Loading...
HomeMy WebLinkAbout17547 (25) _ _ _ _. . CITY OF DIAMOND BAR --�'�`�--�I DEi'ARTMENT OF COMMUNITY&DEVELOPMENT SERVICES - 21825 E.Copley Drive Y (909)860-3195 F�(909}861-3117 PRESS '"<9���' BUILDING PERMIT APPLICATION FI R M LY ¢ ADDRESS y�Z'�� ���Q/�� ��� �}�� APPLICATION ,,� PERMIT � � P/C v A p DATE 1'^ �'� NUMBER� # � p ISSUE TYPE OCC APN LOT tr�l _ TRACT DATE CONST. GROUP p OWNER �..��.., r o ADDRESS . ZONING SETBACKS z CITY �rZl TE� �.� �' FRONT RW ❑ � APPLICANT �i����p�� t�`�����-�;�L. �f�esn�.�' REAR ❑ z SIDE/SICE STREET RW ❑ ¢ CONTRACTOR r; ��- ; /�„ �,'�'Z,,, SIDE ❑ ADDRESS � � � CITY. �ZIP�TE�: g��1O�1„-t2� PROPOSED USE OFa� ,r�'. �� w ARCH/ENG/ '_' ` �' z DESIGNER �.-- � '' � w NO.DWEL. NO. � NO. � ADDRESS �°�9 e� _- �" - �-� � � CITY � ZIP TEL. UNITS STORIES BEDROOMS � rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/flEM � 1 HEREBY AFFIRM UNDER PENALTY OF PERJUflV THA7 I AM E%EMPT FPOM THE CONTRACTORS LI- G8(HgBJCflfpOf[ W CENSELAWFORTHEFOLLOWINGREASON(SEC.7C31:58USINESSANDPFOFESSIONSCODE:ANYqTYOR (n U COUNTYN711CHREQUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIFANYSTRUC- � � W ',TURE,PRIOR TO ITS ISSUANCE,ALSO RE�UIRES THE APPUCANT FOR SUCH PERMIT TO FILE A SIGN� w Patio/Deck � �STA7EMENT THAi HE OR SHE IS IJCENSE�PURSUANT TO THE PROVISIDNS OF THE CONTRACTORs LI- � ,� �.CENS6 LAW(CHAPTER 9(COMMENCING WITH SECTION�000j OF DIVISION 3 OF THE BUSINESS AND PRO- POOI/S(Jd O ��'.FES$IONSCOD�ORTHATHEORSHEISEXEMPTTHEREFROMANDTHE6ASISFORTHEALLEGEDEXENP- (� V �TION.ANVVIOLAiIONOFSECTION7031sBVANVAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO 'Z Re-Roof � ;,A CIVIL PENAL7V OF NOT MORE THAN FIVE HUNDREb OOLVIR3(Ssoo�.): Z . ❑I,ASOYYNEROFTHEPflOPERTY,ORMYEMPIOYEE5WI7H�N/AGESASlHEIftSOLECOMPENSATION, �� Commercial - 'WILL DO THE WOAK,AND THE�STRUCTURE FS NOT lNTENDE�OR OFFERED FOR SALE(SEC.7094,BUSI- J ��. ��NESS AN�PROFESSIONS CODE:THE CONTRACTObS LICENSE LAW DOES NOTAPPLY TO AN OWNER OF ��,� .�PflOPERTY WHO BUILOS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSEI�=OR HERSELF OR ��'�. '��THROUGHHISORHEFOWNEMPLOVEES,PROVIOEOTHAT$UCHIMPROVEMENiSARENOTIN7ENDEDOR 'm - Q�,�' ;,,.OFFEREDFORSALE.IF,HOWEVER,11-IE@UILDINGORIfAPROVEMENTISSOLDWRHINONEYEAROFCOMPLE Z�, ",';TION,THE OWNER-BU���FA WILL HAVE THE BVRDEN OF PROVING THAT HE OR SHE�I�NOT BUIL�OR ��, ��IMPROVEFORTHEPUHPOSEOFSALE): w„' . ' ❑I,ASOWNEROFTHEPROPEfiTY,AMEXCWSIVELYCONTRACTINGWI7HLICENSEDCONTRACiORS � ����TO CONSTflUCT THE PROJECT(5EC.7044,�9USINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI- V8IU3fi0f7 ADJ.AREA W 'CENSELAWDOESNOTAPPLYTOANOWNEROFAPflOPERTYWHOBUILO50RIMPROVESTHEREON,ANO � ��'��.WHOCONTRACTSFORSl1CHPROJEGTSWRHACONTRAGTOR(S)LICFNSEDPURSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE "'TORS�,L�ICENSE LAWJ. O � �aLIAMEXEMPTUN�ERSEC. 8.&P.C.FORTHISflEASIXJ �Q� ~ U �' % ` �, g✓,�+ LL DATE w�"!� WNER ��H �� � �` Z, � CfCENSED CONTRACTORS DEC RATION � �,W ¢�. . .�. . � . �' IHEREBVAFFlRMUN�ERPENALTYOFPERJURYTHA7IAMLICENSEDUNDERPROVISIONSOFCHAPTER '�� d��� '9(COMMENCIMGWITfISECT10N�ooajOF01VI510N30FTHEBUSINE55ANOPROFESSIONSCOOE,AND Z `X MY UCENSE IS W FULI FORCE AND EFFECT. ,� Q LICENSE CLASS LIC.NO. � ��;� V, DATE � CONTRACTOR �d W � WORKERS'COMPENSATION DECLARATION ¢ � IHEREBYAFFIRMUNDERPENALTYOFPERIURVONEOFTHEFOLLOWINGDECLARATIONS: Z . �' _IHAVEANDWILLMAINTAINACERTIFlCATEOFGONSENiTOSELFdNSUREFORWORKERS' ¢ Z = ¢ COMPENSATION,AS PROVIDE�BYSECTION 370o CF THE LABOR CODE,FOR THE PERFORMANCE '�1U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSl1ED. � � _IHAVEANDWILLMAINTAINWOFiKFAS'COMPENSRTIONINSURANCE,ASRE�UIREPBYSECTION Q ' 3�ooOFTHELA90RCO�E,FDRTHEPERFORMANCEOFTHEWOFKFORWHICHTHISPERMITIS J ISSUED.MY WORKERS'COMPENSATION INSURANCE CARFIER AND POLICV NUM9ER ARE: CONSTRUCTION j �caaaiEa � PLANREVIEW � Z �POLICV NUMBER ELECTRIC �C�o d a� . ��(INISSEC�ONNEmMJT9E00MPLEEDOFiHEPERMTISFORONEHUNDREDDq1PAS(51ao)ORLESSy. PLUMBING W � Z ICERTIFYTHATINTHEPERFORMANCEOFTHEWORKFORWHICHTHiSPERMITI515SlJED,1 MECHANICAL ��-_.=.'�'-""' C,�. .SHALLNOiEMPLOVANYPER50NINANYMA4NERSOAST09ECDM[SUBJECTTOTHE k_--' i� ' (j� , WORKERS'COMPENSATION IAWS OF CALIFORNIA,ANOAGREETHAT IF I SHOULD BECOME INSPECTIDN FEE � .SUBJECT70THE WORKERS'COMPENSATION PFOVISIONS OF SECTION 370o OF lHE LABOfi � COOE,I SHALCFORTHWIiH COMPLV WITH THOSE PROVIS10N5. ISSUANCE v � � �€�C� .�' �J,_ p � DATE:' APPLICANT: SMIP I' J '. WAFNINGFAIIURETOSECUREWORKERS'COMPETISATIDNCOVEFAGEISUNLAWFUL,ANDSHALLBE ENERGYP/C k�YT � �� SUOJECTANEMPLOYEpTOCRIMINALPENALTIESAN�CIVILFINESUP7DONEHUNDREDTHOUSAND ENERGYPERMIT - � DOLLAAS(5700.000),IN"A�DITION TOTHE COST OF COMPENSATION.DAMAGES AS PROVIOE�FOR IN - � c �� ' SECTION 37oe OF THE I;ABOP CODE,INTEREST,AND ATTOANEV'S FEES. '`-�� - �- ..,---�.-�- �-- �+ i°' � RETENTION FEE: --��"' -- �- -�-�� L O �� CONSTRUCTION LENDING AGENCY PpE-ALT FEE: �, . I HEPE�YAFFIRM UN�ER PENALTV OF PERIURV iHATTHERE ISACONSTRiJC710N LENDING AGENCV '�. FO.'7THEPERFORMANGEDFTHEWORKFORWHICHTHISPERMITISISSUED�SEC.30B],CIV.C.). � , LLl ' ��. �� LENDER'SNAME � �� LENDEflSADDRESS w , ICERTIFYTHATIHAVEPEAD7HISAPPLICAiiONANDSTATETHATiHEABOVEINFORMATIONISCOqRECT. TOTAL�EES � s�� , R , I AGREE TO COIAPLV VyIYH ALL GTY AND COUNiY OROINANCES AND STATE UINS REL4TWG TO BUILDING � '�. CONSTRUCTION,PND HEREBV AUTHORRE REPRESENTATNES OF THIS COUNiY TO ENTER UPON THE Z '� ABOVE•MENTIONE�PftOPERTY'FOR INSPECTION PURPO'oES. COMMENTS � �-�� ►���z �': � ��d�-- _. m� '�. PEflMI� ME(P911�T) - � � �� ' SIGNATUREO P .MITTEE _ DA E �1 �,/ pq�D BY VALIDATION � � � - RECPT.n0. I�� p WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy A � 4; .. � . .... 3t� .. . d"x ... � y � , t .v. . -'T., � � .. ., i . I�� € ,a= "A k t5"' q.a. Y'°e k Y" :' �' s�s� *' € '�. k 5 *. y�� ., ��� �.c r e a x � m�.. r s �"^,�-��x .§:�p� * I ( � i�r�Y� z �. � � � � �� �a s � � ( '� � � � : � � w M,, � `" � � 3 , �� •r r �� ���,� m*,"�r..: � �, �.,� � m a �, � �.� �� i ,. :�s .*�� t .:"p a � t# * "a� x ' F € € � ��� � '�'a"� � � -�' �t � � �,�g s � �� � �;.t#�u.�iq ». .. ,.� . .. �, a _ �.. , _.a ., . :..s., .�.. a... _ .: m.:���:.�....t....::� s ., _�a,.�-..n;�...s.et .. ��.xi x,. ,. w.. �, s . ... � x.. w .. �, .... 2 ;i'�. : . , .,, ...., ., : " ....... . . ......_.... ........__.._�, .._........_ .,._..._........._ . ........ ...._ .. ._._.. ......,._. ._ ._ _, _ ' ._. .�. ;,y� . _ . ... _3.,....... .._.._ .._.._._._. . '" r ,. 9.< : ._ . ..........._.....,..__.....__._..............�.�.�; '�.L,.�.i.< �.,.: � €:� �, . � v,'t' c . ... € l ._... ....... ._ ..�,.........._......._ . '._.......____ ................. ..._,.........,,,..._ . ,.._. ._. .... . .__._ .__.. .._. ._..,_ ._ ", .: i« «. . ( .. .. i . ._ . _.. ... ._'__._—_� .... ........._._._...._.....�. a jX 41ti..r i..1.��1'zg . �'f� ���� �..�f9 � 1 E ... . . . ... ... ..._. ...._.,....._ ...-..,.... .,.............._ ,.,_ �. ...._. _................... ...._.....�_.. ...._ _ , .... ... .... ._. � _._..._..........._.._..�....._.-.-. .,.is..} � 4�;. .,,D Y � .' i '. .€ . .. �:, l i �: F �'' L. : F - ......., ».�.. ... ..............�'.... ..,,................_... .'._.___..... ....... ..,............_.._....,.._.. .�..r . .«,_ ._ . ...._ . _ ...._...._ _._... ._...._....,_.................._..._, ....... . f J � � � z I !C x �, �r f� .�.i ':.. ...._... ,.,.,.... .... ......_. ._ _ _ .. _ _ ._._...._ ._._ f . �: � �� �_���,�� __��;;�.�..� �� � . � - — __ __� _w��__ ���__. m _ .�,��� � � — - � .�� � �' � _ _ � x :: , - �. ; e____�__:�W.__ _ _____.. _ __ _ . _� �_ _.. _ __� � _____ __ ___._ _�w. , ; ____ ____ _ _ �_____ . __.._ �_. >;..� �-�;w �- ,=� � � � � ¢ � . �,_. :,- :,�� ��, , _ __ _ .. _ _� ._ �� � � � __ '� � �c ,,, � , � �s � � _'� 6. � __._ .__M_____ .� ..._____ __ ___._.�__._ ._..�_._. w „_.-- _____ _ .__..._ _ � _____._ __� ,_. _ _ _.._..____.___.__.�_� � jn �,,,r , [{ �. — 4..F d L . i, E i : € 3 �.. :,. . 5 ., . 8 _. ,..,.. ....,. . .... _.. ..._...., .... . _ �:. , ......._. ....... . _..... .. .. . .� .._ q . .,____ . ........_�- g Y's-^' :€ & .' . � ��� '.- . P i �..,..L � - €i � { 3 € ._.. ��e, ..... :........................ ._..........,..__.__.. _,..................... ....... . ...........,..... ...,.._..._.....,,..._........ ....,..._ ,..,.,.........._.r_.�._..�.._. .- T, t d i ; Y T� i f ��d�, I f :. �. .'.,'. _,_...� �Y...g.� � € ,.i �...1�.,� - � _..l_..�._.::.___..._.._' ': _..,... �... ._ . :....._........................... ............._.. ..........,....,....._._.... ._�....._..._ .............,.....__ " '._.�.___.__..._ _�.._....._.__._._...""_. ......._._......_........__ ... _ fl 1?'"I t.t- 3 #' - . 6 'n . : � iL.' 8 R } ..e m. - . 3 6 - �. 4 9... . . , ... . . :.. .... ..,.... . .. ... . ..... '� . .� .... ... ... ....... .. . _ �. .. .. . . . . �._ .._.... .i g ,,,_a b�-i 3 r�$ ' E :.�W j 1 I 4 �� 'F�. €... ............. _.. _,._.�_....._.._,..-t....__.._,,.... ._......,...__...,,,..._. _....._._.. ................ 7 .: � ..........._.....-,._,..___ _. ..._.....,........,.. ..__ 3 . . ... . .. .. _. �__._.�__.�._.._....,..�.�v .„._.� ��: � ���.��5(� 1 �;" 3 I .... 4 '. [f :. ; � > ._.........._._......._ ___.____....,__,,......__..___.._.t..___._.__.__._.._.....:.................. ... . , ; �. _..,_. _. ................_.............._,._ __ __ _,_._ ....-_.__..._ _.__...�_..____—_ ......... a�'•t�":�. .:�C.�i�.° ;. .. f � � ; `r.�. ' �'€,*°e�. J.._ u_ ._.. ......� _ _. ...-... ._.. _ ---q' -.._ .__....., .._.. .._.............._...., . . _ . _...._....., _ ..,......._.....,,...._._ _.---_ ..__...__.�.�._..._.._........ , ;,A�`^� ! 6[ t� .L., 4 I k,? ; ,• � �..'F I � .� � i � -._. .�.. ._ _ _ _ .. .. _e- , .. r..__..... .... .- r.b" '_..�'" ".....__ .._ . ......_,._�...._ ' _._..,_....,.,.....�.-..... '_ __..._ _-.,_. _.__.........__.._..._....... .„. � ; +, . g .,.. � -,r- -� _"— Y:'� y . � ,d< 81,.,..'xV: ...:f"v � . .. Y�.: . :. _. ......_.....,._...,.,_...... ........_.....____�,4..,...,_....,._....v._�' __.,..._...._,...,.............._._... ._.. _..<.. ...... .. .... .._...._...............«........._....,,. ...... . ......._......._ .........�.............,......,................. ...........__....., �_._w. ...... ........ .. � n. ! _• '�'..:' . .. �= �,€��.a .y t; � ...�� t F :�r � ' ' ;. ._ - .m..z __ � _ ....___ �—_"_W.T _..__ .._ _ . .._._.__.. _ �._..' '____........ ...._.......................,.._.........--�._...�__ ,-., _. ' , r y x � E � ... ;, ' ..f";� .«. e„ . p ._ . . k.;��:f .l.4"`t'..... ' .n.. ._.................m..._._e ....._._.e....�...._.._.._......__._,. . .__.�._. ._�._.._..^.�,.. _...._.,..�..._.._ �_ " _ _..........._...,._....._ _ ......,.._.......,....._.._.........«. ..............,.................,.........,,... .___...... _............, . 1 . . � .�.... :�..M ... .�..& .� . �� � � . . . .. S ' 1��.�..�... F�-�- i.'_ � ,. x. . �._i`. .,. I � .�.. ..... .....................,_...........�',-.,...._.,.. .............. ...._.._._.._.___'"'_'_"..... _..�._.._..._.._...... ,.n .-..,......_._ '"_�.�....... ........,................. ._......,..,.....�.._"____"..........................,.......... ' ,1 E ! p • . WYf .ir.4�,. �4 .,_ . - i i ,...a ;'�� ..=1 �. ..,... ._ ................._ .n .u.....;.........,.,.._......... .. ..._._.._........_..._ .-..........._.,_...._.._._.___ ` _,..__.._.......___e._.,�_..__._....____......�....�.� , p �`4�b ._. _,�.';��a a',� , �, ..._ .,,; r� ...i . ', � . ._........ .... ... . . �. ?"p" .� ' b�'�. ._ 1 4r'.�v. ...... ..�..,,... _.�.....,.._...._...�...^...... ':_._,_,__.�...,<__....�.._........,_.,....__.:......_. ...,,_ _._ .._. .......... ....w.._.__�.......�....._........ '........v........._.................�..._.._ _ ......,......,% . f k'�#,$�� � .���. ........»._..,..������.�._._.__� .......... .._.__ ,..._m'4# e �� €.�._..�_� ,..<... � '. � �w . . . . .. ..Y...._ ...... ._..� 3 � �� � C . . ��_ _......._ ..«....._.... .............. .W_ ......._....,........ 3.'? L-..� � $ ':.� ''. '.:�J ^.;� 3 8_. ..._........_ ._ ..__ ...................... ._ 1..._ ........._".._._ i-._._....,._...__._......._.—_..._� _....___....... _,.� .."__.. _..._......_._.__._..___......_........._ . � .._.._.. _.__._ ._........___�_,,...._.__ � . _—" � t �.. ....-......... �_ ..'�... € _....._ . . ..-. ..`�.._�4� xn �` ��x�T.wg�a�`wm?z�„�,��.¥" �. �.�a, .. .. . . _......., __._...�_ ..�-_ _...�. .� ,a». _a.... ._. __ r ..__'� �'.� . � , �� ���. � � ' l . __._ ' _. ' __'. _ '__. ..__. ,.,.., . ...._..._ '.x � .,.n;�s - �_.` ..�.e ,s�.__.___ .� � a,.. M.., .., . ;: +.... d �'�•., d'>' x �,a a.. „ `__......_........,._..._. _w....__,....._ _..___.._._._.�.,....__......_..__._._. } .._..___.<._...._._..__..._...�_..._..,.. ,�...._____'_.__....,,-_._._......................_...... ...__ __.v.�.._._..�" ___...._�.,__.____._.�...._.� m � ..,._....,,....,_ ,...._........_...,...,_. ._...w......_...�............................_.m._....._._._.._._,._......,.,....,.....,,. ...._.........._.........,............,....,...-........,._......,.,.....�..�...�._._._e._...... . ...,.__..._,.....__....._.._.._.. ..._.....__.._ ...........__..._._..............................._......__..._.��.._. . __'__...._...�.w� s � ',,.,,...�_._.............»...._..__...-......,....,,.,......._..._.,_....,....A...._...,_..,..,...._..,....___._�..__. ..__..__...........,..,..........__.._._.�...__.._._........__..,....._.._............................ .. ..........._,.....,...,.._..,..._.._..�__.�...,,._._....,......,,.........,.._._........._.......____� ............_�......,..� `_..............w.,.._..____..�..,...m._.........._......................_......�,.__�__.�......,......,.,.,...,...._._...,�.�._..._.�_.....�....,..:...........,,.,...,,..�..,. ...._.._._.._......_,_..._........_�........,.......;_.........._ . ..;� , �',,_,_..__.............................a..,_....e._.___._�.._..__......,....,..._,_....._..o.__..._�,.._._._._......._..._...__._..._.....,......._.,.._...._....._..___.�._._.............._.,.,.....a....__......,.................._._..._.___._..._.._ ..._.__..............�...,__......_��.�......,.W....,..._...._.._..._. ..._..........._...,,......._y �___._.___J._'_.__. __._....__ _._.___..._� ....___"._'...___._.,,�..................__.__.,.......,_..�........,.....,...,.....,__._._...,......._.._._a....._,._.»....._..,.....,__,.... .__ _......._.....-......,..,....,....,..._�_.._._....,............,..,......_...__ . i ._......_.__.___........__ ,�;- � ;..� ��.,:�i '� ��:° -.. .._...._........,.,..,_....._. . �. I c �. �a ::° : t ���� . . . ; �:_'�.4 ij a.F.. _.�__.___.__....�_.m_____.,_..,_....,.,__�_w._____ __..__ —___._.... .__._.___._... _. m _._. .._.......__..___,_ __....._.._._�„ , F,.� _,.W w. __._..�._.._ _ww.. � d i�"°;���:"„�-e a � r�a�k r� re �,:� � .� : � � �� a a,. � �ss�R a� _____ . . ._... . .... ...�... . ,.. . . . ,.._ . . � . . .... .._...�__.�.._. . . . . .. .. ,..�...�...._,.._.. y�a�� ��� 1��� �i�`��w�� � d . - �� � � � � ����� � ��a�a „�a# ��a ���m'� ����� . _ _M ._.._. ___ ....._ _._ __. �_ _ .. __4. ._ ___ .. � ��*�������� 'a ���r��������� � �.. ��,�w; i �a ,�a��a.������� . �...... __.. _,._---_ _...______ . .......__ __---- _-.___- � --._.._... _.._.._..._ ......... � E�-�� �`��� -� m ���� ����a �', .___.�.. ...._......._..,_._................._................ d ."6 i:��., � �;�:: } �u a '���a � "�: . "�. 4 ��B'rk�" °��f 2 '�°'�„���t.� ",C r ��� ' . 'F � ����,�� � r�� a� ,'�'" � -.� .____._.____.__......__.___.._._. ........_.._ .._.�.__._...�_......,__........,._�.._ _._._._........................._.........._...___._..__._.._..._._ _.___... ._.............._...______�._.._. _�;., ��;a����: �'��' �" �€�,.h�`�5��a�y�a��, ~ . � ��"� p��� �������� ����'�-�4�c�4&�"�°� .__......._._A..__.._.__._._._._. W......_�._..:._a__.....�._...._ ....._,__.._..,_ ...._�_._�_._�.__..._.....____._�..�.,-_.�....._._ �. . .,:.,...��._......_....„...... � #;��� s�x�r �.� � �` ��� ..,......._.._.__..�.....___,�..___._..... .._:..,...._.._...__..,....._.__.._ ,�..._.....:...._._.....__._:...._. ._...._....__.......__....�._.._.,,..._..............�_�_�_�.w. ........,.�_..._.....,.._.....__.,....._.� i �' M�` "����;�"��ai'fi¢°;�a '��� a�a��'C� ' t k �.n�a� 4��R ��$�.��'�' '�P�4� � 3� , P �a.�ka d''''3' >����, a; x q�.ar�` �: g;* , r. � „. ..._,._.._.....�_.__.._.___..,,,a._..._..M....__..............._ _.._..._.._..............__..__.���._..__.„ -i � .��::';,..,+�.._�d�b':a�".�q.�x�:� �'��,N�.��..� --' . � .ew ......_.d_.......�._...._..�.�.._._..._....._. ...�_.._..__._..._....._..._..__....._._._..._..�..,._._.. e � ........_ .e.P.._,.....>..m.,..a........___ ,_.......:..........,.�._...:�:,_._.....,...:_,.._.. ...._.._...,:_....,..__..._.....