Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
17226
CITY OF DIAMOND BAR — -��` DEPARTMENT OF COMMUNITY&DEVELOPIvIENT SERVICES I � 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS ``%•��a°'� BUILDINGPEItMiTAPPLICATION FIRMI.Y y JOBSITE�D�/Q ���0�� ��.,+ APPLICATION '���e�M�-t PERMIT '�]�P/C o ADDRES � I DATE Ir �j� NUMBER ��_�-�w# � ISSUE TYPE OCG APN m LOT TRACT DATE CONST. GROUP p OWNER JJ���J�//'] ufA'�C �`' ADDRESS � ZONING SETBACKS z CITY ZIP TEL. FRONT RW ❑ � APPUCANT TEL. REAR ❑ � SIDE/SIDE STREET RW O Q CONTRACTOR ;S�i'L`r�NGE WSTALLERS I�tG� SIDE ❑ p� ADORESS PROPOSED USE � CITY 'vko+nrn0���_ TE o ARCWENG/ �z DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FAC70R PSF ADJ.AREANALUATION cn � OWNER-BIJILDER DECLARATION SFRlADD/REM O � I HEpEBY AFFIRM UNOER PENALTV OF PERIURY THAT I AM EXEMPT FROM iHE CONTRACTORS LI- � Garage/Carport W CENSELAWFORTHEFOLLOWINGREASON(SECJ031.56USINESSANDPROFESSIONSCOOE:ANYCITYOR U �pUryTYWHICHREOUIRESAPEqMITTOCONSTRUCT,ALTER,INPROVE,DEMOLISH,ORREPAIRANYSTRUC- W pgI10/DBCk W 7URE,PRIOR TO ITS ISSUANCE.AL50 REQUIqES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE LAW(CHAPTER 9(CDMMENCING WITH SECTION 1000)OF DIVISION 3 OF THE BUSINESS ANO PRO� � PODVSP9 FE3SION5 CO�E�OR THAT HE OR SHE IS EXEMP7 THEREFROM AND THE BASIS FOR'HE ALLEGED EXEMP- � TION.ANYVIOU1TpfVOFSECTION7031.5BYANYAPPLICANTFORqPEflMITSUBJECTSTHEAPPLICANTTO z Re-Roof � AqVIL PENALN OF NOT MOFE THAN FIVE HUNDRE�OOLLA.RS�5500J.): � OI,ASOY/NEROFTHEPROPERTI,ORMYEMPLDYEESWITHWAGESASTHEIqSOLECOMPENSATION, 0 COlIIl1101CI81 Z Wlll W THE WORN,AN�THE STqUCN�E IS NOT INTEN�ED OR OFFEREO FOR SALE(SEC.��a4,BUSI- J NE5S ANO PROFESSIONS CODE:THE CONTRACiORS UCENSE LAW DOES NOT APPL�TO PN OWNER OF � PROPERTYWH06UILOSORIMPROVESTHEREON,ANOWHO�OESSUCHWORKHIMSELFORHEI25ELFOR � CC THROUGHHISORHEROWNEMPLOYEES,PROVIDE�iHATSUCHIMPROYEMENTSARENOTINTEN�EDOR m � OFFEREDFORSALE.IF,HOWEVER,THEBUiLOMGORUAPROVEMENiIS50LOWITHINONEYEAROFCOMPLE- � TION,THE OWNER�BUILDER WIIL HRVE THE BUR�EN OF PROVING THAT HE Oq SHE DID NOT Bt11LD OR � IMPROVEFORTHEPURPOSEOFSALE). ❑I,AS OWNER OF THE PROPER71;AM E%CIUSIVELY CONTRACTMG WITH LICENSED CONTRACTORS � TO CONSTHUCT THE PROJECT(5EC.7D44.BUSINESSAND PFOFESSIONS CODE:THE CONTRACTORS LI� VflIl18i1017 ADJ.AREA W CENSELAWDOESNOTAPPIYTOANOWNEROfAPROPERTYWHOBUILD50RIMPROVESTHEREON,AND � WHOCONTRACTSFORSUCHPROJEC75WITHACONTRACTOR;S)LICENSEDPURSUANTTOTHECONTRAF Q�JANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). � �I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON � � U � LL OATE OWNEq F Z ._ . ___ .. _ . ._ .._ U . •. � UCENSED CONTRACTORS DECLARATION W Q I HEREBYAFFlFM UNOEft PENALTY OF PERJURV THAT I AM LIGENSED UNDER PROVISIONS OF CHAPTER � r, r } /"""� � B(COMMENCING`M7H SECTIDN 7000�OF DIVISION 3 OF 7HE 6USINE55 AND PROFESSIONS CODE,AND Z � MY LICENSc IS M FULL FC ND EFFEGT. /�/'�, ,/')�^y m � UCENSE CL(1$� LIC.NO.]y/���`�/ � _� � � � )y) J V DATE_{y._ CONTRACTOR 1'! � � a W � WORKERS'COMPENSATION DECLARATION � � a N IHEREBYAFfIfiMUNDERPENALTYOFPERJUPYONEOFTHEFOLLOWINGDECLARATIONS� V � Z Q � IHAYEAN�WILLMAINTAINACERTIFICATEOFCqNSENTTOSELF�INSUREFORWORKERS' 2 Z �CAMPENSATION.AS PROVIOEO BV SECTION 3700 OF THE LA60F CO�E.FOR THE PERFORMANCE U ¢ OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � W �IHFVEANOWILLMAWTAINWORKERS'COMPENSATIONINSURANCE,ASREQUIREDBYSECTION Q 37000FTHELABORCO�E,FORTHEPERFORNANCEO=THEWORKFORWHICHTHISPERMITIS ISSUEO.MY/��/a�yK�ERS'C�yp �N INSUFANCE CARFIER AN�POLICYNUMBER 0.RE: CONSTRUCTION j caaaiea �l�/ "/ �)� PLAN REVIEW � POLICYNUMBER '/✓ 1 ELECTRIC ¢ � (iHISSE�IKNJNEmNDTBEOJMFLEfEDOFTMEPERlMISFORpJEhNNDRE000LWiS1b10D)ORLESS). PLUMBING W MECHANICAL Z I CERTIFVTHA7IN 7HE PERFORMANCE OF'HE WORK FOR WHICHTHIS PERMIT IS ISSl1E�,I '(,3 SHALLNOiEMPLOYANYPER50NINANVMANNER50ASTOBECOMESUBJECTTOTHE INSPECTIONFEE N WORKERS'COMPENSATIONUWSOFCAIIFORNIAAMOAGREETHATIFISHOVLDBECOME � SUBJECTTOTFEWORKERS'COMPENSATIONP NSOFSECTION37000FTHELABOR � C DE I HALL F RTHWITH COMPLV WITH TH VI51 NS ISSUANCE 0 SMIP p DATE:�l��olo�r APPLICANT J ENEqGY P/C J WARNING:FAILUpE TO SECUFE WORKERS'COMPENSATION COVERAGE IS UNL4WFUL ANO SHALL BE � SUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDRc'DTHOl15AND ENERGYPERMIT DOLLARS(f100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PflOYIDE�FOP IN ¢ SELTION 37oe OFTHE LABOR CODE,INTEREST,ANDATTORNEYS FEES. RETENTION FEE: + � � a CONS7RUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDEP PENALTY OF PEFiJUftY THATTHERE IS ACOVSTRUCTION LENDING AGENCY d- FORTHE PERF4RMANCE OFTHE WOPK FOR WHICH THIS PERlAITIS ISSUEO(SEC.3097,CIV.CJ. Z W � LENDER'SNAME � LENDER'SAD�RESS � 1��, �C) � ICERTIFVTHP7IHAVEREADTHISAPPLIGA71CtJANDSTATETHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES w IAGREETOCOMPLVWITHALLCITYANDCOUNTVORDINANCeSAND5TA7ELAW5RELATING70BUILDING CONSTRUCTION,AN�MEREBV AUTHORIZE REPRESENTATNES OF THIS COUNTY TO ENTER UPON hIE z ABOVE-MENTIpNEO PPOPERTV FOR IN57ECTIDN PURPOSES. COMMENTS � ��i'� rG�, J2�! QPERMITTEE N R ) ����_ o] N I Uj SIGNATURE O PERMITTEE OATE S RECPT.NO. � PAID BV VALIDATION ~ WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy .,�� .. .: ..-�,�. , .,, >..'�:� �e;, .,, ... _ ....�; ,�d7"_..,.,.,$x;.. ,.. , � � ,,. ,,va,,y,�,e�.. -rit.5�•. ....... ., ..,. ,.. . . . .. � � . . �_t� .M .,.. . . -,.. -- - . ., .... ..,�. ;. .- ..... .. �� ,�:, �.��. �. r �`� '� , , n '��'.� ."�sd o-r ;�m�'�" ��'s� � . . §a� �'���j ac "�'�rau�4��. ffi� � �e>4�.'��i ..."'� �. '�..�`� �'�� �� '� " � �.��,:�.�, ��"�� '�5�, �' '.�." "�.�.�,;��'�s.h.�'+ �"�� -.�.����r����*�r,��, �:� �� '��"' .���;'�, z°� ��L�'�i ������ � :. �� x�� re��,-�""����,��'��`"',��� . ux�s �:r" � ^:: g� �a ��� ���' ���� �- . � *^. �� �� ���� a� ��a��; �� � �se....,� � ���5�` ��+��� "'�g $�� ,.,.'"�,�"������.:�.� ���` ��� >� � � { � � �F �� , g � _ �. ; __. __.._. _ ` --_ _ _�.,.._ � _ _ ._ ___..� � ��;z�� E�� ; �;-;� �� : a � _� __ -__ �___�_ . � � � � ;,y�� } � � � ,�, �� � :j -� � _. — -� �-- ---_...�_ .. e � ,<, l £ �.s .` ♦.F i :' .. ......_ ... . . . ..... ........ ..;i.E. 5 _{ k V. �St ? .. ..... . .. .._....... . __' ' � � f a h+"3: a �__-,. .._ ................_ . _ .. _. _.._.._'. .. ........... ...,,�.......... _..._......._...,._... � ' ._.....__ . .. ........ ..._.....__ . ....,. ( .. . ,.. . $ ��..t� i -:t, 7t.. ,; € :�;r; n93 :t- € �-`�Y�. � . �� �__ . .. �- '.... ,.. .. . � .. . . ...... . ...�. ...... . . . __...... . ___ ..... ....... .. � �`� �'{ ' i , � � �E 1 :. ?�"`'r� F'is:,,ri ' ___.,_....__............�... ...._._.... � .._ _ ,,._._...................... ....... _ _..._...._.__....._._.�._,.......,.......... -€ .. ... ...,,.,... _.4..._� '_'__ "' �:�:ia� -3 C""'"3�"#`{�._`� ( . € ..s .�} o- ;��„� .:� 1�$m..r ,'i __4_.. _....; °j . _R &`�'S-n;. d § €k ..... ....� _. .. ... ....._._ ..... ...:.; �` f"�.�I" . ..,A,... . ._ ...._.._ _.........._ ........................._ ._..,.,._.,..... ..................._. _.........} a -= s f.:� ; ' 1'r � a .�€ .r ;�e^�:�, : � .._._ .. . . �....__........ :............... . __....,.._......,.___._..... �. _. _ .�_._...__� . . _......... .._____�'__......__._._...._..._ . .. a _ ;.... i . . , .. ......_ �;-`f , �Se i E : .'°i � l �f�s ° ���.. t?.�.:.�nr ._.H � . �..' " � tv O1Y. � ._. ....� ..____. .. .__. ........ _. .._... � Cd. �. .._._ ..... _.__ _ .........._ ___��._._..v.,,...____........... ...... .1.:` 9 .• .;"M . � .. �.:. � ......_,......,.�,.........._....._.......................-......._ . .��._.�..___.,�_....... ............................................ __ ._. ....... ..... _. ...... . ......�.;_».,.... .._..... s : .�. i «. p E p , .,,..�.... ..............,.......'..,.,....,........._...,.....��_�. � E�;lfL�lF i?'. �a� 'r4ga�.,€-z{3'��'"h � ! . _. �,. -_.__.............�.__� .�_._._..._ _._:._.__.._. ___ ... .... .. ..._._ ._...... . ._........__._._......�_.._�. .. ......____.`� :_._. , �`i n 4 � t��� - �, � j '' � rz �zi : ,s 3 � � .... ...,�. ..: .:.. __...._._.... ....__..._..__.___�.._.�_..�.._....__._._. � .. ...�..._.................... , . ...._..._....�_.._.. _._...�_...._._..._..,..... _....._..........___.�... _._.. ' r-� rr�r �as_ �.� , �-� ' �I°� .:: ri ��`��'3 � E _ . .. . .. ..... ....... .____.__.__.,..... . ... _..,.._... ._ '___ __.__,.._._......._._._._ , s�� -;", €a� '-.� � � r'�� j __..._, , .. ,. i � _ 6 '"l _. � _h _ ___ � ..___�,....._.. _.._ _ _ _ _.�. .�.. ____.. _. _. ..... . __......__.___�_�.__.....,____ _v.__ .... ._ �� __ ,... � � � ;��.. ,.h ia: ; � is:ati r_',� ts_E�`�.�'t '��`°< � � , �--> -___.,'�_�._ .____.__.__...._�___. i y�—_ _.._ ..._ .._._ _. � ___.._..._. ._.____. .._.------- . _ - -__...._ ....__.. _�,_ Y�t�b �4tn:at.. �-,-�...d�6'.A � � '�:M1 ,3t-��... � k ! d "'-'"--_` �......._.........._.._.._.. '""' .........�.__......___... . .._�__.__'....�_.._.____ ._ _--,�--�.-.�..___ . ........_.._m..__....,,..._._. ....._._..__...___._._._.I....._.,..,.,,._._._ ........__....;.__..._........_..,,. . f § t.�$ P�.s dt� �d.'� °'i��'�` € . �,is Y` :��, hF€,� � ._, .... ...._..... ._._� q _._....-.. ... _........�....__..._.>.,-__,,._.......... _1....,..._...__..._._...,�.,.�___ .......... -- '...'--._._..._.. _ ................ _ .....__._..._.�.__. __. . . _.__. _ ..._ _ , .__ _ . _____. . , .. , �,. -. � -, .� _ . , � � �';°s� 1�t��',_E..e�°J�.._�_;�;� 3 �.,€.�?'�.t�� �:::.; � s ;.__ _____ �._.__. . _..:_......._�_.__._. ._.w___� __. .._ �_._..._._ �U_..._. __.__...._. . __-- $—__._. .. _....... ....._.___.�� _._,._�_._�_,__.�._ ____.___.___._ f .._... __. l :k m?�t s.; [ ". #�� � ,_� _....�. . . .,,�... �._.€.__. ._. �.._.. .�._�_......... ... ....: _.... e_ ._____._ _ � .._ __�. ...._ , _ _% � � �� ��z. �*�����, ` �_.:� ���;� � �r . �°�.._._...._ __ __�. ._--__�____ —_ _ _ _ _ ._ _� _._ .._.__„_?. � �.;�.� � rw �, ....... - _ ..... __. °�i a `` ��•� �`u" �., .. ., E .__ �..,_ -,�__..__ __.._ __:__._._._.._. _..._.... . ....�____."____..... ..., � � _. .. ...__._.._._..__......__ ._-.._.._..............___ , ._ ...�....._.__....._...__.._�_.__�....�� L;��.,'.F-� E��. . � � '"[i d P ,. �'e,x i �._-i � . _ ._.. u . _.._. ._ ._ _ ...._._..__ ......_,._........._......._.._....._._.. ........�..............m.,.__.__..,__.._......_...._._.. .. ._...;__ , €i�J� 4.e� ,� i �� �� i� �lz.�:,"�" P�9f„ '.. . ��� ,..._. ..... ....._....... ..__..;...... �,..._...�.._.._u_..__..... ,....._..............__.,.....,....... e ,..e.. . .. � _. �_........._.._.._�._ .... ( � ) x^ ➢a�'•• . . .�� .,....�.. 4 ,f� ��._ ...._� _ ..... ��,��'�8 � ..r��s �ro,. , � ii� .�t��. i. �_. o €�€�ar�?_ �� � _ �.._.. ___� _�. __ _. . ----.� . , — --- —. _..._.________!___,_._,____--—._�_�..__. ��; 3—F��,� � : �W� � ;� ' Q; .�,�, � �=�� �,�41�� ` ; w_ _ ,.�_�._..�.... .._ �......._.�..�......�_.... . .__......__._._._ __—_____ . ._.___ __w. _ __ � _.._ .._�._� ___._..___........_w ...._ .....___�.��, �m � � � r =ar�� ��r_.J��,_. ��..� t_-, s ,.._u'�' ,` ...�J � /� '_. � � __ � ��SM1�GJ4itf�G�'L /t /['�i9� /C-.� .... -- _ —�_ � _ ...._... .. �.. ..�u ^:�:: �. . __ . ___ ........... ... . � .._...... . � �a �T���.` :_�.,:. "fi"�:..._._. _. . �i _ .. � .�.��.�.�_ .�sa.�a. ...._.. ....�_._..,.._. ...__. __�._„._._._ _. ......__.. ..__.; � . � . _..._. "'�___.. ..._.. . ._.... ..... ._._.....m___.__ _. V -`"`�al x ' ;:� ���� ....r..........._._........_....__._...................._......_...� _.�_...�.___..,......_.�_...... ..__......._....._._...._._..__.....�._._._ .__..,......__.........._____...._.._......_............_._.,..._._... ......._...m ............_._.___._....,......._.._._......._� �..ei�„ � t�l�.-, �:.� �� ......__..............._...,....,......�.... .__._._..,. . ..__.._....,...-..._.....__.. .................. ................_.._._........�.._....�. �....._.._..�___.�.-� � F _.__._.._..�.�..........�..........._........,._........ ...._............,.........�......,.......,.M.................................. ............__.... ._.....,.............�.�.._...._.._............,-..,.�..� _._....._._.._.__.._._...,...__.. ......._._........._._._...... _ ..........._.._..__�.._....._...., � ' _..... _____' ... .........._.._,..._..._,_.._..� ._...�......._..._..,.,,.. _..._................................„� s `---- _—""�....-'___.._ —""__._. _. _.__ ` ____—.._____._ ._____ _____'___.._._.._.__...._._._.....__._._�.. .. . ..._...... ......_................._.._.....___...... � ..._._._...._............_..,.__._.......,_._.......... ......._.._.,..__.___........_.�.i , § ;._......_....�_.__..,._P...._.__._._...__.___.....,._,..__....______._. ..._...._...... .....__._....._._...................__..._....... ...._ ....._.......,......______ ................_.._._..._....._._.__ ___.............. � .._.._-_. ___ -'_.� 7 t �_ .,,. ..._..,�_ ......._ .......... ............................._.._. ....._._.____....._,.... ......._......._..........._..__.. _.__".....___�_.._�......_...._._.._.._......................._. ` _.�.�.�__.�.._..._ . """^a "a T'h C �r .........._._.__....—.......w � ,�,��„.,.C �"f,�.,a 4 s�'�+a . :..+',i X..� i ,__..,.._._.... ....... � g"" _'-r t . _..._"___.._...LL._..,,........_....__... .._.._..._.._......_.__......._____________.........w_.___.. . ....................._..._"___....M..._.,................�_ :�--.g-^f .,� :��P:.�» ....._....._........ ......._......_.. .,....___ ; + ..�..,.,.. r ...___. � � �.�� ) � x.. .. ,..� �..,� i � _, � � _._ . .. .... ..._.,._.__,..... _._.._ _... ........... __ _.._ _ ...__ _..__ _ . _.. ... . _ . @, [ � �. A ..'. � .• .. ......__.._... ._.._....,_............. ..,_....�.,_....... ,.w___ ......""'.._ ....... '�� _ .... ... . . ....... _�... .� �_ ...__.._ . ....._. �.� �_ i � .. � _... ..._ � ,,� , �;..��� �� � ��.. __._...�_...._____ ...__ _ _......._._.__._�_._. _._._ __.___ _ ..__.._�_ _.......... . ._...__ ____,..._._____w__._.._____ ___._ _.... _ ,� r � � � ° __ __ _ _._ ____ _._____. . � �::. � ; �� d .,.... .................. .._...._.,....,.........,..,,. .._... ........._...__ ..-...y.. ....... ��_....._.._.. ,....._..,...........__.......-....................._ .'� ,�" ..._....,...._._ ..,...,.... ..........�.__.._.�..,._......... ........ @ •:� x.� � ' � � � � ..... : ..................................__.......................,....,,........... ............................._..,.....,,.,.._._...___.,......_......._..,...........,,....,,..,............,.,,..._....___._..._ .__.,.... ...................,...,,....,....,._.. _ ...�. .. � . �� S � �•.. � ce....:&.. "'.�B ..< ''��c� .i".n _. . ..._.."_.`_"_._____�_ .. ...__._._ ... ..... ... .. ,....�._..�____....,.,..,.....,,.........._........ ......... __ .. �..««»�wr..x».«�«««:«:..:........«...-..�.......a-...........».».»�w«.....-:»...w.�..-m»w........:...««�..mo,�«m.................«......«...-..« ..._��...mm�....Hz...»�.-»-.-uvu�-,...�.ro.....�-4«..........�.-�,�._...P. ..�..:.:....-»«««..:..-.v,:.....-------.�_�o..«.......««.«..e.'.