Loading...
HomeMy WebLinkAbout15293 (17) ___ ._��..._ . .__..,,_..�,__._.._w9�.____._�_ .____ ...�__.. _.__ --- .. .___.. ___ .__ .__.._._--___.�_ __.. ___ _. --------- - _...,_.- � ���r/'� ""` _��_ CITY OF DIAMOND BAR CO���`U/ DEPARTMENT OF COMMUrTITY&DEVELOPMENT SERVICES $U�LDING PERMIT AP PRESS ,W . . o e ve wte 13117 P Y (909)86Q3195 Fa�c(909)861- ��° PLICATTON , , _ FIRMLY _ _ __. . ._.. . � JOBSITE 3 p � APPLlCRTIO P6RMIT P/C oADDRESS `���-" ��'�"'��'� �' DATE___, '� NUMBER c� ISSUE TYPE -_7�`�J� OCC -- APN LOT TRACT DATE CONST. GROUP p OWNER �A�("J�•�'t Gkq1� �`' ADDRESS�'��" ZONING SETBACKS 0 � CITY���=a- =�'� ZIP `�'� TEL.� -�'7-3=� FRONT RW ❑ APPUCANT TEL. REAR ❑ � c SIDEJSIDE S7REET RW O CONTRACTOR �' :'��.X'-a= ��k4c��'rZs SIDE ❑ ¢ ADDRESS " `� � ' �-`� o CITY �+`'�-��E-� ZIP �Z TEL��"��� PROPOSED USE .- o ARCHlENG/ 2 DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT FACTOR PSF ADJ.AREANALUATION N QOWNEF-BUILDEF�ECLARATION SFR/ADO/REM p I HEREBY AFFIRM UNDER PENALTY OF PERJURV THA7 I AM E%EMPT FPOM TFiE CONTRAC7oR5 LI- � Garage/Carport W CENSELAWWRiHEFOLLOWINGREASON(SEC.7031.58USMESSANDPROFESSIONSCODEANYCITYOR � COUNTYWHICHREOUIRESAPENMIiTOCOMSTRUCT,ALTER,IMPHOVE,DEMOl13H2ORREPAIRANVS7RUG L{1 pytIO/DOCk 7URE,PRlOR TO ITS ISSUANCE,AlSO REUUIRES THE ApPLICANT FOR SUCH PERMIT TO FlLE A SIGNED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CdNTRAC70R3 LI� c CENSEUW�CHAPTERO(COAIMEMCINOWITHSECTION7tloD)OFDIVISION30FTHEBUSINESSANDPRO- � POOUSpH V FESSIDNSCODE)ORIHATHEORSHEISE%EMPT7HEREfflOMANDTNEBA3ISFOR7HEALLEGEDEXEMP- (7 U TION,ANVYpUTIONOFSECTION7a31.5BYANYAPPUCANT(-0RAPEPMITSU&IECTSTHEAPPLICANTTO z Re-Roof � A CIVIL PENlU.TY OF NOT MORE THRN FNE HUNDRED�OLLARS(5500).j: � OI,ASOVRJEROFTH57ROPERTV,ORMYEMPIAVEESWITHWAGESAS7H81RSOLEC�MPENSATION, � ComfnefCial ' WILL DO 7HE WOPK,AND THE S7HUCtURE IS NOT INTENDEO OR OFFERED FOR SALE(SEC.7oaa,BU51- J NESS AND PROFESSIONS OODE:'rNE CONTHACTOqS LICENSE LAW OOES NOT APPLV TO AN OWNER OF � PpOPEHTYriRiOBUILD50RIMPROVE57HEREON,ANDNM6�0E3SUCHWORKHIMSEIFORHERSELfOR = Q THRdJOHHiSORHEROWNEAIPLOVEES,PROVIDEDTHATSUCNI/APROVEMENTSAHENOiIMEN�E00R m QOFFEREOF4RSALEIF,FIOVIEVERTMEBUILOINGOflIMPROVEMENTISSa.OWffHNONEYEAROFCOMPIE- Z �TqN,THE ONMEREUILDER WILL HAYE THE BUROF_N OF PROVING THAT HE OR SHE DID NOT BUILD OR = IMPF�VEFORTHEPUR70SEOFSAL�. O I.A3 OWNER OF 1'NE PROPERTV,AM EXCLIJSIVELY CONTpACTIMG WRM LICENSED CONTRACTOFS � TO CANSTRUCT 7HE PROJECT(SEC.7W4,BUSINESS ANp PflOFES510N5 CA�L-`THE CONTFACTORS LI- VdIUaf1011_ ADJ.AREA W CENSE UW OOES N07APPLYTOAN bYMEH OFA PflOPERiY WM0 BUIL�S OR IMPROVES iHEREON,AND � W1iDCOMMCTSFORSUCHPROJECTSWI7HACOFITFAC70R(S)LICEN6EDPURSUPNT70'rHECONTRAF �UANTITY DESCRIPTION FEE Y TORS UCENSE tAW.). � p I AM E7(EMPT UNOER SEC. B.6 P.G POR THIS REASON U 3 � u" DATE ONMEfl___ U � LICENSED CONTRACTORS DECLARATION � �= W � 1 HEPFBYAFFIRFA 11N0ER PENA�7Y OP VERIUFiY THAT IAM LICENSED IJNDER PROVISIONS OF CHAPTER Z 'h LL, ��.�n�..L4ir a�� � i(COMMENCINfi W17H SECTION 7000)OF DIVISION 3 0F THE BUSINESSANO PROFESSIONS CODE,AND +�J "�"^" MY LICENSE IS IN FULL FORCE AND EFFECT. � LIGENSE CLASS ��� UG.NO. V J���� � H p� � � V DATE �"�'L.�rr'��'� CONTRACTOR /'^a��=. ..1^ d W � WORKERS'COMPENSATION DECLARATION ' F ��� �j U = V � 1HEREBYAFFIRMUNDERPENALTYOFPERJURYONEOFTHEWLLOWMGDECLARATION5:�. � Z Q � lIFU1VEAN�W1l1MAINTAINACERTIFICATEOFCANSENTTOSELF-INSUREFORWORKERS' _ � COMPEN3ATION,�3 PFOV�DE�BY SECTION 3'!00 OF 7HE UBOR CODE,FOR THE PERFORMPNCE `U OFTHE WORK FOR WNICH THiS PERMIT IS ISSUED. g � _._i HI1VE AND WILLb1A1NTAIN WORKERS'COM�ENSATIDN INSURANCE,AS REOUIqE�BY SEC710N Q 37000F75iE I..�BOH CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICHTHIS PERMIT IS � ISSUEC.MY WOPKERS'CO NSATION INSURANCE CAFRIER D POLICV NIFABERARE: CONSTRUCTION � CARRIEfl �'�'�`�� ��'Z-�–'����'�"' PLAN REVIEW Z POLICV NUMBER �✓��� 1�����4'-- -- ELECTFIC Q � �niissEcnavn�Eora78E�EimoFrriE�.a'T�swaa�Ei-awraEv � E ? PLUMBING , - W ✓ �4ECHANICAL Z I CEFTIFY TH0.T IN 7HE PERFORMANCE Of THE WOFK FOfl WHICH THIS PERM I ISS , � (!j SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT O TViE � WORKEFS'COMPENSA710N IAWS OF CALIFOP.N10.AND FGREE TMAT IF I SHOUI BECOME INSPECTION FEE SU&IECT TO iHE WORKEflS'COMPENSATION PFOVISIONS OF SECTION 3100OF THE LABOR � S CODE,-I-S�H�^ALLFOftTHWITHCOMPLY WITH TrOSE PFOVISIDNS."� .,, �SSUANCE '' p DATE: �—�'x`��'J APPLICANT � � SMIP � ENERGY P/C i _ __ __ WARNINQ:FAILURE TO SECURE VJORKERS'COMPENSATION CAVERAGE IS I1NlAWFUL,AND SHALL BE W SU&IECTANEMPIOYERTOCFIMWALPENALTIESANDCIVILFINESUPTOONEHUNDREOYHOUSAND ENERGYPERMIT 't�SA ��(��Y'� A � DOLLARS�S100,000),PIPADITIONTOTHECOSTOFCOMPENSATI�N,�AMAGESASPROVIDEOFORIN —�-j�=���n-�^��yY`M���'a� J� SECTION 3708 OFTHE LABOft CODE,INTEREST,AND FTTORNE�"5 FEES. RETENTION FEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE p- ' '� Q IHEREBVAFFIRMUNOERPENALTVOFPERJURVTHATTH'cREISACONSTRUCTIONLENDINGAGENCV � FOR THE PERFORMMICE DF THE WORK FOR WHICH THIS PERMIT IS ISSUED�SEC.3091,CIV.CJ. Z W � LENDER'SNAME 1— LEN�ER'SADOFESS _ wICERTiFVTHATIHAVEREADTHISAPPLICA7IONAN�STATETHATTHEA80VEINFORMATIONISCORRECT. TOTAL FEES � IAGPEETOCOMPLYWITHALLCIT'ANDCOUNTYORDINANCESANOSTATELAWSflELATINGTOBUILDING CONSTRUCTION.AND HERE6V AUTHORRE REPPESENTATNES OF THIS CDUNTV TO ENTEP UPON THE ZABOVE-MENTIONE�PROPERTYFORINSPECTIONPURPOSES. COMMENTS � �'1 �..��'-���-.��..��--�� . � - m PERMITTEE NAME(P T) �..,1`\ Q ) Cn 1 _"'t 1 ��.,�..��j...�-O" � SIGNATURE OF PERMITTEE DATE � RECPT.NO. � PAID BY � VALIDATION WHITE—flepartment Copy,YELLOW-�inance Copy,PINK—Assessa Copy,GOLDENROD—File Copy.GREEN—ApplicanPs Copy , ,-.: _ � ... , _ u,; , . , .. , _..., . ' ���'� �� ����� � � ... ` < , . ���������.� �� �� � �: � . � , � '�`� �� � � � ° ��� ��� � �� �, �� � � � . . �� „ ���1 �� . a r. . .:� .., .�. _� �. � .,_... .,�+ , _ � ,.. _ ..., �,ix� �� � �.� . �,�:i ���`}t i 3 � � �€`��)� '�'.�i�� � ..'. � � _ . __._ _...�.y.__._�_�___ _� _ . �.w.._____.___._. ;- �. �- �-� -�-��� _. . '"��t� ��TS's .__. _.� �h��S � ��� �a �. .. .�— ; �-. ___�_._....... i _ _ ._ r . . _�-___._ _ } _..: . " ____...._.___ !__ .... �.___.._ _ _r ��`.% �i k`��� � �� i � � G��a`�'��`' ;=�.��'�°.s�i,aa�� � _ _ »-�.._. __._.�.. ._._._. � ' __ _.. ._.__se��� _._.. _.._._.._. _._. _._ ___ __ � u_ � p s� `� .�t.�`I �� a ;���.} � � ��h } z� a("jr--�d' ¢ � ,7€ i ......._.____. : ___� _ �_ �______�. �__.�P___ .__._ � _ __ � $ `'�i.,tt�+��t� � i y 's'�t� �r- t-�f.a��t ra�a�.S�1 i _- -- _._._.._.__�.._. _. �__.... _d _ �� _..�_. _. _ �. _ _�__ _ �_:�= �g3 �x v �' �---w.___._ a � k��c- �� ���``r ����� � � �_�.�_._��.� _._____ .___.. � ... ,`. ___ _ � _ � ___�__ �_. $. ��nr,���-�c,c �e c ; I ` �� �-�, "-���;C `?�"#�� _ � i - -r- � __. �_______. n� __._ �_._ __.__ �___. .. ____ .� �._n ._ .:.... est`�c �� .,z: , -� l�� t ' � �� E-" �t����i�`"� € �. _. � _;____...__�_�;�.._.�.. .....__ _ _w____�__ �- - --___—�__ __ __ ___. � � �''C�,'�'��°�€ . � �12' C_i�d i -a,g ' I,, � u.'?i4..a"�.` ;-s-tfia.�.� ��.::r4r�:� .._._.._.....__- -�-__........._...._ .. ..._..__....._._....�............._..,____—__._. � ...... �_ ........ ........_..,...._1.�.__�.�._. ..�.,......__�._ . . � ....._ �.� _ I fvf? . ��e:vt€- � � � _ _ � �,,. -z i ? ;��;�' ��A� C, _... ... __..�._. � _________ _ __ � __.. __.�__ _______, ._ . a -.�r�j�.< t.� ,..a�r�r�����,a E �i.°�.a i�� �_.. ��..�.. � a ._ _.. � �.__..��-_M__.__� ... .. .....,. ... ..M-..,__ �.................__. ... � ! f''3'-''w'r1i.76.;,� ��.., v i fi"'i.,(p .. ... 3 j E � ; �i.�ty ,a��` (e� � .. . .�.��v� �M��_�w._ . �.� ... � i ... � .�..... ..._.._.. .�._..._.__._.. ....""'"_'� �s�t �- r €�L�"Ci ilf� 1 ' �3 u� i a�e�'9���'� �.._ � � _ ( __..._. _ e� : ___________._�..� � __..._.__._�._.�,__ € -- - � . ��-=4 7 &.�. :�S 7�.➢3"� 4''� � r�V -���L�.�i����.r ( ....., .._.._......._...,...Vr--..._._....__.�,.,.�..._...�......_.._._._.,....,...__.�....__ _. _..��_`_'"___�_,.�._ _ .....,�.. -.� ._. , ...w..._ a._._.a......__.�,�..».-. .._................ ...[ ? �. �,( � .� '�'�'e'�t�� �.__._,__.___- � � �"'�3 �'�'^�k..'.�+Y� � � � ._� .. . _. �.. — _ .� � _. _�_..._ _�. __._._� ( s�r,r3� � �u �� a �,& ! i ( �"'�C�76 F-?'d�? F[___ � _ E �_ .. ��_.____-.�_�._. .___._._._...______. ______ �_-___.... _. .._..._ __�, _.._ ._.. � � , r . m-r�.�r-.^ -F._..... __----t____... ..�... � '��:.� €°*�� : t�° �+.: ""�� ; ; � - r �=._ i� � �. � ; .... ..;-... _�._._ a...__.._..__—.__._... _.....-.__ _.� F . ...._ .. _-- ... _... ......_.____......._._._..._. ...:_. _... � _.. d �n �sY.� j�. E e €a g i r?.�..�ff .x.$t�'�'+�,,`.3 � i � 3 3 ._.� ..,.._....._...__�—�-___ .�.„ .......- ,_ ,_.�................._�_.__......�___�.....M.....�._....__._ ..._.�._.M_-_..--_-�..-a . _ . . ......_ . I _............_...____._........_._...___..�. � �. , �. . % `s- u o-s i � i ' 4-,a s=� � �� , -- _ _____ ._____ _ -'`---� _....___�� ____ _ __--__.-----, ' _.__._.� ._.1_..._._.__�__ . 1 � �..,r = �::�,c^�,�:. . �. � ! ��.�Li��',-- tt�'-^',;i- ' � ' y ..�.. _..a ..�..._.��_ � � ._.,_...... L....,..... _..___�.......�--...:.._...._......_ ._ � ......._. _ � ,.., i ,. -K r _.�.._.._�......_.___��____.._ � :� c r'. , � . . �._tr ��t . ��� "•s � �^ q _ . .-..... <_ , .__ . __.__�_ .__. _ ._ . ._ . ... .._._..__ ...�.�..._ i -�`-s .�� . � ��. ..�,...�. r� �� � . _ . _ . ... . . � -r. ..�.._..,�...�..» t ___._..,..,.,. � .. _.._. _ . _.. 1........_... ... _.....�...,.. . � � �� & v j ';1^ 4 � 9 P�9' r�� ' € I . _ _�__._ ��__.�____V__ ._w..__________��. _..__W. �,__. .___,___.�M___. __�� ;_�.._,�._.__..._.... __ _.. ,__.�e + E ' .'_:.�;a"...�.'.� ?;r_ft�_ ��_ _r �$e `::�'*�. ( -..��._._ _ _ ._ _ �__...�_.___._..�_ _ _._u _.._ ___..__.._..______.�.. _.. „y },� �' � j . . ::#�. _ ��� �4 . ...—f .. _.. ..�... . ... ....�..,� .��......_.............._.�...........,._ L�__.__...__._`__W_ _�.........._' """.e........,«...W___.._.�.�.,..-,......«,.,......,._....__._....�.......�...,..........,.._..._.___.�,.. ....,.� ' � . 3:.� i '("` �� : f-';jl�. C} `+' � : -> .� . .,, . . ";�. . . e . . , n >_ i ' ...... _._........_._.,..,,,.�_._�...«., �_�--�-�......_..__�. ' ....___��...r.._��„„:,....._,...�_...,_...,....e.._...._.....�_�.......�..._ � • .. _,.,_.__.__...�....,, e_..........._�_.�._..i,-.._"'_.�.....__"___�' .,......"'._._....._.__ � .. .. .._._., ... . . '. _.. . . _ E � .�+i s�� . . �_ ( i � ��-� � ; � q�. 3'�S '� .., � �.,.____�_...._._____d_____.____.,___�_______._.__,:M_. _.__�.....______.�__�.._1_ ����"_:�a�� ��`� � .;< �' �;....� � �:s';,s' �t r-> �gs-� rt �-__.• _.____.... _.._.. _._...._�,._..__ ..._�....___..__..__._�..�...._.._ _...._..___.__..�.._w.._.__�._...._.._---...._...__.._._ . ___��_..__. m____._. ....___ ..._..� ._.�___....._..._„.... � g e �...._�_...,_.�_�___..._.___����....._._._._. _.�....-- -_.____.,._.___._.. _...._...__ ._. _______. __..._.... .____..W. .�.. ..�._..._ ..._�..__.... .. .._ ; r �......_.__._._,._._..__.........�.._.._.............»...._._.._........,.�.......__�._,.. ..,.........__._.._.__... .r_-_..._...._..._..._.,.......__.__..._._.._.__..._......._...._...-..�_.....»...._.. ._..........__.�._._..�..........___...._�......._ .......,_....._.._.» S y S i i ;.._.....�A......._.....,_....._.......�.._._........,..P ..,..�........._...._...�.........._.__._._..._.______,......._...._...�___._..__ _._.......».._..._, .._.,._._._._.._ .......... . ...... .___ _.__.._.. ,..._.,.._n"""_�_._M._...__.�__.___.........__........_.._. __.__E : C � , - ...._____ ...._...__........_._...-,.-'_._........._.............W.._._...._.__. ._ ...,� �__._..__.,_... .........._._ _.__....___.�._____._.___ ...._.__,.._..._.__._.__ ___. ......_._..... .._..._.._._.... . ..._.__._._ _.._......._.__�...�____ � i 1 _...._<_�__.....�......�......___._.�.��_.�.....__.----_.__......... _.. _..___? s.._._.____.._�.r....____.._ .�_�._.��..._._.-_....__�__...._�..........�_....._...._.._._._..__._,._..,..__.,,___....... ,.. � � � � . ....,. . . ! � y f ' � �_�.._�---�...._.._,__ � m__..�. _._..._ _._.----.�_.___.___...___� ._.____�._ __. ____w.____�____------.m�_..__�.. ____.�..�____.�.�. �_ ._. __.__,.h fl �-�� � �; a •,, ' �; .:i�Air . .... � _.— _.._. r �,-; � ,-- . , . w _____ -----_-_._ .,��-r•+ . � ._._._ _.___.__._�._ _.____._�_ _._.m_ _.__.._...._._._._._.___...� � ._. � ��__, .� ., ., ,:..a ...._.__. _...__�. i �,�a��°� ����-������ __.___ ...r___.--_ ... .__��..w.. _._..____,.. .�._..._.. ___�_ .______�..... ........_.___. ,........_ _._._..�.___..__.._�.._ . --- _ � �� px�� �� „ �� � ���'�� �� ,��� � , _ _______ ___—_--____ ___ _ -- - - -__ __ --- ._.___ _� � �� , � ° � �� _; � �� � �� � �� ����� �� ����� _ , ____._._ --_ ____ ____ ________. ,____.....__.._____ . ... ._.....__ _--___.. _._____ --._� � � . ���'�� ���� ���- � _ _.�. �{ • ,.. .__..a_� __ _ ��� ��� � _... � �� � �: � .� �� '� .___._ne__..__ _ ___��__. __.._.__ ...�........._._ ,.. w..___._. .._.._._..__. _,___�....__ _ ._,. �� ��� �� � � � ._ _ � � ����� � ��� :� ..__.._._ _._�.. . __ .._........__.__.._.. .._.___. .._.._ _____ .._ _ _...__. ..... ..... „ ___ , � � a � . . �. _ _a >�� � ��,��� ���x'� ° x � : a; s�,��.w�'*d':._���;. ��''�-:...�� � , . .. ..._.....__._..�..,.._______._._., ___ .... .... .. .. __ .... . ......_,