HomeMy WebLinkAbout12081 � CITY OF DIAMOND BAR� � � '' r-�
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVI S
� 21660 E.Copley Drive Suite 190 '' `
(909)860-3195 Faz(909)861-3I17 PRESS
' �*"�� BUII.DINGPERMITAPPLICATION FIRMLY
o ADDRES��� f�� �P�1/'A � APPLICATION� I 8 NUMBE � �1/C
�DATE
c� ISSUE TYPE OCC
APN LOT T ACT - DATE CONST. GROUP
LL OWNER ` `
ADDRESS 'ZONING SETBACKS
� CITY � ' ZIP TEL j _ pEAR Rw O
APPUCAN TEL' SIDEISIDESTREET RW O
� CONTRACTOR " S1DE, O
� AD�RE S - _
CITY ZIP TEL PROPOSED USE
- Pu ARCFUENG! ," , , i
DESIGNER _ NO.DWEL -:>. NO. �.•,, . NO.
ADDRESS ' "
- UNITS - STORIES' � BEDROOMS
� CITY- - ZIP TEL
�n , DESCRIPTION SQ.FT. FACTOR PSF " ADJ.AREANALUATION
p� OWNER-BUILDER DECLAFiATION SFR/ADD/REM �
G
1 NEREBY AFFlRM UNDER PENALtt OF iEiWRY iHAT 1 AA1 E%EYPT FROM 711E COrliMGTORS LL ��Q��� . .
8 CEN^uEIAWfO11THEfOl10WN(iRFASpI(SE0.70.11.5BU51NESSANDPROFE55qN5CO0EMlYCITYOR (n
OOUt(fYWlYO1qCOU1qE5AYEAMrtiOGON51AUCf,KTERNAPROVF.DEM0U51lOfiREPAW�M'SiHUC� W Patio/Dack
Ci iHU
� TUHE.PPoOR TO R8198UN10E AL50 RFOUIRES T11E MPLICANi FWI SUGI PERMIT TO F�LE A 51GNED W .
S7ATE4IXT iMAi ME Oq SHE IS UCENSED R10.SUMlT TD 7HE PROVISIONS OF iME COHTNACTOqS U.
� cEr�uw touvha r�mwuEncwo vnrn sEcr��aaot oc o�nsnN�oc n+E eusu�ss�um vao. �- PooUSoa
FESSIOf/5 OOOE)ORiNAt11E OqSNE IS EXF4PT TNEAEFf10MMW TNE BASiS FORiNEALLEGEO E%EMv-
T/7N.ANYVIOLAT10NOiSECT10N1w1.68YN1YAiPl1CAHTFORAiEHMIYSUBiECiSiHEAPYlICN1Ti0 R�Roof
� �arn v�rv a rar►ioac nuw m�r+urmaeo oa.uru t:soot.k ,
� 04ti.`0'MNEHOFTHEPHOPER7Y,ORYYEMPIAVEESWITMWAGESASMEiHSOIFCOAIPEN5A7pH, Q ����� .
MALL 001HE WOiK MlD THE STPoJCNHE IS NOT WiEN6FD OR OiGEFFD FOA SAI.E(SEG 10�1.BUSF J
= MESS IND GRJFE5510N5 CWE:iNE CONTRACTOR9 LICENSF U1W OOES NOT AiGIY TO AN OWNER OF � . � ' ..
iiOVE{ifY W11D BUIlO50R YVHOYES iNEREQIAND W11000E5 SUp1 MOFN WIASELFOR MERSEIF Oq
' Q TWi0U0M W5 qi MEH OY.M EMPLOYEES PiqV1DED 717Ai bUG1 iMPqOVEMENiS ARE NOT MENDED OR m . . - --
1�1 ,OFFFAEDFOfibMEF�110WEVERTNEBWLDIH00flMPROVFMEHi155IXDVAiNINONEYEAfiOfCOYPLE-
BW D H
� TION.TME ONlNER9U4DFH N7LL IW/E TME BUHDEN OF PROW W iF4AT NE qi bNE D1D HOT BU4D OR - - .
iAPfIDVF FOH THF PURP0.5E OF SALF1 �
, � 04ASOMfNFAOiiNEiHOPER�Y,M1E%CLUSIV0.YCDNTfUCTNfiWfI11LICENSEDCOHfMGfONS
TO CONSTHUCf iNE ip�ECi ISEG 7aN,BUSINF55 AND VR�FESSIONS CDDE TME COnlfiiACTORS LL VilUitlOfl /1D.I./1REA
CFJVSE UW WE9 NOIAPPLY TOAN OWNER OiA iflW Efl7Y NM1p BULLD50fl fAPiqVES TIEREC!(IUO
MqWNTMCiSfOHSUCMPROJECTSYAiHACpt�MCTOA(S1LlCENSE�Puti51/�NfTDTHECONTMG pUANTtTY .DESCFlIPTION FEE
� Oii^sUCQKEUW.} _. .. . � ,.j , . .
0 OIANFXEYPTUNDEA6EC &1P.GFORTWSHEASON q _ -
3 � - . _ .
�
. � DATE ONMER - V _
� W
UCENSED CONTRACTORS DECLARATION �y
� IHEREBYIFFYWINDEROENKiYOFVERAlRY7MATIAYLIGENSEDUNDEflGti0VI5lON50FG1APTER Vr . ,
- � •(OO�rrF1�UHCiW1TN5EGTI0Nl000lOGDrviSWHiOFiHEBU5iNE5SANDGROfE55�ON5CODE.M�D- Z
lll ���EISN EA�NDjEFFEGL �
� 11GEN5S ClASS.�_LIC.NO. `�� � �� , � .
� �/�" a
�j dRE CONTMCTOR---1��..cay/ a
� -� J� J
= WORKERS'COMPENSATION DECIAFiAiION �
� N IMEXEBYAfFIFWUNDERPEWILTYOFPEfWRYONEOFTHEfOLLAWWGDECLAMTICtJS: V �
N Zc�
' � _IIUYEINDWILLMAWiNNACERTiFlGATEOGCONSENTiOSELNNSUREFORNORICE0.t' S
- �i OpAVF715AT10N,ASVROVIDEDBYbECT10NAoo0FTHEUBOACODE,FORTNEPERFONAANGE W
Of TNE W WiK FOR WH�G1 iw3 PEHWT IS ISSUFD. �
Q , ,
_I FNVEMO W41 WNiAPI WOflKEN7 COMVENSATqN WSURANCE,/S REW WED BY SECTqN
Qa7o00FiNEUBORC00EFOHiHEGENFORMANGEOFiHEWOfYCFOHY.111qiTWSPERAl1TIS ..
� ttwcn.WwowcEas P�TaN c�ruuea PaicTranaeERu�: CANSTRUCTION � ��"
� C�pp�Ea PLAN REVIEW u ��
� �Y�p " ELECTRIC
� �rSs�r�rurefap,r�hpoFnfveqMisf+x+arve�DatM'�sppoj � PLUMBING
Z I LEHTIFY THAT N TNE PEAFOFYApGE OF TME 1MDRK FOR YMIQf 7H�5 PEFL.IIT IS ISSUE�.1 MECHANICAL -� " -
('7 SHALL NOT EMPLOYMJY PE(�aON�N ANY MANNER SO AS TO BEf:OM"c SU&IECT TO iHE
� Y�DR/cER4'COAIPEHSATqNtAN50FCAl�FOfwiAINDACREET�uT1FI5N0�tDBECOME INSPECTIOFIFEE
S SUB1ECiTOTF1EVdDRKER5COM7ENSAT10NCiqVISfONSOFSECT10NJ7ooOFTHELABOR ' � J1-
eoo�,i swu ror�nnwrn eou�.r vnn�nasE vnohsae�s. ISSUANCE
� SMIP
q OATE MPLIGWT: . " � .
� � ENERGY P/C
WARNIN6;iNLURE TO SECUNE NVHKEHS'CdAD[NSAiqN COVEFUGE IS UNLAWFUL.AND bMKI BE
�y SUBJEC7INEMPLOVERTOCRIAIYULVEIULTIESMWCrvN.FwESIWTOONEMXIDpEDi1K7U5At� - FfjERGYPERMIT �
DOUAAS(Sloo.000�Ml AW�iq�+i0 iNE GOST OF COAIPENSAilON.OAWGES AS PROYNED FOH W
J SEGTIDN770lOFTHEUBOIiCO�E.NTEREST,/NDATfOflflEYSFEES �EjENT�ON � � 1'
� CONSTRUCTION LENDING AGENCY pHE-AlT FE �
� IHEREBYAFGU7AIlN�DEH7ENALi70FGERAlfi7iHATiMEREISAGONSTRUGTIONLFNOW0A6EMCY _
a2 FONTMEYERfOwuNGEDFTIIEWOFiKWHM?YCHTMISPEHW715455UEOISEGxa7.GV.G.} .
W
� � LENDEH'SNAYE - -
� LEN�ERSADOflES3
� ��p�y7�y�T��µyEpEApTW��ppL�TqNIJqSTATE�TMEABOVENFORAIATpNISWR(iECi TOTAL FEES t
d IAGREETOCOM�LYM7THILLCR7ANOCOUNNOHOWANLESANDSTAiEUNSREUTW0708UtDIN6 /� / �'`
. COHSTRUCTqN,A!ID NFREBYAU11i0NZ PRESENTAiNES 0F THIS COlX1TY TO ENTEA UPON iHE S� //D �� '[ �/ , -
� �ao rrran¢oPiav�tnwn awPosEs COMMENTS_�t�'ii �i 0 _ —
= G- ��
m G EE NMrE(PWH�•- • /
�
OFPEMUTTEE' _`- WT
� ` � RECPT.N0. PND BY VAUDATION �
. .�- . . . ... WH1TE-6epaAment Copy,YELLOW—Finance CoP�,PINK—Assessor Copy.GOLDENROD—File Copy.GflEEN—hpplicant'a Copy -
, _, . , , . .
_ , _., .. , ..
. . , . � .
. . _ _ � =-_' '. . ___ - _ ' - --
. . . � . ., .. . .. . . h
_'_ .
•
i � �
. � ��� i j _ _ � .
, ' i. I � .}, � )
i
. i -'. � . I��.
, - �� 1� - ' . " �
' r
� ' ,� �� �'i � , .
_ i- � i
- `Z �
. . _ . �F= p � . �� � � . i
� � . C) G � m Q��: � � : . �� (,7 ' J Z . { . k . . _
. Q �' . � ' o O Z O W �¢ a ' � z C7 U ¢ Q u_ , , j
N . : ¢ � Z r o ; �
LL- a a :' ox:'
� '� I- mO00O� pWram2 p � ¢ Z � az u7. aZ a i � � � :
U' � � o OwwpOzoc7 ¢ ¢ wz ¢ � OC) ¢ � zao W : �:; :.+
Z ;W � � . . . " -
; • O � u'�. LLUamZpQZ � C7 -i W � W1- ZUul � tu = ulY �
. '- S F O ¢] Q = 2 W lL LL � G W N �J
' O .,a � � W LLl�d 4. = C� J C� V C7 N J J J (tJ U J � � J O J W ([ . er �.... ... . "' .... . _.._ ._._ ._ '." '_
: � Z O o o W W Q W Z � — O O O u. ❑ d Z a W Q � W r . .. ' , ,' . .._ _ ' _ _ —
Qip � = z z¢ g � riz ¢ woZoo � u- wzQ zZ � w w z :
� Q �. lL LL � ��. li L� � W LL n. [D Q LLL 6. a d O O LL. J O LLL Li. 2 0-LLl - .�- . - _ _. " .
�
0 '0. � t • ' _
:. U Z � �� ' - - l; �
. - � f - � �9-_ , L�
, � i�, � . � , '
,� � I � I�' N' � ,i ! ' � ,- . . .
m �
I �� fY
- . � W � � I li'��I � �� F- - - Zp U,. I � NI'.Ltl
Z U
N Z CA N
z
C'S - —
w C7 f- c7
J : — 2 Z —
— W U
C7 O
lo . f- � m ' w z �' ¢ z ��� �� �. _� � z - ��-.�- ', Y�[n �.�
� - rn o ? , c� =.z '� z +-.romoF' = � I t- F: i � m F- _ z� �
� � J O W ¢ a w W W J ? = N 7 z Z I Z � W Z d W � W I . . . I--F- .
1 Y 2 U p ¢ O rr1 S�C'3 O S W a p~`[ = cn -� ¢ F-
� , F... � ow � � , U'a
. V p ¢ a ' � Z c� 2 S S w �" z c7 ¢ ¢ U a a U S w d � • �
" Q �' F- Z � � LL LL CJ U` C7 �y � J Z W H.. a. Q J J :J J � � � O~.W �
� � n: W !1� i Q ' - �N �.
� lW `�' � � 5w < °o � 0000 � �"i ¢ w � wwwazzzz -
u� ri w t7 �n t- � o� u. ¢ ¢ ¢ ¢ cn w � c> o cn m cn c7 � u. � u. U