Loading...
HomeMy WebLinkAbout14712 (8) 4 . CITY OF DIAMOND BAR - DEPART2dIENT OF CUMMUNTTY&DEVELOPMENT SERVICES �� 21660 E.Copley brive Suite 190 PRESSr (A09)$60-3195 Fax(9Q9)851-3117 BiJII.UING PE1iMTT APPLIGATION FlRML� o� J08SITE �—f'e� �/ �1 f�� . (� �� D�CATION l� " NUMBEfl � # ADDRESS�)t� t l.lJ c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER `� ADDR SS � $ ZONING SEfBACKS W FRONT RW ❑ Z CIT`/ IP TEL' REAR p � APPUCANT TEL. SIDE/SIQE STREET RW O CONTRACT SIDE [7 � ADDRESS ` PROPOSED U3E o CITY U ZiP TEL. w ARCWENO/ DESICaNEf� NO.OWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CiTY ZIP TEL. y � DESCNIPTI�N SQ.FT. FACTOR PSF ADJ.pREANALUATION � OWNER-BUIIDER DECLARATION �w��� p �nEl�sv�sFlau uNoep vENan oc aeauav Srur�Au EXEuvr mou mE coyra�croas u- 6nngdCaryoR (1J (�idEUY/FdiTHEFOl10WINORFAS(Y/(SEC.T031.69USNIESSANDPIiOFES810NSCDUE:ANYCITYOR (n U COlM7fYWYRCNAEOU1flESAP£�ARTOCa1V5TqUCI.lLLTER,h1PROY&DEHOLSH,ORqER4flANY5T0.UC• W PBSIOIOBV'f WNi�,PNOR TO RS W&JMVCE,K50 HlAU1R65 THE APPI.ICAHf FOR 9UCM PERMIT TO fllE A SI6NE� w � BT�THIENT 7MAT XE OR SHE 5 t10EN5E0 WRSUNiT TO THE PpOVISId19 OF THE CONffUCTOHS L4 � CH1gE WN IdUPfER Y(�WNENGMb W1TH SECTION�000)OF DMSION a OF THE BUSINESS AND PNO- � POOUSpe FES3qN3 WDFaOq iHATHE Op SNE IS EXEMFT'MEREFf10M AND THE BASIS FOR 7HEMlEGEp EXENF 71ati.p7IV10iA71d10F5ECTI0N7091.5BYM7YAPp��CANTFORAPE�WITSV&IECTSTNEAPVLfCMiTTO � �-Fjpp( � A[,YY0.PQNLT'OFNO7A/ORET}LV�FNEHUNOFEDDOl1MS(WOo�.): - � ❑4ti+�WMEROFTNEPROPERTV,ORMYE11tolOYEESWITiWACaE3�5THElii50LECq1NEN5ATbN. � C�RITBfC13i ,� WA.L p0 TNE MIORI(NA TME STM1GNfiE i5 No7 INTENOED Ofl OFFERED FOR SALE�SEC.70U.BU51- J p�b8MD PPOiES510N3 f40E:TNE O�NTRAGTdi3 LICEN6E LAW OOES NOT MPIY TO AN O'lMER oF � � PppiERTyWFIO�Ul1.�SORWPROVEStFIEA[OM,NJbWHODOE55UCNNVNKM4{SEIFORt1FRSELFOR � n{p0u0HHI50qNERONRiEMPLOYEE6.PM�VfUEO7HAT8UCl1N�PPOVB.IENTSAPEPqT1NTENDEDOq Lp � I��J �Ep�Pq&1LEIF.110YYEMERnEBUNDINRORN�AOROVEa�EVfI55IXDWRFIINONEYEAqocCOMPLE �7 �TpN,7HE pMRI6q�URpER WiLL fUVE TME BVRDEN OF GROVINO THAT HE Oq SHE Db NDT 0U11D OR � MIVROVEf'�M7MEPVpPOBEOF311E1. W OI,AS�WMEROFTMEPRORERfV.N1E%CLUSNELYCONTRACTMI6WITNlICENS5000MAACTORS � TA CONSTRUCT T}�PqOJE4R($EC.79M.BUSINE55 NI�PROFESS�OHS COOE:TNE COHfA�C70H5 U- V8ILL0IW�1 ADJ.AREA � CFNBEUWOOESNOTMPLV?ON/OVM6ROFAVflOpERTYW1108UtlA50qNAPpOYE3T}1EREON.ANO wncor+rw�w�c7swnsua�vaaecrswm+�opnrwcron(s���cer+.seovu�.sw+rrror++Ecorrrruc pUAHTITY DESCRIPTt�J P££ � mreuccHaeuw► }�y'� ❑I M1 E7fFJ/PT 11NS7EH 3EC. B.6 p.C.FOR iH15 REASON � � 4 I � U � u" D�TE 4WNE0. F"' � W LICENSED COMRACTORS OECLARATION —� � w ��p�'gr�fF�qN UHpEq PEN11L7y pF pE0.0.1pY i1MT IA4 UCEN3ED 11N0Efl PF70VISIONS OF CIiMTER Ur o(ppSp/BidtqWf1T15ECi1DN700oJOFOMS10NSOFTHE8U51NE55AN�PROFESSIONSWOE,ANO � ][ W IICEN3E IS N F11t1 FORCE AND EFFECT. � LiJ (' j � UCENSE CLA53��+,�f LIC.NO. 1._� � � o,+rE 'x^11"04 ooNra�,crorr � t�E 1 a w � � WORKERS'COMPENSATION DECLARATfON a � 1HERFBYAFFIRMUNDEFPENKNOfPEM)HYONEOFTHEWLIOWINGOECLIRATIONS: � �? Q � __��UY6�1/qWqLM�MT0.WACEFY�FiG7EOFODM9fNf'fOSEI.F-INSUREWRYAFKERS' S CObPENS�TlON,ASPROViDEDBY3FCT10NY/000FTHELA90R�0E.FORTHEPEAFORMANCE W OF TNE Y�ORK WR WNIq17Tn5���T 19155UE0. .g � < _i HAYE AND W!LL NARffAM WOi�FRS'COMPENSATxN31N5l1PANC�AS REIXAREO BV SELTION �7pppFTlEtAgpqpppE.Wq7/1EPERWPIF�NCEOFt11EWONKFORWNICHTHISPFAMITIS � �$$UEp,yyyypf�fl5'�FNSATIONINSUAANGECARFpER�FDPOG�CYMl1MBEHARE�. CONSTRUCTION � CAAPoER `� �Z � ' PIAN REVIEW � va.�cv+r»�x3sa Il�ri " ELECTRIC 8 (iFss[ci�aNNEIDHoi8Eao4YtET�achEPEw�frl3roao�Ma�CAF�oalMsts�ao)aitEss} IZM8) 0� Z I CERTIFY iNAT Ri THE PERi�ORWWCE OF THE MbRK FON WM�CH Ti'�l4 FEPAAf(IS ISSIIE0,1 MECHANlCAI � SINLLMOTEMPLOYANYVEf1SCN�NAM'MANNERSOASToBECOMESU&IECTTOTHE INSPECTIONFEE �. I, 1YI � �ypp1(Eµg•GOMp��'7$iRqW�AW30FCALiFOpNIAANDAaflEETNAT4FI5HWL�8ECDME ��/� SUBJECTTOTHE'/l�Nl(ERS'CONPENSATKklPROVISIOIJSOFSECT10NaTWOFTHFt�,qOFl �SSUANCE A■!l � 5 C90E,I SHALL iORTr1MM7N CAMPLY MATH TipEE Pf10VIS10NS. ---„���� - O ) SMIP a UA7E:�L7� APRICAM: � `p�pHWO:FMUR TO SECURE WJN(ERS'COMPENSATIDN COVERAGE IS UNWNFlIL.�ND SN�ILBE ENERCY P!C �f � 5Vg,1ECTANEMPLOYERTOCRqIMLLPENN.TIESANDCIYILFINESUPTOONEINMOF�ED7tqU5.W0 ENERGYPEflM1T p�rt pp�Uqg(7100,OOD�.IN��ITION TO THE COST OF COMPENSATpN.DAMA6E5 AS PROVIOEO FOR IN � SECTION3�oeOFTHELABOHCO�E,M'tEREST.NiDATfORNEv'SiEEs. RETENT�ONfEE: I�77R7 ♦tY!'1A7T1DAb p,. CONSTPUCTION LENDING AGENCY �+�sa-��3KtilIIC����II PRE-AlT FEE: w- IHEREBYAiFIRNUtAEROB7ALTYOFVERtuMiHATTHEREISACONSTRUCTION�ENDMlG�OENCY n` FORil1EVERPoPMIINCEOFiNEWONKWFN'HI�MTNISPERM(fISI55VED{SEC.3oB1,tlYC.). � � LEl�ER'SN�ME F- LENOEFI'SADDAESS � ��p7�yTHATIWNEREADTINSMPIICATIO!lAN�STT£h7ATTHEABOVEMFOi1MAT10N15COFiRECT. TOTALFEES V � I MREETD WMVLY WIfM ALL CRY W!O WIRfT'/ORD1 CES ANO STATE LAwS REUTMlO tO BV0.DINC � (pryg7R�lCTldi.AN�HERFBV A11TFN]R2E PEPNESE TNES OF TNIS COUNTY TO EMER UPON T1/E ABOVEMEHTIONEOGHOPEflTYf-0RINSPEC(IONPUR ES. COMMEN?$ � � ��fi S b � PE EEN�WE�CW � � � E o� � RECPT.NO. FND BY VAi1QAT{G1N WHITE--0e1�aAment Copy,YELLOW—finarrr,e Cqy,P�NK--Assessa Copy,GOLOENAOD--Fi1A C�r,GREEN—Appl' 's Copy , ��Tl�' C)� �I��dIC.3�i� ��1Ft Ii�3�P��'�'€�t� ���t"��� I , s � « , s�r��c�c i ; ; F�oo��ois r � ��..._ ___ Y_____ ; ; __.__�..� � �'T�:,IFOF�"�hSiST�eL , _�--�_�� ,�� hHA REQS�9TS 1 k���£,�f�lCy GI�sC�Ui�iC7 _—i— �----� � � UhfDER FL�OR DUCT -__ _____ tant`�Jt;1 h��.tJ��9�i3tiia� I �� i 11ND�Fi�LCOR G01�9DUlT � - _�_�����R��� ____�--_.�— .�. �1REPL�,C��OUNt3AT10N �� • . T�.id4r�FC:,4�+"E� � —Ti' ` FIREPLRGE t3C?Nb E3EAtv1 4�ip�1T��S��iViGE ��_______._; +; ��ID t-iT.80ND B�f.t�i � � --- - � �iv+�F S�ict��HIPvG 7�-- � B F`f.f30iJF�E3EANf 6T�t�`qP�sH�d�.�r't��t�`fiLlATiCti�i�� I _ �� Fli'�lkLBt7ND B�AtvS Rt70�=CCii�'�F� �� � f'RE-GRADING 3�*�'v.T'ai-i 1-I�inTl�ta ____ __ ��NC�-ilt�fG f �sC�U�4-{ELEC:T�RiC y�� I ROUtaH GRADIiVG � _._. � �C�1GN�LUiul�d�i� , FiNiSH C���,DING .�__�_____. � ___________ ______r ___ _� .�___.._�___.. �i�¢d�E3r�}'UE3 T��T � � PC�C1L EL�C7t�IC _ �- �. � � ____.. ___ _ _._.___ ���_�__ �.;tii t.AZ'N aIC31iJa � �_ PQC?L F�i�lCltvC7 i ._.___ __,T._---_ ,______ __�_________L L.__�.� #�'l�LL.ItSSUI..I+l��iV �-____.� __ 3 � POC?L FlNAL � � � ________�______ I v�1LEt'�;a 1(`��tJLr;i d�i; � ` C}�fi S{7E iiviFS. + E}e�'Ct"a`.�sLt_i`dF;�LiP1�z � L'ED1C�T10P3S �^ e�r�,�"s �_ k -~-� `� ( FSNGiL�iV�a.._.____ _____..�_��_� ------ - �.. ��� � � ,a��:t{;: aFsti: ,� �� ' i L.t�DtCJSCAP�iIRF�IC'a � �. �._ ;__.�.� . ��_.__.__—_—____—__-__-t-_ �� r �,r i�ti�lk.�., � --�--------- _____ � pN SITE kCY1t'S. i � ____..._ .�._._. �..w;,_____...___.-._..t-_—__________ � { F3A�,wl��i Ti s7. " f � Ft�vt�L�t3t�Sitd� �'i � —_____ _ _ ' � p_____ � ____ _.____m_.._ _____ _ ,_ ___.�«�. � s i"ta v�t��� +. . .._...._�_....—. _��i����.�}�. ������.. :; � 1 _ _ � �"'If��i�,.t I�I9B il'i�..'Y � I l �' _" � " � � �C.Y.Lt�lJC:�i.��,yf�L. ' ..-.._. .__. ._._�.."__�'..�...._ . �_.. .,._.._.W a----_"_".-ti� ----�--t�, � ..� �.} u �Y� F3�1�L���C'T6�i� i E C��=V.F�E;�P�1iC� t _._ __. __._.�.- _.= �. � � � /1L T� j ' � ��� EPd�.f-tC'aY _��..__� _�__._. t �v�`�dL�'E���n€3i(�t� in� .____�_._.m � _"� - � ���___________� j ( t : }_n..�...,.�,..� � i :Y .�.._�.__,....�_____�. .�.__�._.._._....__� 3 uvfla`�iS'vl��'�e�� � _._� _.�__.__--�_ � � _.__�,_. _________�__� _____ � �._ ____� _�--.-----;.=�N.�._.._�.yp.��.-.:__._....._ . .�..��t��'IG�'rzi1�'�{�i��: . _ S��d��iTi�3�i��: ' �'':'' ' _____� _ � � . � , 0 i