Loading...
HomeMy WebLinkAbout16462 (37) * �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUMTY&.DEVELOPMENT SERVICES 1 , 21660 E.Copley Drive 5uite 190 � (909)860-3195 Fax(909)861-3117 PRESS ���� BUILDING PERMiT APPLICATION FIRMLY � JOBSITE �' � APPLICATION u PERMR P/C o ADDRESS � DATE I � 1�� NUMBER_��6 N � ISSUE 7YPE OCC APN LOT TRACT���0-1 DATE CONST. GROUP p OWNER ,;LTE�D1�E5i "" ADDRESS (�O � 'tQ� ZONING SETBACKS �w CITY F ZI� TEL. � REAR � RW O APPLICANT. �� TEL�a�, SIDE/SIDE STREET RW ❑ � CONTRACTOR� • SIDE ❑ ADDRESS�J_�Qq�� PROPOSED USE A � CfTY�1t l� ZI TEL�.�L��.,J�4; � ARCH/ENGI OESIGNER NO.DWEL NO. NO. A�DRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFFVADDlREM O I NEREBY AfFlFiA UNDEN PENl1LTY OF VERIURY T1U7 I MI ExEMPi FRpA THE GONTMCTORS LI� GefBQB/CBfpOR e CENSEUWFOR111EFOLLOW�NOREASON(SEC.7071.68USINESSMI�PROFESSIONSCWE:ANYpTYOR (n C� COUNTYW/1N]VREOtAFESAVERMIRTOCONSTRUCL/1TEftNDPAVE,DEA10LI5H2OflREPNR/�M'STRUC W PeliO/DBtk �Z7�qE�p{ypR 7p R4 ISSUMiCE.I150 REGUiR[S i11E A➢�L1UN7 FOfI SUd{pERMiT TO FILE A SiGNED w � STATEAIEM TUT HE OR SNE IS LICFNSEO PU0.5UANT TO THE VROVISIONS OF THE CONTMCTOi1S U• CENSE UW(C7IAPTER Y�CpAMENdNO WITN SECTION 7000�OF DMSION f OF T11E BUSINESSAND 7R0. � P��Pe FE5310N4 OOOE)OR THA7 NE OR SHE�S EMEUPT THERE�RO�A AND THE BASiS fOR THE ALLE�ED E%EtaP� TqN.ANYY�OLAT�ONOF5ECf10N7W1.6BYAMYAVPLILINfPoFAPERMITSU&lECTSiMLACVLICANTTO Z flB-fl00f F A CML VENAITY OF NOT MORE TMAN FNE MA'OR[D DOLUNS({SaO�.�: � OI�OV�t�EROFTN[VAD7ERTY.ORYYEYPLOVEESYVITHWAGES/iSiNEIR50lECOA1PCN5A7qN, O CWnft�OfCi21 N7L1 DO TH[WORIC,lua iME S7fAKNR[IS NOT IN7ENOED OR OFfERED FOR SALE(SEG 70u,BU56 J NESS NO VROFE55bN9 CODL T11E GtklTMCTOiLS IICENSE L11W�OES NOT APPIY TO AN OWNER OF N VpOPERTVMMOBURD8d1YFROVCSTHEREON.AIJDVMODOE55UU/WORKW45ELFORME0.5ELFOq m � TYIAOU011MISWiHEROMR1EYPlOYEES,CipVWEDT/1AT611C11MPPOVEMEMSARENOTRITfNDE'�OR OFF6iE0 ipi SALE IF,HOYIEVEit ME BUIDiNC OR W FNOVEMENT IS SOID WRMN ONEYEM OF COAIPLE- � TION,7ME OWNER-0UILDER WILL/UYE TME BURDEN OF PROYIN6 IYUT NE OR SHE DiD NOT BUiLD OR MVf10VE FOR TME PURPOSE OF SALFl � OlA50VMEflOFTHEPROPEHfY.AlAE7IQUSNE:YCOHTAACTVJON77HLICEN5E000NTMCfON3 TO CdtSTAUCR iH[VRO.IECT(SEG 70I�.BUSINESS AND VROiE5510N5 CO�E:iHE CONTMCTORS tl� VelU8ti0f1 ADJ.AREA CENSE UW DOES NOTAVPLY TOAN OWpER OF A VPOPERTY NT10 BUl'JS OR YAPROVES iMER[ON.�HO � wwcartrucrswrasua�vaa�crsvnn��mrrrrucroals�ucENseovimsuurrron+EcorrTiuo pUANTITY DESCRIPTION FEE � ta3sucEr�sEuw>. OIMIIXEMVTUNDERSEG B.IP.GFORTIISREAiON U I � �O 3 ¢ � DATE ONMER f' � W F LICENSED CONTFtACTORS OECLARATION -� � w I HER[BY IFFIFw UNDER iENALTYOF GEiWR!T1uT I M1 LICENSE�UNDER GROY15qHS OF CHAPTER Vr (� �(COMYCNCHUWRHSECTION1000)OFDmSpN]OFTMEBUS�hE55ANDPROFE55qN5CO0E.AND Z X W LICENSE IS N FULL FORCEANO EFFECT. m lL O L �..., LICENSE CIASS LIC.NO. J V DATE cor+rw��cioa a w � WORKERS'COMPENSATION DECLARATION Q N U N IHER[BYAFFlRlAUNDERiENA1TYOFVERIUMONEOFTMEiOLLOMIINGDECLAM710N5: Z Q G7 �IINVEANDNl�LLMANT�INACERT1fICA7EOFCONSENiTOSELfaNSUFlEFORVARI(ERS' $ - Q COYPEHSA710N,ASPROVi0ED8Y5ECT1ON77000FTNEUeORCOOE,FOFlTHEPER�ORIAMlCE W OF TNE WdiK FOR 1NiICM M:S VERMfT IS ISSUEO. � � ��I HAVE ANO W:LL MAIMAP!YIOR1(ENS'COIAGENSATIDN INSUfWKE,AS REOUIR[D Bv SEGTION QO i7000FTHELA7diCO0E,FORTNEVERWRIAMIGEOFTNEWORKiORWMiLMTNiSVERM1T15 ISSUE�.W VA�KERS'C�OfAIPENSATION INSURM/CE CARR:ERIND POLICY NUMOEN ME: CONSTRUCTION . jGMNE11�Eb M�1"'r,�L- PLAN REVIEW � POLICYM1uBfR��Q�gD�_�A�-ZQI� ELECTRIC Q (1}i$XLTpHl�NOTg��lE7LppFlyEp[{Xti6{p{7pNElil�OfiCppOlLUC',(S�oc)oqLEssl PLUMBING �+� MECHANICAL � ICERTt�`/THATNTMfVERtOR1AANCfOf111ENORKFORWHICH7HI5GERMITI5i55UE0.1 SHALL NOT EMROV ANY PEASON w/J�Y u,wNER SO AS TO BECOUE SUUJECT TO 7ME �--5 N WORI(ER5Cp.�PENS�TIONUw80FCALIFORNIA,ANDAGREETNA71F15110UlOBECOME INSPECTIONFEE � S SVBJFCT TO TNE WOitKERS'COMVENSATqN PPOVISIONS OF SECTqN 770o OF TME IABOH �SSUMICE I coo[.i swu.��oan�rnn+ca+v�r wirH nOSE P SioN p DATE:S�J-�J-- AP�LICAM. SMIP J ENERGY P/C � I � � WAANINO:FA0.URE TO SEQIRE W0�1KER5'LOA�PENSATION COVEMGE IS UNUNTUL AND SI/KL BE � SIRJECT/WEM7LOYER70CR:MiNALVENAL7�E5lu+OCmIFiNESUPtOONEFMAREDiriW5AN0 ENEFlGYPERMIT UOLURS(f100.00C).N ADDITION TO THE COST OF COMPEN7AT10N.O�MAGES AS FROYIOED FOR IN � J SECTtONf7oeOF7NEUUORCODE,INIERESLANDATfORYEYSFEES. F{[TENTIONFEE: � � CL '— � GONSTRUCTION LENDING AGENCY pRE•ALT FEE: - �� O � IMEHCBYAFFlNAUNDERVENALTYOFPE0.NpVTHAiT1EREI5ACON5TRUCiqNLENDWOAGENCY nZ- FOR TNE iEiiFORAIANCE OF TXE WORN FOR WHICM THIS GERMIT IS ISSUED(SEC.7oY1,CIV.C.). W � LENDERS NAAIE � � IENDEflS/�DDRE53 'w � ICERTIFYT/ATIHAVERE/�THISAOPLICATIONANOSTATETMATTNEABOVENFWUAATIONISCORRECL TOTAL FEES � �W 7 W IAGREETOCp.��LVWRNALLGTYINOLOl1NTYORO:NANCESANDSTATEUWSNELATYKITOBUIl�INO � � CONSTRUCTION,ANOHEiiEBYAUTMOfLZEREPRESENTATIVE50FTHISCWNTYTOEMERUPONINE S� /V�VE�MENTIONED GROPERTY FOR INSPECTION WNPOSES. COMMENTS � � .�.��.�Es F��Q�CE ¢ PE TTEE NAM RIIlT) � � �� y s oc'v i - �TE � flECPT.NO. PAID BY VALIDATON WHITE-0epartment Copy,YELLOW—Finance Copy.PINI(—A3595sat CApy.GOLDENROD-File Copy,GREEN—Appl�canCs Copy CITY OF D1/�,f�FOf�D B�iR . : It�'SPE�TlON P.e�COf:D . `T _:ii�*::s,a.���i�.�nle`'. �.._._.. ;:�;1�['- ^_._.���k-'�:��d���'c�1;.$�_ l►�1:.�� ���;:,�.,�j--••-----��;rY^.�.�� T,1,��=i.�=c�iN��=� - � _. ... :_._..........------____..___._______.._.___.___._.----__._....__.__---=---__ .. ...._....._._._��. .. . . .. - I'SET �F,Cf; I ' v� �'FLO�R JO'SJ^`'_'`.�:�+"._,�,",:...I.._ �. �,;-j�:�;�: �"�• :.:-:•.:.:..'. .... ( �_• � _- 4�:=i':+:t��.i���-�tt�:G�wil1�L�l.r."�---r-���---- FTG`'�FO'��'�'STEEL • �� � � ' � FHP�R`Q':�I S ; � t: `-' ��_ _ ELECTf?1C GROU�JD � U�JUER FLOOR C�1F`r--�> >' � I l.- -------- 1-1 --- -- . . s�"�'OU�J;) PL.l1�:":il•'�:u I � i UiJD�RFLOOr'CG�!^�JIT � ,i��'�C-Y� � �. �i --- ('.'_.'______'._.. _ __'_ 'I__—�_'___'__�1.�:7.��, ..� J.1V �.., . . . �'�:_�r;T.y.�D� I � FIREPL��'4•Fa�., ,;��T�J�—�� �i 1�i,i�;-�-�_'IJ-1�..ti`�-1::----- ---=-- 1_i_ .]_�__ •,. +:_j' t t,�t�=i_ - i �i[:�.1�' �0�,`1t:R }I � � FIREPLEICE BC�:.tEr��fk=A�,1 :I G_1'i•�`�j t=�t�?r�<:J' i l•1�,��q SFRVICE _ 1_ - ! � PJID HT. EiO�JD E3EA.P." � .ti:,,�'!!� '� '*' � , .:; '_ _ . .------------ -} ---- ---}� _ _. .. ..t/_.r ; F,•;orsf-;E.r,�F;�rac �; � I s �r. 9 r� '�,� .J�E?���;�i�►'�= i��i��.�:.r��� �„ii,;-������--- - - � t-ri- ��=j- ..=1�r,:}�- i :i�i••:��:- i �nc,•��7.�,''�'�N�iLl.4i iD"1 I ------ I-------.- FIPdAL E3C�I�J�U f�E�;�., • il,+.:i_)'_Cb'��'i_F5 1 � �_ F'RE-GRli�J!PJu i —�-- - _ --- � - � � r.�- � .. r, —- --- �:,?�..'_7,�f, t;__,�1�J.-_----��/� / -- - 3EN.,HING_ _ � � I�?n�_:r3u �Lr,�Tr!C - jb/�/p�; -� � ROU�a'-;GRAD��JG --- � � 'f�:�U;�;-: PLUt.1Blfd:.� . � � ! ' !_ FIi:ISH uRr�DIiJG -�•�--- --- �.� :7'�'vFii�i ll�TEST i � j POO!ELFCTRIC � —�� i = f�74�f�171"�!G ' j P00� FEP�cir�;� _ � —�— ---- � ":`!`:'._L I'•J�ULF�T10�: � POOL FIiJ�,L � � — ^-- F-�-- ----- — ------- I i%ci�it:� 1iJSULF,Tl0�4 �_� � OFF SITE IP,•:FS_ _____j i � C�:'lY�-li,I.L iJF,i�I"dG � _ � DEDICATIOiJS --- ' -�---- -- - �::.�t`:E�; � I _� FI�dALEt�G. j- --;------ �;��EFTICTF�.�vK -- I --� I LANDSCl,FE(�r �^ ;-- --� - - '3R.��. i �.����� PII'!L.L. --- � � � i O'J S11E.It,.'f'S. �__1 ----- ��'�,�!',!R i�LST _. � 1-----�FiN<,L�Oidl?!G --- ! � -- �• 'j?.L`.���JF�ST. �i:�f.'i!:�:"�ti� ��� ;l�;i't�;�`.11��'.i � � FI{;E pE?T. rl'Ji"�I_ -�-- ---�---- - �=-..'F.'_.�-i�f,?i;•:G --�/' - !i _ I I HEA.LTii U'r_PT. t=1�:l-L - ! -- !- - -------- -- ,i•_;"'.`.�_�:_FGTRI; /„l�s/Di7 � � i DE`J �c�S F��!D -------- -�- l ------ -- f ---�-f_'LU'�"51;`:'= _�� . �rt _�-� EiJEr:�,Y 'i- _;� : . , . .. . • � I ;i --------�-� -------- ----- -- ------ ------.....--------- . - �-------- • - , ----- —� �....,--� . _ ..•---.._.,.............- — - -- . � . � I � " `. --------- ---- ..____ ' '1' 1`�� '~''� 'k�, ' ' I I �;.. _ . . . --__ � ..�,)i:1�:���TS � --- �•---------- _ _ -- . - . __. --- ----------------- -----. � . . �:. ---- --------- --�- 1 . •-� iil�r�. ('�I �/1��L�4�.� �•-------- - -- -' `-1'�'��,-�;''�= .�i.li'Yf=:--- .:I�J--------. -- �•---------------- --- - ------- i �I --------- ---�---.�_..-- _ ,�'• �. �•-�-��t i ----'--- ' . , . �._ -- - ---_'_j':`�, 1.•_`' 1� )-- ��t--- �. I'.. ._ � a.. ..)i.� {r'�`.�+� ��;�i=TIC TAtJ� SfZt ---- --------------...—�------ ---------;----- i� .�rr� PlT/i1 SIZ� --- ;�"� - ---- - --- --- ------------ ,: . . ... ........ ...._._..., .._....--- � . _. :�r� - , - -----�---- --- - ----- I: . � — - ----- + ----- ;,- � ------ �i .-,. - ----- ,! � . , � �r._ � . � . • } T w.. i . . ._. , * _.. --------...---------------- --------------------- f �''�' � I. . . , �-+:_ ., , ,; —y —t�'..' f! - . . . . . 1 • -7. 1�i�� i ��1�.. �..•;:.�� ..�,1�:.i!S�� .11+�1.)i. i 1 I . b�..�.� . . . .. � � � _ �__ 1 t,�._f�.- -rL`,, , t���',,T_I,' 1 � � _ 1 ��\i, =1I ,J �.�%. � ...��.,.: j__ -----------