Loading...
HomeMy WebLinkAbout13257 (25) ^ �.,`_ CITY OF DYAMOND BAR - DEPARTMENT OF GOMMiJNITY&DEVELOPMENT SERVICES � „ 21660 S.Copiey Drive Suite 190 �,,.w � (909)860-3195 Fax(909)861-3117 PRESS _.. ' `BIJII.DIlVG FERMIT APPLICATFON ' __ FIRMLY - �. ADD ITE I��(� �I �`f� �_ APPLICATION PERMIT ��� P/C r RESS P C7 � V , DATE NUMBER�� # °-� APN_ I�r ^°�! TRACT ,3� D TEE ` � �� "1"1 TYPE OCC CONST. GROUP p OWNER . p ADDRES� 5ti�1c?af"d P�cifiC of Q��. ZONING SETBACKS Z CIN_ I�EsJ��. 1�'IaC�"iIdllll E'.:Vd: FRONT Ryy � g APPLICAP Co5(d n4PSa,Ca.926?r(714)��b-1 lhl ~ REAR � zd SIDE/SIDE STREET RW ❑ � CONTRACr- - _ . -- - - --- _ _ SIDE p , ADDRESS: Aliso Au',I11C.. o C�N— 2H 136 avF..de las Banderas PROPOSED USE o ARCH/ENq' g�cho.5nta.Marg.92688(949)589-20?1 ` z DESIGNER'_ a ADDRESS -- — -- -- — NO.DWEL. NO. NO. � C�TY ZIP TEL, RIES BEDROOMS UNITS STO �' DESCRIPTION SQ:FT. FACTORPSF AOJ.AREANALUATI ON ��� .p�.'. _ OWNER-Bl11LDERDECLAHATION .. � '�,.��. SFR/ADD/REM � � O _ 1 HEREBV AFFlHM UNDER PENALTY OF PERtt1RY THAT f AM EXEMPi FROM THE CONTRACTOR§LI- GB19 8/Ce Oft � � W CENSEUWFORTHEFOLLOWINGHEASON(SEC.7031.5BUSINESSAN�PROFESSIONSCODEANYCITYOR (n 9 � . C�. COUNTYWHICHRC-0UIRESAPERMYfTOCONSTRUCT,qLTER.IMPROVE,DEMOLISH,ORREPqIRANVSTRup � � , � W" TURE.PRIOR TO ITS ISSUANCE,ALSD REQl11RE5 THE APPLICANT FOR SUCH VERMIT TO�FILE A SIGNED .W PaIlO/DBCIC ' �� . - � �.� STATEMENT iHAT HE OR SHE IS LICENSED PURSUANT TO'THE PROVISIONS OF THE CONTRACTOR�LI- �,�„ CENSELAW(CHAPTERB(COMMENCINOWITHSECTION70o0)OFDNISION30FTHEBU91NE33ANdPfiO- � POOVSP9 ' � ' FESSqNSCODE�ORTHATHEORSHEISEXEMPTTWEREFROMANDTMEeA515FORiHEALLE6EDE�(EMP- .(� TION.ANYVKKATIONOPSEC71DN7o37.56YANYAPPUCANTFORAPERMITSU&IECTSiHEAPPLICANTTO :Z Re-Roof ' AGMLPENAL7Y'OfNOTMOfiETHANFIVEHUNDREDDOLLARS(3500�.): � ' ' � ❑I,ASOVINEROFTHEPROPERTY,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATJON, 0 CommefCidl � Z,i WILL DO THE WOflK,AND THE STRiJCTl1PE.IS NOT INTENOEO Op.OFFERED FOA SALE(SEC.7044,',BUSI- J � � - � '. ��, NESS AND PHOFESSIONS CODE::THE CONTRACTORS LICENSE LAW DOES NOTAPPLV TO AN OWN�R OF , PHOPERiYWF108U1LOSONIMPROVESTHEREOtY,ANDWHO00ES5UCHWORKHIMSELFORHERSELFOR � "' � � ', �"".�THROUGHHISORNEROWNEMPLOYEE3,PROVIDEDTHATSUCHIMPFOVEMENTSAREN6TINTENDE�OR m - . . . . '� W',� OFFEREDFORSALEIF,HOWEVEq,h1E8UILDINGORIMPROVEMEPl�ISSOIDWITHINONEYE0.ROFCAMRE- �� . �'�.�� �TION,THE OWNEH�BUILOEfl WILL HAVE THE BUR�EN�OF PROVING THAT HE OR SHE DIO NOT BUILD OR � � j��,�� IMPROVEFOHTHEPUHPOSEOFSALEI. � , �... .If� � � � . . .. W., CI,ASOWNEROFTHEPROPEFifY,AMEXCLUSIVELYCANTRACTINGWIiHLICENSE�CONTHACTpFS , ��i', TO CONSTRUCT THE PROJECT(SEC.)0�4,Bl1SINESS AND PROFESSIONS CODE:'fHE CONTRAC70RS LI- VdIU2110f1 ADJ.AREA � � � ' � � W'.�� CENSELAWDOESNOTAPPLY7QANOWNEHOFAPflOPEHTVWHOBUILO50RIMPROYESTHEREON,�AND '_�'�'�';'WViOCON?RACTSFORSUCHPfiQIECTSWITHACANTRACTOfl(5)LICENSEDPUR9UANiTOTHECONTRAG QUANTITY DESCRIPTION FEE � ~'�.''TORSLICENSELAW.). . . . � .. . ��i'� G 1 AM EXEMPT UNDER SEC. B,8 P.C.FOR THIS REASON Q, � � - ' � U , �"�' DATE OWNER . . h ' . Z�I.. , U - �, � � LICENSED GONTRACTORS DECLARATION ' ' .W �.,� � . , .. . . . . �.�,.�, . ' �1 HEHEBYAFFIRM UNDER PENALTY OF PERIIIRY THAT 1 AM LICENS�UNDER PFiOVI510NS OF CHAP;TER �� . �. Q„���,��'e(COMMENCINO WITH SECTION 7000)OFDIVISION 30F THE BUSINESS AN�PROFESSIONS.CA�E,AN6 Z ' ' � �. YC MY LICENSE IS IN FUIL FORCE AHD EFFEC7. !O�.� CE SE CLASS C�'���✓,,^ IIC.NO. `-���CSJ"1`�. . � ..� . Wi�.�, . �'��'o�UVI/ CONTRACTOR��_ .d .. �, WORKERS'COMPENSATION DECLARATION Q � � ..�. � ����, �IHEREBYAFFIRMUNDERPENPLTYOFPEiiIt1RYONEOFTHEFOLLOWINGOECLAHATIDNS: � ' ¢ "� � � � ...�j `�^ � �� IHAVEANOWILLMAINTAfilACERTiFICATEOFCONSEN7TO5ELF-INSUREFOiiWORKERS' S %I/ �`�/+1. ,',� � COMPENSATION,ASPROVIDEDBYSECTION370oOFTHELABORCODE,FORTHEPEFFORMANCE U � � �� Q OFTHE WORK FOR WHICi THI3 PERMIT IS ISSUED. � C c ' � ,� W. '�-7 Q �I HAVeAN�WILL MAINTAIN WORKERS'COMPENSATION INSUPANCE,AS REQUIRED 9Y SECTION 37a00F THE LABOR COD6,FOR THE PERFqRMANCE OF THE WORK FOR WHICHTHIS PERMIT IS � I&SUED.MY WORKEP.S'�MPEN���SnATION INSURANCE CARRIER-�AN-7D POLICY NUMBER ARE: CONSTRUCTION } CARRIER LI��1�—�l ! L��� � � ?LAN REVIEW - . . _ . . . . . .._ . ZPOLICY NUMBER ELECTRIC Q � . . .� . � :�,�..�,.,s Q (fHISSECTIONNE�NOTBECOAK�LElE60F7HEPEWMISFORONEHUNDRm00LIMS(5100)ORLESS} PLUMBIPiG ��-�"-�==-_�:.` � I CERTIFY THAT IN THE P�HFORMANCE OFTHE WORK FOR WHICH THIS PEflMfT IS ISSUED,I�� MECHANICAL ' - ' I (f SHILLL NOT EMPLOY ANY PEFSON IN ANY MANNER 50 AS TO BECOME St19JECT Td THE CA WORKERS'COMPENSATlbN LA� CALI RNiA,AN G THA7IF 1 SHOULo B�COME� INSPECTION FEE :.� , �'"+ � ' SU&IECTTOTHEWORKERS' MP ,^ZATI �fj�Yl.. ECTI o HE�LABOR�� � - 9A' ' -�j CA�E,ISHALL/F�O,�AT.�HWIt 0�1PL WI' �SE , F i S. ��� (.. /�J�T` ISSUANCE &g � p� DATE:�_.P. AP . .�..� � .SMIP ;�`i`�"�gr�.�&��r��.�s»--��°`�.�y�.��-.e�� J WARNINGrFAIWRETOSECUREWORKERS OMPNS� IONCOVERAGEISUNLAWFUL,ANDSHALLBE ENERGYP/C �"a6����'s.�yf,� ����a7:e"�i�'�`�r.�� �y�.� SUBJECTANEMPLOVERTOCRIA�INALPENALTIES �CIVILFINESUPTOONEHUNDRE�TFIOUSAN�, ENERGYPERMIT � DOlL4RS(=t0a,000),IN AbDITION,TO THE COST OF COMPENSATION,DAMAGES AS PROVIOED FOR IN SEGTION37080FTHELABORCODE,INiEREST,ANDATTORNEV'SFEES. ' �� � RETENTIONFEE: oCqNSTFtUCTION LENDING AGENCV PRE-ALT FEE: �.. I HEPEBY AFFIRM UNDER PENALN OF P,ERJUflY THAT THERE IS A CONSTRUCTION LENOINCa AGENCY . FOR THE PERFORMANCE OFTHE;WORK FOR WHICH THIS PERMITIS ISSUEO(SEC.3097,CIV.C.). W ���� ��� LENDER'9NAME �' '�, - . 1-. LENDER'SAOURESS � � � �.'.' ICERTIF/THA7iHAVEREADTHISAPPLICATIONANOSTATETHATTHEABOVEINFORMATIDNISCOqRfiCT. TOTAL FEES � - - � . t����� �/ - 4y, I AGRE�TO CAA7PLY WITH ALL G17YAN��CAUNTYOADINANCES ANO STATE LAWS RELATIN(ia TO BUILDING � � ��,�� CONSTRUCTION,AND;HEREBYAUTHORIZEREBRESENTATIVESOPTHISCOIiNTYTOENTER�.UPONTHE , � �.� Z� ABOVEMENTIONED PHOPERTV FOR INSPEC710N PURPOSES. , �� - COMMENTS ' � . �. . ,,`I•� � , . '� . ' . �' v m PERMITTE AME(RI / � � '. ' . UJ. �"( ��i,� . . rpy SIGNATURE OF P pATE '' � �� � ��. � RECPT.NO. PAIDBV � VRLIDATION� � � I �WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy;GREEN—ApplicanYs Capy'� ���� �������� � ��� s��� � ��� � . � �. . . � �� � ���. ; � � �_ � � � � � � � � ffi ', � � �� �_ .. � w ����c ,� � �_ ��,'��� ���� �� � � -- ------- --- °` ,�P� _'=-=-- ��`� t�-����r�:d���°_�. � _ ► � � ;:. � �=���������_, � � --� � __ _ �___. � �. —.�� � .__ ._._- _________ _.� ��..�a> �'�� ��';�'''. """`�`_" i �,�I�$,�7��S=t��d�����' j � ��..._.._._.___.�__.�� �.. , �-- ' ��:�'�&Jt�&€':�"E '����4"�' � �.___..._ � --.�_._ i � L9�°.��"'�� `��+�i'��������,7a.1�;" �..;��.::_ � ��w �,._`_'� _� �� ��..4���''��.� € � �?Ta���,����C�?J?4��;�€����� , � � _---- �---- _ .�..��.___ �... .�._....._._. � ------- - �.�f� �:li���..�€ 1. �, , �������=���1:������ ; E � _ ....��,.�_____ �--z__.._�... �.. _ , � ��aA� �;��i-�'� Ix,��= ; �{�a,-��.��3s��'���<'�i� � � �_�._�___.� _�_....„___ �.�_�. ._a__. �' ���J�a� �,�,�`� ��`� �fi����`3�_�a�� � $ E '`a����dk.�'.���* � a����_a�T�.�t�...�1 ��. .. ��.....,.�. _�..._ 3 �:�i°a�'c� "L`fS.J��L�s...��9��ti ( � ..,_...._------, , ...._ � k'aus��3a_ .�'.+w,�r^'q Y.�.� ..�__._�__...w....-_,._ � �..�...-._._ � �'�:'� "�o"�;°°��t•"+t"� `�" € ._.�__�_».�.,� �.�-�., _�__.. _ _:,.. _. �___.__,. -��� ��'t���� ""� '°���` � � _' ..`�`� ' t �"�i�� �� _ _�_, _ __ s ��=��.; ��F ��"� £°;,W ��t�Ls� s� �a"�,���a�J� ___.�� .�...___ �, � ��"' �' ��c'`��[:^3 .,�.._.�..-�- + _�_.�. d �'iitiz��2���4'�tl��,� i �u —__ i ,�.� .� �_, �— � ..�� .�.. � ��-?�a��.���`�°� �"���` � 3 _ � � �'e`��l ��e�C;���C; € 3 � �.: �--__ �j ____. ---- -- . � i�` �'e�E�f� .z��I� �� __._ g:. ._.�_..�.m.___---_,_._I �v���.���1����� � � {. r�E� [���� ���°„,'� ....�� �_..�_. � r`���`'��`�8�,+��. ; � �� � t�;-� g � � r�-� �s i�� �--- ) r- � �" .� �� � ���._ � ( L'� .�6.�,� � � � ` ��f4"�+�yws� a��, �� E _. _ .._��._ _ �__�c-C;E��>Ai�;$�C.a�`�� _�-.��_____�....� �.H �_:�_a._ _--3 .�:, �_:__� ��---- ....... � _ ---- �"�"��� 6� � ; _�.� �-��+��st �s,S�.; ��;� , i � V i'�4 , ._...�_..�_ .. ___......_.: __._.__.� �� ____.___., � 4 �I�e ! ' ��'����"`�� � .n �,..� _ __. �.�€�r��r,� � �i ��. __.�,',_ __.._ .__ � ! �,�.�- �,-�� r ..�...��.,.� � __�.__ _..;�.__ �P� ��_���-�. .___._�._...�__.. ; ��. �-� �M�_..�� , � ",`.r^ �.�xa�"t �B�,�"- ...�._,,,....�,�.�..._... �»_..a ,.�....�,���..,..�.���"9f�;Y+.a.,,s'.���°�I��$'� .�__�___... ,�... � ,.,,„._ � � - ��€��� '����'�' � � � i� ri sr�� 'e�T ��P'�".i.. � rv�� � , 4 8 �::�. i@� ff.�-_. _.._.. ..��....m..,,�.._..._...�...�. � 3 �,,�, S'r��y g'r pqg [ �� ,. " .....: ....,..._ '�� �.."1� 3 k ���4;.���.��....... . .�.�.-3. 3 .«� 9 9�" d,.F �' 0�t'"t9» , _ �^`.�.......��. ........ 3 ctp ��._4 ,r* y y''` g � s fEt}"�...�"f.wk�X.F 9�SgeJ ..,. ` i »,m.........�. � �.✓nL.d 3�1�"'w.C«b �'�,L� "- . �_—�e. ........ . . . ' . _ _. "" € .,yx g g( ,g .�v....� �) � .�..—.�..,_. _�...u. ..�,_�..a.w.._...� ..„..,� �'o�Sul'm6..�.miw4iS�'i�3��e3�� .�..a.{.. ....�._.............�;..,m-..—........................,._._.............. '�w�'4�-;-S(..�01, ' . . . ..�....+...,,.��f��....,� ._.,.._4 _ _..V._,._ _�_�.___� ` .. ._ .._ �. �_--_m___�..�. __�_ ._._' � . ` _�._ � �_ � � � � ��` ���� � � _�_ � _._ ___. ��m_�._�,��..�.�._�,_ s �__�_.�.�..,�.�� �._� �� � • w � — -- — —_—. _.�. _. -- --�---� �--w--- . � _. � , . _ ;' � � � � E a°�: � ' � . ���.�����������r _ :�.:,� W .�� ` '., � � ��.....,.:�:..,�.�._..� ..e.�._ v ___.—____.__..________ k . n... . ...j .. �' _ s mm.� b } . . . " k ', ' � ... P ......�. . a . . . � �.,. ' ' . ' . ,,,��p i'^".�'.,'^ ..^�."'^......._._�._y�-- .�....,.m. _. .. — � _-•------.• . '__...�........._...-..__...__ .....Y.... _.._... . , _..,,......,,.— �..._�_.., �_ S � �... � .. . . � .�--�4 p , . . , } ;..._._..., .......,....,.__.��.�_..............___.—�,....�.._.._m_w.......�_..._............._.—._....___ ' �.....�' ��, ' _ _ �_�.__.� � �»,..�._.�..,�..._ ,.,......�..,......,� ........_....._�....r_��e-__.__.., . ...._.,,_�..m.____— , ' . . ' : . ' ... ' .... �"� � .. S . »..._.�. � �_.�__,.d._,........_.v,.:.�..e,�.—.»m.�._.,.........._-.»6.,�.=.—r. .....,.M...._ ___.....�..,,..�..,.,_...., ,W.w.,..�.,_.. _. , . _� , . . . .. .�.�_..._.-......�_ ...,,._.... ��� . �.���� �� �,��,� �.m ""�,,,��n���. ,�. ��� ., � . ' .� . � , .. €" i � ' , ......�._,�.�.,:.._ �.�.�....,� �_...i .i.. . .. . ...._. , �,. ..,.�..v�l ���__...,...._....«.,�__ __�..._., _ v.. .—'I 1 r.. .�_��_ "�"""" . , ,. _^---; .., .., .} �i , ' � �- - �. .�. ..___._......�_._.. _. ---- -------� � :���� .�,. �b��"�,�e�� ��__� ��=��`�.��-_,� ��.?.w" _..__a__..m.�. _�._--____..�_ ._.�.. _ ._.�_ _--___ __.�.�.,�____.._ `. r � �"�� �� � �-' _ .___.._,_�. _._ ____. .__�._,�__.___..�...___W_...�. - .,—� � : . K P�� �t '`�� � w� ----_,. _�.�. ...._ S � '�: � n.� __,��,______"__ _�� �.. _ . ,_. �..�....; � �"�� _.� _...._.._�,.__ �.,.._�.,.� ._�.���,...._._._....�._.W..V.. . . -._.....�,. .�.� ' 'v ��� � '�-' �.,..�..�.w....�....e.._.:._�, _�.___ � _ ' , � � � � ;� � , ° #� ���.,._�__�_�.� � .�,�_�� .----=-,-e-�._ n � , � � � �� _ _ . �- . ._ :. :. ;� .______�m� m.. .� ` . � � ;� _ ,,: ` � i � _i �,...,....,_. .� -_..,..,..�..,.._,_,,....._......._. ,.--, _ �. . _ �._. � � z .' � � ' �.� � , - � .. :.� . , ... � . . . � . l i . . . . . . & , a � � � .. . .� '�.', .'�.:� ''- ._ .'r, i ;� i , � p ... ., . , .�.._ .�....�... .- . . . ._ . . _ , . �....,..,.,...�......,..,_.�.,..�. �� _ .. . � . . •w , , �_.m.�.a ,... . ..,m.e�...._.�.�� , ....,..�_�,.,�.....�......m.�_.�..�...�.m�,..,..�,...�.�.»�..�.,�....�....,