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HomeMy WebLinkAbout10494 � � '• - CITY OF DIAMOND BAR / COMMUNITY DEVELOPMENT DEPARTMENT -,,.� 21660 E.Copley Drive Suite 190 PRESS (909)860.3195 Fax(909)861-3117 '""', BUILDING PERMIT APPLICATION r„j���c _..�,�.���� FI RM LY o AOD R'ESS ��2� W/�`-L�1� E�/QC�I�I ��N�i DATE CATION NUMBER�� #/C � issuE� TYPE occ � APN LOT—Z�� TRACT �C�Z �� � DATE t CONST. GROUP p OWNER�ENCNFMJ� z"r ����".'NU Y/�t►J� " ADDRESS`2 Z�LO � �t�'IC�� �ZI�� ZONING SETBACKS Z CITY �- '�i'fAc� ZIP�I�b�TELC3�-r g+�¢�`/ REART RW ❑- g APPLICANT ,��'fc'J �A TEL. ra �2y�' !' 3 SIDE/SIDESTREET RYJ G � CONTRACTOR A �7E V G�E C�'U� dU3 SIDE ❑ oCDDRESS ZIP� TEL.' �� -ri I ' PROPOSED US I I L �, �{L w ARCWENG/ � � z DESIGNER �D �-'- W NO.�WEL. NO. NO. a ADDRESS Z � � UNITS _ STORIES � BEDROOMS � CITY � IP�2 '�TEL. Z 'Z�G cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BI:ILDER DECLARATION SFWADD/REM O p I HEREBV AFFIqM UNDER PENALN OF PERJURY TNAT I AM E%EMPT FROM THE CONiMCTORS LI- G2f29BIC81pOlI W CENSEUWFOflTHEFOLLOWttJGREASON�3EC.7031.5BU51NESSANOPROFE3510NSCODE:ANYCfTYOfl (n U COUNTYWHICHREOUfRESAPERMITTOCqVSTRUC�ALTER,IMPqOVE.OEMOLISH,ORREPqIRANVSTAUC- Z NRE,PRIOR TO RS ISSUANCE,ALSO REIX11RE5 THE A7PLICANi FOR SUCH PERMIIT TO FILE A SIGNED W PatiolDeck 7 �V STATEMENT THA7 HE OR 5HE IS LICENSEO PURSUANi lO7HE PROVISIONS OF THE CONTRACTORS LI- w � CENSE LAW(fS1APTEH 9(CAMMENCING WITH SECTION 7000)OF�NISION 1 OF THE 9USINESSAND Pq0• � POOVSpB OFESSIONSCODE)ORTFiATHEORSHEISEXEMPTTHEREFROMANDTHEBAS:SFORTHEALLEGEOE%EA1P� � V TION.ANVVIOLATKKJOFSECTION7o31.5BVANYAPPLICANTFORAPERAAIT5U8JECTSTHEAPPLIGWTTO Z Re-Roof A CIVIL VENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS(5500�.�: ❑I,ASONMER�THE PROPERTV,OR MY EMPLOYEES WITH WAGES AS THEIq SOIE COMPENSATION, Z WILl00 THE WORN.AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOq SAL'c(SEC.7044,BUSI- � Commercial � NESS RN�PHOFESSIONS CDOE:THE COHTRACTORS LICENSE LAW OOES NOT APPLY TO AN OWNEF OF = PROPERTI WHO 6UILDS OR IMPROVES THEREON,AN�WHO DOES SUCH WORK HIMSELF OR HEASFIF OR � THROUCH HIS OR HER OWN EMPLOYEES.PROVI�ED 7HAT SUCH IMPROYEMENTS ARE NOT INTEN�E�OR m QOFFERE�FORSALE.IF,HOWEVER,hIEBUILDINGORIMPROVEMEMIS50LDWRHINONEVEAROFCOAIPLE� _ Z TION,THE OWNER-BUIIDER WILL HAVE THE BUHDEN OL PROVING THAT HE OR SHE DI�NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOWNEROFTXEPROPERT!AME%GLUSIVELYCONTRAC?WGWITHUCENSEOCONTRACTORS � TO CONSTRUCT THE PROJECT(SEC.7046,BUSINE55 AND PROFESSIONS CODE'THE WNTRACTORS U� V8IU8110f1 ADJ.AREA W CENSELAWOOESNO7APPLVTOANOMNEflOFAPROPERTVwHOBUILO50RIMPROVESTHEREON,AND � WHOCONTRACTSFOHSUCHVROJEC75WITHACANTRACTOR(SILICENSEDPURSUANT70THECON'RAC- QUANTIiY DESCRIPTION FEE Y TOHSLICENSEIAW). .y� ���j }� � ^1 AM E%EMPT UNDER SEC. &fl P.C.FOR THIS REASON � IJn i�J 1� �J � �• � — � .. GLFS� �DE ZDA7E oNMEii _ ����� � � LICENSED CONTRACTOHS DECLARATION � �s � c�. ��z. ,r s I HEREBV AFFIqM VNOER PENALN OF PERJURY TNAT I AM LICENSE�IiNDER PROVISIONS OF CHAPTER A C �,p'q 1 p„ 9�COMMENCINGWITHSECTION7o0o)OFDIVISION30FTHEBUSINESSANDPROFESSIONSCODE,/WD Z W�'S a�12 ��I�v1�'C .�S O MY LICENSE IS IN FULL FOflC�D EFFECT. � � � ` � � � � � n h �C�,�6� � �- Vi/ �� r UCENSE CLASS_ L'C.NO._,_ �� � ��� i� J V DATE CONTRACTOR a s W O � � WORKERS'COMPENSATION DECLARATION 2 �,l� � I HEREBY AFFIRM UNOEH PENALTV OF PEHJURY ONE OF THE FOLLOWING DECUIHATIONS: '� A ' P�I /� C� O 1 HAVE AND W ILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKEflS' Q COMPENSATION,AS PROVIDED BV SECTION 37o00F THE LABOR CODE,FOR THE PERFORMANCE Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. i-� � 1i � _�IHAVEANDWILLMAINTAINWORKERS'COMPENSATIOhINSURANCE,ASREWIREDBVSEC'TION I � ] /� Q 37o00FTMELABORCODE,FORTHEPERFORMANCEOFTHEWORKFOHWHICMTHISPERM1T15 � ✓' � ��� X /� ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBERARE: CONSTFiUCTION �k�' �[��.� U �. (fJ� Q /� � ,/ .. � CARRIEH /T C- t"[ � FLAN REVIEW �'���•"�'���l�.dl' Z POLICY NUMBER L � �a G ( '�' 'rTT" ELECTRIC _ ' � Q �7 o �rt+�s�cran�N�r�o7ee�ErEDOFn��wxr�s�atoriEHUNoa�ocua�ts(stacloa�ss} PLUMBING ��� y �] Z I CERTIFY TNAT IN TNE PERFORMANCE OP THE WORK FOR WHICH hilS PERMIT IS ISSUED.I MECHANICAIr,:�,+� �� f� Sh1ALLNOTEMPLOYANY7ERSONINANYMANNeNSOAStt78ECOMESUBJECTTOTHE � WORKEAS'COMPENSATIONUWSOFCAUFORMIA,AMDAGREETHAiIF�SHOVLDBECOME INSPECTIONFEE ___ _ Sll&IECT TO THE WORKERS'COMPENSATION�ROVISIONS OF SECTION 3'I0o OF THE LABOR � COOE,1 SNPLL FORTHWITH CONPL ITM THOS R IS 5 �SSUANCE __ � � p �ATE: ~� APPLICANT�_G SMIP _ JENERGY P/C _ G�� �_� WARNING:FAILURE TO SECURE WORNERS'COMPENSATION COVERAOE IS UNLAWFVL.AND SHALL BE LL SUBJECTANEMPIOVEFTOCRIMINALPENALTIESANOCIVILFINE5UPi00NEMUNDREDTHOUSAND ENERGYPERMIT DOLLARS(5100,000).IN AODITION TO THE CAST OF CAMPENSATION,DAMAGES AS PHOV!�EO FOR IN -- � SEC710N37080FTHELABORCOOE.INTEREST.ANDATTORNEV'SFEES. RETENTIONFEE: _ a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHEREBYAFFIRMUN�EHPENALTYOFPERJURYTHATTHEREISACQNSTRUCTIONLENDINGAGENCV __ FOR THE PERFORMANCE OF THE WOflK FOR WHICH THIS PERMIT IS ISSUED(SEC.3D97,CIV.C.). Z W S LENDER'S NANE � F— LENDERSADORESS � TOTAL FEES ¢ I CERTIFV THAT 1 HAVE REM TiIS APVLICAT�ON AND STATE THATTHE ABOVE iNFOR1AATION IS CANREC7. W IAGREE TO COMPLY WITrIALL Cltt AND CAUNTV ORDINANCES AND STATE LAWS RELITING TO BUILDING � CONSTRUCTION,AND HEREBY AUTHORRE REPRESENTATIVES OF THIS COUNTY TD ENTER UPON THE Z ABOVE-MEN710NED PROPERTV FOR INSPECTION GURP09E5. � COMMENTS � ?�r�lC% '�✓(� � — O° reaMinee r a.�(v � a -�_�._� 7 — � � SIGNA HEO ERMITfEE� DA�—�— ^�� = RECPT.NO. y�r�u BY VAUDATION ~ WHITE-0e erlmant Co YELLOW--Finance C p py, opy,PINK—Assassor Copy,G LDENqOD—File Copy,GREEN—Applican s Copy .�.....r .�,.-..._., . �..ssaae+:K::,x�axr��..�sa;:�.�:,av-.a,-.aa,�... , :m. .. .. .- . .� .. e.� .�.• :4,;�....s �;�..i,'..._ . . . . . ' _'. ' � "'- . 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