Loading...
HomeMy WebLinkAbout12096 (13) r . � .. . . .. .. . . . . . . . . . � i • , ` '` _.. CITY OF DIAMOND BAR ' ` �-,�1 �,�_ COMMUNTfY DEVELOPMENT DEPARTMENT' .;,,� 21660 E.Copley Drive Suite 190 • , , __ _.. _.. _.. - —--- ' ._____ _ - ---- - -- __---PRESS.------- _..__ __. _._��-SGU-3I95Fax(9U9}86I3tIT�"'_-_ ,..--�:- .--„_� ;... __ _. ... .--__ _._ ''�"' BUQ.DING PERMTT APPLICATION FIRMLY z � J08SITE ° � , APPLICATION � !2. . P�RMFT � _ P!C � , o ADDRESS }r/rI/ DA7E - � Nun�a r � o ISSUE TYPE OCC. ; °° APN. ._. LOT_. __. TRACF DATE _ CONST.._.. GROUP; ' OOWNER. _ .; _ ADD SS Q Y ZONING SEfBACKS , � -; ' .: z C I C� I / „ — -FRONT - .._ _ _. __..._ RW _. _'_ O. -" g APPUCANT • • Q;i` -�� REAR_ C7 _ _ SIDElSIDE STREET RW ❑ � CONTRAGTOA , / r SIDE _ __ , � AD S l r � CITY ZIP. TE • .. �ROPOSED USE � - '-j. .,. _. w ARCWENG! •._ ,. , .. z DESIGNER �, ,._ - - .._.__ �s� - ; _ _ _ , � .. NO.DWEL NO. � , • Na:. � ; _a .AQDBESS ' UN4TS . - STORIES SEDHOOMS � C17Y ZIP � TEL. uy. _. _ __ _ _ . ___ _ � , �DESCRI!'71dN� SQ.FT. FACTOti PSF ADJ.AREANAtUATtON O ..______.__�- ----.DNMER�I:R.QER�ECL.ARATION. - -- SPWptDDiREM _ . _ ._ . --.- ` .p _.. . 1 t1Ef1�Y AFFWAI UlIDER PENALTY QE PEILNRY THA7l AM IXEAIPT FROM THE COHfRIICTORS LL � V'efd9��EP�--�-_` . � �� � . . . . ' W CENSEIAWFORiHEFOILOWINOREA50N(SEG.7IXi1.68U5WE55ANDVAOFESSI0N9CODEAMYCRYOH .- (� ..... ... -.... ._ . . -..-. � . ' U �1k17YVYFNCHREWIRESADEFiM1TTOCONSTRUCT,ALTEfl.NdPF�VE.DEM01.1$I.ORHEPNRAqI•STAUG �: W � . � ,-:.. . ��� =- Z TtRiE.PRWR TO f[S ISSUANCE.TlS6 RE�UIRES THE MPUCANT FOR SUCH P6iMTT0 FlCE A SIONEO � Pd�101D6C�S. __...._.__ _._ ..__ ..__ _ _ _ : :: -W SiATEMENT iHAi 1�OR SI#IS UCENSED PU98UANi 70 7HE PRONSIONS OF THE CWFRACTORS U-�. -- . . . � CENSE IAW lCNAPIER G(CdAME�MJ6 NRiH SEGTKiN 7U00)OF DIYISIOM.30F TFff BUSINE55 ANd PF�. � ..P��.. `- . � � �� .': � � FE6510N.SCODE)ONTNATHEORSHEISIXEMPiTHEREFNOMMqTHE&�44FORTHEALiEl3EDE%EMP•_ . . . ... . - � � .�.. TION.ANYYIOLATIONOFSEGTION7071.68YANYAPPLICANfFORAPERMITSU&IECf51F�APPIICANiT�Q� ' Z -Rg-(ipp} .. . :_ . .. � A CIYIL DENALTY QF NDTl10HETHAN HVE HUNORED OOLLARS(SSoo).}. _-'.. ' -�... .-_ . _ .....� OAAS�IMHER�Ti�PROPERTY�ORIAYEMWAYEE5WITHWKiESASTHEIRSOLECOMPENSATION.- . Q ����jg� - . . =YMkt 00 Tt�WOH(.MIU TNE STRUCNRE 19 NQT IMTEI�DED OR OFFERED PoR fiALE(6EG.7014.eUSF - �! NFSS MD PiqFE5510NS CO�E:THE CaRRACTOfiS LICENSE UW D�5 NOT APKY TO AN OriNEH�. . . � PimPEFffYNM1WBULDSORpdPHOVESTHEREON.MIDWHO00E55UCHYADiBCHWSELFORHE0.SELiQR = � � • -.._.[[. .TNROUGHHISORHEH01MiEMPLOYEES.PFqY1DEDTHATSUG/WPPOV6IABlfSMENOTMElDEDIXi � � . . . - . . . ' . . - . , . - W OFF@i�WHSILLEF,FiDWEYER7NEBUYDWOOFiMAPROYEM@R6SSOI.DIWTlWIONEYEAROFCONME- : , . , - .•.. � � �TpN.TFIE Wt1�R-&NIDER WLL HAVE 7HE&1(�EN OF PNOYHO 7)UT HE OR SMIE DU t10T BIAID OR . . ,. . - .. .... . .... ..- :.�.__ . ._ • , • � MVfqVEFOR7F�PUP�EOF8AI.E). � -... ' � � '' . .. - OLAuONR�ROF7t1EPRDPEflL�:MAE7(CU61V8YCa{iF1AGTYdCW1THlIGENSEOC,O�lfRACTON,4 .. .: _ . _ .. ._ .... _._ _.. _ _ ._.... . . .. .,.. • . � TO CONSTRUC7 T!�VfiOIECT(SEC.7Uu.�1SINESS MID PROFESSIONS WDE TNE CONIAACi9RS LF -.VHWetbfl AQI.AREA .. _ -. . . . . - W CENSEUWDDESt10TMPLV70ANOWNEROFAPf�PERIYWkp&Jq�SONNfPFb4ESPiE�l7.AND� . _Fwracartw�crswnsua�rAcuecnwrtriAwKr�ucroe�s7cxeNs�[srur�e�r�ronaecartn�- - �ANTTTY'_,_'_DESCHIPTit3N _ , _ FEE raas ucENse uw.y_ '� � _ � _ _ __ . _ _ _ _ _ . __ _ _ ' a r�i�oco.�ru�asEa — aar.c Fon•tr�sn€Asor+ : � _-3 � . . ' . '�,,. ' - — _ � ar. _ � , •.. _�. .. � MTE _UWNFA ; . .� . . _ u '_�Y .Y.'"_._ 3 _`yy�'. .:_.Z _ ._ ._ _. . .- . .. . _. _ . .. . . _. . � ': _ ., . W . , . _� .. . ,..... ..: ,. ..._ .._ . ._ , ... �q UCENSED�0_NTRACT4RS UECLARA710N,` ' -i _ OC . W , IHENEBYAFFYUAUNDERPENALttOFPEPJNRYTMAT1AMlICENSEUUNOERPIiOVISWNSOiCFMP1'EN-.-" . � - : . �. :�" z-•.' _!(COM61EF7CWfiWITFISECTION7W6�OFDMSAN�OFTHEBUS�NESSANUPiiOFE&410PISCODE,MIf) . - Z ....._ _.. _. .. .- � .. �- X W LMENSE IS N Fl1LL FORCEAN�6FFECT. m �. ' -. _ LLt ..._ .. . ._ . __ . ._-_69 q�-_ . � .. _ .: . .:-_�. :�. : �. � �a.,,s �.�._ � � � _ � v�u o�� �,....'._cortrnnc ,_ a :__06 _--- ---_. _._ ._._..__ _ �. ' W4RKERS'CAMPENSATION f�CLARATION � � �y � I HEREBY AFFlf�1 UNDER PQ7ALTY OF PENAIFiYOt�OF 7NE POLLOWNKi DEQJiR�TIONS � - . _. � Z , — _ .. ..... . .. ... .__. __.. -,. ..._ ... �� .. . �_ .__. a _ __... _.._ ___ . __ _.__. o _____�waEN+owu�wuHiNn�oEnr�rc�TeoFca+serrios�-irrsurtEwnwat+x�ns x __._. - � QOIAPENSAt10N.A4PRDVDEDBYSECTION97000F1HELABOfiCUOE.FONTHEPERKOpYANCE W . . - ' , .. ._ OFTHEWOW(�YYl11CFITHISPERMITISISSUED. " _ � _ _Q . _ _ _ . __._.__.._-________ _ ____'.._., �_ _, - W _,_IltAVEANDYVRI.IMWTAPIWOPoCERS'OWIPENSATIONiNSUAAMCE./SREWIR�BYSECTION - ____ ...._ ' . a_ . . 97000F7MEL/BOPCOOE.FORTHEPFAFOWAANCEOF7MEWORKFONriHICH7Hi5PEHWTiS � t 7�-+ ' � ISSUm.MY WYP/E��A TIONINSURM�CE ►y ER��)Np PQLICVIX.�/��.WE _ . . CON$TRUCiT1ON .___. ..._-.....-. _ , � CMiUEH�L17 /O!V I�S •'T Y 1�� PI.AN REVIEW - ' Z ra�cwwMeEa,��_ Q, l�C' �. ELECTRIC _ _ . _ ! .t Q ' , ...� ..,. .-(R�sSEc[Id+l�rtotBeao�L�iFDOFnEv6r/rBrataFtuai�oalusR�W)��1� --. P1IJMBING---- ' Z 1 CERTIFY TWR N TNE PERfORMANCE OF iHE WONK FON WHICN 7M�S PEPMIT IS ISSUED.1 1ulECHANIC.AL .. (,r} ..._ .SHN.LNOT9WlAYANYPEF180NWNiYMMlNERSOA4768EGQ1AE6SlBJECT707HE . ...._. , �.... . - � wowc�smr.�P�s�rror�uws oF cw�awia uw�aR�rw�r iF i s�xwto eEca+e _ INSPECTfON FEE _. _._ . _... . . _. .. � -� SU&IECT TO THE COMPENSATION PROVISION�OP SECTIDN 9 OF T/ UBOR _ _.... ._ ... ..._ ._...__. _ _ .._. .. ._. ___ GODE. SHALL O iH COMPLY E P p� ISSU� . : ,_ _ . _ _._ ..._. ._. _.__.____�_.__. ..... . . ..__. . ._ ' � ... . . � � aPPLK'.nNi� SMIP . p DATE: �. ENER6Y P/C - � WMWItK�fNWHETOSECUIiEMpHKEiiS' ENSATIONCOVEAAGEISUKAWFIA.ANO .BE.. . . . . _ _ � �—y sue�ECT�w o�orea ro cw►ta+w vEr�n s um cm�Flr�s�w To a+E�mt�o n�ousuro ENERGY PERMIT , . .pOU,ApS(t�oo,om),MIADD1170NTOTHECOSiOFCOMPEN8ATION.DAMAGE5A5PliDVDEDFaiN .._� �SECTIOiF/07WOFh1ELABOFiCODENTEREST.ANQAT70NNEY'SFEFS.'.:_. _ _ _...'__ _....._. _ . . .... . . . . . -. RETENTI6N FEE: _._-_ _ _---- _ a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: _ _ _ _. . � � i NEREBY AFFIRM UNDEP PENALiY OF PERNIRY THAT TMEHE IS ACONSTRUCTION LENDWU ACiENCY.. . .... � . ,.' . '�'- ''-` FOA'fliE PERPDNMANCE OF TME WOAK PoR WHICFI TFSS PERAUT 6S ISSUED ISEG 90Y7.pV.C.�. _ Z . .. _ . . . . . ..._._.. . . .._.._ ... .... .... . .. _ . .... _.. . .. .._ . . '- . -: -.,. ... W _. - � � LFNDER'S NA1AE • �- _ - . .. ,._,_.. ..... .... . ..... ......... ... ._. _... � . . ._. _ . . .� IENDEH'SAODHE55 . W �cEanFrTruTiw�veaEaon�iswa��cnr��wosr�rEreu�rn+E�aovewraru,enran�scor�cr. TOTAL FEES _ _ `�� � � 1 AfiREE TO COMPIY WITH NJ.CfTY AND COUNN OHD�NAMCESANU STATE UWS PEUTMIG TO BULOING . ///���� � . . � . _ ` � CONSTHUCiION.M87NEREBYAUTHORiZEHEPHE3EtRAtIVESOF7F1�9COUNTYTOEMEHUPONTiIE i,����ID .� �� _ ' ... Z _ABOVE.Y _ ED PqOP RTY FOR INSPEGTION PURPOSE ... . COMMENTS J � s _. �', �� _ � T- � - s J �I , � . aia_. _ . .m . _ ._ . ___..._.._____ .._. . . . .. . ... ._. . . . � pBM E R ..._..___'._.._ _...._.._... - ` . . Q � . ...y �S T HE ITTEE - - OATE.... .� . .. � RECPT.NO. PAIO BY VAUDA710N * WFNTE-�OePartment Copy:YELLOW—F-inence Copy.PIN1C—Assassor CoPx GOLDENEtOD--Fila Copy.GHEEN—APP��'a�AY . � F „-. � - - _..._ _. . _ .' . , � i . .._ . . . _. _ � - - - - .. � , � � c: i �.. ' . �; - . '.�.' :; � � . `� '�' ',� �.; "� � " 1�' [ ' ' . ',� � � %� Y:. L �'' I I ' � 1., i � (- � ^j ... . . �. i, . , . ' i � - ,x _ � ( M / ! r � ,� _ i 1 - �.- `F. X� j, T :., .1. i -- r �� � �� i .�. �; . � � r ' �� . . , . �,. � �' r � i � ,� - i 7 � _�' '_ I,� '� � d I � ' . r. i� , Jn '; � n 'L' / /-1' °� ,: - G � ��_ � Gr n i - G V.' .^ I _ r =�, %. � �i C �' � 'L� 0 _ �� - ,�f .. �,. +, �.: � i'�e7 r¢} � <-_ I�.' � � � _ : . -- � 'i Q ..A� �` �� �fI lJ � i !^ -1 j! �I p � a � ' � � _ � � �;� Q � (7 ' -d�, .� � . \1 . _ i Yn � i i JI i t o�� i .� W - Z Z � � ` Q k G-(� �� v~i � f� � m �' z � a � � � aZ ' � azLL � 4 � �u �� � � '7 , ,Z � '' . p � 1-� URp � � C7 ¢ �za � OCSa � `ZF- W v) ' � % � '� � ���� . �,tp' 2 Q'z U` �, � W Z �y,� F Z�4 p a � � 1 F , (�`� , O � rL w � '• Om ¢�— x wu. � � ¢ wUurNwx w . _ , _ �_ � d rtw w a ='m �t? vc7 �JJ _ivav� Z � � � � � � * '� - ` % � ; � z p ¢ o � ++� W p Qw2 � - $ OOLL � ¢ ¢ �u� __ . _ _ - �.O � "�I> > LL �� mwam � uz. aa�. aOoLL �, Ouz—. � x � � '. � , _ _ - I'=. �:'U � , � O � � 4"� � y . � . '' � � , ' , I � vZ ;� ' - a- ' � i � ! � '. . � ,` , �; � : � � ; = ' � � i , , , , , -, _ ; f , ; , , � i , � - � �• -. i , , ; , � , , .. � . � � . ___ � � � r � � � � � , � � � � ` j �i iZ � � j ii I I � f ' i i ; '� � � o � , � � � �, � � F i-- Z , ; , � � ; € �� Z � � I' ,� ¢ I ; � � �� Zo � � ; � i ��W', o � a � , `� �'_ �- � � ^ � � ? °—° g � ! I; ' ' � "z �� i Y�' -, cn � � w � > �- � � F � ma � � �, � r= z � 'm ��- � , � z � � aoW �i �" WQ � � �'� g � �Z � z W � t= � �� Z ' V p U 0 Q O m'2 � O W � a � F � z �, e �' t- zO � w � w F?; �., g., Q ¢ z � a � nazq2 � sw zc7 ¢ rLt�.5a � 02w�nJ. � t�a • m � � � ma�uu- �¢ �- c�sc� c7 � s � ? w �. Q, 'a -� :� .� � g �-a �ii W � `�'W `L O CL O O � O 'S',�C ¢ W �� � W w 4 Z Z Z Z E O W W cn �i w c� u� F-� � LL � tt � � u� w $ U o rn rn v� c� � k u.. u. U tn cA s � . _ . . .