Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
14722 (13)
.�-� '!;'' ��_ CITY OF DIAMOND BAR � DEPARTMIENT OF COMMUNITY Bc DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 ��w (909)860-3195 Fax(909)861-3117 PRESS "�.,.�.,.... BUII.DING PERMIT APPLICATION _ FIRMI.Y , ""° _- _ _ _. . . a DDRESS v{�3��G=�I� /��!$ 11.�:', APPUCATIO PERMIT P/O p DATE�� iY/. NUMBER� # $ APN LOT TRACT �SSUE �T�TYPE OCC DATE CONST. GROUP p OWNE���� 2 " ADDRESS ea C �- ZONING SETBACKS Z CITY C� ZIP TEL. FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SI�E STREET RW ❑ � CONTRACTOR E'A V P t� OU �..� SIDE ❑ O ADDRESS ' M � CITY �� ZIP i� TEL9 ` PROPOSED USE o ARCH/EN / z DESIGNER w NO.DWEL. NO. NO. � ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � u� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/AOD/REM O I HER�Y AFFlRM UNOER PENALTV OF PERIURY THAT�AM E%EMPT FROIA THE WNTRACTORS LI- G7f2 JB/G3fpOfl W CENSELAWFORTHEFOLLOWINOREASON�SEC.7031,68USINESSANDPROFESSIONSCADE:ANYCITYOR (n C.� COUNfVVNi1CHREGUIRESAPEHMITTOCONSTHUCT,µiER,IMPROVE,OEMOI:�I-I,ORREPRIRANVSTAUC- W P8110/DBCk Z TURE,PRpR TO ITS ISSUANCE,ALSO REOUIRES THE APPUCANT FOR SUCH PERMIT TO FILE A 516NED � STATEMENT iHAT ME OR SNE IS UGENSEO PURSUFN7 TO TNE PROVISIONS OF THE CONTRACTOFiS LI� � � CENSE LAW(CH�PTEfl e(COMMENCING WI7Ff SECTION 7000)OF DIVISION 3 OF TF7E BUSINE55 FND PRO- POOVSPe FESSpNSCODEJORIHATHEORSHEISIXEMPTTHEREFROMAN�THEBRSISFORTHEALLEGE�EXEMP• (} TION.ANYVIOLATqNOFSECTI0N7031.5BYANYAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z Re-Raof � ACML PENALN OF NOT MORE THAN FNE HUNDRED DOLLARS(t50o)J: � ❑I,ASOWNEROFTHEPROPERTY,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSA710N, 0 Comm9fCie� - WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE�SEC.7046,BUSI� J � NESS AND PROFESSIONS CODE:TNE CONTRACTORS LICENSE LAW OOES NOTAPPLY TO AN OWNER OF = PROPERTY NhiO BUILDS OR IMPROVES hIEREON,AND NRtO00ES SUCH WORK HVASELF OR HERSELF OR � THROUGHHSORMEROWNEMPLOYEE9,PROVIDE�THATSUCHMPROVEMENTSARENOTINTENDEDOR m 0 OFFERWfORSALEIF,HOWEVERTMEBUILOMGORIMPROVEMENT�550LDWITHINONEYEAROFCOIAPLE Z TpN,THE OMMEH-BUIIDER WILL HAVE TME BUROEN OF PROVINQ TMAT MF.OR SHE�I�NOT BUILO OR � IMPHOVE FORTHE PURP0.4E OF SALE). �.�- w ❑I,ASOWNEROFTHEPROPERTY,AME%CLUSIVELVCANTRACTMGWITHLICENSEDCONTRACTORS � TO CONSTRUCT THE PRQIECT(SEC.70{4,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS L�- V01U81iOn `' ADJ.AREA W CENSEUWDOESNOiAPP�YTOANOWNEROFAPROPERTVW}iOBUiLD50HIMPROVESTHEREON,AND � Nh1000NTMCTSFORSUCHPPOJECTSVATHACONTRACTOR(S)LICENSEOPUPSUANiTOTHECONTRAC- QUANTITY DESCRIPTION FEE � TORS UCEKSE U1WJ. O ❑IAMO(E/.PTUNDENS�C. B.BP.C.FORTHISREASON Q GG� �cN✓jQ(,.�� 3 � , � OATE OMMEF U � W S a e 1�, LICENSED CONTRACTORS DECLARATION � � W I HEFEBV AFFIRM UNDER PENALTY OF PERIURY TFIAT I AM LICENSm 11NDER PROVISIONS OF CHAPTER � O�COMMENCIN(i WITH SECTION 7o0D)OF DIVISION 3 OFTHE BUSINESS AND PROFESSbNS CODE,AN0 Z 1.. C9 MY UCENSE IS IN FULL FORCE AND EFFECT. � `� F. UCENSECtASS ���� LIC.NO. v �D��� � � � V DATE �"-aQ"�V CONTRACTOR ��UNG'✓ PX� d W (' _i � WORKERS'COMPENSATION DECLARATION���� ���� � ✓ �1 �S � � (.._ � I HEREBV 11FFIRM UNDER PENALTY OF VERNRY ONEOFTHE FOLI.OWMG DECLAR N: Z � _IHAVEANDWIILMAMTAINACER�IFICATEOFCONSENTTO5E1.FdN5UREFOflWORKERS' _ Q COMPENSATION,ASPROVIOEDBYSECTION37o00F7HELABORCODE,FORTHEPERFORMA E W Q OFh1E WORN FOR WHICH THIS GERAl1T IS ISSUED. � _I HAVEAND NALL MAIMAIN WORKER9'COMPENSATION INSUMNCE,AS RE�UIRED BY SECTION n/7� Q 3700 OFTHE LABOR CODE,FOfl THE PERFORMANCE OF THE WORK FOR WHICH TNIS PERMIT IS ��j 0 ISSVE�.MY KERS'CO PENBATION NSURANCE CARRIER AND PO:ICV NUMBER ARE: CONSTRUCTION �� � CARRIER ���� ���"'�� PLAN REVIEW � PIX.ICYNUMBER o � G� f ELECTRIC � 0 �ussEcnanr��raraE�rEnoFn��aMrrsroFla+Ern�noAEooa ry�o �at�. PLUMBING !" Z I CERTIFYTHAT IN iHE PERFORMANCE OF THE WOHN FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL CS SHALL NOT EMPLOY ANV PERSON IN ANY MANNER SO AS TO BECOME SU9JECT TO THE � WORKERS'COMPENSATIONIAWSOPCALIFORNIA.ANDAGREE7HATIFISFIOULOBECOME INSPECTIONFEE S SUBJECT TO THE W6RKER5'COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR - CO�E,1SHMlFORTHWITHCOMPLVWI�{-�Q SEPROVISIONS. ISSUANCE � /��� \�� l�A Tr� p DATE:�`�`-�fPPLICANT. 4J�.IOGai� �dCi.. SMIP J WARNINO:FAILURETO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C �y Sll&IECTANEMPLOYERTOCRIMINILLPENALTIESANDCMLFINESUPTOONEHUNOREDTHOUSAN� ENERGYPERMIT DOLLARS(f7 00.000).IN A�D�TION TO THE COST OF COlAPENSATION.�AMAGES AS Pp�VI0E0 FOR IN � SECTION3708oFTHELABORCODE,INTEREST,ANDATfOFNE`/'SFEES. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � O � IHEREBYAFFIRMUNDERPENALTYOFPERJURYTWITTHEREISACONSTRUCTIONLENDINGAGENCY FOR THE PERFORMANCE OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CN.CJ. Z W � LENOER'S NAME F— LENDER'SADDflESS � ICERTIFYTHATIHAVEREADTHISAPPLICATIONANDS7ATE7HATTHEABOVEINFORMATpNISCORRECT. TOTAL FEES '' W IAGREETOCAMPLYWITHALLCIT'ANDWUNNORDINANCESANDSTATEUWSqEUTINGTOBUILDING � CONSTRUCTKKJ.AND HEREBYAUTHORIZE pEPRESENTATIVES OF THIS COUNN TO ENTER 11PON E zABOVE-MENTIONED PROPERTY f-0R INSPECTION Pt1RPOSES. � COMMENTS _ �G v'J �-,Pctv�Fr✓ m PEH EE PRINT� ' [¢ ��d Yi� t � S HE O EHMITTEE DATE � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Financs Copy,PINK—AssessorCopy,GOIDENROD—Fila Copy,GREEN—Appllcant's Copy . , , � , , . _�.:�;:��-^'. .. 4 F , ���°�' � �� ����W �-- . � , �. �� a��� �� �� � : . ,.. � .� a�� '�� � � ���� �� � � � � , � � "� � � � � ,� �� � , � _• ���,.��� ��, � � ;. ��� � . a _ r ,.� p,r � ��`� `���°"�� ��..• �r=l�'��.��3�,a _ ____ ..._ _ . , � . �_�..e._ _ .��.��_ � �-c � ����r�. �� ... , . � �=r�r� r��-r`�a��� ta � r�, a�a[� ; . i � _ ._. _ -----____.n .._.�__�_____�...�. __ ._ _ ��___ ._ _ _____.__ __ _...m__�__ � °"'��E�`i�?����t��� ( � ` ;��t,a�3'�=��'";�����a+`� �� . ff � � � __ _;� . �. _ ____ �_____ __ , ._ __ _. ':;e���.!��° t' g� �ii'at� ' ? i �Ms�I�'�� ����°�c:�:9�1a`��.�i� � � _��_____�� ..__._.. .____. _ _. ___________. __... ____w _.__._... - . �:_�.�x ��?�:.�:�:_. �.m._.._ _ �—�-- r=%�1��'s ,��"'���Ji��,�`�%�g� ' ___� :�__..d_ ____' ._ _ .�------. �______.._ _ ; �r:ir�F'F'��;��F� � � _ � �-�6�t�`�I,�s� �'3���? ���t�r� ', . - � ._....._-____ _ � _ ___._._ __ _ ___.mw_�.... _�. �. _ �� � __. _.. __ �_ vtg���s-t��F��C"� _.___ I _ ` �t����'..��I aL� 63��i,1�_._ --�— ` -----_____a. .._ - '�t,rt�:�- �-�c�€���a;� ����� ! �� �SC?��� ���`��r�_-----�--.-____.._� ��,..�_ �__ _____ _-E} A q� _ � _._._ � �_�a.@�{j �, �y �^ ( �k.'"Dq �d}��.� 1 3 ��.e����.1C�3 � � 3 ., ��"9t'i€ �4.�2�`J s.�,rLf�'W�� ! " .._€ � . ......,...___..��...�......-.-_�.__...�_�� __"_..,..__�_..__.............._., — � . — ..._— ___._—_ .___._._..___... , . �......._ ..._ ........r.....�,._. __ . � M"4 t.�-,.y;r-"_ I I : ��ie-. �;'�.���at.� � � : .��Y" *.#� }'"` ___ -� _. � ._.... ...._�a _.___}_„._..._.__.�...,....._...„�.., _ _�..._-.— — ""�vd���"i ��:�i 1�LL_ .. ( : ���v4.o���`� 3 � .._._e .__�. ..,J�e� __—.�""�---'�� :_.. _..,.�._"'.._....e,..,,,_!.�.�. ___.i .._.....�._ �...�... �"t�';��a�-€ �s rC°��1� i i F?�a"` ���`r r%�(CaE� .� � _ �_ _.��.�.�..___ .�_�_____�.-�_.-_.._---�- --. � � _ �_____ .�__ _..- -___ _..__ ��'rS �4� �, 6 " a''�� ___-�— � ___.___ � FI�"'(-i i��"��I��...__.._... �________.__�.�:.._.�..._ �� � _.__� s �p�,c�a.?€-c�.«,1";"�,�. ���;� € � ! F'�`�'�`.� �����"��� mm ._�. _._._!� ..._ ..__�, ___ _____ _ "`s"" �°t� �c�'e��a � � ��7�� g-'��V l�'s� M_ . - -- --. _-- ---.�__ � _...__ � __ _..__.�_u_________._ �� ___._______� __ __.___. € _ _^. _.__.._ . ����'..`�����:..� �� '� €. ' ��r��I. r����r�� � C � i � , ._�._. p _. ����__� � __._A..e _ �_$'" �'_q' [ p�y�_+._._.______ �_._�__ Ma� § M ... "q� f t �§ 8.... 4Y 8�f�vS$C��'a7. -�............ve.......�.�.�.».w.� . .1 � ,'� 5..f'"bl f P"?@ ,..?I ( ' k_ _{�.�i�.. -...�e.-..._._T__. �.,.....,. . . . .�__e. ... �._._..,..�...,.._. �....,. .u...... ....,.......me_.w. �s`b.� �r�-°�.[..��� � �r�C i �:� ' �+T;�:�� _��...__. __ _. �.w �e __ _.�.� .._.._.. _.�___._� �____ _ � ----- — - e;;ptt�tr}� ' ' � ���3tLti t,i°F�. � .� 3 ___.__ _�...�..m,�.✓__....____._.___.�:a..::..�......�.._._....em.�..r_�......... .�.._.�_..�.P�� ....�..... g( _.,,..«,...e....._.___ _Y..............w.«. �... ..__....�«.. .�... .w..., _... ��t�'"�'�b1 ����Y'L 3 . . . ... . ��� 'n»8'l9VS.Ai.""r.�.^��&..{SK""�'"":.�..'"s'. i � � _. .�.-m--:.. »....�.. ..,_. . ......�..........�............._ ..._...�....__.S.........,......_........_W._ . .1. .. �-p _g�__......a....._..--...__.� ' . _ . . . _ ......,...._ .. a`'.7��....1� T8$���.,,E�. � . .. � ( � 1d J��� �1'���' i .._... ___,„ .... _�_..._...�.___...... _`_'"___._. ..._._...._.v. �.�........ ....�7..._.�_ . �, . . _.._._. _ � i._� ...�.4 _.__�_....�. _ _A �+�'�.�',.�Lz"E���� � � ...n,m....�3 j" �i�f��f:v. . 7�.tj ' —""—j-... ��¢ � -:8+:➢ �. .- ._�., E.�..a--��.._._�_._�____._e...n� �j�i�h^ ��.i� . Y���?��.I . __..._._._.,. ..�....�......,..._............#�_._......,....._._��........_..�....,........�...._ X p�,- j (,sdriz_�t,':°,.a.. � S. _ .... _._..� .:......_.___�.P _�_ �-��.,�: ir�����»",� � ���`"��.§f: �'� '=i^?r``,L � ' �W� - = -__._ __ �...�.. . _ _____� _____.,__.___,..____.___.� _.._ �-���_ ��''`"`'`�4�� 'v � ;��� ..� c��'Ct� j � ��.. �..____� _... __.________-_.__ -� _. _�_ .�� _v_�__.._v..... _____�._ ._�_.�.�.__.�___. { `r��`�L�i `''��s�s �j��>i� � � ] ��`a��'��t' E_ "` �....___._,�_�_»�: � .Ie..a_e_' _. _..._.e_w_�__.� .__. ��._....__._---� _�._.____�....___._. .. � — — ��_�,�, 3 _�_� �_.m� ��._ _ .__._.� � ..�_----_� _—_ , � � � � � � � a �__n.�_..___ __.��1�� .� _�. .. ��� , . . .. � .. ... .... _"'.. , . ' . . '� ,... .',..�� I ��,�i,��4��a���_ _- _ _.__ _.._:_..... � ......__m�__��.�_.�.__.._.., _.._.__Y..em�d.__ . ..�....� ,_._.�,.__.��...,_,�,...__._�__.._._.__ �._....._ m� �._.! ; _..�___.. __....�. .�__, __... __..__ �...__. ,.;._._._..�n.....A._..___ __.--___._.�.�..� � , ( .�__.__.___,.,__ ____._.___..---..,. .._�......_�m......__._..�..._....�.._..__. ___..___....�._ _____ �_�___ ______.__� � � �, � _.., __ ..__.,._ ..._---_______ �.___.._��._.__ ___-___._- _.__..��a_._._.. .._.�._ �_ ___..�._�..._._�__�_._ �.____ ....�.---� ? �� . . : . _ . _ .._.�_.:�..._..�:.�_� � ------ € , � > , ,...�.. .----- — ____.n.� __�____ p ! � � �� � � � I k_._��____ �:_ _.:._ ._._._.._�.. __.n..m�e.._�____ __ � �___...�-•---_�___W_....._..__._ ._.____._-- � '?....�....�.._._._..�..m.�a._ r""�'� E�� ___.y'.�_-.'..— ... .. ' ._ ' --..._ _ . __.. _. ��� � ��.:...:.�..:�,s. r<. ... .. _�. .. ._,�� _._.__.,.e ___.._.� � .. _ - . . ... ... . R.�.._...�...V.�_.....____�m..-'--'....,._...,.,.._..d.._.._._...__._._�.�.._..._.....,.m.__._.r......�__..�___ �__ . . . . �.......��,._.._..a....�.� € .,;;_� g �, r r .... . . . . , .. . ._ . . . . ,. . _..� � ;;z�..• 6�� i.6't_���t�t�. ' tt" ;�� ,c . . ,. _ . � ��"k..e� �'s�t� ..:�G�: �-�-"-`ti � ��.i.�`` ... . . . ... � :. , ... ... - � � � a e ffFVata,t � �.v g"•. � ;: = 6��,� . , . _.. �.__� _�' ' �" _ ��.._ ___._.,._ � � .,..:.. :, . : .r?Itit<.+nc,:., , -, . .,.. .,, � ;, -:- ,...:. : 7 ... ��. .:... . - , s - . ..... .......�..... ; �� ' �� ::; ' g - I � : . �: � �'_�. .,.....�......._...._.m........�.�._.__.._._....................._"_.._..,.._v.e.....�.._.._.___.. _..�.._.....�._..._..__._._..�.............__._..__...._..,...._.._�.����.__......_-. _. . �-- .. -_ ,___._ .....� �r� ( � .: ___.____ ... __�.-----___�___..�� _e.___ _� � . _. � ___ _____w� . . � €u,� � :. � � _,...a_____ �._. _ � .__. _�__.__�..�._.�.�..�_� --�-_�_— _ _.___.__._. _._ -- [ . �� � �� � � ,��: __.. __�_._ __�..______. e_n_n_ . .._.�___. ._ .__. ____________�.____ � �.�: ��:. �.�_� __ __��.__, a , : ________.___ � �� .. _____._-- __..�.� �__.. �___ _.�__.. ._ _..m _..._ , .. .. . ,�.,.�.�.._�,.� �,��,_,�, .,�_ -� ����