Loading...
HomeMy WebLinkAbout11420 (5) .. - - �� --� CITY OF DIAMOND BAR COMh1UNITY DEVELOPMENT DEPARTh1ENT ,S-,•C� 21660 E.Copley DriveSuite 190 PRESS (9D9)860-3195 Fax(909)861-3117 '`^' BUILDING PERMIT APPLICATION FIRMLY N JO�SITE � Q ��� /> ,/ � APPLICATION PERMIT P/C' o ADDRESS t�/< <+'C' �V � DATE NUMBER � � # c� ISSUE TYPE OCC APN LOT TRACT DATE' CONST. GROUP p OWNER E/LFL(.� � ADDRESS �i�Si �LPAff-�S ��� ZONING SETBACKS z CITY �.F3�:Q ZIP TEL. FRONT RW ❑ g APPLICANT TEL REAR ❑ z SIDE/SIDE STREET :ti ❑ ¢ CONTRACTOR SIDE ❑ ._ _ _ � ADDRESS — � . � CITY�L>1V�f�L�- ZIP TEL.�O �Dl,� PROPOSED USE oARCWENG/ �z DESIGNER N0.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ' � --� OWNER-BCILDER OECLARATION SFWADDlREM -- - - � - O 1 NEREBYAFFIRAI W1DER PENALTY OF PERA1pY TMAT I AM EXEMPT FROM THE GONTRACiOFi$LF GaragelCarpoA W CENSEUWFO(iTHEFOLLOWWGHEA50N(SEC.7o31.58USWESSANDPROFE5510N5CO�E.ANVCITYOR (n - U COUNTYWfNCNNE0U1RE5ADER1,11TTOLONSTRUCT,ALTE0.�P�'1E,DEAAOLISH,ORftE7fJRANYSTRUG W patiolDeck ' � iURE,PRqR TO 1T5 ISSUANCE.AL50 REOUIRES TME MPIIGWT fOH SVCH PERMIT TO FlLE A SiGNED w STATEMENi iHA(ME OR SME IS UCENSED VURSUANT TO iNE DROVISIONS OF THE CONiiiACTORS l4 W S GENSEIAW(CNAPTERi(COGMENCINGWITHbEGTqN7oo0�OFDIVISqN]OFTMEWSINESSANJPpp. LL PooUSpa � FESSIONSCODE�ORTMATHEORSHEISE%EMPTTHFREfROAIANDTHEBtiSiSFOHTNEALLECE�FJ(EMP• (� ViION.ANYYIOLATI0NOF5ECilON70]1.56YMIYAPPLK'.AN�FORAPERMITSV&IECTSTHEAPPLIGANTTO Z Re-Roof AGYILPENALTY OFNOTMORE THAN FIVE HUNDHED DOLURS(iso0)): O Z ❑I.ASOWNEROCTHEDNOGfRTV.0ii4YE�7LOYEESvnTHWAGESASTHEIF50LEC0117EN5ATIpN, Cp(�mBfCi81 W�IL DO TME WOPK AND TME STRUCTURE IS NOT INTENOED OF OFFERED Fpq S/�LE(SEC.70N.BUSF J � Ne'SS AND PROFESSIpNS CODE,THE CONIMCTORS LICENSE UW DOES NOT A7PLY TO AN OWNER OF � , DFiOPERTY NRq BU0.D5 OR IMPf�YES THEREON.N1�WNO OOES SUGI WOF1N N�MSELF OR MERSEIF Oq CL iHROUGHW50F1HLqONMEMPLOYEES,VROVIDEDTMATSUCHWGROVEMENiSARcNOTPlTFNDEOOq m : QOFFEHEDFOASALE.IG,110wEYERTMEBULL➢�liGOR11APROVEAAENTISSIXDY.�TWNOtvEYEAROFCOM7LE� z T10N.THE OYlNER�BURDER vnLL MAVE iHE WRDEN OF iROYWG TwV ME OR SHE D�D NOT BUiID OR � IMPROVE FOR TME WRPOSE OF SAIE). 01,ASOWNEROFTHEDROPENTY.AIAEXCLUS�YEIYCANTMGTWG WITMLIGENSEDCONTMCTOR$ � � TO CANSTRUCT THE PROJECT(SEG 1Wt,BUSINESS AND PROFE5510NS CODE THE CON7iUCTOq$l4 VdIUOliOfl ADJ.AREA W CENSELAWDOESNOTMYLYTOANOWNEqOFAPROPERTYWMOBUILD50qWPR0YE51MEREON,ANO . � YAqCONTRAGTSFOp$UCFiFRWECTSWIMACONTqACTOR(S�LICEISEJPURSUM7TTOTNECONiMv pUANTITY DESCRIPTION FEE � TORS LICENSE I!W I. 0 ❑I MI E%E61PT UNDER SEC. B.1 P.G FOq THIS REASON Q U � � u" DAiE OWNER � Z W �¢ LICENSED CONTRACTORS�ECLAFiATION W ¢ IHEREBYAFFIPMUNOERPENALTYOF�ERNNYTMATIAML�CENSEDlN:OERPROY15qtaROFGHAiTER � p„ 7(COMMENGN6YA7li5ECT10N10D0)OFDMSION�OFTMEBU57NESSAN�VROfE5510NSC00E.AND z �X 11Y LICENSE lS W NLL FOHCE ANO EFFECT. ��/�;� m � LICENSE CLASS G L�C.NO.�L��/ � 1-- � V DATE GONTRAGTOR_ .�,' a W � WORKEfiS'COMPENSATION DECLARATION ���� N IHEREBYAFFIRMUHDERVEN11LiYOFPERIURYONEOFTHEfOLLAWWGDECLAfiATqNS ' N Q � �IHAYEMlDNnLLMAMTIJNACERiIFIGfEOFCONSEMTOSELFdNSUREFOHN9fiKERS' _ '�d- COMPENSATpN.ASPROViDEDBVSECi�ON770oOGTMEUBORGOOE,FOIITHEPERFORMANGE w OF TFIE WORK FOfi WMICFi TMIS PERAui IS ISSUED. � - 0 W _�INAYEANOWILL1MiN7uNWOHICERS'caMFENSATqNWSUfLWCE.ASREOUIRE08V5ECTpN � 370o OF TME IABOR CODE,FOR THE PEqFORMANCE OF THE WORK FOR WMIGi THIS GEiUAIT IS �SSUED.MY WOfiKEas'cOMPFJ+SATprr wsuR.wcE CARn�ERAN�PO�ICY NUlABERARF: ' CONSTRUCTION • j u,qq�Eq O C ` _ PLAN REVIEW � POLICYNUMBER � ' ELECTRIC 7'� O p omassEcm�n�mrnTeEmr.w�rEpoFtrEpEw�rsrnaa�ruor�oauitspi � PLUMBWG O � I COG �J /� w ^ Z I GERTIFY TMAT W THE PERFORMANCE OF THE WORK FOR WHICN 7H15 PERAIiT IS ISSU ,I MEGHANICAL (,�} SNpiL NOT EUDLOY ANV FERSON W ANY MANNER SOAS TO BECOME SU&IEGT 70 TNE . � WORKERSCOMVENSAiIONUW50fCAlIFORNIA,ANO�GREETHATIF�51qULDBECOME INSPECTIONFEE - S SU0.IECT TO THE WORKEHS'COIAPEAISATqN PROVI510NS OF SECTqN�7000F THE IABOR /�'� CODE. ONTMWITM GOM7LY WITM TMOSE PROVISqNS. �SSUANCE I"7 � �.y���� ~ SMIP p WTE: � ! APPLICANT:f����'�-���� - � ENERGY P/C J WAFiNIN(i:FMURETOSEWREYlORI(ERS'CAMGENSAiqNCOVEMGEISUNUWFUL.MlDSFULLBE LL SU[11ECTANENPLOYERTOCFIMWALPFNALTIESMIDCMLfWESUDTOQVEHUNOREDTHWSAND ENERGYPERMIT DOlU�NS(f1oq0001.�N AJOITION TO iHE COST OF GOMPENSATqN,DNAAGES AS PROYIDED FOR IN J SEGTION7TO/OFT1fELABORCODE.WTEREST,ANDATfORNEY5FEE5. - RETENTIONFEE: Q pW_, CONSTRUCTION LENDING AGENCY PqE-ALT FEE: � � O - � IMEREBYAFFIRMUNDERCENALTYOF7ERIURYTHATTHEREISACONSTHU�T10NlENDiNCACENCY n- FORTNEGERFOWAANCEOFTHEWOfiKFORWHICFiTHISPERMITISIS5UE0�5EG.3oG7,CIV.G). • Z W — � LENDERSNM�E F-- IENDEitSADORE55 ¢ ICERiIFYTHAiIHaYEPEADiM�SMPUGTqNANDSTAIEiMATTNEA60VEWFOW.�ATqNISCORRECT. TOTAL FEES W IAGREETOCOAIPLYWITNALLGTYANDCOUNTVOROwANCESANOSTATEUWSRELATWGTOBUILDING - � CONSTqUCT10N.�NDHERE8YAU7MOfi12EREPRESENTATiYE50FTHI5COUNTYTOENTEHUPONTNE z �BOVEMENTIONEAVROPERiYFORINSPECTIONGUqPO5E5. COMMENTS � Nr s r,�So� > > m PEPMI w�..+/e�tvwnn, � - � N � ✓/ � �t� N SIGPUTUREOFPERYiTTEE OATE = RECPT.NO. PAID BY V DATION ~ WHITE—Deparlment Copy.YELLOW--Finance Copy,PINK—Assessor Copy,GOLDENROD--FQe Copy,GREEN— plicant's Copy � . ; I , •- ' _ _ - . ( -: . , , - , joQ ' � fl � ' � o � ma � c� ¢ _ ' , � (r . . o u � zmau� ? � v ¢ a " o — O � � aoowmc� oZ ¢ z a � � � c� z � ,Q ' - L] U m � � � LLmzm ❑ Z a ¢ UU -� � z u7a. zu. aa + • ., , z W , o � oo � � o ❑ zoc� ¢ ¢ wzQ oc� a � z ~ 'uv, � C7 � � m z O ¢ z � � � w Z w � z a - p a � w o fr � cz W ¢ ¢ 55 �.: om � = x w � u. � awUWt� Wxw � � e ' � W W d d m J (� U = J J J tA U J � F- J O h lL .. � Q 0 Q O O W W 0 a W Z � N O O O LL. ❑ Q Z � Q W Q � W � ' - , . . a � 2 Z Z Q � - � z Q W O Z O O O U- W Z Z Z ¢ W W Z Q � L� � � � ti. li � m ti a ¢� Q lLL R. n. d O O LL � O tL li. 2 ❑ W - u. U p w ��� , r � o � ' Ct �i _ . � - "' ,. ` k�� � _ ,� .' �.; '� Z � r . �'�' Q ' `.-! _ � W � � a � � O N • FW- 7 m W Z =� ' �} � z W Z O ~' z ! � V C7 CA N u� ¢ � w � j � w ¢ t= U � mo ~ � Q � F- Hz ¢ m F- � YVJ � c� -' oW ¢ a waw � = � grnz , zJW � � c~i � z Y o� v a ¢ � wwZ > wJJt � z zQ Fd-12-� • U p — O OC O Vl 2 C7 O 2 W 0. CL = � � F¢-� F- ~ O W J � W - ' . � Q � � Z �ry a d �n z c.) = Z = w �Q' z c7 a ¢ U a ¢ U 2 w a. � U n. m � w � p� p. W LL � LL.. (.7 (7 C7 � J1- J � Wz a W (A Q d Q ¢ � U~.W � w J LL � W a O ¢ O O O O �2 X ¢ W � GJ W W a z Z Z Z O W W � fn � W C7 CA F- �i CC li [L CL Q CL (n W � U � (q (n fA C7 4. LLL LL. LL U V1(n