Loading...
HomeMy WebLinkAbout13403 CITY OF DIAMOND BAR �1.f/ _ � � � -- " DEPARTMENT OF COMMUNITY�DEVELOPM�SERVICES � 2]660 E.Copley Drive Suiu 190 (909)860-3193 Fax(909)861-3117 PRESS ��'�', BUQ.DWG PERNIIT APPLICATION FIRMLY �� JOBSITE / �Q A�tt T�� P/ APPLICATIO�I��� PERMIT I�,I,, P ADDRESS Co .J ftfGrll �— oare wuMeER. '�J 3 #_ ~ � issuE -- - rvp� occ � APN OT TRACT DATE CONST. GROUP p OWNER l� " ADDR. S O ZONING SEfBACKS � C� M4 IP T � FRONT RW ❑ APPI.ICANT E : REAR ❑ � SIDFJSIDE STRE RW ❑ CONTRACTOR SIDE ❑ � ADORESS PROPOSED USE � � CITY ZIP TEL o ARCHIENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS 7 CITY ZIP TEL. tn cn DESCRIPTION SQ.FT. FAC70R PSF ADJ.AREANALUATION ¢ ONMER-BUILDER DECIARATION SFR/ADD/REM O � I HEREBt AFFlR11 IA�ER VBIALTY OF PEIWRV 7HAT I W E%EYPT FAOM 7HE CONTRACTORS LI- Q8(8Q6/CHfPOfI . CEI/SEUWPOii7/ffiOLLOWRIOHF�SON(9EC.7097.6BU9WE99ANOPROFES9IONSCODEANYCRVOR (n (S]UNfY11M1!(Yif�OI�ESAPEWQfTOCONS7iX1CT,ALTERIIAPI�VE.�110L1SH.OHl1EP/URAHYS7AUG W PatioiDedc� IURE,iRIOR TO iT9133UANCE.K30 REW Ii�S 7HE MPIICAM FOR SUCH PERMR TO FlLE A SIGNED W STATE4ENT i}IAT HE OR SNE IS LICEN3ED PURSUANT TO iHE PHOVISIONS OF 7HE COMi1ACTORB LI- � GWSE UW(GWIP'fFR Y(GOMNENGINO N'ITH SEGTION 7ao0)OF DMSIOIY 3 OF 1NE BUSME55 AND Pq0- �- PooVSpe fESS10N5 COD�OqTW1T HE di SHE IS E7(AAPT7HEREFROM M7D 7HE BA515 FORTHE I1LLH3ED E7(EMP- 7qN.ANYVIOLAT%k10FSECTION7W1.6BYANYAPPLICMlTFORAPEPoAITSUBJECTSTHE/�PPLIChMTO Z �-ROOf � ACNLL N OF NDT MORE TiUN FNE MFJORm 00.LM5(f6W�.): � ASOWNEROFTHEPROPERTY.ORMYEMPLOYEESWIlXWM3E5115TME1R50LECO/APB�lSATION. � (`,pmmOfClal � ' �00 THE WOPoC,AND TNE STRUC7UHE IS NOT IN7ENDED OR OFFERED fOP SALE(SEC.7oar,BUSI- J � NESS ND VPOFE5510l18 OODE:TFIE COpTW1CTOR5 LIt:ENSE UW OOES NOT MPLY TO AN OWNER� � PROPEHiYYFiO�1KD90R MPFiOVEB TlffREWI.AND WF10 DOES 6Uqi VADAKHIMSELF Oli HE(�ELi OR �! TMROIIfWM30RMER0IFMEMPLOYEES.VROV�mTHAT5UL11MPROVEMEMSARENOTMEN�E00R m �� OFFEPEDPoH311LEIF,HOWEVERTIEBUILDWOORIMPPAVEMBlfI550tDVATHlNONEYEMOFCOMPIE- � �TION.iHE OMMER�Bl1HDEH N7LL HI1VE THE BURDRi OF PROYWO iliAT HE OR 6HE OIU NDT&1HD Oii MPROVE FORTIiE PUPPOSE OF S�LE} � ❑l�3UMMENOFTHEPlIOPEHf1;ANEI(CLUSNELYCONTMCTNOWrt11lICENSmCON7qACTORS ro ooNsrnucr n��o.�ecr�sEc.mµ,eusx+ess�rm rrac�ss�s cooe:nie corrr�ucroAs u• Valuation ADJ.AREA W pE1l4EUWD0E8NOTAPPLYTDANOWNENOFAVNOPENIYWHO�INDSOHYIPROVE3hIEREON,AND � wr+000rrrn�crsror�sua�r�crswrtH�oorcrn�cron�s���sEovur�,w�wrron+econrw�o- pUANT1TY DESCRIPTION FEE � roas ucA+se uw.>. � ❑i ua ocEravr uoEe s�a B.i P.C.FOR THIS REASON U 3 � 'i o� awr+o� — - �- Z W � � UCENSED CONTAACTORS DECtARATION -� � W 1 HEREOV AFFAiM UNDER PENKTY OF PEIWRV TM.�T I AM IICENSEO UNDEfl PPOVISKKJS OF CHAPTER � � i(COMAENCRAi YYI1X 5ELT10N 7000)OF OM510N 3 0F THE 8U51NE55 AN�PROFE5510N5 CCOE AN� z LLI MY IICENSE IS M FU.L f017CE/YM EfFECL m � LICENSE CUSS LIC.NO. j � o,t� coNraacToa a = WORI(ERS'COMPENSATION DECUWATION 4 N IHEREBYAFF6UIUNDERPENALTVOFCERIURYONEOF7HEFOLLOWINODECUMTKKJS: � > � N Q � _IIUVEMAMKLNAMTAMA�NTffICATEOFOOi'ISEN(TOSELF•INSUflEFORM/OfiKERS' _ - NMPENSATqN,A9 PRDVDED BY SEC710N 9'70o Oi 7HE UBOR COOE,FOR iHE PERFOiaAIWCE W OF71ffi WORK FOR WHIGf 7HI3 DERAiR IS ISSUm. � 0 4 _I IUVE Mb W41 MAMAW WOPKEi�'COMPENSATION INSUMNCE.AS RC-0UTAW BY$CTION 9700 OF TME UBOR COOE,FOR7YiE PERFORMANCE OF iHE WORK FOR WHICH 1HI5 PERMR IS � ISSU�.NY WORKEpS'COAAPEN9AT%7N INSURMICE CARRIER AND POLICY NUM6ERARE: CONSTRUCTION , j crwwEn PLAN REIAEVJ — — � ��'�Ep ELECTRiC � (n�s�nor+�NoreEm��aFn�a�rnrswaan�Mr�oaistsmm)oR� PLUMBING Z 1 CERTIFY THlIT M 1HE PERFORMANCE OF THE 4MDRK FOR WHN:H THIS PERMIT IS ISSUED.1 MECHANICAI. �'� (•J Sw1LLNo7EA1PLDYMIYPER50N&iANYMANNERSOASTDBEWNESU&IECTNTHE .t?�{—`�:�� � WOPo(EHS'COMPENSATIONUWSOFCALIFOfWItiANOAaREEIM�TIFI5ki0ULDBECOME INSPEC710NFEE g,t'f-:'+-' SUBJECi TO THE WORNERS'CdAPENSA710N Pi�VISqNS OF SECipN 9700 OF THE UBOR ��� O caoE,i swu.�Foqnnnm cara�.r vnn�nase vrwwsroNs. ISSUANCE s,ti� r .�',"�' F� �7E:��icrwt: SMIP ._ � r...�. ��L7 8 ENERGY P/C ��`�—�. F��r'y.•k �,`'��L . WARNMO:FALUPE TO SECUPE V70RKER4'COMVEHSA710N COVEiUCiE IS UNLAWFUL,M1D SHALL BE �' ✓� � E�. w �',.,,t:,� �—y SISJECrANEMPLOYENTOCNRdWALVENhLTIESANDGNLFWESUPTOONEHUNDREDTi0USM1D ENERGYPERMIT �e-�ii�`��� - DOUJ�RS�10C,OW�W/�DDI710N TOTHE COST OG CdAPEN5AT10N,DAAMGES 144 PROVIDED FOR IN � _ .4ti� �� � SECTION 3708 OF 7HE LABOH CODE,A�77ERESL M7D AiTORNEY'S FEES. ' RETENTION FEE: �g � �4''�} a CONSTRUCTION LENDING AGENCY PRE-A T } �� 10. O � 1 HEHEBY AFFlRM UNDER PEN/iLTYOF PERJURY THAT THEHE IS ACONSTIiUCTION LENDNG AGENCY FOR T1E PERFOfMAM10E OF 7HE WOpK FOR WMIq17H15 PERAAR IS ISSUED(SEG 3087.CIV.G}. OS Z W � LENDERS NMIE � � tENDEq'3+1DORE33 �� TOTAL FEES I CERTIFY TNAT 1 HAVE READ 7HI5 AV7LICATION AND 3TATETHIIT TiE A60VE WFORMATION IS COFRECT. � IA(3f�ETOCOMPLYWIT}i11LLC11YANDCOUNTYORDMANCESAqDSTATELAW9flELA71NfiN8UB.DM10 � CON57RUCTpN,M1DHERE9VAUh10HIZEREPRESEN7ATNE50F7MSCOUNNMENTERUPONhIE ABOVE-MENTIONED PROPER7Y FOR INSPEGTqN PURPOSES. COMMENTS O J I = qEikJrtrEewwelvwHn . � - � qN�TUREOFPEPMITTEE OATE . � HECPT.NO. PAIO BY VAUOATION � WHITE—Department Co{ry,YELLOW—Fhenc�Copy.PINK—Assessar Copy,GOLDENROD—File Copy.GREEN--ApplicanYs Copy . . , . . . . �� , ���������� ��� ���������� ������ � .� _ , - ., - - - � . � �:§5� °' ���,�"�: '��.:, • -.� #� - ,t��,."`9 .� �: ! � 16 - � �s��rsr';Ctd i ' i FLOJR JOiS7' �— ---- -- ------;j�—�—;�- � i t:-1 � �t�F?�v'���t EEC----f"'+�r �1 a � j F�IA FiEQ�VfTS � �� �----_._�� . � �L�t;TFsi:�C�f�f.3U�9�_____�.___ .____ i UNC?�F��LC3C��C}UCT , s .____ . __�.-.? ;Y�t .i_r�,��+ .....� c r" .,---, �( ;^� [� {�t("�('�g^y �^ ;`� tY�.____�.__;___.�.._____ ;_._ 1 AJi��6�.a�t'F� f l,.LJ{�'�sii�l�i �f� ��� �\._' �y, U�V�II (�f�V4.JF"'��1.IE`�t.J4�31 _ •_...�_...'_... .__ � ��F��r;R�D�T� � FlREP�A^�FC)ud:L?ATlCYi� � — i . . — f _ ._.�__ _-� -— �-�-r-- __..-----!- . � r � , �I�:r �'�� ' ���,d�� � '� � i ;��'U t, ���S�t'�_I�.Q�i�St'..3�a�}���� � .��.� . ._ � � _ . , . � �,,41a ..?���i'S�tr��iC _._..__� .. �"'""`�`_.._.._...._. i I ��CD�"'�� �{�{����r��.°� t I }___. . , .,__. _ � � ______.__._._.�........�._r__.._,� 4 rsr-.t�� �§.�t�.�t-�4�+� � �, � S_FT.E3t."7.hap BEAIt� � __..__�._ _..__._ _ __3—_� _ _._ ._..� ._�_ _ ------ ---- � :=�ia����=v�;".J��Ti�E,�TIC}i�! _..._._._ � :.�_.�_FiNAL Bt�ND S�A�v1 ; , _____-- ;� ��= �:�dBB__=___-� ___,. 1 r��C ��a���v� .__ _� _ �.:____ � �.� -- .� _�� �__ i _._ ____.____. E =�C tJC..�;F-'�^�1'(�!G 3 1 C�EtvGH1C�1G _-------_�_1.__,_._� _,__-- � �;!" ��i ��E i�'� ��� � `--------� RC?UGH G�l�D6N� i�___ _ _ ___� ___,_ --- .__ _._._�..____________� �_____-_� ! i+_F�Ca:y i'Lt�iv��31�'via � = F3FdIWFi GFi1aDItaG { _ �;;�,��rrE�f�?�i�}i�T�ST '" _ ___i�j PCJ�L E��Gi"R!C �--��__�__. _� _ ,�� _. .. _ �.. ;"�,� �r���-��1DEitiC'a � ..... {- _ _�---- I ! Pt:�� FENCiNG _—__----�--� — 7 --- -- — , �.w — �.__ ..., � ;�r�r� (i '�1'�s-�T±C3�J ; j PC}+'7L FIiVi�,L � , M � _ _ . __ .�_�,� �_____ _._. _ _--_------ ; ,, r_i,�+�if Y�L�'�.Jt-iIQYV y � � C�F�SI7�ii�PS. ' � �. � _m_.. __� —_ ___ �.__� ��- _ .__ ____.�.__._---- $ C3t£�'Ed�d n��.�d.�,lLIiVC� 1 � DEC?9Ci�iTiQ�Ya�i , , , , ___�_�___-----___ � — ----t ------- ----- � �E���Fi_ ---� -- � � Fl�dfi,L Ei°�;G. ; :__��..__...,,_...__..._..._...__..�_...�._....._._...y�..._._.___..._a_ .�. ___..._._.. . ' __ � _....__._..._...__'__"" �z's�;{;.;�ia��il�� j v-�f�i:�:?�;e�f'�lI�SF3IG. � _� --_____. _____.._______,�_..--- --- - a at:`r=��' ��::"it 3 i ' i t�!�I°�"I i�I���F'S. ` y .. .�.,�.._...._ ... .........>-. . ` _...___ .__.__..._..__.r__ �..... .._..__.____"'. ' ____ �_-,-.j_____..__....._�.___..___._.' _ ; s s�- ��,.�... � � � F��tiFEL t€?�aI�G �i� j _ � _�.____� ______._..y._t..... ___ _..____.__.�;.-.._,._.___��,____`__�— —_..._.�_ � �`'�aff�t ; I � i FF��� P� F3��]FcL � � . ,�� �a�f v�...a°° � E _._.�. H��( (�� ���I r�y..o-f�,L � _ �_._ 1.__.�._.________ ��. � �__---� �--- . -_ _ ._.a. n 5 + v ti I�,t.."i:..�. i Eiii j . ;����Y �'�.J�Ni� _.___.__ .._....�....___w.._____. �� ' -•- - � . .._. .{.� __ s_ �________r_..._�. ..- �. ____'.___._.._ p,� !'�p_�e, ..�._ �._.___ :'.t M1 t ....�.+fiS�S���S..% E �IYLf`rl:.$i i `� ' . y � : � .._.._ ... -�._.....�........�,..�-...--} ,,._.,... _ .�._ ..._ ....._.._.�.__�� i � i [ 1 3 p ...'_ "....._�..._.�_._...�. �....____..__.._._. .. . .._.___ . .___.___. ..._...._.__ � � .. � �.i 0�& �-' � ' � ,�� :+�� :..___... . �__ .._._ ._.._.._._.._._� '___ _-��: .a��m.� :�.... .i�...�._.��...___� . .�.__�� �`'u€""I�R B�V _��.Z�-�-!-4---.^^^^-G-,IJ f �/ �L� - � . , xx . � ¢� _ � _.P.._______.._..w.�__.________.. ._...._ �_.._e.._...__.____�_..... ._. __...___._____._.________._.__..__.____.__..___._._.__.________ 9_ �___.__..___._.___..�____�._.____.�.....__.._._..__.Y....._..._._____ __._._.___,.._ .__------._____�__ � I _.._..e..... .�.� �,__._...._.._—�_.�.._...._.___.___.....__.�._.._. _._____.- ........... ........_.._....__.._._.—_---_.__........ . ... i b��'�='�!L:�'�?'v�;u��.� __._._._._..._ � ::� .�_a��'iii i� .����" _------__-----------------....-------------- ___ _ ___ ___ --- -� . , t ' °�; .._.____._ _�_.. _._._.______._..�._._�_._._..__.__._._.__..�---.__r_...._� , ; ... _._� _. �.� .._... � � a __.._______N__.________.______._____._�____..__.___�_ �_ �_.__.___.�. �..__.____�._ r ; �___.__ � . ____.�.___._ .__. i.�,yl1r: � .. m«.� b +�t „ .. , �_.._...r�.._....._..._..�............. ___.............,_.�...._,........,.._��'"�_'_._..___."'..__._._....____.__................. E ; � : '� F p p _;j _.��......._._.v......�.._._ ._...._...�..........___..... � � �, �- �[. ': � 1�� .i.. .=t . ....«.._.._...... ..�_.._. r.._....._.__..,..___.�_,�..._�.�._________.�.__._....._.. ......._.�. t ; �. *.4 N. ; � . M i � � i ��� 1 .' �` �'.� � . .. +zr�.�_. : . _�.._.._..._.._.._.._...._....._._..�..�...m__.._______._ �.w.... . . . ......�......�....._.e.v "_�"