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HomeMy WebLinkAbout10527 �--- ..._.._... _.. _ . _:._. ,: :..:�...Mw�..� �-.��.�,�_.�-� - .,.n,�,.-a-.,---- . . . , .. . . . -- � ..,.��. M.�: - CITY OF DIAMOND BAR COMMUNTfY DEVELOPMENT DEPARTMENT .,,,.� 21660 E.Copley Drive Suite 190 PRESS (909)8603195 Fax(909)861-3117 �.'A"'+ BUILDING PERMIT APPLICATION FIRMLY o ADDRIESS �c� `�� � 1`t 1�L:_ S"{;'(�1 IS� APPUCATION PERMIT /���� P/C DATE_ G NUMBER # � ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP p OWNER tY��_ �(-f b°��C i21'��Y-�2{-i p ADDRESS � �3t��' = ZONING SETBACKS Z CITY . - ZIP TEL. U•�`I 1 FROPfT RW �; g APPLICANT �' ' `�2.. l�t,�.Y'�,wt TEL. '�i�L-T Z' REAR r Z SIDE/SIDE STREET RW C m CONTRACTOR �S�"L-S��-�` �'Z�3�)(',.i�..� SIDE ❑ � ADDRESS � -�'� ((►ri�i�'T-(: �'d,,,, � CITY �i'���... C �. f,� ZIP �ZS�' TEL. ��fl"I"'���Iti PROPOSEDUSE o ARCHlENG! z DESiGNER W NO.DWEL. � NO. NO. � ADDRESS UNITS y STORIES Z BEDROOMS � � CtTY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI:ILDER DECLARATION SFR/ADD/iiEM O 1 HEREBY AFFIRM UNDEft PENALTY OF PERJURV TNAT I AM EXEMPT FROM THE CONTRACTORS U- G8f8g6/C81POfI W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.50USINESSANOPROFESSIa.I3CODE:ANYCINOR (n U COUNTYWHICHqEOIIIqESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,OflREPA1RANYSTRUG W PatiolDeck W TURE,PRIOR 70ITS ISSUANCE,AL50 REOUIRES 7HE APPLICAP7�FOF SUCH PERMI770 FILE A SIGNED W STATEMENT THA7 HE OR SHE IS LICENSED PURSUANT i0 THE PROVISIONS OF THE CONTRACTORS Lb � CENSE LAW(CXAPTER 9(CQNMENCING WITH SECTION 70D0)Of OIVISION 3 OF THE BUSINESS AN�Pq0- LL' PooUSpa FESS�ONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFOPTHEALLEGEDEXEYG• � VTION.ANYVIOLATIONOFSECTION1031.SBVANYAPPLICANTFOqAPERMITSU&IECTSTHEAPPLICANTTO Z Re•Roof ' 31 ACIVIL PENAITV OF NOT MORE TiAN FNE HUNDRED DOLLARS(f500).j: � ��,ASOWNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTMEIRSOLECOMPENSATION, � COf111i1BfC18I Z WILL DO THE WOflK,AND 7HE STRUCTURE 6 NOT INTENDED OR OFFEflED FOR SALE(SEC.70is,BU51� J y NESS AND PROFESSIONS CO�E:TME CONTRACTORS IICENSE LAW DOES NOT APPIY TO AN OWNER Of j PROPER7Y WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIA15ElF OR HEfiSELF OR 2 7HHWGHHISORHERONMEMPLOVEES.PROVIDEDTHA75UCHIMPROVEMENTSARENOTINTENOEDOR m QOFFEREDFOHSALEIF,HOWEVER.h1E8UILDINGOHIUPqOVEMENT!SSOLDWITHINONEVEAROFCOlAPLE- Z TION,THE OWNER-BUIL�ER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALEj. . � C 4 AS ON7JER OF THE PflOPERTY,AM EXCLUSIYELV CONTRACTING WfTH LICENSED CONTMCTORS Q TO CONSTqUCT THE PROJECT(SEG.7aat.BUSINE55 AND PROFESSIONS CODE:7HE CONTRACTORS U� V81U8f1011 Q1 y ADJ.AREA W CENSELAWDOESNO7APPLYTOANOWNEROFAPFl07ER7YWHOBUILDSORIMPROVESTHEREON,ANO � WFiOCONTRACTSFORSUCHPR0.1EC7SWI7HACONTRACTOR(5)LICENSEOPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). � O I AM EXEMPT UNDER SEC. B.6 P.0 FOR THIS REASON J � U � � LL' OATE OWNER____ � Z W �¢ LICENSED CONTRAC70R5 DECLARATION W CC I HEREBV AFFIqM UNDER PENAL7V OF PERJURY THAT IAM LICENSEO UNDEF PROVISION6 Of CHRPTER � d e(COMMENCINO WITH SECTION 7000)OF qVISION 3 OF THE BUSINESS AND PPOFESSIONS CODE,AND Z X MY LIGENSE IS IN FULL FORCE AND EFFECT. � LICENSE CLA�.SS S --� � LIC.NO. �� 0 3 � V j U �ATE � a t 1 G L CONTRACTOR�y-T.-'�t-�L� a W I � WORKERS'COMPENSATION DECUIRATION Q NIHEREBYAFFIRMIJNDERPENALT/OFPE0.IURVONEOFTHEFOLLOWINGDECLARATIONS: z � _I HAYE AND WILL MAINTAIN A GERTIFICATE OF CONSENT TO SELF�INSUNE FOR WORKERS' ¢ _ ¢ COMPENSATION,AS PqOYIDED BV SECTIDN 37000F THE LABOfl COOE,FOR TME PERW RMANCE �U Q �OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � / w _I HAYE ANO YYILL MAINTAIN WORKERS'COMPENSA710N INSURAhCE.AS REOUIRED BY SECTION Q 37000FTHELABORCODE,FORTHEPERFORMANCEOFTNEWORKFORWHICNiHISPERM1T15 �'JL� � ISSUED.MYNbRKERS'COMPENSATIONINSURANCECARRIERANDPO:ICYNUMBERARE: CONSTRUCTION 7 J n f � � CARRIER Cc17 L-�.l C��^- L=L� lti.LT PLAN REVIEW _ Z PaICYNUMeER__ ELECTRIC -.. ¢ � (iH65E(:iIONNE�NOTBE00�AR.E�EDOF7HEPERMfTISfaRONENlNL7fiE�D7LLARS�St00�ORLE55} PLUMBING _ '"-���`� ,�r�_ Z i CERTIFY THAT IN THE PERFORMANCE OF THE WORN FOR NMICH THIS PERAIIT IS ISSUEO,I MECHANICAL � , � SHALLNOTEMPLOVANVPERSONINANVMANNERSOASTOBECAI.IESU&IcCTTOTHE • Uj WORKERS'COMPENSATIONLAWSOFCAL:FORNIA,AN�AGREETHATIFISHWLDBECOME INSPECTIONFEE ___ SU&IECTTO THE WORKERS'COM7ENSATION PROVISIONS OF SEC710N 37000F THE LABOF o �.y � CA�E, SHAIL FORTHWITM COMPIY WRH TFIOSE PROV1510 ISSUANCE ��M��� � E' � p`i�� O DATE: � ` � SMIP __ _!�� p APPLICANT: J WAflNING FAILURETO SEIX1flE WORKERS'COMPENSATON COVERAGE IS UNJWFUL,AND SMALLBE ENERGY P/C ____ � SU&IECTAN EMPIOYER TO CRIMMAL PENALTIES AND CIVIL FINES UP TOONE HUNDHED THOUSAND ENERGY PERMIT OOLLAflS(f700.0001.IN ADOITION TO THE CASTOF COMPENSATION,DAMAGES RS PROVIDED FOR IN - - � SECTION3]OBOFTHELABORCOOE,INTEREST,ANDATTORNEYSFEES. RETENTIONFEE: __ d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O - � 1 HEREBV AFFlRAI UNDEi1 PENALN OF PERJURY THAT 7HERE IS A CONSTRUCTION LENDING AGENCV _ FOR THE PERFORMANCE OF THE WORK FOp WHICH THIS PERAIIT IS ISSUED(SEG 9087,CIV.C.). Z W - � LENDER'S NAIAE _ _ F- LENDER'SADDRE55 � ICERTIFVTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES o� •�� � I AOREE TO COMPLY WITH ALL CITYAND COUNTV ORDINPNCESANO STATE LAWS RELATING TO BUILDING � GONSTpUCTION,AND HEREBY AUTHORIZE REPRESENTATIYES OF TMIS CAUNTY TO ENTER UPON THE . 7 J/�i�')• 1 L '�^/ f� Z ABOVE�MEMIONEOPROPERiVFORINSPECTIONPURPO5E5. 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