HomeMy WebLinkAbout15264 � �. y ' ' " , �
_f� CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY Bc DEVELOPMENT SERVICES
� 21660 E.Copley Drive 5uiu 190 ��
(909)860-3195 Fa�c(909)861-3117 PRE$$
'�'� BUII,DING PERMTT APPLICATION FIRMLY
o� JOBSITE r� t�� APPLICATION • PERMR �J /C O�.ra-
ADDRESS_1�� S• ��T�� '��t• DATE 7 �s 6'O �_ NUMBER �v fl
� APN LOT TRACT ISSUE - TYPE : OCC
p OWNER E1U1� b.�b►M�.-S DATE CONST.__�_ GROUP
"" ADDRESS�( S• E1Q.FCCi'KjE�e-��g �— ZONING SEBACKS
� CITY Dt MbN�p+L14Z1 IP� Z�� TEL REAR RW ❑
APPUCANT TEL SiDFJS�DE STREET RW ❑
� CONTRACTOR C O M SIDE ❑
ADDRESS
� CITY � ZIP 9171 O TEL D� 8 3 PROPOSED USE
�i �{�ENG/
� DESIGNER� L�CN-E� N0.�WEL NO. NO.
ADDRESS UNITS STORIES BEDROOMS
CfTYMldf4Ei M ZIP� TEL
v� DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION
Q OWNER-BUILOER DECU4RATION SFRlADD/REM
O
� i Heaeer�uHoen r�utr oa v�urrv nur�ae�c�eawr rnoM n+e c«vrn�croas�F GaraqeJCarport
CENSEUWfORi1iEFOLLOWNOREA50N(SEG76]1.6BUSP1E59ANDPRDFESSIONSCODEANVCfTYOR (n
OOIMTYW1/1CNRE0UR£SAPfRMRTOODNSTAUCCALTEF�AIPHOV60E610LlSFlORRFPMiANYSTi1UG W PflIIOJDBCK-
IURF,PRqR TO IT!ISSJl1NCE,K50 REaItIRES TME AGFl1CANT FOR SUd1 PERIAIT TO FRE A SIONEO � W
� STA7EMENT iHAi HE OR SHE IS UCFNSED PURSVANT TO THE VROVISIONS OF THE COMMCTORS LL
CEHSE UW(CFUPTFR�(COMMENCPq WfiT15ECT10N 7000)OF DMSpN]OF iHE BUS�NES3 M!O PRO- u' POOVSDB .. . . . .
iES3qN9 OODE)OR THAT HE OR SHE IS IXEMPi THEREFi10M/ND TT1E BA513 PoR TMEALLEOED IXEMP•
TION.M11'VIOLATIONOFSECTICN70l1.6BVANYAPPUCANff-0qAPEfWRSlIB1ECTSiHEMPIICANTTO Z Ro-Roof
.. � �dva vv+�uiv oc woi uoaE n�w crve Nu+oaEo oauns lssoo�.r
O ❑IASOWNEROFIHEGHOpEHTY.Oi1MYEM�IOYEESYATHWA6E5A5THEIq50lECOMPEN4ATqN, � Cpmm9fC131 - �
Z MJILL OD TME WOfiK,ANO TME STRt1CfURE IS NOi 1MEN�EO OR OFFEREU fOR SI�IE(SEG 7DIt.BU54 _,1
� NESSlJD VROFESSIONS COOE�iNE CONTMCfOR3I.ICENSE UW OOES NOTADPLY TO ANOWNER OF �
PRDPEiRY N'1q BUtD50q MPF1pyE4 TiEREON,M1D WHO OOE9 SUCN WORKHIMSELF OR HERSELF Oq
� iHqU0MM90RMEHOwNE1tPLOYEES,VROVDED7MAT5Up1MPqOVEMENTSMENOTMEPAE00R m
OFFERED fOR SALE IF,IqWEVER iNE BULdNf;OR MDROVEMENT IS SOLD wITMN ONE YFAROFCOMPLE
Z TqH,THE OMYNERBURDER YNLLluvE THE BURDEM OF PHOVNO iHAT HE Oq 6HE D�D NOT BUKD Mi
= MPRONEPOqiHEPVRPO5EOF5ALF} �
w OIASOMMEROfTNEVROpEHTY.AAIEXCLUSNEIYCONTRACTF70NnTNLICENSEDCONTMCTOR�
d TO tONSTi1UCT THE PR0.IECT(SEC.7ou.BUSiNE55IW0 PROfF5510N5 CODE THE COMfMCTOR9 U- V81UefI0f1 ADJ.AREA
� CENSEUWDOEStqT/PPLYTOANONNEROFAPROPERiYYAfOBVIIDSORMPROVE]TNEREON,ANO
wHocorrtw�crsconsuavr�crs��cartiucro9rnuc�,seowRsuu+rron+ecartruc puANT1TY OE C ON FEE
� TOR9l10EN5EUW.). . . . .
O IlW QEUP�UNOfN SEG 9.f V.C.FDRTMS REASON Q
U
"-- o�rE om+En �
�
� UCENSED CONTMCTORS DECIAHATION W
� IHEREBYAFFIis1UN0ERVENAIT'OfPE0.A1MTNATIA�JLICENSEDUNDERCHOVi5bnt30iCN�oTER � . _ . } r O ' _ .
�(Op+MENCNf7 YrtiH 5ECT10N 7000)OF DM510/1�OF TNE BUSMESS I�NO PROFESSqMS COOE,AND Z � '��
W UCETfSE p N ilLL FORCE AND EFFECi. m � � �O .
o uc�r,se aas G 5'� i�c.r�o.�??���_ � ,�D
� D�TE � corrrrucro���� � a �
� � I WORKER5 COMPENSATION DECLARATIOY • �t L
� I HEREBY AiFWfI UNDER PENAITY OF OE0.AIRY ONE OF THE FOLLOWBIO D ��
� � �
O _I HAVE MA WRl MAMTFJN A CFRTIFICJITE OF CONSENT TO S �INSUNE FOR S . � . ,• . - . . .
� CCMAPENSATpN,ASPFIOVILEDBYSECT10N�7000FTMEU COOEWR7HEVERFORu�NG�� ,
OF iHE�WRK FOR WMlU17M5 PERMIT q�SSUED. {� ' ' • ' � I
O . . '�.' • . . . . _ .
Q _I/uVE NO WRl MAMAN WOPXER5 COM7ENSAT10111NSUFUNCE.AS RECUREO BY SECTIOH, /� y�
]7000FTNELAOORCOOEFORTHEPERFORMANCEOFTHEWORMFORWHICHIHI9PEMHTI9 r y, -` ' y., �� • .3 .�1
� ISSUED.MVNORKEitYCOMOEH3ATqNWSURANCEGRR1ERlNOPOLICYMJMBER� CONY} U(:I�OM`v,� \,� '� �Y'.J .. 1 : .J
I
uqmEq ,"'Q P
� POIICVMNABEII�- �_ ss�IL�. LE I� .
C �
0 (14tS5ECroNN�NJi2Em.�1FTFDOFTEofp.rfsFi7qa+EtuLIiED00lWi4M7�! � G � ,
. . ..W . ___..__.._.' _ . . .
Z I CERTIFYlNAT N iHE VERFOP4�ACE OF 1HE WDN�(GOR NM�d117a4 GEfUAfT 14 E0,1 E i I �
, ,________ .(�' ___,_ SNALL NOt E'M�PIOV ANY vfRSON M ANY M�NNEN 50 AS TO BECdAE SUBJECT THE �
y YAPofERSCOMPEN5A710NUW30FC�L�FOHNItiANDAGREETMA�IF1 BECq.�E� � �� ��� �1N T FEE -��y������---�-�--
- --__ --- ----. _
S SU8IECT TO TME v10M(ERS fd.��EN4A710N PROVISIONS OF SECTION])oo F THE LABOH � 1 l.
coo�.�swurorm+vnn�couv�vvnn�n�oser��/qn�sar+s. ISSUnr7CE , LU
� ��,�,��� �• '�i� SMIP C�l�(11S ili A 7�lf/1 mT L l U
p DAT£�1[7 V APPIICANT:__ AfITI3i�' "-
� �� � ENERGY P�C Ri tTr r,rr..
WARMNfi FAIWRE TO SECURE M�DRKERS'COAI7ENSATqN CDVEMGE IS UNUWFlA,ANO SHALL BE
� SUBJECTANEMPLOVERTOCRIMINALFEN11TiE5ANOCMLFNE5UP700NEM1NDREDT110USAND ENERGYPERMIT
DOlUA3�t100.000�.N ADDITION TO7HE COST OF COMPENSATqN,DNMGE5115 PHOVIDED FOR IN
J SECTION�70lOF1HEUBORODDE.MITEREST,ANDATTORNEYSFEES. RETENTIONFEE: �
.�
-pW., CONSTRUCTION LENDINC3 AGENCY PRE-ALT FEE
� INEREBV/�FFlWIIRAERDENALTVOFPERIURYTHATIHERE13ACON57iM1CTIONLENDPIOAQENCY �
FOH 7NE PERFOR6IANCE DF TME WORK FOR WHIG1 THiS OERMIT IS ISSUED(SEG Wo7,CN.C}
�
� IFN�ER3 NNAE
� .IENDER'SADORE55 -
�" i�oa Eryro��p�ari"`�"'���ciuic�sM105TA�WSR"a'i%uin�ro TOTAL FEES �� "
� CONSTRUCTION,IWDHEIIEBYAU�FiONZEREPRESEMATNESOFTH15COVNTYMEHfERUPON7HE � - -� ��{/
Z �BOVE-MEMTIONEOPROPERTYFONINSVEGTqNGURPO5E5. COMMENTS v-
9 C..y� C,� S -
Qruan► �rru�+n i�T��� Ct �l
N � V v •'-!
y SNiNATUREOFVEPIAITTEE A
� RECPT.NO. PAID BV VALIDATION
WMITE—Depertm�t Copy.YELLOW—fnnnce Copy,PINK—Assessor Copy,GOLDENFOD—File Copyt'GREEN—ApplicanPs Copy
.. . _ . _ . _. . . _ . . _
_ __ � - -- - - -- - -- � - � - - - - -
��---- �� . n -- i��n -,,�jcnminoci ��mcn �� � ii � � � -�icncim vi
�. i m'm _ ! �, i �' . �t��p i: ;,v m m m 7� m y Y. x O o O o � O y m � � � m
�. ���.:� ff1�0 ,. - . �, � . f�IT: >+.(A Rl '9 � r- r � O C C C O D O_-I �� � 0 fn � -i - . .
� � . . .._ 1 -p.-i �� �• S. r- r-. � �. A.v -�+ m � -- � r �z c� G> G) T ? '-n m � w � c� � W ,�I .
- • jvc� �� - �'I.� m � c��� vc� na � Z � mxzx � zm � -o � z � o � �
r r p ` -I � - m = D v M 2 O G7 2 �11 O Y �.C� � .� I
jcD .ti ; IWi� - c n -i � � �,-r- z � zc`n � m � cmyr�i� mY � m � �r° G� } , I
d��: ' �ei z ��. � • ' , '� —1 � .. � � z y � � � a c � o � . c� -_t � Z �.<_ � m c � � r�
1cnx .. N'._IO��Uj ,: z — c� : � r =' z --� m � z . -, ? c> som
m cn,::� p L� n ; � � ,� o � � z � � ; � �,m m Z m o l
. . m���� � � ' 1 � �- � " p � � -� ' �� � rm-
' � �
�Il�__�__ �l x � ti .� � i - � ���
I. � r� �� � �m�
� :� :'� _ � �' �� _ ,.� � �� ' ; �, ' ' �
� � � ��� -
_ .
x: ; � � . , ,
,. �� �
- - p c - � - ; �i i �
_ �, � , - ;`� - - � _ ,�i _ n
., �_ ; _ , �I N �
.F i -' . ' _ - � I � �` T
4
, . . P, : - _ s i R7 O �
- " .� . ��'C � Rl � 2 'T T Q r T p O 'O 't7 � Zl �.7 m 'O �l W � T T C C TI T :w ,� � ❑
__.. _._ ._ . ._. .__ _ . .. ._ �� � �� ITI < m � Z Z p Z a T O O O z O m m z � p � � Z z D � � —
/ ,. __, . .. �1 .. ,� . �^ m a z D _ O O O c Z . m o o ' �
- --- . ..._- - ._ :.,,_.�n_ -. . : 77 T � Q r � o r n cn r r r = G] n � rb-�. � x.� � m m �1 � ��I z j
_ _ � -
�. � _i_ `� -�I. n' m S f71 N m n f7l D -i T �l tT7 2 = 77 W Q -i r r �7 31 �r1 ` T I �
IL -G R7 � � Z 'i m m 1- G� Z D � z m D A.T T n ..�� �
�._ � � � �n O ,� � � v L� O D z m � � �CD O Z o O m m � r' � O �.:I:i� ..�t7..Z
_ � .--:�.q y v „ Z � � � � � � Z -�+ p ➢ _ z O'� Q m -n O O tin � �u�� (7��
-+ Zc� . �, v, z� zo .� c� mm oo � � T.?, p..
'�� �'' � � z � � � nc� � j a � mpz o � ��i : 77:.D
: � s ,r,� o .o c :�i �
..:� , � ' i �, I � �. m � O � 1I - �3
, ��' L �i! _,;I _ � O � 4 .y i � .
_ I � I� � /, � .e � - .
' ` jt I r• I ` r '� -�e�l _.
t:�� ' _ �� �'`` � (�:v �.. .��r�
� 'L, f c G 1 '- -
�: -; � ` �; � :'' i - T`; i f �- �i
� i �; �: � � ": . ,.ti�
1_ : � 'r. „ :�- -,J �
, ;� � I Y � �' ��'�� �,
,
� ��
,, ,
-- --. _ _ _. ' .__ - __-- . . _:_. _ -_ _ .:_ . _. ._ . -
, : � � I
�
_�, _: �_ �_�`. ��,�
� . ; , -: ... � � ., _ _. .
� - - - - -
� �� �� � �. : , _ � � �.�_�;:�. . � »_..