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HomeMy WebLinkAbout14455 (27) � r'r'e CITY OF DIAMOND BAR x� � -�—— DEPARTMENT OF COMMLTNITY dc DEVELOPMENT SERVICES � . 21660 E.Copley Drive 5uite 190 (909)860-3193 Fax(909)861-3117 PRESS ��^���� BUII.DING PERMIT APPLICATIUN FlRMLY y JOBSITE Q �',1 APPLICATION PERMIT � /C o ADDRESS �� �u DATE � NUMBER S � ISSUE TYPE OCC � OWNER .0 s �'��RA�T DATE CONST. GRQUP ADDRESS_ ZONING SETBACKS � CITY ,_ ZI TEL. REAR RW ❑ APPLICANT _ TEL. SIDE/SIDE STREET RW ❑ COIVTRACT R � SIDE ❑ g ADDR SS ' CITY ZIP O TEL PROPOSED USE ARCWENG/ DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY_7 ZIP TEL. �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECURATION SFRlADD/REM O I HEHEBY AFFPM UNDEH 7ENALTY OF PEiW Rv TW�7 I AM EXEMPT FFlO1A T1E CONfRACTCRs LI- G8Ifl06/C81p011 CENSEUWFOR7HEiCLLOWWGREA80N�SEG7q71AB118P1ES3ANDPROFESSqN9CO0E:UlYCRYOR (n COIAlIYMMIOIREOURESAPEFiMRTO00N5iAUCT.ALTERMPRDVE.DBAOLISH,ORREPAIRANYSiAIIG W PetIO/D9Ck � - TUf1E,PRqfl 70 fB 6SUANCE,/iLSO REOU61E9 THE 11FVLICMlr FOR 8UCN Pf�RA1R TO FILE A SIUNED W 6TATEMEM 7}iAT NE OR 6HE IS LICENSEO PURSUIWT TO TNE PRDVISIONS OF THE CONTqACTORS LI- CENSE UW(CHAi7ER�(COMMENQNO WlTli SECTION M00)OF DMSION 3 OF THE 11131NE5S ANO FRO LL POOVSpe FES410NS OODE)Oi17FNT XE di SXE IS EXEMPT iIiEHEFROIA ANO THE BA515 FOR 7ME ALLEOED E7(EMv. (� TION.ANYVIOL�TIONOFiECT10N70]1.6BYANYAPPLICANTiORAPERMI78U&IEC7E7HEAPPLICMffTO z Re-Roof � A CML PENALTY OF NOT AWRE T14N FIVE NUNDRED OOLLARS(tbo0).Y � 04���EROF7HEPROPERTY.ORMYEMPLOVEESNA7HWAOESA57HEIR60LEOOMPENSATION, COl11IIIBfCl81 . - WILL 00 THE YYORI(,AND THE 8TNUCTURE IS NOT IMENCED OR OFFERED FOR BALE(SEC.70N,Bt1Sl- �J NE55 N7D VRDFESSIONS ODDE:TNE ODHfRACTORS LICENSE LAV/OOES!qT AGVLY TO AN OWNEH OF � �HOPERTYMRqWRD50NNPROVESTIIEREON,ANDYYNODOESBUCHWOHKNIMSELFOIIMERSEIFOR � � iHil0U0H MS OR FIEN OMM BdPLOYEES.VROYIDm THAT SUCN MPNOVEMENTB ME NOT INTENDFA OR m OFFEAED POH SALE IF.IIOWEYER 7MElUL.D�NOORNiPROVEMBdT t8 BOLD WITHN ONE VEAR DFCaMPLE- TIOIi,TME OWNEfLltlllDER WILL X11YE T1E 9UR0�1 OF PROVINO TUT ME OR SHE DID NOT BUILD OR MAVROVE FON TME PURPOSE OF SPL�. O 1.A6dMJER OFTHE PROPERTY,A1A E%CLU6NELY COMRJICTING Wt7Ti IICENSED O�MRACTOR9 � lb OONS7RUCT TIE Pi1WECT(eEC.7a1,BUSINE53 AND PROFESSIOHe COOE:THE CONTRACTORB Lh VBIU9tI0f1 ADJ.AFiEA CENSE lAW DOES NOT APPLY TOAN OYMEfl OF A PROPERTY WFqlU4D9 OR NAPpOVE9 7MEREON,Mm WFIOODMXACISFORSUCNVRWECfSWIT1ACONfRACTDN(�LICENSEOPUliSUMITT0T11ECONTIiAG pUANTITY DESCRIPTION FEE � IORS 11CFNSE IAW.�. O IAM IXEYPT UNDER BEC. 6.i V.G FORTHIS REASON � U � DATE ONRIEH � � J LICENSED CONTRACTORS DECLARATION W � I XEREBY 11FFIRfA IMUER PENKTY OF VERIUPY TMAT I AM LICENSED UNDER VROVI510NS OF CHAPTER � ��COl�YENCNIO MIITH SECTqN 7000)�DNISION 9 OF THE BUSINESS AN�OROFESSIONS CODE.AND Z ?C W UCENSE IS IN iIAL FOPCE AND EFFECT. m 0 LICENSE S � � LIC.NO. �Y �— � DATE � CONTHACTOR I ��� WORKERS'COMPENSATION DECLARATION a Y � 1 NEREBY 11FFIRAI UNDER PENALTY OF�ERIl1RY ONE OF THE iOLLOW WO DECLARATqN3: Z � _INAVEMDWILLMAWTIYNACERTIFICATEOFCONSEMNBEIFINSUREFORWORKERS' S OdAPENSATqN,AS PROVIDEO BV BECTIDN 770o OF THE U�8017 COOE,FOR 7HE VERFOHMANCE W `�//��OF THEMIORK FOR WHICH THIS VERMIT IB ISSUE�. � �LI HAVEMID NfILL MNNfAiN YYOPo(EHS'COMPENSATION INSURANCE,AS FlEOUIRED BV SECTION � < 9700 OF 7NE LABOR CdDE.FOR TFIE PERFOPMANCE OF THE MX%iN FOR Nh11CH THIS PERYR IS � � 169UFQWWORKER'COIAPENSTq INSU ��RI�ER�^naicvNUMeEn�nE: CONSTRUCTION � c�naiEn �� �����5/�V � PLANREVIEW � POLKWNUMBER .�—�v r ELECTRIC � RM68ECflONNE�NOT8E00MPLETmOF71EPEfiMi'IBPDRONEMJIONm00UAFLSIS1m1oRlEssl PIUMBING � Z 1 CERTIFYTHAi N TiE PERFOWMNCE OF THE WORK iOR WHICH?NIS PERMIT 16153UED,1 MECHANICAL N� SWIL�NOTEMPLOYANYVERSONM/MIYMANNERSOA9TOBECAMESUBJECTTO771E NOHKE115'OOIAPENSATpNIANlSOFCALIFORNI�,ANDAOIiEETHATIFISHOUIOBECOME INSPECTIONFEE S SU&IECTTDTMEri�ORKERs'COMVENSA710NPROVISIONSOFBECTION57ooOFTF1ElABOR r CODE,ISFIMLFORTMMhiCOMPIYWIiH SEPqDVISION. ISSUANCE 1 � SMIP p pJ�TE: Z'� ��' APPLICANT: � ENEpGY P/C WAFWINO:FNLURE TO SECURE WDRKEPS'COMPENSATqN GOYERAOE I3 UN FUL,MIO&f/�lL BE � SUBJECT API EMPLOYEH TO CfiIMINAL PENALTIES AN�CM�FlNES UP TOONE NUNDRED THOUSAND ENERGY PERMIT � DOLLARS Itt00,000).N ADDI7fONTOTHECO6TOf COMPENSATION,OMYIGESAS�ROVIDE�FOR IN � BECTION 7M!OF1ME UBOR CODE.NJTEREST,AND ATTORNEY'S FEES. RETENTION FEE: � CONSTRUC710N LENDING AGENCY PRE-ALT FEE: 1 XER�V AFFlRIA UNDER VENALN OF PENURY THAT THERE IS A CONSTRUCTION LENDWG AOENCY � FOR THE PERFORMANCE OF THE WORK FOR WHICF17HI5 VERMIT IS ISSUED(SEG 90Y7.qV.C.�. ��`�7[�F�T A,�,��T��� � LENDER'3 NAME RT T77 TT1�7� A R��[+�L.,cTt� �iirb�iiV rYt'� C7 � LENDER'S ADDRRS � ICEHTIFVTHATIILWEREADiHISAGVL1CATqNMI�3TATETMTTHEABOVEWFOIWATI0NIS00FRECT. TOTAL FEES � IABqEETOCOMOLYWRMALLCITYANDCOUNTVOR�WANCE8.W08TATELAWSREIATINOTDBUILDINO �� � � CONSTRUCf1D41,M1O fIEREBY I1Uf110RIZE REFRES�[J TATIVES OF TNIS COUNTY TO EM6p UDON TNE ABDVEJ.1 ED Pi1OPERTY INSPECTION PVTiitiO8E5. COMMENT$ s �����i�� F � PERMI NM/E(PflINT) ��_�M �� � V N SIGWITU OF RMITTEE DAiE � RECPT.NO. PAID BY YALIDATION WHITE-0epartment Copy,YELLOW—Fhance Copy,PINK--AssoasaCopy,OOIDENROD—File Copy,6REEN—Applkant's Copy ��!►i� ���o�vo ��R � �� . IP�lS��C�"IU�J F3ECaf�C) � .�. ,� a. .g. �.a .� � . .� # §� � �. q � , „ . ... _ . . . . .><n•��,z+�m,3��t ��.�,'€_�.. � ... ..: .� � .�-: R.�. ����;s_,� E R ..>:. + .. . . ,. ! � �� a � . . 5C_'f bl,(�: � i . � Ft O�R J�IST .. .) � --- .�__ ..-. .__-.____.__ _ _ _ �_ .. ��.__: __ _-' - - F`�C S,f�.iPTS .�TEEL ' � ; ! 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