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HomeMy WebLinkAbout12069 (6) S��3 - c i 9-c��,..�— /�� - CITY OF DIAMOND BAR /� ' COMMUNITY DEVELOPMEN'T'DEPARTMEIe'T ���''/�j 21660 E.Copley Drive Suite 190 � 1 PRESS � (909)860-3195 Fax(909)861-3117 I �'""'� BUILI7ING PERMITAPPLICATION FIRMLY � JOBSITE ��,�� ���Cl� ta�N �� APPLICATI�N �� m�� PERMIT P/C .0".��,:��` o ADDRESS �` DATE ' l� NUMBER ti `. � APN L�T_ � TRACT �G? �8 �SSUE �s 6 —� CTMONST. ` 2��R GROUP DATE °C OWNER��� �' E ��✓G� ' L �.f o ADDRESS � QC � l' ZONING SETBACKS w FRONT ___ RW C gCITY �. �.�JE� ZIP9/765' TEL.�� .Z7�Pj APPLICANT TEL. REAR ('� Z SIDE/SIDE STREET RW ❑ Q CONTRACT�R L ' Z'� V'I� a� ��y^/�cr:� SIDE ❑ � ADDRESS/° �' PROPOSED USE �C'L�/�T'��/VC-E' � CITY %N'JS�/..57`.�Y� ziP 9��TEL. ��O L3 — —�—�G��—C]"�1�t9-1� � ARCH/ENG/ —��— -- z DESIGNER T M �-��'rGGdf�� NO.DWEL. NO. NO. a ADDRESS�S-�S"� G1� L3c- T �Z� UNITS_ SrpRIES BEDROOMS � CITY��� ZIP ��TEL.�2` / � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BI;ILDER DECLARATION SFR/ADD/REM O p I REBY AFFlRM UNDER PENAL7Y OF PERlUR`!THA7;AM E%EMPT FHOM TH[CANTRACTOqS Lb Gerege/Caryort LLI CENSE FORTHEFOLLOWINGREASON�SEC.7a71.5811iMES5ANOPROfESSIONSCODE:ANYCI'YOR ((� U COUNTV HREQUIRESAPERMITTOCONSTRUCT,ALTF.R,IMPROVE,DEMOLISH,ORREPAIRA RUC- W P8�10/DBCI! TURE,PRIpR ITS ISSUANCE,ALSO R'�-0UIRES THE APPIICA�T FOR SUCH PERMIT TO F A SIGNED w STATEMEN i THp E OF SHE�S LICENSED PURSUANT TO'HE PRCYISIONS O�THE FiACTOfiS LI� W � CENSE U1W(CHAP 9(CAMMENCING WITN SECiION 7000)OF DIVISION 3 0F T _ USINESSAND Pfp- LL PooVSpa FESSIONSCA�E)OR7 HEORSHEISE%EMPTTHEFiEFfiOldANDTHE9A51 RI'MEIILLEGEOEXEMP� � � TION.ANV VKK.ATION OF S ION 7071.5 BV ANY APPLICANT FORA FERM BJECTS THE APPLICANT TO z RB-ROOf ACIVIL�ENALTY OF NOT MOR AN FlVE HUNDRED DOLLARS(SSOD . ❑I,ASOWNEROFTHEPRO TV,ORMYEMPLOYEESW!TH GESASTHEIRSOLECOMPENSATION, Q Z Commercial WILL 00 THE WORK,AND THE STRU RE IS NOT INTENDE R OFFERED FOR SALE�SEC.70da,6US6 J NE55 AND PROFESSIONS COOE:'HE C RACTORS UC e'LAW DOES NOT APPLV TO AN OWNER OF � . � PflOPERTYWHOBUILD50FIM7FiOYESTHE ,AN ODOESSUCHWORNHIMSELFORHERSEtFOR � ��G� � �/f Q THROUGH HIS OR HEfl OWN EMPLOYEES,PRO HAT SUpi IMPROYEMENTS ARE NOT INTENDED OR m QOFFER'cOFOflSA:.EIF,40WEVERTNEBUILDIN PROVEMENTISSOLDWITHINONEYEAROFCOMPLE� ,�F�' � � f,t}� Z TION,THE OWNER-BUILDER WILL HAYE 7Fi URDEN PROVIM1G THAT ViE OR SHE DI�hOT BUILD OR IMPROVE FOR 7HE PURPOSE OF SALE). W ❑I,ASOWNEROFTHE7ROPE .AME%CWSNELYC TRAC?INGWIiNL'CENSE�IXJNTRACT�RS R. p[ TO CANSTRUCT THE PRQIECT .�Oaa.BUSINESS AND PR SSIONS CA�E:TNE COMRAC70RS Li� V81118tiOf1 �'� •� ADJ.AREA ill CENSEIAWOOESNOTAPPLV ANOWNEROFAPAOPERTVWH UILDSORIMPROVESTHEREON,ANO � NAIOCONTAACTSFORSU PR0.IECTSWITHACOYTRACTOR(5)LIC 'EDPURSUANTTOTHECONTRAC- QURNTITY OESCRIPTION FEE Y iORSLICENSELAW.j. �' ❑1 AM EX 7 UN�ER SEC._ C fOR THiS REASON U � 4 C N �`�� � O �i '—__—' -- _— � - OFC� OAT _ OWNER__'_'___ _— U � UCENSED CONTRACTORS DECLARATION W � I HEREBYAFFlRM UNDER PENALN OF PERJURY TFiAT I AM LiCENSED UNDER PROVISIONS OF CHAPTER � d 9(COMMENCINGWITHSECTION7000)OFDIVISION30F?HEBUSIYESSANOPROFESSIONSCADE.AND Z X MV LICENSE IS W FULL FORCE AND EFFECT. � LICENSE CLASS _ LIC NO.__�������_ � U DATE_,��— CONTRACT(� a W � � WORKERS'COMPENSATION DECLARATION a � U -- � I HAER,EBYpFFIRM UNDER PENALTY OF PERJURY ONE Of THE FOLLOWING DECLARATIONS: z Z �/yl HAVE AND WILL MAfNTAIN ACERTIFICATE OF CONSENTTO SELFINSURE FOFl WOFKERS' 2 V COMPENSATION,AS PROVIDED BV SECTION 3]DOOF THE LABOR CODE,:OP THE PERFORAIAkCE U � OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � 0 W _I HAVE AN�WILL MAINTAIN WORNERS'CAMPENSATI04 INSURANCE,AS REOU:REO BV SECTION � Iy�� ^q � �/ Q 3]00 OF TFIE LA80R CAD'e.FOR THE PERFOF�.IANCE OF THE NlORK FOR WHICH THIS PERAAIT I$ l �/�� � / _ ISSUED.PAY'W!ORKERS'COMPENSATIONINSURANCECARRIERAN�POLICVNUMBERARE� CONSTRUCTION ,� (_ ��� j CAR4L'ER/U���9 /��f �S�C'I�Ey'�PirR1�C1 PLAN REVIEW ��,�'�_ �•t � POLICV NUM6ER �G /7' I Z+�I C% 7 9"E ELECTRIC � ���D Z '7-- — ¢ (iWSSECi1CNNEmNOTBE' ►LEfEDOF'HEPEPA.RIS�ORONEHlNi7RED00l!.AR513100)ORLESS). PLUMBING � — Z 1 CERi1FYTHAT IN THE PERFOflMPNCE OF iNE KURN iOH WMIGH THIS PERMI?IS ISSUED,I MECHANICAL __ L•} SHALL NOT EMPLOY ANY PEFSON IN ANY MII4NEfi 50 AS TO BECOME SUBJECT TO THE � WORNERS'COMPENSA710NLAWSOFCALIFORNIA,ANDAGREETNATIF�SHOULDBECOME �NSPECTIONFEE __ = SU&IECT i0 THE WORKEAS'COMPENSATION PROVISIONS OF SECTION 37COOf THE IABOF -- -- CO E,ISHALLFORTHW COMPLVWITHTHOS aoNSio . ISSUANCE / � S�IIP 4 p DATE: APPLIG --- J WARNING:FAILURE TO SECURF WORKER' ENSA?ION CAVERAGE IS t1NtAWFUL.AN�SHALL BE ENERGV P/C �y SUBJECTAN EMPLOVEH TO CRIMINAL PENAiTIESAND CIVIL tINES UP TOONE HUNDRE�THOUSAND ENERGY PERMIT DOLURS(ft a0,oao),tN AD�ITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN ---- � SECTIONJ70BOFTMEIABORCODE,INTEREST,ANDATTORNEYSFEES. �ETE�ITIONFEE: __ ''� f a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I MEREBY AFFIRM VN�ER PENALN OF PERIURY TFV1T THEflE IS A CONSTRUCTION LENDING AGENCY _ __ FOR THE PERFORMANGE OF THE WOflN FOR WHICH THIS PERMIT IS ISSUE�(SEC.9oe],CIY.C.�. � LENDER'S NAME /�i/��✓ _ 1— LENDER'SADORE55 _.. � ICERTIFYTHATIHAVEREADTHISAPPIICATIONANDSTqTETHATTH`eABOVEINFORMATIONISCARRECT. TOTALFEES f �O ' '�7 � w I AGREE 70 COMPLY WITH ALL CITV AND COUNTY ORDfNANCES AND STATE LAWS RELATING TO BUILDING (^ � � CONSTRUCTION.AND HER�V AUTHORRE REPRESEN7ATIVES OF 7HI5 COUNTY TO ENTER UPON THE � � M�� ZABOVE-MENTIONED�ROPERTYFORINSPECTIONPURPOSES. � Q COMMENTS J 1�j`�ri��G' !la'�r ---- _. �—�....`�4_ � -�--- 4 P MITTEE NAME(P IHT7 - ����� N «� �� ���y = 51 NATU 'PE iTi '�- —T� �TE RECPT.NO. � v 3�� PAID BY Gn7� VALIDATION �j�� ~ WHITE—Depenment Copy,YE�LOW—Finance Copy,PINK—Assessor Copy,GOLDENR06—File Capy.GREEN—AppllcanYs Capy ��c«sr»w:�-,�,.,.�.mrs.s-.a,«::_,r�:u:.,s-«:a�.�s,cw:�=�.az:.:�.m�,,.s:..�„a.-.-P.G�.-.............:..........r__�.____.-...,.�,.:w.»,�,.�:�,,N..,u-.w.:a.:.�.x.s.czrc:,c::;..ax.:_::.ar.cr_v:�:�a��.u�-�u r..�s+s�-�ea,.�z.,...:Y,......�.-.^.�.......�.�.�:.�.m«..., ;.... _ .. . :. .:. : ..:: . • , ,� , . .... . ,., . ; :.:..:�:,. •- , ., . .. _ , • . . . . . - . , . , . .. . �. .. , .,. . . '�,.`-.. ,. _ .., ,. . .., . 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