Loading...
HomeMy WebLinkAbout13042 (16) 7 � CITY OF DIAMOND BAR � DBPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES «� 21660 E.Copley Drive Suiu 190 (909)860�3195 Faz(909)661-3117 PRESS '^�'� BUQ.DING PERMTT APPLICATION FIRMLY o� JOBSITE �+�� APPLICATION PERMIT P/C ADDRESS RO DATE NUMBER.�''��7t g ISSUE 7YPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER —_DLd�i �n �-'K " ADDRESS � �— � ZONING SEfBACKS 0 � CITY ZIP TEL - � FRONT RW ❑ APPUCANT /� TEL REAR ❑ � � SIDE/SIDESTREET RW ❑ CONTRACTOR L o 'SIDE ❑ ADDRESS � CITY ZIP TEL ^Lt PROPOSED USE T Q���_ �.S N C�'L��� � Z3"' �1�,� W ARCFUENG/ DESIGNER NO.DWEL N . ' NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N v� DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION p� OWNER-BUlLDER DECLJIRATION SFRIADDlREM O I HEREBY AFFIRM UHOER DE/ULTY OF DERIURv TW�T 1 AY IXEIAPT FROM iNE CONTRACiORS LL GaragelCarport W CfMSEUWFOfiT1EFOLLOWpqRE115ON(SEG7W1.6BU5WESSIwDPPAFE55qN5CODEANYpiYOR (� OOWP/WlYCIIHEOUIRESAFEpWTTOCOK>iRUCLKTEiLIMPROVEDEA1qU51t,ORRECMRNiYSTRUG W P84Q/DBCIC TUNE,ViWA TO rt3 69UANCE,M50 qEOU1qE5 TME APDLICMfT FOH St1G1 VEHWT TO F0.E A SIGNED w STATEWENT TiAT HE Oq SNE t5 UCENSED PUFSUANT TO TME iROY15�ONS Of TME WNTHACTO(LS LF CENSE UW(dWTER Y(CdA4ENCH0 ri17H SECTION J000)Oi DMSION]OF THE BUSINE55 AND CRO LL POOUSpa iES5qN500DElORiT1ATMEOR5HE15E%EMPiiHEREFROMANOTMEBA5�5FOqiNEKLEGEDEXENP- (� TqN.ANYVI0LAT10NOfbECilpHJo]1.68YANYAGPLICANTFONAPEW.YTSl/BJECTSTHEAVPLMJJITTO Z Rg-Rpp} � A CIYR YENAITr OF ND7 MORE TNAN fNE/IUNDREO DOLIARS�fSOU))� O 04��NNEROiiHEGRDPERTY.ORMYEAWLOYEE51nTMWAGE5A5iNEIqSOlECO4PEN5AT10N, 0 �me�Gdl � Z M41 DO THE WOfyC ANO TME STRUCiURE IS!qT WTEHDED Oq OFGEFEJ fOq SA�E(SEG 7Wa,BUSI- J N NE55 AND iROFE55iONS OOOE:TNE GOnTRACTORS IICENSE lAW�OES NOT AVVLY TO AN OWNER OF � PROPEqiY VRiD BU4DS Oi14PRDVESiHEREON,MA Mhq DOES SUC11 VNAK WMSELF Ofl NERSFLF Oq L� OiiFf1EDF0ii5ALEIF,FqY7�VEqi/1EES•BUIDINCiIXiMGRDYEMFJf1�L450tDNni1&ipiEVOEAAOFCOAIPLE- m L� �Tq1l TtE OVMERBUILDER W1LL HAVE iHE BUR�EN OF VROYVb TNAT ME OR SME DW NOT BUIID OR � MPHDYE FOH iME Vt1RDQ5E OF SALEI. � � Ol�.."�M'NEROFTHEPROPEHTY,AMEXCLUSrvE�TCONTMLTNOWI7MLICEN5EDG1�NiMC7Gi4 TO COKSTPUGi THE vii�1FCT(SEG TW.6US�NE55 ArU FiqFE5510N5 COOE TNE CONTRACTOiiS L4 V8W8ti0f1 ADJ.AREl1 CEH9E UW DOES NOiIiV�Y TOAN OWNER OiA iROPERTY wFq BUIlD50R W PRDVES iMEREON.IUiD � wHocartw�crswawq�vAaccrsrnn+�wrrta�croWs�uc�+scowaw�wrtor�conrw�c pUANTITY DESCRIPTION FEE . � TORS LJGEl15E UW.} ' � O IAY El(EY7TUFDER EEG 8.t G.G fOR T1U5 REASON � U W � onrE oww� V � UCENSED CONTRACTORS DECLAFIATION W � 1 MEREBYKFYW IMDER PENAITT OF 7E0.NRY iMAT IAN LICENSED UNOER Gfi0V1510N5 OF CMAPTER V, �(COntlAENCNO WIM SEC7qN 70001 OF DMSION a OF TMEBUSIHESSNID PROFESSbNS COOE.M� Z W 110EN5E IS N FULL FORCE D EFFECT. /? � a� m � IICFNSE C1A55 `3 UC.N�. �Z � � DATE Z CONTRACTOR d WORKERS'COMPENSAT70NDECLARATION �'�u � NINEqEBYAFfW11lNIDEflPENALTTOFYEiWRYONEOFTMEfdlOWw�DEGLAFiAT10N5: Z � ��IWNEANOMI9IMAWT/JNACERTIFIGTEOiCONSENTTOSetFaNSUREFORVAqKERS' S COMPpI$AipN,A$VROYIDED BY SEGTION 9700 OF 1NE UiHDFi CaOE FOR iNE 7EFiiOHYANLE `U Q pFiNEWOfiI(fOqNR1iG1/iHWPEFlMITISI55UER � �I HAVE AHD WILL W WiA1H WOi1KF.R5 COAIVENSA710N PISURANCE.AS PEWiRED BY SECTqN /�� 4� ]7o00F THE LABIXi CaDE F�N 1ME DERFORNANCE OF TME WORI(fOR YMl[]i THIS PERMIT IS �{� n ^ � {SSUED.MYWOfiI(ERS'�R17ENSATqNiNSUR�NCECARWEHANOPOLIGYNUMBERME ONSTRUCTIO ( 'J ; �,,,,L � owwEq P EVIEW 0 POI�CY�►�eER � � ELECTRIC � (h65ECiqNtdE�NpTgEapt.qFTmCFiIfPEpMTGR�RWE DOlU3L5{SiOo) PLUMBING Z 1 CERTFt TMAT W TNE PEPFOHMANGE OF iME VNRK FON WHiGlI TMIS PE W.�IT IS t55UED,1 MECHANICAL _ �' SFIALLNOiEMPIAYANYVER50NNANYNAVNERSOASiOBEGOAIESUBJECTiOTHE (n NK1iY(ERSCOYPENSATiONUVlSOFGLIiOiiNIAAFIDAGREETMATKI5110UlDBECOME INSPECTIONFEE -� SUBJECi 70 TME YION(ERS'COAI7ENSAiqN PROVISqHS OF SECTIDN 9700 OF iF1E LABOR s ppp I SFyµl ipqTi{yn7}��p,ApLV VniH T 0.SE PNONSIONS. � ISSUANCE � � � i� f� ��_ SMIP � WtE= � APRICAHi: b . w rw r�r SECUREWON(ER5COAIPENSATIONCDYEiUGEISUNLAWFULANOSH�IIBE ENERGYP/C �y SUBIECiAN YEFiOCWMWALPENALTIESANDGVILfINESUPTOONEFLLKiDREDT1qU5ANO ENERGYPERMIT OOLIARS(iloa.o0o�Po AWi710N TOTHE COST OF COMPEHSATqN,DNMGES AS PROViDED FOH W � SECTqN17WOF1HELA90RWDE.INTEREST,ANDATTOHNEYSFEES p�7��ONFEE: oCONSTRUCTION IENDING AGENCY pRE•AI.T FEE G6�� Q IHEREBVAFGIRMUNOERPENALTYOFVERIURYi11ATTMEREISACONSTRUCTqNLENDW6A6ENCY y n- FORiYfEPEflFORMhNGE0FIMEWOWCFOfiYM�CMTH�57ERAUTISI55UFA�5EG3oo7,GV.C.�. Z W � IENDFA'S NMIE F— LENDER'SAODRE55 � i cEaTicr Tw�T�wwE r�n nus nvvixnrarrµo sr�re nur r�E�eova wcaw�raN�s coaaecr. TOTAL FE ES � IAGREETOCOMPIYVATMALLGTYM+DCOUNT70FDiN�NCE5M1057ATEUWSRELATWOTOW9DiN0 'n CONSTRUCTqt{1NDHEREBYAUTMOHREREPRESENTATIVESOFTFYSCOUNTVTOEHiERUPONT7/E `��' /�BOVEd�1E qNFAGROVEAiYFOfiINSPECT10NPURPOSES. COMMENTS 9 �c.v � , � � i`'I ¢ P EENAME(PWt1T) � � �d�^ � �iv�" 2�"�-Z �j � NREOfPEFi1dR1 E �E ��— � RECPT.NO. PAID BY V/WOATION WHITE-0epertment COpy,YELLOW—Findnci Copy.PINK—Assessor Gopy.GOL�ENROD—Fiia Gopy,GFEEN--ApplicanCs Copy ,: : _ , . . . _ ,, ,. _ _ � _ _ _ . �.� � . _� • -� - _ - - - , ��, _ _._ _ _ . : ; �; i - - - - t ��k Y _ i �F " - �� I ' : �J — — -- QV�i � -_- � � � � I ' I .� ' - . z j o � ,1' F" � Q � -, _ . Q �p Jv� ' = `oz.n � `..� � � Jz , m 4.'� � U � zmaw ? � U � < �- p L'�}." � 0 �bj�F- cn p p O OC� p w o C7 ❑ Z ¢ Z a c� � �j C7 Z t= Z 7;t`- i � (� ���iT�i(/J F- O O LL7 W Z m � � � Q U U � � 2 L1L d L LL. W a ��i;.. Z ll� �::�'p 1 � � V V D � Z D C7 2 W Z Q O C.'S n- � ^ F= u7 e. - - - O CC �i,� a �- '� ¢ � ozoo ¢ zc� � -' wz "' � z � u, o �- � w r x;:,"' - , � �� � � � �J � g� = S W lL li F_ Q !:1 N W F- u� - �:: - "_S,.O CL W W Q. O.. = J U� U CJ � J J J (n U .._I 0 �- J � J Q Z �,Q ¢ O � w W � < W Z � O O O LL ❑ Q Z � G lli Q ) W '9a•,. a O J S Z ¢ � � Z Q W O Z O O O LL W Z e[ � 7 � W L'J � 3J � Q � I LL. LL � � LL LL � N�LLL 6. [D CL LL 6. d 0. O ❑ LL J O L.L LL T ❑ W ' u. U - - -- O N rc I � i � : V Z ,��1 ;,�� � �; � �, , . —a _ �__ � � ,sq� . �, \ J �— K= , �'�� — ry � � ��,i��i . , 'i � ^ I - : � . , - `p � 0 � �� . '� � m wz� _ c� ¢ ? � zo � z '� � c'� c�i�nw, ����. . � ¢ � y� ¢ _ � 2 � � U m m � ~Q � ^ ' y ��F_ z � m � Y UJ ' +.7.��. t CU J � W LL K.lll LLr Q LI � � (n -+ UJ ,_ Z J lu � �- U :� � � z� � ,i '�N'Y ¢ U a a � wT Z � w � _, � z � E -� Fz E ` - :i,`,c� O o ct O �n . . � p = w a ¢ F v� � F- F- o u � � W F-t- . ,��i.a ` � z � a ¢ i� u U 2 x x w z c7 � '¢ U a � U x w c I � - � ; U 4 . . . . . � ��.[ri � v � m n, w;t:� �- � C7 C7 C7 > � � � w � 0. C J J .� _i� > � �.� F a r . . ' C7 w O ¢ � F-�O d O 5 � � O -� � � � a. W vl � F ;�t; I a.W � � � . .� - �.� F- J � J W ¢�O Q O C G C) � � '� W LL t11 til LIJ G •= L "i_ I � W W �1 , - . `. _ � � � :;,U L� LtJ C7 (D !- S I� ll ¢: Q Ci: LC U7 W S U � (n cP. [0 C7�W�u. li�u_ . : . +� - (A C9 G.__....._._...1':.`.__._...____._....: