Loading...
HomeMy WebLinkAbout12319 (11) t CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 �`�� T (909)860-3195 Fax(909)861-3117 PRESS '���f W BUII.DWG P�RMIT A�pLECATION " FIRMLY _. , �- . . .. .; .. ., � . ,... JOBSITE / APPLICATION PERMIT � P/C o ADDRESS �3�� /C`+�� �� _ �"-�� �� ��� DATE___ kJMBER #_ c� „ ISSUE r°''� � � �"'t�PE OCf� APN LOT�� TRACT_� _ DATE �=��" � CONST. GROUP p OWNER �/�w,r1 (�-..�-�. p AODRE�.S ` • 'j�� _���� ZONING SETBACKS u� c FRONT RW �__ Z CITY o_ '�,_ ZIP�:�{ TEL.���-333 REAR � APPLICANT� TEL.___ SI�EJSIDE STREET RW z - - � CON?RACTOR SiDE _ � ADDRESS o CITY Z!P TEL. PAOPOSED USE_ oARCHlENGI � DESIGNER — NQ.DWEL. NO. NO. � ADDRESS --- — UNITS___ STORIES BEDROCMS � CITY ZiP TEL. -- � cn DESCRI?TION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATiON SFR/ADD/REM O 1 77EREBY AFFIRM7 UNDER PENALTY OF PERJURY THAT I AM EXF.MPT FflOM�r+e cor�rr.ncroRs u- GaragelCarpor, W CENSEIAWFORTHEFOLIOWINGREASON�5EC.7031.5BU51NESSANOPROFE5510NSC0'JE:ANVCI7YOR (n ,___�__ C.� COUNiYWHiCHREOUIRESAPERMITTOCONSTRUCT,AITER,IMPROVE,DEMOLISH,ORFE�p;FlqNVSTRJC- W Pytio/DeCk � TURE.PRIOR TO RS ISSUANCE.AL50 REWIRES THE APPLIf,ANT FOR SUCH PERMIT TO F!:E A SIGNED � STATEMENT THAT HE OR SHE IS LICENSE�PURSUAN'TO�THE PRWISIONS OF h7E CONTRACTORS LI. � CENSE LAW(CHMTER 9(COM0.IENCING WITH SECTION 7Doa�OF DIVISION 3 0F IHF.BU51NES5 AN0 oqp_ U- FooVSpa � FESSIDNSCODE)ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- � — V TpN.ANYVI0LAT10NOF5ECT10N7IX51.5BYANYAPPLICANTFOR.;PERMITSUOJEC?STHEA'P'_ICAIdTTO Z RB-ROd( � ACML PEWLLiY OF NOT MORE T}iAN FIVE HUNDRED OOLIARS(S�W�.): -- - � CI,ASONMEPOFTHEPROPERT/,ORM�EMPLOYEESWI'HIVAGESASTHEIRSQLEC041PE4SATON, � COmmBrCial _ � WILL DO THE WORH.ANU THE STRUCTURE IS NOT IYTENDED OR OFFEREO FOR EAL[(SEC 7044.B'J51� _! � NES:AND PRDFESSIONS CODE:TME OJNTRACTOHS LICENSE LAW OOES NOi AP��v TO AN OWhER OF � PROPERiY WHO BUILDS OR IMPROVES THEREON,AND WHO�QES SUCH WORK HIMSELF OR 4fFlSFLF OH qC THWOIJGHHISORHEROWNEMPLOYEES,PROV�AE�TNATSUCHIGPROVFMENTSARENOTiNTENDEDOF � — QOFFEHEOFORSALEIFFION'EVER7MEBlAL�INGORIMPROVEMFNTISSOLJWITHMDNEYEAROFCOR7PL[- __ Z TION,THE OWNER-BUILOER WILL HAVE THE BUPDEN 6F PROVING THA7 HE OR SNE DIO M1OT DUY_�Ofi � IMPHOVE FOR THE PURPOSEOF 3ALE). ❑I,ASONMEROFTHEPROPERIV,AME%CLUSIVELYCANTAACTINGLYITHLICENSE�JCONTRACTORS I � 70 CONSTRUCi THE PRQIECT(SEC.7ol4,BUSINF55 AND PFlOFESSIONS CODE�THE CON7RACTORS LI� Valu3tion ADJ.AREA_____ !SJ CENSELAWOOESNOTAPPLYTOpNOWNEROFAPPOVERiVWHOAUILD50RIMPROVE57F+ERFON,AND =- � ---- --- ' � KMOCONTRACTSFORSUCHPROJECTSWIiF+ACAN7RACTOR(S)L�CENSEOPURSLIA?1TTUT4iFCON'RAC. �UANT�V DESCRIPTION FEE SO � TOAS LICENSE UW.). ,/� � ❑i AM IXFMPT UNDER SEC. B.8�.C.FOa T.Hlg qEASON Q __� }I � F�" {,L�h �rM E� � ---- rL 4- __l-._•t=—"�� `�v; •— .ldCE'22 �'�^ V � OATF _--_""_ OYYNER_'_____"__' ""____'_'_"_'_ �" �y�1 L�Cj O .�'u � �t:�' � g � L!CENSED CO�ITAACTORS DECLARATION W , . � ` � � --- — IHEflEBYAFFIRMUNDER?F.NALTYOFFERJURYTNRTIAUL!CENSeDUhDERPROV�510kSOFCHAPTE� �� (i e(COMMENCINO WfT71 SECTION 7000)OF OINSION 3 OF TME B:1SI.YESSAN�VFOFES50NS CC�^.f,NND z � S�� �X MY LICENSE IS IN FUIL FORCE AN�EFFECT. m "' � LICENS£CiASS LIC.NO. � }— —_— J I V UATE __ GONTRACTOR.__.___________' a I= -- u' � --- � WCP.KERS'C^MFENSAT?ON DC�LARATION ¢� � i � �I I HEREBVAFFIFM t1N�ER PFNALTV OF PERIURY ONE OF TNE FOLI.OWING�ECLARA?IONS: � �I—"_—' — � _IHAVEANDWILLMAINTAINACENTIFICATEOFCONSEN7705'ciF-iNSUREFGRWORKERS' TI � CAMPENSATION,ASPROVIDEOBVSECTIDN37000FTISE',0.BORCOD'e,FORTHEPE�iFORMANCE � 41____ OF THE WORK FOR WHICN THIS PFFlMIT IS ISSUED. LL' 0 � I. 'z i__ _ _I HAVE AN�LVILL MAINTAIN WORKERS'CAMPENSAT:ON INSIJRANCF.,AS RE0:114�D BY SECTiON � j 370o OF THE LAECA GODc.FOR THF PERFORMAVCE OF THE WOHK F()fl'NHICH TMIS PFRMiT IS I; ' ISSUEO.MY SYORKERS'CCLIPENSATION INSL'RANCF CAR:tIER APiD PULIC`/M1UM3ER ARE� I. � CONSTRUCTIOY J II I '"'_ " '_'" N j ; cnnaiER ___ __ __ ___ __ _____ ` ; PLAN FEVIEW _____ _ ;. Q i POIICV NUN6'eR_ . .__..... "'.... .""'_.. ..... .—_'_ �' i ELECTRIC __ '___ _"' ' i" D � —_--__"_ . �� (iHI55ECTIONNEmN0T8EW4PLEfEDOFT.IEPFRkT;SFGIiONFNUI[)RE07,k'.ARSjS'00)ORLES5) PLUMB!NG ,--------..— --,--- -- —. z �yy ICERTIFYhIATINTHEPERFORMAhCEOFTHEWOAKFO�tYiHICHTNISPf:FAlIT:51S5UEp,i ' I MEChlANICAL _ _______ ____ C} � SHALLNOTEMPIOYANVPERSONINANVMANNERSOASTOc3FCOMESU9J�CTTOTHE � � WOFKERS'COIJPENSATI04 LALNS OF CALIPORNIa,A1:D P;RFE?HAT IP I SHOUL'1 AF^01AE i � INSPECTION FEE __,_, __ __ ___. � SU&IECT i O THE WORKERS'COMPFtrSATION PLiOVISIONS OF SECTIDN 370o OF TNF�AFqR —If� � f CODE,I SHALL FORTNWITH COMPLY WITH TtiOSE PROVI3'CNS. � �SSUANCE ._______ ______ ___ 4 � ` ` SMIP p DATE:_ APPLICANT: _.________.-___— _----- --- _'— -- � � WARtIING FAILURE T.�SECURE WOR!(ERS'COMPENSATION COV[RAGE IS V�t��pWFIIL,AND SHA!'_8E ' . ENERGY P/C ______ � I SU&IECTANEMPLOVERTOCRIMINALPENALTIF.SANDCIVI_FIhESUPTOONENUNDREDTHOUSA�:D � � FNERGYPERMIT OOLLARS(S�oo.o0o),If1AD�ITIONTOT}iF.COSTOFCOMPENSATION,DAMAGE5A5PROVIDEJFORIti � � �--- ----�--�--- --- —�----- J i SECTION37CBOFTYELABORCODE,INTEqFST,ANUFTTORN[Y'S�EES. � �ETENTIONFEE: � � CONSTRUCTION LENDING AGENCY ' ?RE-ALT FEE: � � INEREBYAFFIHFAUNDERPE�AL7VOFPcR.:VRYTHATTHcREIShCOMSTRUCTIONLCNDINGAG[NCV � a- 3 FORTHEPERFORMA4CEOFTHcWOFKFJ.iWHIqiTHiSPERMITI5155Um(SEC309],CIV.G.) � -- � � — ' � LFN�ER'SNPME ._'___' _ ._'_____"'_ . . 1 1— � LENDER'SADORESS __.____ __ ___ � ICERTIFYTIIATIHAVER[ADTHISAPPLICAiIDNANOS?ATETHAT'(HEABOYEIYFOR?AATIONISCORR[CT. � TOTAL FEES ��� , �Q � I AGREE TO COMPLV WITH FLL CITY AND COUNN ORDINAVCES AND STATE LF.WS FCLATING TO BUILDING I � CANSTRUCTION,ANDHEREBYAUTHORIZe'REPqESENTATIV[SOPiHISCOUNTYTOENTERUPON7HE � ":�� �.�'.�4 Z A80VE-MENTIONED 9ROPERTY FOR INSPEC710N PURPOSES. , "�' . ^ �� COMMENTS___.__,_ '��__ � E.J �'l�� �...-��- aP£RMITTE E}W71 _'_ _--'"— __� _—_ _ __'_"'__ �.`���mrnwew������° . � . � SIGNAT RE OF PERMI . � DATE ~v�� �� — t , �� �� = RECPT.NO. `�7_r PAID BY _F VALIDP.710N_'� ,_ � `�� WHI7E—Deparemen?Copy,YElLON1—Finanr.�:Copy,FINK—Assessor Copy,GOLDENP.OD—File Copy,GREEN—Applicant's Copy . . . . . ... . ' .., .. ' .. . . � ' . � .• .�.� � . .� ,i � :•�.�. . . . ..n ' .«.xYx ' zy: q �:x �; ni��a r, Jq _�.'C� x �wwx i .�i i. , !iV!'x. '-� .t'x'. I4'�.`W'3�;.��.' "�"�.�"4a�n� '„{'�'.�Su.�m...r+. ' , . . � . ,.�'I[ ...�,.. ....�. . ..:�er .. � � ... o «.,,a.M:.w...t'N.v� .. .. ..,v.... �,+,,z-�..... �� �.irc '�:` "3'�'. ' ' z' . . •h � "Y",�'e-r,' � z'"y�' � � ; .�.�.; ti �� �t 1 +` � �$� t �-�,� i '� t.� � .� ' t � y „� 'P����'s °f nry$��y�o � r�� ��� e�.� .!� . z .};u�:��i'E�` . �r� �"�i3 t�.if s� �� ., � . .. „ , . ., r,� �� lgci .nex ',-�. Y+Ft �ax�� 3',( � �'.m ���; �� ., . '� ..5� .1 d �+° c� �.��- x"� .�,...r.,:..� .. ., . , . .. .. . . . �:... , .... . . ,. .. , , , „ . , . . , • , . . .. , � , . � . ,. � , , .. . ! , . � � . . i • ... ._._.,.. ... . . .-.. . _. .... . .... _ .i I .'. �k i '4 I . ,; ' ... _ ..." ' . " """""'._.. _..___.__., ... _. j ... ........ . .. . _...,, J ; . . ' ' . � . • � , . ��; 1 I € _ '� � _ . . ' � ..�.._"""""' ' __'"_'....... . ..• _ __.. ....�.._........... . .."__'"""""'.' �."'. . . _ . . . .. _ .... __.__. '"" . . ....... . ... , . ... ..... ; ;..� .... „f . .._...., , ,.. _ ...� __ � I . . . . I ...,... - _ - - _ .�............" . � . . . � _ � . . . ' ,_ :. =!. . � .. .�+; �. �,�.,:..�. ��, -- ��-: , ..� ... . ' " -._. .... _--- ---- ---- -- - ....._.. .. ._ .. . ... ._._. ... ..--'-.. .... ..--"----"-.... ........._. . ,._.._...__......._.........--' ; '� '.,i�.. �. �,•_ . ,,��r•. . _ .. .,.. . .. . '...�- ,.. ., , ' " I , . . . , .•.,7�...��. '.:,, .. ,. . , ,.. . . ,. ....,..._ . . ... .. . . . . .. . .. ., _.. . ......_...---.... ........__ ..."" .. ,. . _ ...�,, ,..r.. ; , � . ..... . .....__.._.--"-"'....'-" ......__.,_ . , _ � , , -_ =,r�. tn �n-r� i . , ` w ... . . . :. � �.. . . . . . . �......' ""... _.. .....'"'""..... ...... ............. . . ........... . ...... .'.... ."' '"'.._ ..,.._. .. . . . .. ..'"_'"'. ..... ,. . ..__ . ... .. . ,. , ...__..."' "" >.4'�'d4 :i� i ...,.. ,� i.. _ .a, � .,. .. „ . . . .. . . ....... . , ,. ., _ _ � . . ., . ., , . ,,.,,. .. . .. � .. . ........ .."" . ............................�. ... "_". .. . ...'_'.._. .. ._ ... .. .. .' ....... . . ..... ..... r ,:'r^,t�. ,--..�. ,... ..� , ... . .- # --- .. .. .... ...._.. ...m A , � , . ,., �. , .....�. . . . , . , ,R, .. , ;s_ � . . . , . ... ...... . . . _.. . .............. ... . .......... ._ .. _._. .... .. ..... .------ .. . . ,� � �. ., .. . _,.... . , -- - ---. _....-------�---- ,. . , .. :.. .,._...: �. { . .., , �-,. .: I �;i= . . ,. . . .. . _ . ... """"""' " '_' ........... . .. ... .._ . _. .. .. . ..__ .. . .._ ._ .. .., . .._.. . .. ............ ._ . " '__ .__"'__. ..., . . _,r �-- ._... .. . ,...... ,,. f� , . � . . !�; f4 . � _ �� 51,, � __"'_.... ..... . ."."' _.._... . . .. . ., , ..... . ...._..,., _. . ..._ . . ... .. . . ............. ....."'.. Y ' ''F ' ,"1' :;t- _ . . .... ...... . _ . ..__..__. .. _.. .. , •, ... . .. , � . _ ... ..�..:.. ... ... .. . .... ..._ . . _. ."' '"'"_"'_.......—_.......'_"'__..._ ,.. ._......,.. ...._.., ,... ..... ..__... _ ' _ '_'"___'".._ ._. . ... . .__ i ``-- � � • .� '". � ",�.• � . •:;t.. . � ' � .", .. .. ..." . .' � , , i i � :_........... .._..__.. . ............_... ..i._�_....._...._..'_'_._.,...... ..__.. . . .__.......,_..„.., ..'.."... _.___"...-_....__._"__"_._.._......___ " ' .�. '{1. '4 C � ..! . . ..... __"......._..__.____.... ._....... '___'._'._" __... .. r. ' � i . ' . '] � � .. .. ... ....... .. ... . . ."_.__."" ___.. ..._ . . __ ... ... .. . _' ___"_- .. .. . .__.'_ ..._.. .'.. ... ...... .. ....... ... ...... . .__ . , . � } `f.' ' }' !�,S ' . Y � i:-� ., , r ... . .. .. .... .._ , ._.. ..... ... _ ..... .___•___'__ _ ....... . ...... . ........_...,....,,. . .. .. . ........ . .. .. ....'__............_. .. .. .... .. . ._ � ...,., r .� ,` ..� • -., � ..,. .'. ., .. .. . � . . ..: . •� . � , - . ... . ' � . . e. . '. � , . _ �. .... .. ' ...� _ .„. ........ .. . . .... . . .... .... ... ... ....... . ....._ , ___ _ ,.............__.........___... ..__..._ I .. ......_..._"..... . .... ..... __ � i . ., � .- . ., , . ^ i . �,... . . . � ! �'M.." ��4.� - � �... . . . . .. . . .. ... ..... . .. . . . ,,. , ... . ......._.....,,.. . ..._...._ .. ..._.. ... ........_.. .......... ._. ..,..,___'............ .. ..... � ,. ' . ' . . +-.. � � � ... _ . . � .� ..e... . ... �...... . ...__..........."_"__'... ....___..�._....."_"'"" ._.,.._.. .""'""___'..... ...__" " .. . ....... . .. ..."'"""".. ...._........._. . ........ '. '"'"... i ._ . . � _�.... . . ... . .. . � ... . _ - . ......._ , . � 'i, ., .�: ..r . -. . . : ... ' "-"..... . _... _.._....-':" ....__"--......_ ._._._....., . ."'... ._...."'-.. -' - ' '_._._,....--"._...' ' " '._.._.._ .,.. .... ... -- - "" ' , ......,. . _... -'._---- � --_.. , „ _ � ,.� �,� ..''.... ���_., ��<: . . .. .. � , ., . . ,., ;.. . ...�.:. -.,.: ,. ....._..--_'------ __._.__-------._ . . .. , .. , r . ... - � ,.. .. ----.... . __.. - - ---,...,..... . .. ... ... . . .. .... . .. --- _.... ...__.... .__.. . .. . .— -------- �.. . , . '. . ., i,. _. , ,. , ...._. . - . � . _; _.. ....... __ ---- —_. _.. __. .� .___. ..._...__..._ ._. . _.. ............. ... . ,. .. , i �. .. ..., , E : , , , . .. .. .._.. ._ ._... ._._. ..._.... .. ._. _... .... . _ .... ._ .. ---- . . _.. ._ -� - ......-- - _--- --- ---.... .. .....,. . ...... . . ._. . , _. ------ - � >.. ,. -,,;. -�._,.. ---- ._.. .. .. ..,. _.. ... ................_.:...._ ' ... ,., „ .. __ ... ,;..,�...,... �,.,.. I . . . �. . ..e� � , �. „ __. _...,.... .....m_._=.__... ..__.. .,.__.._.. .i... � ..t�':..:.,<,,. �..,. , ..., , � . . . . . .. ... . . �. ,. .,... ...<. .,..._:..,.. _ ..-'--'__.. .--"'-.....,..,. ._......--'......_................._. . -- "...... . ., ... _ .. . . _ . _ . .. . ,�,.. ,. ,. ..._'. " - . - -- � . . . _ . .. ._.. ..... . � ! . . -i.F-, . :, . , .. ... � , ,. . ,: �.... ....___._..._,_...._.... ..-'--' � � - - . . .. ��F , ,� . .'. . . . „_ _ .... ........_ ... . . .....�. � .. . . . ..� "......... ..' � . . . . . ....._ ._.. -... . � . . , . ..._ S , = _ q...... � .. � •.,. , ., ; p . . .. ... . . '-� : , �..,. . . , ... .. ..... .. ..v ..... .. ___ . ., . . . . . . .... .'.. .. .............,. .. . .�......_ .. _. .,.... . . � � . • � ... �- .�. .. _ "_."'"_ . ' :....__".. .. ........ . _.._.........._, .�.. ._..._.. .. .. _ ._.'"__..... . . . ... .... .. ,_ _"____...___'_...... ._ . .._.._ . ... . i _ I , . . ...'___"._._�. _ . _.. __ _...._... r '"__ _.' ."_".. � i .�_....,..... . ....._ . . . _. ... „., , � . . . . .._.. ... ._. . ..�. , .. ...i,.�i ., __""."_. .... . . ._. . _. . . �,... . _ . .. . . . . .. . . . .. ..... . ... . .. . . . . ........... . ' � n . � .� �.. . ' ..i. .a . t.<__.. . .... . ........___ ' '.. .,.,. .. . "��" ,;�:. �Fq:�3.4�:,d�. :A � V t<� � . �� .' .� . . . .... .... . .. . . ._. . .. . . ._' "'__"'"""'""'""" . . . _....,.... _.___"'.. ......__. ,....... ,......... "'........ . ..... . ... . .. .. . .......,,, V �_ '"'_' ' _... . .. . . . .. .. ..... ._.. . . . . ... . .. ".'"'_..._.............,_. . ..'" _"__' '__"'. .. ._.._...... _......... .__... .'"__' .... . "_'... . 1. .. .. .. ... . .. ...__...._......._...._.......___ ..._ . .... ..... ......a., .,.. . . .. .. . . .._ . ..,_, ....... . ._.... . . ... _.. � ._....._. . _ . _... .... ...' .. � � r. p_, __ ..... ...... ..... . . _. .._.........-- - - --._._...... ....... .. ...... . _...._.... . .. ....,. . ........_....... . .. . _. ..,.. � . .. .._ . .. .. ... .. ....... . . ... ..... ._.. ._...-----. ... ..---.... --- . . .....-- _.... � : . . . . , . ... , , . ,.; ; �r� ; Yr.= ........... ......... ._.._ . A, .:.,.. ....,,».�<:< � '�:,�t ;.�,, :�`1 .. , '� 4Y��' Eb4C!'� _ " ___ ".._._._......__................... ..... .... .... .. ....... ........___... . .__. ,.... ... . _. . �.� ,,�`: Y"�4.g;' :�y'= �� ,..., � . � „-.,.,, a,,;. ,. - - - --�-- ._. ... ...._... ._......__. —. t.,�=.,,� _ x,.:.,,:; ;��'�,�.- "" '; �k ,., .. . `•,, . . , s��-y� � - : �r;'r A . ' .�t��.:��y.:,�,..,e.. cx �'Y' :'�, . . .......... _. . .. . . _.. .... .,,. , _ """"" '_'". ..,.._ ....,._......... ._... ....... ... ..... . ...... ... . �q' ='�4° �?:''Y#;'ytfi :4�+ sk. '• � � ,' .4 ,.... 'GL . �' ��. - ; # Y' �......_.. .�. . . .__ ... ._... ,.._.' '_"'"_ ""'"" "..._...__ .,.,.._" '"_""""'"""""""' """.._,.""'.._._ ..... ,, . ...... � y . . . � . „ �� .. . . .;:� • � . �. i :" . ' . .._..._ ...... ..... . . . ........ ._.. ..... __..__._ . ._..... _ .., ... ,.. ,.. ..... . ' ,�_ ._ ry ; . � ..... ....... .. . . . __..._. " �. � . . - ..... . r . � , < rw . -, ar.ar .. ��f` . .a. . :-nwwrf..... a . � r a T*,�;. r 1� i . L; ''� F 1 �1 ..y ,� '2 '.�.4' , . . , ..... . ....... ...,.. ..�..,.,_. . .__..... ,,,.._....... ._ .. . •.... . .. `J' : _. ...... 1 ii�{i ri., .ht � � �C � Y� . t � , h�#�cl=�`,r ,r�x� . . . ..,. �-�'.... .