HomeMy WebLinkAbout10778 CITY OF DIAMOND BAR' �
COMMUNITY DEVELOPMENT DEPARTMENT
�� 21660 E.Copley Drive Suite 19D PRESS
(909)860-3195 Fax(909)861•3117
'^"' BUILDING PERMIT APPLICATION FIRMLY
o D RESS � DA�CAT10N � � NUMB R l6 1 x�
$ ISSUE TYPE OCC '
APN--�-�-; LOT TRACT DATE CONST. GROUP
S OWNER V o 1n�-
fl ADORESS 20NING SETBACKS ,
Z �m, Z�P FRONT RW O
g APPLICANT "'�t� SIDE/SIDE STREEf RW ❑
� CONTRACTOR d � S�DE ❑
� ADDRES 2 O M �
p �ITY z�P •l,d TEL PROPOSED USE b W S CG
w ARCWENG/
W DESIGNER NO.DWE . u O. . ,
n. ADDRESS UNITS t � ST IES • BEDROOMS �
� CITY ZIP TEl_
� DESCRIPT N FACTORPSF ADJ.AREANALUATION
p� ONMER•BI:tLDEH DECLAFiAT10N SFF�ADD/REM
O •
p �NEnEBr Amro�ur+oen oEN�itr oF v¢aum nuT t M1 EXEMrr FRou n+E�cartruerons t1� Garefla�Carport .
W [ENSEUWiORiHEFdlOWMJONFASONI5fG70.11.6BUSNESSANDVN�FESS10N5CO0EANYCrtVOR (n
U WUt(TYWMICHREWIRES�VEPoMTOWNSTRUCT,ILiERWPROVEDEY0U9tIXiREV�iRM7Y57fK1C• W Patia�Deck
TURE,WtI011 TO ITS tS5UM10E,ALSO REOUiRE3 TME APPLIClNT FOR SI1CH PERMIT TO FKE A SHSHED
W STATEYEM i14T HE OR SHE 13 UCENSED PURSUAHT 7D TME Pi10VI310N4 OF 1ME COHTi7ACfOitS L4 w
� GENSE UW�d/APTER�iCOY11ENCrK1 YATM SECTION 7000)OF DMSqN f OF TiE BUSINESS MA PRd � PooVSpa
iE391ON5 ODD�OR 7WU HE OR SNE IS EXE�.�PT MEAEiRdA AND iHE B�SiS FOR iHEALlEOED EXEAIP•
TqN.l1MlVIOLAT10NOf5ECT10N7o71.SBYANYAVPL�GANTFORAPERA1iT5UB1ECiSiMEMPIIGNiTO z Qq.ROp(
A CIVIL OENKTY OF NOT MORE T/uN FNE IMARED DOLlMS(t5oo).k
0 O1�30NMEROFTHEVR07ERTY,OqYYFYP�O�'EESWITNW�GE5115TXEIRSd.ECDYPENSATION, Cp(�me�C�EI .
Z WRL DO TNE M'OHK.II�D 7ME STRUGTURE�3 NOT INTENUEO OR OFFERED FOR bALE(SEC.7o1I,&154 O
N NESS A!A PROFESSIONS OOOE TME CONTRACTORS UCENSE UW DOE4 NOTMVLY TO NlpNNEA OF = �
VRDVEitTI'YAq BUID�Ofl MFFI�VES THEREON.AND NM1qD0E4 SUpI NC7RKMMSELF OR NERSELF OR
(L TXAOUGHMSOi1HERWMEUP�OVEES,PROVIDECiMAi5Ud1IAPqOVE4EMSARENOTMEIAEDOR m
W OFfEREDFOHS�lEIF,HOM/EYER71/EBIADQ�f70NMVfqVEUENTi550IDYn71miPVEYEAqOiOWRE- �
TpN.T11E dWNER�DUR,DER WILL HAVE iME BURDEN OF FROytNO THAT ME OR SHE DD NDT BIMD Oil
_ �.1PFiOVEFONMEWFlPOSEOFSALE�. � - '
w OLASDwNENOFTHEPR�PERTY.JWE%CLUSNEI�CONTMCTNOWRHLICENSEDCONTMCTOR3
(= TOODNSTRUCT iHE PROJECT(SEG]oN.BUSINE55 N1D PROFESSqNS CODE iNE CONTMCTOAS U- V81Uflf1011 ADJ.AREA - �-�
LLJ �NSEUWOOESNOTA7PLYM/�NOWNEROFAOROCERTYW/10&1d�50NYPROVESTHEREOI{ANO
� wwcorrtnAcraronsua+vr�erevnn+�carta�cTonlsl��r+seovvvr�wurtron+Ecartruc OUANTITY DESCR�PTION FEE
� roas ucer+se uw.�.
Q O 1 AM EXEIAPT UIDER SEQ 8.L P.G FOR Trx4 REASON U .
LL Q _
OATE OMINER � �
J
�Q LICENSED CONTRACTORS DECLAFiAtiON w
' [C IHEREBVAFT7WIUNDERVENAITNOFiER1Ult'/TUTIWLICEHSEDUNDERVROV15qNSOFdUDTER Ur .
d �fCOwENCN(1YvrtNSECT10N70oolOFOM510NlaFiHE8U5iNE5SIWDiROFE5510N9CO0E�ND z
x W I�CENSE IS N RAt fORCE/�lA EFfECt m
� IICENSE SS � ` LIC.NO. �� � 7
V DATf Q 7 CONTRIICTOfI � . . �
W
� WORKERS COMPENSATION�ECLAtL4 0 �
---- _ __ _--
__ ----� ---.__ ....__-_ _
_ ___..... _ .— -- --
- � N ---- - ----- ------- ___-------- U
� I NEREBYAFFlR4A IYAER PENAITV OF FER1URr ONE OF THE FOLLOWMJO OECUIUtt�ONS: Z
� _�IMAVE/lAWM11MANVTANVIICERTIFICATEOFCON5EM705f1F.m4UREFO�N4pKENS' S
PENSATqN.A4PROVDEDBYSECTiONl7a00FTHEWiOqO00E,�OqTHEPERFORMANCE �U
THE MGf11C FORYM�GI iM4 PEFUM t5�SSUED. �
W
1 HAVE/WD wRl WMAM WOPo(ERSCOMPENSATION MSURANCE.AS REOIARED BY SECfd1 /
Q 7roo OF THE IADOR COOE.FOR iME PERFDRh1ANCE OF T1E MIORK FOR YMICFI lFft3 PEMIIT I! /O �
asuED.urWww�p��1KccE/AJsoor.+vc*�s�Tar+n+suau+cecuw�aumvaicrrna+eEn� CONSTRUCTION c
jC11RRfER ��f LO��sTL-+ / PIANREVIEW
� vaicrr+uusEp �il 7 . ELECTRIC
� prasEcnonr+�wreem�ncanerEn.�iswaar,�Kru+IDoalutc6�aolap�ssl PLUMBIN�
� y �CENT�FYTUT H 1ME CERFON.UNtE OF THE F nns oEroM ts�ssuEO.t MECHANiCAI o.--
(J SMALLNOTEMROY/iM/iERSONN�M/unN�E A 08E(DMESUBIECT701NE -�-�
(n _ NOPoCERSCp.�pEN5�T10NUWSO�C�L�FpR AOREEiluTffI5H0UlDBECO�.�E ..- - -- .INSPECTIONFEE - - -- - ---- ------ -- �-- �--�-- "
--- � � SUBJECTT07HEMORKERSCO�PENSAiqN IOWSOFSECTqN37ooOi7HEUBOR
} � Foanfivrn�caav�rwm� Ho�nsia+s. ISSUANCE l
'p OR+U��µ���LL�� APPLICANT: SMIP �I"' � � •
�1 W /�UR�TOSECUREW�ORKERS TqNCOVFRACE15UMl�WFtA.IWDSHALLBE ENERGYPlC
�J-y SUd1ECfIWEMPLOYERTOCRIMRULPENKTtE pVILfNE4UPTOONE/M1MDREDT7iW5AND ENERGYPERMIT �
D0.l�sIlloo.00O1.NMWTpITOTHEWSiO GEN4ATION,DI.AtnGESASP0.0VIDEDFOql1
Jc� SECT�ON]7a�TIE 1A80R CaOE R7TENEST./iND�TIOfWEYS FEES. RETENTION FEE:
nw. CONSTRUCTION IEND�Na AGENCY PRE•ALT FEE
� iHEREBYAFFIRYUNDERFENAITYOFVEiWNYTiUTTMEflERA00N5TRUCTIONLENDWO/tGENCY �
FOR TNE PEFFO�uHCE OF TNE NUHK PoR N�Mp1 T1i5 FERAIIT�S ISSUEO(SE0.7oW,pV.Q} _
�
� � LETIDER9 tUME . .
� lEtAfA'!/LORE55
� ICENTIF/TUTIHAVEREADTMSAPPLIGTIONM7DSTATETUITiHEABOVENFONIAAT10N14GOARECT. TOTAL FEES c�
� IAQREETOCOMPLYWRMALIpiYANOCOUNTtOR�WIIICES�lASTATEUM�SR�TWOTp9ULDINp I �y� � ' 1 n� � . .
pONSTFkJCTqN,ANDHEPEBY/AfT110N2EREPRESENT�TNES�COUNTYTOENTERUPONTHE ' � 1 I�I
�80VfJ.1E EDCHOOER7YFORINSOEC710NPUAPOSES.
�, COMMENTS f'
�j � �— �y,�l
m FEBNTTEE NNAE(V -
Q �y����
� �
DATE
i� sweunmE rr •� .�� `�': _., ` ':"':t� RECPT.N PAIO BY VALIDATION '
WHtTE—DepeRment Copy,YELLOW—Fhence Cop�,PINK—Aswasor Copy,GOLDENR D—Flk Copy,GREEN—ApplkanYa Copy � -
� • :
�,.----_.�.:� ; �� " _ i - � n; -n -nTT � in 'cncnon � cn �i � i� �T � `• m � � � � � i
�� � �mm � { � O, zzzz � mvm � m � � 00000 � a � , � o � � � .�1: .
� � � ;'�O��-1 � � � �� r�', r�'f r�,- r y ;a _-I m � Z r. �{ � L) G� 7n �I 7� ,v � 2 � �n D (`..,
vmxc�
� �� _ R7� �cmmOA � D9 � �'cni � vmxOG� x �;Ono � � � ��� ` .
D Z Z C r r <-_� h1 � 'D .ty�
� �y _ , �I � �� c� --{ m �' z z �, in c m m y-71'`m r G� � '. r°
cn c
�
,Z � _ m m, i 1
r � � ��I�'z ' ��I � � 'm � z '-i ..if� 7� a � � vw � n -+ 77.z ""� � ?] , c � � �i
� �Jl
,ff! icnT� l _-C�n-- - -�' z n � �- i- �_ � p Z � 6 � Z ' � z m ' i ,m �c � �'o�}
lilr�tn j t c� i z -� Z � rmnznc� , rV_ ' I y Zm J II
i G� L 7
, � m- � c� a � ' m .
o i o �.
� � � ' �. ,� i f�i1 . �. i . ' I �'�. 'i � � ' _ 2 � -i � i �. . _I ,��� ��O r � �� _
' � I I I I � I � � i I I � �� i i I�i i i I �i �; �I O G,. � I . �I
+.111 � � . �, � � I � � � � � .0 f � �
---- '- � � c: � t.� ` I i �� � � I \ ' '' �
i i l I I c.. . I � ; r' i " i �
� � s`�S � I i I G� �� � I I ; I l.� 1 � _ � ,
�' I i r�� � I � � i i V i - -I I I I��{ -�` 1 � �
i ^. � i i - i i I
�� i: i � /f � .
I � i
._ i
�
�\\
I
, li �� .._+
i I I i I
, ��
�.. l
I�
i
� l
I 1i i i i
I j/ �
� �I ; � �, � ���I��� __
I
' I
� 7.�{
� I�` t I
i f ��`-} ,
�I . I ' 1�� , � I� ,L V " ! .
I �_ I � /�
i �� �
I
11 �I t�
/{ � A \JJ
.I � I = _i '- _ I �I " I � t I i� I � '�'l`:/ ' ��IL � ;C' ^ �
i 1 �,�, �'_,�
,I ii � I - i
�
i I
j _
_;'
- '� I - �� i i I I � i. i I �" Ir 1'il_�
i - L� - �`�
:�
- --I
� �
,
i
- - �� �� i '� -n�-n '� .
-�- 'n ��T � 'C � �t'D Q f� Z7�d �l 'n C C � ,
T O 'Ti O.
( 2 O
f - -- O
- � � � , _, m{m � Z .��� Z m -n O O O_ZI01m���z.l� p 9 .^ � z ��r� �-I�
tn"'C D R� D � Z D � �i D O O C m D m m o 0
� - — - -- � --I - -1 -- -- � .�r � � r r � r- (n . . r�r � �1 C� .-�-1' S v v Gn m �7 O ��:.,r��
+�I T -i D � (n � -n 'n In —.I2 � � � -4 r 37 37 m 7]
� I ---- — - — � -- -� — -- - �I � ci: �lm 2 m N m (� m -Di m m r L]' y A W � "D rDl.n -n O�� � -� �'Q ..
II _ . - .�1�5 I .i Cn � � Z s v � O�� D 2 m 9 � � b O O O' C7 C7,r r � O .'.� �� -R�.:�
� � = � � � �� m - � r !� C� D�]7 �_ .� m (Tl O O -���n i �V
i ' � � � : ' �iri, �ev -nzvLn � � - -� oa �Iz � m m „ o om -{ s. .. n-C�
I i i , D -i �7m in " � �lo IG7cnmv. � O�� � . �N .: 'n`
.i� I 1 � . .er:l'��� �O 'rt D .�Ti �� 'n C7 �j Z� ') � D A Z C � 0 i � • �'I� �
i 1 _� I � I ���. Ij'�f Y. Z r, .�� � � L�� �� � � � 0 D.�' c' � r � ' _ ,.�
�,rj � - � � _ � i��;a�� �` �r 1' �i i �'. I r ���o -�-� � i �_
� � y} �_ `_ ' � f ,'` , �`p =-� � ` ''� " -
� ��� /;��� i �'��-�� , _ ,�"��� - �I ��,� � � :� I - ' �' '=' ?
��% . I� - � _ .
'� 1 `T: � _'-I 1�^K _ � J �
'�,I � �,� �/��'i � �� �- .f r�1, i u o� . .�_..., .
9 !. .- '! �, f: � '� i �� � ��c�
3 ,: I� ,� � � ! �- �;;� :
� ;� � _� - ` -: i I ' - �� ' �� "' ' �
t � � _ i �� ; � ' ( �' ' �1 I �� �`r' ��� -� � _ .
S�,�' /f . I ' I .,� _ . - - i. � . �'I �/� �.' ,n-1 I
� fI/' I j `/�'�- _ _ � I i � I�' �I / �� , t-.� .
� '�� ' k��. � - i _ _� 1 I '� �{7� .
�� i �
i. _
, � i .
. !� .
I ('
�
Ir - i i%�
.i ' . I �
�
� �� �-�"' -��_ , ,i i =,_ � �; ;�, ,
� � , • .. _ : - ' I � :m!
� �� . �-:��� � �� ;-.. .. ��� _ . -- - - - - - - ' - - ��-� '� - j �,�- - �� `
I � �#�
� , , . _ , � - ' � ; ! �