Loading...
HomeMy WebLinkAbout11160 � - CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT .,,.� • � 216G0 E.Copley Drive Suitc 190 PRESS (909)860-3195 Fax(909)861-3117 } �'•"'"� BUILDINGPERMITAPPLICATION FIRMLY � OJ08SITE p DATECATION 'Z� ` NUMBER #/C � Q ADDFESS_�2�I! .� C-I i I�ZEWFRy ���t _� � � ISSUE lYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER D1c�IZd Bdr TE,',Tlt'11S CIUb H.O.�. � o ADDRESSc o r cnslve I'rop. Mgt. .0, Bpx ��b ZONING SETBACKS ; w y 8-31 FRONT �_ RW ❑ z CITY ZIP TEL. � p APPLICANT T_�rrv�r n TEL. SIDE/SIDE STREET RW ❑ k z m CONTRACTOR Z�t �-�3ht��7r �C• SIDE ❑ `' �i. � ADDRESS 151��1�'Y'�ri1�e q � CITY o ZIP 9110 TEL. �909) 597-773 PROPOSEDUSE `_ W ARCWENG/ f z DESIGNER �a � w NO.DWEL. NO. NO. a ADDRESS UNITS, STORIES BEDROOMS !' = CITY ZIP TEL. - F � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION �. p� OWNER-BI:ILDER DECLARATION SFR/ADD/REM i O � I HEREB�AFFIq1A UNDEH PENALTV OF PERJURY THAT I PM EXEMPT FROM THE CONTRACTOqS ll- G8fa9BIC21POfI �. W CENSELAWFORTHEFOLLOWINGRERSON�SEC.Io31.58U5MESSANDPROFESSIONSCADE:ANYCITYOR ': U COUNTYYhIICHRE�UIRESAPEpMITTOCONSTHUCT,ALTER,IMPROVE,DENOIISFi,OqREPAIRANYSTRUG � ' � S' W TUflE,PHIOH TO ITS ISSUANCE,A150 REOUIRES THE APPIICANi FOH SUCH PERMIT TO FILE F SIGNED W Patio/Deck . � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS ll, � CENSE lAW(GMAPTER 9(CAMMENCIN6 WITH SECTION 70U0)OF DIVISION 30F ThIE BUSIN[55 AND PRO• � POOVSp3 I' � FESSIONSCADE)ORTHATNEOHSHEISEXEMPTTHEREFPOMANDTHEBASISFORTHEALLEGEDE%EMP- (� �� VTI�N.ANYVIOLATIONOFSECTION7037.58YANYAPPLICpNTFOHFPEflMITSl1BJECTSTHEPPPLICANiTO Z RB-ROO( A CNIL PENALTY OF NOT MORE THAN FiVE HUNDflE�DOLLARS(E500).): ~ C11,ASOWNEROFTHEPROPER7Y,ORMYEMPLOYE[SWITHyyqGESASTMEIR50LECOMPEN5ATION, O � Commercial Z WILL DO TNE WORK,ANO THE STRL'CTURE IS NOT INTENDEO UH OFFERE�FOR SALE(SEC.7044,BU51- J __,__. � NE55 AND PflOFESSIONS CODE:THE CONTRACTORS LICENSE LAW�OES NOT APPLY TO AN OWNEF OF � � PROP[FTY WHO BUILDS OR IMPROVES THEREON,ANU WHO[IOES SUCH WORK HIMSEIF OR HEflSELF OR �. 2 THRWGHHISORHEROWNEMPLOYEES.PROVI�EDTHATSUCHIMPROYEMENTSAHENOTINTENOEDOq m OFFERED FOFSALE.IF,HOWEVER,hIE BUILOING OR IMPROVEMENT IS SOID WITHIN ONE VEAfl OFCOMPLE� Z TION,h1E OWNER-BULL[1ER WILL HAVE THE BUR�EN OF PftOVING TMAT NE OF SNF.DI�NOT BllILO Ofl 6 � IMPFiOVE FOR 7HE PURPOSE OF SALG). i �y,� 171.A50WNEROFTHEPROPEHTY.AMEXCLU5IVELYCANIRRCTINGWiTHLICENSEDCONTRACTOFS - Q TO CONSTflVCT 7HE PHQIECf(SEC.7oI4,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI. V0IIJ8�iOf1 _ ADJ.AREA ?� W CENSELAWDOESNOTAPPLYTOANOYlNF.fiOFAPftDPERNWH00UILC50RIMPqOVESTMEREON.AN� = WHOCON7fiACTSFORSI/CHPROJECT&WITHACONTHACTOR(5)LICENSEDPUR611ANTTOTHECANTRAP QUANTITY DESCRIPTION FEE t� ~ TORS LICENSE LAW). � 1 e Electrical Pec]estal s O ❑I RM EXEMPT 11ND[{i SEC. ___.__6,8 P.C.FOP THIS REASON Q a � —_"_"--' _______ � �. � --_.._"'" U P OATE OWNEP._"____"_"_ � ,,., e: �¢ LICENSED CONTRACTORS DECLARATIDN W �� 2 i. I HEREBV AFFIRAI UNOER PENAI.TY OF PEFJUHV THpT IAM LICENSED UNDEF PROVISIONS OF CHAPTER � � d 9�COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINE55 AND PflOFE5510NS CODE,PND Z A� �X A1Y LICENSE IS IN FULL F00.CEAN�EFFECT m j � LICENSE CLA55 C10___ �,c.r,o. 729594 � <� � J j, V DATE ___._ CONTRACTOR.____ �l a ;, W � � Y. � WORKEHS'COMPENSATION DECLARATION -� { � a � �IHEREBVAFFIRA7l1NDERPENALTY01'PEFlI1FVONEOFTHEFOLLOWINGDECLAflATIONS: z � 0 IHAVEANDWILLMAMITAINACEHTIFICATEOFCONSENTTOSELF-INSUHEFORWORKEFS' ¢ 2 � CAMPENSATION,ASPROVIDE�BYSECTION37000FTHELA00RG��E,FORTMEGERFORMANCE U j�' ¢ OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED. � S O � ..__ IHAVEAN�WILLMAINTAINWDqNEFS'fAMPENSATIONINSURANCE,A5RE0UIREDBYSECTION �`�, Q 3looOF THE LA80R CODE,FOR THE PF.RFONMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSULD.MVWORKERS'COMPENSATIONINSLIRANCECARRIERANDPOLICYNU!ADEFARE� /` CONSTRUCTION __,___________.____ � J T�� � � CARRIER Republic 1111L'CI'CI7�7_�37_��T-'1�`__ �� PLAN EVIEW . /r �'' � POLICY NUM6ER 134'1.11�1__ ,�-' ECTRi�i _�r�� .. '' d " � (iHIS6ECIICNNE�NOTBEO�MIEfEDOFTHEPERM1YfISWHONEVM1R�AREDDIXLARS(S10o)ORLE55� PLUMBING y Z �CLRTIFYTHAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL � 1� '�■ � ___`__ ' � SHAllt�i F.MPLOV ANV PERSON IN ANY MANN[R SOAS TO BECOME SUBJ[CT 70 THE —� , [y .�p(� � WORKEflS'COMPENSATION IAWS OF CALIFOR AND A flEE THAT 1 1 SHOULD BECOME INSPECTION FEE � = SU&IECT 70 THE WORKEHS'COMGENSATION OVISiO OF SECT �3700OF THf LABOfI —_ ;; CO[)E,I SHALI.fORTHWITHCOMPLY W E PR ioNs. ISSUANCE _ • ;,. Cf 1�a � �n � SMIP 1!�� iE p DATE: `L'� APPLICAN7: _. . _.' ..___'._ . -'---------'- - w ENERGY P/C � J WARNING FAIWRE TO SEWRE WORK�qS'COMPF.NSATI CAVERAOE IS UNLAWFUL,AND SHALlBE _...'_—" _'_.___ _ �y S1181ECTANEMPLOVERTOCHIMINALPEIVALTIESANDC LFINESUPTOONEHUNDHEDTHOU5AND ENERGYPERMIT DOLLARS(i100.o0o),INA�DITIONTOTH[COSTOFCOM NSATION,DAMAGFSASPRDVI�EDFORIN ---�------------�--- � SECTION31080FTHELABOHCOOE.INTEREST.ANDATTORNEY'SFEES� RETENTIONFEE: � _ � � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: __' '_ — �q O � � I HEREBY APFIRM UN�ER PENALT/OF PERJUHY THAT THERE IS ACONSTRUCTION�.EN�ING ACENCV �- FOR THE PERFORAIANCE OF THE WOFK WR WHICH TMIS PERMIT IS ISSUED(SEC.3097.CIV.GJ. —�--"` Z _.—_ _____�---� W � LENDER'SNAME...._. ,.,—.._ ------ ..__ F=' LENDEfl'SAODRESS__" '_'____""" -._...__. � w ICERTIFYTHATINpVEREADTHISAPPLICATIONANDSTATETHATTHEA90VEINFORMATIONISCORqECT. TOTAL FEES � � I AGREE TO GOMPLY WITM AlL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUIL�ING e � � � CANSTRUCTION,ANDHEREBVAUTHORIZEREPRESENTATNESOF7HISCOl1NTYTOEMEHUPO�THE � ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. Z COMMENTS=__. - _ � O J ti� "_ '__'___.'_ ' � m PERM AME(PRl 1 � �r�� ._"—' ----_ '. .-'—_— � � S�GN UflE OF PE I E DATE - = RECPT.NO.,._ � _PAID BY •) VALI�ATIO _ ~ WHITE-Department CoDY.YELLOW-Finance Copy,PINK-Assessor Copy,GOLDENRO�File Copy,GREEN-Applicant's Copy : _i .____.. � i � ; ;� _ � � , _{ .--I--t----.--- ---�-; -�-�; � � .�:� � � � �E ��� � �� i �� � � ,.. . ,__ � ��� � � i 1 � I ( � ° . .�_ � �.- I � t '�. I I ':' I I . I { � .- �� � a � . . ._., ,f"3 � . .. ' `.._.' ( ':� � � '�, ''� . � �i �� , '�� T � � � � � �� : i ; I I , , f � _ _ . i � - � • ; � s i � � � , � , , ; �;: � , . i ; , ��: , � .; � _ . : ; � ; � . � I #,.� , � I :. ' � � ' _ �I i���:_ ,. � ; � , � �, � I � I � '�I �� � � I. `i , � '�y � I i I � � � ;' � ,���; � � I ' ' ( I 1' � � ! 'i � � d� � . , ` � .. _ _ ,, i € ` , , �. i I ± � I � _.. ;� t � � � � I � i:+�� — �� � � ; � i ; .� � , � i i i i , � � I . � � 3 �� �� � � �I��O;� � � ..�� ( l., I�> �i .�. - i ��iQ �1� . i. i I .. I �� � � �� � ( 'I � �; � € ���� • � � o a mi�� �� � � � �� i � ��� I �¢ � i � -� '� �- ; � ' ; I �- � � z �w i J � i i c7 z � i 1 �� i i ��� � . � t� n � z �,¢i I � � � i , � � I—'I � - '�� ! ; ; ' - m i� m a � ,z i_ � i�� ,a;,� � ; �I ��� , I I� � i � , ,� � p o� �w,m c�l z rs � �rri , cr I z; i�� i � � - ; � I i � � � i-i��'o o � m�o � jZ 'o Q �z� � cn .n c�i 4; ; ; i I � � ��O O u; u_�zl ci_I ¢ ¢.� c� -�i� z� w a'z���a a , eg i � � � � � � I _ � � I ' I i. , , i ' � � olw�o olU J'= °�°m ��u �'� ;�`�������¢'Q �IOI�IoIW } � I ':; I � ; ; � ! � I s I ' ¢ � wZ , �W i � � U w .al ... �: � w w � d m'-'iwlzlc��= J J.��m c� � I� n:�- I� ,_ � �•, � � � � .�. �tL .i.l� � t,. u.l��..co��.�-a m.�.'1 OiOlOi�l�i � �f � 4 >�w�... i i ; � f � � ; �.. � � i u w _ � ; _ �D'x!z z � ��� � ¢ w�o �oiol��u-'w�' aIz zl¢ W u,� ; I ' ! � ,,.� � — — , I !�a�ci cL 0,.�� ii �,p i� !i x�I�:w.�. .'� : ,. � . ; � i . � I I _ ... �. ¢. I � I —i � I �-' + Z Z .�, �. �' ., -1-�_�- -+�. .:. -. I �_}-. .•.� -- ���I � __ l� .�� -� __ � , I�. .i,.. � �_ . � ' � '�!1 �_ � .i _ ! � I I � �� ! �-- : _� I I � � ,i I . � ' � i_ -� I � � � i I � i _r I , � � ' " ' f 1 � ''� � � c� � , , � ? i ; , ' , ' ; i �; ; I � � , � � � I � ! i a �� � ; �� � � �� � � I. ��� , �� � � �; � � �� � �� ; � I � , � � , , ,� � ; , i I i I � i i �. � � � j I ; ;', , i � ; i I I � { � I : ; �; ' I ���; ! �. , � � � � ,�.� � � ' � I ' , � � �� I I � i ,� ��,. � � � ' -- — —�—j I � — -'-�—�— ��' i-i., --i . I t dr I I I. �. <' I � I � i� I� �. �� '.. �� � !`. -.,, I� I I {.� - J� �� I ? I ,I � ( 4� I I �' :`\�• i 4 � � i� i �� I� � f I - f -. � �-�-1-�-�- �--�_i_ `� ,, I , i i � I � I � , z� - , , � �-y--r--,-,-�-� � ; � � I � ; � ��� � � � o, � , I� , � ji ; � � � , � , ; �� �J O'� �I ��f . � I .I..:. t. .I Z I -'. �� I I � f � I� �Im w � 4� ��t�lz�� ��z"'� .�� � ' � i ' ' � n��t��, ��.(/J � � . (�I {--I .�:Z �IIqd�F Z pI�.J JI I � - . C.)I��- �:.. .I � UfN� �fl � � � � } � � CCIHIUr`�2ICL p'~ � 1 F- �� fL�`. � �) � :j , �Cn , � � a.�lw �z a u'�w ¢�w > > u� g�w z. z '"�" c'�"n � �-im� � ; Y � () QI� LLt W Z.>�W J JI �:� I J�ld.6iZIF- U��! �� � '� +� � � e� 0 1- o l¢ O 'vt = cn � s u�I a'�I� cn l,- �; a-`�- �=- �'i o�w �,�` � �'°- � ¢ ,L ¢ � �i� � cnz =�=�=Iu, � z � ¢�¢, �ia � .szw a. c jc±cL. m cn�v �i� a !u u- � LL�"`Ic�S c:�� I_,I- ��W ;- a ¢�� .a � � � �-c� i C7 w � � � O q O � � G' hl-'I-' � � a w vi�< ¢ a�� � EL Lu . c�i��� w LI�It�- � � u �!xi� ¢ m w � � a'-u��,��n W �;� �lu�. �� � � ° wen I ' �.. �.:,�:._..�...__...�_�_._�_ .. w. �_���r'