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HomeMy WebLinkAbout16779 (44) _ _ _ _._ .._ .. .. . _ ...._ __. . ._.___—_—_...,___. ..._ . . . . i . CITY OF DIAMOND BAR � -� -� --- DEPAR'I'MENT OF COMMUNITY&DEVELOPMENT SERVICES �, � 21825 E.Copley Drive (409)860-3195 F�(909)861-3117 PRESS `''%.y%���` BUILDLNGPERMITAPPLICATION FIR Y QJOBSITE �„r,/,���/������g�..� pATEICATION � � i� � NUMB R ��_ #/C a ADDRESS Y'K[�7 L4� �Yi .� � ISSUE TYPE OCC APN LOT'', TRACT DATE � �A � CONST. GROUP o OWNER 3. " ADDRES� ZONING SETBACKS z CI ZIP T FRONT RW ❑ � APPLICANT _ TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ QCONTRACTOR SIDE ❑ pG ADDRESS PROPO ED US o, CITY ZIP TEL � t�_a.�„B, w ARCH/ENG! � r�- z DESIGNER ' O.D . NO. NO. � RDDRESS � UNITS STORIES BEDROOMS � CITY ZIP TEL. �' DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION . � OWNER•BUILDER DECLARATION SFR/ADD/REM � O 0'' ' 1 HEREOV AFFlRM UNDER P�NALTY OF PcRJUFV THAT I AM EXEMPF FROM THE CONTRACiORS LI- � GaregelCarport W 'CENSELAWFORTHEFOLLOWIN6AEASON(SEC.7037.5BUSINESSANDPROFESSIONSCODE:ANYCITYOR U: "COUNTYWHICHREQUIFESAPEF ITTOCONSTRUCT,ALTER,IMPROVE,�EMOLISH,OflREPAIRANYSTAUC- W patio/Deck w'���'�',TURE.PRIOR TO ITS ISSl1ANCE, LSO RECMJIRES 7HE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W ��. ',STATEMENT THAT HE OR SHE I5� ICENSEO PURSUANT TO THE PROYISIONS OF'HE CONTRACTORS LI� �,'�, �,CENSE LAW(CHAPTER 9(COMMEi CING WI7H SECTION 7000)OF�IVISION 3 OF THE BUSINESS AND P10� � POOUSpB �,,.,,;;FE5510NSCODEjORTFiATHEOR5HEI5EXEMPTTHEREFROIAANDTHe6A515FORTHEALLEGEDEXEMP� (� . ��.'TION.ANYVIOLATIONOFSECilON7031,6BVANVAPPLICANTFOFAPERMITSUBJe'CTSTHEAPPLICANTTO z R0-ROOf F���,'��.A CIVIL PENALTY OF NOT MORE T AN FIVE HUNDflED DOLLARS(SSOo�.): Z�,. ' �4ASOWNEROFTHEPROPERTY,ORMYEMPLOYEE$WITHIVAGESAS7HEIPSOLECOMPENSATION, ❑ Commercial - ' '.WILL�O THE WORK,AND THE 57E?UCTURE IS NOT INTEI�ED OR OFFEAE�FOR SALE(SEC.7044.8U51- J �'��: 'NESS AND PROFESSIONS COOE:fHE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF = � �PROPERTYWNOBUILDSORIMPR�VESTHEREON.AN�WHODOESSUCHWORKHIMSELFORHERSELfOR �'' �THROUGHHISORHEROWNEMP4 YEES,PflOVIDEDTHATSUCHIMPROVEMENiSAqENOTINTENDE�OR m ' Q,��.,OFFEflEDFORSALEIF,HOWEVER, HE6UIL�INGORIMPROVEMENTISSOL�WITHINONEVEAROFCOMPLE- �;',;TION,THE OWNER�BUILDER WILL HAVE THE BURDEN-OF PROVM�THAi HE OR SHE DID NOT BUIL�OR W'�, ��IMPPOVEFORTHEPURPOSEOF�ALE�. ❑I,ASOWNEROFiHEPqO ERTV,AMEXCLUSIVELYCONiRRCTINGWITHLICENSEDCONTRACTORS a':'"TO,CANSTRUCT THE PROJECT(S C.7o44,BUSME55 AND PROFESSIONS CO�E THE CONTPACiORS LI� V2IUd210t1 . ADJ.AREA W��'�",GENSE UlW DOES NOTAPPLY TO AN OWNER OFA PflOPERTV W HO BUILDS OA IMPROVES THEREON,AN� � .�,WHOCONTRACTSFOR5UqiPRO,��CTSWITHACONTRACTOq�S)LICENS=OPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE ����.''�,TORS LICENSE LAW.), ,', J �.. ❑I AM EXEMPTUNDER SEC.'�,__ _ B.&P.C.�Ofl THIS REASON U �, . � LL"� OAiE OwNER � - Z W � LICEN�IED CONTRACTORS�ECLARATiON 'W �. IHEREBYAFFIRMUIdOERPENALTYOFPERJURVTHAiIAMI.ICENSE�UNOERPROVISIONSOFCHAPTER � p,,, 9(COMIAENCINGWITHSECTION7d0o)OFDIYISION30FTHEBUSINESSANOPFOFESSIONSCODE,AYp Z �X, �'MV LICENSE IS IN FULL FORCE ANm EFFEC7. �' �LICENSE�CfL4SS�UC.NO. ��,j V� DATE F�/`!r�I _ CONTRAGTORC�. ��0- � W. �� WORKE�IIRS'COMPENSATION DECLARATION -� Q �' 1 HEREBY AFFIflM UNOER PENALTV�OF PERJURV ONE OF THE FOLLOWING DECLARA770NS U � I Z 0 _IHAVEANDWILLMAINTAII�ACERTIFICAiEOFCANSENTTOSELF-IN9UREFORWORKERS' _ COMPEN6ATION.ASPROVIDEDBYSECTION37aoOFiHELABORCODE,FOFTHEPERWRMANCE U a� OFTHEWORKFORWHICH,THISPEflMITI5155UE0. � � 0 � �IHAVEANDWILIMAINTAI WORKERS'COMPENSATIONINSURANCE,ASREQUIREDBYSECTION y q Q 37a00FTHELABORCODEFOPiHEPERFORMANCEOFTHEWOflKFORWHICHTHISPEflMIT15 � / �y ISSUE�.MYWORKR'C MPENSATIONINcURANCEGARftIERANDPOLICYNUMBEflAFE: CONSTRUCTION b W�,� °�'A8 �j CARRIER�,.,��.�j� I' '� PLAN REVIEW � POLICV NUMBER�//fd'���' � �'�� ELECTRIC ¢ � �' (IHISSECTIDNNEmNPTBE��7MPLElEDOFTHEPERMfTISFORONEHUNDRm001.lARS(§7W)ORLE55). PLUMBING , Z� I CERTIFV THAT IN THE PE�FORNANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL _ C) SHALL NOT EMPLOY ANY P�ERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO TH'c � WORKERS'COMPENSAi104LAWSOFCALIFORNIA.ANDAGRcE7HATIGISHOULDBECOME INSPECTIONFEE _ _ , � . SUBJECTTOTNEWORKEF�S'COAAPENSATIONPROVISIONSOFSECTION370oOFTHELABOR . �, CO�E,I SHALL FORTHWIiH COMPLY WITHTHOSE PROVISIONS. . ISSUANCE p DATE: AF�PLICANT: SM�P � Y � W - I ENERGY P/C 1��, WARNING:FAIWRETOSECl1REWG�RKERS'COMPENSATIONCOVEFAGEISIJN:AWFUL,ANDSHALLBE � , SUBJECTANEMPLO`/ERTOCRIMIryIALPENALTIESANOCIYILfWESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT � DOLlARSiSi00.00u),INA�DITIONTIO�THECOSTOFCOMPENSATION,OAMAGESASPROVIOEDFORIN � �, SECTION37oBOFTHELABORCOOE,INTEREST,ANDATTORNEV'SFEES. RETENTIONFEE: O �� COf�STRUCTION LENDING AGENCY PRE-AL7 FEE: ,'. � IHEREBYAFFIftMUNDERPENALTYIOFPERJURYiHATTHERcISACONSTRUCTIONLENDINGAGENCY ' � � FOR TNE PERFDRMANCE OF iHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3091,CIV.CJ. � LLJ'' � ��� LEN�ER'SNAME__ _' 1_ �. LEN�ER'SADDRESS I W� TOTAL FEES �.,��, � � � ICEFTIFYTHq71HAUEREFDiHISAPPLICATIONANOSTAiETHATTHENBOVEINFOflMATIONISCDRRECT. � '� I AGFEE TO COMPLV WITH ALl CITMAND CDUNTV ORDINANCES?ND STATE LAWS RELATING TO Bl11LDING � '� CONSTflUCTION,AND HEREBVAUriHORIZE flEPRES=NTATIVES OFTHIS GOUNiY TO ENTER UPIXJ THc Z '� ABOVE-MENTIONED FROPERTV FOR INS?ECTION aosEs. COMMENTS � � � 1�.l� � . m ' PERMITTEE 7E(PRINT ' �� a .�--a--��`� ' �n7—//rfl/ � � SIGNATl1REOFPER E � � /� �ATE � _ � RECPT.NO. 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