Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
11072 (5)
, . , �''1 CTfY OF DIAMOND BAR - ' • " -- COMMUNiTY D�VELOPMENT DEPARTMENT ' ' �,,� 21660 S Copley Dcive Suite 190 ' °• _._.---_.._._�__._._._ __.__� � .^�-�_� .___,___------- _______ .__.__--_ �RES.S___._.. ___. _.._�.�909?SbQ3195Fai�i41}4�8bt-3Tfl ._.,��_ - _..._.___--------_. .'A�'�, BUILDINGPERMITAPPLICA ON �IRMI.Y . N JOBStTE � � . ' APPL{CA710N PERMIT: � % C.� . � o ADDRE ' • DATf -����=iJIIMBER M ' o - iSSUE TYPE OCC '� . , °� APN�LOT� __. TRqCT t)ATE _ _ CONST. Gk�OUP _.. Q �_. _ ; p OWNER _ - -_.. ._ __ ,__ __ _ ' "" ADDRESS l� ` ; . '. ZONING SETBACKS � __. FRONT _ _ ._. .`RW . ❑ _ w CITY — ZIP THL -_- �. �. � _REAH „ � . APPLICANT- _ ---_ _.___ TEL,_� S{DFJSIQESTREET RW -E3 _ ._.__ . __. .__ __... _ . _. :.: _ _._ - - _ _ _._ � CONTRACTO SIDE __ .. ❑ . . __.. ADDHESS.. . '— _ _• . _: � - ` _ _ . Q PROPOSED USE ° � o .CtTY _ZJ . TEL, ,., �. : _. w ARCHlENG/ ` , - , ,. ; ;, ._ . z DESICaNER. ' __.._.. . . ,� _ __ ` - ,. . _ a _ADDRESS - . NO.DWEL. . ; NO:. , ; _. UNITS _ -_. ___ ___..STORIES _ BEQROOMS � CITY ZIP TEL ;_ in � _.. _ _ _. , _. . _ _ _.. . _ ` ' . ' DESCRIPTION _-SQ.FT. _ FACTOR PSF _ ADJ.AREANALUA7ION vy ;� _ � _ _____OlNNER-at�u�aDECLARATI�N.._,_ _ � ' SFRIaDDlRE1�t _ __._.---- , - --- ____ ___ . - _ O ` '. -. .p. 1 fEfiEBY 11FFlRM 4RIDER PEN�ITY OF PEF4Nf1Y 1HAT I MA IXEMPT FRqA iHE CONiRACTORS lF`. `-- .. -Gdf8g6�E�i8RI0fF- ._ .__._..,.._-. ' . . �,.�. . ;.. '�� W CH�ISEUWFORTMEFplOWINORE1150N(SEC.7IXi1.6BUSWFSSAMOPROFES51ON5CODE,AN'(GfTY9R � . . .. -� -.. - . .-... _� � . _ � OOUHfYWHIdiRECIURESAVHWITTO00NSTRUCT.AL7ERHPROVE.UENOLLSN.ORN6A61R�NTSTRt)C- i., W �-PAf101116fk.-_._.__'.___ . �.. ' ' ..... . . ., - TURE.PRqH-70 TTS L4SIUOaCE:R150 AEOUIRES iHE APPUCANT F�S�StRkt�RElYAIf TO FHE ll SIblEO _ W . _.._. ._ . .._ _._'._.._ _..__ . ._ _ ' ___'. ___.. � W STATBiENF THAT NE OR SHE 4S 4�CENSm PURSUANf 70 ME PROVISIONS OF THE CONfMCR3Ft4 Lt�. � . . _ � c�uwtauorcaa(co�,�u�ar+cwtt»secrnNrmo�oFansionaoF.xF+Eeusu+EssµnrAo. _ � PocYSpa , G,l _ , 4 FEssaNs000�aZnuQeiEansr�lSocEr,erTrNEnEF�+u�»rNEa�4ls�oan�EulEAEoo(fMn• . .. .. TqN.ANYVIOLATI0NOF5EGTpFtTai7.6BYANYMPLICMlTFORAiEtONTSI�JEGFSTHEAPPLM•ANflb .'. Z Re-A00} ' ` ..... . ,! ..�- ACNILDB�W.tYOFN6TMORETliANKNEtWN�HEDDOLLIRSti50D).R ... .. . .. . — -� . . - . -OlASONMEROf'THEPRDREFffY,ORMYEMPIOYEESWIiHWAGE5A5TF�IRSOLECOAIPFNSATION. .�. 0 �Ganmerciat ' - YNLL 00 7HE NIORK NO�'ME STiR1CTtNiE 0.SNOT IMTE1�IXi OFFERE6 FOR SALE(SEC.7CM.BUSH _ J - � - ' . �. NE5511M)VNDFESSbH9 COOE:THE COMtMCf�UCIXSE lAW OOES NO7APPL�TO AN CriMNEROF�- � - � PFpPERTYWF108UND50RWPROVES7HEREON.Ml�Nl/WODESSUCHWORKHIABElF6RHE0.SELFOFi, - � : . . . . . - . . . �� THFbWHF9SORHEHOIYNEMPLOYEE3.VRWpEDh1AT3U�WPHOVENENTSiWENOTMffENDEDOR � . . . . . :.- . . ' .-..� � .�,: _ L�1 �LEt1�F�iS11lE�FIWYtVER7FE�HldFK90RMPf10VpABdT1.430LDlYfFHY10NEYEAROFCOUMI.E•"�. .. - . ' ' ._ . . ... . .. . �. - , „. �• � TWN.iHE OYYNER�UILDER W�LL MAVE Tt1E BUfmENOF PHDVNIO Tf1AT NE IXt�iE OD HaT BIqLD Oft. ... __ . _ ._ . � ... . - - = MPROVEWRSl�PURP09E�SN.Ea. . . . : .. 7, - ...:� ._ _.� ' .. ._.❑IAS�NMER�A�PROFE�XI`YFXa1151YE1.YCOtIiw�CiwcmixUCEe�5EnmHrAilcroHs .. _'- _'.'..._.. _ _ __ .. . ._.__ _. ... IY _.. .__ - � TO CON6TAUCf 7!E PHOJECT(SEG 7oM.BUSINE3S AND DAOFESSIONS CODE_TME CONTNACTOq6 tl�. ... .V81U8GOt1 ...AD.1-ARFA . .. � . . . . ..... W CENSEI.AWDOESN0711PPLY70NiOWNEROFAPROPERT'WHO&11LDBORIMPFIOVES'MEHE011.Mq- � �- �- wrocarrtwrCrswagUFt+eRa�Ecrswmra�aa�ftucionts7�swaWtwurrro7r�� ; --` pup,N777y-.._ _.-pESCAI ...... ........ ._..__ ._.. _.. ._.�E ... � ,:_-. � , � TONSUCENSEuw.4 ; - � - , , .�� .._. ..._ ... _. . .. . .. . _ . _ . � . .._..__._._ __.__.___.. . ...e . • .___._... _.._ . J . : . . 0 ❑IAM�PlINAERSEG. &6V.QFqRTWSREASQN ;- Q .. . ... . `._ � ;._� ... . .. ___..-....,. _.._�>-._T____..... ._'___... .... ._ _. ._�.. . V ._: ._ ,.._ _ ._._ __. ... _ . _ * � �� ; .. . :: - � -. '�� ..:.. _ � t' r : , u" o�?E._ _ _ °wH�a._.�_ . , -- � 4 U . . �S�.`� •`� � - _ , _ ,._� .,y �¢ _ _ . ._ .__,.LICENSED CONTRACTQRS DECIARATION__ � -- W -- . . ;. : aC - . _ ._... .... . . . IHEREBVAFFWAUNOERPEWLL.NOFPEWUNYIFIATIAMIICENSEDUNDERPqUNSIONS�Of'CMiRP7EN�� -'.' `-- - ' - p_ f(�INAENCtrfi YYIiH SEGTIDN 7000)OF OMSION 30F THE BUSINFSS ANQ PAOFESSIONS CCDF.Al10 " C7 ' - ...... ., ...___.._. ._:�' _ _ •.. - ' _ LLl W LICErLSE IS N FUlFONCE AND EFF � Z . ...-. • . � . ; -- _ `�. '? m . - -. _. . . ,. , . ._.... ..,�. ._.___."_""_ ^ , ... � . -��. }' Q UCENSE ClASS�.,��_ liC.1m. � J - : . ; o,►�f 2. /S` � `�l c«�rw,crai �'i a, -- - _ = '. _ �� . . -.,_._._WORKEHS'CAMPENSATIONDE�:_ ::..�- -.'-:.._K. -.,.�.<.. . J. CLHRAi1QN Q � N i�r�Fuw ix+oEa v�Tr oc cEaxurr a+E oF n�Faiowuao oEa�w��+s V v� Z ' — - _ __ _ ¢ _ ._._ _ . ,� _ _ ___ o _��uvE�rmw�suwr��cem�IaiEocconsenrrosaFar+sur�r�woim�ns 7d" mE � COYpENSATqN.A4PA0YDEDBVbECT10N3�o60FTHEL�BORCODE.f�ORtMFPENFORMMICE -. OF TXE WORI(FOR WHICH THIS PEWAR I.R ISSUFA . :� •. . .. ' W --�.,. � ¢ ,. ..� ...._ _.._.__. . _ ^ '_ ' ._.. . __ . . _.. .-.��,_ __ ._'__" . _:. _ _.. ... _ . . _' W Ya ..... ..: -.:..� ..�'". i ._...Y .,. __I HAVE MW Y/ILLYRW�A4!MYOFiKERS'COMPENSATION IK4URµCE.A9 RC-0llNiED BY SECTION � ' Q a700 OF hiE LABOR COOE.FOR THE PEAFOFMANCE OF THE WON(FOR WHNx1 THIS PEMqT IS ' C2, '(J'� , _ ..��..ISSUED.MY R5 � ION � EflNID NINABERAHE:. �. _ . . .�S��iT1�If' . - _. .... _., ...._..._. . - � j CARRIER • ' � PUW REVIEW _. . _ . .. . ._ _.�. . . .POLICYNUMBEfl .. . _ _ . -. ..,... ._. . ._..� ._. .. __. _- -. _ELECiTf�lCi_.._ . ._ ... _..__,__._ . �...� .. .-_fR�S[CIIp/A!�lIDIBGOOLP4E[�OF7FEPHiNfBApR011EiAI0{�liPlL�J1S(p�WORlk�. ... ._. .PLU�ABjNC.._. _. . . . Z 1 CERi�'1NAT BJ�}IE PEflFOHMANGE OF THE N'ONK FOR NMNa111N5 PERMIT IS lSSUED.I MECHANICAL - - .C7 -SFIALLNOtENPLOYANYPER50NNNlYM�Nf�ERSOASiOBEOQIlESU&IECTLOTHE . .--_- ._. ..�.. . .._. : WOPoCERS'COMPENSA710NlAWSOFCAIJWflNblM1DA8REETHATIFISFqIADBECOME_._.'_� �_ _... -.INSPECTIONFEE.-.,..... _. . ,.-..-...� .__.. .. _.._ t!). SI�JECTTOTrIEMMNCERS'COMPENSAiIONPRONSpN3OFSECTqN97000FTHEUBOR ..�j ., CODE�ISWILIWRIFIWI7MWMPLYWI7HTlfOSEPt�VISqNS_._.__..'.' ISSUANCE ' � . . . . .. . .� ._ .. _ _ . . . ._._..._.__._.'___ _. .....___._._..._'___.. . .....,... .. 0 ' SMIP - ' � _.. . � - ' p OATE APR,ICANL W ENERGYRlG—._ _ . .WARNIHfi:FA0.UHE'(O$EWRE NfOHNERS'COMPENSATqN COVERA6E IS UK/VYFUI./ND SHALL BE..-.. .... ..�. � . _ __ _ . ... . ._._..._.._._... �y SU&IECTANQAPIAYEHTOGiWP1ALPENAL7IESM/DCM�F7VE5UGTOONEHUNDNED7}fOU'SAlm ENERGYPERMIT D,.,= -- ' � OOUAfiSIltu0.0oo).WAODff10NTOTNEfASTOFCOAiPENS�7IDN.DMAAGESASPROVWEUWRW � . ..._ . .. .,. _ .. . ' SECTIOrJITWOFTMECABDltCOOEBIiEREST.i1ti0ATTORNEY5FEE5..'.__ .�.-'.'__. __.-...„_. __ _ .,...._ _-, ,._. .. REfENTbN�EE: _, . ..._.. .. . . ,, . , �r. . O CONSTRUCTION LENDING AGENCY PRE-ALT FEE _.. _.. ..._. _ - _ _ _ . __ _ _ _ � � 1 HEHEBYAFFlAId UNUEfl PENALTV OF PERIURY THAT TNERE IS ACONSTHUC'TION LENDINO AGENCY .- � . - . , .. . PoH THE PEPFOHMMlGE OF iHE WORK FOH WH�QI 1H15 PERMIT IS ISSU�ISEF 90Y7�dY.C.). . ._ .... _ , .. � . Z _._�. ...__'___ ._.... ,.... .__.. ._ _..._...__. ...... . .. ........_:... . . .. _.... _._..., ... ._._ . . '. _ W .....____..._ . . . . . � LENDERS NAME �, : ..' ' . . , - . . .._.... . __.._.._.._.....,.._....�... ._..__._.__.._.._...__._,.... _. _ .. .. ..F- .�LEt�ER'S A�DRESS ._ .- -- - , � ICERTIF'/TMATIIi�VEREA�TH�SAPPLICATIONANDSTATETNATTHEA90VEWFONA/AT10NI5CORRECT. �OTAL..FEES__...__. _ ......,._._..., ._ �, , Y� �'. . . d IK.REETOCOMPlYN7THALLCfTYlWDCOUNTVOF��NANCESANDSTATEUWSREUTINGTOBUILDINO . � � � � OONSTFkJCT1pN,ANpHEREBYAUTHORREREPRESEtRATIVESOFTNI9CWNfYTOENTERUPON7NE � � . :� .. . Z ABOVE-YENf10Nm PNOPEATY FOR INSPEC710l1 W1IPDSES. . , COMMEAITS� . ' �.... ,. . . .. __ .._........ . ..._ ....... ._..... _....__.__�_.__.___..... .. ....... ...... . ,_. . . . G ' . .. . . . . . . J _ . � - ,. . ... .. . . ..... ... .-. ,�... . .�. . . . .. . � .. _.._. __...... ._....._.._ .. .._ . . . a P E (PF1�HI') . ... ._.. � . � . � TUNE OF PEflMITfEE .. .. . ._ . . .• DAT6 ..__. ... . .. . . .. ... __ .. . . = HECPT.NO, PAID BY . VAUDA � ~ WHITE--0aPertmaN Cop�4 YEL10W—Finence Copy.PtaliF-Auessa Co{gt 60LDENROD—Fila CoPY,GAEEN—ApplicanCa Copy. . . . _ ;; - !� �'': _� , . ,, , -; - _ „ - . , ... � � , - , -_ .. . . __: . � _ - - , < � - ��` - I . _ . . _ ; I ,: I � _ _ . � � _, " ` r ' ; lr z� � i � � � � - � 4 „ . � ` ' ! � �� �* ^ ' r i � � � � + u .!` � �: , � �• � - � f'� ' I` � f � � � � '�� �,���� _ � �� � : � ` � � � ' ' ' ; � j , 1 � ' ,` ` I � � � �: - ��j f � � , , ,� � � � � � � ' rl ' , S � 'i I tOg i` ! � � ,o ¢ 1^I � ,w F. w �� � �-¢ :� r� � �z }�� � a li - ! ��' '� Q'� � G r�e 'dT Q � Z (' (� . ', �� � �� J Z � / - i � C''� . �- �'� -; i � O� � O r" wmC7 Z [c � rn � Z � � f � � � G.:(� ,': n w�o p W�z.m o z �a U U � � z a.�i a z LL � ¢¢ .,� o . , "'� � Z s(d,� • p �.� � � .0 Z 0 C7 � ¢ O C7 ¢ � Z F� W tl}., . � � '�. �� � t7u. V zO < zc7 � � Wz � ZQ — paO � , #� ��� W . Omo[ —�2 � Uw w �- • i � �, a��Q � a 2 Z � Q.�:m U .S W U.' I.L d W � � N O I— lWi �- .... ... ( s :� _ _ ' � J J �f.t17 � J d — J . J � ._. .` ... .. . _.. _ ._ S�: � a� wwaa ~ �� � � Z o o w W ¢ w.2 � — � 0 0 LL o ¢ Z N ¢ w.¢ > w �_ � � z ¢ w o.2 0 0 o u. w z Z z a[ u� w z ,. __.._. _... . _. _ y> 0 — � �.� � LL � � wu_ o: mccu. aaaOo �;� OiiLL � o w v � j .'. v � + � � Q' � c ' � �1 , p � N o ' I � Z - _ , ��.. - . i �i a= . h- -� _ I , / . - - - _ ; f. U — r _ r.�: i � � � gi`` �, �. ti ^ ,' i ' � : �,.. �T} • � ' ,. � I ,''. J. � 'J . I , . i � . �'. F i i � i Y . '� '�� I 1 � i ' - �. ! � (�• � f � I � � I � -/ I_ L..' I ' .b I !. � ,� i'�.3 t. � F� � � i I i � 'i il I . '. y � � � . I I ` i. I � ' � � i I� � 'i � `` F z � ��, �� �� � � � o� i S J ,j� — iJ ' _.2 , .�7 � H I , Ll1. W z tZn ; (}�� � � �7 �W ZOC7 � I i �'; ! ; NW. � � .. y�¢ rj '_.t=: , .2 � � F- ?�� g Z '� � � !. � V Z��. . UJ � � ' ', �� Y U�7�,. {L �� i F- Z.� k- (J� f0 � � Q � jC ,,,� ~ I-= � O]� ' � I , . � .z. '��C7 -J W 6 W W W � � fn � (A � CA - ., U O,U p ¢ O i � O � W Fi' = v=izZ I � � ►' pu� � � I1J � , ►`�-C ' Q LL ¢ zr,7 u� z Vxx � � gzZ � ¢ c� a � V x wa � ; � Ua m r�j�U � pp n..�ii� �,u_ C7 C7 �v ' � W F.: p; a � ...i .� ��. ��;S� � ��� �a�� C7 W O �- O O > > D Qw [[ W W � 2Z 4 ? r Q WW C�ia J P� S�� OaOOOOz 'S�C � ¢ � (n ���.W C7 tA F^ ��LL CC�� fS LL fq W��'�'i U � f!! fA. N C7 u. ti il.. U � ./ . � u)tl� - I