Loading...
HomeMy WebLinkAbout13350 CITY OF DIAMOND BAR 'r'� -�1� DEPARTMENT OF CQMMUNI'fY&DEVELOPMEN'T SERVICES � ,� 21660 E.Copley Drive Suite 190 ,W (909)860-3195 Fax(909)861-3117 PRESS ` ;�^ Bvn.ni�v�°�z�trr arrr.Y�aTiort _: ..... . . , . � FIRMLY . �}, /� _ . . .. . .. , . �. .: . o DDRIESS G� �� t°� .�ICr 1�G��"i�� pATE CATION �-� �� NUMBER ��--��'#/C � APN �OT TRACT ISSUE TYPE OCC p OWNER S' ` (� DATE CONST. GROUP o ADDflESS � �T- ZONING SETBACKS Z CITY ZI d(�Gb° TEL - - FRONT RW ❑ gAFPLICANT '' TEL. 'R`I Z-3'�� REAR � SIDEISIQE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDRESS � CITY Z!P TEL. PROPOSED USE o ARCH/ENG/ z DESIGNER � ADDRESS NO.DWEL. NO. NO, u> UNITS STORI ES BEDROOMS � CITY Z1P TEL. , „ , - rn DESCRIP710N SQ.Fr FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADDIREM� O i HEHEBY AFFIPoA UNDER PENALTY OF PERJURV THAT�PM E7(EMPT FFlOM THE CONTRACTORS U� GaragB�GafpOYl W CENSEUIWPoRTHEFOLLON7NOREA90N(3EC.�oJ1.6BUSiNE33ANDPROFES310N5CADE:ANVCI7YOq (n CWNT`lWHId/REWIRESAPERMITTOCONSTRUC7,ALiER,�iMPROVE,6E610U5H;ORREPAIfiANVSTRUC- W P0t1o/DBCk W TURE,PRIOR TO Ii5 ISSUANCE,A150 REqUIRES THE APPLICANT FOR SUCH PERMIT TO PILE A SIGNED w � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PPOVISIONS OF THE CONTFACTORS ll• W CENSE LAW(CHAPTER 9(COMMENCINO WlTH SECTION 7000)OF pIVISION a Of THE BUSINESS ANO PRO� POOVSp2 FESSIONSCO�E)ORTHATHEORSHEISEXEMPTTHFREF(iOMANDTHEBASISfORTHEALLEGEDEXEMP- (� TION.ANYVIOLI4TIONOFSECTION7031.6BYAMYAPPLICANTFORqPERMRSU&IECTSTNEAPPLICANTTO Z Re-Roof � ACMLPENALTYOFNO7MORE7HANFIVEHUNDREDOOLURS(dSaO).�: � 06MSOWNEROFTHEPROPERTY,ORMVEMPLDYEESWITHWA6ESASTHEIR30LECAMPENSATION, � Commercial . - WILL DO THE WORK,AND THE STRUCTURE IS NOT IMEN�6D OR OFFERED FOR SALE(SEC.7044,BUSI- J � NESS ANO PROFESSIONS CODE:THE CONTRACTOAS L'CENSE LAVtl 00ES NO7APpLY To AN OWNER OF � PRpPERiY M/Fi0 BUN.OS OA IMPROVES THEREON,AN�WHO DOES SUCH W4RK HIMSELF OR HERS4F OR Q THROUGHHISORHEROWNEMPLOYEES,PROVIOEDTHATSUCHIpAPROVEMEN7SAAENOTIhTENDE00R m OOFFEREDFORSALEIf,HOWEVER711E8U1L0lNGORIAAPROVEFAENTISSOL�WITHINONEVEAROFCAMP�E- �y 'TqN,THE O�YNEN-BUILDER WILL HAVE THE BUFlDEN OF PROVW6 THAT HE OR SHE'DID NOT BUIID OR � IMPROVE FORTNE PURPOSE OF SAI.E). W ❑I,ASONRJEROFTHEPRCIPERTV,.6ME1(CLUSIVELYCCN7RACTINOWITHLICEAJSE�C6NTRAC70R5 -- � 'O CONSTRUC7 THE PP.WECT(SEC.7oM,BUSINE55 AND PROFESSIAkS CODE:7HE CCNTRACTORS LI- V81Udt10� ._..` ADJ.AREA W GENSEUWDOESNOTAPPLVTOANOWNEflOFAPROFERTVWHOBUILD50RIMPR6VESTHEREON,AND � WFIOCONTMCTSFORSUCHPROJECTSWITHACONTRACTOR�SjLlCENSEDPURSUMlTTOTHECQNTRAG QUANTlTY DESCRIPTION FEE � TORS LICEISE LAW.). O ❑I AM E#EAIPT UNOER SEC. B.8 P.C.FOR THIS PEASON � L= OATE OYYNER ___.___________ , . � .•'^_' Z � LICGNSED CONTRACTORS DECLARATIOFJ � I HEREBV AFFIRM LINOEF PENALTY OF PE0.IURY THAT I AM LICENSED UN�ER PRO�SIONS OF CHAPTEil [� Y(COMMENCINO WITH SECTION 7000)OF DIVISION 7 OFTHE BUSINESS ANO PROFESSIONS CObE,AND Y� MV UCENSE IS IN FULI FORCE AN FECT. �g � LICENSE CLASS �R, LIC.NO._6 �Q V.�� V DATE � .=j �_V°� CONTRACTOR��„�,�_ f.'r,� ,/�y --�/y ,( W C.:'�'... ��J 4' /T � WDRK�RS'C�MPENSATION DECLARATION Q � _ 1 � I HEREBY AFPIRlR UNDER PENALTY OF PERIURY ONE OFTHE FOLLOWING�ECLARAT!ONS: Z �-f`�S I'J !�(,n Q � vr� Y�+�— � IHAVEiJJDUIILLMAMTAINACERTIFICATEOFCOPfSENTTOSELG-INSl1RE�ORWORKERS' � p r� � COMPENSATlDN,AS PROVIUED BY SECTION 37o00F THE LA90R CODE,FOR THE PERFORMANCE C� . � J�� (-�-" Q � OF THE N/ORK FOR WHICH THI3 PEflMIT IS ISSUED. � /�' � C� q W I HAVEAND NALL MAINTAIN WORI�HS'CAMPENSATIqN INSUFANCE,AS REQllIRED BY SEGTION - Q 37000FTHE L.ABOR COpE,FOq THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MYWORKERS'COMP NSATIONINSURANC CAMIERPNDPOLICYNUMBERARE: CONSTRUCTION ,q., r �p ....._.. ._......_....................�_.,___ ...,....„. _._. "._'____..__._`_.__—_ � CARRIEH "� Y1�G- �V 1�J(� PLAN REVIEW ZPouCYNUMeER � ��"�c�P �) ELECTRIC _____ ¢ p (THISSECTIONNE�NOTBECO�AR.EfEDOFTHEPERAST@P7P,ONE4IUW�REDO611APS($iCO�OqI..E:S). P�UMBING _ � ~",� Z I CERTIFVTHAT IN YHE PERFORMANCE OF TFiE bYORK FOR WHICH THIS PERMIT IS ISSUEO.I ECHANICA `�a:."'�l � C�S SHALtNOTEMPLOYANYPER50NINANYMANNERSOAS?OBECAIAESV9JECTTOTHE `�� ' (/j WOfiNERS'COMPENSATION LAWS OF CFUFORNIA,AND AGREE THAT IF I SNOULO BECOME ON FEE �."" � �� F- SUBJECT TO THE WORNERS'COMPENS ON PROVISIONS OF SECTION 3700 OF THE LABOR � `�j ' �'q� r t�,�''� � COD.I ALLF THWI7HCOMPLY TNq PROYISIONS. �SSUANCE .� ( iyJ���� �_ O c.^ .• DATE: ^�� 1 AFPLICAN SMIP t°'� �t° �'a� ���' W � ENERGYPlC k •; `'y�k� ���T°'� • � WARNIN :FAILU TO SECURE WORKERS'�OM SATION COYF.RAGF IS UHLAWFUL,AND SHALL BE � `, � 3 �y SU6JECTANEMPI.OYERTOCRIMINALPENAL SAN�CIVILFINESUPTOONEHUNDREDTHOUSAND � �a%'�.,+$.�i DOLLARS(S1a0,o00),INAD�RIONTOTHECOSTOFCOMPENSATION,�AMAGESpSPROVIDE�fORIN ENERGYPERMIT er5""i �t�y�..�.=-� J SECTION77o00FTNELABORCODE,INTEREST,ANDATiORNEY'SFEES , � ���''� � FETENTlON�EE: '�.('��+✓" OCONSTRUCTION tENDING AGENCY PAE-ALT FEE: ���� � I NEREBYAFFIpM UNDER PENALTV OF PERJURY THAT THERE IS A CONSTRUCTION IENDING AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HIS PERMIT IS ISSUED(SEC.309�,CIV.C.). Z W � LEN�ER'SNAME_ F- LEN�ER'SAnOflESS - W ICERTIFYTHATIHAVEREAOTHISAPPLICATIONANDSTA7ETHATTHEAHOVEINFORA9qTIpNISCORRECT. TOTAL�EES 1 � IAGREETOCOMPLVWITHALLCI7YANDCOUMYORDINMlCESANDSTATELAWSRELATINGTOBUILOING � CONSTRUC710N,ANDHEHEBVAUTHORREREPRESEN7ATIVESOFTHISCOUMYTOENTERUPONTHE Z A80VE-MENTIONEDPROPERTYFORINSPECTIONPUftPOSES. Q � .� l�� COMMENTS � K m PERMITT/Ey-!n INT) ' ) (� (..-' J L� Vj SICaNATURE"O MfTfEE! DAY � = RECPT.NO. PA�D BV VALIDATION ~ WHITE—De rtment Co YELLOW—Finance Co PINK—Assessor Co GOIDENROD--Fii,e Co GREEN— Pa PY� PY� PY� PY. ApPlicanYs Copy . „ ,., .. . , , . . , , . , , � . , ., . .. ,,. ry�,, . -;s, . � �� � ;�� �'��;-�:��,�`�g,� ��� ����,�� ��:����� ������.�;��-� ������ ��� � �� �:� ��� � �����.c,��� ���� �� ��m � ` ��� .� ���i�� «'�S� �,� � ':� � �-: �7 �a� � ,��� c��� {.s� �� r�`� a"� "�R� �+�, �� � � � �" ���� � ��Y�"`� �� �. ' �?'�����a�x�:���'� ����`;�� � ����"� ��'���`�' �� � �� : � � � " �.... ��� �-� ,"" y � � � . � - � . � €.:`"` . i � .- �t�: .. � n; € .�,,, �^w �. _. _. , .. :. ..� �.. ?t ��n . . ..�. , .� �._..... � ..._ . _ E .. .._ .. ....u...._.......___�.._...__..a_._.....�..._.. _.._._._..._._..�,.._.._ � .._.._ ..�... . .._.._ .. _ ..... ._...._.. _,_..._ .._.._...._._ _.._ .... . _._k ��..� � - � . , �`'� ?.i�j ? - 1 ' ..S i e�'' �i" �- *,) �`d: 1 E �� � .. !.. . _. . . .. - # - ` � l , ___:__.___.. .._�___�._.�__. .__.__..�.. .... ....... _ _ _ .. �,._ _.__. _ ___..__ ._.�._ �.- .� r : P € : �� , € f'°3�= .4 �..._ �R �... .g .. �.�ot�. . � .._... _ ..... ................_,......._;.... _. _._.,. � ......._._.._.,_.._...._� . .... � . ... ^y � � � 7 ... .,_..., ___.._... d =: " ! � ; � s!-� �✓-:.��'& { ....p ...._. � - 9 k. .rx St :'.,$?. f i � , _ :�[ --..�-§s, a-., - - 1 - ........ ..._.._.............._._.... __....,.__....p_...._ .._._......,. ....�........-.,._...,,..._...._...............................__ ,.. _....._.___..__. .__ . . _._. . _..,. . "__. --_.__ . . r 3 9, ^a .:'L T"+ I � - ' ?"'3x€s._�„'...:�.�e..W�J�:�, F s��`-�'t'� .1._ .. . . . . _..� ',,-i ( . . :. .. u ._ .. .....,.._____.:_._ .._.___....._...,..a...__._ . _'.__.'_'�.__'_ __ . ... _ .._.. _.._�. .__.._ ._ .___....____ .... ..._._ � __) . �,J.�. j:: §�{'f' ..�'a ° i t ;. � � . I _.: _'.. .... ___.� �___ .__. . . __ __.. . .. . .. ... .. _ _ ... _. .._ . ..... � ... ._ _� a;z : � _ � f � i c._ __ . , .....___,..__. .�. .. .. .�.,.. ._ _...___'_ __._ . .'._�`.__._______ .,_ ...._......__._. ____.�_..�_.......��___� .:: _ . � . . , d :.'irs yt ':p, ^y�t ;;�aa ".-. � . : :: �d �"�.° �� a C.:1�� . . . . .. ... . x. .. ......... . _...�.. . ..�._ ..._ . ..._ . .... .. ....__�............ . a.! .4 Y� z^} . � � ��- t � '�. � a....... . ... ._ m. E ... � ,. ... ... .. ..... ,....�,_....... � .._.. _..�.. . ... .....,.....�...............�.. ..n..w .a.. _.�........__...M.,_ /y p�7� r ff � � � ' � � � ,.�.1..7�.�'/ . �__ 1 _.,...,....�._.. _,_ � � � ...�. .. ....._. �� ________� v._....._.. _e ____.__. _.w�. _ _ _ �___. . __.e.. ....... , __.._.. �_.�._____�.___.___..�...y.. .....��. '+ ` s ' � � . ( s� ��-z' " r ;*`' i�' ' w .._:..__._. .._____.._ �.__..._._.._.....,_._._.__._. _......... ._.___.__ ____ �_._.__.. . .._� __ __._.___ __. �_.._.____...____ _. ` a, ; -E � ;, ,:_� s<,E �:.:� ; , �-k. I..a'+, �sr ���..5 �� � ,. � _�__. ... ._r_....__.. ....._.�___....._____.._._._ _..� __ _r_.. _ — .._..._.._.,_.� _ ..- .;^ ;..,� � � � ; �,;~e .;..:.:w,e-4.t a C����. ... _ �._..._. _s s.,3 < .,F,��• 4 ' . .....,...:. . .. ........ ......_..: .._.._.....___z___ .._.......__ .....e.._.____ ....___...___..,._..__.... ..._ ....�., .........._...._._p___...._..._�.__.,_.............,....�.... .......,..._»�,._�..__ �:,.._.__._... _....._._,_..-.._a_._.._-.,.........,...,.....__...i ' f F��:p 3 .4�; '., ; : � '.�4. €fl�T ���:d.. � r ...... _. ...,..._;._..._............ ..... r......_._...._.,."._....._........_......_....................... ._........». . »...�.�....,....,,...,,.�__..........,....._. _.. .......,......�«... .... ...,_ . — . . ^ . �"�L, �.. �la.�EE.. 'E � . . __I ..�.. .m._.,,... �_ . 5�, ��_��w.e.J'-..bd.Id���..;� '. 3 ' . � � � i ,.. . .. ......:......M..�.. ....... ,..._�_..._. ....e...._ � �^ 3 s 1. � ,. . . m`'€ b. . (Yt . ....... . .. ... _._,..... -1 .,..., :. : : . ., � ................. ....... .,_........______._m.' ....,..._............._ ..,.,,..ae.......... . , ......m,.a....�........................�...,........._...,__., ..._..._....�....._._...._..,..,.,..... ...........,.... _.._. .........._. ..........._....._. ..._.._ "'... ...... .>�.._, ,..,. _�_._-. ...k. '� , . �>. '. , j ..I' .,» ..� _ . . , '- . i ., . : �..'L ..: -.. Y ; i . . ..._ �� �` . � : ..... _. .. ..._........... ........._...__.__......._ .._._�.,.,......._..�...._.._........_._._ _.._.... � ...._...�.............�.._....,...... ........ _ .._........,..._....._.e»., �. _ ..__......_.._ ._._,_..__ ._._._...._. . t , e_'Er`r" ..:; ; 3 . .;l s _,� . : i . � ._....__._....._..._............._..__......._.�.,..._._..._a_.�.____...M.........._.....a..... _..._.�._......._..._....._ �__._.�_ .._,.�.......,..,.w.....__.:.......w_:.e..._.._.,...__...�.._.�...._...._ .......__.-____._...._... .. ._ ...._".�_.:_.._.__.............�......................_.. (.. ' �: � :��'� € I ..., e:.,: . . ; : � : � *., �. �'ti ti� : i - � - � t z ... .., ,..:,.,.._.._._._. .__.._�,.._.. ....._........,� _...____....._.,._......�...._.,.�.........Y.._ . .... __�.�--'..._..,..._. . ...�..... .... . ..._..... . . ,. .. . . € � �, ......l.«� i k'�i . ,. : '€ . � � - � _.._,_ ._ _. _... .._,�. .. ,._.....,,.._..,,.�.._ _•___ .«_.:,_. � .. ..... ..... ......... ..........w_......,..._... ..,.. ..,_..._.......e..»............................_._.�..._� .... ._ ___ . _. . . . . . £ ., .�� �� _,__ � , . ; � m _ .�.. ��e ___ _ _ . :: � � , � ' . _ - � € a 3 ,� �, � �� � ��r��-7_ � ,� � �-� _. rv� � � . _r _ � �. �,,t� _ _.____ �� _ ..�.._ _._._ _.. ____._ .�_. _.�, _. ._._ __, __ __ „ .E , � � � � ; �,� � ��� � , � � � � N_� __._ �____ _..______._ _. � �._�_ � ._ee_._ _ _ .______—__ _ � �..__� .._.___�.___... - f __. _ w: } k "��t<e � �°u� 3 ��..s . ._. �� �€ �_ .. ..I.............._......... ...�..,....,.........._ _............ ........._...........,.�._......_..�.,....,..._. ._�.......,.._....._............,..,..................... ......_....�..._..._«..�...�... ....�........_�._......:......�..... :.._.._...,� � �� _..._ ....._._,._.. . . ._..... . . „_.._...._...____.._. ..y.,.�...._.. ......._.«..............__.�..._. ^�d''��$y'$8"'� �� �� .�, �u� r". . . .. . ........ . .. .. _.,..� � � �M LL � 4¢ ................. ..............,. ............_ _._ _.......;..,,-,,..,...-..,._..._......._....,.:,...._.............. .......___.......___,....._.,�..,......,.....< 5��t+`��°rA�'' .r�'ak�ra "� ��'s�.�� << ti� < -.__._. ............... ............. ....._...... . —� - , �.-�,a..�mv:au..n-��.�..w.....»�,::..rt..>A -. .. - � , . . .... ... . .._._ -. ....._ � - . ,.� d �� _. . � . .. . ..-�.:..a,y..' " ' . . . $�.._::., .a..�..�� . ...f � .. ;� ............r........................,«............_...,...,. .._........r _..,.,.......__.�.._�._. ..._ .,»,..�.,..—..-.-... ....._....... � r............ . ._........ _....�;,asC...<«,,._..«.e _...�...__.__....,.e.,,,,A...... ..,......,..,,.... ' , : �. .. ..� . .. ...x�..� . . . . .. .. ..... ... . . . ... . . .. ... . . R . , , i ... ,. i . j � .. -i.�-0r .. . � ...,..-___ ._.._....._ .._......_.. ._......_ _"__—__._. ,... .............. ............... .................. ..........._,_...........,...-..._...__........._...._.. ......-..,.......,,___................ _.......:_......... ...._......._.....___...... ........_..� . _ . 1 ' .. ...................«.........................._....__.._........_ . _...................,.....,...,...._................. ...... ........._....... . ............._ ........._...... ................,............................. . ... ........�...��' ..._.___,_.......__..._....... .................._..................... .....,,.......... ....�.. . „ . � .._...................'_'..................................._......-..._.,........... . ..........._....,.. .._»..._............... .._............................._.«..,....,...._..,......._...W..,.............. ................. ................Y ....._,.. ... ..__.._ __.,,_...............__.................................. .............._......,..e.....e.............., � � �.. .. ...._. ......................._..................................,...._.. _..............._ ..........__ . . _..._.. , ..___..... ..._......_..... .__._._.._.. .....,...._.._. ...,._._6 ,. ._.._ ._._.........................................�...,.........__..,..._____• , _....._.. . ..., � S ... ... .. . ...... ........ __._._......_........ ...._ _ . .. . .,, .. . . .�. .�.. .... :� .:., � .�.:� S ;� .. . . . . . y .. x . ......,. .�.e . � ^::� .._ g R �. e... ......................_..................... ...___.,..__..._..........__....__. ._..........._............._ __.,.............. ................. _ ........._..__ _._._.........._._..... ...... .. . __ ': ._µ.'i... ~' a .�c-..ri,,. �s; a . _ ._V,. ' � � � �G�� 2 t�������� �'-' . .. .._.............. . __.,.._..__.__.......�._..,.....,_...._...._.,._.. � � , . ... . _ ... ...._ .,.,,._ __ ..._.. .. .. _ ; ��� � � � �� �� ���`������� :�� ���� � � � ���. ��� �'�����,� .� _ _______. ...�_._.. _.,_...___.__ ._,�. .. ...._ ._._—___ -_ ___ _. _._ . . _ ,� ��,����� � ������� r � � ��i _�..___.__ _.___....._._.. . .._.. . ____..._ _ . __ __ __--- ----____.. .___.. _..___._ �,� �� ��" a,� : � ��'���a ��a�� w . . � .'������k�4����������� s � _ ��w_.,,. ��� a'� ��'��, _ _ __.. __ .. _, m �� �� � ����� ���� ��' i ��> �.� " .��a ������ ���, .. __._ __ _ _ _ a� ^` �,� ���� ���� ` r������� s �� ������ ��' s a�.} :'�'s�������� ���.�r` �u� . _.. .. _. .. ...��_ ... . ...._ .........__.. . . .. .. . ....._. .... .. . . .. . ; . ,,� � �� „ � ' .g �`�" �� . � - ; S , . . . . S. . . . � ���:���.������s����a�:,�.��.;� . . ._...__ .�......._,....l.�?-n �-�--�_...._._. _..._,...:...,..._._..,.__--- .. � ... .. . . ._ . _ .. . � . . .�..ev. ._ .. ....._...m._.. _ s