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HomeMy WebLinkAbout15742 (39) - _._---_.. ----�--.___ ,.� ,.�� _ .....__. _._..__._._ . , � CITY OF DIAMOND BAR _ � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES \� 21660 E.Copley Drive Sidte 190 � � (909)660-3195 Fax(909)861-311T PRESS ;y "��.+, BUII,DING PERMIT APPLICAT[ON _ FIRMLY o JOBSITE �� � C.�� ��' DATE ` I- 1 NUMBER I APPLiCATION PERMfT �/�U']P/C Q ADDRESS j�0��t � APN LOT TRACT ISSUE TYPE OCC � OWNER���✓ DATE CONST. (�ROUP ADDRES�S / '� �s��. ^ - ZONING SETBACKS . cmr IJ,.;�,,d,, _ ZI TEL. r�.�''""'�1F1 FRDNT RW O APPUCANT - I� ��,�=�I REAR p SI�EJSIDE STHEET RW O CONTRACTOR f (��� $I�E ❑ g ADDRESS 1� - G � ' � � PROPOSED USE 1 �D D 1 CITY 5 r'G ZIP TEL. 5�'9-�f57-:51�1 ARCH/ENG/ � DESIQNER NO.DWEL. N . Np, ' D j CDDRESS �P TEL. UNITS I _ STORIES �^ BEDROOMS N y DE3CRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER UECLARATION SFRlADp/REM O I HEREBV AFFIRM UlIDER PENALTY OF PERAIHY TIUT 1 M1 EXEMPT FRON TME CON7MCTORS U• Qflf9Q9/C8fP01� CENSELAWFORTNEFOLLOWNOpEA90N(8EC.70.71.68USINESSANDPROFESSIONSOODE:MIYd7VOH (n COUNiYWMIp111E0UWE5APEAMRTOCONS�AUCT,ALTEIt WPIbVE.DEYOLISM.ORPEPAIRANYSTRUG li] PatldDeek� TURE,Pf110R TO ITS 183UANCE,ALSO REUUIRES iME APVUCAN7 FOR SUCH VEiURT TO FILE A 91UNED W 8TA7EUENT 7HAT HE OR BFIE IS UCENSEO PUi15UANf TO TIE PROVISIONS OF hiE CONTRACTORS tb CENSE UW(p1AGTER Y(COMMENCMG NATH BECTION 7000)OF OINSION�OF THE BUSINE96 AN�PFIO- � POOU$p8 ffSSIONSCOO�aR7XATMEORSHE18IXBdPTTHEREFR04ANOTMEBASIBFOHTHEALLEOEOElfEM0. (� � TION.ANYVIOLATIONOFBECTION7ai7.6BVANYMPIIGWTPDRAPERMITSUBJEC75iHEAPPl1CANT?p z pg-Rppf A GVIL PENALTY OF NOT IIOHE 7HAN FNE HUNOqED DOl1ARS({Soo�J: OI,ASOWNEROFTHEVROPER7Y,ORMVEMPIOYEESWITHWA0E9A5THEIR80LE001APEH3A7qN, (`,pmmy(C191 � MIILL DO THE WO�iI(A!n T/1E STRUCTURE 6 NDi MITENDEO OR OFFERW FOR 6�LE(SEC.7WI,8t166 � NE59 AND PNOFESSqNS OOOE TME COIYrMCTORS LICB�ISE tAw DOES No7 MPLY TO AN OWNER OF ? � � PFqPER7YNhp8URDSORIMPqOVEBTHENEOlI,ANUNMOOOESSUCHMpiKMIMSELFIXiFfERSELFON � THROUGH INS qt NER OWN EMPLOYEE9,GHOVIDED TW�T BUCM W PROVEMEMS ME NOT piTENOE�Oq W OFFERED FOR SALE F FpVhYER1NE BURDINOOR MIPROYEMENT IS&)lll MTfHIN ONE YEAR OF COMPLE TION,THE OWNEA$UILOER YYtll NAVE 7HE BUR�EN OF PqOVINA THA7 NE OR BHE D�D NOT BUILD OR YVi10VE F01t TNE PURPOSE OF SALEG � ' 01,11SOVMEROFMEPROPEHI'V,MAEXCLUSIVELYCONTRACTNaMrtf//UCENSEDO0I�RAACTOqS � 7'O CONSTRUCT THE OAD.IECT(SEC.7014,BUSINESS AND PROFE6310N5 CODE:T11E CONTRAC70R8 LF �J�p(jp� ADJ.AREA CENSEUW DOEENOTMPLY70ANOWNEROFAPROPERTYWHOBUILDSOR WPROYESTIEREON.AND tNoaoNin�cr8cor�sucNPnaEcrswm�A�cio�9)LCEN9EDPUAsuk+rrotnEcanri�G QUANTITY DESCRIPTION rons uc�se uv��. FEE ..� ❑I AM IXEUPTUNDERlEQ B.d P.4 FOR THIS REASON U � � (. (�.i . '' p0 ' �1 /'R� �'S � OATE OWNER �+ � ' �. t 3a UCEN3ED CONTRACTORS DECLARATION ON/,P � 1 HEREBY AFFIiW UNDER PEIULTI OF PERIURY TNAT I AM LICENSED UNDEH PRDVISIONS OF CiUGTER � / _' � / •(COMMENCWO NATl1 SECTION 1000)OF OIW910N]OF THE B1ISINESS AND PHOFESSqN9 CODE.AND Z L/ W UCENSE IB W FULL fORCE ANO FFFECT. n m � LICENSE S C� LIC.NO. � 1 � � �'j a►rE — J� U caara�croA C. , � 5.' � `�-- WORKERS'COMPENSATION DECLARATION "��-^ � � IHEREBYAFFIAAIUNDERPENILTVOFiER1UMONEOFTHEFOLLOWINODECUM710NS: � Q _IIIAVEIWOYIILLIMNJ7'AINACERTIFICATEOFOONSENTTOSELFdNSUREfORWORNFR3' � � OOAJPENSATION.ASPROVDEOBVSECTION97ooOFTHELABOHCODE.FORT7IEPERFOqMANCE � � OFTHE WOqK FOR WHICMTHIS PERMIT 13153UED. � ��HA�E ANO YIILL M1IMTAIN WORKERS'OOMPENSATION INSURANCE,ilS REOUIREO BY SECTION ��� �/` C s700 OF THE LABOR CQDE,FOR TNE PERFORMANCE OF iHE WORK FOR WHICH TFIIS PERMIT IS �l YI 1 � L43UED.WWORNEq3'OdAPEN3ATIONINSURANCECARRIERANDPOLICYNUMBERME: CONSTRUCTION �_�!,,.� �. CAR1tlER puw aeview � POLICY NUYBER ELEC�IC _ _ �. ^ [MsSEcrcNNE�Noi9EoobPtEtEnoFnfvsMi6iaaafflU�DaEu00W1ASK�aa)O�i�Fss1 PIUMBING Z I CERTIFV THM INTVIE GERFORNANCE OFTHE WORK FOR WHlqi THIS PERMIT I615S11E0,I M[CHANICAL (� BHAIL NOT EMPLOV 11NY PEp80N W ANY M�W NER$O0.S TO BECAME SUBJECT TO THE ' (q WORKERS'COMPENSAiqNLAWSOFGY.IfOHJW,ANDAGREET1UTIfISHOUIDBECOME INSPECTIONFEE � 9UG1EC7TO7NEM/ONCERS'COMPENSATqNPROYI510N60F5ECTNJN17oo0 h1EUBOR � oaoE.i w�u �rrrwirn caw�r�r hnn+ni�o?sE/r�,1�1siona ISSUANCE r � � � D�TE:� APPLICANT. G��L(�E�%. ^����'r SMIP � .. . � WMNINC:FAIIUNETOSECUREWORNERS'COMPENS�TIONGOVEqRCiEISUNIAWFUI.ANOSHALLBE ENER�YP/C � SU61ECfANEMPLOYERTOCRiMINALPENALTIESANDCMLFINESUPTOONEMUNDRED7MDU5pN0 p.�ERdYPERMIT �„ DOUARS(it00,00D),NADDfTIONTOT/1EC0.5TDFCOMPEN5Nf10N,DAMAOE5A4PROVIOEDFORIN J 8EC710N970lOFTIELABORCODE,WTEREST,ANDATTORNEYSFEES. RETENTIONFEE: Q OGONSTRUCTION LEN��NG AGENCY PRE•ALT FEE: � � I HEREBV AFFlflM UNDER PEN/LTYOF PERlUff!THAT TXERE 19 ACONSTqUCTION tENOWO�OENCY FOH THE PERFORMANCE OF TNE WORK PoR WFMCH TMIS PERMR IS ISSUm(SEC.70Y7,CIV.C.�. � � LENDERS NM1E . � LENDER'SADDRESS � i�a ETOODMP YN7THALLTMCRVlWDCd1NTYOR�7MLWCESM10sT'�OEuws�TIr10Nioroe°0iu�ioiNo TOTAL FEES ' �u ,$O � CONSTRUCiION.ANDXEREBYNfI110RIZEREPRESENTA7IVESOFiHISCOUNTVTOEMERUPONTFIE . S� ABOYE�YEH�IONEO VROVERTY R INSPECTION OURPOSES. COMMENTS J � \ � % � `i 4 iERM1TTEE N�"E�PRIM�' J� f � � �'��'"�% �fll�'�� �//'�'!(GG° �f (n 8101J� RE OF PERM� E DATE � RECPT.NO. PAID BV VALIDA110N WFIITE—Depenment Copy,YELLOW—Finance Copy,PINK—Aasessa Copy,GOLDENROD—File Copy,GHEEN--Applicant's Copy +o�..�..r..r�e�.n.� ' CITY OF DIAMf.�lrlD BAR It+�SPECTIQN RECCaRC! • ^�` .� ` ` ,.. . . � �. ' .»..�.,. ... . .� ' , y . r �.,1' .�„�,��� r , . . .. aP '� . . . . .. . . ,; � < .. .. . � '. .. . � ..'. 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