The URL can be used to link to this page

Home My WebLink About18447 J� CITY OF DIAMOND BAR � DEPARTMENT OF COIv4viUNTi'Y&DEVELOPMENT SERVICES ` � �� 21825 E.Copley Drive (909)860-319i Fax(909)861-3117 PRESS ` -�w> $[3ILDING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION . PERMIT O�f� P/C � o ADDRESS21865 COPLEY DRIVE DATE � L' NUMBER O � # C�,1 -/-�' � ISSUE e U TYPE OCC APN LOT TRACT y ��. DATE_ O �� GONST._ GROUP p OWNER ou h O�dS�-AlY' lld 1 a _ � ADDRESS 218 6 5 C O P 12 y D r i v e i�� ZONING SETBACKS Z c�rY D i amo n d B a r Zip 917 6 5rE�. ( 3 9 6-2 2 3 8 FRONT Rw ❑ o APPLICANT �n n a�1 P C'N C TEL.�9� S) F, - REAR ❑ z _ SIDE151DE STREET RW ❑ QCONTRACTOR_PrNnTAr�,$ rnsr_ rnnapntav SIDE __ ❑� � ADDRESS 30O N. Mr�ri anfel d � StP l 1 00 pROPOSEDUSE �eP13C2 existing compressed o c�Tv an; �1 a.�� z�F�_ TeL. ( �ll 51._62�= na ura gas fue ing equip en� w ARCWENG/ 7 9 7 O 1 �Z U z DESIGNER_ P]_nridCl� CI3G S SteIriS LLC `'" �Y' "'�« ��b�gnt 0. ADDRESS 4 915 W. I ri u s t r i a ,B q, NO.DWEL. N A NO. � A NO. N A U ITS � STORIES � BEDROOMS � � CITY Midland ZIP TEL.( 9l S) ti94- 2 `n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION N O OWNER-BUILDER DECL4RATION SFR/ADD/REM 0 1 MEREBY AFFIRM UNDER PENALTY OF PERJIIRV THAT 1 AM E%EMPT FROM TNE CONTRACTORS LI- � Garage/Carport W CENSELAWFORTHEFOLI�WINGREASON(SEC.]03I.5BUSMESSANDPROFESSIONSCO�E:ANVCITYOR V COUNTVWMICHREOUIRESAPERMIiTOCANSTRUCT,ALTER,IMPRWE,DEMOLISH,ORREPAIRANYSTRUG� W Patio/Deck W TURE.PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APFLICANT FOR SUCH PEFMIT TO fILE A SIGNEO w � STATEMENT THqT NE OF FHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CCN�RAGTORS ll- � CENSE LAW(CHAPTEfl 9(COMMENdNO WITM SECTION]OOo�OF DIVISION 3 OF THE BUSINESS AND PRO- � POOUSpB FESSIONSC6DE)ORTHATHEOR3HEi5EXEMPTTHEFEFROMAN�TNEBA515FORTHEALLEGEDE%EMP� (!3 � TION.ANYVIDLATIONOFS':_CTION7031.SBYANYAPPLI�ANT�ORAPERMITSUfiJECTSiH=APPLICANiTO z Re-Root F ACNIL PENALTYOF NOT NORE rHAN FIVE HJNDRED DOLIARS(5500).)�. O ❑I,ASUWNEHOFTH[PPOPERTY,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMGENSATION, 0 CORI(T18fC13I Z W1LL DO TrIE WORN,AND��ME STRUC iURE IS NOT INTFN�E�DP OFF[RED FOR SALE(SEC.�Oa4,BUSI- J NESS AND PflOFESSIONS CODE:THE fONTRACTORS LICENSE LAW DOES NOTAPPL�TO AN ON/NER CF N PROPERTVVMOBUIL�SOIiIMPROVE57HEFEON,AN�WHODOESSUCHWORKHIMSELFORHEf15ELFON = � 7HROUGHHISOHHEROWIJEMPLOVEES,PROVIDEDTHATSUCHIMPROVEMENTSAFENOTINTENDE�ON m WQ OFFEREDFORSALE.IF,HOWEVEH,THEOUILDINGORIlAPROVEMENTISSOLDWITHINONEVEAHOFCOMPLE� Z TION,THE OWNER-BU1LD[9 WILL HPVE THE BUROEN OF PRJVING THAT HE OR SME�IC NOT BUILD OR � IMPROVE FOR THE PURPOuE OF SALE). ❑1,AS OWNER OF TH��.=PRUPERTV,AM EXC W SIVELY CONTRACTING WITH LICENSED CONTRACTORS � TO CANSTRUCT TME PR0.JECT(SEC.7oe4,BUSINESS AND PROFESSiONS CODE TMF CONTRACTOR9 LI- V3111afi0n D A0.1.AREA W GENSELAWUOESNOTAPF'LYTOANOWNEROFqPROPEFTYWHOel11LO5ORIMPROVESTHEREON,AND � WHOCONTRACTSFORSUCHPROJECTSWITHACONTHACTOR(5)LICENSEDPURSUANiTOTHECONTRAC- QUANTITY DESCRIPTION FEE X TORS LICENSE LAW). � �]I AM EkEMVT UNOE3 SFC. B.8 P.C.FOR THIS REASO.V Q � U �i � � DATE OWNER � z - U W � LICENSED CONTRAGTORS DECLARATION �j ¢ CC I HEREBV AFFIRM UNDER P'=NAITV OF PERJURV TNAT I AM LICENSED VN�ER OROVISiONS OF CHAPTER � [L 9�COMMENCING WITH SECfION 700D)OF D��ViSION 3 OF THE BUSINE55 AND PROfE5510N5 CODE,ANO Z wMYLICENSE IS W FULL FOFCEAND EFFECT � LICENSE CU1SS A LIC.NO 7 9 5 7 8 6 � v5 31 O1 P INi3ACLE CN a DATE�_. / CONTRACTOR W - � WORKERS'COMPENSATION�ECLARATION � = Q � U � 1 HEF7EBY AFGIRM VNDER PLNALN OF PERJURY ONEOF THE FOLLOWING OECLARATIONS. Z Q O IHAVEANDWILLM/�INTAINACERTIFICATEOFCONSENTTDSELF-INSUREFORWORKERS' _ COMPENSATION,AE�PROVIDED BY SECTION 3]ao pF 7HE LABOR CODE,FORTHE vERFORAIANCE U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � W I HAVE AND WILL Mi.INTNIN WORKEHS'COMPENSATION INSURANCE.AS REQUIRED BY SECTION I �� Q 3�ao OF THE LA90F CWE,FOR THE PERFORIAANCE OF iHE WORK FOF WHICN THIS PERMIT IS � ISSUED.MY WORKERS'COMPENSATION INSURANGE CpRRIER AND PCLICV NUMBERARE: CONSTRUCTION � CARFIEfi AMERICA HOrhE ASSURANCE pLqNREVIEW .. ZPOLICYNUMBER____�I 7 n �� ELECTRIC Q c }� � Q (1HISSECM.IJNEmI�IOTBECOMPLEfEDOFT}EPEW.IITISWRONEHUf�DfiEDDOIlARS(y100)pqLESS). PLUMBING .V v w I CERTIFY7HAT IN TiE 7ERFOFMANGE OF THE WORK FOR WNIf,H THIS GERMIT IS ISSUED,1 MECHANICAL � Z — �__ (} SHAIL NOT EMPLO�ANY PERSON IN nNv MAhNER SOAS To BECOME SUBJECT TO THE � WORKERS'COMPE�ISATION LAWS OF CAUFORNIA,ANJ AGREE THAT IF I SHOULD BLCOME INSPECTION FEE r SUPJECT TO THE M/ORKEFS'COM7ENSATION PROVISIONS OF SECT'qN 9]DOOF TME LABOR � � COD6,I SHALL FOR"HWITtI COMPLY WITH THOSE PROVISIONS. ISSUANCE . � � SMIP a� � p DATE:____ APPLICANT�. _ _ W ENFRGY P/C - / [ J� J WAflNING:FAIWFE TO SE(:IIRE WORKERS'COMPENSATION COVERAGE IS UNLAWNL,AND SHALL BE 7� LL Sl18JFCTANEMPLOVEFTOCRIMINALPENA'��TIESAN�CIVILfMESUPTOONEHUNDflEDTHOUSAND ENERGYPEAMIT � V_ /0 v OOIURS(f 1 cO,D00J,IN AOD�TION TO TFIE CO`T OF GOMPENSATION,DAMAGES AS PROYI'�EO FOR IN --- J SECTION 3708 OFTHE LABOR CODE,INTEREST,PNDATTOHNEY'S FEES. RETENTIDN FEE: �� O� � _ — w CONSTRUCTION LENDING AGENCY PRE-ALT FEE: d O � I HERE6V AFFIRAA UNDER PENALTY OF PERJJRV THAT THLFE IS R CONSTftUCTIaN LENDING AGENCY _ FOq THE PEitFORMANCE Oi�TH�WORN FOR WHICI{THIS PERMIi IS ISSUED(SEG.309],CIV.C.�. �\ Z l� S LENDER'S NAME �O N E .J � . _ F= LENDER'SADDRE55____ ---— /� � I CERTIFV THAT I HAVE REAC TH�S AFGIIrqTION ANO STATE THAT TH[ABOYE INfORMATION IS COflREGT. TOTAL F EES S V�.�� Jl.�S w IAGREETOCOMPLYWITHAI.LGiYANDCOUM1TVOf1D'NANCESANDSTATELAWSREIATINGTOBVILDING 0. CONS7RUCTION,AN�HEREI3VAUT110L11ZEFFPRESENTATIVESOFTHISGOUNTYTOFNTERUPONfHE ZAB�VE-MENTIONE�PROPEftTY Fpq INSPECTiOY PURPOSFS. COMMENTS ._. � � Bob Yung.inger — m �A EE AME� T) C/) �4� .Q�� SIG UREOF PEf MI EE � �AT / RECPT.�O. PAID BY VALIOATION �/ _ — ~ WHITE—Department Copy,YE�LOW—Finance Copy,PINK—Assessor CoOY.GOLDENROC�File Copy,GFEEN—Applica�t's Copy �� a � � �'��;� ,�� - �, w�°��e�,ti4i � � �a �wW 5�� . =��. . , . ; , � , . . . , . . .�;a.ff.� . ne . ��'�� ,�-c�d � ��'' _ _ _ ; .- ��° _ � � .., � . �� _.�,�� _ . �i '.. !� — c� z--- C.�u a�� z s i. �' p�s g�,,, S ,-�5 t �c,.g ��,�-��z.. _ � �a �.�►-� l��,� �t�--w �, ,� ,v�'� �"'c-�.-�.,t--r � � �..� ��e�-�.. �,�; �n—t�-- =-- _ _ _ ; _ _ _ _ � . E _ t � � • s � ��, �,� rP �, �� „� � �t�� ,� �- , �� _ _ a vs � ��a � , _ _ _ ,�� a�� i �a� �ry�� '�',� ' T �lk �. � r.u�" fi : . „- ,.� ,� , � . . . .. .... . .. .. ... _.. . . _. .. . .... ... ..... .._ .. ._... __... ..._. "��a k�3�' � � . � . g• ��r ,� �' . a ��a s � �� ;i,. =°� ��`�w .�� .�� s ..._. ... .. . ... . . .. . . .. .._ ...... ._.. ...._. . ... ... ... .... .._.._ , � s.r. � _ ..,,,"� �-��^ ',•,,•- .�- •, _ o � � � r„� �- - •- , , y, � �'. c��is' �•�. ' �'C� a fl'' � ;D'"b � � CA C"�D � a r+ n � v� • , t0 '�• � r,`�n c° ,;.� r* � � � � N � r• �' ��.s � � � � � � � � °� � Q • N � � � C.� o � '� $, .�4-� �+ a' "Q3 �' � � o l � �,, t° �ai �,, � (") cv «'' � ( "'' `'� p O �,y lD N N � �' � � � � �' N �,.'. o ��, � �-.1 � � � � � � � � � � � �. � �� ;, `r�, '�W � �"" a o ..,,.-- � O o� � � t'� �� 1�d � '� .� o �, ,� � C,� � � � � � b � ,�+� �. a ¢' � � �'` V � � � � o � � `� � �s. � � ��,: � �,,. � �. t,, d � � n � � � � � . ,� � � ''' o,� 'y �. � �' ' � � � � ~ � � � � � � � a. �� a � � � r+� C'" � . o � N � � � � � U, o � ''� o °� � � `� � �' �` � tJ� � �� . � � � � � � � � � � o 0 � � � c �� "� � � � "� � a � � a � • � n co "' �� c� � � o � � o cv � O y �y, c�o O O � � � � � rn � � �,. � � `� r, �� °- W CD a� 00 � �• o � � DIAUIOXD BAR i Lii w CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVE�OPMENT SERVICES 21825 E.Copiey Drive (909)860-3195 Fax(909)861-3117 BUILDING PERMIT APPLICATION EE DDR A 21865 COP�EY DRIVE ADDR ESS APN fPT Cl' t Ou oC ast Air a1yI ag . OWNER DISTRICT ADDRESS 21865 Copley Drive CITY Diamond Bar ZIP 91765rE�. (39 6-2238 APP�ICANT Pinnacl CNG TE�. CONTRACTOR_PISJNACLE CNG COMPANY ADDRESS 300 N. MariPnfPld,q f-,--1100 CIl'Y I d Ddidla ZIP T X TEL. (c) 1 5)6�4- ARCH/ENG/79701 0 TO DESIGNER Pinnade CNG Systems��C ADDRESS 4915 W.Industrial B CIl'Y Midland ZIP TX TEL.(915)694- OWNER-BUI�DER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOL�OWING REASON(SEC.7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT,A�TER.IMPROVE. DEMO�ISH,OR REPAIR ANY STRUC TURE, PRIOR TO ITS ISSUANCE,ALSO REQUIRES THE APP�ICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRP,CTORS LI- CENSE�AW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE A�LEGED EXEMP- TION.ANY VIOLATION OF SECTION 7031.5 BY ANY APP�ICANT FOR A PERMIT SUB)ECTS THE APP�ICANT TO A CIVIL PENA�TY OF NOT MORE THAN FIVE HUNDRED DOL�ARS($500).): U I,AS OWNER OF THE PROPERTY.OR MY EMPLOYEES WITH WAGES AS THEIR SO�E COMPENSATION, WI�L DO THE WORK,AND--HE STRUCTURE IS NOT INTENDED OR OFFERED FOR SA�E(SEC. 7044,BUSI- NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE�AW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUI�DS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER,THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLE- TION.THE OWNER-BUI�DER WIL�HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUI�D OR IMPROVE FOR THE PURPOSE OF SALE). U 1,AS OWNER OF THE PROPERTY,AM EXCLUSIVELY CONTRACTING WITH �ICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC. 7044,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- CENSE IAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUI�DS OR IMPROVES THEREON,AND WHO CONTRACTS FOR SUCH PRO)ECTS WITH ACONTRACTOR(S)�ICENSED PURSUANT TO THE CONTRAC- TORS LICENSE�AW.). U T AM EXEMPT UNDE R SEC. B.&P.C. FOR THIS REASON DATE OWNER LICENSED CONTRACTORS DEC�ARATION I HEREBY AFFIRM UNDER PENA�TY OF PER7URY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND MY�ICENSE IS IN FUL�FOECE AND EFFECT 795786 A LICENSE CLASS LIC. NO. DATE 5/31/O 1 CONTRACTOR PINNACLE C N COMPANY WORKERS'COMPENSATION DECLARP,TION I HEREBY AFFIRM UNDER PENA�TY OF PER]URY ONE OF THE FO�LOWING DECLARP,TIONS: I HAVE AND WIL�MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' COMPENSATION.AS PROVIDED BY SECTION 3700 OF THE IABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. I HAVE AND WIL�MAINTAIN WORKERS'COMPENSATION INSURANCE.AS REQUIRED BY SECTION 3700 OF THE IABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY WORKERS'COMPENSATION INSURANCE CARRIER AND PO�ICY NUMBER ARE CARRIER AMERICA HOME ASSURANCE POLICY NUMBER_7 2 Q 64$2 (THIS SECTION NEED NOT BE COMPLETED OF THE PERMIT IS FOR ONE HUNDRED DO�LARS($100)OR�ESS}. I CERTIFY THAT IN TIE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHAL�NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 OF THE�ABOR CODE,I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. DATE:APP�ICANT WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERP,GE IS UN�AWFUL.AND SHAL�BE SUBJECT AN EMPLOYER TO CRIMINA�PENALTIES AND CIVI�FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE IABOR CODE,INTEREST,AND Al�'ORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENA�TY OF PER]URY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC. 3097,CIV. C.). LENDER'S NAME NONE LENDER'S ADDRESS CERTIFY THAT I HAVE REAC THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. Bob Yunginger P EE AME P T) 04 24/02 SIG�IRE OF PE MI EE DATE PRESS FIRM�Y APP�ICATION y� RMIT P/C DATE W G� 8 i C^'„1 PE ISSUE c TYPE OCC DATE CONST.GROUP ZONING SETBACKS FRONT RW^ REAR^ E SIDE/SIDE STREET RW^ SIDE^ PROPOSEDUSE Replace existing compressed natural gas fue ing equipment with new a ruipment N0. DWE�. N/A N0. NjA NO N/A nU44 ITS STORIES BEDROOMS DESCRIPTION SQ. Ff. FACTOR PSF AD7.AREAIVALUATION SFR/ADD/REM CI) Garage/Carport W Patio/Deck LL PooVSpa Z Re-Roof 0 Commercial 5 co Valuation AD).AREA QUANTITY DESCRIPTION FEE J U U W W CD z In a U Z U W CONSTRUCTION PLAN REVIEW E�ECTRIC P�UMBING MECHANICAL INSPECTION FEE ISSUANCE SMIP ENERGY P/C ENERGY PERMIT 1 / r� RETENTION FEE: 00 PRE-ALT FEE: TOTA�FEES�3-i3 '�'I 1 f COMMENTS ,tn RECPT NO. PAID BY VALIDATION �I V 2 WHITE-Department Copy,YE�LOW-Finance Copy, PINK-Assessor Copy,GO�DENROD-File Copy,GREEN-Applicant's Copy COUNTY OF LOS ANGELES FIRE DEPARTMENT PERMIT Permission is hereby granted to the permittee listed below in accordance with Article 74 of the�os Angeles County Fire Code for the following: COMPRESSED GASES This permit is non-transferable and granted until revoked. It is subject to revocation for proper cause and for violation of LACC Titie 32(Fire Code). Non-compliance of any provision of this permit constitutes a violation of the Fire Code. Permitee Name: South Coast Air Quality Phone: 909.396-2238 Address: 21865 Copely Dr.City: Diamond Bar Zip Code: 91765 Date Issued: October 10, 2002 Station: 120 Bn: 19 Permitee Signature: Inspector Signature: Inspector Name: Mike Pacheco See attached requirement sheet.Additionai Requirements: