Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
11975 (6)
_ .�.� CITY OF DIAMOND BAR R DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE � 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ��`'A�'� � BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE t� ,p ` �` o ADDRESS_����c� !/�t�L��K f��P ' t DATECATION �`7�.._G� NUMBER ` q/C f� � _ �' ISSUE TYPE OCC '._�. i+ APN LOT TRACT DATE_ CONST. GROUP o: OWNER. 14✓ 1�0 Ht�Z �. ADDRESS �+ O ZONING SETBACKS � cirr A - ziP TEL. lv " FRONT RW ❑ APPLICANT TEL � ! L7 REAR p SIDE/SIDE STREET RW p �; CONTRACTOR (LO � LC.� SIDE ❑ �; ADDRESS �5 � j �y- o CITY ZIP !' TEL. w( PROPOSED USE C3� kA�27:�,c� /K�L^���5 /�7" � �+ ARCHlENG/ ���� � DESIGNER �y NO.DWEL. NO. NO. q„ ADORESS UNITS � STORIES �_BEDROOMS � � CITY ZIP TEL. �_ cn z cn DESCRIPTION 8Q.FT. FlcCTOR PSF ADJ.AREANACUATION `p ,� � _ _ _ _tlWNEH-BUILDER DECLARATION ,_ - . SFR/ADDlREM ' O I HEREBY AFFlRM UNDER PENALTV OF PERIURV THAT I AM EXEMPT FRDM THE CONTRACTORS LI- G8fHQ8/CBtPOf[ , . W� ' CENSEUWWflTHEFOILOWINqREA50N(SEC.7031.SBUSINESSANDPROFES510N5CODEANYCITYOFi (� � COUNTYWHICHREd11HESAPERMITTOCON8TRl1CT,ALTER,iMPROVE,OEMOLISH,ORREPAIRANYSTAl1C. ' W patlolDeck Z TURE,PRIOR TO ITS ISSUANCE,AlSO REQUIRES THEAPPUCANT FOR SUCH PERMIT TO FILE A SIGNED � ��� STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS L4 ' W � � CENSELAW((MiAPTERB(COMMENCIN�WITH$EQTION7a0o)OFDIVISION30FTHE8USINESSANDPR0. ' V' POOUSpO 0 '�-' FESSIONSOODEJORTHATHEORSNEISEXEMPTTHEREFpOMMlDTrIE6ASISfORTHEALlEOEDEXEMP- (!f y�/§ U TION.ANYVIOLATIONOFSECTION7031.68YANYAPPLICANTFORAPERMITSU&IECTS7HEAPPLICANTTO . Z Re-Roof [�R/ . �. ACML VENALN OF NDT MORE THAN FIYE HUNDRED DOLURS(E5o0)J: � �t,ASOWNEROPTHEPROPERTY,ORMYEMPLOYEE5WITHWAGESASTNEIRSOLECAMPEN5A710N; � CammefCi81 � � WILL DO 7HE WORIC AND THE STRUCTUflE IS NOT INTENDEO oP OFFERED FOFi SALE(SEC.7oaa,BUSI- J � �:, NE55 ANO PROFESSIONS CODE:THE CON�RAC70R5 LiCENSE UW OOES NOT APPLY TO AN OWNER OF � PROPERTY NM1IO BUNDS OR AAPROYES THEflEON,AND VMO DOES SUCH WORK HIMSELF OR HEHSELF OR . (L"' THIiOUGHHISOflHEROWNEMPIOYEES,PROVIDEOTHATSUCHIMPROVEMENTSAHENOTINTENDE00R m - - � Q_ .OFFEREOFDRSALEIF,HOWEYER,THEBUILWNGORRAPROVEMENT1550LDWITHINONEYEAHOFGOMPLE- ' . � 'TION,THE OWNERAUILDER WILL HAVE THE BURDEN OF PHOVING YNAT HE OR SHE DID NOT BUILD OR �MPROVE fOA THE PUHPOSE OF SALE�. O1,J150VMEROFTMEPROPERfY,AME%CIUSiYELYCONTRACTINGWITHLICENSEDCONTMGTORS � . �'� TO CONSTHUCT THE PHOJECT(SEQ 7o�a,BUSINESS AND PPOFESSION5 CODE:TNE CONTRACTORS LI- ValU8�i0O ADJ.AREA . W. CENSEUWDOESNOTAPPLYTOANOWNEFOFAPROPEflNWHOBl11lDSORIMPflOVESTHEREON.AND � �- -�- - lk}pGONTRACT5FOR5UCNPROJECTSWITHACONTflAG70R�5�tICENSEDPURSUANTTOTMECOMTRAG - QUANTITY-' --DESCRIPTION ' - FEE . �.. TOA3tJCEN3EUW.). � - � ❑IAM IXEMPTUNDER8EC. B.d P.G FOF THIS flEASON U 3- � � UATE OWNER V Q LICENSEO CONTRACTORS DECLARATION W � IHEREBYAFFItiMUN�EflPENALTYOFPEfl1UHYTHATIAMLICENSEDUNOEflPROVISIONSOFCHAPTER � , p�� �8(COMMENCINOWITHSECTION700D)OFDIVISION30FTHEWSINESSANDPpoFE551oN5CO�E,AND .Z X My�ENSE IS IN FULI FORCEAND EFFECT. m � Q-. LICENSE CLASS IIC.NO._*J !�-?_q__.._._________ � � �j- �DATE ' CONTRACTOR ��/--i ��� � d W � �- WORKERS'COMPENSATION DECLARATION q�� �� � vJ� ¢ � U y IHEflEBYAFPIfiMUNDERPENALTYOFPERIURVONEOFTHEfOLLOWING�ECUIRAiIONS: Z � ,_IHAYEANDWILLMAINTAINACERTIFlCATEOFCON3ENTT03ELF-IN3UREFORWORKER3' _ � 'COMPENSATION.AS PROVIOE�BV SECTiON 370o Of THE LA90R CODE.FOR THE PERfORMANCE U Q OFTHEWORKFORWHICHTHISPERMIiISISSUED. � � W '_I HAVEAND WILLMAIMAIN WOPoCERS'COMPENSATbN INSURANCE,AS RE�UIRED BV SECTION � / � Q 37000PTHELABOflCO�E,FORTNEPERFORMANCEOFTHEWORKFDRWHICNiHISPEFlM1Ti5 - � /� i ISSUED.MY WOFKERS'COMPENSATION INSURPNCE CARRIEH AND POLICY NUMBEfl APE: CONSTRUCTION �r.� �- j car3RiEA - PLAN REVIEW �� Z vouCY,NUMBER -___ - ELECTRIC ¢ � (MISSECipNNE�NOT8EO7MPLETE00FT1frPEiAYrISFdRa.'EMX�DHEDOOLLAFS(5100)ORLE&S� PLUMBING � ICERTIFYTHATINTHEAERFORMANCEOFTHEWORKFOflWHICH7HI5PERM1T1515$UED,1 MECHANICAL Z � � SHALINOTEMPLOVA�`1YPEfiSONINANYMANNER50A5TOBECOMESUBJECTTOTHE �' WORKEflS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGflEETHATIFISHOULDBECOME INSPECTIONFEE � �_�-� � SUBJECTTdTHEWORI(EH5COMPENSATIONPROVI ONSOfSECTIONa�oaOFTHF,LA80R /�97 CADE,1SHNlFORTH/WITHCOMPLVWI VIS � ISSUANCE Yrf�— [ �� �7 jy g - I` �SMIP . .�C✓ #�� p DATE: /10` v APPUCANT. � w ENEHGY P/C t'��' J. WAPNING FAILURE TO SECURE WORNERS'COMPENSAT�ON COVERAGE IS U W L,M10 SHALL 9E . . �y SU&IECTANEMPLOYERTOCRIIAINALPENALTIESANDCIVILFINESUPTOONE OREDTNOUSANO ENERGYPERMIT DOLLARS(5700,000),IN ADDIT��N TO THE COST OF COMPEN9ATION,DAMAOES AS PROVIOED FOR IN - - � SFC7ION37080FTHELA00RCODE,MTEfiEST.AN�ATfORNE`f5FEE5. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEftEEYAFFIRMUNOERPENILLTYOFPERJURYTHATTHEFEISACONSTRUCTIONLENDMGAGENCY n- FOPTHE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS i55UE0(SEC.3087,CN.C.). . �- Z W �. �ENDERSNAME - F- LENDER5:ID�RESS . � W ICERT�FYTNATINAVEREADTFN3APPLICATIONANDSTATETHATTHEABOVFINFORMATIONISCORRECT. TOTAL FEES � � �. IAGflEETOCOMPLYWITHALLCITYAN�CWN7VORDINPNCESANOSTATElAWSRELATINGT08UILDING _ . - - - � CONSTRUCTION,ANDHEflEBYAUTHORIZEREPRESENTATIVESOFTHISCDUNNTOENTEflUPONTHE , . Z ABOVEMEMqNEDPROPEflNFORMSPECTIONPURPD5E5. . Q COMMENTS � ��D��ft-� �t.Drr.� ����L� --------- - m r�� �'j {���,// . � P��1 A (Pfll tY�N��C. ��a�W'�. � 6 6J - N -SNiNATURE OF PER ITf � DATE = RECPT.NO.__._ _PAID BY ( VAIIDA � `��� ~ WHITE-Oepartment Copy,YELLOW--Finance Copy,PINK-Assessor Capy,GOLDENROD-File Copy,GREEN-ApplicanPs Copy � � �Y � � � _ I �_ f , i_ i ` � � ' ' ....�._�.�. �i � � � � � j ? ; � � � ; i � i� � C � � � � . � � �' � a { f 4 . � ( i� i 1. � j . ( � 1 j 7 � i � ��:. � � � � � 1 i � j ' � ( ( i ; ; °�, i _� > > I, I k � j � _� ' � �.. � ; � � i-i � t i i � � ' ; ' � � � I , � � j ` n �� � � .{" � ' � ; � ` ., ! � ; � , � i ;, ;, � f � ' f � �G ,--E---E--� ' ( � a -- � : I ,.. ! ! � ; { ; ' > > � -'i_"`�"_ � ; � f �� � � i' � € ., �_ � , �__� � � ;� ; I��E;_ i � ; I : � � � y � � _ ` ? ; � ' ! � � I � � � { " ° i j � � � ` f ! � ' � , � ` � -� a ' ! � -- —�— � � I � � I � I � � ` ; - � i:� , ; E ,__ i e , � i ; r i ' , E � i a � . . 3�= p�� i � i � ' I =�� � � f � � � � � s . . . �n €-- '�` € i � � �-6� f�,����� �i ' j � � l i I � ` � � ( ! ; :—� � ; i � � I � � �, G; .� �� � � �.� � ( � � ; ; � �'� � � ci��,� w�-� � � ��� "--� c�5�� � '�1 ��. G,_ .,; � �� i � i I � : � '[��, c� � � �' c�:t , �c� �I � ;�� � � �. � h- tr t,''i�"o�, o�� rp °� '� � � � � I� c�� i� t� �,� ,�� � - � ; I � : n �; �tI �- � i� c�. ,' � � c�;t-� C7I i� .0 '� � � C.'� �; -. � � u:� � ( i 3 � ( � � �}��( � C, � C�.`c�i�f��� � uai� `T � �fl���si�,,i,��� � � � � � � � �� � � � < -�Ic'� u- u- ,�[ �}m �iC �r� ��{ r .s.�i � � �� � ��� � i � � �� � cc� � �C7 ��� �i����i,. a�u. ��'���' jx�� n � ' { � _ j ' p �"�-� i.� Ltl�@. �.�S!�f.� '+...5�� �1 3 J I.e.,a - stl�C� „,3 4!� F i.�y � � �- �" � � .� � 1 � -.� y � � � �I �t�.; L.. <C a;l� i r I s �.t � t+' ^i t€. �.,I� m � I � °��,� _�� � ���I� ��� ���'�i�;�-i,� � ��� �i�;�:�� ��� I � � � � � � � � i _ ; ( � � � , � i , � c� � —� � -- � , t � � i ' � � � � � , ° j �( ; �; , � � ' � � � � ' �. £ i i • I � ( � Z � i �� � ; � ? ( � � � � � ! �. r i k � ' � � � � i 4 ; >; ; ; � i � � � ; j 3 � � � � I � � � � ' ' i � ' II � I , �i � + �' � ' ' � � ; � i j � ' ; a ' � ' I � I � I .�, �. �, ; i � ,, � � � ' 3 , � i � ' ; i ; ��` �; , � ( :_ ' ,.� � _ �_ __;_� � rf � ' � ,a � , ; � I ! } � � I i � � � � � I ! � � ! �� ' I � E j M � ��� � ; � ; � ����,p� , � ,� 1 , a � � I ! � �? � � ��� .� � � � ` ( \� � � ', � � �IQ d {{ = � 7 { •h ! � ...._.�{—�7__�--J.��'. ...�..,......�v.' ����.— I � .€ � � � ( I '� � { � � .� � ��) � E f - � ��� p � � � � € ���� `'..�1.('�I�� I � �� ''� �f 1,.. Cl? 3�'-�5 � - I ( I i � � �Y.9J � � �" �_ta? ..7° r— I V^ 1 3 � ��- �.- � �� F.� `� -C. t,� �i � � ,�, ..7� 9�! .� {'7�� �tz I- _ �la"�;f— �1� � �r 1 �� i� � (`�� � 1 ` �s;c" �� � -�' �ey ���.� �C E �I Ii �.! ��� _��,�� � ' � ��; � �r �,' ��� �} � `�' ��� i— �,�� �;�,� � � � : � g � �- ; x.?t�.. r.,.� � Ey 1,�.� �^" �i i�a c: E�u��1� .n � r �—�I r��- t= t"9 ,i�).�.,).�.�� � �.� � i ( . � � . �. 3�- CS ��� � a5 ! � 6a1�.7 � .�i �r ( -� c'_y�[j �3 CL-`�` JJ;i. L.J "�_ t.GS t3�� Cz��� ,� ( _ 9 2 3�lb i���, 'i (71'�. {�J i'��'1 ��k Cl.:6 `..�3���"� {)�A. �°-°I '�i 319!.J_{ � e y i �`>� � u� t3({{�3�- a,��i� � �.t� �� C�S. 3� �„, �I�. ��1�-s€a. �c� . �s p a a .r� ,`��.« � � � 3 � �, � �--Esa � iL � {LI..�°�l`'' �d��{{��� 't��? C��:J€� >4 '� W°'��63��f'S d � �ja`�.�E �� � y � � � ;� �� u�;�I I�'cE:� ��.-€�;gr��,. �. Ci � e��tr .t, �{.5��1 c�t t�#{�} S� �x �[���..�� `o� � , q �S ��.n � �mW_.�_u.�a1_.__._�� � € � t � I �`� k.��.��..�..J �. - . : ��