HomeMy WebLinkAbout12739 (6) � �� _ CITY OF DIAMOND BAR � DEPARTMBNT OF COMMUNITY&DEVELOPMENT SERVICES � . 21660 E.Copley Drivc Suite 190 (909)B60-3195 Fa�c(909)861-3117 PRE$$ �'^�'� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE 675 Brea Canyon Road ��� APPLICATION �.�..- PERMIT ,Z � P�c Q ADDRESS ' p DATE d� NUMBER #1 � APN LOT TRACT ISSUE TYPE OCC DATE CONST. GROl1P � OWNER _ Shea Properti_es _ p ADDRESS 667 RrPa C'anynn RnaA �b�n ZONING SEfBACKS w CITY Diamond Ba� ziP TEL.909J598-900 FROIVT RW ❑p � APPLICANT Zim H Q: & A C: TEL.5��R66-140 SDE/SIOESTAEET RW p �� CONTRHCTOR_Zim�s Htg. & AIC SIDE n ADORESS__ll+7Ti��aine Ave. - � CITY Bellflower Z�p90706 Te�.562/866-I�FO PROPOSEDUSE o ARCWENG/ � ��,, DESIGNER Davar & ASSOC. NO.DWEL. NO. NO. .� CnDRESS Z'P �� UNITS STORIES BEDROOMS � en DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEA DECLARATION SFR/ADO/REM _ � p 1 NEREBV AFFlR7A UNDER VENALT'OF VEiWRV TM�T I AA1 E%EMPT FfqM TNE CONTMCiORS L4 G8f8g9/CBryOR ' llJ CENSEUWFORTHEfOLLONnNOREA50N(SEG7o]1.68USwE55ANOVROFE5510N5COOE:AtlYpTYOq _, (n y OOlJ1ITYWHIdIREOUIRES�FERMITTOCONSTRUCT,ALTERP.1VflOVE.DEMOUSH.ORREPAIRANYSTRUG W Patio/Deck Z 7URE PRiOH TO RS ISSUANCE/150 RFWIRES THE ACVIICANf FOR SUCM VERAl1T TO FlLE A SIGNE� �u� STATEUEM RUT HE Qq SHE IS UCE�+SEU iVRSl7M1T TO THE PROVISpNS OF THE CONTMCiORS U• W CENSE UW(QIAPTER i(COI.IMENCMO W1TH SECf%7N 7000)OF OIVISiON 7 OF TNE 9USMESS 1WO PR0. � POOVS� � " LESSqNS COOE)Oii T11A7 HE OR SNE IS EXEUPT T1IEREFROM ANO THE B�SIS FOR 1NE ALLECED EXEAIP. TION.AN'lVqLAT10NOFSECT10N70�1.68YANYADPLICM/TFORIIPERMITSUBJECTSTHEMPL�CMITTO � Z Re-Roof � A GVIL VENALTY OF NDT MORE TUN FNE MUNDREO DOLLAAS(f50o1.Y � 04ASOVMEROFiHEVROGERTl,ORI.tYEMPIOYEE5WI7HWACE5A57MEIR50lEGOMPENSATION, O �mmerda� � - '� ' Yl0.1001HE WOR1C AND THE STRUCTURE IS NOT INiENDEO OH OFFEREO FOR SALE(SEG 7o�a,BUSI. 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F LICENSEO CONTRACTORS DECLARATION � W . , � � IMEREBYAFi1PM UNDEq PENALTY OF PERAlF17 THAT IAM LICENSEO IM�ER VROVISIONS OF CHAPTER /J�/ /�� , �',J � p., �(C01.WENdNOWITNSECTION7D0o�OFOMSqN�OFTNEBUSINE55ANOPROFE5510NSCODE,AND Z ' ���-`"'����J � X 1AY LILfNSE IS N iULL LORCE M!D EFFECT. m , LLJ It o ucEusEcuss C— 0 LIC.NO. ir3�OOZ � v onre U corrraacroa Zim�is a w � WORKERS'COMPENSATIONDECLARATION Q � � ���yj� � � IHEIiEBVAFFIHAIUNOERPENAITYOFPEfWRYONEOF7HEFOLIANANGUELIAMT10N5: z � � _IMAVEIVJDWILLLWMAINACFHTIFICATEOFCONSENfiOSEIF-INSUREFORYARNERS' 2 , CpAPtTISATION,ASPfiO`ADED8Y9ECTION77o00FiHEU1BORLODE,FOR7HEPERGORMANCE W OFTME WONIC FOR WHM11 iHIS PERMiT IS ISSt1ED. � 0 V �IHAVEANDNALLWMAINWORKEiYS'Cd.�0EN5ATI0NiN5UHANCE,ASRECUREDOYSECTION 4� 77000FTMEVBORCOOEFOHiHEPERFORMANCEOFTHEWORKFORWHId17HI5PERMITIS ISSUED.MV WORKERS CO�AVENSATION MSURANCE CMNER IND POLICY NUTABER ME: CONSTRUCTION � c�a�Ea�Re ublic Indemni,�y Co. vu�NReviEw � OOLICYNUMBER 1.7'F'+15—OZ ELECTRIC � � 0 (IrsSEcna+rE�wiBEW�.R.EimoFT/EPEfMrsWaa+EHl�D�a1I�3iS(S:aolOalFss} PLUMBING . Z I CENTIFYTNAT W iHE PERFORMANCE OFTHE WOF1K FOH WMICH THIS VERMIT 15155UED,1 MECHANICAL � (3 SMI�LINOTEMVLOYANVPER50NNANYMMNER50ASTOBECOMESUBJECTTOTHE N YK1R1(ERS'CO�APENSATIONUWSOFCALIFORNItiANO�GREETIIATIFISMWtDBECOME INSPECTIONFEE S SL9JECTTOTNEWWMERS'CWPENSATIONPRONSiON50FSECTION]]OOOFTHEUBOF � � � caoe i mca.+r�rwin�nasevao�sior+s. ISSUFWCE �� � " p OATE/��APPLICANT: Z�211�R Ht�. ac A/� SMIP � ENERGY P/C WMN�N6:FAIIURETO SE(.VRE WOPICERS CpAVEN5AT10N COVERAGE IS UNUWFUL.AND SNALLBE /'�t�f`!)-�fij�-{���Q (—y SVOJFCi�f1EMPLOVERTOCRIA�INALPENALTIESMlDCMLFWESUPTOONEHUNOREDi110U5AN0 ENERGYPERMIT ,'r111 �" y DOL1M�(f 100,0007.H ADDITON TO TNE COST OF COMPENSA7pN.DAMAGES A5 VROVIOED FOH W 7]T? � SERqNl7aDOFTHEI/BORCOOE,INTEREST,MIDATTORNEY'SFEES. RETENTIONFEE: ��� a CONSTRUCTION LENOING AGENCY PRE-ALT FEE: � � � � O � IHEREBY/IFFIRAIUNDERPENKiYOFPEILNHViHATTHEREISACONSTRUCT10NLENDW6A6ENCV ' � FOR TME PERiOMUNCE OF 71�E WORK FOR WMtCM TMIS PERMIT IS ISSUED(SEG]oa7,pV.G�. . � LENDEq'SNAME N/A - � LENDER'SADDRE33 � ICEfiTiFYTWRIHAVEREAD7HI5�PPLMAiqNIW�STATET//ATiNE/ieOVEHFORMATIONISCORRECL TOTAL FCES � W IA6HEETOCdaPIYWfTHALICfiYFNDLOUNTYORDINMICESANDSTATEUWSREUT4JOTOBUILDIH� � � GONSTRl1CTqN,ANDMEREBYMfM1IORIZEREPRESENT�TIVESOFTMISWUNiYTOENfERUPONTME � ABOVE�►IEMqNE00qOGERTlFORINSVECTIONVURPOSES. COMMENTS O = nneth Zim m � VE NMIEI7fl1 �/V//IY����fr�� /I X� " . � � W �UREOFVER41TiEE DATE � __ . . . _ RECPT.NO. PAID BY VALIDATION� WHITE—Oepartmenl Copy,YELLOW—Finence Copy.PINK—AssessaCopy.GOLDENROD—File Copy,GREEN—A�plicanPs C.opy - ■n ■ .. ... . . . .... "'a � . . � . . ... ./. :1. " .. . . 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SEPTICTANK _.. _. __. _ ___• LANDSCAPE/IRRIG. , „ ; SEEP PIT/L..L. --- " - - ON SITE IMPS. GAS AIR�TEST - - - FINAL ZONING FINAL CONST. - - Z f m .-� FIRE DEPT. FINAL FINAL HEAT�NG � HEALTH DEPT. FINAL FINAL ELECTRIC � DEV.FEES PAID . FINAL PLUMBING : . �,._ ENERGY - ����,$ -'a;��� �.. . , COMt�1ENTS ` ' ' .` ;�,•. ` .: ' __ ` � _ . � � . _ C.,. ' �' t �,{���� c��� L-ii: . %:.r".i:::I•S :'�,;:4I:".i=(t'' Y')'1' ' SEPTIC TANK SIZE;�.;'`•�'-':' ''1''' �"ii�:t_;_t;t;, � SEEP PITN SIZE _ , , . r �__._'� ; � � . ?1�j,� �� , � , � : _ . i �_ „ . , � �- __ - ' � - - ' ; " +�._ , ; . __ . ; • � . . ,