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HomeMy WebLinkAbout10770 - CITY OF DIAMOND BAR � J�� COMMUNITY DEVELOPMENT DEPARTMENT - � .,,,W 21660 E.Copley Drive Suite 190 PRESS (909)Bb0-3195 Fax(909)861-3117 ��'""'� BUILDING PERMITAPPLICATION FIRMLY o ADDR�ESS ��.`� ���� DATE CATION �Z�NUMB R�� ���#/C $ ISSUE TYPE OCC APN LOT�_ TRACT� DATE CONST. GROUP p OWNER o ADDR - w `�i ZONING SETBACKS Z CITY _ ZIP TEL`�`'" R. � FRON7 RW ❑ S APPUCANT TE�� 's � S DE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE � CITY ZIP TEL. o ARCH/ENG/ z DESIGNER N0.DWEL. NO. NO. a ADDRESS UNITS ST�RIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION cn � OWNER-BI;ILDER DECIARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENAL7Y OF PERJURV THAT I AM E%EMPT FROM THE COMMC70R5 LF Garage/Carport W CENSEUWFORTHEFOLLOWINOREASOM(SE0.7031.5BUSINESSANDPROFE&SIONSCODE:ANVCITYOR (n ZCOUNTYNhiICHFEOUIRESAPERMiT7000N57RUC7,ALTEP.IMPROVE.OEMOLISH.ORREPAIRANYSTRUG W P8ti0/DBGk w TURE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTMCTOqS ll- .�r CENSE UW�CNAPTER 9(COMMENCING W�TH SECiION 7000)OF DIVISION 30F THE BUSINESS AND PRO. � PODUSp9 0 FESSIONSCODEI�RTHA7HEORSMEI5EXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- (� V TION.MlV VIOUTION OF 6ECTION 7031.6 BVANY APPUCANT FOR A PERMIT SUBJECTSTHE APPLICANT TO Z Re-Roof � A CIVIL PENALTY OF NOT MOHE TMAN FNE HUNDfiEO DOLIARS(550��.�: O ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPIOVEESWITHWAGESASTHEIRSOLECOMPEN5AT10N, � Commercial Z WILL DO THE WORK,AND THE STRUCTUFE 13 NOT INTENDED OR OFFEflEO FOR SALE(SEC.7P1l,BUSI- ...1 NESS AND PROFESSIONS CO�E THE CONTRACTORS LICENSE LAW DOES NOTAPPLY TO AN OWNEP OF � PqOPERTYWHOBUILD50HIMPNOVESTHEREON,ANDWHODOESSUCHWORKHIMSEIFORHERSELFOR m � THiiWGHHI50HHEROWNEM7LDVEES,VROVI0E0THAT5UCHIMVROVEMENTSARENOTINTENDEDOfl QOFFEHEOFORSALE.IF,HOWEVEli,THEBUIL0INGORIMPROVEMENTISSOIDWITNINONEVEAROFfAMPLE� Z TION,7HE OWNEfi-BUIIDER NALL HAVE 7HE BURDEN OF PROVING TW1T HE OR SHE DID NOT BUIIA OR � IMPROVEFORTHEPURPOSEOFSALE). ❑I,AS OWNER OF iHE PROPERTY,AM EXCLUSIVELY CONTRACTINO WRH LICENSE�CONTRACTORS � TO CONSTRUCT TNE PFlOJEGT�SEC.7044,BUSINE55 AND PROFESSIONS CODE'THE CONTNAGTOFiS U� V8I118�1011 ADJ.AREA W CEt�EUWDOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUILD60RIMPROVESTHEREON,AND � WHOCONTRACTSFORSUCHPRQIECTSWIh1ACONiRACTOR(S�LICENSEOPURSUANTTOTiECONTRAC- QUANTITY DESCRIPTION FEE � TORS LICENSE LAW.). J � ❑1 AM EXEMPT UNDER SEC. B.&P.4 FOR THIS REASON U � Q LL DATE a'�ER U � LICENSED CONTRAGTORS DEGLARATION W � I HEREBY AFFIRM UN�Eti PENAI.N OF PERJURY THAT IAM UCENSED UNDER PROVISIONS OF CHMTER � � e(COMMENCINO WITH SECTION 700D)OF DIVISION 30FTHE BUSINESS PNO PROFESSIONS CADE,MID Z �X MY I�CENSE IS M NLL FO AND EFFECT. m �i O � � UCENSE C S (� LIC.NO. a J U DATE "G�� CONTRACTOR�� � �- W � WORKERS'COMPENSATION DECLARATtON Q � U � 1 HEREBY AFFIRM UNDER PENALN OF PENURV ONE OF THE FOLLOWING DECLANQ�DNS� � Z Q � IHAVEANDWILLMAINTAINACEflTIFICATEOFCONSENTTOSELF-INSUREFOHWORNERS' 2 � COMPENSATION,AS PROVIDED BV SECTHJN 37000F THE 1.A80R COOE,FOP THE PERFORMANCE �U � OF THE WORK FOR WHICH 7HIS PERMI715 1SSUED. � O W ,I WIVEAND WILLMAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOl11REDBYSECTION Q 9'looOFTHELABORCODE, OR HEPERFORMANCEOFTHEWOfiKFORWH�CHTHISPERMITIS ISSUED.MY WOR 5' P ION INSURANCE CAFRI R AND POLI V NUMBER ME: CONSTRUCTION j CARRIEH � ^ PLAN REVIEW � POLICV NUMBEP ELECTRIC Q ''� o fn��ssEcna+�aaree�rFoapn+e���swAor�Ein�waEooais�s�siro)oa�,ss� P6 BING j� Z I CERTIFY THAT IN THE PERFORMANCE OF THE N'ORK FOR WNICH THIS PERMIT IS ISSUED,I CHANICAL (j SHALL NOT EMPLOY ANY PERSON IN ANY MANNEH SOAS TO BECAME SUBJECT TO THE ' u �/ (p WORNEflS'COMVENSATIONLAWSOFCALIFORNIA,ANDA6REETHA7IFIS LOBECAME INSPECTIONFEE = SUBlECTTOTHEWORKERS'COMPENSATIONPROVISIONSOF ION3 OFTHELPBOR CO��,I SMALL FO Iy�jTH COMP4Y W�TH THp�E vrtowsio : ISSUANCE p �A7E: ��APPLICANT. j���+/ c �p�' . SMIP J ENERGY P!C _ WARNIN6�FAILURE TO SECUfiE WORKERS'COMPENSArION COVERA�E IS UNLAINFUL.RND SMALL BE LL SU&IECTANEMPLOYERTOCflIMINALPENALT�ESANDCIVILFINESUPTOONEHUNDREDTHWSAND ENERGYPERMIT DOLLARS(5100,000�.IN ADDITION TO TME GOST OF COMPENSATION,DAAAAGES A5 PROVIDEO FOR IN � SECT�ON 3708 OF THE UBOR CODE,INTEFEST,ANDATfORNEV'S FEES. - RETENTION FEE: pW_, CONSTRUCTION LENDING AC�ENCY PRE•ALT FEE: � 1 NEREBV AFFIRM UNDEH PENALTV OF PEti1URY THAT THERE IS A CANSTRUCTION LENDINO AGENCY d FOF THE PERFORMANCE OFTHE WOiiK FOR WHICH THIS PERMR IS ISSUED�SEG.30D7,CIY.G.). Z W � LENDEq'S N�UAE F_- LENOER'S ADORESS W ICERTIFVTHATIHAVEREADTHISAPPLICATIONAN�STATETHATTHEABOVEINFORMATIONISCORRECT. TOTQL FEES 3 I � I AOREE TO COMPLY WIiN ALL CITYAND COUNTY OROIMANCES AND STATE UWS NELATING TO BUILDING CANSiRUCTION,AND HEREBV AURqRIZE REPFESEMAT VES OF THIS COUNTY70 EN7ER UFON THE Z A90VE�MENiIONEDP EflTYFOR�NSPE UR 5. COMMENTS � \ J �� � 4 PERMITiEE NM1E(PRI � ��� u� .--' �,--- � .C- {� SIf3NATUREOFPERMITfEE - DATE - '� � RECPT.��..._PAID BY , �VALIDA710 WHI7E—DepaRment Copy,YELLOW—Finence Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy .-::, . ..:,-:��_r.a��,*«...,,.�. , ;�.^.newM...:�;5,.: a.N.,,d•;;,F,✓3.;�.;;�`a-Ja+ ir� ..u,;k'�"�y'�+`A*,.""�i ,�. . . . ��F� M +� ,,�;, , . , _.:., '��,f�:'�!�?��y�:k'°+�a�'�`�":,. � ��sf. t��S��'�'k,�r�ss,, .x� ��� ,a� '�;s�rk;y-;» .. . "ia1^ , , �:�? d� �a ,.�'�,".cg .`..k°��: ' CITY OF DII�MOIVD ��4R ; • - , , , , ., �� { � .;�d.� . �.Y,�,.< �� .��� 11�5�'���TIC91� ���tJ1Ri� .` ` , ,: ;,.;� .,,�.,� �� ;:- � . � � • S � v ., �1 j i � I� s SET BACK;. ' ��� , FI OC1R JOIST ` 4 __._ _----_�_ . _____ � .,_._ ._._..� .4�..:�:�.___.�_.._ ��� _.___ _.__ .,�..�.,_.�:,._.. FTC;S/FOFINISISTEEL , ,_ . _ Ft-!A REC�YVITS _ �.�-,, , �__._ :_� __� . _--.--� ELECTRIC GRUUND �%���z:+" ' ;: UN ERvFI�'QR DU�f�;..._-�-� . , �-• ;�� ��.:. •_�.�:� .._:_ .. � � . 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