Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout11246 (5) __ �-- . ___.._�___.�..
e;-:� .. .,.
-- - CTfY OF DIAMOND BAR : _ ,
COMMUNITY DEYELOPMENT DEPAIYfMEIVT' ' � `
.,.,V 21660 E.Capley Drive Suite]90 �.. < .
---- -._�_ _. ,.----__-_
---_
.. ---t9os>s6o�3�vs�tvov7 a6�=3tm~=e�. _���_ _�� __.,---__ _.___ ._..___� ____. _ ------�-=PRESS_._`
�"""° BUILDING PERMTT APPL[CATTON FIRMLY
o� JOBSfTE �L.�'�j �r�� APPLICATIdN 2 j t PERMIT R/C
A[3�RFS3 ( /-�---::. . DATE. . 1--J NUMBER k "
°D APN LOT TFtACT I�UE TYPE OCC
.- - - _
--t� DATE . � _ CONST. GROUP
p OWNER �GKJ��4 C, �/ivF , . . .
o ADDRESS aZ��.�- �- � � 20NING SETBACKS
, _
_ _ _ _
z CITY� ��ZIP TEL. L , �R RW �
g APPLICANT `! - �
' StOElSIDE STREE7 FtW p
� �- - E'ic �(/ SIDE �_ _. � .
CONTRACTO '
�6L ?3��E�t` � �Q�. K.�^"'P.��"'�
ADDRES ' -
¢ � _
_ o CITY Z1P. KtE _ PROP /
. o ARCt!lENG/ �; � �EW '�' -. : . ;,.:, `
z DESIGNER _ _ .. _._ . _ _ �
w . �, NO.DWEL NO. t�K?.
a ADLIRFSS- -- �=
� CfTY ZIP TEL� . �S S7QRIES _I. BEDROOMS '
� ._. _-. _ --- __ _ _ �
--
cn bESCRIPTION SQ.Ft FACTOfl PSF ADJ.AREANALUATION
p� . _. _ _ _ OWMEA•84:4LDER DEGIARAT�ON. �.. __._ .
0 .. _SFNADDlHEM _ . , �. . ___ ' _ _.., _
`- i He+�er��wm�a�eutTr�eEnunr nur i,w�x�uvr FaaN ng cor+rw�crons u=. . `GersBa'C:iport_ '
W CBlSEUWFOqTHEFOLLOWN6RFA5ONI5EC.7Q41.5&�SWESSAN�PFqFES610NSOODBANYCRYOR, �• ((� - ' - _- . ... .. ..
U COlMi7YWHICHFlEUUIHE3APEF%iRi000pSTRlkT,KTEH.M�WFiOVE�OBAOt1SH.6RFEP�11FtAN'lSTpUG> � .. . .
, !" 'Z �7{Ip�PPIOR TO Yf5 ISSUMICE.AL80 R@qUIRES THE AAPCICANf f�1 SUGi OERW7T0 FlLE A S�trED ��- � P�� ._. - .. _. .-. ._ . . _. ._ , . . _ �_ _�
_. _.
, _._ � STATEMENT THAY HE OFi 31fE IS t10ElISm PUHSUANT TO 1t1E PlpVIS1ONS OF 7ME COP1tRK.TOR3 LL_ ;. � .. -- .. .- .. . . .
' - � CENSELAW(tliAPTEflY(COMMENCYMMATt4SECTqN70W�OFDIY�SWN90E-T/�BUSWESSNOAA6 .Q�OYSpB .._ . _ _ .. .. .. . � � ' .
FES�SIONSCODEIORTFIATHEORSNEISO(EMPTTNEHEFfi0UMO7NEBA51Si�iTMEµLEQEDEi�MAY-- ° - /� - - _ _
T10N.ANYVIOlAT10NOF5EC'f�ON7031.68YANYAPFI,K•ANfFOH�PERAAITS_U&IECTSiF�MPLlGNl70- '.� � '�{Q"{�pp} .. I-� . -
- ACNLLPENALTY�NOTMOfiE7HANFNEHUNDRmDOILtRS(t�u1.k -_ � - -
p ❑ti,�saxnEao�n+enaovEmr,a�Mr�n.orEEsrnnawnc�s�sn+e�asaEcornaeas�noN,: . p ;���
Z wiu.oa n�wowc�n�srnucn��a rror u+roVo�ar vFc�o Fort sncE tsEc.xiu.�- ..J
- � NE33 A!m WiOFE5510NS CIX1E 7NE CAMRIICTW64 LICENSE LAW DOES NO7MPtY tQ NiOWNER OF_ _ j . . - . . , � �.: ,. :, . .. - .
. . .; --. .FNOPERTXWlO8UtA409NIPHOYES4�N.Nd1WlpDOE3SUGtWORKHMSELFORHEfl6ELFOR �- .. . -�.
_
- � THiIOUGNFUSOiiNEROWNHdPLOYEES.PAOVqEDTHA7SUtlINAPROVEAI[NTSMEtlfYTNRENDmOR LD . ., , . . . . -.- . . . - _ .
- .. - Q OFFER�FORSALE�HOWEYER7HE9ULOP1GOflWPHOVEA1BiT45301.DWRMNWEYEANaFC011PLE- ' - � . . .
: Z -TKk7.THE�f4BtALDER WG1.WtVE TFff�1 OF PROYRKi THAT HE OH�iE 0�710T&10.A at- . - . .. ... . ._� . .,
; WPNOVEFORTiEPUf�O5E0F3ALE} - - •, : - .
- � .___pAA60NRERO�THEPFlOPfiRIXAAFFXCL118NELYCONTW1GiiNLiWIiHI�CENSE�CONTFLICTONS -.. .
. ..� i0 CONC7HUCT TNE PNDJECT t8EG 70u.&JSMESS AND PROFESSIOF�CODE 1HE CONiRAC'�CVL4 U• . .V81UdlIOfl t L'O : ADJ AREA ._. . . . ... .
... L co+seuwo�srnriwr�vro�wam+En�harroaERrrwraeuansocia.�rovEsn�EqEa�tuA- -_� .QUpP17RY ..-.DESCRIPiI�I -�._ . ..... . ... . .. ..FEE . .
s w�cowiw�craro��tv�crswnn�ccntRAcrorystL�a+s�wlnsu�Nrron�E�ottrw�
. ; � TOtt4 UCENSfi UYLN , .:::•. . - - ' �`
- ._..__ ..__._. .... . ,_ .
, L� _. ,..._. ..._.._. ,.'. . _ . . _. . .__._ . . ... . _ _._ .
O
❑i AM IXEMVT UtOEA SEQ � __. &i PA.FOR=SW(S RFi�$ON ��. � -..... -.___
:.. � ._ . . . . '- U � .. . ...._ .. .. - -._ .. --- .
-- .. ._._. � . .,___ . .
.. _ ._.a- <, .._ . ..__ �_' ..
,, . , ` . � � . ,. . .
�. --..� -OA7E... - .OWNER ��. . � � . _. . _ ... .. . . . -
- ' _ .�:�'✓,. i. _ '_--..� - ,. . . � .._
�,.�¢ LICENSEQ CON7AACTORS DEGLAFiATION' • W _, . _.__. , ,
� aC _ . ._. . _ _ � .. . _ . . _ . . . .
1 HEHEBYAFFIHG IRmER PENNSY OF PEAJLAiV THAT I Mi IICFNSED INJDER GRON510N8OFdiMTEq-- --
._ �a fICqWENCW6WfTH5ECf%]N100G)OFDMSIOMSOFTFff&1SINESSANDPPOFESS�NSCODE.7W7 ' ...... . _ . .-........._ . .._..._.__. ... . . - ... .
- � YY IICENSE IS W WLL FOfiCEAND EFFEC7. �- �� m _ ..... . ..
� UC@N.+E CL/1SS �' ✓�. LM.NO.�, ��_ � �_ j . ... �. . �. � .� .. � _ .
_ -._.�. ._ . _, ...... _ . _
. OATE �O..�j_.� CONTEiACTOR , �- .. � a . ,
� . . . :.. . ..._ . ._ . . ... _. � . ._.-. � .;'._.-i s �' �< '
� WOHKERS'COMPENSATION DECIARATIOhi �Q Q
.. . � INEREBVAFFp'�ItA�ERPBiN.TYOFPERIURYpJEOF7HEFOLf.DtMWGDE�NiqNS � Z . .
- . .� . , _. ._......._n..._.__ . _.... ... .. .__. __. . ., . - ..'
. � .-._. _. . g ., -... _: ..... __ .. _' _ ..._. - .. .
�_IWIYEM�WILLiMINiANACENTIF�0.TE�CONbENlTOSBFJNSUf�FORWOflI(E0.4' 1 . ,.. . _.__- __. , . .
COYPEXSATION.1t5PRDVIDED8Y5ECT10N77WOFTHEIABORC00f,rFORTE�RFORMANCE- . �V . .
- _ OF TFIE_WOf1K FAR NA�G1 iHlS PERMIT R R,SUEO,... _ . _ _ ... ._. . __ . .. . . .. . _ . ._. ......._
. 0 . . _. - ._ . .�r _. . . . _ ._,. .
' w �lfAVEAN�WLL1#I�WfANWOFKERS'ODMPENSATIONNr511MMCE.IISREIX1WmBY5EGfpN ( ln(
- 4 37o00F7HELABOHCODE,FORTtfEPFAFDHMANCEOFTMEWOfiKfi7HWHIGITMISPERNRIS I h V v
� issu�.�erwaucEns�cadvFNs�nonwsuwwcEawweAa�rorax.wt�xaeEn� - CANSTAUCTION __-_._. . . _ _ . �� e.
� � , ur+wen. ?�7� �~, __ _ PLAN REYIEW ._ _._
o na.ww rnM�e�a � _. _ _ .._
- 2 ELECTRIC ._ .. , _._....._...
Q
o —fn+B��►ateEaa.c�cH�aF7HEv[-ra.rrSEaaa+eMJw�� �ro}aat�- . . PLUMBING. � - .. _ . .
� 1 CEHTIFY TNAT M 1t1E PERFOFMANCE OF THE NqNC FOFi riMpi THIS PEHMR IS ISSUEO,i MECHANICAL
. �.3' . .SlWJ.NDTEMPLOYANYiER50NWANYWVWER50A5706ECOMESUBJECT70THE_... - ... . ��ti
. y YYURI�RS'COYPENSATIONLAWSOFGWFWWUTANDAOHEEIHATIFISFIOIAUBECOAE INSPECTIONFEE " -.. .. .. . ..� - ... . . .,� . �l�[1
- -BUB.�ECfT07FEM�OPo((EHS'COMPENSATIONPROVISIONSOfSECiqN870iOFiNEtABOH � . �r'•.V
�-_ O ._. .cOUE�sw�ucoRnfwrt!+c4�.�P�xw . vxE .�q�or�. .. _ .. ... _ �SSUANCE ... � � _. .. .. ... . . ..
...,. ._._.._. _
_ \/iA�; sMtp ►
- �hTE:�2�� APPLM.ANP. ...
� ��� WAHNWO:FMIURE TO SEWHE WONKEIiS'COMPENSATION COVERAQE IS UNLA�MFt1l AND SNAIJ.BE ENERGY P/C --� _�. . -._ --- .
� SU&ECfAN FApLOYER 70 CpM@U1L PENRLTIES AND CML FINES W TO ONE HMDREU fHOUS/Vf� FNFpC,Y PERMIT
DOLLAHS(i10D.000�.W ADDI710NT0 THE COSTOF COMiENSA7qN,DAMAOES AS PipVpW fY1R IN '
� �. .sEcilDNalaOFTHELABORODDE,NltFAE47,ANDATroRNEY'SFEE&.,._ -.__-_... .-,. . . . .. . .. . .. . _.._ .
..,_ _. .. _ _ _ . .. ._ . .. .._
REfENT10N FEE:
� �� CANSTRUCTIONLENDINGAGENGY -- - -
�. _. _ PHE-ALTFEE: _ �
_ _
QIH6REBYAFFIRAIUN�ERPENKiVOFPE0.IURITHATiHERE18ACOF15TRUCTIONLEND111(SAGfiNCY � • - . . �
PoR Tf1E PEflPDHA1ANCE OF TME WORK FON YY111CH 1MI8 PENYITIS ISSUED f5EC.9oDT.qV.C.). . . . . . .
,. Z . _. .... ...... .. ___ . .. __.. . . .. _ ... . . _ �. . . ' ..
W
� � LENDER'SNAME- .. - .
_ . ., . . ._. . . . ...._ _ . .,__ .. .... . . .._ . .
r- �exsuwor�ss
� ��E�T'�"Y'E��COUNNOi1DWMlCESM�ST�E�",,,",�'��E� TOTAL FEES _ •. � r{'�7'
a �
�, WfJSTHIAGilIX�1.APIDHEHEBVAUilqWZEHEPRESENTATtVE30F7N15COUNiYTOEMERUPONiHE . . .-. °. . : :�
. . .� ABOYE-MEHf10Nm PPOVERiY FOR UiSPEC7qN PUHPOBES. _ .... � . .
a �__ __ _ - - -__ _ _ __ _. ,... COMMEMTS
- � --� 1�1� ��`Y��^'- � � , .. .,. -
..__..�� -. . . .. . ._ ... _ . . . ... _. . . .____ ..„ ... - . .. ... _-.- , ��.. � ' . _
` 4 VE �TTEE (PNNfI 4 ���� . . ..
� �� ~
i � SIO�Fl�`IITfE�! � UA7E -�- . .- .... ,, . ,
RECPT.NO. PAID BY � -VALIDATION ` -
� _ WHITE--Depertment Copy.YEU.OW--finance Copy,PINK—Assessar Copy�GOLDENROD—File Copy�GREEN—�4pp11cenPs Capy.
_ _ _. _ _ _ i
- _ __ _ : �,
�
.. . . ._ .. ; -, .•- -.c n :;� ..._ _ . - — - ' -- �� _ .
. �, .,. �.�rS �A�� '
, . „
, ,
.�. •.. _ ... .. .. - _ .:. ._. . '. ' . .
._.... ._.-
..: . ..._��__ -. �____. . _._.. _ _ .. �. -- i - . r .. I
■ _ i - = i � _ ; [
• � i - I - �� '; . i
r;. - ! . -'� ` �
� �� ; �, � �� - � � �� i R
`s . ,'� � I � f
; f I ` i
; �
i
� � '
I _ , , {
,, _ � I'
. � - �
I �
.y - i
i
ej � z .', j ; = i _
_ �O � i
�
G
n- f�
. �
. '4--' :f - .
� Q-: • "�'�.� � �a - ���. J z -a` . i . i
p C7 - �
Z ,
li1 LL �
� � � �
Q Q
C9 �
L1 U U
Ci
- {
z
f�1 � ¢ oz � w � c7 �: oz � Z a � °� vi � zr a •. !�
_ _p _ H � C� D� k=� Zm � ¢ ar � Z ii1'az. � a a f' • ,� •- : + ,
- 4 � � � OOuJw � p � tl � cC:� W Z ¢ � OC70. � z � vr
, �y �. � �n r
rv� O'a � LL � � c� mz ¢ 2 � c7J iZ,-., r�-, ¢ wUwO � � w >' • ( .
rttcg � r � m ¢ ;= x `= w �i _ w � aF- LL c7 ; � - - - - - -
,. ¢ w w a a = o°'� c7 q t7 � � � � rn � ¢.a �.¢ w a > w w ' ,- ,.. - - --c . - --
�. ~�-'' ;Z o <'o c' ¢¢ �.� z.:� W o z p . g LL iri z . _ �:._
i
Q:p �. szz _ _ - .
z az ¢ wu� z
4 , u. � � LL u. �m u_ n� m oc LL n: a a Q n u. O ti u. x o W ._
� — _ �. g :
� q_�.,.
,,.
k �_�} i
� W � i I
O; � � �
, , � , I
k �' ' ' t ,' i ' I
�...� � ., � - I , .- ; .
� Z • I� I ( � R '�.
V. i I i
i i 1't
I
� �
� ' �: . I �. � i ; � . �'� �
I + I
� �' �i � � 'I � I ' i , I � , .�; I .
I,.
- c
, i i j j � I �_
� � i � -
�
� i
�I
� i
� �
�;, �
I � i I
k
_ [
i N I
�= ' .�I ' `�' ' �� ,, I i I'� '�'; I� �' ��I
�': � o ,_ ` � � � ` ! � �� � �
. j � '. F ,, ; `. _ o � i i ; � ; � � N I
e Z ,� , ��A
�;o � ' � � � I! -z �� � zo'g � ' '! �- tiz � m � Y
` �z m o �
,,, � � � ww.¢ �" Wwe�`[ w � � g � z �;a � u`�'.i �' � U � z "ir. , � '�, tQ-�';
� .,- .� CI �,�'� '7 1U J '.J Z�� Z J . '2 �. F` Z q W � ' ��W I '_` �. I �
6� � °C � a i� o sn z � O= W 0. � �,z co J ~ � � ca W W d � i� t�a',
� Qz a N z,v x � µ� a rr ca' a � i.� F-n.�
F: m r � �` a �u.�g ��c7 tJ � �3 '��-�� w - a�Q a %� ¢ 'a; � ,;� ,I ' ' ��W�
r, : • �'W � a Q o a 7 C� q W � W W y _ ' i
� � r� � � 8 � 00 -
, :u c� m � J z ~aW ¢ Zz � Z 'p � , : , yN
= -; m �iw c� u� � qu. � ¢ a � �ii �w'3c� a:mu� �nc� u. u_ ('i U '
, ,.
�'. � � ,_ • � � �