400%
200%
100%
75%
50%
25%
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
11262
� , ,:., , � .. �.:, ,_ _ ..r_,..�.;�._:�� �..�w.�. ., � _ __. . .. ._ �� �4—�— CITY OF DIAMOND BAR � � COMMUNITY DEVELOPMENT D�PARTMEN`I' � f � �,� 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 � � ��� �''%r" BUILDINGPERMITAPPLICATION '� � FIRMLY . _. . , o� JOBSITE � '��•��'"?"'""� � .,�� �� pATEICATION � �- NUMBE � # ADDRESS� o ISSUE TYPE OCC W APN�— LOT TRACT DATE CONST. GROUP °C OWNER l � O AOD SS ZONING SETBACKS Z CITY �p �, � FRONT RW ❑ � APPLICANT `�YO 2 . �TEL. REAR ❑ � SIOE/SIDE STREET RW ❑ � CONTRACTQ� U�'� SIDE ° ❑ � ADDR S i/ il� n D t �� . � CITY ZIP�\���TEL. PROPOSED USE o ARCH/ENG/ - W DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP 7EL. � DESCRIPTIDN SQ.FT. FACTOR PSF ADJ.AREAlVALUATION � � OWNER-BI:ILDER DECLARATIUN SFWADD/REM O p I HEREBY AFFIRM UNDER PENALTV OF PERJURY THAT I AM EX[MPT fflOM THE CONTqACTORS LI- Gef89B/Cdf�70f1 W CENSELAWFORTHEFOLLOWINGREASON(SEC.7031SBl1SINESSAN�PROFESSIDV5W0E:ANYCITVOP, (n ZCOUNTYWHICHREOUIRESAPERMRTOCONuTRUGT,ALTER,IMPRCVE,�EMOLISH,ORFtEpAIFANY3TRUG W patio/Deck W TURE.PRIOR TO 17SlSSUANCE,AL50 REQUItiES THE APPLiCANi FOR SUCH PERMIT TO FILE A SIGNED w � STATEMENT THAY HE OP SHE IS LiCE�'SED PUpSUANT TO THE PflOVI510NS OF THE CONTFlAC'YORS LI� � CENSE LAW(CHAPTEfl 9(COMMENCING WITH SECiION 70001 OF DIVISION 3 OF THE BUSINESS AND Pq0- LL' POOUSp& � FESS�ONSCODE)ORTHATHEORSHEISEXEWPTTHEREFROMAND7HEBASISFORTHEALLEGeDFXEMP� (ij � , V AI�CIVIaPENALN�NOTMORETNIANFNEHVNDREDL00LLAROgA50P�EFiMIT5U8JECT5THpAPFLICANTTO �z Re-Roof � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAGESASTHEIR50�_ECOMPENSATION, 0 COR1ft1BYCIdI Z WILL DO THE WORK,AND THE STRUCTURE I,S NOT INTEN6E0 OR OFPERED FOR$ALE(SEC.7044,BUSI- � J NESS AND PROFESSIONS COOE:THE CONTRACTOPS LICENSE LAW DOES NOT APPCY'O AN OWNER OF � PROPERTVWHOBUILDSORIMPROVESTHEREDN,ANDWHOOOESSIICHWORKHIMS�LFOPHE(iSELFOR � �� [[ iHROUGHHISORHEROWNEMPLOYEES,PROVIDEDTHA7SUCHIMPROVEMENTSAfiE'NOTINTENDEOOR m QOFFEREDFORSALE.IF,HON'EVER,THEBUILDINGOFIMPROVEMENTISSOLDWITNINONEVEA(iOFCOMPLE• .Z TIGN,THE OWNER-BUILDER WILL HAVE THE 13UFOEN OF PFOVING TNAT HE OR SH�'DID�NbT BUILD OR � IMPROVE FOHTHE Pl1PPOSEOF SALE). ❑I,AS OWNER OF THE PROPERTY,AM EXC WSIVELV CONTFACTING WITH LICENSED CONTRACTORS Q TO CONSTRUCT THE?ROJECT(SEC.7D49,BUSINE55 AND PROF-SSIONS'CODE:THE'CONTRAC70RS LI- V3IU8tlOn ADJ.AREA W CENSEL4WDOESNOiAPPLVTOANOWNEROFAPROPEFTYWHOBUILDSORIMPfiOVESYHEREON,AN� � WHOCONTFACTSfOftSUCHPHbJECYSVJITNACONT3qCiQR�57UC�NSEDPUR5UAN7'TpTHECON7RAG (]UANT7TY� DESCRIPTION FEE ,Y TORSUCENSELAW.). � ❑I 0.M E%EMPT UNDER SEC. B.&P.C.FOR THIS REASON � � � LL DATE OWNER F Z �y � LICENSED CONTRACTORS DECIARATION � w ¢ (2 I HEREBY AFFIflM UNDER PENALiY OF PERJLIRV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � � . � 9(COMMENCING WITH SECTION 7aD0)OF OIVISION 30F THE BU5INESS ANO PROFESSIONS CO�E,AN[7 Z X MY LICENSE IS IN FULL FORCE AND EFfECT. p�^'-� m . ' / � LICENSE CIA S �r�`�-� _LIG.NO._. ` y , � � ' f [, � V DATE�� _�� GONTRAGTOR � �,�� 0- W . . �', . � � � � ORKERS'COMPENSATIONDECLARATION � `'���.��-�� ; d = L�--- �r � � I HEREeY AFFIRM UNDEfl PENAL7V OF PERJUFIY ONE OF THE FOLLCWMG DEGLARATIONS: ' � � Q � _IHAVEANDWILIMAINTAMACERTIFlCATEOFCONSENT705ELF-MSUREFOPWORKERS' ,_ CAM7ENSATION,AS PROV'DE�BV SECTIQV 3700 OFTHE 1A80R CODE.FOR THE PEflFORMANCE C.) ¢ OF THE WORK FOa WHICH7HIS PERMIT IS ISSUED. � Q w HAVEAND WILLMAINTAIN WORKERS'COMpENSA710N INSVRAhCE,AS REOUIRED BY SECTION a370o OF THE LABOA CODE,FOR THc PEFFORMANCE OF 7HE WORK FOR WHICH THIS PERMITIS � ISSUED.MY ORKE�N INSURANGE CAFfiIER AN�POIICI'NU�iIBER ARE:.,.., .. , CONSTRUCTION ¢ CARRIEF �Y\ �� PLAN REVIEW � 7 n ^�Q^� `, � POLICYNlIMBER 1 rJ ! I�G ��1 � ELECT `r�� Q � (MISSECTIONNEmNJTBEO�NPLETEDOFTHEPERM�TISFOROtJEHUNDREDDOLLAFiS(57W)OPLESSy P MBI��� � W ���--�'' � I CERTIFY THAT IN THE PERFORMANCE OF THE WOaK FOR WHICH THIS PERM�T IS I55UED,I ��v ECHANICAL __., (,r} SHALLNOT'cMPLOYANYPER50NINANY1dANNEfl50A5?OBEGOMESUBJECTTOTHF �/j WORKERS'COMPENSATIONLAWSOFCALIFORNIA,ANDAGREETHATIFISHOULDBECONE �NSPECTIONFEE SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 37W OF THE LABOR � CO�E,ISHALLFORTHWITHCOMPLYWiTHTHOSEPROVI510N5, ISSUANCE ' � SMIP p pATE: APPUGANT, , � � ENEflGY P!C __ � � WARNING:FAILURETOSECUREWOFKERS'COMPENSATIONCOVERAGEISUNLAVYFUL,ANDSH,4lL8E � � SUBJECTANEMPLOYERTOCRIMINALPENAITIfSANDCIVILFlNESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(E100.000).IN ADDIiION TO iHE COSTOF COMPENSATION,�AMAGES AS PFiDVI�EO FOF IN � SECTION 37080F THE LABOR CODE,INTEREST,ANC ATTORNEY'S FEES. � RETENTION F�E: d CONSTRUCTION LENDING AGENCY PRE-AL7 FEE: CC 1 HEREBYAFFIRM UNDER PENA�-Y OF PERJURY THAT THERE IS A CONSTRUCTIDN LENDING AGENCY 0- FOR 7HE PERFORMANCE OFTHE WORK f-0R WHICH THIS PERMIT IS ISoUED(SEC.3097,CIV C.). - Z W � LENDEF'SNAME ' F`- LENDER'SADORESS � � �-- .�.�_s._....,�� - � ICERT:FYTHATIHAVEREAOTHISAPPLICATIONANOSTATETHATTHEA00VEINFORMPTIONISCORRECT. TOTAL FEES ��� � . .. t ., d 1 AOREE TO COlAPLY WITN ALL CITY AND COUNTV OROINANCES ANO STATE IAWS RELAT'�I.'G TO 9UILDING - � CONSTFUCTION,ANOHEREBYAUTHORIZERE7RESENTATIVESOFTHISCOl1NTV7'OENTERUPONTNE . Yw g-�� ' � Z ABOVE-MENTIONED PROGEATV FOR INSPECTION PURPOSES. COMMENTS �'�� � � ������� � _ - � PEFMI N E(PRINi) � Q !!� � SIGNATU FPE E D E - v = RECPT.N0._ — ,._PAID BY ���.�-.���. VALIDATI . ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Flle Copy,GREEN—ApplicanCs Cn'�`y" � � �� '� � � � 1 � Qgy � � �� � �� _ : , � , � � � � . � � � � � � � M. . . �u � . ;q � x �, � � � � � � � _ , . , R . t� ^� . � '..h S 4�.1`�� . -... . - '� �E .^"tr,J�c1E J3�`�M... . ... I .. _.. � . � �._��.�._.__ ._.�,.._.....,.,...a.«�.�...�.._ j _. ,_..... _�...,.. _ .�. , _ _�� �� �',�� ��'��� `,3� :�r-L � � � �rt� ��r�y�"o;ro ��� -- � g __ _� __ _____._._�._ ��.__.__n..�._._.�. –. ; , . ; _�. -���m�a. ����r�: i 3 I , �������—,��� ��,�� , , � t E ` .____ �.�_.n.. ._. . ___— ' ____.f. _�.,...._ i�...._[...� �_3�+ry�....__} .} j'}Y'' , . ( " ,_. ._ t F^S � +�°i P`a� j ..3_R„y ��rrv � ' �: G�V�TC�1 3'i.�.iS'(s S..1d1��1��SS�� ' .� . � 4,h"T -4 Y4§: -,Sgd I'�. � . . � ___._ __.� � ' � .�..,_. p —^^—�j _. . .,, _ � �ss �i'�'" �'"�z�t" ��� �. ' i �"9"��a� sz�.�: � �6��x,�d� � _.._.. . � 3 �; f"4 �€�k� _L___ �-�?�s���s s�,�"•�� �; � 1 � __._ � ------- � ; Fl,��:r�x��°�EaatE����"�,�li ;m � � j y _� k t,��,r��"�� .����,;��`� �I � �€���,�C3�l���:�.C��. ; , �_______ __.____���`� __��.� _ ---.--,�--I-r- � �� ; � ;��-8���i�r�� ` I �_�_� �-� ��,��c����;�� � 6 � ..... __�..�._�.�.�. ..,.._.._.._._��.. .��__...�,..�eb. �__�. ;�"�.'i€��m.,r--:��..R''��1�.��*..�a��a� � ._..�_;....s�i'�J;°��,C��:x�,.J��.�'e�`a�a � � } ._ �-_., ` . _._...__.. [ t��a.,�:a'a.a��s�� .. . � �_�.""'-_ _... .� ��t�-�.�.�i�€.���� � t , ���...,.._._.e..e.w._. . �._.-_. _. ���_ i � � @�t�t�'s 1�°r-€',�1 r"��.��L% �� . � .....__.......,.e..._____�.._._..._.�. I ���d�d"f�:�4� . � ''Q� 'G"! rp°�,^t" r.. •_'___,--""--. __.�._..� . f i �ti �'"I m u ; � I I �`"'Ii7C'F� ,�`,�'�'"`t&�C'Jii�b� � � � _ � _��_.._.___..� __ ________.___� ; ������: �_����?�i��tn � _ _... `�i`� s�°a����;�;t�(;�'C"a � ; �-� ____�µ.___.._n _.._ ___.m + ._ __W.._ _�. .; , _._.....__.��_ �i .r��'gY�:�''.))�a��:�� ' �'.�L.e� ����°.P o��a ; W� � w �_ _ __�__. �..__. .._.. �.� _ e ; �;a`C.;..:��°"'���,i����w�'."., i . � � ��g��...���vt'�Q.+��� .. �'�"i--... : —� � ��ah�^� �.°��=��.°�'s��:,,:;�_......m-.,..._��.�a_____._........�... � ��L�) �i�r��... �,.....""_.._.�_ ,' . . . . _-___m_._.�.m_1 �" ��,°�.�:����:�:��.`';C1'?�� �; i.;�E��i�'�?��p�, �_�� ; �`_`_ _ _.. .� �...__d___ ____..�. F �s����;,�?��.'���L���� C _�____,_j�t-�I��;�4C��� ��-W_` , �� ;. � _. �.�.. �. �.n.�._.�.___ ____�.�� __.___��__ ' ���:.��€-� 3 � I c- e�� E�!�;. 1 _._.._ �._� �� 1 -----------�.� � ...___._ ---�_.�... � ��=� �Itt����1� � `w_`__. � �.�r` �.�i`"€1,'-'��I£'-e�3G. � � � � � �.�.i� �' ��Tt� ��,m.__`�"_"_n.� � . I I f�¢rs (`�"� ti��� �_ ..,:�,..�� __.�„ , _ a d��..+�S' ` �-C a..e.�:....__. a _._......_�._,„,�__...._....�� �d ¢�t . p^� ( w�„._.... ��__„__,.�.»._..,. � ._ �..,_..�.... g( � §��tb � rx I .. � _ � � ( i ��.�L�I.:�I�� j � . , . . . . . { �,�---......_....-„...�_.___......__......�....,,.....�__�_,._.._....,._..u` ... .,.._.»__��_ '._'_.. �._...�..-_...�.._..,____�_�.�.v. � . .�....._.._.._...,..».�. . �=;�!t��.�`���:m. � i '' i C'��;...����'�.��1���_ ; � � �� � ..�._..._....._�.. ---�-�'-:--- . ._ _____-`�...�...;..._...w_. �1�'� �'I�TT1r'�'�`a { � I � 1"ic�l a s'��:nF�'7.�il�!�1. f i --.....-�_ -_--� ._. _µw__._ _______ .__._.__ _ _ _� __._ _.'..._— _ ___w__� __._ � ���� ���� €��� � �£���' ��E� :���L� __�� _. _ _.. ,, — _ -- -------� �,a�'f�.s �":�a�.ro-i�a��?!�_,_�:L---�.-,---:�--�--'a .' , , ; ; �"'�, ���y � � T.� ��._�.� � .�-___W_..�_ � : . � i � , : � ' .. --�-�...�.�._ � ' � d� �� ' . i ,w . � 1 • -._ ''- e,i..---,... `� ____a—._ C 3 . � � � ��� � ,_' _ .. . J � , � . , (t �. . . _..,. . . .f. . . . t�_�._. .. .. . . �9� -- � � .,.. ... _ �� ''� -' �� -� ,..� ..ia:. . ... "� � , ' •. d � __ : � .,.. -.� ; .. u.,. ..��. , ;�,. .:..._.. t � 6.e"�dB�'4?3�����'�"� ' ..- . . -. _,.: � r- ?{ __ _. ____�__.�..... _ .. . .. ��, -� , ..�, ,,. _ , ,.�mm j P �:.,._.�... .. ... . . . "'� . "" . . _. . ____.e.o.._... , _.W..v_•___..._... ��, . .-�.'_'-""'� � . . . . , . a,.:,,i �:ss..:o�.. .'l . : � .__.� �...___,....._. __._.. . .�, . ... �.., - .�,...__ � _... r .;.. .�-. - . . - �.,,. .. . . ' ' � � - - �� �� �� „-" ... .. � ' . ,. - ,�e 4; ., . _.. g_. ..__..... .__....�a.,�---_ _ ..._._... _' .. . ._. .<..� � . l . _, J a.,.:: . .. . . _ � � - - ' - . � .. . � ' .., ... .., . ------"=�—i �� . ___-...._.�..�-...._... _, _ _.-`.`_ � ,:. R , � . _ � �.� ,, � .._i � y , >� __.� _m �.�_� _ _ , , __�.� � � , { ._.. _ _�.. �__ . � -- -- � ��, ��z �- # , _ � _..__..._ , . __._� ___ . 7_ � C � �.�_____. _�� _ �. - _ ,, � ���:��i�������� .� ,. ,. � ` ���� ��,�.:����� _._______ _._.___ _____��_ __�__� � k` — ,. :,; n ; � ��� ..__.�__._ �._______�._____ �..__�__-- ___�___:.� � �..�._:�_ ` k x;. �___; �� � ": �. ' ... .. . 3 :.% ...�.._,... .�..�_..v_................�_�.—._..... . ......_.v.. _...� „�, .. . .. . . .._ . . ._ .. ... . '.- -�� i � '. : b'� _�. �..�:i4 . .... ., . . ... . ...., . .. . "'_'..._._'_..�_,—'f � . ... __._..�.._..._�,,._. .�.:� , . . �� � ,� ,._.� �� � . �' • . ...� .« t:,�, . �... ... . � � . .. r..r. . £ �_.w._.._._. .......�m._»....-_�_ �. _ P _...._ 6 4 ��. , '.: . t- ^t : } f i :: � �,+�' ::.. .a.m.�.�_ ..._�.�,,.,..._._._......_._.T...... .._._. _.�._. L '' -. .____.. .�...�..._.§ [::.: :. � , � . , � . .:: .• .� • J •' �� �,� � ; t ,�. _: .�, ,:� � `: d. ,Y; �. .. iz,,. '. �- � � :.... .. l. .. :�:. . ..'•V,*'. �.___.._ ..._._-_..�.....o. -i.,-1��----�"—.-,- �.'� .; ' . ' " � ; 5 ! jjj ._. � �'§ . '- - . . �. � S ....� �"a.$.� .v.a..:.,u g ..�..a...�»�+�:.......».._:� . . . .....«�.t.k