Loading...
HomeMy WebLinkAbout14747 (19) �� \ �' , P� � _��__ CITY OP DIAMOND BAR ��J/��fl`�'( \*� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �`�� � '" 21660 E.Copley Drive Suite 190 .,.,.,.,,....� (909)8603195 Fae(909)861-3117 PRESS "y�" BUII,DING PERMIT A�PLICATIbN `. FIRMLY o� JOBSITE _,,,�E���S!J-F'_�`-'�'"V " DATECATION �� � NU BER � q/C ADDRESS `' � � ISSUE � �TYPE OCC APN LOT TRACT DATE _� f1�CONST. GROUP p OWNER o ADDRES ZONING SETBACKS � CITY a ZIP �EL. REORT RW ❑ APPLICANT TEL. SIpE/SIQE STREET RW ❑ � CONTRACTOR ,� �N SIDE p q� ADDRES '�' p C�TM Z�P_ TEL � PROPOSED USE o ARCH/ENG/ z� DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS cn cn DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER�ECLARATION SFR/ADD/REM O p I HEREBY AFFlRM UNDER PENALTY OF PEItJUPY THAT 1 AM E%EMPT FROM THE CONTRACTOqS ll- G2f8 JB/CfllPOA W CENSELAWFORTHEFOLLOWINGREA30N(BEC.7U31.SBUSINESSAN�PROFESSIGNSC4DE:ANVdTYOR (f� C.� COUNtYNMICFiREWIRESAPERMITTOCON57RUCLaLTER,IMPFOVE,DEMOLISH,OflREPA1RANYSTRUG W PatiO/DeCk W NRE,PRIOR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOF SUCH PERMIT TO FILE A SIGNED W � STATEMENT iHAT HE OR SHE IS 110EN5ED PURSUANT i0 THE PRONSIONS OF THE CONTRACTOHS LI- � � CENSE UW(CHAPTER e(COMMENCM�WITH SECTION)ooa)OF�IVISION 3 OF THE BUSINESS ANO PR6 P001/Spe FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANOTHEBASISFORTHEALLEGEOEXEMP- (� TION.ANYVIOLATIONOFSECTION7031.5BYANVAPPLICANTFORAGEqMITSUBJECTSiHEAPPUCANTTO Z Re-Roof � ACML PENALTY OF NOT MORE h1AN FNE HUNORED DOILARS(f5oo)�: � ❑�,ASONTlEqOFTHEPROPERTV,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � COrt1rt18PCidI WILL DO THE WORK,AND THE STRUCTURE IS NOT IMEtdDED OR OFfEFEO FOR SALE(SEC.7014,BUSI- J � NESS AND PROFESSIONS CODE:THE CONTtiACTORS LICENSE lAW DOES NOT RPPIY TO AN OWNER OF � PROPERTY YVFIO 9UIlD5 OR IMPROVES THEREON,AND VlHO DOES SUCH WORK HIMSELF OR HERSELF OR Q THROUOM HIS OR MER OWN EMPLOYEES,PROVIDED THAT SUCN IMPROVEMEM1TS ARE N07 INTEN�ED OR m ' � OfFEREDWR5AlE1F,HOWEVEFi,iHEBURAINGORIMPqOYEMENTiSSDI.OWI7HINONEVEAROFCOMPIE- Z TION,hIE OWNER�BUIL�ER WILL HAVE THE BUROEN OF PROVWa THAT HE OR SHE DID NOT BUILO OR = IMPROVEFORTHEPURPOSEOFSALE). V„� ❑I.AS OVMER OF THE oROPERTY,AM EXCLUSNELY OOMRACTING WITH LICENSED GY7MRACTORS � TO CONSTRt1CT TiE PROJECT(SFC.7oa4,PUSINESS AND PROFESSIONS CODE 1'HE CONTRACTORS Li- VflIU0ti0n ADJ.AREA 11J CENSEUWDOESNOTAPPLYTOAMUWNEROFAPROPER7VWH06UILOSORIMP}20VESTHEREON,AND — — '— � Vh1DCONTRACT5Fpp5UCHPR0.IECTEWITNACONTRACTOR(S)L7CEMSEDRURSUANTTOSHECONTMG QUANTITY DESCRIPTION FEE Y TORS UCENSE UW.). � Q ❑I AM EXEMPT UNDER S�C. ____B.d P.C.FOR THIS ftEA30N Q � U W � � OA7E _, OWNER__ ._ � � W � LICENSED f,ONTRACTOR5I]ECLARATION W � 1 HEREBV AFFIRM UNpER PENAITY OF OERJUPV 7NAT I AM LICENSED UNDER PROVi510NS OF CHAPTEFi � � � 9(COMMENqNp WITH SECTIDN I000)Of�IVISION 3 OF THE 9Ug:NE&5 AND FROf'ESSIONS CODE,AND Z MV IiCENSE IS IN FULL FORCE ANO EFFECT. .� o LICENSE CtASS�� LIC.IJO. � S � r ���,-p J V DATE �?,�� : v V CUIVTRACTOR _ W � WORt(ERS'COMPENSATIOM1!DEc^,LARATII)N Q � 1 HEfiEBY AFFIRM UNDEF PENILLTY OF PERJURV ONE O�THE FOLLCWING DECURATIONS: Z � 1HAVEAN�WILLMAINTAINACERTIFICATEOFCANSEN7TOSELF-IVSUREFOPKK7RKERS' _ COM➢ENSATK)N.AS7ROVIDEDBVSECTGW3�or.OFTHELA.80RCO0E,FORTHEPERFORAiANCE W '�uEWORKFORWHICHTHISPFR1AI71RIS5VEO. � Q w �1HAYEANDWILLMAIkTAINWORKEA�UJMPFN5ATI0YINSURANCE,A5RE0UIRE�BVSECTION � 37aoOFTHELAeORCODE,FORTHEP`cflFQRMANCEOFTHEWORKFOAWHICHTfiiSPERMITIS ISSLIED.MY WORKEAS'CAMPEILATION SUflA CE CA�ryg��I,E�R WC POLICf hUMOER ARF� CONSTRUCTION _ � CARRIER����� �~�j�'�y�1'c-.3L-�/�z —_ PLANREVIEW _ Z POUCY:JUMBcR_ .��L__L <�._��_�.L�_ _ _ _. ELECTRIC ... _ ._.__— Q p (11115SEC:TqIVNE�NOi8E0�.15'LETED(�TFIEPEfyrY'tlSFbtiONEFiIN�URED�JLLARS(Si00)ORLE55} PLl1MBING � /�� Z I CENTIFYTHA?INTHE PEHFORMANCE OF7HE WORK FOR WHICH�HIS PERMIT IS IS:iUED,I MECHANICAL (�'' SHALLNOT EMPLOY ANY PERSON IN ANY MANNGR SO AS Td 9ECOME SUBJECT TO 7NE � WORKERS'COMPENSATI�NLAWSOFCALIFOqNIA,ANOACREEFHATIFISHIX.ILDBFCOME INSPECTIONFEE � SU&IECTTOTHEWOR!(ERS'COMPENSATIONPROVISIONSOFSECTION370GOFTHELA80R ,,����('� � /� s CODE,ISHALLFORTH541THCOMPLVWI OSEPROVISIONS, ISSUANCE !\N►,/.__�__ p /� O .�(�y`I �-[� �y�� p �ATE:����+'{6APPLIGAN7: _ SMIP Y_ .__�.�_fs� j N� J WARNING:FAIWRETOSECUHEWOHKERS'COMPENSATION AGFISUNLAWF �SHALL9E ENERGYP/C .s[T► b'� � SU&IECTANEMPLOVERTOCRIMINALPENALT'�ESANDCIVILFINESUPTOONEHUNDREDT ENERGYPERMII"�� OOLLARS(LiOo,OW).IN A�DITION TO THE COST OF COMPENSATION,DAMAGES AS PROYIDED FOR IN ¢ SECTION 3TOB OF THE LABOR COOE,INTEREST,ANDATTORNEV'S FEES. RETENTION FEE: OCONSTRUCTION LENDINGAGENCY FqE-AlT FEE: � 1 HEREBY AFFIRM UNDEN PENALTV Of PEAJURV T}IATTHERE IS A CUNSTRUCTION LEN�ING AGENCV FOR THE PERFORMPNCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED 15EC.3a91.dV C.�. Z W � LENDER'SNAME_ _ F LENDER'SADDRESS � TOTAL FEES W I CERTIFY 7HAT I HAVE READ THIS APPLICATION AN�STATE 7HAT iHE ABOVE INPORMA710N IS CARRECL � I AGRFE TO CAAIPLV WITH Al L CIN AND COl1NTY OROINANCFS ANO STATE LAWS RELATING TO BUILDING � CONS7RUCTIGN,ANDHEREBVAUTNORIZEREPR �MATIVESOFTHISCOUNTVTOENTERUPDNTHE z ABOVE-MENT{ONED PROPERTY FOR INSPECTIO�PUq70SES. M NTS m l�L�`��-� � � - Q PERMITTEE PRINT) / �� N ` �� � ,�„ �v� � SIGNATURE PERMITTEE OA E = RECPT.N . PAID 6Y VALIDATION ~ WHITE—Departrnent Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOIAENROD—File Copy,GREEN—AppiicanYs Copy ,.. ... .. ,...., ....:�. .,,�...�„ .;� - � ,; .�.. ,y r ...p . .-, -�. .... : . w . �:Y �„.. ,,,� ,..... �,.� , . ,. ,,.� ,.. ;�. , .'�"� , .,. :Mk.�" . ���� �` ����� � ��� . ` . y 1 .. ���� ���.� �'� ' ._., ... . � ����� ��� � �r�,, ���� ���:. ���u � - ,�� : � : ��� ����,�� ��o: �� ��� � ���,� ����.� � � �� � � � �.:� ���� F .. �:a. ���e�., < .�._�� � .�� ,��; �. � a.' i � , �,�a �.��. :j,�.,. F:�.:§ , . ... � , ... �'�'A-�S � �€.,,.1 � �- ` � �'-i„„��. �".�LdC�3� ! --�N � � �#: _ ....,�..................... ..._......._...,.�...�«_...._.,..m.... ..._.. .............___.."'"" �_...._._..._ � . .._ .. , - ..., ..._._.. .., ..._.....,.............__. .._,..._. . . _ .. �_�. � � � ;... .;__ �-_ -_"" � E ���4. 1-Y �.��Jt� p.: e _.� � .�.�p � ...�� Y� . s .... ....�_ . .._... F ._�._ .._._......�.. _ . .. �^� f. [ .... __....... _ .._._._.._ .�..�....... [ -� '�` ..._c � 4.�«1..Yw4��"'°&i..' `� �/�Y 4€b � � � �p�0.I81f.-,i ..wl ?fR,...�`�3 &# ...,._...,... .. g_...�... .... .. .....� ._ ... ... ......�. .._�._ .... . _..�_ .. �..._.w�. .... . y q �.w ' S. . � "' -�'�`I t� .� t za E'.� s ( j 9��7 r ;...� r�i �i.a4 cx'i j_ �� z . . . q �-- ._,„.,.�_ ..�_...,._{.�.. .. . ..,.........._.....,.....__ ..�.... _. .�_ �............. -_.._, �__m_.�.___._�____. _ .... _... ...� .�'e .. �..____ g � z,,t�q��a,�-;�� � € � 8C`3�i"� '.�'� t'L`✓�..'� C;,���.�.s � k 3 tl t _ �;.. _ _._._ _y__�._____.___��___. _ _ _ _ ._ ____ _ __.._ � � �',r�� E` kgi,�-;� � E ����t�c,�. �3�s ,e ��-z;,��4 € , � _ . _ � �_.��.___ , �.._._.�..v k.___ �______r.,___�..��_.�.. __.�.._� _. ��sa'�',-�a � g�( �- � I i ,;��� IT '"`� �l�.a�_ ,'�#'---_ � t �_��__ _ ._ _�.�____-_ r _ --- � -� �-__ W. __.__�� j �. , ;��� ` wi_a . � ; �� �°s,��t���AE�� �- _______.... � � ��°s�it ����m�e+�M_� .h3��i!"' �°�E___ .._._._.... ..�m_____._......._�.�____m_._�_.._._.._ :`��"�aal t"._....'.<��� �a:�:-�'�:_.....__.,........ .._.. ��... . .... ....... ..—____.,...___..�.�. W.....�Y € [ _ � j� < � - •It-�: �� `� '�. ,- .,.F: �"+e ..'� E � ( �f I � � i �„..»�..._..,..- � s6 a .._,.._....._.......,....._.w_.�_—_�__�___pm_..._....�..__�_�......_ �. ...... .�_.._�._ ...__.._....._.........,........ .._.......�...._.........._.-.-d"___"".....w..�..�. .......____.�.,_ i � *`�� � �' ��" I ? � �� ,�d�}-����� __. ._.._ ' �._. _.__��._.... ..__._�_._� �� __._.____.. � _._____. _ _. . � __—'- _ — —€— �a I �'"t°��e �"t �'"t v i S� � � . � � f 4 � ,�t€ �'�; ��"����t{,� i .. _.,, .....i.. ........_._.�.___'_..______ ...._ .._.._. t-- ._ . _.___ . .�-_._...___..._._,_,. ....,....._...._.�..,..._......._�.._ . ..._� ___......_ I( .: � . ( ,.n p .., � r a.' � . i Ri?I I.c h � � 4'" �, '" ��..7 ����3L1i„� . ... ._.. ._._...._.._.�t _..�.—..__ .........�.._._.... ...._. . ......._........�.....__........�..._._ _...._... __._.. _.�.,, . _.__._.... � �, w, : � c e-7�3f I $ r�"..�' . . �i��+ l.a.� { -# e q I. � _._______ �.............................._..._..�. _..,,,._„ . �_ � _. ._._.�._ _".....,.�......,..__..........._�......_,...........,._�,__�._..._..,...._..._.� __ _ � ¢. , ( I � � s i � �t- .` �€$i Pa � ; � ; I�'�C 3 t �'�� E�?a ( � _ �. __.._r.� � ..._�._____ _._....__ _r.. ._..._. _._ ; — --- _.._ � .�..�__ . ! �arf`,6 #���' t@�` ��:� _-_—�._.___ _. ._�. �___..._._ _.__ 3 . t`�v�� f §§ � _(---- � .r:.. 6 _.� �g i 'T ' } s( % ` �;: �,e?`4 1 1 .6 S E „,�. y ... � ._ .._. � . � .N . � ..� . ......._.. ....�__'____...... . __...E......._,...,_,.�.w.— ...�...�... __ .. ___M_.......______..L��._.:_ -m--__�... .._...........�..�.v..__._. . ._.. .... � I .` t�ft3 � �a�,�.� °§'4:t- p � &_:L����I�6a1?�s ; .... , � .. . __ _.�__._ . ...w..._ a. .� �__�__.�. .__.�... � i . _... ...t._ . .. . ....��_ .�� 1 � �="���si° ,���:� ��.__.._..._.._ � __.____ __,..,.�...�...�.. __ + _. _ ........_.....__�._._ ._. � � -,— .— -- � € � � � — . . �:,�.. . m ; ` :.: 9 .m}�..._........._�......_...�_,..,.....�......__�._�__-___ , �, e��.�� ¢n @,., "% � i .� , ..._..... .. _._ .._.__._ �._...______ � .,,...,.._ ...�.. . ...._._._._ � �t € � ,. � I v�� c �� q���,� —�---_ � .....____..._._._. _$ a��____�_.._�_m....__ ._.. ,. __ �_.._..._—___.____...�.i..�.� ...._..._. �_._. .__�._.. ._ ..._._ _. .>„..� 4 � € € i �E�� �m!,a$f���.�� 3 3 r ... E s^ € � � ...,.. .�. ....,_..,._..__�.o--............__�,....._____'"__........_"'_____.___..__..__ _ _. .. .. . ..... ............_.._.. ......... S ___.._.._�,..._ _. . __.._._.. _. .__ . .. _ . ... >... ¢"[__r;� g �_ ..� ._... � _ .�i. _�, .,��b.;],. � ! € i �es"#�.. �'..�f C. 3'��('�t.- � t , _ � . .. . _ _. .. ,.. .. ...........__.�,_�.....ew.e...__.. . . .. .. .. ,. _ i ._.� z.-....._.........._......__.��.. .......... . -. � '-`�c� e� � � € � r a �s �°,� €.?S �� a' s I � �. � . .�.�.;__. __..__�_.�_.. t _ _ __ _�_._�__w_.m._� . .__ _._ _. ...... , u � � e.? a Y"'�l4.. . 4 . . � d..`�""i �"�Y'� ��i�� i �`� ( ._. ...... _.. 2. ... .. _.� A. ..._ _ l __ ._. . ....... ____' . . ._ . . . .— . ... . ... . ......._ I_._._.,_....i � t � �,st�s� ' i a l [ �`l�C`]f ' [ I ____ _ .____.._ _.._r.. ._�� --�:_..e..w_.� ._e...____ �______._�,.,.... . _____ —�______,�.�._._.._. �-�. ...._. ' _. .�.M. __ � � �� ��'��� � � � � � .... _�__...��.���. .____ _.___..L_. _.,_..._ _,_...___. ...____ ... __ ����� �.�� '� �sx __ _._..__ ��.�___._m.m_ �� .._�_�__ _�._ _� _....,. .... - < . . - ,.....1 . .F ,. � � . . _ . . �. rag._ ��a�p, �-r� . �. . .. .�v .... =...a�..��. �#� �� ..� .____.......F....,....,....,.�........_..................».__...._._...._..____._ _.....n_.n._._.. �.___w..._.._.._................_._._.._.__._a.._m......_.._...._._..__..._._�._.____�___.._.._.,..,.__ ? ¢__...,_._ ._.._._._._ ......._.._._. ..._._...__.....,......................... . „_.>.................,......._..................�.....-,....,....,... ......_..-...._.,.........,..,.........,..,._.,.....___..........._..._aP.,._'__..,..._��.�......,..._......�.....�._._.........,............�..... .....,...............,_._.<._� '_._..:,.._,......._..............._�.�».,..........-.-....,.,r..._ __�__.�.___. ..,._.....�.:�......_.........,..............,..,..,,........._..,,._.._.......___.. ...._._.......-..-....._......... ..................._.............. ..................._.......__....__.�.. _._._..,.....�..�........_._...-.,,...� � ,._e a........_....�.._,....�...._............,_�.._.-_........._�.,,�.r__��.......__._._...._�....,_._..,............_..,_._.....�.._.�.�....e._.,........ .._..,.._......_....... ......... ........_.__ .._.—_. ......__..._"'__. ..._...__._..._�.___�"__.. _.__ .__.....__._.� �............. .........._._.............. .._.........._..... ............,..,....,............... . L .-.....r.........,...,..,__._._....,...a..n.. _ .._..e._.........._.. _........... �»�..... ...,......-..._...�......�,._ .,...__.... .. . ,.. .. .. ,. , - . �. � �'G .i"' ]��- .... . � _.. ... .._... ....i. :' ..................................._._.........,......_.,....".'_____.....,...__.._.,... ___........,.._. ............__.....__.....___.__..... _.. .___........_..._..._....m_.__... ......_.._._ .._..........�.___.._...._.._._..._._...__.......__..._.. ....__.._....d. .�._.._�... .....:.._........_......._..._,._.. . ... . 3 j?!{ „ � �:3i.t�i. . . . 3 '^1n v� ai . , . , ' _ � ;._..,»....,,.....� __._...�...__�...._..._.._ . . ' ..m, . ...,.._.. .,�._....�.-_•.______. ._.._ ._. ,`�. � ✓•ri; . .��l ._ 4. �' . . , . a'� �� .' � i sr�.`z+tit:tis ,� �'f ; • a,�.,. '` r �d'":� � >' _..._ ........._..l �_..______._ _______�___._r_...___�.�. �,�� _.�_......_._____ __. ^_ _.�._�_._m. �._._____�_� , � "^ ,Y'a ' �� �" ^ ' � __�_....__.� _.__.._.��.�wm � < ` � ' �_._.._..�. _. ' " ; .......__ _______.._ _ _..---___..,�._ � °�''��", 4 :_.�_�m� . 1 �s�-�a,,� �� �,-r .y a w a�:»�`�s �."�`m -- .�_ .—__�_............._..__......... .............,___m__�_....�.. ____.� - _._��__.......__ _...._�__........_..__._...__._.._._ .__... � :. ._.,__m.._._..: � k....�,�..r .,t.,� ..a,.:..:._ �....�,._. ` .,. :�. � ;.�a���' _.µ � .... .... _._..,._. .__ .. __._ _.._.. t � .:� �#: "�� ���� -�-� . . _ . .... _ ..,... _...._ ...... � �-� �� ��������� .. , a � ''�.�`F��" �: . _._.._ . ._.. .. . .. .. .. ... . _.._.._ .... _.�... .._.m_, __. —__. - , � :: '� �5���.�i�^B��.�-. � € ; �� 9 :: �.t�' ____ ____..._......__.,..�,._.._...._........_.,......_ .._,..........___.,..__....._...__n... .._.,.................._........... .....,.,_......_ .. _....... . .....___ _. ._.....,_ ._... ...........,....,,,.,..._..._.......j � :`L' 3$ . E�#�&'�IPn' 3 _ <' H::' c$',_.: � . ��� .. �_�-. � �. � ____. ... .....___. ............ g �#�� � �' ... . _,._..._.,......_...._. . .,.__._ ..... ..._.... ..-.,. �......___, ......._ . . . � <,. � � � 3 � x �� ,.,.,.....,.........._...m...._...�». _.. .<... _ —_ —_ ___. _____ .__"__ ___ ___ —_._._.. _...w.w. � s�.�"5'g�, 6 � —'e � .:. 4 �,k",'�"P �: ks�,� ��. ^ � . .. . . � � ; t� "� _ . . _. .. ._.,.... ___.. .._. ..... .... . __ � _, � ,� �� ��, � ��., _..,_..___.�......e.�,.�.............. . ., ...... ... --� � . ' ���ak��Ia ..�:::� ��aze � �.'�' . ....... ... ........ ..._.._,._....._._.._._....... ......__.__._....__ . .._......� . ,.. __..._.�..�_.._....._....�__.. .. &..............«,�.�«...�„«..:...�:,�.,.«.,,�.,.�..-...::,....«..�«....,:,...>:.,.«��.m.a,-»-