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HomeMy WebLinkAbout13753 (27) _ �_ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES � ' 21660 E.Copley Drivc Suite 190 � (909)860-3193 Fax(909)861-3117 PRE$S ��r�'�" ' BUQ.DING PERMIT APPLICATION FIRMLY oy JOBSITE � !'� APPLICATION (�, ✓� C�"1 NUMBER X J Z� ADDRESS �r DATE `�' ,y�_ � ISSUE �TYPE , OCC APN LOT TRACT DATE CONSF.T� GROUP p OWNER ADDR ZONING SETBACKS � CITY TEL_ - FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDFJSIDE STREET RW ❑ CONTRA SIOE ❑ Q ADDRESS PROPOSED USE � S � A � CITY � ZI TEL.��l����'�� � ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CIN ZIP TEL. cyp DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER OECLARATION SFRIAODiAEM O . � I lffREBY�FFIRM UNDER PENAL7Y OF PERIUHY TiAT 1 M1 E%EMPT FROM TNE CAN7RACTORS LI- G9f8ge/C81pOR CEN9EUWFOR7FIEPOLLOWINQflEASONfsEC.7031.6BU5MFSSMIDPROFESSIONSCOOE:ANYCITVON (n COUNttWHICHREWWESAiERMRTDOONSiRUCT,ALTEfLWPROYEDEMOIJSH.ORflEPAIRANYSTRUG W petiO/Deck TURE.PRIDR TO RS IBSUANCE.A150 REOUiRE3 THE AOOlICM17 FOR BUCH PERMIT TD FILE A 61GNED W STATEMENT THl1T YIE Oq SNE IS LICENSEO PURSUANT TO THE PPOVISIONS OF Tl1E OONTMCTOqS LI- � CENSE UW�CHl1PTER Y(COMMENCINO MATH SECTION 7000)OF OIYISION 90F THE BUSINESS AND PRO- � Paol/Spa FEBSIONS OOOE�ORTWVT HE OR SHE IS EXEMPT MEREFROMAND T1E BASIS PoR THE ALLEDED EXEMP• TpN.ANYVpUTIONOF8EGT10N7IX71.bBYAMYIVPLICANTFOfiAPERMIT6UBJEGTSTMEAPPUCANTTO Z Re-Rooi � ACIV0./ENALIYOFNOTMORE7TUWFNEMUNOREDDOLLNiS�fSao),�: � OII�SOWNER�THEPqOPERTY,ORMYEMPLOYEESNATHWAGESASTNEIRSOLECOMPENSA710N, ❑ COTT81CI31 �� WILL DO THE WORK.AND THE STRUCTURE IS NOT INfEN�ED OR OFFERED FOR SALE(SEC.70H.BU51- J � NE55 ANO PIIOFESSiONB COUE:7HE CONTi1AC'TORS LICEN6E lAW DOES 117T AGVLY TO AN OWNER OF ? VFbVEN7Y NM1q BUNDB OR YPROVE9 T1EREpJ,1WD WHO UOES 5UCH WORK NIMSELF Oq MEPSELF OR � 1FVqUGHXISOFiNEROWNEMPLOVEES,PROVIDFDiFWT5l1G�WPROVEMENTSMENDiINTFNDEDON m � OFFERmWR6JLL.EIF,FIOWEVERTMEBURDINOD111MPPOVEMBiTISSOtDMATHNJONEYEAROFCOMPLE- 71GN,h1E OWNER�BUIIDER 1NLL WWE T/1E BURDEN OF PROVINO THAT HE OR SViE DID NOT BUqD Oq MVipYE FOR THE WRPDSE OF SN.E�. O 1.AS ONMER Of TNE VHOPERTY,AN FJ(CIUSNELY COMMCTINO MrtTH UCENS[D CONTMCTORS � TOCON9TflUCT THE PRQIECT(SEC.70M,BUSINE33 AND PIbFE5310N3 CO�E hIE CANTRFCTORS ll• V91UetiDn ADJ.AREA CENSE LAW DOE6 NDT APVLV TOAN O1MiER OF A PROPERTY.MRiO BUIL09 OR IMPROVES iHEHEON.AND WIqCOMFUCT3WRBUd1VR0.1ECT9WITHACOMfRACTOR(S)LICENSEDMIRSUANTTOTHECONfRAP QUANTITY IPTION�� FEE � rau uc�+se uw.�. ❑I MI E%EAIFT UNDER SEC. B.6 P.G FOti THIS REASON U 4 � Q � DATE ON'NER V � LICENSEO CONTRACTORS DECLARATIDN W 1 HEREBYAFFIItl1 UNOER PENAI.TY OF CEIUUM R1AT I AM LICENSED UNOER PROVISIONS OF CHAP7ER Z � � /(COAVAENpNO YVITH SECTION 7000)OF DIVISION 90F THE BUSINE99 MY1 PPOFESSIONS COOE.AND V� MYLICEN9E 6 Ni Fi11.L FORCEAND EFF � O � \ F���......, LICEN SS �� LIC.NO. � . . � DATE � CONTMCTOR a . . WORKERS'COMPENSATION DECLARATION -� � a yIHEHFBYAFFIRAIUNDERPENALTYOFVERtt1RY(1NEOiTHEFOLLOWINOUECLAMTqNS: .. Z� � 6'( + ` � _IHAVEANDWiILMNNTNNACERTIFlCATEOFCONSENTTOSELF-IN6UHEMRWORKERS' _ ', . . � ' CqAPENSATION,hR PROVIDED BV 9EGTION 31o00F 1HE LABOH CQOE,FOF THE PERFORM�NCE IU ' OF 1HE YVORIC FOR WNICH THI9 PERMT 19 ISSUEO. •- � � � . O `y` � < 11 WIVEAND W1LL MNWtAN W�DM(EAS'COMDENSATqN INSUMNCE,AS REOUIRED BV SECTION /1 �O r 770o OF THE L�BORODDE,FOR7HE PERFOPMANCE OF THE WORK FOR WHICHTHIS PERMIT IS ` � 1 � ISSUEO.MYWOPo(Efl5' VENSAT INSU CECAHRIEN POLICYNUMBEFARE: { CONSTRUCTION t--� � CARRIER �((`''�y � PLAN REVIEW � � paiertnn�eea � '/�� � ELECTRIC � Q (nass[cicNr�IDwreeOo�aFn�aewwtcroaonrErax�oaEo�auns6iao�oq�ss? f PLUMBING '����,T ��t LLJ I��� Z ICERTIFYTNATINTHEVERFOFiNANCEOFTHEYVOflKFOPWMIpiT1115PEHM1TI5155UED,l � MECHANICAL .�7Y�' I� SWLLL NOT EMPLOYANY PERSON W/NY MANNER SO AS TO BECONE SU&IECTTO THE � � riOWCEASCOMPENSATIONUM/SOFCALIFORNIA.AND�6REETNATIFI6HOULDBECOME � INSPECTIONfEE � SUBJECTTOTHEWORKERS'COMPENSATpNOHOVI510NSOFSEC110N770oOFTNElA80R �,. . � t CAOE.IBN q� THCOMPIYWITN S 5. �SSUANCE � �.:ti ► �Z�'�`�--� I�,��Q�I,�+C� . SMIP .... r�. {� � OATE: APPLICANT: � _.,. . . .� 4••+'1.,• � t WARNINO:FARl1NETO3ECUREWORNERS'CdAPENSATIONCOVERAGEISUI�LAVYFUL,ANDSHALLBE ENEHGYP1C.r'.'" " �y SIRJECTANBAPLOVERTOCNpAINAIVEMALTIESMIOCIVILFINESUPTOONEHUNDREDTHOUSANO '.��'✓ �� ' - OOLURS(i10o,o00),IN ADDITION i0 THE COST OF COMPENSATION,DAMACES AS PROVI�ED FOR IN ENERGY PEFtM1T'`�'� � 8EC71ON7i0lOFTT7ELABOHODOE,INTEREST,MlDATTORNEY6FEE4. RETENTIONFEE: � OCONSTRUCTIONLENDINGAGENCY PRE-ALTFEE: � � IHEREBYAFFIRMUNDERPEN�LTYOFPERJURYhiATTFIEREiSACONSTPUCTIONIENDINOAf3ENCV Z FOR TNE PERFOHNANCE Of TiE WORK f-0fl WHICH THIS PERMIT IS ISSUED(SEG 30BT,CIV.0.�. V] � LEIJ�ER'SNAME � LENOER'SADDRESS /7 ICERTIFYTHAiIFUVEREADTHISMPLICATONAND6TATETHATTiEFBOVENFORMATIONISCOR1iECL TOTAL FEE /ti.I A � IAfIREETO00MPLYYA7HALlCfTYIWOCWNTYORDINANCESIW09TATEUWSRELATINOTOBUNAN6 � 7"� 1 + � CONSTRUGTION,ANUNEREBYAUTTIORIZENEPRESENTATIVESOFTHISCOUNTYTOENTERUPONTHE ABOVE-MENTIONEU VHOPERTY FOR IN9PECTIDN PUflPOSES. 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