Loading...
HomeMy WebLinkAbout10146 (5) / f- C1TY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT ) �' 21660 E.Copley Drive Suite l90 ; PRESS (909)SGO-3I95 Fax(909)861-3117 'M"� BUILDING PERMITAPPLICATION FIRMLY � JOBSITE APP�ICATION PERMIT D P!C o ADDRESS DATE NUMBER 1t � ISSUE TYPE OCC APN LOT TRA DATE CONST. GROUP p OWNER '� " ADD 20N1NG SETHACKS �W CITY ZIP ' TEL. = R�RT RW p❑ APPLICANT TEL " � SIDE/SIDE STREET FlW ❑ � CONTRACTOR SIDE ❑ ¢ ADORESS PROPOSED USE �" o CITY ZIP TEL. o ARCH/ENG/ � DESIGNER ��i��,�„ NO.DWEL. MO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEI. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONMER-B�ILDER OECLARATION $�q/qpD/REM O p I HENEBV AFLI(W tMOER PENALiV OF VFH.IIIM TIUT I AM E7�YP7 FROM hIE CONTMCT00.5 LI. ���.e� 4LJ CENSEUWFO(i1HEFOLLOWM(1NEA.40N(SEC.7031.59USM�ESSAN�PROFES4kMI5CODE:/WYCT'OR (,/) U COIMRVWHIqIPEWIRES�P�R1/ITft1CON5TAl1CT,ALTER.tlIPNOVE.OEYOLI5H.ORflEiMIHANY57R/C• W PqUOIDBCI( WTURE.iRCR TO 1TS 1SSUNICE,A�90 AEd11AE5 7HE�VPLICNiT FOq SUGH PERMIT TO F�E A SIfL1ED W � STATFJ,IENT h1AT HE OR SNE IS LICENSED PIHiSUANT TO h1E PROVISIONS OF THE COMTFLICTORt l4 � CEMSE LANf(CHAPTER i(COMMENGYq MII7H SECTION 7000)OF OIVWION J OF iHE BUSINESS M1D PpP � ��SPa ^ FESSpNSQWE)OqTH11THEOR9HE15EXEUPT7HEREFROMANDiHE9AS�SfOHTME�LIE(3EDEXEYP• V TION./y11'VqV�iIONOF5ECT10N7031.58VANVAPPLICANTFORAPERMITSUBJECTSTFIEAPVIIf.ANTTp Z Rg-ppp( F A CML OENALTV OF NOT I�pNE 7NAN FNE HUNDRED DOlLARS(f6m1.): � � ❑I,ASOWNEROF7HEPNOPERTY,ORMYEMPLOVEE9WIhINIAGESASTHEIRSq.ECOMVEN3AT10N, 0 (�'pmTB�C�Bi WM.I DO TNE WOPI(,MD�HE STAUCNRE IS NOT�NTENOEO Oit OFFERED FOR S1LE(SEC.Tai.@U54 J N NE,SS ANU PROFESSIONS CODE THE CONTRAGTORS LICENSE LAW DOES NOT�PP�V TO AN CNMEfl� ? PROPEHfVYNfOBU4DSORYpAWESTHEREON.ANDNM1lO00ES5UtSIWdiKH41SELFORHEASELFON m Q TiROUGFi/1150RNERPYMEMPLOYEES,PROVI�EDTMAT5Ul71N1PROVEMEM9ARENOTWTENDWOp QOFF61£OWHShLEIF.HOMIEV6R1HE8UROWGORIYPPOVE)JBffI550LDWI17UNONEYEAROFC01101E- � TION.7HE OWNER�BUMER WILL MAYE 7ME BUPDEN OP PROVINU TMAT HE Oq SME OW NDT BUIID Op WPROVE FOq THE PURPOSE OF SALE). ❑l/18 pWNEq OF iHE PqOPEHfY,AM E%CLUSIVELY CONfRACTW6 WI'M L10EN5E0 OONTi41CTOH3 � TO CONSTRUCT THE GHOJECT(SEC.704t,BUSINESS ANU PIqFES510N5 COOE:11E CANTlUCTOFS LI� VYIU8U011 AOJ.AREA W CENSEUWDOESNOTMP�YTOANOVMEflOFAPflOPER7YYRiOBUILO50RNAPqOVE3THEAEON.AND � 1NippONfMCTSFOR9UCHPAOJECTSMATHACONTRACTOR(S1LH:ENSEDPURSUANTTOTXECONfRAG QUANTITY DESCRIPTIQN FEE � TORSIICENSEUW.j. J ❑1 NI EXEMPT t1NDER SEC. 8.8 P.C.FOR THIS f�ASOM U Q � �A7E OWNER U � LICENSED CONTRACTORS DECUIRATION —� � w I i�iEBY AFfIRY IJN�EN PENALTY OF FE0.R/RY T/UT IMI��CENSED IX�ER PPONSIONS OF CHAPTER � {;L s(COIIYENCNK3 WI�M SECTqN 79W)OF DMSION a Of THE BU51NES5 M!D PROFESS�OId3 CODE.AW Z �X YY LICE�ISE IS Ml FIkL EFFECT. M m � IICENSECIASS LIC.NO. ` j V DATE , CONTMC7bH � W � WORKERS'COMPENSATION DECLARATION � � I HE{iEBY AFi1RM UJDER VENAI.7Y OF PERRIFY ONE OF THE FOLLON+MO DECUMTpN3: � ' � Z O _IHAVEMIDWILLWW7AINACENf�FlCATEOFCONSEMTOSELi•MSUREFONMQW(EP5 2 ;�;i'.` � �� . Z C04PENSATION.115PROVI�EDBYSECTION7Tu00F711ELA�RCODE,WRTHEPERPDtMAANCE U Q �TNE 1NOpK FOR YMICH TM19 PEAWT 1.4133UE0. � � W _IHAVEAMWILLIMM/TAINWOflKER3'COYPENSATIONINSViUNCE,ASREOVIREDBVSEGTpN Q 77000FTHE�ABOROOOE,FQRTHEPERF4WUNCEOFTHEWORKFORYM1CHiM4PFIMqT15 ISSUED.MY WORKERS'CDAIPENSATI4H INSURUJCE C�FH�EH AND POLILW NUYBER APE� CONSTRUCTION � CAPR�EH PLAN REVIEW Z ra�cr�eR ELECTAIC _ a O (i}iSSECTpNNE�NOTgE00Mq.E'f�OfhEPEiMfsfpqp,lEMllDnFppOWlRs�stoo�artl6�. PLUMBING Z ICERTIfYTNTKiTMEPERFORMANCEOF1TiEWOR1(FORWHN)iTH�5PER41TI5155UED,1 MECHANICAL � SHAIL NOT EMVLOV ANV VERSON IN ANY YANNER SOAS TO BECOI/E SUBJECT T07HE � WOPo(ERS'CWPENSA710N LAWS OF C1�L�FORN�A�AOREE TiAT IF i SFiOULD BEC061E INSPECTION FEE ? SUBJECTTOTHEWORKERS'COMOfNStTIONPROy�SkXiSOFSECTIDF737000F7HELABOR �SSUANCE � CODE.I SH�1LL FOR7HWITH COI/PLY WITH TFIOSE PqOVISIONS. � SMIP p DA7E: APPLICANT � ENERGY P/C WARNNKi:FALURE TO SECURE WORKEAS'C04PENSATION COVER�OE IS UNLAWFUL,AND SMALL 9E �y SUBJECT AH EYPLOYER TO CRWIH/L PENIILTIES AND CML FINE3 UP TO ONE MINONEO TMOUSAND ENERGY PERMIT pq,Uqg(yipp,ppp�,IN MOITION TO T1E COSTOF CdIPENS�TION,OA�UOES AS PROVIDED FOR IN aSECTION170lOFTHELABORCODE,INiEREST,ANOATTO1tlJEY'SGEES. HETENTIONFEE: a CONSTflUCT10N 1EN01Nf3 AGENCY PRE-ALT FEE: � IMEREBV�FFlR4lX1DERPENi1LNOFPERJUMTHATTHEHEASACONS711UCTIOHLENDWOAOENCV Z FOR THE PERFONMANCE OF THE WORK WN NMIG1 THIS PERMIT IS ISSl1E0(SEC.]OY7,QV.C.�. W � LENDER'S NMAE F— LENOERSIIDOHESS � iui�Eiooniairwi�cl�v��r+rro STmiwe sTu+'"osT'�uvs°R�%�oTo�oir�ica TOTAL FEES � CONSTAUCTION,AND HER6BY HEPFlE ATIVES OF TMLS COUNTV TO E11TER UPON THE S� �ovEar D FNOFERiY i �ia+ ntposEs. COMMENTS a J I'^ a PERYITTEE (PR�NT) � � � y �N� o�E RECPi.NO. O�le O�f� PND BV VAl1DwT1aV � WMITE—OepaRmant Copy,YELLOMI--FhMcs Coryy.PINK—Aasaasn Copy,CsOLDEtiA6D—fiYe Capy.C3REEN—App�k�anYs Copy . I �,�`�� � �i.A��!�'� � .;��4e'��.� . . .. �� Io�^ '�{".�"� � I . � , _ ,i t = �_r.. w _ "_.> - .. . . v��7�;.^i� -' . . ` i�L r-; 3��� y� � �_ - - - _�_.� ___��._ � _ _ - - --- --- - - - -- --------_.__ I ._,. - _._ , - rtC���rO"t�'�7"�.3/.�71L'eL , '; � � 1-i�i��Fi � _'�:-1 -..� j � - �; � --__-._--._.._.. _ _- - -- --- --- ` -- - --- ,._ ,�..-- r� i, �.- ` _... _ _.._ . .._. ,. _ ._.�. _''.__ i �LE�,f tll�.C::1vU��D I ; I � U(_�_ri Fl_�'�f� IJUCT i � ; � - —� ------------- --. _ � _____ —__ - -----_._ _.—_—_____----- - . ,, ; i.i'.�.3U�:'U F�t..l1�:`u''�I',�.:a i � l_ii� -Ff-��_t,.:''i e�:i"".�'wiilT I . � . --- _---__�--- -`- -- - __ �__.__._.__._,I�_ -,-._ _ _ ; ----__- --------_�_.�.� ..3C..i; ,;�c � t:� � L,�,� Gitti'.,.,�IIGr: _ ";� _.. , � _�___ " ,_ _.�.�_- --------_____ _._.___ _---_.__'_..— .�)._ ,...-` �. :�7 �.-,�4/Y7.-_ .. ' - '� �v- ! ._�—_-._..'._.._, � � ."'_" _'."__'�..r.=._____�� . .... 11_. r i 4�1 4�i�1 I ...--�+�-_ ,_ ' \ � � �' .l�" i..I;.H t � r~� f I a,�i:. t i. C�-�.�i .� :'.��1„�; I �_..—•_____�__.__......_.._. ..._...� � —. .. ... . ... _�... ___ . �e�rei'.i��iu. � �•,lk � . .. � ) i �_ ___�_�_'_-„--_..___--______... .__ . .......__ � -___.. � . - i � _.._._._____.___.; t�:::ar��i�.TI-3ii�G i I j ; f-V ,v�:�)t::-f,i., I i � _ ----- _ - ------ _ ____ _ ..__._._...__ _..�...._ T t t� ti��.'-_.'vGi'���_� \11V:; I ' i � ��� �.��� � f.�., ( _" . � _ � . P:T�°�-t.��Li i--�� --' --�-'�'-_-_. ----.-�.'_'. i i'i��� �ei ir�il��.�. i i --._..-. .- _ _-_ _......_._ .__�__ry . _._ _,_-...._ -.--.___.__. __..__�_... .... .___ ..-._______..___�_.__ ...... . ._._._ _�'_'_'___'_�..___. . ._.�._.. _ : ��Q���-t �'�� � + I Ci�� ,,... � - � - -. �i i,.� . � , _ .. .._.,_._.. _.._.__ _.______....____'_.'._-._'__.______._�.t_____...:._...�.._-.,.___.____._ .,. _� ` .___.^____.. _,._..___ ._.__.__........_, �_ . ta..:J'�:+`! [_L�i.lt;;'1.----, I F;U ..t: �r.J.�: i i , . . _�. . ��.__ _ _---_ �__ _ _ ____ _ _ _--_. _...._- `...N , +^'i�4; � ' r:`l� i,�`� �.�uvi.:. rt�,.3G�� i�Ll� .�:� ' 1 _- __. _- -�.,_.__.__----._ _ __-i--- - _ ----- -----._.-___---- ----�-----.��_,-----�---.�__.__-_.-___. ;iC�"_,..:rt/TU'��lt::>I � •a�i.'). Li.�('ItiiL: � , M- , , . � ; _ : _.._-�_-__.__. ------�-- --..--- � -i_._...�-.�.__._.__—_.__. i�. lYyi�r-YJI�ii�r'n i + � . ��:�.11� ..t.��ililir ,. . �..: _ _ r I �... .,..— .....__...�.. ._. _.._...._._._.___ _-___.. _ _ .. _ _.... ._— ._ ._.7_. —___..__'—__.._._..�_..-..-._,�_� � �_ ___--.,-. .;'r,'_i_liz.;'.J.,.I i�;�: �' I i ' r v��� : fr'y,"'�1 i'---- i ,.� - ---- � _- _ _ ___ -- - -- -- ---------- ------ ---- --- P ;. .. � � � .� r;�i�: j .. .=i_ l�:�. .. .,�:I li.i� '. �%�{� _�� _ ,. . � - - . . . _ . ... . -.-._... -------- . _- ---._. ...._ .. _.. --._.-_._ . �� ,;LL i I���'� • ' �[ '����.v� � - -- _- __ . __ __.. ---- —_ _-- - � � ^�. �i �/�j :�. i�l _ � .:. _.___ _ _ _-� -- _____^-_-` , Y 'l.r,; ---� _.__ _�— -___ _ _ _.. ___. r -' � .��_;s i t'� ��";4+:: . ' � .�. . . . � . .- ' - , '__ . . __._- � ._._.,---_ I _.___._�.-'-�-�,---_'_.' �- --- -�- ----- �---._-�_ .__. '-- � � - -. -'�- � i i � t� _. ,. � ' . �'� � ' � � .,� s:tL.�. , .. II —,_�..._�__w__.___ ------.� .._ - ----__. �_ ----- - --- r - , , , , I ____.—.— _._.— - � . :.ww�.:..�.�i-� ,. .! � �t",' r 1.'.-.,_' - I � . ___.r _._. - __ � . . _'-- �----�_..., --._ .. - . __... __ . .._. .._._._. . .. _ ....._._� ._ rFi�f!w G�i t. � ! r`'` C � � v:.__ i , � __ _.. _ ,.� .___ . .______ ., ---.-- _ _ _._..-- --- ----- ---_____.__ __._� ._. r�f.,*.'v �:tTii. ! ! �=�.�_; � 'rl: 'i. i �[;�._ I ; --- --- -- -._ � �i � �GTF1 � � _t f �; ,�_ . __ __ _ __ _ _.. _ - - - - _ _ _ _ _ - -. _ __ -__ __ ____ , . , ; �� � v ,� ,,;� ������ � �.t i � l _ _ I � � � - -- -- _ . ._ _._ � _ - - - - s � __ __�. _ _ . . — _ __� � _ :. .�, i �:`... :�o'��s �:. _ _��_.__ -__--.._._---- - ____------ _ _ . ___ . _ __ _ _ -- - ___ _..._.____ ___..____ _. � ` t .�. -------_ _�_ __...�_---..___ __ ----- -- _ ------ -- -- -__... .., - --. _�._..----_----- - - .� ._,1 r��,Tt`,t.�ti�,i��. � - _ . , _ _ — - _.—�.—_ _..____ _ _-- ______ _ - -- _ -- ;:�::_3' ��I�i�� ��:-v __.._____ . .___ ____- �-- � ,� --_ _ __ _ _ - -- --- _ _ _ __--- - -----�_._....__._ -; ; ; E __'---_...._.-_.____._�--___`____-_._.-�_-4-._'___'_.___ _.. ' � ._ —_____. .-___.._. _