Loading...
HomeMy WebLinkAbout17162 -- --= -- —---_____ _ _ _ �� _ , , CTTY OF DIAMOND BAR � � �--- DEPARTMENT OF CONIMUNITY&DEVELOPMENT SERVICES --- � ,i �. 21825 E.Copley Brive � (909)860-3195 Fax(909)861-3117 " PRESS ""'-yK�`�' BUILDING PERNIIT A1�PLICATION � F M LY o ADDRESS_ � 1I A�d�r ��V DATE�CATION/� rf,'� �� NUMB R ➢ p� ��#/C �f a =-° APN-�- LQT • TRACT D TEE ,�� ,� TYPE OCC p OWNER IK� � f' (�(� CONST. GROUP � ADDR SS � �IR'� NP1 ZONING SETBACKS z CITY Y1�1Q ZIP � TEL. � FRONT RW ❑ o APPLICANT TEL. S DE/SIDE STREET RW ❑ ¢Z SIOE ❑ CONTRACTO t� I � � �41 '��' �C9 ` � CITY @ C f�ll IP I ZIP I TEL. ��` 2 PROPOSED USE o ARCH/ENG> �z DESIGNER NO.DWEL. NO. NO. � AODRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � u� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� � OWNER-BUILDER DECLARATION SFR/ADD/REM O ' I HEREBY AFFlRM UNDER PENALN OF PERJURV THAT I AM EXEMPT FROM THE CONTRACTORS LI- G8f8J8/CB�OfI W' CENSELAWFORTHEFOLLOWINGfiEA50N(SEC.7o31.5BU51NE55ANDPROFESSIDNSCO�E:ANYCITYOF (f� U� COUNTYWHICHREOUIRESAPERMITNCONSTRUCT,ALTER,MPROVE,DEMOLISH,ORflEPAIRANYSTflUC- W�� TURE,PRIOR TO ITS ISSUANCE,ALSO REQUIRES iHE APPLICANT FOR SUCH PERMIT TO FIIE A SIGNED W Patio/DeCk STATEMENT THAT HE OR SHE IS L'IGENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- ��'�,, CENSE LAW(CHAPTER 9(COMMENCING Vu1TH SECTION 7000)OF�IVISION 3 OF THE Bl1SINESS AND PRO- � Pool/Spa O�� FESSIONSCOD�ORTHATHEOF$HEISEXEMPThiEREFROMAND7HE8ASI5FOFTHEALLEGEDEXEMP- (� V, TION.pNVV10lATIONO�SECTIONi7p3�.58YANYAPPLICAMFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Roof � A CIYIL PENALTY OF NOT MORE THAN FIVE HUNORED�IX.LARS(ESoO).): Q'�; ❑I,ASOWNERDFTHePflOPERTY,ORMYEMPLOVEESV/ITHYJA6E5A5THEIR50LECOMPENSATION, Q COffIRl0fCl8� - Z'� WILL DO THE WORK,AN�THE STHUCTUFE IS NOT INTEN�ED OR OFFERE�FOR SALE(SEC.7044,BU51- J �; 'NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPEHiV WHO BUILDS OR IMPRQVES THEREON.AND WHO�OES SUCN WORK HIMSELF OR HERSELF CR ��' THRDUC�HHISORHEROWNEMPLOVEES,PROVI�E�THATSUCHIMPROVEMENTSARENOTINTENDEDOR m Q;' OFFEREDFORSALE.IF,HOWEVER,THEBUILDMGORIMPROVEMENTISSOLOWITHINONEYEAROfCOMPLE � Z. TiOW,iHE OWNER-BUILDER WILL HAVE THE BUROEN OF PROVING THAT HE OR SHE DID NOT OUIL�OR �.; 'IMPROVE FORTFIE PURPQSE OF 5ALE�. � �OI,ASOWNEROFTHEPROPERTY,AMEXCLUSNELYCONTflACTINGWITHLiCENSEDWNTRACTORS �' �.TO CANSTRWCTTHE PROJECT(SEC.7044,BUSINE55 AND PflOFESSIONS COOE:THE CONiRACTORS LI- V8Iu3tiOtl ADJ.AREA W CENSELAWDOESNOTAPPLYTO/�NOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND �; WHOCONTRACTSFORSUCHPROJECTSWITHACQJTRACTOR(S)LICENSEDPtJRSUANTTOTHECONTRqC- QUANTITY DESCRIPTION � FEE � TORS LICENSE LAW.). � ❑IAM EXEMPT UNOER SEC., B.&P.C.FOPTHIS REASON Q � � U W � DATE OWNER U Z W �� LICEN$ED CONTRACTORS DECLARATION W ' ¢. �, I HEREBYAFFIRIA UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PFOVISIONS OF CHAPTEP � p:.�, 9�COMMENCMGWITHSECTION70oo)OFDIVISION30FTHEBUSINESSHNDPROFESSION CODE,AND Z >C�� MY LICENSE IS IN FULL FORCEANO EFFECT. d LICENSE CL4S, S/�y�ip�4+ LJC.NO. �� � U DATE� ��,N 1 CONTRACTOR , a - LLI ��, WORKERS'COMPENSATION DEC AT Q ( � I HEREBV AFFIRM1A UN�ER PENALTY OF PERJURV ONE OFTHE FOLLOWMG DECLqqATIONS: Z , Z. _IHAYEANDWILLAIAINTAINACEkfIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' _ �� R . /)eA P!Y CAMPENSATION,ASPROVIDEDBYSECTION37ooOFTHELABOfiCODE,FORTHEPEBFORMANCE w v r���� u Q �OFTHEWORKFOR�WHICHTHISiPEPMITISI55UED. � F _IHAVEANDWILLMAINTAIryWOI�KERS'COMPENSATIONINSURANCE,ASRE��IREDBYSECTION 6 3700 0F THE LA80{i CO�E,FOR'�THE PERFDRMANCE OFTHE WOFK FOR WHICH THIS PERMIT IS ISSUE�.MY �ERS'COMPEN TIONINSURANCECARRI AN�POLICYNUMBERARE: CONSTRUCTION j cnaaiEa � '��o� �, o� _ PLANREVIEW Z POLICYNUMBEfl ELECTRIC <C I � (iHISSECTIONNEmNOTB607MPLEfEDOFhiEPERMITISWRIXJEHUNORED�OLLAR5�510�ORLESS). PLUMBING W ary Z I CERTIFV THAT INTHE PE�FORMANCE OFTHE WORK O WHI THIS PERMIT IS ISSUED,I MECHANICAL ,� f (� SHALLNOTEMPLOYANVPERSONINANYMANNER 5 O COMESUBJECTTOTHE b � WOflKEa5'COAMPENSATION LAWS OF CALIFOPNIA, GR THATIF I SHOULD BECOME INSPECTION FEE � SU&IECTTOTHEWORKERS'COMPENSATpNPft FSECTION3�ooOFiHELA80R � CObE, SHALIF RTHIMT�iCOMPLVWITHT NS. ISSUANCE � Q / SMIP p DATE: �• �1 ApPLIGANT: J WARNING FAIW RE TO SECURE W,ORK�'fl5'COMPEN Ia O AGE IS UNLAWFUL,AN�SHALL BE ENEFiGY P/C � SUBJECTANEMPLOYERTOCRIMINALPENALTIES ESUP700NEHl1NDREDTHOl1SAND ENERGYPERMIT OOLLARS(&7 oo,DaO),IN Ap�ITION T�THE COST OP COMPENSATION.DAMAGES AS PROVIDED FOR IN � SECTION3]080FTHElA80RCOQE,INTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: e d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O i �� I HEREBYAFFIfiM UNDER PENALTY OF(?�flJURY THATTHEFE IS A CONSTRUCTION IENDING AGENCV FOR THE PERFORMANCE�F THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3091.CIV.CJ. . � W. S LENDER'S NAME � �.. F-' IENDEFi'3ADDRESS j ����'� ICERTIFVTHATIHAVEREAD7HIS'APPLICATIONANOSTATETHATTHEABOVEINFORMAiIONISCORRECi. TOTAL FEES 1.I/�� �„ I AGREE TO COMPLV WITH ALL q�ljY ANO COUNTY ORDINANCES AND S?ATE L4WS REIATING TO BUILOING �� � �q ��� CONSTflUCTION,ANDHLREBVAUTHOfl2EREPRESENTATIVESOFTHISCOUNTVTOENiERUPONTHE �; ABOV- ENTIONED PRO�ERTYFbF INSPEC ION PURPOSES. COMMENTS - � � �r � '�'c�eY� r � �'� PERMITTEE�'NAME(PFI � �' �r4 C3 '� �"'�. SIGNA'NRE OF PERMITTE �ATE / � Z RECPT.NO. !d PAID BY VALIDATION r � WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—ApplicanPs Copy ......._.. ._ _.. _. _ ... .. .�,_..,._. __ .... .__... �{�.�.0 6� . �.q,.. , . ,,. ..r **�-. . ,., " ' _ _ . . . . , . �. '. . .:.. ..� .�� .t.: t .tt � . . ..,:�-�r:. .A 1�.,;-...' . _ . . ., . . . . ..e . �. ... �, '�^ii�' �,�,' ..' e . y. . a ..,.� . ..,. �° ,... '�� �. ��'s-�,"`k��'t' �'� ;n �� e m S'� �'� �.'` 4 s � �` � a ! �t- � _. ` t� n a P '^x a y T n i�, '€-� + 'ti� � � +.: ���,.'� � � '..;�. � 3 „� z 8 � � ,,;�w TM a � a ; % � � e �� � �y � �p .. i � � i i k ; x : � i 4 s �� �ek �? $ . '"€ • q A : .� � p'�r � a� a �' .� `� `" � � � ? � > r.�-:�_.�.� ��s',; _. �.�r����.t �..�.�q�'��:�..�.;�.; .�."��. k ... "��.�...��,..x,..�� �r��.w.�,.��,. e �:"x.�,. .r � � t .,'�.".a '� �. _.r..s�_. � a,.� n a�...t �. �. .�..�. .�.� . .a::...� a,�. . ["'L��. .��i ' . , � €����,� .P ...x..,.,..., ' a : ..:,. .. ':4 1 g-._.._'__.�.........._.._.....____.....,._.._...�._.:�... ....._._..._......,..._ _ _ ........_..._.....�_._..._'_'_ ....,.......... ..e..._...,,.�...,.... � � 1 . . ... ........ ..... _ ..,,.... . . .. ............�._...�__..._ + €,= 1 i` � i� �,µ I 3 3'� _._ .. � ^ _ _. _.__. . _. _._ ..___ i .._.._._ ___..___...__. _...___ _ _ � _._..__ _ ...�__ __._.__ ... .._.___._. �_..,._ _ _ .... _ . ! . ,, , . , 3 . �_ , �� , � ;. � � A.@�: r i�, "h.E.� '€ ' � _ �.,8`v.. . . '� '. I "- '.._+., .. < ,. .,._.. . . . ._�-�.._...............__ ;.....,_____........_v,._._...,_........_.__ ._ _.� _ ... _ .._ ..._.._._....._. _.__..._�_,._.___�...._. ...__.._......_..__._ „„ � .� .,... �� °r'°��. � ��? � ` �.. � � . �.. ,,TM ; . . _ . ._ � _ _ _ _ _.. _ _ . , -- — _. __. ._ ,� �, �-;�; r � ,� � �� ,'; . � .. __ �_�. __,,_..__ a .._ _.�_.._.. _...._.._ ..__ _._. P ___.__ ..�w..�,.. _�_._. _ __ _.__.. _.__...�_._..._ __. �._____._ _ _.._.._._.__ xi _ , � ; �,'�� ' a a.���p i € ' � �f�€ �..;- I .�' ��,................._._............ _.�..__�....._ ___._...,�.._............___. �....._.__._....................._...,..,.........:...,.,.._. _ _...._�"'._ _.. ._ i ..............__...__.:: . _. �.....__... .._...__..J,.....,., _.........._..�.._......__.,..._......_.__......... ..___..........._._,...,.� ,µ � E i � t�Y.� �`� '�C.I^z k .E...._.. � i ° :x °.4 � a .:._ 1 , , � �....., ...., q .._ ..._....._ . ......_..._....._ ,... ._........._.. ._..._.,_.._...._.'_ .._........ .__... _ ...... ..........____ . ....._..._............_.. ...........,.... .......... ._...._..._..._._...._ ����.� .7,`� ��� .t f r=-.. E i '..� ',,�.{ r�'-^ � ' � - ..`: ¢ a-,a: ��.:: � . . . � : ._,,,...._ ._.. __.. .........._ . ......_,�._._,�.__............._...._._..._......... �.__..._._.,.......:..._..._..__._ . �_...._ '. .�" _.-_ _ ._ _......................__ .. . ....__._......... _..._�.._....,..........___._,_ ........... 4��..:�..�";ss.zx.:�:�-e �� '€ � r tct . . � � �:�wa . ._..._._. _.... ...._.._.�� �'__'_'..__.._............_.,_,......_..,._.__. . ..._.....,...."_ '_ . . . : .............�...._,_._........_.._._ p . _,. � .._.__._.......,_.._......_ .. r... ._._. .. � �� ._..._....�._..._.........._....,_._._"'....._._ .__ � . Eg�. .,. p� . I"',�.::''4�.7 �:.°� '� ; € . ' � £'S � : a .._. ..e- . .... .. .�.... .. ... .. .. .. . . . . . _ ...... . ... .. ., , . ... _�... �._..._ � "';:.7 � 9�P i# € Y � € y '� � 1 .�.. ..,. ._........ ............ ...........a�,_ ....«............. .�.._....�... ._.....�.......,, _� ........_...........__._._ „.n..,.._, _ ... ..._...__. . 8 .���.t� �. ���� � m ' J *.�V� d @#�.3_. _.«............ _._f..,... N. .... ._.. .... .,.....«..,... i ws ? r _a p,., ...e.,�p. . ..... ., .__ _ . _..__-_ ........... , .....: ._ .......... .__ "_..._ __.._........ ._.,..._...... _......_ ._.._. i .L..:L.. _ € € h4'�_. � __ _ ;. �.. � x � n ', . ..; 1 ` ( � ........P ..... ....... ...........�,�,___._ _......._.... _�_�....... .. ..........._....._......_..........�._. ..�. ..w ........... ,..__........._ ._..._............_�_.__�. 1.....,_...........,..........�.........._..................._....._...._ . �. { �R s..+• �; ^ . q - „ . .,,� S �n ': .. , I .�_r � , . . .. '�..Y 3 v. ..�......�._. �, . { � ........ .... .._._. ...._.„.._�...__.. .........._. ,.�..,_.._................._�._.._.........._......,......._.._ _ __._.....,..._.............�.._.. ............_._..__.._ _.._��......_._.__........._...._�_____......................._..».»..� f . ��,� � � •��td�4� i � , ' r �, "i � .�_ _-.---. z____� _. __ _ __ _... � �.t ,. �a I� ��� ! ; _ ._ . .. �,.._� _..w .. �_ .�,m ._.. ,� ......__ . ...___ __.__._. ... � _ _.� _................ __._..........._._.. --- i I � �- � — � ."i ° ���'.� c.� ��.�� j ..' e s :; .._, 1 _ _._. ..;_._.,.__.____._.. ... ...�_.__.__.....-..,_.........,....._.._... ........ . .,.,._ ....._...................__.�.�._._�. _...._. L... .._ _ ___..._._...,'_"__............._..........._.�,_._._..__..�...._ ..._n. i j 6 � ����.�:'�:m��' .�.; �, [� � .�,_ . : . f ;, a r€." �_.....:.._..,.._..............__.� _�_c.... ..__....e..._,._......... 3..._._.._.�__.._...._......,..__._._.__.-------� �. �... _. _ �. . ._. ,y. . . . . ... . .j...t . . � ���Rf �t�'. . 1 I) 9 C � i j�., , j � E .:... . ......._._.. ,.._ .. ._�_ � ._...__ ..._.__ . ..,._ T"Y" ' ._ _.._ ..... ... _........._. . .__....... _._�....... ........._. _ � ��.. �_":a t'`e� . i . i .�,'a �,.: ;.�:. � € � __ __._ __.__. '— -----.._ ......__ ....__.._._...... ,_ ._— ._ ..__._ __..._..�....._..e .__...,._,--' ----.... ._._ ._.___. i � A �- i € � � , . � : � � s �.�':�W.� � ei�....§_. ! E .�:i:i ,. . �. .. .. � � a_._ ..�...._ - � ...m.__� �.,.....I._...,,...._...m.�_..._..._ �......�_._...._..�____.._..._............,.__._.._ . _..� ....,_.._.._....._.._._.___�_.-:�_..._._......._........_..,... �__..._W__....,...._.__.._.�......_.........._. -: 8 C.��:.� . t.�. �.. �. '��.a '��... � �_ _.1 t ..,.. . .. ...,........ ___.�,._..._..._.........�..__......,_....._.,,_.. _,........._......,.,.__._._.._.._ .__ _ .....__»._.__._.. . ,._ _._.._._.._....._ ._�.�__.__.._,,......._,..._"___e.._..,�_ _.� 1 P��I,��,¢4;.�'"�i. _, . ' ..i i"t ..�,�_.. i. �$ _ .,. ` ...._._ _ _,.�,_ ' _,__._ ._......__._ . �_...__. .. ._, . ..._... . W ............ . _._ ....__..__�_....,,.. _ € 3[�.;,'.; :t�;�`a �' {'� �-�.__ ;�.` R .� :,� a c.',� � _rv t'� � � � __ _ v_ _ ___a_u �( �. . ___ _.____ � _ ._.__.. _.___�___._ _— ____�-- - _� €��_�: s�� r�; G I ���; � �� � , ___._ W�____._,_____.__..__._.___s�____ ._________._ .____._.___ �.._._..______ .._._...__._� _ _ , __,. , ._ _ _._ � E �� t ,'���, �.'�'� ° � � � �,. P��_._..m,.�...., __....._.....W..�.._...��_._�........{...._�._._�,.,._..v_ �......._.._.......__._...___.._.._....................,..._.... J..._.,........._..,...,................,_> ,........,....:............,..._._..,.....,......_. __: _...... ..w._._... ,_.,......._..,.......,...,.._.._.....r.___......_,�____ ...,._ � . � ; ' "',, � ' _..........................._.........._......,....�.._.,...�_m... _«..........�...............�._.......... ....3......,.....,......«..._....__..,._._........_......................,....._ J � .. � � .. � �.���� t`.ky. �..s.._.............__......�...._._ '. . ^ . . �s.."�.3���-k�s�',u{v.'d+�YC���..$:..$'1�..���v..�5�.6�.�s.��_._.� . . .................... ........... �.:.,....,,.._......�_-�._...._��.._...__._ ....___ '_.__- "...._.._. ._._._._.___�v..r..,«<v=_y� .. _ ..._.....�.......,...'............._.._.._. .. __....__.�. ... ___,..__� � E 3"".?'"j{1� 3 � :�:.y . . � i � E,��..r' i .�...�,,.;� q,". ' - . " ' � _.._.._.........__-__...._........................_.,.......,_....._.>,._.,.......,.....,........___.,�...,..�_._....._._._...>..._ . ..._...._.._..._,...,._....w._.._..._................._..___....,.........._,....,,.,..._..._.._.,�._._,..m.w..__.....�.._�.�_..._...__...,....... a i ' .�..-'„.......,....._... ..�_..__�.._._..._.....�_..�__.._............._,..._._.._....._. ..____....._.__.. ..._...... ..._......_._...____.__..._..___,_....._.,.W.._... ._._.._............. .........,.___..._...,_._._._._...,........,......,,,,..._......,,.,..............,............ ._._.._,..e....._......,...._......,......._....._......_..� t. .__._.,_._..........__��_.,.__..�._'_"....,..._......__.,......__....-.,..........._.__._____.._................................._.._.,,....._....____...�,............._.........._......_-,:_�__.................._..._........._......_.�.._....... .._,..............._..,....__.._......_...,._......_._.____�..._....................�....._.._; C p C �' .. ..__._...._..........._.,..,.�.._...._.,_.__._.. ......._..,_.,..............._.._...._._.._...:.�...._..._._...._....__...................._._.,.,._._._....._...__........_........,._........._.._....�._.._..M..�.._�..._..___........._..._..,...._..._...._. ......_._._..,................._� � „.......,.....,,................__.r,».--.,_......_....,........_ ,......._..._.....m.._.....e..._._.....__....,...,...._........ ._..._.,._.__.................................,,......,_,_�_._........_,..._......._........._........_..__.,...___.._..........,_......__........__.__.�_.,_._,._...w._._........,__........_..............._....._..__.___.._.._...,.,......� s i ��....._...._.......��._.,_,......_.:�......................._.,......,....._......,,,..._..,..__._...�.__....�.....A.._ .........._ ........_.____" '__'__- , __..___ � __.. ............ _ ......._...__.'____._ �___;�. t a... _.__..._............._____'_ _.___'_ . ..._..__....._ .._......_......_............._.,.....��._.,_....____.. ......__,..............,..____...._._.._�_._............__,......_.__,_�........____..__......._..._._.___........._..........._.____. .��.'__.....__.. � ....... �____.....�.._�_......_...._.__....._._...._.,......__....__., .__._..._.....,....._....,....._..........._... .__....:..._...__.... _.._..,....._._._.._.._�___..�._.._......__..,..._._..,.._........................._......,....._............_.._.__ ._...._....._ . ��..,..� � x r•'s c b� a,�,..:.. .. .._._...._.._..._,_._.�.. , € f im. :.�W3 ! �' � . _.......�................_._- .._ . _........., __._� .,....�........ ......... . .. _.. . .. .. ..... �_.._. ... . ....... _ a i. ._.....,.,_.. � � "x g�f u�t�� d $�a�&�&i � � ���.��F� � '��'��;��'$:��&�5�,4��C _.. . ....T._"'_' .�__. _'___. .. .___ ._..._.._.....__.,....�..__"___.._...___.._.. _.m,._........,.�.,.._....................._....,............._...,......,....,.,..,_.........._ � '��'4 �i 2 * ..._..__". �� �"P B.� a� 5&C k � $ � � ���x����,�a�w��„me���ama�a� Poao-,i . �.. :z���°j �a . a�t � &`� m__.. .. . . . . _.,�. ._ . __ E � �n�� �� d�� �� � �:F��a E . ... . . ... .................w.,_..-. . , r8 . � €�.�'��a'C.�,��4r�`�'��������a��� "�'ra���.�� � ................._.....�..._...,_..._......._...,......................_..... ..., q �s: a � �k 4�,: .. .�.�._....��..,..._..._................ ..� ......�...... ,„_..,...�.�_..._.._.....w...._._...._,�.....w................_.._.,,....,._........�...._.._. .d. -; ����"�`"��1'4������az�`�'"� �.�' �`�� � �ru���'�„&��,��„��ff�a��'�� � e � t.*-r�& Yxi�Sa 6&�f�R 8���"�.� ��„�� a� � ...... .. . ..,.._. _.. .m., ........... .. ,. .. . . . _. . ..... .. ..... .._. .. ... ._ .......__ -1 "� .¢ ��� r � t x 3„�.'�� . ,. �����������m���������� ���� ' � '�� � � � � _____ .__.__- -�-,—.1.. ._________..__._.____..�,.. , ._..._ ._..__.____�.___.---- - ��"' ���� �a�a� � ���,� .. . � ���� ������� ��� �����a���� � �+M '� �. e�-g �€��,�Po a,�a��'s�a'�4��� r � ���a a p.�`�x,q m€ u ��k z��u�4 �.�$� � �_ ___.__......... .__.a � B�tl Y���g� A,.#b��-a i � _.._..,___.___...,,... ..... ...,..._..,.,_. .._....._._._....._..._...__.............._........... . _... ...._..__. 8 A�Poa �a 8 "f� �}a}�3 4�� 1 . . . , , ., . .. . . , . . . . � �� � � i $�������������.n������������������ � �