Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
11624
A � � � � ; K CITY OF bIAMOND BAR �' --- -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES� ;; � 21660 E.Copley Drive Suite 190 �J � (<309)860-3195 Fa�(909)861-3117 PRESS ' ��' BUII.DING PERINIT APPLICATION FIRMLY �x'S:, � JOBSITE 'y� � DATE -- � NUMBEF� # �`a /�' 6 ,'p�,, y�,� APPUCATION PERMIT r,, P/C E j o ADDRESS �. �i:].� ,�`,�KT p v+f� j.199�J�� �- �s'� ISSUE TYPE OCC �'I � APN LOT—�-- TRACT DATE.' CONST. GROUP ���� p. OWNE������, t� u , C�I�,��r 3 i e, "" ADDRESS � G:- � � C"s�c?," ZONING SETBACKS �'' �. i •� � _; W CITY ="-. i' � ZIP C��1�+��TEL.��`J`����'`��'"� FRONT RW ❑ ;.i � APPU ANT TEL REAR ❑ �� � SIDFJSIDE STREET RW Ll ; CONTRACTOR 6 '� " .�y i G-�5 G t�'l� �.� SIDE ❑ s i QADDRES5=�i�'�� § ''i �:z' 7'ie >c:� ��f ,�_`,q �' � `��, � . *�'. f: CITY1�:�..!lr=��—'-V—., 21P���TEL�i-���`i���-7Lfr4 , PROPOSEDUSE Y�3r, i` w�� �. '�'�SAs.��< t.,c �: ---��-� e r�zRc�wt� c � 2 . � w ARCH/ENG/ t;.� z' DESIGNER NO.DWEL. NO.� � b� 2,�i NO. f' ? a' ADDRESS ; ��I. UNITS STORIES BEDROOMS �� �T CITY ZIP TEL. �. � yj DESCRIPTION SQ.FT. FACTORPSF ADJ,AREANALUATION �?!- O,:;- - - OWNEH-BUILDER DECUIRATION -� SFR/ADD/HEM ��� p �. I HEREBY AFFlRM uNOER PENAITY OF PERIURY 7HAT I AM EXEMPT FROM TME CONTRACTOqS Lt- �� G8f9g0/CflfP012 �����: W, 'CENSEU1WPoRiHEFO4.LOWIN6REA50N(SEC.7031.68USMESSANOPROFESSIONSCODE:ANVCITVOR ,(n `.i U ��.�OUN7yNMICHpE4U�pE5RPERMITTOCONSTflUCT,ALTERIMVflOVE,�EMOL�5H2ORREpAIRANYSTflUG '�� z:'���7URE,PRIOR TO IT9 1S4UANCE,A150 REQ�IqES THE APPLICANT FOR SUCH PERMIi TO FlLE A 81GNED � W Pa1iDID8dC yEj W�' �5TATEMEM TFUT HE OR SHE IS LICENSED PURSUqNT TO THE PROVISIONS OF 7HE CONTEACTORS LI- F� `W ' ��` - . � �.CENSE UW(CHAPTEp e(COMMENCINO WITH 9ECTION 7000)OF DIVISION 90F THE BU9INESS M1D PR0- "�� �' PooUSpa �` } -FESSIONSCODEJORTHATHEORSHEISEXEMPTTHEHEFHOMIANDTHEBA5ISFOFlTHEAL�EGEDEXEMP (, ,{ . . - 'TION.ANYVIOUTIONOFSECT�ON7W1.58YANYAPPIICFNTFORAPERMIT3U&IECT5TFIEAPPLICANTTO � - . R8-ROOI � {G� 3i - - �'_.A CML PENALTV OF NOi MORE THAN GNE HUNDREO DOLLARS(5500).): - ' r; � � � ❑�,ASON'NEROfTHEPROPEflTY,ORMYEMPLOYEESVI�THWAGE5A5THEIRSOLECOMPEN5AT10N, � L�� COf11t118fCi81 �' '��; �WILlpO THE WOPo(AND THE STfiUCTURE IS NOT INTENQED OR OFFERED FOR SALE(SEC.7044,BUSI- _J � '�.NESS AND PROFESSIOPI3 CODE:THE GGYTRACTORS IICENSE LAW OOES NOT APPLY t0 0.N OWNER OF � � -� Pf�PERTYWFiOBUN.D50RIMPROVESTHEflEON,ANDYMODOESSUCHWORKHIMSELFORHERSELFOR � �' Q �THiqUGHfiI50HHEHONrtJEMPLAYEE5,PROVIDEDiHATSUCMiMPROVEMENiSAAENOTINTEfJQEDOR � ��: Q 'OFFEREDF9flSALEIiHOWEVEf�THEBIHLDINGORIMPiIOVEMINiISSOIDWRHINONEVEAHOFCOFAPLE ��" - '71ON.TNE OWNERBUIIDEN WILL HAVE THE BURDEN OF VflOVIN(i THAT HE OR SF1E 01�NDT BUIID OR �'3-` Z-- IMPROYEFOPTHE%1RPOSEOfSALEJ. � . - . �-��.. W_ ❑I,ASOVMEqOFTNEPROPERTY,AMEXCLUSNELYCONTRACTINOK7IHIJCENSEbCONTRACTORS .- E'� ' ���,TO CONSTHUCT TNE PROJECT(SEC,7044,BU91NE9S pND PROiES610N3 CODE:THE CONTRACTORS ll• � elUeti011 j ��"�zi�f�� ADJ.AREA �� W� CENSELAWDOESNDTAPPLYTOANOWNEFlOFAPROPEHTYWFIOBUILOSOFIMVROVESTHEREON,AND : .�`�-. ��-: �YYFpCONfMCT5FOfl5UCHPRQtECT3NlITHACONTRACTOH(3)LICENSEDPUFSUANTTOTHECONiRA0. " QUANTITY DESCRIPTION FEE � -' �- TOR9 UCENSE UW.1. - . .- ._ >�,"1 . �. ' O p IAM IXEMPT UNDER SEC. B.&P.C.FOR 7HIS REASON -- Q' � �, . � DATE��-��—OWNEH � - V - � . '�-�. 2'. ' . W ..k. �, '��; L�CENSEDCONTRACTORSDECLARATION � W �,.�.� � --IHEREBYAFflflh1UNDERPENALTY:OFPERJURYTHATIAMLICEN6EDUNDERPPOVISION60FCHAPTER . - ��" p„' -.9(COMMENCINOWITHSECTION7oo0�OFDIVIS�ON30FTHE0l1SINESSANDPROFES510N5CA�E,ANO z z `X 'MYIICEN5EI51NFUlLFOflCEANDEFfECT. f m ' � � ;UCENSE 6USS � LIC.NO.� CS `�/ r+-�"�- �� � d �� ..�j OATE S --1 7..^ � � COMRACTOR ��,Ur='T, ,�<�L��U� 0,. '; � �� WORKEHS'COMPENSATION DECIARATION �}1 r�C� Q- � � � �� � v N .IHEflEBYAFFlRMUNDEPPEN/LLTVOFPERJURYONEOFTHEFOLI.OWINGDECLARA710N5 z Q L7 ��HAVEANDWILLMAINTAINACERTIFICATEOFCONSEMTOSEIF-INSUREFOFWORKERS' _ � CAMPENSA710N,ASPROYIDEDBYSEGTION31000FTHElABORCODE,FORTHEPEflFORMANCE W '� OFTHE WOqK FOR WHICH THIS PERMIT 1816&UED. � W. �1 HAVEAN�WILLMAINTA�N WOflKEPS'COMPENSATION INSURANCE,A3 REQUIfiEO BV SECTION Qa7000FTHELABORCO�E,FORTHEPERWRMANCEOFTHEWORKFORWHICH7HI5PENMITIS J ISSUED.MYWOpKERS'COMPENSATIONIN URANCECAiiRIEHANDVOLICYNUMOEHARE CONSTRUCTION � j cnvtAien �� LVl� • PLANREVIEW --- ----- —.—.-- Zaoucr nuMaea ' t '�' ^_ ����' � _ EIECTRIC 6 � (tFiSgEC7pNN�ryp7gEC�'LE7IDpF7�-EpEpJlTiSFOqpNEHUPARED00lWis(St )oqLESS} . PLUMBING Z 1 CEflTIFYTHAT INTHE PERFORMANCEOFTHE WORK FOR WHIqiTHIS PERMIT IS ISSUED,i MECHANICAL - �'' SHALL NOT EMPIOY ANY PENSON�N ANY MANNER SOAS TO BECAME Sl10JECTTO THE � . WOFKERS'COh1PENSAT10NlAW50FGALIFORNIR,pNDRQREETMATIFI3HOULDBECOM� INSPECTIONFEE � 5UBJECTTOTHEWORKER6'COMPENSATIONPHO�/ISIONSOFSECTION3�0oOFTHELA80R �SSUANCE � � � . -�j COOE,ISHALLFORTHWITHC061PLYWIhiTHOSE�PROVI510N5. ----�. � / — �0 .SMIP �` " p. DATE: �� y"� APPLdCANT: . - -� ENERGY P!C WARNING:FAIW RE TO SEGURE WOflKEFiS'COMPEN9ATION COV[RAGE IS UNLAWFUL,AND SHALI BE �j SUBJECTANEMPIOYERTOCRIMINALOENALTIESANOCIVII.FINESUPTOONEHUNOREDTHOUSAN� ENERGYPERMIT � � OIX.LAPS(L700.000).IN ADDITION TOTHE COST OF COMPENSATION,DAMA�ES AS PROVI�ED FOR IN � SECTION97080FTHELABORCODE,INTEFiEST,ANOATiORNEY'5FEE5. RETENTIONFEE: � d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � INEREBYAFFIMIUNDERPENALTVOFPERJURYTHATTHEREISACONSTRUCTIONLENDINGAGENCY . __ _ __ Z FOp 7HE PERFOFMANCE OF THE WORK FOR WHIGI THIS PERMIT IS IS6UED(SEC.3091,CIV.C.). _ . W �� LENDEH'S NAME � � � LENDEfYSAbDHE55 -- - wICERTIFYTHATIHAVEREIIDTHISAPPLICATIONMIDSTATETHATTHEABOVEINFORMATKKJ�SCORRECT. TOTAL FEES - , `� � IAGR[ETOCOMPLYN7TNPLLCITYANDCOUNTYORDINANCESANDSTATELAWSPELATINGTOBUILDING (DNSTRIICTION.FWDHEflEBYAUTHORIZEREPflESENTATIVE50FTHISCOUNTVTOENTERUPONTHE . � ZABOVE•MEMIONED PROPERTY FOR WSPECTION PUfiPOSES. COMMENTS � s�Y �i � ��.�'',� � �'�� 4,�4"' 1�p � �rr�'�%-i�.�f1 C- . a PEHMITTEE E(PRlltn �_A�,,.�y� � ' . e � w Cn- - - � SkiNA'N ' PfT E - p.- �ATE . .. .... . � . = RECPT.N0. PAID BY VAUDATION ~ - WHITE--0ep ment Capy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�Ie C ApplicanYs Capy � opy,GREEN— _"�"I"""` j � t. � i f � �^—� � i—i(�-�.......��` � � i �_�._......�._�,_'�._ � � i. � ( I 3 t � I � � . . ` .�- � i f � € � � � � . �� € � � 3 p' , � �. i � ! � � . � �1- � a � �� � ( ( i ` ,� � , � � ( ( G i . ( i. � � -.t I. � I � � � i �� �� ; �.�� � � .� � �: : 3 ` F � E f I € a I } � r i - i � ' ' � � i � � j � ; I ' � { � � � � ; � � I � i j �. � ' '� � � � , i � ( , � � � f ' � _ ' � � � � � � ! ' � I � ' E� � � —� � ! � � � � :� , , � i , ( ; : � ; � , ; � � ; , € ; � �� I ; � � � � E � a I � �� � ; �� ��; � ; ' � � �� � � � � ,� � � , � ;� � �� � r.� � �—; ; —�_=-�--�E. -w� � E I j i � ; ' 'I I �' i �� � , ' , ' : � � ( � ; ; ;.� , , _ � 'j ' ! � i � � ; � ! i � , � ; � i , ; � ; � � I _E j j; � � • _ ��� � �� i � ��� � � 1 I _ ,, � �� � � � j � � €�� � �' � C � I ( ! _�_--`—k i �_ '.��j--_. � � .�. � i � + �+ � ��� i f f � i i � j ( I � I ! � 1 �' i � � ��.(� �'`�� �� � �_ � � ( s �l ' � �- � � �� j � � 7 f , � � i �.1���`����e?i � � � � -�� �;:.�. I _ �: � I I. ' ! i i j f ! ! ` � � � � ��; � �;� �!�,���� ?�� ; � �� '�v l� `�` . � I � j � ( i � 1 � 6 �� � , �:� `' ����I���'�''� �� �; � � `' �3� � � �� � I�I�.�s�� � i ' � � � ; �_ �j I � �� + � 3�' ,€� �-= t�i�iiC'.�.�. �"s ��m� i� �� � `-�"-�;��_ �-Ic� . v?{C.� �,� � -� :I i � i i ; � � ! f� tt} i-�(�� us 1 �f j C'� i ¢ 5.�.� zl�,,,�,i� �138 Ct. � �- r� � i� � , ( � � , � ",� c���!� � �, C>,c� � c5 � s �u ��-.e t3 t� �- � �(;-- �-' r,o i ] a � � � � I � p� i���-� - ��� �-°��t3 ���.C, � w3����-�` � `� }�� �� �E� I � �� � � � � � � 'a�" � 1 ir. c�' -C, .b€I lE�! E 7���,. ��' ui� � �i � �c�l� s u1 u uw v-{¢ a cc' �-- � � ��eu �� � � i�(.������?- a ,r�a �i � � ��.� � v�E� c� _ � -z a� !�, � � � � � � � � `J, c� c� � �� ��`' -s r� � � f��-. (��� � f _!._ ( � � � � � � d � i �tI J I Q 4 �a.. t�3 "'C uJ ( � I- i �1z z,� � �� � a . c � �=o�� � � � � !� �s oa� �, > � 1 r�.,u„�� � u �E��e� €;. a m � �. a et. � C,' � u r_� d� � '' ��� � � � I I ;� ,LI- �a_ r�i.�a� i ; � r i I M � I � � � Q �� I�-E(---'�— --` _i.��." k # _�"��_��`� .. � � . i � �i � � � � .i � . m j E � ! 1 � I , � � I � :. '� � { : E I :.I � 4 , , , � � � � ; i � � � j i ' � = 1 � � � I � � � � 1 � � � i � � I, , � ; � ; � I j � � ; ;�' ? ! E ; (� � ; ; � i E ' � � ; � • i ' � � i � � � � ! # i � � 3 � ' � � � � ( j � � � ; I , � : � � i � .s: � f � � E ` � I € � ( � I 3 ; I 1 � � 1 { � � � � E � � � ( i t�; ��� � {� . I ' � 4 ' -F_._. —� �-.�� ' � �! ' 3 i 1 �i_ � y� � � i E � � �� � ; ' , �'i � I —�_ � . '.�� �� � j � f � , � 3 { � � �, I I � f E � � � , e . � � � � ; : , — ; � , i �� � , , � � � � t �i � � I � ' � ' � _ "_�' _�___�__: ?�� � � � ; � � ; � I , 3 � {��_- i j ;-�- -�—����_� � � j E �� � _ � ; ,�,i � �t�';. ( i �� � I � j g � ' � F � � j � � i F � i � �r ! �� � ���� , p � '� � � ,�{��y�V i � �3-a� .. (��� � �;CS�� �����{ �� -� 3 �.� � € �# € ( � � ���3 I � j � .- � ._ (--y . 'j �C. 1 .� t i d US"a. �;�l��i�!�IrCI��� � Lwl9-,��j(� .s:� �. �I '_! �,v� r I`' fC�,� � I � j� � � ; � ����'3 .,� �s t�� � ��.,t 1 ��+- ia�� u � .a ��i�,a �.�.; tt � '� I � � � ,�_, � � �'°.C"� � ��u� ���a�� ,.� �`�.'j �� j��� (:='ra�� � E : tq 1'�c:�i�'� �s'���% � w ��5�.� u �t- y°�(���"'C} s� .�"., ai i ,�? � , �;�� �,q` � .� '�t€€��� .� u��� �. �:�� s u �r � -�l���.� p� ���a (� i ��� . � � i i�;�,� .� (-a -°�� �Cr..� 11�?5. .� �...�v L.>�{.r �"�--� ��'�f�-.�� E . I� *��� ..a9 � ' ( � � �� .r � i `�...�., ., � ��� � �����I �,� � , �;� r � �-� E�=� �� � � �» ; � ��. � � d�.� � -�z� t J ti. y !. - ' +'�` .r�✓ G ��G5 T, �( � �L? .aa��. ��� � .. ;?; � � : � '[..� � �� 1 . � � . !r,;���sa��_s� j�i��u a�-{� ��� cr ,,� s{4:r;e_�i ��� ��a1u u� u.��.�.,�.._i....:)�� E I � � � .�r�-��} � �.__.,.,.,_.��..a_,.�.�..�`." _�;.�,