Loading...
HomeMy WebLinkAbout10778 (5) 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/EBlA17Nf70NMVfqVEUENTi550IDYn71miPVEYEAqOiOWRE- � 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 � �#� � , , . _ , � - ' � ; ! �