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HomeMy WebLinkAbout13571 (991) ,�I � - �r4 CITY OF DIAMOND BAR , 1� - DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES z��oE.c�ieyn:���s�c�i90 - PRESS (909)860-3195 Fau(909)861-3117 �'A�'� BUII.DING PERMIT APPLICATION FIRMLY o DDRESS�.S �D �/�C.tr, /�/S!/f-� Y�• DATE'CATION Z�7 � NUMB R it� � APN LOT��_ TRACT ISSUE TYPE OCC DATE CONST. GROUP � OWNER _ �PUS L�,o.e� � ADORESS 2O �O �'j�c��,.., S f�u. f-r 5 LO ZONING SEiBACKS CITY��r!i/i Yl t^, Cc ZIP�TEL.��15 G Z-2/�1.5� FRONT RW O APPUCANT ,�J//CC /h�!/-� TEL.SL,I�!e�'O yca REAR p � ' SIDE/SIDE STREET RW p CONTAACTOR z C� (r SIDE ❑ p� ADDR j�Jvo i�e_� r L� � � C(TY � ZIP `T�'.,��TEL Z�O d�r PROPOSED USE o ARCFUENG/ q ,I z DESIGNER �-�-� �^--X-� NO.DWEL NO. NO. �5 ADDR /vr e_ / � � CITY ���- ZIP�TEL SZ 7.�/a 01/,, UNITS STORIES BEDROOMS v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION OWNER•BVILDER DECLAAATION SFR/ADD/REM O p 1 MERE9Y AFFlRY UNDER PENAITY OF VERAIRY T1uT 1 MI IXEMPT FflOM TiIE CONTRACTORS U• G318ge/CBfpOf1 LLJ CR1SEtAWFORTIIEFOLL0IYWORE/150N(SEC.70.11.S8U51NESSIJJDVROFE5510N4CODE:ANYCITYON (n (..7 COIN(TYNFM]IpEOtpqEbAFEHMRTOCONSTRUC'LILTEfLIA1PROVE.DEN0U9H2ORREPAIRMlYSTRUC• W Z TUi�.ORtlq TO R9 188UANCE,ALSO REd11RE5 iHE ADVl1CANT FOp SUCH VEfu11T TO FILE A SIGNED P82i0/DBCk « STATEMBJT THAT HE OR SNE IS LICENSED OU0.,UANT TD THE GROVISIONS OF TH[CONTRACTORS LI• W � CH18E lAW(Q/APTFR Y(COMMENCIN6 WfTH SECTION 7000)OF DIVISION 3 OF iHE BUSINESS M'D PRO� LL' PooUSpa PE59qNSCOO�ORTNATMEOR5HEI5E%ENMTHEAEFROMANOTHEBASISFOftiHEKIEGEDEXEMP• (3 TION.ANYVIOIATqNOF5EGT10NT071.68VANYMVLKd1NTFORAFERMIT5U8JELiSTHEA7PLIGANTTb Z Re-Rool � A CfY1L PEWLLT�'OF NOT MORE hWi FIVE HUNOFED DOLUAS(f5ao).): '� � 04�bOWNEROFTHEPROPERTY,ORMVEMPLOYEESWITHWACESASTNCIRSOLECAMPENSATqN, � �pmmBtCldl - MALL DO THE WORIC M1D TNE STRl1CTURE IS NOT IMENDED OR OFiEREO FOR SALE(SEG 7W/.BUSI- J N NESS ANO GROFESSION4 CO�E THE CONTMCTORS LICENSE UW�OES NOT A7PlY TO AN OWNEH OF ? PROPERfY W4i0 BUM.DS OR MPROVES 1HEREON.AND NT10 DOES SIKH WORK HIIASELF ON HERSELF OR (L TN110Ud/NISORMEROMMf1APLOYEES,PROVIDEDIMATSUp/1NPROVEAIENTSMENOTWTENDEDOR m pOFFE(iEDiOR5hLE1F,FIOYJEHERTMEBUL0INOORMPFlOVEMEMIS50L0YATHMPVEYEAROFCqAPLE- Z TqN,h1E O'.VNER�BUILDER WILL 11AVE TME BURDEN OF YROVWO TMAT ME OR SME DID NOT BUI�ON � IMPFqVE FORTME PURPOSE OF SALE�. i w O11150WNEHOFTHE�ROVERiY,AUE%CLUSNELYCOMMCTMaWfTHLICENS[DCOHiMCTOR4 � TO CONSTRUCTTFIE iRWECT�SEG 70W,BUSIHESSAND VROFE55lON4 COCE TME WNTMCTORS L1- VelUBtiOn ADJ.AREA � CENSEUWDOESNOTMPLVTOANOYMEROFAOROPEHTVMT108U4DSOqIMPROVESTHENEON.MlD WHOCDNTMCTSiOFSUCHPROUECTSN7THACON7RACTORIS)LICENSEODURSUAHTTOTIIECONTiUG pUANTITY D[SCRIPTION FEE � TOiLSLICENSEUW.). �, . ,\ O IAM IXEMPT UNDER SEG B.8 P.C.FOR THIS REASON � � " ti Y�'� /-L/ �S LL' CATE OwNER • � ` �� � UCENSED CONTRACTOPS DECLARATION � � -e.t (HEREBYAFFliWI1N0ERPENALTYOFOEiLNRYTNATIA/ALICENSEDUN�ERPfiOYt3�ONSOFCHAPTER Vr (� �(COIAMENGt/K3W1T115ECTICN7000)OFDM5iON70FTMEBU51NE55ANOPRJFE55qN5CCDE,ANO Z — LL�� MY UCENSE R N FULL FORCE AND EFFECT. � . m � b � UCENSE CUSS G �' �Y UC.NO. ' � j � � �nre �— �n — 4�3 corrrrucTo���h.c a � WORKERS'COMPENSATION DECLARATION I -! � IMEREBYAFFIWAUNDENPENAITYOFVERlUNY0NE0FTHEiOLLOYAN00CClARA1qN5: � � � �IHAYEfHDWILIMAMTAINACERTiFlCATEOFCOfiSENTTOSCLFa45UH[FOf1Nt7HKCR5' ' . GOMPENSATION,AS PROY10E7 BY 9EC710N J/W OF 7ME UBOR CODE.FOR T1E PERFORMANCE -OF iNE WORIf PoH NTIKxI hIIS GERMIT IS ISSUED. � Q I Q �I HAVE FND WILL 4ARlTNN WONCEPS'COM7ENSATpN WSURANC£.AS RFOUIRED BV SERION ]7000FT1ELIBORCOOE,FOIiTHEiERFORMFNCEOFTFIEWORKiORK'HICHTHI9FERMRIS . ISSUED.GYvvv���,lccc ERS'COYPENSATqN11+SURANCEGIRRICRANDPOIICYNUM�OE7R�ME: ' CONSTRUCTION � CAARIER /� � llJe - �n . I✓/CCi KC-'/S PLAN REVIEY!� > , � � 70lICVNUMBER/� !'.S._I�Lti_';L�f/1d � ELE�CZp1� . � . (i1�9LCIR,NnE�Noi�Q�MRF7EOG�nfvEriMisPoRONEHI*cPoDottl�u�(t�alaqtE551 PL(1M1'�BIN �]s Z ICERTIFYTHATNTHEPERFqVAANCEOFTHENlOWCFORWHIdITH15PERAlITISI55UED.l MECHANICAL (7 SHALLNOTEMPLOYANYPERSONINANYAIANN[RSOASiO8EC01A[SUBJECTTOTME �. WORNER5COAIPENSATIONUWSOFGLiFORN1IANDAGREETHATIFISHOVLD8EC01AE INSPECTIONFEE .• - S SUBJECTTOTHEWORKERS'C0IAPENSATIONDRONSIQVSOFSECTqN770o0�TNELA80R � '� COOE,ISIUIIFORTFNATIICOMPLYWITIiTMOSEPROVISIONS. //JJn ISSUANCE g�=}-� � ` ,��� 1`/��I ' SMIP p DATE: c7'Z�^�APPLICANT: __r//f���C�S�f � ENERGY P/C r �^� WMNIN6:FIulURETOSECUREMK)iL(ERS'COMPENSATIONCOVERAGERUNLAwFU4µDSHiU.LBE �� �� r v � � SUBJECTANEMPLOYERTOCNMINILPENALTiESANOCMLFWESUPTOONEHUHDR[DTFqUSAND I I�1I �, c.I IJJ.J DOLLARS(f100,000),WIDDITIONTOTMECOSTOFCq.1PENSATqN,DAMAGE5A5PAOVIDEDFORIN ENERGYPERMIT (` l J SECTqN17VeOFTNELABORCOOE,INTEREST,ANDATTORNEY5FEE5. � � RETENTIONFEE' `.`,-1,Cj�' y!�!+ �� '!�11� O� S3U�.:.:�i�.i-• -. . , - �.� CONSTRUCTION LENDING AGENCY PRE-ALT FEE: r T�' � IHEREBYIIFFIRMUNDERPENALTYOFiERJURYTIUTTHEREISACONSTRULTIONlCND1NOAGENCV Z FOR TME VERFORMrNGE O�7HL WOFK FOR WHldi TMiS CERMIT IS ISSUED�5 c'G Jovt,qv.C.). . W � . . . � . �'� � LENDER'SNAAIE � � � LENDERSADDRE55 � ICERTIFYMATIWIVEPEA�TMISAPVIICATION/WDSTATETUTTHEABOVENFORMATIONISCORAECL TOTAL FEES ��( a/v , � IA6REETOCOAIPLYYATHALlC7T7ANOCOUNTIORO�N/wCESIW�STATEUYrSRELATtNOTOeUiLDwO . CONSTRUCTION,AND HEREBV AUTNOR12E REVRESENTATNES OF THtS COUNTY TO EN7ER UPON THE � A80VE�MEMIONEDVH07ER7VPoRINSPECTqNVUHPOSES. I COMMENTS � 17'I I K� �h� �'�1'' ' m FERMI EENAY'(PWHTJ � Q N . � iG NflEOFPERMITfE e ��� 2 '� RECP� PAID BY VALIDATION F WHITE-DepeRment Copy,YELLO'N-finence Copy.PINK-Assessw Copy,GOLDENROD-File Copy,GREEN-Applicant's Copy / . �' � . . .. . . . . � . .. . , , . , . . . . �I i 1' OF Qi��raf�'D E�',�? ,Ii�«P��i iC►t.! 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