSARENOTINTENDEDOR m � OFFEHEDFORSALE.IF,HOWEVERMEBUILAINGORIMPftOVEMENT�S501.OWITMINONEYEAROfCAMPLE- Z TqN,iHE OWNEF�BUIIDER WIL�HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD Oq � IMPR04E FOR TNE PURPOSE OF SALE), _ w ❑I,ASOWNEROFTHEPROPERT',AMEXCWSIVELYCONTRACTINGWITHUCENSEOfAM!aAC�ORS (� TO CANSTRUCT THE PROJECT(SEC.7044,BUSINESS AND PROFESSIONS CADE:THE CONTRpCTaRS LI- �Yd11181I017 _ ADJ.AREA W CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPEATYWNOBUILDSORIMPROVESYHEREON,AND � WNOCANTRACTSFORSUCHPROJECTSWIhiqCONTRACTOR(S)LICENSEDPURSUAf�7rTOiHEWNTflAC- QUANTITY DESCRIPTICN FEE � TORSLICENSELAW.I. � J O ❑I AM EXEMPT UNDER SEC.�__�_ 8.8 P.Q FOR THIS REASON Q � _ U � � DATE OWNER _ U � W �Q LICENSED CONTRACTORS�ECLARATION i j CL IHEREBVAFFIRMUNDERPENAITYOFVERJUFYTHATIAMLICENSEDUNOEHVROV�510N50FCHAPTER � f/ , d D(COMMENCINGWITH5ECTION7o00)OFDIVISiON30FTHEBUSINESSANDPROFFSSIONSCODE,AND Z X MY LICENSE IS IN FUL4 FORCE ANO EF� �7� m � UCENSE C SS ✓� LIC.NO. � U DATE ' _ GONTRACTOfl a W � WORKERS'COMPENSATION DECLARATION —+ a � IHEREBYAFFIRMUN�ERPENALNOFGERJURYONEOFTHEFOLLOWINGDECLARATIONS: U L� Q Z _I HAVE AND WILL MAINTAIN A CEHTIFICATE OF CONSENT TO S0.F-INSURE FpR WOqKERS' _ COMPENSATION.AS PROVIOED BV SFCTION 9700 OF TFiE�BOR CODE,FOR THE PERFOqMANCE U Q OFTHEWOflKFORWHICHTHI3PERM171SiSSUEO. � � W _�1 HAVE ANO Wf_L MAIATAIN WORHERS'COIUPENSATION I�SURANCE,AS REDUiRED BY SECTION Q 3700 OF THE IABOF7 CO�E.FOR THE PERFOFMANCE OF THE WORK FOFi WHICH THIS PERVAR IS ISSUED.MY WORKEr�c'COMPENSAT N INSUR4NCE CAFJa{ER AN�P �1 N ueEa naE: CONSTRUCTION C / � CARRIEF_.__i/ '� PI,AN REVIEW T_ ZPOLIGYNUMBER ELECT Q , Q (MLSSECfqMNEmNO'8E[�h1REfE��hfEPER1.111'6FORONEHUt�DFtEPOq1fA515�W)(NLESSi �IN _ Z I CERTIFV THAT IN THE PERFDRMANCE OF TME WORK FOR WHICH THIS PERWT IS iSSUED.I MECHAPIICAL _ ('3 SHAU.NOT EMPLOY ANY VEASON IN pNY 41ANNER SO AS TO BECOME SUBJECTTO THE (�r) WOHKEFS'CONPENSA710N LAWS OF-CAUFORNI�,AND AGREE TIAT IF I SHOULO BECAME INSPECTION FEE _ SU&IECT TO THE WORNERS'C067PENSATION PROVISIONS OF SECTION 3700 OF THE IABOR ;s•� �9"�- � GODE,I SNALL FORTHWITH COM7LV WITH THO E aao�io� tSSUANCE y` � � �7 SMIP az ,,,, :��..'c�'� (] DATE:__� APPLICANF. �/7 .e-� j WAANING:FAIWRE705ECUREWOPoCERS'COMPENSATIONCOVERAGEISUNLAWFUL,ANDSHALLBE ENEAGYPlC � SUBJECTANEMPLOVEHTOCRIMINALPENALTIESANDCIVILFINLSUPTOONEHUNbREOTHOIISAND EIdERGYPERlu11T �•«�. ,x �� 4<'' OOLURS(5100,000),INADDITIONTOTHECOSTOFCOMPENSATIDN,�M7AGESASpROVIDEDFORIN -�--+.Y;-tp C ��` � SECTIOFf37090FTHELABOflCODE.iMTEREST,AWATTOANEY'SFfES. _ , �Y � v' ��•^'� RETENTION FEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREB'�AFFIRMUNDEHPENALTYOFPERJURYTHATTHEHE�SACONSTRUC710NLENOINGAGENCY fOF TNE PENf-0RMANCE OF 7HE N'ORK f-0R WNICH THIS PERMIT IS ISSUED�SEC.JOa7,CIV.CJ. W -- � IENOERS NAME _ � LENDER'SADORE55 � TOTAL FEES �� .�'� � I CEfiTIFYTHAi I HpVE REA�THIS APPUCATION AND STATE THAT THE ABOYE INFORMATION iS CORFECi. W 1 AGREE i0 CAAAPLV W�iHALL CIiY AN�CAUN7Y OROINANCES nND STAiE LAWS REUTING TO BUILDING � CONSTRUGTION,ANO HEREBY AUTHORIZE REDRESENTATNES OF THIS COl1MYT0 eNTEq UPON THE � Z ABOVE�MENTIONED PROPERTY FOR�NSPECTION PURPOSES. COMMENTS � •� . . ,. . . . . .__1 � , .. . , . m PERMITiEENqME 1 ` / z � � � � ��— l !"1 lS .. .. ......... �1 N /"� , A11_ � � 516NATUREOF E � OATE ---� ' = RECPL NO. � — PND BV � VALIDATION • ~ WHITE—Depanm6nt Copy,YELLOW—Finanoe Copy,PINK—Assessor Gapy,GOLDENROD-f le Copy,GREEN—Appllcant's Copy - ' �'' , ....�s...:..r�r'..i'!�.�.,�. .;..5_.: ' .._.. . .�.,' . � i. .i.•:.n,rv -;>. 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