Loading...
HomeMy WebLinkAbout16054 (666) __ . .� __ ��°«� CITY OF DIAMOND BAR / v/�j - —�� — DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �' � w , 21660 E.Copley Drive Suitc 190 (909)860-3195 Fax(909)861-3117 PRESS �`'�"� BUIi.DINGPERMITAPPLICATION __ FIRMLY ,.. � JOBSITE �+� /- APPLICATION � PERMIT '�r,fI�1 P/C o ADDRESS � �i`7 /i;<r,+� Lr�tf1L�` DATE � �� NUMBER �wv # � ISSUE f� TYPE OCC APN LOT��� TRACT ��7E�.S�d DATE v ' CONST. GROUP � OWNEFi " ADDRE 3�/Ad� T�d ,ra�'l' �1 . ZONING SETBACKS z CITY�G'!�/4�V� ZIP ,�,��'' TEl 5~�s'%7G� FRONT RW ❑ g APPiICANT TEL. REAR ❑ SIDE/SIQE STREET RW ❑ � CONTRACTOR '" �7�/'��, SI�E ❑ ADDRESS f�S`c�1aj ,� ��..`—,�Ji��1'� ' o CITY �.��'�i n�c..� ZIP`�/!/G� TEL ��l' �'�'�''J PROPOSED USE wo ARCH/ENGI �z,, DESiGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.Fi FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O � I HEREBY AFFlRM UNDEH PENALTY OF PERNHY iFIAT I M1 E%EMPT FROM THE CONTRACTOflS LI� GBfB(J0/C2�OA W CENSEtAWFORTHEFOLLOWINGREA50N(SEC.7031.SBUSMESSANDPROFESSfONSCADE:ANYCIIYOR (n V COUNTYWHIClIREWIRESAPERMRTOCANSTRUCT,ALTER,IMPROVE,DEMOL�SH,ORREPAIRANYSTRUC� W PatiO/OeCk W 7UHE.PRIOA TO ITS ISSUANCE,ALSO REQUIRES THE APPUCAN7 FOR SUCH PERMIT TO FILE A SIGNEO W 3TATEMENT THAT HE OR SFIE IS IICENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS L6 � CENSELAW�CHAPTER9(WMMENCINOWITHSECTION7000)OFOIVISION30FTHEBUSINESSANDPRO- � POOUSPB FESSIONSCOOE)ORTHATNEORSHEISEXEMPTTHEREFROMAND7HEeA51SFORTHEALLEGEDEXEMP- (� TION.ANYVIOUTKKJOFSECTION1o37.58YANVAPPUCANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof `„_ ACMLPENALNOFNOTMORETHI�NFIVEHUN�RED�OLURS(SSoo).�: A ❑I,ASOWNEROFTHEPflOPEFTV,ORMYEMPLOVEESWITHWAGE5A5THEIti50lECOMPENSATiON, � Commercial - � Y/ILL DO THE WORK,AND THE STRUC7URE IS NOT INTENUED OR OFFEFED FOR SALE(SEC.7041,BUSI� J � NE55 AND PiqFES510N5 COOE:THE CANTRACTORS UCENSE UW OOES NOT APPLY TO AN OWNER OF � PROPERN VhiO BUILDS OR MPROYES Z}1EREON,AN�WHD DOES SUCH WORK HIMSELF OR HERSELF OH 2 THROUGH HIS OR HERONM EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS APE NOT INTEN�ED OR m W OFFEREDFORSQEIF,HOWEVE0.TIEBUILDINOORIMPROYEMEMISSO�CWiTHINONEVEAtiOFCAMPLE- � TION,THE OWNER�Bl11lDER lMLL NAVE THE&1HDEN OF PROVING THA7 HE OR SNE DID NOT BU�LD OP Z IMPROVEFOfihIEPURVOSEOFSPLEJ. _ ❑I,ASOWNEROF7HEPROPEHTY,AMEXCLUSIVELVCOMRACTINOWI?HLICENSEDCAN7RACTORS W � TO CONSTRUCT THE PRQIECT(SEC.Jo44,BUSINE55 AND PROFESSIONS CODE:THE CONTRACTORS LI- V81U8I1Of1 ADJ.AREA W CEN9ELAWDOESNOTAPPLYTOPNOWNEROFAPROPERTVWHOBUILDSORIMPROYESTMERGON,ANO — Z WIK)CONTRACTSfORSUGFiPRP1EC75WiTMACONTRACTOR�S)L,CENSEDPURSUAN7TOTHECONTRAG QUANTITY DESCHIPTION FEE Y TORS IJCENSE LAW.�. �q p� ❑I MI EXELIPYUNDER SEG_ _8.8 P.C.FOR THIS REASON Q Cf � •�O O — V W � �z v� �7 DATE OWNER � •� • Z W /CJ�� a�'7,� � LICENSED CONTRACTORS DECLARATION W _ .� y . ..7 y Z� � I HEREBYAFFIRM UIV�ER PENALTY OF PEFJURY TMAT I AM GICENSED UNDEfl PPDVISIONS OF CNAPTER (� Y[COMMENCINO WITH SECTKKJ 7000i OF OIVISION 30F iHE BUSINE55 AND PROFESSIONS CODE,FND Z a" � � -� X MY UCENSE IS NJ FUI.I FORCEAND EFFECL m �L �.�.) llJ � � 4J //' �+� G� � �� �Gi�'$ C.� � LICENSE CIASS L�C.NO. 4�L`1� 77 7�/ � � _ ' �7 WDATE GONTRAGTOR.��(���J� /"/� a ,y � �� ��`� � ' � � WORKERS'CUMPENSATlON DECLARATION a � �- � ' � 5 U � I HEREBV AFFIPM t1NDER PENAL7V OF PERIURV ONE OF THE FOLLOWING�EClARATIONS: z � � _IH�VEANDWILLMAMTAINACERTIFICATEOFCANSENTTOSEIF-INSUfiEFORWORKERS' ¢ 1 I ` CqMPENSATI0N,A5PROVIDE�9YSECTION37o00FTMEUBORCODE,FORTHEPERFORMANCE U I�"J�C � •1%Q � OF 7HE WORK FOR NMICH THI5 PERMIT IS ISSUEO. � + `� ' y� /���ga G �l �L.. /(J L !J W _I HAVEAND WILL MAIMAIN WOqKEflS'COMPENSATIpN INSURANCE,AS RE�UIREO BY SECTIDN Q 37000F7HELA00RCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITIS ����� ISSUED.MY WORKERS'COMPENSATION INSU�RA^NC£CARRIERsn�N D POLICY NUMBER ARE: CONSTRUCTION jcnaRiER S't!+ �� /d�i�vc�f PLAN REVIEW �q,� � POLICY NUMBER��r r5 'Z.d�� '� S' � _ ELECTRIC w/�l J G {rrussec�ue�Ne�rroreEc�m�'r�oocn�rcaMrrawrioraENurroaEooaiausry�w)oa�Ess} PLUMBING W Z 1 CERTIFYTHAT MTI1E PERFORMANCE OFTHF WORK FOR WHICHTHIS PERMIT IS ISSUED,I MECHANICAL (J SHA4LN0T EMPIOV ANY PERSON IN ANY MAMdEF SOAS TO BECAME SUBJECT TO THE y WORKERS'CQlAPENSATION LAWS OF CALIFORNIA,AND AGFEE THAT IF I SKOULU BECOME INSPECTION FEE � SU&IECTTOTNEWORKERS'COMPENSATIONPROVISIONSOFSECTION370DOFTHElA80P ���L„_ „—, ���� R„)�I V� CODE.ISHAilFOHTHWITHCOMPLVWI7H;T/�H_Se PROVISIONS. /" ISSUANCE o`� pc � ��lLk--w.�--� �7`�� i..� SMIP p �ATE: APPLICANT:f (r+� Y �`�q q p�{p'��y7� p7�9 J WARNINa:FAiLURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P1C��yy�yip �7'�7��a/'�C1 A'YJ�11'tlAJ B„'i R � SUBJEC7ANEMPIOYERTOCRIMINALPENALTIESAN�CIVILFMESUPTOONEHUNORE�THW5AN� ENERGYPERNfIt"�DliiyG,tlSattY.lA7"1-'.� ���+`15100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDEO POR IN � SECTION 3708OF'fHE LABOR CODE,INTEftEST,AND ATTORNEI"S FEES. RETENTION FEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � I HEREBV AFFIRM UNOEfl PENALTY OF PERJURY THAT THEftF_IS ACONSTRIICTION LEN�MG AGENCY FOR THE PERFORMANCE OF THE WORK FOR SVHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). . Z W [J �.y � LENDER'S NAME 7 G O• V F— LENDEH'SA��RESS ,� TOTAL FEES , j�n � I CEflTIFY TMAT I HAVE READ THIS APPUCATION AND STATE THAT TNEABOVE INFORMATION IS GORfiECT. � IAGHEETOCAMPLYWITHALLCfTYANOCOUNTVOR0INANCE5AND5TATEUWSREUTMGTOeUIL�ING � CONSTRUCTION,ANDHEREBYAUTHORIZEREPRESENTATNESOFTHISCWNTYTOENTERUPONTHE Z ABOVE-MENTIONED PROPERTY fOR INSPECTION PURPOSES. COMMENTS � �z�;-� f�rr y,�r:%.�J QPERMITTEE N E(GRINTI � �.�-,.�_�"���- - � SIGNATUREOFPERMITTEE DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW--Finance Capy,PINK—Assessor Copy,GOLDENROP--�File Copy,GREEN—ApplicanYs Copy ..,. .. .... . . , v:��.� l� .ki:' ,.��, .k.�: a f. ... � . , . .... � - ... ...... ����� ��� ����n���� �� . � ��������� �� �� � . _ � .,��.t;�� ��.k,c� :a���+§"�;,� �.�„,� a�,�� �„�.� � #ar � ��`�.°� � y .. ... ����x � ���rt���� � , � �� �,�� � � � ���u � �5 � � � .. � '��� �" s �k . Y= n������ :. � �"a� �"' � � �., �� :� � �. ,.� ��. �:... �; �. � � ? i r _� p ., � . � � y �Sr�C7 �`'�,p'�°�" j � � j� . ... ..... . . ._. .... .._ . _ � --.� � . ..... .........w.._._ __. . _.. . . ._.... ..-.. ...�_.>,....._....�.... � � �z � ' -.�' €'�` � a�. � � � � j €'"f-9�t�-�[�.� i�i. i �� .._ ____�_-m 7 _.__ '.__.__..._.._.._ ' .£m.. ._ �...� . ... . .. . .__.... � _.._ . ..__..........__..__ ...� j � ?�z��. �i�` �§� s i��, _...,..__ _�.__._.W__._.._.__...__.� � t,, ".�P �: ' �' �} ��..� . ! � , _..� ` .. { ........ ,....._.._...__. � .�.�.:...9......._..�..,.:..r...�@� r ............ .... ......__ ........«......�._................. ...__ . . � o-�,���' 33 �:t r 3 s7�' �, _..? .. .....................�..._._........_.__ ._.i..l._.``I�S�' }; � �s � � ' . . � __ .� � >._......»....___......_... ..._......._.....�........ ...........�... ..._....._....� � ..._ .... . .. ........ .._........�,._.______......._. " S � �^ " � ^� Sq�y.t i' ; � i � )�,^u. S 9XP"'i� �:�' : 3 { ;...t"� C. �g"p. ii� §`d � 3�Sw{'� i �y, ._. : ............... .............1...,...,......_.�..�_._�___...._._.a....�.................................,....W.........,. � ._ . __ .. � ._:_. .. ._....... ..{....."""........ _'—'___ ___ ._� ? �.i�L�...§? t 4 . � f=;� e�€-'��„� �'"iF��I}�;.��ih � ....__._-_ .�___...._._._._._. < ,�...".,. �". o- .. � , . ,. i �E „„ ._.._. ........ ..._.�. .._._ � ._.____�.. ..._.Y. . ._.. .�. - -- i � , F , . {�9}� 3 t��`F �` ��sz F� �r E i ra'-, � � .. r c _�:.. __�___.__ ____..._�__.__.._� __�_�... ._�_.�._.._�._��._ w...... _ ...._. ._. _.__..._{_._w. __�.. _,______ . _. .�........__ .�.� I __ ____ � � � ��nw} �; �.:.$ .. . � : . . . . � k �;j�-9 Ra'l€"F�I�- .L;i� : , � € �a ., � ..__ .'°... ... _� . .. .__._._.._._ _.----- .._.__ ___,_ ( ._ .. [.__,._....._._..._. _--`u�___..___�__._................�.. . g„?�4r4 p :, , ° ` � � f 3 �,. � � �t� �a `�a�hrt . � C >�.+; � , , _. _.. :.. ._ . „....._.. .. . __....,,..._...__.. t i. ...__� . ..... . _.. ; .. ... ..__... _.__.......____...__.__.._........V..____�- : <° ; � - �" : : 3 3 }�g�'r �� r� � ... f .. ..._.......,,........_..._.. .�. .,p .. _..__ .._._ . -[[. _�. �._._..... _ �F _0.a�' 7 d�,.� P ="°'.. 3. .. .... . ' � ��d t"°�-y8�&k .. [.__ �& f €. .. _ ...�, . e,...._. . . ..�,....,..,.n...-,_.............».._..__._.�.... , �. .. _ ........ _ _ "�._. ......., __.. . ...,. p .:-.. . �....�__._..�..w.._ � , .. f _ r�5�,a't 8�a� �..;.,�..v �.�L.= ' : . � C.' r "- e� �r�' � l- i n3�.:a � � � r � _: .._ _ __�___.___._.� _.._.._------_� �__. _ ___�.... __ _._. _.__�___._ _�. .._ _.�. _. "F�;a>C ,xg ;_.���. €s:" j e t i �'l ' tt : �.�:iea..a , _ __ _ _...._.__m .__._ _�,_.._ �___W_ . _._.�.. _ ___.__n.W.____. _ _�_�._ _, �...�_�..__--;___.. _.�.. m _ .,��. r�yt�s. � �.g. . i j . � ��°�f'�1.-....�.. " �-5�.s � s 3 !t . ! p........_.._,..�...__.��_�,...�.. � . --- .. _...._..__ � . � �T � r;-�% t`,r�st� t ';, � �"�aa ��' ___._._._ __�_-__ _._ ......�. �..�! __�_ _ �W _._ _�_�. � _______-Wr __...._ _�. T.�.. i__._w__ 4 ro�?:.° eF•< i� €� a t�;( i .....�t � ,,� €"e i�i.„sµ��`..:��,€ �. ..y . - �.........�......_. ._..... �.w..._._.._...___.....__ ..�.._.._�_._,.._ . . . . ...... . � ...��_.... . ...e_.. __ -t--_._ �......�..............�....,.:......�.....:,_.�:____ _.`__..a ¢ s 2 � t @ 1�.. t s �a @� � -. � �1 ¢ a7�r- (P � , � i .a_ _w.._ ....__. ___..._�__....,....._.._._. _.._....... _ � ._ _—_ . - �.._.�__ _ ______.._..____.�.. ._... � ��.a S s_.� t 3 .. � ..,. + ^ i �._. �, �r �_ z _ g �._ : € :�.a J ��. 3 t , . . . . _. �_......_.....,�._.._..._.. ...�..................�.. ,_. -n.-..._.�. .,.....,....__._.._.. � _ „_ �. _ .�. . . . . �._�._..,_..._.__.__ ..... . ._. . . .. .._-3 ..�";.r¢� i ; � ..it d,?�� �',�"`�,�,,�,� ` . � ....,.......,__ .._� ... d R ...... ....... p....._�__�___,__�.._.q.............................,.-... . ? . _._. .._ .......,..._..__..._n . _. . . _�. _..v.....,.,......�... ._.....� �-, �� .�,�e,:,.� .. . � 1 .:�, t� g ,_ik C , _�._. � c ._...o-,.�_ :__m.�..�_�.._�-. __.„..,�.,,....,.._.___ . — . .. ._ ' .______. _... . .. ._. .. . _ + `�."i. �:.',„.,� � j �...1 v > ,. t[r� �'._ .. .. . _.__.... ____�...._..r.... ...... ...�.._._._._.. . _.._�..._...,_.�.w---._ .,... .. i 1 x .y '_ q "Y: s: € 3 �� b f µ,°yE �j°^• ...... � .....,,._.___..........,..,.._....._..� q ` . ... .. ................._. __......___........__... ........................»..._,...._.__..._.........._....... ,..,�.. . � .-. .. ._......,..,_ _ _._.....__...�_..._._ ........._,.........,......,..........�..�.....,_..�_"_. £ .m ,. _ .� . ;.. � z .,`'�?;A�:�'� -, � : '. , . i ,.::���.. .��- . e ��`a��.€_ 3 � t . ._._ �m ........... __�..._..,..._.__.._........... ..........__. _._,.:__..__.,.......�_............... ..... ____ _ _...____....._-_. ---�- �------- ._..__ -___._ • � t���:�; ��� "�r � ;' • . - 3r�� , -.�r �a-�- : ,sr�, __� � _m_._.�_�._ w_ �_ __..�___ w.. �. .�_... __ � z �i�< �"�.�.�.t �jc:. . ..... �@-.tr 1"�e.� �',� - � . .... . . ...�.. . _.. . _.___�___ _�..,..._. .... � .�._.�___. ..�..........� .... �i,�`rt `�� l�:t�'° g .. _ .. .. . 3 - ; ��.�5� ,.��( j_ `._-- ., . ... � _ _... . ......_....-�..._.,...._ _ ....._...._....____�. ,� ._._..,. �...__.........._..�.w...__. ._._....._._.._ _9.__......_.�..___ _._._� _ ,,,,_.�. . ...._._„_..._ . ._.. ._._. _...__._ _. .�__..____. ..._.. , . ! . � ,, ! �_� ____ .. .._.. . ._.._ '.. ._.�.__ .. .. ...... . . ... �_... �„. .��,. .�.��. n„� �.� -_ ....._, .. .. .... . ' � � ���:; � �'*' �e: ..t ._ _ ....� ............._...W,,..,_..... n..e e_.......___�...i...�.......�.:_..._........d_,_.�......_.............�__...._.._....._..�..�,..__ . >�:��� a`'a:�,,��^,.�s�_;2� . ..��. �.� ..... - € c"� �� a g^.. :h ..-, ` �.s....�, ;s�:: '�4 a �.'� .._..._._.____...._w. ._____..._......_.�._____.._..._.._................,............__.._.._. �.. _�...�_.,.�._._�_ _4 _.____..... _.�..� __._____._ � � � ___ ._. _. __ _..--- ---- --_.« �_ _ �__ _.�,,..,.__...,....�._._� ,..__ ----..__....�_._._�.�...�,__.w.___._._..�.__........__ ___.,..___- _ ; � .. '_.. . .. . . 1 � r' ....,.. _....._....,.....__,..._..v._,...................:......._.......,.�...v.�.......,.,.__�..�._..,,...."'..�,.._.._.... ._....,....� . ..m............,............... ._..._. ..,.......,.m._....._..�._..........,._._..._...,. , .. ._ PPe. _ E .... .........................�.M......._............«....._.........�u...._�__.___ __.............. . ._.................`� ......_........................_..........._............._..._._.,...,.............__.......,..PP......_.._...............,..«v...._...........«.,........,......-_............,..............,...,....,...,..«,....,........._.-_,. . . g S _ . .........____.,_..............._,,.,................. _...____.._.. . __...____._� � . ...:.........._.........,......__........___...._....._. ""�_.._..,_._._. ......._..... . _......_.....� ,..,. ... . .. ___. .. _....__...._..__._'_—_.__.____'__�`__—_�."'_._'—"__._...........................................__...,...._._._.... � s.r,�y� �sy�:� § L-`=.? - . . - - � A..B . �........ .e..P... .._......._.._.......„..._.......,.....,,.-.. ...,._._._.,... _..___ .....�.. .,... ._ . . ....� P« £„ f� � . . : .. . ... . _.... .. . .... - � L t _ �� ��� ���� � � . ... „ ....�. . ...., . .___ ....._ .____ _ ... �����'�r� ' -�� ��,� �� ...,.. .... .... . .._._ ........ ...... �t� � ���'�"������ __.�.,__.M_. . ..�.. _,.__.. ..______. .._._____. ..._ _r .......... ...__.._... .. . �_._ ,__ ._.._.___.._._._____ ___.__._.____� € � '� , �.� ���� � . : � � �` ��`�� -� � .�__. __ .. __.__._ ...._ . ... . . ----- ____ __ � � � ��� �u. . � � ��� �� ���� ± a ��; ����. ���' . ......w__�..�. ..__.. . _. _ _ ___.._._ t � n��� ��*��` ��_� ��'. �� �� ���� � ��� :: . ._..u____ ___.......�.__. ._._�..._. . .. ..........._...__......._ �_........ _. _.,... .......__._ .....__..__. ..... ...___........_. .. . ._.._ ... ._ ___---— -- ; �, ��, � � �- � �� ix ��$� �� ����� � _.�._.. ...�W .._.__.__._ _.�...____.. ,....�._ ...____. _ __., _ _. a � �'� a s;..g��r a §�'��p� . .... _.__. . ... . ... ..... , I ' ay" k'� � '� . . .. .,.n����.. � � x . ..si..:��..... �.*�,.. ,.,;..;zma.&m ......:_ . ._..._.__.__..___._.....__....._._m. ......_..._...__..�.._........._..._........ ................ . _. ......._.......... ..,... _.._._..._........._ ,._. ... . .._ .... ......,�.... ....._..,. j , . ' $m,.,.,ro..«�.w.-.,:«.«�:,....m-�.�.�..�....�..:�»�,..,M �.-a�g- ..�._ �.,.,.. _.....-:.»,........ _:,:.................�,..:..«w_W._.»..-..,>_....-...---.,_...