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HomeMy WebLinkAbout16337 (442) � CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 � PRESS �'�^" $UILDING PERMIT APPLICATION FIRMLY ` AD RESS3ozd c�,nc1.�.�LL �° � � 3 c DATE y�Z d PERMIT !C NUMBER � ISSUE TYpE pCp APN LOT TRACT DATE CONST. GROUP � OWfVER p ADDRESS O ZONING SETBACKS CfTY IP TE , FRONT RW ❑ APPLICANT TE�tJ S'3-522�) REAR ❑ SIDFJSIDE STREET RW O CONlAAC R 'Er G SIDE p ADDRESS g CITY ZIP T � � PROPOSED USE ARCHlENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STDRIES BEDROOMS � CITY ZIP 7EL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFWAOD/REM O I MEREBY AFFlqM UNOER GENALTY OF PEfUURY TMAT 1 AM E%EMM FROA1 TXE CqYTMCTOq3 LI- Qg�e9g�C8fp0II CENSEUIWFORiHEFOIIOWMOREABqJ(SEC.70.91.68USINESSANDPROFE6510N9CODE:ANVCITYOfl (n COUMYMk9CHREOL1�1E511PEAMrtTOCONSTRUCLALTfRIMPROVE,OEMOLIBH.OHREPAIRANYYTitI1C• `W PHib/D6Ck TUIIE.PRqR TO 1T9 189UANCE,AL80 RE�u1RE$THE APPt1CANT FOp SVpi iERM1T TO FILE A SIONm 6iATElAENT TNAT NE OR SNE t5 LICENSED PURSUAHT TO TME PROVISIONS OF iHE CON7MCTOR3 LI• CENSE LAW(ClIM7ER i(COMMENCRIO WI711 SECfKN 7W0)DF qV1910N 9 OFTXE EV9INESS M1D VRO• LL' P00�1Sp8 FESSIONSOODqOR7HATHEORSHEI9IXEMPTTHEREFfi0LIM1Dh1EBA51SFORTMEKLEOEDIXEMP• C7 TION.ANYVIOLATqNOFBECilON7W1.6BYANYAPPIJCANTFORAPERMITSU&IECTSTMEAPPLICANT7p Z qo-Roof � A CINL VENALTV OF NOT NOqE 7HAN FIVE M/NORED DOLLAR6(f500�.�: OI.ASOMRiEROFT/EPi10PERTKOqMYEMPLOVEESWI7HWAfiESASTMEIRSOLECOMPBd6ATqN, (`qmmBfCi81 N7LL 00 TNE N10RK MlD iHE BTRUCNi�IS NOT INTENO�OR OFFEREO WFi SALE(9EG 70u,BU51• � NES..AND PROFESSIONS COD@ TIE OONTMC70H5 UCENBE UYV pOE3 NOT MPPLY TO AN OWNER OF � INOOERTYYA109VILDSORMIPROVESTNEREON,AN0YMO00E5BUGHWORKMIMSELFORHENSELFOR � � 7/Yi01/GIIMSORNEROWNELiPLOYEES,VXOVIUEUTUTSUCNIMPXDYEMEMSMENOTINTENDEDOq m OFFEREO fORSALE IF,k10NlEVER 7HEBUILDIN(i OFi N.PRDVEMENTIB SOID WITHIN ONE YF,AH OFCOMPLE- TqN,TNE OWNEHAUILDER WILL FNVE TNE BUR�EN OF PqOVINO TNAT HE OR SME DIO NOT BUMD Oq MPROVEiORTMEPURPOSEOFSALE). O 1,AS OMMER OF TME PHOPER7'/,AM EXCLl131VELY COHTRACTINa Wfi71 LICEN6ED OONTql1CTOR9 � TO CONS7RGC'T TME ORD,IEC7(SEC.7o�u,BUSINESS ANO PROFESSIONS CODE:T11E CONTFi/�CTORS l.i- Vglllltlqf ADJ.AREA CENSE LAW DOE$ImT MPLY TO AN OWNER OFA PROPERiY YYHO 6UfLCS Oq INPipVES THEREON.At� 1AM1IOGONfMCTBFORSUCHFAWECfSNATHACOMMCTOR(9�LICENSEOPURSUNRTORIECONTMC• QUANTITY DESCRIPTION � ta�s uoeNse�ww.�. FEE O I AM IXEAIPT UNOER SEC. 6.i P.C.FOR THIS RFASON � � lL ¢ DATE OWNER (F�- � LICENSED CONTRACTORS DECUIRATION W � INEflEBYAFFIRMUN�ERPENALT'OFPERIURYiHA71AMUCEHSE�UNOEflPqOVI510N80FC1U1PTER , , .. /(COMMENCRqWfiMSECTqN7000�OFD�`hS10N90FiHEBUSIHE55ANDPROFESS10N5CO0E,AND z I ��� MY IICENSE IS M!FU.L FORCE AND EFFECT. m ` ,` � LN:ENSE S UC.NO. / � � �/ � �j DATE CONTRACTOR a r� WORKERS'COMPENSATION�ECLARATION a � IMEREBYAFFIi11AVNDERPENALTVOFPE0.1UF1YONEDFTHEFOLLOWINGDEtt11MTqN5: Z � �I/NVEANDYVILLMAINfAINACEHfIFICATEOFOONSENTTO6ELF•INSVREFORWORKEHS' � COMPEHSMpN,AS PROVIOED BY BECTI(7N 370D OF THE UBOR CODE,FOR THE PERPORMANCE C� Q OF TIE WORK FOR WNICH TFIIS PERMIT IS ISSUE�. � � _I HAVE MI�WILL MAIMNN WOqI(ER9'COMPEN9ATIDN INSUMNCE,AS REOUIRED BY SECTION � 77000FTTIEU1BOflCOOE,FORTNEPERWRMANCEOFTHEWURKFORWMICNTHISVERMITIS ISSUED.MYINORI(ERS'COMPENS�TJQy1NSU1UN _CARRIERANDPOUCYNUMBERME: CONSTRUCTION �j CARRIER L! I� Y— PLAN REVIEW � POLICY MIMBER •/ r ELECTRIC � (IFi68ECIqNNE�NO7BECd1�FLE�OFTEPHY.1fBPORONEMI�REDDOLlARS(i10qOq1E55} PLUMt31NG Zw', ICER7IFVTNATINTHEPEIiFORMANCEOFTHENlORKFORWHICNTHISPEFWITISISSUED,1 MECHANICAL SHAL11N7T EMPLOYANY VERSON M ANV YMINER EOAS TO BECONE SU&IECTTO THE (q W011KER5COMPENSATIONLAW60FGLIF RNIA,ANDMiREETHA 18FIOUlOBECOIAE INSPECTIONFEE 5 SUBJE TO7HEWORKERS'COMPEN PqOVI510N50F5E �700pFT EUBOR --_�.�� C�E sH nm�n�corav�r visiorrs. ISSUANCE O �.�I p DATE: • � � APPLICANT� SMIP � ENEfiGY P/C WARNINO:FAILURE TO SECURE WDANEliS MPENSATION CAVEMGE I6 UNUWFUI,AND SHALL BE � SISJECTANEMPLOYERTOCRIMINALPENALTESANOCM�fINESUPTOONEHUNOREDT1i0U9AN0 ENERGVPERMI �, DOLUR9(ita0.000),W ADDITION TO TNE COST OF COMPENSATION,DRMAGES AS PROVIDED FOq IN � SECTIUN77olOFTHELABORCOOE.WTEREST,ANOATTOflNEI^SFEES. RETENTIONFEE g CONSTRUCTION LENDINGAGENCV PRE•ALT FEE: 0 � I HENEBV�FFlRM UNDER PEN�LTY OF PERIURY THATTXERE ISACONSTHUCTION IEN�IN�AflENCY FOR iHE PERFOAMANCE OF iHE 1YORK FOR WMldi Ti15 PERMIT IS i55UE0(SEC.JDY1,CIV.C.J. Z W � LENDEfT3 NN1E 1S— LENDER'S11C�RESS '-`- ICEMIFYTHATIHAVEREAD7HISAPPLICATIONAN�STATETFUTT/EABOVEINFORMATIONI9CAXqECT. TOTAL FEES � � IAGREETOCOMGLYMlITNALLCITYANDCWHTYOROIW�NCESAND3TATEUWSREUTINOTOpULDING � CONSTRUCTION,INU HEREBY AUflIOfiRE HEGRESENTATIVES DFTHIS COUNTY TO ENTFR UPON THE A90YE•MENTqN D PqOGER7Y FOR INSP[:TqN PURPO5E5. COMMENTS � - 'TEE (7RINn � � D � TUREO PEii ATE � RECPT.NO. PND BY VALIDATION WMITE—Department Copy,YELLOW--Finance Copy,PINIhAasessor Copy,OOLOENRO ile Copy,GREEN—Appticant's Copy CITY OF Dlh:fi�IlUlyD E3A�i , It���cCTl4�� �ECCIF3C .��. � „ , , ;-�: ,��_.�. � `�,��'�`���'�►�� p � �� ' �r � t�"r� �!�'��.��� _ � �i�� '` p ,r �.. ���,��,�a ,� � �' � � � � _...� _ � - �, � .. •.�..�- , _ . . 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