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HomeMy WebLinkAbout10010 CITY OF DIAMOND BAR �� COMMUNITY DEVELOPMENT DEPARTMENT ,,.^ 21660E.Copley DriveSuite 190 PRESS (909)860-3195 Fax(909)86]-3117 �'"'" B[]ILDING PERMIT APPLICATION FIRMLY y JOBSITE {��� %, 9 � � APPLICATIO �� � PERMIT /"}t � P/C o ADDRESS fJ �(/l/ DATE NUMBE� � # $ ISSUE TYPE OCC APN LOT� TRACT DATE CONST. GROUP p OWNER p ADD S � r�,�� ZONING SETBACKS oCITY ZIP� TEL�.g ' � FRONT RW ❑ APPLI A TEL.-`�����=,1-:�L REAR ❑ Z SIDFJSIDE STRE RW ❑ a CONTRACTOR SIDE d � ADDRE5S �� PROPOSED USE t a CITY -��'--��P TEL. o ARCWENG/ w DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITV ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI;ILDER DECLARATION SFR/ADD/HEM O 1 HEflEBY AFFIRM UNDER PENALTY OF PERJl1RY THAT I AM EXEMPT Fqq�1 iHE CONTRACTORS LI� G8f8QB/C31f10A W CENSELAWFORTHEFOLLOWINGREASON(SEC.7o3t.5BUSINESSANDPROFES510N5CO0E:ANVpTYOR (n U GWNTYWHICHREOUIqESAPERMITTOCON57RUCT,A�iEH.IMPqOVE,DEMOLISH,ORFEPAIfl/WY3TRUP W Patio/Dedc Z TuqE,PqlOq 70 ITS ISSUANCE,ALSO REOUIRES iHE ADGLICAN7 FOR SUCH PERMI770 FILE A SIGNED w STATEMENT THAT HE OR SHE IS L10EN&ED PURSUANT TO THE PROVISIONS OF THE CONTRACTONS LI- � � GENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVIS�ON 30F iNE BUSINESS ARD PRP � P�USPB FESSIONSCODE)OR7HATHEORSHEISEXEMVTTHEREFROMANDTHEBASISFORTHEALLEGEOEXEMP- (� � 7ION.ANYVIOLATIONOFSECTION7a+t.5BVANYAOPLICNJTFORAPERMITSUBJECTSTHEAPPLiCANTTo Z RaRoof A CIVIL PENALTY OF NOT RIOqE TWW FlVE HUNDFED DOLUIRS f5500).�: G t,AS OWNEROF7HE PROPERTV,OR MY EMPIAVEES W�TN WAGES AS THEIF SOLE COAIPENSATbN, Z 0 Commercial WILl00 THE WORK,AND THE STFUCTURE IS NOT INfENDED OR OFFERED FOF SILLE(SEC.701{,BU51- .,.I NESS AND PPOFESSIONS COOE�THE CONTRACTORS LICENSE LAW DOES NOT AOPLY 70 AN OWNER OF � PROPEHNWHOBUILDSOFINPROVES7HEREON,ANDNkIODOES&UCHWORKHIMSEIFORHER6ELiOR � CC TNflOUGH HIS OR HEF OWN EMPLOYEES,PROVIDED THATSUCH IMPROVEMEMSARE NOT INTENDFAOR m QOFFEREDFORSAlE1F,HOWEVERTMEBUIIAINGOHMPROVEMEMISSOIDWITHINONEYEARbFCOMPLE- Z TION,THE OWNER-BUILDEfi WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NDT BUILD OR � IMPROVEFORTHEPURPOSEOFSAIE). W CI,ASOWNEROFTHEPROPERTY,AMEXCLUSIVELVCONTRACTINGWITNLICENSWCONTRACTORS W CENS�ELAWDOESNO7APPEY70ANOWNEROFAPROPER WHOBUILDS R�IMPROVE�STHEpEONqAND V31U9t1Of1 A0.1.AREA � WI�IOfAMMCTSFORSUCHPRqJECiSWITHACONTMCTDR(S7LICENSEDPURSUAMTOTHECONiRA0. QUANT�TY DESCRIPTION FEE � TORS UCENSE LAW.). O I AM EXEMPT UNDER SEL. 9.8 P.C.FOfl THIS REASON Q � U l�. � DATE OWNER U Z W � LIGENSED CONTRACTORS DECLARATION W ¢ � I HEREBYqFFIflM VNDER PENALTY OF PEPJURY 7FIAT I AM LICENSEO UNDER PFWVISIONS OF CHAPTER � � d 9(COMAIENCINGWITHSECTION7oo0�OF�IVISION30FTHE9U51NESSANOPROFESSbNSCODE.AND Z `X MY UCENSE IS M FULL FORCE AND EFMFECT,.s� � m � LICENSE SS ' •_SL LIC.NO. ��� j U DI1TE � CONTRACTOR �� � a W � WORKEAS'COMPENSATION DECLARATION ¢ � I HEREBVAFFIRM UNDER PENALTV OF PERIURV ONE OF 7HE FOLIOWING�ECLAMTION& U C1J Q � _IHAVEANDWILIMAINTAINACERTIFICAI'EOFCONSENTTOSELF-INSl1REFORWOiiNEAS' _ CqMpENSATION,ASVROYIDEDBYSECTION3TaoOFTHE.0.BORGODE,FOflTHEPERFORMANCE U Q '_ /�QF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � W v I HAVE AND WILL MAIMAIN WORNERS'COMPENSATION INSURANCE,AS RE�IUIRED BV SECTION Q 3�OOOFTHE LABOR CADE,FOF THE PERFORMANLE OF THE WOftK FOR WHICH 7}i15 PERMIT IS ISSUED.lAVWORKERS'COMPENSATIONIN U NCECARRIERANDPOUCYNUMBERAPE: CONSTRUCTION j CARRIER � i'1C1 fQ�� PLAN REVIEW Z POLICV NUMBER ELECTRIC _ Q � (fHISSEClICNNE�NO7BE07MPLEfEbOFTFEPERMTISfOF7�NEFNNVOREDDd1Nx5(SfaO)ORLESS� LUMBI _ •�� � Z I CERTIFYTMAT INTHE PERFORMpNCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL _ (J SHALLNDT EMPLOY ANV PERSON IN ANY MANNER SOAS TO BECOME SU&IECTTO THE y WORKERS'COMPENSATION LAWS OF CALI:ORN10.�D AGPEE TNAT IF I SNOULD BECdAE �NSPECTION FEE = SU&IECT TO TME WORKERS'COMPENSATION PROVISIONS OF SECTION 37000F THE IABOR CODE.1 SHALLFORTMWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE O 1 I. p DATE: APPLICAM: SMIP _ � WARNING FAILURE TOSECURE WORKER5 COM�ENSATION CAVERAGE IS I1NUlWFUL,AND SHAIIBE ENERGY P/C LL SUBJECiIWEMPLOYENTOCRIMINALPENALTIESANOCIVILFINESUPTOONEHUNOpEDTHWSANO ENERGYPERMIT DOLLARS(f1o0.000).INMDITIUN TO THE COSTOFCOMPENSATION.OAAIAGES AS PROVIpEO FOR IN � 8g �y�y � SECTION 9]OB OF TME LABOR COOE,iNTEREST,ANDATTORI�NS FEES. RETENYION FEE: ��f�4Y ,V � ��4A J a CONSTRUCTION LENDING AGENCY �s_�� PRE-ALT FEE: � I HEREBYAFFIRM UNDER PENALTV OF PEPJURY THATTHERE IS ACONSTqUCTION LENDING AGENCV _ FOR TNE PERF'ORMANCE Of THE WORK FOR WHlqi THIS PERMIT IS ISSUED(SEC.3097.CIY.CJ. Z W � LENDEF7SNAME F- LENDER'SADDRESS w ICER7IFVTNATIHAVEREADTMISMPLICATWNANDSTATETHATTHEABOVEINFORMATIONISGOFRECT. TOTAL FEES �' � � IAGREETOCOMPLVWIiHAL�CITYANDCWNTVOR0INPNCESAND5TATELAWSpEUUINGTOBULDING � CONSTRUCTION,ANO N PEBY 0.UTFIORIZE REPNESENTATIYES OF THIS CWN1V TO ENTER UPON THE Z ABOVE•MENiIONE EHTYFOHINSPE URPOSES. 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